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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 27, Issue 6 - Dec 2015
Volume 27, Issue 5 - Oct 2015
Volume 27, Issue 4 - Aug 2015
Volume 27, Issue 3 - Jun 2015
Volume 27, Issue 2 - Apr 2015
Volume 27, Issue 1 - Feb 2015
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Health Literacy and Health Behavior Compliance in Patients with Coronary Artery Disease
Jung, Eun-Young ; Hwang, Sun-Kyung ;
Korean Journal of Adult Nursing, volume 27, issue 3, 2015, Pages 251~261
DOI : 10.7475/kjan.2015.27.3.251
Purpose: The aim of this study was to identify the levels of and the related factors to health literacy and health behavior compliance in patients with coronary artery disease. Methods: A cross-sectional survey was conducted with a convenience sample of 121 hospitalized patients with coronary artery disease. The structured questionnaires were used to measure the levels of health literacy and health behavior compliance. Results: The average linguistic health literacy score was
, the functional health literacy score was
, and the health behavior compliance score was
. The levels of education (
=.35), income (
=.27), and perceived health status (
=.21) were found significant, explaining 41.8% of the variance in linguistic health literacy. The levels of education (
=.23), income (
=.27), age (
=-.24), and family support (
=.22) were found to be significant, explaining 50.9% of the variance in functional health literacy. The levels of education (
=.27), family support (
=.20), and linguistic health literacy (
=.40) were found to be the significant factors, which explained 45.1% of the variance in health behavior compliance. Linguistic health literacy specifically explained 9.5% of health behavior compliance. Conclusion: Health literacy was associated with health behavior compliance, influencing the factors of health behavior compliance. These findings suggest that the interventions for improving health literacy are necessary to enhance health behavior compliance in patients with coronary artery disease.
Mutual Reciprocal Relationship between Ego Integrity and Depression in Elderly: Multi-dimensional Influencing Factors
Jeong, Hye Sun ; Oh, Hyun Soo ;
Korean Journal of Adult Nursing, volume 27, issue 3, 2015, Pages 262~272
DOI : 10.7475/kjan.2015.27.3.262
Purpose: This study was conducted to examine the mutual reciprocal relationship between elders' ego integrity and depression including physical and psycho-social predictors of both variables. The study also investigated the significant predictors of elders' ego integrity and depression. Methods: Data were collected using a structured questionnaire from 137 elders. Results: Perceived health status, self-esteem, family interaction, and depression were significant predictors of ego integrity, whereas pain, self-esteem, and ego integrity were significant factors of depression. The results also showed that ego integrity and depression had reciprocal relationship with each other. Conclusion: Psycho-social factors might be more important to improve ego integrity and to alleviate depression in elderly subjects than physical factors.
Predictors of Self-care Behaviors among Elderly with Hypertension using Quantile Regression Method
Lee, Eun Ju ; Park, Euna ;
Korean Journal of Adult Nursing, volume 27, issue 3, 2015, Pages 273~282
DOI : 10.7475/kjan.2015.27.3.273
Purpose: The objective of this study was to identify the predictors of self-care behaviors among elderly patients with hypertension using quantile regression method. Methods: A total of 253 elderly patients diagnosed with hypertension was recruited via 3 different medical clinics for the study. The quantile regression and a liner regression was conducted using Stata 12.0 program by analyzing predictors of self-care behaviors. Results: In the ordinary least square, self-efficacy, period of disease, and education level explained 42% of the variance in self-care activities. In the quantile regression, affecting predictors of self-care behaviors were self-efficacy for all quantiles, the period of disease for from 60% quantile to 90% quantile, education level for 20%, 30%, and 50% quantiles, economic status for 10%, 50%, and 60% quantiles, age for 10%, 70% quantiles, fatigue for 10% quantile, knowledge about hypertension for 10% and 20% quantiles, and depression for 30% and 40% quantiles. Conclusion: The affecting predictors of self-care behaviors among elderly with hypertension were different from the level of self-care behaviors. These results indicated the significance in assessing predictors according to the level of self-care behaviors when clinical nurses examine the patients' health behaviors and plan any intervention strategies. Specially, education level and knowledge about hypertension were the significant predictors of self-care activities for low quantiles. Clinical nurses may promote self-care activities of the given population though health education programs.
Factors Affecting Caregiver Burden in Caregivers of Patients with Parkinson's Disease
Kim, Dong Won ; Bae, Eun Sook ;
Korean Journal of Adult Nursing, volume 27, issue 3, 2015, Pages 283~293
DOI : 10.7475/kjan.2015.27.3.283
Purpose: Depression is a common sign of suffering among the patients with Parkinson's disease (PD). Frequent and severe neuropsychiatric symptoms lead to high levels of distress in patients and their caregivers, which results in the high levels of caregiver burden. The aim of this study was to determine the predictors of caregiver burden in caregivers of the patients with Parkinson's disease (PD). Methods: The study included 183 consecutive PD patients and their caregivers. Patients were assessed using the Hoehn and Yahr scale, Mini Mental State Examination (MMSE), Beck Depression Inventory (BDI), and Schwab and England Activities of Daily Living Scale. Caregivers' depressive symptoms were evaluated using the Caregiver Burden Inventor (CBI), BDI, and World Health Organization Quality of Life Scale. Results: All of the patients reported one or more neuropsychiatric symptoms. Patients' and caregivers' depressive symptoms, caregivers' age and education, time for caregiving, and quality of life were significantly associated with the increased caregiver burden. After controlling the level of education as a potential confounding variable, depression in both patients and caregivers, time for caregiving, and quality of life explained 45.6% of the variance in caregiver burden. Conclusion: Substantial attention needs to be given to the early identification of depression in PD patients and their caregivers to improve caregivers' quality of life and burden.
The Relationships among Health Locus of Control and Resilience, Social Support and Health Promoting Behavior in Patients with Newly Diagnosed Coronary Artery Diseases
Shin, Nayeon ; Kang, Younhee ;
Korean Journal of Adult Nursing, volume 27, issue 3, 2015, Pages 294~303
DOI : 10.7475/kjan.2015.27.3.294
Purpose: The purpose of this study was to determine the relationships among health locus of control, resilience, social support, and health promoting behavior in patients with coronary artery diseases. Methods: This study utilized a descriptive correlational design using a survey method. The subjects were 165 coronary artery disease patients at the cardiology out-patient clinic of the C university hospital. Data were collected through Health Locus of Control Scale, Resilience Scale, ENRICHD Social Support Instrument, Health Promoting Lifestyle Profile scale. Data were analyzed using descriptive statistics, t-test, ANOVA, Pearson's correlation coefficient and hierarchial regression. Results: There were significant positive bivariate correlations of health promoting behavior with internal health locus of control, doctors health locus of control, resilience and social support respectively, and correlation between resilience and social support. Among predictors, internal health locus of control (
=.28), social support (
=.28) and resilience (
=.25) had statistically significant influences on health promoting behavior. Conclusion: These results proposed that internal health locus of control, social support and resilience have important influences on health promoting behavior. Nursing interventions to enhance internal health locus of control, resilience and social support might be essential for patients with coronary artery disease in order to promote their health behaviors.
Effects of a Dysphagia Nursing Protocol on Reducing Aspiration Pneumonia and Improving Daily Activity Dependency in Patients with Acute Stroke
Han, Jung-Hee ; Lee, Gee-Eun ; Jun, Joo-Hyun ; Lim, Yoo-Jin ; Yoon, Eun-Jin ; Kim, Yeo-Ok ;
Korean Journal of Adult Nursing, volume 27, issue 3, 2015, Pages 304~313
DOI : 10.7475/kjan.2015.27.3.304
Purpose: Aspiration pneumonia (AP) is the major complication of dysphagia in patients with acute stroke. Nursing management for dysphagia influences on patients' health outcomes. The purpose of this study was to develop and evaluate the effects of Dysphagia Nursing Protocol (DNP) for patients with acute stroke. We aimed to examine the incidence of AP and the dependency rate at the discharge. Methods: We used a non-equivalent control group posttest only design in this study. DNP was developed with content validity index > 0.75 in all items. This protocol was composed of the evaluation, education, complication prevention, and checking phases. After training the staff nurses, we applied DNP protocol to the experimental group. The control group was enrolled from June to August 2013 (n=80), and the experimental group was June to August 2014 (n=64). Results: The incidence of AP was 16.3% in control group while 4.7% in experimental group (p=.028), and the Odds Ratio (OR) was 0.26 (p=.045). The dependency ratio was 66.3% in control group while 43.8% in experimental group (p=.011), and the OR was 0.33 (p=.011). Conclusion: DNP was beneficial for the reducing the risk of AP and the improved the functional status.
Health-related Quality of Life and Its Influencing Factors according to Gender in Baby Boomers
Park, Min-Jeong ; Suh, E. Eunyoung ; Chung, Mi Young ;
Korean Journal of Adult Nursing, volume 27, issue 3, 2015, Pages 314~324
DOI : 10.7475/kjan.2015.27.3.314
Purpose: The purpose of this study was to measure health-related quality of life (HRQOL) and the related factors according to gender in baby boomers by using Korea Health Panel Data 2012. Methods: The Korea Health Panel Data 2012 were collected from February to August 2012 by Korea Institute for Health and Social Affairs and National Health Insurance Corporation and the data of 1,802 respondents categorized as baby boomers were analyzed for this study. The data were analyzed by t-test,
and multiple regression using SPSS/WIN 20.0 program. Results: For male, the influencing factors on HRQOL were economic activity and smoking. For female, the influencing factors on HRQOL were education, psychological and physical stress, unmet basic needs, and psychiatric drugs. The types of insurance, unmet medical needs, anxiety about the future, depression, and self-rated health status showed statistically significant relationships with HRQOL both for male and female. Conclusion: Health care providers are suggested to consider the founded gender differences in this study when they develop interventions for HRQOL improvement for baby boomers in a community.
The Factors Influencing Compliance of Multidrug-resistant Organism Infection Control in Intensive Care Units Nurses
Kim, Ji Hee ; Lim, Kyung Hee ;
Korean Journal of Adult Nursing, volume 27, issue 3, 2015, Pages 325~336
DOI : 10.7475/kjan.2015.27.3.325
Purpose: This study was conducted to identify factors influencing compliance of multidrug-resistant organism infection control in intensive care units (ICU) nurses. Methods: Data were collected from 254 ICU nurses who were working at 6 general and advanced general hospitals in D city and G Province. Results: 77.2% and 84.4% of the subjects correctly answered to questions about Methicillin-Resistant Staphylococcus Aureus (MRSA) and Vancomycin-Resistant Enterococcus (VRE), respectively. The scores of MRSA infection control compliance and VRE infection control compliance were 3.41 and 3.43, respectively. The factors influencing MRSA infection control compliance were empowerment, environmental safety recognition, and education satisfaction, which explained 30% of MRSA infection control compliance. The factors significantly related to VRE infection control compliance were empowerment, hospital types, environmental safety recognition, number of education sessions, and neonatal ICU, which explained 37% of VRE infection control compliance. Conclusion: It is necessary to develop efficient educational programs for infection control including educational contents to improve empowerment and environmental safety recognition of nurses. Furthermore, administrative support for those infection control programs is also necessary.
Development of the Resilience Scale for Korean Nursing College Students
Yang, Young Hee ; Kim, Eun Man ; Yu, Mi ; Park, Seungmi ; Lee, Haeyoung ;
Korean Journal of Adult Nursing, volume 27, issue 3, 2015, Pages 337~346
DOI : 10.7475/kjan.2015.27.3.337
Purpose: This study was to develop and test the resilience scale for Korean nursing college students. Methods: The initial 82 items (7 factors) were developed through literature review and student interviews. Items were reduced to 55 items through content validity test by 5 experts and face validity tests by 20 nursing students. The preliminary Resilience Scale for Korean Nursing Students (RS_KNS) was administered to 302 nursing students of 4 universities in Chungnam. Data were analyzed using item analysis, factor analysis, Pearson correlation coefficients, and Cronbach's
. Results: Twenty-four items were selected for the final scale. Seven factors evolved from the factor analysis, which explained 61.9% of the total variance. The internal consistency, Cronbach's
was .84 and reliability of the subscales ranged from .60 to .77. Conclusion: The resilience scale for Korean nursing college students demonstrated acceptable validity and reliability. It can be used to assess the resilience of nursing college students and is expected to get utilized in teaching and research.
Pressure Ulcer Prevalence and Risk Factors at the Time of Intensive Care Unit Admission
Kwak, Hye Ran ; Kang, Jiyeon ;
Korean Journal of Adult Nursing, volume 27, issue 3, 2015, Pages 347~357
DOI : 10.7475/kjan.2015.27.3.347
Purpose: This study was conducted to assess the prevalence rate of, and the risk factors for pressure ulcers in critical patients at the time of intensive care unit (ICU) admission. Methods: We reviewed the electronic medical records of 2,107 patients who were admitted to the intensive care units in D university hospital between January 1 and December 31, 2012. The collected date were analyzed by
-test, t-test, and multi-variate logistic regression with forward stepwise selection using the SPSS program version 21. Results: The prevalence rate of pressure ulcers at the ICU admission was 23.7%. Risk factors significantly affecting pressure ulcers carrying were the age of 80 years or older (OR=3.70, 95% CI: 1.80~7.60), body weight less than 50 kg (OR=2.82, 95% CI: 1.74~4.56), sedated consciousness (OR=6.10, 95% CI: 3.57~10.40), use of ventilator (OR=1.60, 95% CI: 1.02~2.49), use of vasopressors (OR=1.53, 95% CI: 1.09~2.14), ICU admission via operation room (OR=0.49, 95% CI: 0.29~0.85), and hospital admission from nursing homes (OR=13.65, 95% CI: 3.02~61.72). Conclusion: The findings of this study suggested that the prevention efforts for pressure ulcers should be given in prior to ICU admission. Further research is necessary for developing nursing interventions for preventing pressure ulcers in the pre-ICU stage.
Relationship between Chemotherapy-induced Peripheral Neuropathy and Quality of Life in Patients with Hematologic Malignancies
Song, Chi Eun ; Kim, Hye Young ; Lee, Eun Sook ;
Korean Journal of Adult Nursing, volume 27, issue 3, 2015, Pages 358~366
DOI : 10.7475/kjan.2015.27.3.358
Purpose: This study was aimed to identify the incidence and severity of chemotherapy-induced peripheral neuropathy (CIPN) among patients with hematologic malignancies and to examine the relationship between the quality of life (QOL) and CIPN. Methods: A total of 66 patients with CIPN-related symptoms participated in this study. Data were collected through self-reported questionnaires consisted of the European Organization for Research and Treatment of Cancer QLQ-C30 version 3.0 and the 16-item QLQ-CIPN20. Data were analyzed with SPSS/WIN20 for descriptive statistics using the Mann-Whitney and Kruskal-Wallis tests, and Spearman's rho. Results: The mean lower and upper extremity scale scores were 31.95 and 23.16 respectively for the 16-item QLQ-CIPN20. The mean QLQ-C30 subcategory scores were 46.84 for global health status, 58.72 for functional scales, and 34.85 for symptom scales. The CIPN-related lower extremity scale symptoms correlated negatively with the QOL subscales. There was no correlation between CIPN-related upper extremity symptoms and health-related QOL. Conclusion: Patients with hematologic malignancies treated with neurotoxic chemotherapeutic agents had CIPN-related symptoms in the lower extremities mainly, and their QOL functional subscale scores were relatively lower than those of other cancer patients. Interventions need to be developed for patients with hematologic malignancies to alleviate CIPN and enhance their QOL.
Correlation between Self-esteem, Death Anxiety, and Spiritual Wellbeing in Korean University Students
Chung, Mi Young ; Cha, Kyeong-Sook ; Cho, Ok-Hee ;
Korean Journal of Adult Nursing, volume 27, issue 3, 2015, Pages 367~374
DOI : 10.7475/kjan.2015.27.3.367
Purpose: This study aimed at understanding the correlation between self-esteem, death anxiety, and spiritual wellbeing in university students. Methods: Cross-sectional method was used 671 students in South Korea. This study used the Self-esteem developed by Rosenberg, the Fear of Death Scale revised by Lester and Abdel-Khalek, and Spiritual wellbeing developed by Paloutzian and Ellison. Results: Relationships between self-esteem, death anxiety, and spiritual wellbeing revealed an inverse correlation between self-esteem and death anxiety, and a direct correlation between self-esteem and spiritual wellbeing. Conclusion: In order for students of establishing identity to lead a healthy life, there is a need for studies aiming at developing, implementing, and evaluating the results of consultation and education programs for maintaining spiritual wellbeing such as psychological counseling and logotherapy at the university or regional community level.