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Volume 41(3); June 2011
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Original Articles
Effects of Laughter Therapy on Depression, Quality of Life, Resilience and Immune Responses in Breast Cancer Survivors
Eun A Cho, Hyun Ei Oh
J Korean Acad Nurs 2011;41(3):285-293.   Published online June 13, 2011
DOI: https://doi.org/10.4040/jkan.2011.41.3.285
AbstractAbstract PDF
Purpose

In this study, the effects of laughter therapy on levels of depression, quality of life, resilience and immune responses in breast cancer survivors were examined.

Methods

A quasi-experimental nonequivalent control group, pretest-posttest design was used. Participants (n=37) included breast cancer survivors who finished chemotheraphy and radiation therapy: 16 in the experiment group and 21 in the control group. Data were collected from August to November 2009. The experimental group participated in laughter therapy eight times, twice a week for 60 min per session. Questionnaires were used to me-asure pretest and posttest levels of depression, quality of life and resilience. A blood test was used to analyze changes in Total T cell, T helper, T suppressor, Th/Ts ratio, Total B cell, T cell/B cell ratio and NK cell for immune responses.

Results

The results showed that laughter therapy was effective in increasing the quality of life and resilience in breast cancer survivors. but depression and immune responses did not differ significantly between the groups.

Conclusion

The results of the study indicate that laughter therapy may be an effective nursing intervention to improve quality of life and resilience in breast cancer survivors.

Citations

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    Journal of Hospice & Palliative Nursing.2019; 21(5): 358.     CrossRef
  • Laughter-inducing therapies: Systematic review and meta-analysis
    C. Natalie van der Wal, Robin N. Kok
    Social Science & Medicine.2019; 232: 473.     CrossRef
  • Resilience and associated factors among Chinese patients diagnosed with oral cancer
    Yuqin Gao, Lulu Yuan, Bochen Pan, Lie Wang
    BMC Cancer.2019;[Epub]     CrossRef
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    The Breast.2019; 44: 135.     CrossRef
  • Factors Influencing Sick Role Behavior Compliance in Patients on Hemodialysis
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  • Psychological intervention and its immune effect in cancer patients
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    Nilgun Kuru, Gulumser Kublay
    Journal of Clinical Nursing.2017; 26(21-22): 3354.     CrossRef
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    Fulvio D'Acquisto
    Dialogues in Clinical Neuroscience.2017; 19(1): 9.     CrossRef
  • The Effects of Integrated Intervention Program for Community Dwelling Cancer Patients' Quality of Life, Depression and Self Care Agency
    Young Sil Kang, In Soo Kwon, Eunyoung Hong
    Journal of Korean Public Health Nursing.2016; 30(3): 445.     CrossRef
  • The relationship between sense of humor, stress and depression in the nursing students
    Hae Jin Lee, Ye Jung Ko, Seung Woo Han
    Journal of the Korean Data and Information Science Society.2016; 27(4): 1035.     CrossRef
  • Experiences of Self-management Support among Breast Cancer Survivors
    Seok-Mo Heo, Narae Heo
    Korean Journal of Adult Nursing.2016; 28(4): 470.     CrossRef
  • The Mediating Effect of Resilience on Depression and Rehabilitation Motivation in Stroke Patients
    Eun Sil Choi, Eun Nam Lee, Jeong Lim Cho
    Journal of muscle and joint health.2016; 23(1): 19.     CrossRef
  • Therapeutic Benefits of Laughter in Mental Health: A Theoretical Review
    JongEun Yim
    The Tohoku Journal of Experimental Medicine.2016; 239(3): 243.     CrossRef
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    Ann Gill Taylor, Katharine E. Adelstein, Tamara G. Fischer-White, Maheswari Murugesan, Joel G. Anderson
    Global Qualitative Nursing Research.2016;[Epub]     CrossRef
  • Effect and Path Analysis of Laughter Therapy on Serotonin, Depression and Quality of Life in Middle-aged Women
    Mi Youn Cha, Hae Sook Hong
    Journal of Korean Academy of Nursing.2015; 45(2): 221.     CrossRef
  • Effects of Laughter Therapy on Immune Responses in Postpartum Women
    Kyung Hee Ryu, Hye Sook Shin, Eun Young Yang
    The Journal of Alternative and Complementary Medicine.2015; 21(12): 781.     CrossRef
  • Adult Congenital Heart Disease-Coping And REsilience (ACHD-CARE): Rationale and methodology of a pilot randomized controlled trial
    Adrienne H. Kovacs, Mimi Bandyopadhyay, Sherry L. Grace, Amanda C. Kentner, Robert P. Nolan, Candice K. Silversides, M. Jane Irvine
    Contemporary Clinical Trials.2015; 45: 385.     CrossRef
  • Laughter and Stress Relief in Cancer Patients: A Pilot Study
    S. H. Kim, Y. H. Kim, H. J. Kim
    Evidence-Based Complementary and Alternative Medicine.2015; 2015: 1.     CrossRef
  • The Effects of Laughter Therapy on Mood State and Self-Esteem in Cancer Patients Undergoing Radiation Therapy: A Randomized Controlled Trial
    So Hee Kim, Jeong Ran Kook, Moonjung Kwon, Myeong Ha Son, Seung Do Ahn, Yeon Hee Kim
    The Journal of Alternative and Complementary Medicine.2015; 21(4): 217.     CrossRef
  • A clinical randomized controlled trial of music therapy and progressive muscle relaxation training in female breast cancer patients after radical mastectomy: Results on depression, anxiety and length of hospital stay
    Kaina Zhou, Xiaomei Li, Jin Li, Miao Liu, Shaonong Dang, Duolao Wang, Xia Xin
    European Journal of Oncology Nursing.2015; 19(1): 54.     CrossRef
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    Hae Ok Jeon, Yoorim Kweon
    Korean Journal of Adult Nursing.2015; 27(5): 537.     CrossRef
  • Resilience and Related Factors for Patients with Breast Cancer
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    Asian Oncology Nursing.2015; 15(4): 193.     CrossRef
  • Laughter and Humor Therapy in Dialysis
    Paul N. Bennett, Trisha Parsons, Ros Ben‐Moshe, Melissa Weinberg, Merv Neal, Karen Gilbert, Helen Rawson, Cherene Ockerby, Paul Finlay, Alison Hutchinson
    Seminars in Dialysis.2014; 27(5): 488.     CrossRef
  • Effects of Laughter Therapy on Depression in elderly
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    Journal of Digital Convergence.2014; 12(6): 501.     CrossRef
  • Effect of Intervention Programs for Improving Maternal Adaptation in Korea: Systematic Review
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  • Effects of Resilience on Work Engagement and Burnout of Clinical Nurses
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  • Effects of Visiting Laughter Therapy on Depression and Insomnia among the Vulnerable Elderly
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  • Effects of the Laughter Therapy on Blood Pressure, Depression and Quality of life in Rural Elderly Women
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Effects of Laughter Therapy on Postpartum Fatigue and Stress Responses of Postpartum Women
Hye Sook Shin, Kyung Hee Ryu, Young A Song
J Korean Acad Nurs 2011;41(3):294-301.   Published online June 13, 2011
DOI: https://doi.org/10.4040/jkan.2011.41.3.294
AbstractAbstract PDF
Purpose

The purpose of this study was to examine the effects of laughter therapy on postpartum fatigue and stress respon-ses of postpartum women.

Methods

The research design was a nonequivalent control group non-synchronized design. The participants were 67 postpartum women who agreed to participate in this study, selected by convenience sampling: (experiment group-33 and control group-34). The data were collected from August 5 to September 30, 2010. The experimental group received laughter therapy from a laughter therapy expert for 60 min, twice a week for 2 weeks, a total of 4 sessions. To evaluate the effects of laughter therapy, postpartum fatigue by self-report questionnaire and cortisol concentration in breast milk were measured. The data were analyzed using the SPSS WIN 13.0 Program.

Results

The first hypothesis that "the degree of postpartum fatigue in the experimental group participating in laughter therapy would be lower than that of the control group" was accepted. These findings indicate that laughter therapy has a positive effect on decreasing postpartum fatigue.

Conclusion

The finding provides evidence for use of complementary and alternative nursing in Sanhujori facilities and obstetric units to reduce postpartum women's fatigue.

Citations

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  • ASSISTÊNCIA DE ENFERMAGEM NÃO FARMACOLÓGICA À PUÉRPERA: REVISÃO INTEGRATIVA
    Ana Cláudia Da Silva dos Santos, Geovana Andressa Mendes de Sousa, Kelly Maria Pereira Barbosa, Leticia Almeida de Sousa, Vitória De Sousa Silva, Miguel Henrique Da Silva dos Santos
    Revista Enfermagem Atual In Derme.2024; 98(2): e024321.     CrossRef
  • The Effects of Laughter Yoga on Happiness and Stress in Nursing Students Going into Clinical Practice for the First Time
    Betul Bal, Canan Demirci, Gamze Gulsum Kilicli
    Journal of Holistic Nursing.2024;[Epub]     CrossRef
  • The influence of laughter yoga on pregnancy symptoms, mental well-being, and prenatal attachment: A randomized controlled study
    Safiye Ağapınar Şahin, Mine Bekar
    Health Care for Women International.2023; 44(6): 782.     CrossRef
  • Ebelik Uygulamalarına Tamamlayıcı Bir Yaklaşım: Duygu Dilinin Evrensel İfadesi, Kahkaha Yogası
    Safiye AĞAPINAR ŞAHİN, Mine BEKAR
    Mersin Üniversitesi Tıp Fakültesi Lokman Hekim Tıp Tarihi ve Folklorik Tıp Dergisi.2022; 12(1): 49.     CrossRef
  • Mothers’ Experiences of Childbirth and Perspectives on Korean Medicine-Based Postpartum Care in Korea: A Qualitative Study
    Do-Eun Lee, Hyo-Weon Suh, Han-Song Park, Inae Youn, Minjung Park, Joohee Seo
    International Journal of Environmental Research and Public Health.2022; 19(9): 5332.     CrossRef
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    BMJ Open.2021; 11(10): e051136.     CrossRef
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    Melike Demir Doğan
    Holistic Nursing Practice.2020; 34(1): 35.     CrossRef
  • Laughter-inducing therapies: Systematic review and meta-analysis
    C. Natalie van der Wal, Robin N. Kok
    Social Science & Medicine.2019; 232: 473.     CrossRef
  • Effects of Meridian Acupressure Massage on Body Composition, Edema, Stress, and Fatigue in Postpartum Women
    Geum-Sook Jung, In-Ryoung Choi, Hee-Young Kang, Eun-Young Choi
    The Journal of Alternative and Complementary Medicine.2017; 23(10): 787.     CrossRef
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    Eunsun Choi, Eunju Song
    Japan Journal of Nursing Science.2017; 14(2): 126.     CrossRef
  • Efficacy of Warm Showers on Postpartum Fatigue Among Vaginal-Birth Taiwanese Women: A Quasi-Experimental Design
    Ching-Hsing Hsieh, Chien-Lan Chen, Feng-Fang Chung, Su-Ying Lin
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    Ju Hee Kim, Hye Sook Shin, So Young Kim, Hye Kyung Lee, So Hee Lim
    Korean Journal of Women Health Nursing.2016; 22(1): 1.     CrossRef
  • Effects of Foot-Reflexology Massage on Fatigue, Stress and Postpartum Depression in Postpartum Women
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  • The Effect of Laughter Therapy on Arthralgia, Ankylosis, Depression, and Sleep of Elderly Housebound Women with Osteoarthritis
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  • Effects of Laughing and Music Therapy on Depression and Activities of the Autonomic Nervous System in the Elderly with Dementia
    Kyung Suk Chae
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    S. H. Kim, Y. H. Kim, H. J. Kim
    Evidence-Based Complementary and Alternative Medicine.2015; 2015: 1.     CrossRef
  • Effects of Laughter Therapy on Immune Responses in Postpartum Women
    Kyung Hee Ryu, Hye Sook Shin, Eun Young Yang
    The Journal of Alternative and Complementary Medicine.2015; 21(12): 781.     CrossRef
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    Eunok Park
    Journal of Korean Academy of Community Health Nursing.2013; 24(2): 205.     CrossRef
  • 210 View
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Close layer
Development of a Resource-based Relative Value Scale and Its Conversion Factor for Advanced Nursing Practices in the National Health Insurance
Jin Hyun Kim, Myung Ae Kim, Mi Won Kim, Kyung Sook Kim, Cheong-Suk Yoo
J Korean Acad Nurs 2011;41(3):302-312.   Published online June 13, 2011
DOI: https://doi.org/10.4040/jkan.2011.41.3.302
AbstractAbstract PDF
Purpose

The purpose of this study was to develop a resource-based relative value scale (RBRVS) and its conversion factor for advanced nursing practices carried out by critical care nurse practitioners (CCNP) in intensive care units.

Methods

The methodology was developed by calculating CCNP's RBRVS for 32 advanced nursing services based on CCNP's workload and time spent in the context of national health insurance. A cost analysis was performed to estimate the conversion factor of CCNP's RBRVS. The share of CCNP's contribution to fee-for-service in intensive care units was also analyzed.

Results

Calculation of the RBRVS of 32 advanced nursing practices showed a range of points from 100.0 to 1,181.4 and an average of 296.1 points. The relevant conversion factor for advanced nursing practices in CCNP were estimated at 37.3-48.4 won. The contribution rate of CCNP's advanced nursing practices in the relative value scale of the national health insurance was estimated at 0.1-31.3%.

Conclusion

Measuring the economic value of advanced nursing services will be a basis for esta-blishing a reimbursement system for CCNP's practices and thus encourage a social demand for advanced nurse practitioners.

Citations

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  • Measuring the Work Relative Value of Common Nursing Items for the General Departments of Tertiary Hospitals: A Descriptive Study
    Yingli Wang, Cong Wang, Hongfei Ren, Ling Mao, Fenjiao Chen, Taoyun Liang, Yuqin Luo, Yan Jiang
    Journal of Evaluation in Clinical Practice.2025;[Epub]     CrossRef
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    Jin Hyun Kim, Kyung Sook Kim, Mi Won Kim, Kyoung-A Lee
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Development and Evaluation of a Dignified Dying Scale for Korean Adults
Kae-Hwa Jo
J Korean Acad Nurs 2011;41(3):313-324.   Published online June 13, 2011
DOI: https://doi.org/10.4040/jkan.2011.41.3.313
AbstractAbstract PDF
Purpose

The study was done to develop a dignified dying scale for Korean adults.

Methods

The process included construction of a conceptual framework, generation of initial items, verification of content validity, selection of secondary items, preliminary study, and extraction of final items. The participants were 428 adults who lived in one of 3 Korean metropolitan cities: Seoul, Daegu, and Busan. Item analysis, factor analysis, criterion related validity, and internal consistency were used to analyze the data. Data collection was done from March to June 2010.

Results

Thirty items were selected for the final scale, and categorized into 5 factors explaining 54.5% of the total variance. The factors were labeled as maintaining emotional comfort (10 items), arranging social relationship (9 items), avoiding suffering (3 items), maintaining autonomous decision making (4 items), and role preservation (4 items). The scores for the scale were significantly correlated with personal meanings of death scale. Cronbach's alpha coefficient for the 30 items was .92.

Conclusion

The above findings indicate that the dignified dying scale has a good validity and reliability when used with Korean adults.

Citations

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    Eunseong SON, Minjeong SEO
    Korean Journal of Medical Ethics.2022; 25(3): 243.     CrossRef
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    Eun-Ju Ha, Mee Ock Gu
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    Yun Sil Ahn, Pok Ja Oh
    Korean Journal of Adult Nursing.2021; 33(3): 212.     CrossRef
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    Seon Mi Ha, Jung Seop Lee
    Journal of Korean Gerontological Nursing.2017; 19(3): 165.     CrossRef
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    Hong Seon Lee, Kae Hwa Jo, Hyun Ji Lee
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    Kae-Hwa Jo, Gyeong-Ju An, Hong Seon Lee
    Sage Open.2015;[Epub]     CrossRef
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    Shin Mi Kim, Sun Woo Hong, Jin Shil Kim, Ki Sook Kim
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    Jiyeon Kang, Seonyoung Yun, Soo Jeong Kim, So Ra An, Myeong Hee Lee, Shinmi Kim
    Journal of muscle and joint health.2013; 20(3): 197.     CrossRef
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    Kae Hwa Jo, Yeon Ja Kim
    The Korean Journal of Hospice and Palliative Care.2013; 16(4): 223.     CrossRef
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    Kae Hwa Jo, Gyeong Ju An, Gyun Moo Kim, Yeon Ja Kim
    The Korean Journal of Hospice and Palliative Care.2012; 15(4): 193.     CrossRef
  • Development and Evaluation of Shared Medical Decision-Making Scale for End-of-Life Patients in Korea
    Kae Hwa Jo
    Journal of Korean Academy of Nursing.2012; 42(4): 453.     CrossRef
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Construct Validity and Reliability of the Korean Version of the Practice Environment Scale of Nursing Work Index for Korean Nurses
Eunhee Cho, Mona Choi, Eun-Young Kim, Il Young Yoo, Nam-Ju Lee
J Korean Acad Nurs 2011;41(3):325-332.   Published online June 13, 2011
DOI: https://doi.org/10.4040/jkan.2011.41.3.325
AbstractAbstract PDF
Purpose

To develop and test the validity and reliability of the Korean version of PES-NWI measuring nursing work environments in hospitals.

Methods

The Korean version of the PES-NWI was developed through forward-backward translation techniques, and revision based on feedback from focus groups. An internal consistency reliability and construct validity using confirmatory factor analysis were conducted using SPSS WIN (16.0) and AMOS (18.0). Survey data were collected from 733 nurses who worked in three acute care hospitals in Seoul, South Korea.

Results

The Korean version of PES-NWI showed reliable internal consistency with a Cronbach's alpha for the total scale of .93. Factor loadings of the 29 items on the five subscales ranged from .28 to .85. The five subscales model was validated by confirmatory factor analysis (RMR<.05, CFI>.9).

Conclusion

The findings of this study demonstrate that the Korean version of PES-NWI has satisfactory construct validity and reliability to measure nursing work environments of hospitals in Korea.

Citations

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    Hyun-Jung Kim, Dahye Park
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    Eunhee Cho, Dal Lae Chin, Sinhye Kim, OiSaeng Hong
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    Youn Sun Hwang, Eunyoung Cho
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    Kyeong Hwa Kang, Yeon Jae Lim
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    Sook Bin Im, Mi Young Lee, Se Young Kim
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    Mi Young Han, Min Sook Lee, Ju Young Bae, Young Suk Kim
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    Eunhee Cho, Douglas M. Sloane, Eun-Young Kim, Sera Kim, Miyoung Choi, Il Young Yoo, Hye Sun Lee, Linda H. Aiken
    International Journal of Nursing Studies.2015; 52(2): 535.     CrossRef
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    Sara Rizvi Jafree, Rubeena Zakar, Muhammad Zakria Zakar, Florian Fischer
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    Jong‐Kyung Kim, Se‐Young Kim, Mi Yu, Myung Ja Kim, Kyoung‐A Lee
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    Ji Yun Lee, So Young Pak
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    Hee Jung Kim
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    Hyeon Jeong Lee, Hye Sook Min
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    Jeong Ok Kwon, Eun-Young Kim
    Journal of Korean Academy of Nursing Administration.2012; 18(4): 414.     CrossRef
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Suitability and Readability Assessment of Printed Educational Materials on Hypertension
Tae Wha Lee, Soo Jin Kang, Hye Hyun Kim, So Ra Woo, Sinhye Kim
J Korean Acad Nurs 2011;41(3):333-343.   Published online June 13, 2011
DOI: https://doi.org/10.4040/jkan.2011.41.3.333
AbstractAbstract PDF
Purpose

The aim of this study was to assess the suitability and readability of printed educational materials for patients with hypertension in Korea.

Methods

A total of 33 written educational materials related to hypertension were collected from public health centers, hospitals, and internet web site. Among them, we analyzed 19 materials which fit the inclusion criteria: leaflets (n=9), booklets (n=3), and guide book (n=7). Two trained nurses evaluate the materials using suitability assessment tool (SAM; Doak, Doak, & Root, 1996a) and graded lexical items for teaching Korean (Kim, 2003).

Results

Overall, 14 (73.7%) of 19 materials scored adequate, and 5 (26.3%) scored inadequate. On the average, the education materials contained 36.1% to 50.5% of 1st grade reading level words and 12.9% to 21.6% of 4th grade level and over.

Conclusion

The reading level of the materials was higher than a 6th grade reading level. It is proposed that the written educational materials should be developed by health professionals according to suitability and quality by taking the target group's literacy capacity into consideration.

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    Hana Moon, Geon Ho Lee, Yoon Jeong Cho
    JMIR Formative Research.2022; 6(3): e30085.     CrossRef
  • Factors Associated with the Health Literacy on Social Determinants of Health: A Focus on Socioeconomic Position and Work Environment
    Mikyeong Cho, Young-Me Lee, Seung joo Lim, Hyeonkyeong Lee
    International Journal of Environmental Research and Public Health.2020; 17(18): 6663.     CrossRef
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    Yael Bar-Zeev, Michelle Bovill, Billie Bonevski, Maree Gruppetta, Jennifer Reath, Gillian Gould
    International Journal of Environmental Research and Public Health.2017; 14(10): 1148.     CrossRef
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    Jung Eun Kim, Sook Ja Yang
    Journal of Korean Public Health Nursing.2016; 30(1): 149.     CrossRef
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    Soo Jin Kang, Mi Sook Lee
    Korean Journal of Health Education and Promotion.2015; 32(4): 93.     CrossRef
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    Young-Ran Chin, Kyung-Won Choi
    The Korean Journal of Health Service Management.2014; 8(2): 161.     CrossRef
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Quality of Sleep and Serum Lipid Profile in Patients with Restless Legs Syndrome
Yeon-Gyung Bak, Hyoung-Sook Park
J Korean Acad Nurs 2011;41(3):344-353.   Published online June 13, 2011
DOI: https://doi.org/10.4040/jkan.2011.41.3.344
AbstractAbstract PDF
Purpose

The purpose of this study was to compare the quality of sleep with the serum lipid profile in patients who have restless legs syndrome (RLS).

Methods

The data were obtained from 116 patients with RLS through questionnaires and blood sampling.

Results

The results of this study showed correlations between lower quality of sleep and serum lipid profile (LDL Cholesterol) in patients with RLS (r=.19, p=.040). There were correlations for scores of quality of sleep from the, Pittsburgh Sleep Quality Index (PSQI) sub-region between lower subjective sleep quality and serum lipid profile (LDL Cholesterol) (r=.20, p=.026), between fewer hours of sleep duration and serum lipid profile (Total Cholesterol) (r=-.21, p=.024), and, between higher daytime dysfunction and serum lipid profile (LDL Cholesterol) (r=.42, p<.001) of patients with RLS.

Conclusion

Patients with RLS have sleep disorders with lower quality of sleep and changes in the serum lipid profile for total cholesterol and LDL cholesterol. That is, patients with RLS have lower quality of sleep and dyslipidemia compared to persons without RLS. Further research is needed to monitor serum the lipid profile in early stage symptoms of midlife adult patients with RLS and especially older women.

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  • Relationship of Restless Legs Syndrome Symptom, Sleep Disturbance and Depression in Middle-aged Women
    Yeon Ok Suh, Sun-Sook Moon, Kyung-Woo Lee
    The Korean Journal of Rehabilitation Nursing.2018; 21(2): 91.     CrossRef
  • Sleep Duration and Risk of Atrial Fibrillation (from the Physicians' Health Study)
    Owais Khawaja, Akmal Sarwar, Christine M. Albert, John Michael Gaziano, Luc Djoussé
    The American Journal of Cardiology.2013; 111(4): 547.     CrossRef
  • Factors related to the Quality of Sleep in the Elderly Women
    Young-Hee Kim, Jin-Sook Han
    Journal of the Korea Academia-Industrial cooperation Society.2011; 12(10): 4467.     CrossRef
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Correlation between Severe ALS Patient-Caregiver Couples' Characteristics and Caregivers' Health Related Quality of Life
Myoung Soo Kim, Hyung-Ik Shin, Yusun Min, Jung Yoon Kim, Jung Soon Kim
J Korean Acad Nurs 2011;41(3):354-363.   Published online June 13, 2011
DOI: https://doi.org/10.4040/jkan.2011.41.3.354
AbstractAbstract PDF
Purpose

The purpose of this cross-sectional study was to examine the relationship between characteristics of severe ALS patient-caregiver couples and health related quality of life (HRQoL) in family caregivers.

Methods

The participants in this study were 89 pairs of ALS patients using ventilators and a family caregiver. The characteristics of the ALS patients and caregivers, Korean-Amyotrophic Lateral Sclerosis Functional Rating Scale-Revised, Zarit Burden Interview and SF-36 were measured in this study. The data were collected from August 2008 to April 2009. Descriptive statistics, Pearson correlation coefficients, and canonical correlation were used for data analysis.

Results

The physical component summary and mental component summary of the HRQoL score for family caregivers were 147.49±31.63 and 129.09±35.83, respectively. HRQoL for caregivers was related to characteristics of the ALS patient-caregiver couples, such as patient's gender, caregiver's age, gender, marital status, daily time spent in caregiving and burden with one significant canonical variable. The significant variate showed that the lower the age, the time spent in caregiving and the burden of caregivers, the higher the HRQoL of caregivers.

Conclusion

The support systems for caregivers considering caregiver characteristics such as demographics and burden should be implemented to improve the HRQoL of caregivers.

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    Camilla Wohnrade, Ann-Kathrin Velling, Lucas Mix, Claudia D. Wurster, Isabell Cordts, Benjamin Stolte, Daniel Zeller, Zeljko Uzelac, Sophia Platen, Tim Hagenacker, Marcus Deschauer, Paul Lingor, Albert C. Ludolph, Dorothée Lulé, Susanne Petri, Alma Osmano
    Brain Sciences.2023; 13(1): 110.     CrossRef
  • Analysing the influencing factors on caregivers’ burden among amyotrophic lateral sclerosis patients in China: a cross-sectional study based on data mining
    Ling Lian, Minying Zheng, Ruojie He, Jianing Lin, Weineng Chen, Zhong Pei, Xiaoli Yao
    BMJ Open.2022; 12(9): e066402.     CrossRef
  • Intensity of care and perceived burden among informal caregivers to persons with chronic medical conditions: a systematic review and meta-analysis
    Andrea Carboni-Jiménez, Danielle B. Rice, Brooke Levis, Mara Cañedo-Ayala, Mahrukh Imran, Matthew Chiovitti, Andrea Benedetti, Brett D. Thombs
    Disability and Rehabilitation.2022; 44(21): 6230.     CrossRef
  • Information Needs and Preferences of Family Caregivers of Patients With Amyotrophic Lateral Sclerosis
    Hyeon Sik Chu, Juyeon Oh
    Journal of Neuroscience Nursing.2020; 52(5): 207.     CrossRef
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    Hyun-Hye Chu, Kyeong-Soo Lee, Kwan Ho Lee, Jin Hong Chung, Kyeong-Cheol Shin, Tae-Yoon Hwang
    Health Care for Women International.2019; 40(10): 1019.     CrossRef
  • Factors Influencing Psychosocial Well-Being in Family Caregivers of People with Amyotrophic Lateral Sclerosis
    Hyeon Sik Chu, Young Ran Tak, Seung Hyun Kim
    Journal of Korean Academy of Nursing.2018; 48(4): 454.     CrossRef
  • Information-seeking Behavior and Information Needs in Patients With Amyotrophic Lateral Sclerosis
    Juyeon Oh, Jung A Kim
    CIN: Computers, Informatics, Nursing.2017; 35(7): 345.     CrossRef
  • Patients’ self‐perceived burden, caregivers’ burden and quality of life for amyotrophic lateral sclerosis patients: a cross‐sectional study
    Dan Geng, RuWei Ou, XiaoHui Miao, LiHong Zhao, QianQian Wei, XuePing Chen, Yan Liang, HuiFang Shang, Rong Yang
    Journal of Clinical Nursing.2017; 26(19-20): 3188.     CrossRef
  • Socioeconomic costs of amyotrophic lateral sclerosis according to staging system
    Juyeon Oh, Ji Won An, Seong-Il Oh, Ki Wook Oh, Jung A Kim, Jeong Seop Lee, Seung Hyun Kim
    Amyotrophic Lateral Sclerosis and Frontotemporal Degeneration.2015; 16(3-4): 202.     CrossRef
  • Depression and Caregiving Burden in Families of Patients with Amyotrophic Lateral Sclerosis
    Juyeon Oh, Ji Won An, Ki-Wook Oh, Seong-Il Oh, Jung A Kim, Seung Hyun Kim, Jeong Seop Lee
    Journal of Korean Academy of Nursing.2015; 45(2): 202.     CrossRef
  • The Factors affecting Burdens and Quality of Life of the Family Caregivers of Patients with Rare and Incurable Diseases Using Home Ventilators
    Moon Sook Hwang, Mi Kyoung Lee, Jeong Rye Song
    Korean Journal of Adult Nursing.2014; 26(2): 191.     CrossRef
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Development of the Structural Model of Adolescent's Risk Behavior
Hyun Sook Park, Sun Young Jung
J Korean Acad Nurs 2011;41(3):364-373.   Published online June 13, 2011
DOI: https://doi.org/10.4040/jkan.2011.41.3.364
AbstractAbstract PDF
Purpose

In this study the fitness of a path model for the relationship among biological risk disposition, sociocultural risk factors, self-control, parent-adolescent communication, and risk behavior in adolescents was examined.

Methods

The participants were 387 adolescents. The data were analyzed with the PASW 18.0 and AMOS 18.0 programs.

Results

Sociocultural risk factors, self-control, and parent-adolescent communication showed a direct effect on risk behavior for adolescents, while biological risk disposition and sociocultural risk factor showed an indirect effect on risk behavior for adolescents. The modified path model of adolescents' risk behavior was showed a good fit with the model (χ2/df=2.37, GFI=.95, AGFI=.92, RMSEA=.06 [.05<RMSEA<.07], NNFI=.95, CFI=.97).

Conclusion

These results suggest that adolescents' risk behavior can be decreased by reducing biological risk disposition and sociocultural risk factor, and increasing parent-adolescent communication and self-control. Thus there is a need to design intervention programs that emphasizes reducing biological risk disposition and sociocultural risk factor and increasing parent-adolescent communication and self-control in order to decrease adolescents' risk behavior.

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  • Structural Equation Modeling on Clinical Decision Making Ability of Nurses
    Min Kyoung Park, Soukyoung Kim
    Journal of Korean Academy of Nursing.2019; 49(5): 601.     CrossRef
  • A Comparative Study on the Factors Influencing Risk Behaviors of Adolescents Living in Small and Medium-sized Cities and Rural Communities
    Hyun Sook Park, Hyun Ju Yeo, Sun Young Jung
    Journal of the Korean Society of School Health.2016; 29(3): 256.     CrossRef
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    Gyu-Young Lee, Yun-Jung Choi
    Research in Nursing & Health.2015; 38(4): 301.     CrossRef
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    Jeong-Yim Choi, Donghun Chung
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Development and Validation of the Hospice Palliative Care Performance Scale
So-Hi Kwon
J Korean Acad Nurs 2011;41(3):374-381.   Published online June 13, 2011
DOI: https://doi.org/10.4040/jkan.2011.41.3.374
AbstractAbstract PDF
Purpose

The purpose of this study was to develop and validate a hospice·palliative care performance measure which would cover more than just physical symptoms or quality of life.

Methods

Through an intensive literature review, the author chose questions that measured aspects of physical, emotional, spiritual, social, or practical domains pertinent to hospice·palliative care for inclusion in the scale. Content validation of the questions was established by 15 hospice·palliative care professionals. A preliminary Hospice Palliative Care Performance Scale (HPCPS) of 20 questions was administered to 134 pairs of terminal cancer patients from 5 hospice palliative care units and their main family caregiver. A validation study was conducted to evaluate construct validity and internal consistency.

Results

Factor analysis showed 14 significant questions in five subscales; Physical, Emotional, Spiritual, Social, and Patient' rights. There were no significant differences between the ratings by patients and family members except for three out of the 14 questions. The measure demonstrated construct validity, and Cronbach's α of the subscales ranged from .73 to .79.

Conclusion

The HPCOS demonstrated acceptable validity and reliability. It can be used to assess effectiveness of hospice·palliative care for terminal cancer patients in practice and research.

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  • Evaluation of Outcomes of the Busan Community-based Palliative Care Project in Korea
    Soon-Ock Choi, Sook-Nam Kim, Seong-Hoon Shin, Ji-Seon Ryu, Jeong-Won Baik, Jung-Rim Kim, Nae-Hyeon Kim
    Asian Nursing Research.2018; 12(4): 286.     CrossRef
  • Analysis of Knowledge About, Attitude Toward, and Educational Needs for Dementia in Certified Caregivers
    Eun-Ho Ha, Jin-Young Cho
    The Journal of Korean Academic Society of Nursing Education.2015; 21(1): 108.     CrossRef
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    Kunsei Lee, Eunyoung Shin, Hyoseon Jeong, Jung-Hyun Lee, Hee-Sook Kim, Young Sil Lim, Young Taek Kim
    Health Policy and Management.2013; 23(4): 434.     CrossRef
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The Lived Experience of the Women with Schizophrenia Taking Antipsychotic Medication
Eun-Ju Song
J Korean Acad Nurs 2011;41(3):382-392.   Published online June 13, 2011
DOI: https://doi.org/10.4040/jkan.2011.41.3.382
AbstractAbstract PDF
Purpose

This study was done to identify some natural meaning through the dosage experience of psychoactive drugs in women patients with schizophrenia.

Methods

The Hermeneutic phenomenology written by van Manen was used. The period for data collection was from November 2009 to January 2010. This study took place in mental health hospitals and mental health centers in two cities in North Jeolla Province. Nine patients with schizophrenia participated. Data collection was done through individual in-depth interview.

Results

The seven natural subjects demonstrated by participants from this study were 'Pills forcibly taken like veiled threats', 'A terrible side effect, a side effect rooted slowly', 'Shame which cannot be hidden as a woman', 'A bad medicine took away from motherhood', 'The fate of a wife who can't be equal', 'A struggle for the complete recovery without promise', and 'Participants want the future without medicine'.

Conclusion

The results of this study indicate that the urgent need to develop a safe and believable psychoactive drug for woman patients considering the time of menstruation, pregnancy, childbirth, and child raising.

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  • Educational Needs of Mental Health Professionals’ Physical Health Care Competencies for Clients with Severe Mental Illnesses
    jeon kyeong mi, 김석선
    Health and Social Welfare Review.2019; 39(4): 456.     CrossRef
  • Effects of Tailored Drug-related Side Effects Management Program using Video on Self-control Ability of Drug-related Side Effects, the Attitude and Adherence of Medication in Patients with Schizophrenia
    Su-Jin Park, Hwang-Ran Ahn
    Journal of Korean Academy of Psychiatric and Mental Health Nursing.2014; 23(3): 176.     CrossRef
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Educational Needs for Consideration in Developing Curriculum for Staff in Charge of Public Health Services in Public Hospitals
Eun Jeong Hwang
J Korean Acad Nurs 2011;41(3):393-402.   Published online June 13, 2011
DOI: https://doi.org/10.4040/jkan.2011.41.3.393
AbstractAbstract PDF
Purpose

This study was done to assess the educational needs that should be considered in developing curriculum for staff in charge of public health services in public hospitals.

Methods

The participants in this study were staff in charge of public health services in 130 public hospitals. The Borich's Needs Assessment Model which analyzed the relation of 'required competence level' and 'present competence level', was utilized. Data were collected from October to November 2007 using a structure self-report questionnaire. The return rate was 66.9%. The Cronbach's alpha score was 0.959.

Results

The mean scores for 'required competence level', 'present competence level' and Borich's need were 4.02, 3.44, and 2.30 respectively. According to public health service items, 'strategies to recognize the present condition and analyze problems' had the highest score for Borich's need, but 'establishment of annual or monthly objectives' had the lowest score for Borich's need.

Conclusion

Education was found to be very important for staff carrying out public health services. Ultimately the results of this study may be utilized to develop education program for staff carrying out public health services in public hospitals.

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  • Analyzing the Relative Importance for the Development Plan of the Public Health Care System
    You Ho Kim
    Journal of Health Informatics and Statistics.2018; 43(4): 300.     CrossRef
  • An Effective Model for Improving Global Health Nursing Competence
    Sun-Joo Kang
    Frontiers in Public Health.2016;[Epub]     CrossRef
  • A Survey of Role Perception and Function Performance Related to Public Health Service among the Medical Staff in a National Hospital
    Young-Hye Cho, Sang-Yeoup Lee, Dong-Wook Jeong, Eun-Jung Choi, Yun-Jin Kim, Jeong-Gyu Lee, Yu-Young Go, Yu-Hyone Lee, Mi-Jin Bae, Chang-Hoon Kim
    Journal of agricultural medicine and community health.2012; 37(2): 67.     CrossRef
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Status of and Factors Influencing Vaccination against the Pandemic (H1N1) 2009 Virus among University Students from the Fields of Nursing and Allied Health
Og Son Kim
J Korean Acad Nurs 2011;41(3):403-410.   Published online June 13, 2011
DOI: https://doi.org/10.4040/jkan.2011.41.3.403
AbstractAbstract PDF
Purpose

This study was to identify the current status of vaccination against the pandemic (H1N1) 2009 virus among university students from the fields of nursing and allied health from a local community and verify factors influencing vaccination.

Methods

The study included 227 students in the fields of nursing and allied health from a provincial university. Data were obtained from these participants between May 31 and June 11, 2010 by using self-report questionnaires.

Results

The rate of vaccination against the pandemic (H1N1) 2009 virus for these participants was 14.5%. No difference was observed in this regard between majors and school year. Factors that influence vaccination against this virus included previous vaccination against seasonal influenza and participants' attitudes toward general vaccination.

Conclusion

The results suggest that for effective pandemic (H1N1) 2009 vaccination of university students from the fields of nursing and allied health, students who have not been vaccinated should be intensively managed. Developing a vaccination program that encourages a positive attitude toward vaccination is recommended.

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  • Acceptance of and hesitancy about COVID-19 vaccination among nursing students in clinical practice
    Saeryun Kim, Jisuk Lee, Hyunju Yang, Hyunkyun Kim, Marwa Shawky Abdou
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    Ju-Lee Lee, Eun Kyung Lee
    Journal of Korean Gerontological Nursing.2018; 20(1): 1.     CrossRef
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    Og Son Kim
    Korean Journal of Nosocomial Infection Control.2015; 20(2): 61.     CrossRef
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    Asian Nursing Research.2014; 8(2): 128.     CrossRef
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    Og Son Kim, Sung Won Yoon
    Journal of Korean Academy of Nursing.2014; 44(5): 534.     CrossRef
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Comorbidity and Health Habits of Seoul City Elders with Dementia
Yoon Kyoung Lee, Mi Ra Sung, Dong Young Lee
J Korean Acad Nurs 2011;41(3):411-422.   Published online June 13, 2011
DOI: https://doi.org/10.4040/jkan.2011.41.3.411
AbstractAbstract PDF
Purpose

The aim of this study was to clarify the actual condition of elders with dementia who were registered in the Seoul Dementia Management Project.

Methods

Data were collected from 5,312 elderly patients with dementia. Demographic included characteristics, comorbidity, and healthy lifestyle habits; data from the Seoul Dementia Management Project.

Results

First, demographic characteristics were as follows; mean age at the time of definite diagnosis was 78.0 yr. There were slightly more women (69.3%), and 4.55 yr was the average length of education with 41.4% being illiterate or uneducated patients. Second, there were several comorbidities including hypertension (61.7%), diabetes mellitus (31.8%), hypercholesterolemia (10.2%), heart disease (11.1%), obesity (4.2%), and stroke (21.4%). Third, alcoholic history was found in 11.8% of the patients, and smoking in 9.8%. Regular exercise was done by only 29.1% of the patients with dementia. Finally, significant differences between men and women were found for the following; age, education, medical security, hypertension, diabetes mellitus, stroke, alcoholic consumption, smoking, and regular exercise.

Conclusion

Authors expect that the present data will be used for establishment of dementia associated projects and policies.

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Predictive Bayesian Network Model Using Electronic Patient Records for Prevention of Hospital-Acquired Pressure Ulcers
In Sook Cho, Eunja Chung
J Korean Acad Nurs 2011;41(3):423-431.   Published online June 13, 2011
DOI: https://doi.org/10.4040/jkan.2011.41.3.423
AbstractAbstract PDF
Purpose

The study was designed to determine the discriminating ability of a Bayesian network (BN) for predicting risk for pressure ulcers.

Methods

Analysis was done using a retrospective cohort, nursing records representing 21,114 hospital days, 3,348 patients at risk for ulcers, admitted to the intensive care unit of a tertiary teaching hospital between January 2004 and January 2007. A BN model and two logistic regression (LR) versions, model-I and -II, were compared, varying the nature, number and quality of input variables. Classification competence and case coverage of the models were tested and compared using a threefold cross validation method.

Results

Average incidence of ulcers was 6.12%. Of the two LR models, model-I demonstrated better indexes of statistical model fits. The BN model had a sensitivity of 81.95%, specificity of 75.63%, positive and negative predictive values of 35.62% and 96.22% respectively. The area under the receiver operating characteristic (AUROC) was 85.01% implying moderate to good overall performance, which was similar to LR model-I. However, regarding case coverage, the BN model was 100% compared to 15.88% of LR.

Conclusion

Discriminating ability of the BN model was found to be acceptable and case coverage proved to be excellent for clinical use.

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  • Reusability of EMR Data for Applying Cubbin and Jackson Pressure Ulcer Risk Assessment Scale in Critical Care Patients
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    International Journal of Medical Informatics.2013; 82(11): 1059.     CrossRef
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