Journal of Korean Academy of Nursing

Research Papers

Effect of an Intervention Using Voice Recording of a Family Member on Patients Undergoing Mechanical Ventilator Weaning Process: Choi, Ah Young , Kim, Min Young , Song, Eun Kyeung; J Korean Acad Nurs 2024;54(1):32-43. Published online February 29, 2024; DOI: https://doi.org/10.4040/jkan.23082

Abstract PDF: Purpose
This study aimed to determine the impact of an intervention using voice recording of family members on pain, anxiety, and agitation in patients undergoing weaning from mechanical ventilation.
Methods
A randomized control pre-post experimental design was implemented to 53 participants, with 27 and 26 participants in the experimental and control groups, respectively. A 70-second voice recording of a family member, repeated three times at 10-minute intervals was used as an intervention for the experimental group. Meanwhile, participants in the control group used headset for 30 minutes. Structured instruments were utilized to measure pain, anxiety, agitation, and the weaning process. Wilcoxon Signed Ranks test and the Mann-Whitney U test, or χ² test, were used for data analysis.
Results
The experimental group exhibited significant decrease in pain (Z = - 3.53, p < .001), anxiety (t = 5.45, p < .001), and agitation (Z = - 2.99, p = .003) scores compared with those of the control group. However, there was no significant difference between groups in the weaning process’ simplification (χ² = 0.63, p = .727).
Conclusion
Intervention using family members’ voice recording effectively reduces pain, anxiety, and agitation in patients undergoing weaning from mechanical ventilation. This can be actively utilized to provide a more comfortable process for patients.

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The Influence of Parental Self-Esteem on Late School-Aged Children’s Media Device Addiction: The Mediating Effect of Marital Conflict and Children’s Self-Esteem: Heo, Dayeon , Kim, Suk-Sun; J Korean Acad Nurs 2022;52(4):421-434. Published online August 31, 2022; DOI: https://doi.org/10.4040/jkan.22036

Purpose
This study aimed to examine the effect of parental self-esteem on late school-aged children’s media device addiction by mediating marital conflict and children’s self-esteem.
Methods
This study used data from the 11th (2018) Panel Study on Korean Children. The participants consisted of 1,082 family triads (fathers, mothers, and children). Data were collected using the Rosenberg Self-Esteem Scale, Marital Conflict Scale, and K-Internet Addiction Scale. The data were analyzed using structural equation modeling with SPSS/WIN 27.0 and Mplus 8.7.
Results
The final model showed a good fit for the data. Children’s media device addiction was directly related to mothers’ self-esteem, mothers’ marital conflict, and children’s self-esteem. Fathers’ self-esteem had a significant indirect effect on children’s media device addiction by mediating both fathers’ and mothers’ marital conflict. In addition, mothers’ self-esteem had a significant indirect effect on children’s media device addiction by mediating mothers’ marital conflict.
Conclusion
The findings indicates that self-esteem and marital conflict for both fathers and mothers have a significant effect on children’s media device addiction. It suggests that more attention might be given to fathers and mothers in developing interventions to prevent children’s media device addiction.

Citations

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A longitudinal study of the relationship between parents’ self-esteem and children’s digital media addiction: Testing the mediating roles of children’s self-esteem and aggression
Il Bong Mun, Seyoung Lee
The Social Science Journal.2023; : 1. CrossRef

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A Predictive Model of Resilience in Mothers of Children with Developmental Disabilities: Cho, Youyoung , Kim, Hyeonok; J Korean Acad Nurs 2022;52(4):407-420. Published online August 31, 2022; DOI: https://doi.org/10.4040/jkan.21235

Abstract PDF: Purpose
This structural model study was constructed and verified a hypothetical model to examine the effects of parenting stress, social resources, family resources, and positive coping on resilience among mothers of children with developmental disabilities.
Methods
Data were collected using self‐report structured questionnaires, from October 19 to October 30, 2018, with 214 mothers caring for chil-dren with developmental disabilities under the age of 20 years.
Results
In the fitness test results of the hypothesis model, with the fit index χ ² (p) = 69.27 (< .001), and the normed fit indices (χ ² = 1.87, GFI = .94, CFI = .97, NFI = .93, and TLI = .95, RMSEA = .06, SRMR = .06), this study satisfies the good fitness in standards. There are seven statistically significant paths among the 10 paths set in the hypotheti-cal model. The explanatory power of parenting stress and social resources, which affects the family resources was 41.4%, the explanato-ry power of parenting stress, social resources, and family resources affecting the positive coping was 58.9%, and the explanatory power of parenting stress, social resources, family resources, and positive coping affecting resilience was 55.5%.
Conclusion
Positive coping, family resources, and social resources of mothers of children with developmental disabilities directly affect their resilience, and parenting stress indirectly affects it. Therefore, to improve the resilience of mothers of children with developmental disabilities, it is necessary to develop a systematic nursing intervention that considers parenting stress, social resources, family resources, and positive coping.

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The Influence of Family Function on Occupational Attitude of Chinese Nursing Students in the Probation Period: The Moderation Effect of Social Support: J Korean Acad Nurs 2021;51(6):746-757. Published online December 31, 2021; DOI: https://doi.org/10.4040/jkan.21103

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