Purpose
This study was conducted to determine a hypothetical model for the factors affecting uterine cancer patients’ health-related quality of life.
Methods
Data were collected from 409 patients with cervical cancer or endometrial cancer, between March 16 and May 15, 2015, using a self-administered questionnaire . The data were analyzed using SPSS v18 and AMOS v21.
Results
The model supported 14 of the 19 hypotheses for all participants. The results indicated that resilience, marital intimacy, social support, and perceived health status directly affected participants’ quality of life, while sexual function indirectly affected participants’ quality of life. Of these variables, perceived health status had the strongest direct effect on participants’ quality of life. Social support and sexual function were found to directly affect perceived health status. Somatic symptoms were found to directly affect sexual function, and resilience and marital intimacy in turn were found to directly affect somatic symptoms.
Conclusion
These results suggest that management strategies to enhance uterine cancer patients’ quality of life should address patients’ perceived health status, social support, sexual function, and marital intimacy.

Citations

• Health-related quality of life in female patients with reumatoid arthritis: a structural equation model
  Bukyung Kim, Mi-Hae Sung
  Korean Journal of Women Health Nursing.2023; 29(2): 91.     CrossRef
• Quality of Life in Middle-aged Men with Prostatic hyperplasia: A Structural Equation Model
  Hee Nam Moon, Seung Hee Yang
  Korean Journal of Adult Nursing.2023; 35(4): 327.     CrossRef
• Self-disclosure in Adult Patients With Cancer
  Hyungran Lee, Younhee Jeong
  Cancer Nursing.2023;[Epub]     CrossRef
• Factors influencing quality of life in caregivers of adolescents with developmental disabilities
  Joung Woo Joung
  Osong Public Health and Research Perspectives.2022; 13(4): 298.     CrossRef
• Structure Equation Modeling for Resilience in Patients with Breast Cancer
  Dong Rim Hyun, So Yeun Jun, Chang Wan Jun, Sue Kyung Sohn
  Korean Journal of Adult Nursing.2021; 33(2): 87.     CrossRef
• Influence of Perceived Health, Anxiety, Depression, and Social Support on Quality of Life in Patients with Meniere Disease
  Young Mi Ryu, Woo Joung Joung
  Korean Journal of Adult Nursing.2020; 32(4): 399.     CrossRef

Purpose
To explore the nature of psychological resistance to the initiation of antihypertensive medication.
Methods
Participants were 13 adults with hypertension who were refusing or had refused to take antihypertensive drugs from July 2016 to October 2016. The data were collected through face-to-face in-depth interviews, and analyzed according to Braun and Clarke’s 6 steps of thematic analysis.
Results
Analysis of the psychological resistance experience to drug therapy in hypertensive patients resulted in 5 themes and 10 sub-themes from a total of 42 free codes. Participants were “holding out as much as possible without medication” without taking antihypertensive drugs due to “psychological opposition to starting treatment” and “situational barriers related to medication”. However, they were “coming to grips with reality” that they were not taking medication but would take it someday, and they gained “momentum for change” to start taking it.
Conclusion
The 5 themes derived from the data analysis of the experiences of 13 participants are interrelated and suggest the direction of intervention to lower psychological resistance. In particular, we propose the development of an intervention to assist patients in self-decision regarding taking antihypertensive medication. Additional research into the role of medical staff in lowering the psychological resistance of young hypertensive patients is needed.

Citations

• Withdrawal of antihypertensive medication in young to middle-aged adults: a prospective, single-group, intervention study
  Hae-Young Lee, Kyoung Suk Lee
  Clinical Hypertension.2023;[Epub]     CrossRef

Purpose
This study investigated factors affecting participation in dementia screening, based on the health belief model.
Methods
Data from 191 participants that fully answered the distributed questionnaires were analyzed. Data on the following variables were collected: general characteristics with modifying variables, health beliefs, and cue to action for dementia screening. Data were analyzed with descriptive statistics, x2 test, Fisher’s exact test, independent t-test, and logistic regression using SPSS/WIN software version 23.0.
Results
Factors affecting participation in dementia screening were as follows: For age, those in their 70s were more likely to participate in screening tests for dementia than those in their 60s (Odds Ratio [OR]=0.36, p=.003). For level of education, people with less than elementary school education were more likely to participate in screening tests for dementia than those with more than university education (OR=6.13, p=.020). Presence of spouse (OR=3.65, p=.027), presence of family or friends who underwent dementia screening tests (OR=5.63, p=.002), being exposed to dementia screening advertising (OR=3.94, p=.009), and having showed a lower average score of perceived barrier for dementia screening (OR=0.13, p=.002) were factors that increased the likelihood of participation in dementia screening.
Conclusion
To increase participation in dementia screening, strategies should be developed taking into account the influencing factors found by this study. In particular, an advertising strategy that emphasizes the importance of participating in dementia screening will be needed.

Citations

• Factors Related to the Dementia Prevention Behavior among Community-dwelling Older Adults based on the Health Belief Model: A Cross-sectional Descriptive Study
  Jin Young Lee, Eun Ko
  Journal of Korean Academy of Fundamentals of Nursing.2024; 31(3): 263.     CrossRef
• Factors influencing dementia preventive behaviors of older adults at high risk of dementia: Application of extended health belief model
  So Hee Jung, Mee Ock Gu
  Research in Community and Public Health Nursing.2024; 35: 22.     CrossRef
• Effects of a 6-Week Integrated Dementia Awareness and Prevention Program for Community-Dwelling Older Adults
  Ji-yeon Kim, Sunghee H. Tak, Hana Ko, SuJung Jung, Jaegyeong Lee, Hyein Choi
  Sage Open.2022;[Epub]     CrossRef
• Factors affecting preventive behaviors of Alzheimer’s disease in family members of patients with Alzheimer’s disease
  JiEun Kim, Min Young Kim, Jung-Ae Kim, Youngeun Lee
  Medicine.2022; 101(42): e31136.     CrossRef

Purpose
The purpose of this study is to investigate factors influencing health-related quality of life (HRQoL) among male patients with osteoporosis over 50 years of age.
Methods
This study used a cross-sectional design with secondary data. The data of male patients with osteoporosis over 50 years of age (n=1,307) from the Community Health Survey (2016) were selected for analysis. Complex sampling design multiple regression analysis was conducted for influential factors on HRQoL, measured by the Euro Quality of Life-5D (EQ-5D).
Results
The mean HRQoL score of male patients with osteoporosis over 50 years of age was 0.74. Factors that influenced HRQoL included age, spouse, job, household income, body mass index, stress, depression, self-reported health status, hours of sleep per day, health examination experience, comorbidity (stroke, osteoarthritis), and osteoporosis fracture (hip bone, spine), which together explained 42% of the HRQoL.
Conclusion
To improve the HRQoL among male patients with osteoporosis over 50 years of age, comprehensive management is required from the stage of diagnosis. Developing and applying long-term programs including multidimensional approaches and early screenings of osteoporosis and prevention education for men are also needed.

Purpose
Identify the cluster-type risk factors when disease occurs in patients with coronary artery disease (CAD) and examine the impact of the cluster-type on adverse clinical prognosis in CAD patients.
Methods
Secondary data analysis was utilized with data collected from electronic medical records of patients who underwent percutaneous coronary intervention in a university hospital from 2011 to 2015 and who were on an outpatient follow-up visit as of January 2020. The K-means cluster analysis was performed on seven cardiovascular risk factors. Major adverse cardiac events (MACEs), including hospitalization due to restenosis or cardiac-related death, was required in clinical prognosis. The Cox proportional-hazard regression and Kaplan-Meier survival analyses were used.
Results
Cluster analysis identified three clusters of ‘obesity and family history’ (n=150), ‘smoking and drinking’ (n=178), and ‘chronic disease’ (n=190). The MACEs occurred in 10.4% of study subjects. When the ‘obesity and family history’ cluster (62.94±12.09 years) was used as a reference, the relative risk of MACEs was 2.57 times higher in the ‘smoking and drinking’ cluster (62.63±13.31 years) and 2.41 times higher in the ‘chronic disease’ cluster (70.90±10.30 years).
Conclusion
Cluster-type risk factors are necessary when considering secondary prevention strategies for MACEs in patients with CAD. Patients with smoking, drinking, and chronic diseases are especially required to improve their lifestyles and to regularly monitor their management of underlying diseases during follow-up periods.

Citations

• Effect of risk factor-tailored autonomy enhancement education in the first-time middle-aged patients undergoing percutaneous coronary intervention: a randomized controlled trial
  In Ae Uhm, Seon Young Hwang
  BMC Nursing.2023;[Epub]     CrossRef

Purpose
This study aimed to identify the effects of psychological insulin resistance, diabetes distress, and diabetes self-efficacy of patients and their spouses on insulin therapy adherence of patients with type 2 diabetes.
Methods
A path analysis based on the actor-partner interdependence model, a couple analysis method, was used to identify the actor and partner effects of psychological insulin resistance, diabetes distress, diabetes self-efficacy on the insulin therapy adherence of patients with type 2 diabetes. Data were collected between February 25 and May 1, 2019, from 200 patients with type 2 diabetes and their spouses.
Results
The psychological insulin resistance of the patient had an actor effect on the diabetes self-efficacy of the patient and a partner effect on the diabetes self-efficacy of the spouse, and the patient’s diabetes distress had a partner effect on the diabetes self-efficacy of the spouse. The psychological insulin resistance of the spouse had an actor effect on the diabetes self-efficacy of the spouse, and the diabetes self-efficacy of the patient and spouse were found to affect the insulin therapy adherence of the patient directly.
Conclusion
This study provided basic data for the development of programs that can enhance insulin therapy adherence in patients with type 2 diabetes, focusing on the perspectives of both the patient and spouse.

Citations

• The Impact of Psychological Insulin Resistance and Dyadic Coping on Insulin Medication Adherence in Elderly Diabetes Patients and Their Spouses: A Latent Profile Analysis
  Yuanhong Wu, Huijing Xu, Yuxin Wang, Xiaohui Wang, Shanyu Wu
  Patient Preference and Adherence.2024; Volume 18: 2647.     CrossRef
• The use of multiple daily injections versus insulin pump therapy for HgbA1c reduction in patients with insulin-dependent type 2 diabetes
  Dana E. Stallings, Karen J. Higgins
  Journal of the American Association of Nurse Practitioners.2023; 35(10): 615.     CrossRef

Purpose
The purpose of this study was to investigate the roles of the perception of aging symptoms in mediating and moderating the relationship between family function and stress in middle-aged adults.
Methods
This was a cross-sectional correlational study of 244 middle-aged men and women. Self-administered surveys were conducted using the Family APGAR, stress index, and symptom management beliefs questionnaire. The data were analyzed using descriptive statistics, independent t-test, Pearson’s correlation coefficient, hierarchical multiple regression analysis, and PROCESS macro using SPSS 23.0.
Results
A significant interaction between family function and the perception of aging symptoms in predicting stress was found, indicating a moderating effect of the perception of aging symptoms on the relationship between family function and stress. An indirect effect of family function on stress through the perception of aging symptoms was not significant, indicating an insignificant mediating effect of the perception of aging symptoms.
Conclusion
The relationship between family function and stress differed depending on participants’ perceptions of aging symptoms. Individuals with negative perceptions of aging symptoms may be vulnerable to stress caused by poorer family function. It is necessary to develop programs to help modify negative perceptions of aging as well as strengthen family function to decrease the stress of middle-aged adults.

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

• Care burden, depression, quality of life, and institutionalization factors among family caregivers of long-term care recipients: A secondary data analysis
  Eun-Jeong Han, Yeongwoo Park, Heejung Kim, Myonghwa Park
  Journal of Korean Gerontological Nursing.2025; 27(1): 57.     CrossRef
• Factors influencing the caring behaviors of primary family caregivers of older adults with dementia: A cross-sectional study
  Da-Mi Kim, Hye-Young Jang
  Journal of Korean Gerontological Nursing.2024; 26(2): 146.     CrossRef
• Effect of perceived chronic illness management support, health literacy, and social support on the care burden of families caring for older people with multiple chronic conditions at home: A cross-sectional study
  Eun Sil Lee, Mi Young Kim
  Journal of Korean Gerontological Nursing.2023; 25(1): 76.     CrossRef
• Influence of Gratitude and Sense of Meaning in Life on Caregiving Self-Efficacy of Family Caregivers of Persons With Mental Illness
  Won Hee Jun
  Western Journal of Nursing Research.2023; 45(12): 1104.     CrossRef
• Resilience of family caregivers of people with dementia in South Korea: protocol for a scoping review
  Hyun-Ju Seo, Min-Jung Choi, Song-I Park, Jeong-hwan Park
  BMJ Open.2022; 12(7): e056739.     CrossRef
• Positive Changes in Caregiving Experiences of Family Caregivers for Long-Term Care Recipients after a Family Counseling Support Program
  Eun-Jeong Han, Myonghwa Park, Jihye Jung
  Journal of Korean Gerontological Nursing.2022; 24(1): 85.     CrossRef
• Health Promotion Behavior among Older Korean Family Caregivers of People with Dementia
  Aram Cho, Chiyoung Cha
  International Journal of Environmental Research and Public Health.2021; 18(8): 4123.     CrossRef

Purpose
Maintaining a healthy lifestyle and quality of life after receiving acute treatment is important in patients with coronary artery disease (CAD). This study aims to compare the lifestyle and the quality of life of CAD patients with those of healthy people through a propensity-matched comparison.
Methods
This study is a secondary analysis of the data from the Korea National Health and Nutrition Examination Survey conducted with 23,657 subjects from 2015 to 2017. A propensity-matched comparison was conducted for 472 CAD patients and 941 healthy individuals using 1:2 matching of nine sociodemographic characteristics. R program version 3.6.2 was used for statistical analysis and an independent t-test was employed to examine the differences between the relevant variables of the two matched groups.
Results
The rate of aerobic physical activity, the levels of quality of life, and the subjective health condition of the CAD patients were significantly lower as compared to the healthy group (p<.001). The degree of perceived stress was higher in patients with CAD than those in the healthy group (p<.001). However, no statistical difference was found in smoking and drinking behavior and body mass index.
Conclusion
This study found that the CAD group's level of physical activity is lower and their emotional health conditions are worse than those of healthy people. Therefore, relevant support, including follow-up intervention programs, is required for CAD patients to prevent secondary adverse cardiac events and to maintain a healthier life.

Citations

• A Case Report of Korean Medicine Treatment for Chest Pain in Variant Angina
  Junghwa Hong, Eun-joo Seok, Youngju Rhee, Jae-hyuk You, Jin-young Lee, Dong-jun Choi, Seong-woo Lim
  The Journal of Internal Korean Medicine.2024; 45(2): 234.     CrossRef
• Association between Coping Profiles and Cardiac Health Behavior among Patients with Coronary Artery Disease: A Latent Profile Analysis
  Yesul Lee, Yoonju Lee, Jeong Cheon Choe, Hyesun Jeong, Sunyoung Jung
  Korean Journal of Adult Nursing.2024; 36(3): 228.     CrossRef
• Comparison of Sleep Disturbance, Physical Activity, and Health-Related Quality of Life According to Depressive Symptoms in Patients with Metabolic Syndrome: A Secondary Analysis from the Korea National Health and Nutrition Examination Survey Using a Prope
  Jungmi Yun, Yunji Lee
  Healthcare.2023; 11(12): 1802.     CrossRef
• Formation of Balloon with Porous Structures in NaCl Vapor Assisted by Amphiphilic Polymer for Stent Delivery System
  Han Chang Lee, Se Kye Park, Hyobin Kim, Dong Yun Choi, Gyu Man Kim, Woojin Kim
  Advanced Materials Technologies.2023;[Epub]     CrossRef
• Comparison of Coronary Risk Factor and Nutrient Intake Status of Patients with Chronic Kidney Disease and Normal Subjects : Data Obtained from the 2015-2019 Korea National Health and Nutrition Examination Survey
  Hyun Kyung Oh, Ho Kyung Ryu
  The Korean Journal of Community Living Science.2022; 33(2): 189.     CrossRef

Purpose
The purpose of this study is to examine the validity and reliability of Korean version of the attitude measurement tool for Family Presence during Resuscitation (K-FPDR).
Methods
Data were collected from 299 nurses working at a tertiary hospital located in Seoul via structured-questionnaire and analyzed using SPSS 24.0 and AMOS 21.0. To examine the validity and reliability of K-FPDR, content/construct validity using exploratory/ confirmatory factor analysis and reliability test and criterion validity using Pearson correlation coefficient were conducted.
Results
There were 6 of the 30 items deleted through content/construct validity test. The Korean version of K-FPDR was composed of three dimensions: benefits, negative effects, and decision-making on K-FPDR. K-FPDR was validated by confirmatory factor analysis (CFI=.82, GFI=.86, AGFI=.83, RMR=.07, and RMSEA= .07), and factor loading of the 24 items ranged from .40 to .82. In terms of criterion validity, the K-FPDR positively correlated with Family Presence Self-Confidence Scale. Also, the reliability of the scale was confirmed with Cronbach's ⍺=.85.
Conclusion
The K-FPDR is a reliable and valid scale; therefore, this scale is expected to be useful in measuring the attitude toward family presence during resuscitation among Korean nurses.