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8 "Jin-Hyang Yang"
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Original Articles
Patterns of Health Behavior for Weight Loss among Adults Using Obesity Clinics
Jin-Hyang Yang, Myung-Ok Cho, Kayoung Lee
J Korean Acad Nurs 2012;42(5):759-770.   Published online October 31, 2012
DOI: https://doi.org/10.4040/jkan.2012.42.5.759
AbstractAbstract PDF
Purpose

This ethnography was done to explore patterns of weight management behavior among adults using obesity clinics.

Methods

The participants were 12 adults who were overweight or obese and 2 family members. Data were collected from iterative fieldwork in the obesity clinics of two hospitals. Data were analyzed using text analysis and taxonomic methods.

Results

Weight management behaviors among participants varied according to the recognition of the body and motivation for weight control, Participants' behavior was discussed in the socio-cultural context of obesity. Patterns of weight management behavior among participants were categorized by focus: strategic self-oriented type including managements for the body as a social asset and for health, selective neglect type, and passive group value-oriented type including type dependent on others and managements for beauty.

Conclusion

Participants' weight management behavior was guided by folk concepts of body and health. and constructed within the socio-cultural context. It is necessary for health care providers to understand physical and psychological problems arising from the repeated trials, excessive control of weight, and Western cultural discourse on beauty ideals among adults who are overweight or obese. Therefore, interventions should be tailored to address individual and community needs.

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Development and Evaluation of a Program to Promote Self Management in Patients with Chronic Hepatitis B
Jin-Hyang Yang
J Korean Acad Nurs 2012;42(2):258-268.   Published online April 30, 2012
DOI: https://doi.org/10.4040/jkan.2012.42.2.258
AbstractAbstract PDF
Purpose

The purpose of this study was to identify the effects of the program to promote self management for patients with chronic hepatitis B.

Methods

The research was a quasi-experimental design using a non-equivalent control group pre-post test. The participants were 61 patients, 29 in the experimental group and 32 in the control group. A pretest and 2 posttests were conducted to measure main variables. For the experimental group, the self-management program, consisting of counseling-centered activities in small groups, was given for 6 weeks. Data were analyzed using χ2, t-test, and repeated measures ANOVA with PASW statistics program.

Results

There were statistically significant increases in knowledge, self-efficacy, active ways of coping, and self-management compliance but not in passive ways of coping in the experimental group compared to the control group over two different times.

Conclusion

The results of this study indicate that the self-management program is effective in increasing knowledge, self-efficacy, active ways of coping, and self-management compliance among patients with chronic hepatitis B. Therefore, it can be usefully utilized in the field of nursing for patients with chronic disease as a nursing intervention for people with chronic hepatitis B.

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Adaptation Experience to Family of Immigrant Women in Multicultural Families
Jin-Hyang Yang, Hyun-Joo Park, Song-Soon Kim, Eun-Jeong Kang, Sang-Hee Byun, Ji-Soo Bang
J Korean Acad Nurs 2012;42(1):36-47.   Published online February 29, 2012
DOI: https://doi.org/10.4040/jkan.2012.42.1.36
AbstractAbstract PDF
Purpose

This study was to explore adaptation experience to family among women who immigrated for marriage. Specific aims were to identify problems immigrant women face as family members and how they interact with other family members.

Methods

Grounded theory methodology was utilized. Data were collected from iterative fieldwork with individual in-depth interviews from 6 immigrant women as key informants, and 2 of their husbands and 2 of their mothers-in-law as general informants.

Results

Through constant comparative analysis, a core category emerged as "tearing down the wall in communicating". Causal conditions were feeling frustrated in one's expectations, differences in language and life style, differences in recognition, and perceptions of discrimination and prejudice. Strategies were learning the Korean language, learning Korean culture, managing stress, mediating differences between family members, and introspecting. Intervening factors were support systems, burdens of child-rearing, and the condition of one's health. Consequences were rooting oneself in one's family and accepting one's life as it is.

Conclusion

Results of the study indicate that there is a need for nurses to understand differences in communication with family members among immigrant women and to provide information and emotional support to improve the adaptation of these women to their Korean families.

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The Meaning of Illness among Korean Americans with Chronic Hepatitis B
Jin-Hyang Yang, Hae-Ok Lee, Myung-Ok Cho
J Korean Acad Nurs 2010;40(5):662-675.   Published online October 31, 2010
DOI: https://doi.org/10.4040/jkan.2010.40.5.662
AbstractAbstract PDF
Purpose

This ethnography was done to explore the meaning of illness in Korean Americans with chronic hepatitis B.

Methods

The participants were 6 patients with chronic hepatitis B and 6 general informants who could provide relevant data. Data were collected from iterative fieldwork with ethnographic interviews within Korean communities in two cities in the United States. Data were analyzed using causal chain analysis developed by Wolcott.

Results

The analyses revealed three meanings for the illness: hidden disease, intentionally hidden disease, and inevitably hidden disease. The contexts of meaning of illness included characteristics of the illness, social stigma, structure of health care system and communication patterns and discourse between health care providers and clients.

Conclusion

The meaning of illness was based on folk illness concepts and constructed in the sociocultural context. Folk etiology, pathology and interpretation of one's symptoms were factors influencing illness behavior. These findings could be a cornerstone for culture specific care for Korean Americans with chronic hepatitis B.

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Qualitative Research Investigating Patterns of Health Care Behavior among Korean Patients with Chronic Hepatitis B
Jin-Hyang Yang, Myung-Ok Cho, Hae-Ok Lee
J Korean Acad Nurs 2009;39(6):805-817.   Published online December 31, 2009
DOI: https://doi.org/10.4040/jkan.2009.39.6.805
AbstractAbstract PDF
Purpose

This ethnograpy was done to explore patterns of health care behavior in patients with chronic health problems.

Methods

The participants were 15 patients with chronic hepatitis B and 2 family members. Among the patients 4 had progressed to liver cirrhosis and liver cancer. Data were collected from iterative fieldwork in a department of internal medicine of I hospital. Data were analyzed using text analysis and taxonomic methods.

Results

Illness and disease, relationship between health care givers and clients, and communication patterns between health professions and clients were discussed as the context of health care behavior. Health care behavior of the participants was categorized by its focus: every day work centered, body centered, organ centered, and pathology centered.

Conclusion

Participants' health care behavior was guided by folk health concept and constructed in the sociocultural context. Folk etiology, pathology, and interpretation of one's symptoms were influencing factors in illness behavior. These findings must be a cornerstone of culture specific care for the chronic diseases.

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The Effects of Hand Acupuncture Therapy on Pain, ROM, ADL and Depression among Elders with Low Back Pain and Knee Joint Pain
Jin-Hyang Yang
J Korean Acad Nurs 2009;39(1):10-20.   Published online February 28, 2009
DOI: https://doi.org/10.4040/jkan.2009.39.1.10
AbstractAbstract PDF
Purpose

The purpose of this study was to identify the effects of hand acupuncture therapy on pain, ROM, ADL, and depression among older people with low back pain and knee joint pain.

Methods

The research was a quasi-experimental design using a non-equivalent control group pre-post test. The participants were 40 patients, 18 in the experimental group and 22 in the control group. A pretest and 2 posttest were conducted to measure the main variables. For the experimental group, hand acupuncture therapy, consisting of hand acupuncture and press-pellets based on corresponding points, was given.

Results

There were statistically significant differences in pain, ROM in knee joint, and ADL in the experimental group but not in depression compared to the control group over two different times.

Conclusion

The hand acupuncture therapy was effective for low back pain, knee joint pain, ROM in knee joint and ADL among the elders in this study. Therefore, the hand acupuncture therapy can be utilized in the field of geriatric nursing as a nursing intervention for older people with low back pain and knee joint pain.

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Accuracy of References in Eight Nursing Journals in Korea
Min-Hyun Suk, Hee-Jung Jang, Jeong Sook Park, Hae-Won Kim, Yeon-Ok Suh, Hyun-Sook Shin, Jin-Hyang Yang, Myun-Sook Jung, Myung-Sill Chung
Journal of Korean Academy of Nursing 2008;38(1):180-185.   Published online February 29, 2008
DOI: https://doi.org/10.4040/jkan.2008.38.1.180
AbstractAbstract PDF
Purpose

This study was to investigate the reference accuracy in major nursing journals in Korea.

Methods

The references in articles from eight nursing journals from 2006 were compared with PubMed for authors, year, title, journal, volume, and page accuracy. Four hundred sixty-six references were reviewed. Errors were classified as major or minor and categorized by bibliographic headings (author, title, journal, year, volume and page).

Results

Of the 466 references, 223 (47.9%) had citation errors. The reference error rates ranged from 28.6% to 58.7%. Most errors occurred in the author element (37.9%), followed by title (20.9%), journal (19.0%), page (13.9%), volume (5.9%), and year (2.4%).

Conclusion

This study identified a considerable error rate in the references of nursing journals. Inaccuracy of references is a reflection on scholarly work of authors and journals. Authors and Editorial committees are responsible for the accuracy of references.

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The Actual Experiences of the Living World among Cancer Patients
Jin-Hyang Yang
Journal of Korean Academy of Nursing 2008;38(1):140-151.   Published online February 28, 2008
DOI: https://doi.org/10.4040/jkan.2008.38.1.140
AbstractAbstract PDF
Purpose

The purpose of this study was to understand the meanings and nature of living in the world among cancer patients. The present study adopted a hermeneutic phenomenological method which was developed by van Manen.

Method

The participants for this study were 5 men and 6 women, who were over the age of 20 with admission or a follow up visit in the medical or surgical department. Data were collected by using in-depth interviews and observations from February to September, 2007. The contents of the interviews were tape-recorded with the consent of the subject.

Result

The essential themes that fit into the context of the 4 existential grounds of body, time, space and other people were: a body that cannot be restored, a body that endures and lives, waiting in uncertainty, a valued calculation for the living day, being in a world of invisible power, reestablishing relationships, and reflection on his or her life.

Conclusion

These findings revealed that living in the world is affected to varying degrees by the cancer. It is important for nurses to identify and take care of disabilities and to support the reorientation in the disintegrated life situation. The result of this study can give nurses some insight into these experiences and help promote empathetic care.

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