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Effect of Asthma Management Education Program on Stress and Compliance of Patients with Allergic Asthma to House Dust Mite
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Yang Sook Yoo, Ok Hee Cho, Eun Sin Kim, Hye Sun Jeong
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Journal of Korean Academy of Nursing 2005;35(4):686-693. Published online March 28, 2017
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DOI: https://doi.org/10.4040/jkan.2005.35.4.686
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 Abstract
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Purpose
This study was designed to examine the effect of asthma management education program applied to allergic asthma patients receiving immunotherapy due to house dust mite on their stress and compliance with health care regimens.
Methods
A quasi experimental design with non-equivalent control group and non-synchronized design was used. The subjects of this study were 61 patients who were receiving immunotherapy at intervals of a week after their symptoms were diagnosed as house dust mite allergic asthma at the pulmonary department of a university hospital in Seoul. They were divided into an experimental group of 29 patients who received asthma management education and a control group of 32 patients. The asthma management education program was composed of group education (once) and reinforcement education (three times) with environmental therapy and immunotherapy to house dust mite.
Results
Stress significantly decreased in the experimental group compared to that in the control group. Compliance with health care regimens significantly increased in the experimental group compared to that in the control group.
Conclusions
The results suggested that the asthma management education program is effective for the management of stress and the improvement of compliance in patients with allergic asthma to house dust mite.
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Effects of a Comprehensive Rehabilitation Program for Mastectomy Patients
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Ok Hee Cho
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Journal of Korean Academy of Nursing 2004;34(5):809-819. Published online March 28, 2017
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DOI: https://doi.org/10.4040/jkan.2004.34.5.809
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Abstract
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Purpose
The purpose of this study was to investigate the effect of a comprehensive rehabilitation program on physical function, immune response, fatigue and quality of life in mastectomy patients.
Method
The subjects included fifty-five patients with breast cancer (27 in the control group and 28 in the experimental group). The subjects in the experimental group participated in a comprehensive rehabilitation program for10 weeks, which was composed of 1 session of education, 2 sessions of stress management, 2 sessions of exercise, and 1 session of peer support group activity per week.
Result
The results revealed anincrease in shoulder extension, abduction, external rotation, and internal rotation of the affectedupper extremity, and in shoulder extension and abduction of the healthy upper extremity. Also an increase in quality of life and a decrease in fatigue were significantly higher in the experimental group than the control group. However, the results revealed that the natural killer cell ratio of the experimental group increased but there was no significant difference from that of the control group.
Conclusion
The 10-week comprehensive rehabilitation program showed a large affirmative effect on physical function, fatigue and quality of life of breast cancer patients after a mastectomy.
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Citations
Citations to this article as recorded by  - The Effect of Comprehensive Care Program for Ovarian Cancer Survivors
Kyung-Hye Hwang, Ok-Hee Cho, Yang-Sook Yoo
Clinical Nursing Research.2016; 25(2): 192. CrossRef - Review of Rehabilitation Programs for Cancer survivors
Jong Hee Han
Journal of the Korea Academia-Industrial cooperation Society.2016; 17(12): 307. CrossRef - Effect of a 12-week walking exercise program on body composition and immune cell count in patients with breast cancer who are undergoing chemotherapy
Ji Jeong Kim, Yun A Shin, Min Hwa Suk
Journal of Exercise Nutrition & Biochemistry.2015; 19(3): 255. CrossRef - Effects of BeHaS Exercise Program on Flexibility, Grip Strength, Stress and Self-esteem in Breast Cancer Survivors
Sun Young Park, Jong Im Kim
Journal of muscle and joint health.2013; 20(3): 171. CrossRef - Relationships among Pain, Upper Extremity Function, and Anxiety in the Breast Cancer Survivors
Jeong-Sun Lim, Jong-Im Kim
Journal of muscle and joint health.2012; 19(1): 37. CrossRef - Effects of Laughter Therapy on Depression, Quality of Life, Resilience and Immune Responses in Breast Cancer Survivors
Eun A Cho, Hyun Ei Oh
Journal of Korean Academy of Nursing.2011; 41(3): 285. CrossRef - Developing a Rehabilitation Model of Breast Cancer Patients Through Literature Review and Hospital Rehabilitation Programs
Bok-Yae Chung, Yu Xu
Asian Nursing Research.2008; 2(1): 55. CrossRef
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Uncertainty, Anxiety and Coping with Mastectomy for Breast Cancer
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Ok Hee Cho
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Journal of Korean Academy of Nursing 2000;30(4):1006-1017. Published online March 29, 2017
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DOI: https://doi.org/10.4040/jkan.2000.30.4.1006
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Abstract
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The purpose of this study was to provide basic information for developing a nursing intervention that helps
patients learn how to acquire coping to reduce post operation uncertainty and anxiety by investigating the level of
uncertainty and anxiety experienced by mastectomy patients.
The subjects were 134 patients selected from St. Mary's Kangnam and St. Mary's hospital, and the data
collection period was from October to December of 1998. Uncertainty was measured by using Mishel Uncertainty in
Illness Scale (MUIS), anxiety measured by using State-Trait Anxiety Inventory(STAI), and coping by using a
questionnaire developed by Kim & Yoo (1996).
Data were analyzed with SAS program by t-test, ANOVA, Duncan's multiple range test, Pearson correlation
coefficients, and stepwise multiple regression.
The results were as follows:
1. The mean uncertainty score was 57.6. The results of the correlation between the compliance of medical
regimen and demographic characteristics were as follows ; Those who monthly income over 2,010,000 won had
lower than above 1,000,000 won, and those with the experience of chemotherapy had higher than those
without, and the patient who has 7~12 months(1 yr.) post operation period had higher than the one
below 6months, 25~36 months(3 yrs.), 37~60 months(5 yrs.), and over 61 months.
2. The mean anxiety score was 45.9. Anxiety tended to be increased slightly in subjects with low
educational background, poor monthly income, experience of chemotherapy, and 7~12 months(1 yr.) post
operation period, but there was no significant difference by general characteristics.
3. The mean value of the coping score was 100.7. The study revealed higher score in problem-focused coping
than emotion-focused coping. In regard to coping by demographic characteristics were as follows ; those who
had monthly income over 2,010,000 won had higher level of coping than those whose monthly income was
between 1,010,000 and 2,000,000 won. In terms of problem- focused coping, those who had 25~36 months
of post operation period showed significantly lower level of coping than those below 6 months or 37~60
months(5 yrs.) or over 61 months of post operation period. Regarding the emotion-focused coping, those
with the christianity had significantly lower level of coping than those without it. Also, those whose
monthly income over 2,010,000 won had significantly higher coping level than those with income of
between 1,010,000 and 2,000,000 won.
4. A positive relationship was found between uncertainty and anxiety. Patients who experienced more
uncertainty also showed more anxiety. Problem-focused coping was inversely related to uncertainty and
anxiety.
5. The major variable that affected uncertainty was anxiety, explaining 63.3% of the uncertainty. In addition to
this, it would explain 66.4% in total when experience of chemotherapy was added. -
Citations
Citations to this article as recorded by - Understanding mental health in breast cancer from screening to Survivorship: an integrative phasic Model and tool
Justine Fortin, Émilie Rudd, Claudia Trudel-Fitzgerald, Matthew J. Cordova, Marie-France Marin, Alain Brunet
Psychology, Health & Medicine.2025; 30(3): 437. CrossRef - Effect of audiovisual media-based nursing information on environmental stress, anxiety, and uncertainty in patients undergoing open-heart surgery
Jeong-Yeong Jeon, Dong-Hee Kim, Kyoungrim Kang
Medicine.2023; 102(8): e33001. CrossRef - The Effects of Repeated Information using Visual and Video-Audio Media on Uncertainty and Anxiety in Patients undergoing Thyroidectomy
Hyeon-Ok Lee, Ji-Yeong Seo
Asian Oncology Nursing.2020; 20(2): 92. CrossRef - The Effect of Nursing Information on Anxiety and Uncertainty in Patients for Endoscopic Submucosal Dissection before the procedure of the patients
Eun-Jung Shin, Young-Sook Lee
Journal of the Korea Academia-Industrial cooperation Society.2016; 17(2): 66. CrossRef - The Effects of Visual Information on Anxiety and Uncertainty in Elderly Patients after the Total Knee Arthroplasty
Kyung Ryu, Sook-Hee Cho
Journal of muscle and joint health.2015; 22(1): 48. CrossRef - Uncertainty in Elderly Women with Osteoarthritis: Relationship to Pain, Self-care Agency and Health Conservation
Jiran Nam, Kiwol Sung
Journal of Korean Gerontological Nursing.2014; 16(3): 201. CrossRef - Adaptation Experience to Work of Nurses with Low Back Pain
Jin-Hyang Yang
Korean Journal of Adult Nursing.2013; 25(6): 597. CrossRef - Anxiety, Depression and Uncertainty in Cancer Patients Participating in Clinical Trial of Anticancer Drugs
Haejin Kim, Myungsun Yi
Korean Journal of Adult Nursing.2013; 25(1): 53. CrossRef - Factors Influencing Uncertainty in Dialysis Patient by Duration of Dialysis
Su Jung Yun, Young Hee Lee
Korean Journal of Adult Nursing.2012; 24(6): 597. CrossRef - A Structural Model for Psychosocial Adjustment in Patients with Early Breast Cancer
Hye Young Kim, Hyang Sook So
Journal of Korean Academy of Nursing.2012; 42(1): 105. CrossRef
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109
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