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Original Articles
The Lifestyle Modification Coaching Program for Secondary Stroke Prevention
Heejeong Kim, Oksoo Kim
J Korean Acad Nurs 2013;43(3):331-340.   Published online June 28, 2013
DOI: https://doi.org/10.4040/jkan.2013.43.3.331
AbstractAbstract PDF
Purpose

The purpose of this study was to investigate the effects of the lifestyle modification coaching program on self efficacy, lifestyle and physiologic indexes related to the recurrence of stroke in patients with stroke.

Methods

Sixty-one patients with stroke registered with a stroke center participated in this study. Of the participants, 32 were assigned to the experimental group and 29 to the control group. Self efficacy, alcohol drinking, smoking, physical activity, BMI (body mass index), WHR (waist-hip ratio), blood lipid level, and blood pressure were measured both for the baseline, as well as after intervention. The lifestyle modification coaching program consisted of an 8-week telecoaching session following face-to-face education. The control group received only the face-to-face education.

Results

There were significant differences in physical activities, WHR, blood pressure within and between groups after intervention. The lifestyle modification coaching program had significant influences on blood pressure even after gender, age, and physical activity had been adjusted.

Conclusion

The results of the study indicate that lifestyle modification coaching program is effective for physical activity, abdominal obesity and blood pressure. Therefore it can be used by nurses in hospitals and communities as one of the secondary stroke prevention programs for patients with stroke.

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Development and Testing of a Nurse Turnover Intention Scale (NTIS)
Eun Ja Yeun, Heejeong Kim
J Korean Acad Nurs 2013;43(2):256-266.   Published online April 30, 2013
DOI: https://doi.org/10.4040/jkan.2013.43.2.256
AbstractAbstract PDF
Purpose

The purpose of this study was to develop a measurement tool of nurse's turnover intention.

Methods

Data were collected from questionnaires completed by 678 nurses who worked in 3 university hospitals in South Korea and analyzed using the SPSS 18.0 and AMOS 18 programs. Thirty-seven preliminary items were selected from 161 basic items extracted via a literature review and in depth interviews with 6 hospital nurses. Three steps with factor analysis were undertaken to verify the reliability and validity of the preliminary instruments. Finally, confirmative factor analysis was carried out.

Results

As a result of the analysis, 3 factors including 10 items were selected. Cronbach's Alpha for the 10 items was .83, for job satisfaction (4 items), .78, for interpersonal relationships (3 items), .80, and for work performance (3 items), .74, which was stable.

Conclusion

This study is meaningful because through it a scale reflecting Korean culture was developed to measure turnover intention in nurses. Further studies that test the psychometrics of this scale in more diverse samples are warranted.

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Verification of Validity of MPM II for Neurological Patients in Intensive Care Units
Heejeong Kim, Kyunghee Kim
J Korean Acad Nurs 2011;41(1):92-100.   Published online February 28, 2011
DOI: https://doi.org/10.4040/jkan.2011.41.1.92
AbstractAbstract PDF
Purpose

Mortality Provability Model (MPM) II is a model for predicting mortality probability of patients admitted to ICU. This study was done to test the validity of MPM II for critically ill neurological patients and to determine applicability of MPM II in predicting mortality of neurological ICU patients.

Methods

Data were collected from medical records of 187 neurological patients over 18 yr of age who were admitted to the ICU of C University Hospital during the period from January 2008 to May 2009. Collected data were analyzed through χ2 test, t-test, Mann-Whiteny test, goodness of fit test, and ROC curve.

Results

As to mortality according to patients' general and clinically related characteristics, mortality was statistically significantly different for ICU stay, hospital stay, APACHE III score, APACHE predicted death rate, GCS, endotracheal intubation, and central venous catheter. Results of Hosmer-Lemeshow goodness-of-fit test were MPM II02=0.02, p=.989), MPM II242=0.99 p=.805), MPM II482=0.91, p=.822), and MPM II722=1.57, p=.457), and results of the discrimination test using the ROC curve were MPM II0, .726 (p<.001), MPM II24, .764 (p<.001), MPM II48, .762 (p<.001), and MPM II72, .809 (p<.001).

Conclusion

MPM II was found to be a valid mortality prediction model for neurological ICU patients.

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