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Volume 38(3); June 2008
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Original Articles
Concept Analysis of Relocation Stress - Focusing on Patients Transferred from Intensive Care Unit to General Ward -
Youn-Jung Son, Sung-Kyung Hong, Eun Young Jun
J Korean Acad Nurs 2008;38(3):353-362.   Published online June 30, 2008
DOI: https://doi.org/10.4040/jkan.2008.38.3.353
AbstractAbstract PDF
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.

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
  • 156 View
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  • 4 Crossref
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Economic Evaluation of Gemcitabine-cisplatin Chemotherapy for Non Small-Cell Lung Cancer Patient in an Outpatient Setting
Su Hyun Min, Su-kyoung Ko, Ji Young Lim
J Korean Acad Nurs 2008;38(3):363-371.   Published online June 30, 2008
DOI: https://doi.org/10.4040/jkan.2008.38.3.363
AbstractAbstract PDF
Purpose

This analysis was conducted to evaluate the cost-effectiveness of gemcitabine-cisplatin chemotherapy for non small-cell lung cancer patients in an outpatient setting compared with the traditional inpatient setting.

Methods

A cost-effective analysis was conducted from a societal perspective. The effects of treatment, which was measured as an adverse event rate, were abstracted from a published literature search and empirical data from one university hospital. The costs included both direct and indirect costs. Direct costs included hospitalizations, outpatient visits, and lab tests. Pharmaceutical costs were excluded in analysis because they were same for both options. Indirect costs included productivity loss of patients as well as care-givers. In order to determine the robustness of the results, sensitivity analysis on treatment protocol was conducted.

Results

Literature search showed no difference in adverse effect rates between inpatient treatment protocol and outpatient treatment protocol. Therefore, this analysis is a cost-minimization analysis. Cost-savings in the outpatient setting was 555,936 won for one treatment cycle. Our sensitivity analysis indicated that the outpatient chemotherapy still showed cost-savings, regardless of changes in treatment protocol.

Conclusion

The outpatient gemcitabine-cisplatin chemotherapy for non small-cell lung cancer resulted in cost savings compared to inpatient chemotherapy. More importantly, outpatient chemotherapy could improve the utilization of health service resources in terms of available beds.

Citations

Citations to this article as recorded by  
  • An Evaluation of Effects on Hypertension and Diabetes Mellitus Management of a Community-Based Nursing Care Center Using Cost-Benefit Analysis
    Ji Young Lim, Jung Nam Im, In A Kim, Su Kyoung Ko
    Journal of Korean Academy of Nursing Administration.2010; 16(3): 295.     CrossRef
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Development and Application of a Multidimensional Suicide Prevention Program for Korean Elders by utilizing a Community Network
Kae-Hwa Jo, Yeong-Kyeong Kim
J Korean Acad Nurs 2008;38(3):372-382.   Published online June 30, 2008
DOI: https://doi.org/10.4040/jkan.2008.38.3.372
AbstractAbstract PDF
Purpose

The purpose of this study was to develop a multidimensional suicide prevention program for Korean elders by utilizing a community network and to evaluate its effect.

Methods

A non-equivalent control group pretest-posttest design was used. The subjects were recruited from two different elderly institutions located in D city and K province, Korea. Nineteen subjects in the control group received no intervention and 20 subjects in the experimental group received a multidimensional suicide prevention program.

Results

There were more significant decreases in depression, suicide ideation, and increases in life satisfaction in the experimental group compared to the control group.

Conclusion

According to the above results, the multidimensional suicide prevention program for Korean elders decreased stressful events like depression, and suicide ideation and increased life satisfaction through the community network. These findings suggest that this program can be used as an efficient intervention for elders in a critical situation.

Citations

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    Taekyun Gwon, Heeseung Choi
    Stress.2019; 27(1): 53.     CrossRef
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    Kyung-Mi Kim, Hyun-Young Kim
    Journal of Digital Convergence.2015; 13(12): 391.     CrossRef
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    Shin-Young Sohn
    The Korean Journal of Health Service Management.2014; 8(2): 149.     CrossRef
  • A Study about the Factors Affecting the Suicidal Thought in Korean Elders
    Kyunghee Kim, Ji-su Kim, Bongsuk Lee, Eunkyung Lee, Youngmi Ahn, Mihye Choi
    Journal of Korean Academy of Psychiatric and Mental Health Nursing.2010; 19(4): 391.     CrossRef
  • The Development and Effect of Navigator Education Program for Cancer Screening on Women in the Community
    Bo-Young Lee, Heui-Sug Jo, Hey-Jean Lee
    Journal of agricultural medicine and community health.2009; 34(2): 214.     CrossRef
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  • 6 Crossref
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A Study on the Sustainable Effects of Reeducation on Cardiopulmonary Resuscitation on Nurses' Knowledge and Skills
Soo-IL Oh, Sang-Sook Han
J Korean Acad Nurs 2008;38(3):383-392.   Published online June 30, 2008
DOI: https://doi.org/10.4040/jkan.2008.38.3.383
AbstractAbstract PDF
Purpose

This study was to analyze the sustainable effects of cardiopulmonary resuscitation (CPR) reeducation on nurses' knowledge and skills.

Methods

A repeated experimental design was used for a single sample group of 47 nurses working for a general hospital. The nurses were tested on their skill of CPR 3 times at an interval of 4 months. In order to test nurses' knowledge and skills, the researcher used a CPR assessment program linked to an adult practice doll (Anne).

Results

1) The amount of decrease of nurses' knowledge about CPR between points of time was wide between the first and second points of time but small between the second and third time owing to the effects of reeducation between the two points of time. 2) Nurses' skills between the first and second time dropped but they improved between the second and third time owing to the effects of reeducation.

Conclusion

As confirmed by the above findings, reeducation of CPR clearly affects nurses' knowledge and skills. Given the fact that the same period of time (4 months) elapsed between the 3 tests, it could be argued that the reeducation at the second test served to maintain nurses' knowledge and enhance their skills.

Citations

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  • CAN WE TEACH THE BASIC LIFE SUPPORT TO HEALTH SCIENCES STUDENTS?
    Nursemin ÜNAL, Dercan GENÇBAŞ, Gamze ALINCAK
    Karya Journal of Health Science.2023; 4(1): 65.     CrossRef
  • Investigating Emergency Department Nurses’ Educational Needs and Exploring Strategies to Meet Challenges Against Management of These Needs: A Qualitative Study
    Farnoush Azizi, Behnam Honarvar, Zahra Molazem, Azar Kazemi, Banafsheh Tehranineshat
    Shiraz E-Medical Journal.2023;[Epub]     CrossRef
  • Factors Affecting Cardiopulmonary Resuscitation Practice Among Nurses in Mizan Tepi University Teaching Hospital, Tepi General Hospital, and Gebretsadik Shawo Hospital, Southwest Ethiopia
    Mirresa Guteta
    Open Access Emergency Medicine.2022; Volume 14: 165.     CrossRef
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    Byung-Jun Cho, Seon-Rye Kim
    Healthcare.2021; 9(1): 34.     CrossRef
  • Effects of a Simulation-Based CPR Training Program on Knowledge, Performance, and Stress in Clinical Nurses
    Sohyune R. Sok, Jung A. Kim, Yoonshin Lee, Youngmi Cho
    The Journal of Continuing Education in Nursing.2020; 51(5): 225.     CrossRef
  • Factors Influencing for Intention to Perform Cardiopulmonary Resuscitation in Elementary and Secondary School Teachers
    Kyoung Sun Song, Kyung-Yeon Park
    Journal of Korean Academy of Community Health Nursing.2020; 31(3): 384.     CrossRef
  • Current state of knowledge of basic life support in health professionals of the largest city in Pakistan: a cross-sectional study
    Babar Irfan, Ibrahim Zahid, Muhammad Sharjeel Khan, Omar Abdul Aziz Khan, Shayan Zaidi, Safia Awan, Sobia Bilal, Omar Irfan
    BMC Health Services Research.2019;[Epub]     CrossRef
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    Su-Jin Lee
    Journal of Digital Contents Society.2018; 19(9): 1699.     CrossRef
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    Myeong Sook Ahn, Hyun Sook Jo, Dong Choon Uhm, Hyun Hee Ji
    Journal of Korean Academic Society of Nursing Education.2017; 23(4): 441.     CrossRef
  • Impact of basic life-support training on the attitudes of health-care workers toward cardiopulmonary resuscitation and defibrillation
    Mostafa A. Abolfotouh, Manal A. Alnasser, Alamin N. Berhanu, Deema A. Al-Turaif, Abdulrhman I. Alfayez
    BMC Health Services Research.2017;[Epub]     CrossRef
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    Seung-Hun Lee
    Journal of Korean society of Dental Hygiene.2016; 16(4): 601.     CrossRef
  • Study of military CPR quality and education by feedback device and debriefing
    Soo-Jae Moon, Seon-Rye Kim, Byung-Jun Cho
    Journal of the Korea Society of Computer and Information.2016; 21(9): 107.     CrossRef
  • Structural Equation Model of Clinical Nurses' Willingness to Perform Basic Life Support (BLS) in South Korea
    Dong-Choon Uhm, Ji-Young Hwang, Myung-he Jun, Dong-ok Kim
    Journal of the Korea Academia-Industrial cooperation Society.2016; 17(2): 290.     CrossRef
  • The Effects and Continuum of CPR Education Program on CPR Knowledge, Attitude and Performance in Seafarers
    Jae-Ho KIM
    Journal of Fisheries and Marine Sciences Education.2016; 28(5): 1301.     CrossRef
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    Won-Joo Lee, Chang-Seop Lee
    The Korean Journal of Emergency Medical Services.2016; 20(1): 31.     CrossRef
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    Gyeong Mi Kim, Heejin Kim, Chung Mo Nam, Sun Ha Jee
    Journal of the Korean Society of School Health.2016; 29(3): 209.     CrossRef
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    Journal of Digital Convergence.2015; 13(4): 295.     CrossRef
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    Gyu Ri Byun, Jeong Eun Park, Hae Sook Hong
    Journal of Korean Biological Nursing Science.2015; 17(1): 19.     CrossRef
  • Effects of cardiopulmonary resuscitation reeducation on persistence of knowledge, performance and self-efficacy of nursing students
    Myeong-Jeong Chae, Jin-Hee Lee, In-Ja Song, Jin-Il Kim
    The Korean Journal of Emergency Medical Services.2015; 19(1): 51.     CrossRef
  • Analysis of attitude and influencing factors toward basic life support in the dental hygienists
    Kyung-Yi Jeong, Min-Jung Cho
    Journal of Korean society of Dental Hygiene.2015; 15(5): 873.     CrossRef
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    Emergency Medicine International.2014; 2014: 1.     CrossRef
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    Journal of the Korea Academia-Industrial cooperation Society.2013; 14(8): 3941.     CrossRef
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    Journal of the Korea Academia-Industrial cooperation Society.2013; 14(10): 4927.     CrossRef
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  • Development and Evaluation of a Patient Safety-focused Inservice Education Program for Surgical Nurse
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    Journal of Korean Academy of Nursing Administration.2010; 16(1): 5.     CrossRef
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Effect of an On-line Health Promotion Program connected with a Hospital Health Examination Center on Health Promotion Behavior and Health Status
Jeong Sook Park, Sang-min Kwon
J Korean Acad Nurs 2008;38(3):393-402.   Published online June 30, 2008
DOI: https://doi.org/10.4040/jkan.2008.38.3.393
AbstractAbstract PDF
Purpose

The purpose of this study was to evaluate the effect of an On-line health promotion program connected with a hospital health examination center.

Methods

Based on contents developed, the www.kmwellbeing.com homepage was developed. The research design was a one group pretest-posttest design. Seventy-three clients participated in this study. The data were collected from January 3 to June 30, 2005. As a way of utilizing the homepage, this paper attempted to measure the change of pre and post program health promotion behavior and health status (perceived health status, objective health index-blood pressure, pulse, total cholesterol, blood sugar, waist flexibility, grip strength and lower extremity strength). Data were analyzed by descriptive statistics and paired t-test with the SPSS/Win 12.0 program.

Results

There were significant differences of perceived health status, systolic BP, waist flexibility and grip strength. However, there were no significant differences in health promotion behavior, diastolic BP, pulse, lower extremity strength, blood sugar and total cholesterol between pre program and post program.

Conclusion

It is expected that an on-line health promotion program connected with a hospital health examination center will provide an effective learning media for health education and partially contribute to client's health promotion. A strategy, however, is needed to facilitate the continuous use of the on-line health promotion program for adult clients.

Citations

Citations to this article as recorded by  
  • Influencing factors on health education performance of nurse in health promoting hospitals
    Jinsook Lee, Sohi Kwon
    Journal of the Korean Data and Information Science Society.2015; 26(2): 455.     CrossRef
  • The Effects of a Worksite On-line Health Education Program on Metabolic Syndrome Risk Factors and Nutrient Intakes of Male Workers
    Ji-Yeon Kang, Sang-Woon Cho, Ji-Young Lee, Sook-Hee Sung, Yoo-Kyoung Park, Yun-Mi Paek, Tae-In Choi
    The Korean Journal of Nutrition.2010; 43(1): 57.     CrossRef
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The Relationship between Optimistic Bias about Health Crisis and Health Behavior
Su Ho Park, Sul Hee Lee, Eun Mi Ham
J Korean Acad Nurs 2008;38(3):403-409.   Published online June 30, 2008
DOI: https://doi.org/10.4040/jkan.2008.38.3.403
AbstractAbstract PDF
Purpose

This study was performed to identify the relationship between optimistic bias about health crisis and health behavior of Korean adults in a crisis of health, and to prepare baseline data for developing a health education and promotion program.

Methods

Study subjects were 595 adults aged from 19 to 64 who live in Korea. Data were collected through questionnaires administered by one interviewer. Descriptive statistics and Pearson's correlation coefficient were calculated using the SPSS program.

Results

The average score for optimistic bias about health crisis was 2.69, and that for health behavior was 107.05. The optimistic bias about health crisis showed a significantly positive correlation with health behavior (r=.187, p=.000).

Conclusion

To make our results more useful, it is necessary to identity the causal relationship between health attitudes as an explanatory variable and optimistic bias as an outcome variable. In addition, a relatively low score in optimistic bias from this research compared to other studies must be explained through further studies considering unique Korean cultural background. Moreover, research of the relationship between optimistic bias about health crisis and health behavior looking at people who don't have good health behaviors is needed.

Citations

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  • Impact of public health communication for prevention and personal resilience at the time of crisis. A pilot study with psychophysiological and self-report measures
    Carlotta Acconito, Laura Angioletti, Michela Balconi
    Journal of Health Psychology.2025; 30(3): 498.     CrossRef
  • Expanding the health belief model on dementia knowledge, fear, and preventive behaviors among older adults in Korea: a cross-sectional descriptive study
    Jeong Eui Yun, Suyoung Choi
    Journal of Korean Biological Nursing Science.2025; 27(1): 60.     CrossRef
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    So Hee Jung, Mee Ock Gu
    Research in Community and Public Health Nursing.2024; 35: 22.     CrossRef
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    Daniel Frings, Jane Wills, Susie Sykes, Kerry V. Wood, Ian P. Albery
    European Journal of Health Psychology.2023; 30(3): 115.     CrossRef
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    Young Ko, Sunjoo Boo
    Japan Journal of Nursing Science.2016; 13(1): 65.     CrossRef
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  • 8 Crossref
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Development of a Stress Scale for Korean Nursing Students
Ji-Soo Yoo, Soo Jung Chang, Eun Kyoung Choi, Jee Won Park
J Korean Acad Nurs 2008;38(3):410-419.   Published online June 30, 2008
DOI: https://doi.org/10.4040/jkan.2008.38.3.410
AbstractAbstract PDF
Purpose

The purpose of this study was to develop a stress measurement scale for Korean nursing students.

Methods

Sixty preliminary items were selected by classifying 229 basic items extracted via literature review and Q-sorting method. In order to verify the reliability and validity of the preliminary instrument, data were collected from 617 nursing students in 2 colleges of nursing in Korea.

Results

As a result of the item analysis, 58 items were selected. They consisted of 2 types of stress which were college-based stress (38 items) and clinical-based stress (20 items). Ten factors in college-based stress and four factors in clinical-based stress were extracted by factor analysis, and each had a total variance of 63.01%, and 64.93%. Cronbach's Alpha of those 58 items were .937 in college-based stress and .922 in clinical-based stress, which was high.

Conclusion

This paper is meaningful in a way that it has developed a tool capable of measuring stress for nursing students, which reflects the characteristics of our country. It is recommended for further study to re-verify the relevance and stability of this measurement.

Citations

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    Hae Jin Lee, Ye Jung Ko, Seung Woo Han
    Journal of the Korean Data and Information Science Society.2016; 27(4): 1035.     CrossRef
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The effect of a Group Therapy for the Offenders of Family Violence
Mi-Yeul Hyun
J Korean Acad Nurs 2008;38(3):420-427.   Published online June 30, 2008
DOI: https://doi.org/10.4040/jkan.2008.38.3.420
AbstractAbstract PDF
Purpose

The purpose of this study was to evaluate the contribution of group therapy to the improvement of self-esteem, anger, stress coping and communication of those who were violent in to family.

Methods

The research design was a one-group-pretest-posttest design in quasi-experimental research, and the period of this study was from March to October, 2005. Participants were 14 offenders who were ordered to be counseled according to 'the special exemption law for punishing domestic violence.' Group therapy was applied once a week for 8 weeks. Results were collected by using a questionnaire for self-esteem, anger, stress coping and communication. In the data analysis, Wilcoxon signed test with SPSS/WIN 12.0 program was used.

Results

The scores of self-esteem and communication showed statistically significant improvement from pre to post therapy. However, the scores of anger and stress coping were not significantly changed from pre to post therapy.

Conclusion

This group therapy was effective in improving the self-esteem and communication in offenders of family violence.

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Effects of the Exercise Self-Efficacy and Exercise Benefits/Barriers on doing Regular Exercise of the Elderly
Eun-Hee Hwang, Yeo-Sook Chung
J Korean Acad Nurs 2008;38(3):428-436.   Published online June 30, 2008
DOI: https://doi.org/10.4040/jkan.2008.38.3.428
AbstractAbstract PDF
Purpose

The purpose of this study was to identify the effects of exercise self-efficacy and exercise benefits/barriers on doing regular exercise among elderly.

Methods

The subjects were 484 older adults who were eligible and agreed to participate in this study. Data were collected from July 27 to September 21, 2007 by face-to-face, and private interviews. The questionnaires consisted of Exercise Self-efficacy, and Exercise Benefits/Barriers. The collected data were analyzed with the SPSS 13.0 program, which was used for frequency, percentage, mean, standard deviation, t-test, ANOVA, and logistic regression.

Results

The major findings of this study were as follows: 1) Approximately 56.8% of participants were doing regular exercise. Study participants' exercise self-efficacy mean score was 36.30, exercise benefits 2.74, and exercise barriers 2.03; 2) There was significant correlation between exercise self-efficacy and exercise benefits; 3) Significant factors influencing regular exercise were self-efficacy, exercise benefits and exercise barriers.

Conclusion

These results suggested that nurses should emphasize exercise benefits/barriers and reinforce self-efficacy to improve regular exercise in the elderly.

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A Study on Physical Symptom, Activity of Daily Living, and Health-Related Quality of Life (HRQoL) in the Community-Dwelling Older Adults
Kyung-Rim Shin, Young Soon Byeon, Younhee Kang, Jiwon Oak
J Korean Acad Nurs 2008;38(3):437-444.   Published online June 30, 2008
DOI: https://doi.org/10.4040/jkan.2008.38.3.437
AbstractAbstract PDF
Purpose

This study aimed to identify the relationships among physical symptoms, activities of daily living, and health-related quality of life (HRQoL) in community-dwelling older adults.

Methods

A stratified random sampling method was conducted to recruit participants from May 10 to August 17, 2007. Physical symptoms were measured using the Physical Health Questionnaire (PHQ), activities of daily living using the Late-Life Functional and Disability Instrument (LLFDI), and HRQoL using the Medical Outcomes Short-Form Health Survey (SF-36) in 242 community-dwelling elderly Korean people.

Results

The HRQoL correlates with the physical symptoms (r=-.31) and the function component (r=.59). Of the two disability parts of the LLFDI, the limitation dimension correlates higher (r=.57) with HRQoL than the frequency dimension (r=.42). The HRQoL is significantly associated with the function component, and disability limitation in capability which explained 44.4% of variance in physical health.

Conclusion

These results may contribute to a better understanding of physical symptoms, activities of daily living, and HRQoL in community-dwelling older adults. Therefore, health programs for prompting older adult's health should be planned based on results of the study.

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Understanding Qi: Its Development and Clinical Application to Nursing Practices
Myungja Kim
J Korean Acad Nurs 2008;38(3):445-453.   Published online June 30, 2008
DOI: https://doi.org/10.4040/jkan.2008.38.3.445
AbstractAbstract PDF
Purpose

This paper analyzed the historical origins of the Qi concept and assesses its possible contributions to the development of complementary therapy and new nursing practices.

Methods

In order to clarify the Qi concept and measure its theoretical/clinical potentials, this study analyzed both historical data and experimental research that adopt and apply the concept. These include modern/contemporary research measuring its effects in promoting mental and physical health. Using the method of cross-cultural comparison, this study analyzed diverse approaches to the Qi concept and sought to find common features among the approaches.

Results

A historical, cross-cultural analysis revealed several fundamental similarities between Qi theories that have developed in the east and the holistic concepts that have evolved in the western traditions. Especially, the analysis of the more recent research on the Qi concept shows ample possibilities of its future contributions to the development of new diagnostic applications and the promotion of overall human health.

Conclusion

The historical study of the Qi concept found some key common factors in the diverse philosophical traditions in the east and the west. Considering the growing popularity of complementary therapy among health professionals and the general public, the Qi concept and its clinical applications are expected to promote human health. In this context, this research contributes to developing new nursing practices based on the concept by clarifying its philosophical origins and theoretical backgrounds.

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Causal Relationships between School Adjustment of Middle School Students and Related Variables
Jeongyee Bae
J Korean Acad Nurs 2008;38(3):454-464.   Published online June 30, 2008
DOI: https://doi.org/10.4040/jkan.2008.38.3.454
AbstractAbstract PDF
Purpose

The purpose of this study was to identify the causal relationship of familial factors (parental acceptance, autonomy, and family satisfaction), social support (teacher’s support and friend’s support), school achievement, self-concept, and school adjustment. Based on preceding research, this study established a path model of school adjustment and its related variables.

Methods

Two thousand six hundred and twenty nine middle school students participated in this study. Data were collected by a visit-survey with an organized questionnaire and was analyzed by the SPSS and AMOS programs.

Results

Self-concept showed a significantly direct influence to school adjustment while both family satisfaction and school achievement directly and indirectly influenced school adjustment. Parental acceptance, autonomy, and social support indirectly influenced school adjustment.

Conclusion

These results imply that first, family satisfaction and self-concept are essential to solve the problems of school adjustment. Especially friend’s support, teacher’s support and school achievement should help improve the self-concept and school adjustment. Second, a variety of programs are available for schools to employ in an effort to provide interventions for students who demonstrate school maladjustment. Finally, it is necessary for family, school and society members to comprehensively cooperate to improve school adjustment.

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The Influencing Factors on Suicide Attempt among Adolescents in South Korea
Eunok Park
J Korean Acad Nurs 2008;38(3):465-473.   Published online June 30, 2008
DOI: https://doi.org/10.4040/jkan.2008.38.3.465
AbstractAbstract PDF
Purpose

Suicide has been considered a large public health concern in recent years because suicide mortality has been increasing rapidly. This study was done to investigate the prevalence and risk factors of a suicide attempt among adolescents in South Korea.

Methods

The data of the 2006 Youth Health Risk Behavior web-based Survey collected by the Korean Center for Disease Control was analyzed using logistic regression for this study.

Results

The prevalence of a suicide attempt was 5.2% in South Korea. The risk factors of a suicide attempt were suicidal ideation (odds 31.83), depression (odds 7.98), drug use (odds 4.67), currently smoking (odds 3.19), feeling unhappiness (odds 2.77), stress (odds 2.60), currently drinking alcohol (odds 2.39), sexual activity (odds 2.33), living with neither parent (odds 2.24), initial alcohol drinking by age 9 (odds 1.80), health status (odds 2.15), skipped breakfast (odds 1.75), disease (odds 1.65), and school records (odds 1.22).

Conclusion

Suicide screening and prevention programs should be developed, considering these risk factors. Suicide prevention programs should be applied to the at risk population prior to a suicide attempt.

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Validity and Reliability of the Korean Version of the Observable Indicators of Nursing Home Care Quality Evaluation Instrument
Jia Lee
J Korean Acad Nurs 2008;38(3):474-482.   Published online June 30, 2008
DOI: https://doi.org/10.4040/jkan.2008.38.3.474
AbstractAbstract PDF
Purpose

The purposes of this study were; 1) to test the validity and reliability of the Korean version of Rantz's Observable Indicators of Nursing Home Care Quality Instrument (ONHQ) and 2) to evaluate the quality of Korean nursing homes.

Methods

The study employed a three-phase methodological research design. 1) The original instrument of Rantz's ONHQ was translated into Korean and modified by Korean nursing home experts. 2) A pilot study using the modified instrument was done in 20 nursing homes to examine inter-rater reliability. 3) The validity and reliability were tested in 98 nursing homes.

Results

Seven factors were extracted through factor analysis: 'communication', 'care delivery', 'grooming', 'odor', 'environment-basics', 'environment-access', and 'environment-homelike'. These factors explained 86.07% of the total variance. Cronbach's alpha coefficient of the 30 items was .97 indicating a high internal consistency of the instrument. Inter-rater reliability according to Kappa was .82. The average score of nursing home quality was 112.07 indicating an average range of quality level.

Conclusion

The Korean version of the ONHQ was identified as a tool with a high degree of validity and reliability. This tool can be effectively used to assess the quality of nursing homes by professions as well as family members.

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    Jin Yi Choi, Sohyune R Sok
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    So-Hyune R. Sok, Jin-Yi Choi
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    Jia Lee, Eun Sun Ji
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    Tae Wha Lee, Jane Chung
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    Hyekyung Lee, Hyang-Yeon Lee, Jia Lee
    Journal of Korean Academy of Nursing.2009; 39(2): 177.     CrossRef
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Relationship among Sexual Knowledge, Frequency, Satisfaction, Marital Intimacy and Levels of Depression in Stroke Survivors and Their Spouses
Jung-Hee Kim
J Korean Acad Nurs 2008;38(3):483-491.   Published online June 30, 2008
DOI: https://doi.org/10.4040/jkan.2008.38.3.483
AbstractAbstract PDF
Purpose

The purpose of this research was to examine the relationship between sexual knowledge, frequency, satisfaction, marital intimacy, and depression levels in stroke survivors and their spouses.

Methods

This study was a convenience sample of Korean men who had experienced a stroke and their spouses. The subjects were discharged from the hospital and received physical therapy. Data such as sexual knowledge, frequency, satisfaction, marital intimacy, and depression levels were collected from November 2005 to April 2006.

Results

In a comparison of stroke survivors and their spouses, the survivors showed higher mean levels of sexual knowledge and marital intimacy. The levels of knowledge, frequency, satisfaction and marital intimacy were low and depression was mild in the subjects. There were significant correlations between sexual frequency, sexual satisfaction and marital intimacy. Also, subjects with lower levels of sexual satisfaction were more depressed. The spouses who possessed greater levels of sexual knowledge reported a higher frequency of sex and greater marital intimacy. In addition, spouses who reported feeling greater levels of marital intimacy experienced fewer depressive symptoms.

Conclusion

These findings demonstrate a need for the development of sexual adaptation programs which could be effective in improving sexual knowledge, frequency, satisfaction, marital intimacy, and depression reported by stroke patients and their spouses. Ideally, these corrective programs should be administered before patients are discharged from the hospital.

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    Frontiers in Neurology.2021;[Epub]     CrossRef
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    Eun-Young Park, In-Soo Shin, Jung-Hee Kim
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