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Effects of an integrated healthcare program for postpartum women: a quasi-experimental study
Eun Suk Hwang, Ju-Hee Nho
J Korean Acad Nurs 2025;55(4):506-518.   Published online November 7, 2025
DOI: https://doi.org/10.4040/jkan.25076
AbstractAbstract PDFePub
Purpose
This study aimed to develop and evaluate an integrated healthcare program for postpartum mothers based on Cox’s interaction model of client health behavior.
Methods
A non-equivalent control group pretest-posttest design was used. The integrated healthcare program was administered 6 times over 2 weeks to postpartum mothers in the experimental group (n=21), while the control group (n=23) received standard care. Data were collected from June 3 to July 15, 2024, through structured questionnaires measuring postpartum fatigue, depression, marital intimacy, and mother-infant attachment. Analyses were conducted using IBM SPSS ver. 23.0.
Results
The experimental group showed significantly lower postpartum fatigue (Z=–2.00, p=.023), a significantly proportion of improvement in postpartum depression (χ2=10.32, p=.012), and a significant increase in mother-infant attachment (t=1.70, p=.048) compared to the control group. However, there was no significant difference in marital intimacy between groups (Z=–0.46, p=.326).
Conclusion
These results suggest that an integrated health management program including physical health, psychological stability, and relational support can be used as an effective nursing intervention to promote health in postpartum mothers. Therefore, additional research is warranted that expands and applies integrated programs for postpartum mothers in various environments in postpartum care centers and communities.
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Sleep Deprivation and Fatigue among Nurses Working Consecutive Night Shifts: A Prospective Observational Study
Ari Min, Jisu Seo, Minkyung Kang, Hye Chong Hong
J Korean Acad Nurs 2024;54(2):139-150.   Published online May 31, 2024
DOI: https://doi.org/10.4040/jkan.23164
AbstractAbstract PDF
Purpose
This study aimed to identify changes in sleep patterns and fatigue levels during consecutive night shifts among shift nurses and to determine the association between sleep parameters and increased fatigue levels during work.
Methods
This prospective observational study employing ecological momentary assessments was conducted using data collected from 98 shift nurses working in Korean hospitals between June 2019 and February 2021. The sleep patterns were recorded using actigraphy. The participants reported their fatigue levels at the beginning and end of each night shift in real time via a mobile link. Linear mixed models were used for the analysis.
Results
Nurses spent significantly less time in bed and had shorter sleep durations during consecutive night shifts than on off-duty days, whereas their wake times after sleep onset were much longer on off-duty days than on on-duty days. Fatigue levels were higher on the second and third night-shift days than on the first night-shift days. A shorter time spent in bed and asleep was associated with a greater increase in fatigue levels at the end of the shift than at the beginning.
Conclusion
Nurses experience significant sleep deprivation during consecutive night shifts compared with off-duty days, and this sleep shortage is associated with a considerable increase in fatigue levels at the end of shifts. Nurse managers and administrators must ensure sufficient intershift recovery time during consecutive night shifts to increase the time spent in bed and sleeping.

Citations

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  • Effectiveness of digital cognitive behavioral therapy for insomnia in nurses with shift work sleep disorder: Results of a randomized controlled trial
    Hanna A. Brückner, Johanna Ell, Lina Kalon, Jana Strahler, Antje Ducki, Dieter Riemann, Claudia Buntrock, Kai Spiegelhalder, Dirk Lehr
    International Journal of Nursing Studies.2025; 169: 105112.     CrossRef
  • Fatigue and coping strategies among Chinese night-shift nurses: a cross-sectional study
    Bin He, Yanle Zhang, Shengjun Qian, Qun Ye, Ying Ren, Zhan Wang
    BMC Nursing.2025;[Epub]     CrossRef
  • Investigating the associations between weekend catch-up sleep and insulin resistance: NHANES cross-sectional study
    Xianling Liu, Aihui Chu, Xiahao Ding
    BMC Medicine.2025;[Epub]     CrossRef
  • A Text Network Analysis of Nurse Managers’ Feedback Journals
    Naru Kang, Shinhye Ahn, Hye Won Jeong
    CIN: Computers, Informatics, Nursing.2025;[Epub]     CrossRef
  • Sleep Quality in Shift-Working Nurses: Subjective and Objective Evaluation
    Željka Dujmić, Štefica Mikšić, Ivana Barać, Josip Samardžić, Lea Maršić, Petar Samardžić, Zvjezdana Gvozdanović, Ivana Jelinčić, Blaženka Kljajić Bukvić, Marija Barišić, Davorka Čavar-Lovrić, Ružica Mrkonjić, Ivica Mihaljević, Nikolina Farčić
    International Journal of Environmental Research and Public Health.2025; 23(1): 64.     CrossRef
  • 11,480 View
  • 397 Download
  • 3 Web of Science
  • 5 Crossref
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Original Articles
Secondary Data Analysis on the Quality of Sleep and Related Factors of Novice and Experienced Shift Work Nurses
Minjeong Yu, Choi-Kwon Smi
J Korean Acad Nurs 2020;50(5):646-657.   Published online October 31, 2020
DOI: https://doi.org/10.4040/jkan.19238
AbstractAbstract PDF
Purpose
The purpose of this study was to identify the quality of sleep in novice and experienced shift work nurses and compare the factors associated with their quality of sleep.
Methods
We analyzed the data of 192 and 256 novice and experienced nurses, respectively. The quality of sleep, sleep hygiene, job stress, and fatigue were measured using Insomnia Severity Index, Sleep Hygiene Practice Scale, the Korean Occupational Stress Scale, and Fatigue Severity Scale. Data were analyzed using SPSS 25.0 to calculate descriptive statistics and logistic regression.
Results
Sleep quality was lower in experienced nurses (12.55 ± 5.71) than in novice nurses (11.18 ± 5.78). Fatigue was more severe in experienced nurses (4.47 ± 1.13) than in novice nurses (4.23 ± 1.12). In the logistic regression, factors related to sleep quality in novice nurses were sleep hygiene (odds ratio; OR = 1.06, p < .001) and fatigue (OR = 2.49, p < .001). Factors related to sleep quality in the experienced nurses were also sleep hygiene (OR = 1.04, p = .001) and fatigue (OR = 1.53, p = .012).
Conclusion
Sleep quality of experienced nurses is lower than those of novice nurses. Factors associated with sleep quality in novice and experienced nurses are equally identified as sleep hygiene and fatigue. Therefore, personal efforts to improve sleep hygiene, such as providing comfortable sleep environment, are needed. Furthermore, organized efforts to decrease fatigue, such as constructing a working environment with a bright light at night and providing a fatigue-decreasing program that includes meditation, are required.

Citations

Citations to this article as recorded by  
  • Navigating night shifts: a qualitative study of exploring sleep experiences and coping strategies among nurses
    Hyeonbin Lim, Su Hyun Kim
    BMC Nursing.2025;[Epub]     CrossRef
  • Improving sleep health in paramedics through an app-based intervention: a randomised waitlist control pilot trial
    Alexandra E. Shriane, Grace E. Vincent, Sally A. Ferguson, Amanda Rebar, Tracy Kolbe-Alexander, Gabrielle Rigney
    BMC Public Health.2024;[Epub]     CrossRef
  • Factors Influencing Sleep Disturbance of Novice Nurses: Focusing on Sleep Hygiene and Physical Activity - Longitudinal Study of Secondary Data
    Minjeong Yu, Smi Choi-Kwon, Jison Ki, Kyeongsug Kim
    Journal of Korean Academy of Nursing Administration.2023; 29(3): 278.     CrossRef
  • Dietary behavior and its influencing factors among experienced shiftwork nurses: a secondary analysis
    Soyeon Kim, Jison Ki, Ji Yun Choi, Woan Heui Choi, Smi Choi-Kwon
    Korean Journal of Women Health Nursing.2023; 29(1): 32.     CrossRef
  • Mediating effects of fatigue on the relationship between sleep quality and the quality of life of shift-working nurses
    Jeongwon Yeom, Insun Yeom
    Chronobiology International.2023; 40(4): 450.     CrossRef
  • Factors Associated with Gastrointestinal Symptoms among Rotating Shift Nurses in South Korea: A Cross-Sectional Study
    Sun-Kyung Hwang, Yun-Ji Lee, Min-Eun Cho, Bo-Kyoung Kim, Yea-In Yoon
    International Journal of Environmental Research and Public Health.2022; 19(16): 9795.     CrossRef
  • Health-Related Factors Influencing Nurse Turnover by Clinical Career: A Secondary Data Analysis of Clinical Nurses in South Korea
    Jiwon Kang, Youngjin Lee
    International Journal of Environmental Research and Public Health.2022; 19(22): 15222.     CrossRef
  • Low Back Pain and Its Influencing Factors among Intensive Care Unit Nurses: A Cross-sectional Study
    Hyun Ju Uhm, Hye-Ja Park
    Journal of Health Informatics and Statistics.2022; 47(2): 95.     CrossRef
  • Sleep quality and its predictors among hospital-based nurses: a cross-sectional study
    Khader A. Almhdawi, Hassan Alrabbaie, Donia S. Obeidat, Saddam F. Kanaan, Moh’d Rami Alahmar, Zaid Modhi Mansour, Alaa O. Oteir
    Sleep and Breathing.2021; 25(4): 2269.     CrossRef
  • Nurses' Voices: Autumn 2020
    Jeung-Im Kim
    Journal of Korean Academy of Nursing.2020; 50(5): 644.     CrossRef
  • 2,801 View
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  • 7 Web of Science
  • 10 Crossref
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Changes in Fatigue and the Quality of Life of Cancer Patients Receiving Radiotherapy
Eun Sook Lee, Jucia Jo
Journal of Nurses Academic Society 1997;27(3):489-502.   Published online March 30, 2017
DOI: https://doi.org/10.4040/jnas.1997.27.3.489
AbstractAbstract PDF

Quality of life(QOL) and fatigue in cancer patients receiving the radiotherapy was assessed. The subjects were 46 cancer patients who daily attended the radiotherapy department. Assessment was done on four occasions ; the first assessment was done on the treatment simulation visit, the second one was four week after treatment started, the third one at the completion of treatment and the last assessment was done between six and eight week following treatment. The results are as follows : The fatigue scores of the patients at each stage of assessment ranged from 5.49 points to 7.67 points and highest score was recorded at the third assessment hat is, at the completion of treatment. The fatigue points showed an increase from the 1st. to 3rd. stage. However, at the 4th. stage, fatigue points decreased to the level at the first stage, fatigue points decreased to the level at the first stage of assessment. QOL were assessed in three areas namely, physical, emotional and social/functional. The QOL scores in the physical area showed the highest score, followed by social/functional and emotional areas. The QOL scores decreased gradually to the third. stage of assessment thereafter recovered to the level of the first. stage. Correlation between QOL and fatigue scores during the treatment indicated that the level of QOL decreased as the level of fatigue increased. In particular, fatigue persisted after completion of the treatment and showed a significantly negative correlation with QOL. The present study strongly suggests that a strategy to restore the emotional well being level of the patient should be devised in order to improve QOL and reduce fatigue of patients receiving radiotherapy.

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An Analysis of Research on Fatigue
Mi Sook Park, Young Soon Byun
Journal of Nurses Academic Society 1996;26(4):868-877.   Published online March 30, 2017
DOI: https://doi.org/10.4040/jnas.1996.26.4.868
AbstractAbstract PDF

This study was done to analyze research trends and to suggest future perspectives for nursing research on fatigue. The author reviewed 31 Korean and foreign research papers which have been published in the literature since 1970. An analysis of the study focused on the type of research subjects, type of study design, measurement instrument, and its correlated parameters. The results of the study are summarized as follows: First, within all of the studies analayzed, 14 studies were publised in Korea and 17 were published abroad. The number of studies done abroad have been increasing rapidly since 1991. Second, an analysis of the research design of the studies showed, eight studies each, Korean and foreign used survey design. Two Korean studies and seven foreign studies used a correlational design. Four comparative studies were done in Korea, but only two experimetal studies were performed abroad. Therefore, it was found that the trend of the study design used is survey design and there are more correlational studies done abroad than in Korea. Third, the type of the study subjects; 11 Korean and three foreign studies dealt with healthy people. In addition, three Korean and 14 foreign studies investigated patients with various illnesses. It was found that patients with various illnesses were studied more frequently in foreign studies than in Korean studies. Fourth, the measurement tool used in the Korean studies; 13 studies used a testible tool to assess patients' subjective symtoms or complaints of fatigue. The most commonly used tool used in 10 studies, was the Fatigue Self-Perception Scale, which was designed by the Labor and Health Institute of Japan. The Visual Analogue Scale was used in two studies, and Piper Fatigue Scale, addtional with physiologic parameters, was used in one study. In the foreign studies, subjective measurement tools were used in 16 studies. A combination of a subjective measurement tool with objective parameters was used in ten studies. For the subjective measurement tool used in the foreign studies, a specific measurement tool developed by the researcher which was used in seven studies. Either Rhoten Fatigue Scale or the Visual Analog Scale were used in three studies. Additionally, in order to identify the relationship between fatigue and psychological factors, The Profile of Mood State was used in three studies. Beck Depression Inventory was used in two studies. The Self Rated Depression Scale, developed by Zung, was used in one study and other measurement tools were used to measure various psychological parameters. Rhoten Fatigue Checklist was also used to observe behavior patterns. Lastly, nine studies identified correlations between fatigue and other parameters. A significant correlation was found between fatigue and psychological factors such as depression, and pain. As a result of the above findings, it can be said that research trends on fatigue are increasing internationally. The selected study designs are survey studies both in Korea and abroad. There are more correlational studies abroad than in Korea. In addition, subjective measurement tools and objective parameters are used variously and combined with each other. And, there is a significant correlation between fatigue and psychological factors such as depression, and pain. More survey and correlational studies need to be done to identify the relationship of fatigue in patients with various condition or diagnoses and to suggest a scientific basis for nursing interventions with fatigue. Also, a tool to assess patient's subjective, objective, and behavioral aspects on fatigue needs to be developed.

Citations

Citations to this article as recorded by  
  • The Effects of Emotional Intelligence, Job Environment and Physical Fatigue on Job Commitment of Beauty Workers
    Yoo-Ran Jeon, Young-Hee Noh, Byung-Lim Lee
    Journal of the Korean Society of Cosmetology.2023; 29(5): 1267.     CrossRef
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Fatigue and its Related Factors in Patients on Hemodialysis
Hye Ryoung Kim
Journal of Nurses Academic Society 1996;26(1):53-72.   Published online March 30, 2017
DOI: https://doi.org/10.4040/jnas.1996.26.1.53
AbstractAbstract PDF

The Purpose of this study was to identify characteristics of fatigue and the relationship between fatigue and related factors in patients on hemodialysis. This study was a survey study using a cross-sectional design. The subjects for this study were 101 patients on hemodialysis who were registered in the six hemodialysis clinics among a total of eleven clinics in Seoul. The period of data collection was from February 28, 1995 to May 2, 1995. Data were collected through an interview with a structured packet and the physiological data. The tools used in this study were the Visual Analogue Scale-Fatigue developed by Lee et al(1990) and translated by Lee (1991), the fatigue interview schedule developed by this reseacher, Zung's self rating depression scale (Zung, 1965), the self-efficacy scale developed by Sherer et al(1982) and the Norbeck Social Support Questionnaire (NSSQ) translated by Oh (1984). The collected data were analyzed using descriptive statistics (mean, standard deviation, frequency, range), Pearson correlation coefficients and Stepwise multiple regression. The results were as follows: 1. Characteristics of Fatigue of hemodialysis patients: 1) 79 of 101 hemodialysis patients complained fatigue. 2) The mean fatigue score as measured by the VAS-F was 36.2mm. 3) The mean duration of fatigue was 2.9 hours 2. Characteristics of fatigue related factors: 1) The physiologic factor which included Hgb, Hct, BUN, creatinine, potassium and inter-dialytic weight gain deviated from normal range. 2) The psychological factor which included depression and self-efficacy was about the same level as for patients with other chronic diseases. 3) The environmental factor which included social support had wide variation. 3. The relationship between fatigue and related factors: 1) Interdialytic weight gain in the physiological factor was the only valuable with fatigue (p<.05) 2) The relationship between fatigue and the psychological factor of depression showed a positive and strong correlation (p<.05). According to the findings of this study, fatigue was highly correlated with the depression, This indicates that nurses should try to assess and control psychological factors when patients complain of fatigue rather than just considering physiological factors. Nursing has to develop effective nursing interventions to reduce fatigue in patients with chronic diseases using the relationship between fatigue and physiological, psychological and environmental factors.

Citations

Citations to this article as recorded by  
  • The Effect of Dialysate Flow Rate on Dialysis Adequacy and Fatigue in Hemodialysis Patients
    Sun Mi Cha, Hye Sook Min
    Journal of Korean Academy of Nursing.2016; 46(5): 642.     CrossRef
  • 648 View
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  • 1 Crossref
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An Analytical Review on Fatigue of Cancer Patients
Yun Jung Lee, Dal Sook Kim
Journal of Korean Academy of Nursing 2002;32(6):897-905.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.2002.32.6.897
AbstractAbstract PDF

PURPOSE: The purpose of this study was to discuss and address the state of the knowledge development and the nature of knowledge regarding fatigue. METHOD: This study analyzed the 63 fatigue related articles published from 1990 to 2001. The analysis schema was 'Alternative linkages among philosophy, theory, and method for nursing science' (Kim, 1993). RESULT: The 63 articles had been studied only within 5 types among all 96 types of linkages. Most of the articles (59 among 63 articles) had been studied within scientific realism and deductive logic. Fifty-three articles among 59 articles were the type of explanatory and predictive theory, grasping reality by the etic method on the controlled setting. CONCLUSION: This study suggests more development of knowledge regarding fatigue with various logics, especially with discovery logic such as inductive and retroductive or methods in multiple designs on various subjects under various philosophy needed for nursing practice.

Citations

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  • Trends in Research on Caregivers Hospitalized Children in Korea-Focus on Knowledge Type
    In-soo Kwon, Yeong-mi Seo, Ji-youn Kim
    Journal of Korean Academy of Child Health Nursing.2012; 18(3): 101.     CrossRef
  • Trends of Doctoral Dissertations in Nursing Science: Focused on Studies Submitted Since 2000
    Hyunsook Shin, Kyung-Mi Sung, Seok Hee Jeong, Dae-Ran Kim
    Journal of Korean Academy of Nursing.2008; 38(1): 74.     CrossRef
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The Trajectory of Fatigue and Quality of Life in Stomach Cancer Patients Receiving Chemotherapy
Young Hee Yang
Journal of Korean Academy of Nursing 2002;32(4):482-491.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.2002.32.4.482
AbstractAbstract PDF

PURPOSE: This study aimed to identify the change patterns of fatigue and quality of life during consecutive chemotherapies and to determine the relationship of these two variables. METHOD: Stomach cancer patients receiving chemotherapy were recruited from a university hospital in Seoul. Each chemotherapy, subjects were asked to respond to the questionnaires regarding their fatigue and quality of life. The number of subjects who completed 4 cycles and over was 11. Fatigue was measured with Lee's tool(1999). Quality of life was measured with a tool revised by the author based on Padilla et al(1983). RESULT: Most patients were in 1st stage(5 patients) or 3rd stage(5 patients). Fatigue was revealed at its highest level in the 3rd or 4th chemotherapy and at its lowest level in the 1st or 6th chemotherapy. A quality of life appeared at its highest level in the 5th or 6th chemotherapy and the lowest level in 3rd or 4th chemotherapy. CONCLUSION: Among 6 cycles of chemotherapy, in 3-4th chemotherapy the fatigue was the highest and the quality of life were the lowest. Many patients decided to stop treatment at the same period. Therefore we can recognize cancer patients receiving chemo- therapy are in the highest risk at the time of the 3-4 th chemotherapy.

Citations

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  • The “Ick” Factor: An Unrecognized Affective Predictor of Physical Symptoms During Chemotherapy
    Vinayak Dev, Nathan S Consedine, Lisa M Reynolds
    Annals of Behavioral Medicine.2021; 55(4): 345.     CrossRef
  • Are coping styles better predictors of quality of life amongst patients undergoing chemotherapy than psychological distress?
    Vinayak Dev, Nathan S. Consedine, Lisa M. Reynolds
    Psycho-Oncology.2019; 28(4): 934.     CrossRef
  • A Longitudinal Path Analysis of Symptom, Fatigue and Quality of life in Patients with Colorectal Cancer during Chemotherapy
    Eun Hee Kim, Soon Rim Suh
    Journal of Health Informatics and Statistics.2018; 43(3): 200.     CrossRef
  • The Effects of Integrated Intervention Program for Community Dwelling Cancer Patients' Quality of Life, Depression and Self Care Agency
    Young Sil Kang, In Soo Kwon, Eunyoung Hong
    Journal of Korean Public Health Nursing.2016; 30(3): 445.     CrossRef
  • Factors affecting the Fatigue of Hospitalized Women Cancer Patients Receiving Chemotherapy
    Kyunghee Kim, MyoSuk Lee, Yeunhee Kwak, Ji-Su Kim
    Asian Oncology Nursing.2014; 14(3): 182.     CrossRef
  • Causal relationships among factors associated with cancer-related fatigue
    YoungMin Seo, HyunSoo Oh, WhaSook Seo
    European Journal of Oncology Nursing.2010; 14(5): 380.     CrossRef
  • Factors Influencing Quality of Life in Patients with Gastrointestinal Neoplasms
    Eun Ok Lee, Aeyong Eom, Rhayun Song, Young Ran Chae, Paul Lam
    Journal of Korean Academy of Nursing.2008; 38(5): 649.     CrossRef
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  • 7 Crossref
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Mediation Effect of Hope between Fatigue and Psychosoical Adjustment in Women with Breast Cancer
Eun Hyun Lee
Journal of Korean Academy of Nursing 2000;30(4):857-868.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.2000.30.4.857
AbstractAbstract PDF

The purpose of the present study is to identify the mediation effect of hope between fatigue and psychosocial adjustment in women with breast cancer. The framework for this study was guided by concepts and propositions derived from the theoretical and empirical literature on fatigue, hope and adjustment. The design of this study is a descriptive correlation study using a cross-sectional design. One hundred and twenty two outpatients with early breast cancer, receiving post-surgical radiation therapy or chemotherapy, were selected from three major medical centers in Seoul, Korea. A packet including PABCF (Psychosoical Adjustment to Breast Cancer Factor), revised RPFS (Revised Piper Fatigue Scale), HHI (Herth Hope Index), and self-addressed return envelope was given to the participants at seven to eight weeks post surgery. The questionnaires were to be completed at home and returned to the researcher by mail. The obtained data were analyzed using three regression equations guided by Baron and Kenny (1986); first, hope was regressed on fatigue; second, psychosocial adjustment was regressed on fatigue; and third, psychosocial adjustment was regressed on fatigue and hope, simultaneously. In the first equation, fatigue explained 4% of the variance in hope. In the second equation, fatigue explained 47% of the variance in psychosocial adjustment. In the last equation, hope and fatigue significantly explained the variance in psychosocial adjustment. Therefore, all conditions for the test of mediation effect of hope were satisfied. For the test of the mediation effect, the beta coefficients of fatigue on psychosocial adjustment on the second and third regression equations were compared. The beta coefficients were decreased from .69 (p < .001) on the second regression equation to .63 (p < .001) on the third regression equation. Thus, the hypothesis of this study was supported. As a result of this study, the negative Influence of fatigue on psychosocial adjustment is dampened through the mediator effect of hope in women with breast cancer. Therefore, when planning care for the adverse effect of fatigue on psychosocial adjustment, oncology nurses should consider hope as a mediator between fatigue and psychosocial adjustment to breast cancer.

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  • Relationship of Spiritual Well-being, Hope on Fatigue in Cancer Patients on Chemotherapy
    So Yeun Jun, Il Sun Ko
    Korean Journal of Adult Nursing.2012; 24(6): 557.     CrossRef
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Differences of Women's Perception of Fatigue According to the Period of Pregnancy
Geum Hee Jeong, Shin Jeong Kim
Journal of Korean Academy of Nursing 2000;30(3):731-740.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.2000.30.3.731
AbstractAbstract PDF

A study was done to identify the differences of women's perception of fatigue according to the period of pregnancy. Questionnaires were collected from 510 normal pregnant women in 3 University Hospitals in Korea from April to November of 1999. The questionnaires used to measure pregnant women's fatigue were the "Subjective Symptoms of Fatigue Test" designed by the Research Committee of Industrial Fatigue in Hygienic Association of Japanese Industry. The collected data was analyzed by SPSS-Win. The results revealed that there was a significant difference according to the periods of pregnancy: The degree of fatigue was the highest in the first trimester and then third and second trimester in decreasing order (F=89.53, p=0.000). The degree of fatigue was also compared with the respect to the general characteristics of women: There were statistically significant differences according to number of pregnancy (t=6.41, p=0.000), expectation of pregnancy (t=-291, p=0.004) and weight change (F=8.07, p=0.000). Therefore, variable nursing intervention should be provided to alleviate the fatigue according to the each trimester of pregnant period. Especially the nursing intervention program to alleviate the physical fatigue in the first trimester is necessary.

Citations

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  • Relationship between Fatigue, Sleep Disturbance, and Gestational Stress among Pregnant Women in the Late Stages
    Mi-Young Chung, Kyung-Hye Hwang, Ok-Hee Cho
    Korean Journal of Women Health Nursing.2014; 20(3): 195.     CrossRef
  • The Contribution of Maternal-Fetal Attachment: Taegyo, Maternal Fatigue and Social Support during Pregnancy.
    Mi Yu, Miok Kim
    Child Health Nursing Research.2014; 20(4): 247.     CrossRef
  • Study on Fatigue, Stress and Burnout of Pregnant Nurses
    Ja-Sook Kim, Young-Sook Lee
    Korean Journal of Occupational Health Nursing.2013; 22(3): 208.     CrossRef
  • Effects of an Educational Program of Pregnancy and Delivery on Pregnancy related Knowledge, Newborn Care Knowledge, and Postpartum Care Self-efficacy of Marriage Immigrant Women
    Eun Hee Kim, Eunjoo Lee, Mi-Jo Kim, Dong Young Park, Sung Hee Lee
    Journal of Korean Academy of Nursing.2010; 40(1): 78.     CrossRef
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The Effects of Exercise Program on Fatigue, Perceived Health State, Exercise-related Affect, Perceived benefits, and Self-Efficacy: From the samples of female college students
Eun Sook Choi, Mi Ra Lee
Journal of Korean Academy of Nursing 1999;29(6):1254-1262.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.1999.29.6.1254
AbstractAbstract PDF

The purpose of this study was to examine the effects of 6-wk low intensity exercise program on fatigue, perceived health state, exercise-related affect, perceived benefits, and exercise self-efficacy for female college student's. The subjects of the study consisted of thirty-four female college students. The research subjects were assigned to experimental and control group. The experimental group participated in 13-17 and 30-60 minute sesseions of exercise program over 6 weeks. Data analysis was done by t-test with SAS program. The results of this study are as follows. 1) The first hypothesis, "The fatigue of experimental group will be lower than control group", was supported. 2) The second hypothesis, "The perceived health state of experimental group will be higher than control group", was not supported. 3) The third hypothesis, "The exercise-related affect of experimental group will be higher than control group", was not supported. 4) The fourth hypothesis, "The benefits of exercise of experimental group will be higher than control group", was not supported. 5) The fifth hypothesis, "The self-efficacy for exercise of experimental group will be higher than control group", was supported.

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  • Effects of a Health Education Program based on Social Cognitive Theory on the Health Promotion of University Students with Metabolic Syndrome
    Hee-Gerl Kim, Jinhwa Lee, Jiyun Kim, Hyunju Park, Hyun Sook Oh, Won Jae Lee, Eun Aae Kim, Hye Kyung Jung
    Journal of Korean Academy of Community Health Nursing.2013; 24(4): 451.     CrossRef
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Fatigue in People with Cancer: Concept Analysis
Eun Hyun Lee
Journal of Korean Academy of Nursing 1999;29(4):755-765.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.1999.29.4.755
AbstractAbstract PDF

Most people experience fatigue at some point in their lives, and they say the word 'fatigue' in their ordinary conversational speech. The ordinary word is used as a military or engineering term and has been studied in various different disciplines such as ergonomics, physiology, psychology, medicine, and nursing. In spite of its widespread uses, however, fatigue has not been well defined. The terms of fatigue is thus often used with different meanings and is applied in diverse contests that had led to a confusion of ideas. In people with cancer, fatigue is reported as a major distress. Despite the importance of fatigue in cancer patients, the phenomena of fatigue is poorly understood. Therefore, the purpose of the present study is to analyze the concept of fatigue in people with cancer. The process for the concept analysis was guided by Walker and Avant's conceptual analysis methodology. The identified attributes of fatigue in the present study were subjective feeling, lack of energy, sustenance, and multi-dimensions. The antecedents were cancer treatment and economic status. The consequences were decreased daily, vocational, leisure, and social activities, uncertainty, and difficulties in adjustment. Symptoms(pain, anorexia, and insomnia) and emotional disturbance were not clear whether they are antecedents or consequences. However, they are related with cancer related fatigue. Even though still in the beginning stage, instruments measuring cancer related fatigue have been developed by some nursing investigators.

Citations

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  • Does the Association Between Fatigue and Fatigue Self-management Preference Vary by Breast Cancer Stage?
    Min Kyeong Jang, Chang Park, Keon Suk Lee, KyungHi Lee, Eun Kyung Hwang, Hye Jin Joh, Kyung Hee Lim, Yun Hee Ko, Dong Mi Kim, Jeehee Han, Sue Kim
    Cancer Nursing.2022; 45(1): 43.     CrossRef
  • Trends of Concept Development in Nursing Published in Korean Journals
    Sumi Lee, Jinhae Lee, Yugyeong Hwang, Il Sun Ko
    Journal of Korean Academy of Nursing.2020; 50(2): 178.     CrossRef
  • Factors Affecting Sleep Quality in Women with Cancer Undergoing Radiotherapy
    Sung-Hee Seok, Sang-Eun Jun
    Asian Oncology Nursing.2016; 16(1): 30.     CrossRef
  • Fatigue in Pediatric Patients with Cancer
    Jung Won Lee, Ho Ran Park
    Journal of Korean Academy of Child Health Nursing.2010; 16(1): 66.     CrossRef
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Construct Validity of the Revised Piper Fatigue Scale in Korean Women With Breast Cancer
Eun Hyun Lee
Journal of Korean Academy of Nursing 1999;29(3):485-493.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.1999.29.3.485
AbstractAbstract PDF

No abstract available.

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    Min Kyeong Jang, Jeehee Han, Sung Hae Kim, Yun Hee Ko, Soo Yeon Kim, Sue Kim
    BMC Cancer.2021;[Epub]     CrossRef
  • Pro-inflammatory Cytokine Levels and Cancer-related Fatigue in Breast Cancer Survivors: Effects of an Exercise Adherence Program
    Sung Hae Kim, Yoon Kyung Song, Jeehee Han, Yun Hee Ko, Hyojin Lee, Min Jae Kang, Hyunki Park, Hyangkyu Lee, Sue Kim
    Journal of Breast Cancer.2020; 23(2): 205.     CrossRef
  • Effects of psychological intervention for Korean infertile women under In Vitro Fertilization on infertility stress, depression, intimacy, sexual satisfaction and fatigue
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    Sue Kim, Yun Hee Ko, Yoonkyung Song, Min Jae Kang, Hyojin Lee, Sung Hae Kim, Justin Y. Jeon, Young Up Cho, Gihong Yi, Jeehee Han
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    Mohammed Al Maqbali, Ciara Hughes, Jackie Gracey, Jane Rankin, Lynn Dunwoody, Eileen Hacker
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  • Validation of the revised piper fatigue scale in Koreans with chronic hepatitis B
    Yeonsoo Jang, Jeong Hyun Kim, Kyunghwa Lee, Urs M Nater
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    HyeaKyung Lee, EunHee Shin
    Korean Journal of Stress Research.2016; 24(3): 167.     CrossRef
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    Mi Hye Seo, Kyung Hee Lim
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    Ji-hye Park, Hyung-jun Jeon, Hwi-joong Kang, In-Sook Jeong, Chong-kwan Cho, Hwa-seung Yoo
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    Kyeongsook Jeong, Jeeun Heo, Youngsook Tae
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    Yeon Hee Kim, Hwa Jung Kim, Seung Do Ahn, Yun Jeong Seo, So Hee Kim
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    Bo Ryun Kim, Min Ho Chun, Eun Young Han, Don-Kyu Kim
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    Young Sook Tae, Gum Hee Choi, Yun Kyung Jung, Suhye Kwon
    Korean Journal of Adult Nursing.2012; 24(6): 659.     CrossRef
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    Haejung Lee, Yeonjung Lim, Myung-Sook Yoo, Yongsuk Kim
    Cancer Nursing.2011; 34(6): E22.     CrossRef
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Subjective Symptoms of Fatigue in Normal Pregnant women
Shin Jeong Kim
Journal of Korean Academy of Nursing 1999;29(2):248-257.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.1999.29.2.248
AbstractAbstract PDF

The purpose of this study was to identify basic data for the health care of normal pregnant women. The number of subjects was 779 pregnant women who received prenatal care in two University hospitals. The data, which were collected from June to October, 1998, and used the questionnaire "Symptom Table on Fatigue Perception" designed by the Research Committee of the Industrial Fatigue in Hygienic Association of Japan Industry. The Collected data were scored by use of means and standard deviations according to the subjective symptoms of fatigue and each item as an independent variable was analysed by t-test and ANOVA test. The results are as follows : 1) Degree of subjective fatigue showed as an average of 1.81. Fatigue as physical symptoms had the highest score with 2.09, followed by neuro-sensory symptoms, 1.69 and psychological symptoms had the lowest score 1.66. 2) With the respect to the general characteristics of the subjects, there were statiscally significant difference in experience of pregnancy(t=-2.286, p=.023), wanted pregnancy(t=-2.935, p=.004), parity(t=-2.429, p=.015), sleeping time(F=3.478, p=.031), and presence of other child(t=2.347, p=0.19).

Citations

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  • Study on Fatigue, Stress and Burnout of Pregnant Nurses
    Ja-Sook Kim, Young-Sook Lee
    Korean Journal of Occupational Health Nursing.2013; 22(3): 208.     CrossRef
  • Degree of Parenting Stress and Fatigue Perceived by Primary Caregivers of Young Children
    Sun-Jung Park, Kyung-Ah Kang, Sung-Hee Kim, Shin-Jeong Kim
    Journal of Korean Academy of Child Health Nursing.2012; 18(4): 184.     CrossRef
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Subjective Symptoms on Fatigue in Hospital Nurses
Shin Jeong Kim, Myung Sook Sung
Journal of Korean Academy of Nursing 1998;28(4):908-919.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.1998.28.4.908
AbstractAbstract PDF

The purpose of this study was to get some basic data for health care for working women, especially for hospital nurses. the number of subjects was 796 nurses from one general hospital and four private educational hospitals. The data were collected from February to April, 1988 using the questionnaire "Symptom Table on fatigue Perception" designed by the Research Committee of Industrial Fatigue in Hygienic Association of Japan Industry. The collected data were analyzed using means and standard deviations for the subjective symptoms of fatigue and each item as an independent variable was analyzed by T-test and ANOVA test. The results are as follows: 1) The mean score for degree of fatigue was 1.89 and the degree of fatigue for physical symptoms had highest score of 2.04, the next was psychological symptoms at 1.89, and euro-sensory symptoms were the lowest ar 1.74. Among the fatigue symptoms, the item scored most frequently was "Legs feel heavy" with a mean score of 2.40 and the least frequent item was "My hand and foot trembled" with a mean score of 1.40/. 2) With the respect to the general characteristics of subjects, there were statistically significant difference according to age(F=17.039, p=.000), state of marriage(t=5.381, p=.000) presence of children(t=5.134, p=.000), clinical experience(F=16.663, p=.000), present position(F=12.598, p=.000), duty time(F=9.068, p=.000), monthly wages(F=7.361, p=.000), satisfaction about the pay and treatment at work(t=-5.511, p=.000), relation the doctors(t=-4.593, p=.000).

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    U-Eun Choi, Hyun-Young Kim
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    Healthcare Informatics Research.2016; 22(1): 46.     CrossRef
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    In-Sook Kim, Seung-Ju Kang, Ja-Ok Kim
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    Eun-Seon Lee, In-Sook Kim
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    Sun-Jung Park, Kyung-Ah Kang, Sung-Hee Kim, Shin-Jeong Kim
    Journal of Korean Academy of Child Health Nursing.2012; 18(4): 184.     CrossRef
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    Hyeon Ju Kim, Heejung Choi
    Journal of Korean Academy of Nursing Administration.2012; 18(3): 320.     CrossRef
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    Jina Oh, Chae-Min Yoon
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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
AbstractAbstract 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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  • Prevalence and Risk Factors of Chronic Obstructive Pulmonary Disease among Nonsmokers: Fifth Korea National Health and Nutrition Examination Survey (2010–2012)
    Heeyoung Oh, Ye-Eun Lee
    Osong Public Health and Research Perspectives.2016; 7(6): 385.     CrossRef
  • Gender Differences in Health‐Related Quality of Life of Korean Patients with Chronic Obstructive Lung Disease
    Jisu Kim, Kisook Kim
    Public Health Nursing.2015; 32(3): 191.     CrossRef
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Predictors of Quality of Life in Women with Breast Cancer
Yeon Ok Suh
Journal of Korean Academy of Nursing 2007;37(4):459-466.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2007.37.4.459
AbstractAbstract PDF
Purpose

This study was to identify predictors of quality of life in breast cancer patients. Physical and pscyhological factors like stress, mood, and fatigue with sociodemographic factors like education, income, job and stage of disease were used to predict quality of life.

Methods

One hundred eleven patients with breast cancer participated in this study? The functional Assessment of Cancer Therapy-Breast(FACT-B) was used to assess quality of life.

Results

The mean age of the patients was 46.7 years. The FACT-B mean score was 89.89 (SD:17.31) Education, income, job and stage of disease were significantly associated with QOL. In a regression analysis, mood, income, and fatigue were significant predictors for QOL: where as, stress was not significant. Among the subscales of QOL, physical well-being, functional well-being, emotional well-being, and the breast cancer subscale were included as predictors of QOL

Conclusion

Physical and psychological factors were strong predictors of QOL. These results demonstrate the need for interventions to improve QOL in breast cancer survivors.

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    Yongae Baek, Myungsun Yi
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    Ran Young Kim, Hyojung Park
    Korean Journal of Adult Nursing.2015; 27(2): 188.     CrossRef
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    Soon-Ock Choi, Sook-Nam Kim
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    Min Young Kim
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    Jin Hee Park, Eun-Young Jun, Mi-Young Kang, Yong-Sik Joung, Gu-Sang Kim
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  • Factors Influencing Quality of Life in Patients with Gastrointestinal Neoplasms
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The Relationship between Depression, Perceived Stress, Fatigue and Anger in Clinical Nurses
Won Hee Lee, Chun Ja Kim
Journal of Korean Academy of Nursing 2006;36(6):925-932.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2006.36.6.925
AbstractAbstract PDF
Purpose

The purpose of this study was to identify the relationship between depression, perceived stress, fatigue and anger in clinical nurses.

Method

A descriptive survey was conducted using a convenient sample. Data was collected by questionnaires from four hundred clinical nurses who worked at a university hospital. Radloff's CES-D for depression, Cohen, Kamarck & Mermelstein's Perceived Stress Scale, VAS for Fatigue, and Spielberger's STAXI for anger were used. The data was analyzed using the pearson correlation coefficient, students' t-test, ANOVA, and stepwise multiple regression with SPSS/WIN 12.0.

Result

The depression of clinical nurses showed a significantly positive correlation to perceived stress(r=.360, p=.000), mental fatigue(r=.471, p=.000), physical fatigue(r=.350, p=.000), trait anger(r=.370, p=.000), anger-in expression(r=.231, p=.000), and anger-control expression(r=.120, p=.016). There was a negative correlation between depression and age(r=-.146, p=.003). The mean score of depression of nurses, 26, was a very high score and 40.8% of clinical nurses were included in a depression group. The main significant predictors influencing depression of clinical nurses were mental fatigue, trait anger, perceived stress, anger-in expression, and state anger, which explained about 32.7%.

Conclusion

These results indicate that clinical nurses with a high degree of perceived stress, mental fatigue and anger-in expression are likely to be depressed.

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    Eun Sook Choi, Hye-Sun Jung, Su-Hyun Kim, Hyunju Park
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  • Effects of Self-Foot Reflexology on Stress, Fatigue and Blood Circulation in Premenopausal Middle-Aged Women
    Soo Hyun Jang, Kye Ha Kim
    Journal of Korean Academy of Nursing.2009; 39(5): 662.     CrossRef
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Factors Predicting Depression in Hemodialysis Patients
Sang Sook Han, Young Hee Kim
Journal of Korean Academy of Nursing 2005;35(7):1353-1361.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2005.35.7.1353
AbstractAbstract PDF
Purpose

This study was done to provide fundamental data for developing a depression prediction model by discovering main factors that affect depression in patients who do maintenance hemodialysis.

Methods

The subjects were 191 patients doing maintenance hemodialysis selected from outpatient dialysis clinics at 9 major general hospitals, The Instrument tools utilized in this study were adapted from depression, fatigue, sleep disturbance, stress, adaptation,symptoms, daily activities, and role limitation and thoroughly modified to verify reliability and validity. The collected data was analyzed with a SPSS-PC 11.0 Window Statistics Program for real numbers, percentage, average, standard deviation, and multiple regression.

Results

The correlation factor for depression was (M=2.54) fatigue(M=3.12), sleep disturbance (M=2.82), stress(M=3.04), adaptation(M=2.53), daily activities(M=2.24), symptoms(M=2.37), and role limitation(M=2.24). The strongest factor that affected depression was explained by symptoms of the patients who performed hemodialysis. The analysis of the factors that affected depression revealed a 58.4% prediction in symptoms, stress, role limitation, and adaptation.

Conclusion

It has been confirmed that the regression equation model(Depression=7.351 + .266*symptoms + .260*stress -.189*adaptation + .057*fatigue) of this research may serve as a prediction factor for depression in Hemodialysis Patients.

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  • A study on Symptom Experience, Spiritual Well-Being, and Depression in Patients Undergoing Hemodialysis
    Ju Yeon Song, Pok-Ja Oh
    Journal of the Korea Academia-Industrial cooperation Society.2016; 17(5): 660.     CrossRef
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    Ok Lae Park, Young Jun Jang, Jong Hwan Jung, Sung Reul Kim
    Korean Journal of Adult Nursing.2016; 28(2): 226.     CrossRef
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    Eui-Jung Park, Young-Hae Kim, Hyun-Mi Son
    Korean Journal of Adult Nursing.2015; 27(5): 493.     CrossRef
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The Effects of Foot Reflexology on Fatigue and Insomnia in Patients suffering from Coal Workers' Pneumoconiosis
Young Mee Lee, Kyeong Yae Sohng
Journal of Korean Academy of Nursing 2005;35(7):1221-1228.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2005.35.7.1221
AbstractAbstract PDF
Purpose

The purpose of this study was to determine the effects of foot reflexology on fatigue and insomnia in patients suffering from coal workers' pneumoconiosis.

Methods

This study was a quasi-experimental study of pre-test and post-test design in a non-equivalent control group. The subjects of this study consisted of both the experimental group of twenty-nine and the control group of thirty coal workers' pneumoconiosis patients. Data was collected from December 10, 2002 to February 15, 2003. Foot reflexology was performed for 60 minutes twice a week through five weeks in the experimental group, but none in the control group. To evaluate the effects of foot reflexology, the scores of fatigue and insomnia were measured before and after the experiment in both groups. Fatigue was evaluated by Fatigue Symptoms Inventory. Insomnia was measured with the visual analogue scale (VAS). Data of this experiment was analyzed by Chi-square test, t-test, unpaired t-test and Repeated Measures ANOVA with the SAS Program.

Results

The scores of fatigue and insomnia decreased in the experimental group but not in the control group. There was a significant difference of fatigue and insomnia between the two groups.

Conclusion

It is suggested that foot reflexology might have beneficial effects on reducing fatigue and insomnia in patients suffering from coal workers' pneumoconiosis, and can be recommended as a nursing intervention program for patients with coal workers' pneumoconiosis.

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    Maryam Aeini
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    Sudabeh Ahmadidarrehsima, Reza Mohammadpourhodki, Hossein Ebrahimi, Maryam Keramati, Mostafa Dianatinasab
    Journal of Complementary and Integrative Medicine.2018;[Epub]     CrossRef
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    Mi Son Choi, Eun Ja Lee
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    Soo Hyun Jang, Kye Ha Kim
    Journal of Korean Academy of Nursing.2009; 39(5): 662.     CrossRef
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Fatigue and Its Related Factors in Korean Patients on Hemodialysis
Hye Ryoung Kim, Gwi Ryung Son
Journal of Korean Academy of Nursing 2005;35(4):701-708.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2005.35.4.701
AbstractAbstract
Purpose

This study examined the characteristics of fatigue and the relationship between fatigue and its related factors in Korean patients on hemodialysis.

Methods

A cross-sectional correlational study was conducted with 104 patients on hemodialysis in Seoul, Korea.

Finding

Of a total of 104 subjects, eighty-one (77.9%) complained of fatigue. Fatigue severity was measured by the self-rating Visual Analogue Scale-Fatigue (VAS-F) with a mean score of 36.5 (SD=17.49, range 2 - 81). The mean duration of fatigue was 3.8 hours (SD=5.3, range 0 - 24). Depression was most significantly correlated with fatigue (beta=.43, p<.00), with interdialytic weight gain (beta=.25, p<.05) being the second most significant correlate.

Conclusion

This study shows that nursing interventions for patients who experience fatigue while on hemodialysis should be focused on both psychological problems, such as depression, as well as on physiological problems, such as interdialytic weight gain.

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  • The Effects of Dialysis Modality and Emotional Distress on Fatigue in Patients Undergoing Dialysis
    Qin Ouyang, Fengjie Yang, Hong Wu, Shiqi Tang, Xinyue Peng, Yuxin Li, Jianwen Wang
    Blood Purification.2023; 52(9-10): 751.     CrossRef
  • Effect of foot reflexology and slow stroke back massage on the severity of fatigue in patients undergoing hemodialysis: A semi-experimental study
    Sudabeh Ahmadidarrehsima, Reza Mohammadpourhodki, Hossein Ebrahimi, Maryam Keramati, Mostafa Dianatinasab
    Journal of Complementary and Integrative Medicine.2018;[Epub]     CrossRef
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    Zahra Royani, Ghanbar Roohi, Zahra Sabzi, Hamideh Mancheri, Einollah Mollaei
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    Mi‐Kyoung Cho
    Nursing & Health Sciences.2013; 15(1): 86.     CrossRef
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The Effects of Foot Reflexology on Nausea, Vomiting and Fatigue of Breast Cancer Patients Undergoing Chemotherapy
Jin Hyang Yang
Journal of Korean Academy of Nursing 2005;35(1):177-185.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2005.35.1.177
AbstractAbstract PDF
Purpose

The purpose of this study was to identify the effects of foot reflexology on nausea, vomiting and fatigue in breast cancer patients undergoing chemotherapy.

Method

The research was a quasi-experimental study using a non-equivalent pre-post design and was conducted from Jan. 26, to Mar. 20, 2004. The subjects consisted of 34 patients with 18 in the experimental group and 16 in control group. A pretest and 2 posttests were conducted to measure nausea, vomiting and fatigue. For the experimental group, foot reflexology, which was consisted of 4 phases for 40 minutes, was given by a researcher and 4 research assistants. The collected data were analyzed by repeated measures ANOVA using the SPSS WIN 10.0 program.

Results

There was a statistically significant decrease in nausea, and vomiting in the experimental group compared to the control group over two different times. In addition, there was a statistically significant decrease in fatigue in the experimental group compared to the control group over two different times.

Conclusion

Foot reflexology was effective on nausea, vomiting and fatigue in breast cancer patients receiving chemotherapy in this study. Therefore, foot reflexology can be usefully utilized as a nursing intervention in the field of cancer nursing for breast cancer patients receiving chemotherapy.

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    Niloofar Nezhadahmad, Fereshteh Khoshkhoo, Mansour Arad, Zahra Zarei
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    Neriman Yükseltürk Şimşek, Bariş Nacir, Ayten Demir
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    Javad Alizadeh, Mohammad Reza Yeganeh, Moluk Pouralizadeh, Zahra Atrkar Roushan, Cyrus Gharib, Sara Khoshamouz
    Supportive Care in Cancer.2021; 29(12): 7307.     CrossRef
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    Audrey Murat-Ringot, Pierre Jean Souquet, Fabien Subtil, Florent Boutitie, Marie Preau, Vincent Piriou
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    Mojgan Kardan, Bahare Zarei, Hamidreza BahramiTaghanaki, Seyyed Abolfazl Vagharseyyedin, Nahid Azdaki
    Complementary Therapies in Clinical Practice.2020; 38: 101068.     CrossRef
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    Audrey Murat-Ringot, Pierre Jean Souquet, Marion Chauvenet, Charlotte Rentler, Fabien Subtil, Anne-Marie Schott, Marie Preau, Vincent Piriou
    JMIR Research Protocols.2020; 9(7): e17232.     CrossRef
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    Leyla Zengin, Rukuye Aylaz
    European Journal of Cancer Care.2019;[Epub]     CrossRef
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    Afitap Özdelikara, Mehtap Tan
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    Afitap Özdelikara, Mehtap Tan
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    Neşe Uysal, Sevinç Kutlutürkan, Işıl Uğur
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    Young Cho, Mi-Yong Choi
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    Chung Soon Kim, Kwang Soo Yoo, Se Hwa Hong
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  • Effects of Foot Reflexology on Fatigue, Sleep and Pain: A Systematic Review and Meta-analysis
    Jeongsoon Lee, Misook Han, Younghae Chung, Jinsun Kim, Jungsook Choi
    Journal of Korean Academy of Nursing.2011; 41(6): 821.     CrossRef
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    Min Young Kim, Pok-Ja Oh
    Journal of Korean Oncology Nursing.2011; 11(2): 127.     CrossRef
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    Young-Jae Kim, Nam-Sook Seo
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Effects of a Comprehensive Rehabilitation Program for Mastectomy Patients
Ok Hee Cho
Journal of Korean Academy of Nursing 2004;34(5):809-819.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2004.34.5.809
AbstractAbstract PDF
Purpose

The purpose of this study was to investigate the effect of a comprehensive rehabilitation program on physical function, immune response, fatigue and quality of life in mastectomy patients.

Method

The subjects included fifty-five patients with breast cancer (27 in the control group and 28 in the experimental group). The subjects in the experimental group participated in a comprehensive rehabilitation program for10 weeks, which was composed of 1 session of education, 2 sessions of stress management, 2 sessions of exercise, and 1 session of peer support group activity per week.

Result

The results revealed anincrease in shoulder extension, abduction, external rotation, and internal rotation of the affectedupper extremity, and in shoulder extension and abduction of the healthy upper extremity. Also an increase in quality of life and a decrease in fatigue were significantly higher in the experimental group than the control group. However, the results revealed that the natural killer cell ratio of the experimental group increased but there was no significant difference from that of the control group.

Conclusion

The 10-week comprehensive rehabilitation program showed a large affirmative effect on physical function, fatigue and quality of life of breast cancer patients after a mastectomy.

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  • The Effect of Comprehensive Care Program for Ovarian Cancer Survivors
    Kyung-Hye Hwang, Ok-Hee Cho, Yang-Sook Yoo
    Clinical Nursing Research.2016; 25(2): 192.     CrossRef
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    Jong Hee Han
    Journal of the Korea Academia-Industrial cooperation Society.2016; 17(12): 307.     CrossRef
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    Ji Jeong Kim, Yun A Shin, Min Hwa Suk
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    Sun Young Park, Jong Im Kim
    Journal of muscle and joint health.2013; 20(3): 171.     CrossRef
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    Jeong-Sun Lim, Jong-Im Kim
    Journal of muscle and joint health.2012; 19(1): 37.     CrossRef
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    Eun A Cho, Hyun Ei Oh
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    Bok-Yae Chung, Yu Xu
    Asian Nursing Research.2008; 2(1): 55.     CrossRef
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A Structural Model for Symptom Management of the Patients with Chronic Fatigue
Kuem Sun Han
Journal of Korean Academy of Nursing 2004;34(2):333-343.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2004.34.2.333
AbstractAbstract PDF
Purpose

This study was designed to construct a structural model for symptom management of life of the patients with chronic fatigue. The hypothetical model was developed based on the literature review and Self-regulating Model.

Method

Data were collected by questionnaires from 252 patients with chronic fatigue in the 8 community from December 2002 to April 2003 in Seoul. Data analysis was done with SAS for descriptive statistics and PC-LISREL Program for Covariance structural analysis.

Result

The fit of the hypothetical model to the data was moderate, thus it was modified by excluding 4 path and including free parameters and 3 path to it. The modified model with path showed a good fitness to the empirical data(χ2=318.11, p=0.0, GFI= .98, AGFI= .98, NNFI= .95, RMSR= .03, RMSEA= .05). The symptoms of stress, self-efficacy, and present fatigue level were found to have significant direct effect on symptom management of the patients with chronic fatigue. The ways of coping, perceived stress, and fatigue symptom were found to have indirect effects on symptom management of the patients with chronic fatigue.

Conclusion

The derived model is considered appropriate in explaining and predicting symptom management of the patients with chronic fatigue. Therefore, it can effectively be used as a reference model for further studies and suggested direction in nursing practice.

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Fatigue, Depression and Sleep in Young adult and Middle-Aged
OkSoo Kim, Ae Jung Kim, Sun Wha Kim, Sung Hee Baik, Kyung Mi Yang
Journal of Korean Academy of Nursing 2003;33(5):618-624.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2003.33.5.618
AbstractAbstract PDF
Purpose

The purpose of the study was to investigate fatigue, depression and sleep in young adult and middle-aged.

Method

The convenient sample consisted of 415 subjects from 20 to 59 years old. Data were collected using a self-report questionnaire from July to October, 2001. The VAS-F and CES-D were utilized to measure the level of fatigue and depression. Sleep duration and sleep satisfaction were measured based on the subject's self-report.

Result

The result of the study revealed that the level of fatigue and depression was higher among young adult than middle-aged. Considering age and gender, the level of fatigue and depression was higher among young adult women and middle-aged men. Depression and sleep satisfaction influenced on the fatigue.

Conclusion

Health care providers need to concern about fatigue and depression in young adult women and middle-aged men. Especially, more concern and intervention programs are needed for young adult women and middle-aged men.

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    Hye-Mi Jeon, Kyoung-Hwa Jung, Na-Rae Choi, Jae-Min Song, So-Hyoun Lee, So-Yeun Kim
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    Hae Lim Noh, Oh Jin Kwon, Eun-Jung Shim
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    Sukgyoung Jeong, Aeyoung So
    Journal of Korean Academy of Psychiatric and Mental Health Nursing.2017; 26(4): 374.     CrossRef
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    Sukyong Seo, Minyoung Yoon, Seunguk Yeon
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    Geun Myun Kim, Yong-Mi Lee, Sung Ok Chang
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    Eun Ju Lee
    Journal of Korean Academy of Nursing.2009; 39(3): 422.     CrossRef
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Trajectory of Fatigue, Quality of Life and Physical Symptoms in Cancer Patients Receiving Radiotherapy
Young Hee Yang
Journal of Korean Academy of Nursing 2003;33(5):562-569.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2003.33.5.562
AbstractAbstract PDF
Purpose

The purpose of this longitudinal prospective study was to assess changes in fatigue and quality of life for a 6-week course of radiotherapy.

Method

A descriptive and longitudinal design was used to this study. Twenty-three subjects receiving radiotherapy from a radiotherapy clinic of a general hospital completed the questionnaires. Fatigue was measured using Lee's scale(1999) and quality of life using Yang's scale(2002) weekly for 6 weeks.

Result

Fatigue significantly increased(F=6.043, p=.000), and quality of life significantly decreased(F=3.938, p=.003) and physical symptoms also significantly increased(F=2.432, p=.039) during a 6-week radiotherapy. Multiple regression analysis revealed that fatigue at the first week and physical symptoms at the 6th week were the significant affecting variables(60.1% of the variance) on fatigue. And 63.2% of the variance in quality of life was explained by quality of life and fatigue at the first week and body weight change for 6 weeks radiotherapy.

Conclusion

Based on these results, the fatigue and quality of life at the beginning time of radiotherapy have a lasting impact throughout the course of treatment. It suggests that nurses provide patients with information about the occurrence of fatigue during radiotherapy and the practical methods of intervening physical symptoms.

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    Haejung Lee, Yeonjung Lim, Myung-Sook Yoo, Yongsuk Kim
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Relationship Between Fatigue and Nutritional Status in Patients with Cancer Undergoing Radiotherapy
Young Hee Yang
Journal of Korean Academy of Nursing 2003;33(4):478-487.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2003.33.4.478
AbstractAbstract PDF
Purpose

The purpose of this study was to identify the relationship between fatigue and nutritional status in patients undergoing radiotherapy.

Design

A correlational and crossectional study design was used.

Method

One-hundred-fifty-one subjects with cancer receiving radiotherapy were recruited from a university hospital in Chonan, Korea. Fatigue was measured using Piper's Fatigue Scale (PFS). The parameters for nutritional status included body weight, body mass index, hemoglobin, and lymphocyte counts. Cancer stage was controlled in analyzing the differences in fatigue, body weight and body mass index.

Results

The patients who experienced most fatigue were in their fifties, employed, had head and neck cancer, received radiotherapy on the head and neck, and had concomitant chemotherapy. Disease-related characteristics such as cancer type, and treatment type were frequently related to poorer nutritional status. Patients who showed poorer nutritional status, such as those with lower body weight, lower body mass index and lower hemoglobin levels were more fatigued than those who did not exhibit such characteristics. Lymphocyte counts did not correlate with fatigue. Conclusion: The findings can be used by nurses who are taking care of patients undergoing radiotherapy. Considering the relationship between fatigue and nutritional status, nurses can identify the risk group most vulnerable to fatigue and malnourishment in order to provide appropriate interventions for them.

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  • The associations between dairy product intake, fatigue status, and physical activity among postpartum women in Saudi Arabia: a cross-sectional study
    Arwa S. Almasaudi, Shoug Alashmali, Haya S. Zedan, Hebah A. Kutbi, Mutasim D. Alharbi, Baian A. Baattaiah
    BMC Public Health.2024;[Epub]     CrossRef
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    Kristina Franz, Lindsey Otten, Ursula Müller-Werdan, Wolfram Doehner, Kristina Norman
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Study on Relations of Variables: Attributions of Somatic Symptoms, Fatigue, Chronic Pain and Depression in the Elderly
Sung Ok Chang, Young Joo Park, Ji Won Youn
Journal of Korean Academy of Nursing 2003;33(1):26-33.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2003.33.1.26
AbstractAbstract
Purpose

The purpose of this study was to investigate the relationships among variables of somatic attribution, chronic pain, depression and chronic fatigue in the elderly.

Methods

Empirical data for testing hypothetical models was collected from 311 people over 65 years old in a community settings in Seoul, Korea in June and July, 2000. Data were analyzed by descriptive statistics and correlational analysis using pc-SAS program. The Linear Structural Modeling(LISREL) 8.0 program was used to find the best fit model which explained causal relationship of variables.

Result

According to Accepted model, the relation of variables is that the somatic attribution is the influencing variable to chronic pain and depression and chronic pain and depression is the influencing variable to chronic fatigue.

Conclusion

The findings of this study give useful information to construct intervention program relating chronic pain, depression and chronic fatigue for the elderly.

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    Minhee Suh, Smi Choi-Kwon
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The Effect of Dialysate Flow Rate on Dialysis Adequacy and Fatigue in Hemodialysis Patients
Sun Mi Cha, Hye Sook Min
J Korean Acad Nurs 2016;46(5):642-652.   Published online October 31, 2016
DOI: https://doi.org/10.4040/jkan.2016.46.5.642
AbstractAbstract PDF
Purpose

In this single repeated measures study, an examination was done on the effects of dialysate flow rate on dialysis adequacy and fatigue in patients receiving hemodialysis.

Methods

This study was a prospective single center study in which repeated measures analysis of variance were used to compare Kt/V urea (Kt/V) and urea reduction ratio (URR) as dialysis adequacy measures and level of fatigue at different dialysate flow rates: twice as fast as the participant’s own blood flow, 500 mL/min, and 700 mL/min. Thirty-seven hemodialysis patients received all three dialysate flow rates using counterbalancing.

Results

The Kt/V (M±SD) was 1.40±0.25 at twice the blood flow rate, 1.41±0.23 at 500 mL/min, and 1.46±0.24 at 700 mL/min. The URR (M±SD) was 68.20±5.90 at twice the blood flow rate, 68.67±5.22 at 500 mL/min, and 70.11±5.13 at 700 mL/min. When dialysate flow rate was increased from twice the blood flow rate to 700 mL/min and from 500 mL/min to 700 mL/min, Kt/V and URR showed relative gains. There was no difference in fatigue according to dialysate flow rate.

Conclusion

Increasing the dialysate flow rate to 700 mL/min is associated with a significant nicrease in dialysis adequacy. Hemodialysis with a dialysate flow rate of 700 mL/min should be considered in selected patients not achieving adequacy despite extended treatment times and optimized blood flow rate.

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Effect of Cancer Symptoms and Fatigue on Chemotherapy-related Cognitive Impairment and Depression in People with Gastrointestinal Cancer
Pok Ja Oh, Jung Ran Lee
J Korean Acad Nurs 2016;46(3):420-430.   Published online June 30, 2016
DOI: https://doi.org/10.4040/jkan.2016.46.3.420
AbstractAbstract PDF
Purpose

The purpose of this study was to test a hypothetical model of chemotherapy-related cognitive impairment (CRCI) and depression in people with gastrointestinal cancer.

Methods

A purposive sample of 198 patients undergoing chemotherapy was recruited from November 2014 to July 2015. The instruments were Everyday Cognition (ECog), Hospital Anxiety Depression Scale (HADS), Functional Assessment of Chronic Illness Therapy-Fatigue (FACIT-F), and M. D. Anderson Symptom Inventory-Gastrointestinal Cancer Module. Data were analyzed using descriptive statistics, correlation, and path analysis.

Results

CRCI was directly affected by cancer symptoms (β=.19, p=.004) and fatigue (β=.56, p<.001)(R2=47.2%). Depression was directly affected by fatigue (β=.48, p<.001) and CRCI (β=.27, p<.001). However, The impact of cancer symptoms on depression was confirmed through the mediating effect of CRCI.

Conclusion

Results indicate that in patients with gastrointestinal cancer undergoing chemotherapy along with the direct physiologic effects (fatigue, symptoms) of cancer treatment may have altered cognitive function leading to depression.

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    Hyun Ju Uhm, Hye-Ja Park
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    Jahyun Choi, Sanghee Kim, Mona Choi, Woo Jin Hyung
    Supportive Care in Cancer.2022; 30(4): 3215.     CrossRef
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    Eun Ja Yeun, Misoon Jeon
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Development and Application of an Overcoming Compassion Fatigue Program for Emergency Nurses
Yeong Ah Kim, Jeong Sook Park
J Korean Acad Nurs 2016;46(2):260-270.   Published online April 29, 2016
DOI: https://doi.org/10.4040/jkan.2016.46.2.260
AbstractAbstract PDF
Purpose

This study was conducted to develop a program to help emergency nurses overcome compassion fatigue, and to analyze the effects of the program.

Methods

A nonequivalent control group pretest-posttest design was used. There were 14 participants in the experimental group and 18 subjects in the control group. The program was comprised of five, weekly 80-minute sessions including understanding and assessment of compassion fatigue, enhancing positive affect, balancing work-life, planning self care, training in relaxation techniques and cognitive restructuring, and getting social support. Research variables were ego-resiliency, compassion satisfaction and compassion fatigue of the ProQOL 5, and salivary cortisol. Data were analyzed using Chi-square test, independent t-test, and paired t-test.

Results

The first hypothesis, "There will be a difference in scores for ego resiliency between the experimental group and the control group". was not supported. The second hypothesis, "There will be a difference in scores for compassion satisfaction between the experimental group and the control group" was supported (t=2.15, p=.046). The third hypothesis, "There will be a difference in scores for compassion fatigue between the experimental group and the control group" was not supported.

Conclusion

The first program for emergency nurses to overcome compassion fatigue in Korea was effective in increasing emergency nurses' compassion satisfaction and decreasing salivary cortisol level in the experimental group. Therefore, this program for overcoming compassion fatigue is useful to increase emergency nurses' compassion satisfaction. However replication studies of short-term intensive program reflecting emergency nurses' opinion are needed.

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    Priyanka Singh, Nanda Kumar Paniyadi, Jaison Jacob, Anuradha Kumari, Roshna Lytton, Dishani Harh
    Indian Journal of Palliative Care.2025; 31: 342.     CrossRef
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    Jiyeon Song, Minjeong An
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Effects of Lifestyle Intervention on Fatigue, Nutritional Status and Quality of Life in Patients with Gynecologic Cancer
Hyunjin An, Ju-Hee Nho, Sunyoung Yoo, Hyunmin Kim, Minji Nho, Hojeong Yoo
J Korean Acad Nurs 2015;45(6):812-822.   Published online December 15, 2015
DOI: https://doi.org/10.4040/jkan.2015.45.6.812
AbstractAbstract PDF
Abstract Purpose

The purpose of this study was to examine the effect of lifestyle intervention on the development of fatigue, nutritional status and quality of life of patients with gynecologic cancer.

Methods

A nonequivalent control group quasi-experimental design was used. Participants were 49 patients with gynecologic cancer. They were assigned to the experiment group (n=24) or the control group (n=25). The lifestyle intervention for this study consisted of physical activity, nutritional education, telephone call counseling, health counseling, monitoring for lifestyle, and affective support based on Cox's Interaction Model of Client Health Behavior and was implemented for six weeks.

Results

Significant group differences were found for fatigue (p=.037), nutritional status (p=.034) and social/family well-being (p=.035) in these patients with gynecologic cancer.

Conclusion

Results indicate that this lifestyle intervention is effective in lessening fatigue, and improving nutritional status and social/family well-being. Therefore, nurses in hospitals should develop strategies to expand and provide lifestyle interventions for patients with cancer.

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    Eun Ja Yeun, Misoon Jeon
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Effects of Foot-Reflexology Massage on Fatigue, Stress and Postpartum Depression in Postpartum Women
Mi Son Choi, Eun Ja Lee
J Korean Acad Nurs 2015;45(4):587-594.   Published online August 31, 2015
DOI: https://doi.org/10.4040/jkan.2015.45.4.587
AbstractAbstract PDF
Purpose

To identify the effects of foot reflexology massage on fatigue, stress and depression of postpartum women.

Methods

A nonequivalent control group pre-post design was used. A total of 70 women in a postpartum care center were recruited and were assigned to the experimental group (35) or control group (35). Foot reflexology massage was provided to the experimental group once a day for three days. Data were collected before and after the intervention program which was carried out from December, 2013 to February, 2014. Data were analyzed using Chi-square test, Fisher's exact test, and t-test.

Results

The level of fatigue in the experimental group was significantly lower than the control group (t= - 2.74, p =.008). The level of cortisol in the urine of women in the experimental group was significantly lower than the control group (t= - 2.19, p =.032). The level of depression in the experimental group was significantly lower than the control group (t= - 3.00, p =.004).

Conclusion

The results show that the foot reflexology massage is an effective nursing intervention to relieve fatigue, stress, and depression for postpartum women.

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Structural Equation Modeling on Burnout in Clinical Nurses based on CS-CF Model
Hyun-Jung Kim, Young-Hee Yom
J Korean Acad Nurs 2014;44(3):259-269.   Published online June 30, 2014
DOI: https://doi.org/10.4040/jkan.2014.44.3.259
AbstractAbstract PDF
Purpose

The purpose of this study was to construct and test a structural equation modeling on burnout of clinical nurses based on CS-CF model.

Methods

A survey using a structured questionnaire was conducted with 557 clinical nurses. Data were analyzed using structural equation modeling.

Results

The modified hypothetical model yielded the following χ2=289.70, p<.001, RMSEA=.09, GFI=.93, TLI=.91, CFI=.94, PCFI=.65, AIC=363.21, SRMR=.05 or less and showed good fit indices. Nursing work environment, patient safety culture and resilience showed indirect effects on burnout while compassion fatigue and compassion satisfaction had direct effects.

Conclusion

Results of this study suggest that compassion fatigue must be decreased and compassion satisfaction has to be increased, while burnout is lowered by enhancing the clinical nursing work environment, patient safety culture and resilience. In addition, more variables and longitudinal studies are necessary to validate the clear cause-and-effect relationship between the relevant variables.

Citations

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Relationships between Compassion Fatigue, Burnout, and Turnover Intention in Korean Hospital Nurses
Kiwol Sung, Youngsook Seo, Jee Hee Kim
J Korean Acad Nurs 2012;42(7):1087-1094.   Published online December 31, 2012
DOI: https://doi.org/10.4040/jkan.2012.42.7.1087
AbstractAbstract PDF
Purpose

This study aimed to identify relationships between compassion fatigue, burnout, and turnover intention in Korean hospital nurses.

Methods

In total, 142 hospital nurses were surveyed as part of data collection. Data related to compassion fatigue, burnout, and turnover intention were collected using a questionnaire between May 2011 and September 2011. The data analysis was performed using PASW 19.0 program, which included one-way ANOVA, independent t-tests, Pearson's correlation coefficient, and hierarchical regression analysis.

Results

This study detected a positive correlation between compassion fatigue and burnout(r=.37, p<.001), and turnover intention(r=.55, p<.001). Compassion fatigue accounted for 29.6% of the variance for turnover intention among Korean hospital nurses.

Conclusion

The results indicate that it is necessary to reduce compassion fatigue, and turnover intention among Korean hospital nurses.

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Effects of Compassion Satisfaction and Social Support in the Relationship between Compassion Fatigue and Burnout in Hospital Nurses
Young-Hee Yom, Hyun-Jung Kim
J Korean Acad Nurs 2012;42(6):870-878.   Published online December 31, 2012
DOI: https://doi.org/10.4040/jkan.2012.42.6.870
AbstractAbstract PDF
Purpose

The purpose of this study was to identify the effects of compassion satisfaction and social support in the relationship between compassion fatigue and burnout among hospital nurses.

Methods

The participants were 430 nurses working in general hospitals. Data were collected with self-administrated questionnaires and analyzed by hierarchical multiple regression.

Results

(a) Compassion fatigue had a significant positive effect on burnout; (b) social support and compassion satisfaction had negative effects on burnout, and (c) social support and compassion satisfaction did not moderate the effects of compassion fatigue on burnout.

Conclusion

These findings provide strong empirical evidence for the importance of compassion fatigue, compassion satisfaction and social support in explaining burnout of nurses. Also, it would be of great value to further define compassion fatigue and compassion satisfaction even though these concepts are not accepted in the realities of health care.

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Effects of Aroma Self-Foot Reflexology Massage on Stress and Immune Responses and Fatigue in Middle-Aged Women in Rural Areas
Ja Ok Kim, In Sook Kim
J Korean Acad Nurs 2012;42(5):709-718.   Published online October 31, 2012
DOI: https://doi.org/10.4040/jkan.2012.42.5.709
AbstractAbstract PDF
Purpose

This study was done to examine the effects of aroma self-foot reflexology massage on stress and immune responses and fatigue in middle-aged women in rural areas.

Methods

The study was a nonequivalent control group pre-post test design. The participants were 52 middle-aged women from rural areas of which 26 were assigned to the experimental group and 26 to the control group. Data were collected from July to September, 2011 and analyzed using SPSS Win 17.0 version program. The intervention was conducted 3 times a week for six weeks.

Results

There were significant differences in reported perceived stress, systolic blood pressure, diastolic blood pressure and fatigue between the two groups. However, the issue of salivary cortisol and immune response were not significant.

Conclusion

Aroma self-foot reflexology massage can be utilized as an effective intervention for perceived stress, systolic blood pressure, diastolic blood pressure and fatigue in middle-aged woman in rural areas.

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Effects of a Home-based Exercise Program for Patients with Stomach Cancer Receiving Oral Chemotherapy after Surgery
Jin Yi Choi, Hyun Sook Kang
J Korean Acad Nurs 2012;42(1):95-104.   Published online February 29, 2012
DOI: https://doi.org/10.4040/jkan.2012.42.1.95
AbstractAbstract PDF
Purpose

The purpose of this study was to identify the effects of a home based exercise program for patients with stomach cancer who were undergoing oral chemotherapy.

Methods

The home-based exercise program was developed from the study findings of Winningham (1990) and data from the Korea Athletic Promotion Association (2007). The home-based exercise program consisted of 8 weeks of individual exercise education and exercise adherence strategy. Participants were 24 patients with stomach cancer who were undergoing oral chemotherapy following surgery in 2007 or 2008 at a university hospital in Seoul. Patients were randomly assigned to either the experimental group (11) or control group (13). The effects of the home-based exercise program were measured by level of cancer related fatigue, NK cell ratio, anxiety, and quality of life. Data were analyzed using SPSS/WIN 13.0 version.

Results

The degree of cancer related fatigue and anxiety in the experimental group decreased compared to the control group. The NK cell ratio and the degree of quality of life of experimental group increased while that of the control group decreased.

Conclusion

This study result indicate the importance of exercise and provide empirical evidence for continuation of safe exercise for patients with cancer during their chemotherapy.

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Effects of Foot Reflexology on Fatigue, Sleep and Pain: A Systematic Review and Meta-analysis
Jeongsoon Lee, Misook Han, Younghae Chung, Jinsun Kim, Jungsook Choi
J Korean Acad Nurs 2011;41(6):821-833.   Published online December 31, 2011
DOI: https://doi.org/10.4040/jkan.2011.41.6.821
AbstractAbstract PDF
Purpose

The purpose of this study was to evaluate the effectiveness of foot reflexology on fatigue, sleep and pain.

Methods

A systematic review and meta-analysis were conducted. Electronic database and manual searches were conducted on all published studies reporting the effects of foot reflexology on fatigue, sleep, and pain. Forty four studies were eligible including 15 studies associated with fatigue, 18 with sleep, and 11 with pain. The effects of foot reflexology were analyzed using Comprehensive Meta-Analysis Version 2.0. The homogeneity and the fail-safe N were calculated. Moreover, a funnel plot was used to assess publication bias.

Results

The effects on fatigue, sleep, and pain were not homogeneous and ranged from 0.63 to 5.29, 0.01 to 3.22, and 0.43 to 2.67, respectively. The weighted averages for fatigue, sleep, and pain were 1.43, 1.19, and 1.35, respectively. No publication bias was detected as evaluated by fail-safe N. Foot reflexology had a larger effect on fatigue and sleep and a smaller effect on pain.

Conclusion

This meta-analysis indicates that foot reflexology is a useful nursing intervention to relieve fatigue and to promote sleep. Further studies are needed to evaluate the effects of foot reflexology on outcome variables other than fatigue, sleep and pain.

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  • RECENT LITERATURE

    Focus on Alternative and Complementary Therapies.2012;[Epub]     CrossRef
  • RECENT LITERATURE

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Effects of Laughter Therapy on Postpartum Fatigue and Stress Responses of Postpartum Women
Hye Sook Shin, Kyung Hee Ryu, Young A Song
J Korean Acad Nurs 2011;41(3):294-301.   Published online June 13, 2011
DOI: https://doi.org/10.4040/jkan.2011.41.3.294
AbstractAbstract PDF
Purpose

The purpose of this study was to examine the effects of laughter therapy on postpartum fatigue and stress respon-ses of postpartum women.

Methods

The research design was a nonequivalent control group non-synchronized design. The participants were 67 postpartum women who agreed to participate in this study, selected by convenience sampling: (experiment group-33 and control group-34). The data were collected from August 5 to September 30, 2010. The experimental group received laughter therapy from a laughter therapy expert for 60 min, twice a week for 2 weeks, a total of 4 sessions. To evaluate the effects of laughter therapy, postpartum fatigue by self-report questionnaire and cortisol concentration in breast milk were measured. The data were analyzed using the SPSS WIN 13.0 Program.

Results

The first hypothesis that "the degree of postpartum fatigue in the experimental group participating in laughter therapy would be lower than that of the control group" was accepted. These findings indicate that laughter therapy has a positive effect on decreasing postpartum fatigue.

Conclusion

The finding provides evidence for use of complementary and alternative nursing in Sanhujori facilities and obstetric units to reduce postpartum women's fatigue.

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    Mi Son Choi, Eun Ja Lee
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Effects of Self-Foot Reflexology on Stress, Fatigue, Skin Temperature and Immune Response in Female Undergraduate Students
Young-Mee Lee
J Korean Acad Nurs 2011;41(1):110-118.   Published online February 28, 2011
DOI: https://doi.org/10.4040/jkan.2011.41.1.110
AbstractAbstract PDF
Purpose

The purpose of this study was to evaluate the effects of self-foot reflexology on stress (perceived stress, urine cortisol level, and serum cortisol level), fatigue, skin temperature and immune response in female undergraduate students.

Methods

The research design was a nonequivalent control group pretest-post test design. Participants were 60 university students: 30 in the experiment group and 30 in the control group. The period of this study was from April to June 2010. The program was performed for 1 hr a session, three times a week for 6 weeks. The data were analyzed using the SPSS/WIN 17.0 program.

Results

The results showed that self-foot reflexology was effective in reducing perceived stress and fatigue, and raised skin temperature in female undergraduate students. But cortisol levels and immune response were not statistically significant different.

Conclusion

The results of this study indicate that self-foot reflexology is an effective nursing intervention in reducing perceived stress and fatigue and, in improving skin temperature. Therefore, it is recommended that this be used in clinical practice as an effective nursing intervention for in female undergraduate students.

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    Mi Son Choi, Eun Ja Lee
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The Changing Pattern of Physical and Psychological Health, and Maternal Adjustment Between Primiparas Who Used and Those Who did Not Use Sanhujori Facilities
Ju-Eun Song, Bo-Lim Park
J Korean Acad Nurs 2010;40(4):503-514.   Published online August 31, 2010
DOI: https://doi.org/10.4040/jkan.2010.40.4.503
AbstractAbstract PDF
Purpose

The purpose of this study was to compare levels of postpartum fatigue, depression, childcare stress, and maternal identity according to postpartum period between primiparas who used Sanhujori facilities and those who did not.

Methods

The research design was a longitudinal descriptive study using self-report questionnaires. Participants were 55 healthy primiparas who delivered at one of 3 hospitals in Chungnam, 21 using Sanhujori facilities and 34 not using these facilities during the first three weeks after childbirth. Data were collected from October 2008 to April 2009 at three measurement points, 2-4 days after childbirth (T1), 4-6 weeks (T2), and 12-14 weeks (T3). Data were analyzed using the SPSS 17.0 WIN program.

Results

There was a significant difference in childcare stress between the two groups at 4-6 weeks after childbirth. Postpartum depression and childcare stress at 4-6 weeks were significantly higher than those of the other postpartum periods, while maternal identity was significantly lower.

Conclusion

Child care stress is the most important issue among women who use Sanhujori facilities and the 4-6 week period after childbirth is very difficult to primiparas. These results indicate that nursing interventions for primiparas in Sanhujori facilities should focus on reducing childcare stress. Furthermore proper follow-up programs at 4-6 weeks are needed to decrease the difficulties in adjustment by new mothers.

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    Korean Journal of Women Health Nursing.2015; 21(3): 184.     CrossRef
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    Ju‐Eun Song, Hyun Ju Chae, Chang Hee Kim
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    Korean Journal of Women Health Nursing.2013; 19(3): 129.     CrossRef
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Effects of Self-Foot Reflexology on Stress, Fatigue and Blood Circulation in Premenopausal Middle-Aged Women
Soo Hyun Jang, Kye Ha Kim
J Korean Acad Nurs 2009;39(5):662-672.   Published online October 31, 2009
DOI: https://doi.org/10.4040/jkan.2009.39.5.662
AbstractAbstract PDF
Purpose

This study was to examine the effects of self-foot reflexology on stress, fatigue and blood circulation in premenopausal middle-aged women.

Methods

A quasi-experimental nonequivalent control group, pretest-posttest design was used. Participants were 59 premenopausal, middle-aged women in their 40s and 60s living in G city: 30 in the experiment group and 29 in the control group. Data were collected from May to August 2008. Self-foot reflexology was performed three times a week for 6 weeks for 40 min at each session.

Results

The results showed that self-foot reflexology was effective in reducing perceived stress and fatigue and helped blood circulation in premenopausal middle-aged women.

Conclusion

Self-foot reflexology may be an effective nursing intervention in reducing perceived stress and fatigue and in improving blood circulation.

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Influencing Factors for Fatigue in Cancer Patients
Jin Yi Choi, Hyun Sook Kang
Journal of Korean Academy of Nursing 2007;37(3):365-372.   Published online April 30, 2007
DOI: https://doi.org/10.4040/jkan.2007.37.3.365
AbstractAbstract PDF
Purpose

The purpose of this study was to identify degrees of fatigue and influencing factors for fatigue in cancer patients.

Method

Data was collected by questionnaires from 115 cancer patients at 3 hospitals in Seoul. The research instruments utilized in this study were fatigue, physical symptoms, depression, family support, and health promoting behaviors. Data was analyzed using the pearson correlation, t-test, ANOVA, and stepwise multiple regression with SPSS/WIN 12.0.

Result

The mean score of fatigue for cancer patients was 12.90(range: 6—36). Fatigue for cancer patients according to age group and weight change showed a significant difference. Fatigue for cancer patients showed a significantly positive correlation to physical symptoms and depression. There was a negative correlation between family support and health promoting behaviors. The significant factors influencing fatigue for cancer patients were physical symptoms, health promoting behaviors, depression, and age group, which explained about 45.9%.

Conclusion

The results suggest that symptoms and depression management, nursing interventions and practices for providing health promoting behaviors according to age are needed to manage the fatigue in cancer patients.

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    Chang Hee Oh, Hyunyoung Park, Ji Suk Lee, Ja Yun Choi
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    Geun Myun Kim, Yong-Mi Lee, Sung Ok Chang
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    Hye Sun Byun, Gyung Duck Kim, Bok Yae Chung, Kyung Hye Kim
    The Korean Journal of Hospice and Palliative Care.2010; 13(2): 98.     CrossRef
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Comprehensive Predictors of Fatigue for Cancer Patients
Young Min Seo, Hyun Soo Oh, Wha Sook Seo, Hwa Soon Kim
Journal of Korean Academy of Nursing 2006;36(7):1224-1231.   Published online December 31, 2006
DOI: https://doi.org/10.4040/jkan.2006.36.7.1224
AbstractAbstract PDF
Purpose

This study was conducted to identify comprehensive predictors of fatigue in cancer patients.

Methods

One hundred ten cancer patients visiting in-patient or out-patient clinics of a university hospital located in Incheon participated in this study.

Results

The hematologic indicators (WBC and Hemoglobin) were significant for explaining fatigue. The psychological factors of fatigue were statistically significant. Both anxiety and depression, included as psychological factors, were significant in explaining fatigue in cancer patients. The influence of physical factors on fatigue was also statistically significant. Among the variables included as physical factors, pain, nausea/vomiting/anorexia, and sleep disturbance were significant whereas, dyspnea was not significant. The influence of the daily activity factor on fatigue was statistically significant. Among the variables included as daily activity factors, regular exercise or not and the usual activity level were significant in explaining fatigue of cancer patients, while the level of rest was not statistically significant.

Conclusion

From the study results fatigue of cancer patients appeared to be influenced by multidimensional factors, such as physiological, physical, psychological, and activity related factors.

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    Hye Sun Byun, Gyung Duck Kim, Bok Yae Chung, Kyung Hye Kim
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Effects of Walking Exercise Intensities on Fatigue, Serum Lipids and Immune Function among Middle-Aged Women
Jung In Lee
Journal of Korean Academy of Nursing 2006;36(1):94-102.   Published online February 28, 2006
DOI: https://doi.org/10.4040/jkan.2006.36.1.94
AbstractAbstract PDF
Purpose

The purpose of this study was to confirm the effects of a moderate and fast walking exercise program on middle-aged women's fatigue, serum lipids and immunoglobulins.

Method

A non-equivalent control group pretest-posttest design was used for this study. The experiment was conducted for 10 weeks from May 17th to July 25th, 2004 with 44 middle-aged women, consisting of 16 for the moderate walking group, 15 for the fast walking group and 13 for the control group.

Result

Walking exercise at both a moderate and fast speed was effective in middle-aged women in reducing fatigue and serum lipids. It was also revealed that extended periods of exercise was more effective in decreasing fatigue while for reducing serum lipid, high intensity exercise was more effective. In this study, serum immunoglobulins were reduced after moderate and fast walking exercise but its cause was not fully understood so further research is needed.

Conclusion

This study helps us recognize the importance of regular exercise and promotes motivation to exercise for a healthy life among middle-aged women.

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