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Original Articles
An Analytical Review on Fatigue of Cancer Patients
Yun Jung Lee, Dal Sook Kim
Journal of Korean Academy of Nursing 2002;32(6):897-905.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.2002.32.6.897
AbstractAbstract PDF

PURPOSE: The purpose of this study was to discuss and address the state of the knowledge development and the nature of knowledge regarding fatigue. METHOD: This study analyzed the 63 fatigue related articles published from 1990 to 2001. The analysis schema was 'Alternative linkages among philosophy, theory, and method for nursing science' (Kim, 1993). RESULT: The 63 articles had been studied only within 5 types among all 96 types of linkages. Most of the articles (59 among 63 articles) had been studied within scientific realism and deductive logic. Fifty-three articles among 59 articles were the type of explanatory and predictive theory, grasping reality by the etic method on the controlled setting. CONCLUSION: This study suggests more development of knowledge regarding fatigue with various logics, especially with discovery logic such as inductive and retroductive or methods in multiple designs on various subjects under various philosophy needed for nursing practice.

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A Correlational Study on Uncertainty, Coping and Depression of Cancer Patients
Yun Jung Lee, Eun Mi Ham, Kum Sun Kim
Journal of Korean Academy of Nursing 2001;31(2):244-256.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.2001.31.2.244
AbstractAbstract PDF

The purpose of this study was to investigate the effects of coping mechanisms on uncertainty and depression. The subjects were 71 cancer patients selected from Junbook National University Hospital, and the data collection period was from June 21 to October 19 of 2000. Uncertainty was measured by using Mishel's Uncertainty Scale, problem- focused coping, and emotional-focused coping. The data was collected by a questionnaire developed by Lee (1984), and then depression measured by using Beck's depression scale. Data was analyzed with SPSS/WIN 7.5 program by Pearson Correlation Coefficients, and Path analysis. The results were as follows : 1. The mean uncertainty score was 59.17, the mean problem-focused coping score was 48.78, the mean emotional-focused coping score was 42.52. 2. The mean depression score was 15.77. 3. Uncertainty in illness was significantly related to depression (p=0.003) and emotional-focused coping (p=0.028), but uncertainty was not associated with coping mechanisms. 4. When analyzed multiple regression between uncertainty, problem-focused coping, emotional- focused coping, and depression, more specifically emotional-focused coping showed a stronger association with depression than problem-focused coping. 5. Depression was highly correlated with economic status (p=0.015), educational background (p=0.005), duration of disease (p=0.045). 6. Problem-focused coping and emotional-focused coping appeared to function as moderators instead mediators on the relation between uncertainty and depression. In addition, as a whole, uncertainty showed a significant moderating effect on depression, while problem-focused coping did on depression. Finally, limitation of present findings were discussed and implications for future studies are suggested.

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A Study on the Related Factors of the Wellbeing of Family Caregivers in Elderly with Stroke
Yeon Hwan Park, Su Jeong Yu, Shin Mi Kim, Yun Jung Lee
Journal of Korean Academy of Nursing 2006;36(2):373-380.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2006.36.2.373
AbstractAbstract PDF
Purpose

The purpose of this study was to identify the factors related to the wellbeing of the family caregivers of the elderly with a stroke.

Methods

The subjects of this study were 199 elderly treated in four oriental hospitals in Korea, and their primary family caregivers. The data was collected by interviewsand a self reported questionnaire, during the period from October, 2003 to April, 2004.

Results

The results of this study were as follows. The mean score of wellbeing of family caregivers was 60.6412.63. The factors related to wellbeing of family caregivers were sex, age, education, depression, illness severity, ADL, paralysis, and speech disability in elderly characteristics. Among family caregivers characteristics, education, relation, and burden were significantly related. In situational variables, family income and the previous relationship between the elderly and family caregivers were related to wellbeing. Stepwise multiple regression analysis revealed that the most powerful predictor of wellbeing was the burden of family caregivers. A combination of the depression of elderly and age of family caregivers accounted for 50.3% of the variance of wellbeing.

Conclusions

On developing the nursing intervention for improving wellbeing of family caregivers, many factors should be considered, especially caregiver burden, and elderly depression.

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The Effect of Senior Simulation on Nurses' Attitude Toward the Elderly
Su Jeong Yu, Shin Mi Kim, Yun Jung Lee
Journal of Korean Academy of Nursing 2004;34(6):974-982.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2004.34.6.974
AbstractAbstract PDF
Purpose

This study was performed to explore the effect of senior simulation on nurses' attitudes toward the elderly.

Method

Twenty-seven nurses working in various settings such as acute hospitals, community health centers, geriatric hospitals, and clinics were recruited. Among them, 25 subjects completed the whole experimental protocol. Aging Semantic Differential Scaling was utilized to evaluate attitudes toward the elderly and ‘ Suit for Experiencing Being Aged’ from the Sakamoto Model was provided for the experiment. Before and after the experiment subjects filled out questionnaires.

Result

Attitude score before experiment was 4.36, which indicates neutral attitude. Objective attitude scores were not different significantly after experiment. However subjective statements indicated attitude changes in a positive way.

Conclusion

Senior simulation can affect nurses' attitude toward elderly in subjective way. That is, nurses became more empathetic and understanding to elderly's physical limitations and felt more initiative nursing approach were needed in caring elderly.

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Effectiveness of Self-efficacy Promoting Vestibular Rehabilitation Program for Patients with Vestibular Hypofunction
Hyun Jung Lee, Smi Choi-Kwon
J Korean Acad Nurs 2016;46(5):710-719.   Published online October 31, 2016
DOI: https://doi.org/10.4040/jkan.2016.46.5.710
AbstractAbstract PDF
Purpose

In this study an examination was done of the effect of self-efficacy promoting vestibular rehabilitation (S-VR) on dizziness, exercise selfefficacy, adherence to vestibular rehabilitation (VR), subjective and objective vestibular function, vestibular compensation and the recurrence of dizziness in patients with vestibular hypofunction.

Methods

This was a randomized controlled study. Data were collected 3 times at baseline, 4 and 8 weeks after beginning the intervention. Outcome measures were level of dizziness, exercise self-efficacy, and level of adherence to VR. Subjective and objective vestibular function, vestibular compensation and the recurrence of dizziness were also obtained. Data were analyzed using Windows SPSS 21.0 program.

Results

After 4 weeks of S-VR, there was no difference between the groups for dizziness, subjective and objective vestibular functions. However, exercise self-efficacy and adherence to VR were higher in the experimental group than in the control group. After 8 weeks of S-VR, dizziness (p =.018) exercise self-efficacy (p <.001), adherence to VR (p <.001), total-dizziness handicap inventory (DHI) (p =.012), vision analysis ratio (p =.046) in the experimental group differ significantly from that of the control group. The number of patients with recurring dizziness were higher in the control group than in the experimental group (p <.001).

Conclusion

The results indicate that continuous 8 weeks of S-VR is effective in reducing dizziness, and improving exercise self-efficacy, subjective vestibular function and adherence to VR. Objective vestibular function and vestibular compensation were also improved in the experimental group at the end of 8 weeks of S-VR.

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Quality of Life and the Related Factors in Patients with Dizziness
Hyun Jung Lee, Smi Choi-Kwon
J Korean Acad Nurs 2009;39(5):751-758.   Published online October 31, 2009
DOI: https://doi.org/10.4040/jkan.2009.39.5.751
AbstractAbstract PDF
Purpose

The purpose of this study was to investigate the Quality of Life (QOL) and related factors in the patients with dizziness.

Methods

The data were collected between March and June 2008 for 200 individuals who agreed to participate in the study. Uncertainty (Uncertainty in illness scale), anxiety, depression (Hospital anxiety & depression scale) and Vestibular disability activities of daily living (Vestibular disability-activities of daily living [ADL] scale) as well as QOL (Dizziness Handicap Inventory) were measured.

Results

The mean QOL score was 37.5 (±23.0). Monthly income, etiology of, frequency of, and total duration of dizziness were the significant factors related to QOL in these patients. Having had a fall, anxiety, depression, uncertainty and vestibular disability in daily living were also significant factors influencing QOL. In multiple regression analysis, anxiety, vestibular disability-ADL, falls, total duration of symptoms, uncertainty, and etiology of dizziness explained 41% of variance of QOL.

Conclusion

The level of QOL in our patients was moderate as compared to those in previous studies. Anxiety and vestibular disability were the most important factors predicting low QOL. Use of nursing intervention programs designed to relieve these factors should also result in improving the QOL in the patients with dizziness.

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