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A Comparative Study on the Effects on Urinary Incontinence between Pelvic Floor Muscle Exercise and Magnetic Stimulation Therapy
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Myung Sook Cho, Hae Young Kang
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J Korean Acad Community Health Nurs. 2008;19(4):696-703. Published online December 31, 2008
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- PURPOSE
To Perform a randomized comparative study investigating the effects of Pelvic Floor Muscle Exercise(PME) and Magnetic Stimulation Therapy(MST) and to identified the problems in each of PME & MST.
METHOD
Forty-nine patients with mild stress incontinence were randomly assigned to either of two treatment groups (24 patients in the PME group and 25 in the MST group). The PME group had a video exercising program for 40 times every day during 6 weeks. The MST group was treated with BioCon-2000TM, 2 times/week for six weeks. Pre-test and post-test were performed by Prineometer, 1-hour pad test. and Jackson's BFLUTS questionnaire of Jackson. Collected data were analysed using SAS 9.1 by frequency, Kolmogorov-Smirnov Z. Chi-Square-test, t-test, Fisher Exact probability test, Paired t-test, and Wilcoxon's rank sum test.
RESULTS
In comparison between before and after PME and MST, statistically significant difference was observed in maximal vaginal pressure, duration of vaginal contraction, amount of urine, and symptom of urination. In the comparison of the effectiveness between PME & MST, only the maximal of vaginal pressure (Z=2.58, p=.010) was significantly different.
CONCLUSION
The factor more effective in the MST group than in the PME group was high compliance.
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A Study on Health as Expanding Consciousness of Korean Elderly People with Chronic Illnesses in the Community
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Hae Young Kang
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J Korean Acad Community Health Nurs. 2000;11(1):172-183. Published online June 30, 2000
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- This paper explores the process of pattern recognition reflected in Newman's praxis methodology by three Korean elderly people with chronic illnesses. Four core themes demonstrated from the life pattern of participants that discouragement/frustration, regret, deep grudge/pent up feeling and renunciation/resignation were prevalent. None of the participants had experienced the turning point central to the process of expanding consciousness. It was concluded that it requires longer a research period with repeated in-depth interviews to explore the transformation in the process of recognizing a pattern of life.
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A Study on Need Assessment in Health Promotion Programs for Developing Nursing Centers: Breast Self Examination
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In Hyae Park, Hae Young Kang, Jeong Hee Lee, Hyun Sook Ryu
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J Korean Acad Community Health Nurs. 2000;11(1):21-36. Published online June 30, 2000
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- The purpose of this study was to assess the needs of breast self examination education (BSEE) programs for developing nursing centers. A first, we reviewed the literature of activity and management-related factors of nursing centers: and, second. we used a questionnaire to discover the degree of knowledge, attitude, and practice on breast cancer, as well as an individual's intention to participate BSEE program. 1. Reviewing the literatures of nursing center activities. Nursing centers which were administered by a professional nurse are an ideal site for faculty and student practices. With the use of nursing models of health. professional nurses in nursing centers diagnose and treat human responses to potential and actual health problems and offer holistic, client-centered health service. In nursing centers professional nursing services include health education, health promotion, and health-related research. A nursing center is comprised of the advisory and exacutive commitee; the advisory commitee serves consultants and links community needs to the nursing center, while the director of the exacutive commitee identifies the potential resources to generate funds, support, and facilitate the activities of staffs in a nursing center. Nursing centers mobilize various financal resources for reimbursement of services from college and insurance companies, collect minimum service fees from the client, and further collect fees for providing programs to community groups, this also includes membership fees, and donations. The services provided by nursing centers focus on services related to primary prevention, health maintenance & health promotion, direct nursing care for acute & chronic diseases, and holistic care for actual and potential health problems. The client satisfaction for the services was high. Students also showed positive reponses for their clinical experiences and independent working conditions. 2. The degree of knowledge, attitudes, and practices for breast cancer. and an individual's intention to participate in the BSEE program. The subjects of this study were 308 females in K-city in the Republic of Korea. Data were collected using a self-administered questionnaire. The mean age of the respondents was 35.0 years old. Those who already participated in the BSEE were 64.9%, and those who had support and encouragement to practice BSE from significant others were 25.1 %. Clients intent to participate in the BSEE were 37.0%. The mean score of knowledge(2.4 out of 5 points) and practices(1.8 out of 5 points) for breast cancer were quite low, but the mean score of attitudes was relatively positive04.5 out of 20 point) for breast cancer. Those who already had BSEE showed significantly high scores in knowledge(t=6.48, p<0.01), attitudes (t=10.54, p<0.01). and practices(t=57.07, p<0.001) for breast cancer than those who had not participated in the BSEE. In all age groups no intention to participate in the BSEE was higher than who the intention to participate. These findings suggest some strategies should be developed to increase the awareness of breast cancer's early detection.
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A Comparative Study of Health Status in Urban and Rural Elderly: Kwangju, Chonnam Area
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Hae Young Kang, Su Mi Kim
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J Korean Acad Community Health Nurs. 1996;7(2):244-256. Published online December 31, 1996
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- This Study was conducted to investigate and compare of elderly lived in a urban and rural Area. The Subject were sampled in convenient sampling and total number of sample were 450 Persons (Urban=150, Rural=300).
The Data were collected through one by one interview with interview schedule in the period of March 1-30, 1995. The Study Tools for this study were 1) CMI, 2) Self Rating Score for Health Status, 3) No. of Dignosed Diseases, 4) ADL to investigate for physical health status, 5) IADL for social health status and, 6) Life Satisfaction for psychological health status.
The Data was analyzed in percentage, t-test, chi2 and pearson correlation by SAS program.
The Results could be summarized as follows; 1) In the status of physical health, the group of rural elderly were tended to have more physical problems but more active in daily life (ADL, IADL) and more satisfactory psychologically in their life than urban elderly.
2) There were negative correlations between the number of Health Problems and Self Rating Score for Health, ADL, IADL, Life Satisfaction. And there was positive correlation between the Number of Health Problems and Diagnosed Diseases.
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The control of the hypertension in rural primary health care setting in Korea
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Young Hae Chung, Hae Young Kang, Mi Young Chung
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J Korean Acad Community Health Nurs. 1994;5(2):162-180. Published online December 31, 1994
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- The control of the chronic degenerative diseases becomes a challenge in Korea as the aging of the population progresses. Accordingly, the importance of the control of the hypertension, one of the major chronic degenerative diseases, in the primary health care settings increases. However, such control activities are still minimal. This study gives brief description of how the rural residents who are currently registered for the control of the hypertension feel about the activities of the health centers, subcenters and the CHP posts, in relation to the control of the hypertension. We also describe the knowledge and practice of the registered hypertensive.
In general, the knowledge, the acceptance and the satisfaction of the respondents about the hypertension control activities were not very high. Respondents being managed by the health center showed the highest knowledge, acceptance and satisfaction, and those being managed by the subcenters ranked lowest.
The knowledge about the hypertension was not satisfactory. There were great variations among the items in terms of the proportion answered correctly. As many as 60% of the respondents take medication regularly but only 4.5% were practicing weight control regularly.
Despite some limitations of the study, the results can be very useful for those planning hypertension control programs. The educational materials and the dietary protocols need to be developed in accordance with the regional social and food pattern, so that they can be utilized with minimal modification for each beneficiary. We also suggest to minimize the area a health personnel covers. In other word, running several small health posts at village level would be more effective than running a subcenter at the township level, in terms of the hypertension control.
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KACHN
