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Volume 28(2); April 2016

Original Articles
Comparison of Blood Glucose Levels from the Fingertips of Both Patients with and without Diabetes Who are Receiving Dextrose Fluid Therapy
Suk Hyun Park, Chang Kwan Lee, Yeon Woo Kim, Chi Hye Kwon
Korean J Adult Nurs 2016;28(2):127-135.   Published online April 30, 2016
DOI: https://doi.org/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.
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Symptom Severity according to the Presence of Depressive and Anxiety Symptoms among Patients with Head and Neck Cancer
Hyun Joo Kim, Ok Hee Cho, Yang Sook Yoo
Korean J Adult Nurs 2016;28(2):148-155.   Published online April 30, 2016
DOI: https://doi.org/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.

Citations

Citations to this article as recorded by  
  • A Systematic Review on the Effects of Prophylactic Swallowing Exercise in Patients with Head and Neck Cancer Undergoing Radiotherapy
    Hyeongmin Byun
    The Korean Journal of Rehabilitation Nursing.2024; 27(1): 1.     CrossRef
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A Meta Analysis on Variables related to Death Anxiety of Elderly in Korea
Sinhyang Kim, Kyung Sook Park
Korean J Adult Nurs 2016;28(2):156-168.   Published online April 30, 2016
DOI: https://doi.org/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.

Citations

Citations to this article as recorded by  
  • Factors Influencing Death Anxiety among Rural Elderly
    Hyenam Hwang
    Journal of Health Informatics and Statistics.2019; 44(2): 111.     CrossRef
  • Factors Influencing Death Anxiety in Community-Dwelling Elderly: Based on the Ecology Theory
    Yeonha Kim, Minju Kim
    The Korean Journal of Hospice and Palliative Care.2019; 22(1): 30.     CrossRef
  • Factors Influencing Death Anxiety in Elderly Patients in Long-term Care Hospitals
    Mi Suk Lee, Hee Jung Choi
    Journal of Korean Gerontological Nursing.2016; 18(3): 138.     CrossRef
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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 α, 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.

Citations

Citations to this article as recorded by  
  • Effectiveness of donning and doffing personal protective equipment education using video debriefing among Korean undergraduate nursing students
    GyeJeong Yeom, Jiyun Park
    BMC Nursing.2024;[Epub]     CrossRef
  • Comparison of real-time feedback and debriefing by video recording on basic life support skill in nursing students
    Mohammad Sajjad Ghaderi, Javad Malekzadeh, Seyedreza Mazloum, Tayebe Pourghaznein
    BMC Medical Education.2023;[Epub]     CrossRef
  • Effect of simulation-based teaching on nursing skill performance: a systematic review and meta-analysis
    Agezegn Asegid, Nega Assefa
    Frontiers of Nursing.2021; 8(3): 193.     CrossRef
  • Debriefing methods and learning outcomes in simulation nursing education: A systematic review and meta-analysis
    JuHee Lee, Hyejung Lee, Sue Kim, Mona Choi, Il Sun Ko, JuYeon Bae, Sung Hae Kim
    Nurse Education Today.2020; 87: 104345.     CrossRef
  • Comparing the learning effects of debriefing modalities for the care of premature infants
    Myung‐Nam Lee, Shin‐Jeong Kim, Kyung‐Ah Kang, Sunghee Kim
    Nursing & Health Sciences.2020; 22(2): 243.     CrossRef
  • Effect of Debriefing Based on the Clinical Judgment Model on Simulation Based Learning Outcomes of End-of-Life Care for Nursing Students: A Non-Randomized Controlled Trial
    Kyung In Jeong, Ja Yun Choi
    Journal of Korean Academy of Nursing.2017; 47(6): 842.     CrossRef
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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.

Citations

Citations to this article as recorded by  
  • Effects of a Remote Physical Activity Improvement Program on Male Office Workers with Metabolic Syndrome in Their 30s and 40s with Sedentary Behavior: A Randomized Controlled Trial
    Kyong Sil Park, Seon Young Hwang
    Asian Nursing Research.2024; 18(2): 81.     CrossRef
  • Effects of a Health Partnership Program Using Mobile Health Application for Male Workers with Cardiovascular Risk Factors in Small and Medium Enterprises: A Randomized Controlled Trial
    Eun Jin Kim, Seon Young Hwang
    Journal of Korean Academy of Nursing.2024; 54(1): 44.     CrossRef
  • Occupational Assessments of Risk Factors for Cardiovascular Diseases in Labors: An Application of Metabolic Syndrome Scoring Index
    Ching-Yuan Lin, Chih-Ming Lin
    International Journal of Environmental Research and Public Health.2020; 17(20): 7539.     CrossRef
  • The Impact of Cluster-Type Risk Factors on Adverse Clinical Prognosis in Patients with Coronary Artery Disease: A Secondary Data Analysis
    In Ae Uhm, Seon Young Hwang
    Korean Journal of Adult Nursing.2020; 32(2): 156.     CrossRef
  • Metabolic Syndrome Status of Chinese Workers and Their Physical Profiles, Lifestyle Scores, and Nutrient Intakes
    Chao Wang, Hokyung Ryu
    Korean Journal of Community Nutrition.2017; 22(1): 63.     CrossRef
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Validity and Reliability Test of the Korean Version of the Oncology Patients' Perception of the Quality of Nursing Care Scale
Jiyoung Kang, Heiyoung Kang, Nanyeon Kim, Mijung Lee, Youjine Kim, Juhyeon Kim, Sujeong Yeo, Yunye Seo, E Eunyoung Suh
Korean J Adult Nurs 2016;28(2):191-201.   Published online April 30, 2016
DOI: https://doi.org/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 α.
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 χ2=10809.81, 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 α, total 38 items (α=.96) in four subscales: individualization (18 items, α=.96), 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.

Citations

Citations to this article as recorded by  
  • The Nursing-Home Care Quality Perceived Levels from Patients and Caregivers: An Explanatory Study
    Elsa Vitale, Rocco Mea, Yun-Chen Chang
    Patient Preference and Adherence.2023; Volume 17: 1237.     CrossRef
  • The Quality of Patient-centered Nursing Care Perceived by Cancer Patients Who Have Had an Operation
    Keum Hyun Wang, Eun Young Park
    Asian Oncology Nursing.2021; 21(2): 65.     CrossRef
  • A scale to measure nurses’ and providers’ patient centered care in primary care settings
    Laurel E. Radwin, Howard Cabral, Barbara G. Bokhour, Marjory Nealon Seibert, Kelly Stolzmann, Ann Annis, David C. Mohr
    Patient Education and Counseling.2019; 102(12): 2302.     CrossRef
  • Analysis of a Survey on Public Perceptions and Preferences of the “Smart Green Office” to Help Encourage Creation of the Program
    Sang Im Oh, Sung Won Cho, Ja Hee Lee, Ae Kyung Lee
    Flower Research Journal.2019; 27(1): 60.     CrossRef
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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 (R2=6.0%) as was QoL (R2=43%). Subjective cognitive decline (β=-.57, p<.001) and health promotion behavior (β=.37, p<.001) were seen as predicting factors in QoL and explained 56% (R2=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.

Citations

Citations to this article as recorded by  
  • Impacts of Uncertainty and Social Support on the Quality of Life of Breast Cancer Survivors after Chemotherapy: Based on Self-help Group Participants
    Hyenam Hwang, Yoonshin Lee
    Asian Oncology Nursing.2023; 23(4): 177.     CrossRef
  • Analysis of Health management Awareness and Practice Experience of Breast Cancer Survivors using Focus Group Interviews
    Hye Won Kim, Su Jeong Han, Mi Ran Kim
    The Korean Journal of Rehabilitation Nursing.2020; 23(1): 48.     CrossRef
  • Factors associated with Oncology Nurses' Adherence to Chemotherapy-Induced Neutropenia Guidelines based on Pender's Health Promotion Model
    Gyeong-Jin Kim, Ja Yun Choi
    Korean Journal of Adult Nursing.2019; 31(4): 389.     CrossRef
  • Symptom Distress and Depression in Patients with Recurrent Gynecologic Cancer Undergoing Chemotherapy: Mediating Effect of Resilience
    Eun Jung Yang, Ho Sihn Ryu
    Korean Journal of Adult Nursing.2019; 31(1): 28.     CrossRef
  • A Structural Model for Chemotherapy Related Cognitive Impairment and Quality of Life in Breast Cancer Patients
    Jung Ran Lee, Pok Ja Oh
    Journal of Korean Academy of Nursing.2019; 49(4): 375.     CrossRef
  • Computerized programs for cancer survivors with cognitive problems: a systematic review
    Yoonjung Kim, Sook Jung Kang
    Journal of Cancer Survivorship.2019; 13(6): 911.     CrossRef
  • Changes of Cognitive Function and Depression following Chemotherapy in Women with Breast Cancer: A Prospective Study
    Pok Ja Oh, Jung Ran Lee, Hyun Ah Kim
    Asian Oncology Nursing.2018; 18(2): 66.     CrossRef
  • Menopause Symptoms and Perceived Cognitive Decline in Menopausal Women: The Mediating Effect of Health Promotion Behavior
    Ji Hyun Kim, Pok Ja Oh
    Korean Journal of Adult Nursing.2017; 29(2): 200.     CrossRef
  • Development of the Cognitive Function Scale for Breast Cancer Patients
    Bok Yae Chung, Eun Hee Choi, Gyung Duck Kim, Kyung Hae Kim, Hye Sun Byun
    Asian Oncology Nursing.2017; 17(1): 12.     CrossRef
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A Meta-Analysis of the Variables related to Agitation in Patients with Dementia
Heeok Park, Minsuk Gang, Eunsil Park
Korean J Adult Nurs 2016;28(2):213-225.   Published online April 30, 2016
DOI: https://doi.org/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.
METHODS
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.
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Factors Affecting Malnutrition in Hemodialysis Patients
Ok Lae Park, Young Jun Jang, Jong Hwan Jung, Sung Reul Kim
Korean J Adult Nurs 2016;28(2):226-236.   Published online April 30, 2016
DOI: https://doi.org/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, χ2-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.

Citations

Citations to this article as recorded by  
  • Factors Affecting Hyperphosphatemia in Patients with Chronic Renal Failure Undergoing Hemodialysis
    Jihyun Kim
    Journal of Korean Academy of Fundamentals of Nursing.2023; 30(2): 247.     CrossRef
  • A health‐related quality of life model for patients undergoing haemodialysis
    Hye Min Jung, Hye Young Kim
    Journal of Clinical Nursing.2020; 29(3-4): 613.     CrossRef
  • Factors Influencing Psychosocial Adjustment in Hemodialysis Patients
    Kang Sun Lee, Hye Young Kim, Myung Ha Lee
    Korean Journal of Adult Nursing.2019; 31(1): 38.     CrossRef
  • Factors related to malnutrition in community‐dwelling patients with schizophrenia
    Sung Reul Kim, Ji Young Kim, Hye Young Kim, Ju‐Hee Nho, Young Hwa Kim, So‐Young Min
    Perspectives in Psychiatric Care.2019; 55(3): 415.     CrossRef
  • Comparison Between Semi-Quantitative Frequency Methods and 7-day Dietary Records Methods in Food and Nutrition Intake Status For Hemodialysis Patients
    Dong-Ryeol Ryu, Jung-Hyun Kim, Hyun-Jung Kim, Min-Sook Kyung, Jung-Tak Park
    Korean Journal of Community Nutrition.2017; 22(5): 426.     CrossRef
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A Pilot Study of APN-led Self-management Program to Improve Cardiovascular Health Status among Korean Women with Risk Factors
Nah Mee Shin, Ji Won Yoon, Jiwon Choi, Younghee Park, Songi Jeon
Korean J Adult Nurs 2016;28(2):237-245.   Published online April 30, 2016
DOI: https://doi.org/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.

Citations

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  • Cardiometabolic Risk of Visceral Fat Obesity and Factors Influencing Visceral Fat in Overweight or Obese Middle-Aged Korean Women: A Cross-Sectional Study
    Sujin Kim, Nah-Mee Shin, Jiwon Choi
    Korean Journal of Adult Nursing.2024; 36(4): 320.     CrossRef
  • Self-Management Program for Heart Healthy Behavior Among Middle- and Old-Aged Korean Women at Risk for Metabolic Syndrome
    Nah-Mee Shin, JiWon Choi, InHae Cho, Byung-Jun Park
    Journal of Cardiovascular Nursing.2017; 32(6): E8.     CrossRef
  • Development and Effectiveness of Tailored Education and Counseling Program for Patients with Coronary Artery Disease undergoing Percutaneous Coronary Intervention
    So-Yeon Kim, Min Young Kim
    Korean Journal of Adult Nursing.2017; 29(5): 547.     CrossRef
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