Journal of Korean Academy of Nursing

Research Papers

Development and evaluation of a question-answering chatbot to provide information for patients with coronary artery disease after percutaneous coronary intervention: Geunhee Lee, Yun Hee Shin; J Korean Acad Nurs 2025;55(2):153-164. Published online May 13, 2025; DOI: https://doi.org/10.4040/jkan.24128

Purpose
This study aimed to develop a question-answering chatbot that provides accurate and consistent answers to questions that may arise during the recovery process of patients with coronary artery disease after percutaneous coronary intervention, and to evaluate the chatbot.
Methods
The chatbot was developed through the stages of analysis, design, implementation, and evaluation. It was evaluated by five experts, and the user experience was evaluated by 27 patients who underwent percutaneous coronary intervention. Furthermore, chatbot utilization was analyzed based on user experience logs.
Results
The chatbot was constructed as a question-answering database that included three categories: coronary artery disease, percutaneous coronary intervention, and post-intervention management. The question-answering chatbot, referred to as the “Cardiovascular Strong” channel, has been launched and implemented. An expert evaluation of the chatbot revealed no usability issues or necessary modifications. The overall result of the user experience evaluation was 4.26 points. Based on the user experience log, the question-answer accuracy was 84.6%, and medications during post-intervention management were the most frequently searched topic, accounting for 110 cases (20.8%) out of a total of 528.
Conclusion
The chatbot that was developed to provide information via real-time answers to questions after the intervention can be easily accessed in clinical settings with no time or space constraints. It also will contribute to providing accurate disease-related information via the familiar KakaoTalk platform.

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Generative AI at the Bedside: An Integrative Review of Applications and Implications in Clinical Nursing Practice
Adrianna L. Watson, Carmel Bond, Helen Aveyard, Graeme D. Smith, Debra Jackson
Journal of Clinical Nursing.2025;[Epub] CrossRef

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Formative versus reflective measurement models in nursing research: a secondary data analysis of a cross-sectional study in Korea: Eun Seo Park, Young Il Cho, Hyo Jin Kim, YeoJin Im, Dong Hee Kim; J Korean Acad Nurs 2025;55(1):107-118. Published online February 19, 2025; DOI: https://doi.org/10.4040/jkan.24095

Abstract PDF ePub: Purpose
This study aimed to empirically verify the impact of measurement model selection on research outcomes and their interpretation through an analysis of children’s emotional and social problems measured by the Pediatric Symptom Checklist (PSC) using both reflective and formative measurement models. These models were represented by covariance-based structural equation modeling (CB-SEM) and partial least squares SEM (PLS-SEM), respectively.
Methods
This secondary data analysis evaluated children’s emotional and social problems as both reflective and formative constructs. Reflective models were analyzed using CB-SEM, while formative models were assessed using PLS-SEM. Comparisons between these two approaches were based on model fit and parameter estimates.
Results
In the CB-SEM analysis, which assumed a reflective measurement model, a model was not identified due to inadequate fit indices and a Heywood case, indicating improper model specification. In contrast, the PLS-SEM analysis, assuming a formative measurement model, demonstrated adequate reliability and validity with significant path coefficients, supporting the appropriateness of the formative model for the PSC.
Conclusion
The findings indicate that the PSC is more appropriately analyzed as a formative measurement model using PLS-SEM, rather than as a reflective model using CB-SEM. This study highlights the necessity of selecting an appropriate measurement model based on the theoretical and empirical characteristics of constructs in nursing research. Future research should ensure that the nature of measurement variables is accurately reflected in the choice of statistical models to improve the validity of research outcomes.

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Review Paper

Effects of Non-Pharmacological Interventions on Major Adverse Cardiac Events in Patients Underwent Percutaneous Coronary Intervention: Systematic Review and Meta-Analysis: Sojeong Jo, Haejung Lee, Gaeun Park; J Korean Acad Nurs 2024;54(3):311-328. Published online August 31, 2024; DOI: https://doi.org/10.4040/jkan.24019

Abstract PDF: Purpose
In this study a systematic review and meta-analysis investigated the impact of non-pharmacological interventions on major adverse cardiac events (MACE) in patients with coronary artery disease who underwent percutaneous coronary intervention (PCI).
Methods
A literature search was performed using PubMed, Cochrane Library, EMBASE, and Cumulative Index to Nursing & Allied Health Literature databases up to November 2023. The risk of bias was assessed using the Cochrane Risk of Bias 2.0 tool. Effect sizes and 95% confidence intervals were calculated using R software (version 4.3.2).
Results
Eighteen randomized studies, involving 2,898 participants, were included. Of these, 16 studies with 2,697 participants provided quantitative data. Non-pharmacological interventions (education, exercise, and comprehensive) significantly reduced the risk of angina, heart failure, myocardial infarction, restenosis, cardiovascular-related readmission, and cardiovascular-related death. The subgroup meta-analysis showed that combined interventions were effective in reducing the occurrence of myocardial infarction (MI), and individual and group-based interventions had significant effects on reducing the occurrence of MACE. In interventions lasting seven months or longer, occurrence of decreased by 0.16 times, and mortality related to cardiovascular disease decreased by 0.44 times, showing that interventions lasting seven months or more were more effective in reducing MI and cardiovascular disease-related mortality.
Conclusion
Further investigations are required to assess the cost-effectiveness of these interventions in patients undergoing PCI and validate their short- and long-term effects. This systematic review underscores the potential of non-pharmacological interventions in decreasing the incidence of MACE and highlights the importance of continued research in this area (PROSPERO registration number: CRD42023462690).

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Research Papers

Effects of a Pre-Conception Care Program in Women with Inflammatory Bowel Disease: A Mixed-Methods Study Including a Randomized Controlled Trial: Young Jin Lee, Hae Won Kim, Yeon Hee Kim, Suk-Kyun Yang, Ji-Yeon Kim; J Korean Acad Nurs 2024;54(3):386-402. Published online August 31, 2024; DOI: https://doi.org/10.4040/jkan.24010

Abstract PDF

Purpose
The purpose of this study was to conduct a pre-conception care program for women of childbearing age with inflammatory bowel disease (IBD) in Korea and verify its effects on self-efficacy for IBD management, IBD-related pregnancy knowledge, and IBD-related pregnancy anxiety. It also aimed to explore the changes in participants through the program.
Methods
A convergent mixed-methods study design was adopted. In the quantitative phase, 35 women (17 and 18 in the intervention and control group, respectively) participated. The intervention group attended a program that included small-group sessions and individual tele-coaching. To confirm the effects, data were collected before and one and four weeks after the intervention. In the qualitative stage, focus group interviews and tele-coaching were conducted with the intervention group.
Results
After the program ended, significant differences were observed over time between the intervention and control groups for self-efficacy for IBD management (Wald χ² = 4.41, p = .036), IBD-related pregnancy knowledge (Wald χ² = 13.80, p < .001) and IBD-related pregnancy anxiety (Wald χ² = 8.61, p = .003). Qualitative data analysis revealed the following themes: (1) improving confidence in IBD management and awareness for planned pregnancy; (2) improving IBD awareness related to pregnancy and childbirth; and (3) relieving anxiety about and actively facing pregnancy.
Conclusion
This study is meaningful in that, to the best of our knowledge, it is the first to develop a pre-conception care program for women diagnosed with IBD and confirm its effectiveness. Furthermore, this program is expected to be suitable for patient counseling and education in clinical practice.

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The experiences of fertility concerns in women with inflammatory bowel disease of childbearing age: a descriptive qualitative study
Lewei Tu, Qiaoyu Wu, Mengxiao Jiang, Meihao Wei, Ying Wang, Ying Xiao
BMC Gastroenterology.2025;[Epub] CrossRef
Health Literacy in Inflammatory Bowel Disease: A Systematic Review of Health Outcomes, Predictors and Barriers
Caterina Mercuri, Rita Nocerino, Vincenzo Bosco, Teresa Rea, Vincenza Giordano, Michele Virgolesi, Patrizia Doldo, Silvio Simeone
Journal of Clinical Medicine.2025; 14(23): 8577. CrossRef

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Influence of Illness Uncertainty on Health Behavior in Individuals with Coronary Artery Disease: A Path Analysis: Hyesun Jeong, Yesul Lee, Jin Sup Park, Yoonju Lee; J Korean Acad Nurs 2024;54(2):162-177. Published online May 31, 2024; DOI: https://doi.org/10.4040/jkan.23136

Abstract PDF

Purpose
This study aimed to investigate the influence of uncertainty-related factors on the health behavior of individuals with coronary artery disease (CAD) based on Mishel’s uncertainty in illness theory (UIT).
Methods
We conducted a cross-sectional study and path analysis to investigate uncertainty and factors related to health behavior. The study participants were 228 CAD patients who visited the outpatient cardiology department between September 2020 and June 2021. We used SPSS 25.0 and AMOS 25.0 software to analyze the data.
Results
The final model demonstrated a good fit with the data. Eleven of the twelve paths were significant. Uncertainty positively affected danger and negatively affected self-efficacy and opportunity. Danger had a positive effect on perceived risk. Opportunity positively affected social support, self-efficacy, perceived benefit and intention, whereas it negatively affected perceived risk. Social support, self-efficacy, perceived benefit and intention had a positive effect on health behavior. We found that perceived benefit and intention had the most significant direct effects, whereas self-efficacy indirectly affected the relationship between uncertainty and health behavior.
Conclusion
The path model is suitable for predicting the health behavior of CAD patients who experience uncertainty. When patients experience uncertainty, interventions to increase their self-efficacy are required first. Additionally, we need to develop programs that quickly shift to appraisal uncertainty as an opportunity, increase perceived benefits of health behavior, and improve intentions.

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Health uncertainty: Scale development and its effect on health behaviors
Rui Ren, Su Tao, Yuhua Ouyang, Wenchong Du
Journal of Health Psychology.2026;[Epub] CrossRef
Self-Care, Resilience, and Uncertainty in Patients After Coronary Artery Bypass Graft Surgery
Eun-Hye Park, JiYeon Choi, Phill Ja Kim, Jiyeon Lee
Journal of Cardiovascular Nursing.2025;[Epub] CrossRef
Association between Coping Profiles and Cardiac Health Behavior among Patients with Coronary Artery Disease: A Latent Profile Analysis
Yesul Lee, Yoonju Lee, Jeong Cheon Choe, Hyesun Jeong, Sunyoung Jung
Korean Journal of Adult Nursing.2024; 36(3): 228. CrossRef

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Effects of a Health Partnership Program Using Mobile Health Application for Male Workers with Cardiovascular Risk Factors in Small and Medium Enterprises: A Randomized Controlled Trial: Eun Jin Kim, Seon Young Hwang; J Korean Acad Nurs 2024;54(1):44-58. Published online February 29, 2024; DOI: https://doi.org/10.4040/jkan.23090

Abstract PDF

Purpose
This study aimed to apply a health partnership program using commercially available mobile health apps to improve cardiovascular risk factors in male employees and verify its effectiveness.
Methods
Using a randomized control group pretest-posttest design, male employees with cardiovascular risk factors from five small and medium-sized workplaces were randomly assigned to an experimental group (n = 32) and a control group (n = 31). The experimental group was encouraged to use three mobile health apps for 12 weeks to acquire the necessary cardiovascular disease-related information and practice strengthening training, walking, and diet management appropriate to their level. They also received feedback on their weekly activities and motivational text messages from health partners. Hypotheses were tested using the SPSS WIN 22.0.
Results
The experimental group showed a significant difference compared to the control group in terms of their perception of mobile health app (p < .05), self-efficacy for exercise and diet, self-management partnership, and cardiovascular disease prevention health behavior (p < .001). In particular, there were significant decreases in the body mass index, ratio, serum fasting blood sugar, total cholesterol, and triglyceride in the experimental group (p < .001); however, there was no significant difference in high-density lipoprotein-cholesterol.
Conclusion
Intervention using mobile apps based on partnership with health managers is effective in improving the objective cardiovascular risk index in male employees; therefore, such intervention should be continuously used as a useful lifestyle modification strategy in the workplace.

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Adherence to a Heart-Healthy Lifestyle
Yura Shin, Jina Choo, Songwhi Noh
Journal of Cardiovascular Nursing.2025;[Epub] CrossRef

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Psychometric Properties of the Korean Version of Self-Efficacy for HIV Disease Management Skills: Gwang Suk Kim, Layoung Kim, Mi-So Shim, Seoyoung Baek, Namhee Kim, Min Kyung Park, Youngjin Lee; J Korean Acad Nurs 2023;53(3):295-308. Published online June 30, 2023; DOI: https://doi.org/10.4040/jkan.23016

Abstract PDF

Purpose
This study evaluated the validity and reliability of Shively and colleagues’ self-efficacy for HIV disease management skills (HIVSE) among Korean participants.
Methods
The original HIV-SE questionnaire, comprising 34 items, was translated into Korean using a translation and back-translation process. To enhance clarity and eliminate redundancy, the author and expert committee engaged in multiple discussions and integrated two items with similar meanings into a single item. Further, four HIV nurse experts tested content validity. Survey data were collected from 227 individuals diagnosed with HIV from five Korean hospitals. Construct validity was verified through confirmatory factor analysis. Criterion validity was evaluated using Pearson’s correlation coefficients with the new general self-efficacy scale. Internal consistency reliability and test-retest were examined for reliability.
Results
The Korean version of HIV-SE (K-HIV-SE) comprises 33 items across six domains: “managing depression/mood,” “managing medications,” “managing symptoms,” “communicating with a healthcare provider,” “getting support/help,” and “managing fatigue.” The fitness of the modified model was acceptable (minimum value of the discrepancy function/degree of freedom = 2.49, root mean square error of approximation = .08, goodnessof-fit index = .76, adjusted goodness-of-fit index = .71, Tucker-Lewis index = .84, and comparative fit index = .86). The internal consistency reliability (Cronbach’s α = .91) and test-retest reliability (intraclass correlation coefficient = .73) were good. The criterion validity of the K-HIV-SE was .59 (p < .001).
Conclusion
This study suggests that the K-HIV-SE is useful for efficiently assessing self-efficacy for HIV disease management.

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Providing 2 Types of mHealth Interventions to Support Self-Management Among People Living With HIV: Randomized Clinical Trial
Gwang Suk Kim, Layoung Kim, Seoyoung Baek, Sooyoung Kwon, Ji Min Kim, Jun Yong Choi, Jae-Phil Choi
JMIR mHealth and uHealth.2025; 13: e60905. CrossRef
Factors associated with health-related quality of life among people living with HIV in South Korea: Tobit regression analysis
Gwang Suk Kim, Layoung Kim, SangA Lee, Mi-So Shim, Youngjin Lee, Seoyoung Baek, Claus Kadelka
PLOS ONE.2024; 19(5): e0303568. CrossRef
Three cycles of mobile app design to improve HIV self-management: A development and evaluation study
Gwang Suk Kim, Layoung Kim, Seoyoung Baek, Mi-So Shim, SangA Lee, Ji Min Kim, Jong Yae Yoon, Jin Kim, JunYong Choi, Jae-Phil Choi
DIGITAL HEALTH.2024;[Epub] CrossRef

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Development and Evaluation of Motivational Interviewing Pulmonary Rehabilitation Program Based on Self-Determination Theory for Patients with Chronic Obstructive Pulmonary Disease: Jun Hee Jang, Hye Sook Min; J Korean Acad Nurs 2023;53(2):191-207. Published online April 30, 2023; DOI: https://doi.org/10.4040/jkan.22093

Abstract PDF

Purpose
This study aimed to develop a motivational interviewing pulmonary rehabilitation program based on self-determination theory to maintain pulmonary rehabilitation-related health behaviors in patients with chronic obstructive pulmonary disease. The program was developed by reviewing the literature on pulmonary rehabilitation guidelines, drawing on the self-determinism theory to establish its contents, recruiting experts to test its validity, and conducting a preliminary survey.
Methods
A quasi-experimental design was used to confirm the effect of the program. The participants were outpatients diagnosed with chronic obstructive pulmonary disease at three general hospitals in Busan. There were 33 subjects: 15 in the experimental group and 18 in the control group. The experimental group performed a motivational interviewing pulmonary rehabilitation program which comprised 11 sessions delivered over 10 weeks. The outcomes were measured using basic psychological needs, dyspnea, 6-minute walking distance, and functional status. Intervention effects were analyzed using repeated-measures ANOVA.
Results
The analysis revealed significant differences between the experimental and control groups in competence among the subdomains of basic psychological needs, dyspnea during exercise, and functional status.
Conclusion
The developed program affects physical conditions and can be applied as an effective clinical nursing intervention to continuously improve the pulmonary rehabilitation behavior of patients with chronic obstructive pulmonary disease.

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Mediating Effect of Self-Efficacy on the Relationship between Symptom Experience and Health-Related Quality of Life in Patients with Chronic Obstructive Pulmonary Disease
Enhee Jo, Ju-Young Park, Young Jun Jang
Journal of Korean Academy of Fundamentals of Nursing.2024; 31(3): 315. CrossRef

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Validity and Reliability of Korean Version of Self-Care Chronic Obstructive Pulmonary Disease Inventory (SC-COPD) and Self-Care Self-Efficacy Scale (SCES-COPD): Ja Yun Choi, So Young Yun; J Korean Acad Nurs 2022;52(5):522-534. Published online October 31, 2022; DOI: https://doi.org/10.4040/jkan.22062

Abstract PDF

Purpose
This study examined the validity and reliability of the Korean version of the Self-Care in Chronic Obstructive Pulmonary Disease Inventory (SC-COPDI) and the Chronic Obstructive Pulmonary Disease Self-Care Self-Efficacy Scale (SCES-COPD). The SC-COPDI consists of the Self-Care Maintenance Scale (SCMES), Self-Care Monitoring Scale (SCMOS), and Self-Care Management Scale (SCMAS).
Methods
The original tool was translated using a back-translation process. Participants were 241 patients with COPD at the Chonnam National University Hospital in Korea. The construct validity was verified through confirmatory factor analysis, and reliability was verified using Cronbach’s α.
Results
The SCMES consisted of 10 items of three factors―one of four factors was deleted from the original tool. In the SC-MOS, there were six items of two factors after two items were deleted from the original tool. The SCMAS consisted of the original 10 items of three factors. The SCES-COPD consisted of six items of two factors, with one item removed from the original tool. The model fit indices of all tools were good, and the construct validity was confirmed. Cronbach’s α of SCMES was .72, SCMOS was .90, SCMAS was .81, and SCES-COPD was .85.
Conclusion
The Korean version of SC-COPDI and SCES-COPD are valid and reliable instruments for measuring selfcare in people with COPD. These instruments can be used in self-care studies of COPD patients in Korea.

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Impact of Ruminative Thinking on Breathlessness Catastrophizing With Elderly COPD Patients: The Mediating Role of Self‐Efficacy
Yuye Zhang, Qiufang Li, Xiaokai Wang, Tianci Xiao, Chenmeng Wei, Na Song, Lamei Liu
Journal of Clinical Nursing.2025; 34(11): 4854. CrossRef
The influence of depression, social support, and uncertainty on self-management compliance in patients with chronic obstructive pulmonary diseases: A descriptive survey study
Han-na Jang, Jeong-soo Kim
Journal of Korean Gerontological Nursing.2025; 27(3): 318. CrossRef
Enhancing deep learning models for predicting smoking Status using clinical data in patients with chronic obstructive pulmonary disease
Sehyun Cho, Hyeonseok Jin, Kyungbaek Kim, Sola Cho, Ja Yun Choi
DIGITAL HEALTH.2025;[Epub] CrossRef
The Influences of Illness Uncertainty, Health Literacy, and Self-Care on Quality of Life in Patients with Chronic Obstructive Pulmonary Disease
Min Jin Chu, Hyojung Park
Journal of Korean Academy of Fundamentals of Nursing.2025; 32(4): 530. CrossRef
E-health literacy and attitudes toward internet health information in relation to self-care adherence among Korean patients with chronic obstructive pulmonary disease: a cross-sectional study
Na Yeong Park, Insook Lee
BMC Public Health.2025;[Epub] CrossRef
Psychometric testing of the cross-culturally adapted Thai version of the Self-Care Self-Efficacy Scale version 3.0 in individuals with chronic illnesses
Chennet Phonphet, Jom Suwanno, Chonchanok Bunsuk, Wanna Kumanjan, Ladda Thiamwong
International Journal of Nursing Sciences.2024; 11(4): 473. CrossRef

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4 Web of Science
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Review Paper

Knowledge Structure of Chronic Obstructive Pulmonary Disease Health Information on HealthRelated Websites and Patients’ Needs in the Literature Using Text Network Analysis: Ja Yun Choi, Su Yeon Lim, So Young Yun; J Korean Acad Nurs 2021;51(6):720-731. Published online December 31, 2021; DOI: https://doi.org/10.4040/jkan.21086

Abstract PDF

Purpose
The purpose of this study was to identify the knowledge structure of health information (HI) for chronic obstructive pulmonary disease (COPD).
Methods
Keywords or meaningful morphemes from HI presented on five health-related websites (HRWs) of one national HI institute and four hospitals, as well as HI needs among patients presented in nine literature, were reviewed, refined, and analyzed using text network analysis and their co-occurrence matrix was generated. Two networks of 61 and 35 keywords, respectively, were analyzed for degree, closeness, and betweenness centrality, as well as betweenness community analysis.
Results
The most common keywords pertaining to HI on HRWs were lung, inhaler, smoking, dyspnea, and infection, focusing COPD treatment. In contrast, HI needs among patients were lung, medication, support, symptom, and smoking cessation, expanding to disease management. Two common sub-topic groups in HI on HRWs were COPD overview and medication administration, whereas three common sub-topic groups in HI needs among patients in the literature were COPD overview, self-management, and emotional management.
Conclusion
The knowledge structure of HI on HRWs is medically oriented, while patients need supportive information. Thus, the support system for self-management and emotional management on HRWs must be informed according to the structure of patients’ needs for HI. Healthcare providers should consider presenting COPD patient-centered information on HRWs.

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A systematic review of pulmonary rehabilitation nursing interventions for patients with chronic obstructive pulmonary disease
Da-Jung Kim
Journal of Exercise Rehabilitation.2025; 21(5): 234. CrossRef
Development of pictogram‐based content of self‐management health information for Korean patients with chronic obstructive pulmonary disease
Ja Yun Choi, Eui Jeong Ryu, Xin Jin
International Journal of Older People Nursing.2024;[Epub] CrossRef
Identification of the feature genes involved in cytokine release syndrome in COVID-19
Bing Yang, Meijun Pan, Kai Feng, Xue Wu, Fang Yang, Peng Yang, Salman Sadullah Usmani
PLOS ONE.2024; 19(1): e0296030. CrossRef
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Shin Hye Ahn, Hye Won Jeong
CIN: Computers, Informatics, Nursing.2023; 41(10): 780. CrossRef
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In-Hye Song, Kyung-Ah Kang
Child Health Nursing Research.2023; 29(3): 182. CrossRef
A Qualitative Meta-Synthesis of Self-management Experiences of Patients with Chronic Obstructive Pulmonary Diseases
Euna PARK, Jeong-Soo KIM
THE JOURNAL OF FISHERIES AND MARINE SCIENCES EDUCATION.2022; 34(5): 794. CrossRef

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Research Papers

Job Analysis of Nurse Care Coordinators for Chronic Illness Management in Primary Care Settings: Using Developing a Curriculum Process: Ju-Hee Hwang, Yong-Jun Choi, Mi-Sook Kim, Seng-Eun Yi, Yong-Soon Park, Ji-Hyang Kim, Ju-Young Yoon, Dong-Soo Shin; J Korean Acad Nurs 2021;51(6):758-768. Published online December 31, 2021; DOI: https://doi.org/10.4040/jkan.21065

Abstract PDF

Purpose
This study aimed to conduct a job analysis of nurse carecoordinators and to identify the frequency, importance and difficulty of each task of their job.
Methods
A committee for developing a curriculum (DACUM) was formed and members of the committee defined nurse care coordinators’ jobs and enumerated the duties, tasks and task elements by applying the DACUM technique. Then nurse care coordinators enrolled in the pilot project evaluated the frequency, importance and difficulty of each task.
Results
From the job descriptions of nurse care coordinators, we identified 12 duties and 42 tasks. Each task comprised 1~5 task elements. Among tasks, ‘assess the patient’s general health status’ was carried out most frequently. Nurse care coordinators perceived that ‘check vital signs’ and ‘strengthen patient competence to promote health behaviors’ were more important than all other tasks. The most difficult task was ‘develop professionalism as a nurse care coordinator’.
Conclusion
The nurse care coordinators' roles developed in this study will serve as the key guidelines for human resource management of care coordinators. Further, job specifications for nurse care coordinators need to be developed, which is necessary for designing education and training programs. We also need to integrate primary health care as an essential component in nursing education.

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Job Analysis of Nurses Working at Dementia Care Centers Using DACUM
Yong-Sun Shin, Jong-Eun Lee
Research in Community and Public Health Nursing.2025; 36: 21. CrossRef
Factors Influencing Care Coordination for Chronic Disease Patients with a Usual Source of Care
Hyunsang Kwon, Ju Young Yoon
Research in Community and Public Health Nursing.2025; 36: 339. CrossRef
Job analysis of vaccination health workers at public health centers and sub‐centers
No‐Yai Park, Chung‐Min Cho, Eun‐Hyun Lee, Jeong‐Mo Park, Young‐Ran Lee, Jeong‐Ik Hong, Geun‐Yong Kwon
Public Health Nursing.2024; 41(4): 723. CrossRef
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Hana Ko, SuJung Jung
Journal of Gerontological Nursing.2023; 49(10): 29. CrossRef
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Journal of Korean Academy of Community Health Nursing.2022; 33(2): 153. CrossRef

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Factors Influencing the COVID-19 Vaccination Intentions in Nurses: Korea, February 2021: Ju Young Park, Jiyeon Ha; J Korean Acad Nurs 2021;51(5):537-548. Published online October 31, 2021; DOI: https://doi.org/10.4040/jkan.21110

Abstract PDF

Purpose
This study aimed to identify the factors influencing COVID-19 vaccination intentions in nurses.
Methods
The participants were 184 nurses in Korea. Data were collected using a Google Form online survey method in February, 2021, and analyzed using an independent t-test, one-way ANOVA, Pearson correlation, and multiple regression analysis with the SPSS/WIN 26.0 program.
Results
COVID-19 vaccination intention in nurses was correlated significantly with vaccine hesitancy (r = .58, p < .001), risk perception of COVID-19 (r = .22, p = .003), perception of vaccination as a professional duty (r = .59, p < .001), and attitude towards workplace infection control policies (r = .20, p = .007). Vaccine hesitancy (β = .40, p < .001) and the perception of vaccination as a professional duty (β = .44, p < .001) significantly influenced COVID-19 vaccination intention. The model developed in this study explained 50% of the variation in COVID-19 vaccination intention.
Conclusion
Improving the perception of vaccination as a professional duty and lowering vaccine hesitancy may enhance nurses’ COVID-19 vaccination intention. Above all, it is necessary to provide programs to encourage voluntary recognition of vaccination as a professional duty and develop strategies to reduce hesitancy toward COVID-19 vaccinations.

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Jung-Whan Lee
Journal of Health Informatics and Statistics.2024; 49(1): 19. CrossRef
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Vaccines.2022; 10(6): 873. CrossRef

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Validity and Reliability of Korean Version of the Self-Efficacy for Managing Chronic Disease 6-Item Scale: Sook-Nam Kim, Hyun-Ju Lee, So-Young Kim, Nayoon Lee; J Korean Acad Nurs 2021;51(5):617-629. Published online October 31, 2021; DOI: https://doi.org/10.4040/jkan.21069

Abstract PDF

Purpose
The aim of this study was to examine the validity and reliability of the Korean version of the self-efficacy for managing chronic disease 6-item scale (SECD-6-K).
Methods
The English version of the Self-Efficacy for Managing Chronic Disease 6-item Scale first underwent forward and backward translation procedures. The SECD-6-K was then used to collect data from 350 adults diagnosed with chronic diseases. Content, construct, convergent, discriminant, and criterion validity were all evaluated. Reliability was assessed using Cronbach’s α. SPSS 25.0 and the data were analyzed using AMOS 26.0 software.
Results
The SECD-6-K consists of six items in two domains: disease management and health behavior. The results for construct, convergent, and discriminant validity were good. Exploratory factor analysis produced eigen values between 2.27 and 3.28, with factors total explained cumulative variance of 91.1%. Confirmatory factor analysis supported goodness of fit and reliability for the modified SECD-6-K model. The criterion validity also showed significant correlation with both the Patient Health Questionnaire and 12-item Short-Form Health Survey version 2. Finally, reliability was found to be excellent.
Conclusion
This study identified the high reliability and validity of SECD-6-K. The SECD-6-K is an appropriate tool for determining Korean patients’ self-efficacy in managing their chronic conditions. Therefore, this scale may be used in clinical settings as well as in educational and research settings.

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Factors Influencing Health Behavior Compliance in Adult Moyamoya Patients: Bo Eun Kim, Ju-Eun Song; J Korean Acad Nurs 2021;51(1):80-91. Published online February 28, 2021; DOI: https://doi.org/10.4040/jkan.20222

Abstract PDF

Purpose
The purpose of this study was to identify factors influencing health behavior compliance in adult patients with moyamoya.
Methods
A descriptive correlation study was conducted to investigate the factors influencing health behavior compliance. Participants were 142 adult patients diagnosed with moyamoya disease who were hospitalized or visited an outpatient clinic in the Gyeonggi province. Data were collected from December 16, 2019 to April 14, 2020 using self-report questionnaires and analyzed using the IBM SPSS 26.0 Win software.
Results
The hierarchical multiple regression analysis demonstrated that self-efficacy (β = .60, p < .001), social support (β = .13, p = .032), and age (β = .21, p = .005) affected the health behavior of adults with moyamoya disease. These 3 variables explained 62.0% of the variance of health behavior compliance, and the most influential factor was self-efficacy.
Conclusion
Based on the results of this study, it concludes that nursing interventions should be focused on self-efficacy and social support to improve health behavior compliance with adult patients diagnosed with moyamoya disease. For that, various strategies to enhance self-efficacy and social support should be developed and actively applied in the clinical setting for adult moyamoya patients.

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Original Articles

The Disease Management Experience of Patients with Asthma: Grounded Theory Approach: Bohye Kim, Oksoo Kim; J Korean Acad Nurs 2020;50(5):714-727. Published online October 31, 2020; DOI: https://doi.org/10.4040/jkan.20139

Abstract PDF

Purpose
The aim of this study was to develop a situation-specific theory to explain the disease management experience of patients with asthma.
Methods
Twenty participants with asthma were selected using the theoretical sampling method. The data were acquired through in-depth interviews conducted from June to October 2018 and analyzed using the grounded theory approach of Strauss and Corbin.
Results
In total, 69 concepts, 30 subcategories, and 13 categories were generated to explain the disease management experience of patients with asthma. The core category of the disease management experience of patients with asthma was ‘management of the disease to prevent aggravation of symptoms over the lifetime’. The disease management process of asthma patients included three steps: the ‘cognition phase’, the ‘adjustment phase’, and the ‘maintenance phase’. However, some patients remained in the ‘stagnation phase’ of disease management, which represents the result of the continual pursuit of risky health behavior. There were three types of disease management experiences among patients with asthma: ‘self-managing’, ‘partially self-managing’, and ‘avoidant’.
Conclusion
This study shows that patients with asthma must lead their disease management process to prevent exacerbation of their symptoms. It is imperative to develop nursing strategies and establish policies for effective disease management of patients with asthma based on their individual disease management processes and types.

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Qualitative Research in Healthcare: Data Analysis
Dasom Im, Jeehye Pyo, Haneul Lee, Hyeran Jung, Minsu Ock
Journal of Preventive Medicine and Public Health.2023; 56(2): 100. CrossRef

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Qualitative Study on the Experience of Patients with Meniere Disease: Woo Joung Joung; J Korean Acad Nurs 2020;50(5):699-713. Published online October 31, 2020; DOI: https://doi.org/10.4040/jkan.20115

Abstract PDF: Purpose
The purpose of this study was to understand and describe the experiences of patients with Meniere disease.
Methods
Data were collected from February 19, 2019, to February 5, 2020, through individual in-depth interviews with 13 Meniere patients. Verbatim transcripts were analyzed using Colaizzi’s phenomenological analysis.
Results
The experiences of patients with Meniere disease were clustered into the following four themes from 22 meaning units: 1) Complex unfamiliar symptoms that shatter both balance of the body and peace of the heart; 2) A disease that medical treatment and health professionals cannot cure; 3) Suffering hardships that cannot be understood by non-Meniere sufferers; and 4) Making daily efforts to become healthier. Symptoms of Meniere disease are life-shattering and depressing because they are neither visible nor easily curable. Over time, as they accepted the reality of living with the disease, the participants would shift their focus from complete symptomatic cure to leading a healthy and more balanced life.
Conclusion
This study shows that Meniere disease has a pervasive impact on all aspects of the patients’ lives. Patients are prone to experiencing restrictions in their social functioning and activities. They also experience psychosocial problems due to the unseen nature of their symptoms. This study elucidates the experiences of Meniere patients and the need for nursing intervention to help improve their quality of life and ability to self-manage. Lastly, this study shows the need for a coordinated interdisciplinary approach to raising public awareness of the disease.

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Review Article

Continuity of Care in Chronic Diseases: A Concept Analysis by Literature Review: Jingjing Hu, Yuexia Wang, Xiaoxi Li; J Korean Acad Nurs 2020;50(4):513-522. Published online August 31, 2020; DOI: https://doi.org/10.4040/jkan.20079

Abstract PDF

Purpose
This study aimed to utilize concept analysis to obtain a better understanding of the concept of “continuity of care” in chronic diseases.
Methods
The concept of continuity of care was analyzed using the Walker and Avant method. Covering literature in English from 1930 to 2018, the data sources included CINAHL Complete, Academic Search Complete, MEDLINE, PsyARTICLES, Health Source: Nursing/ Academic Edition, Google Scholar, Science Direct, and the Cochrane Library.
Results
A comprehensive definition of concept of continuity of care was developed based on a systematic search and synthesis. The key defining attributes were identified as (a) care over time, (b) the relationship between an individual patient and a care team, (c) information transfer, (d) coordination, and (e) meeting changing needs. The antecedents of continuity of care were having a chronic disease, inexperienced with disease management, a poorly coordinated healthcare system, and medical care limitations. The consequences of continuity of care were decreasing hospital admissions, reducing costs, reducing emergency room visits, improving the quality of life, improving patient satisfaction, and delivering good healthcare.
Conclusion
The thorough concept analysis provides insight into the nature of “continuity of care” in chronic diseases and also helps ground the concept in healthcare.

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Original Articles

Effects of Spouse-Participated Health Coaching for Male Office Workers with Cardiocerebrovascular Risk Factors: So Hee Kang, Seon Young Hwang; J Korean Acad Nurs 2019;49(6):748-759. Published online December 30, 2019; DOI: https://doi.org/10.4040/jkan.2019.49.6.748

Abstract PDF

Purpose

This study aimed to examine the effect of spouses participating in health coaching on stage of the change, health behaviors, and physiological indicators among male office workers with cardiocerebrovascular disease (CVD) risk factors and compare the findings with trainers who provided health coaching only to workers.

Methods

A quasi-experimental pretest-posttest design was used. Convenience sampling was used to recruit participants from a manufacturing research and development company in the city of Gyeonggi province. The health coaching program for the experimental group (n=26) included individual counseling sessions according to workers' stage of change, and provision of customized health information materials on CVD prevention to workers and their spouses for 12 weeks through mobile phone and email.

Results

After 12 weeks of intervention, the total score for health behavior, and scores on the sub-areas of exercise and health checkups significantly improved in the experimental group, but there were no significant differences in the scores of stage of the change and physical indicators. The results of a paired t-test showed a significant decrease in the body mass index, abdominal circumference, systolic blood pressure, diastolic blood pressure, total cholesterol and triglyceride values, and a significant increase in the high-density lipoprotein cholesterol value in the experimental group after the intervention.

Conclusion

To improve the health of male workers with CVD risk factors in the workplace, sharing health information with their spouses has proven to be more effective than health coaching for only workers. Therefore, it is important to develop strategies to encourage spousal participation when planning workplace health education for changing health-related behaviors.

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Eun Jin Kim, Seon Young Hwang
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Effects of a Daily Life-Based Physical Activity Enhancement Program for Middle-Aged Women at Risk for Cardiovascular Disease: Kyung Ae Kim, Seon Young Hwang; J Korean Acad Nurs 2019;49(2):113-125. Published online April 30, 2019; DOI: https://doi.org/10.4040/jkan.2019.49.2.113

Abstract PDF

Purpose

The purpose of this study was to examine the effects of a daily life-based physical activity enhancement program performed by middle-aged women at risk for cardiovascular disease.

Methods

This study used a randomized control group pretest-posttest design. Middle-aged women aged 45 to 64 were recruited from two outpatient cardiology departments, and randomly assigned to an experimental group (n=28) and a control group (n=30). For the experimental group, after providing one-on-one counseling and education, we provided customized text messages to motivate them in daily life. To monitor the practice of physical activity, they also used an exercise diary and mobile pedometer for 12 weeks. Subjects' physical activities (MET-min/week) were measured using the International Physical Activity Questionnaire (IPAQ). Their physiological data were obtained by blood tests using a portable analyzer, and the data were analyzed using the SPSS 21.0/WIN program.

Results

There were significant differences in exercise self-efficacy, health behavior, IPAQ score, body fat, body muscle, and fasting blood sugar between the two groups. However, there were no significant differences in total cholesterol, hemoglobin A1c, high-density lipoprotein cholesterol, and waist-to-hip ratio.

Conclusion

Strengthening physical activity in daily life without being limited by cost burden and time and space constraints. Therefore, it is essential to motivate middle-aged women at risk for cardiovascular disease to practice activities that are easily performed in their daily lives.

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Comparison of Effects of Oral Health Program and Walking Exercise Program on Health Outcomes for Pregnant Women: Hae-jin Park, Haejung Lee; J Korean Acad Nurs 2018;48(5):506-520. Published online October 31, 2018; DOI: https://doi.org/10.4040/jkan.2018.48.5.506

Abstract PDF

Purpose

To compare the effects of the Interaction Model of Client Health Behavior (IMCHB)-based oral health program (OHP) and walking exercise program (WEP) on oral health behaviors, periodontal disease, physical activity, and psychological indicators (depression, stress, and quality of life) in pregnant women.

Methods

A nonequivalent control group pretest-posttest design was adopted to compare the effects of a 12-week OHP and WEP on pregnant women (n=65). Pregnant women were randomly assigned to the oral health group (OHG; n=23), walking exercise group (WEG; n=21), or control group (CG; n=21). Data were analyzed by the χ²-test, Fisher's exact test, Scheffe test, and repeated measures ANOVA, using the Statistical Package for the Social Sciences for Windows (version 21.0).

Results

The OHG and WEG showed significant improvements in oral health behaviors, periodontal disease, and psychological indicators as compared to the CG. The WEG showed significant improvement in physical activity as compared to the OHG and CG.

Conclusion

These findings indicate that the IMCHB-based OHP and WEP were effective in improving periodontal disease, physical activity, and psychological indicators. However, further studies are needed to identify the positive effects of the OHP and WEP on birth outcomes.

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Self-Management Experiences of the Adolescents with Chronic Kidney Disease: Sug Young Lee, Heesun Shin; J Korean Acad Nurs 2018;48(3):266-278. Published online January 15, 2018; DOI: https://doi.org/10.4040/jkan.2018.48.3.266

Abstract PDF

Abstract Purpose

The aim of this study was to develop a substantive theory on self-management conducted by the adolescents with chronic kidney disease from their lived experience.

Methods

Data was collected through in-depth interviews from May to December in 2015 with thirteen adolescents with chronic kidney disease. The data collected were analyzed on the basis of Strauss and Corbin's grounded theory.

Results

The core of the category found in this study was “overcoming the unstable sense of self- control and integrating disease experience into their life”. The causal conditions triggering the central phenomenon were “restriction in daily life” and “manifestation and aggravation of symptom”. The central phenomenon in the experience of self-management within the adolescents with chronic kidney disease was “unstable sense of self control”. The intervening condition for unstable self control were “micro system support” and “motivational resources”. This study found that the adolescents with chronic kidney disease followed a series of strategies when they faced the central phenomenon, including; passive coping, reappraisal of illness, active coping, compliance with treatment, controlling physical activity, and adjusting school life. With these strategic approaches, the adolescents with chronic kidney disease could maintain their active lifestyles and achieve their health behaviors. The process of self-management by these adolescents passed through four phases; limited experience caused by diseases, effort for normalization, reorganizing their daily lives, and integration with daily lives and self-management.

Conclusion

This Study explored the process and experience of self-management of adolescents with chronic kidney disease. These findings can be used for basis for developing substantive theory and nursing intervention strategy for adolescents with chronic kidney diseases.

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Review Article

Effectiveness of Non-Pharmacologic Interventions in Chemotherapy Induced Peripheral Neuropathy: A Systematic Review and Meta-Analysis: Pok-Ja Oh, You Lim Kim; J Korean Acad Nurs 2018;48(2):123-142. Published online January 15, 2018; DOI: https://doi.org/10.4040/jkan.2018.48.2.123

Abstract PDF

Abstract Purpose

This study was conducted to evaluate the effectiveness of non-pharmacologic interventions in chemotherapy-induced peripheral neuropathy (CIPN).

Methods

PubMed, Cochrane Library CENTRAL, EMBASE, CINAHL, and several Korean databases (Until August 2017) were searched. The main search strategy combined terms for peripheral neuropathy and presence of neoplasms. The risk of bias was assessed using the Cochrane's Risk of Bias tool for randomized studies and the Risk of Bias Assessment tool for non-randomized studies. To estimate the effect size, a meta-analysis of the studies was performed using the Rev Man 5.3 program of the Cochrane Library random-effects models were used in the analyses.

Results

Twenty-two studies with a total of 954 participants met the inclusion criteria. Of the 22 studies, 12 were used to estimate the effect size of the non-pharmacologic interventions. The non-pharmacologic interventions used in patients with CIPN were exercise, acupuncture, massage, and foot bath. The acupuncture significantly reduced CIPN symptoms and signs (d=-0.71) and CIPN pain (d=-0.73) (p<.001). Massage and foot bath were also effective in reducing CIPN symptoms (d=-0.68; 95% CI=-1.05, -0.30; p<.001; I²=19%).Exercis-es were effective in improving muscle strength and endurance(d=-0.55) and quality of life (d=-2.96), but they were not significantly effective in improving CIPN.

Conclusion

Although these results provide little evidence of the effectiveness of acupuncture, massage, and foot bath in the treatment of CIPN, they suggest that these interventions can reduce CIPN symptoms in patients with cancer. However, the findings of this study should be interpreted with caution as there is a relative lack of data in this field, and additional well-designed studies are needed. PROSPERO registration: CRD42017076278.

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Original Articles

Structural Equation Modeling on Successful Aging in Elders with Chronic Obstructive Pulmonary Disease Based on Selection-Optimization-Compensation Strategy: Young Mi Jang, Rhayun Song; J Korean Acad Nurs 2017;47(4):488-498. Published online August 31, 2017; DOI: https://doi.org/10.4040/jkan.2017.47.4.488

Abstract PDF

Purpose

The focus of the study was on the selection-optimization-compensation (SOC) strategy to predict successful aging mediated by dyspnea symptoms in older adults with chronic obstructive pulmonary disease. The model was constructed based on the hypotheses that coping strategy and social support of the elders predict successful aging through the SOC strategies.

Methods

Participants were 218 outpatients with chronic obstructive pulmonary disease recruited for the study. Data collection was done from March 25 to September 11, 2015, and analyzed using SPSSWIN 22.0 and AMOS 21.0.

Results

The hypothetical model appeared to be fit to the data. Seven of eight hypotheses selected for hypothetical model were statistically significant. The SOC strategy has only significant indirect effects through dyspnea symptoms on successful aging. Coping strategy, social support, SOC strategies and dyspnea symptoms explained 62% of variance in successful aging.

Conclusion

The SOC strategies with social support and dyspnea symptoms significantly explained successful aging among patients with chronic obstructive pulmonary disease. Nursing strategies should be focused on social support and coping strategies to optimize SOC strategies so that older adults with chronic obstructive pulmonary disease are able to manage dyspnea symptoms and eventually achieve successful aging.

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A structural equation modeling analysis of successful aging in older adults with osteoarthritis: A cross-sectional descriptive study
Jeong Hwa Kum
Journal of Korean Gerontological Nursing.2025; 27(2): 131. CrossRef
Development of a scale to measure selection, optimization, compensation (SOC) strategy in late middle-aged women: a methodological study
Do-Young Lee, Gie Ok Noh
Women's Health Nursing.2024; 30(3): 216. CrossRef
Factors contributing to chronic obstructive pulmonary disease patients' functional performance: Structural equation modelling based on theory of unpleasant symptoms
Hye Suk Jun, Younhee Kang
Nursing Open.2023; 10(5): 3132. CrossRef
Experiences on Self Management of Aged Men with Mild Chronic Obstructive Pulmonary Diseases
Jeong-Soo KIM
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The Relationships among Social Support, Bowel Function Symptoms and Uncertainty in Rectal Cancer Patients
Kyungmi Lee, Semi Lim
Journal of Korean Academy of Fundamentals of Nursing.2021; 28(4): 421. CrossRef
Life experience of older women with chronic conditions: Flow and Balance as a coping resource
Sanghee Lee, Jinmoo Heo
Educational Gerontology.2019; 45(4): 259. CrossRef

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Prevention Stages for Sexually Transmitted Diseases of College Students: Soon Bok Chang; Journal of Nurses Academic Society 1997;27(2):423-432. Published online March 30, 2017; DOI: https://doi.org/10.4040/jnas.1997.27.2.423

Abstract PDF: This is a descriptive study to understand the preventive stage for STDs to provide a basis for sex education for college students. The colleges were selected by quota sampling in five representative cities in Korea, but the1,691 college students were selected by convenient sampling in the cities nationwide, and the data were collected by self-reporting using questionnaire consisting of 33 items. The results were as follows : 1. Their mean ages were 21.8 for female and 23.3 for male students, 2. 78.0% of the males and 46.5% of the females permitted premarital sex, 57.1% of male and 10.3% of female college students had experienced sexual intercourse, 7.1% of males and 2.4% of females had experienced pregnancy, 10.3% of males and 3.4% of females had been infected with STDs, 72.1% of male and 13.8% of female didn't use condoms at the time of infection. 3. Most of the factors related to STDs infection, such as drinking, smoking, frequency of sexual intercourse, pregnancy, knowledge of STDs, the score of STDs prevention were statistically higher in the male student group than in the female group. 4. The student's mean score of knowledge about STDs was similar between the male group(7.80)and the female group(7.84) with a possible score range from 0-18. 5. Only fifteen percent of male and 9.6% of female students expressed that they will do something to prevent STD. 6. The group having the experience of sexual intercourse(t=3.924, P=.048) and the group of having experience of contracting STDs(t=16.638, P=.000) had shown statistically higher STDs prevention score than the group not having that kind of experience, but the group not having experience with pregnancy didn't show any difference from the group not having experience with pregnancy. Considering that 57.1% of males and 10.3% of females had sexual intercourse experience, 78% of male and 46.5% of female permitted premarital sex, 10.3% of male and 3.4% of female had been infected with STDs. It could be concluded that the college students were ignorant about the prevention of STDs and had unrealistic stage of the STDs prevention. Therefore, enforcement of education for the prevention of STDs including the dynamics of the sexual intercourse and STDs infection is needed.

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Factors Influencing Functional Status in People with Chronic Lung Disease: Eui Geum Oh, Cho Ja Kim, Won Hee Lee, So Sun Kim, Bo Eun Kwon, Yeon Soo Chang, Ji Yeon Lee, Young Jin Kim; Journal of Korean Academy of Nursing 2002;32(5):643-653. Published online March 29, 2017; DOI: https://doi.org/10.4040/jkan.2002.32.5.643

Abstract PDF: PURPOSE: The purpose of this study was to identify factors that influence the functional status of chronic lung disease patients. METHOD: A descriptive, correlational study design was used. The study was conducted at the outpatient respiratory clinic of the large university hospital in Korea. A convenience sample of 128 chronic lung patients (age = 64.2 yrs; 106 COPD, 17 bronchiectasis, 5 DILD) with mean FEV1 64.4 % predicted. Functional status was measured with SIP. Physical variables (FEV1% predicted, dyspnea, fatigue, pulmonary symptom distress), psychological variables (mood, stress), and situational variable (sleep quality) were examined. Dyspnea was measured by the BDI, fatigue was measured with the MFI. Mood was measured with the modified Korean version of POMS. Sleep quality was measured with the Pittsburgh Sleep Quality Index. Potential independent variables for the regression were age, gender, years since diagnosis, FEV1% predicted, dyspnea, fatigue, pulmonary symptom distress, stress, and sleep quality. RESULT: In general, functional status was relatively good. In regression analysis, functional status were significantly influenced by dyspnea, mood, age and fatigue. These variables explained 70 % of the variances in functional status. CONCLUSION: The results suggest that psychophysiologic symptom management should be a focus to enhance the functional status in this group.

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Predictors of Intention to Quit Smoking among Patient with Coronary Heart Disease: Eun Kyung Kim, Mae Ja Kim, Mi Ryung Song; Journal of Korean Academy of Nursing 2002;32(3):355-363. Published online March 29, 2017; DOI: https://doi.org/10.4040/jkan.2002.32.3.355

Abstract PDF

PURPOSE: The purpose of this study was to examine the level of intention to quit smoking and to identify factors influencing intention to quit among patients with coronary heart disease. Method: The subjects consisted of 80 male patients with coronary heart disease (angina pectoris, myocardial infarction) at three hospitals in Seoul. The data were collected with self reporting in a structured questionnaire. Stepwise multiple regression was used to identify predictors of intention to quit. Included variables were attitudes toward smoking cessation, subjective norms, perceived behavioral control, usefulness of smoking cessation, and previous attempts to quit. RESULT: 1. The mean score for intention to quit was 11.1(+/-6.1) which was lower than median score of the scale. 2. There were significant correlations between the all predictive variables and the intention to quit(r=.24-.48, p<.05). 3. usefulness of smoking cessation, perceived behavioral control, and previous attempts to quit explained 34.6% of the variance for intention to quit. CONCLUSION: usefulness of smoking cessation, perceived behavioral control, and previous attempts to quit were identified as important variables in explaining the intention to quit smoking among patients with coronary heart disease. Thus, it is necessary to try to enhance this factors for increasing intention to quit among patients with coronary heart disease.

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Factors Influencing Intention to Quit Smoking in Stroke Patients: Based on the Theory of Planned Behavior
Jin-hyun Bae, Eun Su Do, Young Soo Seo
Journal of Korean Gerontological Nursing.2014; 16(1): 49. CrossRef
Predictors of Intention to Quit Smoking in Elderly Smokers following a Stroke
Eun Su Do, Young-Sook Seo
Journal of Korean Academy of Fundamentals of Nursing.2014; 21(1): 48. CrossRef

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Effects of a Occupational Health Promotion Program for Prevention of Cardiovascular Disease: Jee Won Park, Yong Soon Kim, Gi Yon Kim; Journal of Korean Academy of Nursing 2002;32(2):196-205. Published online March 29, 2017; DOI: https://doi.org/10.4040/jkan.2002.32.2.196

Abstract PDF

PURPOSE: The purposes of this study was to evaluate an occupational health promotion program for the prevention of cardiovascular disease. METHOD: This study employed a quasi-experimental non-equivalent pre and post test to evaluate the program. The subjects of this study were 48 employees selected by convenience sampling who were suspected of having hypertension and hyperlipidemia in routine physical examinations and who were working in A University Hospital in Suwon. 25 subjects were assigned to the experimental group and 23 to the control group. Data collection was done using questionnaries before and after the subjects used the program. RESULTS: The results of this study showed that systolic blood pressure, ALT, gamma-GTP in the experimental group was lower than that of the control group. There were significant differences between two groups in the percentage of 'irregularity of diet' and in health behavior compliance. There were significant differences between the two groups in the number of complaints of symptoms after using the program. CONCLUSION: This study shows that there were no obvious differences between the two groups in all areas, but this program had a positive effect on health behavior changes. It is expected that employees' lifestyles can be changed through continuous health promotion programs.

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The Influencing Factors on Health Behavior of Patients with Coronary Artery Disease: Young Whee Lee, Hwa Soon Kim, Eui Young Cho; Journal of Korean Academy of Nursing 2002;32(1):40-49. Published online March 29, 2017; DOI: https://doi.org/10.4040/jkan.2002.32.1.40

Abstract PDF

PURPOSE: The purpose of this study was to investigate the influencing factors on health behavior among patients with coronary artery disease.
METHOD
The subjects were 95 patients who visited the out-patient department of a university hospital for follow-up. The four health belief concepts (motivation, benefit, barrier, seriousness), general self-efficacy, health behaviors on medication, diet, exercise, stress management, smoking, and drinking were measured.
RESULT
There were significant differences in the health behavior scores of subjects according to family support and the experience of surgical procedure. Subjects were found to have a high degree of compliance in taking medication. However subjects reported the lowest degree of compliance in regular exercise. In the multiple regression analysis, surgical procedure and motivation were significant predictors to explain diet. Motivation and barrier were significant predictors to explain exercise. Self-efficacy, motivation and family support were significant predictors to explain stress management. Family support and seriousness explained 16% of variance in drinking. Also, family support explained 30% of variance in smoking.
CONCLUSION
Since predicting factors on each health behavior indicator were different, then nurses should consider these differences to construct strategy enhancing patient's recovery.

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Mitsuko Kanzaki, Chifumi Otaki, Kazue Maeda, Taeko Hori, Akemi Take, Hiroko Otsuka, Taeko Noguchi, Sumiko Maehara
Journal of Japan Academy of Nursing Science.2012; 32(1): 50. CrossRef
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A Structural Model for Health Promoting Behaviors in Patients with Chronic Respiratory Disease: Young Joo Park, So In Kim, Pyoung Sook Lee, Soon Yong Khim, Sook Ja Lee, Eun Sook Park, Ho Shin Ryu, Sung Ok Chang, Kuem Sun Han; Journal of Korean Academy of Nursing 2001;31(3):477-491. Published online March 29, 2017; DOI: https://doi.org/10.4040/jkan.2001.31.3.477

Abstract PDF

PURPOSE: This study was designed to construct a structural model for health promoting behavior in patients with chronic respiratory disease. A hypothetical model was developed based on the literature review. METHOD: Data was collected by questionnaires from 235 patients with chronic respiratory disease in a General Hospital in Seoul. Data analysis was done using SAS 6.12 for descriptive statistics and the PC-LISREL 8.13 Program for Covariance Structural Analysis. RESULT: The results are as follows : 1. The fit of the hypothetical model to the data was moderate. It was modified by excluding 2 path and including free parameters and 3 path to it. The modified model with path showed a good fitness to the empirical data(X2=80.20, P=0.05, GFI=0.95, AGFI=0.88, NNFI=0.95, NFI=0.96, RMSR=0.01, RMSEA =0.06). 2. The perceived benefits, self-efficacy, and a plan of action were found to have significant direct effects on the health promoting behavior in patients with chronic respiratory disease. 3. The health perception, self-esteem, and activity related to affect were found to have indirect effects on the health promoting behavior in patients with chronic respiratory disease. CONCLUSION: The modified model of this study is considered appropriate in explaining and predicting health promoting behavior in patients with chronic respiratory disease. Therefore, it can effectively be used as a reference model for further studies and suggested direction in nursing practice.

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A Predictive Model of Health Promotion Behavior in Obese School-Age Children
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Exercise self-efficacy, exercise benefits and barriers, and commitment to a plan for exercise among Korean women with osteoporosis and osteoarthritis
Yun Hee Shin, Hea Kung Hur, Nola J. Pender, Hee Jung Jang, Moon-Sil Kim
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Test of the health promotion model as a causal model of commitment to a plan for exercise among Korean adults with chronic disease
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Using methodological triangulation for cultural verification of commitment to a plan for exercise scale among Korean adults with chronic diseases
YunHee Shin, Nola J. Pender, SangKyun Yun
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A Structural Model Based on Pender's Model for Quality of Life of Chronic Gastric Disease: Eun Sook Park, So In Kim, Pyoung Sook Lee, Soon Yong Khim, Sook Ja Lee, Young Joo Park, Ho Shin Ryu, Sung Ok Chang, Kuem Sun Han; Journal of Korean Academy of Nursing 2001;31(1):107-125. Published online March 29, 2017; DOI: https://doi.org/10.4040/jkan.2001.31.1.107

Abstract PDF

This study was designed to construct a structural model for quality of life of chronic gastric disease. The hypothetical model was developed based on the literature review and Pender's health promotion model. Data were collected by questionnaires from 459 patients with chronic gastric disease in a General Hospital from July 1999 to August 2000 in Seoul. Data analysis was done with SAS 6.12 for descriptive statistics and PC-LISREL 8.13 Program for Covariance structural analysis. The results are as follows : 1. The fit of the hypothetical model to the data was moderate, thus it was modified by excluding 1 path and including free parameters and 2 path to it. The modified model with path showed a good fitness to the empirical data (Chi2=934.87, p<.0001, GFI=0.88, AGFI=0.83, NNFI=0.86, RMSR =0.02, RMSEA=0.07). 2. The perceived barrier, health promoting behavior, self-efficacy, and self-esteem were found to have significant direct effects on the quality of life. 3. The health concept, health perception, emotional state, and social support were found to have indirect effects on quality of life of chronic gastric disease. In conclusion, the derived model in this study is considered appropriate in explaining and predicting quality of life of chronic gastric disease. Therefore it can effectively be used as a reference model for further studies and suggested direction in nursing practice.

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Perceived Exercise Self-Efficacy and Exercise Benefits/Barriers of Korean Adults with Chronic Diseases: Yun Hee Shin, Hee Jung Jang; Journal of Korean Academy of Nursing 2000;30(4):869-879. Published online March 29, 2017; DOI: https://doi.org/10.4040/jkan.2000.30.4.869

Abstract PDF

The purpose of this study was to assess the perceived exercise self-efficacy and exercise benefits/barriers of Korean adults with chronic diseases, and the relationship between the two variables. For the study, 249 Korean adults with chronic diseases with ages ranging from 18 to 79 years were recruited from hospitals or health centers in five Korean cities and surrounding rural areas. The research instruments were the scales that researchers psychometrically verified the Exercise Self-Efficacy Scale, developed by Bandura (1997), and the Exercise Benefits/ Barriers Scale, developed by Sechrist, Walker, and Pender(1987). Results of descriptive analysis showed that Korean adults with chronic diseases perceived relatively low exercise self-efficacy and relatively high exercise benefits/ barriers. Exercise self-efficacy was significantly correlated with gender, education, regular exercise, and exercise benefits/barriers was significantly correlated with gender, regular exercise. Pearson correlation coefficient showed the significant relationship between the two variables. Further researches, which are a study to evaluate a causal structure for Pender's Health Promotion Model and an intervention study to increase physical activity of chronic patients, are recommended.

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A Pilot Primary Stroke Prevention Program for Elderly Korean Americans
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The Relationship between Health Belief and Exercise Compliance among Elderly Adults at Senior Centers
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Factors Influencing Exercise Behavior of the Male Manual Worker and Office Worker based on Health Promotion Model
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The Effects of Task-Oriented Training Program on Balance, Activities of Daily Living Performance and Self-Efficacy in Stroke Patients : A Pilot Study
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Influences of oral health behaviors according to oral health education experiences in middle school students
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Journal of Korean society of Dental Hygiene.2013; 13(4): 639. CrossRef
Factors Affecting Fear of Falling in Stroke Patients
Hee-Sook Jeong, Eun-Nam Lee, Sam-Sook Kim
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A Predictive Model on Health Promotion Behavior in Women who Immigrate for Marriage
Namok Jeong, Myung Ha Lee
Journal of Korean Academy of Nursing.2010; 40(5): 695. CrossRef
Gender differences in physical activity and its determinants in rural adults in Korea
Hyun Kyung Kim, Mi Ja Kim, Chang Gi Park, Hyeon Ok Kim
Journal of Clinical Nursing.2010; 19(5-6): 876. CrossRef
Health Locus of Control, Exercise Self-efficacy, and Exercise Benefits/Barriers of Female College Students
Ju Young Ha
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Effects of the Exercise Self-Efficacy and Exercise Benefits/Barriers on doing Regular Exercise of the Elderly
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Journal of Korean Academy of Nursing.2008; 38(3): 428. CrossRef
Exercise self-efficacy, exercise benefits and barriers, and commitment to a plan for exercise among Korean women with osteoporosis and osteoarthritis
Yun Hee Shin, Hea Kung Hur, Nola J. Pender, Hee Jung Jang, Moon-Sil Kim
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Test of the health promotion model as a causal model of commitment to a plan for exercise among Korean adults with chronic disease
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A Study on the Circadian Blood Pressure Rhythm of Diabetic Patients: Hwa Soon Kim, Wha Sook Suh; Journal of Korean Academy of Nursing 2000;30(3):741-749. Published online March 29, 2017; DOI: https://doi.org/10.4040/jkan.2000.30.3.741

Abstract PDF: This study was performed to investigate the relationship between reversed circadian blood pressure and risk factors of peripheral vascular disease in non-insulin-dependent diabetes mellitus (NIDDM) subjects. The subjects in this study were 18 NIDDM patients who were hospitalized in a medical unit of an university medical center located in Incheon, Korea, between November, 1998 and March, 1999. Blood pressure was measured with a mercury sphygmomanometer by 2 trained examiners every 2 hours during 24 hours. NIDDM subjects were divided into a dipper group and non-dipper group. Dippers are defined as those who show a mean nighttime blood pressure(BP) drop of more than 10% compared with daytime BP. Non-dippers are defined as those who show a mean nighttime BP drop of less than 10%, or an elevation in BP compared with daytime BP. Daytime BP included values obtained between 6 a.m. and 10 p.m. Night time BP included values obtained between 10 p.m. and 6 a.m. Data was analyzed by SPSS/PC package. Chi-square( 2) test was used for the comparison of sex between The dipper group and non-dipper group. Mann-Whitney test was used for comparisons of values of the risk factors of peripheral vascular disease and the frequency of complications of diabetes between the dipper group and non-dipper group. The results are as follows. There were no significant differences in daytime systolic, diastolic, and mean blood pressures between the dipper group and non-dipper group. However, night time systolic, diastolic, and mean blood pressures in the non-dipper group were significantly nigher than those in the dipper group (p=.021). There were no differences in sex, age, body, weight, duration of diabetes, serum lipid levels, BUN and HbA1c between the two groups. On the contrary, 87.5% of non-dipper group subjects showed having hypertension, 30% of dipper group subjects showed having hypertension and this difference was statistically significant (p=.018). All of the non-dipper group subjects (N=8) showed having at least one diabetic complication. However, 40% of the dipper group subjects (N=10) showed having no diabetic complication at all and this difference was also statistically significant (p=.049). There were no significant differences in frequency of nephropathy, neuropathy and retinopathy between the dipper group and non-dipper group.

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Lifestyles Effects on Stroke Risk in Different Regions in Korea: Smi Choi-Kwon, Eun Kyung Kim, Mi Yang Jeon; Journal of Korean Academy of Nursing 1998;28(3):729-738. Published online March 29, 2017; DOI: https://doi.org/10.4040/jkan.1998.28.3.729

Abstract PDF

BACKGROUND AND PURPOSE: Stroke is a leading cause of death in Korea. Early measurement to prevent stroke are extremely important since it has no cure. Korean might have different risk factors since their dietary habit and socio-economical status differ from most western countries. However, the risk factors for stroke in Korea have not yet been identified. Moreover, the lifestyle of health Korean adults has not been investigated. In this study we investigate the life of health adults living in Seoul and rural areas and compare the life style of the two. METHODS: One hundred seventy one subjects were studies. Among the subjects studied, 128 were from Seoul, the other 43 were from the country area. The age of the subjects was limited to over 40 years. Blood pressure, fast blood sugar, and cholesterol were measured. The subjects' height, weight, body mass index total body fat, skinfolds thickness of triceps, subscapular and abdomen were measured to determine obesity. Using a structured interview, we assessed : sodium intake, physical activity and exercise, consumption of vegetables, fat, fish and fruits. The results of the two groups were compared. RESULTS: There were no statistical differences in age and education between the two groups of subjects. The mean age of the subjects were 66 years old. The subjects residing in rural areas had a higher intake of sodium(p<0.05), lower physical active(P<0.05), and higher BMI and body fat(p<0.05) as compared to the subjects in Seoul. Subjects with hypertension were between 24% and 33% and the prevalence of hypertension was the highest was the highest when compared to the prevalence of DM, or hypercholesterolemia. However, the prevalence of hypertension, DM, hypercholesterolemia, were not significantly different in these areas. CONCLUSION: our results show that subjects living in rural areas eat more salty food, exercise less and tend to be obese. The finding of this study lead to speculation that Korean living in rural areas have less information about the effects diet of diet on health than city dwellers do. General health and nutrition education programs aimed at the prevention of stoke and other such conditions for rural area Korean may close the risk factor gap between rural and urban dwellers.

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Evaluation of the Korean Version of Physical Activity Scale for the Elderly (K-PASE)
Myoung-Ae Choe, Jeungim Kim, Mi-yang Jeon, Young-Ran Chae
Korean Journal of Women Health Nursing.2010; 16(1): 47. CrossRef
Echocardiographic Plains Reflecting Total Amount of Epicardial Adipose Tissue as Risk Factor of Coronary Artery Disease
Jung-Won Hwang, Un-Jung Choi, Sung-Gyun Ahn, Hong-Seok Lim, Soo-Jin Kang, Byoung-Joo Choi, So-Yeon Choi, Myeong-Ho Yoon, Gyo-Seung Hwang, Seung-Jea Tahk, Joon-Han Shin, Doo-Kyung Kang
Journal of Cardiovascular Ultrasound.2008; 16(1): 17. CrossRef

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Actual Physical Symptom and Stress in Caregivers of Patients with Cerebrovascular Disease: Hee Seoung Kim, Hyeoun Ae Park, Mi Jeong Oh; Journal of Korean Academy of Nursing 1998;28(3):695-704. Published online March 29, 2017; DOI: https://doi.org/10.4040/jkan.1998.28.3.695

Abstract PDF

This study amis for examines the actual physical symptom and stress in caregivers of patients with cerebrovascular disease. The data were collected by a survey conducted from August to September, 1997 which included 65 caregivers of cerebrovascular disease patient in 4 hospitals located in Seoul. The caregiver's stress was measured by Choi(1992)'s instrument and the actual physical symptoms were investigated. The data were analyzed using ANOV, Scheffe test, pearson correlation coefficient and stepwise multiple regression. The results were as follows : 1. The mean number of caregiver's physical symptom was 3.5. There were significantly higher number of physical symptom in women, those of who have a religious affiliation, those of two perceive their own health status perceived s bad, and those of two perceived their patients disease condition as serious than in their counterparts. Also, the number of caregiver's physical symptom was significantly higher in caregivers whose patients have a paralysis symptom and the disease onset as spontaneous. 2. The average of caregiver's stress was 57.9. The caregiver's stress was the highest in between the ages of 50 and 59. There were also significantly higher level of stress in women, those of two perceived the disease condition of their patient as serious than in counterparts. 3. The most common caregiver's physical symptom was fatigue(87.7%). This was followed by insomnia(58.5%) and muscle (47.4%). 4. Caregiver's physical symptom was positively correlated with caregiver's stress and negatively correlated with patient's activity of daily life. 5. The most important variable affecting the caregiver's physical symptom was patient's activity of daily life which accounted for 12.7% of the total variance in stepwise multiple regression analysis. The most important variable affecting the caregiver's stress was the patient disease condition perceived by the caregiver that accounted for 12.1% of the total variance.

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Relationship between Stress and Quality of Life of Family Caregivers of Patient with Lung Cancer
Ju-Young Park
Journal of Korean Oncology Nursing.2010; 10(2): 129. CrossRef

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Correlations between Weight, Body Mass Index(BMI) and Risk Factors of Coronary Artery Disease in Men and Women in their Forties and Fifties: Hee Seung Kim, Hye Sun Jeong, Kyung Sil Han; Journal of Korean Academy of Nursing 1998;28(1):184-192. Published online March 29, 2017; DOI: https://doi.org/10.4040/jkan.1998.28.1.184

Abstract PDF

This study was done to examine the correlations between weight, BMI and risk factors of coronary heart disease in men and women in their forties and fifties. The subjects were 412 adults, who had regular health examinations between January and December of 1996 at S-Hospital in Seoul. The data were analyzed using ANOVA, Scheffe test, and Pearson correlation coefficient. The results are as follows : 1. The men between 50 and 59 years of age had higher levels for BMI, weight, systolic blood pressure, diastolic blood pressure, total cholesterol, LDL-cholesterol, triglyceride, fasting blood sugar, plasminogen activator-1, and hemoglobin A1C than the group of women in their forties. Yet, HDL-cholesterol was lower than in the former group. 2. In the group of men in their forties, weight was significantly correlated to diastolic blood pressure(r=.22), LDL-cholesterol(r=.20), plasminogen activator inhibitor-1(r=.35) HDL-cholesterol(r=-.19). Their BMI was significantly corrected to systolic blood pressure(r=.27), diastolic blood pressure(r=.33), total cholesterol(r=.23), LDL-cholesterol(r=.26), plasminogen activator-1(r=.36) and HDL-cholesterol(r=-.25). 3. As for the group of women in their forties weight was significantly correlated to systolic blood pressure(r=.20), diastolic blood pressure(r=.22), triglyceride(r=.32), plasminogen activator inhibitor-1(r=.30) and HDL-cholesterol(r=-.37). Their BMI was significantly correlated to diastolic blood pressure(r=.25) triglyceride(r=.47), plasminogen activator-1(r=.35), fibrinogen(r=.27) and HDL-cholesterol(r=-.47). 4. In the group of men in their fifties, weight was significantly correlated to total cholesterol(r=.32), LDL-cholesterol(r=.29), plasminogen activator inhibitor-1(r=.26). Their BMI was significantly correlated to systolic blood pressure(r=.24), diastolic blood pressure(r=.22), total cholesterol(r=.34), LDL-cholesterol(r=.32), and plasminogen activator-1(r=.25). 5. In the group of women in their fifties, weight was significantly correlated to diastolic blood pressure(r=.33), total cholesterol(r=.21), LDL-cholesterol(r=.20), plasminogen activator inhibitor-1(r=.43) and HDL-cholesterol(r=-.21). Their BMI was significantly corrected to systolic blood pressure(r=.25), diastolic blood pressure(r=.40), total cholesterol(r=.24), LDL-cholesterol(r=.24), triglyceride(r=.22), and HDL-cholesterol(r=-.30). The above findings indicate that the BMI was more predictive than weight as a risk factor for coronary artery disease for men and women in their forties and fifties.

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Morbidity and mortality rates in women with heart disease: Lessons in gender differences from Korea
Myoung-Ae Choe, Kyungeh An
Contemporary Nurse.2003; 14(2): 158. CrossRef

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Predictors of Coronary Heart Disease Risk in Healthy Men and Women: Kyeung Ae Kim, Jung Soon Kim, Myoung Soo Kim; Journal of Korean Academy of Nursing 2007;37(7):1039-1048. Published online March 28, 2017; DOI: https://doi.org/10.4040/jkan.2007.37.7.1039

Abstract PDF

OBJECTIVES: The purpose of this study was to identify predictors of coronary heart disease risk factors in healthy men and women. METHOD: The subjects of this study were 346 people (173 men and women aged 20 years and over) who received health screenings. Data was collected from December 1, 2005 to February 28, 2006. The FANTASTIC Lifestyle Assessment Inventory except smoking and the Framingham risk score of subjects were investigated. Data was analyzed by descriptive analysis, t-test, ANOVA, pearson correlation coefficients and stepwise multiple regression using the SPSS 10.0 program. RESULTS: The mean score of the lifestyle of the women (64.24) was higher than that of the men (59.12). The mean score of the risk of coronary heart disease of the men (5.28%) was higher than that of the women (0.28%). The framingham risk for men was significantly related to lifestyle such as dietary habit, use of caffeine and drugs, anxiety and depression, job satisfaction, and closeness with family. The main predictors of framingham risk for men and women were 'use of caffeine and drugs', and 'menopause' which explained 16.5%, and 30.7% respectively. CONCLUSION: Since lifestyles can be changed with effort, coronary heart disease can be prevented while people are healthy.

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ATTITUDE TO HEALTH, PREVENTION AND MEDICAL CARE: GENDER ASPECT
А. Akimov, M. Kayumova, A. Novoselov, E. Lebedev, M. Bessonova
Vrach.2023; 34(6): 45. CrossRef
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Factors related to Coronary Artery Disease in Korean Adults: Based on the Korean National Health and Nutrition Examination Survey 2013~2015
Sook Young Kim
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GENDER-RELATED CHARACTERISTICS OF AFFECTIVE DISORDERS IN PATIENTS WITH ACUTE MYOCARDIAL INFARCTION
S. Yu. Mukhtarenko, T. M. Murataliev, Yu. N. Nekludova, Z. T. Radzhapova, V. K. Zventsova
The Clinician.2017; 11(2): 49. CrossRef
Gender Differences in Factors Influencing The Framingham Risk Score-Coronary Heart Disease by BMI
Kwang-Ok Park, Ji-Yeong Seo
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The framingham risk score, diet, and inflammatory markers in Korean men with metabolic syndrome
Cheongmin Sohn, Juyong Kim, Wookyung Bae
Nutrition Research and Practice.2012; 6(3): 246. CrossRef

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Effects of a Nurse Presence Program on Suicide Prevention for Elders with a Chronic Disease: Kae Hwa Jo; Journal of Korean Academy of Nursing 2007;37(7):1027-1038. Published online March 28, 2017; DOI: https://doi.org/10.4040/jkan.2007.37.7.1027

Abstract PDF

PURPOSE: The purpose of this study was to identify the effects of a nurse presence program on suicide prevention for elders with chronic disease. METHOD: The subjects were recruited from two different elderly institutions located in D city and K province, Korea. Twenty subjects in the control group received no intervention and nineteen subjects in the experimental group received a nurse presence program. RESULT: There were more significant decreases in suicide ideation, and the cortisol level and increases in life satisfaction in the experimental group compared to the control group. CONCLUSION: According to the above results, a nurse presence program for elders with a chronic disease decreased stressful events like suicide ideation and increased self esteem through therapeutic interaction. These findings suggest that this program can be used as an efficient independent nursing intervention for elders in a critical situation.

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The Effect of Depression and Suicide Prevention Program for Vulnerable Community-Dwelling Elderly Women
Jae-Soon Yoo, Hyun-Sook Kim, Hyon-Jin Yon
Journal of the Korea Academia-Industrial cooperation Society.2014; 15(5): 2882. CrossRef
Effects of Nurse Presence Program on Anxiety and Physiological Indicators in Patients with Gynecological Surgery
Yun Jeong Kim, Kae Hwa Jo
Journal of Korean Biological Nursing Science.2014; 16(4): 326. CrossRef
Power Analysis in Experimental Designs with t test Analysis
Jeong-Hee Kang, Kyung-Sook Bang, Sung-Hee Ko
The Journal of Korean Academic Society of Nursing Education.2009; 15(1): 120. CrossRef

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The Development and Effects of a Self-management Program for Patients with Parkinson's Disease: Kyeong Yae Sohng, Jung Soon Moon, Kwang Soo Lee, Dong Won Choi; Journal of Korean Academy of Nursing 2007;37(6):891-901. Published online March 28, 2017; DOI: https://doi.org/10.4040/jkan.2007.37.6.891

Abstract PDF

PURPOSE: This study was done to develop and examine the effects of a self-management program (SMP) on physical, psychological functions, and symptoms in patients with Parkinson's disease(PD). METHODS: In a two-group pre-and post-test design, a total of 40 patients were assigned to the experimental group(21) or the control group (19). The experimental group received eight weekly 2-hour sessions for 10-15 literate adults of all ages, while the control group did not receive any intervention. RESULTS: The experimental group showed significant improvements in muscle strength, balance, self-efficacy, depression, quality of life(QL), quality of sleep, and discomfort of constipation. It also reduced the number of participants using assistive walking devices. There were no significant changes in fear of falling and duration of sleep. CONCLUSION: The eight week SMP in patients with PD was found to be significantly effective in enhancing muscle strength, balance, self-efficacy, QL, and quality of sleep. It also decreased depression, discomfort of constipation, and assistive walking devices. These results suggest that a SMP can have effects on physical, psychological functions and symptoms in patients with PD. Further research with a larger sample and for a longer follow up period is needed to expand our understanding of the effects of a SMP for patients with PD.

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JuHee Lee, MoonKi Choi, Yonju Yoo
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Journal of Korean Academy of Nursing.2009; 39(1): 116. CrossRef

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Influencing Factors on Fatigue in Patients with Chronic Obstructive Pulmonary Disease: So Youn Bang; Journal of Korean Academy of Nursing 2007;37(6):855-862. Published online March 28, 2017; DOI: https://doi.org/10.4040/jkan.2007.37.6.855

Abstract PDF

PURPOSE: The purpose of this study was to identify the factors influencing fatigue in patients with chronic obstructive pulmonary disease. METHODS: A descriptive correlational study design was used. A convenience sample of 125 subjects was recruited from the outpatient respiratory clinic at a large university hospital. Data was collected from June to October, 2005 using structured questionnaires, an oxygen saturation test, a 6-minute walking test, and a pulmonary function test. RESULTS: Subjects had a slightly low degree of fatigue. The fatigue showed a significant correlation with emotion(r= .589, p= .000), dyspnea(r= .304, p= .001), self-efficacy (r= -.278, p= .002), and symptom experience(r= .238, p= .008). Emotion(34.7%) and dyspnea(5.8%) were significant predictors to explain fatigue. CONCLUSION: This study provides comprehensive understanding of the influencing factors on fatigue in patients with chronic obstructive pulmonary disease. Nursing interventions to decrease negative emotion and dyspnea for management of fatigue is suggested.

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Jisu Kim, Kisook Kim
Public Health Nursing.2015; 32(3): 191. CrossRef

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Subjective and Objective Caregiver Burden in Parkinson's Disease: Keum Soon Kim, Bog Ja Kim, Kyung Hee Kim, Myoung Ae Choe, Myungsun Yi, Yang Sook Hah, Sun Ju Chung, So Hi Kwon; Journal of Korean Academy of Nursing 2007;37(2):242-248. Published online March 28, 2017; DOI: https://doi.org/10.4040/jkan.2007.37.2.242

Abstract PDF

Purpose

Parkinson's disease (PD) is a common neurodegenerative disorder characterized by motor disabilities and increasing dependence on others for daily life activities with consequent impact on patients' and caregivers' quality of life. The aim of this study was to elucidate the burden on primary caregivers of patients with PD, and identify related factors.

Methods

A cross-sectional descriptive study. Seventy-six primary caregivers of PD patients in a neurology outpatient clinic, Seoul, Korea completed structured questionnaires, of which 68 were analyzed. The structured self-report questionnaire included (1) demographic information on the caregivers, (2) information regarding the disease characteristics of the patients, and (3) the subjective and objective caregiver burdens as assessed on Montgomery, Gonyea, & Hooyman's scale.

Results

The mean age of the caregivers was 54.56 years, and spouses represented the largest proportion(47.0%). Caregivers of PD patients experienced high levels of burden (mean scores on the subjective and objective burdens were 45.22 and 34.90, respectively), which were comparable to the caregiver burdens in stroke, and higher than the caregiver burdens in general chronic disease. Older caregivers and spousal caregivers experienced significantly higher burdens (p=.004 and p=.019, respectively). A greater motor disability and higher modified Hoehn and Yahr grade were related to higher caregiver burden (p=.001 and p=.018, respectively).

Conclusion

Caring for PD patients is associated with a high level of caregiver burden. Therefore, healthcare professionals should identify the burden of caregivers who look after PD patients and develop comprehensive management strategies both for patients and their caregivers.

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Sherry M. Cummings, Nancy P. Kropf
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Ingrid Leiknes, Unn-Tone Lien, Elisabeth Severinsson
Open Journal of Nursing.2015; 05(10): 855. CrossRef
A Structural Model of Health-Related Quality of Life in Parkinson’s Disease Patients
JuHee Lee, MoonKi Choi, Dukyoo Jung, Young H. Sohn, JinYong Hong
Western Journal of Nursing Research.2015; 37(8): 1062. CrossRef
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Comparison of Cardiovascular Risk Profile Clusters Among Industrial Workers: Seon Young Hwang, Ji Hyun Lee; Journal of Korean Academy of Nursing 2005;35(8):1500-1507. Published online March 28, 2017; DOI: https://doi.org/10.4040/jkan.2005.35.8.1500

Abstract PDF

Purpose

The purpose of this study was to identify subgroups of the physical and behavioral risk profiles for cardiovascular disease among industrial workers, and to examine predicting factors for the subgroups.

Sample and Methods

Health records of 2,616 male and female workers aged 19-56 years who were employed in an airplane manufacturing industry were analyzed. Data were analyzed using the Latent class cluster analysis.

Results

Four different clusters (two high-risk groups, one low-risk group, and one normal group) were found and these clusters were significantly different by age, gender, and work type (p<.05). The two high-risk groups had higher chances of drinking alcohol, elevated BMI, FBS, total cholesterol, having hypertension, and were significantly older, and had relatively high chances of being day workers rather than other groups. The low-risk group had higher chances of drinking alcohol, higher BMI and total cholesterols compared to normal group, and highest portions of current smokers and shift workers in the four clusters and their mean BP was within prehypertension criteria.

Conclusion

Industrial nurses should guide the lifestyle behaviors and risk factors of the high risk groups for CVD and need to intervene early for behavioral change for the low-risk group who are young and shift workers. Age, and work environment should be considered in planning for targeted preventive interventions for industrial workers.

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Factors Associated with Blue-collar Workers' Risk Perception of Cardiovascular Disease
Won Ju Hwang, OiSaeng Hong, Mi Ja Kim
Journal of Korean Academy of Nursing.2012; 42(7): 1095. CrossRef

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The Effects of a Sex Education Program on Knowledge Related to Sexually Transmitted Diseases and Sexual Autonomy among University Students: Yun Hee Shin, Young Kyung Chun, Sung Mi Cho, Ye Ryung Cho; Journal of Korean Academy of Nursing 2005;35(7):1304-1313. Published online March 28, 2017; DOI: https://doi.org/10.4040/jkan.2005.35.7.1304

Abstract PDF

Purpose

The purpose of this study was to evaluate the effects of a sex education program, which was based on the Health Belief Model, on knowledge related to sexually transmitted diseases and sexual autonomy among university students.

Methods

A non-equivalent control group, pretest-posttest design was used. The four session program was delivered to 18 students during 4 weeks; the control group consisted of 23 students. The theme of the first session was “sex, gender, and sexuality: all our concern”, “dangerous sex” for the second session, “safe sex” for the third session, and “right sex for you and me” for the fourth session.

Results

At follow-up, the knowledge related to sexually transmitted diseases and sexual autonomy were significantly greater in the intervention group than in the control group.

Conclusion

A sex education program with several sessions within the theoretical frame of HBM was effective to improve knowledge related to sexually transmitted diseases and sexual autonomy. The results suggest the potential of a systematic sexual education program to teach healthy sex and to extend the program for other various populations.

Citations

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User-centered design to enhance university students’ sex and menstrual education in South Korea: randomized controlled trial
Hana Kim, Ji Woon Ko, Doyon Kim, Nagyeom Yoon, Jisan Lee
BMC Public Health.2025;[Epub] CrossRef
An Integrative Literature Review on Sex Education Programs for Korean College Students
Hyewon Shin, Jung Lee, Hye Min
Journal of Korean Academic Society of Nursing Education.2020; 26(1): 78. CrossRef
Gender Difference in Mediating Effects of Self-Efficacy for the Prevention of Sexually Transmitted Diseases (STD) among College Students' STD Knowledge, Susceptibility, and Sexual Autonomy
Mijeong Park
Korean Journal of Adult Nursing.2016; 28(4): 482. CrossRef
Affecting Factors Sexual Experience Among College Students
Ae Hwa Jaung, Yu Jin Jung, Min Young Kim
Journal of the Korea Academia-Industrial cooperation Society.2015; 16(1): 555. CrossRef
Effects of sexual autonomy enhancement program for university students in South Korea
Ju-Eun Song, So Mi Park, Jeongok Park, Hyun Ju Chae
Journal of Public Health.2014; 22(2): 165. CrossRef
Knowledge on Cardiovascular Prevention and Nicotine Dependency among Smoking Male College Students
Seon Young Hwang, Kyongok Park
Journal of Korean Academy of Community Health Nursing.2014; 25(2): 75. CrossRef
Effect of Sexual Education Program on Female College Student's Sexual Knowledge and Sexual Autonomy
Nami Chun
Korean Journal of Women Health Nursing.2012; 18(2): 108. CrossRef
Self-Efficacy and Sexual Autonomy among University Students
Kyung-Won Kim, Kyeong-Hwa Kang, Geum-Hee Jeong
Journal of Korean Public Health Nursing.2012; 26(1): 51. CrossRef
A Mentoring Program for the Promotion of Sexual Health Among Korean Adolescents
YunHee Shin, Lynn Rew
Journal of Pediatric Health Care.2010; 24(5): 292. CrossRef

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Development and Testing of a Sexually Transmitted Diseases Prevention Program in At-Risk Prostitutes: Yang Heui Ahn, Gi Nam Jin; Journal of Korean Academy of Nursing 2005;35(5):868-878. Published online March 28, 2017; DOI: https://doi.org/10.4040/jkan.2005.35.5.868

Abstract PDF: Purpose
The purpose of the study was to test the effectiveness of an 8 session intervention program to prevent sexually transmitted diseases (STDs) among at-risk prostitutes.
Methods
An experimental research design was employed. Subjects were 59 prostitutes (29 in the control group and 30 in the experimental group) who agreed to participate in this study. An STD Prevention Framework derived from Cox's Interaction Model of Client Health Behavior guided the overall intervention and the components. The intervention had 8 sessions with STD-prevention strategies and was led by Public Health Nurses. Analysis included change scores, χ²-test, and t-test.
Results
The results revealed significant increase in feelings and skills of condom use, peer belief on condom use, condom use practice, and satisfaction with service at public health centers (PHC) on STDs knowledge and skills in the experimental group. However, newly contracted STDs were not significant statistically between groups.
Conclusion
The 8 session STDs prevention program showed a effect on emotions, skills and behaviors of condom use even withthe limitation of methodological rigors because of subject-specific conditions. In the future, a capacity-building model based on collaborating networks among community-based organizations will be needed to develop in effective STDs prevention.

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Prospective Study on the Relating Factors to the Stages of Change in Smoking Cessation and Barriers in Coronary Artery Disease Patients: Hwa Soon Kim; Journal of Korean Academy of Nursing 2005;35(1):27-36. Published online March 28, 2017; DOI: https://doi.org/10.4040/jkan.2005.35.1.27

Abstract PDF

Purpose

The main purpose of this study was to investigate that the stages of change in smoking cessation behavior among coronary artery disease patients for six months progressed following the stages of change suggested by the transtheoretical model.

Method

Subjects for this descriptive survey were 59 coronary disease patients who were smoking or who had stopped smoking for less than six months.

Result

In the baseline, the distribution of the subjects' stages of change was as follows: pre-contemplation stage 25.4%, contemplation stage 25.4%, preparation stage 22%, and action stage 27.1%. After six months, more subjects in the contemplation(33.3%) and preparation stages(30.8%) progressed to the action stage than those of the pre-contemplation stage(0%). Eighty-one percent of the subjects in the action stage at baseline progressed to the maintenance stage. The relationship between the numbers of smoking cessation attempts for six months and stages of change at baseline was significant(p=.001). However, the relationships between self-efficacy and nicotine dependence at baseline and progression in stages of change after six months were not significant.

Conclusion

Progression in the stages of change for six months among subjects corresponded to the stages of change suggested by the transtheoretical model. Hence, future development and evaluation of intervention programs should be tailored individually considering each patient's stage of change.

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Geon Ho Bahn
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Dal Sook Kim, Myung Hee Jun
Journal of Korean Academy of Nursing.2008; 38(2): 321. CrossRef

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Prevalence and Associated Factors of Falls among People with Parkinson's Disease: Kyeong Yae Sohng, Jung Soon Moon, Kwang Soo Lee; Journal of Korean Academy of Nursing 2004;34(6):1081-1091. Published online March 28, 2017; DOI: https://doi.org/10.4040/jkan.2004.34.6.1081

Abstract PDF

Purpose

This study was done to identify the risk factors associated with falls among patients with Parkinson's Disease(PD).

Method

A retrospective study design was used through the collection of physiological and physical health, and psychosocial functions.

Results

Of the 100 participants, fifty-nine(59%) reported one or more falls and seventy-one(71%) reported one or more near-falls. Anaverage 34.7 falls and 150.3 near-falls were reported in the previous year per person. Stage of PD, foot problems, balance, fear of falling, and activities of daily living were significantly associated with an increased risk of falls.

Conclusion

The findings confirm the high risk of falling in PD patients. Also these results have implications for developing fall prevention programs for PD patients.

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A Comparative Study of Older Adults’ Perceptions on Housing for Fall Prevention among Older Adults with and without Falls
Chang-Yin Liu, Hyun Joo Kwon, Jiyoung Oh
Journal of the Korean Housing Association.2025; 36(3): 025. CrossRef
Changes of Balance Ability according to the Stability of Shoes in Elderly Woman and Female University Student
Yu-jin Song, Gyeong-hun Min, Deok-yong Jeong, Seon-young Yook, Yun-young Choi, Kyung-yoon Bae, Ki Hun Cho
The Journal of Korean Academy of Physical Therapy Science.2019; 26(3): 70. CrossRef
Risk factors of falls among inpatients with cancer
M.D. Jun, K.M. Lee, S.A. Park
International Nursing Review.2018; 65(2): 254. CrossRef
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Chang-Hwan Kim, Mi-Young Kim, Bee-Oh Lim
Korean Journal of Sport Biomechanics.2015; 25(4): 441. CrossRef
Fall Risk Factors and Characteristics of an Acute Hospital Setting across Clinical Departments
In-Sil Jang, Sun-Gyo Lee
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Effects of Hoehn-Yahr Scale on the Activation of Lower-Extremity Muscles during Walking with Parkinson's Patients
Chang-Hwan Kim, Mi-Young Kim, Je-Heon Moon, Bee-Oh Lim
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Analysis of Lower Extremity Muscle Activities in Parkinson's Patients for Improving to Stop Task
Chang-Soo Yang, Bee-Oh Lim
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Factors associated with Lower Urinary Tract Symptoms for Patients with Parkinson's Disease
Hyo Jeong Song, Ji Hoon Kang, Eun Joo Lee, Jung-Sik Huh, Young-Joo Kim, Chul Soo Kim, Myung Ja Kim, Seung Kyo Chaung, Hye Ja Park, Hyung Chang Kang, Keun Heau Oh
Journal of Korean Academy of Nursing.2009; 39(1): 116. CrossRef
Falls Risk Factors of Inpatients
Eun-Kyung Kim, Jae Chang Lee, Mi-Ran Eom
Journal of Korean Academy of Nursing.2008; 38(5): 676. 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

Abstract 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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The Effects of a Pulmonary Rehabilitation Program for Chronic Obstructive Pulmonary Disease Patients: Suk Jung Han; Journal of Korean Academy of Nursing 2003;33(7):1008-1017. Published online March 28, 2017; DOI: https://doi.org/10.4040/jkan.2003.33.7.1008

Abstract PDF

Purpose

This study was designed to investigate the effects of a pulmonary rehabilitation program for patients with COPD.

Method

37 subjects, who had a FEV1/FVC below 70%, participated. 18 were assigned to the experimental group and 19 to the control group. The program consisted of individualized education program and exercise program for 6weeks, 3times a week. Data was collected through questionnaire surveys of general characteristics, anxiety and depression, blood tests for lactic acid and cardiopulmonary exercise tests, and also using bicycle ergometer, for exercise capacity. As for data analyses, paired and unpaired t-test and x²-test were adopted using an SPSS program.

Result

The result revealed that the increase in VT, peak VO2, VEmax, HRmax and Wmax, at the maximal exercise, were significantly high in the experimental group. However, the anxiety and depression scores were not significantly high in the experimental group.

Conclusion

The pulmonary rehabilitation program was effective in increasing cardiopulmonary endurance in patients with COPD. Accordingly, we should seriously consider an individualized pulmonary rehabilitation program as a nursing intervention.

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Developing a Home-based Self-management Support Intervention for Pulmonary Rehabilitation in Patients with Chronic Obstructive Pulmonary Disease
Hee-Young Song
The Korean Journal of Rehabilitation Nursing.2015; 18(2): 75. CrossRef
The Effects on the Pulmonary Function of Normal Adults Proprioceptive Neuromuscular Facilitation Respiration Pattern Exercise
KyoChul Seo, MiSuk Cho
Journal of Physical Therapy Science.2014; 26(10): 1579. CrossRef

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Effects of a Short-term Home-based Pulmonary Rehabilitation Program in Patients with Chronic Lung Disease: Eui Geum Oh, Sun Hee Kim, Hee Ok Park, So Yon Bang, Chun Hwa Lee, So Hee Kim; Journal of Korean Academy of Nursing 2003;33(5):570-579. Published online March 28, 2017; DOI: https://doi.org/10.4040/jkan.2003.33.5.570

Abstract PDF

Purpose

The purpose of this study is to exam the effects of a short-term pulmonary program on lung function, exercise tolerance, and quality of life in chronic lung patients.

Method

Randomized controlled pre-post test design was used. The outcome measures were forced expiratory volume in one second (FEV1, % predicted), 6 min walking distance (6MWD), Borg score after 6MWD, and Chronic Respiratory Disease Questionnaire (CRDQ). Experimental group performed the 4-week home-based pulmonary rehabilitation program composed of inspiratory muscle training, upper and lower extremity exercise, relaxation, and telephone visit. Patients in control group were only given education about self-management strategies. Thirty four patients with moderate-to-severe respiratory impairment were recruited, and 28 patients (19 in experiments, 15 in control) completed the study.

Result

Significant improvements in lung function, exercise tolerance, and health related quality of life were found only in the experiment group.

Conclusion

This study yielded evidence for the potential and beneficial effects of home-based pulmonary rehabilitation program in patients with moderate to severe chronic lung disease. The program could be adequately utilized for improvement of health related quality of life in chronic lung patients.

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Embedding Pulmonary Rehabilitation for Chronic Obstructive Pulmonary Disease in the Home and Community Setting: A Rapid Review
Túlio Medina Dutra de Oliveira, Adriano Luiz Pereira, Giovani Bernardo Costa, Liliane P. de Souza Mendes, Leonardo Barbosa de Almeida, Marcelo Velloso, Carla Malaguti
Frontiers in Rehabilitation Sciences.2022;[Epub] CrossRef
A Systematic Review of Home based Pulmonary Rehabilitation in COPD Patients: Randomized Controlled Trials
Min Hee Ahn, Ja Yun Choi, Yun Hee Kim
The Korean Journal of Rehabilitation Nursing.2016; 19(2): 82. CrossRef
Developing a Home-based Self-management Support Intervention for Pulmonary Rehabilitation in Patients with Chronic Obstructive Pulmonary Disease
Hee-Young Song
The Korean Journal of Rehabilitation Nursing.2015; 18(2): 75. CrossRef

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The Effects of Self-Efficacy Promoting Cardiac Rehabilitation Program on Self-Efficacy, Health Behavior, and Quality of Life: Kyung Ja Song; Journal of Korean Academy of Nursing 2003;33(4):510-518. Published online March 28, 2017; DOI: https://doi.org/10.4040/jkan.2003.33.4.510

Abstract PDF

Background

Ischemic heart disease results from athesclerotic changes of the coronary artery. These changes are aggravated by hypercholesterolemia, smoking, obesity, lack of exercise, coronary-prone personality, and stress. Because these risk factors affect not only the prevalence of the ischemic heart disease but also recurrence of the disease, cardiac rehabilitation programs were introduced to help patients with ischemic heart disease reduce risk factors. Diverse cardiac rehabilitation programs are needed to motivate participation in cardiac rehabilitation and to enhance patients' quality of life.

Objectives

To examine the effect of a self-efficacy promoting cardiac rehabiltation program on self-efficacy, health behavior and quality of life of patients with ischemic heart disease.

Methods

Data were collected from 45 hospitalized ischemic heart disease patients. Medical records were reviewed to obtain demographic and clinical characteristics. Data regarding self-efficacy, health behavior, and quality of life were obtained from interviews using structured questionnaires. The nonequivalent control group non-synchronized design was used to conduct this study. One session of conventional group education was given to patients in the control group while they were in the hospital. Patients in the experimental group participated in a newly developed cardiac rehabilitation program. It focused on strengthening selfefficacy with four self-efficacy sources - performance accomplishment, vicarious experiences, verbal persuasion and physical status using two individualized in-hospital education sessions and four weekly telephone counseling follow-up calls after discharge.

Results

Four weeks after discharge, the increment of total self-efficacy score was significantly higher in the experimental group than in the control group (p<.01). There was also a significant difference in the total quality of life scores increments between the two groups (p<.01). However, no significant changes were noted in the increments of total health behavior scores between the two groups.

Conclusion

A cardiac rehabilitation program focusing on promoting self-efficacy was effective in improving self-efficacy, and quality of life of patients with ischemic heart disease.

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Qian Cao, Yue Hu, Wan-Ting Cai
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Rukhsana Perveen, Muhammad Saqib Rabbani, Samina Kausar, Kainat Asmat
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Miaoxuan Hong, Rong Zhang, Jin Zhu, Wenxuan Tan
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Marina Wasilewski, Abirami Vijayakumar, Zara Szigeti, Sahana Sathakaran, Kuan-Wen Wang, Adam Saporta, Sander L Hitzig
Journal of Multidisciplinary Healthcare.2023; Volume 16: 2361. CrossRef
The Influence of Knowledge of Coronary Artery Disease and Self-Efficacy on Health Behavior Compliance among Patients with Coronary Artery Disease
A Ram Kil, Yong Soon Shin
Journal of Korean Academy of Fundamentals of Nursing.2022; 29(1): 57. CrossRef
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Zahra Bazargani, Fatemeh Sarikhani, Sadegh Karami Darenjani, Mehdi Amirkhani, Pooyan Afzali Harsini, Ali Khani Jeihooni
BMC Women's Health.2022;[Epub] CrossRef
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Wantiyah Wantiyah, Mochamad Riko Saputra, Fitrio Deviantony
Jurnal Ners.2020; 15(1): 14. CrossRef
The Effects of Smart Program for Patients Who Underwent Percutaneous Coronary Intervention (SP-PCI) on Disease-Related Knowledge, Health Behavior, and Quality of Life: A Non-Randomized Controlled Trial
Jueun Lee, Haejung Lee
Journal of Korean Academy of Nursing.2017; 47(6): 756. CrossRef
Long-term effects of nurse-led individualized education on middle-aged patients with acute coronary synrome: a quasi-experimental study
Jae Lan Shim, Seon Young Hwang
BMC Nursing.2017;[Epub] CrossRef
Development and Effectiveness of Tailored Education and Counseling Program for Patients with Coronary Artery Disease undergoing Percutaneous Coronary Intervention
So-Yeon Kim, Min Young Kim
Korean Journal of Adult Nursing.2017; 29(5): 547. CrossRef
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Seon Young Hwang, Jin Shil Kim
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Eun Suk Shin, Seon Young Hwang, Myung Ho Jeong, Eun Sook Lee
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Development of a Scale to Measure Self-Care for Korean Patients with Chronic Obstructive Pulmonary Disease: Jeong Ja Jun, Ae Kyung Kim, Sang Ok Choi, Jung Hee Ae, Mi Kyung Choi, Sun A Jang; Journal of Korean Academy of Nursing 2003;33(1):9-16. Published online March 28, 2017; DOI: https://doi.org/10.4040/jkan.2003.33.1.9

Abstract

Purpose

The objective of this study was the development and validation of a scale to measure the self-care of patients with chronic obstructive pulmonary disease(COPD) in Korea.

Method

Self-care scale was developed based on the self-care activities patients had to carry out in order to manage their COPD. The original scale contained 34 items rated along a five-point Likert scale and was reviewed by 18 professional nurses and 10 Korean patients with COPD for content validity. Subsequently, patients with COPD were asked to complete this 23-item scale and further tests were done with the 125 useable responses.

Result

Factor analysis identified eight factors- “maintaining a clean air way”, “taking medication”, “support from family”, “preventing infection”, “managing symptoms”, “breathing exercising”, and “taking in nutrition”. The internal consistency of the total scale was Cronbach's alpha=0.7226. These eight factors explained 60.8% of total variance. There was correlation among Korean Self-Care Scale score, administration level, and knowledge level but there was no correlation to patients' satisfaction with medical services.

Conclusion

The 23 item questionnaire positively identified 8 areas defined important for COPD patients. Further studies are required to see how these can be integrated into patient education.

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Ja Yun Choi, Eui Jeong Ryu, Xin Jin
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Self‐management model based on information–motivation–behavioral skills model in patients with chronic obstructive pulmonary disease
Kyeung Eun Lim, Sung Reul Kim, Hye Young Kim, So Ri Kim, Yong Chul Lee
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Eun-Jeong Kim, Jeong-Hyeon Kong
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