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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
Selecting the target year
A Predictive Model of Quality of Life for Stomach Cancer Patients with Gastrectomy
Kim, Young Suk ; Tae, Young Sook ;
Korean Journal of Adult Nursing, volume 27, issue 6, 2015, Pages 613~623
DOI : 10.7475/kjan.2015.27.6.613
Purpose: This study was designed to construct a predictive model to explain quality of life of stomach cancer patients with gastrectomy. Methods: Data were collected from July 10 to August 30, 2013 through survey using self-reported questionnaires. A total of 218 patients with gastrectomy was recruited from three different hospitals. Outcome variables were exogenous ones (self efficacy and social support) and endogenous ones (depression, perceived health status, self care behavior, and quality of life). Results: Goodness-of-fit of the hypothetical model was
, RMSEA=.07 CFI=.95, TLI=.93 SRMR=.05. Self care behavior, depression and perceived health status had significant direct effects on quality of life. Self efficacy and social support were affected quality of life indirectly. These variables explained 67.9% of total variance of quality of life, and self-care behavior was the most influential factor for quality of life. Conclusion: The findings of this study suggested that self care behavior must be considered as an intervention strategy to improve quality of life. Also a development of a specific intervention program to promote self efficacy and control depression for patients with gastrectomy is essential to facilitate their self care behaviors.
An Equation Model Development and Test based on Health Belief Model Regarding Osteoporosis Prevention Behaviors among Postmenopausal Women
Jang, Hyun-Jung ; Ahn, Sukhee ;
Korean Journal of Adult Nursing, volume 27, issue 6, 2015, Pages 624~633
DOI : 10.7475/kjan.2015.27.6.624
Purpose: This study was to develop and test a theoretical model based on the revised health belief model explaining osteoporosis prevention behaviors among postmenopausal women under 65. Methods: This secondary data analysis included 342 postmenopausal women under 65 from original data sources of a total of 734 women. The measured instruments were scales for osteoporosis awareness, osteoporosis health belief scale (benefit, barrier, susceptibility, severity, and health motivation), self-efficacy, and osteoporosis prevention behaviors. Data were analyzed using SPSS/WIN 20.0 and AMOS 20.0. Results: The mean age of the subjects was 55.2 years and the mean age of menopause was 51.10. The hypothetical model of osteoporosis prevention behaviors was relatively fit. Osteoporosis prevention behaviors were significantly explained up to 62% by expectation factors (relative benefit, self-efficacy, health motivation) and modifying factors(knowledge only). Expectation factors of health belief had a mediation effect between modifying factors and prevention behaviors. Conclusion: This study partially supported the revised health belief model for explaining osteoporosis prevention behaviors. It provides a basis for developing an educational program focusing on expectation factors and knowledge with the aim of behavioral changes for osteoporosis prevention.
Factors Affecting on Smartphone Addiction according to the Classification of Addiction-risk Groups among College Students: A Focus on Self-control
Jang, In Sun ; Park, Seungmi ;
Korean Journal of Adult Nursing, volume 27, issue 6, 2015, Pages 634~643
DOI : 10.7475/kjan.2015.27.6.634
Purpose: The purpose of the study was to investigate the factors affecting on smartphone addiction according to the classification of addiction-risk groups among college students, focusing on self-control. Methods: A sample of 242 college students at K University in Seoul was recruited to participate in the study. A structured questionnaire composed of items for the self-rated smartphone addiction scale and self-control scale was used to collect data. Results: The number of students in smartphone addiction-risk group was 66 (27.3%). This study had 17.5% of the explanatory power, including perceived smartphone necessity (
, p=.007), and instant self-control (
, p=.028) in addiction-risk group. Whereas, in non-risk group, the affecting factors included gender (
, p=.004), self-awareness of addiction (
, p<.001), and instant self-control (
, p<.001) with 31.3% of the explanatory power. Conclusion: There is a need to develop an intervention program to prevent the addiction of smartphones and to improve self-control among college students.
A Concept Analysis of Ego-resiliency
Jeong, Yeo Won ; Kim, Jung A ;
Korean Journal of Adult Nursing, volume 27, issue 6, 2015, Pages 644~655
DOI : 10.7475/kjan.2015.27.6.644
Purpose: This study was aimed to clarify the concept of ego-resiliency in the context of nursing and to propose a definition of ego-resiliency. Methods: Rodgers' evolutionary approach to concept analysis was used to identify common attributes, antecedents, and consequences of the term ego-resiliency. A literature search of the RISS, NDSL, NAL, CINAHL, PubMed, MEDLINE, PsycINFO, and Scopus databases from 1980 to 2014 was conducted, using the key words of ego-resiliency, ego-resilience, and ego-resilient. Thirty-four relevant articles and one book were finally selected and throughly reviewed. Results: The results of the concept analysis concluded that ego-resiliency was a individualized, integrated, and coping resource and capacity leading personal adaptive capacity including physical, psychological, social well being in various adversity and challenge of life. Conclusion: The findings of this study warranted nursing research on a development of nursing intervention related with ego-resiliency as a pivotal personal characteristic. By doing so, better understanding of human and health within the context of nursing could be achieved.
Reversion to Normal Cognition and Its Correlates among the Community-dwelling Elderly with Mild Cognitive Impairment: the Longitudinal Cohort Study
Kang, Younhee ; Whang, Sun A ; Park, Kuemju ;
Korean Journal of Adult Nursing, volume 27, issue 6, 2015, Pages 656~664
DOI : 10.7475/kjan.2015.27.6.656
Purpose: The purposes of this study were to identify the rate of reversion from mild cognitive impairment (MCI) to normal cognition (NC) among the community-dwelling elderly and to determine if there were differences in cognitive function, leisure activities, and exercises between the group with MCI-maintained and the group with reversion to NC. Methods: This study utilized a longitudinal descriptive comparative design. A total of 346 subjects over age 65 was recruited from public health center at baseline. Finally 152 elderly were enrolled at 1 year follow-up. Data were collected through MoCA-K, K-MMSE, KDSQ-C5 and questionnaires on leisure activities and exercises. Data were analyzed by IBM SPSS Statistics 21.0 using descriptive statistics,
test, and t-test. Results: The rate of reversion from MCI to NC among the subjects was 44.1%. At baseline, the group with MCI-maintained had lower cognitive function than the group with reversion to NC. At 1 year follow-up, the group with reversion to NC had higher subjective cognitive function than the group with MCI-maintained. Regarding leisure activities, there were differences between the groups at baseline and 1 year follow-up. Conclusion: It is suggested that age, education year, subjective cognitive function, and leisure activities should be considered at planning a nursing intervention for MCI.
Inhaler Competency and Medication Adherence in Older Adults and Adults with Obstructive Lung Disease
Kim, Soo Jin ; Shin, Yong Soon ;
Korean Journal of Adult Nursing, volume 27, issue 6, 2015, Pages 665~672
DOI : 10.7475/kjan.2015.27.6.665
Purpose: The aims of current study were to assess the inhaler competency and medication adherence, and to identify association of inhaler competency with medication adherence in patients with obstructive lung disease. Methods: We did a secondary analysis of the Hanyang Obstructive Pulmonary Evaluation data in a single institution from June 2014 to April 2015 after an approval of Institutional Review Board. A total of 150 patients with asthma or chronic obstructive lung disease participated in the study. Inhaler competency was evaluated accuracy in each step for using metered dose inhaler. Medication adherence was calculated using actually dispensed doses based on the prescribed inhaler doses. Results: Older adults (
) had lower competency in using inhaler (66.7 vs 83.3, z=-4.52, p<.001) and poorer medication adherence (67.7 vs 91.8,
, p<.001) than adults (<65). Inhaler competency was associated with medication adherence (p=.26, p=.001). Surprisingly, more than 50% of patients were current smokers. Conclusion: Inhaler competency and medication adherence were lower in older adults with obstructive lung disease than those in adult-age patients. Therefore, an individual education program for older patients should be developed to improve the rates of proper use of inhalers. Nursing management for obstructive lung disease should focus on developing behavioral intervention strategies for smoking cessation.
The Mediating and Moderating Roles of Safety-specific Transformational Leadership on the Relationship between Barrier to and Intention of Reporting Medication Errors
Kim, Myoung Soo ;
Korean Journal of Adult Nursing, volume 27, issue 6, 2015, Pages 673~683
DOI : 10.7475/kjan.2015.27.6.673
Purpose: This study was aimed to identify the mediating and moderating effects of safety-specific transformational leadership on the relationship between barrier to and intention of reporting medication errors. Methods: Two hundred thirty seven nurses from seven different hospitals participated in the study. Safety-specific transformational leadership was measured by an instrument with 10 items, barrier to reporting medication errors with 16 items, and intention of reporting medication errors with 3 items. The data was collected from September to October 2012. Descriptive statistics, factor analysis, t-test, ANOVA, Pearson correlation coefficient and a hierarchial regression analysis were used. Results: There were significant negative correlations between the subcategories of barrier to reporting medication errors and intention of reporting medication errors (r=-.16~-.27, p<.001), and a positive correlation between the intention and safety-specific transformational leadership (r=.25, p<001). Transformational leadership was a mediator between barrier to and intention of reporting medication errors. Conclusion: Safety-specific transformational leadership mediated the relationships between barrier to and intention of reporting medication errors. Enhancing safety-specific transformational leadership of nursing unit managers is necessary to increase the intention to reporting medication errors.
A Structural Equation Model of Fall Prevention Behavior among Community-dwelling Older Adults with Osteoarthritis
Jang, Keong Sook ; Song, Rhayun ;
Korean Journal of Adult Nursing, volume 27, issue 6, 2015, Pages 684~694
DOI : 10.7475/kjan.2015.27.6.684
Purpose: The purpose of this study was to explain fall prevention behaviors of community-dwelling elderly with osteoarthritis based on the Health Belief Model. Methods: A total of 200 older adults with osteoarthritis residing in community was recruited from July 10 to August 30, 2013. The direct and indirect effects of perceived fall risk, perceived benefits and barriers, and self efficacy of fall prevention were examined on fall prevention behaviors. Data were collected with structured questionnaires and analyzed using SPSS/WIN 20.0 and AMOS 20.0 program. Results: The hypothetical model was a good fit for the data based on the model fit indices. Among socio-demographic variables, age and fall knowledge showed significant direct effects on fall prevention behaviors. The constructed model explained 34.2% of the variance of fall prevention behaviors, including perceived fall risk and efficacy of fall prevention behaviors as significant predictors. Conclusion: The findings revealed the need to develop an effective nursing intervention to promote fall prevention behaviors of community-dwelling elderly with osteoarthritis by focusing on perceived fall risk and efficacy of fall prevention behaviors. Knowledge about fall can also be increased by an age-based education program.
Disease Experience of Korean Women with Eating Disorders
Han, Dallong ;
Korean Journal of Adult Nursing, volume 27, issue 6, 2015, Pages 695~706
DOI : 10.7475/kjan.2015.27.6.695
Purpose: This study was aimed to explore and describe the disease experience of Korean women with eating disorders within psychological and sociocultural context. Methods: The participants were 12 young adult women suffering with eating disorders or have recovered from the diseases. Data were collected via in-depth interviews and analyzed according to the grounded theory methodology by Strauss and Corbin. Results: The core category of the disease experience was 'becoming the master of life through desperate efforts'. The disease experience was categorized into five different phases including 'falling under the influence of others', 'collapsing the self: life swallowed by loosening weight', 'facing the wrecked self', 'struggling between the self and others', 'truly facing the self'. The intervening conditions were various supporting systems such as 'support from family', 'economic support' and 'support from trustworthy health professionals'. Conclusion: The findings of this study indicate that it is necessary to develop nursing interventions to support women with eating disorders and alleviate their suffering from eating disorders. Also specialized educational programs are warranted to prevent the eating disorders, and to reduce social stigma of eating disorders.
The Effects of Exercise-Cognitive Combined Dual-Task Program on Cognitive Function and Depression in Elderly with Mild Cognitive Impairment
Kim, Kyoungah ; Kim, Oksoo ;
Korean Journal of Adult Nursing, volume 27, issue 6, 2015, Pages 707~717
DOI : 10.7475/kjan.2015.27.6.707
Purpose: This study was to develop and verify the effects of the exercise-cognitive combined dual-task training program on cognitive function and depression of the elderly with mild cognitive impairment (MCI). Methods: A non-equivalent control group pretest-posttest design was used. The participants were assigned into two groups: an experimental group receiving an exercise-cognitive combined dual-task (n=20) and a control group receiving a simple-task (n=18). After 8 weeks of intervention (2 days per week), the change in depression and cognitive functions were compared between the groups. Results: General cognitive function (t=-2.81, p=.011), frontal cognitive function (Z=-3.50, p<.001), attention/working memory function (U=-2.91, p=.004), depression (t=4.96, p<.001) of the experimental group were significantly increased than those of the control group. Conclusion: The findings of the study showed that an exercise-cognitive combined dual-task program for MCI was effective in improving general cognitive function, frontal and executive function, attention/working memory function, and reducing depression.
The Levels of Physical Activity and Its Relationships with Depression, Health-related Quality of Life, Sleep Disturbance, and Physiological Indicators in Hemodialysis Patients
Park, Youngjoo ; Lee, Haejung ;
Korean Journal of Adult Nursing, volume 27, issue 6, 2015, Pages 718~727
DOI : 10.7475/kjan.2015.27.6.718
Purpose: The purpose of this study was to identify the levels of physical activity and its relationships with depression, health-related quality of life (QoL), sleep disturbance, and physiological indicators in hemodialysis patients. Methods: The participants in this study were 139 patients undergoing hemodialysis in the hospitals in Busan and Yangsan-si. Data were collected using hematologic tests and questionnaires that contained items about individual characteristics, International Physical Activity Questionnaires (IPAQ), Center For Epidemiological Studies Depression Scale (CES-D), a 12-item Short-Form Health Survey (SF-12), and Pittsburgh Sleep Quality Index (PSQI). Data were analyzed using descriptive statistics, one way ANOVA, and correlation. Results: Mean age of the participants was
and mean physical activity levels were
. Patients who performed higher physical activities during their daily activities reported lower levels of depression (F=4.16, p=.018) and higher levels of QOL (PCS: F=5.00, p=.008, MCS: F=8.66, p<.001) than those of the others who did not perform physical activities. Conclusion: This study showed that the levels of physical activity among hemodialysis patients was significantly associated with their depression and QOL. Developing strategies for enhancing physical activity is warranted to improve depression and QOL among hemodialysis patients.
Endless Management of Mind and Body for Healing: The Process of Pursuing Complementary and Alternative Medicine in Patients with Breast Cancer
Tae, Young Sook ; Kwon, Suhye ; Lee, Young Sook ; Bae, Ju Young ;
Korean Journal of Adult Nursing, volume 27, issue 6, 2015, Pages 728~741
DOI : 10.7475/kjan.2015.27.6.728
Purpose: The purpose of the study was to explore and describe the experience of pursuing complementary and alternative medicine (CAM) in breast cancer patients. Methods: Ten women with breast cancer participated in the study. Data were collected through individual in-depth unstructured and individualized interviews with each participant from February to July, 2015. Theoretical sampling was used upto the point of theoretical saturation. Data were analyzed using Corbin & Strauss's grounded theory methodology. Results: Through open coding, 22 sub-categories, and 13 categories were identified. Analysis revealed that the core category was 'endless management of mind and body for healing', which consisted of four phases; exploring, applying, grasping, and integrating. Through this process, the participants utilized various action/interactional strategies such as 'dealing with information', 'trying out blindly', 'enduring volitionally', 'experiencing effects on mind and body,' and 'grasping one's own way.' The consequences of these strategies were integrating the habit of health remedy into one's life, becoming a main agent for change, and tolerating one's weak body. Conclusion: In-depth understanding of the CAM pursuing experiences of patients with breast cancer would guide clinical nurses and policy makers to develop effective interventions and policies for better supporting them with regard to the usage of CAM.