| Sun Kyung Hwang | 8 Articles |
PURPOSE
This study aimed to explore medication adherence and its related factors, stigma, self-efficacy, and sense of coherence in patients with tuberculosis. METHODS A cross-sectional survey was conducted with a convenience sample of 130 adult outpatients with tuberculosis at a university hospital in Busan during from May 1 to August 21, 2017. The data were collected using structured questionnaires comprising research instruments measuring medication adherence, stigma, self-efficacy, and sense of coherence and face-to-face interviews and medical records for treatment delays and participant characteristics. The SPSS/WIN 22.0 program for descriptive statistics, Pearson's correlation coefficients and stepwise multiple regression were used to analyze the data. RESULTS The mean score for medication adherence was 4.86±1.48. The factors related to medication adherence in adult outpatients with tuberculosis were stigma (β=−.23, p=.004), self-efficacy (β=.20, p=.036), perceived family support (β=.19, p=.012), and alcohol (β=−.19, p=.021), which explained 38.9% of the variance in medication adherence. CONCLUSION The study results suggest that a nursing intervention must be designed to reduce stigma, improve self-efficacy, promote family support, and stop alcohol consumption in order to enhance the medication adherence in adult patients with tuberculosis. Efforts need to educate and encourage tuberculosis patients to adhere strictly to their drugs and conduct various campaigns against the negative perception of tuberculosis. Citations Citations to this article as recorded by
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 32.23+/-21.46, the functional health literacy score was 6.51+/-5.08, and the health behavior compliance score was 61.66+/-15.53. The levels of education (beta=.35), income (beta=.27), and perceived health status (beta=.21) were found significant, explaining 41.8% of the variance in linguistic health literacy. The levels of education (beta=.23), income (beta=.27), age (beta=-.24), and family support (beta=.22) were found to be significant, explaining 50.9% of the variance in functional health literacy. The levels of education (beta=.27), family support (beta=.20), and linguistic health literacy (beta=.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. Citations Citations to this article as recorded by
PURPOSE
This study was conducted to identify job experiences of male hospital nurses. METHODS Data were collected from 20 male nurses working at general hospitals, through semi-structured in-depth interviews. The interviews were recorded and subsequently transcribed verbatim. Using content analysis, data were coded and categorized. RESULTS The analyzed domains were motivations for choosing nursing, occupational experiences (3 subdomains), and attitudes toward the future. A total of 85 significant statements were selected from the data and classified into 32 categories. The nurses' motivations for choosing nursing were advantages of employment, their aptitude, scarcity value of men, professionalism and job security, good promotion, stable income, and family influence. In occupational experiences, they were assigned to special fields and dissatisfied with vertical relationship, promotion system, their salary, and gaps in military service time; they had difficulties in adapting to female-dominated groups and encountered gender role stereotype and preconception; they were satisfied with their distinguished performance, but had damaged self-esteem, and were stressed and disappointed in their work. In their attitudes toward the future, they considered their career changes, but tried to make professional and personal advancement. CONCLUSION These findings have implications for recruiting and retaining male nurses in clinical settings.
PURPOSE
This study was to develop a nursing education program for mothers with a young child undergoing cardiac surgery and determine effects of the program on her knowledge, anxiety and coping behavior. METHODS The research design was a nonequivalent control group non-synchronized design. 18 mothers were assigned to the experimental group and 18 to the control group. The effects were evaluated by measuring knowledge, anxiety, and coping behavior. The collected data was analyzed through independent t-test, and repeated measures ANOVA respectively using SPSS/WIN 12.0 program. RESULTS The point of knowledge in the experimental group was significantly increased tan that in the control group. The point of subjective, physiological, and behavior anxiety in the experimental group was significantly decreased than that in the control group by time change. The point of coping behavior in the experimental group was significantly higher than that in the control group. CONCLUSION The nursing educational program for a young child with cardiac surgery is expected to be clinically applied as an intervention program for mothers with a young child undergoing cardiac surgery.
PURPOSE
This study aimed to define the relationship among self-care, symptom experiences, and health-related quality of life(HRQoL) according to the severity of disease in chronic obstructive pulmonary disease(COPD) patients. METHODS The participants, 195 COPD patients, were recruited at a pulmonology clinic of a universityaffiliated medical center in B metropolitan city. Inclusion criteria were patients who were diagnosed as COPD and had less than 0.7 of FEV1/FVC(Forced Expiratory Volume for 1 second/Forced Vital Capacity) ratio. The severity was classified with GOLD(Global initiative for Obstructive Lung Disease) stages, FEV1% predicted value from mild to very severe. The data were gathered by the medical records and self-reported questionnaires. RESULTS The self-care, symptom experience, and HRQoL were all significantly different by COPD severity based on pulmonary function(p<.05). There were significant moderate negative relationships between symptom experiences and self-care(r=-.54, p<.001) and between symptom experiences and HRQoL(r=-.64, p<.001). There was a moderate positive correlation between self-care and HRQoL(r=.63, p<.001). CONCLUSION It suggests that the assessment of disease severity based on pulmonary function and subjective symptom experience in patients with COPD may be a key component to develop a tailored self-management program and to improve their quality of life.
PURPOSE
This study was a randomized single-blind trial of whole versus split-dose PEG solutions for colonoscopy preparation to compare the patient compliance, quality of bowel cleansing, and endoscopist's satisfaction. METHODS The participants were recruited from outpatients who planned to receive colonoscopy of C hospital in Busan. Sixty participants were randomly assigned to receive either a spit-dose group(n=30) consuming 2 liter of PEG solution twice, or a whole-dose group(n=30), consuming 4 liter of PEG solution once. These participants completed the questionnaire to assess their compliance before colonoscopy. The quality of bowel cleansing was assessed using the Ottawa Scale with the endoscopist who was blinded to the type of preparation, and their satisfaction by using VAS. RESULTS The participants who did not completely consume 4 liter of PEG solution were less in split-dose than in whole-dose group (0% vs 13.3%). The split-dose group complained less about abdominal pain(t=2.644, p=0.009) and abdominal bloating(t=2.802, p=0.013) with a statistical significance. For the quality of bowel preparation, there were no significant differences in the bowel cleansing scores and the endoscopist's satisfaction between two groups. CONCLUSION Colonic preparation with split-dose of PEG solution could be a more useful method for better patient compliance, with no significant impact on bowel cleansing quality.
PURPOSE
This study was to develop, implement, and evaluate an e-learning education program for improving practical knowledge and preventing nursing errors and adverse events of nurses working in the operating room (OR). METHOD: The e-learning program was developed and evaluated according to the following processes: 1) preparation phase 2) implementation phase 3) evaluation phase. In evaluation phase, the effectiveness was analyzed based on the Kirkpatrick's model. RESULTS: The e-learning program consisted of OR basic nursing skills and techniques and nursing activities' manual based on the categories of nursing errors: surgical operation preparation, nursing skills and techniques, environment management, patient safety and comfort, and patient monitoring. The program was provided through on-line, http:// cafe.daum.net/pnuhorn, for 4 weeks. The mean score(percent) of participants' satisfaction was 21.24+/-1.71(68.2%). Their total knowledge level was significantly improved(Z=-3.00, p=.003) and specifically in the category of environment management(Z=-3.77, p<.001) and patient monitoring(Z=-2.46, p=.014). The occurrence of nursing errors or adverse events was a little decreased, but not statistically significant(Z= -3.10, p=.756). CONCLUSION: E-learning for nurses is one way of effective and efficient teaching-learning strategies. For better e-learning, it is important to develop the vital content of the education and objective measures for detecting nursing errors and adverse events.
PURPOSE
The purpose of this study was to identify an influence of self-esteem and family- support on powerlessness of hospitalized elderly patients with chronic disease. METHOD: The subjects were 151 hospitalized elderly patients, age over 60, with chronic disease and admitted for at least 1 week. The data were collected by individual interview using a tructured questionnaire during the period from July 10th to August l0th, 2003 from three general hospitals in Busan. The data were analyzed by descriptive statistics, t-test, ANOVA, Pearson's correlation, hierarchical multiple regression. RESULT: The level of self-esteem, family support, and powerlessness was 38.00, 38.26, and 38.38, respectively. There was a significant positive correlation between self-esteem and family support and a negative correlation between self-esteem and powerlessness and between family support and powerlessness. Self-esteem and family support were each significant predictor of powerlessness. CONCLUSION: This study showed the hospitalized elderly patients need greater family-support and higher self-esteem to relieve the level of powerlessness. I suggest to study for replication in a larger sample size and considering the lengths of hospitalization for generalization of this study and to develop individual intervention programs for increasing family support and self esteem and testify their effects on the relief of powerlessness of the elderly.
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