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Stages of Change in Smoking Cessation and Factors Related to Re-smoking after Coronary Artery Bypass Graft Surgery
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Seung Hee Choi, Kyung Ja Song, Smi Choi-Kwon
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Journal of Korean Academy of Nursing 2007;37(7):1159-1165. Published online December 31, 2007
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DOI: https://doi.org/10.4040/jkan.2007.37.7.1159
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Abstract
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Purpose
The purpose of this study was to investigate the stages of change in smoking cessation after a Coronary Artery Bypass Graft(CABG) and to identify the related factors.
Methods
The subjects (n=157) were patients who underwent a CABG in a university hospital from March 1998 to October 2005 and were smokers before the CABG. Data was collected viachart review and a telephone interview, and analyzed with descriptive statistics, χ2 test, one-way ANOVA, and Kruskal-Wallis procedure by the SPSS/PC win 12.0 program.
Results
The subjects smoked for an average of 34 years (21 cigarettes per day) before surgery. Eleven percent of the subjects were in pre-contemplation, 6.4% in contemplation, 13.5% in preparation, 4.5% in action, and 64.5% in the maintenance stage. Nicotine dependence and selfefficacy were different among the groups with different stages of change in smoking cessation. Nicotine dependence was the lowest (p=0.00) and self-efficacy was the highest (p=0.00) in the maintenance stage. The number of subjects in pre-contemplation and contemplation significantly increased 6 years after surgery(p=0.05).
Conclusions
To implement effective smoking cessation interventions for CABG patients, the intervention should be developed to accommodate individual readiness for smoking cessation, especially so for those who had a CABG more than 6 years previously.
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Citations
Citations to this article as recorded by 
- Risk Factor–tailored Small Group Education for Patients with First-time Acute Coronary Syndrome
Seon Young Hwang, Jin Shil Kim Asian Nursing Research.2015; 9(4): 291. CrossRef - The effects of a smoking cessation programme on health‐promoting lifestyles and smoking cessation in smokers who had undergone percutaneous coronary intervention
Ai Hee Park, Suk Jeong Lee, Seung Jin Oh International Journal of Nursing Practice.2015; 21(2): 107. CrossRef - Relationships of Factors Affecting Self-care Compliance in Acute Coronary Syndrome Patients Following Percutaneous Coronary Intervention
Eun Suk Shin, Seon Young Hwang, Myung Ho Jeong, Eun Sook Lee Asian Nursing Research.2013; 7(4): 205. CrossRef
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Analysis of the Nursing Practice in a Medical ICU Based on an Electronic Nursing Record
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Kyung Ja Song
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Journal of Korean Academy of Nursing 2007;37(6):883-890. Published online March 28, 2017
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DOI: https://doi.org/10.4040/jkan.2007.37.6.883
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Abstract
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PURPOSE: The purpose of this study was to identify the entity of critical care nursing practices through analyzing nursing statements described by electronic nursing records in a MICU. METHODS: 176,459 nursing statements of 188 patients during a 6 month-stay were analyzed statement by statement according to the nursing process(nursing phenomena, nursing diagnosis, & nursing activity) and 21 nursing components of Saba's Clinical Care Classification. RESULTS: Among 176,459 single statements, the statements of nursing activity ranked first in number. The contents of the statements were analyzed and categorized by main themes. Among 489 categorized themes, the number of themes of nursing phenomena statements was the highest. When analyzed by Saba's clinical Care Classification, the nursing statements mainly included a physiological component. Among 21 components, the respiratory component ranked in the first position in nursing phenomena, nursing diagnosis and nursing activity. The extra statements not included in the 21 components were 9,294(15.1%) in nursing phenomena and 21,949(22.7%) in nursing activity. Most are statements related to tests and the doctor. CONCLUSION: The entity of MICU nursing practice expressed by electronic nursing records was mainly focused on physiological components and more precisely on respiratory components.
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Citations
Citations to this article as recorded by 
- An Analysis of Tasks of Nurses Caring for Patients with COVID-19 in a Nationally-Designated Inpatient Treatment Unit
Minho Jung, Moon-Sook Kim, Joo-Yeon Lee, Kyung Yi Lee, Yeon-Hwan Park Journal of Korean Academy of Nursing.2022; 52(4): 391. CrossRef - Emergency Department Nursing Activities: Retrospective Study on Data from Electronic Nursing Records
Seung Yeon Baik, Eunhee Cho, Young Ah Kim, Mona Choi Korean Journal of Adult Nursing.2019; 31(5): 496. CrossRef - The Knowledge, Need, and Usage of Medical Terminology in Clinical Nursing Practice
Gisoo Shin, Mi-Kyoung Cho Journal of Korean Biological Nursing Science.2014; 16(4): 276. CrossRef - Nurse Characteristics related to Level of Use of Essential Oriental Nursing Terms in Oriental Medicine Hospitals
Jee-In Hwang, Won-Ock Kim, Myoung-Ja Wang Journal of Korean Academy of Nursing Administration.2011; 17(2): 209. CrossRef
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A Preliminary Survey of Nurses' Understanding of Delirium and Their Need for Delirium Education: In a University Hospital
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Young Sook Park, Keum Soon Kim, Kyung Ja Song, Jiyeon Kang
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Journal of Korean Academy of Nursing 2006;36(7):1183-1192. Published online December 31, 2006
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DOI: https://doi.org/10.4040/jkan.2006.36.7.1183
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Abstract
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Purpose
The purpose of this survey was to investigate clinical nurses' understanding of delirium and their educational need of delirious patient care.
Method
A survey questionnaire regarding nurses' general perception and understanding of delirium, experience with delirious patients and educational need was developed and conducted with 179 clinical nurses in a university hospital in Seoul. Data was analyzed using descriptive statistics.
Results
Nurses thought that delirium was one of the most important nursing problems and they considered it to be more treatable than to be preventable. However, the majority of nurses were not confident in caring for delirious patients. Nurses reported that delirium happened most often after surgery, and that possible contributing factors could be changes in physical environment and anxiety/stress, as well as medication and long-term isolation. Thirteen nursing interventions were identified but half of the nurses utilized only one or two of the thirteen. The most frequently used intervention was reorienting the patient followed by medication and emotional support, presenting family, and close observation. 99.5% of nurses addressed the importance of professional education on delirium care, especially in the area of intervention and management.
Conclusion
The results support the strong need for development of a multi-component educational program on delirium care.
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Citations
Citations to this article as recorded by 
- Factors Influencing Intensive Care Unit Nurses’ Competency in Delirium Care in A Tertiary General Hospital
Mi Ran Lim, Gyoo Yeong Cho Journal of Korean Critical Care Nursing.2024; 17(3): 37. CrossRef - A Systematic Review of Non-pharmacological Interventions for Delirium Prevention in Elderly Inpatients
Sang Bin You, Ju Hee Lee Journal of Korean Academy of Fundamentals of Nursing.2021; 28(2): 249. CrossRef - Effects of Delirium Management Program on Nursing Practice and Nurses' Stress in Comprehensive Nursing Care Service Units
Ji Hye Kim, Sook Young Kim The Korean Journal of Rehabilitation Nursing.2019; 22(2): 114. CrossRef - Effects of Delirium Prevention Interventions for Neurocritical Patients
Min-Ji Lee, Sun-Hee Yun, Kyoung-Ok Choi, Sun-Suk Seong, Sun-Mi Lee, Jae-Jin Kang Journal of Korean Academy of Fundamentals of Nursing.2018; 25(2): 109. CrossRef - Hospice-Palliative Care Nurses’ Knowledge of Delirium, Self-Efficacy and Nursing Performance on Delirium
Bo-Jung Jang, Hye-Ah Yeom The Korean Journal of Hospice and Palliative Care.2018; 21(2): 65. CrossRef - Nurses' Awareness of Psychological Distress and Delirium in Cancer Patients and Job Stress
Mi Ae Park, Eunsook Choi Asian Oncology Nursing.2017; 17(4): 252. CrossRef - Factors Influencing Performance of Delirium Care for Postoperative Delirium of Elderly Patients among Recovery Room Nurses
Hyunjoo Koo, Jinhyang Yang The Journal of Korean Academic Society of Nursing Education.2016; 22(3): 387. CrossRef - The Effects of Delirium Care Training Program for Nurses in Hospital Nursing Units
Moonja Kim, Haejung Lee Korean Journal of Adult Nursing.2014; 26(5): 489. CrossRef - The Experience of Delirium Care and Clinical Feasibility of the CAM-ICU in a Korean ICU
Joo-Hee Jung, Jung-Hye Lim, Eun-Jung Kim, Hyo-Chan An, Min-Kyung Kang, Jin Lee, Yu-Kyung Min, Eun-Zoo Park, Xiang-Hwa Song, Hye-Ryoung Kim, Sun-Mi Lee Clinical Nursing Research.2013; 22(1): 95. CrossRef
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A Preliminary Report on the Differences in the Perceived Impacts of Undergraduate Bioscience Knowledge on Clinical Practice Among Korean RNs
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Myoung Ae Choe, Choi-Kwon Smi, Kyung Ja Song
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Journal of Korean Academy of Nursing 2003;33(4):464-470. Published online March 28, 2017
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DOI: https://doi.org/10.4040/jkan.2003.33.4.464
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Abstract
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Purpose
Nursing has evolved as a unique and independent field over the last decades. Unfortunately, many nurses in Korea express concern that they lack appropriate background knowledge in bioscience necessary to practice nursing competently. To determine the reasons of their concerns, we examined the perceptions of RNs regarding bioscience courses in their undergraduate (Baccalaureate and 3 year diploma program) and their perceived relations to the practice of nursing.
Methods
The structured questionnaires were sent to 3 university-affiliated tertiary hospitals in Seoul, Korea.
Results
The responses given by the nurses in the two groups were similar. The nurses in this study reported that the bioscience courses they took as undergraduates had little relation to their professional tasks. This lack of link between bioscientific knowledge and nursing practice may be partly due to the fact that the courses are taught by non-nursing faculties who are not familiar with nursing tices. It also appears that bioscience knowledge deficit was most prominent during nursing assessment regardless of the program they attended or the unit they are currently working.
Conclusion
Bioscience courses should be integrated into the nursing curriculum properly and taught by nursing faculty who have a strong background in biological sciences.
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The Effects of Self-Efficacy Promoting Cardiac Rehabilitation Program on Self-Efficacy, Health Behavior, and Quality of Life
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Kyung Ja Song
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Journal of Korean Academy of Nursing 2003;33(4):510-518. Published online March 28, 2017
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DOI: https://doi.org/10.4040/jkan.2003.33.4.510
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Abstract
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Background
Ischemic heart disease results from athesclerotic changes of the coronary artery. These changes are aggravated by hypercholesterolemia, smoking, obesity, lack of exercise, coronary-prone personality, and stress. Because these risk factors affect not only the prevalence of the ischemic heart disease but also recurrence of the disease, cardiac rehabilitation programs were introduced to help patients with ischemic heart disease reduce risk factors. Diverse cardiac rehabilitation programs are needed to motivate participation in cardiac rehabilitation and to enhance patients' quality of life.
Objectives
To examine the effect of a self-efficacy promoting cardiac rehabiltation program on self-efficacy, health behavior and quality of life of patients with ischemic heart disease.
Methods
Data were collected from 45 hospitalized ischemic heart disease patients. Medical records were reviewed to obtain demographic and clinical characteristics. Data regarding self-efficacy, health behavior, and quality of life were obtained from interviews using structured questionnaires. The nonequivalent control group non-synchronized design was used to conduct this study. One session of conventional group education was given to patients in the control group while they were in the hospital. Patients in the experimental group participated in a newly developed cardiac rehabilitation program. It focused on strengthening selfefficacy with four self-efficacy sources - performance accomplishment, vicarious experiences, verbal persuasion and physical status using two individualized in-hospital education sessions and four weekly telephone counseling follow-up calls after discharge.
Results
Four weeks after discharge, the increment of total self-efficacy score was significantly higher in the experimental group than in the control group (p<.01). There was also a significant difference in the total quality of life scores increments between the two groups (p<.01). However, no significant changes were noted in the increments of total health behavior scores between the two groups.
Conclusion
A cardiac rehabilitation program focusing on promoting self-efficacy was effective in improving self-efficacy, and quality of life of patients with ischemic heart disease.
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Citations
Citations to this article as recorded by 
- The effects of self-efficacy, a health-promoting lifestyle, and social support on resilience of patients receiving percutaneous coronary intervention: A descriptive survey study
Su-Jin Kim, Jeong-soo Kim Journal of Korean Gerontological Nursing.2024; 26(4): 403. CrossRef - Social support and self-efficacy multiply mediate the relationship between medical coping style and resilience in patients with type A aortic dissection
Miaoxuan Hong, Rong Zhang, Jin Zhu, Wenxuan Tan Frontiers in Psychiatry.2023;[Epub] CrossRef - Effect of risk factor-tailored autonomy enhancement education in the first-time middle-aged patients undergoing percutaneous coronary intervention: a randomized controlled trial
In Ae Uhm, Seon Young Hwang BMC Nursing.2023;[Epub] CrossRef - Barriers and Facilitators to Delivering Inpatient Cardiac Rehabilitation: A Scoping Review
Marina Wasilewski, Abirami Vijayakumar, Zara Szigeti, Sahana Sathakaran, Kuan-Wen Wang, Adam Saporta, Sander L Hitzig Journal of Multidisciplinary Healthcare.2023; Volume 16: 2361. CrossRef - The Influence of Knowledge of Coronary Artery Disease and Self-Efficacy on Health Behavior Compliance among Patients with Coronary Artery Disease
A Ram Kil, Yong Soon Shin Journal of Korean Academy of Fundamentals of Nursing.2022; 29(1): 57. CrossRef - Effect of Educational intervention based on Health Belief Model on promoting preventive behaviours of urinary tract infections in mothers with children under 6-Years of age
Zahra Bazargani, Fatemeh Sarikhani, Sadegh Karami Darenjani, Mehdi Amirkhani, Pooyan Afzali Harsini, Ali Khani Jeihooni BMC Women's Health.2022;[Epub] CrossRef - Self-Efficacy and Health Status in Coronary Artery Disease Patients
Wantiyah Wantiyah, Mochamad Riko Saputra, Fitrio Deviantony Jurnal Ners.2020; 15(1): 14. CrossRef - The Effects of Smart Program for Patients Who Underwent Percutaneous Coronary Intervention (SP-PCI) on Disease-Related Knowledge, Health Behavior, and Quality of Life: A Non-Randomized Controlled Trial
Jueun Lee, Haejung Lee Journal of Korean Academy of Nursing.2017; 47(6): 756. CrossRef - Long-term effects of nurse-led individualized education on middle-aged patients with acute coronary synrome: a quasi-experimental study
Jae Lan Shim, Seon Young Hwang BMC Nursing.2017;[Epub] CrossRef - Development and Effectiveness of Tailored Education and Counseling Program for Patients with Coronary Artery Disease undergoing Percutaneous Coronary Intervention
So-Yeon Kim, Min Young Kim Korean Journal of Adult Nursing.2017; 29(5): 547. CrossRef - Risk Factor–tailored Small Group Education for Patients with First-time Acute Coronary Syndrome
Seon Young Hwang, Jin Shil Kim Asian Nursing Research.2015; 9(4): 291. CrossRef - Relationships of Factors Affecting Self-care Compliance in Acute Coronary Syndrome Patients Following Percutaneous Coronary Intervention
Eun Suk Shin, Seon Young Hwang, Myung Ho Jeong, Eun Sook Lee Asian Nursing Research.2013; 7(4): 205. CrossRef
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