| Myung Ha Lee | 4 Articles |
Purpose
The purpose of this study was to investigate caring self-efficacy and social support, and their mediating effects on the relationship between caring burden and caring behavior in family caregivers of elderly with dementia in the community-dwelling. Methods A sample of 210 participants was used in a cross-sectional study. Data were collected from July 15th to November 22nd, 2019 through structured questionnaires and analyzed using descriptive statistics, multiple linear regression analysis, and the bootstrapping method with SPSS/WIN 25.0 and PROCESS macro program. Results The mean score for caring behavior was 3.14±0.81 (range 1~5). Caring behavior was significantly associated with caring burden (r=-.54, p<.001), caring self-efficacy (r=.68, p<.001), and social support (r=.69, p<.001). Using Baron and Kenny's approach and PROCESS macro model 4, caring behavior was found to be directly affected by caring burden (β=-.55, p<.001). Caring self-efficacy (β=-.36, p<.001) and social support (β=-.34, p<.001) were directly affected by caring burden. The partial mediating effects of caring self-efficacy (β =-.18, p=.007, 95% confidence interval -0.44~-0.14) and social support (β=-.23, p<.001, 95% confidence interval -0.38~-0.13) on the impact of caring burden on caring behavior were confirmed. Conclusion The impact of caring burden on caring behavior was mediated by caring self-efficacy and social support in family caregivers of elderly with dementia in the community-dwelling. The results suggest that caring self-efficacy and social support need to be considered in developing nursing interventions to reduce caring burden and improve caring behavior for family caregivers of elderly with dementia. Citations Citations to this article as recorded by
PURPOSE
The purpose of this study was to identify the factors involved in psychosocial adjustment of hemodialysis patients. METHODS This correlational, cross-sectional study included 172 hemodialysis patients from 11 different nephrology clinics. Data was collected from May to August 2018 using a structured questionnaire including patient' characteristics, uncertainty, social support, coping, and psychosocial adjustment. Data was analyzed using descriptive statistics, independent t-tests, one-way ANOVA, Pearson's correlation coefficient, and stepwise multiple linear regression. RESULTS The total score for psychosocial adjustment was 406.23±44.58 out of a maximum of 700. Psychosocial adjustment had a statistically significant relationship with occupation(t=−3.88, p < .001) and albumin (t=−2.06, p=.041). Furthermore, uncertainty (r=.45, p < .001), social support (r=−.37, p < .001), and coping (r=−.31, p < .001) were significantly correlated with psychosocial adjustment. Stepwise multiple linear regression demonstrated that uncertainty, having an occupation, social support, and being women explained 35.4% of the variance in psychosocial adjustment. CONCLUSION Uncertainty was found to have the largest influence on psychosocial adjustment, followed by occupation, social support, and gender. It is necessary to develop a detailed intervention that considers all these factors to promote psychosocial adjustment of patients with hemodialysis. Furthermore, the importance of the psychosocial adjustment of chronic illness needs to be stressed in nursing education. Citations Citations to this article as recorded by
PURPOSE
The aim of this study was to investigate the influencing effects of type D personality on symptom experiences and quality of life in percutaneous coronary intervention patients. METHODS A descriptive, cross-sectional study design was used. A total of 158 patients with percutaneous coronary intervention participated in this study, between July 1 and November 1, 2015. Data were analyzed by means, standard deviations, t-test, χ2 test, ANCOVA, and stepwise multiple regression analysis using SPSS 22.0 program. RESULTS About 53.8% of participants were classified as type D personality. The type D personality group reported statistically significantly higher symptom experience, lower cardiac function, and lower cardiovascular-specific quality of life compared to non-type D personality group. On stepwise multiple regression, the most significant factor of quality of life was symptom experiences (adjusted R²=.25, p<.001), followed by type D personality (adjusted R²=.31, p<.001). CONCLUSION Personality trait assessment is recommended for patients with percutaneous coronary intervention to assess symptom experiences and quality of life. In addition, development of nursing intervention might be beneficial to manage symptom experience and quality of life in percutaneous coronary intervention patients with type D personality. Citations Citations to this article as recorded by
PURPOSE
This study aimed to evaluate the effects of exercise program on chronic low back pain, daily living disability and depression in chronic low back pain patients treated with epidural injections. METHODS The design of this study was a nonequivalent control group pretest-posttest experiment. The sample was recruited among low back pain patients treated with epidural injections from an orthopedic specialty hospital. Participants were randomly assigned to a treatment group (n=25) or a comparison group (n=27). The treatment was a six week exercise program for low back pain. Data were collected from September to November 2011, and were analyzed using descriptive statistics, chi2-test, one-tailed t-test for independent samples, and Mann-Whitney U test using the SPSS/WIN 12.0 program. RESULTS Patients in the treatment group reported statistically significantly lower levels of back pain on flexion and extension, less daily living disability, and less depression than those in the comparison group. CONCLUSION The back pain relief exercise program could be an effective adjunct nursing intervention for low back pain patients treated with epidural injections. Citations Citations to this article as recorded by
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