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 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
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
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
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
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
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.