Journal of Korean Academy of Nursing

Original Articles

Predictive Factors of Aspects of the Transtheoretical Model on Smoking Cessation in a Rural Community: Ok Hee Ahn, Eunja Yeun, Sung Bok Kwon, Hae Kyung Chung, Eunjung Ryu; Journal of Korean Academy of Nursing 2005;35(7):1285-1294. Published online March 28, 2017; DOI: https://doi.org/10.4040/jkan.2005.35.7.1285

Purpose

This study was done to evaluate the predictive value of aspects of the Transtheoretical model (TTM) of behavior change as applied to smoking cessation in a rural population.

Methods

A convenience sample was recruited from a public health center in a community. A total of 484 participants were recruited, including 319 smokers, 116 ex-smokers and 49 non-smokers. A cross-sectional and descriptive design was used in this study. Data was analyzed using descriptive statistics, frequency statistics, ANOVA and Logistic regression.

Results

The major findings were 1) The participants were assessed at baseline for their current Stage of Change resulting in a distribution with 42.1% in Precontemplation, 24.1% in Contemplation, 9.7% in Preparation, 6.2% in Active, and 17.9% in the Maintenance stage. 2) There were statistically significant differences of processes of change, decisional balance and situational temptation across the stages of change. 3) The main factors that affect smoking cessation were age, number of years smoking, age when began smoking, self-liberation and negative/affective situations, which combined explained 33.2% of the smoking cessation.

Conclusion

TTM variables measured prior to a smoking cessation program added little predictive value for cessation outcome beyond that explained by demographic and smoking history variables.

Citations

Citations to this article as recorded by

Nutrition Quotient and Dietary Self-efficacy according to the Transtheoretical Model in Adolescent Athletes
Nahan Kim, Kwang-Seok Hong, In-Kyung Jung
Exercise Science.2022; 31(4): 499. CrossRef
Exploring socio-contextual factors associated with male smoker’s intention to quit smoking
Minsoo Jung
BMC Public Health.2016;[Epub] CrossRef
An Integrative Model of Workplace Self-protective Behavior for Korean Nurses
Seol Ah Kim, Hyun Soo Oh, Yeon Ok Suh, Wha Sook Seo
Asian Nursing Research.2014; 8(2): 91. CrossRef
Factors Influencing Nicotine Dependency among College Students Intending to Quit Smoking
Hea Shoon Lee, Mi Ryeong Song
Journal of Korean Academy of Fundamentals of Nursing.2013; 20(4): 429. CrossRef
Integrative Smoking Cessation Stage Model for Chinese Students Studying in Korea
Hyunsoo Oh, Hyesun Jeong, Whasook Seo
Asian Nursing Research.2013; 7(4): 182. CrossRef
Factors Affecting Preparation Stage to Quit Smoking in Men
Jeong-Woon Yeon, Hyeongsu Kim, Kunsei Lee, Sounghoon Chang, Heejung Choi, Eunmi Ham, Jun Pyo Myong
Journal of Korean Academy of Nursing.2012; 42(3): 377. CrossRef
Factors Associated with the Preparation Stage to Quit Smoking among College Smokers
Kyung-Shin Paek, Young-Sook Kwon
Journal of Korean Academy of Community Health Nursing.2011; 22(2): 173. CrossRef
Effects of a Smoking Cessation Program on Processes of Change, Situational Temptation and Decisional Balance in Male University Student Smokers
Ju-Sung Kim, Sun-Ok Lee
Journal of muscle and joint health.2010; 17(2): 113. CrossRef
Effectiveness of Public Health Center Smoking Cessation Counseling Program using the Transtheoretical Model
Yun Hee Kim, Jung Soon Kim, Myoung Soo Kim
Journal of Korean Academy of Nursing.2009; 39(4): 469. CrossRef
Application of the Transtheoretical Model to Identify Aspects Influencing Condom Use Among Korean College Students
Young Mi Kwon, Eun Ja Yeun, Hee Young Kim, Mi Sun Youn, Ju Yeon Cho, Hee Joo Lee
Western Journal of Nursing Research.2008; 30(8): 991. CrossRef
Use of the Transtheoretical Model to Predict Stages of Smoking Cessation in Korean Adolescents
Ok Kyung Ham, Young Ja Lee
Journal of School Health.2007; 77(6): 319. CrossRef

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Association between Awareness of Nutrition Labels and Menstrual Cycle Irregularity in Korean Women: The Fifth Korea National Health and Nutrition Examination Survey (2010~2012): Hae Young Yoo, Eunjung Ryu, Ji-Su Kim, Kyung-do Han; J Korean Acad Nurs 2017;47(1):133-141. Published online February 28, 2017; DOI: https://doi.org/10.4040/jkan.2017.47.1.133

Abstract PDF: Purpose
The aim of this study was to identify the relationship between awareness of nutrition labeling and menstrual cycle irregularity in women from a nationally representative sample of the Korean population.
Methods
A cross-sectional analysis was performed using hierarchical multivariable logistic regression analysis models. A total of 4,324 women aged 19~54 years from the 2010~2012 Korean National Health and Nutrition Examination Survey participated in the study. The participants were classified into three groups based on self-report responses to a questionnaire about their awareness of nutrition labels: Reading, Not-Reading, and Not-Knowing Groups.
Results
The Reading, Not-Reading, and Not-Knowing Groups comprised 46.4%, 44.9%, and 8.7% of the participants, respectively, and 53.6% of the participants had never used nutrition labels. In the Not-Knowing Group, irregular menstrual cycles for more than 3 months were significantly more common than women with irregular menstrual cycles for up to 3 months and women with regular menstrual cycles. Women in the Not-Knowing Group were more likely to exhibit menstrual cycle irregularity (adjusted odds ratio: 1.63, 95% confidence interval: 1.10~2.41) compared to women in the Reading Group after adjusting for age, body mass index, smoking status, alcohol intake, exercise regularity, stress, depression, suicidal ideation, metabolic syndrome, age at menarche, parity, and use of oral contraceptives.
Conclusion
No awareness of nutrition labeling appears to be associated with a higher prevalence of menstrual cycle irregularity in a nationally representative group of Korean women.

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Structural Equation Modeling of Quality of Work Life in Clinical Nurses based on the Culture-Work-Health Model: Miji Kim, Eunjung Ryu; J Korean Acad Nurs 2015;45(6):879-889. Published online December 31, 2015; DOI: https://doi.org/10.4040/jkan.2015.45.6.879

Abstract PDF

Purpose

The purpose of this study was to construct and test a structural equation model of quality of work life for clinical nurses based on Peterson and Wilson's Culture-Work-Health model (CWHM).

Methods

A structured questionnaire was completed by 523 clinical nurses to analyze the relationships between concepts of CWHM-organizational culture, social support, employee health, organizational health, and quality of work life. Among these conceptual variables of CWHM, employee health was measured by perceived health status, and organizational health was measured by presenteeism. SPSS21.0 and AMOS 21.0 programs were used to analyze the efficiency of the hypothesized model and calculate the direct and indirect effects of factors affecting quality of work life among clinical nurses.

Results

The goodness-of-fit statistics of the final modified hypothetical model are as follows: χ²=586.03, χ²/df=4.19, GFI=.89, AGFI=.85, CFI=.91, TLI=.90, NFI=.89, and RMSEA=.08. The results revealed that organizational culture, social support, organizational health, and employee health accounted for 69% of clinical nurses' quality of work life.

Conclusion

The major findings of this study indicate that it is essential to create a positive organizational culture and provide adequate organizational support to maintain a balance between the health of clinical nurses and the organization. Further repeated and expanded studies are needed to explore the multidimensional aspects of clinical nurses' quality of work life in Korea, including various factors, such as work environment, work stress, and burnout.

Citations

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Influences of Organizational Culture, Nursing Workplace Spirituality, and Nurses’ Perceived Health Status on Quality of Nursing Work Life according to Nursing Clinical Ladder
Hyun Sook Lee, Ju Hyun Jin, Ju Ri Lee, Hye Jin Kim, Yeon Jae Jung
Journal of Korean Academy of Nursing Administration.2024; 30(1): 31. CrossRef
The Effects of Disaster Nursing Core Competence and Coping Flexibility on the Quality of Work Life of Emergency Room Nurses during Long COVID-19
Yu Jin Lee, Chung Hee Woo
Journal of Korean Academy of Nursing Administration.2024; 30(3): 259. CrossRef
Impact of patient‐safety incidents on Korean nurses' quality of work‐related life: A descriptive correlational study
Sun Aee Kim, Taewha Lee
Nursing Open.2023; 10(6): 3862. CrossRef
Employees’ attitudes toward cancer, cancer survivors, and cancer survivors’ return to work
Si Eun Lee, Eun Young Park
Asia-Pacific Journal of Oncology Nursing.2023; 10(3): 100197. CrossRef
The relationships among overcommitment, effort-reward imbalance, safety climate, emotional labour and quality of working life for hospital nurses: a structural equation modeling
Hui Yu Liang, Tzu Yi Tseng, Hung Da Dai, Jin Yun Chuang, Shu Yu
BMC Nursing.2023;[Epub] CrossRef
Latent profile analysis and influence factors study of presenteeism among ICU nurses in China
Yuxin Li, Jijun Wu, Xiaoli Liu, Jiquan Zhang, Xiaoli Zhong, Lin He
Frontiers in Psychology.2023;[Epub] CrossRef
Factors associated with the quality of work life among working breast cancer survivors
Juhyun Jin
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Eun Bee Baek, Sun Hyoung Bae
Journal of Health Informatics and Statistics.2022; 47(2): 159. CrossRef
Factors Affecting the Quality of Work Life of Nurses at Tertiary General Hospitals in the Context of the COVID-19 Pandemic
Eunhee Hwang
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Relationships between self‐efficacy, coping style and quality of work‐life among nursing managers in China: A cross‐sectional study
Cuicui Zhang, Xiyan Gong, Yue Xiao, Ying Zhong, Yali Zhong, Lin Chen, Yao Wang, Lili Zhu, Wanhong Xiong, Changju Liao
Journal of Nursing Management.2022; 30(7): 3236. CrossRef
Structural Equation Model of the Quality of Working Life among Cancer Survivors Returning to Work
Ju Hyun Jin, Eun Ju Lee
Asian Nursing Research.2021; 15(1): 37. CrossRef
Factors Affecting the Quality of Life of Working Cancer Survivors: Based on the 6th and 7th (2014, 2016, 2018) Korean National Health and Nutrition Examination Survey (KNHANES)
Jahyun Choi, Sanghee Kim
Asian Oncology Nursing.2020; 20(4): 171. CrossRef
Nurses’ Fatigue, Job Stress, Organizational Culture, and Turnover Intention: A Culture–Work–Health Model
Eunsook Lee, Insil Jang
Western Journal of Nursing Research.2020; 42(2): 108. CrossRef
Factors Affecting Quality of Work Life in a Sample of Cancer Survivor Female Nurses
Ju Hyun Jin, Eun Ju Lee
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Mi Suk Hyun
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Effect of Workplace Spirituality on Quality of Work Life of Nurse Cancer Survivors in South Korea
Juhyun Jin, Eunju Lee
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Analysis of Factors Affecting the Quality of Work Life of Dental Hygienists Based on the Culture-Work-Health Model
Ji-Hyeon Park, Young-Sik Cho, Soon-Ryun Lim
Journal of Dental Hygiene Science.2018; 18(1): 32. CrossRef
Clinical Nurses' Resilience Skills for Surviving in a Hospital Setting: A Q-methodology Study
Hye Sook Shin, Ju Hee Kim, Eun Sun Ji
Asian Nursing Research.2018; 12(3): 175. CrossRef
Seafarers’ Quality of Life: Organizational Culture, Self-Efficacy, and Perceived Fatigue
Jae-hee Kim, Soong-nang Jang
International Journal of Environmental Research and Public Health.2018; 15(10): 2150. CrossRef
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Insook Kim, Hyoungshim Choi, Yeongyi Yim, Seonae Won, Jungwoo Kim, Sanga Lee
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Journal of Korean Academy of Nursing.2015; 45(6): 879. CrossRef

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Posttraumatic Growth, Dyadic Adjustment, and Quality of Life in Breast Cancer Survivors and Their Husbands: Seunghee Song, Eunjung Ryu; J Korean Acad Nurs 2014;44(5):515-524. Published online October 31, 2014; DOI: https://doi.org/10.4040/jkan.2014.44.5.515

Abstract PDF

Purpose

The purpose of this study was to identify whether the couple perceived breast cancer as a traumatic event, to evaluate the association among posttraumatic growth, dyadic adjustment, and quality of life and to explore the predictors affecting quality of life of the couple.

Methods

A cross-sectional comparative survey design was utilized. Participants were 57 couples recruited from a national cancer center in Korea. Data were analyzed using paired t-test, McNemar test and independent t-test. On the basis of variables found to be significantly associated with quality of life, multiple regression was used to examine the simultaneous influence of multiple predictors.

Results

Breast cancers survivors and spouses perceived breast cancer as a traumatic event (43.9% and 24.6%, respectively). The global quality of life was explained by perception as trauma (β=-19.79) and posttraumatic growth (β=0.46) in survivors, and perception as trauma (β=-18.81) and dyadic adjustment (β=0.53) in spouses.

Conclusion

Results suggest that future research should use qualitative methods to evaluate why contemplating reasons for cancer contributed to posttraumatic growth, examine other potential predictors of quality of life such as dyadic adjustment and intimacy, and identify links between posttraumatic growth and other psychological outcomes such as distress and well-being, using prospective analyses.

Citations

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Structural Equation Model for Psychosocial Adjustment of Breast Cancer Survivors Based on Family Resilience Model
Jiyoung Seo, Myungsun Yi
Korean Journal of Adult Nursing.2022; 34(2): 178. CrossRef
Relationship among Post-traumatic Stress Disorder, Resilience, and Retention Intention in Nurses who had Perceived Traumatic Events
Jin Young Lee, Ja Yun Choi
Korean Journal of Adult Nursing.2022; 34(4): 403. CrossRef
Factors Associated with Post-Traumatic Growth in Patients with Breast Cancer Based on a Model of Post-Traumatic Growth
Hee Yeon Park, Ja Yun Choi
Asian Oncology Nursing.2022; 22(2): 65. CrossRef
Factors influencing posttraumatic growth in ovarian cancer survivors
Jeong Min Oh, Yoonjung Kim, Yeunhee Kwak
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The effect of web-based training on life quality and spousal adjustment for women with breast cancer and their spouses
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European Journal of Oncology Nursing.2020; 47: 101758. CrossRef
Influence of lifestyle, depression, and marital intimacy on quality of life in breast cancer survivors
Su-Jin Seo, Ju-Hee Nho, Myoungha Lee, Youngsam Park
Korean Journal of Women Health Nursing.2020; 26(1): 28. CrossRef
The Influence of Spiritual Well-Being, Self-Esteem, and Perceived Social Support on Post-Traumatic Growth among Breast Cancer Survivors
Eun Young Seo, Suhye Kwon
Asian Oncology Nursing.2018; 18(4): 232. CrossRef
Effects of stress appraisal on the quality of life of adult patients with multiple myeloma and their primary family caregivers in Korea
In Seo La, Eun Kyoung Yun
Psycho-Oncology.2017; 26(10): 1640. CrossRef
Effects of stress, dyadic communication and adaptation on prostatectomy patients' quality of life
Hae Sook Kim, Han Jong Ahn
International Journal of Urological Nursing.2017; 11(1): 13. CrossRef
Posttraumatic growth in breast cancer survivors and their husbands based on the actor‐partner interdependence model
MyoSuk Lee, Kyunghee Kim, Changwon Lim, Ji‐Su Kim
Psycho-Oncology.2017; 26(10): 1586. CrossRef
Influencing Factors for Post-traumatic Growth in Patients with Breast Cancer
Sung-Hee Choi, Young-Whee Lee
The Journal of the Korea Contents Association.2016; 16(11): 499. CrossRef
Breast Cancer Survivors’ Mental Health Related to Attachment Injury and Marital Satisfaction
서미아, Dong-Young Noh, 민준원
Health and Social Welfare Review.2015; 35(3): 278. CrossRef

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Identification and Validation of Symptom Clusters in Patients with Hepatocellular Carcinoma: Myung Sook Cho, In Gak Kwon, Hee Sun Kim, Kyunghee Kim, Eunjung Ryu; J Korean Acad Nurs 2009;39(5):683-692. Published online October 31, 2009; DOI: https://doi.org/10.4040/jkan.2009.39.5.683

Abstract PDF

Purpose

The purpose of this study was to identify cancer-related symptom clusters and to validate the conceptual meanings of the revealed symptom clusters in patients with hepatocellular carcinoma.

Methods

This study was a cross-sectional survey and methodological study. Patients with hepatocellular carcinoma (N=194) were recruited from a medical center in Seoul. The 20-item Symptom Checklist was used to assess patients' symptom severity. Selected symptoms were factored using principal-axis factoring with varimax rotation. To validate the revealed symptom clusters, the statistical differences were analyzed by status of patients' performance status, Child-Pugh classification, and mood state among symptom clusters.

Results

Fatigue was the most prevalent symptom (97.4%), followed by lack of energy and stomach discomfort. Patients' symptom severity ratings fit a four-factor solution that explained 61.04% of the variance. These four factors were named pain-appetite cluster, fatigue cluster, itching-constipation cluster, and gastrointestinal cluster. The revealed symptom clusters were significantly different for patient performance status (ECOG-PSR), Child-Pugh class, anxiety, and depression.

Conclusion

Knowing these symptom clusters may help nurses to understand reasonable mechanisms for the aggregation of symptoms. Efficient symptom management of disease-related and treatment-related symptoms is critical in promoting physical and emotional status in patients with hepatocellular carcinoma.

Citations

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Symptoms and symptom clusters in patients with hepatocellular carcinoma and commonly used instruments: An integrated review
Thitiporn Pathomjaruwat, Yaowarat Matchim, Jane M. Armer
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Symptom clusters and network analysis of patients with intermediate and advanced liver cancer treated with targeted immunotherapy
Mei Chen, Shan Li, Guangzhi Jin, Rui Li, Zhi Qi, Yalun He
Supportive Care in Cancer.2024;[Epub] CrossRef
Anxiety and depression prevalence in digestive cancers: a systematic review and meta-analysis
Mohammad Zamani, Shaghayegh Alizadeh-Tabari
BMJ Supportive & Palliative Care.2023; 13(e2): e235. CrossRef
Symptom Clusters in Patients with Non-Hodgkin’s Lymphoma Receiving Chemotherapy
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Asian Oncology Nursing.2022; 22(2): 93. CrossRef
Symptom clusters of ovarian cancer patients undergoing chemotherapy, and their emotional status and quality of life
Kyung-Hye Hwang, Ok-Hee Cho, Yang-Sook Yoo
European Journal of Oncology Nursing.2016; 21: 215. CrossRef
Effects of Acupressure on Fatigue and Depression in Hepatocellular Carcinoma Patients Treated with Transcatheter Arterial Chemoembolization: A Quasi-Experimental Study
Su-Chen Lan, Yueh-E Lin, Shu-Ching Chen, Yu-Fang Lin, Yu-Jen Wang
Evidence-Based Complementary and Alternative Medicine.2015; 2015: 1. CrossRef
Quality of Life in Colorectal Cancer Patients according to the Severity of Symptom Clusters Classification
Gyeonghui Jeong, Kyunghee Kim, Yeunhee Kwak
Asian Oncology Nursing.2014; 14(2): 74. CrossRef
Development and Evaluation of Learning Program for Oncology Unit-based Core Nursing Practice - Outcomes based Cancer Patients Pain Management Learning Program -
Yeon Hee Kim, Young Sun Jung, Soon Haeng Lee, Kyoung Ok Kim, Young Nam Jeong, Hye Ryun Jung, Kyunghee Kim
Asian Oncology Nursing.2013; 13(4): 231. CrossRef
Symptom Clusters and Quality of Life in Korean Patients With Hepatocellular Carcinoma
Eunjung Ryu, Kyunghee Kim, Myung Sook Cho, In Gak Kwon, Hee Sun Kim, Mei R. Fu
Cancer Nursing.2010; 33(1): 3. CrossRef

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