Journal of Korean Academy of Nursing

Original Articles

Pain of Elderly Women with Osteoarthritis: Jae Shin Shin, Hye Gyung An, Hyang Mi Kim, Youn Ja Yoo, Kyung Hee Kim, In Kyung Chong, Yun Mi Lee; Journal of Korean Academy of Nursing 2001;31(2):180-193. Published online March 29, 2017; DOI: https://doi.org/10.4040/jkan.2001.31.2.180

The purpose of this study was to determine the meaning of the pain and experiences of elderly women with osteoarthritis, by adopting Colaizzi's phenomenological method. The participants were 7 elderly women over the age of 65. They were selected using a theoretical sampling technique. The Data was collected by in-depth and open-ended interviews from Dec. 1. 1999. to Feb, 28. 2000. The length of the interviews varied from 120 minutes to 180 minutes. Data was recorded and analyzed by a constant comparative
method
. From the data, significant statements were extracted and then organized into 48 themes, which resulted in 15 clusters of themes and 6 categories. The final descriptions turned out to be valid through the interviewee' validation process. Essential themes of the pain experiences emerged : "physical discomfortness(disturbances)", "negative state of mind", "influence of the death", "positive change in life", "Cause of pain perceived", and "change of their personal relationships". From these results, it was found that elderly women need nursing care based on a deep understanding of pain, and a reflection on their past is imperative to overcome their given situations. In conclusion, it is suggested that the care givers provide more support to solve the problems experienced by the elderly. Thus the researchers expect to provide understanding of older people and give basic data of holistic care for them.

Citations

Citations to this article as recorded by

Factors related to Life Satisfaction in Young-Old, Old, and Oldest-Old Women
Kae-Hwa Jo, Hyun Ji Lee
Journal of Korean Academy of Nursing.2009; 39(1): 21. CrossRef
Reconstructing a Meaning of Pain: Older Korean American Women's Experiences with the Pain of Osteoarthritis
Geri L. Dickson, Jong Im Kim
Qualitative Health Research.2003; 13(5): 675. CrossRef

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Process of Change, Decisional Balance, Self-efficacy and Depression across the Stages of Change for Exercise among Middle Aged Women in Korea: Yun Mi Lee, Nam Hee Park, Young Hee Kim; Journal of Korean Academy of Nursing 2006;36(4):587-595. Published online March 28, 2017; DOI: https://doi.org/10.4040/jkan.2006.36.4.587

Abstract PDF

Purpose

The purpose of this study was to differentiate the change in exercise behavior into different stages and to investigate differences in the process of change, self efficacy, decisional balances and depression according to the stages of exercise behavior change among middle aged women in Korea by using the transtheoretical Model.

Methods

A convenience sample of 434 middle aged women (40-64 years) completed measures of all transtheoretical model constructs involved in exercise behaviors (stages and processes of exercise behaviors change, self efficacy and decisional balance) and depression. The data were analyzed by using the SPSS 10.0 program including descriptive statistics, and one-way ANOVA.

Results

The subjects were distributed in each stage of change in exercise behaviors: pre-contemplation (n=106; 24.4%), contemplation (n=126; 29%), preparation (n=88; 20.3%), action (n=51; 11.8%), and maintenance (n=63; 14.5%). The processes of change, pros(advantages of behaviors), self-efficacy and depression were significantly differentiated across the stages of exercise behavior change. Cons(disadvantage of behaviors) was not significantly differentiated across the stages of exercise behavior change.

Conclusions

Results of this study suggested that discriminating of processes of change, self-efficacy, decisional balance, and depression could provide positive information to people about the stages of change in exercise behavior. Therefore, in designing interventions, the stage of a client's exercise behaviors change needs to be assessed prior to application of intervention programs in order to increase and maintain exercise behavior in middle aged women.

Citations

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Promoting Sustainable Transportation: A Transtheoretical Examination of Active Transport Modes
Tooba Batool, Veerle Ross, Jade Van Blerk, An Neven, Paul Dendale, Davy Janssens, Geert Wets, Kris Brijs
Sustainability.2024; 16(2): 472. CrossRef
Revisiting the Transtheoretical Model for Physical Activity: A Large-Scale Cross-Sectional Study on Japanese-Speaking Adults
Takeyuki Oba, Keisuke Takano, Kentaro Katahira, Kenta Kimura
Annals of Behavioral Medicine.2024; 58(3): 167. CrossRef
Effects of a transtheoretical model - based intervention and motivational interviewing on the management of depression in hospitalized patients with coronary heart disease: a randomized controlled trial
Xiaoyun Li, Silan Yang, Yishu Wang, Bingxiang Yang, Jingping Zhang
BMC Public Health.2020;[Epub] CrossRef
Application of Transtheoretical Model on Behavioral Changes, and Amount of Physical Activity Among University’s Students
Kien Ting Liu, Yee Cheng Kueh, Wan Nor Arifin, Youngho Kim, Garry Kuan
Frontiers in Psychology.2018;[Epub] CrossRef
Effects of Job Characteristics, Organizational Culture on Job Satisfaction and Turnover Intention in Public Institution Nurses
Young Joo Lee, So Hee Kim, Taewha Lee
Journal of Korean Academy of Nursing Administration.2015; 21(4): 354. CrossRef
Relationships between Transtheoretical Model Stages of Change, Decisional Balance, Self-Efficacy, and Physical Activity Level among Nigerian Market Vendors
Fatai Adesina Maruf, Peter Olanrewaju Ibikunle, Najim Olanrewaju Raji
American Journal of Health Promotion.2014; 28(5): e118. CrossRef
Measuring Stages of Change, Perceived Barriers and Self efficacy for Physical Activity in Saudi Arabia
Hala Hazam Al-Otaibi
Asian Pacific Journal of Cancer Prevention.2013; 14(2): 1009. CrossRef
A Comparative Study on Nursing Practice Environment, Professionalism, and Job Satisfaction according to Hospital Size
Mi Hye Lee, Jong Kyung Kim
Journal of Korean Academy of Nursing Administration.2013; 19(4): 470. CrossRef
Mediating Effect of Psychological Empowerment in Relationship between Professional Self-concept and Burnout in Psychiatric Nurses
Gyung-Hee Kim, Jiyoung Kim, Juri Limb
Journal of Korean Academy of Psychiatric and Mental Health Nursing.2012; 21(3): 229. CrossRef
Factors Influencing Turnover Intention of Nurses in Small-medium sized Hospitals
Ki No Kang
Journal of Korean Academy of Nursing Administration.2012; 18(2): 155. CrossRef
The Impact of Nursing Professionalism on the Nursing Performance and Retention Intention among Psychiatric Mental Health Nurses
Kyoung Ja Kwon, Kyoung Hee Ko, Kyung Won Kim, Jung A Kim
Journal of Korean Academy of Nursing Administration.2010; 16(3): 229. CrossRef
A Study on Exercise Performance and Its Relating Factors in Middle-aged Women
Sung-Jae Oh, Jeung-Im Kim, Young-Ran Chae
Korean Journal of Women Health Nursing.2010; 16(4): 348. CrossRef

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Process of Change, Decisional Balance and Self Efficacy Corresponding to Stages of Change in Exercise Behaviors in Middle Aged Women: Yun Mi Lee; Journal of Korean Academy of Nursing 2004;34(2):362-371. Published online March 28, 2017; DOI: https://doi.org/10.4040/jkan.2004.34.2.362

Abstract PDF

Purpose

The study was performed to identify the process of change, decisional balance and self-efficacy corresponding to the stage of exercise behavior change based on a Transtheoretical Model in middle aged women.

Method

The subjects consisted of 317 women by convenience sampling residing in city B. The collected data were analyzed using one-way ANOVA, Scheffe test, and Discriminant analysis by SPSS/WIN program.

Result

The subjects were distributed in each stage of change of exercise behaviors: 53 subjects (16.7%) in the precontemplation stage, 86 subjects (27.1%) in the contemplation stage, 88 subjects (27.8%) in the preparation stage, 51 subjects (16.1%) in the action stage and 39 subjects(12.3%) in the maintenance stage. Analysis of variance showed that consciousness raising (F=24.96, p=.00), environmental reevaluation (F=7.13, p=.00), self reevaluation (F=19.47, p=.00), dramatic relief (F=15.22, p=.00), social liberation (F=4.26, p=.00), counter conditioning (F=26.44, p=.00), a helping relationship (F=13.17, p=.00), reinforcement management (F=21.25, p=.00), self liberation (F=27.70, p=.00), stimulus control (F=13.49, p=.00), pros (F=14.40, p=.00) and self-efficacy (F=39.91, p=.00) were significantly associated with the stages of change of exercise behaviors. Through discriminant analysis, it was found that 'stimulus control' was the most influential variable in discriminating the five stages of change.

Conclusion

This study can provide the basis of a staged matching exercise program using TTM for more effective and useful intervention.

Citations

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Changes in Exercise Behaviors with Exercise Counseling

Korean Journal of Sport Science.2024;[Epub] CrossRef
Factors affecting on stages of change in exercise behavior of local government officials based on Transtheoretical Model
Min-ju Je, Bohyun Park
Korean Journal of Health Education and Promotion.2021; 38(5): 21. CrossRef
Development of strategies for changing in physical activity behaviors on older adults with disabilities
Kyo-Man Koo, Chae-Hee Park, Chun-Jong Kim
Journal of Exercise Rehabilitation.2017; 13(6): 676. CrossRef
Influencing factors from the Transtheoretical Model on the Execution of Self-Management Behaviors among Community-Residing Older Adults with Hypertension
Yang Heui Ahn, Young Mi Lim, KiYon Kim, Ki-Kyoung Kim, Hee-Young Song
Journal of Korean Public Health Nursing.2016; 30(1): 105. CrossRef
Development and Psychometric Evaluation of Nursing Low Back Pain Predictor Questionnaire Focusing on Nurses Suffering from Chronic Low Back Pain in Iran
Leila Ghadyani, Sedigheh Sadat Tavafian, Anoshirvan Kazemnejad, Joan Wagner
Asian Spine Journal.2016; 10(4): 697. CrossRef
Influence of exercise self efficacy and perceived health status according to the stage of change for exercise behaviors in older adults
Woo-Cheol Kim
Journal of Digital Convergence.2015; 13(11): 549. CrossRef
A Study on the Stages of Change in Caregiver's Exercise Behavior
Eun-jeong Ki, Eun Joo Kim, Jeong Sun Kim
Korean Journal of Occupational Health Nursing.2014; 23(4): 262. CrossRef
Comparison of practice of dietary guidelines and health beliefs according to stage of weight loss behavior change among male workers
Su Jeong Song, HongSeok Ahn, Jinmo Khil
Journal of Nutrition and Health.2013; 46(3): 276. CrossRef
Factors Associated with Stages of Exercise Behavior Change of Residents in a Community
Kyung-Shin Paek
Journal of Korean Academy of Community Health Nursing.2012; 23(3): 316. CrossRef
Exercise Performance and Exercise-related Factors of Korean and Korean-Chinese Nursing Students: A comparative Study
Young-Ran Lee, Sun-Nam Park, Sook-Ja Yu, Jung-Soon Moon
Journal of Korean Academy of Community Health Nursing.2011; 22(3): 234. CrossRef
Change of Stages and Related Factors for Wearing of Hearing Protection Device among Noisy Workplace-workers
Young Mi Kim, Ihn Sook Jeong
Journal of Korean Academy of Nursing.2010; 40(5): 736. CrossRef
A Study on Exercise Behavior, Exercise Environment and Social Support of Middle-Aged Women
Myoung-Ae Choe, Yang Sook Hah, Keum Soon Kim, Myungsun Yi, Jung-An Choi
Journal of Korean Academy of Nursing.2008; 38(1): 101. CrossRef

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Factors Associated with the Stage of Change of Smoking Cessation Behavior in Adolescents: Nam Hee Park, Jung Soon Kim, Yun Mi Lee; Journal of Korean Academy of Nursing 2003;33(8):1101-1110. Published online March 28, 2017; DOI: https://doi.org/10.4040/jkan.2003.33.8.1101

Abstract PDF

Purpose

The purpose of this study was to identify the stage of change of smoking cessation behavior and investigate factors associated with the stage of smoking cessation behavior according to the transtheoretical model.

Methods

The participants, 297 smokers & quitters were selected by a stratified random sampling from 127 high school sophomore students in B city. Data were collected from April 6th to 16th, in 2002 using the structured self-report questionnaire.

Results

The subjects were distributed in each stage of change of smoking cessation behavior: there were 46 subjects (15.5%) in precontemplation, 73 subjects (24.6%) in contemplation, 67 subjects(22.3%) in preparation, 56 subjects (18.5%) in action, 55 subjects (18.5%) in maintenance. Compared to the precontemplation and contemplation, people in preparation tended to smoke daily more and smoked for a shorter time, and as precontemplation progressed to the maintenance, past 1 year smoking cessation frequency increased and friends smoking decreased. Smoking onset age was the earliest in preparation, and the latest in maintenance. Helping relationships and self relationships are used a lot in precontemplation and also in contemplation. In preparation, self liberation and helping relationships are used a lot, in action, self liberation and helping relationships, and in maintenance, self liberation and environmental reevaluation. At each stage, the score of negative affect situation was the highest, but the one of negative affect situation, positive social situation, habitual strength, weight control decreased as precontemplation progressed to the maintenance. While the score of social pros and coping pros decreased with increasing stage, the one of cons tended to increase. Through stepwise discriminant analysis, it was found that social pros, smoking onset age, delf-libration were the most influencing powers among factors associated with the stages of smoking cessation behavior.

Conclusions

This study suggested that, in developing an effective smoking cessation intervention for adolescents, all the stage of a client's cessation had to be assessed prior to applying intervention programs. In addition, the results of this study will become a pillar of smoking cessation program planning and application.

Citations

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Prevalences of Stages of Change for Smoking Cessation in Adolescents and Associated Factors: Systematic Review and Meta-Analysis
Leonardo Essado Rios, Álex Moreira Herval, Raquel Conceição Ferreira, Maria do Carmo Matias Freire
Journal of Adolescent Health.2019; 64(2): 149. CrossRef
Effects of an Empowerment Program on Nicotine Dependency, Temptation, Self-esteem, Depression in Adolescents Who Smoke
Nam-Hee Park
Journal of Korean Academy of Child Health Nursing.2012; 18(1): 1. CrossRef
Factors Associated with the Preparation Stage to Quit Smoking among College Smokers
Kyung-Shin Paek, Young-Sook Kwon
Journal of Korean Academy of Community Health Nursing.2011; 22(2): 173. CrossRef

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Effect of Vitamin C Supplementation on Blood Sugar and Antioxidative Status in Types II Diabetes Mellitus Patients: Hyoung Sook Park, Yun Mi Lee; Journal of Korean Academy of Nursing 2003;33(2):170-178. Published online March 28, 2017; DOI: https://doi.org/10.4040/jkan.2003.33.2.170

Abstract PDF

Purpose

This study was to determine the effect of oral vitamin C supplements on blood sugar and antioxidative status in Types II diabetes mellitus patients.

Method

Data for the study were collected from June 24 to August 31, 2001. Participants(31) took 1g/day vitamin C for 4 weeks, after a 1 - week taking no Vitamin C, followed by Vitamin C 3g/day for 4 weeks. A baseline blood sample was obtained following a 12hour overnight fast and at the end of each 4week Vitamin C administration. Blood samples were taken for plasma vitamin C concentration, fasting blood sugar, HbA1c, superoxide scavenging activity and hydrogen peroxide scavenging activity. The data were analyzed by SPSS for repeated measures ANOVA.

Result

Plasma vitamin C concentration was significantly increased over dose(F=3.316, p=.043). Fasting blood sugar and HbA1c was significantly decreased over dose(F=13.192, p=.000; F=11.995, p=.000). Superoxide scavenging activity and hydrogen peroxide scavenging activity was significantly increased over dose(F=486.138, p=.000; F=177.704, p= .000).

Conclusion

The results suggest that megadose vitamin C supplementation may have a beneficial effect in diabetes mellitus patients on both glycemic control and antioxidant status. Thus dietary measures to increase plasma vitamin C may be an important health strategy for reducing the compliance of diabetic patients.

Citations

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Assessment of Antioxidant Effect of Beta-Glucan on the Whole Blood Oxidative DNA Damage with the Comet Assay in Colorectal Cancer
Necla Benlier, Nilay Uçar, Eda Öğüt, Havva Yeşil Çinkir, Mustafa Yildirim, Pınar Günel Karadeniz, Esra Küpeli Akkol, Haroon Khan, Eyüp Ilker Saygili
Current Molecular Pharmacology.2022; 15(2): 446. CrossRef
The Comparative Analysis of Health Risk Factor according to HbA1c Level of Elderly Women Dwelling in Jeonla Province - Blood Health Status, Food Habit and Nutrient Intake -
Se In Oh, Chung Shil Kwak, Mee Sook Lee
The Korean Journal of Food And Nutrition.2016; 29(3): 392. CrossRef
Effects of Folic Acid and Ascorbate Supplementation on Plasma Homocysteine and Oxidative Stress in Patients with Type 2 Diabetes Mellitus
Mi-Ri Hwang, Ju-Ryoun Soh, Hyeon-Sook Lim
The Korean Journal of Nutrition.2009; 42(2): 107. CrossRef

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Effect of Self-Foot Reflexology massage on Depression, Stress Responses and Immune Functions of Middle Aged Women: Yun Mi Lee; Journal of Korean Academy of Nursing 2006;36(1):179-188. Published online February 28, 2006; DOI: https://doi.org/10.4040/jkan.2006.36.1.179

Abstract PDF

Purpose

This study was aimed to identify the effects of a self-foot reflexology massage on depression, stress responses and functions of the immune system of middle-aged women.

Method

This study was a one group pretest-posttest experimental design and the data was collected from August 1^st, 2004 to May 31^st, 2005. The subjects consisted of 46 middle-aged women (40 - 64 years) who were recruited from the Community Health Center in Busan city. Subjects were not treated for 4 weeks, subsequently they were trained in self foot reflexology massage for 2 weeks, and then they did their own daily for 6weeks (2 days at the research center, 5 days at home).The outcome variables were measured 4 times, at baseline, pre training, after training, and after the intervention. The collected data was analyzed using repeated measure ANOVA by the SPSS/WIN program.

Result

There was a statistically significant difference in depression, perceived stress, systolic blood pressure, natural-killer cells and Ig G. However, there was not a statistically significant difference in dyastolic blood pressure, pulse or serum cortisol.

Conclusion

These results suggest that a self-foot reflexology massage could be utilized as an effective nursing intervention to reduce depression and stress responses, and to strengthen immune systems in middle-aged women.

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