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Development of a Psychological Insulin Resistance Scale for Korean Patients with Diabetes
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Youngshin Song, Younghee Jeon, Jeonghwa Cho, Bohyun Kim
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J Korean Acad Nurs 2016;46(6):813-823. Published online December 30, 2016
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DOI: https://doi.org/10.4040/jkan.2016.46.6.813
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Abstract
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Purpose
This study was done to develop and validate a measure to evaluate the Korean version of psychological insulin resistance (K-PIR) in patients with diabetes in Korea.
Methods
Items were initially generated from literature reviews and interviews with 19 patients with diabetes. The content validity of the items was evaluated by experts. Participants were 424 patients with diabetes recruited through convenience sampling. A cross-sectional survey was designed for item-analysis, exploratory factor analysis with principal axis factoring, and confirmatory factor analysis. Cronbach's alpha was calculated to measure the internal consistency.
Results
For the 24 items of the Korean version of psychological insulin resistance, six items were eliminated because of low correlation with the other items. Exploratory factor analysis with 18-item showed that two factors (psycho-cognitive factor and supportive factor) explained 41.8% of the variance, and the factor structure of K-PIR model had a good fit. Internal consistency of K-PIR with 18 items revealed good reliability.
Conclusion
The findings show that the K-PIR is reliable for measuring the psychological resistance to insulin therapy for Korean patients with diabetes. However, further study is needed to evaluate the validation because the proportion of variation of K-PIR was low in this study.
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Citations
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- Development and validation of a Chinese insulin medication literacy scale for patients with diabetes mellitus
Fangying Si, Tao Feng, Xiangfen Shi, Sufang Chen Frontiers in Pharmacology.2025;[Epub] CrossRef - Using Motivational Interviewing to Overcome Psychological Insulin Resistance
Sung-Chul Lim The Journal of Korean Diabetes.2023; 24(4): 227. CrossRef - Factors Influencing the Subjective Health Status of Men with Insulin-treated Type 2 Diabetes Mellitus: A Secondary Analysis Using Quantile Regression Analysis
Kang Sun Lee, Hyuk Joon Kim, Young Man Kim, Hye Young Kim Journal of Korean Academy of Fundamentals of Nursing.2023; 30(4): 530. CrossRef - Factors affecting the health status of patients with type 2 diabetes mellitus receiving insulin treatments: A multi‐mediation path analysis
Kang Sun Lee, Hye Young Kim, Heung Young Jin Journal of Clinical Nursing.2022; 31(9-10): 1285. CrossRef - Psychological Insulin Resistance: Key Factors and Intervention
Yeon Jeong Jang The Journal of Korean Diabetes.2021; 22(3): 192. CrossRef - Diyabetli Hastalarda Psikolojik İnsülin Direnci Ölçeğinin Türkçeye Uyarlanması
Kevser IŞIK, Hilal YILDIRIM, Zeliha CENGİZ Turkish Journal of Family Medicine and Primary Care.2021; 15(4): 726. CrossRef - The role of psychological insulin resistance in diabetes self‐care management
Ancho Lim, Youngshin Song Nursing Open.2020; 7(3): 887. CrossRef - Psychological Insulin Resistance and Low Self-efficacy as Barriers to Diabetes Self-care Management in Patients with Type 2 Diabetes
Bohyun Kim, Youngshin Song, Jong Im Kim Korean Journal of Adult Nursing.2019; 31(1): 61. CrossRef - Factors influencing psychological insulin resistance in type 2 diabetes patients
Ji Hyeon Yu, Hye Young Kim, Sung Reul Kim, Eun Ko, Heung Yong Jin International Journal of Nursing Practice.2019;[Epub] CrossRef - Assessing Psychological Insulin Resistance in Type 2 Diabetes: a Critical Comparison of Measures
E. Holmes-Truscott, F. Pouwer, J. Speight Current Diabetes Reports.2017;[Epub] CrossRef
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Concept Analysis for Psychological Insulin Resistance in Korean People with Diabetes
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Youngshin Song
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J Korean Acad Nurs 2016;46(3):443-453. Published online June 30, 2016
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DOI: https://doi.org/10.4040/jkan.2016.46.3.443
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Abstract
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Purpose
The purpose of this study was to define the concept for psychological insulin resistance in the Korean population with diabetes.
Methods
The Hybrid model was used to perform the concept analysis of psychological insulin resistance. Results from both the theoretical review with 26 studies and a field study including 19 participants with diabetes were included in final process.
Results
The preceding factors of psychological insulin resistance were uncontrolled blood glucose and change in daily life. The concept of psychological insulin resistance was found to have three categories with 8 attributes such as emotional factors (negative feeling), cognitive factors (low awareness and knowledge, low confidence for self-injection) and supportive factors (economic burden, dependency life, embarrassing, feeling about supporters, feeling of trust in, vs mistrust of health care providers). The 8 attributes included 30 indicators.
Conclusion
The psychological insulin resistance of population with diabetes in Korea was defined as a complex phenomenon associated with insulin therapy that can be affected by emotional factors, cognitive factors, and supportive relational factors. Based on the results, a tool for measuring psychological insulin resistance of Koreans with diabetes and effective programs for enhancing insulin adherence should be developed in future studies.
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Citations
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- Development and validation of a distress measurement for insulin injections among patients with diabetes
Eujin Choi, Min-Sun Kim, Juhee Cho, Sooyeon Kim, Eun Kyung Kwon, Youngha Kim, Danbee Kang, Sung Yoon Cho Scientific Reports.2023;[Epub] CrossRef - The Mediating Effect of Experiential Avoidance on the Relationship between Diabetes Distress and Self-Stigma in People with Diabetes Mellitus Type 2 in Republic of Korea
Kawoun Seo Healthcare.2023; 11(20): 2773. CrossRef - The Mediating Effect of Acceptance Action in the Relationship between Diabetes Distress and Self-stigma among Old Adults with Diabetes in South Korea
Hyesun Kim, Kawoun Seo Journal of Korean Academy of Community Health Nursing.2022; 33(4): 446. CrossRef - Psychological Insulin Resistance: Key Factors and Intervention
Yeon Jeong Jang The Journal of Korean Diabetes.2021; 22(3): 192. CrossRef - The role of psychological insulin resistance in diabetes self‐care management
Ancho Lim, Youngshin Song Nursing Open.2020; 7(3): 887. CrossRef - Effect of Psychological Insulin Resistance, Diabetes Distress, and Diabetes Self-Efficacy on the Insulin Therapy Adherence of Patients with Type 2 Diabetes: An Analysis Based on the Actor-Partner Interdependence Model
Ji-Soon Kang, Jun-Hee Park, Jeong-Won Han Korean Journal of Adult Nursing.2020; 32(2): 167. CrossRef - Willingness of people with Type 2 diabetes to start insulin therapy: Evidence from the South African Tshwane Insulin Project (TIP)
Patrick Ngassa Piotie, Paola Wood, Elizabeth M. Webb, Tessa S. Marcus, Paul Rheeder Diabetes Research and Clinical Practice.2020; 168: 108366. CrossRef - Predictors of glycemic control after decline of insulin therapy by patients with type 2 diabetes
Luisa Florez, Maria Shubina, Alexander Turchin Journal of Diabetes and its Complications.2019; 33(11): 107418. CrossRef - Psychological Insulin Resistance and Low Self-efficacy as Barriers to Diabetes Self-care Management in Patients with Type 2 Diabetes
Bohyun Kim, Youngshin Song, Jong Im Kim Korean Journal of Adult Nursing.2019; 31(1): 61. CrossRef - Factors influencing psychological insulin resistance in type 2 diabetes patients
Ji Hyeon Yu, Hye Young Kim, Sung Reul Kim, Eun Ko, Heung Yong Jin International Journal of Nursing Practice.2019;[Epub] CrossRef - Development of a Psychological Insulin Resistance Scale for Korean Patients with Diabetes
Youngshin Song, Younghee Jeon, Jeonghwa Cho, Bohyun Kim Journal of Korean Academy of Nursing.2016; 46(6): 813. 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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Review of Meta-analysis Research on Exercise in South Korea
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Youngshin Song, Moonhee Gang, Sun-Ae Kim, In-Soo Shin
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J Korean Acad Nurs 2014;44(5):459-470. Published online October 31, 2014
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DOI: https://doi.org/10.4040/jkan.2014.44.5.459
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Abstract
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Purpose
The purpose of this study was to evaluate the quality of meta-analysis regarding exercise using Assessment of Multiple Systematic Reviews (AMSTAR) as well as to compare effect size according to outcomes.
Methods
Electronic databases including the Korean Studies Information Service System (KISS), the National Assembly Library and the DBpia, HAKJISAand RISS4U for the dates 1990 to January 2014 were searched for 'meta-analysis' and 'exercise' in the fields of medical, nursing, physical therapy and physical exercise in Korea. AMSTAR was scored for quality assessment of the 33 articles included in the study. Data were analyzed using descriptive statistics, t-test, ANOVA and χ2-test.
Results
The mean score for AMSTAR evaluations was 4.18 (SD=1.78) and about 67% were classified at the low-quality level and 30% at the moderate-quality level. The scores of quality were statistically different by field of research, number of participants, number of databases, financial support and approval by IRB. The effect size that presented in individual studies were different by type of exercise in the applied intervention.
Conclusion
This critical appraisal of meta-analysis published in various field that focused on exercise indicates that a guideline such as the PRISMA checklist should be strongly recommended for optimum reporting of meta-analysis across research fields.
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Effects of Delivery Nursing Care using Essential Oils on Delivery Stress Response, Anxiety during Labor, and Postpartum Status Anxiety
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Myung Haeng Hur, Nam Youn Cheong, Hye Sung Yun, Mi Kyoung Lee, Youngshin Song
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Journal of Korean Academy of Nursing 2005;35(7):1277-1284. Published online March 28, 2017
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DOI: https://doi.org/10.4040/jkan.2005.35.7.1277
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Abstract
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Objectives
This study was designed to investigate the effect of delivery nursing care using essential oils on labor stress response, labor anxiety and postpartum status anxiety for primipara.
Methods
This study used nonequivalent control group pretest-posttest design. The subjects of this experiment consisted of forty eight primipara with single gestation, full term, & uncomplicated pregnancies. Twenty four primipra were in the experimental and control group each. Their mean age was 27.9 years old, their mean gestation period 279.9 days. As a treatment, delivery nursing care using essential oils was applied by nurses. Data collected epinephrine, norepinephrine, anxiety during labor. In the 24 hours after birth, the data for the postpartum mother's status anxiety was collected. Data was analyzed by t-test, repeated measures ANOVA, Mann-Whitney U test, & Wilcoxon signed ranks test with SPSS Program.
Results
Plasma epinephrine, norepinephrine were significantly low in the experimental group (P=0.001, P=0.033, respectively). There was no significant difference between the two groups in anxiety during labor and postpartum mother's status anxiety.
Conclusion
These findings indicate that delivery nursing care using essential oils could be effective in decreasing plasma epinephrine, norepinephrine. But, that could not be verified in decreasing mother's anxiety.
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