PURPOSE The purpose of this study was to identify how self-care agency and social support influence self-care practices among spinal cord injured patients. METHODS 106 spinal cord injured patients were recruited from April 12 to May 28, 2016. Structured questionnaires used were the Korean version of the Appraisal of the Self-Care Agency Scale Revised (ASAS-R), the Social Support Scale, and the Spinal Cord Injury Lifestyle Scale (SCILS). Data were analyzed using descriptive statistics, t-test, one-way ANOVA, Pearson correlations, and Stepwise multiple regression analysis with the SPSS/WIN 23.0 program. RESULTS Self-care practices had a significant association with self-care agency (β=.30, p=.002), social support (β=.24, p=.010), and monthly income (β=.18, p=.038). A total of 21.5% of the variance explained the self-care practice among spinal cord injured patients and was explained by self-care agency, social support, and monthly income. The self-care agency was the factor most influential on self-care practices among spinal cord injured patients explaining 15.4% of variance. CONCLUSION The result suggests that developing strategies enhance spinal cord injured patients' self-care agency and self-care practices.
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PURPOSE This study was to explore and describe their experience of living with a colostomy. METHODS The data were collected by in-depth interviews with eight patients with colorectal cancer. The individual interviews lasted from 45 minutes to one hour each time, up to two times. The main questions were “How do you cope with the distress related to your colostomy?†The interview data were analyzed using Colaizzi's phenomenological method. RESULTS Of the eight participants, five were men and three were women. Mean age was 60.6 years. Three theme clusters were identified; ‘overcoming adversity of ostomy’, and ‘adjustment to ostomy’ and ‘new life through self-transcendence’. CONCLUSION These results showed that participants try to overcome their negative images and distress of having an ostomy by themselves, or with support from neighbors, families, religious persons or health professionals. The results from this study can help nurses to develop effective colostomy-caring interventions for patients living with a colostomy.
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PURPOSE This study was a meta-analysis of the effects of exercise intervention in preventing falls among persons with arthritis. METHODS The review consisted of searches from Pubmed, Ovid-MEDLINE, CINAHL, EMBASE and Korean DBs using PICO-SD format. Key words for searching included ‘arthritis’, ‘exercise’, ‘fall’ and the articles published until January 2017 were selected for this study. Methodological quality was assessed using Cochrane's Risk of Bias for randomized studies and Risk of Bias Assessment tool for non randomized studies. Data were analyzed by the RevMan 5.3 program of Cochrane Library. RESULTS Nineteen clinical trials met the inclusion criteria with a total of 832 participants. There were significant differences in Tai Chi exercise (ES=0.76), exercise interventions performed over 60 minutes at one time (ES=0.98), exercise interventions provided once a week (ES=0.69) or 2~3 times a week (ES=0.65), exercise interventions provided for a total of 12 weeks or less (ES=0.86). The outcome measures such as balance (ES=0.66), fall efficacy (ES=0.70), and fear of falling (ES=−0.70) showed the significant difference, and their effect sizes were ranged from moderate to large. CONCLUSION The results of the study show that the exercise intervention is effective to prevent fall in persons with arthritis. It is necessary to include the comprehensive exercise interventions to enhance balance and fall efficacy and reduce fear of falling for the fall prevention program in persons with arthritis.
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PURPOSE The purpose of this study was to understand and describe the adjustment experiences of nurses to an oriental medical unit. METHODS Fourteen nurses who worked or were working in oriental medical units participated. Data were collected through in-depth interviews from April to December, 2013. Analyses of the transcribed interviews were done using Corbin and Strauss's grounded theory. RESULTS Through the constant comparative analysis method, the central phenomenon was identified as ‘constant mental fluctuation’. Nurses reported their adjustment to an oriental medical unit through four stages. The stages were described as ‘the discouraged’ stage, ‘the conflicted’ stage, ‘the restructuring’ stage and lastly ‘the coexistence’ stage. CONCLUSION As the participants reported the process of adjusting, they reported continuous constant conflicts and struggles with the oriental medical doctors, the nursing department, patients and their guardians and lastly with themselves. The process of becoming integrated into an oriental medical unit is a complex study and should be studied further in terms of whether this process is the same or different adjusting to other units.
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PURPOSE The purpose of this study was to develop a Self-Management Scale for Hemodialysis Patients on Arteriovenous Fistula (SMHDP) and to verify its validity and reliability. METHODS Items for the preliminary instrument of the SMHDP-scale were created through a literature review and in-depth interviews with hemodialysis patients and hemodialysis unit nurses. A convenient sample was utilized for this study. The questionnaire was distributed to 200 hemodialysis patients with arteriovenous fistula. Content validity, construct validity, criterion validity, convergent validity, and discriminative validity were evaluated respectively. Cronbach's α was used to evaluate the reliability of the SMHDP-scale. RESULTS Five factors were identified through factor analysis. The factors included dietary knowledge of hemodialysis (8 items), compliance with hemodialysis (7 items), knowledge of hemodialysis (6 items), dietary compliance of hemodialysis (6 items), and compliance with hemodialysis order (3 items).These five factors explained 58.9% of the total variance. The correlation coefficient between criterion instrument and SMHDP-scale was .66 Reliability analysis showed Cronbach's α coefficient was .90. CONCLUSION Results show that the SMHDP-scale had good reliability and validity and thus SMHDP-scale may be a useful scale for clinical practices and for research as a measure of self-management of hemodialysis patient on arteriovenous fistula.
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PURPOSE This study was performed to identify the mediating effect of resilience in the relationship between post-traumatic stress disorder (PTSD) and quality of life (QoL) among patients with ostomy. METHODS A crosssectional survey design was used. A convenience sample of 150 patients with ostomy was recruited from three hospitals located in Gwangju and Chonnam province in Korea. Data were collected by self-report questionnaires and included demographics as well as measures of PTSD, resilience, and QoL. Data were analyzed with descriptive statistics, Pearson correlation coefficients, independent t-test, One-way ANOVA, and linear regression using the SPSS 24.0 program. RESULTS There were significant negative relationships between PTSD and QoL (r=−.30, p < .001) and between PTSD and resilience (r=−.57, p < .001). Resilience showed a partial mediating effect (β=.39, p < .001) between PTSD and QoL (Z=−3.12, p < .001). CONCLUSION This study findings suggest the importance of reducing PTSD scores and improving resilience among persons with ostomy which will possibly increase their QoL. Nursing interventions including counseling or education to improve psychological resilience might help better manage PTSD among patients with ostomy.
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