Purpose
This study was conducted to develop a conceptual framework for understanding non-adherence to self-management among patients with Chronic Obstructive Pulmonary Disease (COPD). This was accomplished through a literature review, in-depth interviews with patients, and a survey of healthcare professionals featuring semi-structured open-ended questions.
Methods
First, a systematic literature review was conducted across five databases. Next, 25 patients with COPD participated in detailed interviews that included seven semi-structured questions. Subsequently, 15 healthcare professionals completed a survey about factor categories and specific factors associated with non-adherence to COPD self-management. Categories and factors identified at least once across these three methods were documented. Finally, two researchers conducted preliminary mapping of the relationships between factor categories and individual factors, which was assessed for face validity by a third researcher. All processes were conducted from March 28, 2022, and January 30, 2023.
Results
The research revealed eight factor categories and 53 individual factors associated with non-adherence to COPD self-management. The categories encompassed personal, socioeconomic, disease-related, functional, treatment- related, health system-related, and environmental characteristics. The literature review, patient interviews, and survey of healthcare professionals yielded 35, 19, and 44 factors, respectively. Twelve factors were identified using all three sources. All processes were conducted from March 28, 2022, and January 30, 2023.
Conclusion
In this study, quantitative and qualitative methods were employed to develop a conceptual framework for non-adherence to COPD self-management. The findings indicate that effective self-management of this condition requires not only patient effort but also adaptations to complex treatment regimens, societal perceptions, and workplace environments.

Citations

• Development of a deep learning model to predict smoking status in patients with chronic obstructive pulmonary disease: A secondary analysis of cross-sectional national survey
  Sudarshan Pant, Hyung Jeong Yang, Sehyun Cho, EuiJeong Ryu, Ja Yun Choi
  DIGITAL HEALTH.2025;[Epub]     CrossRef
• Factors Associated with Non-Adherence to Self-Management Among Patients with Chronic Obstructive Pulmonary Disease: A Survey Using the Delphi Technique and Analytic Hierarchy Process
  Ja Yun Choi, Eui Jeong Ryu
  International Journal of Chronic Obstructive Pulmonary Disease.2024; Volume 19: 1247.     CrossRef

Purpose
This study aims to determine a hypothetical model concerning factors affecting hospital nurses’compliance with the guidelines of antineoplastic drugs safety management based on the theory of planned behavior.
Methods
Data were collected from 339 nurses managing antineoplastic drugs through an online survey conducted from March 23 to April 2, 2022. The data were analyzed using SPSS 28.0 and AMOS 25.0.
Results
The hypothetical model had the goodness of fit indices of χ² =370.13 (df=140, p<.001), CFI=.94, SRMR=.07, and RMSEA=.07. Compliance with the guidelines was significantly influenced by compliance intention. Compliance intention and perceived behavioral controls’ explanatory power was 59.9% to explain compliance with the guidelines. In addition, compliance intention was significantly influenced by perceived behavioral control. Perceived behavioral control, attitude toward behavior, and subjective norm had an explanatory power of 65.2% to explain compliance intention. Moreover, perceived behavioral control was influenced by the knowledge of antineoplastic drugs safety management.
Conclusion
These findings suggest that for promoting hospital nurses’ compliance with the antineoplastic drugs safety management guidelines, an intervention strategy is required to enhance compliance intention, perceived behavior control, and antineoplastic drugs safety management knowledge.

Citations

• Factors Affecting Radiation Protective Behaviors in Perioperative Nurses Applying the Theory of Planned Behavior: Path Analysis
  Se Young Jang, Hee Sun Kim, Seok Hee Jeong, Young Man Kim
  Journal of Korean Academy of Nursing.2023; 53(2): 222.     CrossRef

Purpose
This study identified factors related to bowel cleanliness of colonoscopy examinees.
Methods
From December 2, 2020 to January 21, 2021, we surveyed 152 participants who underwent colonoscopy at a university hospital at B City. The questionnaires included participants characteristics, social cognitive determinants (knowledge on bowel preparation, severity and susceptibility for colon cancer as perceived threat, self-efficacy, and social support), and compliance with bowel preparation. For data analysis, SPSS/WIN 21.0 and AMOS 22.0 statistical programs were used. Descriptive statistics, an independent t-test, one way ANOVA, Pearson correlation coefficient, and path analysis were utilized.
Results
Participants’ knowledge level on bowel preparation was 8.49±1.57; severity, 18.49±4.43; susceptibility, 12.55±4.10; self-efficacy, 41.92±9.28; social support, 24.90±4.84; compliance with bowel preparation, 9.26±1.81; and degree of bowel cleanliness, 6.05±1.71. Factors influencing the compliance with bowel preparation included self-efficacy (β=.27, p=.007), knowledge on bowel preparation (β=.23, p=.005), marital status (β=.19, p=.048), social support (β=.17, p=.030), and age (β=-.16, p=.007). The factor directly affecting bowel cleanliness was compliance with bowel preparation (β=.17, p=.043). Indirectly affecting factors were self-efficacy (β=.05 p=.021), knowledge on bowel preparation (β=.04, p=.022), social support (β=.03, p=.026), marital status (β=.03, p=.034), and age (β=-.03, p=.018).
Conclusion
Bowel cleanliness of colonoscopy examinees can be improved by enhancing compliance with bowel preparation. Future studies should examine the effects of strategies that concern self-efficacy, knowledge on bowel preparation, social support, marital status and age on compliance with bowel preparation.

Purpose
The purpose of this study was to verify the effects of a repeated hemodialysis diet education program on dietary knowledge, dietary self-care compliance, and physiological indices in older adults on hemodialysis.
Methods
This study employed a non-equivalent control group pre-post repeated measures design. Based on Ebbinghaus’ forgetting curve, the experimental group received diet education four times. Data were analyzed by the x 2 -test, t-test, and Fisher’s exact test. A repeated measures ANOVA was used for hypothesis testing.
Results
There were statistically significant between-groups differences in dietary knowledge by time of assessment, within group differences by time of assessment, and interactions between group and time. Regarding dietary self-care compliance, there were significant within-group differences by time of assessment and interactions between group and time. There were significant within-group changes in inter-dialytic weight gain by time of assessment. For the physiological indices, blood sodium and albumin showed significant within-group changes by time of assessment. Phosphorus and blood urea nitrogen scores showed significant within-group changes. For blood potassium concentration, there was a significant difference in interactions between group and time.
Conclusion
Owing to the resulting improvements in dietary knowledge and self-care compliance, the repeated education program applied in this study can be used as a preventive measure for complications in older adults on hemodialysis.

Citations

• Development and Effectiveness of Dietary Self-care Promotion Program Using Online Community for Hemodialysis Patients: A Pilot Randomized Controlled Trial
  Hana Kim, Mi-Kyoung Cho
  Asian Nursing Research.2025; 19(2): 126.     CrossRef
• The Mediating Effects of Symptom Experiences on the Relationship between Body Image and Quality of Life among Hemodialysis Patients in a Single Center
  Yaki Yang
  Healthcare.2024; 12(17): 1779.     CrossRef
• Effects of a video-based enteral nutrition education program using QR codes for intensive care unit nurses: a quasi-experimental study
  Won Kee Seo, Hyunjung Kim
  Journal of Korean Biological Nursing Science.2024; 26(1): 16.     CrossRef
• The Effects of Tailored Dietary Education among Role Failure Hemodialysis Patients on Self-care Compliance, Self-efficacy and Physiologic Indices
  Sangsuk Kim, Youngsil Choi
  The Korean Journal of Rehabilitation Nursing.2021; 24(1): 46.     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
The purpose of this study was to construct and test a predictive model for physical activity adherence for secondary prevention among patients with coronary artery disease.
METHODS
Two hundred and eighty-two patients with coronary artery disease were recruited at cardiology outpatient clinics in four general hospitals and the data collection was conducted from September 1 to October 19, 2015.
RESULTS
The model fit indices for the final hypothetical model satisfied the recommended levels: χ2/dF=0.77, adjusted goodness of fit index=.98, comparative fit index=1.00, normal fit index=1.00, incremental fit index=1.00, standardized root mean residual=.01, root mean square error of approximation=.03. Autonomy support (β=.50), competence (β=.27), and autonomous motivation (β=.31) had significant direct effects on physical activity adherence for secondary prevention among patients with coronary artery disease. This variable explained 35.1% of the variance in physical activity adherence.
CONCLUSION
This study showed that autonomy support from healthcare providers plays a key role in promoting physical activity adherence for secondary prevention among patients with coronary artery disease. The findings suggest that developing intervention programs to increase feelings of competence and autonomous motivation through autonomy support from healthcare providers are needed to promote physical activity adherence for secondary prevention among patients with coronary artery disease.

Citations

• Self‐care behaviours and their determinants in people affected by coronary heart disease
  Roberta Di Matteo, Tatiana Bolgeo, Alberto Dal Molin, Barbara Bassola, Maura Lusignani, Antonio Maconi, Laura Rasero, Ercole Vellone, Paolo Iovino
  Journal of Clinical Nursing.2025; 34(5): 1713.     CrossRef
• Prognostic factors of adherence to home-based exercise therapy in patients with chronic diseases: A systematic review and meta-analysis
  Ellen Ricke, Arie Dijkstra, Eric W. Bakker
  Frontiers in Sports and Active Living.2023;[Epub]     CrossRef
• Association between Social Support and Physical Activity in Patients with Coronary Artery Disease: Multiple Mediating Roles of Self-Efficacy and Autonomous Motivation
  Nam-Sin Han, Mi-Hwa Won
  Healthcare.2022; 10(3): 425.     CrossRef
• Concept Analysis of the Empowerment of Patients With Coronary Artery Disease Using a Hybrid Model
  Jiyoung Kim, Nayeon Shin
  Advances in Nursing Science.2022; 45(1): E31.     CrossRef
• Lifestyle and Quality of Life in Patients with Coronary Artery Disease: A Propensity-Matched Comparison with a Healthy Control Group
  Seong Hui Choi, Seon Young Hwang
  Korean Journal of Adult Nursing.2020; 32(2): 199.     CrossRef

PURPOSE
This study aimed to determine the impact of an empowerment program on the self-management, self-efficacy, and quality of life on patients in stages 2~4 of chronic kidney disease that exhibited poor self-management.
METHODS
This study utilized a quasi-experimental design and was carried out from March to September 2014. Participants were assigned conveniently to the experimental (n=26) and the control group (n=27). The empowerment program for the experimental group included two sessions of disease management education, four small group discussions, and four telephone counseling sessions over a three-month period. It was conducted in the context of a self-regulatory process and designed to promote self-management and problem-solving skills. The control group received usual care. The outcome variables were obtained using questionnaires before and after the intervention in both groups. The self-management score of the experimental group was lower than that of the control group at the baseline, so it was set as covariate and analyzed by analysis of covariance.
RESULTS
There was a significant improvement in the experimental group compared to the control group in terms of their pre-to post-intervention changes in overall self-management (F=9.21, p=.004), self-efficacy (F=5.81, p=.020), and quality of life.
CONCLUSION
The present empowerment program was found to be appropriate for patients with poor self-management. It led to an improvement in the study outcomes in the short-term. The empowerment of patients with renal insufficiency should be considered to prevent the aggravation of their health-related problems and quality of life.

Citations

• Strategies to Promote Empowerment Status of Breast Cancer Women
  Mohammad Amin Bahrami, Shahrzad Tabari, Sedigheh Tahmasebi, Vahid Zangouri, Ramin Ravangard, Mubashir Mintoo
  International Journal of Breast Cancer.2024; 2024: 1.     CrossRef
• Caring for Patients With Advanced Chronic Kidney Disease: Dietary Options and Conservative Care Instead of Maintenance Dialysis
  Kamyar Kalantar-Zadeh, Vincenzo Bellizzi, Giorgina B. Piccoli, Yunying Shi, Soo Kun Lim, Sumira Riaz, Rocio Urbina Arronte, Wai Pooi Lau, Denis Fouque
  Journal of Renal Nutrition.2023; 33(4): 508.     CrossRef
• Factors Affecting Hyperphosphatemia in Patients with Chronic Renal Failure Undergoing Hemodialysis
  Jihyun Kim
  Journal of Korean Academy of Fundamentals of Nursing.2023; 30(2): 247.     CrossRef
• Interventions to empower cardiorenal patients: A systematic review
  Noelia Ania‐González, Maddi Olano‐Lizarraga, Mónica Vázquez‐Calatayud
  Journal of Advanced Nursing.2022; 78(2): 363.     CrossRef
• Patients’ and healthcare professionals’ beliefs, perceptions and needs towards chronic kidney disease self-management in China: a qualitative study
  Hongxia Shen, Rianne M J J van der Kleij, Paul J M van der Boog, Wenjiao Wang, Xiaoyue Song, Zhengyan Li, Xiaoping Lou, Niels Chavannes
  BMJ Open.2021; 11(3): e044059.     CrossRef
• Meaning of empowerment in peritoneal dialysis: focus groups with patients and caregivers
  Amanda Baumgart, Karine E Manera, David W Johnson, Jonathan C Craig, Jenny I Shen, Lorena Ruiz, Angela Yee-Moon Wang, Terence Yip, Samuel K S Fung, Matthew Tong, Achilles Lee, Yeoungjee Cho, Andrea K Viecelli, Benedicte Sautenet, Armando Teixeira-Pinto, E
  Nephrology Dialysis Transplantation.2020; 35(11): 1949.     CrossRef
• Exploring patient empowerment
  Adelaide Ippolito, Francesco Smaldone, Margherita Ruberto
  The TQM Journal.2019; 32(1): 92.     CrossRef
• Weight reduction program with continuous psychological support in obese patients
  Hiroshi Bando, Nakamura T, Narita A, Dobashi M, Kawashima T
  Advances in Obesity, Weight Management & Control.2019; 9(1): 16.     CrossRef
• Effective Nutritional Guidance for Obesity by Low Carbohydrate Diet (LCD)
  Nakamura T, Kawashima T, Dobashi M, Narita A, Bando H
  Asploro Journal of Biomedical and Clinical Case Reports.2019; 2(S1): 16.     CrossRef

PURPOSE
The purpose of this study was to identify the factors associated with compliance with standard precautions among hemodialysis unit nurses.
METHODS
A cross-sectional study design was used. One hundred ninety six nurses were recruited from 18 hemodialysis units in South Korea. Data were analyzed using SPSS/WIN 23.0 to provide descriptive statistics to describe the characteristics of the sample and variables. A hierarchical linear model was used to analyze effects of individual and hospital characteristics on nurses' compliance with standard precautions.
RESULTS
The majority of the sample was female (98%) and reported receiving in-service education on infection control (80%). The participants' average year of work experience in hemodialysis units was 7 years and the average nurse-patient ratio was 7:1. At the individual level, the perception of patients' severity, the length of work experience in hemodialysis unit, and the safety climate on infection prevention practices were significantly associated with nurse's compliance with standard precautions. At the hospital level, clinics showed a lower compliance with standard precautions than general hospital or university hospital.
CONCLUSION
In order to enhance compliance with standard precautions among hemodialysis unit nurses, it is imperative to warrant safety climate on infection prevention practice at clinics and develop infection control educational program for nurses with less work experience in hemodialysis units.

Citations

• Factors Influencing Emergency Department Nurses’ Compliance with Standard Precautions Using Multilevel Analysis
  Su Jung Kim, Eun Ju Lee
  International Journal of Environmental Research and Public Health.2021; 18(11): 6149.     CrossRef
• Factors influencing the adherence of nurses to standard precautions in South Korea hospital settings
  Eunja Oh, Jeong Sil Choi
  American Journal of Infection Control.2019; 47(11): 1346.     CrossRef

PURPOSE
This study aimed to identify the mediating effect of the resilience on the relationship between type D personality and compliance of Coronary Artery Disease (CAD) patients.
METHODS
The subjects were 236 CAD patients who visited the cardiology outpatient clinics of D University Medical Center in B City in Korea. The type D personality, resilience, and compliance of subjects were measured using structured questionnaires from July to August, 2014. The mediating effect was analyzed by a multiple hierarchical regression.
RESULTS
The subjects with type D personality accounted for 30.9% of all study subjects. The resilience and compliance of type D subjects were significantly lower than those of non type D subjects. There was a significant correlation between resilience and compliance. The direct effect of type D personality on compliance was not significant (β=-.07, p=.243), while the indirect effect of type D personality on compliance via resilience was significant (β=.23, p<.001).
CONCLUSION
On the basis of above results, it can be concluded that the resilience had completely mediating effect on the relation between type D personality and compliance of CAD patients. Further studies need to be done to develop the intervention enhancing resilience of CAD patients with Type D personality.

Citations

• Influence of self-efficacy in health management and resilience on treatment compliance in Korean patients undergoing percutaneous coronary intervention: a descriptive survey study
  Mi-Ra Jung, Eun Jeong, Kyung Sim Lee, Jang Hyun Cho
  Journal of Korean Biological Nursing Science.2025; 27(2): 266.     CrossRef
• Assessing Health and Economic Benefits of Omega-3 Fatty Acid Supplementation on Cardiovascular Disease in the Republic of Korea
  Moon Seong Kim, Jin Man Kim, Sang Gyeong Lee, Eun Jin Jung, Sang Hoon Lee, Wen Yan Huang, Bok Kyung Han, Da Eun Jung, Sung Bum Yang, Inbae Ji, Young Jun Kim, Ji Youn Hong
  Healthcare.2023; 11(16): 2365.     CrossRef
• Impact of Type D Personality and Health Literacy on Resilience of Inpatients with Cardiovascular Diseases: A Cross-Sectional Study
  Da Eun Kim, Seon Young Hwang
  Korean Journal of Adult Nursing.2023; 35(1): 23.     CrossRef
• Influences of Type D Personality, Depression, and Stress on Quality of Life in Migraine Patients
  Eunhee Jo, Su-Jin Lee, Jung-Hwa Jo, Sun-Young Oh
  Journal of Korean Academy of Fundamentals of Nursing.2022; 29(3): 316.     CrossRef
• Effects of Video Program by Tablet PC on Anxiety, Vital Signs, Pain, and Knowledge Level among Patients Undergoing Percutaneous Coronary Intervention
  Hyun Hee Park, Gye Seon Jeong
  Korean Journal of Adult Nursing.2021; 33(2): 102.     CrossRef
• The Effect of Perceived Stress, Fine Dust Risk Perception, and Resilience on Stress Response in Patients with Respiratory and Circulatory Disorders
  Jin-Hee Park, Kuem-Sun Han
  STRESS.2021; 29(1): 21.     CrossRef
• The mediating effect of resilience on the relationship between Type D personality and self‐care behavior in patients with heart failure
  Ji Min Heo, Chul‐Gyu Kim
  Japan Journal of Nursing Science.2020;[Epub]     CrossRef
• Predictive model for quality of life in patients with recurrent coronary artery disease
  Eunhee Jo, Sung Reul Kim, Hye Young Kim
  European Journal of Cardiovascular Nursing.2019; 18(6): 501.     CrossRef
• Health Literacy and Self-care Activities of Older Patients with Type 2 Diabetes: The Mediating Effect of Resilience
  Eun Woo Yoo, Yun Mi Lee
  Korean Journal of Adult Nursing.2018; 30(4): 376.     CrossRef

PURPOSE
This study was conducted to provide an effective nursing intervention using an individualized educational program composed with knowledge, compliance, and physiologic parameters for long-term hemodialysis patients.
METHODS
A quasi-experimental study using a non-equivalent control group and pre- and post-test design was conducted with 40 hemodialysis patients at G university hospital in the J city from June to August, 2015. A data was analyzed using frequency, percentage, chi2 test, Shapiro-Wilk test, independent-samples t-test and repeated measures ANOVA using SPSS 21.0 program.
RESULTS
knowledge about hemodialysis and patient role behaviors were not significantly different between the two measures. In the biological index, there was significant difference between the groups by points in time and group in blood potassium, albumin, and Kt/v. However, there was no difference in gaining weight between hemodialysis, hemoglobin, and blood phosphorus.
CONCLUSION
The individual training program in this study had an effect on changing some physiological indicators of long-term hemodialysis patients. Future research is warranted for developing various kinds of education program incorporating the findings of the study for the given population.

Citations

• Development and Evaluation of an Online Self-Management Program in Patients with Chronic Kidney Failure Undergoing Hemodialysis
  Jinhyang Yang
  Journal of Korean Academy of Fundamentals of Nursing.2022; 29(4): 531.     CrossRef
• Effect of Treatment Adherence Improvement Program in Hemodialysis Patients: A Systematic Review and Meta-Analysis
  Hana Kim, I. Seul Jeong, Mi-Kyoung Cho
  International Journal of Environmental Research and Public Health.2022; 19(18): 11657.     CrossRef
• Randomised controlled trial of a smartphone application‐based dietary self‐management program on haemodialysis patients
  Songyi Pack, Jia Lee
  Journal of Clinical Nursing.2021; 30(5-6): 840.     CrossRef
• Socioecological Factors Affecting Fluid Restriction Adherence Among Korean Patients Receiving Hemodialysis: A Qualitative Study
  Eun Ju Lee, Ae Kyung Chang, Yoon Chung Chung
  Journal of Transcultural Nursing.2021; 32(3): 239.     CrossRef
• The effects of self‐performance management video program on patients receiving hemodialysis
  Hyeyoung Cho, Sunghee Park
  Japan Journal of Nursing Science.2020;[Epub]     CrossRef
• Factors Influencing Self-Care Behaviors of Renal Dialysis Patients
  Yoonjung Kim, Sanggeon Park
  STRESS.2019; 27(4): 320.     CrossRef
• Long-term effects of nurse-led individualized education on middle-aged patients with acute coronary synrome: a quasi-experimental study
  Jae Lan Shim, Seon Young Hwang
  BMC Nursing.2017;[Epub]     CrossRef

PURPOSE
The aim of this study was to identify the levels of and the related factors to health literacy and health behavior compliance in patients with coronary artery disease.
METHODS
A cross-sectional survey was conducted with a convenience sample of 121 hospitalized patients with coronary artery disease. The structured questionnaires were used to measure the levels of health literacy and health behavior compliance.
RESULTS
The average linguistic health literacy score was 32.23+/-21.46, the functional health literacy score was 6.51+/-5.08, and the health behavior compliance score was 61.66+/-15.53. The levels of education (beta=.35), income (beta=.27), and perceived health status (beta=.21) were found significant, explaining 41.8% of the variance in linguistic health literacy. The levels of education (beta=.23), income (beta=.27), age (beta=-.24), and family support (beta=.22) were found to be significant, explaining 50.9% of the variance in functional health literacy. The levels of education (beta=.27), family support (beta=.20), and linguistic health literacy (beta=.40) were found to be the significant factors, which explained 45.1% of the variance in health behavior compliance. Linguistic health literacy specifically explained 9.5% of health behavior compliance.
CONCLUSION
Health literacy was associated with health behavior compliance, influencing the factors of health behavior compliance. These findings suggest that the interventions for improving health literacy are necessary to enhance health behavior compliance in patients with coronary artery disease.

Citations

• Mediating Effects of Self-Efficacy and Social Support on the Relationship Between eHealth Literacy and Self-Care Competency in Patients Undergoing Percutaneous Coronary Interventions: A Cross-Sectional Study
  Eunhee Jo, Su-Jin Lee, Sun Hee Han
  Journal of Korean Academy of Fundamentals of Nursing.2023; 30(3): 325.     CrossRef
• Impact of Type D Personality and Health Literacy on Resilience of Inpatients with Cardiovascular Diseases: A Cross-Sectional Study
  Da Eun Kim, Seon Young Hwang
  Korean Journal of Adult Nursing.2023; 35(1): 23.     CrossRef
• Understanding health literacy of deaf persons with hypertension in South Korea: A cross-sectional study
  Gi Won Choi, Sun Ju Chang, Hee Jung Kim, Ha Na Jeong, Pracheth Raghuveer
  PLOS ONE.2023; 18(11): e0294765.     CrossRef
• Nutritional Value and Anti-inflammation Activity of Misutkaru with Added Gryllus bimaculatus Powder
  Jung-Soon Han
  Asian Journal of Beauty and Cosmetology.2021; 19(3): 467.     CrossRef
• Factors associated with health literacy among older adults: Results of the HLS-EU-Q16 measure
  Heeran Chun, Ju Yul Lee
  Korean Journal of Health Education and Promotion.2020; 37(1): 1.     CrossRef
• Concept Analysis of Health Literacy for Patients with Cardiovascular Disease using Hybrid Model
  Jeong Eun Sim, Seon Young Hwang
  Journal of Korean Academy of Community Health Nursing.2019; 30(4): 494.     CrossRef
• Factors Influencing Health Behavior Adherence in Middle and Old Aged Men Who Underwent Percutaneous Coronary Intervention
  Lee, Kyung Sim, Kyung Mi Sung
  The Korean Journal of Rehabilitation Nursing.2019; 22(2): 87.     CrossRef
• The necessary tasks for activating health literacy in Korea
  Ju Yul Lee
  Korean Journal of Health Education and Promotion.2019; 36(2): 23.     CrossRef
• Relationship between Uncertainty in Illness, Subjective Health Status, and Compliance with Sick Role Behavior according to Levels of Health Literacy in Hemodialysis Patients
  Young-Mun Cho, Yon-Hee Seo, Mee-Jeong Park
  Korean Journal of Adult Nursing.2018; 30(4): 437.     CrossRef
• Factors related to Coronary Artery Disease in Korean Adults: Based on the Korean National Health and Nutrition Examination Survey 2013~2015
  Sook Young Kim
  The Korean Journal of Rehabilitation Nursing.2018; 21(1): 33.     CrossRef
• Applicability of Sunsik with Cultivated Wild Ginseng Powder as a Beauty Food
  Sei-Woo Lee, Hyoung-Il Choi, Ae-Jung Kim, Jung-Soon Han
  Asian Journal of Beauty and Cosmetology.2018; 16(2): 201.     CrossRef
• Differences between Nurses and Patients' Perception of Nurses' Communication Skills
  Soonjoo Park
  Korean Journal of Adult Nursing.2017; 29(2): 166.     CrossRef

PURPOSE
The purpose of this study was to investigate the effects of a structured preoperative instruction upon anxiety and postoperative self-care compliance.
METHODS
A randomized control group pre-post design was used. Sixty subjects undergoing cataract surgery were randomly assigned to one of two groups. The instruction consisted of cataract surgery procedure, sensory information, deep breathing, use of eye drop, and post op self-care regimen and was provided to the experimental group with control group receiving an usual treatment. State anxiety NRS, pulse, BP, and self-care compliance scale developed by Cho&Rho were used. Data were collected at two time periods: on the day of surgery in the clinic and prior to anesthesia in the operating room. The postoperative self-care compliance scores were measured at their second visits to the hospital after surgery. Data were analyzed using Kolmogorov Smirnov test, t-test, and Mann-Whitney U test.
RESULTS
There were significant differences between the two groups in the postoperative state anxiety (t=-3.57, p=.001) and the postoperative self-care compliance score (t=3.92, p<.001). There were no significant difference between the two groups in the postoperative blood pressure and pulse rate.
CONCLUSION
The results of this study suggest that the structured preoperative instruction could be a nursing intervention for cataract surgery patients.

Citations

• Effects of Video-Based Information Provision Using a Smart Pad on Patients Undergoing Bone Marrow Biopsy
  Seung Hee Lee, Chul-Gyu Kim, Hye Sook Han, Jihyun Kwon, So Youen Roh, Beom Jin Shin
  Clinical Nursing Research.2021; 30(6): 724.     CrossRef
• The Effect of Pre-operative Information through Audiovisual Media on Self-Care Knowledge, Self-Efficacy, and State Anxiety of Patients before Bariatric Surgery
  Ho Im Lee, Jung Suk Park
  Korean Journal of Adult Nursing.2020; 32(4): 421.     CrossRef
• Effects of Video-centered Nursing Education Program on Anxiety, Uncertainty, and Self-care among Cataract Surgery Patients
  Hyang Hee Jeon, Soo Jin Lee
  Korean Journal of Adult Nursing.2018; 30(5): 482.     CrossRef
• Effects of the Provision of Information on Anxiety in Patients during Outpatient Surgery: A Systematic Review
  Ae-Ri Jung, In-Sook Lee
  Perspectives in Nursing Science.2016; 13(1): 48.     CrossRef
• Effect of Music Therapy on Vital Signs, Anxiety, Cortisol and Pain of Cataract Surgery Patients in Elderly
  Jung-Hae Park, Kwang-Hi Park
  Journal of Digital Convergence.2015; 13(8): 549.     CrossRef
• Effect of Structured Information on Immediate Preoperative Anxiety and Uncertainty for Women Undergoing Laparoscopic Hysterectomy
  Youn Hee Cho, Nami Chun
  Korean Journal of Women Health Nursing.2015; 21(4): 321.     CrossRef
• Effects of handholding and providing information on anxiety in patients undergoing percutaneous vertebroplasty
  Bong‐Hee Kim, Hee‐Young Kang, Eun‐Young Choi
  Journal of Clinical Nursing.2015; 24(23-24): 3459.     CrossRef

PURPOSE
The purpose of this study was to determine the differences in the level of disease related knowledge, compliance of health behavior, and educational needs in relation to time (at discharge and 6 months after discharge) among patients underwent percutaneous coronary intervention (PCI).
METHODS
Data were collected from January 1, 2006 to September 30, 2006 and a total of 60 patients participated in the study. The survey was conducted in patients underwent PCI at the time of discharge right after discharge education was provided and at a follow up visit which was 6 months after discharge.
RESULTS
The level of disease related knowledge (p<.001), the compliance of health behavior (p<.001), educational need (p=.496), the sub-item of sexual life (p<.001), follow up (p<.001), diet (p=.021), stress (p<.001) in compliance of health behavior, and the sub-item of specific character of disease in educational needs (p=.015) were significantly different between discharge and 6 months after discharge.
CONCLUSION
The results of this study suggested that further education should be provided to the patients underwent PCI regarding medication, smoking cessation, daily life and exercise at a time of 6 months after discharge in order to increase patient compliance of health behavior.

PURPOSE
The purpose of this study was to explore the differences of health locus of control and treatment compliance according to general characteristics and severity in acute coronary syndrome(ACS) patients after percutaneous coronary intervention.
METHODS
This descriptive study was conducted with a convenient sample of 103 ACS patients. The dependent variables were measured by the scales for the Multidimensional Health Locus of Control and the Treatment Compliance. The collected data were analyzed by the Fisher's exact test, Chi-square and t-tests, and ANOVA using the SPSS/WIN program.
RESULTS
Pre-interventional severity was significantly different between men and women. In terms of internal health locus of control, there was a significant difference according to gender, educational status, economic status, and severity. The level of medication compliance was the lowest among the sub-scales of treatment compliance.
CONCLUSION
These findings suggest that clinical nurses should evaluate the general characteristics and severity of the patients with ACS for providing tailored nursing interventions.

PURPOSE
The purpose of this study was to determine the effect of supportive nursing care on the level of knowledge and compliance with sick-role behavior in patients with coronary artery disease after coronary angiography(CAG).
METHODS
A quasi-experimental research was performed with 81 subjects with coronary artery disease who were admitted for CAG to a cardiovascular department. Among the selected subjects, 40 of them were assigned to experimental group and the rest of them were assigned to control group by convenience. Supportive nursing care was implemented twice by a researcher.
RESULTS
1. The mean score of knowledge related to coronary artery disease was higher in the group who received supportive nursing care than that of the control group(t=2.259, p=.027). 2. The mean score of compliance of sick role behavior was higher in the group who received supportive nursing care than that of the control group(t=4.580, p=.001).
CONCLUSION
The supportive nursing care after CAG was effective in increasing the knowledge level and compliance of sick-role behavior in patients with coronary artery disease. Further studies would be recommended to identify long-term effectiveness of supportive care on patients' outcomes.

PURPOSE
This study was a randomized single-blind trial of whole versus split-dose PEG solutions for colonoscopy preparation to compare the patient compliance, quality of bowel cleansing, and endoscopist's satisfaction.
METHODS
The participants were recruited from outpatients who planned to receive colonoscopy of C hospital in Busan. Sixty participants were randomly assigned to receive either a spit-dose group(n=30) consuming 2 liter of PEG solution twice, or a whole-dose group(n=30), consuming 4 liter of PEG solution once. These participants completed the questionnaire to assess their compliance before colonoscopy. The quality of bowel cleansing was assessed using the Ottawa Scale with the endoscopist who was blinded to the type of preparation, and their satisfaction by using VAS.
RESULTS
The participants who did not completely consume 4 liter of PEG solution were less in split-dose than in whole-dose group (0% vs 13.3%). The split-dose group complained less about abdominal pain(t=2.644, p=0.009) and abdominal bloating(t=2.802, p=0.013) with a statistical significance. For the quality of bowel preparation, there were no significant differences in the bowel cleansing scores and the endoscopist's satisfaction between two groups.
CONCLUSION
Colonic preparation with split-dose of PEG solution could be a more useful method for better patient compliance, with no significant impact on bowel cleansing quality.

PURPOSE
S: The purpose of this study was to evaluate the extent of performance on activities in critical pathway (CP) according to eight domains and six admission days on nursing records of patients who received total hip replacement surgery.
METHODS
We reviewed 90 nursing records of patients who received total hip replacement surgery from June, 2004 to July, 2005 at C University Hospital. Data were collected using Hong's CP (2002) and were analyzed using ANOVA.
RESULTS
The domain of diet was valued the highest in CP performance scoring, followed by the domains of assessment, activities, and test. There were differences in the performance scores according to the period of admission in all of the domains. Among 132 activities in the CP, 18 activities were completely performed, of which most included activities belonging to the domain of assessment on the admission day. Twelve activities were never performed, of which most included activities belonging to the domain of treatment on the day of operation and the first day after operation.
CONCLUSIONS
Therefore, further studies on the development of a new system to increase CP utilization and on updating the contents of CP from the best practice based on evidence is recommended.

PURPOSE
This study investigated the effects of a 'overcoming cancer program' on knowledge, self efficacy, and quality of life, therapeutic compliance for patients with lung cancer.
METHOD
Research design of this study was a nonequivalent control group quasi-experimental study. Subjects for this study were 16 lung cancer patients for the control group, and 12 lung cancer patients for the experimental group. The experimental group participated in the program once a week for 4 weeks. Data were collected before and after the program. Nonparametric statistics were used to analyze the data.
RESULTS
The results of this study were as follows: In the pretest, there were no significant differences in general characteristics, knowledge, self efficacy and quality of life between the two groups. In the posttest, there were significant differences in knowledge, self efficacy between the experimental and the control groups. But there were no significant differences in therapeutic compliance and quality of life between the two groups.
CONCLUSION
From the results above, it can be concluded that program was effective to improve knowledge and self-efficacy for patients with lung cancer.

PURPOSE
The purpose of this study was to examine the effect of the discharge education program on compliance with the sick role behavior for patients having undergone cerebrovascular surgery.
METHOD
Research was done using a posttest only design. The subjects were 60 patients who were admitted to the neurosurgery unit at C.N.U. Hospital in G. City and were divided into the experimental and control groups. The discharge education program were intervened two times in the experimental group by the researcher; the first one was at the time of discharge using a booklet about knowledge related to disease and compliance, and the other one was a telephone education session after a week from discharge. Data were collected two times by interview and telephone using questionnaires from January 19, to June 10, 2000. The first one was at hospital before discharge, and the other one was one month later from discharge. Data were analysed by chi-square, t-test, ANOVA, and Pearson's correlation.
RESULTS
The experimental group showed a higher score of compliance(t=2.772, p=.008) than those of the control group, but knowledge about CVD was not significant between the two groups(p>.05).
CONCLUSION
The discharge education program was effective on the compliance of the patients having undergone cerebrovascular surgery.

PURPOSE
This study was designed to explore the effects of providing individualized education for hemodialysis patients on their knowledge of hemodialysis, compliance of patient role behavior, and physiologic parameters.
METHOD
A quasi experimental design with a non-equivalent control group and a non-synchronized design was used. The experiment was conducted with a total of 40 hemodialysis patients (20 in the experimental group and 20 in the control group) at the artificial kidney center, C University Hospital. The experimental group was provided with individualized education, 30 minutes per session, three times per week, for two weeks.
RESULTS
The experimental group had significantly higher knowledge of hemodialysis than the control group after the education. The compliance of patient role behavior was more enhanced in the experimental group than the control group. The experimental group showed significantly higher values of blood urea nitrogen, but not the values of blood creatinine, albumin, kalium, and phosphorus.
CONCLUSION
The individualized education was found to be an effective intervention for improving patients' knowledge of hemodialysis and compliance of patient role behavior.

PURPOSE
This study was undertaken to identify the effect of providing information on anxiety, knowledge and compliance in permanent pacemaker patients. METHOD: A quasi experimental design with non-equivalent control group and non-synchronized design was used. The subjects of this study were 50 patients who had received permanent pacemaker implantation at a university hospital in Seoul. They were divided into an experimental group of 22 patients who received education and a control group of 28 patients. The education was composed of group education(twice) and individualized reinforcement education(once) using an education booklet. RESULTS: Anxiety decreased in the experimental group. Knowledge significantly increased in the experimental group compared to that in the control group. Compliance significantly increased in the experimental group. CONCLUSION: It can be concluded that providing information is effective for reducing anxiety, increasing knowledge and improving compliance of the permanent pacemaker patients.

PURPOSE
The purpose of this study was to identify effects of a self-management program on self-efficacy and compliance in patients with CHF. Hypothesis: 1) Patients with CHF who are provided with a self-management program will show higher self-efficacy scores than a control group. 2) Patients who are provided with a self-management program will show higher compliance scores than a control group. METHOD: This study was designed as a nonequivalent non-synchronized pre-posttest control group. There were eight patients in the experimental group, and twelve in the control group. According to NYHA classification, all patients belonged under the classesl to lV. Data were collected using the instruments developed by the researchers. Data were analyzed using descriptive statistics and Mann Whitney U test. RESULT: There were significant differences in self-efficacy scores and compliance scores between the experimental and control group. CONCLUSION: By utilizing the program, patients were able to monitor their symptoms routinely, comply with therapeutic regimen, and feel better able to positively influence their disease. Therefore, better compliance means fewer readmissions of patients with CHF.

PURPOSE
This study purposed to examine the disease-related knowledge level and compliance with good health behavior in patients with myocardial infarction according to the atherosclerotic risk factors.
METHOD
The subjects consisted of 72 patients with myocardial infarction and the data were collected by interviewing the subjects with questionnaires and reviewing their medical records from September, 15, 1999 to July 31, 2000. Data were analyzed using the SAS program.
RESULTS
1) With regard to atherosclerotic risk factors: of the subjects, 91.7% lacked regular exercise, followed by smoking (61.1%). 2) The average knowledge score of the patients was 19.7 and the average compliance score was 53.9. 3) There were no significant differences in the total knowledge scores according to the patients' atherosclerotic risk factors. 4) Non-diabetics were significantly higher in knowledge scores on domain of risk factors than the diabetics. 5) The overweight patients were significantly higher in knowledge score on domain of nature of disease than the normal-weight patients. 6) The total compliance scores of the non-smokers were significantly higher than those of the smokers. 7) The total compliance scores of the patients who do regular exercise were significantly higher than those of the patients who forgo regular exercise. 8) The non-smokers were significantly higher in compliance scores on domain of diet than the smokers. 9) The diabetic patients were significantly higher in compliance scores on domain of smoking cessation than the non-diabetics. 10) Patients who do regular exercise were significantly higher in compliance scores on other domains than the patients who forgo regular exercise.
CONCLUSION
According to the above findings, it can be concluded that intensive nursing care and education should be provided to patients who have atherosclerotic risk factors such as smoking, hypertension, diabetes mellitus, lack of exercise, over weight, or hypercholesterolemia to increase disease related knowledge level and to improve compliance with good health behavior.

Coronary intervention is now a well established method for the treatment of coronary artery disease. Coronary restenosis is one of the major limitations after coronary intervention. So medical teams advise the patients to get the follow-up coronary angiogram in 6 months after coronary intervention to know if the coronary artery stenosis recurs or not. This study was done in order to know how many patients complied with the advice, and to identify the relative factors to the compliance with getting the follow-up coronary angiogram. The subjects were 101 patients (male: 58 female: 22, mean age: 61+/-15), who received coronary interventions from Jan. 1st to Mar. 31st 1997, and their data were collected from them by questionnaires one year after intervention. The questionnaires consisted of family support scale, self efficacy scale and compliance with sick role behavior scale. The result may be summarized as follows. 1. The number of patients who complied with getting the follow-up coronary angiogram were 37 people(36.6%) and did not comply with it were 64 people(63.4%). All scores of family support(t=5.56, p<.0001), self efficacy (t=4.13, p<.0001) and compliance with sick role behavior(t=5.66, p<.0001) were significantly higher in the patients who got the follow-up coronary angiogram than in those who did not get it. But there was not any relative factor in demographic variables (p>.05). 2. The major motivations for getting follow-up coronary angiogram were recurrence of subjective symptom(40.5%), the advice of medical team(32.4%), and fear of recurrence (27.1%). The restenosis rate in patients who got the follow-up coronary angiogram was 37.8%. 3.The restenosis rate was higher in the patients who had subjective symptoms than in those who did not have any subjective symptom. So subjective symptom and restenosis rate showed a high positive correlation(r=39.9, p<.001). However, 27.2% of the patients who did not have any subjective symptom showed coronary restenosis. 4. The reasons why they did not get the follow-up coronary angiogram were economic burden(37.5%), improved symptom(34.4%), busy life schedule(10.9%), fear of invasive procedure(9.4%), negative reaction of family member(3.1%), no helper for patient(3.1%) and worry about medical team's mistake (1.6%). The relative fators on compliance with getting the follow-up coronary angiogram after coronary intervention were family support, self-efficacy and Compliance with sick role behavior. And the most important reason why the patients did not get the follow-up coronary angiogram after coronary intervention was an economic burden.

The purpose of this study was to investigate the compliance with low-salt diet in essential hypertension patients, and to identify the related factors of compliance with low-salt diet. The subjects of this study were 177 hypertensive patients who have been followed at Seoul National University Hospital outpatient clinic. The data was collected from August 20, 1998 to September 22, 1998, through survey using a self-report questionnaires and chart review. 24-hour urine sodium excretion was measured for validation of self-reported low-salt diet compliance from 22 patients who agreed for 24-hour urine collection. The questionnaires consist of general characteristics, disease-related characteristics, diet-related characteristics, and 4 scales: (1) Numeric scale (2) Knowledge of low-salt diet (3) Family support for low-salt diet (4) Low-salt diet compliance. The results were as follows: 1) The mean score of low-salt diet compliance was 38.97 +/- 9.26. The mean salt intake converted from 24-hour urine sodium was 16.81g/day, which was much greater than recommendation. The percentage of patients who were taking salt 6-8g/day was only 13.6%, and 8-10g/day was 13.6%. 2) The mean score of knowledge of low-salt diet was 5.12 +/- 1.81. The mean score of family support for low-salt diet was 30.08 +/- 8.81. The patients received emotional, instrumental, evaluative, and informational aspect of family support in sequence of amount. 3) Several factors were found as significant factors which influence low-salt diet compliance. Those were knowledge(p=.015), family support(p=.000), age(p=.039), diastolic pressure(p=.014), previous dietary habit(p= .000), duration of low-salt diet(p=.000), recognition of importance of low-salt diet on hypertension control(p=.000), and recognition of necessity of low-salt diet while antihypertensive drug therapy(p=.030). 4) Four significant predictive factors of low-salt diet compliance were identified: (1) Family support accounted for 24.8% of low-salt diet compliance (2) Previous dietary habit, 14.4% (3) Recognition of importance of low-salt diet on hypertension control, 3.7% (4) Diastolic pressure, 2.1%. Therefore, these factors accounted for 45.0% of low-salt diet compliance. In conclusion, low-salt diet compliance in hypertensive patients was very poor, which call for nursing intervention for enhancing low-salt diet compliance. It is necessary to provide practical knowledge of low-salt diet for hypertensive patients and family members.

This descriptive study was conducted between October 1, and December 31, 1998 in order to provide basic data for understanding the emotional states of patients with systemic lupus erythematosus and their compliance with a medical regimen. Data was collected by using questionnaires administered to 100 lupus inpatients and outpatients at the Kangnam St. Mary's Hospital. Frequencies, percentage, average, standard deviation, t-test, ANOVA, Duncan's multiple range test, Pearson correlation coefficients, and stepwise multiple regression were applied to the data using the SAS program. The results of study are summarized below. The mean compliance score was 91.21. The highest compliance score was found in "risk factor management", followed by "taking medicine", "follow-up care", "daily life management", "stress management", "diet", "activity and rest" in that sequence. The mean depression score was 43.58. 24% for subjects who showed more than mild depression. The compliance score of depressed subjects was significantly lower than that of the subjects without depression. The mean score of anxiety was 44.01. 36% for subjects who had scores lower than 40 points, 37% for those between 41-50 points, and 27% for those with more than 51 points. As for compliance scores according to anxiety levels, the compliance scores for those with anxiety scores of below 40 significantly higher than that of those of the above 51 group. There was a negative correlation between compliance and depression and between compliance and anxiety. In addition, a strong positive relationship was found between depression and anxiety. The major variable affecting compliance was anxiety, accounting for 13.6%. We concluded that when we care for the patients with lupus, we have to consider the outcomes of this study because emotional status affects the lupus patients' compliance. In addition, it is necessary to develop nursing interventions in order to alleviate the lupus patient's depression and anxiety.