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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 26, Issue 6 - Dec 2014
Volume 26, Issue 5 - Oct 2014
Volume 26, Issue 4 - Aug 2014
Volume 26, Issue 3 - Jun 2014
Volume 26, Issue 2 - Apr 2014
Volume 26, Issue 1 - Feb 2014
Selecting the target year
Factors related to Quality of Life of Patients with Ulcerative Colitis
Yoo, Yang-Sook ; Chung, Miyoung ; Cho, Ok-Hee ;
Korean Journal of Adult Nursing, volume 26, issue 2, 2014, Pages 129~138
DOI : 10.7475/kjan.2014.26.2.129
Purpose: The purpose of this study was to identify factors related to the quality of life of patients with ulcerative colitis. Methods: A total 116 patients with ulcerative colitis were asked on general characteristics, illness-related characteristics, depression, and quality of life. The collected data were analyzed by t-test, ANOVA, and stepwise multiple regression. Results: As for depression the 81.03% were normal, the 8.62% were mild depression, the 6.90% were moderated depression, and the 3.45% were severe. As for quality of life, the social functions was highest, followed by intestine-related symptoms, systemic symptoms, and emotional functions. Quality of life was positively correlated to subjective health status, age, and body mass index, and negatively to depression. Main factors affecting the quality of life included depression, subjective health status, physician's global assessment, age, days of loss in social life, and present abdominal pain. Conclusion: Physical and psychosocial health problems related to ulcerative colitis affected the quality of life of the patients. Further research is warranted for developing educational programs and psychosocial strategies in order to efficiently handle the illness.
Factors Influencing Problem Drinking of Male Drinkers according to Life Cycle
Hong, Jiyeon ; Kim, Jihyun ; Kim, Oksoo ;
Korean Journal of Adult Nursing, volume 26, issue 2, 2014, Pages 139~148
DOI : 10.7475/kjan.2014.26.2.139
Purpose: This study was aimed to investigate the factors influencing problem drinking of male drinkers above 19 years old according to the life cycle. Methods: The study subjects consisted of a representative community sample of 2,229 male drinkers aged 19 and older from the 2011 Korean National Health and Nutrition Examination Survey. The collected data were analyzed using descriptive statistics, Rao-Scott
-test, simple and multiple logistic regressions. Results: The problem drinking rates were 38.7% in adolescence, 44.5% in middle age, and 23.9% in senescence. In adolescence, the predictors of problem drinking included occupation, stress recognition, and smoking. In middle age, the predictors of problem drinking were education level, depression, and smoking. In senescence, the predictors of problem drinking were not identified in this study. Conclusion: The findings of this study suggested that the factors influencing problem drinking of male drinkers were different according to life cycle. Thus different intervention methods should be developed for each age group in order to intervene the problem drinking.
The Effect of Job Stress on Health Promoting Behaviors among Nurses: Mediating Selection, Optimization and Compensation Strategy
Oh, Seung Jin ; Shin, Sun Hwa ; Go, Gee Youn ; Pratibha, Bhandari ;
Korean Journal of Adult Nursing, volume 26, issue 2, 2014, Pages 149~158
DOI : 10.7475/kjan.2014.26.2.149
Purpose: The purpose of this study was to determine whether Selection, Optimization and Compensation (SOC) Strategy mediated the relationship between job stress and health promoting behaviors among nurses. Methods: A descriptive causal relationship research design was used. 245 subjects recruited from the five general hospitals, which have over 500 beds in Seoul and Kyunggi-do, participated in the study by completing a survey which included questions about SOC strategy, job stress and health promoting behaviors. t-test, ANOVA, Pearson's correlation coefficient and multiple regression were used to analyze the data. SPSS/WIN 20.0 was used for all analysis. Results: The mean job stress score was 47.89; mean SOC strategy score was .71. 'Spiritual development' was the highest reported health promoting behavior with a mean of 3.57. Job stress was significantly and negatively related to health promoting behaviors. The result showed that all the mediating paths of SOC strategy were significant. The partial mediating model showed high goodness of fit demonstrating that the model was outstanding. Conclusion: SOC strategy mediated the relationship between job stress and health promoting behaviors. Applying better SOC strategies among nurses will increase flexibility in responding to job stress and will also better perform health promoting behaviors.
Hot Flashes and Hypogonadism Symptoms in Patients with Prostate Cancer Receiving Hormone Replacement Therapy
Park, Hyun Hye ; Park, Jeong Sook ;
Korean Journal of Adult Nursing, volume 26, issue 2, 2014, Pages 159~170
DOI : 10.7475/kjan.2014.26.2.159
Purpose: This research investigated the degree and predictors of hot flashes and hypogonadism symptoms in patients with prostate cancer receiving hormone replacement therapy. Methods: The subjects were 111 patients with prostate cancer receiving hormone replacement therapy in two university hospitals located in D city. The measurement tools included Hot Flash Diary and AMS (Aging Male's Symptoms rating scales). The data were analyzed using t-test, ANOVA, and binary logistic regression analysis. Results: The percentage of patients who experienced hot flashes among the participants was 14.4%. The predictors for hot flashes were eating irregularly, having coffee frequently and the types of hormone. The average score of hypogonadism symptom was 2.16 out of five-point scale and the highest score of hypogonadism symptom was the sexual symptoms (2.77 out of five-point scale). The predictors for hypogonadism symptom were eating habits and years of having the illness. Conclusion: These findings provide the information that irregularly eating habit was an important factor in hot flashes and hypogonadism symptoms of the participants. Therefore the development of a nutritional education encouraging regular meals is necessary for the given population.
Effects of Upper Meridian Massage on Cerebral Blood flow, Emotions, and Sleep of the Institutionalized Elderly
Uhm, Dong Choon ; Nam, Mi Jung ;
Korean Journal of Adult Nursing, volume 26, issue 2, 2014, Pages 171~180
DOI : 10.7475/kjan.2014.26.2.171
Purpose: This study was to investigate the effects of upper meridian massage on cerebral blood flow, emotions, and sleep of the institutionalized elderly. Methods: This study was a nonequivalent control group pre- and post-test design. The participants were 50 elderly (26 in the experimental group; 24 in the control group) living in the institutions. Data were collected between July 9 and September 1, 2011. The data were analyzed using descriptive statistics, t-test, and
-test, Repeated Measures ANOVA, and Cronbach's
coefficient. Each participant in the experimental group received the upper meridian massage for 10 minutes, 4 times per week for 2 weeks. Each participant's cerebral blood flow and self-reported questionnaires were tested before treatment, after 1 week and 2 weeks during treatment sessions. Results: There were significant differences in sleep and emotions after 1 week and 2 weeks during treatment sessions. But cerebral blood flow measured by common carotid artery pulsatility index (CCA PI) and common carotid artery resistance index (CCA RI) demonstrated significant differences in 2 week point in time. Conclusion: These results indicated that upper meridian massage could be an effective intervention for improving cerebral blood flow, emotions, and sleep of the institutionalized elderly.
Influence of Spiritual Wellbeing and Social Support on Depression in Middle-aged Women
Heo, Je Eun ; Tae, Young Sook ;
Korean Journal of Adult Nursing, volume 26, issue 2, 2014, Pages 181~190
DOI : 10.7475/kjan.2014.26.2.181
Purpose: This study was to identify the impact of spiritual wellbeing and social support on the depression among middle-aged women. Descriptive study design was used. Methods: The subjects completed the structured questionnaires: the 'Spiritual Well-being Scale', developed by Paloutzian & Ellison, 'the Social Support Scale' developed by Park, and 'the CES-D Scale' developed by Radloff. Data were collected from 216 middle aged women in B metropolitan city and J city. The data were analyzed using t-test, ANOVA, Scheff
test, Pearson's correlation coefficients, and multiple regressions. Results: Participants with higher depression had lower scores for spiritual wellbeing (r=-.57, p<.001) and lower scores for social support (r=-.49, p=.011). The influencing factors on depression were spiritual wellbeing, social support, and utilization of spare time. These variables were explained 46% of the variance in depression. Conclusion: The depression of the middle-aged women can be reduced when spiritual wellbeing and social support are improved. Therefore, we suggested to develop nursing intervention programs in order to improve spiritual wellbeing and social support of middle-aged women for reducing their depressions.
The Factors affecting Burdens and Quality of Life of the Family Caregivers of Patients with Rare and Incurable Diseases Using Home Ventilators
Hwang, Moon Sook ; Lee, Mi Kyoung ; Song, Jeong Rye ;
Korean Journal of Adult Nursing, volume 26, issue 2, 2014, Pages 191~202
DOI : 10.7475/kjan.2014.26.2.191
Purpose: This study was aimed to survey the actual caregiving conditions of family caregivers who are caring patients with rare and incurable diseases using home ventilators at home, and to clarify any factors affecting their burdens and quality of life. Methods: A questionnaire survey was performed by the 159 subjects, and the questionnaires contained the actual conditions of caregiving activities, and caregiver's burdens and quality of life. The collected data was analyzed by ANOVA, Pearson's correlation, and stepwise linear regressions. Results: The mean of burden scores was 3.55 out of 5, and influencing variables included the relationships with patient (spouse), respite (moderate), health status, and diagnosis (non ALS), with the explanatory power of 30.0%. The mean of the quality of life was 2.58 point, and the influencing variables included burdens, health status, and respite (enough), with the explanatory power of 39.0%. Conclusion: In order to improve the quality of life among family caregivers caring for patients with using a home ventilator, it is required to develop strategies for reducing caregiving burdens as well as to introduce family respite welfare systems to family caregivers.
The Health Behavioral Experience of Patients with Myocardial Infarction during the Recovery Period
Kang, Kyung Ja ; Kim, Moon Jeong ;
Korean Journal of Adult Nursing, volume 26, issue 2, 2014, Pages 203~213
DOI : 10.7475/kjan.2014.26.2.203
Purpose: The purpose of this study was to understand and describe the every day life experience of patients with acute myocardial infarction (AMI) during the recovery period after Percutaneous Coronary Intervention (PCI) using a qualitative approach. Methods: Twelve patients with AMI participated in this study. Their age ranged from 42 to 75. The data were collected by individual in-depth interviews and all interviews were audio-taped and transcribed verbatim. The transcribed data were analyzed using traditional qualitative content analysis. Results: Six sub-themes emerged from the data as follows: Getting to know about illness, getting motivated for health behavior, putting an effort into health behavioral change, having difficulties maintaining health behavior, setting up coping strategies for health behavior and having a need for a tailored education. The results of this study showed how the health behaviors of patients with AMI are related to their every day life experiences. Conclusion: The results of this study could help health professionals to better understand patients with AMI and design effective educational interventions to improve their health behaviors.
The Depression Predictors among Patients with Peg-interferon Treated Hepatitis C
Kim, Ha-Na ; Lee, Eun-Nam ;
Korean Journal of Adult Nursing, volume 26, issue 2, 2014, Pages 214~222
DOI : 10.7475/kjan.2014.26.2.214
Purpose: This study was to identify factors predicting the occurrence of depression among patients with hepatitis C treated with Peg-interferon. Methods: The subjects were 134 patients treated with Peg-interferon after the diagnosis with hepatitis C at the D University Hospital and 3 hospitals located in Busan, South Korea. The predictors of depression were identified by measuring the general characteristics of the subjects and their disease-related characteristics, social support, sleep disorders, and degree of side effects by interferon. The data were analyzed with a t-test, ANOVA, and logistic regression using the SPSS/WIN 18.0 program. Results: Sixty-six point four percent of the subjects suffered from mild to more severe depression. Fatigue, hair loss, itching, and sleep disorders turned out to be significant predictors. In addition, the explanatory power of these variables for the occurrence of depression was 70%. Conclusion: Sleep disorders and drug side effects were determined to have significant influence on the development of depression in hepatitis C patients treated with Peg-interferon. Therefore, the development of nursing intervention programs aimed to prevent depression by effectively managing sleep disorders and side effects is mandated in future to help the given population.
Analysis of the Sexual Health Education Curriculum of Nursing Schools in Korea using Posner's Theory
Kim, Hyun-Kyoung ;
Korean Journal of Adult Nursing, volume 26, issue 2, 2014, Pages 223~233
DOI : 10.7475/kjan.2014.26.2.223
Purpose: This study was aimed to analyze the sexual health curriculum for the nursing baccalaureate and associate's degrees in Korea. The curriculum proper based on Posner's theory presented the analysis of purpose, content, organization, and underlying assumption. Methods: This study was conducted with sexual health education guidelines, nursing practice standards, 181 curriculums, and teaching materials. Data were collected through literature, online homepage from 181 nursing school, and textbooks from July to September, 2013. Data were analyzed using percentage and mean with SPSS 12.0. Results: The purposes were mostly included in the low grade cognitive learning domain. The contents included 20 key elements among 22, so the scope was not inclusive. There was an unbalance between content's depth and scope, because total mean credit of sexual health nursing education was only 19.81 hours. The spiral structure of organization showed continuity, sequence, and integration with international standards. The interdisciplinary integration and transcultural value were advantages of the curriculum. Conclusion: This study provided a view on understanding sexual health nursing curriculum and implication for advanced education. The proclaiming of the standard and concept mapping of sexual health curriculum may contribute to the curriculum development for the advanced nursing.
Factors Influencing Health-Promoting Behaviors in People Living with HIV
Park, Young Mi ; Shin, Gisoo ; Kim, Jiyoung ;
Korean Journal of Adult Nursing, volume 26, issue 2, 2014, Pages 234~243
DOI : 10.7475/kjan.2014.26.2.234
Purpose: The purpose of this study was to investigate the factors influencing the health-promoting behaviors of the people living with HIV. Methods: Descriptive cross-sectional study design was used. The study participants included 99 people living with HIV recruited via the Korea HIV/AIDS Network of Solidarity from May 15 to August 15, 2012. Self-report questionnaires were used fo data collection measuring perceived stress, depression, self-efficacy, health-promoting behaviors (HPLP-II), and the perceived health status. The analysis was done using SPSS/Win 18.0 program. Descriptive statistics, pearson correlation, t-test, ANOVA and stepwise multiple regressions were used for data analysis. Results: Perceived stress (r=-.21, p=.040), depression (r=-.37, p<.001), self-efficacy (r=.42, p<.001), perceived health status (r=.29, p=.003), and health-promoting behaviors were significantly correlated with each other. The self-efficacy, religion and perceived health status were significant factors, which explained about 26% of the variance of the health-promoting behaviors. Multiple regression analysis showed that a powerful predictor of health-promoting behaviors among people living with HIV was self-efficacy. Conclusion: This study suggested that a focus of nursing intervention program on self-efficacy is necessary in order to increase health-promoting behaviors among people living with HIV.
Prevalence of Metabolic Syndrome and Its Predicting Factors among Small-sized Company Workers
Choi, Soo Kyoung ; Jo, Jeong A ; Hwang, Seon Young ;
Korean Journal of Adult Nursing, volume 26, issue 2, 2014, Pages 244~252
DOI : 10.7475/kjan.2014.26.2.244
Purpose: This study was aimed to examine the prevalence of metabolic syndrome (MetS) and cardiovascular risk factors among workers at small-sized companies having fewer than 50employees in Korea. Methods: A descriptive cross-sectional study was conducted using a secondary data analysis on workers' health examination data. Data from 21,784 employed workers were analyzed, including 16,488 males (mean age 38.7years)and 5,296 females (mean age 40.5 years). Participants were newly enrolled in annual health check-ups at a professional health clinic from 2009 to 2011. Logistic regression analysis was performed to identify age-adjusted gender specific predicting factors of MetS incidence. Results: The prevalence of MetS was 13.4% in male and 7.7% in female workers. Logistic regression analysis showed that, when age was adjusted for, family history of cardiovascular disease (CVD) was a predicting factor in both male and female workers. For male workers, heavy alcohol drinking and non-manual occupation (office workers/drivers) predicted MetS. Conclusion: Health care providers should screen for MetS periodically in small work places especially for those with a family history of CVD. Educational counseling needs to be given to male workers with sedentary occupations with an aim to reduce heavy drinking and encourage lifestyle modification.