Journal of Korean Academy of Nursing

Research Papers

The actor-partner interdependence mediation model of infertility-related stress and subjective happiness in infertile couples: the mediating role of dyadic coping: Eun Jin Kim, Ju-Hee Nho; Received March 31, 2026 Accepted July 6, 2026 Published online August 11, 2026; DOI: https://doi.org/10.4040/jkan.26047 [Epub ahead of print]

Abstract PDF ePub: Purpose
This study aimed to identify the mediating effect of dyadic coping and the actor–partner effects of infertility-related stress, dyadic coping, and subjective happiness among infertile couples by applying the actor–partner interdependence mediation model.
Methods
A total of 115 infertile couples, comprising women diagnosed with primary infertility and their spouses, participated in an online survey. Data were collected between November 17, 2022 and January 9, 2023, and analyzed using IBM SPSS Statistics version 25.0 and SmartPLS version 4.0.9.2 with the path weighting scheme. Bootstrapping with 5,000 resamples was performed to estimate 95% confidence intervals.
Results
Significant correlations were observed between infertile women and their spouses in infertility-related stress, dyadic coping, and subjective happiness, indicating mutual psychological influence within couples. Infertility-related stress in both women and spouses had actor effects on their own dyadic coping and subjective happiness. Women’s dyadic coping had an actor effect on their own subjective happiness, whereas spouses’ dyadic coping had a partner effect on women’s subjective happiness. Among women with infertility, dyadic coping significantly mediated the association between infertility-related stress and subjective happiness. A significant partner-mediated effect was also observed for women’s subjective happiness, whereas no significant mediating effect was found for spouses’ own subjective happiness.
Conclusion
Infertility-related stress was associated with subjective happiness through dyadic coping among women with infertility. In addition, spouses’ infertility-related stress was indirectly associated with women’s subjective happiness through spouses’ dyadic coping. These findings suggest that interventions designed to strengthen dyadic coping may help reduce infertility-related stress and improve subjective happiness among infertile couples.

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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

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.

Citations

Citations to this article as recorded by

Adherence to a Heart-Healthy Lifestyle: Testing of the Information–Motivation–Behavioral Skills Model
Yura Shin, Jina Choo, Songwhi Noh
Journal of Cardiovascular Nursing.2026; 41(2): 125. CrossRef
A Prospective Study of Relation between Academic & Exercise Stress, Quality of Life and Mibyeong in the College Students Majoring Physical Education
Yeonju Woo, Soojin Lee
Journal of Physiology & Pathology in Korean Medicine.2025; 39(1): 36. CrossRef

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2 Crossref

Factors Affecting the Quality of Life in Low-Income Older Adults with Sarcopenia: A Cross-Sectional Study: Ju-Hee Nho, Eun Jin Kim; J Korean Acad Nurs 2023;53(1):1-11. Published online February 28, 2023; DOI: https://doi.org/10.4040/jkan.22126

Abstract PDF

Purpose
This study aimed to identify the factors influencing quality of life (QoL) of low-income older adults (LOAs) with sarcopenia.
Methods
A convenience sample of 125 older adults was recruited from Jeonbuk Province, South Korea. Data were collected using a self-report questionnaire that included nutritional status, the Depression Anxiety Stress Scale-21, and the World Health Organization Quality of Life Instrument-Older Adults Module. Additionally, grip strength and appendicular skeletal muscle mass, were evaluated, along with the short physical performance battery.
Results
Sarcopenia and severe sarcopenia were observed in 43.2% and 56.8% of participants, respectively. Using multiple regression analysis, depression (β = - .40, p < .001), nutritional status (β = .24, p = .003), and anxiety (β = - .15, p = .042) were identified as factors affecting the QoL of the older adults in low-income groups with sarcopenia, the explanatory power of these variables was 44%.
Conclusion
The results of this study can be used to develop a nursing intervention program and establish policies to improve depression, anxiety, and nutritional status to enhance QoL of LOAs with sarcopenia.

Citations

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Factors influencing health-related quality of life in older adult women with sarcopenia: analysis of the Korean National Health and Nutrition Examination Survey 2019
Sol Hyun Lee, Ju-Hee Nho, Hye Young Kim, Eun Jee Lee
Korean Journal of Women Health Nursing.2023; 29(4): 328. CrossRef

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Original Article

Effect of Aromatherapy Massage for the Relief of Constipation in the Elderly: Myung Ae Kim, Jung Kyu Sakong, Eun Jin Kim, Eun Ha Kim, Eun Ha Kim; Journal of Korean Academy of Nursing 2005;35(1):56-64. Published online March 28, 2017; DOI: https://doi.org/10.4040/jkan.2005.35.1.56

Abstract PDF

Purpose

The purpose of this study was to verify the effect of aromatherapy massage on constipation in the elderly.

Method

This study for 10 day, employed a randomized control group pretest-posttest design. The experimental group received abdominal massage using essential oils with Rosemary, Lemon, and Peppermint, and the control group received a placebo massage. To evaluate the effect of aromatherapy, the degree of constipation was measured using the CAS(constipation assessment scale) and the number of bowel movements per week. Data was analyzed by repeated measures of ANOVA using the SPSS program.

Result

The score of CAS of the experimental group was significantly lower than that of the control group. In addition the average number of bowel movements in the experimental group was higher than that of the control group. The effect of aromatherapy lasted 2 weeks after treatment, while the placebo effect lasted 7~10 days after treatment.

Conclusion

The finding of this study showed that aromatherapy helps relieve constipation in the elderly.

Citations

Citations to this article as recorded by

Constipation among Korean older adults in long-term care facilities: A scoping review
Yuseon Jeong, Dukyoo Jung, Eunju Choi
Journal of Korean Gerontological Nursing.2024; 26(1): 4. CrossRef
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Ayşe Aydinli, Songül Karadağ
EXPLORE.2023; 19(1): 115. CrossRef
Chemical constituents, pharmacological activities, and uses of common ayurvedic medicinal plants: a future source of new drugs
Parul Kaushik, Priyanka Ahlawat, Kuldeep Singh, Raman Singh
Advances in Traditional Medicine.2023; 23(3): 673. CrossRef
Effects of Aroma Foot Massage on Sleep Quality and Constipation Relief among the Older Adults Living in Residential Nursing Facilities
Jung-In Kang, Eun-Hye Lee, Hyeon-Young Kim
International Journal of Environmental Research and Public Health.2022; 19(9): 5567. CrossRef
Comparisons between Manual Lymph Drainage, Abdominal Massage, and Electrical Stimulation on Functional Constipation Outcomes: A Randomized, Controlled Trial
Jacqueline S. Drouin, Lucinda Pfalzer, Jung Myo Shim, Seong Jung Kim
International Journal of Environmental Research and Public Health.2020; 17(11): 3924. CrossRef
Effects of Abdominal Meridian Massage with Aroma Oils on Relief of Constipation among Hospitalized Children with Brain related Disabilities
Mi Jung Nam, Young Ie Bang, Tae Im Kim
Journal of Korean Academy of Nursing.2013; 43(2): 247. CrossRef
Effects of Abdominal Meridian Massage with Aroma Oils by Volunteers on the Relief of Constipation in Hospitalized Disability Patients with brain lesions
Tae-Im Kim, Mi-Jung Nam, Young-Ie Bang, Young-Soon Yeon
Journal of the Korea Academia-Industrial cooperation Society.2012; 13(5): 2267. CrossRef
Practical Treatments for Constipation in Korea
Kyung-Sik Park, Suck-Chei Choi, Moo-In Park, Jeong-Eun Shin, Kee-Wook Jung, Seong-Eun Kim, Tae-Hee Lee, Hoon-Sup Koo
The Korean Journal of Internal Medicine.2012; 27(3): 262. CrossRef
Effects of Hands Moxibustion Therapy and Hand Press Pellet on Decreasing Constipation among Homebound Elders
Youn-Hye An, Yeong-Kyeong Kim
Korean Journal of Adult Nursing.2012; 24(2): 109. CrossRef
Diagnosis and Treatment of Constipation
Han Ho Jeon, Hyojin Park
Korean Journal of Medicine.2012; 83(5): 568. CrossRef
A Comparison between Effects of Aroma Massage and Meridian Massage on Constipation and Stress in Women College Students
Miyoung Chung, Euysoon Choi
Journal of Korean Academy of Nursing.2011; 41(1): 26. CrossRef
Guidelines for the Treatment of Constipation
Moo In Park, Jeong Eun Shin, Seung-Jae Myung, Kyu Chan Huh, Chang Hwan Choi, Sung-Ae Jung, Suck Chei Choi, Chong-Il Sohn, Myung-Gyu Choi
The Korean Journal of Gastroenterology.2011; 57(2): 100. CrossRef

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