Go to the main menu
Skip to content
Go to bottom
REFERENCE LINKING PLATFORM OF KOREA S&T JOURNALS
> Journal Vol & Issue
Korean Journal of Adult Nursing
Journal Basic Information
Journal DOI :
Korean Society of Adult Nursing
Editor in Chief :
Volume & Issues
Volume 24, Issue 6 - Dec 2012
Volume 24, Issue 5 - Oct 2012
Volume 24, Issue 4 - Aug 2012
Volume 24, Issue 3 - Jun 2012
Volume 24, Issue 2 - Apr 2012
Volume 24, Issue 1 - Feb 2012
Selecting the target year
Influence of Depression, Hope, and Social Support on Suicidal Ideation in Renal Dialysis Patients
Yoon, Sook-Hee ; Kim, Song-Soon ;
Korean Journal of Adult Nursing, volume 24, issue 3, 2012, Pages 209~218
DOI : 10.7475/kjan.2012.24.3.209
Purpose: This study is to identify how depression, hope and social support influence to suicidal ideation of renal dialysis patients and the relating factors according to their general characteristics. Methods: This descriptive correlative study was conducted through a organized and structured self-administrated questionnaire and 120 sampled renal dialysis patients. Collected data was analyzed by t-tests, ANOVA, Pearson's correlation coefficient and multiple regression analysis using SPSS/WIN 18.0. Results: Findings revealed that; 1) The degrees of suicidal ideation were significantly different among groups according to the marital status (F=3.37, p=.021), drinking (F=4.97, p=.008) and smoking history (F=4.77, p=.010), 2) Pearson's correlation coefficient revealed a significant association among the suicidal ideation, hope, depression and social support, 3) Multiple regression analysis showed depression (
=.58, t=7.77, p<.001), social support (
=-.21, t=-2.69, p=.008) and alcohol drinking (
=.17, t=2.61, p=.010) were related to factors. They accounted 54% of the suicidal ideation of the subjects. Conclusion: Based on the findings of this study, health professionals should provide renal dialysis patients with proper management of suicidal ideation as well as its relating factors, hope, depression and social support. Especially, it needs to implement suicidal ideation management and self-help group program to renal dialysis patients.
Development and Evaluation of the Psychosocial Distress Nursing Intervention for Patients with Gynecological Cancer
Park, Jeong-Sook ; Oh, Yun-Jung ;
Korean Journal of Adult Nursing, volume 24, issue 3, 2012, Pages 219~231
DOI : 10.7475/kjan.2012.24.3.219
Purpose: The purpose of this research was to develop and evaluate a distress nursing intervention for relieving psychosocial distress. Methods: We developed a twelve-week non-pharmacological distress nursing intervention to decrease distress. This intervention includes cognitive behavioral therapy, mindfulness based stress reduction, psychoeducation and supportive therapy. The participants were 27 gynecologic cancer patients who agreed to participate in this study, selected by convenience sampling (experimental group-17 and control group-10). The data collection period was performed from November, 8, 2010 to February, 1, 2011. Data were analyzed by using the SPSS/WIN 18.0 program. Results: There were no difference between the two groups distress score, distress problem and quality of life. The experimental group had significant higher IL-12 and IFN-
and lower TGF-
between before and after the distress nursing intervention. Conclusion: The findings indicate that the distress nursing intervention was an effective intervention in improving immunologic function of gynecological cancer patients.
Level of Knowledge on Evidence-based Infection Control and Influencing Factors on Performance among Nurses in Intensive Care Unit
Yoo, Jae-Yong ; Oh, Eui-Geum ; Hur, Hea-Kung ; Choi, Mo-Na ;
Korean Journal of Adult Nursing, volume 24, issue 3, 2012, Pages 232~243
DOI : 10.7475/kjan.2012.24.3.232
Purpose: This study was to identify the level of knowledge and performances on evidence-based infection control and influencing factors on performance among nurses in intensive care unit. Methods: A descriptive cross-sectional survey design was used. Two hundred thirty-nine nurses at intensive care units were conveniently recruited from seven hospitals located in Seoul and Kyounggi province. Data were collected with a questionnaire survey about evidence-based infection control. Data were analyzed using SPSS/WIN 17.0 program. Results: Both level of knowledge (mean 9.15 out of 19) on preventing ventilator-associated pneumonia and central venous catheter induced bloodstream infection, and performance on evidence-based infection control (1.94 out of 4) were moderate. Performance of evidence-based practice for infection control was related to reading research articles regularly, professional satisfaction, and taken education course. Conclusion: These results indicate that systematic and organizational strategies for enhancing evidence-based infection control are needed to improve quality of intensive nursing care.
Development of a Knowledge Scale of Fall Risk Factors for Community-dwelling Older Adults
Hong, Chong-Min ;
Korean Journal of Adult Nursing, volume 24, issue 3, 2012, Pages 244~252
DOI : 10.7475/kjan.2012.24.3.244
Purpose: The purpose of the study was to develop a knowledge scale of risk factors for fall among community-dwelling older adults. Further, the validity and reliability of the scale was developed. Methods: A preliminary scale was developed through content validity by five experts and targeted subjects using the CVI (Content Validity Index). Following the establishment of content validity, the scale was used with 359 community-dwelling older adults to further establish both validity and reliability of the scale. Specifically, construct validity using known-group comparison technique, and reliability using Cronbach's
were established. Results: After content validity testing, 44 preliminary items were selected. Construct validity was established by known group-comparison, in which scores between the fall and no fall groups were compared. The Cronbach's
of the final scale was .83. Conclusion: Reliability and validity of the scale were confirmed. This tool may be used for measuring knowledge of fall risk factor for the community-dwelling older adults.
Analysis of Reported Study on the Rehabilitation Therapy for Patients with Total Knee Arthroplasty
Jun, Jum-Yi ;
Korean Journal of Adult Nursing, volume 24, issue 3, 2012, Pages 253~265
DOI : 10.7475/kjan.2012.24.3.253
Purpose: The focus of this research was a systematic review of published articles and theses for a degree in Korea and foreign countries on rehabilitation therapy for patients with total knee arthroplasty (TKA). Methods: The literature until December in 2011 were searched and the data basis included Medline, CINAHL, KERIS, National Library of Korea, and National Assembly Library web sites. Words for the search were TKA or TKA and rehabilitation. Studies included randomized controlled and non-equivalent control group pretest-posttest design. 31 studies were analyzed focusing on type, application method, dependant variable and effect using descriptive statistics. Results: Seventeen rehabilitation therapies and forty-nine dependant variables were used. The application methods of rehabilitation therapy were diverse. The most frequently used rehabilitation type was an exercise therapy and a pain/discomfort was the most frequently used dependant variable. The effects of rehabilitation therapy were inconsistent. Conclusion: The individualized rehabilitation therapy must be comprised of type, time, frequency, period and duration. Attention must be made as to the research design, especially the better measurement of the dependent variables. This review may serve as a base for future research.
Factors Influencing the Decision to Have a Colonoscopy
Kim, Mi-Jin ; Lee, Young-Whee ; Kim, Hwa-Soon ; Ham, Ok-Kyung ;
Korean Journal of Adult Nursing, volume 24, issue 3, 2012, Pages 266~273
DOI : 10.7475/kjan.2012.24.3.266
Purpose: This study was designed to identify the factors that influenced the decision to have a colonoscopy. Methods: The sample was one hundred ninety four subjects who completed a self administrated survey. The survey posed questions of self-efficacy scale, fatalism scale and an intention scale. Data were analyzed with descriptive and inferential statistics including t-test, ANOVA, Pearson's correlation and multiple regression analysis. Results: There were statistically significant differences among the intention of having a colonoscopy and age, educational background, occupation and income. There was a statistically significant positive correlation between self-efficacy and intention of having a colonoscopy. In contrast, there was a negative correlation between fatalism and decision to have a colonoscopy. Self-efficacy, income and age were significant predictors of the decision to have a colonoscopy; accounting for 44.3% of the total variance. Conclusion: Self-efficacy and fatalism were influence the decision to have a colonoscopy. As a result of these, it may be useful to develop strategies to foster decision making to have a colonoscopy utilizing the findings from this study.
Effects of Smoking Cessation Education for Patients with Percutaneous Coronary Intervention
Jun, Won-Hee ; Yun, Hyun-Suk ;
Korean Journal of Adult Nursing, volume 24, issue 3, 2012, Pages 274~283
DOI : 10.7475/kjan.2012.24.2.274
Purpose: The purpose of this study was to investigate the effects of a smoking cessation education for patients with percutaneous coronary intervention. Methods: The study was a quasi-experimental study with a non-equivalent control group non-synchronized design. The Sixty subjects were assigned to either the treatment group. The treatment intervention was a onetime program during hospitalization. Data were collected during several time periods: before treatment, immediately after treatment, two weeks later, and one month after the treatment. Data were analyzed with the SPSS 14.0 program with an independent t-test,
test, repeated measures ANOVA. Results: There were significant differences between the two groups in terms of knowledge and attitude. The significance was absent for the testing two weeks post group intervention and then one month later the significance was again detected in the amount of smoking and smoking behavior. Conclusion: The results of this study suggest that smoking cessation education could be utilized for inpatients with percutaneous coronary intervention as nursing intervention in hospitals effectively. Further research is recommended in order to understand the change in significance in the different time periods.
Comparison of Anxiety, Depression, and Quality of Life between Organ Transplant Candidates and Recipients
Cha, Ji-Eun ; Yi, Myung-Sun ;
Korean Journal of Adult Nursing, volume 24, issue 3, 2012, Pages 284~293
DOI : 10.7475/kjan.2012.24.3.284
Purpose: The aim of this study was to compare the levels of anxiety, depression, and quality of life (QOL) among kidney or liver transplant candidates and recipients. Methods: A cross-sectional descriptive design was utilized. The 160 subjects were recruited and assigned to three different conditions: awaiting transplant group; post-transplantation (TPL) group within less than one year of surgery; and post-TPL group with one year and no more than two years post surgery. The levels of anxiety and depression were measured by the Hospital Anxiety and Depression Scale. The level of quality of life was measured by the Medical Outcomes Study Short Form-36 version 2. Results: The anxiety score was significantly higher in the waiting group compared with the 1~2 years post TPL group. The depression score was significantly higher in the waiting group compared with the post TPL groups. The QOL was significantly lower in the waiting group compared with the post TPL groups. Conclusion: Our results show a high prevalence of anxiety and depression and a marked reduction in the QOL in transplant candidates compared to the recipients. This study indicates that the group waiting for transplants may have unmet needs during that time period. Health professionals should be encouraged to attend to the psychological distress of the transplant candidates in order to improve their quality of life.
Effects of a Taping Therapy on Shoulder Range of Motion and Pain, Physical Function and Depression of Stroke Patients with Hemiplegia
Kang, Seung-Ju ; Kim, In-Sook ;
Korean Journal of Adult Nursing, volume 24, issue 3, 2012, Pages 294~304
DOI : 10.7475/kjan.2012.24.3.294
Purpose: The purpose of this study was to examine the effects of taping therapy on the range of motion and pain of shoulders, physical functions and depression among hospitalized patients with stroke a geriatric hospital. Methods: The study design was a none equivalent control group pre-post test quasi-experimental design. The participants were 25 patients for experimental group and 25 patients for the control group. The period of this study was from March to July 2010. The twenty minute taping therapy was performed for twice a week for eight weeks. Results: The results showed that taping therapy was effective in range of motion shoulders (flexion: t=-5.81, p =.001, abduction: t=-3.69, p =.001) and pain of shoulders (rest: t=3.18, p = .003, movement: t=2.97, p =.005), grip (t=-3.22, p =.002) and balance (t=3.20, p =.002), and depression (t=3.24, p =.002). The variable of ADL (t=-1.99, p =.052) was not significant. Conclusion: The results of the taping therapy increased range of motion shoulders and grip and balance of physical functions, and decreased pain in shoulders and depression. The findings support that taping therapy can be used as a nursing intervention for stroke patients in practical nursing and communities.
Effect of Cognitive Rehabilitation Program on Cognitive Function, Depression, and Activities of Daily Living among Patients with Strokes
Jang, Yun-Jung ; Jun, Seong-Sook ;
Korean Journal of Adult Nursing, volume 24, issue 3, 2012, Pages 305~316
DOI : 10.7475/kjan.2012.24.3.305
Purpose: The purpose of this study was to test the effectiveness of a cognitive rehabilitation program for the patients having an acute stroke. The variables evaluated were cognitive function, depression and activities of daily living (ADLs). Methods: A non-equivalent control group pretest-posttest design with sixty-two subjects from two separated institutions was the design for the study. Thirty-three patients were assigned to the treatment group and 29 patients comprised the comparison group. The treatment group participated in the nursing intervention for cognitive rehabilitation for a three week period of time. The study was conducted from September 2010 to April 2011. Results: Following the three week intervention, the cognitive function and activities of daily living of the treatment group were significantly improved compared to the comparison group (t=6.33, p<.001; t=4.57, p<.001). Specifically, depression was significantly decreased in the treatment group (t=3.95, p<.001). Conclusion: The cognitive rehabilitation program was effective in increasing the treatment group cognitive function and activities of daily living along with a decrease in depression scores. Therefore, Cognitive Rehabilitation Program could be expected a beneficial nursing intervention in stroke patients.
Effects of a Muscle Strengthening Exercise Program on Muscle Strength, Activities of Daily Living, Health Perception, and Depression in Post-stroke Elders
Kim, Gi-Yon ; Kwon, Bo-Eun ; Hur, Hea-Kung ; Roh, Young-Sook ; Shin, Myoung-Jin ;
Korean Journal of Adult Nursing, volume 24, issue 3, 2012, Pages 317~326
DOI : 10.7475/kjan.2012.24.3.317
Purpose: The purpose of this study was to identify the effects of an exercise program on muscle strength, Activities of Daily Living (ADL), health perception, and depression among post-stroke elders. Methods: Nonequivalent control group design with pretest and posttest was used. A total of 23 post-stroke elders who met inclusion criteria were recruited. Muscle strength in upper and lower extremities, ADL, health perception, and self-rated symptoms of depression were measured. The exercise program consisted of deep breathing, range of motion, and muscle strengthening exercises using Thera-band, 30~40 min/day, three days a week, for 12 weeks. Results: Muscle strength of right shoulder (U=11.50, p=.001), right leg (U=13.50, p=.002), and health perception (U=24.00, p=.010) in the experimental group was significantly higher compared to the control group at 12 weeks of post-intervention. Depression scores were significantly lower in the experimental group compared to the control group at 6 weeks (U=28.00, p=.021), at 12 weeks (U=22.00, p=.006) of an exercise program. Conclusion: By applying this program, post-stroke elders showed increases in muscle strength and a decrease in depression as well as improvement of health perception. Further study is needed to verify the effects of the exercise program on cardiovascular physiologic variables through long-term follow-up.