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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  
  • Moderating role of informational support in the relationship between credible authority and parental uncertainty in developmental disabilities: a preliminary study
    Heejung Choi, GyeongAe Seomun, Sung-Min Son
    Disability and Rehabilitation.2025; : 1.     CrossRef
  • Adaptation and validation of the Korean version of the parental perception of uncertainty scale (K-PPUS) in parents of children with developmental disabilities
    Heejung Choi, GyeongAe Seomun
    Journal of Pediatric Nursing.2025; 82: 47.     CrossRef
  • 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
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  • 2 Web of Science
  • 3 Crossref
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Original Articles
Patient Severity Classification in a Medical ICU using APACHE III and Patient Severity Classification Tool
Kyeong Ok Lee, Hyeon Ju Shin, Hyeoun Ae Park, Hyeon Myeong Jeong, Mi Hye Lee, Eun Ha Choi, Jeong Mi Lee, Yu Ja Kim, Yun Kyeong Sim, Kyi Ju Park
Journal of Korean Academy of Nursing 2000;30(5):1243-1253.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.2000.30.5.1243
AbstractAbstract PDF

The purpose of this study was to verify the validity of the Patient Severity Classification Tool by examining the correlations between the APACHE III and the Patient Severity Classification Tool and to propose admission criteria to the ICU. The instruments used for this study were the APACHE III developed by Knaus and thePatient Severity Classification Tool developed by Korean Clinical Nurses Association. Data was collected from the 156 Medical ICU patients during their first 24 hours of admission at the Seoul National University Hospital by three trained Medical ICU nurses from April 20 to August 31 1999. Data were analyzed using the frequency, X2, Wilcoxon rank sum test, and Spearman rho. There was statistically significant correlations between the scores of the APACHE III and the Patient Severity Classification Tool. Mortality rate was increased as patients classification of severity in both the APACHE III and the Patient Severity Classification Tool scored higher. The Patient Severity Classification Tool was proved to be a valid and reliable tool, and a useful tool as one of the severity predicting factors, ICU admission criteria, information sharing between ICUs, quality evaluations of ICUs, and ICU nurse staffing. 1) This paper was awarded the first prize at the Seoul National Hospital Nursing Department Research Contest.

Citations

Citations to this article as recorded by  
  • Development of a patient classification system for critical care nursing based on nursing intensity
    Yukyung Ko, Bohyun Park, Hanju Lee, Donghwan Kim
    International Journal of Nursing Practice.2023;[Epub]     CrossRef
  • Integrative literature review of patient classification tools for nursing intensity evaluation: Focusing on comparison of South Korean and international tools
    Yukyung Ko, Bohyun Park
    Nursing Open.2021; 8(5): 2105.     CrossRef
  • Critical Patient Severity Classification System predicts outcomes in intensive care unit patients
    Mona Choi, Hyeong Suk Lee
    Nursing in Critical Care.2016; 21(4): 206.     CrossRef
  • Understanding the Nature of Medication Errors in an ICU with a Computerized Physician Order Entry System
    Insook Cho, Hyeok Park, Youn Jeong Choi, Mi Heui Hwang, David W. Bates, Jorge I.F. Salluh
    PLoS ONE.2014; 9(12): e114243.     CrossRef
  • Comparison of Related Characteristics between Unplanned and Planned Extubation of Patients in Medical Intensive Unit
    Hyo Im Cho, Young Whee Lee, Hwa Soon Kim, Bo-Yun Sim
    Korean Journal of Adult Nursing.2012; 24(5): 509.     CrossRef
  • Predictive Effects of Previous Fall History on Accuracy of Fall Risk Assessment Tool in Acute Care Settings
    Ihn Sook Park
    Journal of Korean Academy of Fundamentals of Nursing.2012; 19(4): 444.     CrossRef
  • Predictive Bayesian Network Model Using Electronic Patient Records for Prevention of Hospital-Acquired Pressure Ulcers
    In Sook Cho, Eunja Chung
    Journal of Korean Academy of Nursing.2011; 41(3): 423.     CrossRef
  • Braden Scale: evaluation of clinical usefulness in an intensive care unit
    InSook Cho, Maengseok Noh
    Journal of Advanced Nursing.2010; 66(2): 293.     CrossRef
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  • 8 Crossref
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Evaluating the Validity of the Pediatric Index of Mortality II in the Intensive Care Units
Jung Soon Kim, Sun Joo Boo
Journal of Korean Academy of Nursing 2005;35(1):47-55.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2005.35.1.47
AbstractAbstract PDF
Purpose

This study was to evaluate the validity of the Pediatric Index of Mortality II(PIM II).

Method

The first values on PIM II variables following ICU admission were collected from the patient's charts of 548 admissions retrospectively in three ICUs(medical, surgical, and neurosurgical) at P University Hospital and a cardiac ICU at D University Hospital in Busan from January 1, 2002 to December 31, 2003. Data was analyzed with the SPSSWIN 10.0 program for the descriptive statistics, correlation coefficient, standardized mortality ratio(SMR), validity index(sensitivity, specificity, positive predictive value, negative predictive value), and AUC of ROC curve.

Result

The mortality rate was 10.9%(60 cases) and the predicted death rate was 9.5%. The correlation coefficient(r) between observed and expected death rates was .929(p<.01) and SMR was 1.15. Se, Sp, pPv, nPv, and the correct classification rate were .80, .96, .70, .98, and 94.0% respectively. In addition, areas under the curve(AUC) of the receiver operating characteristic(ROC) was 0.954(95% CI=0.919~0.989). According to demographic characteristics, mortality was underestimated in the medical group and overestimated in the surgical group. In addition, the AUCs of ROC curve were generally high in all subgroups.

Conclusion

The PIM II showed a good, so it can be utilized for the subject hospital.

Citations

Citations to this article as recorded by  
  • The Values of the Pediatric Logistic Organ Dysfunction (PELOD) Score and the Pediatric Index of Mortality (PIM) 2 Score in Emergency Department and Intensive Care Unit
    Si Kyoung Jeong, Woon Jeong Lee, Yun Joo Moon, Seon Hee Woo, Yeon Young Kyong, Se Min Choi, Won Jung Jeong, Kyu Nam Park
    The Korean Journal of Critical Care Medicine.2010; 25(3): 144.     CrossRef
  • Outcome and risk factors of pediatric hemato-oncology patients admitted in pediatric intensive care unit
    Bo Eun Kim, Eun Ju Ha, Keun Wook Bae, Seonguk Kim, Ho Joon Im, Jong Jin Seo, Seong Jong Park
    Korean Journal of Pediatrics.2009; 52(10): 1153.     CrossRef
  • Performance effectiveness of pediatric index of mortality 2 (PIM2) and pediatricrisk of mortality III (PRISM III) in pediatric patients with intensive care in single institution: Retrospective study
    Hui Seung Hwang, Na Young Lee, Seung Beom Han, Ga Young Kwak, Soo Young Lee, Seung Yun Chung, Jin Han Kang, Dae Chul Jeong
    Korean Journal of Pediatrics.2008; 51(11): 1158.     CrossRef
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Influence of Age, Gender, and Severity on Recovery of Patients with Brain Injury
Hyun Soo Oh, Wha Sook Seo
J Korean Acad Nurs 2008;38(6):923-932.   Published online December 31, 2008
DOI: https://doi.org/10.4040/jkan.2008.38.6.923
AbstractAbstract PDF
Purpose

This study was conducted to investigate the individual and cross influences of age, gender, and severity on recovery of patients with brain injury.

Methods

For the purpose of the study, traumatic or spontaneous brain injury patients admitted to the intensive care unit (ICU) were conveniently selected. The data regarding outcomes were collected 3 months after admission.

Results

Individual influences of the study variables on patients' recovery were significant, except for gender. But while the individual influence of gender on recovery was not significant, cross influence of gender and age was significant, but only for the sub-dimension of 'arousalbility and awareness'. The study results also showed that 3-way cross influence of gender, age, and severity was only significant on the sub-dimension of 'arousalbility and awareness'.

Conclusion

The sub-dimension of recovery cross influenced by the demographic factors of gender and age, and severity was 'arousalbility and awareness'. This might indicate that the study variables that cross influencing recovery had more influence on consciousness compared to physical function and psycho-social adaptation.

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