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Transitional Care for Older Adults with Chronic Illnesses as a Vulnerable Population: Theoretical Framework and Future Directions in Nursing
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Youn-Jung Son, Mi-Ae You
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J Korean Acad Nurs 2015;45(6):919-927. Published online December 31, 2015
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DOI: https://doi.org/10.4040/jkan.2015.45.6.919
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 Abstract
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Purpose
Effective transitional care is needed to improve the quality of life in older adult patients with chronic illness and avoid discontinuity of care and adverse events. The aim of this article is to provide an overview of the key features, broader implications, and the utility of Meleis' transition theory intended for the transitional care of older adults with chronic illnesses. We present the role of nurse in the context of transitional care and propose future directions to increase the quality of nursing care.
Methods
The online databases Cumulative Index of Nursing and Allied Health Literature, MEDLINE, and Science Direct were searched for relevant literature published since 1970 along with textbooks regarding nursing theory.
Results
An evaluation of the usefulness of transition theory based on transitional care in older adult patients with chronic illnesses is provided. Healthy transition should be the expected standard of nursing care for older adults across all healthcare settings.
Conclusion
Nurses need to contribute to the development of transitional care for vulnerable populations; however, transition theory needs to be enhanced through additional theoretical work and repeated evaluations of the applicability in areas of transitional care.
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Citations
Citations to this article as recorded by  - Critical evaluation of Afaf Meleis´s Transition Theory: strengths, limitations and applications in nursing education
Daniella Cancino-Jiménez, Naldy Febré, Ximena Cea-Netting, Jorge Cancino-Jiménez, Salomé Olguín, Katherine Olguín
Salud, Ciencia y Tecnología.2024;[Epub] CrossRef - Self-Management Support (SMS) in Transition: The Case of Osteoporosis Management Support in a Chinese Hospital
Jinling Huang, Xianghua Ding
Computer Supported Cooperative Work (CSCW).2024;[Epub] CrossRef - The Evolving Roles of Nurses Providing Care at Home: A Qualitative Case Study Research of a Transitional Care Team
Wei Ting Chen, Hong-Gu He, Yeow Leng Chow
International Journal of Integrated Care.2022;[Epub] CrossRef - COVID‐19 and hospice community palliative care in New Zealand: A qualitative study
Rosemary Frey, Deborah Balmer
Health & Social Care in the Community.2022;[Epub] CrossRef - Transitional care interventions to reduce emergency department visits in older adults: A systematic review
Latifah Jehloh, Praneed Songwathana, Wipa Sae-Sia
Belitung Nursing Journal.2022; 8(3): 187. CrossRef - Measurement tools that assess the quality of transitional care from patients' perspective: A literature review
Mai Yoshimura, Naomi Sumi
Japan Journal of Nursing Science.2022;[Epub] CrossRef - Components of hospital-to-home care interventions for patients with heart failure in Japan: An integrative review
Mai Yoshimura, Naomi Sumi
Journal of International Nursing Research.2022; 1(1): e2021-0001. CrossRef - Discharge teaching, readiness for hospital discharge and post‐discharge outcomes in cataract patients: A structural equation model analysis
Aihua Zhang, Xianqiong Feng, Chujin Qiu, Lopez Violeta
Journal of Nursing Management.2021; 29(3): 543. CrossRef - A Theory on the Components of Depression Self-Management in Older Adults
Meg Polacsek, Gayelene H. Boardman, Terence V. McCann
Qualitative Health Research.2021; 31(1): 160. CrossRef - The Influence of a Successful Wellness-Illness Transition on the Experience of Depression in Older Adults
Meg Polacsek, Gayelene H. Boardman, Terence V. McCann
Issues in Mental Health Nursing.2020; 41(1): 31. CrossRef - Effects of Multidisciplinary Team-Based Nurse-led Transitional Care on Clinical Outcomes and Quality of Life in Patients With Ankylosing Spondylitis
Limin Liang, Yinghua Pan, Danchun Wu, Yongli Pang, Yuanyuan Xie, Hengying Fang
Asian Nursing Research.2019; 13(2): 107. CrossRef
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Methodological Issues in Questionnaire Design
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Youngshin Song, Youn-Jung Son, Doonam Oh
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J Korean Acad Nurs 2015;45(3):323-328. Published online June 30, 2015
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DOI: https://doi.org/10.4040/jkan.2015.45.3.323
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Abstract
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Purpose
The process of designing a questionnaire is complicated. Many questionnaires on nursing phenomena have been developed and used by nursing researchers. The purpose of this paper was to discuss questionnaire design and factors that should be considered when using existing scales.
Methods
Methodological issues were discussed, such as factors in the design of questions, steps in developing questionnaires, wording and formatting methods for items, and administrations methods. How to use existing scales, how to facilitate cultural adaptation, and how to prevent socially desirable responding were discussed. Moreover, the triangulation method in questionnaire development was introduced.
Results
Steps were recommended for designing questions such as appropriately operationalizing key concepts for the target population, clearly formatting response options, generating items and confirming final items through face or content validity, sufficiently piloting the questionnaire using item analysis, demonstrating reliability and validity, finalizing the scale, and training the administrator. Psychometric properties and cultural equivalence should be evaluated prior to administration when using an existing questionnaire and performing cultural adaptation.
Conclusion
In the context of well-defined nursing phenomena, logical and systematic methods will contribute to the development of simple and precise questionnaires.
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Citations
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Eli Ayawo Atatsi, Edem M. Azila-Gbettor, Ben Q. Honyenuga, Martin K. Abiemo, Christopher Mensah
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Weiling Jiang, Yangyi Fan, Igor Martek, Huixin Qi, Ying Li
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Guilherme Petek Ramos Leite, Lucimar Retto da Silva de Avó, Carla Maria Ramos Germano, Débora Gusmão Melo
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The Journal of Korean Academic Society of Nursing Education.2023; 29(4): 427. CrossRef - Knowledge, Attitude and Practice Regarding COVID-19 Infection Among Dental Professionals
Sonalika Srivastava, Abhishek Sinha, Sunita Srivastava, Pooja M. Sinha, Karishma Roy, Anuj Mishra
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Laurie Ecoff, Jaynelle F. Stichler
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Ancho Lim, Youngshin Song
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Angélique A.A. Gruters, Inez H.G.B. Ramakers, Annemarie P.M. Stiekema, Frans R.J. Verhey, Roy P.C. Kessels, Marjolein E. de Vugt
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Terhi Lemetti, Pauli Puukka, Minna Stolt, Riitta Suhonen
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Samir Mili, Maria Bouhaddane
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Alejandro Orgambídez, Helena Almeida
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Maria Grazia Cagetti, Jean Louis Cairoli, Andrea Senna, Guglielmo Campus
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Emmanuel Cohen, Amadou Ndao, Jonathan Y. Bernard, Amadoune Gueye, Priscilla Duboz, Enguerran Macia, Gilles Boëtsch, Patrick Pasquet, Michelle Holdsworth, Philippe Jean-Luc Gradidge
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Alejandro Orgambídez, Helena Almeida
International Journal of Nursing Studies.2020; 109: 103672. CrossRef - Emergency drug kits at the Danish hospital pharmacies: varying management and challenges
Maria Christensen, Stine A Knudsen, Hanne Plet, Solveig Bang Lyngsø, Anne Estrup Olesen
European Journal of Hospital Pharmacy.2020; 27(4): 232. CrossRef - Concomitants of menopause-specific quality of life in premenopausal and post-menopausal women living in South Korea
Bo Gyeong Lee, Ok Kyung Ham, Soo Hyun Kim, Eun Jin Lee, Hee Sun Kang, Duckhee Chae
Women & Health.2020; 60(8): 887. CrossRef - Limitações da pesquisa do Fórum de Segurança Pública sobre percepção de violência sexual no Brasil
Lylla Winzer
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Jongim Kim, Youngshin Song, Taehee Kim, Keumok Park
Geriatrics & Gerontology International.2019; 19(4): 352. CrossRef - Development and Psychometric Testing of Liver Transplant Therapeutic Adherence Questionnaire in a Triphasic Mixed-Method Study
Fariba Tohidinezhad, Mohsen Aliakbarian, Ameen Abu-Hanna, Saeid Eslami
Progress in Transplantation.2019; 29(2): 122. CrossRef - Essential aspects in the design of data collection instruments in primary health research
Débora Butka Thomas, Nágila Soares Xavier Oenning, Bárbara Niegia Garcia de Goulart
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Youngshin Song, Younghee Jeon, Jeonghwa Cho, Bohyun Kim
Journal of Korean Academy of Nursing.2016; 46(6): 813. CrossRef
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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
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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
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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
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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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Analysis of Research Papers Published in the Journal of the Korean Academy of Nursing-Focused on Research Trends, Intervention Studies, and Level of Evidence in the Research
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Hyun-Sook Shin, Myung-Sun Hyun, Mi-Ok Ku, Myung-Ok Cho, Sook-Young Kim, Jea-Sim Jeong, Geum-Hee Jeong, Gyeong-Ae Seomoon, Youn-Jung Son
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J Korean Acad Nurs 2010;40(1):139-149. Published online February 28, 2010
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DOI: https://doi.org/10.4040/jkan.2010.40.1.139
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Abstract
PDF
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Purpose
This study aimed was done to analyze recent trends in nursing research published in the Journal of Korean Academy of Nursing by focusing on the content of nursing interventions and their level of evidence.
Methods
A total of 209 studies published between 2007 and 2008 were reviewed using analysis criteria developed by the researchers.
Results
The number of quantitative studies was greater than that of qualitative studies. There was a slight increase in the number of qualitative studies and studies including elderly populations, which reflects the recent population trend in Korea. More randomized controlled trials with a low risk of bias were needed to support more evidence-based nursing practice. Concerning the low rate of ethical consideration, stricter application of research ethics needs to be encouraged.
Conclusion
The findings of this study suggest the recent trends in nursing research and the direction of nursing research and review in the Journal.
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Citations
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Concept Analysis of Relocation Stress - Focusing on Patients Transferred from Intensive Care Unit to General Ward -
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Youn-Jung Son, Sung-Kyung Hong, Eun Young Jun
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J Korean Acad Nurs 2008;38(3):353-362. Published online June 30, 2008
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DOI: https://doi.org/10.4040/jkan.2008.38.3.353
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Abstract
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Purpose
This study was conducted to analyze and clarify the meaning of the concept for relocation stress-focusing on patients transferred from an intensive care unit to a general ward.
Methods
This study used Walker and Avant's process of concept analysis.
Results
Relocation stress can be defined by these attributes as follows: 1) involuntary decision about relocation, 2) moving from a familiar and safe environment to an unfamiliar one, 3) broken relationship of safety and familiarity, 4) physiological and psychosocial change after relocation. The antecedents of relocation stress consisted of these facts: 1) preparation degrees of transfer from the intensive care unit to a general ward, 2) pertinence of the information related to the transfer process, 3) change of major caregivers, 4) change in numbers of monitoring devices, 5) change in the level of self-care. There are consequences occurring as a result of relocation stress: 1) decrease in patients' quality of life, 2) decrease in coping capacity, 3) loss of control.
Conclusion
Relocation stress is a core concept in intensive nursing care. Using this concept will contribute to continuity of intensive nursing care.
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Citations
Citations to this article as recorded by - Transfer anxiety in parents of children transferred from pediatric intensive care units to general wards in South Korea: a hybrid concept analysis
Jisu Park, Eun Kyoung Choi
Child Health Nursing Research.2022; 28(2): 154. 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 - 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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The Development and Effects of an Integrated Symptom Management Program for Prevention of Recurrent Cardiac Events after Percutaneous Coronary Intervention
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Youn-Jung Son
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Journal of Korean Academy of Nursing 2008;38(2):217-228. Published online April 30, 2008
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DOI: https://doi.org/10.4040/jkan.2008.38.2.217
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Abstract
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Purpose
This study was conducted to develop and to determine the effects of an integrated symptom management program for prevention of recurrent cardiac events after percutaneous coronary intervention.
Methods
Subjects consisted of 58 CAD patients (experimental group: 30, control group: 28). The experimental group participated in an integrated symptom management program for 6 months which was composed of tailored education, stress management, exercise, diet, deep breathing, music therapy, periodical telephone monitoring and a daily log. The control group received the usual care.
Results
The experimental group significantly decreased symptom experiences and the level of LDL compared to the control group. The experimental group significantly increased self care activity and quality of life compared to the control group. Although no significant difference was found in cardiac recurrence, the experimental group had fewer recurrences.
Conclusion
These results suggest that an integrated symptom management program for prevention of recurrent cardiac events after percutaneous coronary intervention can improve symptom aggravation, recurrent rate, self care activity and quality of life. Nursing interventions are needed to maintain and further enhance the quality of life of these patients and the interventions should be implemented in the overall transition period.
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Citations
Citations to this article as recorded by - Exercise-based cardiac rehabilitation for coronary heart disease
Grace Dibben, James Faulkner, Neil Oldridge, Karen Rees, David R Thompson, Ann-Dorthe Zwisler, Rod S Taylor
Cochrane Database of Systematic Reviews.2021;[Epub] CrossRef - Effects of Video Program by Tablet PC on Anxiety, Vital Signs, Pain, and Knowledge Level among Patients Undergoing Percutaneous Coronary Intervention
Hyun Hee Park, Gye Seon Jeong
Korean Journal of Adult Nursing.2021; 33(2): 102. CrossRef - Development and Assessment of a Social Network Service-Based Lifestyle-Modification Program for Workers at High Risk of Developing Cardiovascular Disease
Soo Hee Woo, Eui Geum Oh, Kyung-SOO Kim, Sang Hui Chu, Gwang Suk Kim, Chung Mo Nam
Workplace Health & Safety.2020; 68(3): 109. CrossRef - Effect of Cardiopulmonary Physiotherapy on Patients With Percutaneous Coronary Intervention - Systematic Review and Meta-Analysis
Na-yoon Kang, Beom-seok Park, Min-hee Kim
Journal of The Korean Society of Physical Medicine.2019; 14(1): 63. CrossRef - Moderating effect of Lifestyle and Type D personality on the Relationship between Metabolic Syndrome and Severity of Coronary Artery Disease
In-Kyoung Noh, Myoung Soo Kim
Korean Journal of Adult Nursing.2018; 30(3): 290. 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 - 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 - Comparison of Health Behavior Change Before and After the Percutaneous Coronary Intervention among Coronary Artery Disease Patients
Jung-Hun Lee, Kyeong-Soo Lee, Tae-Yoon Hwang
Journal of agricultural medicine and community health.2016; 41(3): 140. CrossRef - Exercise-based cardiac rehabilitation for coronary heart disease
Lindsey Anderson, David R Thompson, Neil Oldridge, Ann-Dorthe Zwisler, Karen Rees, Nicole Martin, Rod S Taylor
Cochrane Database of Systematic Reviews.2016;[Epub] CrossRef - Health-related Quality of Life in Symptomatic Postmyocardial Infarction Patients with Left Ventricular Dysfunction
Ha Mi Kim, JinShil Kim, Seon Young Hwang
Asian Nursing Research.2015; 9(1): 47. 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 - Development and Evaluation of a Self Care Education Program for Elderly Patients with Percutaneous Coronary Intervention
Gyeong-Jin Jo, Jin-Hyang Yang
The Journal of Korean Academic Society of Nursing Education.2014; 20(2): 266. CrossRef - Development of Smartphone Educational Application for Patients with Coronary Artery Disease
Min Jung Cho, Jae Lan Sim, Seon Young Hwang
Healthcare Informatics Research.2014; 20(2): 117. CrossRef - The Health Behavioral Experience of Patients with Myocardial Infarction during the Recovery Period
Kyung Ja Kang, Moon Jeong Kim
Korean Journal of Adult Nursing.2014; 26(2): 203. 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 - Comparison of Cardiovascular Health Status and Health Behaviors in Korean Women based on Household Income
Young-Joo Park, Nah-Mee Shin, Ji-Won Yoon, Jiwon Choi, Sook-Ja Lee
Journal of Korean Academy of Nursing.2010; 40(6): 831. CrossRef
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