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Original Articles
The Effects of an Acceptance-Commitment Therapy Based Stress Management Program on Hospitalization Stress, Self-Efficacy and Psychological Well-Being of Inpatients with Schizophrenia
Jae Woon Lee, Jae Hyun Ha
J Korean Acad Nurs 2018;48(4):443-453.   Published online January 15, 2018
DOI: https://doi.org/10.4040/jkan.2018.48.4.443
AbstractAbstract PDF
Abstract Purpose

The purpose of this study was to construct an acceptance-commitment therapy (ACT)-based stress management program for inpatients with schizophrenia and to examine its effects on hospitalization stress, self-efficacy, and psychological well-being.

Methods

A non-equivalent control group pretest-posttest design was used. Participants were 44 inpatients with a diagnosis of schizophrenia. The experimental group (n=22) received the ACT-based stress management program twice a week for a total of four weeks. The control group (n=22) received the usual care from their primary health care providers. The study was carried out from August 7 to September 1, 2017, and data were analyzed using IBM SPSS/WIN 22.0 with a Chi-square test, Fisher's exact test, and an independent t-test.

Results

The experimental group showed a significant decrease in hospitalization stress (t=5.09, p<.001) and an increase in self-efficacy (t=2.44, p=.019). However, there was no significant difference in psychological well-being between the two groups (t=0.13, p=.894).

Conclusion

The results of this study suggest that the ACT-based stress management program can be used as an effective mental health nursing intervention for hospitalization stress and self-efficacy for inpatients with schizophrenia.

Citations

Citations to this article as recorded by  
  • Factors that influence hospitalization stress in patients with chronic schizophrenia: A cross‐sectional study in psychiatric hospitals
    Sumin Chai, Goun Kim
    Journal of Psychiatric and Mental Health Nursing.2025; 32(1): 102.     CrossRef
  • Positive mental health interventions for people with schizophrenia: A scoping review
    Catarina Nogueira, Emanuel Dias Pereira, Joana Catarina Ferreira Coelho, Antonio Rafael Moreno-Poyato, Carlos Alberto Cruz Sequeira
    Schizophrenia Research.2025; 276: 40.     CrossRef
  • Effects of entrapment, anger, psychological flexibility, and self-compassion on the ward climate and reactive aggression in forensic psychiatric hospital patients
    Sul Hwan Kim, ChongNak Son
    International Journal of Law and Psychiatry.2024; 94: 101986.     CrossRef
  • The effect of Treatment based on Acceptance and Commitment on Pathological Worry and Death Anxiety in Nurses with the Experience of Complicated Grief Caused by COVID-19
    V Aghaei, R Kazemi, S Taklovi, V Nazari
    Journal of Health and Care.2024; 26(1): 52.     CrossRef
  • The Effectiveness of Acceptance and Commitment Therapy on Pain Coping Strategies and Pain Self-efficacy in Chronic Neuropathic Pain Patients
    farzaneh Dehestani, Bahram mirzaian, ramazan hassanzadeh, payam saadat
    Scientific Journal of Kurdistan University of Medical Sciences.2023; 27(6): 97.     CrossRef
  • Effects of Structured Group Acceptance and Commitment Therapy for Psychological Acceptance and Recovery Among Inpatients With Psychotic Disorder: A Pilot Study
    Narae Jeong, Hyesu Jeon, Dowon You, Yu Sang Lee
    Korean Journal of Schizophrenia Research.2022; 25(2): 32.     CrossRef
  • The Effectiveness of Acceptance and Commitment Therapy (ACT) on Sexual Self-Efficacy and Sexual Quality of Life in Reproductive-Age Women: A Randomized Controlled Trial
    Behnaz Enjezab, Marzieh Rejaezadeh, Mahshid Bokaie, Hajar Salimi
    Journal of Sex & Marital Therapy.2021; 47(8): 764.     CrossRef
  • Training coping skills and coping with stress self-efficacy for successful daily functioning and improved clinical status in patients with psychosis: A randomized controlled pilot study
    Débora Godoy Izquierdo, María Luisa Vázquez Pérez, Raquel Lara Moreno, Juan F Godoy García
    Science Progress.2021;[Epub]     CrossRef
  • Development and Effect of a Smartphone Overdependence Prevention Program for University Students Based on Self-Determination Theory
    Myung Soon Kwon, Jeong Soon Yu
    Journal of Korean Academy of Nursing.2020; 50(1): 116.     CrossRef
  • Effects of Acceptance Commitment Therapy Based Recovery Enhancement Program on Psychological Flexibility, Recovery Attitude, and Quality of Life for Inpatients with Mental Illness
    In Sook Kim, Jae Woon Lee
    Journal of Korean Academy of Psychiatric and Mental Health Nursing.2019; 28(1): 79.     CrossRef
  • Development and Effects of an Acceptance Commitment-based Cognitive Behavioral Program for Patients with Schizophrenia
    Jae Woon Lee, Hyun Sook Park
    Journal of Korean Academy of Psychiatric and Mental Health Nursing.2018; 27(4): 342.     CrossRef
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Nurse's Adoption on a Planned Organizational Change
Tae Wha Lee, Cho Ja Kim, Jung Sook Park, So Sun Kim
Journal of Korean Academy of Nursing 2002;32(2):155-164.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.2002.32.2.155
AbstractAbstract PDF

With the dynamically changing environment of society, managing change is the vital element of organizations's survival and growth. Health care organizations have expended enormous resources to restructure patient care delivery. Despite the growing literature describing these organizational innovations, there is a paucity of credible data that reflects systematic measurement and evaluation of such changes. This study examined the nurses' psychological response toward the work process redesign, newly introduced by the nursing department in a acute care hospital. The aim of the study was to figure out how nurses's general perception of change and perceived attributes of change affected their acceptance of change during the organizational transition. This was descriptive-correlational. The sample for the study included 50 head nurses and 135 staff nurses. Data was analyzed using SPSS PC+, version 10.0. The major findings of the study were as follows: First, the mean score of the perception of change was 71.2 (SD=13.8) with the range of 0-100, which means nurses generally perceived change positively. There were significant differences in perception of change by gender and education level. Head nurses perceived change more positively than staff nurses. The higher education level showed the more positive view of change. Second, among the perceived attributes of change, trialability had the highest mean score, which means nurses perceived the change more positively if it is testable on a limited basis. Relative advantage was perceived the most negatively. Finally, factors influencing the acceptability of the work-process redesign were perceived comparability, complexity, relative advantage, and observability, which accounted for 43.7% of the variance in the acceptability of change.This study evaluated the preliminary effects of the nursing process for reengineering, focusing on nurses' acceptability towards change. The usefulness of this research study was to determine the factors influencing acceptance of organizational members during transitional periods of change and to suggest effective strategies for increasing adoption as well as for decreasing resistance to change.

Citations

Citations to this article as recorded by  
  • Study on Non-Value-Added Nursing Activities in a Tertiary Hospital
    Mi Young Kim, Sung Ae Park
    Journal of Korean Academy of Nursing Administration.2011; 17(3): 315.     CrossRef
  • 126 View
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  • 1 Crossref
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Determinants of Smoking-Cessation Behaviors in Female University Students
Hae Won Kim
Journal of Korean Academy of Nursing 1999;29(1):48-60.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.1999.29.1.48
AbstractAbstract PDF

This study was done to determine the factors influencing smoking-cessation behavior in female university students. a total of 534 students participated in this cross sectional study by answering a questionnaire. The data collection was done between September 1 and October 31, 1997. The measurement tools used in this study were the self help change process scale(Cronbach's alpha=.9930 : developed by Oh&Kim, 1996) for smoking-cessation behaviors, the self efficacy scale(Cronbach's alpha=.8250 : developed by Sherer et al, 1982), the sex role acceptance scale(KR-20=.7757 : developed by Kim, 1991) and the social support scale(Cronbach's alpha=.9172 : developed by Park, 1985). The summarized results are follows : 1. The mean scores for smoking-cessation behaviors in smokers(N=150) was 91.72 that was considered a middle score compared to the total possible score of measurement tool(150.0). The mean score for smoking-cessation behaviors by smoking-cessation step showed significant different between the groups(F=11.71, p= .000). 2. The group with no experience in smoking(N=332) showed a high general self efficacy score(t=5.24, p= .000), and more openness to sex role acceptance(t=-2.15, p= .032) compared to the group with smoking experience(N=202). 3. General self efficacy, sex role acceptance, and social support were not different significantly between the groups according to the steps in smoking-cessation. 4. Significant factors influencing smoking-cessation behavior(total, sub concepts) were religion, sex role acceptance, social support, smoking duration, smoking attitude, time of smoking onset, amount of smoking, drinking, and perception of health status. 5. Smoking-cessation behaviors which explained 11% of the variance were smoking attitude, and smoking duration. In conclusion, this study identified factors influencing smoking-cessation behavior. Thereby it will help in the development of smoking-cessation ration other determinants of smoking cessation behaviors, evaluation of intervention efficiency, and comparative study by gender characteristics are needed.

Citations

Citations to this article as recorded by  
  • Integrative Smoking Cessation Stage Model for Chinese Students Studying in Korea
    Hyunsoo Oh, Hyesun Jeong, Whasook Seo
    Asian Nursing Research.2013; 7(4): 182.     CrossRef
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  • 1 Crossref
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Transcultural Differences on Perimenstrual Discomforts, Menstrual Attitudes and Sex Role Acceptance between Korean and American college Students
Kyung Ja Hong, Young Sook Park, Jung Eun Kim, Hae Won Kim
Journal of Korean Academy of Nursing 1998;28(2):233-243.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.1998.28.2.233
AbstractAbstract PDF

This study was performed to compare the transcultural differences on perimenstrual discomforts, menstrual attitudes and sex role acceptance between Korean and American college students. The subjects, 2557 nursing students were selected from 13 universities all around Korea, and 4 universities in the eastern, western, and middle areas of the United States. The data were collected using the MDQ(Menstrual Distress Questionnaire by Moos), the MAQ(Menstrual Attitude Questionnaire) and the Sex Role Acceptance Scale, the subjects answered the MDQ for three points(premenstrual, menstrual, intermenstrual based on their recollections) between July, 1996 and April, 1997. The findings are as follows : 1. There were significant differences in the age of menarche, duration of menstruation, and menstrual cycle between the Koreans and the Americans. 2. As for sex role acceptance, Americans more frequently denied the traditional female role than did Koreans. 3. There were significant differences between the two groups on five categories of menstrual attitude(menstruation is a phenomena that weakens women physically and psychologically, menstruation is a bothersome phenomena. menstruation is a natural phenomena, and menstruation is a phenomena that does not influence women's behaviors non is expected to). 4, For the menstrual discomfort scores, there were significant differences between the two groups on all six categories of the MDQ(pain, attention deficit, behavioral changes, ANS response, water retention, and negative emotion) for the three points(premenstrual, menstrual, intermenstrual period). 5. The most common complaints for the Korean women were pain during the perimenstrual period and fatigue during the intermenstrual period. In contrast, for the Americans the most common complaint was negative emotions during the perimenstrual period, but less pain than the Koreans, and a similarity to Koreans during the intermenstrual period. 6. Regularity of the menstrual cycle was positively correlated with age of menarche, menstrual cycle, and duration of menstruation. 7. For the interrelationship between of Perimenstrual discomforts, menstrual attitudes, and sex role acceptance, there were significant correlations for both group as follows : First, the MA category "menstruation is a bothering phenomena" was negatively correlated with sex role acceptance, second, the MA category "menstruation is a phenomena that weakens the women physically and psychologically" was positively correlated with the MA category "menstruation onset is a predictable phenomena." For the further research, it is recommended that efficient nursing intervention programs for perimenstrual discomforts, be developed and qualitative re search to demonstrate the cultural differences as the feminism view point be done.

Citations

Citations to this article as recorded by  
  • Investigating influencing factors on premenstrual syndrome (PMS) among female college students
    Su Jeong Yi, Miok Kim, Ina Park
    BMC Women's Health.2023;[Epub]     CrossRef
  • Attitudes and Conceptions of Menstruation and Menstrual Hygiene among Schoolgirls (Morocco)
    S. Lghoul, M. Loukid, M. Kamal Hilali
    Bulletins et Mémoires de la Société d'Anthropologie de Paris.2020; 32(1-2): 75.     CrossRef
  • A Structural Model for Premenstrual Coping in University Students: Based on Biopsychosocial Model
    Myung-Ock Chae, Hae Ok Jeon, Ahrin Kim
    Journal of Korean Academy of Nursing.2017; 47(2): 257.     CrossRef
  • Attitude toward Menstruation, Menstrual Symptoms, and Coping Behaviors among Korean Primary School Student
    Seoung-Uk Wie, Young-Me Kim
    The Journal of the Korea Contents Association.2014; 14(8): 297.     CrossRef
  • The Ear Acupressure Therapy on Premenstrual Syndrome and Dysmenorrhea on Female college Students
    Hye-Myoung Choung, Ju-Seung Song
    Journal of the Korea Society of Computer and Information.2013; 18(5): 87.     CrossRef
  • Menstrual Attitudes and Maternal Child Rearing Attitudes in Middle School Female Students
    Kyoung Ja Hong, Hae Won Kim, Hye Young Ahn
    Journal of Korean Academy of Nursing.2008; 38(5): 748.     CrossRef
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  • 6 Crossref
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