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Research Paper
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.
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Original Articles
An Analysis of Research Trends on Meditation
Mun Young Kim
Journal of Nurses Academic Society 1997;27(4):923-932.   Published online March 30, 2017
DOI: https://doi.org/10.4040/jnas.1997.27.4.923
AbstractAbstract PDF

This study was done to analyze research trends and to suggest future perspectives for nursing research on meditation. The author reviewed 41 foreign research papers which had been published in the Journal of Consulting and Clinical Psychology(JCC) between 1966 and 1986, The Journal of Transpersonal Psychology(JTP) between 1967 and 1987, and The Journal of Counseling Psychology(JCP) between 1965 and 1994. The analysis of the studies focused on the concept of meditation, the type of study design, type of research subjects, type of meditation, the results of study, and the applied type of counseling and psychotherapy. The results of the study are summarized as follows : (1) When the study designs were analyzed six categories were identified(Literature reviews, Experiments, Surveys, Comparative study, Qualitative study, Others), and the majority of the studies were found to be Literature reviews(36.6%), or Experimental studies(39%). The number of studies on meditation has increased since the 1970's. (2) Most studies approached meditation with Zen and Yoga(72.5%) which were called concepts of Indian meditation from 1970's to the later of 1980's. TM(Transcendental Meditation) was used in the 1970's. (3) On the type of meditation, most studies used Zen meditation which was called a method of Buddhistic meditation(43.9%). (4) On the studies of meditation effect, most were about psychological changes(48.5%), and psychological changes and physiological changes(37.1%). (5) On the types of the study subjects it was found that 15 studies dealt with literature, nine studies investigated college students, and eight studies investigated the meditator. (6) Most of study showed the results of the meditation effect to be positive(80%). On the basis of the above findings the following recommendations are made : (1) It's necessary to do a reliable and variable analysis of research trends on meditation. (2) There is a need to study the effects of meditation in order to clarify meditation application in counseling.

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Development and Effects of Assertiveness Training applying Dongsasub Training for Nursing Students in Clinical Practice
Myoungsuk Kim
J Korean Acad Nurs 2016;46(4):490-500.   Published online August 31, 2016
DOI: https://doi.org/10.4040/jkan.2016.46.4.490
AbstractAbstract PDF
Purpose

This study was conducted to develop assertiveness training applying Dongsasub training for junior nursing students, and to verify effectiveness of the training on assertiveness behavior, self-esteem, clinical practice stress, and clinical competence.

Methods

The study design was a non-equivalent control group non-synchronized design. Participants were 63 nursing students in clinical training (31 students in the experimental group and 32 students in the control group). The assertiveness training applying Dongsasub training consisted of four sessions. Outcome variables included assertiveness behavior, self-esteem, clinical practice stress, and clinical competence. Data were analyzed using Chi-square, Fisher's exact test and independent samples t-test with SPSS/WIN 21.0.

Results

Scores of assertiveness behavior (t=-2.49, p=.015), self-esteem (t=-4.80, p<.001) and clinical competence (t=-2.33, p=.023) were significantly higher and clinical practice stress (t=4.22, p<.001) was significantly lower in the experimental group compared to the control group.

Conclusion

Results indicate that the assertiveness training applying Dongsasub training can be used as a nursing intervention to lower clinical practice stress and improve the clinical competence of nursing students.

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The Effect of K-MBSR Program on Stress, Stress Coping Style, Depression, Anger and Sleep of Middle Aged Women
Jeong Min Park, In-Ryoung Choi
J Korean Acad Nurs 2016;46(2):194-206.   Published online April 29, 2016
DOI: https://doi.org/10.4040/jkan.2016.46.2.194
AbstractAbstract PDF
Purpose

The purpose of this study was to examine a Korean Mindfulness Based Stress Reduction (K-MBSR) program for middle aged women and to verify the program's effectiveness on stress, stress coping style, depression, anger and sleep.

Methods

Fifty-two women aged from 40 to 59 (26 in the experimental group and 26 in the control group) from G city participated in the study. Data were collected from February 13 to April 3, 2013. The experimental group received 8 sessions, scheduled once a week, with each session lasting two and a half hours. Outcome variables included stress, stress coping style, depression, anger, sleep and a physiological measure (EEG).

Results

There were significant decreases for stress (t=-2.14, p=.037), depression (t=-2.64, p=.011), state trait anger (t=-3.79, p<.001) in the experimental group compared to the control group.

Conclusion

The findings in this study indicate that the K-MBSR program is an effective program to decrease stress, depression, and state trait anger in middle aged women.

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Effects of Self-management Program applying Dongsasub Training on Self-efficacy, Self-esteem, Self-management Behavior and Blood Pressure in Older Adults with Hypertension
Myoungsuk Kim, Misoon Song
J Korean Acad Nurs 2015;45(4):576-586.   Published online August 31, 2015
DOI: https://doi.org/10.4040/jkan.2015.45.4.576
AbstractAbstract PDF
Purpose

The purpose of this study was to develop a self-management program applying Dongsasub training based on self-efficacy theory, and to verify the program effectiveness on self-esteem as well as self-efficacy, self-management behaviors, and blood pressure.

Methods

The study design was a non-equivalent, pre-post controlled quasi-experiment study. Thirty-eight patients aged 65 and older from a senior welfare center in Seoul participated in this study (20 patients in the experimental group and 18 patients in the control group). The self-management program applying Dongsasub training consisted of eight sessions. After development was complete the program was used with the experimental group. Outcome variables included self-efficacy, self-esteem, self-management behaviors measured by questionnaires, and blood pressure measured by electronic manometer.

Results

Self-efficacy (t=2.42, p =.021), self-esteem (t=2.57, p =.014) and self-management behaviors (t=2.21, p =.034) were significantly higher and systolic blood pressure (t=-2.14, p =.040) was significantly lower in the experimental group compared to the control group. However, diastolic blood pressure (t=-.85, p =.400) was not significantly different between the two groups.

Conclusion

The results indicate that the self-management program applying Dongsasub training can be used as a nursing intervention in community settings for improving self-management behaviors for older adults with hypertension.

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Spiritual and Psychosocial Effects of the Spirituality Promotion Program on Clinical Nurses
Imsun Seo, Jinsun Yong, Junyang Park, Juhu Kim
J Korean Acad Nurs 2014;44(6):726-734.   Published online December 31, 2014
DOI: https://doi.org/10.4040/jkan.2014.44.6.726
AbstractAbstract PDF
Purpose

The purpose of this study was to evaluate the effects of the Spirituality Promotion Program(SPP) for young nurses working in the stressful university hospital environment.

Methods

The study included 41 nurses in the experimental group, nurses who had worked less than 5 years and completed 8 weeks of SPP between June and July in 2011. The control group, 44 nurses, also received the same program after the study was completed. For the study, a survey was conducted of all participants concerning spirituality, perceived stress, positive and negative affect, empathy, job satisfaction, and leadership practice.

Results

No significant difference was found between the two groups on study variables. Perceived stress decreased significantly in the experimental group (p=.012). Spirituality (p=.019), positive affect (p=.014), empathy (p=.004), job satisfaction (p=.016), and leadership practice (p=.021) increased significantly in the experimental group.

Conclusion

The results show that the Spirituality Promotion Program has positive effects on the spiritual and psychosocial aspect of young nurses. Continuation of this program for nurses is recommended in order to help them develop their selfcare ability and improve nursing competency.

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Effects of Mindfulness Meditation Program on Perceived Stress, Ways of Coping, and Stress Response in Breast Cancer Patients
Gwangsoon Kang, Sangeun Oh
J Korean Acad Nurs 2012;42(2):161-170.   Published online April 30, 2012
DOI: https://doi.org/10.4040/jkan.2012.42.2.161
AbstractAbstract PDF
Purpose

Purpose of this study was to examine the effects of the Mindfulness Meditation program on perceived stress, ways of coping, salivary cortisol level, and psychological stress response in patients with breast cancer.

Methods

This was a quasi-experimental study with a non-equivalent control group pre-post test design. Participants in this study were 50 patients who had completed breast cancer treatment (experimental group, 25, control group, 25). The experimental group received the Mindfulness Meditation program for 3 hours/session/ week for 8 weeks. Data were analyzed using χ2-test and t-test for subject homogeneity verification, and ANCOVA to examine the hypotheses.

Results

The experimental group had significantly lower scores for perceived stress, emotional focused coping, salivary cortisol level, and psychological stress response compared to the control group. However, no significant differences were found between two groups for the scores on problem focused stress coping.

Conclusion

According to the results, the Mindfulness Meditation program was useful for decreasing perceived stress, emotional focused coping, salivary cortisol level, and psychological stress response. Therefore, this program is an effective nursing intervention to decrease stress in patients with breast cancer.

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The Experiences of Recovery from Disease in Patients doing Meditation
Haeng Mi Son, Joo Hyun Kim, Jong Hoon Kim
Journal of Korean Academy of Nursing 2005;35(6):1025-1035.   Published online October 31, 2005
DOI: https://doi.org/10.4040/jkan.2005.35.6.1025
AbstractAbstract PDF
Purpose

The purpose of this study was to explore the experiences of recovery from disease in the patients doing a kind of Buddhist meditation, and to develop a grounded theory about meditation.

Method

Data was collected by an in-depth interview using tape-recordings from sixteen participants doing meditation. The data was analyzed using the grounded theory method proposed by Strauss and Corbin(1998).

Result

The core category was discovering the true self. The participants began to do meditation because of their disease. They experienced obstacles due to incomplete religious acceptance. However, their faith grew gradually based on religious experiences that were indescribable. Finally, they entirely trusted the inner healer, which is emphasized in meditation. The strategies that they used were self reflection and seeking help for accepting deep meditation. They were stabilized in physical, psychological and social daily living. The processes of discovering the true self were identified as entering religious discipline, embodying religious discipline, self-accomplishing religious faith, and recovering mind-body health.

Conclusion

This study provided the understanding of mind-body integration. Empirical research may be needed to prove scientifically the effects of meditation.

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