Journal of Korean Academy of Nursing

Original Articles

A Structural Model for Chemotherapy Related Cognitive Impairment and Quality of Life in Breast Cancer Patients: Jung Ran Lee, Pok Ja Oh; J Korean Acad Nurs 2019;49(4):375-385. Published online January 15, 2019; DOI: https://doi.org/10.4040/jkan.2019.49.4.375

Abstract Purpose

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

Methods

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

Results

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

Conclusion

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

Citations

Citations to this article as recorded by

Analysis of Breast Cancer Nursing Education Content and Educational needs for Breast Cancer Patient Nursing Perceived by Nurses
Young-Hee Je, Kyoung-Ah Kang
Asian Oncology Nursing.2025; 25(1): 1. CrossRef
Factors Influencing Oncofertility in Gynecological Cancer Patients: Application of Mixed Methods Study
Minji Kim, Juyoung Ha
Journal of Korean Academy of Nursing.2024; 54(3): 418. CrossRef
Relationships Between Chemotherapy-Related Cognitive Impairment, Self-Care Ability, and Quality of Life in Breast Cancer Survivors: A Cross-Sectional Study
Nan Wu, Ze Luan, Zijun Zhou, He Wang, Shiyuan Du, Yulu Chen, Xinxin Wang, Jiong Li, Xin Peng
Seminars in Oncology Nursing.2024; 40(5): 151690. CrossRef
Effects of different exercise interventions on chemotherapy-related cognitive impairment in patients with breast cancer: a study protocol for systematic review and network meta-analysis
Yu Dong, Hao Huang, Aiping Wang
BMJ Open.2024; 14(4): e078934. CrossRef
Factors Associated with Self-reported Memory Problems of Adult Cancer Survivors Based on the Korea National Health and Nutrition Examination Survey 2019
Sangjin Ko
Journal of Health Informatics and Statistics.2023; 48(1): 51. CrossRef
Impact of nonpharmacological interventions on cognitive impairment in women with breast cancer: A systematic review and meta-analysis
Jin-Hee Park, Su Jin Jung, Lena J. Lee, Junghyun Rhu, Sun Hyoung Bae
Asia-Pacific Journal of Oncology Nursing.2023; 10(4): 100212. CrossRef
Impact of discriminant factors on the comfort-care of nurses caring for trans-arterial chemoembolisation patients
Myoung Soo Kim, Ju-Yeon Uhm
Supportive Care in Cancer.2022; 30(9): 7773. CrossRef
Brain morphological alterations and their correlation to tumor differentiation and duration in patients with lung cancer after platinum chemotherapy
Pin Lv, Guolin Ma, Wenqian Chen, Renyuan Liu, Xiaoyan Xin, Jiaming Lu, Shu Su, Ming Li, ShangWen Yang, Yiming Ma, Ping Rong, Ningyu Dong, Qian Chen, Xin Zhang, Xiaowei Han, Bing Zhang
Frontiers in Oncology.2022;[Epub] CrossRef
The Influence of Rehabilitation on Quality of Life in Breast Cancer Survivors: A Clinical Study
Teresa Paolucci, Aristide Saggino, Francesco Agostini, Marco Paoloni, Andrea Bernetti, Massimiliano Mangone, Valter Santilli, Raoul Saggini, Marco Tommasi
International Journal of Environmental Research and Public Health.2021; 18(16): 8585. CrossRef

389 View
6 Download
8 Web of Science
9 Crossref

Perceptions of Patients, Nurses and Oriental Medical Doctors About Nursing Activities in Oriental Medical Hospitals: Ae Ran Lee, Koung Hee Yang, Sun Hee Han, Hey Sook Jang; Journal of Nurses Academic Society 1993;23(2):284-298. Published online March 31, 2017; DOI: https://doi.org/10.4040/jnas.1993.23.2.284

Abstract PDF: This study was carried out to compare perceptions about nursing activities in oriental medical hospital settings. Data were collected from 47 patients hospitalized in an oriental medical hospital, and 41 nurses and 47 oriental medical doctors working in four oriental medical hospitals from July 10th to Sept. 20th, 1991. The findings of this study are as follows; 1. There were significant differences in the perceptions about physical nursing activities between patients (M=44.07) and nurses (M=48.44) (t=-3.09, P =0.003), and between nurses and oriental medical doctors (M=41.47) (t=-5,20, P=0.000). 2. There were no differences in perceptions about psychological and emotional nursing activities between patients (M=27.64) and nurses (M=28.52) (t=-1.02, P=0.310), but there were differences between nurses and oriental medical doctors (M=24. 31)(t=-5.31, P=0.000). 3. There were differences in perceptions about observation, recording and implemention of medical care activities between patients (M=53.65) and nurses (M=57.08) (t=-2.15, P=0.034), but there were no differences between nurses and oriental medical doctors (M=57.28) (t=.014, P=0.892). 4. There were no differences in perceptions about nursing management activities between patients (M=24.88) and nurses (M=26.42) (t=-1.91, P=0. 059), but there were differences between nurses and oriental medical doctors (M=24.25) (t=-3.24, P=0. 002).

64 View
1 Download

Perceptions of Primiparas of their Newborns: A Comparision of Koreans and Americans: Mun Hee Park, Ae Ran Lee; Journal of Nurses Academic Society 1995;25(3):431-440. Published online March 30, 2017; DOI: https://doi.org/10.4040/jnas.1995.25.3.431

Abstract PDF: The purpose of this study was to compare Korean and American women as to the perception of their newborns, and to assess factors contributing to a positive mother-infant relationships. American mothers were with their own newborns in the same rooms and could feed and take care of them if they wanted, but Korean mothers were separated from their babies. The subjects of this study were 86 Korean and 86 American primiparas within two-three days after delivery. Data were collected from May to August 1994, using the Neonatal Perception Inventory (NPI) devised by Broussard(1963) with additions by Lee, Ja Hyung(l986). The results of this study are as follows; 1. There was a significant difference in the mothers' perceptions of their babies according to mothers' age(P<0.05, P<0.01). Mothers of 20 years and downward had negative perceptions of their babies. 2. There was no difference in the mothers' perceptions of their babies according to whether they had a job or not. 3. There was a significant difference in the mothers' perceptions of their newborns according to mothers' education level (P<0.01). Mothers graduated from a junior high school had negative perceptions of their babies. 4. There was no difference in the mothers' perceptions according to their feeding pattern. 5. There was a significant difference between Korean mothers' perceptions and American mothers' perceptions of their babies(P<0.01). 69.7% of Korean mothers and 44.1% of American mothers had positive perceptions. But Korean mothers perceived that it would be more difficult for them to take care of their babies. As seen above, Korean primiparas evaluated their babies higher than Americans. But they perceived that it would be more difficult for them to take care of their babies. The results suggest that there needs a rooming-in system and systematic prenatal educations for the primiparas in Korea.

61 View
0 Download

Health Promotion Behavior, Self-Efficacy and the Role Stress of Family Caregivers Who Care for Hospitalized Cancer Patients: Hye Sook Jang, Jeong Ran Lee, Moung Sil Lee, Yeon Sun Yun, Young Hee Kim; Journal of Korean Academy of Nursing 2000;30(2):402-412. Published online March 29, 2017; DOI: https://doi.org/10.4040/jkan.2000.30.2.402

Abstract PDF

The purpose of this study is to identify health promotion behavior, self-efficacy and role stress of family caregivers who care for hospitalized cancer patient, The results would be used to provide the necessary basic data for promoting healthy behavior of the family caregivers to the cancer patient. The results were as follow : 1) The level of health promotion behavior was significantly different depending on the existence of care givers religion and type of help from family members. There was a positive relationship between the performance level of health promotion behavior and perceived health status or age. There was a negative correlation between the performance level of health promotion behavior and time cared for. 2) The level of self-efficacy was significantly different depending on gender and if the subject was employed. There was a positive relationship between perceived health status and intimacy with patient. 3) The level of role stress was significantly different in genders and relationships with patients. 4) There was a positive relationship between health promotion behavior and self-efficacy.

Citations

Citations to this article as recorded by

The Effect of Self-efficacy and Depression on Sense of Family Coherence in Cancer Patients Undergoing Chemotherapy and Primary Caregivers in Day Care Wards: Using the Method Actor-partner Interdependence Model
Eun-Hee Do, Eun Joung Choi
Asian Oncology Nursing.2019; 19(4): 214. CrossRef
The Lived Experience of Suffering of Family with Cancer Patients: Parse’s Human Becoming Research Method
Ye-Sook Choi
The Korean Journal of Hospice and Palliative Care.2016; 19(2): 127. CrossRef

128 View
0 Download
2 Crossref

The Effect of Dance Therapy on Pulmonary and Cognitive Function in the Elderly: Young Ran Lee, Sook Ja Yu; Journal of Korean Academy of Nursing 1999;29(6):1273-1283. Published online March 29, 2017; DOI: https://doi.org/10.4040/jkan.1999.29.6.1273

Abstract PDF

This study was done to explore the effects of dance therapy on pulmonary and cognitive functions in the elderly. The design of this study was a non-equivalent pre-post test experiment. The subjects consisted of elderly persons living in a facility located in Kyoungi-Do. Fifty eight subjects had normal cognition, sensory function and resting blood pressure. They underwent tests of pulmonary and cognitive function as baseline data before dance therapy, and at 6th week and at the end of 12nd week after following dance therapy. Twenty seven elderly persons were assigned to the experimental group and participated with the dance therapy. This therapy was based on the Marian Chace's dance therapy and Korean traditional dance with music. The dance therapy consisted of 50 minutes session, 3 times a week for 12 weeks. One session consisted of warming-up, expression, catharsis, sharing and closing stage. the intensity of the dance therapy was at the 40% of age-adjusted maximum heart rates. Data were analyzed with mean, standard deviation, Chi-square test, unpaired t-test, repeated measures ANOVA, and Bonferroni multiple regression using SAS program. The results were as follows: 1. Pulmonary function(forced expiratory volumn at one second and forced vital capacity) of the experimental subjects significantly increased over time more than that of the control subjects. 2. The experimental group had significantly higher score for pulmonary function than the control group at the 12nd week after dance therapy. 3. Cognitive function of the experimental subjects significantly increased over time more than that of the control subjects. 4. The experimental group had significantly higher score for cognitive function than the control group at the 6th week and 12nd week after dance therapy. The findings showed the dance therapy could be effective in improving the pulmonary and cognitive function of the elderly.

Citations

Citations to this article as recorded by

The Effect of High-Intensity Aerobic Exercise on the Pulmonary Function among Inactive Male Individuals
Arwa Rawashdeh, Nedal Alnawaiseh
Biomedical and Pharmacology Journal.2018; 11(2): 735. CrossRef
Effects of high intensity aerobic exercise on treadmill on maximum-expiratory lung capacity of elderly women
Joonsung Park, Dongwook Han
Journal of Physical Therapy Science.2017; 29(8): 1454. CrossRef

116 View
0 Download
2 Crossref

The Effect of Dance Therapy on Physical and Psychological Characteristics in The Elderly: Young Ran Lee; Journal of Korean Academy of Nursing 1999;29(2):429-444. Published online March 29, 2017; DOI: https://doi.org/10.4040/jkan.1999.29.2.429

Abstract PDF

This study was performed to explore the effects of a dance therapy on physical and psychological characteristics in the elderly. The design of this study was a non-equivalent pre-post test experiment. The subjects consisted of elderly persons living in a facility located in Suweon and Bucheon. Fifty eight subjects, aged between 65 and 93 years who had normal cognition, sensory function, balance, and resting blood pressure. They underwent tests of balance, flexibility, muscle strength, depression, and anxiety as baseline data before dance therapy, and at 6 th week and at the end of the 12nd week after following dance therapy. Twenty seven elderly persons were assigned to the experimental group and participated with the dance therapy between April and July, 1998. The dance therapy was developed by the author with the help of a dance therapist and a physiatrist. This therapy was based on the Marian Chace's dance therapy and Korean traditional dance with music. The dance therapy was developed by the author with the help of a dance therapist and a physiatrist. This therapy was based on the Marian Chace's dance therapy and Korean traditional dance with music. The dance therapy consists of 50 minutes session, 3 times a week for 12 weeks. One session was consisted of warming-up, expression, catharsis, sharing, and closing stage. The intensity of the dance therapy was at the 40% of age-adjusted maximum heart rates. Data were analyzed with mean, standard deviation, Chi-square test, unpaired t-test, repeated measures ANOVA, and Bonferroni multiple regression using SAS program. 1. The results related to the physical characteristics were as follows : 1) The balance (standing on one leg, walking on the balancing bar), flexibility and muscle strength (knee extensor, knee flexor, ankle plantarflexor and dorsiflexor) of the experimental subjects significantly increased over time more than that of the control subjects. 2) The experimental group had significantly higher score for balance, flexibility, muscle strength of knee extensor, and knee flexor than the control group at the 12nd week after dance therapy. 3) The experimental group had significantly higher score for muscle strength of ankle dorsiflexor and plantarflexor than the control group at the 6th week and the 12nd week after dance therapy. 2. The results related to psychological characteristics were as follows : 1) Scores of Geriatric Depression Scale, Hamilton Depression Rating Scale, and Zung's Self-rating Anxiety Scale of the experimental group were significantly decreased over time more than that of the control group. 2) The experimental group had significantly lower score for depression than the control group at the 12nd week after dance therapy. 3) The experimental group had significantly lower score for anxiety than the control group at eh 6th week and the 12nd week after dance therapy. The findings showed that the dance therapy could be effective in improving the balances, flexibility, and muscle strength of lower limb, and effective in decreasing the depression and anxiety of the elderly. Additional merits of the dance therapy would be inexpensiveness, easy accessibility, and increasing interpersonal relationship. It can be suggested that the dance therapy is effective in the health promotion of the elderly.

Citations

Citations to this article as recorded by

The Effects of a Health Management Program on Health-promoting Lifestyle and Depression in Older Adults Living at Home
Young Rye Park, Yang Gyeong Yoo
The Korean Journal of Rehabilitation Nursing.2013; 16(1): 71. CrossRef

94 View
0 Download
1 Crossref

The trend and Issues of the Gerontological Nursing Study in Korea: Young Ran Lee, Shin Mi Kim, Hae Ok Park, Hyo Mi Park, Gae Hwa Jo, You Ja Ro; Journal of Korean Academy of Nursing 1998;28(3):676-694. Published online March 29, 2017; DOI: https://doi.org/10.4040/jkan.1998.28.3.676

Abstract PDF

Issues related to the elderly have been recognized in Korea and nursing scholars have tried to study there issues. It is hard to say which the direction we, are going or have to go, since there has been little systemic effort to establish gerontological nursing field yet. Therefore, it is necessary to find out the trend and the guidelines of gerontolotical nursing studies for the future. Dissertation and published articles related to the elderly in the nursing field from 1991 to the February of 1997 were are reviewed. Total 127 studies were analysed in terms of concept, design/methodology, and results, and the nature and issues of the geronotologic nursing studies in Korea were explored. The results are as follows: 1. There was no clear chronological definition of the elderly. 2. The most popular research design was an exploratory/descriptive study. 3. The major concepts studies were physical and mental health. 4. Among those studies using instrument which were developed and modified and /or translated by researchers, the reliability and validity were rarely reported. 5. Theory based studies were rare. We suggest the following issues for future studies : 1. The chronological and other criteria related to the definition of elderly is needed. 2. Physiopsychosocial characteristics of Korean elderly and their managements in terms of intervention studies need to be conducted more synthetically. 3. Social issues from the change of types and function of family such as single elderly family need to be studied. 4. Participation in and collaborate with other disciplines are needed. 5 Development and test of instruments to measure phenomena or concepts is needed. 6. Macroscopic approach such as policy also needed. 7. Theory based studies are needed.

Citations

Citations to this article as recorded by

Trend Analysis of Research in the Journal of Korean Gerontological Nursing (2010~2015)
Yerin Cha, Joeun Kwon, Sunhye Kwon, Kyung Hee Lee, Jiyun An
Journal of Korean Gerontological Nursing.2017; 19(2): 92. CrossRef

150 View
1 Download
1 Crossref

Development and Application of an Online Alternative Therapy and Health Promotion Class: Jeong Sook Park, Young Sook Kwon, Hye Ran Lee; Journal of Korean Academy of Nursing 2006;36(2):286-298. Published online March 28, 2017; DOI: https://doi.org/10.4040/jkan.2006.36.2.286

Abstract PDF

Purpose

This study was to develop an online ‘ alternative therapy and health promotion’ class for university students and to evaluate its changes.

Method

The online class was developed based on the Instructional Systems Development (ISD) model and model of Web-Based Instruction (WBI) developmental process. This was a quasi- experimental, one group pretest-posttest design. The subjects of this study were 130 students in 3 universities, and they were provided the cyber class for 16 weeks. Data was analyzed by descriptive and plural answer statistics, and paired t-test.

Results

The cyber class was developed in five steps : analysis, design, data collection and reconstruction, programing and publishing, and evaluation. The results of program evaluation were positive, which included learning 3.47, system 3.57, and learning satisfaction 3.64 on the scale of 5. The posttest scores of cognition and reliability of alternative therapy were higher than pretest scores. The posttest score of health promoting lifestyle (t=-5.051, p=.000) and perceived health status (t=2.979, p=.003) were significantly higher than those of the pretest.

Conclusion

These results suggest that the cyber class is a positive method in increasing a cognition, reliability of alternative therapy, and is effective to improve a health promotion lifestyle and perceived health status for the university students.

Citations

Citations to this article as recorded by

Self-reported Realities of Health Behavior of Undergraduate Students After Web-based Health Promotion Education: Qualitative Content Analysis
Joo Hyun Kim, Eun Young Park, Kyung Choon Lim
The Journal of Korean Academic Society of Nursing Education.2012; 18(3): 413. CrossRef

114 View
1 Download
1 Crossref

Effects of Relaxing Music on Stress Response of Patients with Acute Myocardial Infarction: Hae Ran Lee; Journal of Korean Academy of Nursing 2003;33(6):693-704. Published online March 28, 2017; DOI: https://doi.org/10.4040/jkan.2003.33.6.693

Abstract PDF

Purpose

The purpose of this study was to determine whether a relaxing music was effective in reducing stress response of patients admitted to a coronary care unit with the diagnosis of acute myocardial infarction.

Method

The research design was the chosen convenience sample of a randomized control group pre-posttest quasi- experimental design. Forty patients, 20 for an experimental group and another 20 for control group. The study was to provide the patients three different kinds of relaxing music. The experimental group listened to relaxing music for a 20-minute one time a day for 3days. The control group was just provided with a 20-minute period of rest. Test for hypothesis was done by repeated measured ANOVA.

Result

The experimental group which received relaxing music showed a significantly lower level of electrodermal response, myocardial oxygen consumption and respiration rate, and a higher level of peripheral skin temperature than the control group. The experimental group which received relaxing music showed a significant reduction in state anxiety than the control group.

Conclusion

The results showed that relaxing music is an effective nursing intervention for reducing physiologic and psychologic stress response of the patients with acute myocardial infarction in a critical intensive care unit.

Citations

Citations to this article as recorded by

The Trace Conditional Learning of the Noxious Stimulus in UWS Patients and Its Prognostic Value in a GSR and HRV Entropy Study
Daniela Cortese, Francesco Riganello, Francesco Arcuri, Lucia Lucca, Paolo Tonin, Caroline Schnakers, Steven Laureys
Frontiers in Human Neuroscience.2020;[Epub] CrossRef
The effects of Turkish classical music on physiological parameters, pain and analgesic use in patients with myocardial infarction: A non-randomized controlled study
Seyhan Citlik-Saritas, Serdar Saritas, Rahsan Cevik-Akyil, Kevser Isik
European Journal of Integrative Medicine.2018; 22: 50. CrossRef
The Effects of Music Therapy on Anxiety, Sedation, and Stress Responses of Patients Undergoing Surgery with Spinal Anesthesia
Gye Seon Jeong, Younhee Kang
Korean Journal of Adult Nursing.2016; 28(5): 525. CrossRef
The Experiences of Prayer in Christian Patients with Breast Cancer
Won Hee Lee, Ji Hyun Sung, Jung Eun Lee, Kyung Ah Kang
Journal of Korean Oncology Nursing.2010; 10(2): 199. CrossRef
Effect of Jang-Gu Program and Self-help Management Program on Depression, Stress, Pain and Body Discomfort in Women with Osteoarthritis
Yeong-Hee Jeong, Jong-Im Kim, Sun-Ae Kim, Keum-Ok Lim
Journal of muscle and joint health.2010; 17(2): 212. CrossRef
Analyses of Studies on Cardiac Rehabilitation for Patients with Cardiovascular Disease in Korea
Yeoungsuk Song
Journal of Korean Academy of Nursing.2009; 39(3): 311. CrossRef

126 View
0 Download
6 Crossref

Effect of Cancer Symptoms and Fatigue on Chemotherapy-related Cognitive Impairment and Depression in People with Gastrointestinal Cancer: Pok Ja Oh, Jung Ran Lee; J Korean Acad Nurs 2016;46(3):420-430. Published online June 30, 2016; DOI: https://doi.org/10.4040/jkan.2016.46.3.420

Abstract PDF

Purpose

The purpose of this study was to test a hypothetical model of chemotherapy-related cognitive impairment (CRCI) and depression in people with gastrointestinal cancer.

Methods

A purposive sample of 198 patients undergoing chemotherapy was recruited from November 2014 to July 2015. The instruments were Everyday Cognition (ECog), Hospital Anxiety Depression Scale (HADS), Functional Assessment of Chronic Illness Therapy-Fatigue (FACIT-F), and M. D. Anderson Symptom Inventory-Gastrointestinal Cancer Module. Data were analyzed using descriptive statistics, correlation, and path analysis.

Results

CRCI was directly affected by cancer symptoms (β=.19, p=.004) and fatigue (β=.56, p<.001)(R²=47.2%). Depression was directly affected by fatigue (β=.48, p<.001) and CRCI (β=.27, p<.001). However, The impact of cancer symptoms on depression was confirmed through the mediating effect of CRCI.

Conclusion

Results indicate that in patients with gastrointestinal cancer undergoing chemotherapy along with the direct physiologic effects (fatigue, symptoms) of cancer treatment may have altered cognitive function leading to depression.

Citations

Citations to this article as recorded by

Low Back Pain and Its Influencing Factors among Intensive Care Unit Nurses: A Cross-sectional Study
Hyun Ju Uhm, Hye-Ja Park
Journal of Health Informatics and Statistics.2022; 47(2): 95. CrossRef
Factors affecting the quality of life of gastric cancer survivors
Jahyun Choi, Sanghee Kim, Mona Choi, Woo Jin Hyung
Supportive Care in Cancer.2022; 30(4): 3215. CrossRef
Attitudes About Coping With Fatigue in Patients With Gastric Cancer
Eun Ja Yeun, Misoon Jeon
Gastroenterology Nursing.2020; 43(1): 97. CrossRef
Symptom Distress and Depression in Patients with Recurrent Gynecologic Cancer Undergoing Chemotherapy: Mediating Effect of Resilience
Eun Jung Yang, Ho Sihn Ryu
Korean Journal of Adult Nursing.2019; 31(1): 28. CrossRef
Computerized programs for cancer survivors with cognitive problems: a systematic review
Yoonjung Kim, Sook Jung Kang
Journal of Cancer Survivorship.2019; 13(6): 911. CrossRef
Changes of Cognitive Function and Depression following Chemotherapy in Women with Breast Cancer: A Prospective Study
Pok Ja Oh, Jung Ran Lee, Hyun Ah Kim
Asian Oncology Nursing.2018; 18(2): 66. CrossRef
Symptom Clusters and Quality of Life in Subjects With COPD
Kyeung Eun Lim, Sung Reul Kim, Hyun Kyung Kim, So Ri Kim
Respiratory Care.2017; 62(9): 1203. CrossRef

176 View
2 Download
7 Crossref

Construct Validity of the Life Transition Scale for Parents of Children with Autism: Ae Ran Lee, Sun Woo Hong, Se Jin Ju; J Korean Acad Nurs 2014;44(5):563-572. Published online October 31, 2014; DOI: https://doi.org/10.4040/jkan.2014.44.5.563

Abstract PDF

Purpose

The study was done to identify the construct validity and reliability of the life transition scale (LTS) for parents who have children with autism.

Methods

Exploratory factor analysis (EFA) and confirmative factor analysis (CFA) were conducted to identify the most adequate measurement model for structural validity. Convergent validity and discriminant validity were also conducted for structural validity. Data were collected from 208 parents through self-reported questionnaires and analyzed with SPSS/WIN 15.0 and AMOS 20.0 version.

Results

A four factor-structure was validated (χ²=541.23, p<.001, GFI=.82, RMSEA=.07, IFI=.89, CFI=.89, PNFI=.73, Q (χ²/df)=2.20) at the 3rd order of EFA and CFA, and factors were named as denying, wandering, despairing, and accepting. Both convergent and determinant validity for LTS were 100%. Cronbach's alphas for the reliability of each structure were .77-.90 and .83 for total structure.

Conclusion

The four structures, 24-item instrument showed satisfactory reliability and validity. LTS has the potential to be appropriate for assessing the transition process of life for parents who have children with autism and provides basic directions for differentiated support and care at each stage.

Citations

Citations to this article as recorded by

An Integrated Review of The Factors Influencing Aggression in Children and Adolescents with Autism Spectrum Disorder
Miran Jung, Yeong Seon Hong
Journal of Korean Academy of psychiatric and Mental Health Nursing.2022; 31(2): 125. CrossRef
Children with severe disabilities: adaptation, virtual education, and prospects. Experiences of three Peruvian mothers, COVID-19 context
Pilar Maria Gamarra Choque, Edith Gissela Rivera Arellano, Enaidy Reynosa Navarro, Juan Méndez Vergaray, Yolanda Josefina Huayta-Franco, Melissa Fatima Muñante Toledo
Journal of Medicine and Life.2022; 15(1): 43. CrossRef
Validity and Reliability of the Life Transition Scale in Parents of Disabled Children Across the Life Transition Process
Sun Woo Hong, JinShil Kim, Hwal Lan Bang
Child Health Nursing Research.2020; 26(3): 338. CrossRef
Life Transition Process Effects on Depressive Symptoms in Parents of Children with Autism Spectrum Disorder
Sun Woo Hong, JinShil Kim, Ae Ran Lee, Jeong Sil Choi
Child Health Nursing Research.2018; 24(3): 337. CrossRef
Differences in Life Transition Process of Parents Caring for Children with Autism: Based on the Socio-Demographic Characteristics
Ae Ran Lee, Sun Woo Hong
Child Health Nursing Research.2015; 21(4): 331. CrossRef

156 View
2 Download
5 Crossref

Development of a Scale to Measure Life Transition Process in Parents of Children with Autism: Ae Ran Lee, Sun Woo Hong, Se Jin Ju; J Korean Acad Nurs 2012;42(6):861-869. Published online December 31, 2012; DOI: https://doi.org/10.4040/jkan.2012.42.6.861

Abstract PDF

Purpose

The purpose of this research was to develop a scale to measure the life transition process of parents of children with autism, against the backdrop of a lack of research on this topic.

Methods

Seventy preliminary items were drawn from previous qualitative research, and content validity was tested by three professors as well as three parents of children with autism. A questionnaire survey was also done between August 2011 and February 2012. Data were collected from 207 parents of children with autism and analyzed using descriptive statistics, item analysis, Cronbach's alpha, Pearson correlation coefficients, and factor analysis with the SPSS Win 15.0 program.

Results

Twenty-nine items were selected to constitute the appropriate measuring scale and categorized into 5 factors explaining 63.2% of the total variance. The 5 factors were named; stages of denial (5 items), wandering (6 items), devotion (7 items), frustration (3 items), and finally acceptance (8 items). Cronbach's alpha for the 29 items was .80.

Conclusion

The results of this study not only suggest assessment criteria for the life transition process of parents who have children with autism but also provide basic directions for program development to provide differentiated support and care at each stage.

Citations

Citations to this article as recorded by

Validity and Reliability of the Life Transition Scale in Parents of Disabled Children Across the Life Transition Process
Sun Woo Hong, JinShil Kim, Hwal Lan Bang
Child Health Nursing Research.2020; 26(3): 338. CrossRef
Life Transition Process Effects on Depressive Symptoms in Parents of Children with Autism Spectrum Disorder
Sun Woo Hong, JinShil Kim, Ae Ran Lee, Jeong Sil Choi
Child Health Nursing Research.2018; 24(3): 337. CrossRef
Differences in Life Transition Process of Parents Caring for Children with Autism: Based on the Socio-Demographic Characteristics
Ae Ran Lee, Sun Woo Hong
Child Health Nursing Research.2015; 21(4): 331. CrossRef
Construct Validity of the Life Transition Scale for Parents of Children with Autism
Ae Ran Lee, Sun Woo Hong, Se Jin Ju
Journal of Korean Academy of Nursing.2014; 44(5): 563. CrossRef

200 View
2 Download
4 Crossref

Development and Validation of Self-Efficacy Scale for Self-Management of Breast Cancer (SESSM-B): Ran Lee, Soo Hyun Kim, Keun Sook Lee, Myung Kyung Seo; J Korean Acad Nurs 2012;42(3):385-395. Published online June 12, 2012; DOI: https://doi.org/10.4040/jkan.2012.42.3.385

Abstract PDF

Abstract Purpose

This purpose of this study was to develop and validate a Self-Efficacy Scale for Self-Management of Breast Cancer (SESSM-B).

Methods

The SESSM-B was developed and validated as follows: Item generation, pilot study, and tests of validity and reliability. Twenty-one items were developed through evaluation by 10 experts and 13 items were finally confirmed through item analysis and factor analysis. Psychometric testing was performed with a convenience sample of 303 women with breast cancer. Data were analyzed using factor analysis, Pearson correlation coefficients, and Cronbach’s alpha.

Results

Five factors evolved from the factor analysis, which explained 69.8% of the total variance. The first factor ‘coping with psycho-informational demand’ explained 17.2%, 2nd factor ‘maintenance of healthy lifestyle’ 14.5%. 3rd factor ‘management of side-effects' 13.3%, 4th factor ‘therapeutic compliance’ 12.8%, and 5th factor ‘sexual life’ 11.9%. SESSM-B also demonstrated a concurrent validity with health-related quality of life scale, EORTC QLQ-C30 & BR23. The internal consistency, Cronbach’s alpha, was .78, and reliability of the subscales ranged from .61 to .79.

Conclusion

The results of this study suggest that the SESSM-B is an easy, reliable, and valid instrument to measure self-efficacy for self-management of breast cancer.

Citations

Citations to this article as recorded by

Effect of depression and empowerment on medication adherence in patients with breast cancer: a descriptive survey
Sookyung Jeong, Eun Jeong Kim
BMC Nursing.2025;[Epub] CrossRef
Categorising Subjective Perceptions of Middle-Aged Breast Cancer Patients Using Q Methodology
Min-Jeung Shim, Song-Yi Lee, Oh-Sun Ha
Healthcare.2024; 12(18): 1873. CrossRef
Factors influencing resilience among breast cancer survivors: Implications for evidence‐based practice
Myeongshin Kim, Sohyune Sok
Worldviews on Evidence-Based Nursing.2024; 21(1): 87. CrossRef
A systematic review of qualitative research on the self‐management experience of breast cancer patients
Xi‐Bo Sun, He‐Peng Su, He Jiang, Bing Wang, Shuai Lu, Jin‐Xiu Qu, Xiang‐Qi Li, Ben‐Qiang Rao
The International Journal of Health Planning and Management.2024; 39(4): 1131. CrossRef
Predictive Factors for Medication Adherence in Patients with Breast Cancer on Hormone Therapy
Hee-jung Jung, Su-Jin Lim
Asian Oncology Nursing.2023; 23(4): 216. CrossRef
Trajectories of quality of life in breast cancer survivors during the first year after treatment: a longitudinal study
Jin-Hee Park, Yong Sik Jung, Ji Young Kim, Sun Hyoung Bae
BMC Women's Health.2023;[Epub] CrossRef
Mobile web‐based self‐management program for breast cancer patients with chemotherapy‐induced amenorrhoea: A quasi‐experimental study
Jin‐Hee Park, Yong Sik Jung, Ji Young Kim, Sun Hyoung Bae
Nursing Open.2022; 9(1): 655. CrossRef
Determinants of quality of life in women immediately following the completion of primary treatment of breast cancer: A cross-sectional study
Jin-Hee Park, Yong Sik Jung, Ji Young Kim, Sun Hyoung Bae, Ka Ming Chow
PLOS ONE.2021; 16(10): e0258447. CrossRef
Psychometric Evaluation of a Korean Version of the Cancer Survivors' Self-efficacy Scale
Soo Hyun Kim, Bo Gyeong Lee, Ji Yeon Lee, Sei Joong Kim, Min Hee Hur, Moon Hee Lee, Mi Sook Han
Cancer Nursing.2019; 42(6): 509. CrossRef
International Trends on Patient-Reported Outcome Measures for Improving Care Quality and Its Implication for South Korea: Focus on OECD PaRIS
Ji-Suk Choi, Young-Shin Park, Jee-Ae Kim, Choon-Seon Park
Quality Improvement in Health Care.2019; 25(1): 11. CrossRef
The study on developing the self care tool for the elderly cancer patient undergoing hemotherapy : Focusing on the effect of Health Monitoring Diary
Yeon Ok Lim, Yojin Kim, Hyunsook Yoon, Dae Young Zang, Dae Ro Choi, Kyoungwon Choi
Korean Journal of Health Education and Promotion.2018; 35(2): 73. CrossRef
Psychometric properties and performance of existing self-efficacy instruments in cancer populations: a systematic review
Fei-Fei Huang, Qing Yang, An-ni Wang, Jing-Ping Zhang
Health and Quality of Life Outcomes.2018;[Epub] CrossRef
Development and Psychometric Evaluation of the Transcultural Self-efficacy Scale for Nurses
Won-Oak Oh, Eun Sook Park, Min Hyun Suk, Yeo Jin Im
Journal of Korean Academy of Nursing.2016; 46(2): 293. CrossRef
Development and Validation of Nurse's Character Scale for Care in Clinical Settings
Jeong Hye Park
The Journal of Korean Academic Society of Nursing Education.2016; 22(2): 137. CrossRef
Development of a Self-Care Performance Scale for Patients with Stomach Cancer after Gastrectomy
Min Kyung Jeon, Geum Ja Park
Asian Oncology Nursing.2016; 16(2): 67. CrossRef
The Effects of Fatigue and Distress on Self-efficacy among Breast Cancer Survivors
Mi Hye Seo, Kyung Hee Lim
Korean Journal of Adult Nursing.2016; 28(4): 378. CrossRef
Development and Preliminary Evaluation of Psychometric Properties of Symptom-Management Self-Efficacy Scale for Breast Cancer Related to Chemotherapy
Shu-Yuan Liang, Wei-Wen Wu, Chiu-Ya Kuo, Yu-Ying Lu
Asian Nursing Research.2015; 9(4): 312. CrossRef
Development and Validation of the Empowerment Scale for Woman with Breast Cancer
Sun Hwa Shin, Hyojung Park
Journal of Korean Academy of Nursing.2015; 45(4): 613. CrossRef
Changes of Self-efficacy, Depression, and Posttraumatic Growth in Survivors with Breast Cancer Participating Breast Cancer Prevention Volunteering
Myungsun Yi, Jieun Cha, Youngmi Ryu
The Journal of the Korea Contents Association.2014; 14(4): 256. CrossRef
Development of Health Dieting Competency Scale for College Students
Jeongsoo Kim, Yumi Lee
Korean Journal of Adult Nursing.2014; 26(3): 300. CrossRef
A Randomized Trial of Dyadic Peer Support Intervention for Newly Diagnosed Breast Cancer Patients in Korea
Ran Lee, Keon Suk Lee, Eui-Geum Oh, Soo Hyun Kim
Cancer Nursing.2013; 36(3): E15. CrossRef
Self-care, Self-efficacy and Social Support of Patients Receiving Radioactive Iodine Therapy
Ji-Sook Kim, Ji-Soo Kim
The Journal of the Korea Contents Association.2013; 13(11): 261. CrossRef

290 View
6 Download
22 Crossref

Life Transition of Mothers of Children with Autism: Ae Ran Lee, Sun Woo Hong, Ji Soo Kim, Se Jin Ju; J Korean Acad Nurs 2010;40(6):808-819. Published online December 31, 2010; DOI: https://doi.org/10.4040/jkan.2010.40.6.808

Abstract PDF

Purpose

While there are a number of studies on children with disabilities, there have been few studies on mothers of children with autism. The purpose of this study was to explore the process of life transition of mothers who have children with autism.

Methods

From June 2007 to May 2009, the researcher interviewed 15 mothers of children with autism living in Seoul City, Gyeonggi or Chonbuk Provinces, and then analyzed the data gathered using the constant comparative method of grounded theory.

Results

"Living together holding a string of fate" was a core category showing along the continuum of life. The basic social process of life transition encompassed 5 stages: stages of denying, wandering, devoting, mind controlling, and finally accepting. These five stages proceeded in phases, though returned back to the wandering stage occasionally.

Conclusion

This study has opened the door to understanding how mothers of children with autism experienced life transition. The findings suggest that differentiated support and care at each stage should be given and there is the need to develop transition assessment tools for mothers of children with autism.

Citations

Citations to this article as recorded by

The influence of mother’s involvement in raising children with autism on maternal anxiety: the mediating role of parental psychological flexibility
Yuqing Zhang, Jingyi Liu, Maoxin Jiang, Fengqin Jia, Meixin Fang, Dianzhi Liu
Clinical Psychologist.2025; : 1. CrossRef
The Experiences of the Life of A Mother with A Developmentally Disabled Child: Parse's Human Becoming Research Method
Min Ji Kim, Kyung Mi Sung
Journal of Korean Academy of psychiatric and Mental Health Nursing.2024; 33(2): 181. CrossRef
Validity and Reliability of the Life Transition Scale in Parents of Disabled Children Across the Life Transition Process
Sun Woo Hong, JinShil Kim, Hwal Lan Bang
Child Health Nursing Research.2020; 26(3): 338. CrossRef
Life Transition Process Effects on Depressive Symptoms in Parents of Children with Autism Spectrum Disorder
Sun Woo Hong, JinShil Kim, Ae Ran Lee, Jeong Sil Choi
Child Health Nursing Research.2018; 24(3): 337. CrossRef
Differences in Life Transition Process of Parents Caring for Children with Autism: Based on the Socio-Demographic Characteristics
Ae Ran Lee, Sun Woo Hong
Child Health Nursing Research.2015; 21(4): 331. CrossRef
Construct Validity of the Life Transition Scale for Parents of Children with Autism
Ae Ran Lee, Sun Woo Hong, Se Jin Ju
Journal of Korean Academy of Nursing.2014; 44(5): 563. CrossRef
Grounded Theoretical Approach to the Life of Mothers as a Caretaker of Children with a Severe Disability
Chan-Young Jeun, Mia Seo
The Journal of the Korea Contents Association.2013; 13(4): 239. CrossRef
Development of a Scale to Measure Life Transition Process in Parents of Children with Autism
Ae Ran Lee, Sun Woo Hong, Se Jin Ju
Journal of Korean Academy of Nursing.2012; 42(6): 861. CrossRef

230 View
1 Download
8 Crossref

A Structural Model of Caring Behavior of Mothers of Disabled Children: Ae-Ran Lee; J Korean Acad Nurs 2009;39(5):673-682. Published online October 31, 2009; DOI: https://doi.org/10.4040/jkan.2009.39.5.673

Abstract PDF

Purpose

This study was done to develop a model which explains factors influencing caring behavior of mothers who have children with disabilities, and to verify the appropriateness of the model and the relationship among variables.

Methods

The participants in the research were the mothers who had a 3 to 12 yr-old children with disabilities. The data were collected from 451 mothers through self-reported questionnaires from July 14 to 31, 2008. A total of the 371 data sets were analyzed using SPSS/WIN 11.5 and AMOS 5.0 version.

Results

The children's behavior characteristics, social support, objective burden and parenting self-esteem had an impact on the mothers' caring behavior. Especially, parenting self-esteem including parenting satisfaction and self-efficacy was the most influential factor. These variables explained 77% of the mothers' caring behavior for these children.

Conclusion

The results suggest that some strategies for promoting mothers' parenting self-esteem focused on parenting satisfaction and self-efficacy should be developed in order to help mothers in caring for their child who is disabled.

Citations

Citations to this article as recorded by

Factors influencing the caring behaviors of primary family caregivers of older adults with dementia: A cross-sectional study
Da-Mi Kim, Hye-Young Jang
Journal of Korean Gerontological Nursing.2024; 26(2): 146. CrossRef
Structural Equation Modeling for Quality of Life of Mothers of Children with Developmental Disabilities: Focusing on the Self-Help Model
Mi Ran Yang, Mi Yu
Journal of Korean Academy of Nursing.2022; 52(3): 308. CrossRef
Validity and Reliability of the Life Transition Scale in Parents of Disabled Children Across the Life Transition Process
Sun Woo Hong, JinShil Kim, Hwal Lan Bang
Child Health Nursing Research.2020; 26(3): 338. CrossRef
A Review of the Korean Nursing Research Literature with Focus on Quantitative Measurement of Caring
Jeong-Hee Kim, Young Sook Park
Journal of Korean Academy of Community Health Nursing.2018; 29(2): 155. CrossRef
Mothers’ Experiences of Caring for Visually Impaired Children
Sangeun Oh
Child Health Nursing Research.2017; 23(2): 219. CrossRef
Construct Validity of the Life Transition Scale for Parents of Children with Autism
Ae Ran Lee, Sun Woo Hong, Se Jin Ju
Journal of Korean Academy of Nursing.2014; 44(5): 563. CrossRef
Development of a Scale to Measure Life Transition Process in Parents of Children with Autism
Ae Ran Lee, Sun Woo Hong, Se Jin Ju
Journal of Korean Academy of Nursing.2012; 42(6): 861. CrossRef
Life Transition of Mothers of Children with Autism
Ae Ran Lee, Sun Woo Hong, Ji Soo Kim, Se Jin Ju
Journal of Korean Academy of Nursing.2010; 40(6): 808. CrossRef

176 View
0 Download
8 Crossref

The Effects of Meridian Massage on Menopausal Symptoms and Shin-Hur in Middle-aged Menopausal Women: Kyung-Hee Yang, Kum-Sook Park, Jeong-Ran Lee; Journal of Korean Academy of Nursing 2008;38(1):131-139. Published online February 29, 2008; DOI: https://doi.org/10.4040/jkan.2008.38.1.131

Abstract PDF

Purpose

The purpose of this study was to identify the effects of meridian massage on menopausal symptoms and Shin-Hur in middle-aged menopausal women.

Methods

The research design was a nonequivalent control group pre-post experimental design. The subjects of the study were middle-aged women who had had no menstruation in the last 12 months after the last menstrual bleeding. Cards of invitation on bulletin boards of several apartments were placed to recruit the subjects. The cards of invitation included: purpose of the study, eligibility criteria, method and period. Eighteen women in the experimental group and 16 women in the control group were conveniently assigned, respectively. The experimental group received 20 min meridian massage 3 times per week for 4 weeks. The menopausal symptoms and Shin-hur were measured and compared between the two groups before and after the intervention. Data were analyzed with the SPSS program by Fisher's exact test, Wilcoxon Sign Rank test, Mann Whitney U-test and Spearman's rank correlation.

Results

The experimental group showed a significant decrease of menopausal symptoms (U=77.00, p=.020) and Shin-Hur (U=76.00, p=.017). There was a significantly positive correlation between menopausal symptoms and Shin-Hur (r=.497, p=.003).

Conclusion

Meridian massage was effective in improving menopausal symptoms and Shin-Hur in middle-aged menopausal women. Thus it can be useful as a nursing intervention for menopausal women.

Citations

Citations to this article as recorded by

Women Religious and Married Women's Attitudes toward Menopause and Menopausal Symptoms
Myung-Sook Yoo
Korean Journal of Women Health Nursing.2010; 16(2): 186. CrossRef
A Study of Educational Need, Attitude and Knowledge toward Menopause in Middle-aged Women
Myung-Sook Choi, Jeoung-Weon Park
Korean Journal of Women Health Nursing.2008; 14(4): 257. CrossRef

215 View
2 Download
2 Crossref

First
Prev
Page of 1
Next
Last

Search