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REFERENCE LINKING PLATFORM OF KOREA S&T JOURNALS
> Journal Vol & Issue
Korean Journal of Adult Nursing
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Journal DOI :
Korean Society of Adult Nursing
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Volume & Issues
Volume 23, Issue 6 - Dec 2011
Volume 23, Issue 5 - Oct 2011
Volume 23, Issue 4 - Aug 2011
Volume 23, Issue 3 - Jun 2011
Volume 23, Issue 2 - Apr 2011
Volume 23, Issue 1 - Feb 2011
Selecting the target year
Related Factors of Quality of Life in Male Patients with Chronic Obstructive Pulmonary Disease
Lee, Hae-Jung ; Jee, Young-Ju ;
Korean Journal of Adult Nursing, volume 23, issue 4, 2011, Pages 309~320
Purpose: The purpose of the study was to examine the related factors of quality of life (QOL) among patients with Chronic Obstructive Pulmonary Disease (COPD). Methods: Patients diagnosed with COPD (N=230) were recruited from four hospitals in Kyeong-Nam province, from March 2 to November 30, 2010. The data collection instruments were the Short Form 36, perceived dyspnea measure by Modified Medical Research Council, COPD and Asthma Sleep Impact Scale, COPD Self-efficacy Scale, and Center for Epidemiologic Studies Depression Scale were used. Following the completion of the data collection instruments Pulmonary function was tested. Data were analyzed with descriptive statistics, Pearson correlation and simultaneous multiple regression using SPSS/WIN. Results: The mean QOL of this study was 68.24. Using a multivariate approach, the significant correlates of QOL were depression (
=-.37), dyspnea (
=-.28), self-efficacy (
=.20), and a sufficient degree of household income (
=.16). These variables explained 49% of variance in QOL. Conclusion: The study suggests that psychological aspects are an important factor in explaining QOL of the patients. Screening and minimizing depression could be effective strategies in enhancing QOL of patients with COPD and further investigation to reduce depression could warrant the improvement of QOL in patients with COPD.
Incidence Risk of Cardiocerebrovascular Disease, Preventive Knowledge, Stage of Change and Health Behavior among Male Bus Drivers
Kim, Eun-Young ; Hwang, Seon-Young ;
Korean Journal of Adult Nursing, volume 23, issue 4, 2011, Pages 321~331
Purpose: This study was designed to identify the incidence risk of cardicerebrovascular disease (CVD) among male bus drivers, and to examine and compare the predictors of their health behavior according to the level of CVD incidence risk. Methods: The convenience sample of 222 male bus drivers were recruited from a bus company located in Jeonnam province. Data were collected from self-reported questionnaires and annual medical examination records from 2010. The CVD incidence risk was calculated based on the risk criteria for industrial workers. Results: The 26.6% and 26.1% of the participants were in the moderate and high risk group, respectively. The 72% of the participants were in the precontemplation stage and reported no intention to change their unhealthy lifestyles. Stepwise multiple regression analyses showed that current smoking, excessive alcohol drinking, physical inactivity and lack of knowledge were negative predictors of good health behavior in the normal/low risk group (Adj
=.443). Heavy alcohol drinking, current smoking, physical inactivity and dyslipidemia were reported by the moderate/high risk group (Adj
=.427). Conclusion: This study suggested that targeted education and counseling are needed to modify unhealthy lifestyles such as alcohol consumption, smoking and exercise among middle aged male drivers. Especially, dyslipidemia should be managed among those who are at risk for CVD.
Depression, Somatoform Disorders, and Quality of Life between Poor Sleepers and Good Sleepers in Community-Dwelling Older Adults
Shin, Kyung-Rim ; Kang, Youn-Hee ; Park, Hyo-Jung ; Kim, Kon-Hee ; Jin, Li Hua ;
Korean Journal of Adult Nursing, volume 23, issue 4, 2011, Pages 332~339
Purpose: The purpose of this study was to compare depression, somatoform disorders, and quality of life among older adults. Methods: Samples of 280 community-dwelling Korean older adults were included. The age range of the participants was 60 to 90 years (average
). The participants were assigned to one of two groups based on reported scores on the Pittsburgh Sleep Quality Index from September 2006 to March 2007. The two groups were designated as "poor sleepers"and "good sleepers". A T-test was used to compare depression, somatoform disorders and quality of life between the two groups. Results: Forty-six percent of participants reported scores that indicated they were poor sleepers. Poor sleepers reported significantly higher depression scores (p<.001), higher somatoform disorders scores (p<.001), lower for each SF-36 quality of life dimension, and lower mental and physical health summary scores (p<.001) than the reported scores of those participants who were classified as good sleepers. Conclusion: Older adults with poor sleep patterns are more likely to report higher depression, more somatoform disorders and a lower quality of life. Additional research is needed to identify the appropriate nursing interventions aimed at improving sleep quality, depression symptoms, somatoform disorders and the quality of life.
A Meta-Analysis of Intervention Studies on Nausea and Vomiting in Cancer Patients
Oh, Pok-Ja ; Yoo, Ji-Hyun ;
Korean Journal of Adult Nursing, volume 23, issue 4, 2011, Pages 340~350
Purpose: This study was designed to analyze the characteristics and effect size of published intervention studies related to nausea & vomiting among cancer patients. Methods: A total of 1,083 studies were retrieved. From these studies, 20 studies met the inclusion criteria with a total of 698 participants. Two authors independently extracted data from the selected studies and assessed the methodological quality. The data were analyzed by the RevMan 5.0 program of Cochrane library. Results: The twenty studies utilized various non-pharmacological interventions: Nine studies on acupuncture (45%), Five studies utilized massage (25%), Two studies used oral cryotherapy (10%) and Four studies used other therapies. In the twenty studies the effect size of the intervention studies reported a higher effect sizes for massage (d=-1.62) and acupuncture (d=-0.89). Conclusion: This study suggests that non-drug therapy can reduce the levels of nausea and vomiting intensity. Massage and acupuncture interventions studies were more numerous and this may account for the higher effect rate.
Fear of Falling, Depression, Physical Fitness and Physical Activity among Community Dwelling Elders
Lee, Young-Hee ; Choi, Mi-Kyoung ;
Korean Journal of Adult Nursing, volume 23, issue 4, 2011, Pages 351~362
Purpose: This study was designed to examine fear of falling, depression, physical fitness, and physical activity and further to identify the factors that predict physical activity among community dwelling elders. Methods: This study was a cross-sectional descriptive survey. Participants were 153 community dwelling elders from G city. Data were collected using structured questionnaires and were analyzed using descriptive statistics,
-test, t-test, ANOVA, and multinominal logistic regression analysis. Results: Activity levers were coded as inactive, minimal activity and enhancing physical active. Thirty-three point three percent reported inactivity, forty-seven point seven percent reported minimal activity and nineteen percent reported health enhancing physical activity. There were significant differences in physical activity relative to gender, age, falling experience, perceived health, and living situation. Further, there was significant difference in fear of falling, depression, and physical fitness by physical activity. For instance, Fear of falling (OR=1.04, p=.014) was a significant predicting factor for physical activity, In contrast for the enhancing physical active the variables of gender (OR=0.28, p=.046), age (OR=0.86, p=.021), perceived health (fair: OR=13.61, p=.006), fear of falling (OR=1.04, p=.026), and two-minute step (OR=1.04, p=.049) were significant. Conclusion: The results of this study indicate that physical activity intervention programs are needed to increase physical activity for community dwelling elders. Physical activity intervention programs should be developed and evaluated.
Predicting Factors on Fatigue in Patients with Parkinson's Disease
Kim, Sung-Reul ; Chung, Sun-Ju ; Yu, Soo-Yeon ; Kim, Mi-Sun ; Park, En-Ok ; Shin, Nah-Mee ; Lee, Sook-Ja ;
Korean Journal of Adult Nursing, volume 23, issue 4, 2011, Pages 363~373
Purpose: Fatigue is a common problem in Parkinson's disease (PD), affecting 30~65% of patients with that diagnosis. Only recently has fatigue been recognized as an important clinical feature of PD. The aim of this study was to investigate the level of fatigue and related factors in patients with PD. Methods: Between March 1, and September, 30, 2010, a sample of 181 PD patients agreed to be interviewed. Results: The female patients' PFS (Parkinson Fatigue Scale) score was higher than those of the male patients. Household income and having a Job were significantly correlated with the PFS scores. Among the disease characteristics, motor fluctuations, dyskinesia and modified Hoehn and Yahr stage were significantly correlated with the PFS scores. On stepwise regression analysis, the most important factors related to the PFS scores were depression and sleep disturbance. Conclusion: Fatigue in patients with PD was associated with many factors and strongly associated with depression and sleep disturbance. Fatigue is a multidimensional construct; therefore, multidimensional strategies for relieving specific aspects of fatigue are needed.
A Path Model Predicting Medication Adherence and Self-care of Low-income Older Adults with Hypertension
Suh, Soon-Rim ; Lee, Eun-Hyun ;
Korean Journal of Adult Nursing, volume 23, issue 4, 2011, Pages 374~385
Purpose: The purpose of this study was to identify the factors that influence medication adherence and self-care among low-income older adults with hypertension. Methods: A sample of 297 low-income older adults with hypertension was recruited from June 30 to July 30, 2010. Data collection was done using a face-to-face interview with structured questions. The data were analyzed using descriptive statistics, Pearson's correlation coefficient, and path analysis. Results: Subjective health status, duration of hypertension, number of drugs excluding antihypertensives, body mass index, knowledge about hypertension, sense of coherence, benefit, barrier, and self-efficacy were identified as significant predictors. Subjective health status and duration of hypertension, knowledge, depression, and self-care showed direct effects on medication adherence. Depression had the strongest direct influence on medication adherence. Body mass index, benefit, self-efficacy, and depression showed a direct effect on self-care. Sense of coherence was a strong predictor of depression which significantly influenced on medication adherence and self-care. Conclusion: For enhancing medication adherence and self-care, it is suggested that a psycho-education program reducing depression and increasing knowledge about hypertension should be provided into low-income older adults with hypertension.
Differences in Body Mass Index, Anxiety, Depression, and Fatigue by Physical Activities in Cancer Patients Undergoing Chemotherapy
Seo, Nam-Sook ; Kim, Sea-Ja ;
Korean Journal of Adult Nursing, volume 23, issue 4, 2011, Pages 386~396
Purpose: This study was conducted to examine the level of physical activities at time points of pre-illness and current treatment, and the differences in body mass index (BMI), anxiety, depression and fatigue according to their physical activity in cancer patients undergoing chemotherapy. Methods: The survey was used with 126 cancer patients undergoing daily chemotherapy at injection room, cancer clinic of C University Hospital in G city. Data were collected from June to September, 2009 using a structured questionnaire. The data were analyzed by descriptive statistics, chi-square, Fisher's exact test and t-test using SPSS/WIN15.0. Results: The significant increase in physical activity was reported from pre-illness to the time in treatment (
=69.027, p<.001). The anxiety level of the group with increased physical activity was significantly lower than those who did not (t=-2.218, p =.028). There were no significant differences in BMI, depression, and fatigue according to physical activity. Conclusion: The level of physical activity was significantly associated with the anxiety level of the cancer patients undergoing chemotherapy. Cancer patients should been encouraged regular physical activity during chemotherapy treatment. And an appropriative nursing intervention should be established in order to motivate cancer patients to increase physical activity.
Depression, Stress, Anxiety and Mindfulness in Nursing Students
Song, Yeoung-Suk ;
Korean Journal of Adult Nursing, volume 23, issue 4, 2011, Pages 397~402
Purpose: This study was designed to explore the relationship of depression with stress, anxiety and mindfulness in nursing students in 2010. Methods: A cross-sectional design was used and data was collected through structured questionnaires. Depression, stress, anxiety, and mindfulness were measured by using the Depression, Anxiety and Stress Scale (DASS) and the Mindfulness Attention Awareness Scale (MAAS). The data were analyzed using t-test, one-way ANOVA, Pearson correlation coefficient, and stepwise multiple regression. Results: A total of 131 nursing students participated in this study. Depression was positively associated with stress (r=.81, p<.001) and anxiety (r=.76, p<.001), and negatively associated with mindfulness (r=-.73, p<.001). Multiple regression analyses showed that in different type of residence, anxiety and mindfulness were statistically significant predictors of depression with explanatory power of 67%. Conclusion: When nurse instructors manage depression among nursing students, the strategies need to address stress, anxiety, and mindfulness. This study may help nursing students to better manage their depression.
Preventive Behavior and Health Belief about Hepatitis A of Adults in their Twenties to Thirties
Park, Ju-Young ;
Korean Journal of Adult Nursing, volume 23, issue 4, 2011, Pages 403~411
Purpose: This study was designed to identify the relationship between preventive behavior and health belief about Hepatitis A among young adults. Methods: The sample consisted of 197 participants between the ages of twenty and forty. The data were collected from May 3 to May 30 2011 and analyzed using descriptive statistics, t-test,
-test, and Pearson correlation coefficients. Preventive Behavior's Scale about Hepatitis A and Health Belief's Scale about Hepatitis A were used for data collection. Results: The mean scores of health behavior (
) and preventive behavior (
) about Hepatitis A were about average degree. The participant's characteristics with preventive behavior were significantly different according to type of residence (
=4.74, p =.040), experience of obtained knowledge about Hepatitis A (
=5.68 p =.018) and attitude about Hepatitis A (
=15.20, p<.001). Significant correlations were found between health behavior and preventive behavior with Hepatitis A (r=.20, p =.005). The preventive behavior had a significant positive correlation with susceptibility (r=.22, p =.001), severity (r=.17, p =.015), and benefit (r=.32, p<.001) towards Hepatitis A as the details of the health belief. Conclusion: These findings indicate that health belief may be necessary to improve compliance with preventive behavior on Hepatitis A among young adults. It is necessary to develop the strategy of reinforcing health belief in complying with preventive behavior for preventing the occurrence of Hepatitis A.
Effects of Walking and Resistance Exercise on Body Composition and Lipid Profile of Obese Women in their 30~40s
Song, Min-Sun ; Yoo, Yong-Kwon ; Kim, Nam-Cho ;
Korean Journal of Adult Nursing, volume 23, issue 4, 2011, Pages 412~419
Purpose: The purpose of this study was to investigate the effects of a walking and resistance exercise on body composition and lipid profile in obese women. Methods: Fourty three women were assigned to experimental group (n=21) or control group (n=22). The walking and resistance exercise using elastic band was provided three times a week for 12 weeks. Weight, height, body mass index, body fat percentage, abdominal fatness, skeletal muscle mass, body fatness, total cholesterol, triglyceride, HDL cholesterol, and LDL cholesterol were measured before and after the program. Paired and independent t-tests were performed using SAS program. Results: Weight (t=-5.35, p<.001), body mass index (t=-4.12, p<.001), body fat percentage (t=-2.33, p =.026), and body fatness (t=-4.32, p<.001) were significantly decreased and skeletal muscle mass (t=2.09, p =.044) was significantly increased after the walking and resistance exercise. Also, total cholesterol (t=-3.03, p =.006) and LDL cholesterol (t=-2.70, p =.011) were significantly decreased and HDL cholesterol (t=2.05, p =.046) was significantly increased after the exercise program. Conclusion: According to the study result, exercise led a positive outcome on obese women in their 30~40s. The walking and resistance exercise will contribute to the improving body composition and lipid profile in this population.