Journal of Korean Academy of Nursing

Structural Equation Modeling for Quality of Life of Mothers of Children with Developmental Disabilities: Focusing on the Self-Help Model: Yang, Mi Ran , Yu, Mi; J Korean Acad Nurs 2022;52(3):308-323. Published online June 30, 2022; DOI: https://doi.org/10.4040/jkan.22013

Abstract PDF: Purpose
This study aimed to construct and test a predictive model for the quality of life (QOL) in mothers of children with developmental disabilities (DB). The hypothesized model included severity of illness, distress, uncertainty, self-help, and parenting efficacy as influencing factors, QOL as a consequence based on the Braden’s Self-Help Model.
Methods
The data were collected through a direct and online surveys from 206 mothers in 8 locations, including welfare or daycare centers, developmental treatment centers, and The Parents’ Coalition for the Disabled located in two provinces of Korea. Data were analysed using SPSS/WIN 23.0 and AMOS 21.0 program.
Results
The fit indices of the predictive model satisfied recommended levels; χ² = 165.79 (p < .001), normed χ² (χ² /df) = 2.44, RMR = .04, RMSEA = .08, GFI = .90, AGFI = .85, NFI = .91, TLI = .93, CFI = .95. Among the variables, distress (β = - .46, p < .001), parenting efficacy (β = .22, p < .001), and self-help (β = .17, p = .018) had direct effects on QOL. Severity of illness (β = - .61, p = .010) and uncertainty (β = - .08, p = .014) showed indirect effects. The explanatory power of variables was 61.0%.
Conclusion
The study results confirm the utility of Braden’s Self-Help Model. They provide a theoretical basis for improving QOL in mothers of children with DB. Nursing intervention strategies that can relieve mothers’ distress and uncertainty related to disease and enhance parenting efficacy and self-help behavior should be considered.

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Comparison of Effects among Tai-Chi Exercise, Aquatic Exercise, and a Self-help Program for Patients with Knee Osteoarthritis: Hea Young Lee; Journal of Korean Academy of Nursing 2006;36(3):571-580. Published online June 30, 2006; DOI: https://doi.org/10.4040/jkan.2006.36.3.571

Abstract PDF: Purpose
This study was to compare the effects among Tai-Chi exercise, aquatic Exercise, and a self-help program for knee osteoarthritis patients on symptoms of arthritis, muscle strength, balance, and difficulty of performing activities.
Method
There were 50 final subjects50. A non-equivalent pretest-posttest design was used. The collected data was analyzed using SPSS for Window. One-way ANOVA and Scheffe's multiple comparison test were used 8weeks after each program.
Result
There were significant differences in joint pain(p=.000), stiffness (p=.001), knee extensor peak torque(p=.006), knee flexor(p=.002), and difficult of performing activity (p=.000), but there was no significant difference in balance(p=.648). The Tai-Chi group was significantly different from the self-help group for knee extensor peak torque, knee flexor and stiffness on Scheffe's multiple comparison tests. In addition, the Tai Chi group or aquatic group were significantly different from the self-help group for difficulty of performing activities(p<0.05).
Conclusion
There are significant differences in the effects of the nursing intervention among the three groups. The Tai Chi group and aquatic group were significantly different from the self-help group. However, it seems that Tai-chi exercise may be more suitable than aquatic exercise in osteoarthritis exercise programs. Further studies with a longitudinal study are necessary to confirm the longer exercise period.

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Effects of a Self-Help Group Program for Young Adults with Hemophilia: Hyun Sook Kang, Won Ock Kim, Hya Sook Lee; Journal of Korean Academy of Nursing 2005;35(3):602-610. Published online June 30, 2005; DOI: https://doi.org/10.4040/jkan.2005.35.3.602

Abstract PDF: Purpose
The purpose of this study was to identify the effects of Self-help program for Young adults with hemophilia.
Method
A quasi-experimental design was used. The subjects were 40 young adults with hemophilia, 21 in the experimental group and 19 in the control group. The subjects of the experimental group participated in a self-help group program for five sessions for 5 weeks. The program consisted of health education abouthemophilia, exercise, and therapeutic recreation. Its outcomes were evaluated on self-efficacy, ADL, depression, and quality of life. The obtained data was analyzedusing the Mann-Whitney U test of SPSS.
Result
1) The scores of self-efficacy, ADL and quality of life increased significantly in the experimental group as compared to the control group. 2) The score of depression decreased significantly in the experimental group as compared to the control group.
Conclusion
Considering these research results, the program is effective in improving self-management ability and quality of life. Therefore this program could be implemented as a self-help group program for hemophilia clients.

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