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Research Papers
A qualitative meta-synthesis of the essence of patient experiences of dialysis
Soyoung Jang, Eunyoung E. Suh, Yoonhee Seok
J Korean Acad Nurs 2025;55(1):119-136.   Published online February 19, 2025
DOI: https://doi.org/10.4040/jkan.24102
AbstractAbstract PDFePub
Purpose
This study aimed to understand the experiences of dialysis and their meaning among patients with chronic kidney disease through a meta-synthesis of the existing literature. Since 2010, the prevalence of end-stage renal disease has doubled in South Korea, which has the sixth-highest incidence worldwide. Although most kidney disease patients undergo dialysis to attenuate disease-related symptoms and prolong their lives, the implications of dialysis on their lives, together with the role played by patients’ significant others, remain underexplored. Similarly, existing research has not considered both patients with hemodialysis and peritoneal dialysis.
Methods
In this meta-synthesis, seven electronic databases (PubMed, CINAHL, EMBASE, PsycINFO, DBpia, KISS, and RISS) were searched for the terms “dialysis” and “qualitative.” Thirty qualitative studies were selected for examination.
Results
The overriding theme observed in the studies was “I do not have much time left.”–navigating the dual realities of one’s limited existence, while other key themes were: (1) the inevitable experience of the troubles of dialysis, (2) life is extended, but deteriorating in every aspect, (3) accepting dialysis with a positive outlook for life, and (4) essential support experienced in an exhausting life.
Conclusion
These findings are important for the design and delivery of practical and tailored nursing interventions to help patients overcome the various challenges related to dialysis treatment, and improve their quality of life.
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Association between Resilience, Professional Quality of Life, and Caring Behavior in Oncology Nurses: A Cross-Sectional Study
Jeon, Misun , Kim, Sue , Kim, Sanghee
J Korean Acad Nurs 2023;53(6):597-609.   Published online December 31, 2023
DOI: https://doi.org/10.4040/jkan.23058
AbstractAbstract PDF
Purpose
The degree of caring behavior of oncology nurses is a crucial factor in the care provided to patients with cancer. In this study, we aimed to investigate factors related to oncology nurses’ caring behavior, including their resilience and professional quality of life.
Methods
A cross-sectional descriptive study was conducted with 107 oncology nurses at an urban tertiary hospital from May 18 to 24, 2015. We used a self-report questionnaire to measure resilience, professional quality of life, and degree of caring behavior. Data analysis included descriptive statistics, correlations, and multiple regression analysis using SPSS/WIN 20.0.
Results
Oncology nurses presented with low levels of resilience and caring behavior, and high levels of compassion satisfaction, burnout, and secondary traumatic stress. There was a statistically significant relationship between the degree of caring behavior, resilience (r = .43, p < .001), compassion satisfaction (r = .51, p < .001), and burnout (r = - .42, p < .001), as well as between secondary traumatic stress and burnout (r = .34, p < .001). Factors associated with oncology nurses’ degree of caring behavior were compassion satisfaction (t = 6.00, p < .001) and educational level (t = 3.45, p = .001).
Conclusion
This study demonstrates that oncology nurses’ degree of caring behavior is related to their professional quality of life and education. These findings suggest that enhancing oncology nurses’ healthy coping strategies at both the individual and organizational levels can further develop holistic nursing care. Additionally, it is necessary to examine the factors affecting nurses’ compassion satisfaction and to try to promote this aspect.

Citations

Citations to this article as recorded by  
  • Burnout among health professionals working in oncology: current evidence and challenges for future research
    Javier Martinez-Calderon, Cristina García-Muñoz
    Current Opinion in Oncology.2025;[Epub]     CrossRef
  • Personal and work-related factors associated with nurse resilience: An updated systematic review using meta-analysis and narrative synthesis
    Fiona Yu, Deborah Raphael, Lisa Mackay, Melody Smith, Ritin Fernandez
    International Journal of Nursing Studies.2025; 166: 105054.     CrossRef
  • Mindful self-care among oncology nurses in China: a latent profile analysis
    Yan Shi, Peng Wang, Lamei Liu, Mengmeng Li
    BMC Nursing.2024;[Epub]     CrossRef
  • The mediating role of compassion fatigue between perceived organization support and caring behavior among outpatient nurses in China: a cross-sectional study
    Xingxing Liu, Fang He, Tian Tian, Jun Zhang, Yuanjiao Ji, Yuexia Zhong
    BMC Nursing.2024;[Epub]     CrossRef
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  • 3 Web of Science
  • 4 Crossref
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Internal Structure of the Health-Related Quality of Life Instrument with 8-Items in a Nationally Representative Population
Lee, Eun-Hyun
J Korean Acad Nurs 2023;53(3):359-369.   Published online June 30, 2023
DOI: https://doi.org/10.4040/jkan.23007
AbstractAbstract PDF
Purpose
This study evaluated the internal structure (structural validity, internal consistency, and measurement invariance) of the Health-Related Quality of Life Instrument with Eight Items (HINT-8), developed to measure Korean people’s health-related quality of life.
Methods
A secondary analysis was conducted using data from the Korea National Health and Nutrition Examination Survey, involving 6,167 adults aged over 18 years. The structural validity of the HINT-8 was assessed using exploratory graph analysis and confirmatory factor analysis. Internal consistency and measurement invariance were analyzed using McDonald’s omega (ω) and multigroup confirmatory factor analysis, respectively.
Results
The HINT-8 had a single dimension and good internal consistency (ω = .804). The one-dimension HINT-8 ex-hibited matric invariance but not scalar invariance across sociodemographic groups (sex, age, education, and marital status). Further, it exhibited scalar or partial scalar invariance across medical condition groups (hypertension, diabetes, depressive symptoms, and cancer).
Conclusion
The study finds that the HINT-8 demonstrated satisfactory structural validity and internal consistency, indicating its suitability for practice and research. However, the HINT-8 scores cannot be compared across different groups regarding sex, age, education, and marital status, as the interpretation varies within each sociodemographic category. Conversely, interpretation of the HINT-8 is consistent for individuals with and without hypertension, diabetes, depressive symptom, and cancer.

Citations

Citations to this article as recorded by  
  • The Predictors of Dietary Supplement Use Among Women With Musculoskeletal Disease: A Population-Based Complex Sample Designed Study
    Myoungjin Kwon, Sun Ae Kim, Youngshin Song
    INQUIRY: The Journal of Health Care Organization, Provision, and Financing.2025;[Epub]     CrossRef
  • A Network Analysis of Quality of Life Among Older Adults With Arthritis
    Dahee Wi, Chang G. Park, Jiae Lee, Eunjin Kim, Yoonjung Kim
    International Journal of Older People Nursing.2025;[Epub]     CrossRef
  • Network analysis of quality of life among young and middle-aged Korean cancer survivors
    Yoonjung Kim, Dahee Wi, Eunjin Kim, Jiae Lee
    Asia-Pacific Journal of Oncology Nursing.2025; 12: 100684.     CrossRef
  • Quality of Life Based on the Experience of Psychological Counseling in Adults with Depressive Symptoms
    Jihyeon Seo, Jihye Lim
    Journal of Health Informatics and Statistics.2025; 50(1): 39.     CrossRef
  • Comparison of the health behavior and nutrition status of young-old women according to the vitality in their quality of life: based on the 2019, 2021 Korea National Health and Nutrition Examination Survey
    Jiyoung Jeong, Yoon Jung Yang
    Journal of Nutrition and Health.2023; 56(5): 496.     CrossRef
  • 727 View
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  • 2 Web of Science
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Factors Affecting the Quality of Life in Low-Income Older Adults with Sarcopenia: A Cross-Sectional Study
Nho, Ju-Hee , Kim, Eun Jin
J Korean Acad Nurs 2023;53(1):1-11.   Published online February 28, 2023
DOI: https://doi.org/10.4040/jkan.22126
AbstractAbstract PDF
Purpose
This study aimed to identify the factors influencing quality of life (QoL) of low-income older adults (LOAs) with sarcopenia.
Methods
A convenience sample of 125 older adults was recruited from Jeonbuk Province, South Korea. Data were collected using a self-report questionnaire that included nutritional status, the Depression Anxiety Stress Scale-21, and the World Health Organization Quality of Life Instrument-Older Adults Module. Additionally, grip strength and appendicular skeletal muscle mass, were evaluated, along with the short physical performance battery.
Results
Sarcopenia and severe sarcopenia were observed in 43.2% and 56.8% of participants, respectively. Using multiple regression analysis, depression (β = - .40, p < .001), nutritional status (β = .24, p = .003), and anxiety (β = - .15, p = .042) were identified as factors affecting the QoL of the older adults in low-income groups with sarcopenia, the explanatory power of these variables was 44%.
Conclusion
The results of this study can be used to develop a nursing intervention program and establish policies to improve depression, anxiety, and nutritional status to enhance QoL of LOAs with sarcopenia.

Citations

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  • Factors influencing health-related quality of life in older adult women with sarcopenia: analysis of the Korean National Health and Nutrition Examination Survey 2019
    Sol Hyun Lee, Ju-Hee Nho, Hye Young Kim, Eun Jee Lee
    Korean Journal of Women Health Nursing.2023; 29(4): 328.     CrossRef
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Effect of Acculturative Stress on Multicultural Adolescents’ Life Satisfaction: Sequential Multiple Mediating Effects of Bicultural Acceptance Attitude, Self-Esteem, and Social Withdrawal -Using the 2016 Multicultural Adolescents Panel Study-
Kim, Soo Mi , Kim, Hyeon Ok
J Korean Acad Nurs 2022;52(3):324-340.   Published online June 30, 2022
DOI: https://doi.org/10.4040/jkan.22030
AbstractAbstract PDF
Purpose
This study determined acculturative stress’ effect on the life satisfaction of multicultural adolescents based on Roy’s Adaptation Model and some earlier studies. Further, it examined the sequential multiple mediating effects of bicultural acceptance attitude, self-esteem, and social withdrawal on life satisfaction.
Methods
Participants included 1,163 multicultural adolescents who participated in the sixth Multicultural Adolescents Panel Study. A hypothesis test was conducted using Hayes’ Process Macro Model 81.
Results
Life satisfaction increased with a decline in acculturative stress. Each of bicultural acceptance attitude, self-esteem, and social withdrawal had a single mediating effect on the relationship between acculturative stress and life satisfaction in multicultural adolescents. The sequential multiple mediating effects of bicultural acceptance attitude and self-esteem were confirmed significant after their impact on the relationship between acculturative stress and life satisfaction was analyzed. Bicultural acceptance attitude and social withdrawal were found to have a significant sequential multiple mediating effect on the relationship, as well.
Conclusion
This study’s results demonstrate that acculturative stress reduction is critical to improving multicultural adolescents’ life satisfaction. Bicultural acceptance attitude, self-esteem, and social withdrawal have a single mediating or sequential multiple mediating effect on the relationship between multicultural adolescents’ acculturative stress and life satisfaction. The findings, which highlight mediating effects, indicate that by increasing bicultural acceptance attitude and self-esteem, and reducing social withdrawal, multicultural adolescents’ life satisfaction can be improved.

Citations

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  • Acculturative Stress and Psychosocial Well-Being of Multicultural Youth in South Korea: The Moderating Role of Host Culture Identity
    Cheolwoo Park, Hannah B. Bayne
    International Journal for the Advancement of Counselling.2024; 46(3): 465.     CrossRef
  • Bicultural Acceptance Attitude as a Protective Factor Against the Effect of Acculturative Stress on Life Satisfaction Among Korean Multicultural Adolescents
    Jong-Hye Park, Sung-Man Bae
    Applied Research in Quality of Life.2024; 19(4): 1811.     CrossRef
  • The influence of bullying victimization on acculturation and life satisfaction among children from multicultural families in South Korea
    Jinho Kim, Eric Fong
    Journal of Ethnic and Migration Studies.2024; 50(18): 4718.     CrossRef
  • The Influence of Support Services for Multicultural Adolescents on School Adjustment and the Moderated Mediation Effect of Bicultural Attitude by Social Support
    Rae-Hyuck Lee, Jae-Kyoung Lee
    Korean Journal of family welfare.2024; 29(1): 149.     CrossRef
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Structural Equation Modeling for Quality of Life of Mothers of Children with Developmental Disabilities: Focusing on the Self-Help Model
Yang, Mi Ran , Yu, Mi
J Korean Acad Nurs 2022;52(3):308-323.   Published online June 30, 2022
DOI: https://doi.org/10.4040/jkan.22013
AbstractAbstract PDF
Purpose
This study aimed to construct and test a predictive model for the quality of life (QOL) in mothers of children with developmental disabilities (DB). The hypothesized model included severity of illness, distress, uncertainty, self-help, and parenting efficacy as influencing factors, QOL as a consequence based on the Braden’s Self-Help Model.
Methods
The data were collected through a direct and online surveys from 206 mothers in 8 locations, including welfare or daycare centers, developmental treatment centers, and The Parents’ Coalition for the Disabled located in two provinces of Korea. Data were analysed using SPSS/WIN 23.0 and AMOS 21.0 program.
Results
The fit indices of the predictive model satisfied recommended levels; χ2 = 165.79 (p < .001), normed χ2 (χ2 /df) = 2.44, RMR = .04, RMSEA = .08, GFI = .90, AGFI = .85, NFI = .91, TLI = .93, CFI = .95. Among the variables, distress (β = - .46, p < .001), parenting efficacy (β = .22, p < .001), and self-help (β = .17, p = .018) had direct effects on QOL. Severity of illness (β = - .61, p = .010) and uncertainty (β = - .08, p = .014) showed indirect effects. The explanatory power of variables was 61.0%.
Conclusion
The study results confirm the utility of Braden’s Self-Help Model. They provide a theoretical basis for improving QOL in mothers of children with DB. Nursing intervention strategies that can relieve mothers’ distress and uncertainty related to disease and enhance parenting efficacy and self-help behavior should be considered.

Citations

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  • Moderating role of informational support in the relationship between credible authority and parental uncertainty in developmental disabilities: a preliminary study
    Heejung Choi, GyeongAe Seomun, Sung-Min Son
    Disability and Rehabilitation.2025; : 1.     CrossRef
  • Adaptation and validation of the Korean version of the parental perception of uncertainty scale (K-PPUS) in parents of children with developmental disabilities
    Heejung Choi, GyeongAe Seomun
    Journal of Pediatric Nursing.2025; 82: 47.     CrossRef
  • The Relation among Uncertainty, Social Support, Care Burden of Mothers having Children with Developmental Disabilities
    Kyoung Eun Jeong, Min Hyun Suk
    Research in Community and Public Health Nursing.2023; 34: 117.     CrossRef
  • 371 View
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  • 2 Web of Science
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Effects of the Advanced Practice Nurse-Led Psychoeducational Program for Colorectal Cancer Survivors
Kim, Hye Kyung , Yoo, Yang-Sook
J Korean Acad Nurs 2022;52(3):245-260.   Published online June 30, 2022
DOI: https://doi.org/10.4040/jkan.21207
AbstractAbstract PDF
Purpose
This study aimed to investigate the effects of an advanced practice nurse-led psychoeducational program on distress, anxiety, depression, coping with cancer (CWC), health promotion behavior (HPB), and quality of life (QOL) among colorectal cancer survivors.
Methods
This study was designed as a quasi-experimental study with a non-equivalent control group pretest-posttest. The participants were survivors of colorectal cancer who underwent follow-up care. There were 39 survivors: 19 in the experimental group and 20 in the control group. The experimental group performed a psychoeducational program for 120 minutes per session, once a week for a total of six weeks, while the control group received routine education and counseling. Distress, anxiety, depression, CWC, HPB, and QOL were investigated before, immediately after, and 4 weeks after the intervention. The data were analyzed with SPSS/WIN ver. 24.0, using repeated measures ANOVA.
Results
There were significant interactions between time and group for distress and anxiety. In addition, CWC interacted with the total of CWC and interpersonal coping, and QOL interacted with the total of QOL and functional status. However, there were no significant differences in the depression or HPB scores.
Conclusion
Based on the results of this study, we expect that this program can be used as an effective intervention for colorectal cancer survivors.

Citations

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  • Effectiveness of a mobile-based return to work program for decent return to work, fatigue, stress, and quality of working life among cancer survivors
    Kisook Kim, Hyohyeon Yoon
    Journal of Cancer Survivorship.2025; 19(2): 713.     CrossRef
  • Elevating Elderly Cancer Care: A Systematic Review of Advanced Practice Nursing’s Role in Senior Oncology Patients’ Quality of Life
    Cristian-David Useche-Guerrero, María-de-los-Ángeles Merino-Godoy, Eva-María Barroso-Márquez, Emilia Isabel Martins Teixeira da Costa, Rafaela Camacho Bejarano, Francisco-Javier Gago-Valiente, Rizal Angelo Grande
    Journal of Nursing Management.2024;[Epub]     CrossRef
  • Effects of Psycho-education Interventions on Colorectal Cancer Patients: A systematic review and meta-analysis
    XiaoYing Zhang, HuangQin Liu, LiYing Lin, Huimin Xiao
    Journal of Cancer Education.2023; 38(5): 1413.     CrossRef
  • How should the healthcare system support cancer survivors? Survivors’ and health professionals’ expectations and perception on comprehensive cancer survivorship care in Korea: a qualitative study
    Su Jung Lee, Dal-Lae Jin, Young Ae Kim, Hyun-Ju Seo, Seok-Jun Yoon
    BMC Cancer.2023;[Epub]     CrossRef
  • Cancer Survivorship Care and Roles of Oncology Nurses
    Eun Young Park
    Asian Oncology Nursing.2022; 22(3): 121.     CrossRef
  • 371 View
  • 25 Download
  • 5 Web of Science
  • 5 Crossref
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Development and Evaluation of Resilience Enhancement Program Applying Mindfulness Meditation in Patients with Ileostomy
Shin, Jee Hye , Choi, Ja Yun
J Korean Acad Nurs 2021;51(3):334-346.   Published online June 30, 2021
DOI: https://doi.org/10.4040/jkan.21019
AbstractAbstract PDF
Purpose
The purpose of this study was to develop a resilience enhancement program applying mindfulness meditation (REP-MM) and evaluate the effects of the program on post-traumatic stress (PTS), resilience, and health-related quality of life (HRQoL) in patients with ileostomy.
Methods
The REP-MM was developed by combining the resilience enhancement program with mindfulness meditation according to four patterns. The program was developed through identifying patients’ needs, reviewing relevant literature, developing a preliminary program, and testing content validity and user evaluation. The participants were 55 patients with ileostomy. We conveniently assigned 27 patients to the experimental group and 28 to the control group. The study was conducted in conducted in a hospital from January 22 to May 30, 2019. The REPMM was provided to the experimental group, and conventional ileostomy care was provided to the control group using a nonequivalent control-group pretest-posttest design. Results: ANCOVA revealed that the levels of PTS (F = 321.64, p < .001), resilience (F = 111.86, p < .001), and HRQoL (F = 31.08, p < .001) in the experimental group were higher than those in the control group when comparing pretest to posttest changes.
Conclusion
The REP-MM is effective in PTS, resilience, and HRQoL in patients suffering from post-stoma creation crisis. The REP-MM can induce positive self-recognition changes in patients with ileostomy through dispositional, situational, relational, and philosophical interventions. We suggest nurses reduce PTS and improve resilience and HRQoL in patients with ileostomy.

Citations

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  • Effectiveness of Meditation Techniques in Treating Post-Traumatic Stress Disorder: A Systematic Review and Meta-Analysis
    David W. Orme-Johnson, Vernon A. Barnes, Brian Rees, Jean Tobin, Kenneth G. Walton
    Medicina.2024; 60(12): 2050.     CrossRef
  • The experiences of Chinese colorectal cancer survivors in marital intimacy after ostomy creation: A qualitative study
    Xixi Du, Suchira Chaiviboontham, Bualuang Sumdaengrit
    Belitung Nursing Journal.2024; 10(2): 222.     CrossRef
  • Analysis on effect of psychological nursing combined with extended care for improving negative emotions and self-care ability in patients with colorectal cancer and enterostomy: A retrospective study
    Fang Liu, Kun Yao, Xiaoxiang Liu
    Medicine.2024; 103(21): e38165.     CrossRef
  • Development and Evaluation of a Healthcare Empowerment Program for Patients with Temporary Ileostomy
    Jin Mi Kim, Jeong Sook Park
    Korean Journal of Adult Nursing.2021; 33(6): 616.     CrossRef
  • 317 View
  • 4 Download
  • 3 Web of Science
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Actor and Partner Effects of Couple’s Daily Stress and Dyadic Coping on Marital Satisfaction
Won, Su Kyung , Seol, Kyoung Ok
J Korean Acad Nurs 2020;50(6):813-821.   Published online December 31, 2020
DOI: https://doi.org/10.4040/jkan.20162
AbstractAbstract PDF
Purpose
This study aimed to identify the actor and partner effects of daily stress and dyadic coping on marital satisfaction using the Actor-Partner Interdependence Mediational Model (APIeM).
Methods
Participants were 314 couples who met the study’s eligibility criteria. Data were collected from March to April 2016 through apartment and cooperative company communities in Seoul. Two APIeMs of positive and negative dyadic coping were analyzed using SPSS 20.0 and Mplus 7.4. All measures were self-administered.
Results
Daily stress and positive and negative dyadic coping in both spouses had direct actor effects on their marital satisfaction. Daily stress in both spouses had an indirect actor effect on marital satisfaction through their positive and negative dyadic coping. The husband’s daily stress had an indirect partner effect on the wife’s marital satisfaction through his positive dyadic coping, while the wife’s positive dyadic coping had a direct partner effect on the husband’s marital satisfaction. The husband’s daily stress had an indirect partner effect on the wife’s marital satisfaction through his negative dyadic coping, while the wife’s negative dyadic coping had a direct partner effect on the husband’s marital satisfaction.
Conclusion
Dyadic coping is an effective way to deal with couple’s daily hassles as it increase their satisfaction in marriage.

Citations

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  • Analysis of risk factors for co-morbid anxiety and depression in pregnant women
    Wei Zhang, Ling Li, Xiabidan Tuxunjiang, Bahedana Sailike, Xiaoting Wang, Weicui Meng, Sufeila Shalayiding, Ting Jiang
    Psychiatry Research.2025; 344: 116323.     CrossRef
  • Pregnant Women’s Dyadic Coping and Associated Factors: A Cross-Sectional Study Utilizing Latent Profile Analysis
    Shiqiong Yan, Wenzhuo Fan, Yonghong Ma, Sijia Xie, Rong Li, Yao Lan, Linli Xie, Jie Jing
    International Journal of Women's Health.2024; Volume 16: 1009.     CrossRef
  • Spouse Burnout and Marriage Satisfaction in Married Individuals: The Mediating Role of Psychologıcal Well-being
    Bülent Şen, Nergüz Bulut Serin, Kadriye Karagülmez
    Batı Anadolu Eğitim Bilimleri Dergisi.2024; 15(2): 1266.     CrossRef
  • Dyadic coping and associated factors in women with high-risk pregnancy and their spouses: Do they interact?
    Mengjie Liu, Yu Fang, Mengshi Liu, Min Wu, Jingshuo Zhang, Tianchen Niu, Xiaoman Zhang
    Midwifery.2024; 134: 104006.     CrossRef
  • 중년부부의 문제해결 유형과 결혼만족도의 관계
    수산나 주, 미선 강, 인혜 정, 서진 조
    Journal of Family Relations.2023; 28(1): 33.     CrossRef
  • Relationship between Chinese middle-aged and old couples' Confucian coping thinking and marital quality
    Zhiguang Fan, Hanwei Wu, Min Tao, Lei Chen
    Frontiers in Public Health.2022;[Epub]     CrossRef
  • The impact of avoidant attachment on marital satisfaction of Chinese married people: Multiple mediating effect of spousal support and coping tendency
    Lian Xiong, Caihua Zhou, Liangshi Yan, Pan Zhao, Mengting Deng, Yan Hu
    Acta Psychologica.2022; 228: 103640.     CrossRef
  • Interrelation of Attachment and Coping Behavior In Adults
    E.V. Kuftyak
    Counseling Psychology and Psychotherapy.2021; 29(1): 28.     CrossRef
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  • 12 Download
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Predictive Model for Quality of Life of the Older Men Living Alone
Kim, Su Jin , Jeon, Gyeong-Suk
J Korean Acad Nurs 2020;50(6):799-812.   Published online December 31, 2020
DOI: https://doi.org/10.4040/jkan.20087
AbstractAbstract PDF
Purpose
This study aimed to construct and test a predictive model that explains and predicts the quality of life in older men living alone.
Methods
A self-report questionnaire was used to collect data from 334 older adult men living along aged 65 years or over living in Jeollanam-do provinces. The endogenous variables were depression, self-rated health, instrumental activity of daily life, health promotion behaviors, the number of social participation activities and quality of life. Data were analyzed using the SPSS 21.0 and AMOS 21.0 programs.
Results
The final model with 14 of the 8 analysed paths showed a good fit to the empiri cal data: χ2= 173.26(p < .001, df = 53),normed χ2= 3.27, GFI = .92, NFI = .90, CFI = .93, TLI = .89, RMSEA = .08 and SRMR = .06. Activities had direct effect on quality of life of older men living alone and social support had both direct and indirect effects. Meanwhile, function and socioeconomic status showed only indirect effects.The variables included in the eight significant paths explained 83.7% of variance in the prediction model.
Conclusion
Instrumental activities of daily living and social support effect directly on quality of life in the older men living alone. Findings suggest that health care providers including community nurses need to provide social support as well as empowerment programs of instrumental activities of daily living and health promotion for improving quality of life of the older men living alone.

Citations

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  • Changes in the health status and health-related quality of life of community-dwelling older adults living alone: one-year follow-up from a cohort study
    Hana Ko, Belong Cho, Kyung-Choon Lim, Soong-Nang Jang, Sun Ju Chang, Yu Mi Yi, Hye Ryung Cho, So Im Ryu, Eun-Young Noh, Yeon-Hwan Park
    Frontiers in Public Health.2023;[Epub]     CrossRef
  • Influencing factors on self-care of older adults living alone in a community during COVID-19: A cross-sectional study
    Heeyoung Woo, Minkyung Gu
    Journal of Korean Gerontological Nursing.2023; 25(1): 1.     CrossRef
  • A novel nomogram to stratify quality of life among advanced cancer patients with spinal metastatic disease after examining demographics, dietary habits, therapeutic interventions, and mental health status
    Yue Li, Ze Long, Xiuju Wang, Mingxing Lei, Chunzi Liu, Xiaolin Shi, Yaosheng Liu
    BMC Cancer.2022;[Epub]     CrossRef
  • Associated Factors with Health-related Quality of Life among Older Adults with Diabetes in Korea
    Eun-Kyung Lee, Sun-Young Jung
    The Korean Journal of Rehabilitation Nursing.2022; 25(2): 61.     CrossRef
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Original Article
A Structural Equation Model of Health-Related Quality of Life among Older Women Following Bilateral Total Knee Replacement
Lee, Hyun Ok , Yoo, Jae Soon
J Korean Acad Nurs 2020;50(4):554-570.   Published online August 31, 2020
DOI: https://doi.org/10.4040/jkan.19216
AbstractAbstract PDF
Purpose
This study aimed to develop and test a structural equation model of health-related quality of life among older women following bilateral total knee replacement based on a literature review and Wilson and Cleary’s model of health-related quality of life.
Methods
One hundred ninety three women who were diagnosed with osteoarthritis, were older than 65 years, and were between 13 weeks and 12 months of having a bilateral total knee replacement were recruited from an outpatient clinic. Data were collected from July 2017 to April 2018 using a structured questionnaire and medical records. Data were analyzed using SPSS/WIN 22.0, AMOS 22.0, and Smart PLS 3.2.4.
Results
The fitness of the hypothetical model was good, with coefficients of determination (R2 ) ranging between .28 and .75 and predictive relevance (Q2 ) between .26 and .73. The standardized root mean square residual of the model fit indices for the hypothetical model was .04; which explained 64.2% of physical and 62.5% of mental health-related quality of life. Self-efficacy, symptom status, functional status, and general health perceptions had a significant direct effect on physical health-related quality of life, while social support, symptom status, and general health perceptions had a significant direct effect on participants’ mental-health-related quality of life.
Conclusion
To improve the physical and mental quality of life of older women who receive bilateral knee replacement, nursing-based intervention strategies that reduce symptoms, improve functional status, and increase health perceptions, self-efficacy, and social support are needed. The most important factor is the symptom status.

Citations

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  • Health-related quality of life for older patients with chronic low back pain: A structural equation modeling study
    Suin Lee, Eun-Ju Lee
    Journal of Korean Gerontological Nursing.2023; 25(3): 248.     CrossRef
  • Health-related quality of life in female patients with reumatoid arthritis: a structural equation model
    Bukyung Kim, Mi-Hae Sung
    Korean Journal of Women Health Nursing.2023; 29(2): 91.     CrossRef
  • Effect of Oral Tranexamic Acid on the Blood Transfusion Rate and the Incidence of Deep Vein Thromboembolism in Patients after TKA
    Bingqian Chen, Xiaohong Qu, Xiaowen Fang, Xuesong Wang, Guoxiu Ke, Xiaonan Xi
    Evidence-Based Complementary and Alternative Medicine.2022; 2022: 1.     CrossRef
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    Min-Yi Song, Min-Jeong Park
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Review Article
Prevalence of Menstrual Disorders according to Body Mass Index and Lifestyle Factors: The National Health Insurance Service-National Health Screening Cohort in Korea, 2009~2016
Park, SoMi , Yoon, Tae Woong , Kang, Dae Ryong , Chung, ChaeWeon
J Korean Acad Nurs 2020;50(3):401-410.   Published online June 30, 2020
DOI: https://doi.org/10.4040/jkan.20054
AbstractAbstract PDF
Purpose
This study was performed to identify the prevalence of menstrual disorders in Korean women based on body mass index (BMI)and lifestyle factors, by utilizing the Korean National Health Insurance Database.
Methods
A retrospective observational study designwas used for the secondary data analysis. Data of women aged 15 to 49 years who were diagnosed with menstrual disorders were extractedfrom The National Health Insurance Service-National Health Screening Cohort in Korea from 2009 to 2016. The age-standardizedprevalence rate of menstrual disorders was calculated using SAS version 9.4, and a Chi-square test and Cochran-Armitage test were performed.
Results
In total, 2,219,445 cases were extracted from the database. The prevalence of menstrual disorders significantly increasedfrom 8.6% to 11.6% (Z=135.16, p for trend <.001) over the past eight years. In particular, it was higher in underweight womenthan in women with normal weight across all years (Z=-4.18~-14.72, p <.001). Moreover, statistically significant differences in the prevalenceof menstrual disorders were found to be associated with drinking and smoking in all years and with physical activity levels in part(p <.05~.001).
Conclusion
These findings present compelling evidence on the prevalence of menstrual disorders based on a national database.Since the prevalence of menstrual disorders has steadily increased and differs based on BMI and lifestyle factors, educational andclinical interventions are necessary to promote risk awareness and appropriate behavioral changes among Korean women.

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  • Prevalence and Risk Factors of Menstrual Disorders in Korean Women
    Ye-Lin Kim, Jun Young Chang, Suejin Kim, Mira Yoon, Jae-Na Ha, Kang Hyun Um, Boeun Lee, Kyoung Sook Jeong
    Healthcare.2025; 13(6): 606.     CrossRef
  • Menstrual Disorders Are Associated With Depressive Symptoms Among Women of Reproductive Age: Findings From the Korean Women’s Health Survey for Sexual and Reproductive Health
    Kyunghee Han, Sihan Song, Bo Mi Song, Eunja Park, Joong-Yeon Lim, Hyun-Young Park
    Journal of Korean Medical Science.2025;[Epub]     CrossRef
  • Factors associated with regularity and length of menstrual cycle: Korea Nurses’ Health Study
    Sihan Song, Hansol Choi, Yanghee Pang, Oksoo Kim, Hyun-Young Park
    BMC Women's Health.2022;[Epub]     CrossRef
  • Body mass index, menstruation, acne, and hirsutism of polycystic ovary syndrome in women: A cross-sectional study
    Jung-Hee Kim, Oksoo Kim, Heeja Jung, Yanghee Pang, Hyunju Dan
    Health Care for Women International.2022; 43(1-3): 85.     CrossRef
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Original Articles
Validity and Reliability of the Korean Version of the Menopause-Specific Quality of Life
Park, Jin-Hee , Bae, Sun Hyoung , Jung, Young-Mi
J Korean Acad Nurs 2020;50(3):487-500.   Published online June 30, 2020
DOI: https://doi.org/10.4040/jkan.20049
AbstractAbstract PDF
Purpose
This study aimed to evaluate the validity and reliability of the Korean version of Menopause-Specific Quality of Life (MENQOL).
Methods
The MENQOL was translated into Korean according to algorithm of linguistic validation process. A total of 308 menopausal womenwere recruited and assessed using the Korean version of MENQOL (MENQOL-K), the World Health Organization Quality of Life BriefVersion (WHOQOL-BREF), and Center for Epidemiological Studies Depression Scale (CES-D-K). In estimating reliability, internal consistencyreliability coefficients were calculated. Validity was evaluated through criterion validity and construct validity with confirmatory factor analysesusing SPSS 23.0 and AMOS 25.0 software.
Results
In item analyses, the “increased facial hair” symptom was excluded because of thelow contribution of MENQOL-K. The confirmatory factor analysis supported good fit and reliable scores for MENQOL-K model, and thefour-factor structure was validated (x2=553.28, p <.001, NC=1.84, RMSEA=.05, AGIF=.85, AIC=765.28). The MENQOL-K consists of 28 itemsin 4 domains, including vasomotor (3 items), psychosocial (7 items), physical (15 items), and sexual subscales (3 items). There was an acceptablecriterion validity with moderately significant correlation between MENQOL-K and WHOQOL-BREF. The Cronbach’s a for the 4subsacles ranged from .80 to .93.
Conclusion
The MENQOL-K is a valid and reliable scale to measure condition-specific quality of life forperimenopausal and postmenopausal women. It can be used to assess the impact of menopausal symptoms on the quality of life of Koreanwomen in clinical trials.

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  • Early-onset vasomotor symptoms and development of depressive symptoms among premenopausal women
    Hye Rin Choi, Yoosoo Chang, Jungeun Park, Yoosun Cho, Chanmin Kim, Min-Jung Kwon, Jeonggyu Kang, Ria Kwon, Ga-young Lim, Jiin Ahn, Kye-Hyun Kim, Hoon Kim, Yun Soo Hong, Jihwan Park, Di Zhao, Juhee Cho, Eliseo Guallar, Hyun-Young Park, Seungho Ryu
    Journal of Affective Disorders.2024; 354: 376.     CrossRef
  • Association between Menopausal Women’s Quality of Life and Aging Anxiety: The Role of Life Satisfaction and Depression
    Seunghee Lee, Mijung Jang, Dohhee Kim, KyooSang Kim
    Medicina.2024; 60(8): 1189.     CrossRef
  • Vasomotor and other menopause symptoms and the prevalence of ideal cardiovascular health metrics among premenopausal stage women
    Hye Rin Choi, Yoosoo Chang, Yejin Kim, Yoosun Cho, Min-Jung Kwon, Jeonggyu Kang, Ria Kwon, Ga-Young Lim, Kye-Hyun Kim, Hoon Kim, Yun Soo Hong, Jihwan Park, Di Zhao, Juhee Cho, Eliseo Guallar, Hyun-Young Park, Seungho Ryu
    Menopause.2023; 30(7): 750.     CrossRef
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    Ju-Hee Nho, Sookkyoung Park
    Korean Journal of Women Health Nursing.2023; 29(2): 128.     CrossRef
  • Low anti-Müllerian hormone levels are associated with an increased risk of incident early-onset vasomotor symptoms among premenopausal women
    SunJu NamGoung, Yoosoo Chang, Yejin Kim, Hoon Kim, In Young Cho, Ria Kwon, Ga-Young Lim, Hye Rin Choi, Jeonggyu Kang, Kye-Hyun Kim, Yun Soo Hong, Di Zhao, Hyun-Young Park, Juhee Cho, Eliseo Guallar, Min-Jung Kwon, Seungho Ryu
    Scientific Reports.2022;[Epub]     CrossRef
  • High low-density lipoprotein cholesterol level is associated with an increased risk of incident early-onset vasomotor symptoms
    Hye Rin Choi, Yoosoo Chang, Yejin Kim, Jeonggyu Kang, Min-Jung Kwon, Ria Kwon, Ga-Young Lim, Kye-Hyun Kim, Hoon Kim, Yun Soo Hong, Di Zhao, Juhee Cho, Eliseo Guallar, Hyun-Young Park, Seungho Ryu
    Scientific Reports.2022;[Epub]     CrossRef
  • Ideal Cardiovascular Health Metrics and Risk of Incident Early-Onset Vasomotor Symptoms Among Premenopausal Women
    Hye Rin Choi, Yoosoo Chang, Yejin Kim, Yoosun Cho, Jeonggyu Kang, Min-Jung Kwon, Ria Kwon, Ga-Young Lim, Kye-Hyun Kim, Hoon Kim, Yun Soo Hong, Jihwan Park, Di Zhao, Juhee Cho, Eliseo Guallar, Hyun-Young Park, Seungho Ryu
    The Journal of Clinical Endocrinology & Metabolism.2022; 107(9): 2666.     CrossRef
  • Alcohol Consumption Patterns and Risk of Early-Onset Vasomotor Symptoms in Premenopausal Women
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  • Metabolically healthy and unhealthy obesity and risk of vasomotor symptoms in premenopausal women: cross‐sectional and cohort studies
    Sunju Namgoung, Yoosoo Chang, Chae‐Yeon Woo, Yejin Kim, Jeonggyu Kang, Ria Kwon, Ga‐Young Lim, Hye Rin Choi, Kye‐Hyun Kim, Hoon Kim, Yun Soo Hong, Di Zhao, Juhee Cho, Eliseo Guallar, Hyun‐Young Park, Seungho Ryu
    BJOG: An International Journal of Obstetrics & Gynaecology.2022; 129(11): 1926.     CrossRef
  • Nonalcoholic Fatty Liver Disease and Risk of Early-Onset Vasomotor Symptoms in Lean and Overweight Premenopausal Women
    Yoosun Cho, Yoosoo Chang, Hye Rin Choi, Jeonggyu Kang, Ria Kwon, Ga-Young Lim, Jiin Ahn, Kye-Hyun Kim, Hoon Kim, Yun Soo Hong, Di Zhao, Sanjay Rampal, Juhee Cho, Hyun-Young Park, Eliseo Guallar, Seungho Ryu
    Nutrients.2022; 14(14): 2805.     CrossRef
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Effect of Lifestyle Intervention Program for Overweight and Obesity Pregnant Women
Choi, Hye Kyung , Kim, Hyeon Ok
J Korean Acad Nurs 2020;50(3):459-473.   Published online June 30, 2020
DOI: https://doi.org/10.4040/jkan.19228
AbstractAbstract PDF
Purpose
This study was conducted to identify the effects of a lifestyle intervention program on weight gain, dietary habits, fatigue andpregnancy stress, blood pressure, and neonatal birth weight, using Cox’s interaction model of client health behavior for overweight andobese women.
Methods
This was a quasi-experimental research with a non-equivalent control group pre-post test design. A total of 52patients who met the selection criteria, including 25 in the experimental group and 27 in the control group, were the subjects of the study;they comprised overweight and obese pregnant women who were receiving prenatal care at A and B women’s hospital in J province. Thelifestyle intervention program ran for 12 weeks in total and consisted of interactions involving affective support, health information, andprofessional/technical competencies. The data collection period was from February 1, 2017 to August 31, 2017.
Results
This study showeddifferences in the appropriate weight gain rate (x2=6.17, p=.013), suppression of an increase in fatigue (t=-2.32, pp =.012), and an increasein pregnancy stress (t=-1.87, p=.034). Yet, no differences in physical activity, dietary habits change, blood pressure, and neonatal birthweight (p>.05) were found.
Conclusion
The study findings indicate that this program could be an effective intervention for the control ofappropriate weight gain, fatigue, and pregnancy stress. Therefore, a lifestyle intervention program based on Cox’s interaction model of clienthealth behavior could be an efficient strategy for a positive health outcome of overweight and obesity pregnant women.

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  • Literature Review on Lifestyle Intervention Program for Adults in Korea
    Keun-Young Yang
    Journal of Digital Contents Society.2023; 24(8): 1815.     CrossRef
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    Sook Kyoung Park, Ju-Hee Nho
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Review Article
A Meta-Analysis on the Effects of Mind-Body Therapy on Patients with Irritable Bowel Syndrome
Choi, Eun Hui , Kim, Moon Ja , Lee, Eun Nam
J Korean Acad Nurs 2020;50(3):385-400.   Published online June 30, 2020
DOI: https://doi.org/10.4040/jkan.19224
AbstractAbstract PDF
Purpose
Previous randomized controlled trials (RCT) found that mind-body therapy can improve the health outcomes of patients with irritablebowel syndrome (IBS). The purpose of this meta-analysis was to identify the combined effects of mind-body therapy on patients’ IBSsymptoms, quality of life, anxiety, and depression.
Methods
A systematic literature search was conducted using various databases such asPubMed, EMBASE, CINAHL CENTRAL, DBpia, RISS, and KISS. The primary outcome variables were IBS symptoms and quality of life; the secondaryoutcome variables were anxiety and depression. Comprehensive Meta-Analysis version 3.0 was used to analyze the extracted data.The effect size was calculated using standardized mean difference (SMD) and 95% confidence interval (CI).
Results
Eleven final RCTs wereused for this meta-analysis. Mind-body therapy was found to have a significant effect on the IBS patients’ symptoms (SMD, -0.63; 95% CI,-0.77 to -0.48), quality of life (SMD, 1.03; 95% CI, 0.40 to 1.66), anxiety (SMD, -0.28; 95% CI, -0.47 to -0.09), and depression (SMD,-0.31; 95% CI, -0.06 to -0.12).
Conclusion
This meta-analysis reveals that mind-body therapy significantly improves IBS patients’ symptoms,quality of life, anxiety, and depression. The results suggest that, in the future, appropriate mind-body therapy should be applied toKoreans suffering from IBS. Moreover, the therapy’s long-term effects should be assessed.

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    Sojeong Jo, Haejung Lee, Gaeun Park
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Original Articles
Development and Effects of Smartphone App-Based Walking Exercise Program for Taxi Drivers: Based on Bandura’s Self Efficacy Theory
Choi, Yun Ha , Chae, Min-Jeong
J Korean Acad Nurs 2020;50(2):242-254.   Published online April 30, 2020
DOI: https://doi.org/10.4040/jkan.2020.50.2.242
AbstractAbstract PDF
Purpose
The purpose of this study was to examine the effects of smart-phone app-based walking exercise programs for taxi drivers on self-efficacy and outcome expectations for exercise, health-related quality of life, walking as an exercise, and physiological indexes.
Methods
A nonequivalent control group with a pre-post-test design was used. The subjects were recruited in G metropolitan city. Subjects were assigned to the experimental (n=31) or control groups (n=30). The smart phone app-based walking exercise program consisted of educations via the app, twelve short message services, and one individual telephone counseling session, which was spread over 12 weeks.
Results
Self-efficacy, outcome expectations, and health-related quality of life had significantly higher pre-post test differences in scores in the experimental group. Additionally, blood pressure, body mass index, and waist circumference had significantly decreased prepost- test difference levels in the experimental group. Walking as an exercise (which consisted of days walked, number of steps walked, and amount of time walked) had significantly increased in the experimental group after 7~12 weeks in the period following the intervention program rather than 1~6 weeks after the program.
Conclusion
The smart phone app-based walking exercise program based on the self-efficacy theory demonstrates a significant effect on improving self-efficacy, outcome expectations physical activities, and health-related quality of life for taxi drivers. Therefore, it is recommended to actively use the program as a tool to promote self-efficacy, physical activities, and health behaviors in taxi drivers.

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    JuHee Lee, Yujin Suh, Eunyoung Kim, Subin Yoo, Yielin Kim
    CIN: Computers, Informatics, Nursing.2024;[Epub]     CrossRef
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    Mariana Wingood, Patricia M. Bamonti, Justin B. Moore, Kelsey J. Picha
    Disability and Rehabilitation.2024; : 1.     CrossRef
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    Young Ju Jeong, Hee Sun Kim, Hyun Goo Kang
    CIN: Computers, Informatics, Nursing.2024; 42(1): 53.     CrossRef
  • mHealth Interventions to Promote Physical Activity of Adults in Korea: Health Equity-Focused Systematic Review
    Hana Kim, Jisan Lee
    Journal of Health Informatics and Statistics.2023; 48(Suppl 1): S1.     CrossRef
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Applying Extended Theory of Planned Behavior for Lung Cancer Patients Undergone Pulmonary Resection: Effects on Self-Efficacy for Exercise, Physical Activities, Physical Function, and Quality of Life
Yeonjung Lim, Haejung Lee, Do Hyung Kim, Yeong Dae Kim
J Korean Acad Nurs 2020;50(1):66-80.   Published online January 31, 2020
DOI: https://doi.org/10.4040/jkan.2020.50.1.66
AbstractAbstract PDF
Abstract Purpose:

This study aims to examine the effects of nursing interventions based on the Extended Theory of Planned Behavior (ETPB) regarding self-efficacy for exercise (SEE), physical activity (PA), physical function (PF), and quality of life (QOL) in patients with lung cancer who have undergone pulmonary resection.

 Methods:

This quasi-experimental study was conducted between July 2015 and June 2018 in two university-affiliated hospitals. The intervention included pre-operative patient education, goal setting (action and coping planning), and feedback (behavior intention and perceived behavioral control). The intervention group (IG) (n=51) received nursing interventions from the day before surgery to 12 months after lung resection, while the comparison group (CG) (n=36) received usual care. SEE, PA, PF (dyspnea, functional status, and 6-minute walking distance [6MWD]), and QOL were measured before surgery and at one, three, six, and 12 months after surgery. Data were analyzed using the χ2 test, Fisher’s exact test, Mann-Whitney U test, t-test, and generalized estimation equations (GEE).

 Results:

There were significant differences between the two groups regarding SEE (χ2=13.53, p=.009), PA (χ2=9.51, p=.049), functional status (χ2=10.55, p=.032), and 6MWD (χ2=15.62, p=.004). Although there were no time or group effects, the QOL mental component (Z=-2.78, p=.005) of the IG was higher than that of the CG one month after surgery. Interventions did not affect dyspnea or the QOL physical component.

 Conclusion

The intervention of this study was effective in improving SEE, PA, functional status, and 6MWD of lung cancer patients after lung resection. Further extended investigations that utilize ETPB are warranted to confirm these results.

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  • [Retracted] Dynamic Changes and Influencing Factors for the Quality of Life in Nursing Care after Lung Cancer Resection
    Shuzhen Hu, Aihong Fang, Mohammad Farukh Hashmi
    Contrast Media & Molecular Imaging.2022;[Epub]     CrossRef
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    Xin Ma, Junpeng Li, Fuli Guo, Caocao Cui, Tengfei Chen, Fan Xv, Wenbin Wang
    Frontiers in Psychology.2022;[Epub]     CrossRef
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Latent Class Analysis for Health-Related Quality of Life in the Middle-Aged Male in South Korea
Youngsuk Cho, Dong Moon Yeum
J Korean Acad Nurs 2019;49(1):104-112.   Published online February 28, 2019
DOI: https://doi.org/10.4040/jkan.2019.49.1.104
AbstractAbstract PDF
Purpose

This study aimed to identify types of quality of life (QoL) based on the 5 dimensions of EQ-5D and predict factors affecting types of QoL.

 Methods

This study was a secondary analysis using data from the Korean Health Panel Survey- II(2012). Participants were 2,071 middle-aged men who had completed the additional survey in 2012 and the data were analyzed using SPSS 20.0 and Mplus 5.21 for latent analysis.

 Results

Three latent classes of QoL were identified: serious (2.4% of the sample), threatened (15.5%), and stable types (82.0%). The types and characteristics of QoL among the latent classes differed. On comparing latent type 1 with latent type 2, the socioeconomic status (p<.05), employment status (p<.05), and subjective health status (p<.001) were found to be significant. On comparing latent type 1 with latent type 3, the socioeconomic status (p<.05), current smoking status (p<.001), and subjective health status (p<.001) were found to be significant. On comparing latent type 2 with latent type 3, the socioeconomic status (p<.05), subjective health status (p<.001), stress (p<.001) were found to be significant.

 Conclusion

The results showed significant heterogeneity in types of QoL and the predictors of QoL by types were different. These findings provide basic information for developing nursing interventions to improve QoL. Specific characteristics depending on the subtypes should be considered during the development of interventions.

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    Ying liu, Yunmei Guo, Rui Ding, Xin Yan, Huiwen Tan, Xueting Wang, Yousha Wang, LianHong Wang
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A Structural Model for Chemotherapy Related Cognitive Impairment and Quality of Life in Breast Cancer Patients
Jung Ran Lee, Pok Ja Oh
J Korean Acad Nurs 2019;49(4):375-385.   Published online January 15, 2019
DOI: https://doi.org/10.4040/jkan.2019.49.4.375
AbstractAbstract PDF
Abstract Purpose

This study aimed to develop and test a structural model for chemotherapy-related cognitive impairment of breast cancer patients based on a literature review and Hess and Insel's chemotherapy-related cognitive change model.

 Methods

The Participants consisted of 250 patients who were ≥19 years of age. The assessment tools included the Menopause Rating Scale, Symptom Experience Scale, Hospital Anxiety and Depression Scale, Everyday Cognition, and Functional Assessment of Cancer Therapy-Breast Cancer. Data were analyzed using the SPSS 21.0 and AMOS 21.0 programs.

 Results

The modified model was a good fit for the data. The model fit indices were χ 2=423.18 (p<.001), χ 2/df=3.38, CFI=.91, NFI=.91, TLI=.89, SRMR=.05, RMSEA=.09, and AIC=515.18. Chemotherapy-related cognitive impairment was directly influenced by menopausal symptoms (β=.38, p=.002), depression and anxiety (β=.25, p=.002), and symptom experiences (β=.19, p=.012). These predictors explained 47.7% of the variance in chemotherapy-related cognitive impairment. Depression and anxiety mediated the relations among menopausal symptoms, symptom experiences, and with chemotherapy related cognitive impairment. Depression and anxiety (β=-.51, p=.001), symptom experiences (β=-.27, p=.001), menopausal symptoms (β=-.22, p=.008), and chemotherapy-related cognitive impairment (β=-.15, p=.024) had direct effects on the quality of life and these variables explained 91.3%.

 Conclusion

These results suggest that chemotherapy-related toxicity is highly associated with cognitive decline and quality of life in women with breast cancer. Depression and anxiety increased vulnerability to cognitive impairment after chemotherapy. Nursing intervention is needed to relieve chemotherapy-related toxicity and psychological factor as well as cognitive decline for quality of life in patients undergoing chemotherapy.

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    Pin Lv, Guolin Ma, Wenqian Chen, Renyuan Liu, Xiaoyan Xin, Jiaming Lu, Shu Su, Ming Li, ShangWen Yang, Yiming Ma, Ping Rong, Ningyu Dong, Qian Chen, Xin Zhang, Xiaowei Han, Bing Zhang
    Frontiers in Oncology.2022;[Epub]     CrossRef
  • The Influence of Rehabilitation on Quality of Life in Breast Cancer Survivors: A Clinical Study
    Teresa Paolucci, Aristide Saggino, Francesco Agostini, Marco Paoloni, Andrea Bernetti, Massimiliano Mangone, Valter Santilli, Raoul Saggini, Marco Tommasi
    International Journal of Environmental Research and Public Health.2021; 18(16): 8585.     CrossRef
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Reversals in Decisions about Life-Sustaining Treatment and Associated Factors among Older Patients with Terminal Stage of Cardiopulmonary Disease
Jung-Ja Choi, Su Hyun Kim, Shin-Woo Kim
J Korean Acad Nurs 2019;49(3):329-339.   Published online January 15, 2019
DOI: https://doi.org/10.4040/jkan.2019.49.3.329
AbstractAbstract PDF
Abstract Purpose

The purpose of this study was to investigate the frequency, patterns, and factors of reversals in decisions about life-sustaining treatment (LST) among older patients with terminal-stage chronic cardiopulmonary disease.

 Methods

This was a retrospective correlational descriptive study based on medical chart review. De-identified patient electronic medical record data were collected from 124 deceased older patients with terminal-stage cardiopulmonary disease who had made reversals of LST decisions in an academic tertiary hospital in 2015. Data were extracted about the reversed LST decisions, LST treatments applied before death, and patients’ demographic and clinical factors. Multivariate logistic regression analysis was used to identify the factors associated with the reversal to higher intensity of LST treatment.

 Results

The use of inotropic agents was the most frequently reversed LST treatment, followed by cardiopulmonary resuscitation, intubation, ventilator therapy, and hemodialysis. Inconsistency between the last LST decisions and actual treatments occurred most often in hemodialysis. One-third of the reversals in LST decisions were made toward higher intensity of LST treatment. Patients who had lung diseases (vs. heart diseases); were single, divorced, or bereaved (vs. married); and had an acquaintance as a primary decision maker (vs. the patients themselves) were significantly more likely to reverse the LST decisions to higher intensity of LST treatment.

 Conclusion

This study demonstrated the complex and turmoil situation of the LST decision-making process among older patients with terminal-stage cardiopulmonary disease and suggests the importance of support for patients and families in their LST decision-making process.

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    Jiyeon Choi, Heejung Jeon, Ilhak Lee
    Asian Bioethics Review.2024; 16(1): 33.     CrossRef
  • Decision and Practice of End-of-Life Care in Lung Disease Patients with Physicians Orders for Life Sustaining Treatment
    Yu Mi Oh, Yoon Na Kang, Soo Jung Han, Jeong Hye Kim
    The Korean Journal of Hospice and Palliative Care.2023; 26(1): 7.     CrossRef
  • Same, same, but different? A longitudinal, mixed-methods study of stability in values and preferences for future end-of-life care among community-dwelling, older adults
    Malin Eneslätt, Gert Helgesson, Carol Tishelman
    BMC Palliative Care.2021;[Epub]     CrossRef
  • Preferences for life-sustaining treatment in Korean adults: a cross-sectional study
    HyunChul Youn, Suk-young Lee, Han-yong Jung, Shin-Gyeom Kim, Seung‑Hyun Kim, Hyun-Ghang Jeong
    BMJ Open.2021; 11(1): e039470.     CrossRef
  • Life-Sustaining Treatment in End-Stage Liver Disease Patients: Patients’ Decisions and Results
    Hyun Jung Jung, Jeong Yun Park
    The Korean Journal of Hospice and Palliative Care.2020; 23(2): 85.     CrossRef
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Mediation Effect of Self-Efficacy on the Relationship between Perceived Self-Management Support and Health-Related Quality of Life among Cancer Survivors
Bo Gyeong Lee, Tae Sook Lee, Soo Hyun Kim
J Korean Acad Nurs 2019;49(3):298-306.   Published online January 15, 2019
DOI: https://doi.org/10.4040/jkan.2019.49.3.298
AbstractAbstract PDF
Abstract Purpose

This study aimed to examine the levels of perceived self-management support, self-efficacy for self-management, and health-related quality of life (HRQoL) in cancer survivors, and to identify the mediating effect of self-efficacy in the relationship between perceived self-management support and HRQoL.

 Methods

This study used a descriptive correlational design. Two hundred and four cancer survivors who had completed treatment participated in the study. Measurements included the Patient Assessment of Chronic Illness Care Scale, the Korean version of the Cancer Survivors’ Self-Efficacy Scale, and the Medical Outcomes Study Short Form-36. Data were analyzed using descriptive statistics, Pearson's correlation coefficient analysis, and multiple regression analysis using Baron and Kenny's method for mediation.

 Results

The mean score for perceived self-management support was 3.35 out of 5 points, self-efficacy was 7.26 out of 10 points, and HRQoL was 65.90 out of 100 points. Perceived self-management support was significantly positively correlated with self-efficacy (r=.29, p<.001) and HRQoL (r=.27, p<.001). Self-efficacy was also significantly correlated with HRQoL (r=.59, p<.001). Furthermore, self-efficacy (β=.55, p<.001) had a complete mediating effect on the relationship between perceived self-management support and HRQoL (Z=3.88, p<.001).

 Conclusion

The impact of perceived self-management support on HRQoL in cancer survivors was mediated by self-efficacy for self-management. This suggests that strategies for enhancing self-efficacy in cancer survivors should be considered when developing self-management interventions for improving their HRQoL.

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    Soo Hyun Kim, Yu Hyeon Choe, Jingyeong Choi, Ji Young Park, Eun Yi
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  • Mediating Effect of Self-Efficacy on the Relationship between Symptom Experience and Health-Related Quality of Life in Patients with Chronic Obstructive Pulmonary Disease
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    Hye Jin Kim, Eunjoo Lee
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    Jin-Hee Park, Yong Sik Jung, Ji Young Kim, Sun Hyoung Bae
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    Min-Kyung Hwang, Hee-Kyung Kim, Ki-Hyeong Lee
    Medicina.2023; 59(6): 1051.     CrossRef
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    Lingli Han, Ji Zhang, Jingxuan Yang, Xiaoyu Yang, Hua Bai
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    Xinxin Zhao, Siqi Tong, Ye Yang
    Frontiers in Psychology.2022;[Epub]     CrossRef
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    Yeunhee Kwak, Yoonjung Kim, Eun Seok Choi, Ho Joon Im
    European Journal of Oncology Nursing.2021; 54: 102019.     CrossRef
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    Jin-Hee Park, Yong Sik Jung, Ji Young Kim, Sun Hyoung Bae, Ka Ming Chow
    PLOS ONE.2021; 16(10): e0258447.     CrossRef
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    Soo Hyun Kim, Bo Gyeong Lee, Yu Hyeon Choe, Francesca Chiesi
    PLOS ONE.2021; 16(8): e0256119.     CrossRef
  • Mediating and Moderating Factors of Adherence to Nutrition and Physical Activity Guidelines, Breastfeeding Experience, and Spousal Support on the Relationship between Stress and Quality of Life in Breast Cancer Survivors
    Nam Mi Kang, Won-Ho Hahn, Suyeon Park, Jung Eun Lee, Young Bum Yoo, Chung Ja Ryoo
    International Journal of Environmental Research and Public Health.2020; 17(20): 7532.     CrossRef
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The Effect of the Intergenerational Exchange Program for Older Adults and Young Children in the Community Using the Traditional Play
Min-Jung Choi, Kyeong-Yae Sohng
J Korean Acad Nurs 2018;48(6):743-753.   Published online January 15, 2018
DOI: https://doi.org/10.4040/jkan.2018.48.6.743
AbstractAbstract PDF
Abstract Purpose

This study aimed to explore the effects of a community-based first and third Intergenerational Exchange Program (IGEP) on older adults’ health-related quality of life (HRQoL), loneliness, depression, and walking speed, and on 4~5-year-old preschool children's learning-related social skills.

 Methods

This study employed a non-equivalent control group pre-post-test design. The experimental group included 42 older adults and 42 children who participated in the IGEP for 8 weeks, and the control group included 39 older adults. The experimental group participated in the IGEP once a week for 8 weeks. It comprised a traditional play program based on the intergroup contact theory.

 Results

Compared to the control group, there was a significant increase in scores on the HRQoL-Visual analogue scale (VAS) and a decrease in loneliness and depression in older adults in the experimental group (p<.05). Children who participated in the IGEP showed an improvement in their learning-related social skills (p<.001).

 Conclusion

These results confirm that the IGEP is an effective intervention to improve HRQoL-VAS, loneliness, and depression among older adults and learning-related social skills among preschool children in the community.

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    Rie Fukuoka, Shinji Kimura, Toru Nabika
    International Journal of Environmental Research and Public Health.2023; 20(1): 836.     CrossRef
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    Yongseop Kim, Junhyoung Kim, Jung-Min Lee, Dong-Chul Seo, Hyun Chul Jung
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Psychoeducational Approach to Distress Management of Newly Diagnosed Patients with Breast Cancer
Jin-Hee Park, Mison Chun, Yong Sik Jung, Sun Hyoung Bae, Young-Mi Jung
J Korean Acad Nurs 2018;48(6):669-678.   Published online January 15, 2018
DOI: https://doi.org/10.4040/jkan.2018.48.6.669
AbstractAbstract PDF
Abstract Purpose

The purpose of this study was to examine the effects of integrated psychoeducational program for distress management of newly diagnosed patients with breast cancer.

 Methods

A quasi-experimental trial was conducted. The participants consisted of 47 female patients with breast cancer assigned to an intervention group (n=25) and control group (n=22). The intervention group participated in integrated psychoeducational program, consisting of individual face-to-face education and telephone-delivered health-coaching sessions. Data were collected at three time points: pre-intervention (T1), post-intervention (T2), and 6-month follow-up (T3). Study instruments were Distress thermometer, Supportive Care Needs Survey Short Form 34 and Functional Assessment of Cancer Therapy-Breast.

 Results

Compared with the control group, breast cancer patients in the intervention group reported lower distress and supportive care needs than the control group. The intervention group reported higher quality of life (QOL) overall and higher emotional well-being than the control group.

 Conclusion

These findings indicate that the integrated psychoeducational program is an effective intervention for reducing distress and supportive care needs and increasing QOL of newly diagnosed patients with breast cancer. Oncology nurses need to provide psychoeducational intervention to support patients with breast cancer in managing their distress and helping them adjust to their life.

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    Jin-Hee Park, Yong Sik Jung, Min Hee Hur, Yu Jin Jeong
    Korean Journal of Adult Nursing.2024; 36(4): 311.     CrossRef
  • Effects of Psychosocial Interventions for Patients with Breast Cancer: A Meta-analysis
    Kyu-Sic Hwang, Kuy-Haeng Lee, Chan-Mo Yang, Hye-Jin Lee, Sang-Yeol Lee
    Clinical Psychopharmacology and Neuroscience.2023; 21(1): 118.     CrossRef
  • The development of a lifestyle modification mobile application, “Health for You” for overweight and obese breast cancer survivors in Korea
    Su-Jin Seo, Ju-Hee Nho, Youngsam Park
    Korean Journal of Women Health Nursing.2021; 27(3): 243.     CrossRef
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    Hee Sang Yoon, Eun A Hwang
    Journal of Korean Academy of Community Health Nursing.2021; 32(1): 51.     CrossRef
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    Songül Kamışlı, Bahar Gökler
    Perspectives in Psychiatric Care.2021; 57(2): 488.     CrossRef
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    Athena Michaelides, Constantina Constantinou
    Journal of Cancer Policy.2020; 23: 100214.     CrossRef
  • Quality of Life in Patients Undergoing Mastectomy for Breast Cancer
    Kavitha Konnakkaparambil Ramakrishnan, Sreekumar Damodaran
    Journal of Evidence Based Medicine and Healthcare.2020; 7(28): 1368.     CrossRef
  • Mediating and Moderating Factors of Adherence to Nutrition and Physical Activity Guidelines, Breastfeeding Experience, and Spousal Support on the Relationship between Stress and Quality of Life in Breast Cancer Survivors
    Nam Mi Kang, Won-Ho Hahn, Suyeon Park, Jung Eun Lee, Young Bum Yoo, Chung Ja Ryoo
    International Journal of Environmental Research and Public Health.2020; 17(20): 7532.     CrossRef
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    Ji Yea Lee, Yeonsoo Jang, Sanghee Kim, Woo Jin Hyung
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  • Effects of Different Exercise Interventions on Quality of Life in Breast Cancer Patients: A Randomized Controlled Trial
    Tetiana Odynets, Yuriy Briskin, Valentina Todorova
    Integrative Cancer Therapies.2019;[Epub]     CrossRef
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An Ethnography on the Healthy Life of the Aged Women Participating the Senior Centers
Eunha Kim, Jinhyang Yang
J Korean Acad Nurs 2018;48(3):349-361.   Published online January 15, 2018
DOI: https://doi.org/10.4040/jkan.2018.48.3.349
AbstractAbstract PDF
Abstract Purpose

This ethnography was performed to explore patterns and meanings of healthy life among aged women using senior centers.

 Methods

The informants were 21 individuals aged 65 years and older at 2 community-based senior centers. Data were collected from iterative fieldwork through in-depth interviews and participant observations and analyzed using text analysis and taxonomic methods developed by Spradley. Field notes were used with follow-up interviews and dialogue between authors to enhance interpretation.

 Results

Patterns of healthy life among aged women using senior centers were categorized by age groups within the context of the four cultural elements of taking care of the body, relationality, temporality, and spatiality: active and passive control, maintenance of interdependence and individuality, expansion and maintenance of the daily routine, unity of peer relations and sustenance of family relations, spending time productively and tediously, and complementary and alternative space of the family relations.

 Conclusion

The informants in this study demonstrated healthy life by maintaining and strengthening continuous relationships developed in the senior centers without being isolated from the family and society. Patterns of their healthy life differed across age groups within the socio-cultural context. Therefore, interventions should be tailored to address age groups and community needs.

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Structural Equation Model of Health-Related Quality of Life in School Age Children with Asthma
Yunsoo Kim, Ho Ran Park
J Korean Acad Nurs 2018;48(1):96-108.   Published online January 15, 2018
DOI: https://doi.org/10.4040/jkan.2018.48.1.96
AbstractAbstract PDF
Abstract Purpose

This study aimed to construct and test a hypothetical model of the quality of life of school-age children with asthma based on the health-related quality of life model by Wilson and Cleary.

 Methods

Data were collected from 205 pairs of pediatric outpatients diagnosed with asthma and their parents in Seoul and Gyeonggi-do from July 2016 to April 2017. The exogenous variables were asthma knowledge, number of accompanying allergic diseases, and social support. The endogenous variables were asthma self-efficacy, asthma symptom control, perceived health status, parental quality of life, and children's quality of life. For data analysis, descriptive statistics, factor analysis, and structural equation modeling were performed.

 Results

Eighteen of the twenty-four hypotheses selected for the hypothetical model were attentive and supported statistically. Quality of life was explained by asthma self-efficacy, asthma symptom control, perceived health, parental quality of life, and asthma knowledge with 83.5%.

 Conclusion

Strategies for promoting self-efficacy and enforcing asthma knowledge will be helpful for the improvement of health-related quality of life with school-aged asthmatic children.

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    Nilay Çalışkan, Şeyma Genç, Güler Yıldırım, Hamit Bologur, Hilal Güngör, Merve Karaca Şahin, Muhammed Fatih Erbay, Şefika İlknur Kökcü Karadağ, Özlem Terzi, Deniz Özçeker
    The Turkish Journal of Pediatrics.2024; 66(5): 534.     CrossRef
  • Perception of quality of life in school-age children born before 32 weeks of gestational age
    Amaia Merino-Hernández, Agustin Muñoz-Cutillas, Cristina Ramos-Navarro, Sara Bellón-Alonso, Juan Luis Rodríguez-Cimadevilla, Noelia González-Pacheco, Manuel Sánchez-Luna
    European Journal of Pediatrics.2024;[Epub]     CrossRef
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    International Journal of Environmental Research and Public Health.2020; 17(10): 3578.     CrossRef
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Impact of Uncertainty on the Quality of Life of Young Breast Cancer Patients: Focusing on Mediating Effect of Marital Intimacy
Yeong Kyong Oh, Seon Young Hwang
J Korean Acad Nurs 2018;48(1):50-58.   Published online January 15, 2018
DOI: https://doi.org/10.4040/jkan.2018.48.1.50
AbstractAbstract PDF
Abstract Purpose

The purpose of this study was to examine the mediating effect of marital intimacy on the impact of uncertainty on the quality of life (QoL) of young breast cancer patients.

 Methods

This study used a pathway analysis with 154 young breast cancer cases in their early diagnosis stage at a medical center in Korea. Data were collected from November 2016 to February 2017 and analyzed using correlation analysis and pathway analysis.

 Results

Uncertainty, marital intimacy, and 4 sub-scales of QoL showed a significant correlation. Marital intimacy was directly affected by uncertainty (b=-.39, p=.013) and 4 sub-scales of QoL were also affected by uncertainty. Among the 4 sub-scales of QoL, physical well-being (PWB) (b=.17, p=.026), social well-being (SWB) (b=.49, p=.010), and functional well-being (FWB) (b=.38, p=.009) were affected by marital intimacy but emotional well-being (EWB) was not affected by it. The mediating effect of marital intimacy on the impact of uncertainty on QoL was confirmed. Marital intimacy showed a significant indirect effect on PWB (b=-.07, p=.024), SWB (b=-.19, p=.008), and FWB (b=-.15, p=.005), and it means that marital intimacy has a partial mediating effect on the impact of uncertainty on PWB, SWB, and FWB.

 Conclusion

Effects of uncertainty on QoL was mediated by marital intimacy of young breast cancer patients in their early diagnosis stage. It suggests that marital intimacy needs to be considered in providing nursing intervention for young breast cancer patients.

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    Rosa Herminia Pastuña-Doicela, Olivia Inés Sanhueza-Alvarado
    Escola Anna Nery.2024;[Epub]     CrossRef
  • Uncertainty in women diagnosed with breast cancer: a cross-sectional study
    Rosa Herminia Pastuña-Doicela, Olivia Inés Sanhueza-Alvarado
    Escola Anna Nery.2024;[Epub]     CrossRef
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    Hyesoon Lee, Hyeon Gyeong Yoon
    Asia-Pacific Journal of Oncology Nursing.2023; 10(5): 100228.     CrossRef
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    Yu-Jung Son, Keum-Hee Nam, JaeLan Shim
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    Mihyeon Park, Sukhee Ahn
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    Hyenam Hwang, Yoonshin Lee
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    Jeonghee Ahn, Kyoung-eun Lee
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    Silvia Cerea, Maria Sansoni, Giovanni Scarzello, Elena Groff, Marta Ghisi
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    Ju‐Hee Nho, Sung Reul Kim, Won Ku Choi
    European Journal of Cancer Care.2022;[Epub]     CrossRef
  • The Relationships among Social Support, Bowel Function Symptoms and Uncertainty in Rectal Cancer Patients
    Kyungmi Lee, Semi Lim
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    Su-Jin Seo, Ju-Hee Nho, Youngsam Park
    Korean Journal of Women Health Nursing.2021; 27(3): 243.     CrossRef
  • Mediating and Moderating Factors of Adherence to Nutrition and Physical Activity Guidelines, Breastfeeding Experience, and Spousal Support on the Relationship between Stress and Quality of Life in Breast Cancer Survivors
    Nam Mi Kang, Won-Ho Hahn, Suyeon Park, Jung Eun Lee, Young Bum Yoo, Chung Ja Ryoo
    International Journal of Environmental Research and Public Health.2020; 17(20): 7532.     CrossRef
  • Effects of uncertainty and spousal support on infertility-related quality of life in women undergoing assisted reproductive technologies
    Hye Shin Lee, Sunjoo Boo, Jeong-Ah Ahn, Ju-Eun Song
    Korean Journal of Women Health Nursing.2020; 26(1): 72.     CrossRef
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    Hyesun Park, Kisook Kim
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Effects of Active Mandibular Exercise for Mouth Opening Limitation Patients after Maxillomandibular Fixation Release: A Non-Randomized Controlled Trial
Hyo Jin Jang, Myung Hee Kim
J Korean Acad Nurs 2018;48(1):26-37.   Published online January 15, 2018
DOI: https://doi.org/10.4040/jkan.2018.48.1.26
AbstractAbstract PDF
Abstract Purpose

The aim of this study was to evaluate the effects of active mandibular exercise (AME) in patients with limited mouth opening after maxillomandibular fixation (MMF) release.

 Methods

The study used a quasi-experimental, nonequivalent control group and a pre test-post test design. Sixty-two patients with Maxillomandibular Fixation Release were assigned to the experimental (n=31) or control group (n=31). The AME was performed in the experimental group for 4 weeks. The exercise AME consisted of maximal mouth opening, lateral excursion and protrusive movement. These movements were repeated ten times a day. After the final exercise of the day, the number of tongue blades used for mouth opening was noted. The effect of AME was evaluated after MMF release at different time intervals: a) immediately, b) after 1 week, c) after 2 weeks, d) after 4 weeks, and e) after 12 weeks. The exercise was assessed using the following criteria: a) mandibular movements, b) pain scores associated with maximal mouth opening, c) discomfort scores associated with range of movement, and d) daily life activities that involve opening the mouth.

 Results

The experimental group showed significant improvement regarding the range of mandibular movements (maximal mouth opening (F=23.60, p<.001), lateral excursion to the right side (F=5.25, p=.002), lateral excursion to the left side (F=5.97, p=.001), protrusive movement (F=5.51, p=.001)), pain score (F=39.59, p<.001), discomfort score (F=9.38, p<.001). Daily life activities that involve opening the mouth were more favorable compared to those in the control group.

 Conclusion

The AME in patients after MMF release is helpful for increasing mandibular movement range, decreasing pain and discomfort, and improving day life activities that involve opening the mouth. Therefore, AME is highly recommended as an effective nursing intervention.

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    Gonzalo Navarro-Fernández, Alfonso Gil-Martínez, Marta Diaz-Saez, Ignacio Elizagaray-Garcia, Paloma Pili-Mayayo, Julian Ocampo-Vargas, Hector Beltran-Alacreu
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The Effects of Mobile Social Networking Service-Based Cognitive Behavior Therapy on Insomnia in Nurses
Ji Eun Kim, Suk-Sun Kim
J Korean Acad Nurs 2017;47(4):476-487.   Published online August 31, 2017
DOI: https://doi.org/10.4040/jkan.2017.47.4.476
AbstractAbstract PDF
Purpose

This study aimed to examine the effects of cognitive behavior therapy for insomnia (CBT-I) based on the mobile social networking service (SNS) on dysfunctional beliefs and attitudes about sleep, sleep quality, daytime sleepiness, depression, and quality of life among rotating-shift nurses in a hospital in Korea.

 Methods

A nonequivalent control group pre-post test design was used. The participants included 55 nurses with rotating three-shift work (25 in the experimental group and 30 in the control group). For the experimental group, CBT-I using mobile SNS was provided once a week for 60 minutes over six weeks. Data were analyzed using descriptive statistics, χ2-test, independent samples t-test, and Mann-whitney U test with the SPSS 21.0 program.

 Results

In the homogeneity test of the general characteristics and study variables, there were no significant differences between the two groups. Nurses in the experimental group had significantly lower scores on dysfunctional beliefs and attitudes regarding sleep and sleepiness than nurses in the control group. Nurses in the experimental group had significantly higher scores on sleep quality and quality of life than nurses in the control group.

 Conclusion

These findings indicate that using the mobile SNS-based CBT-I is feasible and has significant and positive treatment-related effects on rotating-shift nurses' irrational thoughts and beliefs in association with sleep, sleep quality, daytime sleepiness, and quality of life. These contribute to expanding our knowledge of rotating-shift nurses' sleep issues and their preferences for intervention.

Citations

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  • Factors Associated with Quality of Life of Clinical Nurses: A Cross-Sectional Survey
    Seul-Ki Park, Kyoung-Sook Lee
    International Journal of Environmental Research and Public Health.2023; 20(3): 1752.     CrossRef
  • Effectiveness of sleep interventions for rotating night shift workers: a systematic review and meta-analysis
    Bo Min Jeon, Su Hyun Kim, Seung Hwa Shin
    Frontiers in Public Health.2023;[Epub]     CrossRef
  • The effects of the type of delivery of cognitive‐behavioral therapy for healthcare workers: A systematic review
    In Gyu Yoo
    Journal of Clinical Psychology.2022; 78(2): 149.     CrossRef
  • Effects of cognitive behavioral therapy for insomnia (CBT-I) on quality of life: A systematic review and meta-analysis
    Zainab Alimoradi, Elahe Jafari, Anders Broström, Maurice M. Ohayon, Chung-Ying Lin, Mark D. Griffiths, Kerstin Blom, Susanna Jernelöv, Viktor Kaldo, Amir H. Pakpour
    Sleep Medicine Reviews.2022; 64: 101646.     CrossRef
  • Rotating between day and night shifts: Factors influencing sleep patterns of hospital nurses
    Seunghwa Shin, SuHyun Kim
    Journal of Clinical Nursing.2021; 30(21-22): 3182.     CrossRef
  • Sleep quality among shift-work nurses: A systematic review and meta-analysis
    Jiwon Kang, Wonjung Noh, Youngjin Lee
    Applied Nursing Research.2020; 52: 151227.     CrossRef
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Experience of Becoming a Father of a High Risk Premature Infant
Jeong Eon Park, Byoung Sook Lee
J Korean Acad Nurs 2017;47(2):277-288.   Published online April 28, 2017
DOI: https://doi.org/10.4040/jkan.2017.47.2.277
AbstractAbstract PDF
Purpose

This study was performed to identify the experience of becoming a father of a high risk premature infant.

 Methods

Grounded theory was used for this research. The participants were 12 fathers who had premature infants lighter than 2,500g of birth weight, less than 37 weeks of gestational age and having stayed 2 weeks or longer in a NICU right after birth. Theoretical sampling was done to identify participants and indepth interviews were done for the data collection. For data analysis, the process suggested by Corbin and Strauss was used.

 Results

For these participants the core phenomenon of the experience of becoming a father of a high risk premature infant was ‘striving through with belief and patience’. The phenomenon was ‘being frustrated in an unrealistic shock’. Contextual conditions were ‘uncertainty in the health status of the premature baby’ and ‘no one to ask for help’ and intervening conditions were ‘possibility in the health recovery of the premature baby’ and ‘assistance from significant others’. Action/interaction strategies were ‘withstanding with belief in the baby’ and ‘enduring with willpower as head of the family’ and the consequence was ‘becoming a guardian of the family’.

 Conclusion

For the participants, the process of becoming the father of a high risk premature infant was striving through the situation with belief in their babies' ability to overcome the crisis and waiting for the babies' recovery with patience.

Citations

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  • An Integrated Review of Transitional Care for Families of Pre-Term Infants
    Jeong Soon Kim, Hae Ran Kim
    Healthcare.2024; 12(22): 2287.     CrossRef
  • The experience of fathers whose infants were hospitalized in Neonatal Intensive Care Unit in South Korea: A scoping review
    Jiyeon Lee, Sunyeob Choi
    Journal of Pediatric Nursing.2023; 72: 36.     CrossRef
  • Perceptions of fatherhood and confidence regarding neonatal care among fathers of high-risk neonates in South Korea: a descriptive study
    Jin Won Lee, Sunhee Lee
    Child Health Nursing Research.2023; 29(3): 229.     CrossRef
  • Changes in Strauss & Corbin's Grounded Theory
    Ji Eun Kim
    Journal of Korean Academy of Nursing.2019; 49(5): 505.     CrossRef
  • Parenting Experience of Prematurity Parents Based on Grounded Theory
    Jeong Soon Kim
    Journal of The Korean Society of Maternal and Child Health.2019; 23(4): 232.     CrossRef
  • Experiences of Mothers of Premature Infants Receiving Rehabilitation Therapy
    Hyun-Ju Kang
    Child Health Nursing Research.2018; 24(3): 298.     CrossRef
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  • 6 Crossref
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Correlational Study on Management of Menopause, Marital Satisfaction, and Quality of Life in Middle-aged Women
Jung Hee Yeo
Journal of Korean Academy of Nursing 2004;34(2):261-269.   Published online April 6, 2017
DOI: https://doi.org/10.4040/jkan.2004.34.2.261
AbstractAbstract PDF
Purpose

This study was to examine the correlations among management of menopause, marital satisfaction, and quality of life in middle-aged women.

 Method

The sample was 158 middle-aged women who were 40-64 years. Data were collected from June 14 to July 10, 2003 using questionnaires and were analyzed by using the SPSS 10.0 PC+ program.

 Result

The level of marital satisfaction was related positively to the level of quality of life(r=.504, p<.01) and management of menopause(r=.315, p<.01). In addition, there were significant correlations between the level of quality of life and management of menopause(r=.251, <.01). In stepwise multiple regression analysis, 25.9% of the variance in quality of life was explained by marital satisfaction.

 Conclusion

Marital satisfaction and management of menopause serve to improve the quality of life of middle-aged women. It is necessary to develop an effective intervention program to improve marital satisfaction and management of menopause.

Citations

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  • Determinants of Quality of Life (QoL) in Female Caregivers in Elderly Care Facilities in Korea
    Hee-Kyung Kim, Hye-Suk Oh
    Behavioral Sciences.2024; 14(1): 53.     CrossRef
  • The Effects of Personal Psychological Variables, Family Variables, and Job Satisfaction on the Psychological Well-being of Middle-aged Men
    Seon Hye Woo, Jung Min Kim, Han Sol Jo
    Journal of Korean Home Management Association.2016; 34(6): 15.     CrossRef
  • Structural Equation Modeling on Healthy Menopausal Transition
    Eunyoung Hong, Young Sil Kang
    Journal of Korean Academy of Nursing.2015; 45(1): 64.     CrossRef
  • Effects of Sanhujori and Menopausal Adaptation on Health-related QOL in Middle-aged Women
    Moon-Jeong Kim, Kyung-Ja Kang
    Korean Journal of Women Health Nursing.2014; 20(1): 62.     CrossRef
  • Women Religious and Married Women's Attitudes toward Menopause and Menopausal Symptoms
    Myung-Sook Yoo
    Korean Journal of Women Health Nursing.2010; 16(2): 186.     CrossRef
  • Lifestyle, Depression, and Health Related Quality of Life among Women in Jeju Province
    Young Rye Park, Hwee Wee, Soo Jin Kim
    Journal of Korean Academy of Community Health Nursing.2010; 21(2): 148.     CrossRef
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  • 0 Download
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