PURPOSE
The purpose of this study was to evaluate the effects of auricular acupressure on nausea, vomiting, and retching in patients with colorectal cancer receiving chemotherapy.
METHODS
A non-equivalent control group with a pretest-posttest design was used. The participants were assigned into either the control or the experimental group. The patients were recruited from November 2013 to March 2014 from a tertiary hospital in Seongnam city, South Korea. A total of 50 patients completed the study. The Korean version of the Index of Nausea, Vomiting, and Retching (INVR) was used.
RESULTS
The experimental group showed significantly lower nausea (p=.011) and retching (p=.014) than did the control group after receiving auricular acupressure. There were significant interaction effects between time and group on auricular acupressure on nausea (F=3.11, p=.009) and retching (F=3.01, p=.010). There were significant interaction effects between time and group on auricular acupressure on total score of INVR (F=8.23, p < .001).
CONCLUSION
Auricular acupressure therapy is effective in relieving nausea and retching after chemotherapy. Auricular acupressure intervention could be used to improve the quality of life for patients with colorectal cancer.

Citations

• The Effectiveness of P6 and Auricular Acupressure as a Complimentary Therapy in Chemotherapy-Induced Nausea and Vomiting Among Patients With Cancer: Systematic Review
  Bushra Alhusamiah, Jumana Almomani, Ahmad Al Omari, Ala’a Abu attallah, Afaf Yousef, Jafar Alasad Alshraideh, Ruqayya S. Zeilani
  Integrative Cancer Therapies.2024;[Epub]     CrossRef
• Evaluation of acupuncture and auriculotherapy in the control of chemotherapy-induced nausea and vomiting: a Pilot Study
  Sabrina Ferreira Monteiro Morais, Ruth Natalia Teresa Turrini
  Revista da Escola de Enfermagem da USP.2023;[Epub]     CrossRef
• Avaliação da acupuntura e auriculoterapia no controle de náuseas e vômitos induzidos por quimioterapia: Estudo Piloto
  Sabrina Ferreira Monteiro Morais, Ruth Natalia Teresa Turrini
  Revista da Escola de Enfermagem da USP.2023;[Epub]     CrossRef
• Aplicabilidade da auriculoterapia em pacientes oncológicos: revisão integrativa da literatura
  Carolina Lélis Venâncio Contim, Fátima Helena do Espírito Santo, Isadora Górski Moretto
  Revista da Escola de Enfermagem da USP.2020;[Epub]     CrossRef

PURPOSE
The purpose of this study was to identify factors associated with insomnia in college students with Irritable Bowel Syndrome (IBS).
METHODS
College students with IBS (n=259) were recruited in 4 universities in Daegu city and Ulsan city, South Korea. Participants completed questionnaires measuring the following variables: insomnia (Insomnia Severity Index [ISI]), dysfunctional beliefs and attitudes about sleep (Dysfunctional Beliefs and Attitudes about Sleep Scale-16 [DBAS-16]), pre-sleep arousal (Pre-Sleep Arousal Scale [PSAS]), gastrointestinal symptoms during sleep (Gastrointestinal Symptoms during Sleep), sleep hygiene (Sleep Hygiene Practices Scale [SHPS]), psychological distress (Brief Symptom Inventory-18 [BSI-18]), and IBS symptom severity(IBS Severity Scoring System [IBS-SSS]).
RESULTS
In our participants, 53.3%(n=138) reported having insomnia (ISI score ≥10). Compared to the non-insomnia group (n=121), the insomnia group reported significantly higher scores in DBAS-16, PSAS, gastrointestinal symptoms during sleep, IBS-SSS, SHPS, and BSI-18 (p < .001 for all). Multiple logistic regression analysis revealed that gastrointestinal symptoms during sleep (Odds Ratio [OR]=2.77, 95% Confidence Interval [CI]: 1.29~5.96), dysfunctional beliefs and attitudes about sleep (OR=1.04, 95% CI: 1.03~1.06), cognitive arousal before sleep (OR=1.10, 95% CI: 1.05~1.17), and somatization (OR=1.12, 95% CI: 1.02~1.23) were associated with insomnia in this sample.
CONCLUSION
Our findings indicate that insomnia is a serious problem for college students with IBS and that gastrointestinal symptoms during sleep and sleep related dysfunctional cognitions should be managed to improve insomnia of them.

Citations

• A reliability generalization meta-analysis of the internal consistency and test-retest reliability of the pre-sleep arousal scale (PSAS)
  Inês Luana Correia, Waqar Husain, Maria Teresa Gonçalves, Luís Pires, Khaled Trabelsi, Ammar Achraf, Seithikurippu R. Pandi-Perumal, Perry M. Nicassio, Markus Jansson-Fröjmark, Michael V. Vitiello, Daniel Ruivo Marques, Haitham Jahrami
  Sleep Medicine.2025; 126: 290.     CrossRef
• Mitochondrial DNA Copy Number Is Associated with the Severity of Irritable Bowel Syndrome
  Soo-Jung Jung, Jae-Ho Lee, Ji-Yeon Lim, Yun-Yi Yang
  Medicina.2024; 60(10): 1605.     CrossRef
• An Association between Telomere Length and Irritable Bowel Syndrome in Korean Populations
  Yun-Yi Yang, Jae-Ho Lee, Jae-Hee Park
  Keimyung Medical Journal.2024; 43(2): 122.     CrossRef
• Painful GI Conditions and Their Bidirectional Relationships with Sleep Disturbances
  Jessica K. Salwen-Deremer, Sarah Ballou
  Current Sleep Medicine Reports.2022; 8(4): 105.     CrossRef
• The Effects of Cognitive Behavioral Therapy for Insomnia among College Students with Irritable Bowel Syndrome: A Randomized Controlled Trial
  Yun-Yi Yang, Sangeun Jun
  International Journal of Environmental Research and Public Health.2022; 19(21): 14174.     CrossRef

PURPOSE
The purpose of the study was to develop and pilot test an early exercise program for lumbar spine surgery patients.
METHODS
A group of experts developed an early exercise program based on the exercise guidelines of spine hospitals and literature review. Fifty-three lumbar surgery patients were assigned into an experimental group or a control group and both groups participated in a 7-day exercise program. Pain, sleep disorders and daily living activity disorders were measured by self-administered questionnaires. The lower extremity strength was assessed by thigh circumference and the number of standing up from a chair within 30 seconds.
RESULTS
The experiment group had significantly lower scores in back pain and daily living activity disorders than the control group. The number of standing up from a chair significantly increased in the experimental group.
CONCLUSION
Our early exercise program was effective in decreasing the back pain and daily living activity disorder and increasing the strength of lower extremity among lumbar surgery patients. The early exercise program should be considered as a nursing intervention in clinical settings for lumbar surgery patients.

PURPOSE
Although there is a high incidence of delirium with increased age, the risk factors have been too various. We investigated the incidence and risk factors in the older inpatient with neurological disorders.
METHODS
We reviewed the Electronic Medical Records (EMR) of older patients admitted to a neurology unit from August 2016 to January 2017. We analyzed the incidence and risk factors of delirium in 382 patients in a tertiary hospital. Delirium was determined daily using the Nursing Delirium Screening Scale (Nu-DESC). Demographic, disease, and environmental characteristics were obtained by using structured EMR data.
RESULTS
The incidence rate of delirium was 6.0% (n=23). Delirium was prevalent in patients who were older, had a lower serum hemoglobin, had hypertension or had diabetes mellitus. Delirium was also observed in patients on antibiotics, having a higher number of drugs or catheters, or receiving mechanical monitoring. A longer hospital stay, being admitted to a sub-intensive care unit, and sleep deprivation were significantly associated with delirium. Multiple logistic regression analysis found older age, having sleep deprivation, a higher number of catheters placed, and having diabetes mellitus to be significant predictors of delirium.
CONCLUSION
This study shows that age, sleep deprivation, number of catheters, and comorbidity of diabetes mellitus were identified as a risk factor for delirium. And it will guide the development of algorithms through its possible applications for the future in hospitalized older adults.

Citations

• Relationship between Barriers and Performance for Delirium Care among Hospital Nurses: The Mediating Effect of Self-confidence
  Hee Yeon Kim, Hye-Ja Park
  Journal of Health Informatics and Statistics.2025; 50(1): 81.     CrossRef
• The evaluation of frequency and predictors of delirium and its short-term and long-term outcomes in hospitalized older adults’
  Yamini Ajmera, Karandeep Paul, Maroof Ahmad Khan, Bharti Kumari, Nand Kumar, Prasun Chatterjee, Aparajit Ballav Dey, Avinash Chakrawarty
  Asian Journal of Psychiatry.2024; 94: 103990.     CrossRef
• Patterns of Symptoms and Symptom-related Factors of Patients in the Intensive Care Unit: A Secondary Data Analysis of Electronic Medical Records
  Moonjung Kwak, Yeon-Hwan Park
  Korean Journal of Adult Nursing.2024; 36(2): 146.     CrossRef
• Leptin as a Predictor of Delirium in Geriatric Inpatients
  Yamini Ajmera, Avinash Chakrawarty, Masroor Anwar, Maroof Ahmad Khan, Prasun Chatterjee, Sharmistha Dey
  Journal of the Indian Academy of Geriatrics.2022; 18(4): 157.     CrossRef
• Effectiveness of Delirium Education Programs for Nurses in Acute Hospitals: A Systematic Review and Meta-Analysis
  Jungyeon Roh, Sujin Shin, Eunmin Hong
  Korean Journal of Adult Nursing.2022; 34(5): 435.     CrossRef

PURPOSE
The purpose of this study was to examine the characteristics of Health-Related Quality of Life (HRQoL) and its influencing factors in Koreans with Peripheral Artery Disease (PAD).
METHODS
One hundred and four participants were recruited from Severance hospital in Seoul, Korea. A PAD-specific quality of life questionnaire was used to measure HRQoL. The relevant knowledge, social support, and demographic and clinical characteristics were also measured. Descriptive analysis and multiple linear regression analysis were performed.
RESULTS
The mean scores of PAD-related knowledge and social support were high, while those of the HRQoL were low. The HRQoL was significantly higher among university graduates than those who had completed only middle school, and among those with coronary artery disease. The HRQoL in patients with PAD was significantly correlated with duration of diagnosis, the Rutherford classification, rest pain, walking pain, medical staff support, and family support. It was significantly affected by walking pain, duration of diagnosis, medical staff support, and rest pain. The regression model accounted for 38.4% of the HRQoL in this study.
CONCLUSION
Pain and medical staff support might influence HRQoL among patients with PAD. Understanding the characteristics of HRQoL may be important in developing tailored management strategies to improve HRQoL among Koreans with PAD.

Citations

• The Relationships between Healthy Lifestyle Behaviors, Hopelessness, and Illness Acceptance Levels Diagnosed with Peripheral Artery Disease and Related Factors
  Dilara Şahan, Yakup Akyüz, Fatma Güneyi, Damla Coşar
  Annals of Vascular Surgery.2025; 115: 117.     CrossRef
• Health Literacy and Disease Knowledge of Patients With Peripheral Arterial Disease or Abdominal Aortic Aneurysm: A Scoping Review
  Goudje L. van Leeuwen, Maria-Annette Kooijman, Richte C.L. Schuurmann, Barbara L. van Leeuwen, Barbara C. van Munster, Hanneke van der Wal-Huisman, Jean-Paul P.M. de Vries
  European Journal of Vascular and Endovascular Surgery.2024; 67(6): 935.     CrossRef
• A Scoping Review of Measurement Tools Evaluating Awareness and Disease-Related Knowledge in Peripheral Arterial Disease Patients
  Carolina Machado de Melo Felix, Danielle Aparecida Gomes Pereira, Maureen Pakosh, Lilian Pinto da Silva, Gabriela Lima de Melo Ghisi
  Journal of Clinical Medicine.2023; 13(1): 107.     CrossRef
• Relationship between Uncertainty and Health-related Quality of Life in Elderly Patients Undergoing Total Knee Arthroplasty: The Mediating Effects of Sense of Coherence and Social Support
  Min-Yi Song, Min-Jeong Park
  Journal of Korean Academy of Fundamentals of Nursing.2022; 29(3): 284.     CrossRef

PURPOSE
This study aimed to develop a navigation program for family caregivers of stroke patients admitted to a rehabilitation hospital and evaluate differences in caregiver outcomes before and after the intervention.
METHODS
The navigation program consists of education, demonstration and return demonstration. To evaluate the program, we conducted a quasi-experimental study in 44 caregivers (22 experimental group received the navigation program vs. 22 controls group did not received). Caregivers completed the burden, anxiety, depression, self efficacy, caregiving mastery, quality of life, and patient's Activities of Daily Living (ADL). Data were collected using self-report structured questionnaires. The data were analyzed using the SPSS/WIN 21.0 with the χ2-test, and independent t-test.
RESULTS
Compared with the control group, caregivers who received the navigation program reported significant decrease in caregiver burden, depressive symptoms and anxiety and significant improvement in their mastery, self-efficacy, quality of life and patient's ADL.
CONCLUSION
Delivering the navigation program to family caregivers of stroke patients in a rehabilitation hospital setting was feasible. Our results provide preliminary support for the navigation program to reduce negative outcomes (e.g., burden, anxiety, depression) and improve positive outcomes (e.g., mastery, self efficacy, quality of life, patient's activities of daily living) in family caregivers who experience first stroke diagnosis of their loved one.

PURPOSE
The purposes of this study were to investigate the moderating effect of lifestyle and Type-D personality on the relation between metabolic syndrome and severity of coronary artery disease and to provide practical knowledge and directions for nursing intervention.
METHODS
The participants were 111 adult outpatients with coronary artery disease in the cardiology department of a medical center in Korea. The study tools included diagnostic criteria for metabolic syndrome, lifestyle evaluation tool for patients with metabolic syndrome, the Korean Type-D scale-14, and measures of severity of coronary artery disease. The data were obtained by electronic medical record reviews and surveys using structured questionnaires and interviews. Data were analyzed using descriptive statistics, χ2 test, independent t-test, one-way ANOVA, Pearson's correlation coefficient, multiple linear regression analysis and two-way ANOVA.
RESULTS
The severity of coronary artery disease was positively correlated with the presence of metabolic syndrome (r=.26, p=.006) and type-D personality (r=.49, p < .001). There was a significant negative correlation (r=−.54, p < .001) between the severity of coronary artery disease and lifestyle. Lifestyle had the moderating effect on the relationship between metabolic syndrome and severity of coronary artery disease (β=−.22, p < .001), but type-D personality had no moderating effect (F=0.13, p=.719) on it.
CONCLUSION
Based on the results of this study, it is necessary to establish individualized intervention considering the condition of the patients according to the criteria of the metabolic syndrome diagnosis when establishing the lifestyle intervention plan. And also it is necessary to define influencing factors including the personality on lifestyle change.

Citations

• Relationship between type D personality, symptoms, cancer stigma, and quality of life among patients with lung cancer
  Yu Mi Park, Hye Young Kim, Ji Young Kim, Sung Reul Kim, Yeong Hun Choe
  European Journal of Oncology Nursing.2022; 57: 102098.     CrossRef
• Impact of Type D Personality on Depression, Anxiety, and Health-related Quality of Life among Coronary Artery Disease Patients: A Systematic Review and Meta-analysis
  Sun Hyoung Bae, Jin-Hee Park
  Korean Journal of Adult Nursing.2019; 31(3): 219.     CrossRef

PURPOSE
Although post-stroke sensory disorder is different from post-stroke pain, it is often considered as central pain or overlooked in the clinical field. The purposes of this study were to develop the nursing algorithm for stroke patients with sensory disorder and examine its effect.
METHODS
The study used a methodological design to develop the nursing algorithm and a pretest-posttest design to examine its effect in stroke patients. The algorithm was developed through the ADDIE model (Analysis, Design, Development, Implementation, and Evaluation) using systematic review, expert panel interview, and patient interview. The algorithm was applied to 51 ischemic stroke patients experiencing sensory disorder at subacute stage by 10 nurses in a university hospital in Seoul city, Korea.
RESULTS
The contents of the algorithm included inclusion and exclusion criteria for relevant patients, assessment tool developed in this study, and the intervention (non-pharmacological and pharmacological) process based on the assessment results. The assessment tool and the intervention process had acceptable inter-rater reliability with Cohen's Kappa .82 and .94, respectively. The scores of sensory disorder decreased from 2.71 to 0.51 with the algorithm application in 51 patients.
CONCLUSION
The nursing algorithm for sensory disorder in stroke patients improved the symptoms and can be used conveniently by clinical nurses. Using this algorithm, nurses can provide relevant care for stroke patients with stiff, cool, obtuse, or vibrating sensors that cause insomnia, anorexia, and physical functional decline.

Citations

• Development and Evaluation of Evidence-Based Nursing Protocol for Extracorporeal Membrane Oxygenation to Critically Ill Patients
  Soomi Kim, Chul-Gyu Kim
  Journal of Korean Academy of Nursing.2023; 53(3): 275.     CrossRef
• Development of the Unit Specialist-led Pressure Ulcer Nursing Algorithm
  Yuna Noh, Jia Lee
  Korean Journal of Adult Nursing.2019; 31(4): 365.     CrossRef

PURPOSE
This study aimed to understand the experiences of family caregivers utilizing Care Support of Dementia Centers (CSDC) in the community.
METHODS
Colaizzi's phenomenological approach was used for this study. The participants were 10 family caregivers. Open in-depth interviews were used to collect data from January 2018 to February 2018.
RESULTS
Four categories emerged from the analysis. The experiences of family caregivers utilizing CSDC included “becoming to open the mind to dementia”, “forming of good field for each other”, “alterations in the patterns of family life” and “hoping for a better life”. There were 8 clusters of themes and 17 themes. The experiences of family caregivers utilizing CSDC were driving force of understanding about dementia, older adults with dementia and caring. The older adults with dementia accepted their disease, they actively participated in supporting programs. So, forming of another world that provide regular activities for older adults with dementia, giving rest to the family caregivers, and rearranging the pattern of life according to the schedule of older adults with dementia. Moreover, they expressed the need for a helpful and empathetic support program.
CONCLUSION
These results suggest that CSDC helped older adults with dementia and their family caregivers. Therefore, the importance of the role of dementia centers has been emphasized. It is necessary to provide guidance on the content and direction of the network of community support systems.

Citations

• 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
• Time Usage and Satisfaction Based on Occupational Area Between Weekdays and Weekends of Family Caregivers and Non-family Caregivers of Dementia Patients
  Woo-Hyuk Jang, Jong-Hwi Park
  Annals of Indian Academy of Neurology.2024; 27(5): 543.     CrossRef
• Time usage analysis according to occupational area and satisfaction level in family caregivers of dementia patients
  Woo-Hyuk Jang, Jong-Sik Jang, Jong-Hwi Park
  PeerJ.2023; 11: e15178.     CrossRef
• Evaluating the Effectiveness of Community-Based Dementia Caregiver Intervention on Caregiving Burden, Depression, and Attitude Toward Dementia: A Quasi‐experimental Study
  Su Jung Lee, Hyun-Ju Seo, IL Han Choo, Seong Min Kim, Jeong Min Park, Eun-Young Yang, Yu Mi Choi
  Clinical Interventions in Aging.2022; Volume 17: 937.     CrossRef
• Experience of family caregivers using dementia management programs for patients with dementia during COVID-19: Based on focus group interviews
  Doonam Oh, Jeonghae Hwang, Seonghee Jeong
  Korean Journal of Health Education and Promotion.2022; 39(5): 101.     CrossRef
• Comparing the Needs of Family Caregivers and Program Providers in Long-Term Care in Terms of Family Support Program
  Myonghwa Park, Younghye Go, Miri Jeong, Eun-Jeong Han
  Korean Journal of Adult Nursing.2019; 31(1): 14.     CrossRef

PURPOSE
The aim of this study was to develop evidence-based nursing practice guidelines for cold application in adult care.
METHODS
The study procedure was based on the Scottish Intercollegiate Guidelines Network and Korean Hospital Nurses Association's guideline development methods. The evidence review procedures included targeted searches from databases including the Cochrane Library, PubMed, CINAHL, Embase, KoreaMed, KERIS and NDSL. The initial search yielded 6,426 articles published from 2006 to 2016. Based on the screening process, 147 articles were selected and systematically reviewed. From evidence summaries of 20 clinical questions, recommendations were formulated and graded. Draft recommendation were evaluated through external review.
RESULTS
The guidelines consisted of 10 domains and 27 recommendations. The content validity index of the recommendations was above .80. Major recommendations include 1) applying external cooling to reduce acute pain, edema, and hemorrhage, 2) selecting cooling instruments based on the purpose, patient's condition, and preference, 3) preparing and maintaining cooling instruments at an adequate temperature, and 4) intermittent cold application for appropriate durations with sufficient recovery time.
CONCLUSION
These guidelines can be utilized in both clinical and community settings to help narrow the gaps between nursing practices.

Citations

• Effects of a thermoelectric element tourniquet on venipuncture pain and stress relief in Korea: a randomized controlled trial
  Tae Jung Lee, Jihoo Her, Myung-Haeng Hur
  Journal of Korean Biological Nursing Science.2025; 27(2): 179.     CrossRef
• Thermoelectric tourniquet–assisted thermotherapy and cryotherapy for pain, regional blood flow, and satisfaction with intravenous injections among hospitalized patients in Korea: a randomized controlled trial
  Seon-Mi Lee, Myung-Haeng Hur
  Journal of Korean Biological Nursing Science.2024; 26(4): 323.     CrossRef
• Cryoanalgesia for Reducing Unconscious Patients’ Pain During Arterial Puncture
  Sara Elsayed Hegazy, Hend Elsayed Mansour, Alexandra Hare, Nahed Attia Kandeel
  Critical Care Nursing Quarterly.2024; 47(4): 370.     CrossRef
• Effectiveness and methods of cryotherapy in reducing swelling after total knee arthroplasty: A systematic review on randomized controlled trials
  Yoonyoung Lee, Yong Soon Shin, Hyun Jung Kim, Jiwon An
  Nursing Open.2023; 10(9): 5989.     CrossRef
• The effect of cold application on episiotomy pain: A systematic review and meta‐analysis
  Ayça Şolt Kırca, Sevda Korkut Öksüz, Naci Murat
  Journal of Clinical Nursing.2022; 31(5-6): 559.     CrossRef
• Effects of a Thermoelectric Element Band on Venipuncture-associated Pain and Anxiety: A Randomized Controlled Trial
  Myung-Haeng Hur, Hee-Soo Choi
  Asian Nursing Research.2021; 15(5): 337.     CrossRef
• The effects of cryotherapy on perineal pain after childbirth: A systematic review and meta-analysis
  Hyun-Jung Kim, Ji-Won An, Yoonyoung Lee, Yong-Soon Shin
  Midwifery.2020; 89: 102788.     CrossRef
• Effects of Localized Heating on Pain, Skin Perfusion, and Wound Healing After Lumbar Decompression
  Jeoung Hee Kim, Yong Soon Shin
  Journal of Neuroscience Nursing.2020; 52(5): 251.     CrossRef
• Critical Review I to Standardize the Textbooks of Fundamentals of Nursing: Vital Sign Assessment, Body Temperature Regulation, Oxygenation
  YunHee Shin, Seung Kyo Chaung, Hyun-Ju Kim
  Journal of Korean Academy of Fundamentals of Nursing.2019; 26(4): 282.     CrossRef