Journal of Korean Academy of Nursing

Original Articles

Prediction Model for Health-Related Quality of Life in Hospitalized Patients with Pulmonary Tuberculosis: Kwang-Sim Jang, Gyeong-Suk Jeon; J Korean Acad Nurs 2017;47(1):60-70. Published online February 28, 2017; DOI: https://doi.org/10.4040/jkan.2017.47.1.60

Purpose

This study was conducted to construct and test a structural equation model of health-related quality of life (HRQoL) among hospitalized patients with pulmonary tuberculosis (PTB).

Methods

Participants were 256 patients with PTB who were 20 years or older and admitted in two national tuberculosis hospitals. The patients participated in pulmonary function testing and responded to structured questionaries.

Results

The goodness-of-fit statistics of the final hypothetical model were as follows: χ²/df=2.19, RMSEA=.07, SRMR=.05, GFI=.95, NFI=.95, CFI=.96, TLI=.92, and PCFI=.52. Symptoms and general health perception had significant direct effects, and subjective economic status, social support and stigma had significant indirect effect on HRQoL of hospitalized patients with PTB. These variables explained 64% of variance in the prediction model.

Conclusion

Findings suggest that strategies and intervention for physical symptoms and depressive symptoms are crucial to improve the quality of life in hospitalized patients with PTB. The development of various social support programs is also recommended.

Citations

Citations to this article as recorded by

Factors Influencing Health-Related Quality of Life in Patients With Atrial Fibrillation
Hyeon-Ok Lee, Ji-Yeong Seo
Journal of Cardiovascular Nursing.2025;[Epub] CrossRef
Prognostic Models in Nephrology: Where Do We Stand and Where Do We Go from Here? Mapping Out the Evidence in a Scoping Review
Jet Milders, Chava L. Ramspek, Roemer J. Janse, Willem Jan W. Bos, Joris I. Rotmans, Friedo W. Dekker, Merel van Diepen
Journal of the American Society of Nephrology.2024; 35(3): 367. CrossRef
Health-related quality of life for older patients with chronic low back pain: A structural equation modeling study
Suin Lee, Eun-Ju Lee
Journal of Korean Gerontological Nursing.2023; 25(3): 248. CrossRef
Effects of Simulated Laughter Therapy Using a Breathing Exercise: A Study on Hospitalized Pulmonary Tuberculosis Patients
Kwang-Sim Jang, Jeong-Eun Oh, Gyeong-Suk Jeon
International Journal of Environmental Research and Public Health.2022; 19(16): 10191. CrossRef
A novel nomogram to stratify quality of life among advanced cancer patients with spinal metastatic disease after examining demographics, dietary habits, therapeutic interventions, and mental health status
Yue Li, Ze Long, Xiuju Wang, Mingxing Lei, Chunzi Liu, Xiaolin Shi, Yaosheng Liu
BMC Cancer.2022;[Epub] CrossRef
Reliability and validity of a smart quality of life scale for patients with tuberculosis
Lei Qiu, Yeqing Tong, Qin Yang, Na Sun, Yanhong Gong, Xiaoxv Yin
Journal of Public Health.2020; 28(5): 575. CrossRef
A Structural Equation Model of Health-Related Quality of Life among Older Women Following Bilateral Total Knee Replacement
Hyun Ok Lee, Jae Soon Yoo
Journal of Korean Academy of Nursing.2020; 50(4): 554. CrossRef
Quality of life in Korean tuberculosis patients: A longitudinal study
Sujung Park, Maureen George, Ja Yun Choi
Public Health Nursing.2020; 37(2): 198. CrossRef
Self-care Efficacy and Health-related Quality of Life among Patients on Primary Treatment for Pulmonary Tuberculosis: The Mediating Effects of Self-Care Performance
Hyun Ju Lee, Jiyoung Park
Korean Journal of Adult Nursing.2020; 32(3): 305. CrossRef
Factors associated with Health-related Quality of Life in Patients with Peripheral Arterial Disease
Da El Jang, Yeon Soo Jang, Eui Geum Oh, Young Guk Ko
Korean Journal of Adult Nursing.2018; 30(3): 266. CrossRef

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Reliability and Validity of the Korean Version of the Cancer Stigma Scale: Hyang Sook So, Myeong Jeong Chae, Hye Young Kim; J Korean Acad Nurs 2017;47(1):121-132. Published online February 28, 2017; DOI: https://doi.org/10.4040/jkan.2017.47.1.121

Abstract PDF

Purpose

In this study the reliability and validity of the Korean version of the Cancer Stigma Scale (KCSS) was evaluated.

Methods

The KCSS was formed through translation and modification of Cataldo Lung Cancer Stigma Scale. The KCSS, Psychological Symptom Inventory (PSI), and European Organization for Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 (EORTC QLQ-C30) were administered to 247 men and women diagnosed with one of the five major cancers. Construct validity, item convergent and discriminant validity, concurrent validity, known-group validity, and internal consistency reliability of the KCSS were evaluated.

Results

Exploratory factor analysis supported the construct validity with a six-factor solution; that explained 65.7% of the total variance. The six-factor model was validated by confirmatory factor analysis (Q (χ²/df)= 2.28, GFI=.84, AGFI=.81, NFI=.80, TLI=.86, RMR=.03, and RMSEA=.07). Concurrent validity was demonstrated with the QLQ-C30 (global: r=-.44; functional: r=-.19; symptom: r=.42). The KCSS had known-group validity. Cronbach's alpha coefficient for the 24 items was .89.

Conclusion

The results of this study suggest that the 24-item KCSS has relatively acceptable reliability and validity and can be used in clinical research to assess cancer stigma and its impacts on health-related quality of life in Korean cancer patients.

Citations

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Assessing cancer-related fatigue: Validation of the Korean version of the cancer fatigue scale among cancer survivors
Haneul Lee, Eun Young Park, Kwang-Hi Park
Asia-Pacific Journal of Oncology Nursing.2025; 12: 100657. CrossRef
Return-to-Work Support Needs and Influencing Factors Among Korean Young Adult Cancer Survivors: A Cross-Sectional Study
Kisook Kim, Hyohyeon Yoon
Oncology Nursing Forum.2025; 52(2): 151. CrossRef
Stigma and quality of life in lung cancer patients: The mediating effect of distress and the moderated mediating effect of social support
Hyewon Lim, Hyunmi Son, Gyumin Han, Taehwa Kim
Asia-Pacific Journal of Oncology Nursing.2024; 11(6): 100483. CrossRef
Assessment tools for stigma in breast cancer patients based on COSMIN guidelines: a systematic review
Xue‐Mei Xie, Jing Gao, Ding‐Xi Bai, Huan Chen, Yue Li
Supportive Care in Cancer.2024;[Epub] CrossRef
The effect of childhood maltreatment on the prosocial behavior of Chinese university students: a chain mediation analysis
Hui Zhou, Jiajia Ruan, Junyi Xie, You Wang, Xueling Yang
Current Psychology.2024; 43(23): 20722. CrossRef
Stigma in Mexican patients with Lung Cancer: Psychometric Properties of the Cataldo Lung Cancer Stigma Scale (CLCSS) - Brief version
Joel Flores-Juárez, Oscar Galindo-Vázquez, Patricia Ortega-Andeane, Ana Fresán-Orellana, Xolyanetzin Montero-Pardo, Tania Estapé, Marisol Arroyo-Hernández, Luis Antonio Cabrera-Miranda, Oscar Arrieta
Palliative and Supportive Care.2024; 22(6): 2084. CrossRef
Disease Perception, Stigma, Distress, Physical Symptom Experience and Quality of Life in Colorectal Cancer Patients Undergoing Chemotherapy: A Cross-Sectional Study
Eun-Hee Lee, Dongwon Choi
Journal of Korean Academy of Fundamentals of Nursing.2024; 31(4): 494. CrossRef
Social stigma associated with cancer in the Newfoundland and Labrador population: an exploratory study
Sevtap Savas, Mercy Winsor, Eric Y. Tenkorang, Charlene Simmonds, Teri Stuckless
Journal of Psychosocial Oncology Research & Practice.2023;[Epub] CrossRef
Validation of the Korean Version of the Cancer Fatigue Scale in Patients with Cancer
Haneul Lee, Eun Young Park, Ji Hyun Sung
Healthcare.2023; 11(12): 1796. CrossRef
The mediating effect of resilience on happiness of advanced lung cancer patients
Sunwha Cho, Eunjung Ryu
Supportive Care in Cancer.2021; 29(11): 6217. CrossRef
Structural Equation Model of the Quality of Working Life among Cancer Survivors Returning to Work
Ju Hyun Jin, Eun Ju Lee
Asian Nursing Research.2021; 15(1): 37. CrossRef
Turkish version of the cancer stigma scale: validity and reliability study
Birsen Paltun, Nurgül Bölükbaş
Psychology, Health & Medicine.2021; 26(sup1): 37. CrossRef
Relationship between cancer stigma, social support, coping strategies and psychosocial adjustment among breast cancer survivors
No Eul Kang, Hye Young Kim, Ji Young Kim, Sung Reul Kim
Journal of Clinical Nursing.2020; 29(21-22): 4368. CrossRef
Stigma and Distress among Cancer Patients: The Mediating Effect of Self-blame
Kyung Mi Yang, Myeong Jeong Chae, Hyang Sook So
Korean Journal of Adult Nursing.2018; 30(1): 89. CrossRef

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Development and Effects of a Cognitive-behavioral Therapy Based Program in Reducing Internalized Stigma in Patients with Schizophrenia: Mi Young Kim, Seong Sook Jun; J Korean Acad Nurs 2016;46(3):349-363. Published online June 30, 2016; DOI: https://doi.org/10.4040/jkan.2016.46.3.349

Abstract PDF

Purpose

This study was done to develop a internalized stigma reducing program based on cognitive-behavioral therapy and appropriate for patients with schizophrenia and to evaluate its effectiveness.

Methods

The study design was a mixed method research. Qualitative study, 13 patients with schizophrenia who had experience in overcoming stigma were purposively chosen for interviews and data were analyzed using Giorgi method. Quantitative study, 64 patients with schizophrenia (experimental group=32, control group=32) were recruited. The cognitive-behavioral therapy-based program for reducing internalized stigma in patients with schizophrenia was provided for 8 weeks (12 sessions). Data were collected from June. 20, 2013 to Feb. 14, 2014. Quantitative data were analyzed using χ²-test, t-test, repeated measures ANOVA with the SPSS program.

Results

Qualitative results, from the experience of coping with stigma in patients with schizophrenia seventeen themes and five themes-clusters were drawn up. Quantitative results showed that internalized stigma, self-esteem, mental health recovery and quality of life were significantly better in the experimental group compared to the control group.

Conclusion

Study findings indicate that this program for reducing internalized stigma in patients with schizophrenia is effective and can be recommended as a rehabilitation program intervention to help patients with schizophrenia to cope with internalized stigma.

Citations

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Positive mental health interventions for people with schizophrenia: A scoping review
Catarina Nogueira, Emanuel Dias Pereira, Joana Catarina Ferreira Coelho, Antonio Rafael Moreno-Poyato, Carlos Alberto Cruz Sequeira
Schizophrenia Research.2025; 276: 40. CrossRef
Cognitive behavioural therapy for women with infertility: A systematic review and meta‐analysis
Guangpeng Wang, Xueyan Liu, Jun Lei
Clinical Psychology & Psychotherapy.2023; 30(1): 38. CrossRef
Terapia cognitivo conductual y esquizofrenia: un estudio de revisión sobre su eficacia
Jessica Marithza Ortíz Fernández, Esteban Cañizares Abril
Pro Sciences: Revista de Producción, Ciencias e Investigación.2021; 5(41): 362. CrossRef
Effects of Mindfulness-Based Stress Reduction (MBSR) on Stress, Heart Rate Variability, Affect, and Wellbeing among People with Schizophrenia
Ae Sil Kim, Mi Heui Jang, Min Jung Sun
International Journal of Environmental Research and Public Health.2021; 18(22): 11871. CrossRef
Effects of Self-Assertive Training Applying Reality Therapy Techniques on Self-esteem and Internalized Stigma in Schizophrenia Patients
Na-Ra Kim, Mi Heui Jang
Journal of Korean Academy of Psychiatric and Mental Health Nursing.2019; 28(1): 37. CrossRef
Evolutionary Concept Analysis of Resilience in People with Mental Disabilities
Seog-Bun Yoo, Gwi-Ryung Son Hong
Journal of Korean Academy of Psychiatric and Mental Health Nursing.2017; 26(4): 333. CrossRef
Overcoming Internalized Stigma in Persons with Psychiatric Disabilities
Mi Young Kim, Seong Sook Jun, Eun Kyung Byun
Journal of Korean Academy of Psychiatric and Mental Health Nursing.2017; 26(3): 238. CrossRef

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Factors Associated with Human Papillomavirus related Stigma, Shame, and Intent of HPV Test: Hae Won Kim; J Korean Acad Nurs 2012;42(2):217-225. Published online April 30, 2012; DOI: https://doi.org/10.4040/jkan.2012.42.2.217

Abstract PDF

Purpose

This study was conducted to examine the factors associated with HPV (Human Papillomavirus) related stigma, shame and intent to have HPV test among adult women.

Methods

Data were collected from December 1, 2009 to January 31, 2010, and participants were 324 women who visited an obstetric gynecologic clinic. They anticipated testing positive for HPV. Then HPV related stigma, shame, intent to have HPV testing and HPV knowledge were measured. Descriptive statistics, Mann-Whitney U test, Kruskal Wallis test and multivariate adjusted logistic regression were used for data analysis.

Results

The levels of stigma and shame were higher than average. Intent to have HPV test was high and HPV knowledge was low. Women who answered that HPV is not sexually transmitted had lower HPV stigma than did women who answered they didn't know (OR=0.20, 95%CI 0.06-0.68). Women with lower stigma showed lower intent to have HPV test than women with higher stigma (OR=0.46, 95%CI 0.26-0.82).

Conclusion

Basic HPV information should be fully understood for women especially prior to HPV test. Normalizing HPV stigma is necessary for women who perceive HPV as sexually transmitted and women intending to have HPV test.

Citations

Citations to this article as recorded by

Knowledge, attitudes, and perceptions associated with HPV vaccination among female Korean and Chinese university students
Hae Won Kim, Eun Ju Lee, Young Jin Lee, Seo Yun Kim, You Jing Jin, Youngji Kim, Jung Lim Lee
BMC Women's Health.2022;[Epub] CrossRef
Relationship between Mothers' Diagnosis of Cervical Cancer and Attitudes toward Preventing Cervical Cancer in their Pubertal Daughters
Da Bit Lee, Hae Won Kim
Korean Journal of Women Health Nursing.2019; 25(4): 434. CrossRef
Factors involved in human papillomavirus (HPV) vaccine hesitancy among women in the South-East Asian Region (SEAR) and Western Pacific Region (WPR): A scoping review
Diviya Santhanes, Che Pui Wong, Yan Ye Yap, Saw Pui San, Nathorn Chaiyakunapruk, Tahir Mehmood Khan
Human Vaccines & Immunotherapeutics.2018; 14(1): 124. CrossRef
Awareness of Pap testing and factors associated with intent to undergo Pap testing by level of sexual experience in unmarried university students in Korea: results from an online survey
Hae Won Kim
BMC Women's Health.2014;[Epub] CrossRef

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