PURPOSE
This systematic review and meta-analysis was performed to confirm the effects of exercise on Breast Cancer-Related Lymphedema (BCRL) in breast cancer survivors.
METHODS
Totally, 1,614 articles were retrieved from databases including PubMed, Ovid MEDLINE, Embase, Cochrane CENTRAL, CINAHL, Korea Med, Kmbase, KISS, NDSL, KiSTi, and academic journals related to nursing in Korea between June 17 and 18, 2019. Fifteen Randomized Controlled Trials (RCTs) were selected for the analysis from June 19 to July 12, 2019. Cochrane's Risk of Bias assessed the quality and risk of bias of selected articles. Review Manager version 5.3 was used for the meta-analysis.
RESULTS
Studies were published since 2006 including a total of 1,109 participants who were diagnosed with or at risk of BCRL or had undergone surgery for breast cancer treatment. Although exercises were found ineffective for reducing upper extremity edema (Z=0.37, 95% Confidence Interval [CI]=−0.06~0.04, p=.710), they significantly improved shoulder Range of Motion (ROM), especially flexion (Z=5.88, 95% CI=3.06~6.12, p<.001) and abduction (Z=3.41, 95% CI=2.71~10.06, p<.001), upper extremity function (Z=4.02, 95% CI=−12.09~−4.17, p<.001), and Quality of Life (QoL) (Z=3.00, 95% CI=0.13~0.61, p=.003). Egger's regression test assessed publication bias (Intercept=3.75, t=1.79, df=8, p=.111).
CONCLUSION
Results suggest that exercise is beneficial to BCRL management, especially improvement of shoulder ROM, upper extremity function, and QoL. However, exercise must be performed carefully to prevent side effects. Therefore, nurses should continuously observe signs and symptoms related to BCRL and educate breast cancer survivors on safely performing exercise.

Citations

• A Narrative Inquiry of the Difficulties by Breast Cancer Survivors in the Sports Participating
  Ji Yeon Suh, Seami Lim, Junho Lee
  IJASS(International Journal of Applied Sports Sciences).2022; : 203.     CrossRef
• Funcionalidad y marcha en pacientes con linfedema de miembro inferior tratados mediante un programa de ejercicio terapéutico: serie de casos
  P. Toro, P. Araya-Castro, E. Srur
  Fisioterapia.2021; 43(3): 143.     CrossRef

PURPOSE
In Korea, cancer is the leading cause of death, and colorectal cancer accounts for a third of deaths caused by cancer. This study aimed to analyze the influence of hospital nurse staffing level on colorectal cancer evaluation grades, mortality rate, and the length of stay of patients who underwent surgery for colorectal cancer.
METHODS
Secondary data collected in 2016, 2018 from the Health Insurance Review and Assessment Service, was used to measure nurse staffing, based on the adjusted nursing grade in general units and was then categorized as adhering with or violating the Medical Service Act. The influence of the nurse staffing on colorectal cancer evaluation grades, and the mortality rate in 129 hospitals was analyzed using multivariate logistic regression and multivariate gamma regression, respectively, and its influence on length of stay was analyzed through hierarchical multiple regression.
RESULTS
Hospitals that adhered to the Medical Service Act in nurse staffing had significantly lower odds for poor colorectal cancer evaluation grades. Hospitals which nurse staffing adhered to the Medical Service Act had a significantly lower mortality rate than those that violated it (B=−0.51, p=.019), and had a significantly shorter length of stay (β=−.19, p=.034).
CONCLUSION
Improvement of nurse staffing levels, in compliance with the Medical Service Act is crucial to provide high-quality nursing services to patients undergoing colorectal cancer surgery and to decrease the mortality rate, and shorten the hospitalization period required for surgery and recovery.

Citations

• Machine Learning in Optimising Nursing Care Delivery Models: An Empirical Analysis of Hospital Wards
  Manar Aslan, Ergin Toros
  Journal of Evaluation in Clinical Practice.2025;[Epub]     CrossRef
• Mortality in orthopedic patients: a retrospective review of 333 medical records
  Kamran Shirbache, Asma Mafhoumi, Nazanin Anaraki, Elham Madreseh, Seyyed Hossein Shafiei, Nima Bagheri, Leila Oryadi Zanjani, Ahmadreza Nezameslami, Gholamreza Garmroudi, Mohammad Hossein Nabian
  European Journal of Orthopaedic Surgery & Traumatology.2025;[Epub]     CrossRef
• Factors Associated with In-Hospital Mortality in Acute Care Hospital Settings: A Prospective Observational Study
  Ana María Porcel-Gálvez, Sergio Barrientos-Trigo, Eugenia Gil-García, Olivia Aguilera-Castillo, Antonio Juan Pérez-Fernández, Elena Fernández-García
  International Journal of Environmental Research and Public Health.2020; 17(21): 7951.     CrossRef

PURPOSE
To identify the factors influencing Quality of Life (QoL) in rectal cancer patients and to examine whether perceived social support mediates the relationship between defecation function and QoL.
METHODS
Using self-report questionnaires, a descriptive survey was conducted with 131 rectal cancer patients who underwent anal sphincter-saving resection, in a large medical center in Korea. Data were collected between September and November, 2014, using research instruments validated in the Korean language. The data were analyzed using SPSS/WIN 21.0 and AMOS 21.0.
RESULTS
The mean age and post-surgical follow-up period of the participants were 59.0±10.2 years and 15.9±9.8 months, respectively. Multiple linear regression analysis revealed that, after adjusting for age and gender, defecation function, perceived social support, and employment status predicted QoL. Path analysis showed that perceived social support partially mediated the relationship between defecation function and QoL with a significant indirect effect.
CONCLUSION
These results suggest that a positive perception of social support from family and healthcare providers is necessary to improve the QoL of patients experiencing defecation dysfunction after rectal cancer surgery. To this end, periodic counseling and education from outpatient healthcare providers, during the postoperative follow-up period, could encourage patients to perceive higher social support.

Citations

• A causal model of health-related quality of life in colorectal cancer patients post-surgery
  Thi Hong Hanh Tran, Sureeporn Thanasilp, Noppamat Pudtong
  European Journal of Oncology Nursing.2024; 72: 102691.     CrossRef
• The Relationships among Social Support, Bowel Function Symptoms and Uncertainty in Rectal Cancer Patients
  Kyungmi Lee, Semi Lim
  Journal of Korean Academy of Fundamentals of Nursing.2021; 28(4): 421.     CrossRef

PURPOSE
This study aimed to identify the type and frequency of nursing activities targeting emergency department patients by analyzing electronic nursing records.
METHODS
This retrospective study identified the characteristics of and nursing activities for adult patients who visited a university hospital emergency department for 6 months from January to June 2018 by analyzing the hospital's electronic nursing records. Descriptive statistics and one-way analysis of variance were used to analyze the characteristics of patients and the nursing records.
RESULTS
A total of 36,435 patients, with an average age of 52.82±19.91 years and a male-to-female ratio of 1:1.16, participated in the study. The number of patients with Korean Triage and Acuity Scale levels 4 (less urgent) and 5 (non-urgent) were 24,403 (67% of the total number). Referrals were requested 1.21±0.54 times per patient. The most frequent NANDA diagnosis and Nursing Intervention Classification intervention were “Risk for unstable blood glucose level” (858, 28.4%), and “Surveillance” (83,131, 23.9%). The most frequent Clinical Care Classification action type was “Assess or Monitor” (313,729, 38.5%). The higher the severity level and the number of referrals, the more the recorded numbers of nursing diagnoses, interventions, and care activities.
CONCLUSION
This study demonstrated the possibility of nursing task analysis by identifying the type and frequency of nursing activities based on the data from electronic nursing records. Further research on electronic nursing records would contribute to the usefulness of these records for nursing workload analysis and effective workforce management.

Citations

• Improving Handover Efficiency for Emergency Nurses
  Seungeun Lee, Heeje Yun, Yukyung Lee, Minji Kang, Eunbi Jo, Sunjong Yoo, I Gyeong Jo, Jung Hwan Heo, Min Jin Choi
  Journal of Korean Academy of Nursing Administration.2024; 30(3): 294.     CrossRef
• An exploratory study of the practical impact of the COVID-19 pandemic on nursing tasks in clinical settings
  Younhee Kang, Hyeyoung Hwang
  Applied Nursing Research.2024; 76: 151790.     CrossRef
• Experiences of Recording Electronic Nursing Notes among Ward Nurses in Two Hospitals
  Hyunmi Hwang, Geun-Hee Kim, Yeoungsuk Song
  Journal of Korean Academy of Fundamentals of Nursing.2024; 31(4): 396.     CrossRef
• An exploratory study of nursing tasks that induce physical and mental stress among hospital nurses
  Younhee Kang, Aekyeong Jin
  Applied Nursing Research.2024; 80: 151853.     CrossRef
• Experiences of traumatic events, knowledge and attitudes concerning post-traumatic stress disorder, and resilience among nurses and paramedics working in emergency department
  Sun-Woo Hong, Kyung-Sook Bang, Hwal Lan Bang, Hye Jin Hyun, Miyoung Lee, Yu Na Jung
  The Journal of Korean Academic Society of Nursing Education.2023; 29(1): 86.     CrossRef
• Life‐Sustaining Treatment Decision in Palliative Care Based on Electronic Health Records Analysis
  Sanghee Kim, Arum Lim, Hyoeun Jang, Misun Jeon
  Journal of Clinical Nursing.2023; 32(1-2): 163.     CrossRef
• Use of the clinical care classification in South Korean nursing practice: Challenges and opportunities
  Hyeoun-Ae Park, Insook Cho
  International Journal of Medical Informatics.2023; 170: 104968.     CrossRef
• Effects on Triage Competency Based on Nursing Task Performance and Self-Efficacy of Nurses in Regional Emergency Medical Institutions
  Su Jin Kim, Su Ol Kim
  Korean Journal of Adult Nursing.2022; 34(3): 304.     CrossRef
• An Analysis of Tasks of Nurses Caring for Patients with COVID-19 in a Nationally-Designated Inpatient Treatment Unit
  Minho Jung, Moon-Sook Kim, Joo-Yeon Lee, Kyung Yi Lee, Yeon-Hwan Park
  Journal of Korean Academy of Nursing.2022; 52(4): 391.     CrossRef
• Association Between Symptoms of Patients With Heart Failure and Patient Outcomes Based on Electronic Nursing Records
  Seung Yeon Baik, Gi Wook Ryu, Hyangkyu Lee, Siwook Lee, Mona Choi
  CIN: Computers, Informatics, Nursing.2021; 39(12): 1027.     CrossRef
• Development of Addiction Prevention Care Program for Nurses
  Sungjae Kim, Se-Jin Joo, Young Ok Song, Jin-Gyung Cha, Jeongwoon Yang
  STRESS.2019; 27(4): 389.     CrossRef

PURPOSE
This study explored the care experience of persons assisting the disabled people with their activities.
METHODS
Concurrent triangulation mixed methods design was used. The quantitative data on care experience were collected from 370 personal assistants for the disabled persons from May 10 to June 30, 2017, while qualitative data were collected through focus group interviews with 11 personal assistants in August 2017.
RESULTS
The participants experienced unfair treatment including requests for doing work for the client's family or unrelated work (35.2%), violence or assault (23.6%), sexual harassment or interest (7.1%), and infection risk (7.1%). Many of them suffered from health problems such as work-related muscular pain, headache, or fatigue. There was low satisfaction with the psychosocial work environment and 16.2% participants experienced depression. The participants' care experience was classified into four categories of “feeling like giving up because of emotional difficulty”, “work overload and tough working condition”, “expectation to improve work confidence through practical skill training”, and “hope for systematic support”.
CONCLUSION
The results suggest that need-based emotional competence building programs are required to prevent their physical and emotional exhaustion among the personal assistants along with strengthening their job capacity. Furthermore, the decision makers need to pay attention to their work environment to ensure their emotional competence.

PURPOSE
This study attempts to explore the experiences of Hematopoietic Stem Cell Donation (HSCD) among donors and experts of HSCD-related institutions in South Korea.
METHODS
In July 2017, 7 donors and 8 experts with experience of HSCD-related work were interviewed. The transcribed data were qualitatively analyzed to identify major themes and sub-themes representing the experiences of the donors and experts.
RESULTS
The analysis indicated that donors' HSCD-related experiences were structured into 5 themes (“Lack of understanding of HSCD”, “Difficulty in decision-making regarding HSCD”, “Major hassles involving HSCD”, “Meaningful experiences and hopefulness” and “More effort by government and institutions for future donors”). The experts' experiences were structured into 4 themes (“Improving the donation procedure through government support”, “Improving the donation procedure through campaign reinforcement”, “Donors' characteristics”, and “Meaning of my job”).
CONCLUSION
HSCD-related institutions must manage donors more carefully. This would involve keeping them aware of what they are likely to experience throughout the donation procedure, follow-up monitoring, and continuous support. Efforts should be taken to inform nurses involved in HSCD of research on donors' experiences, and they must be systematically trained to ease donors' difficulties.

Citations

• Physical and Psychological Discomfort Experienced by Hematopoietic Stem-Cell Donors
  Miok Kim, Tai-Gyu Kim, Su-Hee Beom
  International Journal of Environmental Research and Public Health.2020; 17(7): 2316.     CrossRef

PURPOSE
The purpose of this study was to identify the significance and structure of the painful experience of primary decision-makers regarding the Do-Not-Resuscitate (DNR) instruction.
METHODS
This study was a qualitative research based on Parse's qualitative research method. Participants were 7 family members who were primary decision-makers for regarding DNR instruction for the family member from July 28, to October 6, 2018.
RESULTS
The core concepts of the difficulties of the participants were Distress emerging from the pitiful condition of the patient, guilt, sadness and regret, Seeking comfort for loved ones, Uncertainty of DNR decision, Planning the resumption of daily life and decision about own DNR. The painful experience of participants can be defined as the process of empowering the patient through verbal communication with them, by valuing them, and by enabling them to overcome their limitations.
CONCLUSION
The result of this study is expected to contribute to a deep understanding of primary DNR decision-makers' suffering and developing guidelines for nursing care for health care professionals and primary DNR decision-makers who provide end-of-life care to the patients.

Citations

• Nurse's, physician's and family member's experiences of withholding or withdrawing life‐sustaining treatment process in an intensive care unit
  Hye Ri Choi, Sheila Rodgers, Jennifer Tocher, Sung Wook Kang
  Journal of Clinical Nursing.2023; 32(15-16): 4827.     CrossRef

PURPOSE
The purpose of this study was to identify the relationship between the supportive care needs and quality of life of back-to-work breast cancer survivors, and determine the factors that affect their quality of life.
METHODS
Data were collected from 146 patients who had undergone surgery and treatment for breast cancer at Konyang University Hospital in Daejeon city and were receiving outpatient care from December 21, 2017 to November 30, 2018. The collected data were analyzed using the SPSS/WIN 21.0 program with descriptive statistics, an independent t-test, a one-way ANOVA, the Duncan test, Pearson's correlation coefficient, and hierarchical multiple regression.
RESULTS
Back-to-work breast cancer survivors show higher physical and mental health indices, which reflect quality of life, when they have fewer physical supportive care needs. Additionally, their physical and mental health indices based on the characteristics of the illness differed according to the cancer stage.
CONCLUSION
It is necessary to develop and test the effectiveness of health education programs that meet the supportive care needs and improve the quality of life of breast cancer survivors returning to work.

Citations

• Return-to-Work Support Needs and Influencing Factors Among Korean Young Adult Cancer Survivors: A Cross-Sectional Study
  Kisook Kim, Hyohyeon Yoon
  Oncology Nursing Forum.2025; 52(2): 151.     CrossRef
• Validity and Reliability of the Korean Version of Supportive Care Needs Survey-Short Form 34 for Patients With Cancer: A Methodological Study
  Eun Ji Park, Hye Young Kim, Ju-Hee Nho, Eun Ko, Allison W. Boyes
  Asian Nursing Research.2025; 19(1): 60.     CrossRef
• Factors affecting return to work in breast cancer survivors in Korea: a cross-sectional study
  Kate J. Sohn, Sung Hae Kim, Hyojin Lee, Sue Kim
  Women's Health Nursing.2024; 30(4): 277.     CrossRef
• The Impact of Symptom Burden, Social Support, Self-Efficacy, and eHealth Literacy on the Quality of Life of Patients Undergoing Breast Cancer Treatment: A Cross-Sectional Study
  Bang-Eun Lee, Ju-Yeon Uhm
  Journal of Korean Academy of Fundamentals of Nursing.2023; 30(3): 345.     CrossRef
• Unmet supportive care needs of breast cancer survivors: a systematic scoping review
  Rongrong Fan, Lili Wang, Xiaofan Bu, Wenxiu Wang, Jing Zhu
  BMC Cancer.2023;[Epub]     CrossRef
• Impact of post-treatment symptoms on supportive care needs among breast cancer survivors in South Korea
  Unhee Kim, Ju-Young Lee
  Asia-Pacific Journal of Oncology Nursing.2023; 10(10): 100295.     CrossRef
• Factors associated with the quality of work life among working breast cancer survivors
  Juhyun Jin
  Asia-Pacific Journal of Oncology Nursing.2022; 9(2): 97.     CrossRef
• Cancer Survivorship Care and Roles of Oncology Nurses
  Eun Young Park
  Asian Oncology Nursing.2022; 22(3): 121.     CrossRef
• Supportive care needs of patients after breast cancer surgery
  Slobodan Tomić, Sanja Tomić, Milena Mikić, Goran Malenković
  Sestrinska rec.2022; 25(84): 4.     CrossRef
• Factors Influencing Supportive Care Needs of Colorectal Cancer Survivors
  Hyekyung Kim, Yang-Sook Yoo
  Asian Nursing Research.2021; 15(1): 60.     CrossRef
• Factors Influencing Quality of Life among Cancer Survivors: Based on the Korean National Health and Nutrition Examination Survey (KNHANES) for 2019
  Hee Jung Kim
  The Korean Journal of Rehabilitation Nursing.2021; 24(2): 109.     CrossRef
• Factors Affecting Quality of Work Life in a Sample of Cancer Survivor Female Nurses
  Ju Hyun Jin, Eun Ju Lee
  Medicina.2020; 56(12): 721.     CrossRef
• A Narrative Inquiry into the Adjustment Experiences of Male Bladder Cancer Survivors with a Neobladder
  So Hee Kim, Eunjung Ryu, Eun-Ju Kim
  International Journal of Environmental Research and Public Health.2020; 17(21): 8260.     CrossRef

PURPOSE
This study was conducted to identify cardiovascular risk factor cluster types in early middle-aged male workers in their 30s and 40s, and to identify differences in awareness of mobile health and preventive health behaviors by cluster type.
METHODS
This study adopted a cross-sectional descriptive design. Male workers aged 30~49 years with cardiovascular risk factors (n=166) at three medical device manufacturers in June, 2019 were recruited. Self-reported questionnaires were administered. K-means cluster analysis was performed using four measurement tools: e-health literacy, behavior of seeking health information on the internet, intent to use mobile health, and preventive health behavior.
RESULTS
Three cluster groups were identified based on 7 risk factors: "unhealthy behavior (51.8%)", "chronic disease (28.9%)", and "dyslipid · family history (19.3%)". In the "unhealthy behavior" group where more than 70% of the participants were smoking and drinking heavily, the awareness of mobile health utilization such as behavior of seeking information on the internet and intent to use mobile health, especially usefulness, was significantly lower than that in the other two groups. The preventive health behavior was also the lowest among the three groups.
CONCLUSION
We suggest that when planning for mobile-use cardiovascular prevention education for early middle-aged male workers, it is necessary to consider a cluster of risk factors. Strategies for raising positive awareness of the use of mobile health should be included prior to cardiovascular health education for workers with unhealthy lifestyles such as smoking and excessive drinking alcohol.

Citations

• The Moderating Effect of Mental Health on the Relationship Between Cardiovascular Disease Awareness and Health Behaviors of Middle-Aged Korean Chinese Workers With Cardiovascular Risk Factors in Korea
  Yu Zhu Zhang, Seon Young Hwang
  Journal of Transcultural Nursing.2023; 34(2): 131.     CrossRef
• Comparison of Factors Related to Health Behavior for Cardiocerebrovascular Disease Prevention in Middle-Aged Women with and without Depression
  Eun Ko, Hyukjoon Kim
  Journal of Korean Academy of Fundamentals of Nursing.2022; 29(4): 543.     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
• 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

PURPOSE
This study aims to identify the effects of health literacy and stroke knowledge on adherence to self-care behavior among the elderly with ischemic stroke.
METHODS
The participants were 92 outpatients aged 65 or older with ischemic stroke, who were visiting the neurology or neurosurgery departments of two general hospitals in Chungcheongbuk-do between November 20, 2018, and April 9, 2019. The SPSS/WIN 23.0 program was used to analyze descriptive statistics, independent t-tests, and one-way ANOVA, and multiple regression.
RESULTS
The mean age of participants was 73.25±5.72 and the proportion of men was 71.7%. The average score for health literacy, stroke knowledge, and adherence to self-care behavior were 9.26±2.32, 10.34±2.53, and 81.67±14.72, respectively. There were statistically significant differences in adherence to self-care behavior according to living and time since stroke. Adherence to self-care behavior and health literacy showed a statistically significant positive correlation with stroke knowledge. Stroke knowledge, living alone, and time since stroke(less than one year) were significantly related to the adherence to self-care behavior. This regression model explained 24.0% of the variance in the adherence to self-care behavior.
CONCLUSION
To improve the adherence to self-care behavior in the elderly with ischemic stroke, it is necessary to develop and implement educational program for those who live alone and who have experienced stroke less than one year previously.

Citations

• Stroke knowledge and health-promoting behaviors: Mediating effect of patient self-esteem
  GyeongChae MUN, JaeLan SHIM
  Patient Education and Counseling.2024; 129: 108398.     CrossRef
• Two stroke education programs designed for older adults
  Jeongha Sim, Chanam Shin
  Geriatric Nursing.2024; 55: 105.     CrossRef
• Mediating effects of patient safety perception and willingness to participate in patient safety on the relationship between health literacy and patient participation behavior among inpatients
  Mi Hwa Won, Sun-Hwa Shin
  Frontiers in Public Health.2024;[Epub]     CrossRef
• Impact of Mobile Health Literacy, Stroke-Related Health Knowledge, Health Beliefs, and Self-Efficacy on the Self-Care Behavior of Patients with Stroke
  Hana Kim, Aro Han, Hyunjung Lee, Jiwoo Choi, Hyohjung Lee, Mi-Kyoung Cho
  Healthcare.2024; 12(19): 1913.     CrossRef
• Predictive Model of Self-management in Patients With Stroke Based on the Information-Motivation-Behavioral Skills Model
  Sung Reul Kim, Sunho Kim, Hye Young Kim, Kyung-Hee Cho
  Journal of Cardiovascular Nursing.2023; 38(2): 158.     CrossRef
• Health Literacy in Neurosurgery: A Scoping Review
  Nathan A. Shlobin, Jonathan Huang, Sandi Lam
  World Neurosurgery.2022; 166: 71.     CrossRef
• Factors Influencing Health Behavior Compliance in Adult Moyamoya Patients
  Bo Eun Kim, Ju-Eun Song
  Journal of Korean Academy of Nursing.2021; 51(1): 80.     CrossRef
• Mediating Effects of Self-Care Competence on the Relationship between Uncertainty and Quality of Life in Stroke Patients
  Eunhee Jo, Su-Jin Lee, Jung-Hwa Jo
  Korean Journal of Adult Nursing.2021; 33(1): 56.     CrossRef