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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 28, Issue 4 - Aug 2016
Volume 28, Issue 3 - Jun 2016
Volume 28, Issue 2 - Apr 2016
Volume 28, Issue 1 - Feb 2016
Selecting the target year
Comparison of Blood Glucose Levels from the Fingertips of Both Patients with and without Diabetes Who are Receiving Dextrose Fluid Therapy
Park, Suk Hyun ; Lee, Chang Kwan ; Kim, Yeon Woo ; Kwon, Chi Hye ;
Korean Journal of Adult Nursing, volume 28, issue 2, 2016, Pages 127~135
DOI : 10.7475/kjan.2016.28.2.127
Purpose: The aim of this study was to identify the effect of dextrose intravenous fluid (IVF) on the blood glucose levels taken from both fingertips of patients with diabetes mellitus (DM) and those without DM. Methods: From October 2012 to February 2013, 21 DM and 25 non-DM patients were recruited. Blood glucose levels taken from the both fingertips of patients at 7AM while IVF was not infusing and at 11AM, 5PM, and 9PM while IVF was infusing. Results: The differences between the mean values of blood glucose from the fingertips at four different times was not statistically significant in DM patients as well as non-DM patients. Also intra-class correlation for blood glucose levels from the fingertips with and without IVF infusion in both groups was shown over about 0.95 at each time (p<.001). Conclusion: Blood glucose levels measured in the same fingertips of both arms were the same regardless of dextrose IVF infusion. The results indicated that IVF with dextrose may not have any significant effect on the fingertip results of blood glucose level. This study may suggest that patients' both arms and any fingertips can be used for blood glucose monitoring even when the patients are on dextrose IVF infusion.
Obesity Status and Predictors of Obesity for Military Executive Members of the Korean Army Personnel
Park, Jeong Sook ; Jang, Soon Yang ;
Korean Journal of Adult Nursing, volume 28, issue 2, 2016, Pages 136~147
DOI : 10.7475/kjan.2016.28.2.136
Purpose: The purpose of this study was to identify predictors of obesity for military executive members of the Korean Army Personnel. Methods: The sample consisted of 1,026 executive members from the military. The data were drawn from a self-report survey with questions about demographics, obesity-related knowledge, attitude and behavior from June 9, 2015 to July 21, 2015. The Data were analyzed using descriptive statistics,
-test and logistic regression. Results: Of the total participants, sixty-five percent reported being non-obese and the remaining thirty-five percent would be classified as obese. The classification was defined by the BMI scores. Those participants with more than twenty years of service were 3.41 times more likely to be at risk for obesity compared to those participants with less than one year of service who had the lowest risk. Those participants with less than twenty more than ten years of service were 2.64times more likely to report obesity than those who had the lowest risk. Other factors related to the obesity was whether a person was in a front line unit (3.65 times higher), or rear unit (4.48 times higher) as compared to those in a special unit. For those who reported smoking more than a pack of cigarettes a day had 2.64 times the risk of obesity than those who smoked less than a half pack a day. Above average score in sensitivity of obesity related attitude showed 5.92 times higher risk than below average. Conclusion: This result suggested that over ten years of service, front line unit, rear unit, smoking more than one pack per day, and above average score in sensitivity of obesity related attitude influenced obesity. This study might provide base-line data for implementing tailored obesity management program to improve health status of the Korean army personnel.
Symptom Severity according to the Presence of Depressive and Anxiety Symptoms among Patients with Head and Neck Cancer
Kim, Hyun-Joo ; Cho, Ok-Hee ; Yoo, Yang-Sook ;
Korean Journal of Adult Nursing, volume 28, issue 2, 2016, Pages 148~155
DOI : 10.7475/kjan.2016.28.2.148
Purpose: The purpose of this study was to compare symptom severity and the impact of presence of depressive and/or anxiety symptoms among patients with head and neck cancer (HNC). Methods: One hundred and fifteen patients diagnosed with HNC completed two questionnaires: Hospital Anxiety and Depression Scale (HADS) and the M. D. Anderson Symptom Inventory-Head and Neck Cancer (MDASI-HN). Results: Of the total sample, 55.6% reported depressive symptoms and 33% reported anxiety symptoms. Patients who reported either depressive or anxiety symptoms also had significantly more severe symptoms. The most severe symptom was dry mouth. Participants who were depressed reported that interference in the enjoyment of life due to symptoms was the most distressing whereas participants with anxiety reported symptom interference in work was of most concern. Of patients reporting moderate to severe symptoms, more than 60% reported depressive symptoms. Of patients reporting moderate to severe feelings of being distress and feeling sad, more than 70% reported anxiety symptoms. Conclusion: Patients with HNC reporting moderate to severe symptoms also report depressive and/or anxiety symptoms. The results suggest the need to develop an integrated nursing intervention of both physical and emotional symptoms for patients with HNC.
A Meta Analysis on Variables related to Death Anxiety of Elderly in Korea
Kim, Sinhyang ; Park, Kyung Sook ;
Korean Journal of Adult Nursing, volume 28, issue 2, 2016, Pages 156~168
DOI : 10.7475/kjan.2016.28.2.156
Purpose: The purpose of this study was to provide basic data by surveying the literature for the past fifteen years (2001-2015). The focus of the search was death anxiety among the elderly. Methods: Sixty-two published works including graduate theses were selected for the Meta-analysis. Results: Study results showed that variables related to familial factors were the most often cited in the review of the manuscripts as relevant to death anxiety among the elderly. Specifically family support was most important. The other variables reported in the literature review were classified into four other groupings: social, physical, psychological, and demographics. The significant variable in the social grouping was religious activities, health promotion in the physical grouping and ego integrity in the psychological group. Conclusion: This study could provide effect sizes of variables based on materials, which are needed to make an intervention program that is related to death anxiety of the elderly. Since this study identified major variables as significant to death anxiety, several distinctions within these variables can be further studied as these relate to death anxiety.
Effects of Simulation-based Training for Basic Life Support Utilizing Video-assisted Debriefing on Non-Technical and Technical Skills of Nursing Students
Koh, Jin Hwa ; Hur, Hea Kung ;
Korean Journal of Adult Nursing, volume 28, issue 2, 2016, Pages 169~179
DOI : 10.7475/kjan.2016.28.2.169
Purpose: The purpose of this study was to investigate the effects of simulation-based training (SBT) for basic life support (BLS) utilizing video-assisted debriefing (VAD) about non-technical skills (NTSs) and technical skills (TSs). The goal of the proposed study is the evaluation of a teaching method about the correct application of cardiopulmonary resuscitation (CPR). Methods: The study design was a control group pre- and post-test non-synchronized experimental design. The sample included twelve teams of 36 nursing students. Both the experimental and the control groups received the SBT for BLS. Only the experimental groups received VAD where as the control groups had a verbal debriefing. Raters who used checklists for TSs and NTSs evaluated both groups. Data were analyzed by the SPSS 20.0 using Cronbach's
, Intraclass Correlation Coefficient (ICC), Mann-Whitney U test and Willcoxon signed rank test. Results: The experimental groups scored higher than the control groups in both TSs (p=.004) and the NTSs (p=.008). Conclusion: The findings of this study suggest that NTSs are an important factor that lead CPR successfully, so VAD can be used as an efficient teaching-learning strategy in the SBT for BLS for nursing students and nurses.
Influence of Occupational Type and Lifestyle Risk Factors on Prevalence of Metabolic Syndrome among Male Workers: A Retrospective Cohort Study
Kang, So Hui ; Hwang, Seon Young ;
Korean Journal of Adult Nursing, volume 28, issue 2, 2016, Pages 180~190
DOI : 10.7475/kjan.2016.28.2.180
Purpose: This study examined the influence of occupational type and lifestyle habits on the prevalence of metabolic syndrome (MetS) among Korean male workers. Methods: Through secondary analysis of their four-year health examination data, 3,892 subjects were divided into four subgroups according to the presence of MetS now and four years ago. Results: Nineteen percent (n=739) suffered from MetS and these 739 subjects were classified into following occupations: 7.1% were office workers, 17.6% were non-office workers, and 42.2% were drivers. Multiple logistic regression analyses showed that when the data adjusted for age, the predicting factors on the prevalence of MetS were heavy drinking (OR 1.34, 95% CI 1.09~1.64) and the occupation of non-office workers (OR 2.99, 95% CI 2.13~4.18) and drivers (OR 7.97, 95% CI 4.89~10.83) among workers without MetS four years ago. Among workers already with a history of MetS, the predicting factors were less exercise (OR 1.55, 95% CI 1.02~2.35) and drivers (OR 2.21, 95% CI 1.03~2.94). Conclusion: Heavy drinking and less exercise and drivers were reported as influencing factors on the prevalence of MetS by this sample. The findings suggest that employers need to provide their employees with screening and management program for those at risk of MetS.
Validity and Reliability Test of the Korean Version of the Oncology Patients' Perception of the Quality of Nursing Care Scale
Kang, Jiyoung ; Kang, Heiyoung ; Kim, Nanyeon ; Lee, Mijung ; Kim, Youjine ; Kim, Juhyeon ; Yeo, Sujeong ; Seo, Yunye ; Suh, Eunyoung ;
Korean Journal of Adult Nursing, volume 28, issue 2, 2016, Pages 191~201
DOI : 10.7475/kjan.2016.28.2.191
Purpose: The purpose of this methodological study was to examine the validity and reliability of a translated Korean version of The Oncology Patients' Perception of the Quality of Nursing Care Scale. Methods: The translated scale was pilot tested and then administered to 360 patients with cancer. Exploratory and confirmatory factor analyses were utilized to assess the factor structure. Internal consistency reliability was determined using coefficient
. Results: Two of the 40 items were deleted with a principal component method of exploratory factor analysis because they did not meet the factor-loading criterion. The 38 items were again analyzed and, four factors were validated (KMO=.96, Bartlett
, df=780, p<.001). The four factors accounted for 60.9% of the variance. Factor loadings of the scale on the four subscales ranged from .65 to .91. The scale showed reliable internal consistency with a Cronbach's
, total 38 items (
) in four subscales: individualization (18 items,
), proficiency (10, .91), responsiveness (7, .90), and coordination (3, .80). Conclusion: The findings of this study demonstrate that the scale has satisfactory construct validity and reliability to measure quality of cancer nursing care from the patient's perspective in Korea.
Cognitive Decline and Quality of Life among Patients with Breast Cancer undergoing Chemotherapy: The Mediating Effect of Health Promotion Behavior
Lee, Jung Ran ; Oh, Pok Ja ;
Korean Journal of Adult Nursing, volume 28, issue 2, 2016, Pages 202~212
DOI : 10.7475/kjan.2016.28.2.202
Purpose: The purpose of this study was to assess the relationship between cognitive function impairment and quality of life (QoL) among patients with breast cancer. Specifically, the intention was to verify the mediating effects for promoting behaviors leading to better health and QoL. Methods: A purposive sample of 152 patients undergoing chemotherapy was recruited. A cross-sectional survey design was used. Data were collected using four instruments: Everyday Cognition Scale, Korean Mini-Mental State Examination, Functional Assessment of Cancer Therapy-Breast Cancer Version 4, and Health Promoting Lifestyle Profile. Results: The mean score for subjective cognitive decline was 65.84; the health promotion behavior was 95.89, and 83.34 for QoL. Health promotion behavior was directly affected by cognitive decline (
) as was QoL (
). Subjective cognitive decline (
p<.001) and health promotion behavior (
, p<.001) were seen as predicting factors in QoL and explained 56% (
). Health promotion behavior had a partial mediating effect in the relationship between self-reported cognitive decline and QoL (Sobel test: Z=-3.37, p<.001). Conclusion: Based on the findings of this study, nursing intervention programs focusing on managing cognitive decline and promoting health promotion behavior are highly recommended to improve QoL in cancer patients.
A Meta-Analysis of the Variables related to Agitation in Patients with Dementia
Park, Heeok ; Gang, Minsuk ; Park, Eunsil ;
Korean Journal of Adult Nursing, volume 28, issue 2, 2016, Pages 213~225
DOI : 10.7475/kjan.2016.28.2.213
Purpose: The purpose of this study was to provide basic data about agitation in patients with dementia by surveying the literature. Method: Key words used for search through hand-search and electronic database (CINHAL, Pubmed, Google scholar, Riss, Kiss, DBpia) included 'dementia', 'Alzheimer disease', 'agitation', 'aggression or aggressive behavior', 'problem or disruptive behavior', and 'abnormal behavior.' Seventeen studies met the inclusion criteria for the Meta-analysis and 'R' version 3.2.2 was used to analyze the correlated effect size. Results: Study results showed that variables related to agitation were identified as the demographic (age, gender), dementia-related (cognition, medication uses), physical (Activity of Daily Living [ADL], pain), psychological (depression, psychotic symptom, caregiver burden) and environmental (psychosocial environment) factors. The effect size between the correlated variables and agitation were low to moderate (caregiver burden .36; ADL -.24; psychotic symptom and depression .21; pain .19; cognition -.15; medication uses .12; and psychosocial environment -.12). Conclusion: Based on the findings of this study, strategies to improve patients' depressive and psychotic symptoms and ADL and to reduce caregivers' burden are needed for prevention and management of agitation in patients with dementia.
Factors Affecting Malnutrition in Hemodialysis Patients
Park, Ok Lae ; Jang, Young Jun ; Jung, Jong Hwan ; Kim, Sung Reul ;
Korean Journal of Adult Nursing, volume 28, issue 2, 2016, Pages 226~236
DOI : 10.7475/kjan.2016.28.2.226
Purpose: The aim of this study was to evaluate the nutritional status and to identify factors affecting malnutrition in hemodialysis patients. Methods: Data were collected from a convenience sample of 125 hemodialysis patients who agreed to participate in the study, between August 1 and October 4, 2014. Five structured questionnaires were used: Patient-generated Subjective Global Assessment, Simplified Nutritional Appetite Questionnaire, Self-rating Depression Scale, Fatigue Scale, and Family Support Scale. Data were analyzed by descriptive statistics, t-test, Mann-Whitney U test,
-test, and stepwise multiple regression analysis by using SPSS/WIN 22.0 program. Results: Of 125 patients, 30.4% were found to be malnourished. Malnutrition was related to age, family household income, depression, fatigue, social support, appetite, and levels of C-reactive protein and serum albumin. Stepwise multiple regression analysis showed that appetite, C-reactive protein level, fatigue, and albumin level were significant factors affecting malnutrition in hemodialysis patients. Conclusion: Regular and consistent nutritional assessment is essential in hemodialysis patients. Nurses who care for hemodialysis patients need to consider the factors identified from these findings when assessing their patients' nutritional status and needs.
A Pilot Study of APN-led Self-management Program to Improve Cardiovascular Health Status among Korean Women with Risk Factors
Shin, Nah-Mee ; Yoon, Ji-Won ; Choi, Jiwon ; Park, Younghee ; Jeon, Songi ;
Korean Journal of Adult Nursing, volume 28, issue 2, 2016, Pages 237~245
DOI : 10.7475/kjan.2016.28.2.237
Purpose: The aim of this study was to examine the effects of an Advanced Practice Nurse (APN)-led self-management program on cardiovascular health status among Korean women at risk of developing or progressing cardiovascular disease. Methods: This pilot study used one-group pre- and post- test experimental design. At health fairs in a community, 30 women who had one or more risk factors for metabolic syndrome were recruited and agreed to participate in the study. A total of 25 women completed the study. The intervention consisted of weekly follow-up calls and self-monitoring diary after an hour of individual counseling regarding risk factors, fast walking, and healthy diet tailored to the participants' needs. Physical activity was assessed with the World Health Organization International Physical Activity Questionnaire and a pedometer. Results: Participants showed statistically significant improvements in blood pressure, body mass index, levels of triglyceride, total cholesterol and low density lipoprotein, numbers of metabolic syndrome factors, and the 10-year CV risk estimate after one month of concentrated intervention. In addition, their physical activity behavior significantly improved after the intervention. Conclusion: This APN-led self-management program targeting modifiable risk factors by offering tailored counseling and concentrated support during the transition might be effective in preventing progression to the cardiovascular disease.