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Research Paper
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
AbstractAbstract 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 χ22 /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.

Citations

Citations to this article as recorded by  
  • The Relation among Uncertainty, Social Support, Care Burden of Mothers having Children with Developmental Disabilities
    Kyoung Eun Jeong, Min Hyun Suk
    Research in Community and Public Health Nursing.2023; 34: 117.     CrossRef
  • 213 View
  • 7 Download
  • 1 Crossref
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Original Articles
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
AbstractAbstract 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.

Citations

Citations to this article as recorded by  
  • How Do Muscle Function and Quality Affect the Progression of KOA? A Narrative Review
    Lei Chen, Haojing Zhou, Yichen Gong, Yi Tang, Hai Su, Zhaokai Jin, Guoqian Chen, Peijian Tong
    Orthopaedic Surgery.2024; 16(4): 802.     CrossRef
  • Effects of a Physical Activity Program based on Social Cognitive Theory for Old-Old Women with Knee Osteoarthritis
    Soon Rim Suh, Jeong Hwa Lee
    Journal of Korean Academy of psychiatric and Mental Health Nursing.2021; 30(3): 278.     CrossRef
  • The Effects of Baduanjin Qigong on Postural Stability, Proprioception, and Symptoms of Patients With Knee Osteoarthritis: A Randomized Controlled Trial
    Jiajia Ye, Michael William Simpson, Yang Liu, Wei Lin, Weihong Zhong, Shuhe Cai, Liye Zou
    Frontiers in Medicine.2020;[Epub]     CrossRef
  • Evaluation of the Interaction Model of Client Health Behavior‐based multifaceted intervention on patient activation and osteoarthritis symptoms
    Yang Heui Ahn, Ok Kyung Ham
    Japan Journal of Nursing Science.2020;[Epub]     CrossRef
  • Development and Validity Testing of an Arthritis Self-Management Assessment Tool
    HyunSoo Oh, SunYoung Han, SooHyun Kim, WhaSook Seo
    Orthopaedic Nursing.2018; 37(1): 24.     CrossRef
  • Trend Analysis of Water-based Exercise on Pain and Physical Function in Older, Community-dwelling Women with Osteoarthritis in South Korea : A Systematic Review
    SeJun Oh, Minhee Kim, Minyoung Lee, Jun-Woo Yeom, Jaehyuk Lee, BumChul Yoon
    Archives of Orthopedic and Sports Physical Therapy.2017; 13(1): 1.     CrossRef
  • The Effects of Isokinetic Exercise on Knee Joint Combined Russian Current Stimulation
    Dong-Hoon Kim, Ho-Bal Jung
    The Journal of Korean Physical Therapy.2015; 27(5): 351.     CrossRef
  • The effects of t’ai chi on muscle activity, pain, and balance in females in their 20s with acute low back pain
    Jee-Hun Jang, Tae-Yong Cho, Yong-Ho Cho
    Journal of Physical Therapy Science.2015; 27(3): 725.     CrossRef
  • The Effects of a Case Management Program of Customized Home Visiting Health Service for Clients with Arthritis
    Soon-Ok Yang, Myung Soon Kwon, Yong-Jun Choi, Seung-Hee Lee
    Journal of Korean Academy of Community Health Nursing.2011; 22(2): 151.     CrossRef
  • Analysis of Studies on the Effect of Aquatic Exercise Program
    Jong-Im Kim, Kyung-Sook Cho, Hee-Sook Sim, Eun-Nam Lee, In-Ok Lee, Young Eun, Dong-Suk Lee, Hyun-Sook Kang, Won-Sook Bak, Ji-Hyun Lee
    Journal of muscle and joint health.2011; 18(2): 257.     CrossRef
  • The Effect of Health Promotion Program in Vulnerable Women with Osteoarthritis
    Myung Suk Lee, Hyun JA Lim, Jung Suk Kim
    Journal of Korean Academy of Community Health Nursing.2011; 22(3): 241.     CrossRef
  • Effects of Tai Chi Exercise and Auricular Acupressure in Patients with Rheumatoid Arthritis
    Hea-Young Lee, Claire Hale
    Journal of muscle and joint health.2011; 18(1): 103.     CrossRef
  • The Effect of Self-help Tai Chi Over 16 Weeks in Community Program for Older Adults Korean American Women
    Eunhee Lee
    Korean Journal of Women Health Nursing.2010; 16(1): 87.     CrossRef
  • Effectiveness of Aquatic Exercise for Obese Patients with Knee Osteoarthritis: A Randomized Controlled Trial
    Jae‐Young Lim, Esther Tchai, Soong‐Nang Jang
    PM&R.2010; 2(8): 723.     CrossRef
  • The Effects of a Tai Chi Exercise Program for Patients with Arthritis in Rural Areas
    Aeyoung So, Kyung-Sook Lee, Jung Sook Choi, Eun Hee Lee
    Journal of Korean Academy of Community Health Nursing.2010; 21(1): 118.     CrossRef
  • Effects of Tai-Chi Exercise and Self-help Management Program Applying Laughter Therapy in Patients with Osteoarthritis
    Keum-Soon Kim, Jeong-A Yu, Jin-A Kim, Yim-Sun Lee, In-Ok Lee
    Journal of muscle and joint health.2010; 17(1): 68.     CrossRef
  • Effects of Tai Chi Exercise Program on Physical Fitness, Fall related Perception and Health Status in Institutionalized Elders
    MingRen Liu, Heeyoung So
    Journal of Korean Academy of Nursing.2008; 38(4): 620.     CrossRef
  • 118 View
  • 10 Download
  • 17 Crossref
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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
AbstractAbstract 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.

Citations

Citations to this article as recorded by  
  • Caring for a Child with Congenital Adrenal Hyperplasia Diagnosed by Newborn Screening: Parental Health-Related Quality of Life, Coping Patterns, and Needs
    Laura Rautmann, Stefanie Witt, Christoph Theiding, Birgit Odenwald, Uta Nennstiel-Ratzel, Helmuth-Günther Dörr, Julia Hannah Quitmann
    International Journal of Environmental Research and Public Health.2023; 20(5): 4493.     CrossRef
  • Effect of a self‐help program for mothers of hemophilic children in Korea
    H. S. Kang, W. O. Kim, Y. Jeong, S. Y. Kim, K. Y. Yoo
    Haemophilia.2012; 18(6): 892.     CrossRef
  • The Effect of Tai Chi Self Help Group Program for Hemophilic Arthritis Patients
    Won-Sook Bak, Myung-Chul Yoo, Hyun-Sook Kang
    Journal of muscle and joint health.2012; 19(1): 71.     CrossRef
  • Development, implementation and evaluation of a new self‐help programme for mothers of haemophilic children in Korea: a pilot study
    H. S. KANG, W. O. KIM, K. J. CHO, Y. JEONG
    Haemophilia.2010; 16(1): 130.     CrossRef
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  • 4 Crossref
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