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Research Papers
The Development of Automated Personalized Self-Care (APSC) Program for Patients with Type 2 Diabetes Mellitus
Park, Gaeun , Lee, Haejung , Khang, Ah Reum
J Korean Acad Nurs 2022;52(5):535-549.   Published online October 31, 2022
DOI: https://doi.org/10.4040/jkan.22046
AbstractAbstract PDF
Purpose
The study aimed to design and develop an automated personalized self-care (APSC) program for patients with type 2 diabetes mellitus. The secondary aim was to present a clinical protocol as a mixed-method research to test the program effects.
Methods
The APSC program was developed in the order of analysis, design, implementation, and evaluation according to the software development life cycle, and was guided by the self-regulatory theory. The content validity, heuristics, and usability of the program were verified by experts and patients with type 2 diabetes mellitus.
Results
The APSC program was developed based on goal setting, education, monitoring, and feedback components corresponding to the phases of forethought, performance/volitional control, and self-reflection of self-regulatory theory. Using the mobile application, the participants are able to learn from educational materials, monitor their health behaviors, receive weekly-automated personalized goals and feedback messages, and use an automated conversation system to solve the problems related to self-care. The ongoing two-year study utilizes a mixed method design, with 180 patients having type 2 diabetes mellitus randomized to receive either the intervention or usual care. The participants will be reviewed for self-care self-efficacy, health behaviors, and health outcomes at 6, 12, 18, and 24 months. Participants in the intervention group will be interviewed about their experiences.
Conclusion
The APSC program can serve as an effective tool for facilitating diabetes health behaviors by improving patients’ self-care self-efficacy and self-regulation for self-care. However, the clinical effectiveness of this program requires further investigation.

Citations

Citations to this article as recorded by  
  • Participation experience in self-care program for type 2 diabetes: A mixed-methods study
    Mihwan Kim, Haejung Lee, Gaeun Park, Ah Reum Khang
    Journal of Korean Gerontological Nursing.2024; 26(1): 31.     CrossRef
  • Long‐Term Effects of an Automated Personalized Self‐Care Program for Patients With Type 2 Diabetes
    Haejung Lee, Gaeun Park, DaeEun Lee, Ah Reum Khang, Min Jin Lee
    Nursing & Health Sciences.2024;[Epub]     CrossRef
  • Automated Personalized Self-care Program for Patients With Type 2 Diabetes Mellitus: A Pilot Trial
    Gaeun Park, Haejung Lee, Yoonju Lee, Myoung Soo Kim, Sunyoung Jung, Ah Reum Khang, Dongwon Yi
    Asian Nursing Research.2024; 18(2): 114.     CrossRef
  • Healthcare coaching program for youth with type 1 diabetes in South Korea: a pilot study
    Dae Eun Lee, Haejung Lee, Chong Kun Cheon, Ju Young Yoon
    Child Health Nursing Research.2024; 30(1): 17.     CrossRef
  • The Association between the Low-density Lipoprotein-Cholesterol to High-density Lipoprotein-Cholesterol Ratio and the Incidence of Type 2 Diabetes Mellitus in Korean Adults: A Secondary Data Analysis Using a Community-based Cohort Study in Korea
    Bo-Kyoung Cha
    Journal of Korean Academy of Fundamentals of Nursing.2023; 30(1): 66.     CrossRef
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Diabetes Self-Management Experience of Patients with Diabetes: Focused on the Visually Impaired
Chang, Sun Ju , Lee, Kyoung-eun , Yang, Eunjin , Kim, Hee Jung
J Korean Acad Nurs 2021;51(1):92-104.   Published online February 28, 2021
DOI: https://doi.org/10.4040/jkan.20231
AbstractAbstract PDF
Purpose
This study aimed to understand and describe the diabetes self-management experience of visually impaired people with diabetes.
Methods
Ten participants were recruited through a website used by the visually impaired from February to March 2020. Data were collected through two focus group interviews conducted in June 2020; each group consisted of five participants. All interviews were recorded with the consent of the participants and transcribed verbatim. The transcribed data were analyzed using qualitative content analysis.
Results
Seven categories were as follows; a two-faced, lifelong companion, an unprepared encounter, struggle to live, love-hate relationship with family, strategies to adapt, lessening attention to self-management, the desire to learn properly.
Conclusion
It can be concluded that the visually impaired have fewer opportunities for receiving diabetes self-management education than general diabetic patients. Consequently, plans to improve the education available to such patients are required. Additionally, psychological counseling and diabetes education for patients’ families are necessary, and improving the perception of medical workers regarding the visually impaired will be prove useful.

Citations

Citations to this article as recorded by  
  • Widening disparities in the national prevalence of diabetes mellitus for people with disabilities in South Korea
    I. Hwang, S.Y. Kim, Y.Y. Kim, J.H. Park
    Public Health.2024; 226: 173.     CrossRef
  • A Tailored Intervention for Improving Diabetes Self-care Among Adults With Visual Impairment: A Pilot Study
    Hee Jung Kim, Kyoung-eun Lee, Eunjin Yang, Sun Ju Chang
    Canadian Journal of Diabetes.2024; 48(6): 394.     CrossRef
  • The Impact of Visual Impairment on Healthcare Use among Four Medical Institution Types: A Nationwide Retrospective Cohort Study in Korea
    Boyoung Jeon, Heejo Koo, Hee Kyoung Choi, Euna Han
    Yonsei Medical Journal.2023; 64(7): 455.     CrossRef
  • Association between Visual Impairment and Nutritional Risk among Older Adults with Diabetes: A Population-Based Cross-Sectional Study
    Eunjin Yang, Kyung Hee Lee
    Journal of Korean Academy of Nursing.2023; 53(2): 167.     CrossRef
  • Who are the most vulnerable populations for primary care? Avoidable hospitalizations across individuals with different types of disabilities in South Korea
    S. Kim, B. Jeon
    Public Health.2023; 217: 138.     CrossRef
  • Factors Associated With Diabetes Self-Care Behaviors of People With Visual Impairment: A Cross-Sectional Study
    Sun Ju Chang, Hee Jung Kim, Kyoung-eun Lee, Eunjin Yang
    The Science of Diabetes Self-Management and Care.2022; 48(5): 324.     CrossRef
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Original Articles
Qualitative Study on the Experience of Patients with Meniere Disease
Joung, Woo Joung
J Korean Acad Nurs 2020;50(5):699-713.   Published online October 31, 2020
DOI: https://doi.org/10.4040/jkan.20115
AbstractAbstract PDF
Purpose
The purpose of this study was to understand and describe the experiences of patients with Meniere disease.
Methods
Data were collected from February 19, 2019, to February 5, 2020, through individual in-depth interviews with 13 Meniere patients. Verbatim transcripts were analyzed using Colaizzi’s phenomenological analysis.
Results
The experiences of patients with Meniere disease were clustered into the following four themes from 22 meaning units: 1) Complex unfamiliar symptoms that shatter both balance of the body and peace of the heart; 2) A disease that medical treatment and health professionals cannot cure; 3) Suffering hardships that cannot be understood by non-Meniere sufferers; and 4) Making daily efforts to become healthier. Symptoms of Meniere disease are life-shattering and depressing because they are neither visible nor easily curable. Over time, as they accepted the reality of living with the disease, the participants would shift their focus from complete symptomatic cure to leading a healthy and more balanced life.
Conclusion
This study shows that Meniere disease has a pervasive impact on all aspects of the patients’ lives. Patients are prone to experiencing restrictions in their social functioning and activities. They also experience psychosocial problems due to the unseen nature of their symptoms. This study elucidates the experiences of Meniere patients and the need for nursing intervention to help improve their quality of life and ability to self-manage. Lastly, this study shows the need for a coordinated interdisciplinary approach to raising public awareness of the disease.
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The Development and Evaluation of a Health Literacy-Adapted Self-Management Intervention for Elderly Cancer Patients Undergoing Chemotherapy
Yoon Sun Kim, Young Sook Tae, Kwuy-Im Jung
J Korean Acad Nurs 2019;49(4):472-485.   Published online January 15, 2019
DOI: https://doi.org/10.4040/jkan.2019.49.4.472
AbstractAbstract PDF
Abstract Purpose

This study aimed to develop and evaluate the effectiveness of an adapted health literacy self-management intervention for elderly cancer patients undergoing chemotherapy.

Methods

The intervention in this study was systematically developed through the six stages of Intervention Mapping Protocol and was based on Fransen et al's causal pathway model. A quasi-experimental trial was conducted on a total of 52 elderly patients (26 in an experimental group and 26 in a control group) undergoing chemotherapy in Korea. The intervention consisted of seven sessions over 5 weeks. The experimental tool for this study was an adapted health literacy self-management intervention, which was designed to promote a reduction in the symptom experience and distress of elderly cancer patients through the promotion of self-management behavior. To develop efficient educational materials, the participants’ health literacy was measured. To educate participants, clear communication and the teach-back method were used. In addition, for the improvement of self-efficacy, four sources were utilized. For the promotion of self-management behavior, five self-management skills were strengthened. Data were collected before and after the intervention from June 4 to September 14, 2018. The data were analyzed with SPSS/WIN 21.0.

Results

Following the intervention, self-management knowledge and behavior and, self-efficacy significantly improved in experimental group. Symptom experience and distress decreased in the experimental group compared to the control group.

Conclusion

The self-management intervention presented in this study was found to be effective in increasing self-management knowledge and behavior and, self-efficacy, and ultimately in reducing symptom experience and distress for elderly patients undergoing chemotherapy.

Citations

Citations to this article as recorded by  
  • The Effect of Group Education Reflecting Unmet Needs on Knowledge of Chemotherapy for Patients and Their Families Undergoing Chemotherapy: A One Group Pre-Post Design
    Seyoung Lee, Hoyoung Kim, Nayeon Kim, Misun Yi, Ayoung Lee, Seonmi Cho, Minsun Nam, Juhee Cho
    Asian Oncology Nursing.2024; 24(1): 42.     CrossRef
  • Health Information Seeking Pathways and Factors Influencing Health Literacy Among Cancer Patients: Based on Data from the 2nd Korean Health Panel 2021
    Yun-La Hur, Eun-Jeong Hong
    Asian Oncology Nursing.2024; 24(3): 155.     CrossRef
  • The Effects of Chemotherapy Education Reflecting Educational Needs on Self-Care Knowledge and Performance in Female Cancer Patients: A Non-Equivalent Control Group Pretest-Posttest Design
    Jin Hee Jun, Se-Na Lee
    Asian Oncology Nursing.2024; 24(3): 103.     CrossRef
  • Effectiveness of teach‐back for chronic kidney disease patient education: A systematic review
    Hemamali M. H. Jagodage, Amanda McGuire, Charrlotte Seib, Ann Bonner
    Journal of Renal Care.2024; 50(2): 92.     CrossRef
  • Effects of Telephone-based Self-care Intervention for Gynecologic Cancer Patients Receiving Chemotherapy: A Quasi-Experimental Study
    Boyeon Lee, Hyojung Park
    Journal of Korean Academy of Fundamentals of Nursing.2023; 30(2): 216.     CrossRef
  • Analysis of Telephone Counseling of Patients in Chemotherapy Using Text Mining Technique
    Seoyeon Kim, Jihyun Jung, Heiyoung Kang, Jeehye Bae, Kayoung Sim, Miyoung Yoo, Eunyoung, E. Suh
    Asian Oncology Nursing.2022; 22(1): 46.     CrossRef
  • Evaluating a theory-based intervention for improving eHealth literacy in older adults: a single group, pretest–posttest design
    Sun Ju Chang, Kyoung-eun Lee, Eunjin Yang, Hyunju Ryu
    BMC Geriatrics.2022;[Epub]     CrossRef
  • Effects of the teach-back method among cancer patients: a systematic review of the literature
    Seonhwa Choi, Jahyun Choi
    Supportive Care in Cancer.2021; 29(12): 7259.     CrossRef
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Mediation Effect of Self-Efficacy on the Relationship between Perceived Self-Management Support and Health-Related Quality of Life among Cancer Survivors
Bo Gyeong Lee, Tae Sook Lee, Soo Hyun Kim
J Korean Acad Nurs 2019;49(3):298-306.   Published online January 15, 2019
DOI: https://doi.org/10.4040/jkan.2019.49.3.298
AbstractAbstract PDF
Abstract Purpose

This study aimed to examine the levels of perceived self-management support, self-efficacy for self-management, and health-related quality of life (HRQoL) in cancer survivors, and to identify the mediating effect of self-efficacy in the relationship between perceived self-management support and HRQoL.

Methods

This study used a descriptive correlational design. Two hundred and four cancer survivors who had completed treatment participated in the study. Measurements included the Patient Assessment of Chronic Illness Care Scale, the Korean version of the Cancer Survivors’ Self-Efficacy Scale, and the Medical Outcomes Study Short Form-36. Data were analyzed using descriptive statistics, Pearson's correlation coefficient analysis, and multiple regression analysis using Baron and Kenny's method for mediation.

Results

The mean score for perceived self-management support was 3.35 out of 5 points, self-efficacy was 7.26 out of 10 points, and HRQoL was 65.90 out of 100 points. Perceived self-management support was significantly positively correlated with self-efficacy (r=.29, p<.001) and HRQoL (r=.27, p<.001). Self-efficacy was also significantly correlated with HRQoL (r=.59, p<.001). Furthermore, self-efficacy (β=.55, p<.001) had a complete mediating effect on the relationship between perceived self-management support and HRQoL (Z=3.88, p<.001).

Conclusion

The impact of perceived self-management support on HRQoL in cancer survivors was mediated by self-efficacy for self-management. This suggests that strategies for enhancing self-efficacy in cancer survivors should be considered when developing self-management interventions for improving their HRQoL.

Citations

Citations to this article as recorded by  
  • Factors Associated With Quality of Life Among Posttreatment Cancer Survivors in Korea
    Soo Hyun Kim, Yu Hyeon Choe, Jingyeong Choi, Ji Young Park, Eun Yi
    Cancer Nursing.2025; 48(1): E47.     CrossRef
  • 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
  • An Integrated Review of Health Care in Child and Adolescent Cancer Survivors Based on Roy’s Adaptation Model
    Hye Jin Kim, Eunjoo Lee
    Asian Oncology Nursing.2024; 24(2): 82.     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
  • Effect of perceived chronic illness management support, health literacy, and social support on the care burden of families caring for older people with multiple chronic conditions at home: A cross-sectional study
    Eun Sil Lee, Mi Young Kim
    Journal of Korean Gerontological Nursing.2023; 25(1): 76.     CrossRef
  • Effects of Uncertainty, Appraisal of Uncertainty, and Self-Efficacy on the Quality of Life of Elderly Patients with Lung Cancer Receiving Chemotherapy: Based on Mishel’s Theory of Uncertainty
    Min-Kyung Hwang, Hee-Kyung Kim, Ki-Hyeong Lee
    Medicina.2023; 59(6): 1051.     CrossRef
  • Between Personality Traits and Postpartum Depression: The Mediated Role of Maternal Self-Efficacy
    Lingli Han, Ji Zhang, Jingxuan Yang, Xiaoyu Yang, Hua Bai
    Neuropsychiatric Disease and Treatment.2022; Volume 18: 597.     CrossRef
  • A Structural Model of Quality of Life in Patients after Colorectal Cancer Surgery
    Jeong Won Yeom, Yeon Ok Suh
    International Journal of Environmental Research and Public Health.2022; 19(5): 2564.     CrossRef
  • The influence of Digital Informatization Level, Self-efficacy, and Social Support on Digital Health Literacy in the Elderly with Cancer
    Hye Su Kim, Ji Hyun Sung
    Asian Oncology Nursing.2022; 22(4): 255.     CrossRef
  • The Correlation Between Quality of Life and Positive Psychological Resources in Cancer Patients: A Meta-Analysis
    Xinxin Zhao, Siqi Tong, Ye Yang
    Frontiers in Psychology.2022;[Epub]     CrossRef
  • Integrated, cross-sectoral psycho-oncology (isPO): a new form of care for newly diagnosed cancer patients in Germany
    Michael Kusch, Hildegard Labouvie, Vera Schiewer, Natalie Talalaev, Jan C. Cwik, Sonja Bussmann, Lusine Vaganian, Alexander L. Gerlach, Antje Dresen, Natalia Cecon, Sandra Salm, Theresia Krieger, Holger Pfaff, Clarissa Lemmen, Lisa Derendorf, Stephanie St
    BMC Health Services Research.2022;[Epub]     CrossRef
  • Self-efficacy, post-traumatic growth, and quality of life of pediatric cancer survivors: A cross-sectional study
    Yeunhee Kwak, Yoonjung Kim, Eun Seok Choi, Ho Joon Im
    European Journal of Oncology Nursing.2021; 54: 102019.     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 patient assessment of chronic illness care among Korean cancer survivors
    Soo Hyun Kim, Bo Gyeong Lee, Yu Hyeon Choe, Francesca Chiesi
    PLOS ONE.2021; 16(8): e0256119.     CrossRef
  • Mediating and Moderating Factors of Adherence to Nutrition and Physical Activity Guidelines, Breastfeeding Experience, and Spousal Support on the Relationship between Stress and Quality of Life in Breast Cancer Survivors
    Nam Mi Kang, Won-Ho Hahn, Suyeon Park, Jung Eun Lee, Young Bum Yoo, Chung Ja Ryoo
    International Journal of Environmental Research and Public Health.2020; 17(20): 7532.     CrossRef
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Psychoeducational Approach to Distress Management of Newly Diagnosed Patients with Breast Cancer
Jin-Hee Park, Mison Chun, Yong Sik Jung, Sun Hyoung Bae, Young-Mi Jung
J Korean Acad Nurs 2018;48(6):669-678.   Published online January 15, 2018
DOI: https://doi.org/10.4040/jkan.2018.48.6.669
AbstractAbstract PDF
Abstract Purpose

The purpose of this study was to examine the effects of integrated psychoeducational program for distress management of newly diagnosed patients with breast cancer.

Methods

A quasi-experimental trial was conducted. The participants consisted of 47 female patients with breast cancer assigned to an intervention group (n=25) and control group (n=22). The intervention group participated in integrated psychoeducational program, consisting of individual face-to-face education and telephone-delivered health-coaching sessions. Data were collected at three time points: pre-intervention (T1), post-intervention (T2), and 6-month follow-up (T3). Study instruments were Distress thermometer, Supportive Care Needs Survey Short Form 34 and Functional Assessment of Cancer Therapy-Breast.

Results

Compared with the control group, breast cancer patients in the intervention group reported lower distress and supportive care needs than the control group. The intervention group reported higher quality of life (QOL) overall and higher emotional well-being than the control group.

Conclusion

These findings indicate that the integrated psychoeducational program is an effective intervention for reducing distress and supportive care needs and increasing QOL of newly diagnosed patients with breast cancer. Oncology nurses need to provide psychoeducational intervention to support patients with breast cancer in managing their distress and helping them adjust to their life.

Citations

Citations to this article as recorded by  
  • Psychological Distress and Influencing Factors in Newly Diagnosed Patients with Breast Cancer: A Cross-Sectional Study
    Jin-Hee Park, Yong Sik Jung, Min Hee Hur, Yu Jin Jeong
    Korean Journal of Adult Nursing.2024; 36(4): 311.     CrossRef
  • Effects of Psychosocial Interventions for Patients with Breast Cancer: A Meta-analysis
    Kyu-Sic Hwang, Kuy-Haeng Lee, Chan-Mo Yang, Hye-Jin Lee, Sang-Yeol Lee
    Clinical Psychopharmacology and Neuroscience.2023; 21(1): 118.     CrossRef
  • The development of a lifestyle modification mobile application, “Health for You” for overweight and obese breast cancer survivors in Korea
    Su-Jin Seo, Ju-Hee Nho, Youngsam Park
    Korean Journal of Women Health Nursing.2021; 27(3): 243.     CrossRef
  • Development and Effect of the Integrated Health Promotion Program for Cancer Survivors Living at Home
    Hee Sang Yoon, Eun A Hwang
    Journal of Korean Academy of Community Health Nursing.2021; 32(1): 51.     CrossRef
  • Adjustment to life with metastatic cancer through psychodrama group therapy: A qualitative study in Turkey
    Songül Kamışlı, Bahar Gökler
    Perspectives in Psychiatric Care.2021; 57(2): 488.     CrossRef
  • Integration of longitudinal psychoeducation programmes during the phases of diagnosis, management and survivorship of breast cancer patients: A narrative review
    Athena Michaelides, Constantina Constantinou
    Journal of Cancer Policy.2020; 23: 100214.     CrossRef
  • Quality of Life in Patients Undergoing Mastectomy for Breast Cancer
    Kavitha Konnakkaparambil Ramakrishnan, Sreekumar Damodaran
    Journal of Evidence Based Medicine and Healthcare.2020; 7(28): 1368.     CrossRef
  • Mediating and Moderating Factors of Adherence to Nutrition and Physical Activity Guidelines, Breastfeeding Experience, and Spousal Support on the Relationship between Stress and Quality of Life in Breast Cancer Survivors
    Nam Mi Kang, Won-Ho Hahn, Suyeon Park, Jung Eun Lee, Young Bum Yoo, Chung Ja Ryoo
    International Journal of Environmental Research and Public Health.2020; 17(20): 7532.     CrossRef
  • Uncertainty and unmet care needs before and after surgery in patients with gastric cancer: A survey study
    Ji Yea Lee, Yeonsoo Jang, Sanghee Kim, Woo Jin Hyung
    Nursing & Health Sciences.2020; 22(2): 427.     CrossRef
  • Effects of Different Exercise Interventions on Quality of Life in Breast Cancer Patients: A Randomized Controlled Trial
    Tetiana Odynets, Yuriy Briskin, Valentina Todorova
    Integrative Cancer Therapies.2019;[Epub]     CrossRef
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Self-Management Experiences of the Adolescents with Chronic Kidney Disease
Sug Young Lee, Heesun Shin
J Korean Acad Nurs 2018;48(3):266-278.   Published online January 15, 2018
DOI: https://doi.org/10.4040/jkan.2018.48.3.266
AbstractAbstract PDF
Abstract Purpose

The aim of this study was to develop a substantive theory on self-management conducted by the adolescents with chronic kidney disease from their lived experience.

Methods

Data was collected through in-depth interviews from May to December in 2015 with thirteen adolescents with chronic kidney disease. The data collected were analyzed on the basis of Strauss and Corbin's grounded theory.

Results

The core of the category found in this study was “overcoming the unstable sense of self- control and integrating disease experience into their life”. The causal conditions triggering the central phenomenon were “restriction in daily life” and “manifestation and aggravation of symptom”. The central phenomenon in the experience of self-management within the adolescents with chronic kidney disease was “unstable sense of self control”. The intervening condition for unstable self control were “micro system support” and “motivational resources”. This study found that the adolescents with chronic kidney disease followed a series of strategies when they faced the central phenomenon, including; passive coping, reappraisal of illness, active coping, compliance with treatment, controlling physical activity, and adjusting school life. With these strategic approaches, the adolescents with chronic kidney disease could maintain their active lifestyles and achieve their health behaviors. The process of self-management by these adolescents passed through four phases; limited experience caused by diseases, effort for normalization, reorganizing their daily lives, and integration with daily lives and self-management.

Conclusion

This Study explored the process and experience of self-management of adolescents with chronic kidney disease. These findings can be used for basis for developing substantive theory and nursing intervention strategy for adolescents with chronic kidney diseases.

Citations

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  • Concept Analysis of Self-management in Children with Chronic Kidney Diseases through Walker and Avant’s Method
    Sug Young Lee
    Journal of Korean Academy of Fundamentals of Nursing.2025; 32(1): 105.     CrossRef
  • Factors associated with healthcare transition readiness for adolescents with chronic conditions: A cross-sectional study
    Hye Seung Hong, YeoJin Im
    Journal of Child Health Care.2024;[Epub]     CrossRef
  • Validity and reliability of the Korean caregiver contribution to self-care chronic illness inventory
    Juhee Lee, Eunyoung Kim, Misook Chung, Insun Yeom
    Scientific Reports.2023;[Epub]     CrossRef
  • Health Behavior and Social-Emotional Health Status of School-Aged Children According to their Experience with Atopic Dermatitis Diagnosis: Based on the 12th (2019) Panel Study on Korean Children
    Da-Jeong Kum, Kyung-Sook Bang
    Children.2023; 10(2): 288.     CrossRef
  • Illness Experiences of Adolescents with Type 1 Diabetes
    Ji Eun Kim, Ilaria Campesi
    Journal of Diabetes Research.2022; 2022: 1.     CrossRef
  • Physical activity and the ‘pediatric inactivity triad’ in children living with chronic kidney disease: a narrative review
    Thomas J. Wilkinson, Lauren L. O’Mahoney, Patrick Highton, Joao L. Viana, Heitor S. Ribeiro, Courtney J. Lightfoot, Ffion Curtis, Kamlesh Khunti
    Therapeutic Advances in Chronic Disease.2022;[Epub]     CrossRef
  • Factor analysis of the Korean version of the Illness Cognition Questionnaire for adolescents with chronic illness
    Dasuel Lee, Dae‐Chul Jeong, Nack‐Gyun Chung, Sunhee Lee
    International Journal of Nursing Practice.2021;[Epub]     CrossRef
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The Development and Effects of a Self-management Program for Patients with Parkinson's Disease
Kyeong Yae Sohng, Jung Soon Moon, Kwang Soo Lee, Dong Won Choi
Journal of Korean Academy of Nursing 2007;37(6):891-901.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2007.37.6.891
AbstractAbstract PDF

PURPOSE: This study was done to develop and examine the effects of a self-management program (SMP) on physical, psychological functions, and symptoms in patients with Parkinson's disease(PD). METHODS: In a two-group pre-and post-test design, a total of 40 patients were assigned to the experimental group(21) or the control group (19). The experimental group received eight weekly 2-hour sessions for 10-15 literate adults of all ages, while the control group did not receive any intervention. RESULTS: The experimental group showed significant improvements in muscle strength, balance, self-efficacy, depression, quality of life(QL), quality of sleep, and discomfort of constipation. It also reduced the number of participants using assistive walking devices. There were no significant changes in fear of falling and duration of sleep. CONCLUSION: The eight week SMP in patients with PD was found to be significantly effective in enhancing muscle strength, balance, self-efficacy, QL, and quality of sleep. It also decreased depression, discomfort of constipation, and assistive walking devices. These results suggest that a SMP can have effects on physical, psychological functions and symptoms in patients with PD. Further research with a larger sample and for a longer follow up period is needed to expand our understanding of the effects of a SMP for patients with PD.

Citations

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  • Effect of mobile health intervention for self-management on self-efficacy, motor and non-motor symptoms, self-management, and quality of life in people with Parkinson's disease: Randomized controlled trial
    Yusun Park, Sung Reul Kim, Hui Young So, Sungyang Jo, Seung Hyun Lee, Yun su Hwang, Mi Sun Kim, Sun Ju Chung
    Geriatric Nursing.2022; 46: 90.     CrossRef
  • Effects of Environmental Enrichment on Neurotrophins in an MPTP-Induced Parkinson’s Disease Animal Model: A Randomized Trial
    Hyeyoung Cho, Kyoungah Kang
    Biological Research For Nursing.2020; 22(4): 506.     CrossRef
  • Clinical effectiveness of acupuncture on Parkinson disease
    Sook-Hyun Lee, Sabina Lim
    Medicine.2017; 96(3): e5836.     CrossRef
  • A Meta-Analysis of Nonpharmacological Interventions for People With Parkinson’s Disease
    JuHee Lee, MoonKi Choi, Yonju Yoo
    Clinical Nursing Research.2017; 26(5): 608.     CrossRef
  • Factors associated with Lower Urinary Tract Symptoms for Patients with Parkinson's Disease
    Hyo Jeong Song, Ji Hoon Kang, Eun Joo Lee, Jung-Sik Huh, Young-Joo Kim, Chul Soo Kim, Myung Ja Kim, Seung Kyo Chaung, Hye Ja Park, Hyung Chang Kang, Keun Heau Oh
    Journal of Korean Academy of Nursing.2009; 39(1): 116.     CrossRef
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Effects of Self-management Program applying Dongsasub Training on Self-efficacy, Self-esteem, Self-management Behavior and Blood Pressure in Older Adults with Hypertension
Myoungsuk Kim, Misoon Song
J Korean Acad Nurs 2015;45(4):576-586.   Published online August 31, 2015
DOI: https://doi.org/10.4040/jkan.2015.45.4.576
AbstractAbstract PDF
Purpose

The purpose of this study was to develop a self-management program applying Dongsasub training based on self-efficacy theory, and to verify the program effectiveness on self-esteem as well as self-efficacy, self-management behaviors, and blood pressure.

Methods

The study design was a non-equivalent, pre-post controlled quasi-experiment study. Thirty-eight patients aged 65 and older from a senior welfare center in Seoul participated in this study (20 patients in the experimental group and 18 patients in the control group). The self-management program applying Dongsasub training consisted of eight sessions. After development was complete the program was used with the experimental group. Outcome variables included self-efficacy, self-esteem, self-management behaviors measured by questionnaires, and blood pressure measured by electronic manometer.

Results

Self-efficacy (t=2.42, p =.021), self-esteem (t=2.57, p =.014) and self-management behaviors (t=2.21, p =.034) were significantly higher and systolic blood pressure (t=-2.14, p =.040) was significantly lower in the experimental group compared to the control group. However, diastolic blood pressure (t=-.85, p =.400) was not significantly different between the two groups.

Conclusion

The results indicate that the self-management program applying Dongsasub training can be used as a nursing intervention in community settings for improving self-management behaviors for older adults with hypertension.

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Development and Application of a Self-management Program based on Prothrombin INR Monitoring for Patients with Cardiac Valve Replacement
Hyun Rye Jeon, Jeong Sook Park
J Korean Acad Nurs 2015;45(4):554-564.   Published online August 31, 2015
DOI: https://doi.org/10.4040/jkan.2015.45.4.554
AbstractAbstract PDF
Purpose

The purpose of this study was to develop and evaluate a self-management program based on INR monitoring for patients with cardiac valve replacement.

Methods

This program was comprised of five weekly sessions based on Sousa's Enhance-Behavior Performance Model. The first session included individual teaching, and the other four sessions included Prothrombin Time International Normalized Ratios (PT INR) self-monitoring, telephone counseling and self-management checklist recording. Participants were patients who had cardiac valve replacement. They were randomly assigned to the experimental or control group. Sixteen in the experimental group participated in the self-management program and seventeen in the control group participated in general care. Self-management knowledge, self-efficacy, self-management behavior and PT INR were measured as dependent variables. Data were analyzed using Mann Whitney U-test, t-test and ANCOVA.

Results

The experimental group showed significantly higher post-test scores in self-management knowledge (t=5.86, p <.001), self-efficacy (F=18.32, p <.001), and self-management behavior (t=3.44, p =.002) compared to the control group. Also, the experimental group showed significantly higher frequency in maintaining the treatment range of PT INR compared to the control group (χ2=4.80, p =.028).

Conclusion

The results of the research on the self-management program based on PT INR monitoring showed that it is effective in improving self-management knowledge, self-efficacy, and self-management behavior as well as maintaining treatment range of PT INR of patients with cardiac valve replacement.

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Psychometric Properties of the Korean Version of the HIV Self-Management Scale in Patients with HIV
Gwang Suk Kim, Sang Hui Chu, Yunhee Park, Jun Yong Choi, Jeong In Lee, Chang Gi Park, Linda L. McCreary
J Korean Acad Nurs 2015;45(3):439-448.   Published online June 30, 2015
DOI: https://doi.org/10.4040/jkan.2015.45.3.439
AbstractAbstract PDF
Purpose

The purpose of this study was to examine validity and reliability of Webel and colleagues' HIV Self-Management Scale when used with a Korean sample.

Methods

The original 20-item HIV Self-Management Scale was translated into Korean using translation and back-translation. Nine HIV nurse experts tested content validity. Principal component analysis (PCA) and confirmatory factor analysis (CFA) of data from 203 patients was used to test construct validity. Concurrent validity was evaluated using correlation with patients' self-rating as a "smart patient" measured using a visual analogue scale. Internal consistency was tested by Cronbach's alpha coefficients.

Results

All items were rated as having satisfactory content validity. Based on PCA and consideration of conceptual meaning, a three-factor solution was selected, explaining 48.76% of the variance. CFA demonstrated the adequacy of the three-domain structure of the construct HIV self-management: daily self-management health practices, social support and HIV self-management, and chronic nature of HIV self-management. Goodness-of-fit indices showed an acceptable fit overall with the full model (χ2/ df(164)=1.66, RMSEA=0.06, SRMR=0.05, TLI=0.91, and CFI=0.92). The Korean version of the HIV Self-Management Scale (KHSMS) was significantly correlated with patients' self-rated smart patient (r=.41). The subscale Cronbach's alpha coefficients ranged from .78 to .81; alpha for the total scale was .89.

Conclusion

The KHSMS provides a valid and reliable measure of self-management in Korean patients with HIV. Continued psychometric testing is recommended to provide further evidence of validity with this population.

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    Abdisa Gemedi Jara, Masho Tigabe Tekle, Faisel Dula Sema, Banchamlak Teferi Mekonen, Asrat Elias Ergena, Amensisa Hailu Tesfaye, Saron Naji Gebremariam, Rahel Belete Abebe, Eyayaw Ashete Belachew, Abenezer Melaku Tafese, Eden Abetu Mehari, Ali Imran
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Effects of a Multi-disciplinary Approached, Empowerment Theory Based Self-management Intervention in Older Adults with Chronic Illness
Chorong Park, Misoon Song, Belong Cho, Jaeyoung Lim, Wook Song, HeeKyung Chang, Yeon-Hwan Park
J Korean Acad Nurs 2015;45(2):192-201.   Published online April 30, 2015
DOI: https://doi.org/10.4040/jkan.2015.45.2.192
AbstractAbstract PDF
Purpose

The purpose of this study was to develop a multi-disciplinary self-management intervention based on empowerment theory and to evaluate the effectiveness of the intervention for older adults with chronic illness.

Methods

A randomized controlled trial design was used with 43 Korean older adults with chronic illness (Experimental group=22, Control group=21). The intervention consisted of two phases: (1) 8-week multi-disciplinary, team guided, group-based health education, exercise session, and individual empowerment counseling, (2) 16-week self-help group activities including weekly exercise and group discussion to maintain acquired self-management skills and problem-solving skills. Baseline, 8-week, and 24-week assessments measured health empowerment, exercise self-efficacy, physical activity, and physical function.

Results

Health empowerment, physical activity, and physical function in the experimental group increased significantly compared to the control group over time. Exercise self-efficacy significantly increased in experimental group over time but there was no significant difference between the two groups.

Conclusion

The self-management program based on empowerment theory improved health empowerment, physical activity, and physical function in older adults. The study finding suggests that a health empowerment strategy may be an effective approach for older adults with multiple chronic illnesses in terms of achieving a sense of control over their chronic illness and actively engaging self-management.

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    HyoJin Son, Gwang Suk Kim
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Effects of Gout Web based Self-management Program on Knowledge Related to Disease, Medication Adherence, and Self-management
Hyun Soo Oh, Won Park, Seong Ryul Kwon, Mie Jin Lim, Yeon Ok Suh, Wha Sook Seo, Jong Suk Park
J Korean Acad Nurs 2013;43(4):547-556.   Published online August 30, 2013
DOI: https://doi.org/10.4040/jkan.2013.43.4.547
AbstractAbstract PDF
Purpose

This study was conducted to examine the changing patterns of knowledge related to disease, medication adherence, and self-management and to determine if outcomes were more favorable in the experimental group than in the comparison group through 6 months after providing a web-based self-management intervention.

Methods

A non-equivalent control group quasi-experimental design was used and 65 patients with gout, 34 in experimental group and 31 in comparison group, were selected from the rheumatic clinics of two university hospitals. Data were collected four times, at baseline, at 1 month, 3 months, and 6 months after the intervention.

Results

According to the study results, the changing patterns of knowledge and self-management were more positive in the experimental group than in the control group, whereas difference in the changing pattern of medication adherence between two groups was not significant.

Conclusion

The results indicate that the web-based self-management program has significant effect on improving knowledge and self-management for middle aged male patients with gout. However, in order to enhance medication adherence, the web-based intervention might not be sufficient and other strategies need to be added.

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  • MoCA Domain-Specific Pattern of Cognitive Impairment in Stroke Patients Attending Intensive Inpatient Rehabilitation: A Prospective Study
    Benedetta Basagni, Serena Malloggi, Cristina Polito, Leonardo Pellicciari, Silvia Campagnini, Silvia Pancani, Andrea Mannini, Paola Gemignani, Emilia Salvadori, Sara Marignani, Fabio Giovannelli, Maria Pia Viggiano, Bahia Hakiki, Antonello Grippo, Claudio
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    Ying Wang, Yanling Chen, Yuqing Song, Hong Chen, Xin Guo, Ling Ma, Huan Liu
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    Seung Gum Kang, Eun Nam Lee
    Japan Journal of Nursing Science.2020;[Epub]     CrossRef
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    HyunSoo Oh, JongSuk Park, WhaSook Seo
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Evaluation of a Medication Self-management Education Program for Elders with Hypertension Living in the Community
Jong Kyung Lee
J Korean Acad Nurs 2013;43(2):267-275.   Published online April 30, 2013
DOI: https://doi.org/10.4040/jkan.2013.43.2.267
AbstractAbstract PDF
Purpose

The purpose of this study was to examine the effect of a medication self-management education program on medication awareness, communication with health care provider, medication misuse behavior, and blood pressure in elders with hypertension.

Methods

The research design for this study was a non-equivalent control group quasi-experimental design. Participants were 23 elders for the control group, and 26 elders for the experimental group. The experimental group participated in the medication self-management education program which included the following, verbal education, 1:1 consultation, practice in medication self-management, and discussion over 5 sessions. Data were analyzed using the SPSS 18.0 program.

Results

There were statistically significant differences between the experimental and control group for medication awareness, medication misuse behavior, and communication with health care providers. However, no significant difference was found between the two groups for blood pressure.

Conclusion

The results indicate that the education program is effective in improving medication awareness and communication with health care providers and in decreasing medication misuse behavior. Therefore, it is recommended that this education program be used as an effective intervention for improving medication self-management for elders with hypertension.

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    Heuijeong Moon, Dukyoo Jung
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    Eunha Gil, Heeyoung Oh
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    Young-Im Park, Kang-Yi Lee, Dong-Oak Kim, Dong Choon Uhm, Ji-Hyun Kim
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    Young Hee Sung, Kyung Hee Park
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Effects of an Integrated Self-Management Program on Self-Management, Glycemic Control, and Maternal Identity in Women with Gestational Diabetes Mellitus
HeeSook Kim, Sue Kim
J Korean Acad Nurs 2013;43(1):69-80.   Published online February 28, 2013
DOI: https://doi.org/10.4040/jkan.2013.43.1.69
AbstractAbstract PDF
Purpose

The purpose of the study was to investigate the effects of an integrated self-management program on self-management, glycemic control, and maternal identity in women with gestational diabetes mellitus (GDM).

Methods

A non-equivalent control group non-synchronized quasi-experimental design was used. A total of 55 women with GDM were recruited from Cheil General Hospital, Seoul, Korea and were assigned to an experimental (n=28) or control group (n=27). The participants were 24-30 weeks pregnant women who had been diagnosed with GDM as of July 30, 2010. The program was conducted as a 1 hour small group meeting 3 out of 5 times and by telephone-counseling 2 out of 5 times. The integrated self-management program was verified by an expert panel.

Results

Although there was no significant reduction in HbA1c (U= -1.17, p=.238), there were statistically significant increases in self-management (U= -3.80, p<.001) and maternal identity (U= -4.48, p<.001), and decreased 2-h postprandial glucose levels (U= -2.43, p<.015) in the experimental group compared to the control group.

Conclusion

These findings suggest that an integrated self-management program for women with GDM improves self-management, maternal identity, and glycemic control. Further studies are needed to identify the effects of an integrated self-management program on pregnancy and neonatal outcomes.

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Effects of a Face-to-face Self-management Program on Knowledge, Self-care Practice and Kidney Function in Patients with Chronic Kidney Disease before the Renal Replacement Therapy
Eun Sung Choi, Jia Lee
J Korean Acad Nurs 2012;42(7):1070-1078.   Published online December 31, 2012
DOI: https://doi.org/10.4040/jkan.2012.42.7.1070
AbstractAbstract PDF
Purpose

The purpose of this study was to examine the effects of a face-to-face self-management educational program on knowledge, self-care practice and kidney function in patients with chronic kidney disease (CKD) before kidney replacement therapy.

Methods

This study employed a nonequivalent control group, non-synchronized design. Data were collected from 61 patients with CKD visiting an outpatient department of nephrology in a university hospital in Seoul, South Korea. The experimental group (n=31) took the pre-test, then after 3 weeks, face-to-face education and individualized consultation (1st intervention), after a week of self-practice, the 1st post-test, followed by re-enforcement education and consultation (2nd intervention), and 4 weeks later, the 2nd post-test. The control group (n=30) took the pre-test and post-tests at 4 and 8 weeks.

Results

Scores for knowledge of CKD and self-care practice over time improved significantly in the experimental group compared to the control group. Kidney function did not improve significantly in the experimental group.

Conclusion

Health care providers can identify various and individualized needs, and provide effective education and consultation through face to face self-management for patients with chronic irreversible illnesses. Nurses can coordinate for these program by designing and providing systematic and effective education.

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The Effects of a Self-Management Program on Physical Function and Quality of Life of Patients with Knee Osteoarthritis
Eui Young Cheon
Journal of Korean Academy of Nursing 2005;35(3):514-525.   Published online June 30, 2005
DOI: https://doi.org/10.4040/jkan.2005.35.3.514
AbstractAbstract PDF
Purpose

This study was to examine the effects of a Self-management program on physical function and quality of life of women with knee osteoarthritis.

Method

The participants for this study, who had knee osteoarthritis, were recruited from an arthritis clinic, at a university hospital located in S city, Korea between February 16, 2004 and June 15, 2004. Seventeen subjects in the control group received no intervention and 18 subjects in for experimental group received an individual Self-management program. The self-management program consisted of dietary education and home-based exercise; walking and resistance exercise. The subjects performed this program 5 times per week during 8 weeks and recorded a diary for diet and exercise. In order to verify the effects of the Self-management program, physical function and Quality of life as a dependent variable were measured at three points in time: before, week4 and week8 after the interventions.

Result

There were significant increases on physical function (F=5.08, p=.002) and significant interaction effects (F=7.42, p=.002) in the intervention group over the three measurement points in time. In addition, there were significant increases on quality of life (F=8.08, p=.002) and significant interaction effects (F=4.89, p=.016) in the intervention group over the three measurement points in time.

Conclusion

This study revealed that a Self-management program can be used as an efficient nursing intervention for women with knee osteoarthritis.

Citations

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