Relationships between Anxiety, Depression, Low Anterior Resection Syndrome, and Quality of Life Following Lower Anterior Resection for Rectal Cancer

Purpose: The purpose of this study was to investigate the relationships between anxiety, depression, low anterior resection syndrome, and quality of life after lower anterior resection for rectal cancer. Methods: The participants of this study were 105 rectal cancer patients who visited the outpatient department of a hospital in Seoul for treatment or follow-up consultations. Data were collected using self-reported questionnaires and clinical records. To measure the variables, the Hospital Anxiety and Depression Scale, Low Anterior Resection Syndrome Score, and Quality of Life Questionnaire-Core 30 were utilized. Data were subsequently analyzed using the SPSS/WIN 20.0 program. Results: Low anterior resection syndrome was more severe among patients whose cancer was located closer to the anus, and had a greater range of resection in those who received neoadjuvant treatment. When anxiety, depression, and low anterior resection syndrome score were higher, quality of life scores were lower. Conclusion: These results suggest that low anterior resection syndrome may negatively impact quality of life. Therefore, it is necessary to provide patients with symptom management support/assistance through evidence-based nursing interventions, and evaluations of low anterior resection syndrome to relieve anxiety and depression, and thus enhance quality of life

A Study on Exercise Behavior, Exercise Environment and Social Support of Middle-Aged Women

Purpose: The purpose of this study was to identify exercise environments and social support associated with exercise behaviors in middle-aged women. Method: Subjects were 207 women aged between 41 and 59 yr in an urban community. The research instruments utilized in this study were exercise stages, exercise environments, exercise partners and social support scale. Subjects were given a self-report questionnaire. Data was analyzed using the SPSS Win program. Result: The subjects were in the stages of precontemplation (3.4%), contemplation (25.1%), preparation (40.6%), action (5.8%), and maintenance (25.1%). Subjects who engaged in regular exercise were 30.9%. The mean score of the exercise environment was 6.34. The mean score of social support was 21.28, and 65.7% of subjects had exercise partners. The score of the exercise environment was significantly associated with the exercise stage (p=.01). The number of exercise partners of regular exercise groups was significantly greater than that of non-regular exercise groups (p=.00). The score of social support of regular exercise groups was significantly greater than that of non-regular exercise groups (p=. 00). The score of social support was significantly associated with the exercise stage (p=.00). Conclusion: Exercise environments and social support need to be considered in planning exercise programs to improve exercise behavior among middle-aged women

소셜 빅데이터 분석을 활용한 정책의제설정에 관한 연구

학위논문 (석사)-- 서울대학교 대학원 : 행정대학원 행정학과, 2019. 2. 박정훈.본 연구는 텍스트 데이터 분석 기법(Text Big Data Analytics)을 활용하여 서울대학교를 사례로 소셜 미디어에 나타난 주요 쟁점들을 분석한 것이다. 2015년부터 2017년 까지 3년 동안 언론 보도, 포털 블로그 및 SNS 등에 공개된 대중의 의견을 주제분석, 감성분석 기술로 분류하고 네트워크 분석과 연관분석 등의 기법을 적용하여 시각화 하였다. 우선 대학의 주요 정책에 대한 여론을 거시적으로 파악하고, 정책 형성과정에서 언론 보도와 소셜 미디어가 미친 영향을 사례 분석을 통해 조망하였다. 이는 대학이 빅 데이터를 활용하여 정책 의제 설정에 보완시스템으로써 활용될 수 있음을 보여준다. 분석 결과, 첫째, 언론 기사에서는 대학의 주요 기능인 교육, 연구 뿐 아니라 구성원의 도덕성까지 다양한 토픽이 나타났다. 또한 대학이 추진한 주요 정책들이 소셜 미디어 상에 많은 이슈가 도출되어 정책 참여자들이 정책 도입 또는 대안 탐색을 위해 쉽고 빠르게 활용할 수 있다는 점에서 본 연구는 탐색적이지만 정책적 및 분석방법론적 의의를 가진다고 할 수 있다. 둘째, 단일 사건이 사회적인 문제로 대두되면 소셜 미디어에서 급속히 전파되었으며, 특히 부정적 이미지는 SNS에서 통해 발생 첫 주 급속도로 전파되는 경향을 보인다. 셋째, 언론 기사에서는 다양한 토픽을, 블로그는 대학의 교육에 대한 보다 전문적인 콘텐츠를, 그리고 SNS에서는 특정 토픽에 집중하여 의견을 전파하는 경향이 있다. 이는 소셜 미디어 매체의 특성에 따라 다르게 정책에 반영해야 한다는 시사점을 제공한다.Many emerging technologies, such as smart devices, internet news, and social media, have recently increased openness and interactions between public policy makers and consumers. Policy makers have come to actively use social media to gather public opinion for policy developmentfor this reason, it is becoming increasingly important to analyze Big Data from a variety of social media. This paper explores the applicability of Big Data to the development of policy agendas in higher education field with recently developed programs and methodologies. Specifically, this study analyzes issues regarding colleges and universities revealed by newspaper articles and social media using text Big Data analytics for the 2015-2017 period. Based on this research, public opinion on major policies of the university were grasped macroscopically and emotional evaluation of policy image was investigated. Five issues were found from analysis results. First, press articles have emphasized not only education and research as core functions of the universities, but also publicity and integrity of its members. Second, there are no specific patterns in the media in terms of time. However, when a single event became a social issue, the number of social media buzzes increased explosively. In particular, negative issues spreading through SNS tend to spread rapidly in the first week after the occurrence. Third, keyword structure of university policy through SNS and blog analysis showed different patterns. From blogs, texts were steadily extracted every year related to the original function of university. However, SNS keywords tend to be limited to specific issues. Finally, quantitative increase and negative image of social media on specific issues influenced policy making of the university. This study explains that analyzing social media data using text Big Data analytics could serve as an effective way to identify social issues related to educational policies and guide advanced future policy directions. In addition to implications of these research results, limitations of this study include subjectivity intervention of emotional image computation, a list of dictionary morphemes, limitations of emotional language, and the lack of a detailed description of the analysis system.Chapter 1. Introduction 1 1.1 Study Background 1 1.2 Scope of the Study 3 Chapter 2. Literature Review 4 2.1 Discussion of Theory and Precedent Study Review 4 2.1.1 Public Policymaking Process as a Political System 4 2.1.2 Big Data in Policy Making 5 2.1.3 Policy Agenda Setting using Big Data 7 2.2 Precedent Study Review 10 2.2.1 Precedent Study on Policy Formulation Using Big Data 10 2.2.2 Social Media Analysis Method in Precedent Studies 13 2.3 Education Environment and Big Data Analysis 13 2.3.1 Policies on the Higher Education of the Republic Korea 13 2.3.2 Policies of the Seoul National University 16 2.3.3 Implications for Policies in Social Media 19 Chapter 3. Research Design and Method 21 3.1 Research Question 21 3.2 Method 22 3.2.1 Research Model 22 3.2.2 Context of the Study 22 3.3 Research Procedure 23 3.3.1 Data Collection 23 3.3.2 Text Mining 25 3.3.3 Semantic Network Analysis 27 Chapter 4. Data Analysis and Findings 29 4.1 RQ1: Keywork Analysis 29 4.2 RQ2: Degree Centrality Analysis 39 Chapter 5. Conclusion 43 5.1 Implications 43 5.2 Future Study and Limitations 46Maste

서울대학교 간호교육의 토대 : 대한제국에서부터 미군정기까지

서울대학교 간호교육의 시초는 대한제국 시절인 1907년 대한의원 부속의학교 간호과로 거슬러 올라간다. 1910년 한일합방 이후에는 조선총독부의원과 경성제국대학 의학부 부속의 원 간호부와 산파 양성과를 거치고, 해방 이후 미군정기에는 고등간호학교로 바뀌면서 현재 서울대학교의 간호교육과 맥을 잇고 있다. 20세기 전반기에 이루어진 이러한 간호교육은 여 성의 사회활동을 극심하게 제한했던 유교적 전통과 남성중심적인 사회문화적 환경 속에서 우리나라 여성의 간호전문직 발전에 기여했을 뿐 아니라, 자주 독립운동 등 사회활동에 적극 참여하는 여성지도자 양성에도 크게 이바지하였다. 이를 바탕으로 하여 1959년에는 서울대 학교 부속 고등간호학교가 서울대학교 의과대학 간호학과로 승격하였고, 1991년에는 졸업 생과 교수진 모두가 열망하던 간호대학으로 승격하여 현재에 이르면서 세계로 뻗어가는 대 학으로 발전하게 되었다. 2019년 현재 서울대학교는 QS(Quacquarelli Symonds) 세계대학 중에서 37위를 차지하는 대학으로 우뚝 섰다. 그 중에서도 서울대학교 간호대학은 QS 세계 대학 34위로서 명실공히 한국을 대표하는 우수한 간호교육의 산실로 인정받고 있다

스트레스반응의 생 행동적 접근

Physical and psychological events can produce stress response in various degrees. Stress affects many aspects of physiology including both brain 때d peripheral elements which is represented as hypothalamus-pituitary- adrenal axis. Brain elements consist of corticotropin-releasing hormone(CRH), locus ceruleus(LC)norepinephrine( NE)/autonomic system. Peripheral elements include pituitary-adrenal axis and the autonomic nervous system, which coordinate the stress response. Current trend of the stress researches is emphasizing the mechanisms of the stress response which is adaptive or become maladaptive the review introduces 1) the concepts of stress, 2) physiological and behavioral aspects of stress responses, 3) the consequences of stress response, 4) the measurements of stress and 5) stress management for those interested in stress research

Development and Implementation of a Self-directed Critical Care Nursing e-Learning Program

Purpose: The purpose of this study was to develop a self-directed e-learning program for ICU nurses and to evaluate how the proposed e-learning program affects the level of knowledge, nursing performance and job satisfaction of ICU nurses. Methods: The e-learning program was developed with the Computer Assisted Instruction Design Model using sources of self-efficacy which included the inactive attainment, vicarious experience, and verbal persuasion of ICU nurses. The program was evaluated by experts. Following the revision of the program, it was applied to a total of 59 ICU nurses (experimental group n=29, control group n=30) from three hospitals. Four weeks later, we measured the level of knowledge, nursing performance and job satisfaction. Results The level of knowledge significantly improved in the experimental group (t=5.691, p<.001). Moreover, the level of nursing performance significantly increased in the areas of circulatory diagnostic test (t=2.143, p=.039), EKG (t=2.911, p=.006), aortic balloon pump (t=2.491, p=.017), and nebulizer therapy (t=2.085, p=.044). Overall, job satisfaction did not significantly increase (t=1.664, p=.105); however, job satisfaction in terms of relationships with coworkers (t=2.371, p=.023) and the needs of nursing performance (t=2.940, p=.006) were significantly increased. Conclusion The results showed that the proposed e-learning program using sources of self-efficacy from ICU nurses was an effective learning method to increase the level of knowledge and nursing performance. The propose de-learning program would be a useful teaching tool for ICU nurses improving the quality of ICU patient care

The Effects of Aroma Hand Massage on Anxiety and Sleep in Cancer Patients during Hospitalization

Purpose: This study was conducted to investigate the effects of aroma hand massage on anxiety and sleep in cancer patients during hospitalization. Methods: This study used a pre-post non-synchronized quasi-experimental design. Data were collected from 66 participating patients from July to December 2008. The participants were divided into an aroma massage group (n=25), a hand massage group (n=15), and a control group (n=26). The experimental group received aroma hand massage using 1% diluted lavender aroma oil once per day for 3 days. The massage was given by the researcher following the Korea Aromatherapy Health Professional Association massage protocol In contrast control group A received only a hand massage. The state anxiety, sleep condition, sleep satisfaction levels, and sleep duration were measured before and after the intervention trial. Results: The aroma hand massage group experienced in a significant decrease in their state anxiety (F=7.658 p=.001). Moreover, there was a significant increase in their sleep condition (F=18.047, p=.001), sleep satisfaction (F=30.016, p=.001) and sleep duration (F=23.019, p=.001) compared to the other groups according to one-way ANOVA and Scheffe's multiple comparison test. Also, noted was a significant increase in the sleep condition of the hand massage group as in the aroma hand massage group according to the Scheffe test. Conclusion: The study findings indicates that aroma hand massage decreases anxiety and increases the sleep condition, sleep satisfaction, and sleep duration of cancer patients

Factors Affecting Health Care Utilization in Patients with Lung Cancer

Purpose: The purpose of this study was to explore the utilization of health care of patients with lung cancer in Korea and identify determinants of these patients health care utilization. Methods: This was a descriptive analytical study. The national medical fees claims data of patients with lung cancer were used. Using SPSS Statistics 20, the x2-test and logistic regression were performed to determine the factors influencing health care utilization. Results: There were significant differences by sex, age, disease type, stage, comorbidity index, region of institutions, and type of institutions in the utilization of surgical procedures; by age, disease type, stage, comorbidity index, region of institutions, and type of institutions in the utilization of chemotherapy; and by age, stage, comorbidity index, region of institutions, and type of institutions in the utilization of radiotherapy. Conclusion: The findings of this study suggest that democratic and clinical characteristics of patients as well as institutional characteristics affect health care utilization of patients with lung cancer. Additional research is needed to determine the factors influencing health care utilization of patients with lung cancer

ICU Nurses' Perceptions of Communication Difficulties, Importance, Satisfaction and Communication Barrier with Patient Families

Purpose: This study was conducted to investigate ICU nurses perceptions of communication difficulties, the importance of and satisfaction with communication with doctors, other nurses, patients, and family, as well as to explore communication barrier with patient families. Methods: Investigators developed a 15-item communication perception questionnaire and 58-item communication barrier questionnaire. Communication barrier included 4 domains: nurses, family, environment, and patient condition. A total of 151 ICU nurses with a minimum of one year of ICU experience participated. Results: ICU patients (3.38±0.73) were the most difficult group to communicate with, followed by family (3.32±0.72), senior nurses (3.25±0.74), doctors (3.21±0.68), and nurse colleagues (2.64±0.73). Doctors (4.61±0.53) were the most important group to communicate with, followed by nurse colleagues (4.52±0.54), patients (4.49±0.58), senior nurses (4.44±0.55), and family (4.43±0.61). Satisfaction with communication was the highest with colleague nurses (3.60±0.68), then senior nurses (3.37±0.74), family (3.18±0.71), patients (3.09±0.75), and doctors (3.06±0.83).The total score of the communication barrier was 2.83±0.52, where each domain was scored as follows: patient condition 3.13±0.74, nurses 2.83±0.60, environment 2.81±0.66, and family 2.76±0.57. The ICU nurses reported that communication was difficult due to sudden deterioration in the patients condition, being too busy, a noisy environment, and information not being shared between family members. Significant differences were noted by age, clinical experience, and marital status of nurse respondents. Conclusion: The findings indicated that development of a protocol on communication between nurses and doctors as well as development of an educational program on communication skills are necessary

Task Analysis of the Job Description of Gerontological Nurse Practitioners based on DACUM

Purpose: The aim of this study was to develop and to analyze the task of gerontological nurse practitioners (GNPs) in Korea. Methods: The definition of GNP and job description was developed based on developing a curriculum (DACUM) by 7 panels who have experienced in DACUM analysis and gerontological nursing. One hundred sixty nurses who were working at long term care facilities were participated. The questionnaire included frequency, importance, and difficulty of duties, tasks, and task elements. The data were collected in November 2006, analyzed by descriptive statistics. Results: The job description of GNPs in Korea revealed 5 duties, 23 tasks, and 86 task elements. On the all five duties, the highest duty in frequency and in importance was professional nursing care (3.25±0.35, 3.49±0.29). But the highest duty in difficulty was research (3.24±0.46). Prevent health problem (3.42±0.43, 3.56±0.33), Teach other staffs (2.83±0.77, 3.39 ±0.43), Develop the evidence-based standards (2.43±0.76, 3.22±0.43), Develop the self (2.81±0.65, 3.26±0.42), and Participate the team activities were the highest score in frequency and in criticality of tasks.*본 연구는 2006년 한국과학기술단체총연합회 학회학술활동지원사업의 연구조사사업의 지원으로 수행되었음. *This study was carried out with financial support from Korean Federation of Science and Technology Societies