Journal of Korean Academy of Nursing

Effect of changing position from supine to standing up-right on the circulation in young men and women: Myoung Ae Choe, Jong Im Kim, Hyun Li Kim; Journal of Nurses Academic Society 1989;19(3):285-298. Published online March 31, 2017; DOI: https://doi.org/10.4040/jnas.1989.19.3.285

Abstract PDF: This study investigated the effect of changing position from supine to standing upright on the circulation of young men and women. Healthy men and women ranging from age of 18 to 24 were examined. Two minutes before standing, the baseline heart rate and blood pressure were measured. Heart rate and blood pressure were recorded immediately and at every minute for 10 minutes after standing upright. Differences in heart rate and blood pressure between supine and standing upright position were evaluated. The results were summarized as follows: 1. Heart rate increased significantly immediately and at every minute for 10 minutes after standing upright. 2. Systolic blood pressure increased significntly immediately and at every minute for 4 minutes after standing upright. 3. Diastolic and mean blood pressure increased significantly immediately and at every minute for 10 minutes after standing upright. 4. Pulse pressure immediately and at every minute for 10 minutes after standing upright was significantly narrower than that of supine position. 5. There was no significant difference of heart rate between men and women after standing upright. 6. Systolic and diastolic blood pressure of men after standing upright was significantly greater than those of women. From these results, it may be concluded that heart rate, systolic, diastolic and mean blood pressure and pulse pressure increase after standing upright, and systolic and diastohc blood pressure in men is greater than those of women after standing upright.

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The Lives of Daughters-in-Law Who Care for Parents with Dementia: Hyun Sook Kang, Keum Ja Go, Won Ock Kim, Eun Sim Kim, Soon Yong Khim, Hyun Li Kim, Soon Ok Shin, Sang Eun Oh, Jeong Sook Won, Chun Yu Li, Min Jung, Nam Hee Choe; Journal of Korean Academy of Nursing 1999;29(6):1233-1243. Published online March 29, 2017; DOI: https://doi.org/10.4040/jkan.1999.29.6.1233

Abstract PDF: This study was done to investigate the lives of the daughters- in- law caring for parents with dementia and participate in their lives through having quality time with them. Data were collected by depth interviews and interpreted through the hermeneutic circle as follows. These daughters-in-law have conflict between social custom and subjective self. They had ambivalence toward their demented partents-in- law and were fighting a battle between rationality and emotions in their mind. These daughters-in law and mothers-in- law did not get along and the parents' dementia aggravated the relationships. They were alienated from their family by the parents with dementia. The indifference of their family especially their husbands, made these subjects live in misery. They cared for the demented mother-in-law with hatred. Even though they had this yoke, there daughters- in-law were not able to throw off the shackles of convention.

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Effects of Tai Chi Exercise on Cardiovascular Risk Factors and Quality of Life in Post-menopausal Women: Rhayun Song, Sukhee Ahn, Hee Young So, In Sook Park, Hyun Li Kim, Kyung Ok Joo, Jong Sung Kim; J Korean Acad Nurs 2009;39(1):136-144. Published online February 17, 2009; DOI: https://doi.org/10.4040/jkan.2009.39.1.136

Abstract PDF: Purpose:
Natural menopause resulting in the decline in endogenous estrogen concentrations is responsible for an increased risk of coronary heart disease in postmenopausal women. The purpose of the study was to examine the effects of a 6-month Tai Chi exercise program on cardiovascular risk factors and quality of life in post-menopausal women.
Methods:
A quasi-experimental design with pretest and posttest measures was used. The participants in the study, 29 women in the Tai Chi group and 31 in the control group, were enrolled for 6 months.
Results:
After 6 months of Tai Chi exercise, total cholesterol (M=213 to 185), LDL-cholesterol (M=135 to 128), and their 10 yr cardiovascular disease risk (M=2.62 to 2.27) had improved significantly for the Tai Chi participants compared to the control group. Total scores for quality of life along with the sub-dimensions of health perception and mental functioning were also significantly higher in the Tai Chi participants.
Conclusion:
Tai Chi exercise favorably affected cardiovascular health and quality of life in post-menopausal women after 6 months. Additional rigorous studies are needed to examine long term effects on the prevention of cardiovascular disease in this population.

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Factors explaining Quality of Life in Individuals with Coronary Artery Disease: In Sook Park, Rhayun Song, Sukhee Ahn, Hee Young So, Hyun Li Kim, Kyung Ok Joo; J Korean Acad Nurs 2008;38(6):866-873. Published online December 31, 2008; DOI: https://doi.org/10.4040/jkan.2008.38.6.866

Abstract PDF: Purpose
The study was done to compare quality of life by gender, and to identify factors which explain quality of life in individuals with coronary artery disease.
Methods
For the survey, 91 individuals (53 men and 38 women) agreed to participate in the study. Cardiovascular risk factors, systolic blood pressure, body mass index, total cholesterol, triglyceride, high density lipoprotein-cholesterol, and low density lipoprotein-cholesterol, health behavior as well as quality of life, were measured. Descriptive statistics, t-test, correlation and hierarchical multiple regression with SPSS WIN 12.0 were used to analyze the data.
Results
Significant gender differences were found for education, smoking status, chronic disease, perceived health status, and quality of life within sub-dimensions. Hierarchical regression analysis showed gender (men), age, perceived health status, cardiovascular risk scores, and health behaviors together explained 40.2% (adjusted R²) of variance in quality of life.
Conclusion
As the factors explaining quality of life in individuals with coronary artery disease have been identified as gender (men), age, perceived health status, and health behaviors, health promotion programs designed for this population should focus on these factors for effective behavioral modification, and consequent improvement in quality of life.

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