Purpose
The purpose of this study was to investigate caring self-efficacy and social support, and their mediating effects on the relationship between caring burden and caring behavior in family caregivers of elderly with dementia in the community-dwelling.
Methods
A sample of 210 participants was used in a cross-sectional study. Data were collected from July 15th to November 22nd, 2019 through structured questionnaires and analyzed using descriptive statistics, multiple linear regression analysis, and the bootstrapping method with SPSS/WIN 25.0 and PROCESS macro program.
Results
The mean score for caring behavior was 3.14±0.81 (range 1~5). Caring behavior was significantly associated with caring burden (r=-.54, p<.001), caring self-efficacy (r=.68, p<.001), and social support (r=.69, p<.001). Using Baron and Kenny's approach and PROCESS macro model 4, caring behavior was found to be directly affected by caring burden (β=-.55, p<.001). Caring self-efficacy (β=-.36, p<.001) and social support (β=-.34, p<.001) were directly affected by caring burden. The partial mediating effects of caring self-efficacy (β =-.18, p=.007, 95% confidence interval -0.44~-0.14) and social support (β=-.23, p<.001, 95% confidence interval -0.38~-0.13) on the impact of caring burden on caring behavior were confirmed.
Conclusion
The impact of caring burden on caring behavior was mediated by caring self-efficacy and social support in family caregivers of elderly with dementia in the community-dwelling. The results suggest that caring self-efficacy and social support need to be considered in developing nursing interventions to reduce caring burden and improve caring behavior for family caregivers of elderly with dementia.

Citations

• Care burden, depression, quality of life, and institutionalization factors among family caregivers of long-term care recipients: A secondary data analysis
  Eun-Jeong Han, Yeongwoo Park, Heejung Kim, Myonghwa Park
  Journal of Korean Gerontological Nursing.2025; 27(1): 57.     CrossRef
• Factors influencing the caring behaviors of primary family caregivers of older adults with dementia: A cross-sectional study
  Da-Mi Kim, Hye-Young Jang
  Journal of Korean Gerontological Nursing.2024; 26(2): 146.     CrossRef
• Effect of perceived chronic illness management support, health literacy, and social support on the care burden of families caring for older people with multiple chronic conditions at home: A cross-sectional study
  Eun Sil Lee, Mi Young Kim
  Journal of Korean Gerontological Nursing.2023; 25(1): 76.     CrossRef
• Influence of Gratitude and Sense of Meaning in Life on Caregiving Self-Efficacy of Family Caregivers of Persons With Mental Illness
  Won Hee Jun
  Western Journal of Nursing Research.2023; 45(12): 1104.     CrossRef
• Resilience of family caregivers of people with dementia in South Korea: protocol for a scoping review
  Hyun-Ju Seo, Min-Jung Choi, Song-I Park, Jeong-hwan Park
  BMJ Open.2022; 12(7): e056739.     CrossRef
• Positive Changes in Caregiving Experiences of Family Caregivers for Long-Term Care Recipients after a Family Counseling Support Program
  Eun-Jeong Han, Myonghwa Park, Jihye Jung
  Journal of Korean Gerontological Nursing.2022; 24(1): 85.     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

PURPOSE
The purpose of this study was to identify the factors involved in psychosocial adjustment of hemodialysis patients.
METHODS
This correlational, cross-sectional study included 172 hemodialysis patients from 11 different nephrology clinics. Data was collected from May to August 2018 using a structured questionnaire including patient' characteristics, uncertainty, social support, coping, and psychosocial adjustment. Data was analyzed using descriptive statistics, independent t-tests, one-way ANOVA, Pearson's correlation coefficient, and stepwise multiple linear regression.
RESULTS
The total score for psychosocial adjustment was 406.23±44.58 out of a maximum of 700. Psychosocial adjustment had a statistically significant relationship with occupation(t=−3.88, p < .001) and albumin (t=−2.06, p=.041). Furthermore, uncertainty (r=.45, p < .001), social support (r=−.37, p < .001), and coping (r=−.31, p < .001) were significantly correlated with psychosocial adjustment. Stepwise multiple linear regression demonstrated that uncertainty, having an occupation, social support, and being women explained 35.4% of the variance in psychosocial adjustment.
CONCLUSION
Uncertainty was found to have the largest influence on psychosocial adjustment, followed by occupation, social support, and gender. It is necessary to develop a detailed intervention that considers all these factors to promote psychosocial adjustment of patients with hemodialysis. Furthermore, the importance of the psychosocial adjustment of chronic illness needs to be stressed in nursing education.

Citations

• Predictors of psychosocial adaptation in haemodialysis patients according to haemodialysis vintage: a quantitative study
  Ae Kyung Chang, Ah Young Kim
  Contemporary Nurse.2025; : 1.     CrossRef
• Association Between Dyadic Coping and Psychosocial Adjustment and the Mediation Effect of Fear of Disease Progression in Patients With Malignancy and Their Caregivers: Based on the Actor-Partner Interdependence Model
  Hualong Ma, Yongyue He, Weixin Wu, Qiuyun Ye, Qinyang Wu, Ke Hu, Xiaohao Jiang, Lu Tang, Qiaohong Yang
  Cancer Nursing.2024;[Epub]     CrossRef
• Health Literacy and Anxiety Among Hemodialysis Patients During the Coronavirus Disease Pandemic
  In Ju Yoon, Su Jung Lee
  Psychology Research and Behavior Management.2023; Volume 16: 1051.     CrossRef
• Factors contributing to chronic obstructive pulmonary disease patients' functional performance: Structural equation modelling based on theory of unpleasant symptoms
  Hye Suk Jun, Younhee Kang
  Nursing Open.2023; 10(5): 3132.     CrossRef
• 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
• What Factors Influence on Dermatology-Related Life Quality of Psoriasis Patients in South Korea?
  So Young Park, Kon Hee Kim
  International Journal of Environmental Research and Public Health.2021; 18(7): 3624.     CrossRef
• Factors affecting supportive needs in hemodialysis patients: A literature review
  Attieh Nikkhah, Shohreh Kolagari, Mahnaz Modanloo
  Journal of Family Medicine and Primary Care.2020; 9(4): 1844.     CrossRef
• Validity and Reliability of a Korean Version of the Psychological Adaptation Scale for Patients on Hemodialysis
  Minju Kim, Sunae Joung
  Korean Journal of Adult Nursing.2020; 32(6): 560.     CrossRef
• Perceptions of resilience in patients undergoing peritoneal dialysis: A Q‐methodology study
  Mi Young Chon, Eun Ja Yeun, Kyoung Hee Jung, Young‐il Jo, Kyeong Ryong Lee
  Nursing & Health Sciences.2020; 22(1): 108.     CrossRef
• Influence of the Meaning in Life, Depression, and Social Support on the Suicidal Ideation of Old Adult Hemodialysis Patients
  Jinhee Shin, Hyebeen Sim, Eunhee Cho
  Journal of Korean Academy of Community Health Nursing.2020; 31(3): 279.     CrossRef
• Predictors Influencing of Medication Adherence in Hemodialysis Patients
  Hana Kim, Eunha Kim
  Korean Journal of Adult Nursing.2019; 31(3): 283.     CrossRef

PURPOSE
The aim of this study was to investigate the influencing effects of type D personality on symptom experiences and quality of life in percutaneous coronary intervention patients.
METHODS
A descriptive, cross-sectional study design was used. A total of 158 patients with percutaneous coronary intervention participated in this study, between July 1 and November 1, 2015. Data were analyzed by means, standard deviations, t-test, χ2 test, ANCOVA, and stepwise multiple regression analysis using SPSS 22.0 program.
RESULTS
About 53.8% of participants were classified as type D personality. The type D personality group reported statistically significantly higher symptom experience, lower cardiac function, and lower cardiovascular-specific quality of life compared to non-type D personality group. On stepwise multiple regression, the most significant factor of quality of life was symptom experiences (adjusted R²=.25, p<.001), followed by type D personality (adjusted R²=.31, p<.001).
CONCLUSION
Personality trait assessment is recommended for patients with percutaneous coronary intervention to assess symptom experiences and quality of life. In addition, development of nursing intervention might be beneficial to manage symptom experience and quality of life in percutaneous coronary intervention patients with type D personality.

Citations

• Health-Related Quality of Life in Patients With Coronary Artery Disease Undergoing Percutaneous Coronary Intervention: A Cross-Sectional Study
  Yujeong KIM
  Journal of Nursing Research.2022; 30(1): e186.     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
• Impact of Type D Personality on Depression, Anxiety, and Health-related Quality of Life among Coronary Artery Disease Patients: A Systematic Review and Meta-analysis
  Sun Hyoung Bae, Jin-Hee Park
  Korean Journal of Adult Nursing.2019; 31(3): 219.     CrossRef
• 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
• Somatic Symptoms and Quality of Life in Adults: Moderating Effect of Spiritual Well-being
  Youngrye Park, Hee Moon
  The Korean Journal of Rehabilitation Nursing.2018; 21(2): 132.     CrossRef

PURPOSE
This study aimed to evaluate the effects of exercise program on chronic low back pain, daily living disability and depression in chronic low back pain patients treated with epidural injections.
METHODS
The design of this study was a nonequivalent control group pretest-posttest experiment. The sample was recruited among low back pain patients treated with epidural injections from an orthopedic specialty hospital. Participants were randomly assigned to a treatment group (n=25) or a comparison group (n=27). The treatment was a six week exercise program for low back pain. Data were collected from September to November 2011, and were analyzed using descriptive statistics, chi2-test, one-tailed t-test for independent samples, and Mann-Whitney U test using the SPSS/WIN 12.0 program.
RESULTS
Patients in the treatment group reported statistically significantly lower levels of back pain on flexion and extension, less daily living disability, and less depression than those in the comparison group.
CONCLUSION
The back pain relief exercise program could be an effective adjunct nursing intervention for low back pain patients treated with epidural injections.

Citations

• The Effects of Comprehensive Education Program on Anxiety, Uncertainty and Athletic Performance of Patients undergo Spinal Nerve Block
  Seon Hee Kim, Eun Sook Lee
  Korean Journal of Adult Nursing.2017; 29(2): 143.     CrossRef
• Effects of the Back Pain Management Program on Patients with Chronic Low Back Pain
  In Ho Shin, Kyung-Sook Cho
  Journal of muscle and joint health.2014; 21(2): 114.     CrossRef