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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 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
Selecting the target year
The Mediating Effects of Resilience between Symptom Experience and Depression in Patients with Chronic Obstructive Pulmonary Disease
Kong, Kyoung-Ran ; Lee, Eun-Nam ;
Korean Journal of Adult Nursing, volume 27, issue 4, 2015, Pages 375~383
DOI : 10.7475/kjan.2015.27.4.375
Purpose: The purpose of this study was to identify the relationship of resiliency and symptom experience and depression. Subjects (N=152) were patients with chronic obstructive pulmonary disease (COPD).admitted to D University Medical Center in B City. Methods: Data collection was conducted from July 20 to August 25, 2013. The levels of symptom, resilience, and depression were measured using a seven question symptom experience measuring instrument, a 25-question resilience instrument, and a 15-question Short Geriatric Depression Scale (SGDS). The collected data were analyzed by descriptive analysis, Pearson's correlation coefficients, and path analysis using SPSS/Win 19.0 and AMOS 5.0. Results: There was a significant negative correlation between symptom and resilience, a significant positive correlation between symptom and depression, and a significant negative correlation between resilience and depression. Symptom showed a direct effect on depression and an indirect effect on depression scores through resilience as a mediating variable. Conclusion: It is necessary to develop nursing intervention programs to relieve symptom in COPD patients, and to develop appropriate resilience enhancement programs to reduce their depression.
Comparison of Domestic and International Research (1992-2011): Intensive Care Nursing Studies
Choi, Eun Hee ; Jang, Eun Hee ; Choi, Ji Youn ; Lee, So Jung ; Seo, Hyo Kuyng ; Park, Kyung Sook ;
Korean Journal of Adult Nursing, volume 27, issue 4, 2015, Pages 384~396
DOI : 10.7475/kjan.2015.27.4.384
Purpose: The purpose of this study was to describe the approaches, methods and questions asked in intensive care unit studies published in Korean journals and the American Journal of Critical Care (AJCC) from 1992 to 2011. Only quantitative studies were reviewed. Methods: A total of 144 studies published in four Korean Journals and 521 studies published in American Journal of Critical Care (AJCC) were analyzed using descriptive statistics. Results: The most frequently used research design reported in Korean journals were surveys (83.5%), protocol development (10.1%), and randomized controlled trials (6.2%). In AJCC, the most frequently reported design was survey research (90.4%) and randomized controlled trials (16.1%). The most frequent nursing intervention reported in the AJCC was tube care (10.8%), and in Korean journals the intervention of suctioning (10.8%). In Korea, nurses were more likely to study instrument measurements (31.0%) and positioning (13.5%). In reported studies in the AJCC there were more reports on emotional support, exercise, and measurement research. Conclusion: There is overlap in the type of studies between the two countries in term of study design, whereas the types of nursing problems studied differed in United States and Korea. The result suggests that there were gaps and those more diverse studies and physiological measurements are needed.
Health Literacy, Diabetic Knowledge, and Diabetic Self-care among Foreign Diabetic Patients at a Hospital in South Korea
Koh, Eun Ae ; Park, Hyojung ;
Korean Journal of Adult Nursing, volume 27, issue 4, 2015, Pages 397~405
DOI : 10.7475/kjan.2015.27.4.397
Purpose: The purpose of this study was to investigate health literacy, diabetic knowledge, and diabetic self-care among foreign diabetic patients at a hospital in South Korea. Methods: Participants was 134 foreign patients diagnosed with diabetes and who understand English. Data were analyzed by SPSS version 20.0. Results: Health literacy significantly differed with HbA1c levels, whereas diabetic knowledge significantly differed with education levels, and time since diagnosed. Diabetic self-care significantly differed with time since the diagnosis. Health literacy significantly differed with diabetic knowledge and diabetic self-care. There was a correlation between health literacy and diabetic knowledge and between diabetic knowledge and diabetic self-care but not between health literacy and diabetic self-care. Conclusion: There are significant results on health literacy, diabetic knowledge and diabetic self-care. Subject with adequate health literacy had high scores on diabetic knowledge and self-care.
The Effect of Telephone-enforced Pelvic Floor Muscle Exercise on Incontinence, Urinary Function Related Satisfaction, Depression, and Quality of Life for Prostate Cancer Patients
Park, Jieun ; Lee, Haejung ;
Korean Journal of Adult Nursing, volume 27, issue 4, 2015, Pages 406~417
DOI : 10.7475/kjan.2015.27.4.406
Purpose: The purpose of this study was to identify the effects of Telephone-enforced Preoperative Pelvic Floor Muscle Exercise (TP-PFME) for prostate cancer patients on Urinary Incontinence (UI), Urinary Function (UF) related satisfaction, depression, and Quality of Life (QoL). Methods: A non-equivalent control group non-synchronized design was used with 85 participants. The two experimental groups (EG) began the PFME protocol two weeks prior to surgery. The subjects in the EG I received telephone calls to reinforce the PFME protocol. The comparison group began the PFME protocol after their surgery. Data were analyzed by the SPSS/WIN 21.0 using descriptive statistics,
test, One-way ANOVA, Fisher's exact test, and Repeated measures ANOVA. Results: EG I showed higher performance of PFME at one (p=.001) and three months (p=.015) after surgery than the comparison group. Comparison group showed significantly more severe UI at one (p=.002) and three months (p=.006) after surgery and reported lower UF related satisfaction than EG I at one month after surgery (p=.015). Participants in both experimental groups reported higher QoL scores (p=.001) at three months following surgery than those in the comparison group. There were no significant differences in depression among the three groups. Conclusion: The findings from this study suggest that preoperative TP-PFME was effective in decreasing the perceived severity of UI as well as increasing UF related satisfaction and QoL.
Current Status and Barriers to Health Care Services for Nursing Home Residents: Perspectives of Staffs in Korean Nursing Homes
Park, Yeon-Hwan ; Bang, Hwal Lan ; Kim, Ga Hye ; Oh, Seieun ; Jung, Young-Il ; Kim, Hongsoo ;
Korean Journal of Adult Nursing, volume 27, issue 4, 2015, Pages 418~427
DOI : 10.7475/kjan.2015.27.4.418
Purpose: Focus group interviews were conducted to explore the current status and barriers of health care services in nursing home from the viewpoint of staffs taking care of nursing home residents. Methods: A qualitative thematic analysis using the focus group interview method was used. A total of 32 health care professionals (19 nurses and 13 social workers) from thirteen nursing homes in South Korea attended (5 focus groups) in 2014. Results: The two main themes were identified: 'minimal health care services that left personal care needs unmet' which has three subthemes of 'stereotyped and fragmented care by types of care providers', 'medically-oriented health care services' and 'health care services mixed with social or recreational programs'; and 'barriers to proper and timely care in nursing homes' with four subthemes including 'unmet care needs due to cognitive dysfunction or lack of expression', 'care guides or tools not suitable for long-term care facilities', 'health care needs that are beyond the facility's care boundary', and 'care delay due to lack of understanding on the older adult's status'. Conclusion: The findings from this study should help health care policy makers to recognize the factors that influence health care services and provide direction for nurses and other staffs involved in supporting health care services for nursing home residents.
Health Status and Factors related to Health Behaviors of Older Adults Using a Senior Center
Ha, Ji-Yeon ; Park, Yeon-Hwan ;
Korean Journal of Adult Nursing, volume 27, issue 4, 2015, Pages 428~437
DOI : 10.7475/kjan.2015.27.4.428
Purpose: The aim of this study was to describe health status and to identify the factors related to health behavior in older adults in South Korea. Methods: A cross-sectional survey was conducted with a convenience sample of 186 older people (mean age =68.2yrs, 65.1% Female) registered at one senior center. Data were collected by self-report questionnaires or through face to face interview. The instruments were the Modified Health Behavior Assessment Scale, Stanford Research Instruments for Chronic Disease, Self-Efficacy, SOF Frailty Index and Quality of life questionnaire. The data were analyzed using t-test, ANOVA, Pearson's correlation, and stepwise multiple regression. Results: 58.6% older adults perceived their health status positively. Education level and economic status were significantly related to health behaviors of older adults. Self-rated health, sleep, stress, quality of life, health distress, depression, and frailty were significantly correlated with the health behaviors of older adults. Frailty, education level, and sleep disturbance were the significant factors predicting the health behaviors. Conclusion: The findings from this study suggest that nurses should take into consideration education level of older adults to promote their health behaviors and health promotion program which focuses on maintaining the quality of sleep and preventing frailty.
The Effects of Aroma Therapy on Allergic Symptoms, Eosinophil, and the Quality of Life related to Rhinitis in University Students with Allergic Rhinitis
Won, Su Jin ; Chae, Young Ran ;
Korean Journal of Adult Nursing, volume 27, issue 4, 2015, Pages 438~448
DOI : 10.7475/kjan.2015.27.4.438
Purpose: The purpose of this study was to identify the effects of using aroma essential oils on allergic symptoms, eosinophils and quality of life related to rhinitis for university students with allergic rhinitis. Methods: A randomized controlled experimental design was used. There were 37 participants in the experimental group, and 30 in the control group. The experimental group applied the essential oils four times a day in the nasal area as well as using inhalation of the oils each night for four weeks. Rhinoconjunctivitis quality of life questionnaire was composed of 28 questions regarding seven areas associated with allergic reactions. The data were analyzed with SPSS/WIN 21.0 program. Results: Rhinitis symptom index, nose itching (p<.001), sneezing (p<.001), watery rhinorrhea (p<.001), and nose congestion (p<.001) all had significant difference for the participants in the treatment group. Further there were significant differences in eosinophils both for measured time and interaction (p<.001). For the quality of life related to rhinitis, the results showed significant difference (p<.001). Conclusion: Using aroma therapy by applying essential oils turned out to be an effective nursing intervention that can be utilized in the easing of allergic symptom and the decrease of eosinophils, causing improvement in the quality of life related to rhinitis.
Factors Influencing Attitude toward Advance Directives of Older Cancer Patients
Lee, Min Hye ; Park, Yeon-Hwan ;
Korean Journal of Adult Nursing, volume 27, issue 4, 2015, Pages 449~458
DOI : 10.7475/kjan.2015.27.4.449
Purpose: The aims of this study were to identify the reported attitudes of older patients with cancer toward advance directives (ADs) and the factors associated with their attitudes toward ADs. Methods: The design was a cross-sectional survey. The age mean of the 130 participants were 70.8, and 66.2% of the participants were male. The data were collected at one university hospital in Seoul, South Korea during the period from October
in 2013. The data collecting instruments were the Advance Directives Attitude Survey (ADAS) and questionnaires including socio-demographic and disease-related characteristics, family function. Results: 30.0% of the participants were aware of ADs, only 9% of them had been informed by healthcare providers. Most participants (93.1%) intended to complete ADs. The mean score of ADAS was 48.29. The stepwise linear regression analysis indicated that family function, perceived health status, period of education, and age accounted for a significant percentage (52.0%, p<.001) of the variance in participants' ADAS. The variable with the greatest effect was family function. Conclusion: The findings suggest that family function and attitude of older cancer patients need to be considered for adapting ADs to Korean health care systems. Healthcare providers should include family members in advanced care planning discussions.
Development of a Smartphone Application for Promoting Bone Health in Korean Young Adult Women: A Pilot Study
Park, Young-Joo ; Lee, Sook-Ja ; Shin, Nah-Mee ; Shin, Hyunjeong ; Yoon, Sungjin ; Jeon, Songi ; Cho, Inhae ;
Korean Journal of Adult Nursing, volume 27, issue 4, 2015, Pages 459~471
DOI : 10.7475/kjan.2015.27.4.459
Purpose: The purpose of this study was to develop a smartphone application and evaluate it's effectiveness and usability for promoting bone health in Korean young adult women. Methods: A smartphone application was developed covering exercise, nutrition, and health habits related to bone health. A pilot testing was conducted using a one-group pre/posttest design. A total of 22 female college students with low bone mass participated in the 8-week use of a pilot testing. Results: The "Strong bone Fit body (SbFb)" application was developed using Android platform. In the pilot testing, bone mineral density, serum CTX, and 25 (OH)Vit.D were significantly decreased. There is no significant change in serum osteocalcin and calcium. Serum phosphorus concentration, nutrient intakes (fiber, VitB6, and pantotenic acid), and all bone composition profiles were significantly increased. Bone-health knowledge was significantly increased but no change in health belief and self-efficacy. Conclusion: The results of this pilot testing suggest the effectiveness of the SbFb application to enhance and promote self-managing abilities for bone health. It can provide continuous feedback and high-quality bone health information. However, some contents and working methods of the application need to be modified and its effectiveness on bone health requires further investigations.
Reliability and Validity of a Korean Version of the Cultural Awareness Scale (K-CAS)
Choi, Heeseung ; Suh, Eunyoung E. ; Park, Chang ; Park, Jisun ; Fernandez, Eric ;
Korean Journal of Adult Nursing, volume 27, issue 4, 2015, Pages 472~479
DOI : 10.7475/kjan.2015.27.4.472
Few instruments are available to measure nurses' perceptions of cultural competence in South Korea. Furthermore, the equivalence of factors between original and translated instruments has not been evaluated. The specific aims of this study were to identify the validity and reliability of a Korean version of the Cultural Awareness Scale (K-CAS) and to evaluate the equivalence of factors between the original CAS and the K-CAS. A total of 515 nursing students completed the 26-item K-CAS, 28-item Caffrey Cultural Competence in Healthcare Scale (CCCHS), and eight-item Openness to Diversity and Challenge Scale (ODCS). The K-CAS exhibited good reliability (
) and construct validity by correlating with the CCCHS (r=.344, p<.001) and ODCS (r=.394, p<.001). Confirmatory factor analysis results of the K-CAS confirmed the same factor structure as the original CAS. The K-CAS could be a useful tool to assess the concept of cultural competence among nursing students and nurses.