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Review Papers
Variables influencing digital health literacy in older adults: a systematic review and meta-analysis
Jin Hwa Park, Eun Ju Mun
J Korean Acad Nurs 2025;55(4):651-667.   Published online November 27, 2025
DOI: https://doi.org/10.4040/jkan.25112
AbstractAbstract PDFePub
Purpose
This study aimed to synthesize existing evidence on digital health literacy (DHL) among older adults and to estimate the associations between related influencing factors through a systematic literature review and meta-analysis.
Methods
A systematic review and meta-analysis were conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) and Meta-Analysis of Observational Studies in Epidemiology (MOOSE) guidelines. Literature searches were performed across PubMed, EMBASE, Cochrane Library, CINAHL, RISS, and DBPIA. The search and screening process was conducted from December 24, 2023, to March 31, 2025. Effect sizes (ESr) using correlation coefficient for each variable were calculated, and meta-analyses were performed using Microsoft Excel and R version 4.3.1.
Results
Forty-seven variables were identified, including two demographic, six physical, six behavioral, 23 psychosocial, and 10 cognitive factors. Meta-analysis results showed that physical, behavioral, psychosocial, and cognitive factors had significant effects on DHL. Among these, digital information level (ESr=.62; 95% confidence interval [CI], 0.55 to 0.69) within the cognitive domain and technophobia (ESr=−.55; 95% CI, −0.47 to −0.40) within the psychosocial domain demonstrated the largest ESr.
Conclusion
Among factors influencing DHL, digital information level and technophobia showed the strongest associations. These findings suggest that improving DHL in older adults requires a dual approach targeting both cognitive and psychosocial dimensions—enhancing digital information skills while reducing technophobia—to effectively support digital engagement and health empowerment in this population (PROSPERO registration number: CRD42023487486).
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Risk factors for the readmission of patients with diabetic ketoacidosis: a systematic review and meta-analysis
Hyerim Ji, Sun-Kyung Hwang
J Korean Acad Nurs 2025;55(4):634-650.   Published online November 21, 2025
DOI: https://doi.org/10.4040/jkan.25072
AbstractAbstract PDFePub
Purpose
This study aimed to identify risk factors associated with the readmission of patients with diabetic ketoacidosis (DKA) through a systematic review and meta-analysis.
Methods
A systematic literature review was conducted in accordance with the PRISMA guidelines. Relevant studies were retrieved from international databases (PubMed, EMBASE, Cochrane Library, CINAHL, PsycINFO, and Web of Science) and Korean databases (RISS, KoreaMed, KMbase, KISS, and DBpia). Study quality was evaluated using the Newcastle-Ottawa Scale. Meta-analysis was performed using a random-effects model with the Hartung-Knapp-Sidik-Jonkman adjustment to account for the limited number of studies and heterogeneity.
Results
Fifteen studies were included in the review, and eight were eligible for meta-analysis. From the systematic review, 21 risk factors for DKA readmission were identified and categorized into five domains: demographic, socioeconomic, diabetes-related, comorbidity, and health-behavioral factors. In the meta-analysis, significant risk factors included low income, psychiatric disorders, and discharge against medical advice.
Conclusion
This study demonstrates that DKA readmissions result from the complex interplay of multiple clinical and social factors. By identifying these risk factors and suggesting risk-stratification criteria, the findings may support the development of tailored interventions, such as self-management education, integrated mental health care, structured discharge planning, and coordinated post-discharge follow-up.
  • 1,036 View
  • 150 Download
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Effectiveness of non-pharmacological interventions to reduce internalized stigma in people with severe mental illness: a systematic review and meta-analysis
Soyoung Kim, Sun Hyoung Bae, Myung-Sun Hyun
J Korean Acad Nurs 2025;55(1):1-18.   Published online February 25, 2025
DOI: https://doi.org/10.4040/jkan.24072
AbstractAbstract PDFePub
Purpose
This study systematically reviewed and analyzed the effects of non-pharmacological interventions on internalized stigma among people with severe mental illness.
Methods
A systematic review and meta-analysis were conducted following the Cochrane Intervention Research Systematic Review Manual and Preferred Reporting Items for Systematic Review and Meta-Analysis guidelines. This study targeted people with severe mental illness as the population, interventions aimed at reducing internalized stigma, comparisons with control groups, and internalized stigma as the outcome. A literature search was performed across multiple databases, including PubMed, EMBASE, the Cochrane Library, CINAHL, PsycArticles, RISS, KMbase, and KoreaMed. The risk of bias was evaluated using the Cochrane Risk of Bias 2.0 tool. Effect sizes were computed using Hedges’s g, and subgroup analyses were conducted with Comprehensive Meta-Analysis software version 4.0.
Results
Of 2,388 papers, 15 were included in the meta-analysis. The overall effect size (Hedges’s g) of the intervention was –0.60 (95% confidence interval, –1.01 to –0.19), indicating a statistically significant reduction in internalized stigma (Z=–2.88, p=.004). Subgroup analyses revealed that the intervention type (p=.008) and session length (p=.011) were significant moderators influencing the effectiveness of the interventions.
Conclusion
Tailoring interventions by considering variables such as the intervention type and session length could enhance the effectiveness of non-pharmacological interventions for reducing internalized stigma among people with severe mental illness (PROSPERO: CRD42023418561).
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Effects of Non-Pharmacological Interventions on Major Adverse Cardiac Events in Patients Underwent Percutaneous Coronary Intervention: Systematic Review and Meta-Analysis
Sojeong Jo, Haejung Lee, Gaeun Park
J Korean Acad Nurs 2024;54(3):311-328.   Published online August 31, 2024
DOI: https://doi.org/10.4040/jkan.24019
AbstractAbstract PDF
Purpose
In this study a systematic review and meta-analysis investigated the impact of non-pharmacological interventions on major adverse cardiac events (MACE) in patients with coronary artery disease who underwent percutaneous coronary intervention (PCI).
Methods
A literature search was performed using PubMed, Cochrane Library, EMBASE, and Cumulative Index to Nursing & Allied Health Literature databases up to November 2023. The risk of bias was assessed using the Cochrane Risk of Bias 2.0 tool. Effect sizes and 95% confidence intervals were calculated using R software (version 4.3.2).
Results
Eighteen randomized studies, involving 2,898 participants, were included. Of these, 16 studies with 2,697 participants provided quantitative data. Non-pharmacological interventions (education, exercise, and comprehensive) significantly reduced the risk of angina, heart failure, myocardial infarction, restenosis, cardiovascular-related readmission, and cardiovascular-related death. The subgroup meta-analysis showed that combined interventions were effective in reducing the occurrence of myocardial infarction (MI), and individual and group-based interventions had significant effects on reducing the occurrence of MACE. In interventions lasting seven months or longer, occurrence of decreased by 0.16 times, and mortality related to cardiovascular disease decreased by 0.44 times, showing that interventions lasting seven months or more were more effective in reducing MI and cardiovascular disease-related mortality.
Conclusion
Further investigations are required to assess the cost-effectiveness of these interventions in patients undergoing PCI and validate their short- and long-term effects. This systematic review underscores the potential of non-pharmacological interventions in decreasing the incidence of MACE and highlights the importance of continued research in this area (PROSPERO registration number: CRD42023462690).
  • 2,931 View
  • 217 Download
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Factors Related to Emotional Leadership in Nurses Manager: Systematic Review and Meta-Analysis
Se Young Jang, Chan Mi Park, Eun Hee Yang
J Korean Acad Nurs 2024;54(2):119-138.   Published online May 31, 2024
DOI: https://doi.org/10.4040/jkan.24026
AbstractAbstract PDF
Purpose
This study aimed to identify research trends related to emotional leadership among nurse managers by conducting a systematic literature review and meta-analysis. This study sought to derive insights that could contribute to improving emotional leadership in nursing practice.
Methods
A systematic review and meta-analysis were conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) and Meta-Analysis Of Observational Studies in Epidemiology (MOOSE) guidelines. Databases including PubMed, Cumulative Index to Nursing and Allied Health Literature, Scopus, Web of Science, Research Information Sharing Service, Koreanstudies Information Service System, Korean Medical Database, KoreaMed, ScienceON, and DBpia were searched to obtain papers published in English and Korean. Literature searches and screenings were conducted for the period December 1, 2023 to December 17, 2023. The effect size correlation (ESr) was calculated for each variable and the meta-analysis was performed using the statistical software SPSS 29.0, R 4.3.1.
Results
Twenty-five (four personal, six job, and fifteen organizational) relevant variables were identified through the systematic review. The results of the meta-analysis showed that the total overall effect size was ESr = .33. Job satisfaction (ESr = .40) and leader-member exchange (ESr = .75) had the largest effect size among the job and organizational-related factors.
Conclusion
Emotional leadership helps promote positive changes within organizations, improves organizational effectiveness, and increases member engagement and satisfaction. Therefore, it is considered an important strategic factor in improving organizational performance.

Citations

Citations to this article as recorded by  
  • Emotional leadership in health care: A dire need illuminated by pivotal resource cuts
    Jacqueline Hoare
    South African Journal of Science.2025;[Epub]     CrossRef
  • 3,594 View
  • 186 Download
  • 1 Web of Science
  • 1 Crossref
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Research Papers
Effects of Health Education Using Virtual Reality for Adolescents: A Systematic Review and MetaAnalysis
SoMi Park, ChaeWeon Chung, Gaeun Kim
J Korean Acad Nurs 2023;53(2):177-190.   Published online April 30, 2023
DOI: https://doi.org/10.4040/jkan.23003
AbstractAbstract PDF
Purpose
This study aimed to evaluate the effects of health interventions using virtual reality (VR) on improving knowledge, attitudes, and skills; and inducing behavioral change among adolescents.
Methods
This study is a systematic review and meta-analysis following PRISMA guidelines. We searched Cochrane, MEDLINE, Embase, CINAHL, Scopus, Web of Science, and Korean databases between database inception and April 10, 2021. Based on heterogeneity, a random- or fixed-effects model was used, as appropriate, to calculate effect sizes in terms of the standardized mean difference (SMD) and odds ratio (OR). Studies were selected if they verified the effects of health education using VR on adolescents; there was an appropriate control group; and if the effects of education were reported in terms of changes in knowledge, attitudes, skills, or behaviors.
Results
This analysis included six studies (n = 1,086). The intervention groups showed greater responses in knowledge and attitudes (SMD = 0.57, 95% confidence interval (CI) [0.12 to 1.02]), skills related to health behavior (SMD = -0.45, 95% CI [-0.71 to -0.19]), and behavioral change after 12 months (OR = 2.36, 95% CI [1.03 to 5.41]).
Conclusion
The results confirm the effectiveness of health interventions using virtual reality (VR). Although the analysis include a small number of studies, a case can be made for health interventions using VR to be utilized as educational methods and strategies to prevent risky behaviors among adolescents.

Citations

Citations to this article as recorded by  
  • Implementation of a Childcare-Based Obesity Prevention Program for Vulnerable Families During the COVID-19 Pandemic: Lessons for School Nurses
    Jiyoung Park, Gill ten Hoor, Seohyun Won, Gahui Hwang, Sein Hwang, Siew Tiang Lau
    The Journal of School Nursing.2025; 41(5): 579.     CrossRef
  • Development and Evaluation of a Virtual Reality Intervention for Reducing Exposure to Endocrine Disruptors in Female Adolescents: A Pilot Study
    SoMi Park, Yun Jeong Hwang, ChaeWeon Chung
    Journal for Specialists in Pediatric Nursing.2025;[Epub]     CrossRef
  • Chinese nurses’ perspectives on child-friendly healthcare practice assessment: a qualitative study
    Wei Xiao Huang, Mei Chan Chong, Li Yoong Tang, Xiao Xia Liu, Mei Fang, Yun Yun Shen, Xiao Li Guo
    BMC Nursing.2025;[Epub]     CrossRef
  • Enhancing anatomy education with virtual reality: integrating three-dimensional models for improved learning efficiency and student satisfaction
    Shuliang Niu, Jinlong Zhang, Jiang Lin, Binbin Wang, Jie Yan
    Frontiers in Medicine.2025;[Epub]     CrossRef
  • 4,357 View
  • 101 Download
  • 4 Web of Science
  • 4 Crossref
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Effect of Digital Health Interventions on Psychotic Symptoms among Persons with Severe Mental Illness in Community: A Systematic Review and Meta-Analysis
Eunjin Oh, Moonhee Gang
J Korean Acad Nurs 2023;53(1):69-86.   Published online February 28, 2023
DOI: https://doi.org/10.4040/jkan.22121
AbstractAbstract PDF
Purpose
This study aimed to evaluate the effects of digital health interventions on the psychotic symptoms among people with severe mental illness in the community.
Methods
A systematic review and meta-analysis were conducted in accordance with the Cochrane Intervention Research Systematic Review Manual and PRISMA. A literature search was conducted of published randomized controlled trials (RCTs) for digital health interventions from January 2022 to April 2022. RevMan software 5.3 was used for quality assessment and meta-analysis.
Results
A total 14 studies out of 9,864 studies were included in the review, and 13 were included in meta-analysis. The overall effect size of digital health interventions on psychotic symptoms was - 0.21 (95% CI = - 0.32 to - 0.10). Sub-analysis showed that the reduction of the psychotic symptoms was effective in the schizophrenia spectrum group (SMD = - 0.22; 95% CI = - 0.36 to - 0.09), web (SMD = - 0.41; 95% CI = - 0.82 to 0.01), virtual reality (SMD = - 0.33; 95% CI = - 0.56 to - 0.10), mobile (SMD = - 0.15; 95% CI = - 0.28 to - 0.03), intervention period of less than 3 months (SMD = - 0.23; 95% CI = - 0.35 to - 0.11), and non-treatment group (SMD = - 0.23; 95% CI = - 0.36 to - 0.11).
Conclusion
These findings suggest that digital health interventions alleviate psychotic symptoms in patients with severe mental illnesses. However, well-designed digital health studies should be conducted in the future.

Citations

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  • A Review of Mobile App-Based Psychosocial Intervention for Personal and Clinical Recovery for People With Psychosis
    Dowon You, Narae Jeong
    Korean Journal of Schizophrenia Research.2024; 27(1): 1.     CrossRef
  • 2,626 View
  • 86 Download
  • 1 Crossref
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Review Papers
Effects of Leadership Styles of Nursing Managers on Turnover Intention of Hospital Nurses: A Systematic Review and Meta-Analysis
Yunjeong Cho, Seok Hee Jeong, Hee Sun Kim, Young Man Kim
J Korean Acad Nurs 2022;52(5):479-498.   Published online October 31, 2022
DOI: https://doi.org/10.4040/jkan.22039
AbstractAbstract PDF
Purpose
This study aimed to examine effect sizes of leadership styles of nursing managers on turnover intention of hospital nurses.
Methods
A systematic review and meta-analysis were conducted in accordance with the PRISMA and MOOSE guidelines. Participants were nurses working in hospitals. The intervention involved nursing managers’ leadership styles; the outcome assessed was nurses’ turnover intention. This was an observational study design. Eleven databases were searched to obtain articles published in Korean or English. Of the 14,428 articles reviewed, 21 were included in systematic review and meta-analysis. Comprehensive Meta-Analysis and R software programs were used.
Results
The total effect size r (ESr) was - 0.25 (95% confidence interval: - 0.29 to - 0.20). Effect sizes of each leadership style on turnover intention were as follows: ethical leadership (ESr = - 0.34), transformational leadership (ESr = - 0.28), authentic leadership (ESr = - 0.23), transactional leadership (ESr = - 0.21), and passive avoidant leadership (ESr = 0.13). Ethical leadership was the most effective style in decreasing turnover intention of hospital nurses.
Conclusion
Positive leadership styles of nurse managers effectively decrease turnover intention of hospital nurses, and negative leadership styles of nurse managers effectively increase turnover intention of hospital nurses. The ethical leadership style is the most effective in decreasing turnover intention of hospital nurses; however, it requires careful interpretation as its effects are reported by only two studies. This study contributes to addressing the high turnover rate of hospital nurses and developing positive leadership styles of nurse managers in hospital settings.

Citations

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  • The effect of organizational communication and grit on turnover intention of rehabilitation hospital nurses: A cross-sectional correlation study
    Inji Ha, Heeok Park, Ji Hun Joung
    Journal of Korean Gerontological Nursing.2025; 27(1): 35.     CrossRef
  • Influence of Leadership Styles on Turnover Intentions in Technology Startups
    Sheeza Fayyaz, Saima Majeed
    Journal of Professional & Applied Psychology .2025; 6(1): 36.     CrossRef
  • Protecting Workers From Rude Customers to Enhance Organizational Identification in Emotional Labor Environments: A Study With Call Center Agents
    Hyojeong Kim, Nagesh N Murthy, Anurag Agarwal, Kwangtae Park
    Production and Operations Management.2025; 34(10): 3250.     CrossRef
  • Humanistic nursing care management strategies: from formulation to implementation
    Jing Lv, Yajie Su, Hongmei Tang, Xiaolin Jiang, Xiaojuan Chen
    Frontiers in Public Health.2025;[Epub]     CrossRef
  • When Leadership Drives Nurses Away: Empirical Research Qualitative on High Turnover Rates Reasons
    Saleem Al‐Rjoub
    Nursing Open.2025;[Epub]     CrossRef
  • Relationship between different leadership styles of nursing managers and nurses’ turnover intention in hospitals: an integrative review
    Alicia Jimenez-Caceres, Anna Agusti-Boada, Conxi Caro-Benito, Olga Monistrol
    BMC Nursing.2025;[Epub]     CrossRef
  • Structured Subjective Readiness in Situational Leadership: Validating the 4D Model as an Associative Predictor
    Dino Giergia, Nikola Drašković, Mario Fraculj
    Administrative Sciences.2025; 15(12): 488.     CrossRef
  • Mediating Effect of Leader-Member Exchange on the Ethical Leadership of Nursing Unit Managers and Turnover Intention of Clinical Nurses: A Nationwide Survey using Proportional Quota Sampling
    Jihun Kim, Sunmi Kim, Nara Han, Seok Hee Jeong
    Journal of Korean Academy of Nursing Administration.2024; 30(1): 42.     CrossRef
  • Effects of Resilience, Nursing Managers’ Empowering Leadership on Turnover Intention among New Nurses: Mediating role of Transition Shock
    Hyun Jin Jung, Hyun Kyung Kim, Seok Hee Jeong
    Journal of Korean Academy of Nursing Administration.2024; 30(3): 212.     CrossRef
  • Investigation of the relationship between nurses' perception of toxic leadership and their organizational trust levels and turnover intentions
    Sultan Türkmen Keskin, Meltem Özduyan Kiliç
    Journal of Advanced Nursing.2024; 80(5): 1859.     CrossRef
  • The structural relationship of job stress, job satisfaction, organizational commitment, and turnover intention among youth sports education leaders in Korea
    Myung Kyu Jung, Tae Gyeom Jung, Min Woo Jeon, Ji Hae Lee
    Frontiers in Psychology.2024;[Epub]     CrossRef
  • Effects of Patient Safety Management System, Leadership, and Communication Types on Nurse’ Patient Safety Management Activities
    Eunji Lee, Haejung Lee
    Journal of Korean Academy of Nursing Administration.2024; 30(4): 367.     CrossRef
  • Nursing-sensitive Indicators in East Asian Hospitals: A Scoping Review
    Jae Jun Lee, Won Jin Seo, Dong Ah Park, Hwa Yeong Oh, Seung Eun Lee
    Quality Improvement in Health Care.2024; 30(2): 88.     CrossRef
  • Factors Influencing Nurses Turnover in Saudi Arabia: A Systematic Review
    Abdulmajeed M. Albalawi, Glezzeelyne P. Pascua, Sameer A. Alsaleh, Walaa Sabry, Sitti Nursa Ahajan, Jeseela Abdulla, Amal Abdulalim, Suad S. Salih, Sulaiman Al Sabei
    Nursing Forum.2024;[Epub]     CrossRef
  • Effects of Nursing Unit Managers’ Authentic Leadership, Transformational Leadership, and Transactional Leadership on Turnover Intention in Advanced Beginner Nurses: Mediation Effects of Positive Psychological Capital
    Eun Jeong Kim, Eungyung Kim, Son Ja Lee
    Journal of Korean Academy of Nursing Administration.2023; 29(4): 409.     CrossRef
  • Factors related to the organizational silence of Korean nurses: A systematic review and meta-analysis
    Kyungja Kang, Jeong-Hee Kim
    The Journal of Korean Academic Society of Nursing Education.2023; 29(3): 302.     CrossRef
  • 7,604 View
  • 473 Download
  • 8 Web of Science
  • 16 Crossref
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Patient Safety Management Activities of Korean Nurses: A Meta-Analytic Path Analysis
Seohee Jeong, Seok Hee Jeong
J Korean Acad Nurs 2022;52(4):363-377.   Published online August 31, 2022
DOI: https://doi.org/10.4040/jkan.22022
AbstractAbstract PDF
Purpose
This study aimed to test a hypothetical model of Korean nurses’ patient safety management activities using meta-analytic path analysis.
Methods
A systematic review, meta-analysis, and meta-analytic path analysis were conducted following the PRISMA and MOOSE guidelines. Seventy-four studies for the meta-analysis and 92 for the meta-analytic path analysis were included. The R software program (Version 3.6.3) was used for data analysis.
Results
Four variables out of 49 relevant variables were selected in the meta-analysis. These four variables showed large effect sizes (ESr = .54) or median effect sizes (ESr = .33∼.40) with the highest k (number of studies) in the individual, job, and organizational categories. The hypothetical model for the meta-analytic path analysis was established using these variables and patient safety management activities. Twelve hypothetical paths were set and tested. Finally, the perception of the importance of patient safety management and patient safety competency directly affected patient safety management activities. In addition, self-efficacy, the perception of the importance of patient safety management, patient safety competency, and patient safety culture, indirectly affected patient safety management activities.
Conclusion
Self-efficacy, the perception of the importance of patient safety management, patient safety competency, and the organization’s patient safety culture should be enhanced to improve nurses’ patient safety management activities.

Citations

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  • Development and validation of patient safety educational booklet to empower anesthesia process owners to improve safety compliance before, during and after anesthesia
    Fatemeh Asadi, Azam Saei, Shanam Sedigh Maroufi, Jamileh Abolghasemi
    Journal of Education and Health Promotion.2025;[Epub]     CrossRef
  • Development of a patient safety management protocol for nurses in long-term care hospitals
    Soon-Ock Kim
    Scientific Reports.2025;[Epub]     CrossRef
  • Impact of Clinical Nurses' Patient Safety Competency, Psychological Safety, and Nursing Unit Manager's Safety-Specific Transformational Leadership on Intention to Report Near Misses
    Young hyun Cho, Seung Eun Lee, Mi Jeong Kwak, Hyun Joo Lee
    Quality Improvement in Health Care.2025; 31(2): 60.     CrossRef
  • The influencing factors of pediatric nurses’ perception of patient safety culture and partnership with patients’ parents on patient safety nursing activities in South Korea: a descriptive study
    Seo Jin Lee, Young Ran Han
    Child Health Nursing Research.2024; 30(4): 255.     CrossRef
  • Effects of Nurse-Nurse Collaboration and Nurse-Physician Collaboration on Nursing Performance in Nurses: The Mediating Effect of Patient Safety Management Activities
    JaHyun Kim, Seok Hee Jeong, Hee Sun Kim, Sunmi Kim
    Journal of Korean Academy of Nursing Administration.2024; 30(4): 343.     CrossRef
  • Mediating Effects of Job Satisfaction between Nurses’ Perceptions of Patient Safety Culture and Their Safety Nursing Activities
    I Jung Han, Young Ran Han
    Journal of Korean Academy of Fundamentals of Nursing.2023; 30(1): 46.     CrossRef
  • The Effects of Professional Autonomy, Job Satisfaction, and Perceived Patient-Safety Culture on Nurses' Patient-Safety Management Activities: A Cross-Sectional Study
    Bokja Koak, Junglim Seo, Eunji Song, Haneul Shin, Jaehee Jeon
    Korean Journal of Adult Nursing.2023; 35(2): 117.     CrossRef
  • 3,782 View
  • 191 Download
  • 3 Web of Science
  • 7 Crossref
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Effect of Auriculotherapy on Musculoskeletal Pain: A Systematic Review and Meta-Analysis
Sun Yeob Choi, Yeo Ju Kim, Bomi Kim
J Korean Acad Nurs 2022;52(1):4-23.   Published online February 28, 2022
DOI: https://doi.org/10.4040/jkan.21121
AbstractAbstract PDF
Purpose
The aim of this study was to evaluate the effect of auriculotherapy on musculoskeletal pain in adults.
Methods
A total of 885 studies were retrieved from nine databases (PubMed, Scopus, CINAHL, Web of Science, Ovid Medline, Cochrane Library, RISS, KMbase, and KISS). Sixteen studies were selected for meta-analysis, which satisfied the inclusion criteria and the evaluation of risk of bias. Demographic data, auriculotherapy types, intervention characteristics, auricular points, and outcomes related to pain (subjective pain scale, and amount of analgesic) were extracted from all included studies. The effect size of auriculotherapy was analyzed through comprehensive meta analysis 3.0, and the presence of publication bias was analyzed through a funnel plot and Egger’s regression.
Results
The results of the meta-analysis (n = 16) revealed that the auriculotherapy was significantly superior to the control group on present pain in adults (Hedges’ g = - 0.35, 95% Confidence Interval [CI] = - 0.55~- 0.15). According to the results of subgroup analysis, the effect size of auricular acupuncture therapy (Hedges’ g = 0.45, 95% CI = - 0.75~- 0.15) was higher than the auricular acupuncture (Hedges’ g = 0.27, 95% CI = - 0.53~0.00): the longer the intervention period, the greater the effect size.
Conclusion
In this study, auriculotherapy demonstrates a significant reduction in musculoskeletal pain in adults. Therefore, it is necessary to refine the curriculum to include auriculotherapy as a nursing intervention to relieve musculoskeletal pain in adults and encourage its use in clinical settings.

Citations

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  • Effects of Auricular Acupressure on Nurses’ Perceived Stress, Sleep Quality, and Presenteeism
    Hyunseo Sim, Younghee Park
    Holistic Nursing Practice.2025; 39(1): 15.     CrossRef
  • Effects of Auricular Acupressure on Pain and Stress in Nursing College Students With Cervical Pain: A Single-Blind Placebo-Controlled Trial
    Yuna Cho, Eunmi Cho, Eunseol Cho, Yeonju Chae, Eunkyung Choi, Hyeongyeong Yoon
    Pain Management Nursing.2025; 26(1): e59.     CrossRef
  • Effect of Auriculotherapy on Stress: A Systematic Review and Meta-Analysis
    Sunyeob Choi, Bomi Kim
    Journal of Holistic Nursing.2025; 43(4): 336.     CrossRef
  • Comparative Effectiveness of Ear and Body Acupressure for Postoperative Pain in Elderly Women Following Knee Arthroplasty: A Randomized Trial
    Fatemeh Ghanbari, Nahid Rejeh, Tahereh Bahrami, Hooman Yahyazadeh, Kiarash Saatchi
    Journal of Integrative and Complementary Medicine.2025; 31(11): 987.     CrossRef
  • Estratégias de adaptação dos profissionais de enfermagem com dor musculoesquelética no trabalho hospitalar: uma revisão sistemática
    Jorge Gabriel Tuz-Colli, Yolanda Flores-Peña, Heloisa Ehmke Cardoso dos Santos, Fernanda Ludmilla Rossi Rocha, Maria Helena Palucci Marziale
    Revista Latino-Americana de Enfermagem.2025;[Epub]     CrossRef
  • Adaptation strategies for nurses with musculoskeletal pain in hospital work: a systematic review
    Jorge Gabriel Tuz-Colli, Yolanda Flores-Peña, Heloisa Ehmke Cardoso dos Santos, Fernanda Ludmilla Rossi Rocha, Maria Helena Palucci Marziale
    Revista Latino-Americana de Enfermagem.2025;[Epub]     CrossRef
  • Estrategias de adaptación de los profesionales de Enfermería con dolor musculoesquelético en el trabajo hospitalario: revisión sistemática
    Jorge Gabriel Tuz-Colli, Yolanda Flores-Peña, Heloisa Ehmke Cardoso dos Santos, Fernanda Ludmilla Rossi Rocha, Maria Helena Palucci Marziale
    Revista Latino-Americana de Enfermagem.2025;[Epub]     CrossRef
  • Adapting and Evaluating a Theory-Driven, Non-Pharmacological Intervention to Self-Manage Pain
    Jennifer Kawi, Chao Hsing Yeh, Lauren Grant, Johannes Thrul, Hulin Wu, Paul J. Christo, Lorraine S. Evangelista
    Healthcare.2024; 12(10): 969.     CrossRef
  • The State of 21st Century Acupuncture in the United States
    Clasina Smith, Bill Reddy, Charis Wolf, Rosa Schnyer, Korina St John, Lisa Conboy, Jen Stone, Lixing Lao
    Journal of Pain Research.2024; Volume 17: 3329.     CrossRef
  • The effects of auricular acupressure on blood pressure, stress, and sleep in elders with essential hypertension: a randomized single-blind sham-controlled trial
    Bomi Kim, Hyojung Park
    European Journal of Cardiovascular Nursing.2023; 22(6): 610.     CrossRef
  • 2,934 View
  • 123 Download
  • 10 Web of Science
  • 10 Crossref
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The Effects of Programs on Body-Image Improvement in Adolescents: A Systematic Review and Meta-Analysis
Hyun Jung Yun, Kyoungsan Seo, Dallong Han
J Korean Acad Nurs 2021;51(5):597-616.   Published online October 31, 2021
DOI: https://doi.org/10.4040/jkan.21104
AbstractAbstract PDF
Purpose
This study’s objective was to investigate the effects of programs that improve adolescents’ body image, using a systematic review and meta-analysis.
Methods
A literature search was performed in eleven electronic databases, using preferred reporting items for systematic reviews and meta-analysis guidelines. Population characteristics, contents of the programs, and measured outcomes were systematically reviewed from 21 selected studies. To estimate the size of the effects, meta-analysis was conducted using Comprehensive Meta-Analysis software.
Results
The contents of the programs that aimed to improve body image included physical, psychological, interpersonal, and sociocultural interventions. Sixteen studies were meta-analyzed to estimate the effect size of body-image improvement programs. Results showed that the program for body-image improvement had significant effects on body satisfaction (effect size [ES] = 0.56, 95% confidence interval [CI] = 0.23 to 0.89), and body dissatisfaction (ES = - 0.15, 95% CI = - 0.23 to - 0.08).
Conclusion
The program for body image improvement in adolescents includes a combination of physical, psychological, interpersonal relationship, and socio-cultural dimensions. The program that seeks to improve body image appears to be effective at increasing body satisfaction, and at reducing body dissatisfaction in adolescents. Thus, it is necessary to develop and apply multidimensional programs for adolescents to have a positive body image.

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  • 청소년의 신체상과 행복감 간의 관계: 가족 의사소통으로 조절된 자아존중감의 매개역할*
    종일 여
    Journal of Family Relations.2025; 30(1): 55.     CrossRef
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  • 60 Download
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Effect of 2% Chlorhexidine Bathing on the Incidence of Hospital-Acquired Infection and Multidrug-Resistant Organisms in Adult Intensive Care Unit Patients: Systematic Review and Meta-Analysis
Jisu Seo, Rhayun Song
J Korean Acad Nurs 2021;51(4):414-429.   Published online August 31, 2021
DOI: https://doi.org/10.4040/jkan.21046
AbstractAbstract PDF
Purpose
This systematic review and meta-analysis analyzed the effects of 2% chlorhexidine bathing on the incidence of hospital-acquired infection (HAI) and multidrug-resistant organisms (MDRO) in adult intensive care units.
Methods
PubMed, CINAHL, Cochrane library, and RISS database were systematically searched, and 12 randomized studies were included in the analysis. Comprehensive Meta-Analysis version 3.0 was used to calculate the effect size using the odds ratio (OR) and a 95% confidence interval (CI). Subgroup analysis was performed according to the specific infection and intervention types.
Results
In general, 2% chlorhexidine bathing has a significant effect on the incidence of HAI (OR, 0.59; 95% CI, 0.40~0.86) and MDRO (OR, 0.52; 95% CI, 0.34~0.79). Subgroup analyses show 2% chlorhexidine bathing is effective in bloodstream infections (OR, 0.51; 95% CI, 0.39~0.66) but not for urinary tract infections, ventilator-associated pneumonia infections, and Clostridium difficile infections. Moreover, 2% chlorhexidine bathing alone or its combination with other interventions has a significant effect on the incidence of HAI and MDRO (OR, 0.59; 95% CI, 0.38~0.92).
Conclusion
This meta-analysis reveals that 2% chlorhexidine bathing significantly reduces the incidence of HAI and MDRO in intensive care units. The effect of 2% chlorhexidine bathing on pediatric patients or patients at general wards should be further assessed as a cost-effective intervention for infection control.

Citations

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  • Implementation of 2% Chlorhexidine Bathing to Reduce Healthcare-Associated Infections Among Patients in the Intensive Care Unit
    Hsu-Liang Chang, Tzu-Ying Liu, Po-Shou Huang, Chin-Hwan Chen, Chia-Wen Yen, Hui-Zhu Chen, Shin-Huei Kuo, Tun-Chieh Chen, Shang-Yi Lin, Po-Liang Lu
    Microorganisms.2025; 13(1): 65.     CrossRef
  • Can chlorhexidine gluconate baths reduce fungal colonisation in intensive care unit patients?
    Teresa Nascimento, João Inácio, Daniela Guerreiro, Patrícia Patrício, Luís Proença, Cristina Toscano, Priscila Diaz, Helena Barroso
    Antimicrobial Resistance & Infection Control.2025;[Epub]     CrossRef
  • Trends in central line-associated bloodstream infections in pediatric intensive care units: a single-center study
    Yu Gyoung Bak, Won Kyoung Jhang
    Archives of Pediatric Critical Care.2024; 2(2): 96.     CrossRef
  • A Systematic Review of Antibiotic Resistance Trends and Treatment Options for Hospital-Acquired Multidrug-Resistant Infections
    Walter Y Agyeman, Aakash Bisht, Ankit Gopinath, Ameer Haider Cheema, Keyur Chaludiya, Maham Khalid, Marcellina Nwosu, Srujana Konka, Safeera Khan
    Cureus.2022;[Epub]     CrossRef
  • 2,110 View
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A Meta-Analytic Path Analysis on the Outcome Variables of Nursing Unit Managers’ Transformational Leadership: Systemic Review and Meta-Analysis
Sunmi Kim, Seok Hee Jeong
J Korean Acad Nurs 2020;50(6):757-777.   Published online December 31, 2020
DOI: https://doi.org/10.4040/jkan.20205
AbstractAbstract PDF
Purpose
The purpose of this study was to identify the outcome variables of nursing unit managers’ transformational leadership and to test a hypothetical model using meta-analytic path analysis.
Methods
A systematic review and meta-analysis were conducted in accordance with PRISMA guidelines. Data analysis, conducted using R version 3.6.2 software, included 49 studies for the meta-analysis and 119 studies for meta-analytic path analysis.
Results
In the meta-analysis, four out of 32 outcome variables were selected. These four variables were empowerment, nursing performance, job satisfaction, and organizational commitment, which showed larger effect sizes than the median and more than five k. The hypothetical model for the meta-analytic path analysis was established by using these four variables and transformational leadership. A total of 22 hypothetical paths including nine direct effects and 13 indirect effects were set and tested. The meta-analytic path analysis showed that transformational leadership had direct effects on the four variables. Finally, eight direct effects, 12 indirect effects, and six mediating effects were statistically significant, and the hypothetical model was verified.
Conclusion
Nursing unit managers can use the transformational leadership to improve empowerment, nursing performance, job satisfaction, and organizational commitment of nurses. This study empirically showed the importance of transformational leadership of nursing managers. This finding will be used as evidence to develop strategies for enhancing transformational leadership, empowerment, nursing performance, job satisfaction, and organizational commitment in nursing science and practice.

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  • Strategies Employed by Nursing Managers Within a Transformational Approach: A Qualitative Study
    Gholamhossein Mahmoudirad, Ayob Akbari, Suja P. Davis
    Nursing Research and Practice.2025;[Epub]     CrossRef
  • Using Behaviour Diagnostics to Identify Enablers and Barriers to Optimise Nurse and Midwife Manager Leadership Time
    Julie Considine, Philippa Blencowe, Naida Lumsden, Jordana Schlieff, Judy Currey, Abdulqadir J. Nashwan
    Journal of Nursing Management.2025;[Epub]     CrossRef
  • Leadership Development in Undergraduate Nursing Students: A Scoping Review
    Patrícia Costa, Joana Pereira Sousa, Tiago Nascimento, Paulo Cruchinho, Elisabete Nunes, Filomena Gaspar, Pedro Lucas
    Nursing Reports.2025; 15(5): 160.     CrossRef
  • Effect of Nursing Managers’ Ethical Leadership on Clinical Nurse Empowerment, Performance, and Organizational Commitment
    Jihun Kim, Seok Hee Jeong, Hee Sun Kim, Myung Ha Lee
    Journal of Nursing Research.2025; 33(4): e400.     CrossRef
  • Transformational Leadership, Psychological Empowerment, and Organizational Citizenship Behaviors among Nursing Workforce: A Single Mediation Analysis
    Ibrahim Abdullatif Ibrahim, Ahmed Hashem El-Monshed, Marwan Altheeb, Mohamed Gamal El-Sehrawy, Abdulqadir J. Nashwan
    Journal of Nursing Management.2024; 2024: 1.     CrossRef
  • Personal and organisational attributes that support transformational leadership in acute healthcare: scoping review
    Julie Considine, Jenny Dempster, Nga Man Wendy Wong, Noelleen Kiprillis, Leanne Boyd
    Australian Health Review.2024; 48(3): 274 .     CrossRef
  • Leadership styles and transformational leadership skills among nurse leaders in Qatar, a cross‐sectional study
    Amer Al‐Thawabiya, Kalpana Singh, Badriya Abdulla Al‐Lenjawi, Albara Alomari
    Nursing Open.2023; 10(6): 3440.     CrossRef
  • Effects of Leadership Styles of Nursing Managers on Turnover Intention of Hospital Nurses: A Systematic Review and Meta-Analysis
    Yunjeong Cho, Seok Hee Jeong, Hee Sun Kim, Young Man Kim
    Journal of Korean Academy of Nursing.2022; 52(5): 479.     CrossRef
  • Patient Safety Management Activities of Korean Nurses: A Meta-Analytic Path Analysis
    Seohee Jeong, Seok Hee Jeong
    Journal of Korean Academy of Nursing.2022; 52(4): 363.     CrossRef
  • Nurses' ethical leadership and related outcome variables: Systematic review and meta‐analysis
    Sunmi Kim, Seok Hee Jeong, Myoung Hee Seo
    Journal of Nursing Management.2022; 30(7): 2308.     CrossRef
  • 2,657 View
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Characteristics of Aerobic Exercise as Determinants of Blood Pressure Control in Hypertensive Patients: A Systematic Review and Meta-Analysis
Sun Hee Lee, Young Ran Chae
J Korean Acad Nurs 2020;50(6):740-756.   Published online December 31, 2020
DOI: https://doi.org/10.4040/jkan.20169
AbstractAbstract PDF
Purpose
The purpose of this study was to evaluate the effect on blood pressure (BP) and heart rate (HR) according to aerobic exercise characteristics in adults with hypertension using a systematic review and meta-analysis.
Methods
The related researches were selected from PubMed, EMBASE, Cochrane library, CINAHL, PsycINFO, SPORTDiscus and 5 domestic databases up to September 4, 2019. To estimate the effect size, random effect models were used to derive weighted mean differences (WMD) and their 95% confidence intervals (CI) of aerobic exercise on BP and HR.
Results
A total of 37 RCTs with 1,813 samples were included. Aerobic exercise was found to significantly reduce systolic BP (WMD, - 8.29 mmHg; 95% CI, - 10.12 to - 6.46), diastolic BP (WMD, - 5.19 mmHg; 95% CI, - 6.24 to - 4.14) and HR (WMD, - 4.22 beats/min; 95% CI, - 5.36 to –3.09). In detail, systolic BP and diastolic BP were significantly decreased in all groups of exercise types, frequency and duration. Systolic BP and diastolic BP were significantly decreased in the moderate and vigorous-intensity group. Exercise characteristics with the most dramatical change in systolic BP were water-based training, moderate-intensity, 3 times a week and 8 to 11 weeks of duration. In diastolic BP, the greatest effect size was over 24 weeks of exercise.
Conclusion
Moderate aerobic exercise, especially water-based exercise can be an important part of lifestyle modification for hypertensive patients. Also, it can be recommended in a variety of clinical settings for lowering BP and HR. However, there is insufficient evidence that low-intensity exercise is effective in lowering BP.

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  • Thermogenic supplement attenuates post-exercise hypotension after aerobic exercise in normotensive young adults without affecting heart rate variability
    Douglas Cavalcante Silva, Reabias de Andrade Pereira, Gustavo da Silva Félix, Marizângela Ferreira de Souza, Glêbia Alexa Cardoso, George Celso Souza Côrtes de Araújo, Marcos Antonio Pereira dos Santos, Alexandre Sérgio Silva
    Sport Sciences for Health.2025; 21(4): 3317.     CrossRef
  • Improving cardiovascular autonomic function in postmenopausal women with hypertension: a pilot study of supervised versus home-based aerobic exercise
    Cengizhan Gungor, Ezgi Akyildiz Tezcan, Önder Murat Özerbil, Abdullah Tuncez
    Blood Pressure Monitoring.2025;[Epub]     CrossRef
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    A. N. Ryabikov, E. V. Mazdorova, E. S. Mazurenko, D. V. Malyutina, M. Yu. Shapkina
    Kardiologiia.2025; 65(8): 31.     CrossRef
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    Jiu Chen, Wenlai Cui, Jun Xie, Ratko Peric
    PLOS Global Public Health.2024; 4(12): e0003743.     CrossRef
  • Physical Activity Intensity and Risk of Dementia
    Angelique G. Brellenthin, Duck-chul Lee, Elizabeth C. Lefferts, Wesley K. Lefferts, Ryan J. Dougherty, Youngwon Kim
    American Journal of Preventive Medicine.2024; 66(6): 948.     CrossRef
  • Effects of aerobic exercise on blood pressure in patients with hypertension: a systematic review and dose-response meta-analysis of randomized trials
    Bahareh Jabbarzadeh Ganjeh, Sheida Zeraattalab-Motlagh, Ahmad Jayedi, Mojtaba Daneshvar, Zahra Gohari, Reyhane Norouziasl, Shadi Ghaemi, Maryam Selk-Ghaffari, Navid Moghadam, Ramin Kordi, Sakineh Shab-Bidar
    Hypertension Research.2024; 47(2): 385.     CrossRef
  • The Western and Chinese exercise training for blood pressure reduction among hypertensive patients: An overview of systematic reviews
    Kelvin Tsoi, Amy Lam, Joshua Tran, Ziyu Hao, Karen Yiu, Yook‐Chin Chia, Yuda Turana, Saulat Siddique, Yuqing Zhang, Hao‐Min Cheng, Ji‐Guang Wang, Kazuomi Kario
    The Journal of Clinical Hypertension.2024; 26(12): 1327.     CrossRef
  • Does regular exercise help significantly reduce blood pressure in adults diagnosed with hypertension within the general population?
    Jesse Schmidt, Nikhil Vatti, Nicole Tenegra
    Evidence-Based Practice.2023; 26(3): 25.     CrossRef
  • Physical Activity and Hypertension
    Peter Hayes, Alexandra Ferrara, Aoife Keating, Kathryn McKnight, Andrew O'Regan
    Reviews in Cardiovascular Medicine.2022;[Epub]     CrossRef
  • 5,288 View
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Review Articles
A Meta-Analysis on the Effects of Mind-Body Therapy on Patients with Irritable Bowel Syndrome
Eun Hui Choi, Moon Ja Kim, Eun Nam Lee
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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  • Effects of walking exercise on cognitive and physical functions: ­meta-analysis of older adults
    Mi Jin Lee, Hee Ju Ro, Jung Kee Choi, So Yeon Kim
    Forest Science and Technology.2024; 20(2): 201.     CrossRef
  • Effects of Non-Pharmacological Interventions on Major Adverse Cardiac Events in Patients Underwent Percutaneous Coronary Intervention: Systematic Review and Meta-Analysis
    Sojeong Jo, Haejung Lee, Gaeun Park
    Journal of Korean Academy of Nursing.2024; 54(3): 311.     CrossRef
  • The Effect of Laughter Therapy on Physical and Mental Health: Systematic Review
    Elif ÜNER, Ayşe SEZER BALCI, Hasibe KADIOĞLU
    Halk Sağlığı Hemşireliği Dergisi.2022; 4(3): 251.     CrossRef
  • RESEARCH ARTICLE: Heart Rate Variability Biofeedback: Managing Disorders of Gut-Brain Interaction by Improving Autonomic Homeostasis
    Richard Gevirtz
    Biofeedback.2022; 50(4): 100.     CrossRef
  • Effects of Korean forest healing programs on stress in adults: a systematic review and meta-analysis
    So-Yeon Kim, Jungkee Choi
    Forest Science and Technology.2021; 17(4): 206.     CrossRef
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  • 25 Download
  • 3 Web of Science
  • 5 Crossref
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Effects of First Assisted Reproductive Technologies on Anxiety and Depression among InfertileWomen: A Systematic Review and Meta-Analysis
Ju-Young Ha, Seon-Hwa Ban, Hae-Jung Lee, Misoon Lee
J Korean Acad Nurs 2020;50(3):369-384.   Published online June 30, 2020
DOI: https://doi.org/10.4040/jkan.19187
AbstractAbstract PDF
Purpose
The purpose of this study was to analyze anxiety and depression among infertile women at different time points during the firstIn Vitro Fertilization (IVF) or Intracytoplasmic Sperm Injection (ICSI) treatment through a systematic review and meta-analysis.
Methods
Seven out of 3,011 studies were included for meta-analysis. To estimate the effect size, a meta-analysis of the studies was performedusing the RevMan 5.3 program. We compared the measurement outcomes at three time points: before the start of treatment (T0), cancellationof treatment after pregnancy detection (T2), one to six months after treatment (T3). The effect size used was the standardizedmean difference (SMD).
Results
In comparing the different time points of the pregnant women from their cycle, significantly lower levelsof depression were found at T2 than at T0. In non-pregnant women, anxiety at T2 and depression at T2 and T3 were significantly higherthan those at T0. At T2 and T3, the non-pregnant women reported higher levels of anxiety and depression compared with the pregnantwomen.
Conclusion
Anxiety and depression in infertile women undergoing the first IVF or ICSI are associated with the time points andpregnancy status after treatment. These findings suggest that attention should be paid to helping infertile women prepare for and copewith treatment and treatment failure.

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  • Effect of Stress on Each of the Stages of the IVF Procedure: A Systematic Review
    Anastasia Tsambika Zanettoullis, George Mastorakos, Panagiotis Vakas, Nikolaos Vlahos, Georgios Valsamakis
    International Journal of Molecular Sciences.2024; 25(2): 726.     CrossRef
  • An Integrative Review of Psychosocial Intervention Programs for Infertile Females
    Youjin Shin, Soo-Hyun Nam
    STRESS.2023; 31(4): 158.     CrossRef
  • The dynamics of mental health measures of pre- and postpartum women undergoing assisted reproductive technology
    Maria E. Blokh, Varvara O. Anikina, Svetlana S. Savenysheva, Maria I. Levintsova
    Journal of obstetrics and women's diseases.2023; 72(1): 17.     CrossRef
  • 1,314 View
  • 34 Download
  • 1 Web of Science
  • 3 Crossref
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Factors Related to Persistent Postoperative Pain after Cardiac Surgery: A Systematic Review and Meta-Analysis
Jaewon Bae, Sujin Shin
J Korean Acad Nurs 2020;50(2):159-177.   Published online April 30, 2020
DOI: https://doi.org/10.4040/jkan.2020.50.2.159
AbstractAbstract PDF
Purpose
This study aimed at identifying factors related to persistent postoperative pain after cardiac surgery and estimating their effect sizes.
Methods
The literature search and selection was conducted in four different databases (CINAHL, Cochrane Library, PubMed, and PQDT) using the Preferred Reporting Items for Systematic Review and Meta-Analysis Statement. A total of 14 studies met the inclusion criteria and were systematically reviewed. For the meta-analysis, R was used to analyze 30 effect sizes of for both individual and operative factors as well as publication biases from a total of nine studies.
Results
The meta-analysis revealed that persistent postoperative pain after cardiac surgery was related to one individual factor (gender) and two operative factors (acute postoperative pain and use of the internal mammary artery). Operative factors (OR=5.26) had a larger effect size than individual factors (OR=1.53).
Conclusion
Female gender, acute pain after surgery, and use of the internal mammary artery are related factors to persistent postoperative pain. The development of interventions focusing on modifiable related factors, such as acute postoperative pain, may help to minimize or prevent PPP after cardiac surgery.

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  • Pain-Friendly Strategies: Nursing Intervention in Postoperative Myocardial Revascularization
    Debora Milena Alvarez Yañez, Gloria Carvajal Carrascal
    Revista de Investigación e Innovación en Ciencias de la Salud.2025; 8(1): 1.     CrossRef
  • Prognostic factors for chronic post‐surgical pain after lung and pleural surgery: a systematic review with meta‐analysis, meta‐regression and trial sequential analysis
    P. R. D. Clephas, S. E. Hoeks, P. M. Singh, C. S. Guay, M. Trivella, M. Klimek, M. Heesen
    Anaesthesia.2023; 78(8): 1005.     CrossRef
  • Regional anesthesia in coronary artery bypass grafting: a narrative review
    Viktor A. Koriachkin, Maksim A. Dzhopua, Beka S. Ezugbaia, Vaagn A. Avetisian, Dmitriy V. Zabolotskiy, Vladimir A. Evgrafov
    Regional Anesthesia and Acute Pain Management.2023; 17(3): 161.     CrossRef
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  • 1 Web of Science
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Effect of Autogenic Training for Stress Response: A Systematic Review and Meta-Analysis
Eunju Seo, Soukyoung Kim
J Korean Acad Nurs 2019;49(4):361-374.   Published online January 15, 2019
DOI: https://doi.org/10.4040/jkan.2019.49.4.361
AbstractAbstract PDF
Abstract Purpose

This study was conducted to evaluate the effectiveness of autogenic training on stress responses through a systematic review and meta-analysis.

 Methods

A systematic search was conducted using eight core electronic databases (Embase, CENTRAL, Medline, CINAHL, PsycInfo, DBpia, KISS, and RISS). To estimate the effect size, a meta-analysis of the studies was performed using RevMan 5.3.5 program.

 Results

A total 21 studies out of 950 studies were included in the review, and 11 were included for meta-analysis. These studies showed that autogenic training decreased anxiety and depression, and increased the high frequency of heart rate variability. Calculations to understand the effect of autogenic training on anxiety, through a meta-analysis, observed a reduction effect of anxiety score by 1.37 points (n=85, SMD=-1.37: 95% CI -2.07 to -0.67), in the studies on short-term intervention targeting healthy adults. On the other hand, similar calculations to understand the effect of autogenic training on depression observed, a reduction effect on the depression score by 0.29 point (n=327, SMD=-0.29: 95% CI -0.50 to -0.07), in the studies on long term intervention targeting the patient group.

 Conclusion

Autogenic training is effective for adults’ stress management, and nurses will be able to effectively perform autogenic training programs for workers’ stress relief at the workplace.

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  • A peer-led group intervention based on relaxation (soRELAX) to improve well-being and mental health in nursing students: A mixed method pilot study
    Maria Pilar Ramirez Garcia, Jérôme Leclerc-Loiselle, Christine Genest, Etienne Paradis-Gagné, Caroline Larue, Marikim Poitras-Crête, Sylvie Corbeil, Camille Saseville
    Journal of Professional Nursing.2025; 57: 8.     CrossRef
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    Keita Takizawa, Kana Ozasa, Kohei Shimizu, Noboru Noma
    Cureus.2025;[Epub]     CrossRef
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    Dragana Jocic
    Vojnosanitetski pregled.2024; 81(11): 696.     CrossRef
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    Juan Manuel Guiote, Miguel Angel Vallejo Pareja, Blanca Mas
    Papeles del Psicólogo - Psychologist Papers.2024; 45(3): 172.     CrossRef
  • Autogenic Training in Mental Disorders: What Can We Expect?
    Dagmar Breznoscakova, Milana Kovanicova, Eva Sedlakova, Maria Pallayova
    International Journal of Environmental Research and Public Health.2023; 20(5): 4344.     CrossRef
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    Deborah R. Vivo
    The Journal of Educational Research.2023; 116(4): 230.     CrossRef
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    Iris Knoop, Federica Picariello, Emma Jenkinson, Nicholas Gall, Claudia Chisari, Rona Moss-Morris
    Autonomic Neuroscience.2023; 244: 103052.     CrossRef
  • Efficacy of Individualized Sensory-Based mHealth Interventions to Improve Distress Coping in Healthcare Professionals: A Multi-Arm Parallel-Group Randomized Controlled Trial
    Hannes Baumann, Luis Heuel, Laura Louise Bischoff, Bettina Wollesen
    Sensors.2023; 23(4): 2322.     CrossRef
  • The Effect of Autogenic Training in a Form of Audio Recording on Sleep Quality and Physiological Stress Reactions of University Athletes—Pilot Study
    Kamila Litwic-Kaminska, Martyna Kotyśko, Tadeusz Pracki, Monika Wiłkość-Dębczyńska, Błażej Stankiewicz
    International Journal of Environmental Research and Public Health.2022; 19(23): 16043.     CrossRef
  • Combined effect of autogenic relaxation and aerobic exercise on postmenopausal hypertension: A randomized clinical trial
    Shreen R Aboelmagd, Afaf M Botla, Hossam ELdine Hussein, Sahar M. Ali, Nehad A. Abo-Zaid
    International journal of health sciences.2022; 6(S10): 2314.     CrossRef
  • Temporomandibular Myofascial Pain Syndrome—Aetiology and Biopsychosocial Modulation. A Narrative Review
    Paulina Golanska, Klara Saczuk, Monika Domarecka, Joanna Kuć, Monika Lukomska-Szymanska
    International Journal of Environmental Research and Public Health.2021; 18(15): 7807.     CrossRef
  • To stress or not to stress: Brain-behavior-immune interaction may weaken or promote the immune response to SARS-CoV-2
    Eva M.J. Peters, Manfred Schedlowski, Carsten Watzl, Ulrike Gimsa
    Neurobiology of Stress.2021; 14: 100296.     CrossRef
  • Non‐pharmacologic treatment of insomnia in primary care settings
    Laura Hrehová, Kamal Mezian
    International Journal of Clinical Practice.2021;[Epub]     CrossRef
  • A Single Session of Heart Rate Variability Biofeedback Produced Greater Increases in Heart Rate Variability Than Autogenic Training
    I-Mei Lin, San-Yu Wang, Sheng-Yu Fan, Erik Peper, Sui-Pi Chen, Ching-Yu Huang
    Applied Psychophysiology and Biofeedback.2020; 45(4): 343.     CrossRef
  • A Multimodal Stress-Prevention Program Supplemented by Telephone-Coaching Sessions to Reduce Perceived Stress among German Farmers: Results from a Randomized Controlled Trial
    Marita Stier-Jarmer, Cornelia Oberhauser, Dieter Frisch, Götz Berberich, Thomas Loew, Carina Schels-Klemens, Birgit Braun, Angela Schuh
    International Journal of Environmental Research and Public Health.2020; 17(24): 9227.     CrossRef
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  • 13 Web of Science
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Effects of Reminiscence Therapy on Depressive Symptoms in Older Adults with Dementia: A Systematic Review and Meta-Analysis
Kyungsoo Kim, Jia Lee
J Korean Acad Nurs 2019;49(3):225-240.   Published online January 15, 2019
DOI: https://doi.org/10.4040/jkan.2019.49.3.225
AbstractAbstract PDF
Abstract Purpose

The purpose of this study was to evaluate the effects of reminiscence therapy on depressive symptoms in older adults with dementia using a systematic review and meta-analysis.

 Methods

Randomized controlled trials (RCTs) published from January 2000 to January 2018 were searched through Research Information Sharing Service (RISS), Korean Studies Information Service System (KISS), Korean Medical Database (KMbase), KoreaMed, PubMed, Cochrane Library, Cumulative Index to Nursing and Allied Health Literature (CINAHL), and Ovid MEDLINE. Two researchers independently performed the search, selection, and coding. Comprehensive Meta-Analysis 3.0 was used for meta-analysis, and Review Manager program 5.3 was used for quality assessment.

 Results

Out of the 1,250 retrieved articles, 22 RCTs were selected for analysis. The overall effect size of reminiscence therapy for mitigating depressive symptoms in older adults with dementia was -0.62 (95% Cl: -0.92 to -0.31). The effect size was greater in older adults under 80, those with less disease severity, and those for whom the therapy session lasted less than 40 minutes.

 Conclusion

Reminiscence therapy is an effective non-pharmacological therapy to improve depressive symptoms in older adults with dementia. Because its effectiveness is also influenced by age, disease severity, and application method, it is necessary to consider treatment designs based on individual characteristics as well as methodological approaches.

Citations

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  • Group reminiscence therapy interventions in non-clinical older adults: A systematic review
    Ali Eryılmaz, Emre Yıldırım, Hacer Yıldırım Kurtulus, Murat Yıldırım
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    Alba Villasán Rueda, Antonio Sánchez Cabaco, Manuel Alejandro Mejía-Ramírez, Rosa Marina Afonso, Eduardo Castillo-Riedel
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Effectiveness of Telemonitoring Intervention in Children and Adolescents with Asthma: A Systematic Review and Meta-Analysis
Youjin Jung, Jimin Kim, Dong Ah Park
J Korean Acad Nurs 2018;48(4):389-406.   Published online January 15, 2018
DOI: https://doi.org/10.4040/jkan.2018.48.4.389
AbstractAbstract PDF
Abstract Purpose

This review aimed to evaluate the effectiveness of telemonitoring (TM) in the management of children and adolescents with asthma.

 Methods

We searched Ovid-MEDLINE, Ovid-EMBASE, CENTRAL (Cochrane Central Register of Controlled Trials), CINAHL (Cumulative Index to Nursing and Allied Health Literature), and 5 domestic databases to identify randomized controlled trials (RCTs) published through December 2017. Two reviewers independently selected relevant studies, assessed methodological quality and extracted data. We performed a meta-analysis of TM versus usual care and summarized the intervention characteristics of included studies.

 Results

Of the 3,095 articles identified, 8 RCTs (9 articles) were included in this review. The type of TM intervention of included studies was varying across studies (transmitted data, transmission frequency, data review, etc.). The pooled asthma control score was not significantly different between TM and usual care (standardized mean difference 0.04, 95% confidence interval (CI) -0.20~0.28). Another pooled analysis demonstrated no statistically significant difference in asthma exacerbation between TM and usual care (odds ratio 0.95, 95% CI 0.43~2.09). Overall, the pooled results from these studies revealed that TM did not lead to clinically significant improvements in health outcomes, but some studies in our analysis suggested that TM increased patient medication adherence and intervention adherence.

 Conclusion

The current evidence base does not demonstrate any differences between TM intervention and usual care, but TM intervention might be considered a promising strategy for the delivery of self-management support for children and adolescents with asthma. Further well-designed studies are needed to assess the effects on clinical outcomes.

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Effectiveness of Non-Pharmacologic Interventions in Chemotherapy Induced Peripheral Neuropathy: A Systematic Review and Meta-Analysis
Pok-Ja Oh, You Lim Kim
J Korean Acad Nurs 2018;48(2):123-142.   Published online January 15, 2018
DOI: https://doi.org/10.4040/jkan.2018.48.2.123
AbstractAbstract PDF
Abstract Purpose

This study was conducted to evaluate the effectiveness of non-pharmacologic interventions in chemotherapy-induced peripheral neuropathy (CIPN).

 Methods

PubMed, Cochrane Library CENTRAL, EMBASE, CINAHL, and several Korean databases (Until August 2017) were searched. The main search strategy combined terms for peripheral neuropathy and presence of neoplasms. The risk of bias was assessed using the Cochrane's Risk of Bias tool for randomized studies and the Risk of Bias Assessment tool for non-randomized studies. To estimate the effect size, a meta-analysis of the studies was performed using the Rev Man 5.3 program of the Cochrane Library random-effects models were used in the analyses.

 Results

Twenty-two studies with a total of 954 participants met the inclusion criteria. Of the 22 studies, 12 were used to estimate the effect size of the non-pharmacologic interventions. The non-pharmacologic interventions used in patients with CIPN were exercise, acupuncture, massage, and foot bath. The acupuncture significantly reduced CIPN symptoms and signs (d=-0.71) and CIPN pain (d=-0.73) (p<.001). Massage and foot bath were also effective in reducing CIPN symptoms (d=-0.68; 95% CI=-1.05, -0.30; p<.001; I2=19%).Exercis-es were effective in improving muscle strength and endurance(d=-0.55) and quality of life (d=-2.96), but they were not significantly effective in improving CIPN.

 Conclusion

Although these results provide little evidence of the effectiveness of acupuncture, massage, and foot bath in the treatment of CIPN, they suggest that these interventions can reduce CIPN symptoms in patients with cancer. However, the findings of this study should be interpreted with caution as there is a relative lack of data in this field, and additional well-designed studies are needed. PROSPERO registration: CRD42017076278.

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Effects of Psychoeducational Intervention for Cancer Survivors: A Systematic Review and Meta-Analysis
Jin-Hee Park, Sun Hyoung Bae
J Korean Acad Nurs 2017;47(2):143-163.   Published online April 28, 2017
DOI: https://doi.org/10.4040/jkan.2017.47.2.143
AbstractAbstract PDFSupplementary Material
Purpose

This study was a systematic review and meta-analysis designed to investigate effects of psychoeducational intervention for cancer survivors.

 Methods

Ten databases were searched. Two reviewers independently performed the selection of the studies, data extraction and assessment. The risk of bias was assessed using Cochrane Collaboration's tool. To estimate the effect size, meta-analysis of the studies was performed using Comprehensive Meta-Analysis and RevMan programs.

 Results

Of 18,781 publications identified, 35 met inclusion criteria, and 25 studies were used to estimate effect size of psychoeducational intervention. Effect sizes (standardized mean difference [SMD]) were heterogeneous and random effects models were used in the analyses. Psychoeducational intervention was effective for quality of life (n=2,410, ES=0.23; 95% CI: 0.09~0.37), coping and self-efficacy (n=179, ES=0.68; 95% CI: 0.26~1.11), anxiety (n=1,786, ES=-0.26; 95% CI: -0.37~-0.15), depression (n=1,910, ES=-0.28; 95% CI: -0.37~-0.18), and psychological distress (n=2,242, ES=-0.31; 95% CI: -0.46~-0.17). Subgroup analysis showed that counseling was the most effective intervention for quality of life, and behavioral therapy was an effective intervention for all positive and negative outcomes. Publication bias was not detected except for psychological distress.

 Conclusion

Psychoeducational intervention appears to be effective in improving quality of life and coping and self-efficacy, and it is effective in reducing psychological symptoms in cancer survivors. Behavioral therapy, especially, is commonly effective in improving psychosocial outcomes. However, low-quality evidence, variability in the designs of existing studies, and publication bias suggest that additional high-quality trials should be conducted in the future.

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Original Articles
A Meta-Analysis of the Effects of Imagery
Won Oak Oh, Min Hyun Suk
Journal of Korean Academy of Nursing 2002;32(2):265-276.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.2002.32.2.265
AbstractAbstract PDF

PURPOSE: This study was to identify the trends and contents of imagery interventions and to evaluate the effects of imagery interventions by using meta-analysis. METHOD: The materials used for this study were 15 imagery intervention studies carried out from Jan. 1995 to Dec. 2001. The studies were analyzed and evaluated in different categories: 1) types of dependent variables 2) types of imagery 3) interval of imagery 4) total duration of imagery 5) sample characteristics 6) intervention method. RESULT: 1) Behavioral imagery was more prevalent than dynamic imagery. There were wide variations in duration, and interval of interventions. Imagery intervention had moderate effects on psychological variables (state of anxiety, depression & and stress etc.) and had moderate to large effects on physiological variable(pulse rate, cortisol etc.). Behavioral imagery had larger effects than dynamic imagery. Imagery applied to the public had larger effect on decreasing the state of anxiety and stress than applied to the patients. But imagery applied to the patients had a larger effect on decreasing depression than applied to the public. The imagery intervention method by using the individual approach had greater effect than group approach method. CONCLUSION: These results of this study will be used to guide the development of imagery interventions to nursing practice. Also, various types of imagery interventions need to be developed based on the characteristics of nursing practice.

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A Meta-Analysis of Explanatory Variables of Health Promotion Behavior
Young Joo Park, Sook Ja Lee, Eun Sook Park, Ho Shin Ryu, Jae Won Lee, Sung Ok Chang
Journal of Korean Academy of Nursing 2000;30(4):836-846.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.2000.30.4.836
AbstractAbstract PDF

This Meta-Analysis of 18 studies was conducted to determine the magnitude of th relationship between health promotion behavior and each of explanatory variables. The studies were measured using Health Promoting Life Style(HPLP) developed by Walker and others based on Pender's definiton of health promoting behavior. The sample was collected by searching for The Journal of Korean Academy Nursing Society, The Journal of Korean Women's Health Nursing Academic Society,The Journal of Korean Academic Society of Adult Nursing, Journal of Korean Community Nursing, The Journal of Fundamentals of Nursing, The Journal of Korean Nursing Administration Academic Society, The Korean Journal of Child Health Nursing, The Journal of Korean Psychiatric Academic Society, the dissertations for mater degree or doctoral dissertations for the period from 1980 to 1998. The explanatory variables measured more than 2 times in studies were self-efficacy, perceived health status, self-esteem, internal, powerful- others and chance dimensions of health locus of control, perceived benefits, hardiness, wellbeing and clinical demensions of health concepts, and quality of life(life satisfaction). Effect sizes were calculated by unweighted mean r, weighted mean r by sample size and weighted mean r by quality index score after homogeneity test. The mean r effect size indicator range of each predictor variable were as follows; quality of life (0.50- 0.52), self-efficacy(0.46-0.47), hardiness (0.42-0.44), self-esteem(0.41-0.43), health locus of control- internal(0.32-0.34), health locus of control- powerful others (0.25-0.31), perceived health status(0.18-0.19) and clinical dimensions of health concepts (0.16-0.17).

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    Journal of Korean Public Health Nursing.2016; 30(3): 483.     CrossRef
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    Young-Sun Rhee
    Journal of the Korea Academia-Industrial cooperation Society.2015; 16(5): 3188.     CrossRef
  • Association of Dental Caries with Health Lifestyle in Adults
    Soo-Kyung Kim
    Journal of dental hygiene science.2015; 15(3): 333.     CrossRef
  • An Efficacy of Social Cognitive Theory to Predict Health Behavior A Meta-Analysis on the Health Belief Model Studies in Korea
    Byoungkwan Lee, 김채린, 윤문영, 김민희, 손영곤, 이상록
    Journal of Public Relations.2014; 18(2): 163.     CrossRef
  • Factors Influencing Health-Promoting Behaviors in People Living with HIV
    Young Mi Park, Gisoo Shin, Jiyoung Kim
    Korean Journal of Adult Nursing.2014; 26(2): 234.     CrossRef
  • Pathway Analysis on the Influence of Health Promoting Behavior(HPB) and Depression Cognitive Scale(DCS) on Smoking Cessation Thoughts and Intention to Quit Smoking of College Students who Smoke
    Hee-Jeong Kim, Se-Jin Ju, Gyeong-Suk Kim, Mi-Ok Kim, Yu Mi, Jeong-Hyeon Choi
    Journal of the Korea Academia-Industrial cooperation Society.2013; 14(4): 1830.     CrossRef
  • Factors influencing health-promoting behaviors in Korean breast cancer survivors
    Myungsun Yi, Jeongeun Kim
    European Journal of Oncology Nursing.2013; 17(2): 138.     CrossRef
  • A Study of Relations Between a Health Promoting Behaviors and Self-efficacy of Conscripted Policemen
    Young Jin Kim
    Journal of the Korea Academia-Industrial cooperation Society.2013; 14(2): 778.     CrossRef
  • A Predictive Model on Health Promotion Behavior in Women who Immigrate for Marriage
    Namok Jeong, Myung Ha Lee
    Journal of Korean Academy of Nursing.2010; 40(5): 695.     CrossRef
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    Eunok Park
    Journal of Korean Academy of Nursing.2010; 40(1): 14.     CrossRef
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A Meta-Analysis of Effects of Relaxation Therapy on Anxiety and Blood Pressure
Hee Seung Kim, Hae Hiang Song, So Eun Choi
Journal of Korean Academy of Nursing 2000;30(2):282-292.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.2000.30.2.282
AbstractAbstract PDF

A meta-analysis of 14 quasi-experimental studies was conducted to compare the effect of size on various relaxation therapies applied to patients and health volunteer students. These studies were selected from theses, dissertations and papers that have been done between 1982 to 1993. Also They have a randomized or nonequivalent control group in a pre test-post test design. The studies were evaluated in different ways; 1) types of relaxation therapy, 2) total amount of time of relaxation therapy, and 3) types of outcome variables. For a group of homogenious studies, the weighted mean effect size and standard error were estimated. Some findings are summarized as follows : 1. Jacobson relaxation therapy had a larger effect on systolic and diastolic blood pressures than on state anxiety. 2. For the total time of relaxation therapy, (longer than 60 minutes) had a much larger effect in decreasing systolic and diastolic blood pressures than in the case of a time period shorter than 60 minutes. 3. Relaxation therapy applied to surgery patients also had a larger effect in decreasing state anxiety than when applied to other patients.

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  • Effects of Abdominal Breathing on Anxiety, Blood Pressure, Peripheral Skin Temperature and Saturation Oxygen of Pregnant Women in Preterm Labor
    Soon-Bok Chang, Hee-Sook Kim, Yun-Hee Ko, Choon-Hee Bae, Sung-Eun An
    Korean Journal of Women Health Nursing.2009; 15(1): 32.     CrossRef
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Self-Efficacy as a Predictor of Self-Care in Persons with Diabetes Mellitus: Meta-Analysis
Hyang Yeon Lee
Journal of Korean Academy of Nursing 1999;29(5):1087-1102.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.1999.29.5.1087
AbstractAbstract PDF

Diabetes mellitus, a universal and prevalent chronic disease, is projected to be one of the most formidable worldwide health problems in the 21st century. For those living with diabetes, there is a need for self-care skills to manage a complex medical regimen. Self-efficacy which refers to one's belief in his/her capability to monitor and perform the daily activities required to manage diabletes has found to be related to self-care. The concept of self-efficacy comes from social cognitive theory which maintains that cognitive mechanism mediate the performance of behavior. The literature cities several research studies which show a strong relationship between self-efficacy and self-care behavior. Meta-analysis is a technique that enables systematic review and quantitative integration of the results from multiple primary studies that are relevant to a particular research question. Therefore, this study was done using meta-analysis to quantitatively integrate the results of independent research studies to obtain numerical estimates of the overall effect of a self-efficacy with diabetic patient on self-care behaviors. The research proceeded in three stages : 1) literature search and retrieval of studies in which self-efficacy was related to self-care, 2) coding, and 3) calculation of mean effect size and data analysis. Seventeen studies which met the research criteria included study population of adults with diabetes, measures of self-care and measures of self-efficacy as a predictive variable. Computation of effect size was done on DSTAT which is a statistical computer program specifically designed for meta-analysis. To determine the effect of self-efficacy on self-care practice homogeneity tests were conducted. Pooled effect size estimates, to determine the best subvariable for composite variables, metabolic control variables and component of self-efficacy and self-care, indicated that the effect of self-efficacy composite on self-care composite was moderate to large. The weighted mean effect size of self-efficacy composite and self-care composite were +.76 and the confidence interval was from +.66 to +.86 with the number of subjects being 1,545. The total for this meta-analysis result showed that the weighted mean effect sizes ranged from +.70 to +1.81 which indicates a large effect. But since reliabilities of the instruments in the primary studies were studies were low or not stated, caution must be applied in unconditionally accepting the results from these effect sizes. Meta-analysis is a useful took for clarifying the status of knowledge development and guiding decision making about future research and this study confirmed that there is a relationship between self-efficacy and self-care in patients with diabetes. It, thus, provides support for nurses to promote self-efficacy in their patients. While most of the studies included in this meta-analysis used social cognitive theory as a framework for the study, some studies use Fishbein and Ajzen's attitude model as a model for active self-care. Future research is needed to more fully define the concept of self-care and to determine what it is that makes patients feel competent in their self-care activities. The results of this study showed that self-efficacy can promote self-care. Future research is needed with experimental design to determine nursing interventions that will increase self-efficacy.

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A Meta-Analysis of the Effects of a Self-Efficacy Promoting Program
Bo Kyoung Cha, Hae Kyung Chang, Jung Nam Sohn
Journal of Korean Academy of Nursing 2004;34(6):934-944.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2004.34.6.934
AbstractAbstract PDF
Purpose

This meta-analysis was conducted to evaluate the effects of a self-efficacy promoting program and analyze its components.

 Method

The material used for this study were 18 self-efficacy promoting program studies carried out from Jan. 1980 to Oct. 2003. The studies were analyzed in different categories: 1) types of dependent variables 2) sample characteristics 3) types of experimental treatment conditions 4) types of self-efficacy source and 5) total amount of time.

 Result

1) The weighted mean of a self-efficacy promoting program ranged from 1.383 to 0.015 2) for the experimental treatment condition, exercise had a much larger effect in increasing general self-efficacy and self-care than education 3) the studies using 3 sources had a much larger effect in increasing self-care than the studies using 4 sources 4) a time period longer than 900 minutes had a much larger effect in increasing specific self-efficacy, general self-efficacy and self-care than in a time period shorter than 900 minutes. 5) effect size of specific self-efficacy was significantly higher than general self-efficacy.

 Conclusion

These results can be used to guide the development of a self-efficacy promoting program for nursing practice.

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  • The effectiveness of the information-motivation-behavioral skills model-based intervention on preventive behaviors against respiratory infection among community-dwelling older adults
    Min Hye Lee, Yeon-Hwan Park
    Patient Education and Counseling.2021; 104(8): 2028.     CrossRef
  • The Effects of Group Motivational Interviewing Compliance Therapy on Drug Attitude, Medicine Application Self-efficacy and Medicine Application in Psychiatric Patients
    Dawoon Lee, Sungjae Kim
    Journal of Korean Academy of Psychiatric and Mental Health Nursing.2017; 26(4): 391.     CrossRef
  • Development and Evaluation of the Empowering A Self-Efficacy (EASE) Program for Children with Epilepsy
    Hana Yoo, Hee-Soon Kim
    Journal of Korean Academy of Nursing.2015; 45(1): 54.     CrossRef
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A Meta-analysis of the Effects of Smoking Prevention Programs in Korea
Eun Ok Park
Journal of Korean Academy of Nursing 2004;34(6):1004-1013.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2004.34.6.1004
AbstractAbstract PDF
Purpose

The purpose of this paper was to describe the characteristics of smoking prevention programs in Korea, to estimate overall effect size of Korean smoking prevention programs, and to investigate effect size variations by program modality and instruction method.

 Method

Meta-analysis was performed on21 programs in 20 studies.

 Result

The estimation of overall effect size for knowledge and attitude was not possible because effect sizes were not homogeneous in this meta-analysis. However, effect sizes of studies that were socially influential programs or active/interactive methods were larger than information-oriented programs or passive/non-interactive methods in the pictures. The effects for behavioral outcomes were generally not as positive and not statistically significant. Q statistics showed that variations among effect sizes within program modality and instruction method classifications were heterogeneous.

 Conclusion

The results from this meta-analysis support the continued use of socially influential programs and active/interactive methods for smoking prevention programs. Because behavioral effect might be the fundamental objective of smoking prevention programs, the present results indicate that smoking prevention programs should consider adopting more effective programs.

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  • The Effects of a Staged Smoking Prevention Program for Primary School Children
    Jae-Hee Kim, Yu-Jeong Lee, Seong-Mi Kang, Yu-Mi Oh
    Journal of the Korea Academia-Industrial cooperation Society.2014; 15(8): 5131.     CrossRef
  • Influence of Depression, Anxiety and Stress-Coping Aspect upon Smoking Desire of Undergraduates, according to Their Lifestyles
    Sung-Sik Ahn, Chun-Sook Kim, Sung-Hwan Choi
    The Korean Journal of Health Service Management.2012; 6(1): 205.     CrossRef
  • A Meta-Analysis on the Effectiveness of Computer-Based Education in Nursing
    Kook Hee Roh, Hyeoun-Ae Park
    Healthcare Informatics Research.2010; 16(3): 149.     CrossRef
  • Meta-Analysis of Effects on Adolescent Smoking Cessation Programs in Korea
    Younkyoung Kim, Inhyae Park, Jeong-Soo Park
    Journal of Korean Academy of Nursing.2008; 38(2): 204.     CrossRef
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Meta-Analysis of the Research Findings Concerning Functional Relationships of Explanatory Variables to Hope
Dal Sook Kim, Weon Hee Moon, Seong Yoon Ahn, Hyun Sook Oh, Kyung Hee Kwon, Moon Kyoung Park, Hyeon Sook Choi, Mee Ok Lee, Young Ju Kim
Journal of Korean Academy of Nursing 2004;34(5):673-684.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2004.34.5.673
AbstractAbstract PDF
Purpose

The purpose of the study was to meta-analyze the relationships of major concepts, which were made by synthesizing similar explanatory variables into more comprehensive concepts, to hope.

 Method

The relevant researches from Jan 1980 to Dec 2003, performed in adults or adult patients, were collected. Using the SAS program, meta-analysis were done with the input data of the number of subjects, the correlation coefficients provided from most of the studies or a few transformed correlation coefficients from F value. In order to get the analysis to be done in homogeneous status of the data regarding each relationship of each major concept to hope(p>0.05), heterogeneous data were eliminated in repeating Q-test.

 Result

The major variable regarding relationship to self/transcendental being/life(spiritual wellbeing & self esteem) and social support(social support & family support) have very large positive effects on hope(D̅=1.72, D̅=1.27). The negative effect of the variable regarding captive state(uncertainty in illness, perceived unhealthiness status, & fatigue) and positive effect of coping(approach coping) on hope are in the level between moderate to large(D̅=-0.61,D̅=0.78). All the effects of the major concepts on hope were verified as significant statistically(p=.000). The Fail -Safe numbers showed the significant effects of the three major concepts except coping on hope were reliable.

 Conclusion

The results can be a guide to advance hope theory for nursing.

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  • What Determines the Health-related Quality of Life of Vietnamese Migrant Workers in Korea?
    Jihyon Pahn, Heesuk Kim, Youngran Yang
    Research in Community and Public Health Nursing.2023; 34: 147.     CrossRef
  • Hope Enhancement Program for Increased Hope, Self-Efficacy, and Quality of Life for Mentally Ill Persons in Day Hospitals
    Ju Hyun Park, Hyun Sook Park
    Journal of Korean Academy of Psychiatric and Mental Health Nursing.2017; 26(3): 260.     CrossRef
  • The Effects of Tai Chi Exercise on Hope, Dependency, and Perceived Health Status of Elderly Women
    Yong Ju Park, Ja Ok Kim
    Journal of muscle and joint health.2014; 21(2): 106.     CrossRef
  • Impact Factors for Health of Family Caregivers of Hospice Patients
    Bok Yae Chung, Hyeon Sook Park
    The Korean Journal of Hospice and Palliative Care.2014; 17(2): 75.     CrossRef
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Review Articles
Effects of Breastfeeding Interventions on Breastfeeding Rates at 1, 3 and 6 Months Postpartum: A Systematic Review and Meta-Analysis
Seol Hui Park, Seang Ryu
J Korean Acad Nurs 2017;47(6):713-730.   Published online January 15, 2017
DOI: https://doi.org/10.4040/jkan.2017.47.6.713
AbstractAbstract PDF
Abstract Purpose

This study was a systematic review and meta-analysis designed to evaluate the effects of breastfeeding intervention on breastfeeding rates.

 Methods

Based on the guidelines of the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA), a systematic search was conducted using eight core electronic databases and other sources including gray literature from January 9 to 19, 2017. Two reviewers independently select the studies and assessed methodological risk of bias of studies using the Cochrane criteria. The topics of breastfeeding interventions were analyzed using descriptive analysis and the effects of intervention were meta-analyzed using the Review Manager 5.2 software.

 Results

A total of 16 studies were included in the review and 15 were included for meta-analysis. The most frequently used intervention topics were the importance of good latch-on and frequency of feeding and determining adequate intake followed. The pooled total effect of breastfeeding intervention was 1.08 (95% CI 1.03~1.13). In the subgroup analysis, neither pre-nor post-childbirth intervention was effective on the breastfeeding rates at 1, 3, and 6 months, and neither group nor individual interventions had an effect. Only the 1 month breastfeeding rate was found to be affected by the individual intervention with the persistent strategies 1.21 (95% CI 1.04~1.40).

 Conclusion

Effective breastfeeding interventions are needed to help the mother to start breastfeeding after childbirth and continue for at least six months. It should be programmed such that individuals can acquire information and specific breastfeeding skills. After returning home, there should be continuous support strategies for breastfeeding as well as managing various difficulties related to childcare.

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  • Beyond Intentions: The Breastfeeding Intention-Practice Gap in Tunisia- A Cross-Sectional Analysis of Initiation and Continuation among Post-Partum Women
    Narjes karmous, Omar Oualha, Anouar Drira, Abdelwaheb Masmoudi, Badreddine Bouguerra, Abdennour Karmous
    F1000Research.2025; 14: 881.     CrossRef
  • Factors Associated with Breastfeeding Duration in Tunisia: A Cross-Sectional Analysis Highlighting the Role of Early Initiation
    Narjes karmous, Omar Oualha, Anouar Drira, Abdelwaheb Masmoudi, Badreddine Bouguerra, Abdennour Karmous
    F1000Research.2025; 14: 881.     CrossRef
  • Postpartum Breastfeeding Practices and Attitudes in Parents: A Randomized Study to Evaluate the Effects of Individual and Group Breastfeeding Education of Mothers and Fathers
    Yeşim Yeşil, Hafize Öztürk Can
    Cureus.2023;[Epub]     CrossRef
  • Social policies and breastfeeding duration in South Korea: A survival analysis of the national data
    Jung Hee Yeo, Eun-Young Kim
    Midwifery.2022; 107: 103282.     CrossRef
  • Information Resource Network Analysis of Factors Influencing Breastfeeding Planning and Duration
    Eunyoung Lee, Insook Cho, Seong Jin Cho, Eunju Lee
    Journal of Korean Academy of Nursing.2021; 51(2): 232.     CrossRef
  • A Structural Model for Breastfeeding Behavior of First-Time Mothers
    Seol Hui Park, Seang Ryu
    Journal of The Korean Society of Maternal and Child Health.2021; 25(3): 184.     CrossRef
  • The Relationship of Previous Breastfeeding Experiences and Factors Affecting Breastfeeding Rates: A Follow-Up Study
    Jun-Yan Li, Yi Huang, Hao-Qi Liu, Jing Xu, Lu Li, Sharon R. Redding, Yan-Qiong Ouyang
    Breastfeeding Medicine.2020; 15(12): 789.     CrossRef
  • Effects of galactagogue herbal tea containing Chrysanthemum indicum as the main component on milk production in postpartum rats
    Jiyoung Choi, Yunjung Lee, Sunuk Choi, Eunju Park
    Journal of Nutrition and Health.2020; 53(5): 445.     CrossRef
  • A systematic review and meta-analysis of interventions incorporating behaviour change techniques to promote breastfeeding among postpartum women
    Angelos P. Kassianos, Emma Ward, Antonio Rojas-Garcia, Allison Kurti, Fiona C. Mitchell, Dian Nostikasari, Jamie Payton, Julian Pascal-Saadi, Claire Adams Spears, Caitlin Notley
    Health Psychology Review.2019; 13(3): 344.     CrossRef
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Stimulation-Oriented Interventions for Behavioral Problems among People with Dementia: A Systematic Review and Meta-Analysis
Eun Young Kim, Sung-Dong Hwang, Eun Joo Kim
J Korean Acad Nurs 2016;46(4):475-489.   Published online August 15, 2016
DOI: https://doi.org/10.4040/jkan.2016.46.4.475
AbstractAbstract PDF
Abstract Purpose

This study was a systematic review and meta-analysis designed to investigate the effects of stimulation-oriented interventions for behavioral problems among people with dementia.

 Methods

Based on the guidelines of the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA), a literature search was conducted using seven electronic databases, gray literature, and other sources. Methodological quality was assessed using the Scottish Intercollegiate Guidelines Network (SIGN) for randomized controlled trials (RCTs). Data were analyzed using R with the ‘meta’ package and the Comprehensive Meta-Analysis (CMA 2.0) program.

 Results

Sixteen studies were included for meta-analysis to investigate the effect of stimulation-oriented interventions. The quality of individual studies was rated as ‘++’ for eight studies and ‘+’ for the rest. The effect sizes were analyzed according to three subgroups of interventions (light, music, and others); Hedges’ g=0.04 (95% CI: -0.38~0.46), -0.23 (95% CI: -0.56~0.10), -0.34 (95% CI: -0.34~0.00), respectively. To explore the possible causes of heterogeneity (I2=62.8%), meta-regression was conducted with covariates of sample size, number of sessions, and length of session (time). No moderating effects were found for sample size or number of sessions, but session time showed a significant effect (Z=1.96, 95% CI: 0.00~0.01). Finally, a funnel plot along with Egger's regression test was performed to check for publication bias, but no significant bias was detected.

 Conclusion

Based on these findings, stimulation-oriented interventions seem to have a small effect for behavioral problems among people with dementia. Further research is needed to identify optimum time of the interventions for behavioral problems among dementia patients.

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  • Effects of Horticultural Therapy on Korean Elderly with Dementia: A Meta-analysis
    Kyung Ja Kang, Mi-Jung Kang
    Journal of Korean Academy of psychiatric and Mental Health Nursing.2021; 30(4): 352.     CrossRef
  • Effect of aquatic exercise on gait in persons with chronic stroke: a meta-analysis study in Korea
    Dong-Jin Lee, Sung-Hyoun Cho
    Physical Therapy Rehabilitation Science.2019; 8(2): 112.     CrossRef
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Correlates of Cognitive Impairment of Rheumatic Disease: Systematic Review and Meta-analysis
JinA Mo, JiSuk Park, HyunSoo Oh
J Korean Acad Nurs 2016;46(1):1-18.   Published online February 29, 2016
DOI: https://doi.org/10.4040/jkan.2016.46.1.1
AbstractAbstract PDF
Purpose

This study was conducted to synthesis the results of research on relationships of cognitive impairment with multi-dimensional correlates of rheumatic disease through a systematic literature review and meta-analysis.

 Methods

For the study purpose, 23 studies were selected through a systematic process of searching the literature.

 Results

The study results showed that among general characteristics, age and education were the variables having a significant relationship with cognitive impairment. Among health risk factors, obesity appeared to have a significant positive relationship with cognitive impairment. For past history, diabetes and hypertension were shown to have a significant positive relationship with cognitive impairment. It was noted also that aPL, one of the physiological factor, had significant association with cognitive impairment. None of the medication related factors had a significant relationship with cognitive impairment. Results showed that among disease related factors, disease activity had the highest relationship with cognitive impairment. Depression, among psychological factors, was the only variable having a significant relationship with cognitive impairment.

 Conclusion

The findings indicate that the variables strongly impacting on cognitive impairment in rheumatic disease are depression and disease activity.

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  • Prevalence of Cognitive Impairment among Iraqi Patients with Ankylosing Spondylitis
    Zahraa Hussein Altemimi, Faiq I. Gorial
    Medical Journal of Babylon.2024; 21(2): 324.     CrossRef
  • Temporal Changes in Metabolic Syndrome Indices and Factors of Metabolic Syndrome Development in Patients With Rheumatic Disease
    HyunSoo Oh, JiSuk Park, JiYoung Kim, SungKyung Jang, Yeona Ryu, YeoJu Jeong, SuYeon Kwon, SoHyun Suh, HaYoung Lee, DaHee Choi, HanNa Lee, GaWon Cho, WhaSook Seo
    Orthopaedic Nursing.2023; 42(4): 251.     CrossRef
  • Correlates of cognitive impairment in patients with chronic kidney failure on haemodialysis: Systematic review and meta‐analysis
    HyunSoo Oh, JinA Mo, WhaSook Seo
    Journal of Advanced Nursing.2019; 75(5): 962.     CrossRef
  • Comparisons of the Incidence and Critical Risk Factors of Metabolic Syndrome in Patients With a Rheumatic Disease or Gout
    HyunSoo Oh, JiSuk Park, YoungSub Yoon, WhaSook Seo
    Orthopaedic Nursing.2019; 38(3): 201.     CrossRef
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Effects of Family Support Programs for Caregivers of People with Dementia - Caregiving Burden, Depression, and Stress: Systematic Review and Meta-analysis
Seyeon Park, Myonghwa Park
J Korean Acad Nurs 2015;45(5):627-640.   Published online October 15, 2015
DOI: https://doi.org/10.4040/jkan.2015.45.5.627
AbstractAbstract PDF
Abstract Purpose

The objective of this systematic review was to assess the effects of family support programs on caregiving burden, depression, and stress in family caregivers of people with dementia.

 Methods

A literature search was conducted of electronic databases to identify randomized controlled studies with family support programs done between 2000 and 2014. Studies published in English and/or Korean were included for the analysis with search strategies adapted from the Cochrane Dementia and Cognitive Improvement Group. Studies were rated for quality assessment by two independent reviewers using the appraisal checklist developed by Cochrane Reviews and Dissemination. Of 8,334 articles identified in the literature search, full texts of 76 articles that met the inclusion criteria were reviewed and 38 were found to include relevant outcomes.

 Results

Results from selected studies were pooled in statistical meta-analysis using Review Manager Software and heterogeneity between combined studies was assessed using the Chi-square test. Meta-analysis showed that the effect sizes of family caregiver support programs were small to medium for categories of caregiving burden (Hedge's g= - 0.17, 95% CI= - 0.30~ - 0.04), depression (Hedge's g= - 0.30, 95% CI= - 0.40~ - 0.20), and stress (Hedge's g= - 0.39, 95% CI= - 0.52~ - 0.25).

 Conclusion

The review results indicate that a support programs can assist family care-givers in reducing their psycho-emotional distress.

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    Min Hui Moon, Suk Woong Kang, Min Hyeok Choi
    International Journal for Equity in Health.2024;[Epub]     CrossRef
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    Joel Sadavoy, Sima Sajedinejad, Mary Chiu
    International Psychogeriatrics.2022; 34(9): 827.     CrossRef
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    Choy Qing Cham, Norhayati Ibrahim, Ching Sin Siau, Clarisse Roswini Kalaman, Meng Chuan Ho, Amira Najiha Yahya, Uma Visvalingam, Samsilah Roslan, Fairuz Nazri Abd Rahman, Kai Wei Lee
    Healthcare.2022; 10(12): 2423.     CrossRef
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    Su Jung Lee, Hyun-Ju Seo, IL Han Choo, Seong Min Kim, Jeong Min Park, Eun-Young Yang, Yu Mi Choi
    Clinical Interventions in Aging.2022; Volume 17: 937.     CrossRef
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    Olimpia Paun, Dimitra Loukissa, Marianne G. Chirica, Horace M. Nowell
    Journal of Psychosocial Nursing and Mental Health Services.2022; 60(10): 7.     CrossRef
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    Jiyeon Kim, Jun-Ah Song, Sua Jung, Hongjin Cheon, Jiyeon Kim
    Research in Gerontological Nursing.2022; 15(3): 141.     CrossRef
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    Aram Cho, Chiyoung Cha
    International Journal of Environmental Research and Public Health.2021; 18(8): 4123.     CrossRef
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    Seonghee Jeong, Jeonghae Hwang, Doonam Oh
    The Journal of Korean Academic Society of Nursing Education.2021; 27(3): 306.     CrossRef
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    Heun Keung Yoon, Gwang Suk Kim
    Public Health Nursing.2020; 37(2): 222.     CrossRef
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    Yong Hyun Kim, Chul Soo Park, Hwa-Ok Bae, Eun Ji Lim, Kyung Heui Kang, Euy Sun Lee, Su Hyeon Jo, Moo Ryong Huh
    Journal of People, Plants, and Environment.2020; 23(3): 305.     CrossRef
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    Soyoung Choi, JooYoung Seo
    Issues in Mental Health Nursing.2020; 41(7): 592.     CrossRef
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    So Yoon Kim, Seonghee Jeong
    Journal of Korean Academic Society of Nursing Education.2019; 25(1): 103.     CrossRef
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    Katie Appleton, Antonina Pereira
    Dementia.2019; 18(4): 1479.     CrossRef
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    Min-Joo Ham, Hee Kim
    Journal of Korean Society of Occupational Therapy.2018; 26(4): 97.     CrossRef
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    Young Mi Ryu, Mi Yu, Seieun Oh, Haeyoung Lee, Haejin Kim
    Journal of Korean Academy of Nursing.2018; 48(5): 601.     CrossRef
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    Sun-A Lee, Hee-Sook Kim
    Journal of Korean Academy of Psychiatric and Mental Health Nursing.2017; 26(1): 14.     CrossRef
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    Hye-Young Jang, Myungsun Yi
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    Melvyn W.B. Zhang, Sally Chan, Olivia Wynne, Sarah Jeong, Sharyn Hunter, Amada Wilson, Roger C.M. Ho
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Effects of Dietary and Physical Activity Interventions on Metabolic Syndrome: A Meta-analysis
Guna Lee, Hye-Young Choi, Sook-Ja Yang
J Korean Acad Nurs 2015;45(4):483-494.   Published online August 31, 2015
DOI: https://doi.org/10.4040/jkan.2015.45.4.483
AbstractAbstract PDF
Purpose

This study identified effects of dietary and physical activity interventions including dietary interventions or physical activity interventions alone or combined dietary-physical activity interventions to improve symptoms in metabolic syndrome including abdominal obesity, high triglycerides, low high density lipoprotein cholesterol, elevated blood pressure, and elevated fasting glucose through meta-analysis.

 Methods

Articles on metabolic syndrome X published from 1988 to 2013 were searched through electronic databases, Google Scholar, and reference reviews. Methodological quality was assessed by the checklist, SIGN (Scottish Intercollegiate Guidelines Network).

 Results

In the meta-analysis, there were 9 articles reporting 13 interventions with 736 participants. Using random effect models, the dietary and/or physical activity interventions showed a lower mean difference in waist circumference ( - 1.30 cm, 95% CI: - 2.44~ - 0.15, p =.027). The combined dietary-physical activity interventions showed a lower mean difference in waist circumference ( - 2.77 cm, 95% CI: - 4.77~ - 0.76, p =.007) and systolic blood pressure ( - 5.44 mmHg, 95% CI: - 10.76~ - 0.12, p =.044). Additionally, interventions of over 24 weeks yielded a lower mean difference in waist circumference ( - 2.78 cm, 95% CI: - 4.69~ - 0.87, p =.004) and diastolic blood pressure ( - 1.93 mmHg, 95% CI: - 3.63~ - 0.22, p =.026).

 Conclusion

The findings indicate that dietary and/or physical activity interventions for metabolic syndrome reduce central obesity with no adverse effects. This finding provides objective evidences for dietary and physical activity management on metabolic syndrome as an efficient intervention.

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    Чу, Syaoyan Chu, Киргизова, Oksana Kirgizova
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    Peng Zhang, Rui Wang, Chunshi Gao, Lingling Jiang, Xin Lv, Yuanyuan Song, Bo Li, Pratibha V. Nerurkar
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Effects of Nursing Interventions for Fall Prevention in Hospitalized Patients: A Meta-analysis
Yoon Lee Kim, Seok Hee Jeong
J Korean Acad Nurs 2015;45(4):469-482.   Published online August 31, 2015
DOI: https://doi.org/10.4040/jkan.2015.45.4.469
AbstractAbstract PDF
Purpose

The purpose of this study was to identify which nursing interventions are the most effective in fall prevention for hospitalized patients.

 Methods

From 3,675 papers searched, 34 were selected for inclusion in the meta-analysis. Number of fallers, falls, falls per 1,000 hospital-days, and injurious falls, fall protection activity, knowledge related to falls, and self-efficacy about falls were evaluated as outcome variables. Data were analyzed using the Comprehensive Meta Analysis (CMA) 2.2 Version program and the effect sizes were shown as the Odd Ratio (OR) and Hedges's g.

 Results

Overall effect size of nursing interventions for fall prevention was OR=0.64 (95% CI: 0.57~0.73, p <.05) and Hedges's g= - 0.24. The effect sizes (OR) of each intervention ranged from 0.34 to 0.93, and the most effective nursing intervention was the education & environment intervention (OR=0.34, 95% CI: 0.28~0.42, p <.001), followed by education intervention (OR=0.57, 95% CI: 0.50~0.67, p =.001). Subgroup analyses showed that multifaceted interventions (OR=0.76, 95% CI: 0.73~0.79, p <.001) were more effective than unifactorial interventions, and that activities for prevention of falls (OR=0.08, 95% CI: 0.05~0.15, p <.001) showed the largest effect size among outcome variables.

 Conclusion

Falls in hospitalized patients can be effectively prevented using the nursing interventions identified in this study. These findings provide scientific evidence for developing and using effective nursing interventions to improve the safety of hospitalized patients.

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    Jeong Ha Park, Hee Ju Kim
    Journal of Korean Gerontological Nursing.2022; 24(1): 65.     CrossRef
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    Hyunjung Kim, Younjae Oh, Sun Ju Chang
    Journal of Medical Internet Research.2022; 24(6): e35260.     CrossRef
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    Fatma Birgili, Seda Kılınç, Nezihe Bulut Uğurlu
    Cyprus Journal of Medical Sciences.2022; 7(7): 69.     CrossRef
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    Young Ju Kim, Kyoung‐Ok Choi, Suk Hyun Cho, Seok Jung Kim
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    Kimberly A. DiGerolamo, Mei Lin Chen-Lim
    Journal of Pediatric Nursing.2021; 57: 43.     CrossRef
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    Yeji Seo, Kyunghee Kim, Ji-Su Kim
    International Journal of Environmental Research and Public Health.2021; 18(8): 3963.     CrossRef
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    Eun Joo Kim, Anna Lee
    Journal of Pediatric Nursing.2021; 61: 136.     CrossRef
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    Bom Mi Park, Ho Sihn Ryu, Kyeung Eun Kwon, Chun Young Lee
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    Eunjoo Lee
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    Meei-Ling Shyu, Hui-Chuan Huang, Mei-Jung Wu, Hsiu-Ju Chang
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Effects of Cognitive Behavioral Therapy on Attention Deficit Hyperactivity Disorder among School-aged Children in Korea: A Meta-Analysis
Wan-Ju Park, Shin-Jeong Park, Sung-Dong Hwang
J Korean Acad Nurs 2015;45(2):169-182.   Published online April 30, 2015
DOI: https://doi.org/10.4040/jkan.2015.45.2.169
AbstractAbstract PDF
Purpose

This study was a meta-analysis designed to identify effects of Cognitive Behavioral Therapy (CBT) interventions in alleviating main symptoms of Attention Deficit Hyperactivity Disorder (ADHD) among school-aged children in Korea.

 Methods

Examination of several databases including Research Information Sharing Service, Korean Studies Information Service System, Data Base Periodical Information Academic and hand-searched article references, resulted in identification of 1,298 studies done between 2000 and 2013 of which 21 met the inclusion criteria. Comprehensive Meta-Analysis version 2.0 was used to analyze effect sizes, explore possible causes of heterogeneity, and check publication bias with a funnel plot and its trim-and-fill analysis.

 Results

Overall effect size of CBT intervention was large (g=1.08) along with each outcome of self-control (g=1.26), lack of attention (g=1.02), social skills (g=0.92), and hyperactivity (g=0.92). For heterogeneity, moderator analysis was performed, but no significant differences were found between the RCT (Randomized Controlled Trials) group and the NRCT (Non RCT) group. Also, meta-regression was performed using sample size, number of sessions, and length of session as predictors, but no statistically significant moderators were found. Finally, a funnel plot along with trim-and-fill analysis was produced to check for publication bias, but no significant bias was detected.

 Conclusion

Based on these findings, there is clear evidence that CBT intervention has significant positive effects on the main symptoms of school-aged children suffering ADHD. Further research is needed to target diverse age groups with ADHD along with more RCT studies to improve the effectiveness of the CBT intervention.

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    Burcu Hafiz Ahmet, Alperen Bıkmazer, Vahdet Gormez
    Psychology and Psychotherapy: Theory, Research and Practice.2025;[Epub]     CrossRef
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    Jonathan Wang Liu, Mahmood Jasim, Jeong-Heon Song, So-Hwi Ha, Junsu Kim, Da young Kim, Hyunsuk Lee, Byeongil Kim, Hee-Tae Jung
    ACM Transactions on Computer-Human Interaction.2025;[Epub]     CrossRef
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    Seri Oh, Jong-Sik Jang, A-Ra Jeon, Geonwoo Kim, Mihwa Kwon, Bahoe Cho, Narae Lee
    World Journal of Clinical Cases.2024; 12(7): 1260.     CrossRef
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    Yunah Cho, Sharon L Talboys
    JMIR Biomedical Engineering.2024; 9: e60399.     CrossRef
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    Ann-Kathrin Korfmacher, Oliver Hirsch, Mira-Lynn Chavanon, Björn Albrecht, Hanna Christiansen
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    Kwon-Hoi Kim, Suk-Min Lee
    Physical Therapy Rehabilitation Science.2020; 9(1): 55.     CrossRef
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    Dong-Jin Lee, Sung-Hyoun Cho
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    Anne Wüstner, Christiane Otto, Robert Schlack, Heike Hölling, Fionna Klasen, Ulrike Ravens-Sieberer, Kenji Hashimoto
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    Sinhyang Kim, Kyung Sook Park
    Korean Journal of Adult Nursing.2016; 28(2): 156.     CrossRef
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    Chae-Bong Kim, Min-Kyung Han, Mi-Seon Jeong, Bo-Young Choi, Kil-Yong Choi, Moo-Young Kim
    The Korean Journal of Health Service Management.2015; 9(3): 175.     CrossRef
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    Myeong-Hui Choe, Yong-Mi Lee
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    Woon Yoon, Kee-Jeong Park, Kukju Kweon, Hyo-Won Kim
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Predictive Validity of the Braden Scale for Pressure Ulcer Risk: A Meta-analysis
Seong-Hi Park, Yu-Sun Park
J Korean Acad Nurs 2014;44(6):595-607.   Published online December 31, 2014
DOI: https://doi.org/10.4040/jkan.2014.44.6.595
AbstractAbstract PDF
Purpose

The Braden Scale is one of the most intensively studied risk assessment scales used in identifying the risk of developing pressure sore. However, not all studies show that the predictive validity of this scale is sufficient. The purpose of this study was to evaluate the Braden Scale for predicting pressure ulcer development.

 Methods

Articles published 1946 and 2013 from periodicals indexed in Ovid Medline, Embase, CINAHL, KoreaMed, NDSL and other databases were selected, using the following keywords: 'pressure ulcer'. The QUADAS-II was applied to assess the internal validity of the diagnostic studies. Selected studies were analyzed using meta-analysis with MetaDisc 1.4.

 Results

Thirty-eight diagnostic studies with high methodological quality, involving 17,934 patients, were included. Results of the meta-analysis showed that the pooled sensitivity and specificity of the Braden Scale were 0.74 (95% CI: 0.72-0.76), 0.75 (95% CI: 0.74-0.76) respectively. However the predictive validity of the Braden Scale has limitation because there was high heterogeneity between studies.

 Conclusion

The Braden Scale's predictive validity of risk for pressure ulcer is interpreted as at a moderate level. However there is a limitation to the interpretation of the results, because of high heterogeneity among the studies.

Citations

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  • Development of a Pressure Injury Machine Learning Prediction Model and Integration into Clinical Practice: A Prediction Model Development and Validation Study
    Ju Hee Lee, Jae Yong Yu, So Yun Shim, Kyung Mi Yeom, Hyun A Ha, Se Yong Jekal, Ki Tae Moon, Joo Hee Park, Sook Hyun Park, Jeong Hee Hong, Mi Ra Song, Won Chul Cha
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    Hyung-Ju Na, Sung-Hee Yoo, Young-Ran Kwon, Min-Jeng Ahn
    Korean Journal of Adult Nursing.2020; 32(1): 35.     CrossRef
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    Ja Eun Choi, Sun-Kyung Hwang
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    Misoo Yoo, Myungsun Yi
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Effects of Dignity Interventions on Psychosocial and Existential Distress in Terminally ill Patients: A Meta-analysis
Pok Ja Oh, Sung-Rae Shin
J Korean Acad Nurs 2014;44(5):471-483.   Published online October 31, 2014
DOI: https://doi.org/10.4040/jkan.2014.44.5.471
AbstractAbstract PDF
Purpose

This study was done to evaluate the effects of dignity interventions on depression, anxiety and meaning of life in terminally ill patients.

 Methods

PubMed, Cochrane Library CENTRAL, EMBASE, CINAHL and several Korean databases were searched. The main search strategy combined terms indicating dignity intervention, presence of terminal illness and study design. Methodological quality was assessed using Cochrane's Risk of Bias for randomized studies and Risk of Bias Assessment tool for non randomized studies. Data were analyzed by the RevMan 5.2.11 program of Cochrane Library.

 Results

Twelve clinical trials met the inclusion criteria with a total of 878 participants. Dignity intervention was conducted for a mean of 2.2 weeks, 2.8 sessions and an average of 48.7 minutes per session. Effect sizes were heterogeneous and subgroup analysis was done. Dignity interventions had a significant effect on depression (ES=-1.05, p<.001, I2=15%) and anxiety (ES=-1.01, p<.001, I2=0). For meaning of life, dignity interventions were effective (ES=-1.64, p=.005) and effect sizes were still heterogeneous.

 Conclusion

Results support findings that dignity interventions can assist terminal ill patients in reducing emotional distress and improving meaning of life. Further well-designed dignity studies will lead to better understanding of the effects of treatments on spiritual well-being.

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  • Effect of dignity therapy on meaning in life scores of cancer patients in palliative care
    Michelle Uchida Miwa, Carlos Eduardo Paiva, Ana Julia Sucupira Ferreira, Miguel Julião, Harvey Max Chochinov, Welinton Yoshio Hirai, Ricardo dos Reis, Bianca Sakamoto Ribeiro Paiva
    Palliative and Supportive Care.2025;[Epub]     CrossRef
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    Xiaocheng Liu, Zhili Liu, Qinqin Cheng, Nuo Xu, Hui Liu, Wenjuan Ying
    Supportive Care in Cancer.2021; 29(5): 2319.     CrossRef
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    Yanfei Li, Xiuxia Li, Liangying Hou, Liujiao Cao, Guanghua Liu, Kehu Yang
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    Mario Fernando Prieto Peres, Helder H. Kamei, Patricia R. Tobo, Giancarlo Lucchetti
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Review of Meta-analysis Research on Exercise in South Korea
Youngshin Song, Moonhee Gang, Sun-Ae Kim, In-Soo Shin
J Korean Acad Nurs 2014;44(5):459-470.   Published online October 31, 2014
DOI: https://doi.org/10.4040/jkan.2014.44.5.459
AbstractAbstract PDF
Purpose

The purpose of this study was to evaluate the quality of meta-analysis regarding exercise using Assessment of Multiple Systematic Reviews (AMSTAR) as well as to compare effect size according to outcomes.

 Methods

Electronic databases including the Korean Studies Information Service System (KISS), the National Assembly Library and the DBpia, HAKJISAand RISS4U for the dates 1990 to January 2014 were searched for 'meta-analysis' and 'exercise' in the fields of medical, nursing, physical therapy and physical exercise in Korea. AMSTAR was scored for quality assessment of the 33 articles included in the study. Data were analyzed using descriptive statistics, t-test, ANOVA and χ2-test.

 Results

The mean score for AMSTAR evaluations was 4.18 (SD=1.78) and about 67% were classified at the low-quality level and 30% at the moderate-quality level. The scores of quality were statistically different by field of research, number of participants, number of databases, financial support and approval by IRB. The effect size that presented in individual studies were different by type of exercise in the applied intervention.

 Conclusion

This critical appraisal of meta-analysis published in various field that focused on exercise indicates that a guideline such as the PRISMA checklist should be strongly recommended for optimum reporting of meta-analysis across research fields.

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    Seri Oh, Jong-Sik Jang, A-Ra Jeon, Geonwoo Kim, Mihwa Kwon, Bahoe Cho, Narae Lee
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    In-Soo Shin, Juh-Hyun Shin, Dong-Eun Jang, Jiyeon Lee
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    Yoo-Im Choi, Se-Yun Kim
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    Sanghyun Park, Minseok Kwag
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    PARK SEO-HYUN
    Korean Journal of Early Childhood Education.2018; 38(5): 131.     CrossRef
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    In Hae Seo, Kong Gye-Soon
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    Seang Ryu, Sun Weon Yun, Yun Sook Kim
    Journal of Korean Academy of Nursing Administration.2017; 23(4): 385.     CrossRef
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    Yun-Young Kim, Hye Sun Hyun
    Journal of Digital Convergence.2015; 13(10): 549.     CrossRef
  • Methodological Quality of Meta-Analyses on the Elderly in Korea
    송영신, 김선애, 강문희
    Korean Journal of Local Government & Administration Studies.2014; 28(4): 349.     CrossRef
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Effects of Psychosocial Interventions on Cortisol and Immune Parameters in Patients with Cancer: A Meta-analysis
Pok Ja Oh, Eun-su Jang
J Korean Acad Nurs 2014;44(4):446-457.   Published online August 29, 2014
DOI: https://doi.org/10.4040/jkan.2014.44.4.446
AbstractAbstract PDF
Purpose

This study was done to evaluate the effects of psychosocial interventions on cortisol and immune response in adult patients with cancer.

 Methods

MEDLINE via PubMed, Cochrane Library CENTRAL, EMBASE, CINAHL and domestic electronic databases were searched. Twenty controlled trials (11 randomized and 9 non-randomized trials) met the inclusion criteria with a total of 862 participants. Methodological quality was assessed using the Cochrane's Risk of Bias for randomized studies and the Risk of Bias Assessment tool for non randomized studies. Data were analyzed using the RevMan 5.2.11 program of Cochrane library.

 Results

Overall, study quality was moderate to high. The weighted average effect size across studies was -0.32 (95% CI [-0.56, -0.07], p=.010, I2=45%) for cortisol concentration, -0.62 (95%CI [-0.96,-0.29], p<.001, I2=0%) for T lymphocyte (CD3) and -0.45 (95%CI [-0.74, -0.16], p=.003, I2=0%) for Th lymphocyte (CD4) numbers. Psychosocial interventions were not effective for Tc lymphocyte (CD4), NK cell, monocyte, and cytokine response.

 Conclusion

Although these results provide only small evidence of successful immune modulation, they support the conclusion that psychosocial interventions can assist cancer patients in reducing emotional distress and improving immune response.

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Original Articles
Systematic Review and Meta-Analyses of Diagnostic Accuracy of Infrared Thermometer when Identifying Fever in Children
Young Joo Park, Seong-Hi Park, Chang-Bum Kang
J Korean Acad Nurs 2013;43(6):746-759.   Published online December 31, 2013
DOI: https://doi.org/10.4040/jkan.2013.43.6.746
AbstractAbstract PDF
Purpose

Infrared thermometers are increasingly used as a convenient, non-invasive assessment method for febrile children. However, the diagnostic accuracy of the infrared thermometer for children has been questioned, particularly in relation to sensitivity and specificity. The aim of this study was to evaluate diagnostic accuracy of infrared thermometers in febrile children.

 Methods

Articles published between 1966 and 2012 from periodicals indexed in the Ovid Medline, Embase, CINAHL, Cochrane, KoreaMed, NDSL, KERIS and other databases were selected, using the following keywords: 'infrared thermometer'. The QUADAS-II was applied to assess the internal validity of the diagnostic studies. Selected studies were analyzed using meta-analysis with MetaDisc 1.4.

 Results

Nineteen diagnostic studies with high methodological quality, involving 4,304 children, were included. The results of meta-analysis showed that the pooled sensitivity, specificity and AUC (Area Under the Curve) of infrared tympanic thermometers in children over 1 year were 0.80 (95% CI 0.78, 0.81), 0.94 (95% CI 0.93, 0.95) and 0.95 respectively. However the diagnostic accuracy of infrared tympanic thermometers in children with hyperthermia was low.

 Conclusion

The diagnostic accuracy of infrared tympanic thermometer was similar to axillary and rectal thermometers indicating a need for further research to substantiate these findings in children with hyperthermia.

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  • Clinical Accuracy of Non-Contact Forehead Infrared Thermometer Measurement in Children: An Observational Study
    Yeon-Mi Kim, Myung-Roul Jang, Ju-Ryoung Moon, Goeun Park, Ye-Jin An, Jeong-Meen Seo
    Children.2022; 9(9): 1389.     CrossRef
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    Younglee Choi, Hye Young Ahn
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A Quality Assessment of Meta-Analyses of Nursing in South Korea
Jung-Hee Kim, Ae-Kyung Kim
J Korean Acad Nurs 2013;43(6):736-745.   Published online December 31, 2013
DOI: https://doi.org/10.4040/jkan.2013.43.6.736
AbstractAbstract PDF
Purpose

The purpose of the study was to assess the quality of meta-analyses on nursing published in South Korea.

 Methods

Relevant meta-analyses were identified through searches of the National Assembly Library, KISS (Korean Studies Information Service System), and the DBpia and RISS4U databases from 1990 to May 2013. Quality assessments were conducted using AMSTAR, a validated tool for assessing the quality of systematic reviews.

 Results

Forty-two meta-analyses were included in this study. Twenty-nine published between 1990 and 2010, and 13, between 2011 and May 2013. Two high quality studies and 11 moderate quality studies were published in the latter period. The mean score for the reviews was 5.61 (range 3-10); 11 studies were rated as low quality, 29 as moderate quality, and two as high quality.

 Conclusion

Although an improvement in the quality of meta-analyses conducted by nursing researchers in South Korea was observed across the study period, the study results indicate a need to use of more rigorous research methods when conducting systematic reviews or meta-analyses.

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    Yoo-Im Choi, Se-Yun Kim
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    In-Soo Shin
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    Journal of Korean Academy of Nursing Administration.2017; 23(4): 385.     CrossRef
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    Yun-Young Kim, Hye Sun Hyun
    Journal of Digital Convergence.2015; 13(10): 549.     CrossRef
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    Youngshin Song, Minhye Oh, Seyeon Park, Myouyun Park, Kyoungok Kim, Ukyoung Lee, Myonghwa Park
    Pain Management Nursing.2015; 16(5): 781.     CrossRef
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    Yoon Lee Kim, Seok Hee Jeong
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    Youngshin Song, Moonhee Gang, Sun-Ae Kim, In-Soo Shin
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Meta- analysis of Psychosocial Interventions to Reduce Pain in Patients with Cancer
Pok Ja Oh, Suk Jung Han
J Korean Acad Nurs 2013;43(5):658-668.   Published online October 15, 2013
DOI: https://doi.org/10.4040/jkan.2013.43.5.658
AbstractAbstract PDF
Abstract Purpose

The purpose of this study was to investigate the effects of psychosocial interventions on pain in cancer patients.

 Methods

Eight studies published between 1980 and 2012 in Korean and ten studies published between 2002 and 2012 in English met the inclusion criteria with a total of 1539 participants. Methodological quality assessed by Cochrane's Risk of Bias for randomized studies and Risk of Bias Assessment tool for non randomized studies. The data were analyzed by the RevMan 5.2 program of Cochrane library.

 Results

Overall, study quality was moderate to high. Effect sizes were heterogeneous and subgroup analysis was done. Cognitive behavioral therapy (CBT) were effective for pain (ES= -0.35; 95% CI= -0.56, -0.13). Pain education studies measured with NRS and VAS were effective for pain (ES= -0.77; 95% CI= -1.01, -0.52). Publication bias was not detected.

 Conclusion

This study support the use of psychosocial interventions administered to cancer patients for their pain management. However, more well-designed studies are needed.

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    Youngshin Song, Minhye Oh, Seyeon Park, Myouyun Park, Kyoungok Kim, Ukyoung Lee, Myonghwa Park
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A Meta-analysis of the Effect of Walking Exercise on Lower Limb Muscle Endurance, Whole Body Endurance and Upper Body Flexibility in Elders
Kook-Hee Roh, Hyeoun-Ae Park
J Korean Acad Nurs 2013;43(4):536-546.   Published online August 30, 2013
DOI: https://doi.org/10.4040/jkan.2013.43.4.536
AbstractAbstract PDF
Purpose

The purpose of this study was to determine whether walking exercise improved physical function in elderly people using meta-analysis.

 Methods

Medical and nursing literature databases were searched to identify the studies on the effectiveness of walking exercise on physical function. In the databases, there were 16 articles reporting 21 interventions. Overall effect sizes for three outcome variables, elders' physical function in lower limb muscle endurance, whole body endurance and upper body flexibility, were calculated. Effects of study characteristics on outcome variables were analyzed.

 Results

The meta-analysis showed that walking exercise generally had positive effects on CST (chair stand test), 6MW (6 min walking), and SRT (standing or sitting reach test) with overall weighted effect sizes of 1.06, 0.41 and 0.29 respectively. This study also showed that the chronic disease status of the elders, intervention methods, and type of residence had different effects on CST, 6MW and SRT.

 Conclusion

The results indicate that walking exercise improves physical function in elders. Walking exercise which can be done at any time and any location is indeed a very effective exercise for elderly people.

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Effect of Kegel Exercise to Prevent Urinary and Fecal Incontinence in Antenatal and Postnatal Women: Systematic Review
Seong-Hi Park, Chang-Bum Kang, Seon Young Jang, Bo Yeon Kim
J Korean Acad Nurs 2013;43(3):420-430.   Published online June 28, 2013
DOI: https://doi.org/10.4040/jkan.2013.43.3.420
AbstractAbstract PDF
Purpose

The aim of this study was to review the literature to determine whether intensive pelvic floor muscle training during pregnancy and after delivery could prevent urinary and fecal incontinence.

 Methods

Randomized controlled trials (RCT) of low-risk obstetric populations who had done Kegel exercise during pregnancy and after delivery met the inclusion criteria. Articles published between 1966 and 2012 from periodicals indexed in Ovid Medline, Embase, Scopus, KoreaMed, NDSL and other databases were selected, using the following keywords: 'Kegel, pelvic floor exercise'. The Cochrane's Risk of Bias was applied to assess the internal validity of the RCT. Fourteen selected studies were analyzed by meta-analysis using RevMan 5.1.

 Results

Fourteen RCTs with high methodological quality, involving 6,454 women were included. They indicated that Kegel exercise significantly reduced the development of urinary and fecal incontinence from pregnancy to postpartum. Also, there was low clinical heterogeneity.

 Conclusion

There is some evidence that for antenatal and postnatal women, Kegel exercise can prevent urinary and fecal incontinence. Therefore, a priority task is to develop standardized Kegel exercise programs for Korean pregnant and postpartum women and make efficient use of these programs.

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Effects of Tai Chi on Fall Risk Factors: A Meta-Analysis
Moonkyoung Park, Rhayun Song
J Korean Acad Nurs 2013;43(3):341-351.   Published online June 28, 2013
DOI: https://doi.org/10.4040/jkan.2013.43.3.341
AbstractAbstract PDF
Purpose

This study was done to analyze the effects of Tai Chi on fall-related risk factors through meta-analysis of randomized clinical trials published in English and Korean between 2000 and 2010.

 Methods

Using health related database and hand search of references and Google, 28 randomized studies were collected from doctoral dissertation and published peer reviewed articles. The Comprehensive Meta-analysis version 2.0 was used for the analysis.

 Results

The effect sizes for Tai Chi for 3 months were significant with ES=0.54 for static balance, ES=0.24 for dynamic balance, ES=0.69 for balance measured by scale, and ES=0.40 for flexibility, ES=0.48 for muscle strength, ES=0.71 for ADL, and ES=0.37 for fear of falling. Also, the effect sizes of Tai Chi for 6 months were significant for most fall-related variables. The 6 month data for flexibility was not analyzed since only one study was published.

 Conclusion

The analysis of studies of randomized clinical trials indicate that Tai Chi is effective in improving balance, flexibility, muscle strength, activities of daily living, and fear of falling when applied for 3 or 6 months. The findings provide the objective evidence to apply Tai Chi as a fall preventive intervention.

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    Journal of Korean Academy of Nursing.2015; 45(4): 469.     CrossRef
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    Shu‐Fen Lin, Huei‐Chuan Sung, Tzai‐Li Li, Tsung‐Cheng Hsieh, Hsiao‐Chin Lan, Shoa‐Jen Perng, Graeme D. Smith
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Meta-Analysis of Spiritual Intervention Studies on Biological, Psychological, and Spiritual Outcomes
Pok-Ja Oh, Young-Hyun Kim
J Korean Acad Nurs 2012;42(6):833-842.   Published online December 31, 2012
DOI: https://doi.org/10.4040/jkan.2012.42.6.833
AbstractAbstract PDF
Purpose

The purpose of this study was to evaluate the effectiveness of spiritual intervention studies by examining biological, psychological, and spiritual outcomes.

 Methods

From electronic databases 2522 studies were retrieved, of which 21 studies met the inclusion criteria. These studies had 1411 participants. Two authors independently extracted data from the selected studies and assessed the methodological quality. The data were analyzed using the RevMan 5.1 program of the Cochrane library.

 Results

Overall effect size of spiritual intervention on spiritual and psychological (depression and anxiety) outcomes were moderate (d=-0.65 to d=-0.76, p<.001). The effects on biological outcomes (pain and functional status) ranged from -0.51 to -0.39, respectively. No publication bias was detected as evaluated by a funnel plot. Spiritual intervention had a moderate effect on psychological and spiritual outcomes and a smaller effect on biological outcomes.

 Conclusion

The results of this study suggest that spiritual intervention can relieve depression and anxiety. Further randomized controlled trials studies are needed to evaluate the effects of spiritual intervention on biological outcomes.

Citations

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    Mi Ja Chung, Youngrye Park, Young Eun
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A Meta-analysis of the Variables related to Depression in Korean Patients with a Stroke
Eun-Young Park, In-Soo Shin, Jung-Hee Kim
J Korean Acad Nurs 2012;42(4):537-548.   Published online August 12, 2012
DOI: https://doi.org/10.4040/jkan.2012.42.4.537
AbstractAbstract PDF
Abstract Purpose

The purpose of this study was to use meta-analysis to evaluate the variables related to depression in patients who have had a stroke.

 Methods

The materials of this study were based on 16 variables obtained from 26 recent studies over a span of 10 years which were selected from doctoral dissertations, master's thesis and published articles.

 Results

Related variables were categorized into sixteen variables and six variable groups which included general characteristics of the patients, disease characteristics, psychological state, physical function, basic needs, and social variables. Also, the classification of six defensive and three risk variables group was based on the negative or positive effect of depression. The quality of life (ES= -.79) and acceptance of disability (ES=-.64) were highly correlated with depression in terms of defensive variables. For risk variables, anxiety (ES= .66), stress (ES= .53) showed high correlation effect size among the risk variables.

 Conclusion

These findings showed that defensive and risk variables were related to depression among stroke patients. Psychological interventions and improvement in physical functions should be effective in decreasing depression among stroke patients.

Citations

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    Hui‐Chuan Huang, Li‐Kai Huang, Chaur‐Jong Hu, Chien‐Hung Chang, Hsin‐Chien Lee, Nai‐Fang Chi, Meei‐Ling Shyu, Hsiu‐Ju Chang
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Meta Analysis of Variables Related to Attention Deficit Hyperactivity Disorder in School-Age Children
Wan Ju Park, Ji Yeong Seo, Mi Ye Kim
J Korean Acad Nurs 2011;41(2):256-268.   Published online April 30, 2011
DOI: https://doi.org/10.4040/jkan.2011.41.2.256
AbstractAbstract PDF
Purpose

The purpose of this study was to use meta-analysis to examine recent domestic articles related to attention deficit hyperactivity disorder (ADHD) in school-age children.

 Methods

After reviewing 213 articles published between 1990 and 2009 from and cited in RISS, KISS, and DBpia, the researchers identified 24 studies with 440 research variables that had appropriate data for methodological study. SPSS 17.0 program was used. The outcome variables were divided into five types: Inattention, hyperactive impulsive, intrinsic, extrinsic, and academic ability variables.

 Results

Effects size of overall core symptoms was 0.47 which is moderate level in terms of Cohen criteria and effects size of overall negative variables related ADHD was 0.27 which is small level. The most dominant variable related to ADHD was obtained from hyperactive-impulsive (0.70). Also academic ability (0.45), inattention (0.37), and intrinsic variables (0.29) had a small effect whereas extrinsic variables (0.13) had little effect on descriptive ADHD study.

 Conclusion

The results reveal that ADHD core symptoms have moderate effect size and peripheral negative variables related ADHD have small effect size. To improve the reliability of the meta-analysis results by minimizing publication bias, more intervention studies using appropriate study designs should be done.

Citations

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  • Associations between Dietary Intake and Attention Deficit Hyperactivity Disorder (ADHD) Scores by Repeated Measurements in School-Age Children
    Su-a Ryu, Yean-Jung Choi, Hyojin An, Ho-Jang Kwon, Mina Ha, Yun-Chul Hong, Soo-Jong Hong, Hyo-Jeong Hwang
    Nutrients.2022; 14(14): 2919.     CrossRef
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A Meta-Analysis of Variables Related to Suicidal Ideation in Adolescents
Bo Young Kim, Chung Sook Lee
J Korean Acad Nurs 2009;39(5):651-661.   Published online October 31, 2009
DOI: https://doi.org/10.4040/jkan.2009.39.5.651
AbstractAbstract PDF
Purpose

This study was done using meta-analysis to examine 58 studies from studies published in the past eight years (2000 to 2007) that included variables related to adolescents' suicidal ideation.

 Methods

The materials for this study were based on 32 variables which were selected from masters' thesis, doctoral dissertation and articles from Journals of the Korean Academy of Nursing.

 Results

The classification consisted of 5 variables groups and 32 variables. In terms of effect size on risk, variables which were significant included psychological variables (0.668), socio-cultural variables (0.511), family environmental variables (0.405), school environmental variables (0.221), and personal characteristics variables (0.147). In terms of effect size on protection, variables which were significant included personal characteristics variables (-1.107), psychological variables (-0.526), family environmental variables (-0.264), and school environmental variables (-0.155). In terms of effect size on risk variables, psychological variables (0.668) were highest. In terms of effect size on protective variables, the variable of personal characteristic (-1.107) was the highest.

 Conclusion

While the results indicate possible risk and protective variables for suicidal ideation, but prediction is still difficult. Further study to compare adolescents with similar variables but no suicidal ideation and those with suicidal ideation is necessary.

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