Journal of Korean Academy of Nursing

Research Papers

Development and Evaluation of Motivational Interviewing Pulmonary Rehabilitation Program Based on Self-Determination Theory for Patients with Chronic Obstructive Pulmonary Disease: Jang, Jun Hee , Min, Hye Sook; J Korean Acad Nurs 2023;53(2):191-207. Published online April 30, 2023; DOI: https://doi.org/10.4040/jkan.22093

Purpose
This study aimed to develop a motivational interviewing pulmonary rehabilitation program based on self-determination theory to maintain pulmonary rehabilitation-related health behaviors in patients with chronic obstructive pulmonary disease. The program was developed by reviewing the literature on pulmonary rehabilitation guidelines, drawing on the self-determinism theory to establish its contents, recruiting experts to test its validity, and conducting a preliminary survey.
Methods
A quasi-experimental design was used to confirm the effect of the program. The participants were outpatients diagnosed with chronic obstructive pulmonary disease at three general hospitals in Busan. There were 33 subjects: 15 in the experimental group and 18 in the control group. The experimental group performed a motivational interviewing pulmonary rehabilitation program which comprised 11 sessions delivered over 10 weeks. The outcomes were measured using basic psychological needs, dyspnea, 6-minute walking distance, and functional status. Intervention effects were analyzed using repeated-measures ANOVA.
Results
The analysis revealed significant differences between the experimental and control groups in competence among the subdomains of basic psychological needs, dyspnea during exercise, and functional status.
Conclusion
The developed program affects physical conditions and can be applied as an effective clinical nursing intervention to continuously improve the pulmonary rehabilitation behavior of patients with chronic obstructive pulmonary disease.

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Mediating Effect of Self-Efficacy on the Relationship between Symptom Experience and Health-Related Quality of Life in Patients with Chronic Obstructive Pulmonary Disease
Enhee Jo, Ju-Young Park, Young Jun Jang
Journal of Korean Academy of Fundamentals of Nursing.2024; 31(3): 315. CrossRef

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Validity and Reliability of Korean Version of Self-Care Chronic Obstructive Pulmonary Disease Inventory (SC-COPD) and Self-Care Self-Efficacy Scale (SCES-COPD): Choi, Ja Yun , Yun, So Young; J Korean Acad Nurs 2022;52(5):522-534. Published online October 31, 2022; DOI: https://doi.org/10.4040/jkan.22062

Abstract PDF

Purpose
This study examined the validity and reliability of the Korean version of the Self-Care in Chronic Obstructive Pulmonary Disease Inventory (SC-COPDI) and the Chronic Obstructive Pulmonary Disease Self-Care Self-Efficacy Scale (SCES-COPD). The SC-COPDI consists of the Self-Care Maintenance Scale (SCMES), Self-Care Monitoring Scale (SCMOS), and Self-Care Management Scale (SCMAS).
Methods
The original tool was translated using a back-translation process. Participants were 241 patients with COPD at the Chonnam National University Hospital in Korea. The construct validity was verified through confirmatory factor analysis, and reliability was verified using Cronbach’s α.
Results
The SCMES consisted of 10 items of three factors―one of four factors was deleted from the original tool. In the SC-MOS, there were six items of two factors after two items were deleted from the original tool. The SCMAS consisted of the original 10 items of three factors. The SCES-COPD consisted of six items of two factors, with one item removed from the original tool. The model fit indices of all tools were good, and the construct validity was confirmed. Cronbach’s α of SCMES was .72, SCMOS was .90, SCMAS was .81, and SCES-COPD was .85.
Conclusion
The Korean version of SC-COPDI and SCES-COPD are valid and reliable instruments for measuring selfcare in people with COPD. These instruments can be used in self-care studies of COPD patients in Korea.

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Impact of Ruminative Thinking on Breathlessness Catastrophizing With Elderly COPD Patients: The Mediating Role of Self‐Efficacy
Yuye Zhang, Qiufang Li, Xiaokai Wang, Tianci Xiao, Chenmeng Wei, Na Song, Lamei Liu
Journal of Clinical Nursing.2025;[Epub] CrossRef
Psychometric testing of the cross-culturally adapted Thai version of the Self-Care Self-Efficacy Scale version 3.0 in individuals with chronic illnesses
Chennet Phonphet, Jom Suwanno, Chonchanok Bunsuk, Wanna Kumanjan, Ladda Thiamwong
International Journal of Nursing Sciences.2024; 11(4): 473. CrossRef

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Original Articles

Structural Equation Modeling on Successful Aging in Elders with Chronic Obstructive Pulmonary Disease Based on Selection-Optimization-Compensation Strategy: Young Mi Jang, Rhayun Song; J Korean Acad Nurs 2017;47(4):488-498. Published online August 31, 2017; DOI: https://doi.org/10.4040/jkan.2017.47.4.488

Abstract PDF

Purpose

The focus of the study was on the selection-optimization-compensation (SOC) strategy to predict successful aging mediated by dyspnea symptoms in older adults with chronic obstructive pulmonary disease. The model was constructed based on the hypotheses that coping strategy and social support of the elders predict successful aging through the SOC strategies.

Methods

Participants were 218 outpatients with chronic obstructive pulmonary disease recruited for the study. Data collection was done from March 25 to September 11, 2015, and analyzed using SPSSWIN 22.0 and AMOS 21.0.

Results

The hypothetical model appeared to be fit to the data. Seven of eight hypotheses selected for hypothetical model were statistically significant. The SOC strategy has only significant indirect effects through dyspnea symptoms on successful aging. Coping strategy, social support, SOC strategies and dyspnea symptoms explained 62% of variance in successful aging.

Conclusion

The SOC strategies with social support and dyspnea symptoms significantly explained successful aging among patients with chronic obstructive pulmonary disease. Nursing strategies should be focused on social support and coping strategies to optimize SOC strategies so that older adults with chronic obstructive pulmonary disease are able to manage dyspnea symptoms and eventually achieve successful aging.

Citations

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Development of a scale to measure selection, optimization, compensation (SOC) strategy in late middle-aged women: a methodological study
Do-Young Lee, Gie Ok Noh
Women's Health Nursing.2024; 30(3): 216. CrossRef
Factors contributing to chronic obstructive pulmonary disease patients' functional performance: Structural equation modelling based on theory of unpleasant symptoms
Hye Suk Jun, Younhee Kang
Nursing Open.2023; 10(5): 3132. CrossRef
Experiences on Self Management of Aged Men with Mild Chronic Obstructive Pulmonary Diseases
Jeong-Soo KIM
JOURNAL OF FISHRIES AND MARINE SCIENCES EDUCATION.2021; 33(3): 758. CrossRef
The Relationships among Social Support, Bowel Function Symptoms and Uncertainty in Rectal Cancer Patients
Kyungmi Lee, Semi Lim
Journal of Korean Academy of Fundamentals of Nursing.2021; 28(4): 421. CrossRef
Life experience of older women with chronic conditions: Flow and Balance as a coping resource
Sanghee Lee, Jinmoo Heo
Educational Gerontology.2019; 45(4): 259. CrossRef

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Influencing Factors on Fatigue in Patients with Chronic Obstructive Pulmonary Disease: So Youn Bang; Journal of Korean Academy of Nursing 2007;37(6):855-862. Published online March 28, 2017; DOI: https://doi.org/10.4040/jkan.2007.37.6.855

Abstract PDF

PURPOSE: The purpose of this study was to identify the factors influencing fatigue in patients with chronic obstructive pulmonary disease. METHODS: A descriptive correlational study design was used. A convenience sample of 125 subjects was recruited from the outpatient respiratory clinic at a large university hospital. Data was collected from June to October, 2005 using structured questionnaires, an oxygen saturation test, a 6-minute walking test, and a pulmonary function test. RESULTS: Subjects had a slightly low degree of fatigue. The fatigue showed a significant correlation with emotion(r= .589, p= .000), dyspnea(r= .304, p= .001), self-efficacy (r= -.278, p= .002), and symptom experience(r= .238, p= .008). Emotion(34.7%) and dyspnea(5.8%) were significant predictors to explain fatigue. CONCLUSION: This study provides comprehensive understanding of the influencing factors on fatigue in patients with chronic obstructive pulmonary disease. Nursing interventions to decrease negative emotion and dyspnea for management of fatigue is suggested.

Citations

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Prevalence and Risk Factors of Chronic Obstructive Pulmonary Disease among Nonsmokers: Fifth Korea National Health and Nutrition Examination Survey (2010–2012)
Heeyoung Oh, Ye-Eun Lee
Osong Public Health and Research Perspectives.2016; 7(6): 385. CrossRef
Gender Differences in Health‐Related Quality of Life of Korean Patients with Chronic Obstructive Lung Disease
Jisu Kim, Kisook Kim
Public Health Nursing.2015; 32(3): 191. CrossRef

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The Effects of a Pulmonary Rehabilitation Program for Chronic Obstructive Pulmonary Disease Patients: Suk Jung Han; Journal of Korean Academy of Nursing 2003;33(7):1008-1017. Published online March 28, 2017; DOI: https://doi.org/10.4040/jkan.2003.33.7.1008

Abstract PDF

Purpose

This study was designed to investigate the effects of a pulmonary rehabilitation program for patients with COPD.

Method

37 subjects, who had a FEV1/FVC below 70%, participated. 18 were assigned to the experimental group and 19 to the control group. The program consisted of individualized education program and exercise program for 6weeks, 3times a week. Data was collected through questionnaire surveys of general characteristics, anxiety and depression, blood tests for lactic acid and cardiopulmonary exercise tests, and also using bicycle ergometer, for exercise capacity. As for data analyses, paired and unpaired t-test and x²-test were adopted using an SPSS program.

Result

The result revealed that the increase in VT, peak VO2, VEmax, HRmax and Wmax, at the maximal exercise, were significantly high in the experimental group. However, the anxiety and depression scores were not significantly high in the experimental group.

Conclusion

The pulmonary rehabilitation program was effective in increasing cardiopulmonary endurance in patients with COPD. Accordingly, we should seriously consider an individualized pulmonary rehabilitation program as a nursing intervention.

Citations

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Developing a Home-based Self-management Support Intervention for Pulmonary Rehabilitation in Patients with Chronic Obstructive Pulmonary Disease
Hee-Young Song
The Korean Journal of Rehabilitation Nursing.2015; 18(2): 75. CrossRef
The Effects on the Pulmonary Function of Normal Adults Proprioceptive Neuromuscular Facilitation Respiration Pattern Exercise
KyoChul Seo, MiSuk Cho
Journal of Physical Therapy Science.2014; 26(10): 1579. CrossRef

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Development of a Scale to Measure Self-Care for Korean Patients with Chronic Obstructive Pulmonary Disease: Jeong Ja Jun, Ae Kyung Kim, Sang Ok Choi, Jung Hee Ae, Mi Kyung Choi, Sun A Jang; Journal of Korean Academy of Nursing 2003;33(1):9-16. Published online March 28, 2017; DOI: https://doi.org/10.4040/jkan.2003.33.1.9

Abstract

Purpose

The objective of this study was the development and validation of a scale to measure the self-care of patients with chronic obstructive pulmonary disease(COPD) in Korea.

Method

Self-care scale was developed based on the self-care activities patients had to carry out in order to manage their COPD. The original scale contained 34 items rated along a five-point Likert scale and was reviewed by 18 professional nurses and 10 Korean patients with COPD for content validity. Subsequently, patients with COPD were asked to complete this 23-item scale and further tests were done with the 125 useable responses.

Result

Factor analysis identified eight factors- “maintaining a clean air way”, “taking medication”, “support from family”, “preventing infection”, “managing symptoms”, “breathing exercising”, and “taking in nutrition”. The internal consistency of the total scale was Cronbach's alpha=0.7226. These eight factors explained 60.8% of total variance. There was correlation among Korean Self-Care Scale score, administration level, and knowledge level but there was no correlation to patients' satisfaction with medical services.

Conclusion

The 23 item questionnaire positively identified 8 areas defined important for COPD patients. Further studies are required to see how these can be integrated into patient education.

Citations

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Effect of self-management education using pictogram-based content of health information on outcomes in Korean patients with chronic obstructive pulmonary disease: A randomized controlled trial
Ja Yun Choi, Eui Jeong Ryu, Xin Jin
Geriatric Nursing.2023; 54: 324. CrossRef
Validity and Reliability of Korean Version of Self-Care Chronic Obstructive Pulmonary Disease Inventory (SC-COPD) and Self-Care Self-Efficacy Scale (SCES-COPD)
Ja Yun Choi, So Young Yun
Journal of Korean Academy of Nursing.2022; 52(5): 522. CrossRef
Self‐management model based on information–motivation–behavioral skills model in patients with chronic obstructive pulmonary disease
Kyeung Eun Lim, Sung Reul Kim, Hye Young Kim, So Ri Kim, Yong Chul Lee
Journal of Advanced Nursing.2022; 78(12): 4092. CrossRef
The Effects of Primary Stroke Prevention Program on the Knowledge of Stroke, Stroke Symptom Coping Behavior and Self Management of Stroke Risk Group
Eun-Jeong Kim, Jeong-Hyeon Kong
Journal of the Korea Academia-Industrial cooperation Society.2015; 16(11): 7925. CrossRef
Relationship of Knowledge, Attitude, Correct Metered Dose Inhaler Use, and Self-management Compliance among Patients with COPD
Min-Hee An, Ja-Yun Choi
Korean Journal of Adult Nursing.2012; 24(2): 160. CrossRef

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Chronic Obstructive Pulmonary Disease in Korea: Prevalence, Risk Factors, and Quality of Life: Young-Mi Jung, Heeyoung Lee; J Korean Acad Nurs 2011;41(2):149-156. Published online April 30, 2011; DOI: https://doi.org/10.4040/jkan.2011.41.2.149

Abstract PDF

Purpose

This study seeks to examine prevalence, risk factors, and quality of life of Korean adults with Chronic Obstructive Pulmonary Disease (COPD).

Methods

From the database of the Fourth Korean National Health and Nutrition Examination Survey (KNHANES IV-1, 2008), the researchers selected 1,458 adults over the age of 45. The original study was a population-based epidemiological survey of health and nutrition with a stratified multistage clustered probability design. Prevalence of COPD was computed on the basis of the sampling weight. Data were analyzed using descriptive statistics, χ² test, t-test and multiple logistic regression with the SPSS WIN 18.0 and SAS Ver. 9.1 program.

Results

The prevalence of COPD was 18.0% among people older than 45 yr. The prevalence of current smokers was 19.7% in this population and 26.3% in individuals with COPD. Age, gender, education, and smoking levels were found to be risk factors for COPD. Significant difference in quality of life was founded between adults with COPD and the healthy controls.

Conclusion

The results of this study indicate that COPD is a highly prevalent disease in Korea. To reduce the prevalence of COPD and improve health-related quality of life in patients with COPD, nursing interventions must focus on prevention of risk factors.

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