Suk Jung Han

Clinical Outcomes and Quality of Life of Home Health Care Patients

PURPOSE This study aimed to evaluate the quality of life (QOL) in home health care patients according to change in health status outcomes between the start of care and discharge or 60 days, whichever came first. METHODS This is a prospective descriptive study. The convenience sample consisted of 100 home health care patients, who started receiving home health care services from a home health care agency in the United States. The World Health Organization Quality of Life Scale-Brief (WHOQOL-BREF) was used for measuring QOL; activities of daily living (ADLs) and instrumental ADLs were collected from the Outcome and Assessment Information Set data via Centers for Medicare and Medicaid Services-required home health agencies. Descriptive statistics, paired t tests, and multiple linear regressions were used for data analysis. RESULTS ADLs and instrumental ADLs of participants significantly improved between start of care and discharge or 60 days. Overall QOL, general health, and three of four QOL domains (physical, psychological, and environmental, but not social domain) were significantly improved at discharge or 60 days. CONCLUSION Home health care nurses should maintain and improve the functional ability of patients, as this could improve the QOL of these patients.

Effects of Psychosocial Interventions for School-aged Children's Internet Addiction, Self-control and Self-esteem: Meta-Analysis

Objectives This study was conducted to perform an effect size analysis of psychosocial interventions for internet addiction and to identify the intervention moderators applied to school-aged children. Methods For the meta-analysis, studies were included that were published in English or Korean until January 2015, without limitation in terms of the year. They were retrieved from 11 electronic databases and by manual searches according to predefined inclusion criteria. Results A total of 37 studies were selected, which included 11 treatment conditions and covered a total of 1,490 participants. The effect size estimates showed that psychosocial interventions had a large effect for reducing internet addiction (standardized mean difference [SMD], –1.19; 95% confidence interval [CI], –1.52 to –0.87) and improving self-control (SMD, 0.29; 95% CI, 0.11 to 0.47) and self-esteem (mean difference, 3.58; 95% CI, 2.03 to 5.12). The moderator analyses reveals that group treatments, a selective approach, a long duration, a community setting, or higher school grade had a larger effect. Conclusions The findings of this review suggest that psychosocial intervention may be used to prevent Internet addiction in school-aged children, although further research should be conducted using a randomized controlled trial design or diverse age groups to provide evidence-based recommendations.

[Meta-analysis of psychosocial interventions to reduce pain in patients with cancer].

PURPOSE The purpose of this study was to investigate the effects of psychosocial interventions on pain in cancer patients. METHODS Eight studies published between 1980 and 2012 in Korean and ten studies published between 2002 and 2012 in English met the inclusion criteria with a total of 1539 participants. Methodological quality assessed by Cochranes Risk of Bias for randomized studies and Risk of Bias Assessment tool for non randomized studies. The data were analyzed by the RevMan 5.2 program of Cochrane library. RESULTS Overall, study quality was moderate to high. Effect sizes were heterogeneous and subgroup analysis was done. Cognitive behavioral therapy (CBT) were effective for pain (ES= -0.35; 95% CI= -0.56, -0.13). Pain education studies measured with NRS and VAS were effective for pain (ES= -0.77; 95% CI= -1.01, -0.52). Publication bias was not detected. CONCLUSION This study support the use of psychosocial interventions administered to cancer patients for their pain management. However, more well-designed studies are needed.

Study on the Effect and Experience of the Flipped Learning

This phenomenological study is designed to observe experience of nursing students who completed the course of “Flip Learning”. Participants comprised of seven nursing students without prior learning experience in “Flip Learning” selected from the present batch at the department of S university. The method of research was to make students watch a video of lesson about 10 to 15 minutes long on the cyber-lecture before the class. To understand the participants’ experiences of the program, focus group interviews were conducted. Data were analyzed by applying the Colaizzi phenomenological method. The simulation participation experience tended to be clustered into six categories and twenty-one sub-themes. The six areas were “Efficient lecture method”, “Enhancement in understanding of a lesson “Utilization of multimedia materials”, “Inadequacy in adapting the new learning system” “Deficiency of technological support”, “Psychological Strain”. The participants showed a very positive attitude to the overall effectiveness of the “Flip Learning”, although it was unfamiliar as it was preparation beforehand the class on cyber environment.