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REFERENCE LINKING PLATFORM OF KOREA S&T JOURNALS
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Korean Journal of Adult Nursing
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Journal DOI :
Korean Society of Adult Nursing
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Volume & Issues
Volume 25, Issue 6 - Dec 2013
Volume 25, Issue 5 - Oct 2013
Volume 25, Issue 4 - Aug 2013
Volume 25, Issue 3 - Jun 2013
Volume 25, Issue 2 - Apr 2013
Volume 25, Issue 1 - Feb 2013
Selecting the target year
Nurses' Perception of the Importance of Evaluating Continuing Education Programs
Jho, Mi Young ;
Korean Journal of Adult Nursing, volume 25, issue 1, 2013, Pages 1~12
DOI : 10.7475/kjan.2013.25.1.1
Purpose: The purpose of this study was to explore the nurses' perception of the importance of evaluating continuing nursing education programs. Methods: Subjects were 465 nurses enrolled in continuing nursing education programs at five university hospitals in Seoul and Gyeonggi-do. Data were collected from September 20, 2011 to October 13, 2011. The instrument was developed by the author through a literature review. Content validity was established from a panel of six experts. Data were analyzed using SPSS/WIN 18.0 program. Results: The purpose of the program was rated as the most important domain by the subjects. Interestingly, 'program outcome' and 'effectiveness of program' were ranked below the mean (M=
). These two domains were influenced by the district of work and the type of institution. The position of the participants at their institutions made the significant differences on their perception of 'program purpose.' Conclusion: The results of this study might aid us to have better understanding for what nurses perceive the importance of evaluating continuing nursing education programs. This information might be able to be used for improving programs. Further studies are needed to explore the validity of the instruments to evaluate continuing nursing education programs.
Factors Influencing Health-related Quality of Life in Patients with Atrial Fibrillation
Lee, Seon Jeong ; Seo, Ji Min ;
Korean Journal of Adult Nursing, volume 25, issue 1, 2013, Pages 13~23
DOI : 10.7475/kjan.2013.25.1.13
Purpose: The purpose of this study was to investigate the factors that influence health-related quality of life in patients with atrial fibrillation. Methods: The subjects were 150 outpatients with atrial fibrillation who visited the cardiology clinic of a university hospital in U city. The instruments used for this study were Mhel Uncertainty in Illness Scale (MUIS), Center for Epidemiologic Studies-Depression Scale (CES-D), State Trait Anxiety Inventory (STAI), and the Short-Form-36 Health Survey (SF-36) Korean version II. The date were analyzed by ANOVA, Pearson-correlation coefficient, and hierachial multiple regression using SPSS/WIN 18.0. Results: The mean score of physical health-related quality of life (PCS) was
and mental health-related quality of life (MCS) was
. Physical and Mental health-related quality of life had the significant correlations with uncertainty, anxiety and depression. In multiple regression analysis, physical health-related quality of life was significantly influenced by duration of disease, NYHA class, uncertainty. Mental health-related quality of life was significantly influenced by family income, NYHA class, anxiety and depression. Conclusion: These results suggest that these influencing factors should be consider in developing the nursing interventions to improve the healthrelated quality of life in patients with atrial fibrillation.
Comparison of the Reliability and Validity of Fall Risk Assessment Tools in Patients with Acute Neurological Disorders
Kim, Sung Reul ; Yoo, Sung-Hee ; Shin, Young Sun ; Jeon, Ji Yoon ; Kim, Jun Yoo ; Kang, Su Jung ; Choi, Hea Sook ; Lee, Hea Lim ; An, Young Hee ;
Korean Journal of Adult Nursing, volume 25, issue 1, 2013, Pages 24~32
DOI : 10.7475/kjan.2013.25.1.24
Purpose: The aim of the study was to identify the most appropriate fall-risk assessment tool for neurological patients in an acute care setting. Methods: This descriptive study compared the reliability and validity of three fall-risk assessment tools (Morse Fall Scale, MFS; St Thomas's Risk Assessment Tool in Falling Elderly Inpatients, STRATIFY; Hendrich II Fall Risk Model, HFRM II). We assessed patients who were admitted to the Department of Neurology, Neurosurgery, and Rehabilitation at Asan Medical Center between July 1 and October 31, 2011, using a constructive questionnaire including general and clinical characteristics, and each item from the three tools. We analyzed inter-rater reliability with the kappa value, and the sensitivity, specificity, predictive value, and the area under the curve (AUC) of the three tools. Results: The analysis included 1,026 patients, and 32 falls occurred during this study. Inter-rater reliability was above 80% in all three tools. and the sensitivity was 50.0% (MFS), 84.4%(STRATIFY), and 59.4%(HFRM II). The AUC of the STRATIFY was 82.8. However, when the cutoff point was regulated as not 50 but 40 points, the AUC of the MFS was higher at 83.7. Conclusion: These results suggest that the STRATIFY may be the best tool for predicting falls for acute neurological patients.
Conflict Resolution Styles, Marital Intimacy and Family Functions of Breast Cancer Patients and Their Spouses
Yoo, Yang-Sook ; Hwang, Kyung-Hye ; Cho, Ok-Hee ;
Korean Journal of Adult Nursing, volume 25, issue 1, 2013, Pages 33~40
DOI : 10.7475/kjan.2013.25.1.33
Purpose: The purpose of this study was to explore conflict resolution styles, marital intimacy and family functions among breast cancer patients and their spouses. Methods: The subjects were total 126 participants. Breast cancer patients who completed chemotherapy and or radiation along with their spouses. Data were collected using questionnaires with questions about conflict resolution styles, marital intimacy and family functions. Results: There were no differences between breast cancer patients and their spouses in verbal aggression, avoidance of conflict resolution styles and family functions. As patients reported using positive conflict resolution styles the spouse-perceived marital intimacy and family functions were higher. Those patients who perceived marital intimacy as lower they also reported more verbal aggression and avoidance. As breast cancer patients perceived family functions increasing, their spouses perception of both intimacy and family function increased. Conclusion: As these results, it should be considered as basic data to develop family intervention programs such as positive communication and effective stress management and improving of conflict resolution, intimacy and family functions among breast cancer patients and their spouses.
Comparison of Physicians and Nurses' Attitudes toward Family Presence during Cardiopulmonary Resuscitation
Cho, Jeong Lim ; Lee, Eun Nam ; Sim, Sang Hee ; Lee, Na Youn ;
Korean Journal of Adult Nursing, volume 25, issue 1, 2013, Pages 41~52
DOI : 10.7475/kjan.2013.25.1.41
Purpose: The purpose of this study was to compare the attitude of physicians and nurses toward family presence during cardiopulmonary resuscitation (CPR). Methods: 100 physicians and 100 nurses from five hospitals with than 500 beds in B city were surveyed using a Family Presence During Resuscitation (FPDR) Inventory. The data were analyzed by t-test, ANOVA and Duncan's multiple range test using SPSS/WIN 19.0 version. Results: Nurses showed more positive attitudes toward family presence during CPR but reported more concerns about the problem of confidentiality, arguing with family members, and emotional distress of family members than physicians did. Conclusion: On the basis of results from this study, we recommend that educational program be developed within the hospitals to change the negative perception of health care providers for the family presence during CPR.
Anxiety, Depression and Uncertainty in Cancer Patients Participating in Clinical Trial of Anticancer Drugs
Kim, Haejin ; Yi, Myungsun ;
Korean Journal of Adult Nursing, volume 25, issue 1, 2013, Pages 53~61
DOI : 10.7475/kjan.2013.25.1.53
Purpose: The purpose of the study was to identify the levels of anxiety, depression and uncertainty of patients who participated in the clinical trials for anticancer drug, and to identify correlations among these variables. Methods: Cross-sectional survey used the Symptom Check List-90-Revision and the Mishel Uncertainty in Illness Scale from 106 subjects in 2011. The data were analyzed using descriptive statistics, t-test, ANOVA, Pearson correlation coefficients. Results: The mean score of anxiety was 2.06, that of depression 2.35, and that of uncertainty 2.61. Anxiety and depression (r=.70), anxiety and uncertainty (r=.44), depression and uncertainty (r=.60) were significantly correlated each other. The levels of anxiety, depression and uncertainty were different in various characteristics of the subjects, such as education, recurrence, and economic burden. Conclusion: The results of the study indicate that when implementing psychosocial interventions for cancer patients who participate in clinical trial, factors such as education, economic burden, and recurrence should be integrated into the intervention. Further studies applying theoretical model would be helpful to identify directional relationships among the variables that are important in psychosocial well-being of cancer patients undergoing clinical trial.
Effects of Tailored Supportive Education on Physical, Emotional Status and Quality of Life in Patients with Congestive Heart Failure
Lee, Eun-Sook ; Shin, Eun-Suk ; Hwang, Seon-Young ; Chae, Myeong Jeong ; Jeong, Myoung-Ho ;
Korean Journal of Adult Nursing, volume 25, issue 1, 2013, Pages 62~73
DOI : 10.7475/kjan.2013.25.1.62
Purpose: This study was conducted to examine the effects of tailored supportive education on physical, psychological status and quality of life in the patients with congestive heart failure (CHF) who had not participated previously in cardiac rehabilitation program. Methods: This study was used a non-equivalent control pre-post design, conducted on 64 CHF patients under medical treatment in a hospital. The experimental group (n=31) received the tailored supportive educational program (once 1~2 days before discharge and 6 times after discharge through outpatient visits or telephone contact: once every week for the first 4 weeks after discharge and once every 2 weeks for the remaining 4 weeks). The control group (n=33) received a traditional discharge education. Data were analyzed using descriptive statistics,
-test, Fisher's exact test, t-test and repeated measure ANOVA using the SPSS/ WIN 18.0 program. Results: Participants in the experimental group showed the significantly increased scores of the quality of life (F=16.01, p<.001), and the significantly decreased scores of physical function (F=7.27, p=.009), depression (F=8.25, p=.006) and anxiety (F=4.11, p=.047), when compared to those of the control group. Conclusion: The findings indicated tailored supportive education was an effective intervention care in physical, emotional status and quality of life for CHF patients.
Fall Risk Factors and Fall Risk Assessment of Inpatients
Kim, Yoon Sook ; ChoiKwon, Smi ;
Korean Journal of Adult Nursing, volume 25, issue 1, 2013, Pages 74~82
DOI : 10.7475/kjan.2013.25.1.74
Purpose: The purpose of this study was to identify the fall risk factors and to evaluate the effectiveness of the Morse Fall Scale(MFS) as an assessment tool among hospitalized inpatients. Methods: The medical records of a total of 294 patients who admitted to hospital from January 1 to December 31, 2010 were reviewed. One hundred forth seven patients who had experienced fall were matched with 147 patients who have never experienced fall. The fall information was obtained from electronic medical records and fall reports. Results: There were significant differences in visual disturbances, pain, emotional disturbances, sleep disorder, urination problems and elimination disorder at admission between fallers and non-fallers. Patients who had higher MFS scores at admission were more likely to fall as compared to the patients with lower MFS scores. When falls did occur, these occurred within five days following admission, in the patient room, among patients with alert mental status, and among patients who were ambulant with some assistance. Conclusion: The findings of this study support the need of using risk assessment tool for predicting risk for falls. This finding can be used as a useful resource to develop nursing intervention strategies for fall prevention at the hospital.
Sexual Behavior and Awareness on STD in the Elderly
Park, Hyojung ;
Korean Journal of Adult Nursing, volume 25, issue 1, 2013, Pages 83~94
DOI : 10.7475/kjan.2013.25.1.83
Purpose: The purpose of the study was to examine the sexual behavior and awareness of sexually transmitted diseases (STD) among the elderly. Methods: Subjects were 599 elderly living in a metropolitan area who completed a structured questionnaire. Data collection was from September 6, 2011 to January 17, 2012. The data were analyzed by using percentage and
-test. Results: Approximately 25% of the subjects reported a sexual life. Age, gender, education, family type, presence and health of spouse, health state of the subject, past occupation, dwelling pattern, and economic state made statistically significant difference in sexual behavior. Fifty five percent of the respondents reported no knowledge of STD. Factors such as age, gender, education, presence of spouse, and past occupation were statistically significant in terms of awareness of STD. Conclusion: Age, education, and presence of spouse should be factored in to understand the sexuality of the elderly as well as to develop sexuality counseling programs that provide adequate information for each individual.
Factors Influencing Resilience of Patients with Hematologic Malignancy
Kwak, So Young ; Byeon, Young Soon ;
Korean Journal of Adult Nursing, volume 25, issue 1, 2013, Pages 95~104
DOI : 10.7475/kjan.2013.25.1.95
Purpose: The purpose of this study was to investigate the level of resilience, family support, anxiety and depression in patients with hematologic malignancy, and to determine modifiable psychosocial factors that affect their resilience. Methods: Data were collected from 104 patients undergoing curative therapy at 'S' hospital in Seoul. The data were collected from April to May, 2012. The questionnaires included Korean Version of Connor-Davidson Resilience Scale, Family Support Scale and Hospital Anxiety-Depression Scale. The data were analyzed using descriptive statistics, t-test, ANOVA, Pearson correlation and stepwise multiple regression. Results: Resilience had statistically significant correlation with family support (r=.43, p<.001), anxiety (r=-.49, p<.001) and depression (r=-.52, p<.001). Factors influencing resilience were depression, family support, anxiety and time since diagnosis with R-sq. value of 36%. Conclusion: The results of the study show that family support, anxiety and depression have important influences on resilience of patients with hematologic malignancy. Thus, family support needs to be reinforced when developing and implementing nursing intervention, and nurses need to intervene to reduce anxiety and depression of patients with hematologic malignancy.
Effects of Tai Chi Exercise on Muscle Strength, Balance, Flexibility and Bone Mineral Density of Community Dwelling Elderly Women
So, Heeyoung ; Ju, Kyungok ; Park, Insook ; Song, Rhayun ; Kim, Hyunli ; Ahn, Sukhee ;
Korean Journal of Adult Nursing, volume 25, issue 1, 2013, Pages 105~112
DOI : 10.7475/kjan.2013.25.1.105
Purpose: The purpose of this study was to examine the effects of Tai Chi exercise on muscle strength, balance, flexibility and bone mineral density among community dwelling elderly women. Methods: A quasi-experimental pretest-posttest design with a nonequivalent comparison group was utilized, Elderly women were recruited from the community settings and assigned to either the treatment group (n=30) or the comparison group (n=34). Both groups completed the pretest and the posttest measures at six months with an 29.7% of dropouts. Tai Chi exercise was performed for 60 minutes, three times a week for 24 weeks. The study participants were referred to the sports clinic of the university hospital where an exercise therapist and a technician measured muscle strength, balance, flexibility, and bone mineral density without the knowledge of the group assignment. Data were collected from June 14, 2010 to May 27, 2011. Results: At the completion of 6 month Tai Chi exercise, the experimental group showed a significant difference in knee flexor strength (t=3.26 p=.002), flexibility (t=-2.93, p=.005), and bone mineral density in femur (t=2.20, p=.032), compared to the control group. Conclusion: Tai Chi exercise could be performed safely to community dwelling elderly women and effective for preventing declining in physical function in this population. Whether or not this health benefits would lead fall prevention will require further study.