Journal of Korean Academy of Nursing

Volume 44(6); December 2014

Review Article

Predictive Validity of the Braden Scale for Pressure Ulcer Risk: A Meta-analysis: Seong-Hi Park, Yu-Sun Park; J Korean Acad Nurs 2014;44(6):595-607. Published online December 31, 2014; DOI: https://doi.org/10.4040/jkan.2014.44.6.595

Purpose

The Braden Scale is one of the most intensively studied risk assessment scales used in identifying the risk of developing pressure sore. However, not all studies show that the predictive validity of this scale is sufficient. The purpose of this study was to evaluate the Braden Scale for predicting pressure ulcer development.

Methods

Articles published 1946 and 2013 from periodicals indexed in Ovid Medline, Embase, CINAHL, KoreaMed, NDSL and other databases were selected, using the following keywords: 'pressure ulcer'. The QUADAS-II was applied to assess the internal validity of the diagnostic studies. Selected studies were analyzed using meta-analysis with MetaDisc 1.4.

Results

Thirty-eight diagnostic studies with high methodological quality, involving 17,934 patients, were included. Results of the meta-analysis showed that the pooled sensitivity and specificity of the Braden Scale were 0.74 (95% CI: 0.72-0.76), 0.75 (95% CI: 0.74-0.76) respectively. However the predictive validity of the Braden Scale has limitation because there was high heterogeneity between studies.

Conclusion

The Braden Scale's predictive validity of risk for pressure ulcer is interpreted as at a moderate level. However there is a limitation to the interpretation of the results, because of high heterogeneity among the studies.

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Development of a Pressure Injury Machine Learning Prediction Model and Integration into Clinical Practice: A Prediction Model Development and Validation Study
Ju Hee Lee, Jae Yong Yu, So Yun Shim, Kyung Mi Yeom, Hyun A Ha, Se Yong Jekal, Ki Tae Moon, Joo Hee Park, Sook Hyun Park, Jeong Hee Hong, Mi Ra Song, Won Chul Cha
Korean Journal of Adult Nursing.2024; 36(3): 191. CrossRef
The Interrater Agreement for the Assessment of Pressure Ulcer Risk Using the Braden Scale and the Classification of Pressure Ulcers by Nurses in A Medium-Sized Hospital
Hyung-Ju Na, Sung-Hee Yoo, Young-Ran Kwon, Min-Jeng Ahn
Korean Journal of Adult Nursing.2020; 32(1): 35. CrossRef
A prediction tool for hospital‐acquired pressure ulcers among surgical patients: Surgical pressure ulcer risk score
Fazila Aloweni, Shin Yuh Ang, Stephanie Fook‐Chong, Nurliyana Agus, Patricia Yong, Meh Meh Goh, Lisa Tucker‐Kellogg, Rick Chai Soh
International Wound Journal.2019; 16(1): 164. CrossRef
Predictive Validity of Pressure Ulcer Risk Assessment Scales among Patients in a Trauma Intensive Care Unit
Ja Eun Choi, Sun-Kyung Hwang
Journal of Korean Critical Care Nursing.2019; 12(2): 26. CrossRef
A Phenomenological Study on Illness Experience of Patients with Pressure Ulcer
Misoo Yoo, Myungsun Yi
Korean Journal of Adult Nursing.2015; 27(5): 515. CrossRef

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Original Articles

Influence of Self Efficacy, Social Support and Sense of Community on Health-related Quality of Life for Middle-aged and Elderly Residents Living in a Rural Community: Hyeonkyeong Lee, Sung Hye Cho, Jung Hee Kim, Yune Kyong Kim, Hyang Im Choo; J Korean Acad Nurs 2014;44(6):608-616. Published online December 31, 2014; DOI: https://doi.org/10.4040/jkan.2014.44.6.608

Abstract PDF

Purpose

The purpose of this study was to examine the relationship between self-efficacy, social support, sense of community and health-related quality of life (HRQoL), including the direct and indirect effects of the variables on HRQoL.

Methods

A cross-sectional survey was conducted with a convenience sample of 249 middle-aged and elderly residents living in a rural community in A-County, K Province. The structured questionnaire included 4 scales from the Euro Quality of life-5 Dimensions (mobility, self-care, usual activities, pain/discomfort, anxiety/depression), and measures of General Self-Efficacy, Social Support, and Sense of Community. Data were analyzed using SPSS WIN 20.0 and AMOS 21.0 program.

Results

The mean HRQoL score for the participants was 0.87±0.13. Self-efficacy (β=.13, p=.039) and age (β= -.38, p<.001) were significantly associated with HRQoL, explaining 21% of the variance. In the path analysis, self-efficacy showed a significant direct effect on HRQoL (β=.14, p=.040) and significantly mediating relationships between both social support (β=.05, p=.030) and sense of community (β=.02, p=.025) and HRQoL.

Conclusion

Although self-efficacy was found to be the main predictor for HRQoL, the findings imply that social environmental factors such as social support and sense of community need to be considered when developing interventions to increase HRQoL in middle-aged and elderly residents in rural communities.

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Maternal Conflicts of Vietnamese Married Immigrant Women in Korea: Hun Ha Cho, Eun Sook Park, Won Oak Oh; J Korean Acad Nurs 2014;44(6):617-629. Published online December 31, 2014; DOI: https://doi.org/10.4040/jkan.2014.44.6.617

Abstract PDF

Purpose

The purpose of the study was to identify and explain the essences and structures of maternal conflicts in Vietnamese married immigrant women in Korea.

Methods

A phenomenological methodology was used for the study. Eleven Vietnamese married immigrant women participated in the study. Verbatim transcripts were analyzed using Colaizzi's method.

Results

Four categories, 10 clusters and 26 themes emerged from the data for the experience in maternal conflicts of Vietnamese married immigrant women. The four categories were 'An unprepared young motherhood in another culture', 'Feeling left out of the mother's place along the bands of Nap tai tradition', 'My image is like not-being able to stand alone/be independent' and 'Finding hope in motherhood despite of conflicts and stigmas'.

Conclusion

Vietnamese married immigrant women experienced not only the negative aspects but also sublimation of maternal conflicts. Based on the results, health professionals need to develop effective nursing interventions toward a positive maternal identity and approach with interculturalism for the Vietnamese married immigrant women in Korea.

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Economic Aspirations and Vietnamese Interest in Korean Matrimony
Nguyen Duy Quynh, Nguyen Nghi Thanh
Journal of Lifestyle and SDGs Review.2025; 5(2): e03215. CrossRef
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Linking acculturation stress, parenting stress and depression of Asian expatriates' wives in the USA with their distress disclosure intention: The moderating role of husband's support
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BMC Women's Health.2020;[Epub] CrossRef
Social support, acculturation stress, and parenting stress among marriage-migrant women
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Archives of Psychiatric Nursing.2018; 32(6): 809. CrossRef
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Jung Kim, Sun-Hee Kim
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Parenting Stress and Maternal–Child Interactions Among Preschool Mothers From the Philippines, Korea, and Vietnam: A Cross-Sectional, Comparative Study
Yong-Sook Eo, Ji-Soo Kim
Journal of Transcultural Nursing.2018; 29(5): 449. CrossRef
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Development of a Stress Scale for Elderly Patients with Coronary Artery Disease: Yun Ok Choi, Jeong Sun Kim; J Korean Acad Nurs 2014;44(6):630-638. Published online December 31, 2014; DOI: https://doi.org/10.4040/jkan.2014.44.6.630

Abstract PDF

Purpose

The purpose of this study was to develop a scale to evaluate stress in elderly patients with coronary artery diseases (CAD) and to examine validity and reliability of the scale.

Methods

The development process for the preliminary scale included construction of a conceptual framework and initial items, verification of content analysis, sentence correction, and pilot study. This study was conducted using a questionnaire survey with one-to-one interviews during January and February, 2012. Participants were 240 elderly patients with CAD. Data were analyzed using item analysis, factor analysis, criterion related validity, and internal consistency.

Results

The developed scale consisted of 32 items and 6 factors - aging and disease (7 items), family relations (5 items), anxiety and withdrawal (9 items), management of daily living (3 items), compliance of medical regimen (4 items), poverty and finance (4 items), and explained 68.5% of total variance. The scale had significantly positive correlation with the Korean Perceived Stress Scale (KPSS). Cronbach's alpha was .96, and Guttman split half coefficient was .91.

Conclusion

Results indicate that the Stress Scale for Elderly Patients with CAD has validity and reliability, and is a suitable scale in health care settings to assess stress in elderly patients with CAD.

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Life Experiences of Korean Patients with Hansen's Disease in Sorok Island Hospital: Ya Ki Yang; J Korean Acad Nurs 2014;44(6):639-648. Published online December 31, 2014; DOI: https://doi.org/10.4040/jkan.2014.44.6.639

Abstract PDF

Purpose

The purpose of this study was to identify life experiences of Korean patients with Hansen's disease (leprosy).

Methods

For this study, 5 participants from Sorok Island Hospital were purposively chosen. Data were collected through in-depth individual interviews from June to July 2014. Data analysis method was based on Colaizzi's approach.

Results

The study results showed that experiences of patients with Hansen's disease consisted of 14 themes and six theme clusters: 1) Bad disease approaching as fate; 2) Family breakup and far from the village; 3) New life in Sorok Island Hospital; 4) Treatment of Hansen's disease and disability; 5) Life in the disease community; 6) Comfort and hope of life.

Conclusion

The findings of this study indicate that health care professionals should pay attention to patients with Hansen's disease not only to reduce their physical and psychological suffering, but also to help the community and public culture to reduce the social stigma surrounding this disease and causing suffering for the patients. The results of the present study can help us to have a better understanding of various aspects of patients' lived experiences.

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Effect of School-based Peer Leader Centered Smoking Prevention Program: Sung Rae Shin, Pok Ja Oh, Hye Kyung Youn, Sun Hwa Shin; J Korean Acad Nurs 2014;44(6):649-659. Published online December 31, 2014; DOI: https://doi.org/10.4040/jkan.2014.44.6.649

Abstract PDF

Purpose

The purpose of this study was to develop and evaluate a school-based peer leader centered smoking prevention program.

Methods

Non-equivalent control group with a pre/post-test design was used. Students (n=174) in two boys' junior high schools located in D city, Korea participated with 85 being selected for the experimental group and 89 for the control group. Five sessions were given to the experimental group and a 50 minute lecture to the control group. Knowledge, attitude, non-smoking intention, and non-smoking efficacy were measured for the both experimental and control group at two weeks before the program and one month after the program was completed. Data were analyzed using χ²-test, Fisher's exact test, independent t-test and paired t-test with the SPSS 21.0 program.

Results

The experimental group showed higher overall knowledge, negative attitude toward smoking, and higher non-smoking intention and efficacy. After receiving the school based peer leader centered smoking prevention program scores for attitude toward smoking and non-smoking efficacy increased in the experimental group were higher than in the control group.

Conclusion

The school-based peer leader centered smoking prevention program needs longitudinal evaluation, but from this study, there is an indication that this program can be used with junior high school students and effectively change students' attitude toward smoking and promote non-smoking efficacy.

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Elisabet Llauradó, Magaly Aceves‐Martins, Jordi Prades‐Tena, Maria Besora‐Moreno, Ignasi Papell‐Garcia, Montse Giralt, Amy Davies, Lucia Tarro, Rosa Solà
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A Structural Equation Modeling on Premenstrual Syndrome in Adolescent Girls: Jung-hee Jeon, Sun-kyung Hwang; J Korean Acad Nurs 2014;44(6):660-671. Published online December 31, 2014; DOI: https://doi.org/10.4040/jkan.2014.44.6.660

Abstract PDF

Purpose

The aims of this study were to construct a hypothetical structural model which explains the premenstrual syndrome (PMS) in adolescent girls and to test the fitness with collected data.

Methods

The participants were 1,087 adolescent girls from 3 high schools and 5 middle schools in B city. Data were collected from July 3 to October 15, 2012 using self-reported questionnaires and were analyzed using PASW 18.0 and AMOS 16.0 programs.

Results

The overall fitness indices of hypothetical model were good (χ² =1555, p<.001), χ²/df=4.40, SRMR=.04, GFI=.91, RMSEA=.05, NFI=.90, TLI=.91, CFI=.92, AIC=1717). Out of 16 paths, 12 were statistically significant. Daily hassles had the greatest impact on PMS in the adolescent girls in this model. In addition, PMS in adolescent girls was directly affected by menarche age, Body Mass Index (BMI), amount of menstruation, test anxiety, social support, menstrual attitude and femininity but not by academic stress. This model explained 27% of the variance in PMS in adolescent girls.

Conclusion

The findings from this study suggest that nursing interventions to reduce PMS in adolescent girls should address their daily hassles, test anxiety, menstrual attitude and BMI. Also, social support from their parents, friends, and teachers needs to be increased.

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Premenstrual Sendrom ile Algılanan Stres ve Gece Yeme Sendromu İlişkisi
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Effects of a Coaching Program on Comprehensive Lifestyle Modification for Women with Gestational Diabetes Mellitus: Jung Mi Ko, Jong Kyung Lee; J Korean Acad Nurs 2014;44(6):672-681. Published online December 31, 2014; DOI: https://doi.org/10.4040/jkan.2014.44.6.672

Abstract PDF

Purpose

The purpose of this study was to investigate the effects of using a Coaching Program on Comprehensive Lifestyle Modification with pregnant women who have gestational diabetes.

Methods

The research design for this study was a non-equivalent control group quasi-experimental study. Pregnant women with gestational diabetes were recruited from D women's hospital located in Gyeonggi Province from April to October, 2013. Participants in this study were 34 for the control group and 34 for the experimental group. The experimental group participated in the Coaching Program on Comprehensive Lifestyle Modification. The program consisted of education, small group coaching and telephone coaching over 4weeks. Statistical analysis was performed using the SPSS 21.0 program.

Results

There were significant improvements in self-care behavior, and decreases in depression, fasting blood sugar and HbA1C in the experimental group compared to the control group. However, no significant differences were found between the two groups for knowledge of gestational diabetes mellitus.

Conclusion

The Coaching Program on Comprehensive Lifestyle Modification used in this study was found to be effective in improving self-care behavior and reducing depression, fasting blood sugar and HbA1C, and is recommended for use in clinical practice as an effective nursing intervention for pregnant women with gestational diabetes.

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Development and Effects of Emotional Intelligence Program for Undergraduate Nursing Students: Mixed Methods Research: Oi Sun Lee, Mee Ock Gu; J Korean Acad Nurs 2014;44(6):682-696. Published online December 31, 2014; DOI: https://doi.org/10.4040/jkan.2014.44.6.682

Abstract PDF

Purpose

This study was conducted to develop and test the effects of an emotional intelligence program for undergraduate nursing students.

Methods

The study design was a mixed method research. Participants were 36 nursing students (intervention group: 17, control group: 19). The emotional intelligence program was provided for 4 weeks (8 sessions, 20 hours). Data were collected between August 6 and October 4, 2013. Quantitative data were analyzed using Chi-square, Fisher's exact test, t-test, repeated measure ANOVA, and paired t-test with SPSS/WIN 18.0. Qualitative data were analyzed using content analysis.

Results

Quantitative results showed that emotional intelligence, communication skills, resilience, stress coping strategy, and clinical competence were significantly better in the experimental group compared to the control group. According to the qualitative results, the nursing students experienced improvement in emotional intelligence, interpersonal relationships, and empowerment, as well as a reduction in clinical practice stress after participation in the emotional intelligence program.

Conclusion

Study findings indicate that the emotional intelligence program for undergraduate nursing students is effective and can be recommended as an intervention for improving the clinical competence of undergraduate students in a nursing curriculum.

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Anne Pienimaa, Kirsi Talman, Elina Haavisto
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Effects of Community-based Comprehensive Fall Prevention Program on Muscle Strength, Postural Balance and Fall Efficacy in Elderly People: Jeongyee Bae, Seong-il Cho; J Korean Acad Nurs 2014;44(6):697-707. Published online December 31, 2014; DOI: https://doi.org/10.4040/jkan.2014.44.6.697

Abstract PDF

Purpose

The purposes of this study was to develop a comprehensive community-based fall prevention program and to test the effects of the program on the muscle strength, postural balance and fall efficacy for elderly people.

Methods

The design of this study was a nonequivalent control group pretest-posttest design. There were 28 participants in the experimental group and 29 in the control group. The program consisted of balance exercises, elastic resistance exercises and prevention education. The program was provided five times a week for 8 weeks and each session lasted 90 minutes. Data were analyzed using χ²-test, independent t-test and paired t-test using the SPSS program.

Results

Muscle strength of the lower extremities, postural balance and fall efficacy scores significantly improved in the experimental group compared to the control group.

Conclusion

These results suggest that this program can improve lower extremity muscle strength, postural balance and fall efficacy in elders. Therefore, this program is recommended for use in fall prevention programs for elders living in the community.

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Muscle Strengthening Exercises for the Foot and Ankle: A Scoping Review Exploring Adherence to Best Practice for Optimizing Musculoskeletal Health
John W. A. Osborne, Hylton B. Menz, Glen A. Whittaker, Matthew Cotchett, Karl B. Landorf
Journal of Foot and Ankle Research.2025;[Epub] CrossRef
The Impact of a Fall Prevention Education Program on Falls-related Knowledge, Prevention Behavior, and Falls Efficacy
Jieun Oh, Taeyoung Lee, Joohyun Kim, Hyeonsuk Park, Suyeong Park, Jihye Jeong, Yeongeun Lee, Sujin Son, Ju Young Park
Quality Improvement in Health Care.2024; 30(2): 62. CrossRef
Characteristics and Effects of Fall Prevention Interventions among the Korean Older Adults: A Systematic Review
Jeong Ha Park, Hee Ju Kim
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Development and Effect of a Fall Prevention Program Based on King’s Theory of Goal Attainment in Long-Term Care Hospitals: An Experimental Study
Bom-Mi Park
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Effect of Action Observation Training Using Y-Balance on Balance Capability in Young Adults
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Development and Effect of a Fall Prevention Program Based on the King's Goal Attainment Theory for Fall High-Risk Elderly Patients in Long-Term Care Hospital
Bom Mi Park, Ho Sihn Ryu, Kyeung Eun Kwon, Chun Young Lee
Journal of Korean Academy of Nursing.2019; 49(2): 203. CrossRef
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Sangwan Han
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Dong-Suk Yang, Da-Young Lee, Sun-Young Oh, Ji-Yun Park
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KiHoon Han, Kang-Ho Bae
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Sung Kyun Kim, Gi Jung Im
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Nutritional Status and Risk Factors for Malnutrition in Low-income Urban Elders: Hye Sun Hyun, Insook Lee; J Korean Acad Nurs 2014;44(6):708-716. Published online December 31, 2014; DOI: https://doi.org/10.4040/jkan.2014.44.6.708

Abstract PDF

Purpose

The purpose of this study was to evaluate the nutritional status of low-income urban elders by diversified ways, and to analyze the risk factors for malnutrition.

Methods

The participants in this study were 183 low-income elders registered at a visiting healthcare facility in a public health center. Data were collected using anthropometric measurements, and a questionnaire survey. For data analysis, descriptive statistics, χ²-test, t-test, Fisher's exact test, multiple logistic regression analysis were performed using SPSS 20.0.

Results

Regarding the nutritional status of low-income elders as measured by the Mini Nutritional Assessment (MNA), 10.4% of the elders were classified as malnourished; 57.4% as at high risk for malnutrition; and 32.2% as having normal nutrition levels. The main factors affecting malnutrition for low-income elders were loss of appetite (OR=3.34, 95% CI: 1.16~9.56) and difficulties in meal preparation (OR=2.35, 95% CI: 1.13~4.88).

Conclusion

In order to effectively improve nutrition in low-income urban elders, it is necessary to develop individual intervention strategies to manage factors that increase the risk of malnutrition and to use systematic approach strategies in local communities in terms of a nutrition support system.

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The longitudinal reciprocal relationship between food insecurity and depressive symptoms among Korean elderly who live in poverty: application of auto-regressive cross-lagged model
Jayoung Cho
Asia Pacific Journal of Social Work and Development.2023; 33(2): 86. CrossRef
Determinants of nutritional status among old age population in eastern Ethiopia: a general linear model approach
Liyu Derbie, Abdu Oumer, Ketema Ayele, Anteneh Berhane
Journal of Nutritional Science.2022;[Epub] CrossRef
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Emilio Molina-Molina, Gabriella Garruti, Harshitha Shanmugam, Domenica Maria Di Palo, Ignazio Grattagliano, Tecla Mastronuzzi, Piero Portincasa
Romanian Journal of Internal Medicine.2020; 58(2): 55. CrossRef
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Tecla Mastronuzzi, Ignazio Grattagliano
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H. D. W. T. Damayanthi, F. M. Moy, K. L. Abdullah, S. D. Dharmaratne
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Eunsil Ju, JiSun Choi
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Young-Ju Kim
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Factors Associated With Food Insecurity Among the Korean Elderly: Using Ordered Logistic Regression Analysis
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Health and Social Welfare Review.2015; 35(4): 375. CrossRef

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Effectiveness of the Military Mental Health Promotion Program: Chung Hee Woo, Sun Ah Kim; J Korean Acad Nurs 2014;44(6):717-725. Published online December 31, 2014; DOI: https://doi.org/10.4040/jkan.2014.44.6.717

Abstract PDF: Purpose
This study was done to evaluate the Military Mental Health Promotion Program. The program was an email based cognitive behavioral intervention.
Methods
The research design was a quasi-experimental study with a non-equivalent control group pretest-posttest design. Participants were 32 soldiers who agreed to participate in the program. Data were collected at three different times from January 2012 to March 2012; pre-test, post-test, and a one-month follow-up test. The data were statistically analyzed using SPSS 18.0. The effectiveness of the program was tested by repeated measures ANOVA.
Results
The first hypothesis that the level of depression in the experimental group who participated in the program would decrease compared to the control group was not supported in that the difference in group-time interaction was not statistically significant (F=2.19, p=.121). The second and third hypothesis related to anxiety and self-esteem were supported in group-time interaction, respectively (F=7.41, p=.001, F=11.67, p<.001).
Conclusion
Results indicate that the program is effective in improving soldiers' mental health status in areas of anxiety and self-esteem.

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Spiritual and Psychosocial Effects of the Spirituality Promotion Program on Clinical Nurses: Imsun Seo, Jinsun Yong, Junyang Park, Juhu Kim; J Korean Acad Nurs 2014;44(6):726-734. Published online December 31, 2014; DOI: https://doi.org/10.4040/jkan.2014.44.6.726

Abstract PDF

Purpose

The purpose of this study was to evaluate the effects of the Spirituality Promotion Program(SPP) for young nurses working in the stressful university hospital environment.

Methods

The study included 41 nurses in the experimental group, nurses who had worked less than 5 years and completed 8 weeks of SPP between June and July in 2011. The control group, 44 nurses, also received the same program after the study was completed. For the study, a survey was conducted of all participants concerning spirituality, perceived stress, positive and negative affect, empathy, job satisfaction, and leadership practice.

Results

No significant difference was found between the two groups on study variables. Perceived stress decreased significantly in the experimental group (p=.012). Spirituality (p=.019), positive affect (p=.014), empathy (p=.004), job satisfaction (p=.016), and leadership practice (p=.021) increased significantly in the experimental group.

Conclusion

The results show that the Spirituality Promotion Program has positive effects on the spiritual and psychosocial aspect of young nurses. Continuation of this program for nurses is recommended in order to help them develop their selfcare ability and improve nursing competency.

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Hyun Sook Lee, Ju Hyun Jin, Ju Ri Lee, Hye Jin Kim, Yeon Jae Jung
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Byoung Sook Lee, Su Young Kwak
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Mira Sim, Jin Kim, Sookyung Choi
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Reliability and Validity of the Korean Version of the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire to Assess Chemotherapy-induced Peripheral Neuropathy: Hye Young Kim, Jeong Hee Kang, Hyun Jo Youn, Hyang Sook So, Chi Eun Song, Seo Young Chae, Sung Hoo Jung, Sung Reul Kim, Ji Young Kim; J Korean Acad Nurs 2014;44(6):735-742. Published online December 15, 2014; DOI: https://doi.org/10.4040/jkan.2014.44.6.735

Abstract PDF

Abstract Purpose

This study was performed to assess the reliability and validity of the Korean version of European Organization for Research and Treatment of Cancer Quality of Life Questionnaire - Chemotherapy-induced peripheral neuropathy 20 items (EORTC QLQ-CIPN20) in patients receiving neurotoxic chemotherapy.

Methods

A convenience sample of 249 Korean cancer patients, previously or currently, being treated with peripheral neurotoxic chemotherapeutic agents were asked to fill in the questionnaire. Collected data were analyzed using SPSS 21.0 and AMOS 21.0. Construct validity, known-group validity, concurrent validity, and internal consistency reliability of the Korean version of the QLQ-CIPN20 were evaluated.

Results

Factor analysis confirmed 3 dimensions of CIPN: sensory, motor, and autonomic. The factor loadings of the 20 items on the 3 subscales ranged from .38 to .85. The 3 subscale-model was validated by confirmatory factor analysis (GFI= .90, AGFI= .86, RMSR= .05, NFI= .87, and CFI= .94), and concurrent validity was demonstrated with the EORTC QLQ-C30. Furthermore, the QLQ-CIPN20 established known-group validity. The Cronbach's alpha coefficients for internal consistency of the subscales ranged from .73 to .89.

Conclusion

The Korean version of the EORTC QLQ-CIPN20 showed satisfactory construct, concurrent, and known-group validity, as well as internal reliability.

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Trend Analysis in the Prevalence of Type 2 Diabetes According to Risk Factors among Korean Adults: Based on the 2001~2009 Korean National Health and Nutrition Examination Survey Data: Young-Ju Kim, Myoung-Nam Lim, Dong-Suk Lee; J Korean Acad Nurs 2014;44(6):743-750. Published online December 31, 2014; DOI: https://doi.org/10.4040/jkan.2014.44.6.743

Abstract PDF

Purpose

The objective of this study was to provide a trend analysis of the prevalence of diabetes relative to the socioeconomic, lifestyle, and physiologic risk factors among Korean adults aged over 30 years for a 10-year period using data from the Korean National Health and Nutrition Examination Survey.

Methods

Prevalence difference and the slope index of inequality were calculated for each risk factors using binomial regression by considering the repeated cross-sectional features of the data. The prevalence ratio and the relative index of inequality were calculated using log-binomial regression. Linear trend tests were performed using SAS 9.2.

Results

Crude prevalence of diabetes increased over the 10-year period, and was higher for men than for women. It was very high for adults 60 years or over, consistently increasing over time. The prevalence among unemployed men, women with higher level of stress, women with hypertension, and adults with serum triglyceride levels over 135 mg/dL increased over the 10-year period in comparison with the respective control group.

Conclusion

Considering the rapid economic development and associated lifestyle changes in Korea, action should be taken to control the prevalence of diabetes by both preventing and consistently monitoring these identified risk factors using a public-health approach.

Citations

Citations to this article as recorded by

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