PURPOSE
This study was designed to assess the effects of skill teaching of oral liquid medication on the dose loss and caregivers' administering behavior.
METHODS
A nonequivalent control group no-synchronized design was used. 104 participants were assigned to one of two groups. A intervention group received a skill teaching and the control group received the conventional teaching about oral medication.
RESULTS
The mean amount of the dose loss by all participating caregivers was 23.3% of the prescribed dose and 61.5% of the caregivers showed dose loss more than 20% of the prescribed dose. Caregivers' age (Exp=3.56, p=.017) and time taken for administration (Exp=7.97, p < .001) were related to more dose loss. Toddlers' posture sitting in a stroller upon medication (Exp=.14, p=.009) and re-administering the remains after checking the medication bottle (Exp=.22, p=.040) influenced on reduction in dose loss. Before and after the skill teaching, a significant decrease in the dose loss was found in the high-viscous liquid medication only (t=−4.95, p < .001). The difference in the dose loss between the two groups were significant in the high-viscous liquid medication (t=4.95, p < .001). Also, caregivers' administration behavior were significantly improved in the intervention group.
CONCLUSION
The findings of this study showed that the skill teaching of oral liquid medication designed for toddlers' caregivers was effective in reduction of dose loss and improvement in administering behaviors with confidence.

Citations

• Caregiver Views on Prospective Use of Robotic Care in Helping Children Adapt to Hospitalization
  Meiling Jin, Hanna Choi
  Healthcare.2022; 10(10): 1925.     CrossRef

PURPOSE
This study investigated Korean women in between age 30 to 60 who were obese or overweight in order to explore their self-perception based on lifetime phase.
METHODS
Focus group interviews were performed four times with six to eight participants in each group (a total of 27). Data were analyzed using inductive thematic analysis.
RESULTS
The data analysis from the interviews revealed recurring common themes: heavy heart, heavy body, resigned acceptance of their own condition, and compromise. The study also found that each age group had different concerns: concerning others' gaze on their obese appearances (30s), realizing their aging obese appearances (40s), recognizing red flags of their health with obesity (50s), and becoming ambivalent about their obese appearances (60s). Overall, their perceptions of being overweight were negative and stressful. Women in their 30s and 40s were more interested in their appearances, and thus were more obsessive about weight gain. In contrast, women in their 50s and 60s were more accepting of their physical appearances, and thus were more concerned about living healthy than losing weight.
CONCLUSION
These results may be useful to consider when developing tailored weight-control programs for obese and overweight Korean women. Additionally, strategic approaches for successful and effective programs targeting healthy weight should be based on better understanding about women's self-perceptions and motivations.

Citations

• Exploring Barriers to and Facilitators of Physical Activity among Korean American Women
  JiWon Choi, Juhyun Cho, Nah-Mee Shin, Janice Tsoh
  Western Journal of Nursing Research.2021; 43(9): 817.     CrossRef
• Factors Affecting Body Image Discordance Amongst Korean Adults Aged 19–39 Years
  Hye-Young Jang, Jung-Won Ahn, Mi-Kyeong Jeon
  Osong Public Health and Research Perspectives.2018; 9(4): 197.     CrossRef

PURPOSE
This comparative descriptive study was to identify gender differences in delay seeking treatment and related experiences in patients with acute myocardial infarction (AMI).
METHODS
Ninety-seven participants were recruited from a tertiary hospital.
RESULTS
Mean age of 47 women was 71.5±13.3 while that of men was 55.0±10.9 (p<.001). More women lived alone and were jobless, less educated, and poorer than men. Men were likely to be 'current smokers' and drink alcohol, however viewed themselves healthier than women (p=.030). Women's hospital stay was 9.23±21.04 days while men's was 4.86±2.72 days (p=.014). More women had been diagnosed with hypertension (p=.040). Women appeared to report significantly less pain (6.46±3.1) than men (8.44±1.8). More men described their pain as sudden onset (p=.015) and chest pain as major symptom (p=.034) than women. More women were found alone upon onset of symptoms (p=.023) and had important reasons for delay seeking treatment (p=.021) than men. Median time from onset of symptoms to seeking medical service was 1.5 hours for men and 5.1 hours for women (p=.003). Median time taken from onset of symptoms to hospital for therapy was 3.5 hours for men and 9.1 hours for women (p=.019).
CONCLUSION
This study findings that women reported less pain and delayed in seeking treatment, suggest needs for strategies targeting women at risk of AMI.

Citations

• Predictors of anticipated coping behavior at myocardial infarction symptom onset among a nationwide sample of Korean adults
  Kyong Sil Park
  Epidemiology and Health.2021; 43: e2021006.     CrossRef
• Blood Pressure Awareness and Knowledge of Cardio-Cerebrovascular Diseases in South Korean Women with Hypertension
  Yeo Won Jeong
  Healthcare.2021; 9(3): 360.     CrossRef

PURPOSE
The aim of this study was to examine the effects of an Advanced Practice Nurse (APN)-led self-management program on cardiovascular health status among Korean women at risk of developing or progressing cardiovascular disease.
METHODS
This pilot study used one-group pre- and post- test experimental design. At health fairs in a community, 30 women who had one or more risk factors for metabolic syndrome were recruited and agreed to participate in the study. A total of 25 women completed the study. The intervention consisted of weekly follow-up calls and self-monitoring diary after an hour of individual counseling regarding risk factors, fast walking, and healthy diet tailored to the participants' needs. Physical activity was assessed with the World Health Organization International Physical Activity Questionnaire and a pedometer.
RESULTS
Participants showed statistically significant improvements in blood pressure, body mass index, levels of triglyceride, total cholesterol and low density lipoprotein, numbers of metabolic syndrome factors, and the 10-year CV risk estimate after one month of concentrated intervention. In addition, their physical activity behavior significantly improved after the intervention.
CONCLUSION
This APN-led self-management program targeting modifiable risk factors by offering tailored counseling and concentrated support during the transition might be effective in preventing progression to the cardiovascular disease.

Citations

• Cardiometabolic Risk of Visceral Fat Obesity and Factors Influencing Visceral Fat in Overweight or Obese Middle-Aged Korean Women: A Cross-Sectional Study
  Sujin Kim, Nah-Mee Shin, Jiwon Choi
  Korean Journal of Adult Nursing.2024; 36(4): 320.     CrossRef
• Self-Management Program for Heart Healthy Behavior Among Middle- and Old-Aged Korean Women at Risk for Metabolic Syndrome
  Nah-Mee Shin, JiWon Choi, InHae Cho, Byung-Jun Park
  Journal of Cardiovascular Nursing.2017; 32(6): E8.     CrossRef
• Development and Effectiveness of Tailored Education and Counseling Program for Patients with Coronary Artery Disease undergoing Percutaneous Coronary Intervention
  So-Yeon Kim, Min Young Kim
  Korean Journal of Adult Nursing.2017; 29(5): 547.     CrossRef

PURPOSE
The purpose of this study was to develop a smartphone application and evaluate it's effectiveness and usability for promoting bone health in Korean young adult women.
METHODS
A smartphone application was developed covering exercise, nutrition, and health habits related to bone health. A pilot testing was conducted using a one-group pre/posttest design. A total of 22 female college students with low bone mass participated in the 8-week use of a pilot testing.
RESULTS
The "Strong bone Fit body (SbFb)" application was developed using Android platform. In the pilot testing, bone mineral density, serum CTX, and 25 (OH)Vit.D were significantly decreased. There is no significant change in serum osteocalcin and calcium. Serum phosphorus concentration, nutrient intakes (fiber, VitB6, and pantotenic acid), and all bone composition profiles were significantly increased. Bonehealth knowledge was significantly increased but no change in health belief and self-efficacy.
CONCLUSION
The results of this pilot testing suggest the effectiveness of the SbFb application to enhance and promote self-managing abilities for bone health. It can provide continuous feedback and high-quality bone health information. However, some contents and working methods of the application need to be modified and its effectiveness on bone health requires further investigations.

Citations

• Feasibility of a mobile app for traumatic stress management using neurofeedback-based meditation and binaural beat music: A pilot randomized controlled trial
  Yun-Jung Choi, Dong-Hee Cho, Na-Rae Lee
  DIGITAL HEALTH.2024;[Epub]     CrossRef
• Effectiveness of a virtual reality application‐based education programme on patient safety management for nursing students: A pre‐test–post‐test study
  Jae Woo Oh, Ji Eun Kim
  Nursing Open.2023; 10(12): 7622.     CrossRef
• Development and evaluation of a self‐management application for patients with gout
  Seung Gum Kang, Eun Nam Lee
  Japan Journal of Nursing Science.2020;[Epub]     CrossRef
• Application and Effect of Mobiletype-Bone Health Intervention in Korean Young Adult Women with Low Bone Mass: A Randomized Control Trial
  Young-Joo Park, Sook-Ja Lee, Nah-Mee Shin, Hyunjeong Shin, Songi Jeon, Jungwoo Lee, Inhae Cho
  Asian Nursing Research.2017; 11(1): 56.     CrossRef

PURPOSE
The purpose of this study was to develop a model that explains causal relationships between post-menopausal women's osteoporosis general knowledge and awareness of their own bone mass density(BMD) and their osteoporosis health beliefs and preventive behaviors.
METHODS
Retrospective design using structural equation model tested seven variables by using questionnaires of osteoporosis knowledge test, osteoporosis health belief scale, osteoporosis self-efficacy scale, and osteoporosis preventive behaviors scale. 162 middle age and post-menopausal women were recruited.
RESULTS
Mediating effect of health beliefs was not significant in the relationship between BMD awareness and preventive behaviors. Instead, BMD awareness had a direct influence on the preventive behaviors that is strong and significant. Between the relationship of the BMD awareness and health beliefs, direct pathways of perceived threat, relative benefits, and self-efficacy were not significant. However, relative benefits and self-efficacy showed direct influence on the preventive behaviors.
CONCLUSION
Having middle age women get their BMD test done in order for them to be aware of their own BMD results might be a critical strategy to promote osteoporosis preventive behaviors. There is a need to develop diverse strategies to enhance their self-efficacy which has been shown to be important to osteoporosis preventive behaviors.

Citations

• Application and Effect of Mobiletype-Bone Health Intervention in Korean Young Adult Women with Low Bone Mass: A Randomized Control Trial
  Young-Joo Park, Sook-Ja Lee, Nah-Mee Shin, Hyunjeong Shin, Songi Jeon, Jungwoo Lee, Inhae Cho
  Asian Nursing Research.2017; 11(1): 56.     CrossRef
• An Equation Model Development and Test based on Health Belief Model Regarding Osteoporosis Prevention Behaviors among Postmenopausal Women
  Hyun-Jung Jang, Sukhee Ahn
  Korean Journal of Adult Nursing.2015; 27(6): 624.     CrossRef
• A Predictive Model of Fall Prevention Behaviors in Postmenopausal Women
  Hyun-Jung Jang, Sukhee Ahn
  Journal of Korean Academy of Nursing.2014; 44(5): 525.     CrossRef
• Bone Mineral Density, Biochemical Bone Turnover Markers and Factors associated with Bone Health in Young Korean Women
  Young-Joo Park, Sook Ja Lee, Nah-Mee Shin, Hyunjeong Shin, Yoo-Kyung Kim, Yunjung Cho, Songi Jeon, Inhae Cho
  Journal of Korean Academy of Nursing.2014; 44(5): 504.     CrossRef

PURPOSE
Fatigue is a common problem in Parkinson's disease (PD), affecting 30~65% of patients with that diagnosis. Only recently has fatigue been recognized as an important clinical feature of PD. The aim of this study was to investigate the level of fatigue and related factors in patients with PD.
METHODS
Between March 1, and September, 30, 2010, a sample of 181 PD patients agreed to be interviewed.
RESULTS
The female patients' PFS (Parkinson Fatigue Scale) score was higher than those of the male patients. Household income and having a Job were significantly correlated with the PFS scores. Among the disease characteristics, motor fluctuations, dyskinesia and modified Hoehn and Yahr stage were significantly correlated with the PFS scores. On stepwise regression analysis, the most important factors related to the PFS scores were depression and sleep disturbance.
CONCLUSION
Fatigue in patients with PD was associated with many factors and strongly associated with depression and sleep disturbance. Fatigue is a multidimensional construct; therefore, multidimensional strategies for relieving specific aspects of fatigue are needed.

PURPOSE
This study explored cardiovascular health (CVH), depressive symptoms, and well-being among community-based Korean women according to hwa-byung (HB) symptoms.
METHODS
This cross-sectional study measured HB symptoms, depressive symptoms, quality of life (QoL), and spiritual well-being (SWB) in addition to biophysical indicators of CVH.
RESULTS
Fourteen women of the HB group are more likely to live alone with lower income than 36 women in the comparison group. Compared to the comparison group, the HB group has larger mean waist circumference and higher prevalence of abdominal obesity along with more knee arthritis and back pain. Although women in the HB group appeared worse in other CVH than their counterparts, this was not statistically significant. It is noteworthy, that the HB group showed a higher probability of having a hard cardiovascular event (CVE) within 10 years than the comparison group. Women in the HB group reported more depressive symptoms, poor QoL, and low SWB as well as smoking and sleep difficulties.
CONCLUSION
Despite the small sample size, significant relationships of HB symptoms to abdominal obesity, the probability of a hard CVE within 10 years, and psychosocial health were found. Strategies for effective community-based cardiovascular programs for Korean women may include HB screening and/or management.

PURPOSE
The aim of this study was to investigate the level of resilience and related factors in patients with Parkinson's disease (PD) in Korea.
METHODS
Data were obtained from 148 patients using the Resilience Scale (RS), Beck's Depression Inventory (BDI), and Spielberger's Anxiety Inventory (AI).
RESULTS
The mean scores of the RS, BDI, and AI were 127.7+/-21.6, 12.9+/-9.3, and 41.9+/-11.1, respectively. The RS score was strongly correlated with the BDI score (r=-.531, p<.001) and the AI (r=-.572, p<.001). The resilience was significantly revealed by household income (F=4.002, p=.009) and presence of a hobby (t=-3.300, p=.001). In addition, resilience was significantly correlated with age of disease onset (r=.164, p=.046), years of living with PD (r=-.262, p=.001), and the length of treatment with levodopa (r=-.283, p<.001). From the stepwise multiple regression analysis, the most important factors related to the RS score were the AI score, household income, and length of treatment with levodopa.
CONCLUSION
Understanding these factors is essential for developing effective interventions to improve resilience in patients with PD.