Journal of Korean Academy of Nursing

Volume 46(3); June 2016

Original Articles

Effect of Music Intervention on Maternal Anxiety and Fetal Heart Rate Pattern During Non-Stress Test: Myung Ok Oh, Young Jeoum Kim, Cho Hee Baek, Ju Hee Kim, No Mi Park, Mi Jeong Yu, Han Sol Song; J Korean Acad Nurs 2016;46(3):315-326. Published online June 30, 2016; DOI: https://doi.org/10.4040/jkan.2016.46.3.315

Purpose

The purpose of this cross-over experimental study was to examine effects of music intervention on maternal anxiety, fetal heart rate pattern and testing time during non-stress tests (NST) for antenatal fetal assessment.

Methods

Sixty pregnant women within 28 to 40 gestational weeks were randomly assigned to either the experimental group (n=30) or control group (n=30). Music intervention was provided to pregnant women in the experimental group during NST. Degree of maternal anxiety and fetal heart rate pattern were our primary outcomes. State-trait anxiety inventory, blood pressure, pulse rate, and changes in peripheral skin temperature were assessed to determine the degree of maternal anxiety. Baseline fetal heart rate, frequency of acceleration in fetal heart rate, fetal movement test and testing time for reactive NST were assessed to measure the fetal heart rate pattern.

Results

The experimental group showed significantly lower scores in state anxiety than the control group. There were no significant differences in systolic blood pressure and pulse rate between the two groups. Baseline fetal heart rate was significantly lower in the experimental group than in the control group. Frequency of acceleration in fetal heart rate was significantly increased in the experimental group compared to the control group. There were no significant differences in fetal movement and testing time for reactive NST between the two groups.

Conclusion

Present results suggest that music intervention could be an effective nursing intervention for alel viating anxiety during non-stress test.

Citations

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The Structural Equation Model on Resilience of Breast Cancer Patients Receiving Chemotherapy: Jeong Ha Yang, Ok Soo Kim; J Korean Acad Nurs 2016;46(3):327-337. Published online June 30, 2016; DOI: https://doi.org/10.4040/jkan.2016.46.3.327

Abstract PDF

Purpose

The purpose of this study was to construct and test a structural equation model on resilience of breast cancer patients receiving chemotherapy.

Methods

Participants were 204 patients with breast cancer who received chemotherapy treatment. They participated in a structured interview, which included social support, depression, symptom experience, self-efficacy, hope, resilience, and infection prevention behaviors. Data were analyzed using SPSS/WIN 20.0 and AMOS 18.0.

Results

Lower depression (γ=-.33, p=.020) and symptom experience (γ=-.31, p=.012) and higher self-efficacy (γ=.32, p=.005) and hope (γ=.48, p=.016) were influenced by higher social support. Greater resilience was influenced by lower symptom experience (β=-.18, p=.016), higher self-efficacy (β=.49, p=.023), and higher hope (β=.46, p=.012), and these predictors explained 66.7% of variance in resilience. Greater resilience (β=.54, p=.009) made an impact on greater infection prevention behaviors. Resilience mediated the relations of symptom experience (β=-.10 p=.013), self-efficacy (β=.27, p=.006) and hope (β=.25, p=.009) with infection prevention behaviors. These predictors explained 24.9% of variance in infection prevention behaviors.

Conclusion

The findings of the study suggest that breast cancer patientsw ith greater resilience who are receiving chemotherapy participate in increased infection prevention behaviors. Further research should be conducted to seek intervention strategies that improve breast cancer patients' resilience.

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Marlen Simancas Fernández, Carla Zapata Rueda, Gonzalo Galván Patrignani, Jose Carlos Celedón Rivero, Juan Hernández Padilla
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Influence of Nurses' Self-leadership on Individual and Team Members' Work Role Performance: Se Young Kim, Eun-Kyung Kim, Byungsoo Kim, Eunpyo Lee; J Korean Acad Nurs 2016;46(3):338-348. Published online June 30, 2016; DOI: https://doi.org/10.4040/jkan.2016.46.3.338

Abstract PDF

Purpose

The purpose of this study was to examine correlations between nurses' self-leadership and individual work role performance and correlations between self-leadership in nursing units and team members' work role performance.

Methods

Participants were 202 conveniently selected general nurses from 5 general hospitals in Korea. The study was carried out on 35 nursing units. Data were collected during February 2015 with self-report questionnaires.

Results

For factors affecting individual work role performance, self-expectation, self-goal setting, constructive thought, clinical career in the present nursing unit and marital status accounted for 44.0% of proficiency, while self-expectation, self-goal setting, constructive thought, and marital status accounted for 42.3% of adaptivity. Self-expectation, self-goal setting, constructive thought, self-reward, clinical career in the present nursing unit and position accounted for 26.4% of proactivity. In terms of team members' work role performance, self-reward and self-expectation in nursing units explained 29.0% of team members' proficiency. Self-reward and self-expectation in nursing units explained 31.6% of team members' adaptivity, and self-reward in nursing units explained 16.8% of team members' proactivity.

Conclusion

The results confirm that nurses' self-leadership affects not only individual self-leadership but also team members' work role performance. Accordingly, to improve nurses' work role performance in nursing units of nursing organizations, improvement in nursing environment based on self-leadership education is necessary and nurses' tasks rearranged so they can appreciate work-autonomy and challenges of work.

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Development and Effects of a Cognitive-behavioral Therapy Based Program in Reducing Internalized Stigma in Patients with Schizophrenia: Mi Young Kim, Seong Sook Jun; J Korean Acad Nurs 2016;46(3):349-363. Published online June 30, 2016; DOI: https://doi.org/10.4040/jkan.2016.46.3.349

Abstract PDF

Purpose

This study was done to develop a internalized stigma reducing program based on cognitive-behavioral therapy and appropriate for patients with schizophrenia and to evaluate its effectiveness.

Methods

The study design was a mixed method research. Qualitative study, 13 patients with schizophrenia who had experience in overcoming stigma were purposively chosen for interviews and data were analyzed using Giorgi method. Quantitative study, 64 patients with schizophrenia (experimental group=32, control group=32) were recruited. The cognitive-behavioral therapy-based program for reducing internalized stigma in patients with schizophrenia was provided for 8 weeks (12 sessions). Data were collected from June. 20, 2013 to Feb. 14, 2014. Quantitative data were analyzed using χ²-test, t-test, repeated measures ANOVA with the SPSS program.

Results

Qualitative results, from the experience of coping with stigma in patients with schizophrenia seventeen themes and five themes-clusters were drawn up. Quantitative results showed that internalized stigma, self-esteem, mental health recovery and quality of life were significantly better in the experimental group compared to the control group.

Conclusion

Study findings indicate that this program for reducing internalized stigma in patients with schizophrenia is effective and can be recommended as a rehabilitation program intervention to help patients with schizophrenia to cope with internalized stigma.

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Mi Young Kim, Seong Sook Jun, Eun Kyung Byun
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Influences of Hospital Nurses' perceived reciprocity and Emotional Labor on Quality of Nursing Service and Intent to Leave: Mi-Aie Lee, Eunjeong Kim; J Korean Acad Nurs 2016;46(3):364-374. Published online June 30, 2016; DOI: https://doi.org/10.4040/jkan.2016.46.3.364

Abstract PDF

Purpose

This study was performed to investigate the relationship among reciprocity, emotional labor, nursing service quality and intent to leave, and to identify factors influencing nursing service quality and intent to leave.

Methods

This study was a cross-sectional survey. Participants were 300 nurses working at five general hospitals in two provincial cities in Gyeongsang Province, Korea. From May 1 to June 30, 2014, data were collected using structured questionnaires and analyzed with SPSS/PC ver 20.0 programs.

Results

There were relationships between reciprocity and nursing service quality, and intent to leave, and between emotional labor and intent to leave. Participants' general characteristics, reciprocity and emotional labor explained 48.4% of variance in nursing service quality and participants' general characteristics and these two independent variables explained 31.9% of intent to leave.

Conclusion

These findings indicate that from the perception of hospital nurses, reciprocity and emotional labor are both very important factors to improve the quality of nursing service and decrease the intent to leave. So nursing managers should try to develop various personnel management programs focused on human emotions, and create a mutual respectable organizational culture and work environment.

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A Study on the Classification of Nursing Management Competencies and Development of related Behavioral Indicators in Hospitals: Seong Yeol Kim, Jong Kyung Kim; J Korean Acad Nurs 2016;46(3):375-389. Published online June 30, 2016; DOI: https://doi.org/10.4040/jkan.2016.46.3.375

Abstract PDF

Purpose

The aim of this study was to classify nursing management competencies and develop behavioral indicators for nurse managers in hospitals. Also, levels of importance and performance based on developed criteria were to be identified and compared.

Methods

Using expert survey we classified nursing management competencies and behavioral indicators with data from 34 nurse managers and professors. Subsequently, data from a survey of 216 nurse managers in 7 cities was used to analyze the importance-performance comparison of the classified nursing management competencies and behavioral indicators.

Results

Forty-two nursing management competencies were identified together with 181 behavioral indicators. The mean score for importance of nursing management competency was higher than the mean score for performance. According to the importance-performance analysis, 5 of the 42 nursing management competencies require further development: vision-building, analysis, change management, human resource development, and self-management competency.

Conclusion

The classification of nursing management competencies and behavioral indicators for nurse managers in hospitals provides basic data for the development and evaluation of programs designed to increase the competency of nurse managers in hospitals

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Effect of Smartphone Apps Applying BodyThink Program on Obesity in Adolescent Girls: Min-Kyung Jun, Ju-Young Ha; J Korean Acad Nurs 2016;46(3):390-399. Published online June 30, 2016; DOI: https://doi.org/10.4040/jkan.2016.46.3.390

Abstract PDF

Purpose

The purpose of this study was to determine the effects of smartphone apps applying BodyThink program on BMI, percentage of body fat, skeletal muscle rate, body image, and self-esteem of adolescent girls.

Methods

Sixty-eight high school girls with a BMI of over 25kg/m² were recruited to participate in this study. Girls from four schools were divided into two groups: the experimental group, which used the smartphone apps applying BodyThink program, and the control group, which used smartphone apps and small group counseling. The experimental group received the BodyThink program 6 times, scheduled once a week, with each session lasting 40~50 minutes. Test measures were completed before and after the 6 week intervention period for all participants. Collected data was analyzed using Shapiro-Wilk test, descriptive statistics, χ² test, independent t-test, Mann-Whitney U test with the SPSS/WIN 18.0 program.

Results

The girls in the experimental group significantly improved their results in BMI(Z=-1.67, p=.042), percentage of body fat (Z=-3.01, p=.001), skeletal muscle rate (t=-3.50, p<.001), and self-esteem (t=2.66, p=.005) after the program, compared to the girls in the control group.

Conclusion

Mobile applications applying psychological and emotional intervention programs have the potential to be effective alternative methods to improve the body composition and self-esteem of obese adolescent girls.

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Bo Young Lee, Mi-Young Park, Kirang Kim, Jea Eun Shim, Ji-Yun Hwang
Korean Journal of Community Nutrition.2020; 25(3): 189. CrossRef

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Frequency, Intensity and Daily Life Distress of Urinary Dysfunction in Women with Cervical Cancer after Radical Hysterectomy: Nami Chun, Gie Ok Noh, Hyun Ju Song, Sang Hee Kim; J Korean Acad Nurs 2016;46(3):400-408. Published online June 30, 2016; DOI: https://doi.org/10.4040/jkan.2016.46.3.400

Abstract PDF

Purpose

This study was done to identify frequency, intensity of urinary dysfunction and daily life distress in women after a radical hysterectomy for cervical cancer.

Methods

One hundred and fifty seven women who had undergone a radical hysterectomy and one hundred and sixty five women as healthy controls completed questionnaires on intensity of urinary dysfunction and daily life distress caused by urinary dysfunction.

Results

Women with cervical cancer showed higher frequency of urinary dysfunction than healthy controls. Major urinary dysfunction for women with cervical cancer in order of frequency were night-time incontinence (odds ratio=10.39, p<.001), difficulty in starting urination, weak urine stream and sense of incomplete emptying of bladder. The highest score on intensity was difficulty in starting urination, followed by urgency, weak urine stream, daytime frequency and sense of incomplete emptying. Night-time incontinence was the urinary symptom causing the most daily life distress for cervical cancer women followed by difficulty in starting urination, urgency, sense of incomplete emptying, and night-time frequency.

Conclusion

Results suggest that nurses should address the potential postoperative urinary complications and develop long term interventions to decrease urinary dysfunction and daily life distress for women who have had a radical hysterectomy for cervical cancer.

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Evaluation of pelvic floor muscle function (PFMF) in cervical cancer patients with Querleu–Morrow type C hysterectomy: a multicenter study
Shiyan Wang, Lei Gao, Hongwu Wen, Yunong Gao, Qiubo Lv, Hongyu Li, Sumei Wang, Yanlong Wang, Qing Liu, Jinsong Han, Haibo Wang, Yi Li, Na Yu, Qing Wang, Tingting Cao, Sha Wang, Huaxin Sun, Zhiqi Wang, Xiuli Sun, Jianliu Wang
Archives of Gynecology and Obstetrics.2022; 305(2): 397. CrossRef
Association of pelvic floor function with postoperative urinary incontinence in cervical cancer patients after the radical hysterectomy
Shiyan Wang, Runzhi Wang, Hongwu Wen, Yunong Gao, Qiubo Lv, Hongyu Li, Sumei Wang, Yanlong Wang, Qing Liu, Jinsong Han, Haibo Wang, Yi Li, Qing Wang, Tingting Cao, Sha Wang, Huaxin Sun, Zhiqi Wang, Xiuli Sun, Jianliu Wang
Neurourology and Urodynamics.2021; 40(1): 483. CrossRef
Influence of Urinary Dysfunction on Quality of Life in Women with Cervical Cancer after Radical Hysterectomy
Nami Chun, Gie-Ok Noh
Asian Oncology Nursing.2019; 19(3): 150. CrossRef
Symptom Distress and Depression in Patients with Recurrent Gynecologic Cancer Undergoing Chemotherapy: Mediating Effect of Resilience
Eun Jung Yang, Ho Sihn Ryu
Korean Journal of Adult Nursing.2019; 31(1): 28. CrossRef

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Effects of Breastfeeding Empowerment Program on Breastfeeding Self-efficacy, Adaptation and Continuation in Primiparous Women: Seon Mi Song, Mi Kyung Park; J Korean Acad Nurs 2016;46(3):409-419. Published online June 30, 2016; DOI: https://doi.org/10.4040/jkan.2016.46.3.409

Abstract PDF

Purpose

The purpose of this study was to develop a breastfeeding empowerment program and to investigate the effects of the breastfeeding empowerment program on self-efficacy, adaptation and continuation of breastfeeding for primiparous women.

Methods

The 5 session breastfeeding empowerment program was developed and a non-equivalent control group non-synchronized quasi-experiment design was used. Fifty-five participants were assigned to either the experimental group (n=27) or the control group (n=28). Effects were tested using repeated measures ANOVA and χ²-test.

Results

Scores for self-efficacy, adaptation and continuation of breastfeeding of in the experimental group after program were significantly higher than 1week, 4weeks, 8weeks scores in control group.

Conclusion

The effects of the breastfeeding empowerment program for elevating self-efficacy, adaptation and continuation of breastfeeding in primiparous women were validated. Therefore, this program can be recommended for vigorous use in clinical practice.

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Eunju Kwak, Seungmi Park
Journal of Korean Academy of Nursing.2024; 54(2): 224. CrossRef
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Jennifer Kehinde, Claire O'Donnell, Annmarie Grealish
Midwifery.2023; 118: 103579. CrossRef
Effectiveness of distance education program on mothers’ empowerment in exclusive breastfeeding
Zeynab Taheri, Fatemeh Bakouei, Mouloud Agajani Delavar, Mahbobeh Faramarzi, Afsaneh Bakhtiari, Fatemeh Nasiri Amiri
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Seol Hui Park, Seang Ryu
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Sun Hwa Park, Kyung Ja June
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Breastfeeding Adaptation Scale-Short Form for mothers at 2 weeks postpartum: construct validity, reliability, and measurement invariance
Sun-Hee Kim
Korean Journal of Women Health Nursing.2020; 26(4): 326. CrossRef
Knowledge of and Attitude toward Breastfeeding among Medical Staff Working in the Neonatal Intensive Care Unit and Obstetric Unit
Eun Sook Kim, Young Hee Cho, Hyejung Lee
Journal of The Korean Society of Maternal and Child Health.2020; 24(2): 102. CrossRef
Knowledge and health beliefs about gestational diabetes and healthy pregnancy's breastfeeding intention
Seungmi Park, Jung Lim Lee, Jang In Sun, Youngji Kim
Journal of Clinical Nursing.2018; 27(21-22): 4058. CrossRef

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9 Crossref

Effect of Cancer Symptoms and Fatigue on Chemotherapy-related Cognitive Impairment and Depression in People with Gastrointestinal Cancer: Pok Ja Oh, Jung Ran Lee; J Korean Acad Nurs 2016;46(3):420-430. Published online June 30, 2016; DOI: https://doi.org/10.4040/jkan.2016.46.3.420

Abstract PDF

Purpose

The purpose of this study was to test a hypothetical model of chemotherapy-related cognitive impairment (CRCI) and depression in people with gastrointestinal cancer.

Methods

A purposive sample of 198 patients undergoing chemotherapy was recruited from November 2014 to July 2015. The instruments were Everyday Cognition (ECog), Hospital Anxiety Depression Scale (HADS), Functional Assessment of Chronic Illness Therapy-Fatigue (FACIT-F), and M. D. Anderson Symptom Inventory-Gastrointestinal Cancer Module. Data were analyzed using descriptive statistics, correlation, and path analysis.

Results

CRCI was directly affected by cancer symptoms (β=.19, p=.004) and fatigue (β=.56, p<.001)(R²=47.2%). Depression was directly affected by fatigue (β=.48, p<.001) and CRCI (β=.27, p<.001). However, The impact of cancer symptoms on depression was confirmed through the mediating effect of CRCI.

Conclusion

Results indicate that in patients with gastrointestinal cancer undergoing chemotherapy along with the direct physiologic effects (fatigue, symptoms) of cancer treatment may have altered cognitive function leading to depression.

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Low Back Pain and Its Influencing Factors among Intensive Care Unit Nurses: A Cross-sectional Study
Hyun Ju Uhm, Hye-Ja Park
Journal of Health Informatics and Statistics.2022; 47(2): 95. CrossRef
Factors affecting the quality of life of gastric cancer survivors
Jahyun Choi, Sanghee Kim, Mona Choi, Woo Jin Hyung
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Attitudes About Coping With Fatigue in Patients With Gastric Cancer
Eun Ja Yeun, Misoon Jeon
Gastroenterology Nursing.2020; 43(1): 97. CrossRef
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Eun Jung Yang, Ho Sihn Ryu
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Yoonjung Kim, Sook Jung Kang
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Pok Ja Oh, Jung Ran Lee, Hyun Ah Kim
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Kyeung Eun Lim, Sung Reul Kim, Hyun Kyung Kim, So Ri Kim
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Validity and Reliability of the Peer Group Caring Interaction Scale-Korean Version: Jeong-Hee Kim, Moon Yeon Kong, Yun Hee Oh; J Korean Acad Nurs 2016;46(3):431-442. Published online June 30, 2016; DOI: https://doi.org/10.4040/jkan.2016.46.3.431

Abstract PDF

Purpose

This paper was conducted to validate the Korean version of the Peer Group Caring Interaction Scale (PGCIS-K) that measures caring behaviors as experienced by nursing students.

Methods

Translation of the PGCIS-K was validated through forward-backward translation methods. Survey data were collected from 218 nursing students in a nursing school. Construct validity and criterion-related validity were evaluated. Internal consistency and the Guttman split-half coefficient were calculated to assess reliability.

Results

The PGIS-K showed reliability except for 4 items (Cronbach's α=.91, Guttman split-half coefficient=.85), which were low (<.30) or negatively correlated with the total scale. A 12-item reduced form of the PGCIS-K was developed by item-analysis and construct validity evidence. Factor loading for the 12 items on 2 factors ranged from .47~.82, which explained 58.4% of the total variance. Two factors were named 'modeling and assistance (Cronbach's α=.87)' and 'communication and sharing (Cronbach's α=.82)'. Convergent validity, discriminant validity, and criterion validity were supported according to the correlation coefficients of the 2 factors with other measure.

Conclusion

The findings suggest preliminary evidence that the 12-item PGCIS-K can be used to measure nursing students' peer group caring interactions in Korea. Additional studies are recommended to continue the psychometric evaluation of this scale. Also, it can be extended to measure graduate nursing students or staff nurses' peer group caring interaction.

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Hospital organisational health as a mediator between positive nursing organisational culture, caring behaviour, and quality of nursing care
Bo Ram Ku, Mi Yu
Humanities and Social Sciences Communications.2024;[Epub] CrossRef
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Cho Rong Gil, Kyung Mi Sung
The Journal of Korean Academic Society of Nursing Education.2023; 29(2): 148. CrossRef
Adapting and Validating the COVID-19 Vaccine Hesitancy and Vaccine Conspiracy Beliefs Scales in Korea
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Na Yeon Shin, Soyoung Yu, Seong Suk Kang, Seung Shin Lee, Min Jeung Park, DaeYeon Lee, Sun Mi Nam
Journal of Korean Academy of Nursing Administration.2020; 26(2): 110. CrossRef
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Jeong-Hee Kim, Young Sook Park
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Moon Yeon Kong, Jeong-Hee Kim
Journal of Korean Academy of Nursing Administration.2017; 23(2): 191. CrossRef

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Concept Analysis for Psychological Insulin Resistance in Korean People with Diabetes: Youngshin Song; J Korean Acad Nurs 2016;46(3):443-453. Published online June 30, 2016; DOI: https://doi.org/10.4040/jkan.2016.46.3.443

Abstract PDF

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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Eujin Choi, Min-Sun Kim, Juhee Cho, Sooyeon Kim, Eun Kyung Kwon, Youngha Kim, Danbee Kang, Sung Yoon Cho
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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
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Yeon Jeong Jang
The Journal of Korean Diabetes.2021; 22(3): 192. CrossRef
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Ji-Soon Kang, Jun-Hee Park, Jeong-Won Han
Korean Journal of Adult Nursing.2020; 32(2): 167. CrossRef
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Patrick Ngassa Piotie, Paola Wood, Elizabeth M. Webb, Tessa S. Marcus, Paul Rheeder
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Luisa Florez, Maria Shubina, Alexander Turchin
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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
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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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Factors Influencing Posttraumatic Growth in Survivors of Breast Cancer: Jin-Hee Park, Yong-Sik Jung, Youngmi Jung; J Korean Acad Nurs 2016;46(3):454-462. Published online June 30, 2016; DOI: https://doi.org/10.4040/jkan.2016.46.3.454

Abstract PDF

Purpose

Posttraumatic growth (PTG) is defined as 'positive psychological change experienced as a result of a struggle with highly challenging life circumstances'. The purpose of this study was to identify the level of PTG and its correlates in Korean patients with breast cancer.

Methods

A sample of 120 participants was recruited from outpatients, who had successfully completed primary treatment of breast cancer at a university hospital., Data were collected from June to December, 2014 using Posttraumatic Growth Inventory, lllness Intrusiveness Rating Scale, Cancer Coping Questionnaire, Revised Life Orientation Test and The Multidimensional Scale of Perceived Social Support.

Results

Total score for the PTG was 79.18±17.54 in patients surviving breast cancer. Bivariate analyses indicated that PTG was positively associated with having a religion, perceived social support, greater optimism, cancer coping, and illness intrusiveness. Results of the regression analysis showed that cancer coping (β=.29, p=.001), optimism (β=0.28, p=.001) and illness intrusiveness (β=0.17, p=.037) were statistically significant in patients' PTG.

Conclusion

The research findings show that the variables of cancer coping, optimism and illness intrusiveness significantly explain PTG and these psychological variables can be used to provide improvement in PTG for patients with breast cancer

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Alexandra-Cristina Paunescu, Marina Kvaskoff, Cyrille Delpierre, Lidia Delrieu, Guillemette Jacob, Myriam Pannard, Marie Préau
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Molly Hillyard, Ryan Westley, Jade Kettlewell, Melissa Brunner
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Su Jeong Yi, Ku Sang Kim, Seunghee Lee, Hyunjung Lee
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Sumi Choi, Dongil Kim, Ahyoung Cho, Sohyun An, Changhyun Kim, Inhwa Yoo
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The Effect of Patient-centered CPR Education for Family Caregivers of Patients with Cardiovascular Diseases: Hyun Sun Kim, Hyun-Jin Kim, Eunyoung E. Suh; J Korean Acad Nurs 2016;46(3):463-474. Published online June 30, 2016; DOI: https://doi.org/10.4040/jkan.2016.46.3.463

Abstract PDF

Purpose

For cardiovascular patients, family caregivers play a vital role in daily nursing and cardiac emergencies. This study aimed to evaluate the effect of patient-centered CPR education (PCE) for family caregivers of patients with cardiovascular diseases.

Methods

Fifty-four participants were randomly assigned to the PCE or control group. The PCE group received tailored counseling on overall cardiovascular disease information and CPR followed by interactive instructor-guided CPR training and re-education follow-up by telephone 2 weeks later. The control group received only video-based CPR self-education and booklets. Cardiovascular disease and CPR knowledge and self-efficacy were measured before (pre-test), immediately after (post-test 1), and 4 weeks after the PCE (post-test 2). CPR skills and performance were measured pre-test and at post-test1.

Results

The PCE group demonstrated significant improvements in knowledge (F=91.09, p<.001), self-efficacy (F=15.19, p<.001) and CPR skills and performance (F=8.10, p=.008), as well as significant differences over time (knowledge: F=364.25, p<.001; self-efficacy: F=1162.28, p<.001; CPR skills and performance: F=1798.81, p<.001). There were significant group-by-time interactions for knowledge (F=8.10, p=.001), self-efficacy (F=4.30, p=.019) and CPR skills and performance (F=4.81, p=.036) by repeated measures ANOVA.

Conclusion

This is the first study to demonstrate the effects of a patient-centered intervention with CPR education tailored for patients' and family caregivers' preferences, needs, and lifestyles. The results of this study encourage the use of tailored, patient-centered interventions in cardiovascular nursing practice.

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