PURPOSE
The purpose of this study was to review articles that used the Pittsburgh Sleep Quality Index (PSQI) scale to measure sleep quality among adults with trauma experiences.
METHODS
Databases such as PubMed, CINAHL, Embase, Cochrane, Medline, Google Scholar, Riss, NDSL, and reference data were searched systematically for relevant studies from July 5 to 6, 2018. A quality assessment was conducted using the COSMIN (COnsensus-based Standards for the selection of health Measurement INstruments) risk of bias checklist, including content validity, structural validity, internal consistency, reliability, measurement error, hypotheses testing, cross-cultural validity, criterion validity, and responsiveness.
RESULTS
Fourteen studies met the inclusion criteria. All selected studies confirmed the overall quality of sleep by total score, but only 28.6% of the papers presented subscales. The quality of the methodology used varied within and between studies. Internal consistency of 21.5%, cross-cultural validity of 7.1%, and criterion validity of 14.2% were all evaluated as sufficient (+). Reliability and measurement errors were not presented in selected studies.
CONCLUSION
Our findings revealed that overall quality of sleep was measured by analyzing the characteristics and measurement attributes of the PSQI. However, as a result of the varying purposes of each study, the full potential of the tool could not be optimized. Future research should assess the attributes of the PSQI based on the content specified in the COSMIN evaluation standard, using it carefully to consider the target population's socio-cultural characteristics.

Citations

• Current status of systematic review studies on patient-reported outcome measures published in Korean journals
  Duck-Hee Chae, Jiyeon Lee, Eun-Hyun Lee
  Research in Community and Public Health Nursing.2025; 36: 1.     CrossRef
• Evaluation of changes in skin characteristics due to the poor quality of sleep caused by smartphone usage
  Sue Im Jang, Yuchul Jung, Myeongryeol Lee, Jinsol Kim, Beom Joon Kim, Byung‐Fhy Suh, Eunjoo Kim
  Journal of Cosmetic Dermatology.2022; 21(4): 1656.     CrossRef
• Affecting Factors on Sleep Quality in Foreign Workers
  Soojeong Kim, Min Kyung Kim, Inkyoung Lee, Kyoung Won Cho
  Journal of Health Informatics and Statistics.2022; 47(2): 139.     CrossRef
• Discharge Readiness Scale for Parents of High-Risk Infants: A Systematic Review
  Ki-Eun Kim, Hyejung Lee, Na-Young Jeon
  Journal of The Korean Society of Maternal and Child Health.2022; 26(4): 205.     CrossRef
• A Systematic Review of Measurement Properties of Spirituality related Assessment Tools Published in Korean Journals
  Il-Sun Ko, Jin Sook Kim, Soyoung Choi
  Journal of Korean Academy of Fundamentals of Nursing.2021; 28(1): 133.     CrossRef

PURPOSE
This study was a systematic review and meta-analysis designed to investigate the variables related to burden of caregivers of people with dementia living at home.
METHODS
In total, 24 studies were identified through a systematic review and 11 studies met the inclusion criteria for the meta-analysis. EMBASE, MEDLINE (Ovid-MEDLINE, Pubmed) and several Korean databases were searched until April 2018. ‘R 3.5.1’ version was used to analyze the correlated effect sizes.
RESULTS
According to the results, variables related to caregivers' burden were categorized into factors related to patients and factors related to family caregivers. The effect sizes of correlations between factors associated with patients and caregivers' burden were as follows: problematic behavior & cognition (memory) (.42), problematic behavior (.37), cognition (memory) (.35), stage of dementia (.31), and ability to perform daily life functions (−.27). Factors associated with family caregivers correlated with caregiver burden as follows: health status (−.40), relation (.33), education (.25), time of caring (.24), income (−.21), age (.20), job (−.17), duration of caring (.15), and religion (.14).
CONCLUSION
Based on the findings, family caregiver needs to preferentialy try to manage problematic behavior & cognition (memory) of dementia and health professionals need to provide comprehensive nursing interventions to improve health for patients with dementia but also family caregivers.

Citations

• Exploring Family Caregiver Burden Using the Ecological Model: Insights From Thailand's Older Population
  Phanida Juntasopeepun, Donna Z. Bliss, Jirawan Deeluea, Jittawadee Rhiantong
  Nursing & Health Sciences.2025;[Epub]     CrossRef
• Allocation‐routing problem in a multi‐hospital home hospitalization system: the case of a healthcare provider in Portugal
  Valentina Bonomi, Maria Lopes, Daniel Rebelo Santos, Renata Mansini, Ana Paula Barbosa‐Pòvoa
  International Transactions in Operational Research.2025;[Epub]     CrossRef
• Factors influencing the care burden among family caregivers using dementia care centers for older adults with dementia in Korea: a cross-sectional descriptive study
  Ja Eun Kim, Soo Jin Lee
  Journal of Korean Biological Nursing Science.2024; 26(4): 382.     CrossRef
• Resilience of Family Caregivers of People With Dementia in South Korea: A Scoping Review
  Hyun‐Ju Seo, Song‐I Park, Min‐Jung Choi, Il‐Han Choo, Jeong‐Hwan Park
  International Journal of Older People Nursing.2024;[Epub]     CrossRef
• Mason Caregivers Aiming for Resilience, Empowerment, and Support Study: Assessing Family Caregiver Burden Post-Intervention
  Gilbert Gimm, Shannon Layman, Megumi Inoue, Emily S. Ihara, Harveen Pantleay, Catherine J. Tompkins
  Journal of Applied Gerontology.2024; 43(9): 1274.     CrossRef
• The Relationships between Caregiver Burden, Physical Frailty, Race, Behavioral and Psychological Symptoms (BPSD), and Other Associated Variables: An Exploratory Study
  Carl I. Cohen, Saeed Hashem, Kay Thwe Kyaw, Sharon A. Brangman, Suzanne Fields, Bruce R. Troen, Michael Reinhardt
  Medicina.2024; 60(3): 426.     CrossRef
• Exploring Factors Influencing Caregiver Burden: A Systematic Review of Family Caregivers of Older Adults with Chronic Illness in Local Communities
  Jin Young Choi, Seon Heui Lee, Soyoung Yu
  Healthcare.2024; 12(10): 1002.     CrossRef
• CBD Oil as a Miracle Drug: A Thematic Analysis of Caregivers’ Attitudes and Practices Towards Cannabidiol in Dementia Treatment
  Urszula Kłosińska, Magdalena Leszko
  Journal of Drug Issues.2024; 54(1): 38.     CrossRef
• The Lived Experience of Informal Caregivers of People Who Have Severe Mental Illness and Coexisting Long‐Term Conditions: A Qualitative Study
  C. Carswell, J. V. E. Brown, D. Shiers, R. Ajjan, A. Balogun‐Katung, S. Bellass, R. I. G. Holt, R. Jacobs, I. Kellar, C. Lewisohn, J. Lister, N. Siddiqi, I. Sidorova, P. Coventry
  Health Expectations.2024;[Epub]     CrossRef
• Factors related to depression in primary caregivers of older adults with dementia in the COVID-19 pandemic era: A cross-sectional descriptive study
  Su-In Kim, Gwi-Ryung Son Hong
  Journal of Korean Gerontological Nursing.2023; 25(4): 420.     CrossRef
• The impact of aromatherapy-based oral care on oral conditions, salivary pH, and halitosis in older adults with dementia: Pilot study
  Ae Kyung Chang, Bo kyoung Kim, Ah Young Kim
  Geriatric Nursing.2023; 53: 109.     CrossRef
• Factors related to the organizational silence of Korean nurses: A systematic review and meta-analysis
  Kyungja Kang, Jeong-Hee Kim
  The Journal of Korean Academic Society of Nursing Education.2023; 29(3): 302.     CrossRef
• Perceptions of Burden and Preparedness for Caregiving among the Family Caregivers of Hospitalised Older Adults: A Cross-Sectional Study
  Carla Gomes da Rocha, Béatrice Perrenoud, Anne-Sylvie Ramelet
  Geriatrics.2022; 7(1): 19.     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
• Behavioural and psychological symptoms of dementia in patients with Alzheimer’s disease and family caregiver burden: a path analysis
  Bokyoung Kim, Gie Ok Noh, Kyunghee Kim
  BMC Geriatrics.2021;[Epub]     CrossRef
• A systematic review of interventions for family caregivers of the elderly with dementia in Korea
  Seonghee Jeong, Jeonghae Hwang, Doonam Oh
  The Journal of Korean Academic Society of Nursing Education.2021; 27(3): 306.     CrossRef
• The Impact of Dementia Knowledge and Attitude on Caregiving Appraisal among Caregivers of Older Adults with Dementia Using Dementia Care Centers
  Ji Yeon Hong, Dukyoo Jung
  Journal of Korean Gerontological Nursing.2020; 22(4): 348.     CrossRef
• Relationship between Caring Burden and Caring Behavior among Family Caregivers of Elderly with Dementia in Community-Dwelling: Mediating Effects of Caring Self-Efficacy and Social Support
  Young Ju Oh, Myung Ha Lee, Hee Sun Kim
  Korean Journal of Adult Nursing.2020; 32(2): 186.     CrossRef

PURPOSE
The aims of this study were to develop the unit specialist-led pressure ulcer nursing algorithm for hospital nurses, and to examine its clinical adequacy.
METHODS
The study used a methodological design. The algorithm was developed through the Analysis, Design, Development, Implementation, and Evaluation (ADDIE) model using the combination of systematic review, clinical staff interview, and expert panel interview. Thirty nurses in two hospital units applied the algorithm to 30 patients from September 7, 2017 to September 20, 2017.
RESULTS
The contents of the nursing algorithm included roles of the unit specialist, application of the algorithm, assessment, nursing interventions, and documentation. The algorithm had acceptable validity of Scale-level Content Validity Index (S-CVI) from .93 to .95. The Braden scale scores were significantly improved from 12.37±3.30 to 13.67±3.59 (t=20.55, p<.001) in the patients who used the algorithm. The hospital unit nurses rated the algorithm's clinical adequacy as acceptable, with a mean score ranging from 3.30±0.65 to 3.67±0.48. The most highly rated item was that “pressure ulcer has been detected and managed promptly”.
CONCLUSION
The unit specialist-led pressure ulcer nursing algorithm in general hospital units facilitated the prompt and accurate decision-making for hospital unit nurses. Using this algorithm, the hospital unit nurses will be able to provide relevant and prompt care for pressure ulcer prevention and management.

Citations

• Development and Testing of an Algorithm to Prevent Medical Device–Related Pressure Injuries
  Yeong-Mi Seong, Hyejin Lee, Ji Min Seo
  INQUIRY: The Journal of Health Care Organization, Provision, and Financing.2021;[Epub]     CrossRef
• A Review II for Standardization of Textbooks of Fundamentals of Nursing: Medication Administration, Infection Control, Pressure Injury
  Youngshin Song, Ji-Su Kim, Soohyun Park
  Journal of Korean Academy of Fundamentals of Nursing.2020; 27(2): 198.     CrossRef

PURPOSE
This study aimed to construct and test the structural relationships between self efficacy and clinical performance among undergraduate nursing students. The model was based on Bandura's self efficacy theory and a review of previous studies. The hypothesized model included emotional intelligence as a personal factor, self efficacy as self efficacy beliefs, problem solving ability as a skill, and clinical performance as a performance.
METHODS
Data were collected from June 23 to August 11, 2014 using structured questionnaires. The study sample was 205 senior nursing students. Data were analyzed using SPSS/WIN 21.0 and AMOS 21.0 programs.
RESULTS
The hypothesized model was shown to be χ2=183.186 (dF=118), Goodness-of- Fit Index (GFI)=.91, Normed Fit Index (NFI)=.91, Comparative Fit Index (CFI)=.96, and Root Mean Squared Error of Approximation (RMSEA)=.05. Self efficacy (β=.29 p=.033) and problem solving ability (β=.42 p=.007) had a direct effect on the clinical performance. Furthermore, self efficacy had mediating effect on the relationship between emotional intelligence and clinical performance.
CONCLUSION
These findings provide that when developing nursing curriculum and intervention programs, self efficacy and problem solving ability should be considered as key factors facilitating the clinical performance of nursing students. Moreover, consideration should be given to the indirect effects of emotional intelligence subscales on clinical performance via self efficacy and problem solving ability.

Citations

• Examining the impact of emotional intelligence on job performance with the mediating role of clinical competence in nurses: a structural equation approach
  Gholamhossein Mehralian, Shima Bordbar, Jamshid Bahmaei, Ali Reza Yusefi
  BMC Nursing.2025;[Epub]     CrossRef
• The relationship between emotional intelligence, self-efficacy, and clinical decision-making among critical care nurses in Jordan
  Mohammed R. AL Btoush, Malakeh Z. Malak, Shaher H. Hamaideh, Ahmed H. Shuhaiber
  Journal of Human Behavior in the Social Environment.2025; 35(3): 454.     CrossRef
• The mediating role of self-efficacy in nursing students’ initial clinical practice experience
  Mensure Turan, Zeliha Cengiz
  Teaching and Learning in Nursing.2025;[Epub]     CrossRef
• Cultural and emotional intelligence correlates with healthy lifestyles
  Keisuke Kokubun, Kiyotaka Nemoto, Yoshinori Yamakawa
  Acta Psychologica.2025; 255: 104854.     CrossRef
• Determinants of Problem‐Solving Skills of Nursing Students: Solution‐Focused Thinking Skills and Emotional Intelligence
  Alime Selçuk Tosun, Nurcan Akgül Gündoğdu, Dilek Avci, Emine Selda Gündüz
  Journal of Evaluation in Clinical Practice.2025;[Epub]     CrossRef
• Emotional intelligence in medical education: Its role in professional identity formation: AMEE Guide No. 186
  Shereen El Tarhouny, Amira Hassouna, Tayseer Mansour
  Medical Teacher.2025; : 1.     CrossRef
• Investigating the relationship between happiness and self-esteem with self-efficacy in the clinical performance of midwives working in medical centers and comprehensive health services
  Zahra Mohebbi-Dehnavi, Mahnaz Noroozi
  Journal of Education and Health Promotion.2024;[Epub]     CrossRef
• The relationship between difficulties in emotion regulation and solution-focused thinking in nursing students
  Emre Ciydem
  Nurse Education in Practice.2024; 79: 104088.     CrossRef
• COVID-19 Pandemi Süreci Uzaktan Eğitim Döneminde Hemşirelik Öğrencilerinde Anksiyete ve Klinik Performans Öz-Yeterlilik Algısı İlişkisi
  Yeliz AKKUŞ, Nihal BOSTANCI DAŞTAN
  Sağlık Bilimlerinde Değer.2024; 14(1): 106.     CrossRef
• Exploring the Self-efficacy and Its Influencing Factors of University Nursing Students in Taiwan during the Clinical Practicum
  I-Ju PAN, Pin-Cheng YEN, Yi-Hui Liu
  Journal of Comprehensive Nursing Research and Care.2024;[Epub]     CrossRef
• Relationship between nursing students’ levels of liking children and self-efficacy in paediatric medication administration
  Mehmet Bulduk, Veysel Can, Eda Nur Muhafiz
  BMC Medical Education.2024;[Epub]     CrossRef
• Predicting New Graduate Nurses’ Retention during Transition Using Decision Tree Methods: A Longitudinal Study
  Taewha Lee, Yea Seul Yoon, Yoonjung Ji
  Journal of Nursing Management.2024; 2024: 1.     CrossRef
• THE RELATIONSHIP BETWEEN EMOTIONAL INTELLIGENCE WITH JOB PERFORMANCE AND OCCUPATIONAL STRESS IN NURSES WORKING IN EDUCATIONAL AND MEDICAL CENTERS IN URMIA IN 2022
  Rozita Cheraghi, Laleh Almasi, Vahid Alinejad, Nader Aghakhani, Madineh Jasemi, Samereh Eghtedar
  Nursing and Midwifery Journal.2023; 21(7): 575.     CrossRef
• Factors Influencing Nurses’ Job Performance in Korea and Mongolia: A Cross-Sectional Study
  Zolzaya Bayarsaikhan, YunHee Shin
  Journal of Korean Academy of Fundamentals of Nursing.2023; 30(3): 404.     CrossRef
• Emotional Intelligence among Nurses and Its Relationship with Their Performance and Work Engagement: A Cross-Sectional Study
  Fatimah Turjuman, Bayan Alilyyani, Majed Alamri
  Journal of Nursing Management.2023; 2023: 1.     CrossRef
• A study on Emotional Intelligence & Empathy in Allied Vision Sciences Students
  Muhammad Shaheer, Asima Rafique, Zahid Kamal Siddiqui, Ummarah Rasheed
  Journal of Rawalpindi Medical College.2023;[Epub]     CrossRef
• Developing nursing students' self-efficacy and problem solving skills via high-fidelity simulation
  Zeliha Cengiz, Züleyha Gürdap, Hatice Oltuluoğlu, Hakime Aslan, Seher Çevik Aktura
  Teaching and Learning in Nursing.2023; 18(4): e167.     CrossRef
• Impact of emotional intelligence on work performance: The mediating role of occupational stress among nurses
  Abdulaziz Mohsen Alsufyani, Ahmad Eissa Aboshaiqah, Fawzeih Ayed Alshehri, Yasir Mohsen Alsufyani
  Journal of Nursing Scholarship.2022; 54(6): 738.     CrossRef
• İlkokul Öğrencilerinde Problem Çözmenin Yordayıcıları Olarak Duygusal ve Psikolojik İyi Oluş ile Yaşam Doyumu
  Mehmet Enes SAĞAR
  Afyon Kocatepe Üniversitesi Sosyal Bilimler Dergisi.2022; 24(4): 1274.     CrossRef
• The Mediating Effect of Self-Regulated Learning on the Relationships Among Emotional Intelligence, Collaboration, and Clinical Performance in Korean Nursing Students
  Sun-Hee KIM
  Journal of Nursing Research.2022; 30(3): e212.     CrossRef
• Nursing students’ confidence in clinical competency and job readiness during the COVID-19 pandemic era
  Kyung-Sook Bang, Jeong Hee Kang, Eun Sook Nam, Mi Yeul Hyun, Eunyoung Suh, Sun-Mi Chae, Heeseung Choi, Da-Ae Shin
  The Journal of Korean Academic Society of Nursing Education.2021; 27(4): 402.     CrossRef

PURPOSE
This study was conducted to identify factors associated with oncology nurses' adherence to Chemotherapy-Induced Neutropenia (CIN) guidelines based on Pender's Health Promotion Model (HPM).
METHODS
For this cross-sectional descriptive study, 187 nurses who worked at the oncology department of Channam National University Hawsun Hospital responded to self-administered questionnaires. A tool for CIN guideline adherence was developed through systematic search, synthesis, translation, and content validation. Data collection was conducted by a trained research assistant from September 18 to September 26, 2017. Data were analyzed using independent t-test, one-way ANOVA, Pearson's correlation coefficient, and stepwise multiple regression.
RESULTS
Stepwise multiple regression showed that guideline adherence was associated with CIN education (β=.26, p<.001), self-efficacy (β=.17, p=.018), perceived benefits (β=.16, p=.026), interpersonal factors (β=.16, p=.043), and educational level (β=.14, p=.030).
CONCLUSION
The findings of this study could be used to develop interventions focusing on CIN education and for the strengthening oncology nurses' self-efficacy and beliefs to promote adherence to CIN guidelines. In addition, repeated studies would be needed to verify application of Pender's HPM to explain nurses' adherence.

PURPOSE
The purpose of this study was to assess the awareness of warning signs of stroke and identify the risk factors influencing such awareness among diabetics with hypertension who are at a high risk for stroke.
METHODS
Data from the 2017 Korea Community Health Survey were used. A total of 15,536 adults older than 30 years diagnosed with hypertension and diabetes mellitus were included in the final analysis. Data were analyzed using frequency, percentage, χ2 test, and logistic regression with SPSS/WIN 24.0 program.
RESULTS
Among the five warning signs of stroke, “sudden trouble in speaking or understanding” (79.0%) was the most commonly identified one and “sudden severe headache with an unknown cause” (65.2%) was the least. Only 48.8% participants identified all five warning signs and 11.8% could not identify any of them. In the logistic regression model, the risk of unawareness of warning signs of stroke was significantly higher among those aged 30~49 years and 70 years or older, with a lower educational level, without a spouse, and with a heavy alcohol consumption and current smoking status.
CONCLUSION
The level of awareness of warning signs was low in hypertensive diabetic adults. To improve awareness of warning signs of stroke, a customized educational program should be provided to hypertensive diabetic adults considering the risk factors relevant to unawareness of warning signs of stroke. The education on warning signs of stroke can potentially lead to a reduction in morbidity in the survivors.

Citations

• Factors Influencing Participation in Hypertension Management Education Among Diagnosed Hypertensive Patients in Busan: Utilizing the 2021 Community Health Survey
  Hye Jung Jun, Kyoung Mi Kim
  Research in Community and Public Health Nursing.2024; 35: 424.     CrossRef
• Capsular warning syndrome and its clinical awareness and therapeutic approach: two case reports and a systematic review of the literature
  Hector R. Martínez, Jose A. Figueroa-Sanchez, Carlos A. Arreola-Aldape, Jose Alberto Moran Guerrero, Ana Luisa Trujillo-Bracho, Alejandro Cantú López
  Frontiers in Neurology.2023;[Epub]     CrossRef
• Comparison of Stroke Knowledge, Health Beliefs, and Stroke Prevention Behavior between Early and Middle-Aged Adults
  Eun Ko
  STRESS.2022; 30(2): 98.     CrossRef
• Blood Pressure Awareness and Knowledge of Cardio-Cerebrovascular Diseases in South Korean Women with Hypertension
  Yeo Won Jeong
  Healthcare.2021; 9(3): 360.     CrossRef
• The Effect of Residence in Underserved Emergency Medical Services Areas on Awareness of Myocardial Infarction Symptoms in Korea
  Mirae Jo, Heeyoung Oh, Suk-Yong Jang
  Journal of Health Informatics and Statistics.2021; 46(1): 8.     CrossRef

PURPOSE
The purpose of this paper was to develop a stage-matched intervention based on the TransTheoretical Model (TTM) for elderly women with chronic back pain in the contemplation and preparation stage and evaluate its effectiveness.
METHODS
Fifty elderly women with chronic back pain (experimental group, n=25; control group, n=25) was recruited from elderly welfare centers. The research was a nonequivalent control group pre- posttest experimental design. The process of change for exercise, exercise decisional balance, and exercise self-efficacy were used as interventional strategies. To examine the effectiveness of this program, the dependent variables, back pain and muscle strength, were measured before, immediately after, and 4 weeks after the intervention, from May 16 to August 26, 2016. The data were analyzed with the χ2 test, independent t-test, two way repeated measured ANOVA.
RESULTS
The process of change for exercise, exercise self-efficacy, and muscle strength were improved and back pain was decreased in the experimental group as compared with the control group.
CONCLUSION
The results of this study suggest that the stage-matched intervention was effective for improving the process of change for exercise, exercise self-efficacy, and muscle strength in elderly women with chronic back pain in the contemplation and preparation stage. It's wider implementation in community settings will promise promoted exercise activity among elderly women with chronic back pain.

Citations

• Relationships Between Socioecological Factors and Self-Efficacy to Participate in Physical Activity for Adults With Chronic Musculoskeletal Pain: An Integrative Review
  Mark Vorensky, Stephanie L Orstad, Allison Squires, Susan Parraga, Katherine Byrne, Ericka N Merriwether
  Physical Therapy.2024;[Epub]     CrossRef
• Effect of integrated exercise therapy and psychosocial interventions on self-efficacy in patients with chronic low back pain: A systematic review.
  Mark Vorensky, Tyler Murray, Andrew F. McGovern, Yera Y. Patel, Smita Rao, Mitchell Batavia
  Journal of Psychosomatic Research.2023; 165: 111126.     CrossRef

PURPOSE
This study compares the characteristics of patients with Chronic Obstructive Pulmonary Disease (COPD) according to hospitalization frequency due to Acute Exacerbation (AE) using a retrospective medical records review.
METHODS
From August to October 2017, COPD patients who had visited the chonnam national university hospital were classified into three groups: (1) not hospitalization (n=115), (2) hospitalized once owing to AE (n=79) and (3) hospitalized twice or more owing to AE (n=47), and their medical records were reviewed. Data were analyzed using χ2, Kruskal Wallis, and Mann-Whitney tests, and logistic regression.
RESULTS
Home oxygen therapy, metered dose inhaler use, long-acting beta2-agonist, and Inhaled Corticosteroids (ICS) were used most in patients who were hospitalized twice or more. Symptoms of dyspnea and fever, prescription of phosphodiesterase-4 and oral corticosteroid were the least frequent in the patients who were not hospitalized, and they had the best pulmonary function test results. Home oxygen therapy (Odds Ratio [OR]=9.59, 95% Confidence Interval [CI]=2.53~36.46), and prescribed ICS (OR=2.77, 95% CI=1.14~6.77) and phosphodiesterase-4 (OR=5.35, 95% CI=1.69~16.93) were significantly associated with COPD readmission. For patients who were hospitalized once, SpO2 (p=.016), the frequency of positive pressure ventilation therapy (p=.023) and monitoring of oxygen saturation in nursing activities (p=.022) were higher than that of patients who were hospitalized twice or more. There was no significant difference in discharge education between the two hospitalized groups.
CONCLUSION
Regardless of the severity of illness, presence of respiratory symptoms, drug prescribed, or admission frequency, there were no differences in nursing activities and discharge education.

Citations

• COPD Prevalence and Risk Factors in Korean Older Adults
  Do-Youn Lee
  The Journal of Korean Physical Therapy.2025; 37(1): 31.     CrossRef
• Development of a smartphone application for Korean patients with chronic obstructive pulmonary disease: Self-monitoring based action plans
  Ja Yun Choi, Maureen George, So Young Yun
  Applied Nursing Research.2021; 61: 151475.     CrossRef

PURPOSE
The purpose of this study was to explore influence of Type D personality of hemodialysis patients on quality of life and to elucidate mediation effects of depression and social supports between Type D personality and quality of life.
METHODS
The subjects were 126 patients who were receiving hemodialysis treatments at four dialysis clinics in Pusan and Daegu metropolitans. Data were collected from January 22th to February 28th, 2018 and analyzed with descriptive statistics, χ2 test, independent t-test, Pearson's correlation coefficient and three-step mediated regression analysis using SPSS/WIN 22.0. Significances of mediation effects were examined using bootstrapping method based on SPSS Process Macro program.
RESULTS
The prevalence of Type D personality in hemodialysis patients were 42.9%. Type D personality in hemodialysis patients had significant effects on quality of life, showing explanatory power of 12%. Depression showed complete mediating effects and also showed 42% of substantiating probability, and social supports showed partial mediating effects and showed 19% of substantiating probability.
CONCLUSION
Summing up the result of research until now, in order to improve the quality of life for Type D personality hemodialysis patient, it is necessary to develop strategies not only to relieve depression using early evaluation on depression status, consulting therapy, cognition behavior mediation and so on, but also to enhance social supports like participating in voluntary meetings and building up social network to expand relationship with close people.

Citations

• The impact of illness acceptance, depression, and social support on health-related quality of life in older adults on hemodialysis: A descriptive study
  Eunha Lee, Jungmin Kim
  Journal of Korean Gerontological Nursing.2025; 27(1): 106.     CrossRef
• Relationship Between Illness Adaptation and Type D Personality in Hemodialysis Patients
  Berna Akay, Canan Bozkurt, Nurdan Sahin
  Hemodialysis International.2025;[Epub]     CrossRef
• Relationships among Type-D Personality, Fatigue, and Quality of Life in Infertile Women
  Ju-Hee Nho, Eun Jin Kim
  Asian Nursing Research.2022; 16(4): 208.     CrossRef
• Mediating Effects of Self-Care Competence on the Relationship between Uncertainty and Quality of Life in Hemodialysis Patients
  Yoon Jung Chae, Jun Hee Ahn, Kyung Pyo Kang, Eunhee Jo
  Korean Journal of Adult Nursing.2020; 32(1): 67.     CrossRef

PURPOSE
This study aimed to examine the relationship between illness perception, stress, and sleep, focusing on the influence of illness perception on the quality of sleep through the mediating effect of stress in patients with metabolic syndrome risk factors.
METHODS
A cross-sectional correlational study was conducted with 219 patients with two metabolic syndrome risk factors. Participants were recruited from outpatient clinics in Daegu and Gyeongbuk between June and July 2016. Data were collected using a self-administered structured questionnaire that included items from the Brief Illness Perception Scale, the Perceived Stress Inventory, and the Pittsburgh Sleep Quality Index. Pearson's correlation coefficient, independent t-test, one-way ANOVA, multiple linear regression analysis, and a SPSS macro bootstrap approach were performed.
RESULTS
There were significant correlations between illness perception and sleep (r=.42, p<.001) and between stress and sleep (r=.49, p<.001). Illness perception was a significant predictor of stress (t=7.99, p<.001) and sleep (t=5.83, p<.001) after adjusting for the influence of age, gender, job status, and body mass index. A mediating effect of stress on the relationship between illness perception and sleep was demonstrated by Baron and Kenny's approach (Z=4.57, p<.001) and the PROCESS macro for SPSS (95% confidence interval=0.04~0.13).
CONCLUSION
This study suggests that the negative impact of illness perception on sleep can be reduced by regulating stress. Further, it is necessary to develop intervention programs that can reduce stress linked to the illness perception among patients with metabolic syndrome risk factors.

Citations

• Disease Perception, Stigma, Distress, Physical Symptom Experience and Quality of Life in Colorectal Cancer Patients Undergoing Chemotherapy: A Cross-Sectional Study
  Eun-Hee Lee, Dongwon Choi
  Journal of Korean Academy of Fundamentals of Nursing.2024; 31(4): 494.     CrossRef
• Illness perception and cardiovascular risk factors in patients with myocardial infarction undergoing percutaneous coronary intervention in Iran
  Aysan Thagizadeh, Akram Ghahramanian, Vahid Zamanzadeh, Naser Aslanabadi, Tonia C. Onyeka, Nargess Ramazanzadeh
  BMC Cardiovascular Disorders.2022;[Epub]     CrossRef