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Park, Hyunju
- Medication Supportive Behavior of Mothers with Children with ADHD: A Structural Equation Model
Authors
1 Department of Nursing, Uiduk University, KP
2 College of Nursing, Kangwon National University, KP
Source
Medico-Legal Update, Vol 20, No 1 (2020), Pagination: 1893-1899Abstract
Background/Objectives: This study aimed to establish and validate a supportive behavior model for the medication of mothers with children with ADHD based on Theory of Planned Behavior (TPB) and empirical evidence.
Method/Statistical Analysis: Participants were 205 mothers with children in elementary school in grades 1 to 3 who had been diagnosed with ADHD and experienced medication treatment. A constructed Structural Equation Model (SEM) was analyzed using AMOS program.
Findings: The goodness-of-fit index of the final model was found to be appropriate. The model’s explanatory power for mother’s medication supportive behavior was 90.4%. The intention for medication supportive behavior (β= .486, p<.001), subjective norms (β= .250, p<.001), the perceived control for the medication supportive behavior (β= .287, p<.001) and psychological health of mothers (β= -.074, p= .008) had a direct effect on medication supportive behavior. Mothers’ ADHD knowledge (β= .060, p= .016) was found to have an indirect effect on medication supportive behavior.
Improvements/Applications: The results of this study are expected to guide the development of interventions to improve the medication compliance rate of ADHD children in lower academic years in elementary school.
Keywords
ADHD, Medication, Mother, Supportive behavior, Children.
- Comparison of the Effects of Standardized Patient-based Simulation Education and Clinical Practice Education for Preoperative Nursing Care for High-risk Pregnant Women
Authors
1 Department of Nursing, Kyungdong University, KP
2 College of Nursing, Kangwon National University, KP
Source
Medico-Legal Update, Vol 20, No 1 (2020), Pagination: 1900-1906Abstract
Background/Objectives: This study aimed to compare the effects of conventional clinical practice education and standardized patient-based simulation education on preoperative nursing care for high-risk pregnant women scheduled for a cesarean section, and, ultimately, to identify effective education method for nursing students.
Method/Statistical Analysis: This study used a non-equivalent control group, non-synchronized post-test design. The experimental group (34 subjects) received standardized patient-based simulation education, whereas the comparison group (32 subjects) participated in traditional clinical practice education. Descriptive statistics and ANCOVA was done to find the differences in the effects of the intervention between the two groups.
Findings: The results showed that clinical judgment (F = 33.63, p<.001), nursing performance competency (F = 46.78, p<.001), communication ability (F = 13.90, p<.001), and learning satisfaction (F = 31.83, p<.001), except for problem-solving ability, were significantly higher in the experimental group.
Improvements/Applications: Standardized patient-based simulation education can be effectively replaced with conventional clinical practice education when educating nursing students about preoperative nursing care for high-risk pregnant women.
Keywords
Standardized Patient Program, Clinical Practicum, Simulation Education, Nursing Students, Preoperative Nursing Care.- Effects of Voice Quality Improvement Program for Professional Voice Users with Functional Voice Disorders
Authors
1 Hansei University, Department of Performing-Art, KP
2 Gachon University, Department of Language Pathology, KP
Source
Medico-Legal Update, Vol 20, No 1 (2020), Pagination: 1981-1985Abstract
Background/Objectives: One of the most emphasized aspects in voice therapy is voice quality. We investigated the effect of our intervention program on improvingvoice quality and reducing vocal fatigue.
Method/Statistical Analysis: 10 musical actors/actresses with functional voice disorders were given eight training sessions once a week, and both subjective and objective evaluations of their voices were conducted before and after the training. K-SVHI and VFI were used to measure voice handicap index and voice fatigue index. Praat was used to measure the objective acoustic indices. To examine the statistical significance, a paired sample t-test was performed.
Findings: The result of subjective voice quality evaluation showed that both scores of voice handicap index and voice fatigue index were decreased. The objective voice evaluation results showed that the jitter (%) and shimmer(%) scores decreased while the harmonics to noise ratio (HNR) and the speaking fundamental frequency (SF0) scores increased. The lower the jitter and shimmer, the better the quality of voice, while the higher the HNR, the better the quality of voice.The difference between pretest and posttest scores was statistically significant except for the SF0. The reason for small changes in the SF0 seems to be that all participants of musical actor/actresses who skillfully use the voice were able to control their voice to maintain the frequency at a certain level.
Improvements/Applications: Our findings indicate that patients with functional voice disorders have problems ways to use their voiceand showed that their voice qualityand vocal fatiguecan be improved by modifying and training four stages of voice production.