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Volume 33(8); December 2003
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Original Articles
The Nurses' Knowledge and Perception of Their Role in Genetics
Mi Young Kim
Journal of Korean Academy of Nursing 2003;33(8):1083-1092.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2003.33.8.1083
AbstractAbstract PDF
Purpose

The purpose of the study was to assess the level of nurses' genetic knowledge and the perception of nurses' role in genetics. The ultimate goal of this paper is to educate practicing nurses so that they can counsel individuals and families with genetic problems, on the basis of better understanding of genetic diseases.

Methods

A total of 969 clinical nurses in 11 general hospitals completed a self-administered questionnaire including basic genetic knowledge and perception of their role. The instruments were made by the author with the help of some experts on genetics. T-test, ANOVA, and Pearson Correlation were used to analyze the data.

Results

The results of this study indicated that nurses revealed a vast knowledge deficit in genetics and the need for genetic content in nursing curriculum. The results also showed that nurses' sources of information about genetics largely came from the mass media. The nurses also expressed great interest in educating and counseling patients. Overall, the survey found a positive correlation between the nurses' level of knowledge and their degree of interest in genetics.

Conclusion

In conclusion, education and training of clinical nurses in genetics is critical in integrating genetics with nursing science. Therefore, the development of educational programs for nursing knowledge and counseling as well as basic curriculums in genetic nursing at universities are essential in the near future.

Citations

Citations to this article as recorded by  
  • Nurses' knowledge and educational needs regarding genetics
    Memnun Seven, Aygül Akyüz, Burcu Elbüken, Heather Skirton, Hatice Öztürk
    Nurse Education Today.2015; 35(3): 444.     CrossRef
  • Undergraduate Nursing Students' Perceived Knowledge and Attitudes Toward Genetics and Nursing Competencies for Genetics
    Hyunkyung Choi
    Journal of Korean Biological Nursing Science.2014; 16(2): 69.     CrossRef
  • Current Issues and Tasks of Genetic Cancer Nursing in Korea
    Myunghee Jun, Kyung Sook Choi, Gyeyoung Shin
    Asian Oncology Nursing.2012; 12(4): 267.     CrossRef
  • Perception About the Elderly Among Undergraduate Students Interested in the Elderly Care Business
    Mi-Ja Shin
    Journal of Korean Academy of Nursing Administration.2011; 17(4): 551.     CrossRef
  • Genetic content in Korean nursing textbooks
    Miyoung Kim, Jinho Han
    Nursing & Health Sciences.2010; 12(1): 135.     CrossRef
  • Nurses' Professed Knowledge of Genetics and Genetic Counseling
    Ayse Gaye Tomatir, Hülya Çetin Sorkun, Huriye Demirhan, Beyza Akdag
    The Tohoku Journal of Experimental Medicine.2006; 210(4): 321.     CrossRef
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Influencing Variables on Life Satisfaction of Korean Elders in Institutions
Ki Wol Sung
Journal of Korean Academy of Nursing 2003;33(8):1093-1100.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2003.33.8.1093
AbstractAbstract PDF
Purpose

The number of elders in institutions has increased as family supporting systems have changed in Korea. The purpose of this study were to understand the life satisfaction among elders in institutions and to identify the factors influencing on life satisfaction.

Methods

The instruments used were Yun(1982)'s scale modified Memorial University of Newfoundland Scale for Happiness(MUNSH) in life satisfaction, ADL and IADL in activity level, Self-rating Depression Scale(SDS) in depression and Norbeck Social Support Questionnaire(NSSQ) scale in social support. Also, Perceived health status was measured by Visual Graphic Rating Scale. The subject of this study is 107 cognitively intact and ambulatory elders in 7 institutions in Daegu city and Kyungpook province. The data have been collected from May 1 to June 30, 2001. For the analysis of collected data, frequency analysis, mean, standard deviation, Pearson's correlation and stepwise multiple regression analysis were used for statistical analysis by SPSSwin(version 9.0) program.

Results

Life satisfaction for the elders in institutions showed negative correlation with SDS, and positive correlation with activity level. The regression form of the stepwise multiple regression analysis to investigate the influencing factors of life satisfaction for the elders in institutions was expressed by y = 90.988-0.733x1-0.188x2-0.069x3-0.565x4 (x1: SDS x2: Social support x3: Activity level x4: Monthly pocket Money) and 57.9% of varience in life satisfaction was explained by the model.

Conclusion

The factors influencing on life satisfaction among the elders in institutions were SDS, social support, activity level and monthly pocket money. According to the results of this study, depression, social support and activity level are considered the prime causal factors for life satisfaction.

Citations

Citations to this article as recorded by  
  • SİVİL HAVACILIK SEKTÖRÜNDE ÇALIŞANLARIN İŞ MEMNUNİYET DÜZEYLERİNİN YAŞAM DOYUMUNA ETKİSİNİN İNCELENMESİ
    Özgül YÜKSEKBİLGİLİ
    Dokuz Eylül Üniversitesi Sosyal Bilimler Enstitüsü Dergisi.2022; 24(4): 1822.     CrossRef
  • Correlating Post-disaster Support Network Density with Reciprocal Support Relation Satisfaction: An Elderly Cohort Within One Year of the 2011 Japan Disasters
    Adam Jon Lebowitz, Shinji Sato, Miyuki Aiba
    Population Research and Policy Review.2018; 37(6): 923.     CrossRef
  • Relational Satisfaction from Providing and Receiving Support is Associated with Reduced Post-Disaster Depression: Data From Within One Year of the 2011 Japan Triple Disaster
    Adam Jon Lebowitz
    Community Mental Health Journal.2017; 53(2): 202.     CrossRef
  • The Effect of the Preparation for Old Aged of the Past on the Life Satisfaction of the Elderly -Focused on the Mediating Effect of the Social Support and the Depression-
    Jeong, Il Young
    Locality and Globality: Korean Journal of Social Sciences.2015; 39(3): 161.     CrossRef
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Factors Associated with the Stage of Change of Smoking Cessation Behavior in Adolescents
Nam Hee Park, Jung Soon Kim, Yun Mi Lee
Journal of Korean Academy of Nursing 2003;33(8):1101-1110.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2003.33.8.1101
AbstractAbstract PDF
Purpose

The purpose of this study was to identify the stage of change of smoking cessation behavior and investigate factors associated with the stage of smoking cessation behavior according to the transtheoretical model.

Methods

The participants, 297 smokers & quitters were selected by a stratified random sampling from 127 high school sophomore students in B city. Data were collected from April 6th to 16th, in 2002 using the structured self-report questionnaire.

Results

The subjects were distributed in each stage of change of smoking cessation behavior: there were 46 subjects (15.5%) in precontemplation, 73 subjects (24.6%) in contemplation, 67 subjects(22.3%) in preparation, 56 subjects (18.5%) in action, 55 subjects (18.5%) in maintenance. Compared to the precontemplation and contemplation, people in preparation tended to smoke daily more and smoked for a shorter time, and as precontemplation progressed to the maintenance, past 1 year smoking cessation frequency increased and friends smoking decreased. Smoking onset age was the earliest in preparation, and the latest in maintenance. Helping relationships and self relationships are used a lot in precontemplation and also in contemplation. In preparation, self liberation and helping relationships are used a lot, in action, self liberation and helping relationships, and in maintenance, self liberation and environmental reevaluation. At each stage, the score of negative affect situation was the highest, but the one of negative affect situation, positive social situation, habitual strength, weight control decreased as precontemplation progressed to the maintenance. While the score of social pros and coping pros decreased with increasing stage, the one of cons tended to increase. Through stepwise discriminant analysis, it was found that social pros, smoking onset age, delf-libration were the most influencing powers among factors associated with the stages of smoking cessation behavior.

Conclusions

This study suggested that, in developing an effective smoking cessation intervention for adolescents, all the stage of a client's cessation had to be assessed prior to applying intervention programs. In addition, the results of this study will become a pillar of smoking cessation program planning and application.

Citations

Citations to this article as recorded by  
  • Prevalences of Stages of Change for Smoking Cessation in Adolescents and Associated Factors: Systematic Review and Meta-Analysis
    Leonardo Essado Rios, Álex Moreira Herval, Raquel Conceição Ferreira, Maria do Carmo Matias Freire
    Journal of Adolescent Health.2019; 64(2): 149.     CrossRef
  • Effects of an Empowerment Program on Nicotine Dependency, Temptation, Self-esteem, Depression in Adolescents Who Smoke
    Nam-Hee Park
    Journal of Korean Academy of Child Health Nursing.2012; 18(1): 1.     CrossRef
  • Factors Associated with the Preparation Stage to Quit Smoking among College Smokers
    Kyung-Shin Paek, Young-Sook Kwon
    Journal of Korean Academy of Community Health Nursing.2011; 22(2): 173.     CrossRef
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Improving the Standards of Midwifery Education and Practice and Extending the Role of a Midwife in Korean Women and Children's Health Care
Kyung Hye Lee
Journal of Korean Academy of Nursing 2003;33(8):1111-1118.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2003.33.8.1111
AbstractAbstract PDF
Background

A midwife is a medical professional who has a nursing license, and is also licensed as a midwife with one additional year of education. In this globalization era, a midwife's role is increasing in importance for women and children's health care worldwide.

Purpose

The primary purpose was to analyze midwifery education programs in Korea and other nations. The secondary purpose was to define strategies to improve midwifery education and practice, and to extend the role of a midwife women and children's health care in Korea.

Methods & Results

1) The definition of a midwife and midwifery practice recognized internationally by World Health Organization (WHO) and International Council of Nurse Midwives (ICNM) was identified. 2) Midwifery education programs of Korea, U.S.A., Sweden, Australia, and Japan, were investigated and discussed. 3) Core competencies for the basic midwifery practice suggested by ACNM of the U.S.A. were reviewed as standard of midwifery practice. 4) As for the midwifery education system, a Masters degree program in a college of nursing is suggested. 5) The role of a midwife includes not only health care of childbirth women and newborn babies, but also a lifelong health care of women as well as her family and children.

Conclusion

An effort to extend the midwife's role and to improve service is imperative. The Laws/Acts related to midwives should be revised in regard to education, and practices, and the national examination for midwifery licensure needs revision to qualify for international approval. Also, midwifery curriculum and standards of practice need to be evaluated periodically, and an effective system needs to be established to renew midwife licenses.

Citations

Citations to this article as recorded by  
  • Midwifery Qualification in Selected Countries: A Rapid Review
    Shakirah Md. Sharif, Wuan Shuen Yap, Weng Hong Fun, Ee Ling Yoon, Nur Fadzilah Abd Razak, Sondi Sararaks, Shaun Wen Huey Lee
    Nursing Reports.2021; 11(4): 859.     CrossRef
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Evaluation of a Community-Based Program for Breast Self-Examination Offered by the Community Health Nurse Practitioners in Korea
Chung Yul Lee, Hee Soon Kim, Il Sun Ko, Ok Kyung Ham
Journal of Korean Academy of Nursing 2003;33(8):1119-1126.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2003.33.8.1119
AbstractAbstract PDF
Background

Breast cancer is the most common form of cancer among Korean women. Only 14% of urban women and 10% of rural women in Korea, however, participated in breast cancer screening behavior in 1998 (Korean Ministry of Health & Welfare, 1999).

Purpose

The aim of this study was to evaluate the effect of community-based breast self-examination (BSE) education programs in Korea.

Methods

First, breast cancer risk appraisals were done with 1,977 rural women. Of the 1,977 women, nearly 30% (n= 494) had a higher or equal to borderline risk of developing breast cancer. This quasi-experimental study was conducted to target these women with a high or equal to borderline risk of breast cancer. The risk appraisal feedback and breast self-examination education were used as an intervention for breast cancer prevention and early detection.

Results

After a 3-month follow-up, 30.5% of the women in the intervention group performed regular BSE compared to 10.2% of women in the control group. The mean knowledge score related to breast cancer and BSE was significantly higher for the women in the intervention group than that in the control group.

Citations

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  • Effectiveness of an Ongoing, Community-Based Breast Cancer Prevention Program for Korean American Women
    Eun Koh, Ga-Young Choi, Ji Young Cho
    Health & Social Work.2016; 41(1): 51.     CrossRef
  • Effects of Tailored Message Education About Breast Cancer Risk Appraisal for Obese Korean Women
    SoMi Park, ChaeWeon Chung, Barbara B. Cochrane
    Oncology Nursing Forum.2013; 40(6): E382.     CrossRef
  • The effectiveness of a nurse-delivered breast health promotion program on breast cancer screening behaviours in non-adherent Turkish women: A randomized controlled trial
    Selda Secginli, Nursen O. Nahcivan
    International Journal of Nursing Studies.2011; 48(1): 24.     CrossRef
  • Effects on Nursing Students of Cognition-Behavior Integrated Breast Cancer Prevention Education Using an Interchangeable Nodule Model
    So Mi Park, Bo Hwan Kim, Mi Jeong Park, Yang Heui Ahn, Chae Weon Chung
    Korean Journal of Women Health Nursing.2010; 16(2): 166.     CrossRef
  • Development of an Integrated Breast Health Program for Prevention of Breast Cancer among Middle-aged Women
    Hea Kung Hur, So Mi Park, Chang Hee Kim, Jong-Ku Park, Sang Baek Koh, Gi Yon Kim
    Korean Journal of Women Health Nursing.2009; 15(1): 54.     CrossRef
  • Factors Affecting Mammography Behavior and Intention Among Korean Women
    Ok Kyung Ham
    Oncology Nursing Forum.2006; 33(1): 113.     CrossRef
  • The Intention of Future Mammography Screening Among Korean Women
    Ok Kyung Ham
    Journal of Community Health Nursing.2005; 22(1): 1.     CrossRef
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Testing the Mediating Effect of Appraisal in the Model of Uncertainty in Illness study
Younhee Kang
Journal of Korean Academy of Nursing 2003;33(8):1127-1134.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2003.33.8.1127
AbstractAbstract PDF
Background

Although there have been a great number of research studies based on the model of uncertainty in illness, few studies have considered the appraisal portion of model.

Purpose

The purpose of this study was to test the mediating effect of appraisal in the model of uncertainty in illness. Additionally, this study aimed to examine the relationships among uncertainty, symptom severity, appraisal, and anxiety in patients newly diagnosed with atrial fibrillation.

Methods

This study employed a descriptive correlational and cross-sectional survey design using a face-to-face interview method. Patients diagnosed with atrial fibrillation within the previous 6 months prior to data collection were interviewed by Mishel Uncertainty in Illness Scale-Community Form, appraisal scale, Symptom Checklist-Severity V.3, and State Anxiety Inventory.

Results

A total of 81 patients with atrial fibrillation were recruited from two large urban medical centers in Cleveland, Ohio, U.S.A.. Symptom severity was the significant variable in explaining uncertainty (β=0.34). Individuals with greater symptom severity perceived more uncertainty. Uncertainty was appraised as a danger rather than opportunity, and those with greater uncertainty appraised a greater danger (p<.01). While the appraisal of opportunity had the negative relationship with anxiety (r=-0.25), the appraisal of danger was positively associated with anxiety (r=0.78). The measure of goodness of fit (Q) of the model was .7863, and the significant test (X2) for the Q was statistically significant (df =3, p<.001). Accordingly, the overall mediating model of uncertainty in illness was proven not to be fit to the empirical data of patients with atrial fibrillation. Consequently, the mediating effect of appraisal was not supported by the empirical data of this study.

Conclusion

The findings of this study were discussed in terms of their relevance compared with those of previous studies or theoretical framework and the plausible explanations on study findings. Lastly, in order to expand the present body of knowledge on uncertainty in illness model, recommendations for the future nursing studies were included.

Citations

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  • Conservative Media Use and Childhood COVID-19 Vaccine Information: A Test of the Contradictory Health Information Processing Model
    Thais M. Zimbres, Jeanette B. Ruiz, Robert A. Bell
    Journal of Health Communication.2022; 27(4): 250.     CrossRef
  • Impact of Uncertainty on the Anxiety of Hospitalized Pregnant Women Diagnosed with Preterm Labor: Focusing on Mediating Effect of Uncertainty Appraisal and Coping Style
    Eun Mi Kim, Sehoon Hong
    Journal of Korean Academy of Nursing.2018; 48(4): 485.     CrossRef
  • Evaluating the reasons underlying treatment nonadherence in VLU patients: Mishel's theory of uncertainty. Part 2 of 2
    A. Brown
    Journal of Wound Care.2014; 23(2): 73.     CrossRef
  • The Influence of Uncertainty and Social Support on General Well-being among Hemodialysis Patients
    Youn-Jin Kim, Hee-Jung Choi
    The Korean Journal of Rehabilitation Nursing.2012; 15(1): 20.     CrossRef
  • The effect of preoperative uncertainty and anxiety on short‐term recovery after elective arthroplasty
    Ilya Kagan, Yoram Bar‐Tal
    Journal of Clinical Nursing.2008; 17(5): 576.     CrossRef
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Factors Influencing Internet Addiction Tendency among Middle School Students in Gyeong-buk Area
Won Oak Oh
Journal of Korean Academy of Nursing 2003;33(8):1135-1144.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2003.33.8.1135
AbstractAbstract PDF
Purpose

This study was conducted to understand the degree of internet addiction tendency and to find out the factors influencing this addiction tendency among middle school students in Gyeong-buk area.

Methods

A total of 450 middle school students in the Daegu and Gyeong-buk area were surveyed in this study. Data collection was conducted through the use of questionnaires.

Results

Internet addiction among middle school students was relatively low (Average user). In the overall ratio distribution, however, students who were classified as either addicted or at risk of addiction accounted for a high percentage, 27%. A positive correlation was found between Internet addiction and Internet expectation, depression and parent control over Internet use. A negative correlation was found between Internet addiction and interpersonal relationship, parent support and self-control. Multiple regression analysis revealed that the most powerful predictor of Internet addiction tendency was depression.

Conclusion

Through the above results, it would be necessary to develop an Internet addiction prevention program for adolescents taking into account for the psychological factors such as depression and Internet use habits. In the future study, the need assessment will be useful for developing this prevention program.

Citations

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  • Assessing the Relationship Between the Type of Internet Use and Internet Addiction in Early and Middle Adolescents: Cross-Sectional Study From Qatar
    Khansa Chemnad, Maryam Aziz, Sanaa Al- Harahsheh, Azza Abdelmoneium, Ahmed Baghdady, Diana Alsayed Hassan, Raian Ali
    JMIR Human Factors.2025; 12: e62955.     CrossRef
  • A Stitch in Time Saves Nine: Predicting Internet Addiction Levels of Preservice Teachers
    İsmail Şan, H. Gülhan Orhan Karsak, Curtis J. Bonk, Derya Karadeniz
    Psychiatric Quarterly.2025;[Epub]     CrossRef
  • Not all games are created equal: Adolescents who play and spend money on simulated gambling games show greater risk for gaming disorder
    Nerilee Hing, Alex M.T. Russell, Daniel L. King, Matthew Rockloff, Matthew Browne, Philip Newall, Nancy Greer
    Addictive Behaviors.2023; 137: 107525.     CrossRef
  • Problematic social network use: Its antecedents and impact upon classroom performance
    J. Christopher Zimmer
    Computers & Education.2022; 177: 104368.     CrossRef
  • Cognitive, Emotional, Behavioral and Physiological Evaluation of the Relationship Between Brain and Gut Microbiota
    Selim GÜNÜÇ, Aylin ŞENDEMİR
    Psikiyatride Güncel Yaklaşımlar.2022; 14(4): 446.     CrossRef
  • Gender differences in smartphone addiction and depression among Korean adolescents: Focusing on the internal mechanisms of attention deficit and self-control
    Yangjin Park, Sungkyu Lee
    Computers in Human Behavior.2022; 136: 107400.     CrossRef
  • Elternfaktoren bei Internet- und Computerspielsucht im Jugendalter: Eine Übersicht
    Isabel Brandhorst, Tobias Renner, Gottfried Maria Barth
    Zeitschrift für Kinder- und Jugendpsychiatrie und Psychotherapie.2022; 50(1): 37.     CrossRef
  • Parental and Family Factors Associated with Problematic Gaming and Problematic Internet Use in Adolescents: a Systematic Literature Review
    Philip Nielsen, Nicolas Favez, Henk Rigter
    Current Addiction Reports.2020; 7(3): 365.     CrossRef
  • Internet Addiction in Kurdistan University Students: Prevalence and Association with Self-Control
    Zana H. Babakr, Kamaran Majeed, Pakstan Mohamedamin, Karwan Kakamad
    European Journal of Educational Research.2019; volume-8-2(volume8-is): 867.     CrossRef
  • Factors influencing Internet addiction
    Nikolina Banjanin, Nikola Banjanin
    Medicinska istrazivanja.2018; 52(3): 29.     CrossRef
  • Young adults' internet addiction: Prediction by the interaction of parental marital conflict and respiratory sinus arrhythmia
    Hui Zhang, Tracy L. Spinrad, Nancy Eisenberg, Yun Luo, Zhenhong Wang
    International Journal of Psychophysiology.2017; 120: 148.     CrossRef
  • Dysfunction of Self-Regulation and Self-Control in Facebook Addiction
    Agata Błachnio, Aneta Przepiorka
    Psychiatric Quarterly.2016; 87(3): 493.     CrossRef
  • Zusammenhänge zwischen familialen Aspekten und pathologischem Internetgebrauch bei Jugendlichen
    Lutz Wartberg, Anneke Aden, Monika Thomsen, Rainer Thomasius
    Zeitschrift für Kinder- und Jugendpsychiatrie und Psychotherapie.2015; 43(1): 9.     CrossRef
  • Risk and Protective Factors of Internet Addiction: A Meta-Analysis of Empirical Studies in Korea
    Hoon Jung Koo, Jung-Hye Kwon
    Yonsei Medical Journal.2014; 55(6): 1691.     CrossRef
  • Psycho-social Well-being of College Students depending on a Level of Internet Addiction
    Miyoung Chung, Ok-Hee Cho
    The Journal of the Korea Contents Association.2013; 13(5): 366.     CrossRef
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    Robert S. Tokunaga, Stephen A. Rains
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    MIA SEO, HEE SUN KANG, YOUNG-HEE YOM
    CIN: Computers, Informatics, Nursing.2009; 27(4): 226.     CrossRef
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The Effects of Medication and Symptom Management Education Program Based on Self Efficacy Theory for the Psychiatric Patients
Kyung Hee Shon
Journal of Korean Academy of Nursing 2003;33(8):1145-1152.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2003.33.8.1145
AbstractAbstract PDF
Purpose

An effective rehabilitation program had been developed for psychiatric patients' self management of medication and symptoms in Korea. The rehabilitation program was designed to allow the patients to understand their illness, cope with their medical regimen, and prevent a relapse by recognizing any of the symptoms when they recur.

Methods

The developed program utilizes the self efficacy method reported by Bandura, it includes manuals and videotapes focusing on real life situations, small group discussions, and telephone coaching. This study investigated the effects of this program with respect to various predictable variables in psychiatric rehabilitation. Thirty eight patients were selected for this study, 18 in the experimental program and 20 as controls.

Results

The results showed that the subjects who attended this educational program reported significantly more improvement in attitude toward medication compliance (p=0.033), and significantly less relapse warning symptom scores (p=0.000) than the controls.

Conclusion

This program may be a useful psychoeducational resource for professionals in the field of clinical practice in psychiatry.

Citations

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  • Validation of the Korean Version of the Depression Coping Self-Efficacy Scale (DCSES-K)
    Young Mi Lim, Suzanne Perraud
    Archives of Psychiatric Nursing.2016; 30(4): 463.     CrossRef
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Pre- and In-Hospital Delay in Treatment and in-Hospital Mortality after Acute Myocardial Infarction
Kyuneh An, Bongyeun Koh
Journal of Korean Academy of Nursing 2003;33(8):1153-1160.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2003.33.8.1153
AbstractAbstract PDF
Purpose

1) To identify the time taken from symptom onset to the arrival at the hospital (pre-hospital delay time) and time taken from the arrival at the hospital to the initiation of the major treatment (in-hospital delay time) 2) to examine whether rapid treatment results in lower mortality. 3) to examine whether the pre- and in-hospital delay time can independently predict in-hospital mortality.

Methods

A retrospective study with 586 consecutive AMI patients was conducted.

Results

Pre-hospital delay time was 5.25 (SD=10.36), and in-hospital delay time was 1.10 (SD=1.00) hours for the thrombolytic therapy and 50.24 (SD=121.18) hours for the percutaneous transluminal coronary angioplasty(PTCA). In-hospital mortality was the highest when the patients were treated between 4 to 48 hours after symptom onset using PTCA (rho=.02), and when treated between 30 minutes and one hour after hospital arrival using thrombolytics (rho=.01). Using a hierarchical logistic regression model, the pre- and in-hospital delay times did not predict the in-hospital mortality.

Conclusion

Pre- and in-hospital delay times need to be decreased to meet the desirable therapeutic time window. Thrombolytics should be given within 30 minutes after arrival at the hospital, and PTCA should be initiated within 4 hours after symptom onset to minimize in-hospital mortality of AMI patients.

Citations

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  • Comparison of Clinical Manifestations and Treatment-Seeking Behavior in Younger and Older Patients with First-time Acute Coronary Syndrome
    Seon Young Hwang
    Journal of Korean Academy of Nursing.2009; 39(6): 888.     CrossRef
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Rehabilitation for Homeless Adolescent Substance Abusers at a Halfway House in Korea
Myungsun Hyun, Mia Seo
Journal of Korean Academy of Nursing 2003;33(8):1161-1170.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2003.33.8.1161
AbstractAbstract PDF
Purpose

The purpose of this study was to examine the effects of a rehabilitation program on hope and self-efficacy in a sample of homeless adolescent substance abusers at a halfway house in Seoul, Korea.

Methods

Five residents of a halfway house were provided with a 16-week rehabilitation program based on a cognitive-behavioral approach. To evaluate the effectiveness of the program, this study used a single-case experimental design with the variables - hope and self-efficacy - being measured at pre-, post-, and follow-up tests.

Results

While three participants showed considerable positive changes in hope and self-efficacy after the program, two participants did not show any positive changes. Despite this lack of consistent patterns in the effectiveness of the rehabilitation program, there was a qualitative change in social status (such as academic and work status) for the participants at the follow-up test.

Conclusion

A rehabilitation program based on a cognitive-behavioral approach may improve the hope and self-efficacy of homeless adolescent substance abusers at a halfway house and help them to reintegrate into society.

Citations

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    Esther Coren, Rosa Hossain, Jordi Pardo Pardo, Brittany Bakker
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    N. Ravishankar, Anusha Mujja, Melissa Glenda Lewis, N. Sreekumaran Nair
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    E. Bell
    International Journal of Drug Policy.2006; 17(5): 425.     CrossRef
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    Myung-Sun Hyun, Hyang-In Cho Chung, Young-Ja Lee
    Applied Nursing Research.2005; 18(3): 160.     CrossRef
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Decisional Balances and the Process of Change in Smoking Cessation in Patients with Coronary Artery Diseases
Haeng Mi Son
Journal of Korean Academy of Nursing 2003;33(8):1171-1177.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2003.33.8.1171
AbstractAbstract PDF
Purpose

Despite many smoking cessation programs, many patients with CAD continue to smoke or re-smoke. The processes of change and self-change for smoking cessation is emphasized. The purpose of present study was to investigate decisional balances and processes of change according to stages of change for smoking cessation in the patients with CAD.

Methods

This descriptive study was performed using the self-reported questionnaires from 157 male patients with CAD who have smoking experiences. The questionnaires consisted of decisional balances toward smoking (pros/cons) and processes of change including 7 factors.

Results

45.2% of the subjects had myocardial infarction and 54.8% for angina pectoris. Major stages of change were maintenance, contemplation, and precontemplation in 62%, 14%, and 18% respectively. The mean score of pros smoking was 31.07 and cons smoking was 32.52. The mean scores of processes of change were high in all 7 factors, especially in self determination. The pros smoking in precontemplation stage was significantly higher than those in other stages. Between contemplation and precontemplation stages, processes of change showed significant differences in stimulus control, self determination, information management, and dramatic relief.

Conclusion

This study suggests that decisional balances and processes of change are stage-specific. As this study, smoking cessation program in the patients with CAD must put priority on the patients group in precontemplation and contemplation stages, and stress self determination and dramatic relief.

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J Korean Acad Nurs : Journal of Korean Academy of Nursing
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