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Development and Effects of a Cognitive-behavioral Therapy Based Program in Reducing Internalized Stigma in Patients with Schizophrenia
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Mi Young Kim, Seong Sook Jun
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J Korean Acad Nurs 2016;46(3):349-363. Published online June 30, 2016
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DOI: https://doi.org/10.4040/jkan.2016.46.3.349
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Abstract
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Purpose
This study was done to develop a internalized stigma reducing program based on cognitive-behavioral therapy and appropriate for patients with schizophrenia and to evaluate its effectiveness.
Methods
The study design was a mixed method research. Qualitative study, 13 patients with schizophrenia who had experience in overcoming stigma were purposively chosen for interviews and data were analyzed using Giorgi method. Quantitative study, 64 patients with schizophrenia (experimental group=32, control group=32) were recruited. The cognitive-behavioral therapy-based program for reducing internalized stigma in patients with schizophrenia was provided for 8 weeks (12 sessions). Data were collected from June. 20, 2013 to Feb. 14, 2014. Quantitative data were analyzed using χ2-test, t-test, repeated measures ANOVA with the SPSS program.
Results
Qualitative results, from the experience of coping with stigma in patients with schizophrenia seventeen themes and five themes-clusters were drawn up. Quantitative results showed that internalized stigma, self-esteem, mental health recovery and quality of life were significantly better in the experimental group compared to the control group.
Conclusion
Study findings indicate that this program for reducing internalized stigma in patients with schizophrenia is effective and can be recommended as a rehabilitation program intervention to help patients with schizophrenia to cope with internalized stigma.
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Citations
Citations to this article as recorded by 
- Positive mental health interventions for people with schizophrenia: A scoping review
Catarina Nogueira, Emanuel Dias Pereira, Joana Catarina Ferreira Coelho, Antonio Rafael Moreno-Poyato, Carlos Alberto Cruz Sequeira Schizophrenia Research.2025; 276: 40. CrossRef - Cognitive behavioural therapy for women with infertility: A systematic review and meta‐analysis
Guangpeng Wang, Xueyan Liu, Jun Lei Clinical Psychology & Psychotherapy.2023; 30(1): 38. CrossRef - Terapia cognitivo conductual y esquizofrenia: un estudio de revisión sobre su eficacia
Jessica Marithza Ortíz Fernández, Esteban Cañizares Abril Pro Sciences: Revista de Producción, Ciencias e Investigación.2021; 5(41): 362. CrossRef - Effects of Mindfulness-Based Stress Reduction (MBSR) on Stress, Heart Rate Variability, Affect, and Wellbeing among People with Schizophrenia
Ae Sil Kim, Mi Heui Jang, Min Jung Sun International Journal of Environmental Research and Public Health.2021; 18(22): 11871. CrossRef - Effects of Self-Assertive Training Applying Reality Therapy Techniques on Self-esteem and Internalized Stigma in Schizophrenia Patients
Na-Ra Kim, Mi Heui Jang Journal of Korean Academy of Psychiatric and Mental Health Nursing.2019; 28(1): 37. CrossRef - Evolutionary Concept Analysis of Resilience in People with Mental Disabilities
Seog-Bun Yoo, Gwi-Ryung Son Hong Journal of Korean Academy of Psychiatric and Mental Health Nursing.2017; 26(4): 333. CrossRef - Overcoming Internalized Stigma in Persons with Psychiatric Disabilities
Mi Young Kim, Seong Sook Jun, Eun Kyung Byun Journal of Korean Academy of Psychiatric and Mental Health Nursing.2017; 26(3): 238. CrossRef
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Factors Influencing Posttraumatic Growth in Fathers of Chronically ill Children
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Mi Young Kim
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J Korean Acad Nurs 2015;45(6):890-899. Published online December 15, 2015
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DOI: https://doi.org/10.4040/jkan.2015.45.6.890
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Abstract
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Purpose
The purpose of this study was to identify the level of distress and posttraumatic growth in fathers of chronically ill children and also, to identify the relation between characteristics of the fathers and children and their posttraumatic growth and to investigate factors that influence posttraumatic growth.
Methods
In this study, 48 fathers who visited a university hospital in Seoul, Korea and who gave written consent completed the questionnaire between September 23 and November 19, 2013. Data were analyzed using Mann-Whitney U test, Kruskal-Wallis test, Pearson correlation coefficient and stepwise multiple regression.
Results
The level of distress in fathers of chronically ill children was relatively high and the majority of them were experiencing posttraumatic growth. Models including the variable (deliberate rumination, religiousness, optimism) explained 64.3% (F=26.38, p< .001) of the variance for posttraumatic growth. Deliberate rumination (β=.59, p< .001) was the most influential factor.
Conclusion
The findings demonstrate that it is essential for nurses to intervene and facilitate continuously so as to promote posttraumatic growth and relieve distress in fathers of chronically ill children. Furthermore, it is also necessary for nurses to find ways to develop ideal interventions to activate deliberate rumination and offer spiritual care and help maintain optimism in these individuals.
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Citations
Citations to this article as recorded by 
- A sense of coherence (SOC) among the fathers of children with chronic illnesses
Masahiro Haraguchi, Tomoko Takeuchi Nursing Open.2024;[Epub] CrossRef - Relationship between mental health and stressors among fathers of children with chronic illnesses and cognitive structure of fathers’ stress experiences
Masahiro Haraguchi Scientific Reports.2023;[Epub] CrossRef - The Relationship between Post-Traumatic Growth, Trauma Experience and Cognitive Emotion Regulation in Nurses
Sook Lee, Mun Gyeong Gwon, YeonJung Kim Korean Journal of Stress Research.2018; 26(1): 31. CrossRef - Shifting of Centricity: Qualitative Meta Synthetic Approach on Caring Experience of Family Members of Patients with Dementia
Young Mi Ryu, Mi Yu, Seieun Oh, Haeyoung Lee, Haejin Kim Journal of Korean Academy of Nursing.2018; 48(5): 601. CrossRef - Predictors of the Posttraumatic Growth in Parents of Children with Leukemia
Sungsil Hong, Ho Ran Park, Sun Hee Choi Asian Oncology Nursing.2018; 18(4): 224. CrossRef - Perception on Parental Coping on Unintentional Injury of Their Early Infants and Toddlers: Q Methodological Approach
Da In Lee, Ho Ran Park, Sun Nam Park, Sungsil Hong Journal of Korean Academy of Nursing.2018; 48(3): 335. CrossRef
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The Effects of Swallowing with Oropharyngeal Sensory Stimulation in Nasogastric Tube Insertion in Stroke Patients
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Myung Hee Kim, Mi Young Kim
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Journal of Korean Academy of Nursing 2007;37(4):558-567. Published online March 28, 2017
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DOI: https://doi.org/10.4040/jkan.2007.37.4.558
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Abstract
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Purpose
This study was to identify the effects of oropharyngeal sensory stimulation on a functional oral intake scale, oro-pharyngeal swallowing functions, and aspiration pneumonia symptoms with nasogastric tube insertion in stroke patients.
Method
This study was a nonequivalent control group non-synchronized design. The subjects of the study were 32 patients who were hospitalized in Kosin Gaspel hospital. The experimental subjects were stimulated for 10~20 minutes, 1 time per day. The intervention was implemented for 2 weeks.
Result
Participants in the experimental group significantly received a higher score in oro-pharyngeal swallowing function than those in the control group. However the participants in the experimental group only got a high score in the function oralintake scale which doesn't imply a statistical significance. In addition, they didn't geta remarkably higher score in aspiration pneumonia symptoms than those in the control group.
Conclusion
This study demonstrates that oropharyngeal sensory stimulation is effective in promoting recovery oro-pharyngeal swallowing function of nasogastric tube insertions in stroke patients.
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Citations
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- Changes in the dysphagia and nutritional status of patients with brain injury
Hyeyeoung Kim, Yeonok Suh Journal of Clinical Nursing.2018; 27(7-8): 1581. CrossRef - The Effect of Singing Intervention for Women Elderly with Dysphagia Risk
Ok-Jong Yun, Young-Hee Lee Korean Journal of Adult Nursing.2012; 24(4): 380. CrossRef
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The Experiences of Perioperative Patients with Cancer
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Young Hae Kim, Kyung Yeon Park, Mi Young Kim, Mi Ok Kim
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Journal of Korean Academy of Nursing 2004;34(6):945-953. Published online March 28, 2017
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DOI: https://doi.org/10.4040/jkan.2004.34.6.945
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Abstract
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Purpose
This study was to explore the experiences of perioperative patients with cancer. The purpose of this inquiry was to describe the essence of such experiences, and to understand them from the patients'point of view.
Method
Participants in this study were 9 cancer patients with ages ranging from 31 to 70 years old, living in B city, who experienced cancer operations. Data collection consisted of in-depth interviews and an observation method done from October to December in 2003. In analysing data, Colaizzi's(1978) phenomenological research method was adopted.
Results
Five categories emerged from ten theme clusters. The five categories were: ‘ shock’, ‘ expectations & wishes’, ‘ despair’, ‘ feelings of burden’, ‘ continual pain’.
Conclusion
The results of this study showthat oncology nurses need to pay more attention to the psychosocial aspect of nursing to empathize and support the cancer patients who suffer and its treatment, and operations.
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Citations
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- Operation Experiences of Women with Breast Cancer
Hyeon-Young Kim, Sun Hwa Shin Journal of Korean Academy of Fundamentals of Nursing.2020; 27(2): 129. CrossRef - Hermeneutic Phenomenological Study on the Lived Experience of Illness among Older Females with Cancer in South Korea
Miseon Bang, Suhye Kwon, Seonnyeo Kim, Haeyun Shin, Eunyoung Seo Asian Oncology Nursing.2020; 20(2): 110. CrossRef - Experience of Cancer Patients Receiving Spiritual Nursing Care in one Christian General Hospital
Eun Youngi Seo, Suhye Kwon, Youngkyoung Kim, ALeum Han Asian Oncology Nursing.2019; 19(3): 179. CrossRef - The Actual Experiences of the Living World among Cancer Patients
Jin-Hyang Yang Journal of Korean Academy of Nursing.2008; 38(1): 140. CrossRef
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120
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The Nurses' Knowledge and Perception of Their Role in Genetics
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Mi Young Kim
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Journal of Korean Academy of Nursing 2003;33(8):1083-1092. Published online March 28, 2017
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DOI: https://doi.org/10.4040/jkan.2003.33.8.1083
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Abstract
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Purpose
The purpose of the study was to assess the level of nurses' genetic knowledge and the perception of nurses' role in genetics. The ultimate goal of this paper is to educate practicing nurses so that they can counsel individuals and families with genetic problems, on the basis of better understanding of genetic diseases.
Methods
A total of 969 clinical nurses in 11 general hospitals completed a self-administered questionnaire including basic genetic knowledge and perception of their role. The instruments were made by the author with the help of some experts on genetics. T-test, ANOVA, and Pearson Correlation were used to analyze the data.
Results
The results of this study indicated that nurses revealed a vast knowledge deficit in genetics and the need for genetic content in nursing curriculum. The results also showed that nurses' sources of information about genetics largely came from the mass media. The nurses also expressed great interest in educating and counseling patients. Overall, the survey found a positive correlation between the nurses' level of knowledge and their degree of interest in genetics.
Conclusion
In conclusion, education and training of clinical nurses in genetics is critical in integrating genetics with nursing science. Therefore, the development of educational programs for nursing knowledge and counseling as well as basic curriculums in genetic nursing at universities are essential in the near future.
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Citations
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- Nurses' knowledge and educational needs regarding genetics
Memnun Seven, Aygül Akyüz, Burcu Elbüken, Heather Skirton, Hatice Öztürk Nurse Education Today.2015; 35(3): 444. CrossRef - Undergraduate Nursing Students' Perceived Knowledge and Attitudes Toward Genetics and Nursing Competencies for Genetics
Hyunkyung Choi Journal of Korean Biological Nursing Science.2014; 16(2): 69. CrossRef - Current Issues and Tasks of Genetic Cancer Nursing in Korea
Myunghee Jun, Kyung Sook Choi, Gyeyoung Shin Asian Oncology Nursing.2012; 12(4): 267. CrossRef - Perception About the Elderly Among Undergraduate Students Interested in the Elderly Care Business
Mi-Ja Shin Journal of Korean Academy of Nursing Administration.2011; 17(4): 551. CrossRef - Genetic content in Korean nursing textbooks
Miyoung Kim, Jinho Han Nursing & Health Sciences.2010; 12(1): 135. CrossRef - Nurses' Professed Knowledge of Genetics and Genetic Counseling
Ayse Gaye Tomatir, Hülya Çetin Sorkun, Huriye Demirhan, Beyza Akdag The Tohoku Journal of Experimental Medicine.2006; 210(4): 321. CrossRef
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Health Belief and Performance of Health Behaviors of some University Students in Korea
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Byung Sook Lee, Mi Young Kim, Mi Hyun Kim, Sun Kyung Kim
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Journal of Korean Academy of Nursing 2000;30(1):213-224. Published online March 29, 2017
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DOI: https://doi.org/10.4040/jkan.2000.30.1.213
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Abstract
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Health belief is an important factor influencing the performance of health behaviors. Young adulthood is a
critical period to establish health beliefs and behaviors for a healthy life. As health professionals, nurses can
help young people establish more positive health beliefs and carry out health behaviors more effectively. But
before attempting to help them, it is necessary to identify their health beliefs and behaviors.
The purpose of this study was to identify the health beliefs and health behaviors of university students in
Korea. Subjects for this study were 2000 students from 10 universities, but data from only 1605 subjects
was included in the analysis. Data were collected from May 5th, 1998 to June 21th, 1998. Instruments
used in this study were two tools to measure 'health beliefs' and 'performance of health behaviors' that had
been developed and used in previous research. Cronbach's alphas were .8737 for the tool for health beliefs and
.8385 for the tool for health behaviors.
The results of this study are as follows.
(1) Average score of the subjects was 117.68 for health belief and 95.15 for performance of health behaviors.
(2) There was a significant correlation between the health belief and the performance of health behaviors(r=
.419).
(3) School year, major, health status, and experience of disease in the students were important factors in the
explanation of health belief(28.8%).
(4) Health belief, major, health status, school year, sex, age, experience of disease in family members were
important factors in the explanation of the performance of health behaviors (21.2%).
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Yun-Su Kim DIGITAL HEALTH.2024;[Epub] CrossRef - Pilot Study on the Physio-psychological Effects of Botanical Gardens on the Prefrontal Cortex Activity in an Adult Male Group
MInji Kang, SeungJu Kim, Juyoung Lee Journal of People, Plants, and Environment.2022; 25(4): 413. CrossRef - Associations between Awareness of the Risk of Exposure to Pollutants Occurring at Fire Scenes and Health Beliefs among Metropolitan Firefighters in the Republic of Korea
Hye Eun Oh, Soo Jin Kim, Hyekyung Woo, Seunghon Ham International Journal of Environmental Research and Public Health.2022; 19(14): 8860. CrossRef - Impact assessment of a primary care physician counseling program for youth population
Yun-Su Kim, Shin-Ae Kim Medicine.2022; 101(46): e31916. CrossRef - What Causes Health Promotion Behaviors in College Students?
Mi Young Kim, Yu Jeong Kim The Open Nursing Journal.2018; 12(1): 106. CrossRef - Obesity Status and Predictors of Obesity for Military Executive Members of the Korean Army Personnel
Jeong Sook Park, Soon Yang Jang Korean Journal of Adult Nursing.2016; 28(2): 136. CrossRef - Knowledge, Health Belief, and Vaccination Behavior on Hepatitis A among University Students
Kyung-Ja Kim, Tae-Yoon Hwang, Kyeong-Soo Lee Journal of agricultural medicine and community health.2016; 41(3): 119. CrossRef - An Efficacy of Social Cognitive Theory to Predict Health Behavior A Meta-Analysis on the Health Belief Model Studies in Korea
Byoungkwan Lee, 김채린, 윤문영, 김민희, 손영곤, 이상록 Journal of Public Relations.2014; 18(2): 163. CrossRef - Study on the Musculoskeletal Subjective Symptoms Disorders and Health Promotion Behavior of Daily Plant Construction Workers in One Area
Ja-Sook Kim, Ja-Ok Kim, Ji-Yong Seo, Hack-Sun Kim Korean Journal of Occupational Health Nursing.2014; 23(1): 28. CrossRef - Elementary school children's perceptions of traditional Korean foods, based on the health belief model
KyoungAe Lee Korean Journal of Nutrition.2013; 46(1): 86. CrossRef - Influencing Factors on Health Promotion Behavior of Fire Officers
Ja-Ok Kim, Ja-Sook Kim, A-Yong Park, Su-Jeong Han Korean Journal of Occupational Health Nursing.2013; 22(3): 218. CrossRef - Exercise Performance and Exercise-related Factors of Korean and Korean-Chinese Nursing Students: A comparative Study
Young-Ran Lee, Sun-Nam Park, Sook-Ja Yu, Jung-Soon Moon Journal of Korean Academy of Community Health Nursing.2011; 22(3): 234. CrossRef - A Study on Osteoporosis Knowledge, Health Beliefs and Health Behaviors among Female College Students
Hyejin Min, Hee Young Oh Journal of Korean Academy of Community Health Nursing.2011; 22(2): 111. CrossRef - Construct Equivalence and Latent Means Analysis of Health Behaviors Between Male and Female Middle School Students
Jeong Mo Park, Ae Kyung Han, Yoon Hee Cho Asian Nursing Research.2011; 5(4): 216. CrossRef - A Comparative Study of Youth Health Risk Behaviors by Region: Focused on Metropolitan Areas, Medium Sized and Small City Areas, and Rural Areas
Eunok Park Journal of Korean Academy of Nursing.2010; 40(1): 14. CrossRef
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A Study of Women's Menopausal Experiences
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Mi Young Kim, Soo Jeong Choi, Seung Ae Yang
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Journal of Korean Academy of Nursing 1999;29(6):1263-1272. Published online March 29, 2017
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DOI: https://doi.org/10.4040/jkan.1999.29.6.1263
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Abstract
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This study was alone to identify the meaning and the essence of the menopause experience by means of the Colaizzi's phenomenological method. The participants were eight women, 48-60 years old, who were experiencing perimenopause or postmenopause. They were selected using a theoretical sampling technique. Data were collected through in-depth interviews from April 6 to May 20, 1999. The interviews took from 40 to 90 minutes. Interviews were tape- recorded and analyzed using the constant comparative method. Significant statements from data were extracted. From these formulated meanings, 18 themes, 8 clusters of themes and 3 catagories were constructed. Final descriptions were found to be valid through the interviewee validation process. Essential themes of the menopausal experience which emerged were "coming of change", "inclined to deny the in mind", and "adapted life". Menopause, as coming of change was the turning point in the women's life cycle acompaning changes, in body and mind and marital life changes. Especially, the unpredictable menopausal changes were an opportunity to hide the fact of menopause and not to talk with anybody. Such a phenomenon reflected on the psychological attributes of menopausal woman such as an inclination to deny in the mind. Their experiences of menopause as adapted life were generally regarded as signalling the end of fertility and were interpreted as a natural developmental process that indicates a life transition. In conclusion, participants depicted the menopause as a natural stage in the life cycle. In order to help women have a positive life change and self accomplishment, nurses need to understand the essential themes of the menopausal experience. Thus, the importance of an open approach in eliciting the phenomena of menopause cannot be overemphasized.
In conclusion, the results of this study suggest that exercise program is one of the effective interventions to improve the self-efficacy and also to lower the fatigue in the sample of female college students.
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Hyeja Gu, Eunyoung Hong Climacteric.2025; 28(1): 40. CrossRef - Experience of Late–Middle-Aged Women who Reside in Small and Medium-Sized Cities in Becoming Psychologically Mature Women
Euna Park, Haeok Kim Osong Public Health and Research Perspectives.2015; 6(3): 159. CrossRef
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Elderly Sleep Pattern and Disturbing Factors Before and After Hospitalization
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Mi Young Kim, Sung Hee Cho, Sang Mi Lee, Su Jung Jung, Kyung Sook Park
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Journal of Korean Academy of Nursing 1999;29(1):61-71. Published online March 29, 2017
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DOI: https://doi.org/10.4040/jkan.1999.29.1.61
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Abstract
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Sleep is a necessity for survival, Disruption of sleep leads to numerous adverse physiological and psychological consequences. These could be particularly undesirable for older patients, who are subject to many additional factors. But there is limited research related to hospitalized elderly in Korea. The purpose of the study is to explore sleep patterns and disturbing factors of before and after hospitalization, in order to present basic information regarding elderly sleep to develop nursing intervention. The sample consisted of 32 elderly men and women between the ages of 60 and 87 years. Data collection was done from September to November 1997. Measures of sleep patterns and related factors were obtained from self-reported sleep questionnaires. Analysis of data was done by use of t-test, paired t-test, ANOVA, and Pearson Correlation Coefficient. The results of this study were summarized as follows : 1. In comparison between before and after admission of their sleep pattern, "sleep onset" tends to be delayed and nocturnal sleep time was significantly reduced. So, hospitalized elderly reported less total sleep time than before admission. 2. Regarding the sleep disturbing factors, medication(hypnotics : 37.5%), physiological factor(snoring : 59.4%) environmental factor(pillow : 78.1%), emotional factor(anxiety related to disease : 37.5%), and illness factor(fatigue : 34.7%) were reported. 3. Significant differences in gender were found. Men had more disturbances in sleep than women owing to difficulty in falling a sleep and lack of nocturnal sleep. Women consumed more sleep inducing drugs. Significant increase was reported in napping during the day with increasing age. 4. Significant differences between good sleepers and poor sleepers were found for the following variables : nocturnal sleep time, total sleep time, bed time, sleep onset latency time, sleep latency time after nocturnal awakening, time spent in bed upon arousal, environmental factors, and emotional factors. In conclusion, it was found that the quantity and quality of sleep were significantly altered in hospitalized elderly, but adequate strategies for better sleep were not practiced. Further research is needed to develop intervention strategies to promote sleep and to prevent sleep problems.
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- Sleep patterns and it's influencing factors of hospitalized elderly in long-term care hospital
Hyo-Yoel Jang, Tae-Im Kim Journal of the Korean Data and Information Science Society.2016; 27(3): 773. CrossRef - Factors Influencing Quality of Sleep of Disturbance Factors Sleep by Inpatients
Mi-Ryon Lee, Mun-Hee Nam Journal of Korean Clinical Health Science.2014; 2(3): 176. CrossRef - Factors Influencing Sleep of Elderly Women
Sohyune R. Sok, Jin Yi Choi Journal of Korean Academy of Nursing.2010; 40(1): 119. CrossRef - Effects of Eye Protective Device and Ear Protective Device Application on Sleep Disorder with Coronary Disease Patients in CCU
Yoon Jung Koo, Hyo Jung Koh Journal of Korean Academy of Nursing.2008; 38(4): 582. CrossRef
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