Journal of Korean Academy of Nursing

Weight Loss Experience of Highly Obese Young Adult Who Underwent Bariatric Surgery: Lee, Hoim , Jeong, Hyoju , Kwon, Suhye; J Korean Acad Nurs 2023;53(2):260-273. Published online April 30, 2023; DOI: https://doi.org/10.4040/jkan.23004

Abstract PDF: Purpose
This study aimed to explore the weight loss experience of highly obese young people who underwent bariatric surgery.
Methods
Data were collected, from October 2021 to April 2022, through individual in-depth interviews with eight highly obese young adults who underwent bariatric surgery and analyzed using Colaizzi’s phenomenological method.
Results
The following four theme clusters were extracted. First, ‘The unbearable sorrow of obese people’ explains the process of choosing bariatric surgery after fluctuations and frustration despite countless repeated weight loss attempts. Second, ‘The impact aftermath of bariatric surgery’ revealed participants struggling in the face of unexpected changes due to bariatric surgery. Third, ‘Efforts to rebuild a healthy myself’ demonstrated the struggle to regain health by using the surrounding support system to overcome the difficulties of this surgical procedure. Lastly, ‘Facing life by getting rid of the yoke of obesity’ displayed the experiences of the participants who felt ambivalent about their changed appearance, but coping positively with the new life.
Conclusion
This study provides an in-depth understanding of the weight loss experiences of highly obese adolescents who underwent bariatric surgery and presents a new perspective on clinical practice. The results of this study are expected to be useful in developing and applying systematic and customized nursing interventions before and after bariatric surgery.

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The Experience of Gynecologic Cancer in Young Women: A Qualitative Study: Kim, Sung-Jin , Shin, Hyunjeong; J Korean Acad Nurs 2023;53(1):115-128. Published online February 28, 2023; DOI: https://doi.org/10.4040/jkan.22119

Abstract PDF: Purpose
This study aimed to understand the experiences of women under 40 years of age with gynecologic cancer.
Methods
Semi-structured individual in-depth interviews were conducted with 14 Korean female patients aged 21~39 years with gynecologic cancer. The data were analyzed using Corbin and Strauss' grounded theory approach, including open coding, context analysis, and integrating categories.
Results
Grounded theory analysis revealed nine categories and a core category of ‘the journey to find my life after losing the life as a typical woman.’ The categories that emerged as the conditions are ‘Unwelcomed guest, cancer,’ ‘Completely devastated life as an ordinary woman,’ ‘Uncertain future,’ ‘Losing my physical characteristics as a woman,’ and ‘Life tied with treatments.’ The actions/interactions were ‘Decrease of interpersonal relationships,’ ‘A lonely battle to overcome alone,’ and ‘The power to overcome hardships.’ The consequence was ‘Live my own life.’ Conclusion: This study contributes to the development of a substantive theory of the experience of gynecologic cancer in young women, which has been on the rise in recent years. The study’s results are expected to be used as a basis for providing nursing care to help young women with gynecologic cancer adapt to their disease.

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1 Web of Science

Young Adult Donor’s Experiences of Living Donor Liver Transplantation: Bang, Miseon , Shin, Haeyun , Ryu, Min , Kwon, Suhye; J Korean Acad Nurs 2021;51(1):105-118. Published online February 28, 2021; DOI: https://doi.org/10.4040/jkan.20235

Abstract PDF: Purpose
This study aimed to explore young adult donors’ experiences of living donor liver transplantation.
Methods
A phenomenological research method was used. The participants were two women and six men. Data were collected through individual in-depth interviews from November 25th, 2019 to June 10th, 2020 and analyzed using Colaizzi’s phenomenological method.
Results
Five theme clusters extracted from the young adult donors’ experiences were painful decision of a liver donation, the agony of both mind and body that overpowers youth, the bitter and bare face of reality that a young donor encounters, feeling the power of love that fills up the space of the organ removed, and liver donation becoming priming water for maturity.
Conclusion
The results of this study provide a deeper understanding of the lives of young adult donors who have experienced unexpected difficulties as well as self growth from the donation. It is expected that the results can be of use for developing and applying customized nursing interventions for management before and after liver donation among young adult donors.

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Effectiveness of Health Promotion Program Using Action Planning Strategy for Young Adults: Su Hyun Kim, Min Ji Kim, Sang Hee Kim, So Yeon Kim, Chae Yeon Park, Jee Yun Bang; J Korean Acad Nurs 2019;49(4):461-471. Published online January 15, 2019; DOI: https://doi.org/10.4040/jkan.2019.49.4.461

Abstract PDF: Abstract Purpose
The purpose of this study was to evaluate the effectiveness of a health promotion program utilizing action planning strategy for young adults.
Methods
A non-equivalent control group pre-post-test design was used. One hundred three university students participated in the study. Participants in the experimental group (n=51) were provided the health promotion program utilizing action planning strategy for five weeks. The program consisted of weekly sessions that included action planning and group feedback. The control group (n=52) was provided with health information every week for 5 weeks. Program outcomes, including self-efficacy, physical activity health behaviors, total exercise time per week, daily cigarette consumption, frequency of alcohol drinking per month, nutritional health behaviors, and subjective health status, were assessed at baseline and at follow-up after 5 weeks.
Results
The participants in the experimental group demonstrated significant increases in self-efficacy, physical activity health behaviors, weekly exercise time, and nutritional health behaviors and significant decreases in daily cigarette consumption than those in the control group.
Conclusion
The health promotion program utilizing action planning strategy is a brief and effective intervention to promote health behaviors among young adults. Further investigation is warranted to assess the program's effectiveness among other age groups and populations at high risk for chronic illness.

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2 Web of Science

A Structural Model for Premenstrual Coping in University Students: Based on Biopsychosocial Model: Myung-Ock Chae, Hae Ok Jeon, Ahrin Kim; J Korean Acad Nurs 2017;47(2):257-266. Published online April 28, 2017; DOI: https://doi.org/10.4040/jkan.2017.47.2.257

Abstract PDF: Purpose
The aims of this study were to construct a hypothetical structural model which explains premenstrual coping in university students and to test the fitness with collected data.
Methods
Participants were 206 unmarried women university students from 3 universities in A and B cities. Data were collected from March 29 until April 30, 2016 using self-report structured questionnaires and were analyzed using IBM SPSS 23.0 and AMOS 18.0.
Results
Physiological factor was identified as a significant predictor of premenstrual syndrome (t=6.45, p<.001). This model explained 22.1% of the variance in premenstrual syndrome. Psychological factors (t=-2.49, p=.013) and premenstrual syndrome (t=8.17, p<.001) were identified as significant predictors of premenstrual coping. Also this model explained 30.9% of the variance in premenstrual coping in university students. A physiological factors directly influenced premenstrual syndrome (β=.41, p=.012). Premenstrual syndrome (β=.55, p=.005) and physiological factor (β=.23, p=.015) had significant total effects on premenstrual coping. Physiological factor did not have a direct influence on premenstrual coping, but indirectly affected it (β=.22, p=.007). Psychological factors did not have an indirect or total effect on premenstrual coping, but directly affected it (β=-.17, p=.036).
Conclusion
These findings suggest that strategies to control physiological factors such as menstrual pain should be helpful to improve premenstrual syndrome symptoms. When developing a program to improve premenstrual coping ability and quality of menstrual related health, it is important to consider psychological factors including perceived stress and menstrual attitude and premenstrual syndrome.

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