PURPOSE
This study aimed to investigate the actual noise conditions in adult Intensive Care Units (ICUs) according to type, time, day of the week, and area.
METHODS
This study was conducted from February to March 2018. ICU noise levels were examined using a noise meter with a microphone an amplifier, auditory correction circuit, and indicator meter capable of directly reading A-weighted decibels (dBA). Noise was measured for 24 hours for seven days and the average dBA, maximum dBA, and minimum dBA were recorded.
RESULTS
The highest mean noise level was 58.48 dBA (range of 57.62~65.27), while lowest was 51.65 dBA (range of 51.36~52.86). Average noise levels on weekdays and weekends were over 50 dBA(the open zone was measured at 56.61 dBA, while the isolation zone was measured at 52.45 dBA. Further, daytime, evening work-times and weekdays were measured above 60 dBA, while nighttime noise levels were below 60 dBA. Finally, average noise levels during turnarounds, shift changes, and rounding times were above 60 dBA; open zone had higher average noise levels than the isolation zone.
CONCLUSION
This study showed that ICU noise levels exceeded those recommended by the World Health Organization regardless of type of noise, day of the week, or time. Therefore, studies are proposed to identify the need or importance of noise management by ICU personnel to reduce noise in ICUs. It also proposes studies to develop and apply noise reduction strategies that can be easily used in practice, reflecting the various characteristics of noise in ICUs.

Citations

• Factors Affecting Nurses’ Performance of Noise Management in Adult Intensive Care Units
  Seo Jeong Kim, Haeyoung Min, Majd T. Mrayyan
  Journal of Nursing Management.2023; 2023: 1.     CrossRef
• Noise Experience Status and Response to Noise of Patients and Nursing Staff in the ICU
  Sun-Hee Yun, Jung-Eun Choi, Hyoung-Soon Kim, Yang-Sook Yoo
  Journal of Korean Academy of Fundamentals of Nursing.2021; 28(2): 207.     CrossRef
• Development and Application of an Intervention for Noise Reduction in Intensive Care Units
  Sun-Hee Yun, Na-Young Kwak, Yang-Sook Yoo
  Korean Journal of Adult Nursing.2020; 32(6): 584.     CrossRef

PURPOSE
The purpose of the study was to evaluate the influence of patient activation on diabetes self-care activities and diabetes-specific distress among patients with type 2 diabetes mellitus.
METHODS
This cross-sectional correlational study was a secondary data analysis, utilizing data collected from September 2016 to July 2017, for 151 adults diagnosed with type 2 diabetes in ambulatory endocrinology units of two tertiary hospitals in a metropolitan city. The instruments used for data collection included the Summary of Diabetes Self-Care Activities Questionnaire, the Patient Activation Scale, and the Brief Diabetes Distress Screening Instrument. Hierarchical multiple linear regression analyses were conducted to test the influence of patient activation levels on self-care activities and diabetes-specific distress, after controlling for demographic and clinical variables.
RESULTS
The average patient activation level was 67.8±16.72 (with the possible range from 0 to 100), and the average diabetes-specific distress level was 6.91±2.69 (with the possible range from 2 to 12). Diabetes self-care activities scores were highest in medication adherence and lowest in glucose self-monitoring. Patient activation was the significant factor influencing self-care activities, after controlling for demographic and clinical variables, but showed no significant influence on diabetes-specific distress. Oral hypoglycemic agents and insulin medications were the significant factors influencing diabetes-specific distress.
CONCLUSION
These findings indicate the importance of nursing interventions to improve patient activation and to alleviate diabetes-specific distress. Therefore, in order to improve diabetes self-care activities, it is necessary to facilitate patient activation for diabetes care.

Citations

• Diabetes self‐care activities and its correlates in patients with diabetic neuropathy
  Younhee Kang, Inkyung Park
  Journal of Clinical Nursing.2025; 34(6): 2163.     CrossRef
• Relationship between Person-Centered Climate and Patient Satisfaction in Cancer Patients: The Mediating Effects of Patient Activation and Nurse Trust
  Hyun Jin Jung, Seon Hwa Park, Jung Hwa Jo, Hyun Jo Youn, A Ram Kim, Da Hye Lee, Mi Sun Park
  Asian Oncology Nursing.2024; 24(1): 21.     CrossRef
• Influence of Digital Literacy and Patient Activation on Sick Role Behavior in Vulnerable Older Adults with Diabetes
  Young-Eun Yi, Hyun-Ju Lee
  Journal of Korean Academy of Fundamentals of Nursing.2024; 31(2): 179.     CrossRef
• Patient Activation in Cancer Patients: Concept Analysis
  Se Young Jang, Eun Sun Lee
  Korean Journal of Adult Nursing.2024; 36(1): 15.     CrossRef
• The Mediating Effect of Experiential Avoidance on the Relationship between Diabetes Distress and Self-Stigma in People with Diabetes Mellitus Type 2 in Republic of Korea
  Kawoun Seo
  Healthcare.2023; 11(20): 2773.     CrossRef
• The Mediating Effect of Acceptance Action in the Relationship between Diabetes Distress and Self-stigma among Old Adults with Diabetes in South Korea
  Hyesun Kim, Kawoun Seo
  Journal of Korean Academy of Community Health Nursing.2022; 33(4): 446.     CrossRef
• Psychometric Evaluation of the Korean Version of PROMIS Self-Efficacy for Managing Symptoms Item Bank: Item Response Theory
  Mona Choi, Chang Gi Park, Soomin Hong
  Asian Nursing Research.2022; 16(4): 187.     CrossRef
• Effects of Symptoms and Patient Activation on Sleep Disturbance in Patients with Acute Leukemia Undergoing Chemotherapy
  Suna Lee, Eunjung Ryu
  Asian Oncology Nursing.2021; 21(3): 173.     CrossRef

PURPOSE
This study aimed to verify the validity and reliability of the Korean version of the Basic Physical Capability Scale (BPCS-K).
METHODS
The BPCS was translated into Korean using forward and back translations. Data were collected from January 16 to May 10, 2019. The study participants comprised 285 older adults, with 147 recruited from an acute care setting, and 138, who had dementia, were from long-term care facilities. Data analysis included KR-20, intraclass correlation coefficient, independent t-test, Kruskal-Wallis H test, hierarchical multiple regression, and Rasch analysis (item difficulty, infit/outfit, separation index, reliability index, and differential item function analysis), and were conducted using SPSS/WIN 25.0 and R programs. The criterion-related validity was examined using the Barthel Index.
RESULTS
The KR-20 reliability coefficient was .93 and the intraclass correlation coefficient for 2-week test-retest reliability was .97. The BPCS-K scores were significantly different compared to the known groups. Moreover, controlling for age, gender, and cognitive status, the Barthel Index score was significantly associated with the BPCS-K scores. Rasch analysis supported good construct validity.
CONCLUSION
The findings suggest that the 16-item BPCS-K is an appropriate instrument to measure basic physical capability in Korean older adults. The BPCS-K can establish individualized physical activity goals for the elderly in a variety of clinical settings and can also serve to measure changes of physical function in physical activity interventions for older adults.

Citations

• Validity and Reliability of the Korean Version of Assessment of Health Literacy in Breast and Cervical Cancer Screening
  Hye Sook Shin, Eunlim Chi, Hae-Ra Han
  Journal of Korean Academy of Nursing.2021; 51(6): 769.     CrossRef

PURPOSE
This methodological study was conducted to evaluate the interrater agreement in pressure ulcer risk assessment using the Braden scale, and in pressure ulcer classification, by nurses in a medium-sized hospital.
METHODS
Data were collected from a medium-sized hospital, located in Seoul, from December 18, 2017 to February 28, 2018. The author (Rater 1) and 20 randomly sampled nurses (Rater 2) independently assessed 100 patients. The Braden scale for risk assessment and the six-stage pressure ulcer classification system were used. The interrater agreement was evaluated using the Intraclass Correlation Coefficient (ICC), the proportion of agreement (Po), and the Bland-Altman plots.
RESULTS
For the total score on the Braden scale, the ICC was .85 and the Po was .29. Among the scale items, ‘moisture’ had the lowest agreement (ICC=.55, Po=.46). The interrater agreement had Po values of .84 and .69 for the presence and the classification of pressure ulcers, respectively.
CONCLUSION
For nurses in medium-sized hospitals, interrater agreement for the Braden scale and for the classification of pressure ulcers should be enhanced. In order to do this, overall institutional support is needed, including training in the accurate use of tools for pressure ulcer care.

Citations

• Impact of multifaceted interventions on pressure injury prevention: a systematic review
  Usha Rani Kandula
  BMC Nursing.2025;[Epub]     CrossRef
• Development of a Pressure Injury Machine Learning Prediction Model and Integration into Clinical Practice: A Prediction Model Development and Validation Study
  Ju Hee Lee, Jae Yong Yu, So Yun Shim, Kyung Mi Yeom, Hyun A Ha, Se Yong Jekal, Ki Tae Moon, Joo Hee Park, Sook Hyun Park, Jeong Hee Hong, Mi Ra Song, Won Chul Cha
  Korean Journal of Adult Nursing.2024; 36(3): 191.     CrossRef
• Determining Optimal Cut-off Score for the Braden Scale on Assessment of Pressure Injury for Tertiary Hospital Inpatients
  Sook Hyun Park, hyeyeon Choi, Youn-Jung Son
  Journal of Korean Critical Care Nursing.2023; 16(3): 24.     CrossRef
• Impact of Pressure Injury Prevention Protocol in Home Care Services on the Prevalence of Pressure Injuries in the Dubai Community
  Sajitha Prasad, Nazneen Hussain, Sangeeta Sharma, Somy Chandy, Jessy Kurien
  Dubai Medical Journal.2020; 3(3): 99.     CrossRef

PURPOSE
This study aimed to establish the translation adequacy and examine the psychometric properties of Face Mask Use Scale (FMUS).
METHODS
This methodological study employed a cross-sectional design with repeated measures. Phase 1 examined the equivalence and relevance of English and Chinese versions of FMUS. Phase 2 examined the internal consistency, stability and construct validity. Different sample batches (213 university students and 971 general public) were used appropriately for psychometric testing. The 2-phase data were collected between January and April 2017.
RESULTS
In Phase 1, the semantic equivalence and relevance (item- and scale-level content-validity-index=100%) was satisfactory. Furthermore, from 133 paired test-retest responses, the quadratic weighted kappa (.53~.73, p<.001) and Intraclass Correlation Coefficient (ICC=.81) between the English and Chinese version of FMUS were satisfactory. In Phase 2, FMUS demonstrated satisfactory internal consistency (Cronbach's α=.80~.81; corrected item-total correlation coefficients=.46~.67) and two-week test-retest stability (ICC=.84). The known-groups method (t=3.08, p<.001), exploratory (71.10% of total variance in two-factor model) and confirmatory factory analysis (χ²/df=4.02, Root Mean Square Residual=.03, Root Mean Square Error of Approximation=.06, Goodness of Fit Index=.99, Comparative Fit Index=.99) were all satisfactory for establishing the construct validity.
CONCLUSION
The FMUS has an equivalence Chinese and English versions, satisfactory reliability and validity for measuring the practice of face mask use. This poses clinical and research implications for those community health nurses who works on respiratory protection. Further research should be conducted on the ‘negligent practice’ of FMU.

Citations

• An assessment of the health belief model (HBM) properties as predictors of COVID-19 preventive behaviour
  Sashikala Subedi, Walter Leal Filho, Adekunle Adedeji
  Journal of Public Health.2025; 33(6): 1329.     CrossRef
• Development of generic student engagement scale in higher education: An application on healthcare students
  Shuang Li, Stephen Wai Hang Kwok, Summer Cho Ngan Siu, Jessie Yuk Seng Chung, Hemio Chung Yan Lam, Eva Yuen Mei Tsang, Kam Cheong Li, Joanna Wing Yan Yeung, Simon Ching Lam
  Nursing Open.2023; 10(3): 1545.     CrossRef
• Groningen Frailty Indicator–Chinese (GFI-C) for pre-frailty and frailty assessment among older people living in communities: psychometric properties and diagnostic accuracy
  Emma Yun Zhi Huang, Jasmine Cheung, Justina Yat Wa Liu, Rick Yiu Cho Kwan, Simon Ching Lam
  BMC Geriatrics.2022;[Epub]     CrossRef
• Perception of E-health Technology Scale in Chinese Brief (PETS-C Brief): Translation, item reduction, and psychometric testing
  Rick Yiu Cho Kwan, Simon Ching Lam, Shao Ling Wang, Arkers Kwan Ching Wong, Lei Shi, Frances Kam Yuet Wong
  DIGITAL HEALTH.2022; 8: 205520762211260.     CrossRef
• Global Imperative of Suicidal Ideation in 10 Countries Amid the COVID-19 Pandemic
  Teris Cheung, Simon Ching Lam, Paul Hong Lee, Yu Tao Xiang, Paul Siu Fai Yip
  Frontiers in Psychiatry.2021;[Epub]     CrossRef
• Pandemia da COVID-19: adaptação e avaliação psicométrica da “Face Mask Use Scale”
  Fernanda Maria Vieira Pereira-Ávila, Simon Ching Lam, Hilda Ho, Elucir Gir, Natália Maria Vieira Pereira Caldeira, Fernanda Garcia Bezerra Góes, Laelson Rochelle Milanês Sousa
  Acta Paulista de Enfermagem.2021;[Epub]     CrossRef
• Fatores associados à prática do uso de máscaras pela população paraibana durante a pandemia da COVID-19
  Fernanda Maria Vieira Pereira-Ávila, Simon Ching Lam, Elucir Gir, Fernanda Garcia Bezerra Góes, Maria Eliane Moreira Freire, Ana Cristina de Oliveira e Silva
  Revista da Escola de Enfermagem da USP.2021;[Epub]     CrossRef
• Face Mask Wearing Behaviors, Depressive Symptoms, and Health Beliefs Among Older People During the COVID-19 Pandemic
  Rick Yiu Cho Kwan, Paul Hong Lee, Daphne Sze Ki Cheung, Simon Ching Lam
  Frontiers in Medicine.2021;[Epub]     CrossRef
• An Evaluation of the Validity and Reliability of the Face Mask Use Scale's Korean Version among Community-Dwelling Adults
  Kyungmi Lee, Nayeon Shin, Younhee Kang
  Journal of Korean Academy of Nursing.2021; 51(5): 549.     CrossRef
• Association Between Depression, Health Beliefs, and Face Mask Use During the COVID-19 Pandemic
  Daniel Thomas Bressington, Teris Cheuk Chi Cheung, Simon Ching Lam, Lorna Kwai Ping Suen, Tommy Kwan Hin Fong, Hilda Sze Wing Ho, Yu-Tao Xiang
  Frontiers in Psychiatry.2020;[Epub]     CrossRef
• Adaptation and psychometric testing of the hoarding rating scale (HRS): a self-administered screening scale for epidemiological study in Chinese population
  Tai Wa Liu, Simon Ching Lam, Man Hon Chung, Ken Hok Man Ho
  BMC Psychiatry.2020;[Epub]     CrossRef

PURPOSE
The purpose of this study was to identify factors that influence the performance of cancer pain management among nurses in an oncology unit.
METHODS
The participants of this study were nurses working in an oncology unit at an oncology hospital located in Busan city. Data was collected between January 10 and February 10, 2018 from questionnaire responses received 101 nurses. Measures used for this study assessed knowledge and attitudes toward cancer pain management, patient-centered care, and the performance of cancer pain management. Data were analyzed using descriptive statistics, an independent t-test, a one-way ANOVA, Pearson's correlation coefficient, and multiple linear regression analysis.
RESULTS
Performance of cancer pain management was significantly correlated with knowledge (r=.21, p=.032), attitudes toward cancer pain management (r=.21, p=.034), and patient-centered care (r=.33, p=.001). In addition, performance of cancer pain management was influenced by knowledge of cancer pain management (β=.27, p=.008), patient-centered care (β=.33, p=.001), and working in the surgery department (β=.24, p=.012). The explanatory power of this model was 29.3%.
CONCLUSION
These results suggest the need for programs to improve patient-centered care, and continual education on cancer pain management guidelines, in order to provide organized and effective pain management.

Citations

• Assessing healthcare professionals’ perceptions of pain concepts and beliefs
  Sejun Oh, Yeonji Gu, Inbeom Kim, Euha Kwon, Sangheon Lee, Kyounghae Kim
  NeuroRehabilitation.2024; 55(1): 117.     CrossRef
• Development of a nurse navigation program for cancer pain
  Miyoung Yoo, Eunyoung E. Suh, Mi Jang, Sunsil Kang
  Asia-Pacific Journal of Oncology Nursing.2024; 11(7): 100528.     CrossRef
• Managing Postembolization Syndrome Through a Machine Learning–Based Clinical Decision Support System
  Minkyeong Kang, Myoung Soo Kim
  CIN: Computers, Informatics, Nursing.2024; 42(11): 817.     CrossRef
• Understanding of Dense Breast and Perception of Breast Cancer Risk of Nurses with or without Dense Breast Notification
  Seon Mi Yoon, Jeong Hee Kang
  Asian Oncology Nursing.2023; 23(2): 75.     CrossRef
• Nurses’ knowledge and attitudes toward patient-controlled analgesia for postoperative pain control in a tertiary hospital in South Korea
  Mi-Ra Kang, Youn-Ju Kwon
  BMC Nursing.2022;[Epub]     CrossRef
• Factors Affecting Nurses’ Performance of Cancer Pain Management in a Tertiary Hospital
  Minhwa Kang, Minjeong Seo
  The Korean Journal of Hospice and Palliative Care.2022; 25(3): 99.     CrossRef
• Factors Influencing Oncology Nurses’ Pain Management of Cancer Patients
  Hoi Sook Seo, Eun Young Park, Se Jin Park, Bo Ra Han, Myung Jin Jang
  Asian Oncology Nursing.2021; 21(4): 213.     CrossRef
• The Knowledge, Attitudes, Performance, and Barriers of Nurses to Pain in Oncology Settings: A Multi-Center Study
  Hyekyung Kim, Soeun Choi, Sue Kim, Jiyeon Lee, Sun-Hee Kim, Insook Lee, Yoonjung Shin, Hye-Young Jang
  Asian Oncology Nursing.2021; 21(1): 15.     CrossRef
• Pain Assessment of Lung Cancer Patients in the Emergency Department: A Case Report
  Nayung Youn
  Asian Oncology Nursing.2021; 21(4): 194.     CrossRef

PURPOSE
This study aimed to explore the mediating effect of self-care competence on the relationships between uncertainty, self-care competence, and quality of life in patients undergoing hemodialysis.
METHODS
This study used a descriptive correlation design. Participants were 169 patients who were receiving hemodialysis treatment. Data were collected from November 01, 2017, to June 30, 2018. Measurements included the Patient Assessment of Mishel Uncertainty in Illness Scale, Self-as-Carer Inventory Scale, and the Medical Outcomes Study Short Form-12 (MOS SF-12). The MOS SF-12 comprises the Physical Component Score (PCS) and Mental Component Score (MCS). Data were analyzed using descriptive statistics, Pearson's correlation coefficient analysis, and a three step regression analysis using Baron and Kenny's method for mediation.
RESULTS
Mean scores were 2.78±0.03 and 3.96±0.07 for uncertainty and self-care competence, respectively. The mean PCS score was 41.90±17.45) and the mean MCS score was 55.23±15.09. Self-care competence had a partial mediating effect (z=−3.50, p<.001) between uncertainty and PCS as well as an explanatory power of 20%. Self-care competence had a partial mediating effect (z=−2.36, p<.001) between uncertainty and MCS as well as an explanatory power of 11%.
CONCLUSION
To improve the quality of life of hemodialysis patients, developing programs suitable for patients with high uncertainty or programs that increase the self-care competence abilities of the patients should be considered.

Citations

• Mediating Effects of Self-Efficacy and Social Support on the Relationship Between eHealth Literacy and Self-Care Competency in Patients Undergoing Percutaneous Coronary Interventions: A Cross-Sectional Study
  Eunhee Jo, Su-Jin Lee, Sun Hee Han
  Journal of Korean Academy of Fundamentals of Nursing.2023; 30(3): 325.     CrossRef
• Correlations between uncertainty in illness and anxiety, depression and quality of life in patients receiving maintenance haemodialysis: A cross‐sectional study
  Jingxia Cheng, Dongju Yang, Qiantao Zuo, Weixu Peng, Longling Zhu, Xiaolian Jiang
  Nursing Open.2022; 9(2): 1322.     CrossRef
• Analysis of the Influence of Nursing Safety Management on Nursing Quality in Hemodialysis Room
  Ying Huang, Hong Chen, Zhao kaifa
  Computational Intelligence and Neuroscience.2022; 2022: 1.     CrossRef
• The Effect of Uncertainty on the Physiological Indexes of Hemodialysis Patients: Serial Mediating Effects of Uncertainty Appraisal and Self-care Behavior
  Mi Kyung Kim, Eun Hee Jang
  Korean Journal of Adult Nursing.2022; 34(1): 51.     CrossRef
• Mediating Effects of Self-Care Competence on the Relationship between Uncertainty and Quality of Life in Stroke Patients
  Eunhee Jo, Su-Jin Lee, Jung-Hwa Jo
  Korean Journal of Adult Nursing.2021; 33(1): 56.     CrossRef

PURPOSE
This study aimed to investigate suicide ideation and attempts in older women living alone and to identify the factors affecting suicide ideation.
METHODS
This is a cross-sectional correlational study using secondary data analysis. Original data (n=1,023) were collected using face-to-face interviews from August to October 2018 in Siheung city to investigate the need for health care and daily life support services. Study participants were 297 older women (age=74.67±5.35), with inclusion criteria being women≥65 years old and living alone, those without cognitive impairment(Mini-Mental State Examination-2 Standard Version (MMSE-2 SV)≥24), and those who could evaluate instrumental activities of daily living. Data were analyzed using descriptive analysis, independent t-test, Pearson's correlation coefficient, and multiple linear regression analysis.
RESULTS
Data analysis showed 26.9% of participants reported suicide ideation with a frequency of 4.14 out of 10 points. Among study participants, 8.8% had attempted suicide with an average of 2.65 attempts. Participants who had children thought about suicide more than those who did not. Living children, personal income, participation in economic activity, social support, depression, chronic diseases, frailty, and suicide attempts were significantly correlated with suicide ideation. Therefore, depression, frailty and suicide attempts were factors affecting suicide ideation for older women living alone.
CONCLUSION
Our findings provide evidence that evaluating depression, frailty, and history of suicide attempts is important for suicide prevention in older women living alone.

Citations

• Sleep, physical activity, and sedentary behaviors as factors related to depression and health-related quality of life among older women living alone: a population-based study
  Soyoung Jang, Eunjin Yang
  European Review of Aging and Physical Activity.2023;[Epub]     CrossRef
• Factors Related to Suicidal Ideation and Prediction of High-Risk Groups among Youngest-Old Adults in South Korea
  Eungyung Kim, Jee-Seon Yi
  International Journal of Environmental Research and Public Health.2022; 19(16): 10028.     CrossRef

PURPOSE
Critical care nurses are often exposed to many stressors, which may predispose them to develop work-related Post-Traumatic Stress Disorder (PTSD). Hence, this study's purpose was to identify factors associated with PTSD among nurses in the Intensive Care Unit (ICU), who had experienced trauma events.
METHODS
For this descriptive study, 169 subjects were recruited at the C University Hospital, where data were collected through the intranet from February 1 to March 16, 2018. Based on the stress, appraisal-coping model, well-structured questionnaires were used to measure PTSD as the dependent variable; and Type D personality, resilience, communication ability, problem solving ability, stress coping style, stress inducing events, and social support as independent variables. Multiple logistic regression was used to analyze PTSD related factors.
RESULTS
The mean of PTSD symptoms was 15.52±12.94; with 20.7% and 45.6% of participants falling in the PTSD high risk and Type D personality groups, respectively. Moreover, resilience was found to be 107.41±12.79, traumatic events to be 28.25±7.07, and social support to be 80.22±12.20, while the following parameters were associated with PTSD: D type personality (Odds Ratio [OR]=4.27, 95% Confidence Interval [CI]=1.62~11.21), experience of traumatic events (OR=1.08, 95% CI=1.02~1.15), resilience (OR=0.96, 95% CI=0.92~0.99), and social support (OR=0.96, 95% CI=0.92~0.99).
CONCLUSION
While examining risk factors associated with PTSD, Type D personality and the occurrence of trauma events should be considered when nurses are assigned to ICUs, along with the improvements required in hospital culture for enhancing resilience and social support.

Citations

• Professional quality of life, resilience, posttraumatic stress and leisure activity among intensive care unit nurses
  Noori Shin, Yun‐Jung Choi
  International Nursing Review.2024; 71(1): 94.     CrossRef
• The Moderating Role of Perceived Social Support in the Relation between Type D Personality and PTSD Symptoms among ICU and ER Nurses
  Sohyeon Kim, Myung-Ho Hyun
  STRESS.2023; 31(4): 197.     CrossRef
• Psychopathological Factors Associated With Burnout in Intensive Care Nurses: A Cross-Sectional Study
  Erman Yıldız
  Journal of the American Psychiatric Nurses Association.2023; 29(2): 122.     CrossRef
• Relationship among Post-traumatic Stress Disorder, Resilience, and Retention Intention in Nurses who had Perceived Traumatic Events
  Jin Young Lee, Ja Yun Choi
  Korean Journal of Adult Nursing.2022; 34(4): 403.     CrossRef
• The Impact of Social Supports on the Excessive Alcohol Use of the Middle-Aged Adults in South Korea: Do All Types of Social Supports Have Positive Effects on Excessive Alcohol Users?
  Seong-Jun Maeng, Kwang-Hyun Kim, Jun-Hyeok Kang
  International Journal of Environmental Research and Public Health.2022; 19(19): 12624.     CrossRef
• Post-traumatic Growth and it’s associations with Deliberate Rumination, Self-disclosure, and Social Support among Intensive Care Unit Nurses
  Sae Mi Min, Hee Jun Kim, Chun-Ja Kim, Jeong-Ah Ahn
  Journal of Korean Critical Care Nursing.2022; 15(2): 50.     CrossRef
• Experience of Violence and Factors Influencing Response to Violence Among Emergency Nurses in South Korea: Perspectives on Stress-Coping Theory
  Seung-Yi Choi, Hyunlye Kim, Kwang-Hi Park
  Journal of Emergency Nursing.2022; 48(1): 74.     CrossRef
• The Influence of Traumatic Events on Turnover Intention among Nurses Working in Intensive Care Units: The Moderating Effect of Emotional Intelligence
  Hyunmi Kim, Jiyoung Park
  Journal of Korean Critical Care Nursing.2021; 14(2): 70.     CrossRef
• Predictors of posttraumatic growth of intensive care unit nurses in Korea
  Ae Kyung Chang, Hyejin Yoon, Ji Hyun Jang
  Japan Journal of Nursing Science.2021;[Epub]     CrossRef
• Effect of Expressive Writing on Professional Quality of Life and Resilience among Intensive Care Unit Nurses
  Danbi You, Hye-Ja Park
  Journal of Health Informatics and Statistics.2021; 46(3): 276.     CrossRef

PURPOSE
This study aimed to identify the factors explaining the performance of health behaviors among adults with metabolic syndrome based on the theory of planned behavior.
METHODS
A total of 218 adults with metabolic syndrome were recruited for the study from September to December, 2017. Data were analyzed using SPSS/WIN 22.0 and AMOS 24.0.
RESULTS
The hypothetical model appeared to fit the data with χ²/df=2.65, SRMR (Standardized Root Mean Residual)=.07, PNFI (Parsimonious Normed Fit Index)=.67. Attitude toward health behavior, subjective norm and perceived behavioral control explained 32.3% of variance in intention toward health behavior. Perceived behavioral control showed significant direct effects and mediating effect through intention on health behavior (γ=.57, t=5.85). Family support also had significant direct effects on health behavior (γ=.38, t=4.75). Attitude toward health behavior, subjective norm, perceived behavioral control, and family support were the significant factors explaining 56.3% of variance in the performance of health behaviors among patients with metabolic syndrome.
CONCLUSION
Health promotion programs for behavioral modification in this population should focus on these factors to lead to better health outcomes. Further studies are warranted to test the health promotion strategies based on theory of planned behavior for long-term change toward a healthy lifestyle among individuals with metabolic syndrome.

Citations

• Factors Affecting Radiation Protective Behaviors in Perioperative Nurses Applying the Theory of Planned Behavior: Path Analysis
  Se Young Jang, Hee Sun Kim, Seok Hee Jeong, Young Man Kim
  Journal of Korean Academy of Nursing.2023; 53(2): 222.     CrossRef
• Factors Associated with Prevention of Metabolic Syndrome Among Middle-Aged Postmenopausal Korean Women: A Study Based on the Information, Motivation, Behavioral Skills (IMB) Model
  Yoonjung Kim, Sooyeon Park
  Patient Preference and Adherence.2023; Volume 17: 2279.     CrossRef
• Predictors of Health Promotion Behaviors Among Working Adults at Risk for Metabolic Syndrome
  Sungwon Park, Min Kyeong Jang, Chang Gi Park, Oi Saeng Hong
  Nursing Research.2022; 71(4): 275.     CrossRef
• Development and Evaluation of an Integrated Health Management Program for Psychiatric Patients with Metabolic Syndrome
  Yun Bock Kwak, Ji Young Kim
  Journal of Korean Academy of Nursing.2022; 52(3): 261.     CrossRef
• An Analysis and Evaluation of the Theory of Planned Behavior Using Fawcett and DeSanto-Madeya's Framework
  Sungwon Park, Hyewon Shin
  Advances in Nursing Science.2021; 44(4): E141.     CrossRef