Purpose
This study evaluated the effectiveness of an intervention combining the abdominal draw-in maneuver (ADIM) and body mechanics for nurses with chronic low back pain (LBP).
Methods
A non-equivalent control group pretest-posttest design was used, with data collected from August 30 to December 29, 2023. Participants were nurses experiencing chronic LBP (≥3 months) from a university hospital. Participants were allocated by ward units, with the experimental group (n=30) enrolled first, followed by the control group (n=30). The experimental group received ADIM and body mechanics training, performed ADIM exercises three times weekly for 6 weeks, and received daily text reminders. Exercise adherence and body mechanics usage were monitored weekly. The control group received educational materials upon request after study completion. Outcomes included LBP intensity, LBP disability, lumbar flexibility, and body mechanics performance, analyzed using SPSS version 27.0 through descriptive statistics, the chi-squared test, the Fisher exact tests, the independent t-test, the Mann-Whitney U test, and analysis of covariance.
Results
Compared to the control group, the experimental group showed significant reductions in LBP intensity (Z=4.65, p<.001) and LBP disability (F=7.04, p=.010), as well as improvements in lumbar flexibility (t=6.15, p<.001) and body mechanics performance (t=6.91, p<.001).
Conclusion
The intervention effectively alleviated LBP, reduced disability due to LBP, and improved lumbar flexibility and body mechanics performance. Thus, integrating ADIM with body mechanics may represent a practical and beneficial approach for reducing pain and enhancing functional outcomes among nurses experiencing chronic LBP in clinical settings.

Purpose
Patients in the Intensive Care Unit (ICU) experience a variety of symptoms. This descriptive correlational study aimed to determine the prevalence of symptoms and the physiological and situational factors associated with these symptoms in ICU patients.
Methods
We analyzed the Electronic Medical Records (EMRs) of 1,214 cases admitted to and discharged from the ICUs of a university hospital in Seoul over a 1-year period from June to September 2022. This analysis utilized standardized instruments embedded in EMRs and a natural language analysis framework developed by the researchers. Descriptive statistics, the x 2 test, the Fisher exact test, and multivariate logistic regression were employed to identify common symptoms and their related factors.
Results
In total, 85.7% of the cases had at least one symptom during their ICU stay, and 36.6% experienced 2 symptoms. Pain was the most frequently experienced symptom, affecting 69.5% of cases, followed by agitation (29.7%), dyspnea (29.7%), and delirium (4.8%). Multivariate logistic regression analysis indicated that the length of ICU stay influenced pain (odds ratio [OR]=1.04; 95% confidence interval [CI], 1.02~1.06; p<.001), delirium (OR=1.08; 95% CI, 1.06~1.11; p<.001), agitation (OR=1.07; 95% CI, 1.05~1.10; p<.001), and dyspnea (OR=1.19; 95% CI, 1.13~1.26; p<.001).
Conclusion
Pain, agitation, and dyspnea are common in ICU patients and are associated with the length of their ICU stay. Our study identifies factors related to these symptoms that could be targeted to manage and reduce their occurrence, providing a foundation for future research on various symptom assessment tools and natural language transcripts.

Purpose
This study investigated the knowledge, performance, and barrier awareness of Intensive Care Unit (ICU) medical staff concerning the prevention and management of Pain, Agitation/Sedation, Delirium, Immobility, and Sleep Disruption (PADIS) in critically ill adult patients, and aimed to identify the factors influencing the performance of evidence-based PADIS management.
Methods
This cross-sectional and correlational study included 189 medical staff (17 physicians, 172 nurses) working in ICUs in two hospitals and recruited between July 13 and 31, 2022. Multiple linear regression analysis was performed to identify the factors associated with the PADIS-related performance of medical staff.
Results
The evidence-based performance level for PADIS prevention and management had a mean score of 3.55±0.37 out of 5 points, and the mean knowledge score was 28.23±3.00 out of 33 points. The mean awareness score for barriers to implementing PADIS prevention and management guidelines was 2.91±0.39 out of 5 points. Multiple regression analysis indicated that knowledge of delirium (β=.19, p=.014) and awareness of barriers within the individual domains of medical staff (β=-.20, p=.034) significantly influenced PADIS-related performance.
Conclusion
To implement evidence-based practices for the prevention and management of PADIS, steps should be taken to improve the knowledge and awareness of medical staff regarding PADIS. This could be improved through organizational support, such as systematic education and staffing. Specifically, an education program centered on delirium could significantly improve PADIS-related knowledge and performance.

Citations

• Review of advanced emergency evacuation procedures in hospital buildings: comprehensive analysis and insights
  Hao Wu, Ruimin Nie, Xu Zeng, Chuanjie Cheng, Jing Pan, Daguang Han, Haidar Hosamo
  Frontiers in Built Environment.2024;[Epub]     CrossRef

Purpose
The purpose of this study was to construct and test a hypothetical model of self-management behavior in patients with chronic low back pain based on the results of previous studies and a literature review.
Methods
Data from 218 outpatients with spinal disease who visited a university hospital from January 21 to August 3, 2021 with chronic back pain that had lasted for more than 3 months were collected and analyzed.
Results
The goodness-of-fit of the final model satisfied recommendations (RMR=.01, RMSEA=.07, GFI=.97, NFI=.95, TLI=.92, CFI=.97). Negative illness perception directly and negatively influenced self-management behavior (β=-.15, p=.021), and also indirectly affected self-management behavior through self-efficacy (β=-.07, p=.007). Positive illness perception directly exerted a positive impact on self-management behavior. Active participation, internal health control, and self-efficacy all directly influenced self-management behavior.
Conclusion
In order to improve self-management behavior in patients with chronic low back pain and spinal diseases, it is crucial to first determine whether the patient's perception of their illness is positive or negative. Patients should be encouraged to adopt a positive attitude towards their condition and to persist with self-management.

Purpose
This study identified and compared the pain and associated symptoms of stable coronary artery diseases and acute coronary syndrome.
Methods
The study participants comprised 180 patients with stable coronary artery diseases and acute coronary syndrome. The data were collected from August 25, 2020, to October 30, 2020.
Results
We found that 77.2% of participants had pain and associated symptoms, and 85.6% had one or more associated symptoms. In the associated symptoms, patients with acute coronary syndrome expressed squeezing, and patients with stable coronary artery diseases expressed expanding. Patients with stable coronary artery diseases reported increased pain during exercise. Moreover, although there was no statistically significant difference, drinking, eating, and cold weather often exacerbated pain in patients with acute coronary syndrome. The average pain intensity of patients with stable coronary artery diseases was moderate (4.09±2.79). The average pain intensity of acute coronary syndrome patients was severe (5.68±3.34). Patients with acute coronary syndrome mainly reported cold sweat and loss of consciousness. Palpitations and dizziness were prevalent complaints in patients with stable coronary artery diseases.
Conclusion
Based on this study's results, a nursing assessment can be performed when managing patients with coronary artery disease. In addition, a nursing assessment protocol could be developed based on the analysis results regarding pain and associated symptoms in patients with stable coronary artery diseases and acute coronary syndrome.

Citations

• BATF alleviates ox-LDL-induced HCAEC injury by regulating SIRT1 expression in coronary heart disease
  Bei Tian, Jingyu Ji, Can Jin, Antoine Fakhry AbdelMassih
  PLOS ONE.2024; 19(12): e0306514.     CrossRef
• Development of an Initial Screening Scale to Detect Patients With Chest Pain From Acute Coronary Syndrome in the Emergency Department
  Kyeongmin Jang, Kwisoon Choe
  Journal of Clinical Nursing.2024;[Epub]     CrossRef

Purpose
This study investigates the effects of thermomechanical stimulation intervention during arteriovenous fistula puncture on hemodialysis patients’ pain, anxiety, and stress. Methods: We used a nonequivalent groups pretest-posttest experimental design. In this study, 44 patients on regular hemodialysis (22 each in experimental and control groups) at a general hospital in South Korea were enrolled from December 2020 to January 2021.Subsequently, thermomechanical stimulation intervention using the Buzzy device was applied to the experimental group during arteriovenous fistula puncture. The outcome measures were the patients’ pain, anxiety, and stress.
Results
After the intervention, the experimental group recorded significantly lower arteriovenous fistula puncture pain compared to the control group (t=2.90, p=.006). However, no significant differences in anxiety and stress were noted before and after the intervention between the groups.
Conclusion
The study indicates that thermomechanical stimulation intervention can be utilized as an easy and effective intervention method to reduce the puncture pain experienced by patients on hemodialysis during arteriovenous fistula puncture.

Citations

• Effects of an intervention combining warm therapy with a digital distraction app on pain, stress, and satisfaction during intravenous catheterization in South Korea: a randomized controlled trial
  Jae-Kyeum Lee, Ki-Yong Kim, Yean-Hee Jeong, Yu-Jin Lee, Min-Ho Lee, Myung-Haeng Hur
  Journal of Korean Biological Nursing Science.2025; 27(2): 191.     CrossRef
• Effects of a thermoelectric element tourniquet on venipuncture pain and stress relief in Korea: a randomized controlled trial
  Tae Jung Lee, Jihoo Her, Myung-Haeng Hur
  Journal of Korean Biological Nursing Science.2025; 27(2): 179.     CrossRef
• Thermoelectric tourniquet–assisted thermotherapy and cryotherapy for pain, regional blood flow, and satisfaction with intravenous injections among hospitalized patients in Korea: a randomized controlled trial
  Seon-Mi Lee, Myung-Haeng Hur
  Journal of Korean Biological Nursing Science.2024; 26(4): 323.     CrossRef
• Effect of aromatherapy on quality of life in maintenance hemodialysis patients: a systematic review and meta-analysis
  Cong Zhang, Hang Mu, Yong-Fang Yang, Yong Zhang, Wen-Jun Gou
  Renal Failure.2023;[Epub]     CrossRef
• Juan Bi Tang, a traditional Chinese medicine, for alleviating pain related to arteriovenous fistula in maintenance hemodialysis patients: An interventional pilot study with brief review
  Yung-Tang Hsu, Yung-Hsiang Chen, Chung-Ming Fu, Wen-Chin Lee, Ming-Yen Tsai
  Medicine.2023; 102(45): e35974.     CrossRef

Purpose
This study aimed to examine the direct and indirect effects of general characteristics, basic psychological needs, health promoting behaviors, and emotional status on sleep quality of the older adults with low back pain. Methods: We conducted a cross-sectional correlational study in B and Y cities between August and September 2020. A total of 217 older adults participated in the study and their general characteristics (age, gender, duration of back pain, pain intensity, disability, perceived health status, risk for malnutrition), basic psychological needs (autonomy, competence, relatedness), health promoting behavior (physical activity, self care), emotional status (depression, quality of life), and sleep quality were measured. Data were analyzed through descriptive analysis, independent t-test, ANOVA with Scheffé post-hoc test, hierarchical multiple regression, and path analysis using SPSS/WIN 22.0 and AMOS 22.0. Results: The mean age of the participants was 70.31±5.39 years, the pain intensity was 6.40±1.09, and the duration of back pain was 6.69±6.46 years. The significant factors influencing sleep quality were depression (β=.45, p=.001), gender (β=-.22, p=.001), disability (β=.21, p=.003), perceived health status (β=-.21, p=.001), duration of back pain (β=-.20, p=.001), self care on back pain (β=-.15, p=.009), basic psychological needs (β=-.15, p=.001), and risk for malnutrition (β=.03, p=.028). Conclusion: The findings of this study suggest that special attention is required for older women with high levels of depression and disability due to back pain, especially those with pain duration of less than 5 years or greater than 10 years.

Citations

• Effects of Auricular Acupressure Therapy on Psychological Factors, Sleep Quality, and Salivary Cortisol Levels in South Korean Older Adults in the Community: A Single-blind, Randomized Controlled Trial
  Hyeongyeong Yoon
  Journal of Korean Academy of Fundamentals of Nursing.2023; 30(4): 509.     CrossRef

Purpose
This study aimed to examine the effect of pain, anxiety, depression, perception dignity, and spiritual well-being on hospice patients’ attitudes toward dignified death. Methods: A total of 130 terminal cancer patients admitted to hospice ․ palliative care institutions in Korea participated in the study. Data were collected using self-report questionnaires and analyzed using descriptive statistics, an independent t-test, one-way ANOVA, Pearson's correlation coefficient, and hierarchical multiple regression using SPSS Statistics 26.0. The assessment tools were the Brief Pain Inventory, Hospital Anxiety and Depression Scale, Perception of Dignity Scale, Functional Assessment of Chronic Illness Therapy-Spiritual Well-Being Scale, and Attitudes toward Dignified Death Scale.
Results
The mean scores were as follows: 5.25 for pain, 11.98 for anxiety, 14.56 for depression, 22.12 for spiritual well-being, 14.38 for perception of dignity, and 93.12 for attitudes toward dignified death. The results of the hierarchical multiple analysis revealed that spiritual well-being (β=.36, p<.001) was predictive of the attitudes toward dignified death (R² =.13, p<.001).
Conclusion
Spiritual well-being is associated with hospice patients’ attitudes toward dignified death. The results highlight the necessity to develop effective nursing intervention programs that promote spiritual well-being for hospice patients’ attitudes toward dignified death.

Purpose
This study aimed to identify the mediating effect of postoperative pain in the relationship between preoperative anxiety and Postoperative Nausea/Vomiting (PONV) in patients undergoing laparoscopic abdominal surgery.
Methods
The participants were 85 patients who were receiving laparoscopic abdominal surgery and undergoing general anesthesia at a university hospital. Data were collected from September 30 to December 13, 2019 using self-report questionnaires and clinical electronic medical records. The collected data were analyzed with descriptive statistics, independent t-tests, one-way analysis of variance, Pearson's correlation coefficient, and a three-step mediated regression analysis using SPSS/WIN 23.0.
Results
Significant positive correlations were observed between preoperative anxiety and postoperative pain (average score 24 hours after discharge from the recovery room) (r=.38, p<.001), preoperative anxiety and PONV (r=.45, p<.001), and postoperative pain (average score 24 hours after discharge from the recovery room) and PONV (r=.51, p<.001). Postoperative pain had a partial mediating effect (Z=2.28, p=.023) in the relationship between preoperative anxiety and PONV.
Conclusion
To reduce PONV experienced by patients who have undergone laparoscopic abdominal surgery, developing interventions and techniques to manage preoperative anxiety and alleviate postoperative pain is important.

Citations

• Effect of Wrist-Ankle Acupuncture Point Stimulation on Preventing Postoperative Nausea and Vomiting in Female Patients Undergoing Orthopedic Surgery
  Zhenzhen Zhang, Qingge Liu, Rui Chen, Yamin Tian, Chaoping Wang, Di Zhang, Songmei Wu
  Journal of PeriAnesthesia Nursing.2025; 40(3): 634.     CrossRef
• Preoperative Anxiety and Its Postoperative Associated Factors in Patients Receiving Post Anesthetic Recovery Care at Surgical Intensive Care Unit
  Yul Ha Lee, Hye-Ja Park
  Journal of Health Informatics and Statistics.2023; 48(3): 267.     CrossRef

Purpose
This study aimed to identify factors influencing performance of pain assessment and pain intervention for dementia patients among long-term care hospital nurses.
Methods
In this descriptive study, participants were 106 nurses working in seven long-term care hospitals. Data were collected from August 13 to August 30, 2019. Nurses’ performance of pain assessment and pain intervention, attitude toward dementia, empathy, and knowledge about dementia-related pain were measured through self-reported questionnaires.
Results
The factors influencing performance of pain assessment were a total clinical career of 5 to 9 years (β=.29, p=.013) and a total clinical career of more than 15 years (β=.31, p=.013), which together explained 15.9% of the variance in the model. The factor influencing performance of pain intervention was attitude toward dementia (β=.31, p=.018), and explained 8.7% of the variance in the model. Empathy and knowledge about dementia-related pain were not found to be significant factors in either of the models.
Conclusion
The study findings suggest that a specialized education program for nurses with short clinical careers should be developed. Additionally, when designing the education program, it is recommended that varied content that can induce psychological and emotional attitude changes be included, as well as knowledge-oriented content. Finally, the more effective the pain assessment for dementia patients, the more appropriate the pain intervention and its performance will be. Thus, it is necessary to provide systematic training to enhance the pain assessment skills through a case study-based approach.

Citations

• The Status and Challenges of Pain Assessment in Hospitalized Patients: A Cross-Sectional Study
  Xiaofeng Xu, Hongxiu Chen, Jing Xu, Yue'er Zhang, Renrong Gong, Xiuying Hu
  Pain Management Nursing.2025; 26(2): e124.     CrossRef
• Development of the Korean Version of the Pain Assessment Tool in Impaired Cognition (KPAIC-15) for Patients with Dementia: A Scale Development
  Sun Young Lim, Su Jung Lee, Sung Ok Chang
  Journal of Korean Gerontological Nursing.2022; 24(2): 218.     CrossRef

Purpose
This study aimed to examine the effects of auricular acupressure on shoulder pain and shoulder joint Range of Motion (ROM) in older adults.
Methods
This is an experimental, single-blind, randomized study with a placebo-controlled approach. The participants were older adults with shoulder pain. Each group was assigned 27 participants. The experimental group received auricular acupressure on shoulder pain-related points and the placebo-control group received auricular acupressure on shoulder pain-unrelated points. The intervention was implemented for eight weeks. To validate the effects of the treatment, a Visual Analogue Scale (VAS), the Shoulder Pain and Disability Index (SPADI), Pressure Pain Thresholds (PPTs), and ROM were conducted. VAS was measured before and after every intervention. SPADI, PPTs, and ROM were measured at the beginning and end of every intervention.
Results
The VAS scores in the experimental group with auricular acupressure significantly decreased with time (p<.001) and SPADI scores also significantly decreased (p<.001) compared with the scores of the placebo-control group. The experimental group's PPTs for their upper trapezius, levator scapulae, and rhomboideus major increased significantly, compared to that of the placebo-control group. The experimental group's ROM of flexion, abduction, and external rotation increased significantly compared to the placebo-control group. but there were no significant differences in internal rotation.
Conclusion
Auricular acupressure, applied for eight weeks, was found to effectively reduce shoulder joint pain and shoulder ROM. Consequently, auricular acupressure can be used as a nursing intervention method to reduce joint pain and improve shoulder ROM in elders.

Citations

• Effects of Auricular Acupressure on Nurses’ Perceived Stress, Sleep Quality, and Presenteeism
  Hyunseo Sim, Younghee Park
  Holistic Nursing Practice.2025; 39(1): 15.     CrossRef
• Effects of Auricular Acupressure on Pain and Stress in Nursing College Students With Cervical Pain: A Single-Blind Placebo-Controlled Trial
  Yuna Cho, Eunmi Cho, Eunseol Cho, Yeonju Chae, Eunkyung Choi, Hyeongyeong Yoon
  Pain Management Nursing.2025; 26(1): e59.     CrossRef
• Effects of Auricular Acupressure on Dry Eye Syndrome, Stress, and Depressive Symptoms in Older Adults: A Single-blind, Randomized Controlled Trial
  Hyeongyeong Yoon
  Journal of Korean Academy of Fundamentals of Nursing.2024; 31(2): 243.     CrossRef
• Factors affecting physical and mental fatigue in adults from South Korea: A cross-sectional study
  Kyeha Kim, Jihyun Oh
  Medicine.2023; 102(50): e36549.     CrossRef
• Effects of Auricular Acupressure Therapy on Psychological Factors, Sleep Quality, and Salivary Cortisol Levels in South Korean Older Adults in the Community: A Single-blind, Randomized Controlled Trial
  Hyeongyeong Yoon
  Journal of Korean Academy of Fundamentals of Nursing.2023; 30(4): 509.     CrossRef
• Effects of auricular acupressure on sleep and pain in elderly people who have osteoarthritis and live in nursing homes: A randomized, single-blind, placebo-controlled trial
  Won Jin Lee, Hyojung Park
  EXPLORE.2023; 19(2): 214.     CrossRef
• Effect of Auriculotherapy on Musculoskeletal Pain: A Systematic Review and Meta-Analysis
  Sun Yeob Choi, Yeo Ju Kim, Bomi Kim
  Journal of Korean Academy of Nursing.2022; 52(1): 4.     CrossRef

PURPOSE
The purpose of this study was to identify factors that influence the performance of cancer pain management among nurses in an oncology unit.
METHODS
The participants of this study were nurses working in an oncology unit at an oncology hospital located in Busan city. Data was collected between January 10 and February 10, 2018 from questionnaire responses received 101 nurses. Measures used for this study assessed knowledge and attitudes toward cancer pain management, patient-centered care, and the performance of cancer pain management. Data were analyzed using descriptive statistics, an independent t-test, a one-way ANOVA, Pearson's correlation coefficient, and multiple linear regression analysis.
RESULTS
Performance of cancer pain management was significantly correlated with knowledge (r=.21, p=.032), attitudes toward cancer pain management (r=.21, p=.034), and patient-centered care (r=.33, p=.001). In addition, performance of cancer pain management was influenced by knowledge of cancer pain management (β=.27, p=.008), patient-centered care (β=.33, p=.001), and working in the surgery department (β=.24, p=.012). The explanatory power of this model was 29.3%.
CONCLUSION
These results suggest the need for programs to improve patient-centered care, and continual education on cancer pain management guidelines, in order to provide organized and effective pain management.

Citations

• Assessing healthcare professionals’ perceptions of pain concepts and beliefs
  Sejun Oh, Yeonji Gu, Inbeom Kim, Euha Kwon, Sangheon Lee, Kyounghae Kim
  NeuroRehabilitation.2024; 55(1): 117.     CrossRef
• Development of a nurse navigation program for cancer pain
  Miyoung Yoo, Eunyoung E. Suh, Mi Jang, Sunsil Kang
  Asia-Pacific Journal of Oncology Nursing.2024; 11(7): 100528.     CrossRef
• Managing Postembolization Syndrome Through a Machine Learning–Based Clinical Decision Support System
  Minkyeong Kang, Myoung Soo Kim
  CIN: Computers, Informatics, Nursing.2024; 42(11): 817.     CrossRef
• Understanding of Dense Breast and Perception of Breast Cancer Risk of Nurses with or without Dense Breast Notification
  Seon Mi Yoon, Jeong Hee Kang
  Asian Oncology Nursing.2023; 23(2): 75.     CrossRef
• Nurses’ knowledge and attitudes toward patient-controlled analgesia for postoperative pain control in a tertiary hospital in South Korea
  Mi-Ra Kang, Youn-Ju Kwon
  BMC Nursing.2022;[Epub]     CrossRef
• Factors Affecting Nurses’ Performance of Cancer Pain Management in a Tertiary Hospital
  Minhwa Kang, Minjeong Seo
  The Korean Journal of Hospice and Palliative Care.2022; 25(3): 99.     CrossRef
• Factors Influencing Oncology Nurses’ Pain Management of Cancer Patients
  Hoi Sook Seo, Eun Young Park, Se Jin Park, Bo Ra Han, Myung Jin Jang
  Asian Oncology Nursing.2021; 21(4): 213.     CrossRef
• The Knowledge, Attitudes, Performance, and Barriers of Nurses to Pain in Oncology Settings: A Multi-Center Study
  Hyekyung Kim, Soeun Choi, Sue Kim, Jiyeon Lee, Sun-Hee Kim, Insook Lee, Yoonjung Shin, Hye-Young Jang
  Asian Oncology Nursing.2021; 21(1): 15.     CrossRef
• Pain Assessment of Lung Cancer Patients in the Emergency Department: A Case Report
  Nayung Youn
  Asian Oncology Nursing.2021; 21(4): 194.     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 paper was to develop a stage-matched intervention based on the TransTheoretical Model (TTM) for elderly women with chronic back pain in the contemplation and preparation stage and evaluate its effectiveness.
METHODS
Fifty elderly women with chronic back pain (experimental group, n=25; control group, n=25) was recruited from elderly welfare centers. The research was a nonequivalent control group pre- posttest experimental design. The process of change for exercise, exercise decisional balance, and exercise self-efficacy were used as interventional strategies. To examine the effectiveness of this program, the dependent variables, back pain and muscle strength, were measured before, immediately after, and 4 weeks after the intervention, from May 16 to August 26, 2016. The data were analyzed with the χ2 test, independent t-test, two way repeated measured ANOVA.
RESULTS
The process of change for exercise, exercise self-efficacy, and muscle strength were improved and back pain was decreased in the experimental group as compared with the control group.
CONCLUSION
The results of this study suggest that the stage-matched intervention was effective for improving the process of change for exercise, exercise self-efficacy, and muscle strength in elderly women with chronic back pain in the contemplation and preparation stage. It's wider implementation in community settings will promise promoted exercise activity among elderly women with chronic back pain.

Citations

• Relationships Between Socioecological Factors and Self-Efficacy to Participate in Physical Activity for Adults With Chronic Musculoskeletal Pain: An Integrative Review
  Mark Vorensky, Stephanie L Orstad, Allison Squires, Susan Parraga, Katherine Byrne, Ericka N Merriwether
  Physical Therapy.2024;[Epub]     CrossRef
• Effect of integrated exercise therapy and psychosocial interventions on self-efficacy in patients with chronic low back pain: A systematic review.
  Mark Vorensky, Tyler Murray, Andrew F. McGovern, Yera Y. Patel, Smita Rao, Mitchell Batavia
  Journal of Psychosomatic Research.2023; 165: 111126.     CrossRef

PURPOSE
This study sought to examine the relationships among patient's stress, pain, and nursing needs in the recovery room after surgery that was performed under general anaesthesia.
METHODS
Participants were adult patients aged 20 to 64 years who underwent surgery under general anesthesia from February 5, 2018 to March 9, 2018. A survey was conducted to evaluate the participants' general demographics, stress, pain and recovery room nursing needs at a Post Anesthesia Care Unit (PACU). A total of 145 patients receiving operational treatment in Daejin Medical Center at Gyeonggi-do were recruited. Collected data were analyzed in terms of percentage, frequency, independent t-test, one-way ANOVA, and Pearson's correlation coefficient using SPSS/WIN 23.0 program.
RESULTS
Among the PACU nursing needs environmental and educational nursing needs were the highest. In addition, patients with underlying diseases experienced more post-operational stress and had fewer educational nursing needs in the recovery room. Therefore, Aggressive pain management and emotional recovery room nursing needs should be provided in the PACU.
CONCLUSION
It is necessary to build a comfortable environment for the patient as well as protect patients from infection and guarantee their privacy. In order to reduce patients' stress, educational nursing needs in the recovery room should be provided before an operation.

Citations

• Preoperative Anxiety and Its Postoperative Associated Factors in Patients Receiving Post Anesthetic Recovery Care at Surgical Intensive Care Unit
  Yul Ha Lee, Hye-Ja Park
  Journal of Health Informatics and Statistics.2023; 48(3): 267.     CrossRef

PURPOSE
This study aimed to develop evidence-based nursing practice guidelines for pain management in patients with dementia and to verify their effects.
METHODS
Guidelines were developed according to the Clinical Practice Guideline Adaptation Manual. Additionally the quality of six guidelines was evaluated using the AGREE (Appraisal of Guidelines for Research & Evaluation) tool. Subsequently, the guidelines were translated into Korean and a preliminary set of guidelines was established. After a group of experts confirmed the content validity of the guidelines, the Korean version was applied to clinical settings for 4 weeks, to examine their applicability. Data was collected from April to August 2017. The dependent variables were nurses' knowledge and attitudes about pain management in patients with dementia, pain assessment frequency, use of pharmacological and nonpharmacological intervention to reduce pain, and subjective and objective pain scores of patients with dementia. Data were analyzed using an independent t-test, Mann-Whitney U test, Wilcoxon Signed Ranks test, and analysis of covariance with SPSS/WIN 22.0.
RESULTS
Nurses in the experimental group had a higher degree of knowledge and more positive attitudes regarding pain management, and they reported a higher frequency of pain assessment as compared to those in the control group. As compared to patients in the control group, those in the experimental group had more days of regular treatment with analgesics and were provided with a higher analgesics dose as well as more frequently received physical and relaxation therapies. The two groups did not show significant differences in subjective and objective pain scores.
CONCLUSION
The present findings indicates that the evidence-based guidelines for pain management developed in this study were effective in helping nurses and patients with dementia to resolve their pain for which they were currently seeking treatment.

Citations

• Developing evidence‐based medication therapy management tools for psychiatric nurses: An evaluative qualitative case study
  Melisa Bulut, Çiğdem Yüksel
  Journal of Evaluation in Clinical Practice.2024; 30(8): 1519.     CrossRef
• Development and Evaluation of Evidence-Based Nursing Protocol for Extracorporeal Membrane Oxygenation to Critically Ill Patients
  Soomi Kim, Chul-Gyu Kim
  Journal of Korean Academy of Nursing.2023; 53(3): 275.     CrossRef
• Self-rated health as a predictor of mortality according to cognitive impairment: findings from the Korean Longitudinal Study of Aging (2006-2016)
  Goun Park, Wankyo Chung
  Epidemiology and Health.2021; 43: e2021021.     CrossRef
• Development and Effectiveness of Practice Application Program of Intravenous Infusion Evidence-Based Nursing Practice Guideline - for Small and Medium Sized Hospitals
  Inhwa Hong, Young Eun
  Journal of Korean Academy of Nursing.2020; 50(6): 863.     CrossRef
• Factors Influencing Performance of Pain Assessment and Pain Intervention for Dementia Patients among Long-term Care Hospital Nurses
  Mi Seon Jeon, Chi Eun Song, Jeong Min Park, Weon Gyeong Kim
  Korean Journal of Adult Nursing.2020; 32(3): 283.     CrossRef

PURPOSE
Fatigue is common in older adults and may decrease the quality of life. The purpose of this study was to investigate the level and characteristics of fatigue of older adults, and identify the factors associated with fatigue.
METHODS
This study used a secondary data analysis (n=200). Data collection was conducted from July to September 2015. Fatigue Severity Scale, Geriatric Depression Scale Short Form Korea Version, Korean Version of Physical Activity Scale for Elderly, and Verran & Synder-Halpern Sleep Scale were used.
RESULTS
We used the data from 200 older adults in a local senior welfare center. Their average age was 74.5 years. We found that 35.5% of them had fatigue (≥4). The reported factors alleviating fatigue were taking rest, warm bath, and sleeping. Engaging in light sports was also reported to alleviate fatigue. The level of fatigue was higher in subjects with older age (p=.009), lower income (p=.003), higher number of diseases (p < .001), more medications (p < .001), and lower perceived health status (p < .001). In multiple linear regression analysis, the factors predicting fatigue were older age (p < .001), depression (p < .001), pain (p=.001), irregular exercise (p=.013), and lower perceived health status (p < .001). The explanatory power of the model was 47.5%.
CONCLUSION
Our study suggests that depression and pain were risk factors although engaging in light sports was a factor alleviating fatigue in older adults. The fatigue management strategies tailored to alleviate fatigue in older individuals by reducing these manageable risk factors are needed.

Citations

• Fatigue-Related Factors for Community-Dwelling Older Adults with Diabetes: A Theory-Guided Multi-Dimensional Approach Using the Dynamic Biopsychosocial Model
  Hyerang Kim, Heesook Son
  International Journal of Environmental Research and Public Health.2019; 16(22): 4502.     CrossRef
• Differences of Stress, Sleep Quality and Metabolic Syndrome by Prolonged Fatigue in Early Adulthood
  Bok Nam Seo, Inja Kim
  Korean Journal of Adult Nursing.2019; 31(2): 202.     CrossRef

PURPOSE
The aim of this study was to evaluate the effect of exercise on chronic musculoskeletal pain in older adults.
METHODS
In order to conduct a meta-analysis, a total 7,186 studies were retrieved from seven databases (Pubmed, CINAHL, Cochrane Library, RISS, KISS, NDSL, KoreaMed) without restriction on publication year and the articles published until June 2018 were selected for this study. Sixteen studies were selected for the meta-analysis based on their satisfaction of the inclusion criteria and low risk of bias. Baseline demographic data, exercise features, and outcome data were extracted from all included trials. The data was analyzed using the RevMan 5.2 and CMA 3.0. program.
RESULTS
The results of the meta-analysis (n=16) revealed that the exercise intervention was found to be significantly superior to control group on pain (Standardized Mean Difference [Hedges'g]=−0.43, 95% Confidence Interval [CI]=−0.59~−0.27). Also, meta-ANOVA was performed using study period, length and frequency of session and type of exercise, but no statistically significant moderators were found.
CONCLUSION
In this study, the exercise demonstrated significant reduction in pain intensity in older adults and there was no difference in pain reduction according to type or duration of exercise. Therefore, exercise that older adults prefers and is feasible in where they are, should be adopted as a nursing intervention for older adults' chronic musculoskeletal pain management.

Citations

• Effects of Contrast Therapy Using Flexible Thermoelectric Devices on Lower Extremity Edema, Pain, Muscle Fatigue, and Stress in Nursing Home Workers: A Randomized Controlled Trial
  Ji-Ah Song
  Korean Journal of Adult Nursing.2023; 35(1): 61.     CrossRef
• The best treatment option(s) for adult and elderly patients with chronic primary musculoskeletal pain: a protocol for a systematic review and network meta-analysis
  Helen Koechlin, Ben Whalley, Nicky J. Welton, Cosima Locher
  Systematic Reviews.2019;[Epub]     CrossRef

PURPOSE
The purpose of this study was to examine the characteristics of Health-Related Quality of Life (HRQoL) and its influencing factors in Koreans with Peripheral Artery Disease (PAD).
METHODS
One hundred and four participants were recruited from Severance hospital in Seoul, Korea. A PAD-specific quality of life questionnaire was used to measure HRQoL. The relevant knowledge, social support, and demographic and clinical characteristics were also measured. Descriptive analysis and multiple linear regression analysis were performed.
RESULTS
The mean scores of PAD-related knowledge and social support were high, while those of the HRQoL were low. The HRQoL was significantly higher among university graduates than those who had completed only middle school, and among those with coronary artery disease. The HRQoL in patients with PAD was significantly correlated with duration of diagnosis, the Rutherford classification, rest pain, walking pain, medical staff support, and family support. It was significantly affected by walking pain, duration of diagnosis, medical staff support, and rest pain. The regression model accounted for 38.4% of the HRQoL in this study.
CONCLUSION
Pain and medical staff support might influence HRQoL among patients with PAD. Understanding the characteristics of HRQoL may be important in developing tailored management strategies to improve HRQoL among Koreans with PAD.

Citations

• The Relationships between Healthy Lifestyle Behaviors, Hopelessness, and Illness Acceptance Levels Diagnosed with Peripheral Artery Disease and Related Factors
  Dilara Şahan, Yakup Akyüz, Fatma Güneyi, Damla Coşar
  Annals of Vascular Surgery.2025; 115: 117.     CrossRef
• Health Literacy and Disease Knowledge of Patients With Peripheral Arterial Disease or Abdominal Aortic Aneurysm: A Scoping Review
  Goudje L. van Leeuwen, Maria-Annette Kooijman, Richte C.L. Schuurmann, Barbara L. van Leeuwen, Barbara C. van Munster, Hanneke van der Wal-Huisman, Jean-Paul P.M. de Vries
  European Journal of Vascular and Endovascular Surgery.2024; 67(6): 935.     CrossRef
• A Scoping Review of Measurement Tools Evaluating Awareness and Disease-Related Knowledge in Peripheral Arterial Disease Patients
  Carolina Machado de Melo Felix, Danielle Aparecida Gomes Pereira, Maureen Pakosh, Lilian Pinto da Silva, Gabriela Lima de Melo Ghisi
  Journal of Clinical Medicine.2023; 13(1): 107.     CrossRef
• Relationship between Uncertainty and Health-related Quality of Life in Elderly Patients Undergoing Total Knee Arthroplasty: The Mediating Effects of Sense of Coherence and Social Support
  Min-Yi Song, Min-Jeong Park
  Journal of Korean Academy of Fundamentals of Nursing.2022; 29(3): 284.     CrossRef

PURPOSE
The purpose of the study was to develop and pilot test an early exercise program for lumbar spine surgery patients.
METHODS
A group of experts developed an early exercise program based on the exercise guidelines of spine hospitals and literature review. Fifty-three lumbar surgery patients were assigned into an experimental group or a control group and both groups participated in a 7-day exercise program. Pain, sleep disorders and daily living activity disorders were measured by self-administered questionnaires. The lower extremity strength was assessed by thigh circumference and the number of standing up from a chair within 30 seconds.
RESULTS
The experiment group had significantly lower scores in back pain and daily living activity disorders than the control group. The number of standing up from a chair significantly increased in the experimental group.
CONCLUSION
Our early exercise program was effective in decreasing the back pain and daily living activity disorder and increasing the strength of lower extremity among lumbar surgery patients. The early exercise program should be considered as a nursing intervention in clinical settings for lumbar surgery patients.

PURPOSE
Reported insomnia and decreased sleep quality are common among older adults. The purpose of this study was to identify factors contributing to insomnia and decreased sleep quality among elderly persons living within a community. The data will be verified with Actigraph which is a non-invasive measurement of rest/activity cycles.
METHODS
137 participants over 65 years old were recruited from a senior welfare center. Their mean age was 74.07±5.18 years old and majority was women (69.3%). The quality and quantity of nighttime sleep were assessed using Varren-synder-Halper Sleep Scale and a sleep log. Depression and fatigue were assessed using Geriatric Depression Scale Short Form and Fatigue Severity Scale, respectively. Pain was assessed using 11-point Numeric rating scale. An actigraph was used to verify the self-reported sleep.
RESULTS
Ninety-two participants (67.2%) reported insomnia. Sixty-eight subjects (49.6%) reported good sleep. Of the participants, 56.2% reported depression and 33.6% reported fatigue. In logistic regression, depression was related to insomnia (OR=3.09, p=.003). Sleep quality was related to depression (OR=2.13, p=.045) and fatigue (OR=2.24, p=.044). The data from the Sleep logs correlated with data obtained from the actigraph.
CONCLUSION
Depression significantly influenced insomnia and sleep quality whereas fatigue only influenced sleep quality. Thus, depression and fatigue should be closely monitored among elderly persons with sleep disturbances.

Citations

• Actigraphy-Based Assessment of Sleep Parameters in Intensive Care Unit Patients Receiving Respiratory Support Therapy
  Jiyeon Kang, Yongbin Kwon
  Journal of Korean Critical Care Nursing.2022; 15(3): 115.     CrossRef
• Sleep Patterns of Older Residents in Long-Term-Care Facilities: A Comparison with Older Adults in Home-Care Services and Community-Dwelling Older Adults
  Eunhee Hwang
  Journal of Korean Gerontological Nursing.2021; 23(1): 75.     CrossRef
• The Effect of Auricular Acupressure on Sleep in Older Adults with Sleep Disorders
  Ju Hee Lee, Hyojung Park
  Journal of Korean Gerontological Nursing.2021; 23(2): 117.     CrossRef
• Factors that Influence Sleep among Residents in Long-Term Care Facilities
  Da Eun Kim, Ju Young Yoon
  International Journal of Environmental Research and Public Health.2020; 17(6): 1889.     CrossRef
• Insomnia and its associated factors among  older people of selected ward of Banepa municipality, Nepal
  Manisha Dangol, Sunil Shrestha, Sita Kumari Rai Koirala
  Nursing Open.2020; 7(1): 355.     CrossRef
• Factors Affecting Sleep Disturbances in Hospitalized Patients with Colorectal Cancer undergoing Chemotherapy: A Retrospective Study
  Jihyeon Song, Smi Choi-kwon
  Korean Journal of Adult Nursing.2019; 31(1): 100.     CrossRef
• Characteristics and Factors related to Fatigue in Older Adults at a Senior Welfare Center
  Su Yeon Jeong, Smi Choi-Kwon
  Korean Journal of Adult Nursing.2018; 30(5): 516.     CrossRef

PURPOSE
This study aimed at the effectiveness to investigate the performance of evidence-based pain assessment and management guidelines.
METHODS
Participants were 140 nurses at the med-surgical units. Data were collected in early July, 2014 using Registered Nurses Association of Ontario (RNAO) guideline (2007) revised and validated by Hong and Lee (2012) and analyzed by descriptive statistics, t-test, ANOVA using SPSS/WIN18.0.
RESULTS
The score of performance of pain assessment guideline was higher than the score of pain management. Categories with high score were pain screening, parameter of pain assessment, documentation, assessment of opioids side-effects, and record of pain caused intervention. Categories with low score were comprehensive pain assessment, multidisciplinary communication, establishing a plan for pain management, consultation and education for patients and their families, and education for nurse. Non-pharmacological management was the lowest one.
CONCLUSION
Assessing and managing pain is a complex phenomenon. It might be useful if institutions host training programs to ensure that nurse are better able to understand and implement pain assessment and management. Since non-pharmacological management is less likely to be used by nurses it may be helpful to include these methods in a training program.

Citations

• Developing and Implementing Postoperative Pain Management Guidelines for Breast Cancer Surgery: A Leadership Perspective
  Mouza Al Ameri, Nandan M Shanbhag
  Cureus.2023;[Epub]     CrossRef
• Factors Influencing Oncology Nurses’ Pain Management of Cancer Patients
  Hoi Sook Seo, Eun Young Park, Se Jin Park, Bo Ra Han, Myung Jin Jang
  Asian Oncology Nursing.2021; 21(4): 213.     CrossRef
• Identification of Knowledge Structure of Pain Management Nursing Research Applying Text Network Analysis
  Chan Sook Park, Eun-Jun Park
  Journal of Korean Academy of Nursing.2019; 49(5): 538.     CrossRef

PURPOSE
The purpose of this study was to examine the effect of resistive exercise using an elastic band on range of motion, function and shoulder pain.
METHODS
Forty two subjects who had rotator cuff surgery were assigned either to a treatment or a comparison group, twenty one each. Following a six week period after surgery those in the treatment group participated in resistant exercise using an elastic band for four weeks. The subjects in the comparison group did not participate in the exercise program. The goniometer measured range of motion, a modified tool measured function, and a self report numerical rating scale measured pain. The data were analyzed using χ² test, Fisher's exact, t-test and the Mann-Whitney Test RESULTS: Although not statistically significant, there was a trend that more subjects in the treatment group had increased range of motion. There was a statistically significance among the treatment group in terms of increased function (p=.015). Further the treatment group reported less pain that those in the comparison group (p<.001).
CONCLUSION
The findings support that resistance exercise is an effective strategy for patients with rotator cuff repair.

Citations

• Combined effect of graded Thera-Band and scapular stabilization exercises on shoulder adhesive capsulitis post-mastectomy
  Nancy H. Aboelnour, FatmaAlzahraa H. Kamel, Maged A. Basha, Alshimaa R. Azab, Islam M. Hewidy, Mohamed Ezzat, Noha M. Kamel
  Supportive Care in Cancer.2023;[Epub]     CrossRef
• Effect of Resistance Exercise Program for Middle-Aged Women with Myofascial Pain Syndrome on Shoulder Pain, Angle of Shoulder Range of Motion, and Body Composition Randomized Controlled Trial, RCT
  WonJong Kim, Myung-Haeng Hur
  Journal of Korean Academy of Nursing.2020; 50(2): 286.     CrossRef

PURPOSE
The purposes of this study were to identify nurses' empathy, attitude and pain management for patients with dementia and the factors associated with their performance of pain management.
METHODS
The study design was a cross-sectional survey. The participants in the study were 114 nurses working at 12 geriatric hospitals. This study utilized the Interpersonal Reactivity Index (IRI), which measures four empathy factors. Nurses' attitudes toward pain and performance of pain management, and general and pain related characteristics were measured by self-administered questionnaires.
RESULTS
Barriers to pain management for patients with dementia were absence of guidelines, prejudice of pain in dementia, and lack of time and knowledge deficit. There was a significant positive correlation between empathic concern and attitudes, perspective-taking of empathy and pain management. There was also a correlation between empathy and pain management. Stepwise linear regression analysis indicated that the significant factors affecting the performance of pain management included perspective-taking of empathy, use of pain management in dementia guideline and attitudes toward pain. These factors explained 24.0% of variance.
CONCLUSION
The findings from this study suggest that empathy and positive attitude are the important provider attributes which needs to be enhanced by educational programs. It is also necessary to develop and disseminate guidelines for a dementia specific pain management.

Citations

• Influence of Pain Management Knowledge, Pain Management Self-Efficacy, and Empathic Capacity on Pain Management Performance of Nurses in Orthopedic Units
  Ji-Eon Han, Jeonghyun Cho
  STRESS.2022; 30(2): 109.     CrossRef
• Pain Management Program in Cardiology: A Template for Application of Normalization Process Theory and Social Marketing to Implement a Change in Practice Quality Improvement
  Kerstin Bode, Peter Whittaker, Miriam Dressler, Yvonne Bauer, Haider Ali
  International Journal of Environmental Research and Public Health.2022; 19(9): 5251.     CrossRef
• Factors Influencing Oncology Nurses’ Pain Management of Cancer Patients
  Hoi Sook Seo, Eun Young Park, Se Jin Park, Bo Ra Han, Myung Jin Jang
  Asian Oncology Nursing.2021; 21(4): 213.     CrossRef
• Factors Influencing Performance of Pain Assessment and Pain Intervention for Dementia Patients among Long-term Care Hospital Nurses
  Mi Seon Jeon, Chi Eun Song, Jeong Min Park, Weon Gyeong Kim
  Korean Journal of Adult Nursing.2020; 32(3): 283.     CrossRef
• The Influence of Dementia Attitude, Empathy, and Burden Related to Behavioral and Psychological Symptoms in Dementia Patients on Job Satisfaction of Long-Term Care Hospital Nurses
  Yun-Suk Lee, Hwasoon Kim
  Journal of Korean Gerontological Nursing.2020; 22(3): 205.     CrossRef
• Model of Empathic Pain Assessment and Treatment in Persons With Dementia
  Lauren T. Starr, Kristin Corey Magan
  Research in Gerontological Nursing.2020; 13(5): 264.     CrossRef
• Reliability and Validity of the Korean version of the Pain in Older Adults Knowledge Survey (K-POAKS) among Nurses Who Have Worked in Long-term Care Hospitals
  Young Seun Ryu, Jeong Sook Park
  Journal of Korean Academy of Community Health Nursing.2020; 31(2): 130.     CrossRef
• The Effect of Nurses’ Compassion Competence on Performance of Terminal Care in Geriatric Hospitals
  Young Hye An, Soon Rim Suh
  Journal of Health Informatics and Statistics.2019; 44(3): 253.     CrossRef
• Development and Effect of Evidence-based Nursing Practice Guidelines for Pain Management in Patients with Dementia
  Young Seun Ryu, Jeong Sook Park
  Korean Journal of Adult Nursing.2019; 31(2): 176.     CrossRef
• Nursing students’ Attitudes to Dementia and Empathy as Predictors of Pain Assessment in Patients with Dementia: A Mediation Model
  Mihyun Lee
  Journal of Korean Gerontological Nursing.2019; 21(1): 41.     CrossRef
• Empathy in Family Caregivers for Persons with Dementia: A Q Methodology Study
  Kim Hyojin, Song Jun-Ah
  Journal of Korean Gerontological Nursing.2017; 19(3): 214.     CrossRef

PURPOSE
This study was to compare the effects of early ambulation to usual care of late ambulation in patients with transarterial chemoembolization on back pain, discomfort, and puncture site complications.
METHODS
A non-equivalent control pretest-posttest design was used. Total 40 patients were recruited from a gastrointestinal unit of an urban general hospital in Seoul, South Korea. The experimental group began to ambulate after 4 hours of bed rest with a compression bandage after receiving transarterial chemoembolization. The control group stayed in bed with a compression bandage overnight.
RESULTS
Back pain was not significantly different between the two group. The experimental group reported significantly lower discomfort than the control group. There was no incidence of bleeding complications on puncture site between two groups.
CONCLUSION
The results of this study showed that early ambulation with four hours of bed rest after femoral sheet removal did not cause bleeding complications compared to the usual care and even decreased patients' level of discomfort due to bed rest. Repetitive research on the effect of short bed rest is warranted for its clinical utilization.

PURPOSE
The purpose of this study was to examine the effects of the evidence-based clinical practice guidelines on Postoperative Nausea and Vomiting (PONV).
METHODS
The research design was a non-equivalent control group with a non-synchronized design. The participants were the patients undergoing gynecologic laparoscopy. Data were collected from July, 2014 through January, 2015. The participants in the experimental group (n=35) received an assessment of risk factors of PONV, aroma therapy, and P6 acupressure method as recommended in the guidelines. Those in the control group (n=35) received usual nursing care. Data were analyzed by mean, standard deviation, t-test, chi2-test using SPSS/WIN 19.0 program.
RESULTS
The occurrence of nausea and vomiting, the level of nausea and vomiting, and the need for antiemetic medicine in the experimental group were significantly less than those in the control group after surgery. The levels of postoperative pain and the amounts of time for nursing activities in the experimental group were significantly reduced than those in the control group after surgery. The levels of satisfaction were significantly higher in the experiment group than that of the control group.
CONCLUSION
The evidence-based guidelines is recommended for nursing practice as a guidance for managing PONV and helping the recovery of patients after laparoscopic surgery.

PURPOSE
The purpose of the study was to examine the relationships among pain belief, perceived social support, coping strategies, and quality of life of people with noncongenital spinal cord injury and to identify factors influencing quality of life.
METHODS
A correlational predictive design was used. The data were collected from 197 people with noncongenital spinal cord injury with questionnaires in 2012 in Korea. The data were analyzed using descriptive statistics, t-tests, one-way ANOVA, Pearson's correlation coefficients, and stepwise multiple regression using SPSS/WIN 18.0.
RESULTS
Pain belief, perceived social support, and coping strategies were correlated significantly with the quality of life. As a result of stepwise multiple regression analysis, pain belief, perceived social support, coping strategies, damaged area, and time since injury were discovered to account for 59.1% variance of the quality of life. The variable that most affected the quality of life was pain belief followed by perceived social support and coping strategies.
CONCLUSION
The results of the study clearly demonstrate the importance of pain control, social support, and coping skills in order to improve quality of life among people with noncongenital spinal cord injury.

Citations

• Quality of Life in Middle-aged Men with Prostatic hyperplasia: A Structural Equation Model
  Hee Nam Moon, Seung Hee Yang
  Korean Journal of Adult Nursing.2023; 35(4): 327.     CrossRef
• Access and engagement with places in the community, and the quality of life among people with spinal cord damage
  Ali Lakhani, Sanjoti Parekh, David P. Watling, Peter Grimbeek, Ross Duncan, Susan Charlifue, Elizabeth Kendall
  The Journal of Spinal Cord Medicine.2022; 45(4): 522.     CrossRef

PURPOSE
This study was to test the effects of the positional change on low back pain, discomfort, and bleeding complications during the period of bed rest following transarterial chemoembolization (TACE).
METHODS
The research design for this study was a non-equivalent control group quasi-experimental design. The participants were 23 patients for the experimental group, and 23 patients for the control group. The experimental group received positional change of taking the semi-Fowler's position and the 30-degree lateral position alternatively during the period of bed rest after TACE for 4 hours at one-hour intervals. The control group maintained the supine position continuously during the period of bed rest after TACE.
RESULTS
There were statistically significant differences in low back pain and discomfort between the experimental and the control group after intervention. And no significant difference was found in bleeding complication between two groups.
CONCLUSION
The results of the study suggest that the positional change is an effective nursing intervention to reduce low back pain and discomfort without increasing the risk of bleeding after TACE.

Citations

• The effect of position change on vital signs, back pain and vascular complications following percutaneous coronary intervention
  Selda Mert Boğa, Seher Deniz Öztekin
  Journal of Clinical Nursing.2019; 28(7-8): 1135.     CrossRef
• The Factors of Pain and Pain Management after Transarterial Chemoembolization in Patients with Hepatocellular Carcinoma
  Se Na Jung, Je In Seon, Kwang Sung Kim
  Asian Oncology Nursing.2017; 17(2): 107.     CrossRef
• The Effect of Position Change on Discomfort and Bleeding after Liver Biopsy
  Mi-Jeong Yun, Hye Sook Min
  Korean Journal of Adult Nursing.2015; 27(2): 233.     CrossRef

PURPOSE
This study was to explore work experience among nurses with low back pain. Specific aims were to identify problems nurses face as workers at a hospital and how they interact with other workers.
METHODS
Grounded theory methodology was utilized. Data were collected from iterative fieldwork with individual in-depth interviews from 9 nurses with low back pain as key informants, and a head nurse and a charge nurse who had experiences working with nurses with low back pain as general informants.
RESULTS
Through constant comparative analysis, a core category emerged as "to make one's own ground". The process of "to make one's own ground" was identified as four categories: perception of limitations, intervening conditions, balancing limitations, and controlling limitations. Intervening conditions were identified as 'working conditions' and 'personal traits'.
CONCLUSION
Findings of the study indicate that there is a need for health professionals and administrators to understand limitations to working experience among nurses with low back pain. In addition, institutional and psychological support program is needed to improve an adaptation to working environment among nurses with low back pain.

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