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Effectiveness of non-pharmacological interventions to reduce internalized stigma in people with severe mental illness: a systematic review and meta-analysis
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Soyoung Kim, Sun Hyoung Bae, Myung-Sun Hyun
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J Korean Acad Nurs 2025;55(1):1-18. Published online February 25, 2025
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DOI: https://doi.org/10.4040/jkan.24072
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 Abstract
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- Purpose
This study systematically reviewed and analyzed the effects of non-pharmacological interventions on internalized stigma among people with severe mental illness.
Methods
A systematic review and meta-analysis were conducted following the Cochrane Intervention Research Systematic Review Manual and Preferred Reporting Items for Systematic Review and Meta-Analysis guidelines. This study targeted people with severe mental illness as the population, interventions aimed at reducing internalized stigma, comparisons with control groups, and internalized stigma as the outcome. A literature search was performed across multiple databases, including PubMed, EMBASE, the Cochrane Library, CINAHL, PsycArticles, RISS, KMbase, and KoreaMed. The risk of bias was evaluated using the Cochrane Risk of Bias 2.0 tool. Effect sizes were computed using Hedges’s g, and subgroup analyses were conducted with Comprehensive Meta-Analysis software version 4.0.
Results
Of 2,388 papers, 15 were included in the meta-analysis. The overall effect size (Hedges’s g) of the intervention was –0.60 (95% confidence interval, –1.01 to –0.19), indicating a statistically significant reduction in internalized stigma (Z=–2.88, p=.004). Subgroup analyses revealed that the intervention type (p=.008) and session length (p=.011) were significant moderators influencing the effectiveness of the interventions.
Conclusion
Tailoring interventions by considering variables such as the intervention type and session length could enhance the effectiveness of non-pharmacological interventions for reducing internalized stigma among people with severe mental illness (PROSPERO: CRD42023418561).
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Psychoeducational Approach to Distress Management of Newly Diagnosed Patients with Breast Cancer
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Jin-Hee Park, Mison Chun, Yong Sik Jung, Sun Hyoung Bae, Young-Mi Jung
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J Korean Acad Nurs 2018;48(6):669-678. Published online January 15, 2018
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DOI: https://doi.org/10.4040/jkan.2018.48.6.669
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Abstract
PDF
- Abstract
Purpose
The purpose of this study was to examine the effects of integrated psychoeducational program for distress management of newly diagnosed patients with breast cancer.
Methods
A quasi-experimental trial was conducted. The participants consisted of 47 female patients with breast cancer assigned to an intervention group (n=25) and control group (n=22). The intervention group participated in integrated psychoeducational program, consisting of individual face-to-face education and telephone-delivered health-coaching sessions. Data were collected at three time points: pre-intervention (T1), post-intervention (T2), and 6-month follow-up (T3). Study instruments were Distress thermometer, Supportive Care Needs Survey Short Form 34 and Functional Assessment of Cancer Therapy-Breast.
Results
Compared with the control group, breast cancer patients in the intervention group reported lower distress and supportive care needs than the control group. The intervention group reported higher quality of life (QOL) overall and higher emotional well-being than the control group.
Conclusion
These findings indicate that the integrated psychoeducational program is an effective intervention for reducing distress and supportive care needs and increasing QOL of newly diagnosed patients with breast cancer. Oncology nurses need to provide psychoeducational intervention to support patients with breast cancer in managing their distress and helping them adjust to their life.
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Citations
Citations to this article as recorded by  - Analysis of Breast Cancer Nursing Education Content and Educational needs for Breast Cancer Patient Nursing Perceived by Nurses
Young-Hee Je, Kyoung-Ah Kang
Asian Oncology Nursing.2025; 25(1): 1. CrossRef - Psychological Distress and Influencing Factors in Newly Diagnosed Patients with Breast Cancer: A Cross-Sectional Study
Jin-Hee Park, Yong Sik Jung, Min Hee Hur, Yu Jin Jeong
Korean Journal of Adult Nursing.2024; 36(4): 311. CrossRef - Effects of Psychosocial Interventions for Patients with Breast Cancer: A Meta-analysis
Kyu-Sic Hwang, Kuy-Haeng Lee, Chan-Mo Yang, Hye-Jin Lee, Sang-Yeol Lee
Clinical Psychopharmacology and Neuroscience.2023; 21(1): 118. CrossRef - The development of a lifestyle modification mobile application, “Health for You” for overweight and obese breast cancer survivors in Korea
Su-Jin Seo, Ju-Hee Nho, Youngsam Park
Korean Journal of Women Health Nursing.2021; 27(3): 243. CrossRef - Development and Effect of the Integrated Health Promotion Program for Cancer Survivors Living at Home
Hee Sang Yoon, Eun A Hwang
Journal of Korean Academy of Community Health Nursing.2021; 32(1): 51. CrossRef - Adjustment to life with metastatic cancer through psychodrama group therapy: A qualitative study in Turkey
Songül Kamışlı, Bahar Gökler
Perspectives in Psychiatric Care.2021; 57(2): 488. CrossRef - Integration of longitudinal psychoeducation programmes during the phases of diagnosis, management and survivorship of breast cancer patients: A narrative review
Athena Michaelides, Constantina Constantinou
Journal of Cancer Policy.2020; 23: 100214. CrossRef - Quality of Life in Patients Undergoing Mastectomy for Breast Cancer
Kavitha Konnakkaparambil Ramakrishnan, Sreekumar Damodaran
Journal of Evidence Based Medicine and Healthcare.2020; 7(28): 1368. CrossRef - Mediating and Moderating Factors of Adherence to Nutrition and Physical Activity Guidelines, Breastfeeding Experience, and Spousal Support on the Relationship between Stress and Quality of Life in Breast Cancer Survivors
Nam Mi Kang, Won-Ho Hahn, Suyeon Park, Jung Eun Lee, Young Bum Yoo, Chung Ja Ryoo
International Journal of Environmental Research and Public Health.2020; 17(20): 7532. CrossRef - Uncertainty and unmet care needs before and after surgery in patients with gastric cancer: A survey study
Ji Yea Lee, Yeonsoo Jang, Sanghee Kim, Woo Jin Hyung
Nursing & Health Sciences.2020; 22(2): 427. CrossRef - Effects of Different Exercise Interventions on Quality of Life in Breast Cancer Patients: A Randomized Controlled Trial
Tetiana Odynets, Yuriy Briskin, Valentina Todorova
Integrative Cancer Therapies.2019;[Epub] CrossRef
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Effects of Psychoeducational Intervention for Cancer Survivors: A Systematic Review and Meta-Analysis
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Jin-Hee Park, Sun Hyoung Bae
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J Korean Acad Nurs 2017;47(2):143-163. Published online April 28, 2017
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DOI: https://doi.org/10.4040/jkan.2017.47.2.143
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Abstract
PDF
 Supplementary Material
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Purpose
This study was a systematic review and meta-analysis designed to investigate effects of psychoeducational intervention for cancer survivors.
Methods
Ten databases were searched. Two reviewers independently performed the selection of the studies, data extraction and assessment. The risk of bias was assessed using Cochrane Collaboration's tool. To estimate the effect size, meta-analysis of the studies was performed using Comprehensive Meta-Analysis and RevMan programs.
Results
Of 18,781 publications identified, 35 met inclusion criteria, and 25 studies were used to estimate effect size of psychoeducational intervention. Effect sizes (standardized mean difference [SMD]) were heterogeneous and random effects models were used in the analyses. Psychoeducational intervention was effective for quality of life (n=2,410, ES=0.23; 95% CI: 0.09~0.37), coping and self-efficacy (n=179, ES=0.68; 95% CI: 0.26~1.11), anxiety (n=1,786, ES=-0.26; 95% CI: -0.37~-0.15), depression (n=1,910, ES=-0.28; 95% CI: -0.37~-0.18), and psychological distress (n=2,242, ES=-0.31; 95% CI: -0.46~-0.17). Subgroup analysis showed that counseling was the most effective intervention for quality of life, and behavioral therapy was an effective intervention for all positive and negative outcomes. Publication bias was not detected except for psychological distress.
Conclusion
Psychoeducational intervention appears to be effective in improving quality of life and coping and self-efficacy, and it is effective in reducing psychological symptoms in cancer survivors. Behavioral therapy, especially, is commonly effective in improving psychosocial outcomes. However, low-quality evidence, variability in the designs of existing studies, and publication bias suggest that additional high-quality trials should be conducted in the future.
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Citations
Citations to this article as recorded by - Psychosocial interventions for people with amyotrophic lateral sclerosis and motor neuron disease and their caregivers: a scoping review
Juyeon Oh, Jiwon An, Kyongok Park, Youngok Park
BMC Nursing.2024;[Epub] CrossRef - Effectiveness of telemedicine psychoeducational interventions for adults with non‐oncological chronic disease: A systematic review
Carmen Sánchez‐Gutiérrez, Eugenia Gil‐García, Adriana Rivera‐Sequeiros, José M. López‐Millán
Journal of Advanced Nursing.2022; 78(5): 1267. CrossRef - Cancer-Related Psychological Distress in Lymphoma Survivor: An Italian Cross-Sectional Study
Giulia Agostinelli, Barbara Muzzatti, Samantha Serpentini, Michele Spina, Maria Antonietta Annunziata
Frontiers in Psychology.2022;[Epub] CrossRef - Effects of the Advanced Practice Nurse-Led Psychoeducational Program for Colorectal Cancer Survivors
Hye Kyung Kim, Yang-Sook Yoo
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Bom-Mi Park
Healthcare.2021; 9(6): 699. CrossRef - Effects of Psychosocial Interventions on Physical Function and Depression in Stroke Patients: Systematic Review and Meta-analysis
Jinhyang YANG, Changwan KANG, Hye-Won PARK, Euna PARK
JOURNAL OF FISHRIES AND MARINE SCIENCES EDUCATION.2021; 33(2): 396. CrossRef - Development of A Nurse-Led Educational Intervention Program in Managing the Nutrition Impact Symptom Cluster in Patients with Nasopharyngeal Carcinoma following the Medical Research Council Framework
Wenli Xiao, Carmen W Chan, Jinnan Xiao, Cho L Wong, Ka M Chow
Asia-Pacific Journal of Oncology Nursing.2021; 8(6): 653. CrossRef - Chemotherapy Education and Support: A Model for Use in the Ambulatory Care Setting
Terri Jabaley, Patricia Rizzo, Nina Grenon, Clare Sullivan, Janet Bagley, Maritza Nassif, Renee Siegel, Meghan Underhill-Blazey
Clinical Journal of Oncology Nursing.2020; 24(4): E43. CrossRef - Effectiveness of Acceptance and Commitment Therapy for Chronic Pain Patients: A Systematic Review and Meta-Analysis
Hee-Sook Kang, Sung-Dong Hwang, Sang-Eun Jun
Journal of Korean Academy of Psychiatric and Mental Health Nursing.2019; 28(3): 271. CrossRef
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Prevalence and Characteristics of Chemotherapy-related Cognitive Impairment in Patients with Breast Cancer
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Jin-Hee Park, Sun Hyoung Bae, Yong-Sik Jung, Young-Mi Jung
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J Korean Acad Nurs 2015;45(1):118-128. Published online February 27, 2015
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DOI: https://doi.org/10.4040/jkan.2015.45.1.118
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Abstract
PDF
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Purpose
Evidence suggests that some patients with breast cancer experience cognitive difficulties following chemotherapy. This longitudinal study was done to examine the prevalence of cognitive impairment and trajectory of cognitive function over time in women with breast cancer, who received adjuvant chemotherapy.
Methods
Participants were 137 patients with breast cancer. They completed neuropsychological tests and the Functional Assessment of Cancer Therapy-Cognitive Function before adjuvant therapy (pretest), toward the end of adjuvant therapy (posttest), and 6 months after the completion of adjuvant therapy (follow-up test). Of the patients, 91 were treated with adjuvant chemotherapy and 46 patients who did not receive chemotherapy made up the comparison group. A reliable-change index and repeated-measure ANOVA were used for statistical analyses.
Results
At the posttest point, over 30% of patients showed complex cognitive impairment and reported greater difficulty in subjective cognitive function. At the follow-up test point, 22.0% of patients exhibited complex cognitive impairment and 30.8% of patients complained of subjective cognitive impairment. Repeated-measure ANOVA showed significant decreases after receiving chemotherapy followed by small improvements 6 months after the completion of chemotherapy in cognitive domains of change for attention and concentration, memory, executive function, and subjective cognitive function.
Conclusion
These results suggest that chemotherapy in patients with breast cancer may be associated with objective and subjective cognitive impairments. Further studies are needed to explore the potential risk factors and predictor of chemotherapy-related cognitive changes. Also nursing interventions for prevention and intervention of cognitive impairments should be developed and tested.
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Citations
Citations to this article as recorded by - Impact of nonpharmacological interventions on cognitive impairment in women with breast cancer: A systematic review and meta-analysis
Jin-Hee Park, Su Jin Jung, Lena J. Lee, Junghyun Rhu, Sun Hyoung Bae
Asia-Pacific Journal of Oncology Nursing.2023; 10(4): 100212. CrossRef - Factors Associated with Self-reported Memory Problems of Adult Cancer Survivors Based on the Korea National Health and Nutrition Examination Survey 2019
Sangjin Ko
Journal of Health Informatics and Statistics.2023; 48(1): 51. CrossRef - Brain network deficits in breast cancer patients after early neoadjuvant chemotherapy: A longitudinal MRI study
Jing Yang, Yongchun Deng, Daihong Liu, Yong Tan, Meng Lin, Xiaoyu Zhou, Jing Zhang, Hong Yu, Yixin Hu, Yu Tang, Shixi Jiang, Jiuquan Zhang
Journal of Neuroscience Research.2023; 101(7): 1138. CrossRef - Frailty and its associated factors among older adults with cancer undergoing chemotherapy as outpatients: A cross-sectional study
Misun Jeon, Hyoeun Jang, Arum Lim, Sanghee Kim
European Journal of Oncology Nursing.2022; 60: 102192. CrossRef - The Experience of Chemotherapy Related Cognitive Impairment in Patients with Cancer
Pok Ja Oh, Ji Hyun Kim
Asian Oncology Nursing.2022; 22(1): 1. CrossRef - Distinct sleep disturbance and cognitive dysfunction profiles in oncology outpatients receiving chemotherapy
Vivian Huang, Lynda Mackin, Kord M. Kober, Steven M. Paul, Bruce A. Cooper, Yvette P. Conley, Marilyn J. Hammer, Jon D. Levine, Christine Miaskowski
Supportive Care in Cancer.2022; 30(11): 9243. CrossRef - Measurement, outcomes and interventions of cognitive function after breast cancer treatment: A narrative review
Miaomiao Jia, Xiaojun Zhang, Liyuan Wei, Jinnan Gao
Asia-Pacific Journal of Clinical Oncology.2021; 17(4): 321. CrossRef - Improving preoperative breast reconstruction consultations: a qualitative study on the impact of personalised audio-recordings
Josipa Petric, Bahara Sadri, Phillipa van Essen, Nicola Ruth Dean
BMC Women's Health.2021;[Epub] CrossRef - Study on Neurologic and Cognitive Dysfunction in Breast Cancer Patients Undergoing Chemotherapy with Resting State fMRI
Fenshan Zheng, Peiying Cao, Jie Zhou, Chunyu Li, John Norris
World Neurosurgery.2021; 149: 388. CrossRef - Changes of Cognitive Function and Fatigue following Chemotherapy in Patients with Gastrointestinal Cancer: A Prospective Controlled Study
Pok-Ja Oh, Sun Mi Moon
Asian Oncology Nursing.2019; 19(3): 126. CrossRef - Computerized programs for cancer survivors with cognitive problems: a systematic review
Yoonjung Kim, Sook Jung Kang
Journal of Cancer Survivorship.2019; 13(6): 911. CrossRef - Cancer treatment effects on cognition and depression: The moderating role of physical activity
Margaret F. Bedillion, Emily B. Ansell, Gwendolyn A. Thomas
The Breast.2019; 44: 73. CrossRef - Changes of Cognitive Function and Depression following Chemotherapy in Women with Breast Cancer: A Prospective Study
Pok Ja Oh, Jung Ran Lee, Hyun Ah Kim
Asian Oncology Nursing.2018; 18(2): 66. CrossRef - Mulheres Submetidas à Quimioterapia e suas Funções Cognitivas
Camila Vasconcelos Carnaúba Lima, Raner Miguel Ferreira Póvoa
Psicologia: Ciência e Profissão.2017; 37(4): 970. CrossRef - Chemotherapy-induced prospective memory impairment in breast cancer patients with different hormone receptor expression
Wen Li, Chen Gan, Yue Lv, Shanghu Wang, Huaidong Cheng
Medicine.2017; 96(13): e6514. CrossRef - Altered network efficiency of functional brain networks in patients with breast cancer after chemotherapy
Han Xuan, Chen Gan, Wen Li, Zhonglian Huang, Longsheng Wang, Qianqian Jia, Zhendong Chen, Huaidong Cheng
Oncotarget.2017; 8(62): 105648. CrossRef - Chemotherapy-related Cognitive Impairment and Quality of Life in People with Colon Cancer: The Mediating Effect of Psychological Distress
Pok Ja Oh, Jeong Hye Kim
Journal of Korean Academy of Nursing.2016; 46(1): 19. CrossRef - Effect of Cancer Symptoms and Fatigue on Chemotherapy-related Cognitive Impairment and Depression in People with Gastrointestinal Cancer
Pok Ja Oh, Jung Ran Lee
Journal of Korean Academy of Nursing.2016; 46(3): 420. CrossRef - A review of traditional Korean medical treatment for cancer-related cognitive impairment
Hye-Yoon Lee, Jung-Eun Kim, Mikyung Kim, Joo-Hee Kim
Journal of Korean Medicine.2016; 37(3): 74. CrossRef - Cognitive outcome after radiotherapy in brain tumor
Thomas Durand, Marie-Odile Bernier, Isabelle Léger, Hervé Taillia, Georges Noël, Dimitri Psimaras, Damien Ricard
Current Opinion in Oncology.2015; 27(6): 510. CrossRef - Changes of Symptom Distress and Quality of Life in Breast Cancer Patients Receiving Adjuvant Therapy
Jin-Hee Park, Sun Hyoung Bae, Young-Mi Jung
Asian Oncology Nursing.2015; 15(2): 67. CrossRef
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A Meta-analysis of Chemotherapy related Cognitive Impairment in Patients with Breast Cancer
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Jin-Hee Park, Sun Hyoung Bae
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J Korean Acad Nurs 2012;42(5):644-658. Published online October 12, 2012
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DOI: https://doi.org/10.4040/jkan.2012.42.5.644
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Abstract
PDF
- Purpose
The purpose of this study was to evaluate the cognitive effects of chemotherapy in patients with breast cancer.
Methods
Using several databases, prospective studies were collected up to August 2011. Of 2,106 publications identified, 12 met the inclusion criteria, and 8 studies were used to estimate the effect size of chemotherapy on cognitive impairment.
Results
Twelve studies were done since 2005 and most of the research was performed in Europe or North America. Eight studies were used to generate effect size across the cognitive domains of attention/concentration, verbal and visual memory, executive function, visuospatial skill, language, and subjective cognitive function. Each of the cognitive domains showed small effect sizes (-0.02 ~ -0.26), indicating diminished cognitive function for the chemotherapy group compared with non-chemotherapy groups.
Conclusion
Finding suggests that breast cancer patients who undergo chemotherapy may experience mild cognitive decline. Further study is needed to generate knowledge and guideline for interventions to address chemotherapy related cognitive impairment in these patients.
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Citations
Citations to this article as recorded by - The Experience of Chemotherapy Related Cognitive Impairment in Patients with Cancer
Pok Ja Oh, Ji Hyun Kim
Asian Oncology Nursing.2022; 22(1): 1. CrossRef - Effects of smart-care services program for breast cancer survivors
Bok Yae Chung, Sung Jung Hong
The Journal of Korean Academic Society of Nursing Education.2021; 27(2): 95. CrossRef - Changes of Cognitive Function and Fatigue following Chemotherapy in Patients with Gastrointestinal Cancer: A Prospective Controlled Study
Pok-Ja Oh, Sun Mi Moon
Asian Oncology Nursing.2019; 19(3): 126. CrossRef - Effects of compensatory cognitive training intervention for breast cancer patients undergoing chemotherapy: a pilot study
Jin-Hee Park, Yong Sik Jung, Ku Sang Kim, Sun Hyoung Bae
Supportive Care in Cancer.2017; 25(6): 1887. CrossRef - Impact of Cognitive Function and Cancer Coping on Quality of Life among Women with Post-chemotherapy Breast Cancer
Yoon Jung Kim, Sook Jung Kang
Korean Journal of Women Health Nursing.2016; 22(3): 182. CrossRef - Chemotherapy-related Cognitive Impairment and Quality of Life in People with Colon Cancer: The Mediating Effect of Psychological Distress
Pok Ja Oh, Jeong Hye Kim
Journal of Korean Academy of Nursing.2016; 46(1): 19. CrossRef - QLU-C10D: a health state classification system for a multi-attribute utility measure based on the EORTC QLQ-C30
M. T. King, D. S. J. Costa, N. K. Aaronson, J. E. Brazier, D. F. Cella, P. M. Fayers, P. Grimison, M. Janda, G. Kemmler, R. Norman, A. S. Pickard, D. Rowen, G. Velikova, T. A. Young, R. Viney
Quality of Life Research.2016; 25(3): 625. CrossRef - The Impact of Cancer on Psychological and Social Outcomes
Daniel Sj Costa, Rebecca Mercieca‐bebber, Claudia Rutherford, Liam Gabb, Madeleine T King
Australian Psychologist.2016; 51(2): 89. CrossRef - Prevalence and Characteristics of Chemotherapy-related Cognitive Impairment in Patients with Breast Cancer
Jin-Hee Park, Sun Hyoung Bae, Yong-Sik Jung, Young-Mi Jung
Journal of Korean Academy of Nursing.2015; 45(1): 118. CrossRef
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A Systematic Review of Psychological Distress as a Risk Factor for Recurrent Cardiac Events in Patients with Coronary Artery Disease
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Jin-Hee Park, Sun Hyoung Bae
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J Korean Acad Nurs 2011;41(5):704-714. Published online October 31, 2011
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DOI: https://doi.org/10.4040/jkan.2011.41.5.704
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Abstract
PDF
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Purpose
The purpose of this study was to determine whether psychological distress is an independent risk factor for recurrent cardiac events in patients with coronary artery disease (CAD).
Methods
A prospective cohort of studies that measured psychological distress and the incidence of recurrent cardiac events in the adult population were included. Three computerized databases were assessed (PubMed, CINAHL, and PSYCINFO). Meta-analysis was conducted using a random-effects model to determine summary estimates of risks of major recurrent cardiac events associated with each psychological distress. Of 506 publications identified, 33 met inclusion criteria, and 24 studies were used to estimate effect size of psychological distress on recurrent cardiac events.
Results
Mean number in the research sample was 736 and mean time of follow-up was 4.0 years. Depression, anxiety, anger, and hostility as psychological factors were studied. According to estimation of effect size using random model effect, depression (OR=1.39, 95% CI: 1.22-1.57), anxiety (OR=1.22, 95% CI: 0.96-1.56), and anger/hostility (OR=1.29, 95% CI: 1.07-1.57) CAD patients in significantly increased risk for recurrent cardiac events.
Conclusion
Finding suggests that psychological distress in forms of depression, anxiety, anger, and hostility impact unfavorably on recurrent cardiac events in CAD patients.
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Citations
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Rajesh Sagar, Kaushik Chatterjee, Sandeep Thareja, Anurag Timothy, A.S. Yadav, Prateek Yadav, Rajinder Dhamija, S.V. Madhu, Preethy Kathiresan, Pratibha Prasad, Swati Kedia Gupta, Kalpana Srivastava
Annals of the National Academy of Medical Sciences (India).2025; 61: 66. CrossRef - Impact of Type D Personality and Health Literacy on Resilience of Inpatients with Cardiovascular Diseases: A Cross-Sectional Study
Da Eun Kim, Seon Young Hwang
Korean Journal of Adult Nursing.2023; 35(1): 23. CrossRef - The Effect of Perceived Stress, Fine Dust Risk Perception, and Resilience on Stress Response in Patients with Respiratory and Circulatory Disorders
Jin-Hee Park, Kuem-Sun Han
STRESS.2021; 29(1): 21. CrossRef - Associations of depression and anxiety with cardiovascular risk among people living with HIV/AIDS in Korea
Kyong Sil Park, Seon Young Hwang, Bo Youl Choi, June Kim, Sang Il Kim, Woo-Joo Kim, Chun Kang
Epidemiology and Health.2020; 43: e2021002. CrossRef - Impact of Type D Personality on Depression, Anxiety, and Health-related Quality of Life among Coronary Artery Disease Patients: A Systematic Review and Meta-analysis
Sun Hyoung Bae, Jin-Hee Park
Korean Journal of Adult Nursing.2019; 31(3): 219. CrossRef - Analysis of the relationship between community characteristics and depression using geographically weighted regression
Hyungyun Choi, Ho Kim
Epidemiology and Health.2017; 39: e2017025. CrossRef - Influencing Effects of Type D Personality on Symptom Experiences and Quality of Life in Patients with Percutaneous Coronary Intervention
Eun Hee Jo, Sun Hee Han, Myung Ha Lee, Sung Reul Kim
Korean Journal of Adult Nursing.2016; 28(5): 536. CrossRef - Depression and Anxiety as Predictors of Recurrent Cardiac Events 12 Months After Percutaneous Coronary Interventions
Jin-Hee Park, Seung-Jea Tahk, Sun Hyoung Bae
Journal of Cardiovascular Nursing.2015; 30(4): 351. CrossRef - Anger, anger expression, cardiovascular risk factors, and gastrointestinal symptoms by hwa-byung symptoms in Korean adult women
Young-Joo Park, Sook-Ja Lee, Nah-Mee Shin, Hyunjeong Shin, Hyun Cheol Kang, Yoon Tae Jin, Song I. Jeon, Inhae Cho
Applied Nursing Research.2015; 28(4): 398. 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 - Influences of Knowledge, Self-efficacy, and Social Support on Sick Role Behavior in Patients with Coronary Artery Disease
Soonhee Kim, Sunhee Lee
Journal of Korean Public Health Nursing.2014; 28(2): 228. CrossRef - Factors Influencing the Quality of Life in Low- Income Elders Living at Home: A Literature Review
Chung-Min Cho
Journal of Korean Public Health Nursing.2013; 27(2): 372. CrossRef - Effects of a psychoeducational intervention for secondary prevention in Korean patients with coronary artery disease: A pilot study
Jin‐Hee Park, Seung‐Jae Tahk, Sun Hyoung Bae, Youn‐Jung Son
International Journal of Nursing Practice.2013; 19(3): 295. CrossRef - Stress and cardiovascular disease
Jung Jin Cho
Journal of the Korean Medical Association.2013; 56(6): 462. CrossRef
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215
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Factors Influencing Relocation Stress Syndrome in Patients Following Transfer from Intensive Care Units
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Jin-Hee Park, Moon-Sook Yoo, Youn-Jung Son, Sun Hyoung Bae
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J Korean Acad Nurs 2010;40(3):307-316. Published online June 30, 2010
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DOI: https://doi.org/10.4040/jkan.2010.40.3.307
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Abstract
PDF
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Purpose
The purpose of this study was to identify the levels of relocation stress syndrome (RSS) and influencing the stress experienced by Intensive Care Unit (ICU) patients just after transfer to general wards.
Methods
A cross-sectional study was conducted with 257 patients who transferred from the intensive care unit. Data were collected through self-report questionnaires from May to October, 2009. Data were analyzed using the Pearson correlation coefficient, t-test, one-way ANOVA, and stepwise multiple linear regression with SPSS/WIN 12.0.
Results
The mean score for RSS was 17.80±9.16. The factors predicting relocation stress syndrome were symptom experience, differences in scope and quality of care provided by ICU and ward nursing staffs, satisfaction with transfer process, length of stay in ICU and economic status, and these factors explained 40% of relocation stress syndrome (F=31.61, p<.001).
Conclusion
By understanding the stress experienced by ICU patients, nurses are better able to provide psychological support and thus more holistic care to critically ill patients. Further research is needed to consider the impact of relocation stress syndrome on patients' health outcomes in the recovery trajectory.
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Citations
Citations to this article as recorded by - A phenomenological study on the experiences of patient transfer from the intensive care unit to general wards
Eun-Young Lee, Jin-Hee Park, Alvisa Palese
PLOS ONE.2021; 16(7): e0254316. CrossRef - Development and psychometric evaluation of the Relocation Stress Syndrome Scale-Short Form for patients transferred from adult intensive care units to general wards
Mi Hwa Won, Youn-Jung Son
Intensive and Critical Care Nursing.2020; 58: 102800. CrossRef - Development and Effects of a Transition Nursing Program for Patients and Family Caregivers at a Neurological ICU in Korea
Sun Hee Yun, Eui Geum Oh, Yang Sook Yoo, So Sun Kim, Yeon Soo Jang
Clinical Nursing Research.2017; 26(1): 27. CrossRef - The Effects of Aromatherapy on Intensive Care Unit Patients’ Stress and Sleep Quality: A Nonrandomised Controlled Trial
Eun Hee Cho, Mi-Young Lee, Myung-Haeng Hur, Nativ Dudai
Evidence-Based Complementary and Alternative Medicine.2017;[Epub] CrossRef - A tailored relocation stress intervention programme for family caregivers of patients transferred from a surgical intensive care unit to a general ward
Seul Lee, HyunSoo Oh, YeonOk Suh, WhaSook Seo
Journal of Clinical Nursing.2017; 26(5-6): 784. CrossRef - Clinical validity of a relocation stress scale for the families of patients transferred from intensive care units
HyunSoo Oh, Seul Lee, JiSun Kim, EunJu Lee, HyoNam Min, OkJa Cho, WhaSook Seo
Journal of Clinical Nursing.2015; 24(13-14): 1805. CrossRef
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301
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Factors Influencing Learning Achievement of Nursing Students in E-learning
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Jin-Hee Park, Eunha Lee, Sun Hyoung Bae
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J Korean Acad Nurs 2010;40(2):182-190. Published online April 30, 2010
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DOI: https://doi.org/10.4040/jkan.2010.40.2.182
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Abstract
PDF
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Purpose
This study was done to identify self-directed learning readiness, achievement goal orientations, learning satisfaction and learning achievement, and to evaluate the factors affecting learning achievement for nursing students using a web-based Health Assessment e-Book.
Methods
The research design was a cross-sectional study with a structured questionnaire and data were collected before using the web-based Health Assessment e-Book and 1 week after finishing. The participants were 80 nursing students who were taking the Health Assessment class from March to June 2009.
Results
Mean score for subjective learning achievement was 31.26 and for objective learning achievement, 69.25. Subjective and objective learning achievement were positively correlated with self-directed learning readiness, mastery goal, attitude toward distance education, and learning satisfaction. In subjective learning achievement, learning satisfaction and mastery goal were significant predictive factors and explained 64% of the variance. Objective learning achievement was significantly predicted by learning satisfaction and self-directed learning readiness, which explained 24% of the variance.
Conclusion
Learning satisfaction, mastery goal and self-directed learning readiness were found to be very important factors associated with learning achievement for nursing students using a web-based Health Assessment e-Book. To provide high quality and effective web-based courses and to improve nursing students' learning achievement and learning satisfaction, educators should consider the learner's characteristics from the initial stages of lecture planning.
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