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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 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
A Study on Late-onset of Hypogonadism, Erectile Dysfunction, Depression, and Quality of Life among Middle-aged Male Worker
Lee, Mi Wook ; Park, Hyojung ;
Korean Journal of Adult Nursing, volume 25, issue 5, 2013, Pages 483~493
DOI : 10.7475/kjan.2013.25.5.483
Purpose: The purpose of this study was to examine late-onset hypogonadism, erectile dysfunction, depression, and quality of life among middle-aged male workers. Methods: The subjects included 343 men aged between 40 and 64, responded to self-report questionnaires on general characteristics, late-onset hypogonadism, erectile dysfunction, depression, and quality of life. Data were collected from May 16, 2012 to October 9, 2012 and analyzed using t-test, ANOVA,
-test, hierarchical multiple regression. Result: The prevalence rate of late-onset hypogonadism was 63.8% with high points in reduction of libido, energy, physical strength and endurance, and erectile function. There were significant differences in late-onset hypogonadism according to age(
=8.98, p=.048) and in erectile dysfunction according to age(F=11.03, p<.001), monthly income(F=2.84, p=.024) and smoking( t=2.96, p=.018). Significant differences were also found in depression according to educational level(F=8.12, p<.001) and in quality of life according to monthly income(F=7.21, p<.001). The factors which influenced quality of life were late-onset hypogonadism, erectile dysfunction, depression, marital status and religion. Conclusion: Symptoms of erectile dysfunction can be improved by smoking cessation education program. In order to improve the life quality of middle-aged men, nursing intervention programs that would both provide proper knowledge on climacteric syndrome and alleviate symptoms should be designed while, at the same time, other programs to evaluate, prevent and control depression are developed.
Effects of a Simulation-based Educational Program for Gastroendoscopic Surgery Patients
Kwon, Su Young ; Lee, Jia ;
Korean Journal of Adult Nursing, volume 25, issue 5, 2013, Pages 494~503
DOI : 10.7475/kjan.2013.25.5.494
Purpose: The purpose of this study was to examine the effects of a simulation-based educational program on anxiety and discomfort in patients with early stage of stomach cancer or stomach adenoma undergoing gastroendoscopic surgery. Methods: The study employed a non-equivalence control group and non-synchronized design to prevent diffusion of treatment. Data were collected from 110 patients (experimental group=55, control group=55) admitted to a department of gastroenterology to undergo gastroendoscopic surgery for early stage of stomach cancer or stomach adenoma. The program was conducted as a 30-minute simulation-based education including 12 processes which patients would experience. Outcome variables were state anxiety, objective discomfort, and subjective discomfort. Results: The scores of state anxiety in the experimental group significantly decreased over time compared to those in the control group. The scores of objective and subjective discomfort after surgery in the experimental group were significantly lower than those in the control group. Conclusion: The study findings suggested that the simulation-based educational program making a person feel sense of real experiences could reduce anxiety and discomfort in gastroendoscopic surgery patients.
Experiences in Self-dieting Program of Obese Male College Students
Kim, Jeong Soo ;
Korean Journal of Adult Nursing, volume 25, issue 5, 2013, Pages 504~514
DOI : 10.7475/kjan.2013.25.5.504
Purpose: This study was to describe the process of healthy dieting and develop a substantive theory that explains lifestyle in obese male college students. Methods: The participants were 11 students who had participated in self-dieting program in a health center. Data were collected with in-depth interviews and analyzed by grounded theory in Strauss and Corbin (1990). Results: Through analyzing process, 36 concepts, 18 subcategories, and nine categories were deduced. In axial coding, casual condition, 'shrinking themselves' and 'oriented to selfish lifestyle', context condition, 'distress in mutual understanding' impacted on phenomenon, 'making health with autonomous living pattern'. Intervening conditions were 'practicing with active measures' and 'growing the willpower' and action-interaction condition, 'devoting realistic plan with positiveness' totally lead to consequence in 'regaining social relationship' and 'pursuing harmonious sound of mind and body'. The periods of process were divided four stages, reflecting self-characteristics, situational copping phase, applying period realistic strategies, and developing phase of social relationship. The core category, 'developing communication competency' incorporated the relationship between and among all categories and explained the process. Conclusion: The findings indicate that self leading health program helped to develop the communication competency. Therefore, we would consider about internalized motives and external incentives in health programs.
Effects of Tai Chi Exercises on Cardiovascular Risks, Recurrence Risk, and Quality of Life in Patients with Coronary Artery Disease
Song, Rha Yun ; Park, Moon Kyoung ; Chung, Jin Ok ; Park, Jae Hyung ; Sung, In Whan ;
Korean Journal of Adult Nursing, volume 25, issue 5, 2013, Pages 515~526
DOI : 10.7475/kjan.2013.25.5.515
Purpose: The study aims to evaluate the effects of Tai Chi applied cardiac rehabilitation program(TCCRP) on cardiovascular risks, recurrence risk in ten years, and cardiac specific quality of life in individuals with coronary artery disease. Methods: The sample was comprised of individuals diagnosed with coronary artery disease within six months of the study who were referred by their primary physicians to participate in the TCCRP. The design was a pretest/posttest with non-equivalent groups with 30 in TCCRP program and 33 wait-listed comparison group. Results: The average age of all participants was sixty seven years. At the completion of the TCCRP, the Tai Chi group showed significant reduction in their ten year recurrent risk for coronary artery disease measured by Framingham's algorithm. The quality of life for the experimental group was reported as significantly higher than the comparison group, especially the area of general symptom. Conclusion: The outpatient cardiac rehabilitation with Tai Chi was applied effectively and safely without any complication to individuals with coronary artery disease. Tai Chi can be useful as an alternative exercise for cardiac rehabilitation program which may provide more access to individuals for cardiovascular risk management in the community settings.
Structural Model for Osteoporosis Preventive Behaviors in Postmenopausal Women: Focused on their Own BMD Awareness
Park, Young Joo ; Lee, Sook Ja ; Shin, Nah Mee ; Kang, Hyun Cheol ; Kim, Sun Haeng ; Kim, Tak ; Jeon, Song I ; Cho, In Hae ;
Korean Journal of Adult Nursing, volume 25, issue 5, 2013, Pages 527~538
DOI : 10.7475/kjan.2013.25.5.527
Purpose: The purpose of this study was to develop a model that explains causal relationships between post-menopausal women's osteoporosis general knowledge and awareness of their own bone mass density(BMD) and their osteoporosis health beliefs and preventive behaviors. Methods: Retrospective design using structural equation model tested seven variables by using questionnaires of osteoporosis knowledge test, osteoporosis health belief scale, osteoporosis self-efficacy scale, and osteoporosis preventive behaviors scale. 162 middle age and post-menopausal women were recruited. Results: Mediating effect of health beliefs was not significant in the relationship between BMD awareness and preventive behaviors. Instead, BMD awareness had a direct influence on the preventive behaviors that is strong and significant. Between the relationship of the BMD awareness and health beliefs, direct pathways of perceived threat, relative benefits, and self-efficacy were not significant. However, relative benefits and self-efficacy showed direct influence on the preventive behaviors. Conclusion: Having middle age women get their BMD test done in order for them to be aware of their own BMD results might be a critical strategy to promote osteoporosis preventive behaviors. There is a need to develop diverse strategies to enhance their self-efficacy which has been shown to be important to osteoporosis preventive behaviors.
Effect of Vitamin D Supplementation on the Physiological Indices, Muscle Mass, and Physical Functions of Aged Women
Kim, In Kyung ; Kim, Ok Soo ;
Korean Journal of Adult Nursing, volume 25, issue 5, 2013, Pages 539~548
DOI : 10.7475/kjan.2013.25.5.539
Purpose: The purpose of this study was to investigate the effect of supplemental vitamin D on the physiological indices, muscle mass, and physical functions of aged women. Methods: A non-equivalent pretest-posttest design was used. The participants were 65 elderly women with low serum vitamin D levels. This study was conducted for 12 weeks. The experimental group (n=34) received vitamin D and regular exercise whereas the control group (n=31) received only regular exercise. The data were analyzed by the IBM PASW Statistics (SPSS) 19.0 program. Results: Serum vitamin D (U=0.00, p<.001), parathyroid hormone (U=99.50, p<.001) and calcium (U=250.50, p<.001) levels were significantly increased in the experimental group after the intervention. The experimental group showed significantly increased scores of muscle mass, strength, physical balance, and gait compared to those of the control group. Conclusion: Vitamin D supplementation improved physiological indices, muscle mass, and physical functions. In addition, this program may help to prevent disorders of the musculoskeletal system in aged women.
Impact of Stress on Depression among University Students: Testing for Moderating Effect of Social Support
Park, Young Rye ; Jang, Eun Hee ;
Korean Journal of Adult Nursing, volume 25, issue 5, 2013, Pages 549~558
DOI : 10.7475/kjan.2013.25.5.549
Purpose: The purpose of this study was to identify impact of stress on depression among university students and the moderating effect of social support in the relationship between stress and depression in university students. Methods: A total of 445 subjects were participated from May to July 2011. Data were collected by self-reported questionnaires and t-test, ANOVA, and stepwise multiple regression with SPSS/WIN 20.0 were used to analyze the data. Results: The results indicate that depression was increased by stress and decreased with social support. Social support included four type of social support behavior; emotional support, informational support, material support, and appraisal support. Multiple regression analysis showed that moderating effect of emotional support was significant when provided by friends but not by parents. Conclusion: These finding indicate the importance of emotional support of friends on depression in university students.
The Influence of Academic Self-efficacy and Major Satisfaction on Career Attitude Maturity in Nursing Students
Han, Su Jeong ;
Korean Journal of Adult Nursing, volume 25, issue 5, 2013, Pages 559~566
DOI : 10.7475/kjan.2013.25.5.559
Purpose: This study examines the relationships between academic self-efficacy, major satisfaction, and career attitude maturity among nursing students. The study further explored the mediating effect of major satisfaction on the relationship between academic self-efficacy and career attitude maturity. Methods: Data were collected via questionnaires from 239 nursing students in D city and P city from March 1 to March 30, 2012. Pearson's correlation and multiple regression analyses were used to assess the relationships between the variables. Results: 1. The mean scores for academic self-efficacy, career attitude maturity, and major satisfaction were 3.81, 3.67, and 3.89, respectively. 2. Academic self-efficacy was positively correlated with major satisfaction and career attitude maturity. 3. Major satisfaction had a mediating effect on the relationship between academic self-efficacy and career attitude maturity. Conclusion: Academic self-efficacy is expected to serve as a foundation for the promotion of career attitude maturity.
A Study on Fluid Intake Measurements
Lee, Chang Kwan ; Kim, Yu Kyung ; Seo, Myung Hwa ; Lee, Kyung Mee ; Lee, Ju Eun ;
Korean Journal of Adult Nursing, volume 25, issue 5, 2013, Pages 567~573
DOI : 10.7475/kjan.2013.25.5.567
Purpose: The purpose of this study was to compared two methods for measuring fluid intake and to assess the most effective method. Methods: Data from 44 hospitalized patients with chronic kidney disease was analyzed. Two methods were used. The liquid method is to measure the daily intake of water in the form of pure water or some other beverage and IV fluid, the liquid-solid method is to measure the daily intake of water which enters by the oral route and IV fluid. Results: The daily intake of fluid was 1483.10mL and 2245.99mL respectively. The fluid output was 1883.72 mL. The Intra-Class Correlation (ICC) between the liquid method and the liquid-solid method and fluid output was 0.64 and 0.69, respectively. The correlation between differences of fluid in two methods and body weight change was r=.47 (p<.001) and r=.56 (p<.001), respectively. Conclusion: The results of this study suggest that there are no difference between the two measuring methods as to reflecting the most close value to fluid output. And the difference between intake and output by two methods is correlated with body weight change. Therefore, it can be suggested that the either method could be useful as patients' fluid intake measurement.
Effects of a Simulation based Clinical Reasoning Practice Program on Clinical Competence in Nursing Students
Hur, Hea Kung ; Roh, Young Sook ;
Korean Journal of Adult Nursing, volume 25, issue 5, 2013, Pages 574~584
DOI : 10.7475/kjan.2013.25.5.574
Purpose: The purpose of this study was to evaluate the effects of a simulation based clinical reasoning practice program on clinical competence in nursing students. The program was based on the theoretical frameworks of simulation models and experiential learning theory. Methods: The program consisted of eight scenarios which includes three main symptoms (abdominal pain, changes in mental status, dyspnea), for improvement of clinical competencies in nursing students. A nonequivalent control group pretest-posttest design was used for evaluation of the effects of the program. Fifty-two junior nursing students in Y University participated in the experimental group (n=25) or control group (n=27). Critical thinking was measured using a self-administered questionnaire. Clinical judgment and clinical performance were measured by a rater using the Rubric. Descriptive analysis, t-test, Mann-Whitney U, Wilcoxon signed rank test was used for data analyses. Results: Clinical judgment and clinical performance increased in the experimental group, but there were no significant differences in critical thinking. Conclusion: Results indicate that the program developed in this study is a useful strategy to enhance clinical judgment and clinical performance in nursing students. However, the program did not significantly enhance critical thinking disposition, and further study is needed to measure integrated clinical competence including critical thinking skills.
Experience of Attending Sexual Health Education, Knowledge and Healthcare Attitude of Nurse Clinicians
Wang, Hee Jung ; Kim, Hyun-Kyoung ; Yoo, Hye Yeong ;
Korean Journal of Adult Nursing, volume 25, issue 5, 2013, Pages 585~595
DOI : 10.7475/kjan.2013.25.5.585
Purpose: This study aimed to identify if participating in a sexual education program, influences knowledge, and healthcare attitude among attitudes of nurse clinicians in Korea. Methods: A cross-sectional study was conducted with 210 Korean nurse clinicians. Data were collected through self-reported questionnaires from July to August, 2011 from five hospitals in S and I cities. Data were analyzed using t-test, Pearson correlations, and multiple linear regression with SPSS/WIN 21.0. Results: This study reported that the majority of nurse clinicians had attended sexual programs about sexual harassment, reproductive system and function. There were significant correlations between experience of attending sexual education(r=.32, p=.003) and sexual knowledge(r=.14, p=.047) with sexual healthcare attitude. Sexual education on the job(
, p=.004), supplementary sexual education(
, p=.009), sexual knowledge(
, p=.048), and obstetrics and gynecology department carrier(
, p<.001) explained 14.0% of sexual healthcare attitude. Conclusion: This study's results demonstrate that advanced and continuous sexual health program is necessary for nurse clinicians. Proper sexual knowledge and positive attitude may promote nursing intervention and counseling concerning patients' sexual problems.