Korean Journal of Adult Nursing

"Quality of life"

Original Articles

Impact of Social Frailty on Changes in Quality of Life and Health-Related Quality of Life among Middle-Aged and Older Adults: Findings from the Korean Longitudinal Study of Aging (2006–2022): Yein Lee, Yunhee Kim; Korean J Adult Nurs 2025;37(4):478-488. Published online November 25, 2025; DOI: https://doi.org/10.7475/kjan.2025.0706

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Purpose
This study examined the 16-year longitudinal impact of social frailty on quality of life (QoL) and health-related quality of life (HRQoL) among middle-aged and older adults. Methods: Data were obtained from the Korean Longitudinal Study of Aging (2006–2022), comprising 9,905 participants (6,003, aged 45–64 years; and 3,902, aged ≥65 years). Social frailty was assessed using five components: social support, social activity, social network, loneliness, and living alone. QoL and HRQoL were measured using self-reported satisfaction scales. Generalized estimating equations were applied to adjust for covariates. Results: Social frailty was prevalent among both middle-aged (44.6%) and older adults (60.1%) and was significantly associated with lower QoL and HRQoL. In longitudinal analyses, declines in QoL and HRQoL persisted throughout the follow-up period in older adults, whereas in middle-aged adults, the declines were significant only during the earlier years. In middle-aged adults, current smoking exerted a stronger negative impact on QoL and HRQoL (QoL: β=–4.33, p<.001; HRQoL: β=–2.89, p<.001), while in older adults, lack of regular exercise had a greater effect on HRQoL (β=–3.84, p<.001). Conclusion: Social frailty was associated with lower QoL and HRQoL across both age groups, with stronger and more persistent effects among older adults. Early interventions are needed during midlife, while sustained strategies are essential in later life. Age-specific approaches are crucial to promoting healthy aging.

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Factors Influencing Health-Related Quality of Life in Patients with Rotator Cuff Tears: A Cross-Sectional Study: Hyo Jung Han, Yeon-Hwan Park; Korean J Adult Nurs 2025;37(4):447-457. Published online November 25, 2025; DOI: https://doi.org/10.7475/kjan.2025.0619

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Purpose
This study investigated health-related quality of life (HRQoL) and aimed to identify factors influencing HRQoL for patients with rotator cuff tears (RCTs). Methods: We conducted a descriptive correlational survey with 118 outpatients diagnosed with RCTs at a tertiary general hospital in Seoul. Data were collected between February and June 2021 using structured self-report questionnaires, including the numeric rating scale, Korean version of the Shoulder Pain and Disability Index, Verran and Snyder-Halpern Sleep Scale, and the World Health Organization Quality of Life Instrument, Short Form. Results: HRQoL showed significant positive correlations with sleep quality (r=.64, p<.001) and the frequency of shoulder-intensive sports activities (r=.24, p=.008). It was negatively correlated with symptom days per week (r=–.32, p<.001), symptom hours per day (r=–.51, p<.001), pain (r=–.21, p=.025), functional disability (r=–.49, p<.001), and depression (r=–.60, p<.001). Stepwise regression analysis indicated that sleep quality (β=.36, p<.001) was the strongest predictor of HRQoL, followed by occupation (β=.26, p<.001), depression (β=–.24, p=.010), and symptom hours per day (β=–.19, p=.013). Conclusion: Sleep quality was the most influential factor affecting HRQoL in patients with RCTs. These findings underscore the need for comprehensive nursing interventions that address sleep disturbances, provide psychological support for depressive symptoms, consider occupational demands, and promote early management of prolonged symptoms to enhance HRQoL in this population.

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The Role of Inner Strength in Korean Colorectal Cancer Survivors on the Journey from Treatment to New Normal: A Qualitative Study: Hannah Yu, Eunjung Ryu; Korean J Adult Nurs 2025;37(3):332-343. Published online August 29, 2025; DOI: https://doi.org/10.7475/kjan.2025.0422

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Purpose
Colorectal cancer (CRC) survivors face significant challenges after completing treatment, including returning to work, concerns about the future, and financial difficulties. Understanding how inner strength developed after treatment affects survivors’ lives is crucial for informing patient-centered care. This study explored the unique inner strength exhibited by CRC survivors during their transition to a “new normal.” Methods: We recruited 16 patients from Korea who had completed treatment, to explore their experiences of managing their health. We conducted a qualitative study from July 4, 2022 to July 25, 2022 using individual interviews and directed content analysis. Transcribed interview data were analyzed to interpret meaning from the data, consistent with the naturalistic paradigm. Results: Participants described their transition to a new normal by reframing the cancer experience, struggling to return to normal life, experiencing growth promoted by supportive relationships, and encountering both positive and negative life changes. Throughout these experiences as survivors, inner strength played a critical role in adapting to a new normal. Conclusion: Our findings suggest that inner strength serves as a dynamic psychological resource, enabling CRC survivors to reframe their illness, regain disrupted roles, and reconstruct a meaningful life despite ongoing physical and emotional challenges. In doing so, inner strength facilitates their adaptation to a new normal.

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Effectiveness of a Self-Management Program for Patients Undergoing Lumbar Spinal Stenosis Surgery: A Quasi-Experimental Study: Mi Kyung Seo, Gyoo Yeong Cho; Korean J Adult Nurs 2025;37(3):307-320. Published online August 29, 2025; DOI: https://doi.org/10.7475/kjan.2025.0331

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Purpose
This study developed a self-management program for patients undergoing lumbar spinal stenosis surgery utilizing the information-motivation-behavioral skills (IMB) model. Methods: This study employed a quasi-experimental design with a nonequivalent control group and pretest–posttest design. Data were collected from August 11, 2022, to March 31, 2023, at a general hospital in South Korea. A total of 58 patients participated in the study (30 experimental, 28 control group). The experimental group received a six-session self-management program based on the IBM model, whereas the control group received usual education and information. Data were analyzed with SPSS/WIN 23.0 using the independent t-test, chi-square test, Fisher’s exact test, Shapiro-Wilk test, and Mann-Whitney U test. Results: Significant differences were observed in self-management information (p<.001), personal motivation (p=.002), social motivation (p=.002), behavioral skills (p=.002), behaviors (p=.003), health-related quality of life (p<.001), and disc height (p=.006) in the experimental group following program implementation, compared to the control group. However, no significant differences were found in lower extremity muscular strength, lumbar lordotic angle, or the visual analog scores for low back pain and leg pain between the two groups. Conclusion: The self-management program developed in this study, based on the IMB model, was effective in improving self-management information, motivation, behavioral skills, behaviors, health-related quality of life, and self-management health outcomes in patients undergoing lumbar spinal stenosis surgery. Nevertheless, future research should aim to verify the long-term effects of such self-management programs by extending the intervention period.

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The Mediating Effects of Negative Affect and Cancer Coping in the Relationship between Perceived Stress and Health-Related Quality of Life among Gynecological Cancer Survivors: A Cross-Sectional Study: Yeon-woo Kim, Sunki Kim, Hye-Ja Park; Korean J Adult Nurs 2025;37(3):266-275. Published online August 29, 2025; DOI: https://doi.org/10.7475/kjan.2025.0319

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Purpose
The incidence of gynecological cancers is increasing, presenting significant challenges for patient care and outcomes. Perceived stress and negative affect can impede self-care behaviors and reduce health-related quality of life (HRQoL). This study examined the mediating effects of negative affect and cancer coping on the relationship between perceived hospital stress and HRQoL among patients with gynecological cancer. Methods: A cross-sectional mediation analysis was conducted with 118 gynecological cancer patients recruited from the outpatient clinic of a university hospital (October 2023 to February 2024). Participants completed validated instruments assessing perceived stress, negative affect, cancer coping, and HRQoL. Data were analyzed using Spearman’s correlations and the PROCESS macro (Model 4) with 95% bootstrap confidence intervals (CIs). Results: Perceived stress was significantly correlated with negative affect (r=.58, p<.001), cancer coping (r=.23, p=.012), and HRQoL (r=–.45, p<.001). Negative affect was correlated with HRQoL (r=–.59, p<.001). Furthermore, negative affect and cancer coping mediated the relationship between stress and HRQoL (B=–0.18, 95% CI=–0.27 to –0.11 and B=0.04, 95% CI=0.01 to 0.08, respectively). Conclusion: Negative affect and cancer coping significantly mediated the relationship between hospital stress and HRQoL. Targeted interventions aiming to reduce stress and strengthen emotional and coping strategies could enhance HRQoL among gynecological cancer patients.

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Mediating Effect of Resilience on the Relationship Between Job Stress and the Professional Quality of Life of Hospice and Palliative Care Nurses: A Multicenter Cross-sectional Study: Eunhee Jo, Soon-Jung Hwang, Hyang-Suk Kwon; Korean J Adult Nurs 2024;36(3):241-250. Published online August 31, 2024; DOI: https://doi.org/10.7475/kjan.2024.36.3.241

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Purpose
This study identified the mediating effect of resilience on the relationship between job stress and the professional quality of life of hospice and palliative care nurses.
Methods
The participants included 136 hospice and palliative care nurses from 13 inpatient hospice and palliative care wards at a tertiary hospital in a metropolitan city in South Korea. Data were collected from February 2022 to March 2022. Hayes' PROCESS macro 3.5 was used to test the significance of the parameter's indirect effects. Professional quality of life was divided into three subdomains: compassion satisfaction, secondary traumatic stress, and burnout.
Results
As a mediator, resilience had both direct and indirect effects on the relationship between job stress and the compassion satisfaction of hospice and palliative care nurses. Furthermore, there were both direct and indirect effects on the relationship between job stress and secondary traumatic stress. Finally, although there was no direct effect on the relationship between job stress and burnout, there was an indirect mediating effect.
Conclusion
This study confirmed the direct effect of compassion satisfaction on job stress and the professional quality of life of hospice and palliative care nurses, as well as the mediating effect of resilience on job stress and burnout. To improve the professional quality of life of hospice and palliative care nurses, it is necessary to develop and apply programs that enhance resilience in order to promote its mediating effects on compassion satisfaction and burnout.

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Colorectal Cancer Survivors' Inner Strength, Multiple Identities, and Quality of Life by Gender and Ostomy Presence: A Cross-Sectional Study: Hannah Yu, Eunjung Ryu; Korean J Adult Nurs 2024;36(2):171-180. Published online May 31, 2024; DOI: https://doi.org/10.7475/kjan.2024.36.2.171

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Purpose
This study investigated differences in inner strength, multiple identities, and quality of life among colorectal cancer survivors, considering gender and the presence of an ostomy. It also focused on identifying factors that influenced their quality of life.
Methods
In this cross-sectional study, 170 colorectal cancer survivors were recruited. Inner strength, multiple identities, and quality of life were assessed through an online survey. Within each subgroup, comparisons were made in two ways: (a) between women and men; and (b) between ostomy and non-ostomy groups.
Results
The quality of life for colorectal cancer survivors was higher among men than women. For inner strength, men reported higher levels of anguish and searching, whereas women showed higher levels of connectedness. The quality of life was higher in the non-ostomy group than the ostomy group. However, the non-ostomy group had a higher level of anguish and searching than the ostomy group. Inner strength emerged as the most powerful factor influencing quality of life after adjusting for age and gender.
Conclusion
This study emphasizes the significance of inner strength in colorectal cancer survivors. It provides a deeper understanding of quality of life in colorectal cancer survivors by examining factors that influence it and considering how these effects differ based on gender and the presence of an ostomy. To improve the quality of life of colorectal cancer survivors, it is essential to comprehend the roles of factors such as gender and ostomy and develop individualized interventions tailored to their specific characteristics.

Citations

Citations to this article as recorded by

The Role of Inner Strength in Korean Colorectal Cancer Survivors on the Journey from Treatment to New Normal: A Qualitative Study
Hannah Yu, Eunjung Ryu
Korean Journal of Adult Nursing.2025; 37(3): 332. CrossRef
Cultural Adaptation of a Web-Based Ostomy Care Intervention for Hispanic Cancer Patients and Caregivers: A Mixed Methods Study (Preprint)
Xiaomeng Wang, Lixin Song, Amy Vondenberger, Fei Yu, Jia Liu, Roxana Delgado, Robert Svatek,  Natalia Villegas Rodriguez, Lurheinna Rosado Rivera, Mark Bonnen
JMIR Cancer.2024;[Epub] CrossRef

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Quality of Life in Middle-aged Men with Prostatic hyperplasia: A Structural Equation Model: Hee Nam Moon, Seung Hee Yang; Korean J Adult Nurs 2023;35(4):327-339. Published online November 30, 2023; DOI: https://doi.org/10.7475/kjan.2023.35.4.327

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Purpose
This study employed structural equation modeling to verify the suitability and causality of a hypothetical model constructed based on Wilson and Cleary's health-related quality of life model. The aim was to explain and identify the factors that influence quality of life in middle-aged men with prostatic hyperplasia.
Methods
The study included 217 middle-aged men diagnosed with prostatic hyperplasia between February and March 2022 at the urology department of a general hospital in UJB city. The measurement tools used included biological characteristics, International Prostate Symptom Scores, functional health, general health perceptions, social support, and quality of life. The data collected were analyzed using the SPSS 25.0 and AMOS 25.0 programs.
Results
The final model revealed that the variables with the highest explanatory power for quality of life in middle-aged men with prostatic hyperplasia were general health perceptions, followed by the International Prostate Symptom Score, functional health, and prostate size. The explanatory power of the variables for quality of life in middle-aged men with prostatic hyperplasia was 89.7%.
Conclusion
The model used in this study was found to be suitable for assessing quality of life in middle-aged men with prostatic hyperplasia. Based on the study's findings, it is deemed necessary to foster competencies for managing the disease through the development of educational programs, nursing interventions, and countermeasures. These should be based on general health perceptions, symptoms, and functional health, with an accurate knowledge of the characteristics of prostatic hyperplasia, as per Wilson and Cleary (1995)'s health-related quality of life theory.

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Factors Related to the Life Satisfaction of Elderly Baby Boomers: An Analysis of the 2020 Korean National Survey of Elderly: Soo-Ji Jin, Yeon-Hwan Park; Korean J Adult Nurs 2023;35(2):184-194. Published online May 31, 2023; DOI: https://doi.org/10.7475/kjan.2023.35.2.184

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Purpose
The objective of this study was to ascertain the level of life satisfaction among baby boomers in South Korea, as well as the factors that influence it.
Methods
We conducted a secondary analysis and descriptive research using data from the 2020 Korea National Survey of Elderly. From a total of 10,097 individuals, we analyzed the responses of 605 who provided feedback on life satisfaction, applying sample weights for accuracy. Data analysis was performed using hierarchical multiple regression in the SPSS/WIN 23.0 program.
Results
The study's participants comprised 61.8% women, 80.2% individuals with a living spouse, and 54.8% high school graduates, and the participants had an average subjective health status score of 3.77 points. Hierarchical regression analysis revealed several significant factors impacting life satisfaction. These included the presence or absence of a spouse (p<.001), education level (p<.001), subjective health status (p<.001), experience of suicidal thoughts after the age of 60 (p=.004), and use of a smartphone or tablet (p=.037), degree of social respect (p<.001) and the degree of preparation for death (p=.001). The overall explanatory power for life satisfaction was 57.5%.
Conclusion
The life satisfaction of baby boomers did not differ greatly from that of previous generations of older adults. A future longitudinal study should observe changes in older adults' life satisfaction. Additionally, it is important to explore variations in life satisfaction across different age groups, especially given the increasing longevity of older adults.

Citations

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Deficits in facial emotion recognition and cognitive function among baby boomers
Hyunsan Cho, Hee-Jin Park, Yoon Hee Park, Intae Hwang, Hyo Jin Kang
Acta Psychologica.2025; 253: 104738. CrossRef
Prevalence of depression and its associated factors among Korean women: A cross-sectional study in Seoul
Thi Thanh Lan Nguyen, Van Cuong Nguyen
Archives of Psychiatric Nursing.2025; 57: 151928. CrossRef
The Relationship of Satisfaction With Life on Quality of Care in Nurses: A Cross‐Sectional Study
Necmettin Çiftci, Abdullah Sarman
Scandinavian Journal of Caring Sciences.2025;[Epub] CrossRef
Risk factors of depression among the baby boomer generation: A cross-sectional study using the 2022 Korean Community Health Survey
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Journal of Korean Gerontological Nursing.2025; 27(3): 308. CrossRef
Purposes of Internet Use and Its Impacts on Physical and Psychological Health of Korean Older Adults
Gyeong-Suk Jeon, Kyungwon Choi
Healthcare.2024; 12(2): 244. CrossRef

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The Impact of Self-Management Behaviors, Self-Efficacy, and Grit on Health-related Quality of Life in Patients with Atrial Fibrillation: A Cross-Sectional Descriptive Study: Ji-Yeong Seo, Hyeon-Ok Lee; Korean J Adult Nurs 2023;35(2):158-168. Published online May 31, 2023; DOI: https://doi.org/10.7475/kjan.2023.35.2.158

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Purpose
This study aims to identify factors affecting the Health-Related Quality of Life (HRQoL) in patients with atrial fibrillation.
Methods
The study subjects were 158 outpatients with atrial fibrillation at a university hospital in Metropolitan City B. Data were collected from March 18, 2022 to July 1, 2022 and were analyzed using descriptive statistics, independent t-test, one-way ANOVA, Pearson’s correlation coefficient, and hierarchical multiple regression with SPSS 22.
Results
Self-management behaviors (β=.27, p<.001), self-efficacy (β=.30, p<.001), and grit (β=.33, p<.001) were found to have statistically significant effects on HRQoL. Hierarchical regression analysis showed that age, employment status, and monthly household income explained 23.6% of the variance in HRQoL, while subjective health status and perceived stress added 18.6% of the variance. Self-management behaviors, self-efficacy, and grit had an explanatory power of 32.4%, and the overall explanatory power was 74.6%.
Conclusion
Self-management behaviors, self-efficacy, and grit were identified as factors affecting HRQoL in patients with atrial fibrillation. These results will be used as important fundamental data to develop nursing interventions in order to improve the HRQoL of patients with atrial fibrillation.

Citations

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Factors Influencing Health-Related Quality of Life in Patients With Atrial Fibrillation
Hyeon-Ok Lee, Ji-Yeong Seo
Journal of Cardiovascular Nursing.2025;[Epub] CrossRef

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The Development of a Specific Quality of Life Scale for Hypertensive Patients: Methodological Study: Ho Jin Kim, Gab Sun Song; Korean J Adult Nurs 2022;34(6):523-536. Published online December 31, 2022; DOI: https://doi.org/10.7475/kjan.2022.34.6.523

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Purpose
The purpose of this study was to develop and verify a Quality of Life Scale (QOLS) specifically for hypertensive patients. Methods: In the development phase of the QOLS, initial items were derived based on literature review and content analysis through in-depth interviews. After verifying the content validity of the expert group, preliminary questions composed of 94 items were created and confirmed by conducting preliminary research on hypertensive patients. During the verification phase, the preliminary QOLS was administered to 392 hypertensive patients from general hospitals, medical clinics, and public health centers in Busan. Data were analyzed using item analysis, exploratory factor analysis, convergent validity, discriminant validity, criterion validity, and Cronbach’s ⍺. Results: The final scale consisted of 30 items derived from 5 factors. Five factors (negative emotion, acceptance of disease, self-reinforcement, social support, self-regulation) were extracted from the factor analysis, which explained 68.0% of the total variance. The convergent validity showed a positive correlation (r=.51, p<.001), discriminant validity showed an inverse correlation (r=-.60, p<.001), and criterion validity showed a positive correlation (r=.35~.64, p<.001). The Cronbach’s ⍺ was .94 and reliability of the subscales was .78~.92. Conclusion: The specific Quality of Life Scale for hypertensive patients (QOLS_HP) was composed of 30 items using a 5-point Likert scale. The scale demonstrated acceptable validity and reliability.

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Effects of Health Literacy, Self-Efficacy, and Social Support on Health-related Quality of Life in Acute Coronary Syndrome Patients after Percutaneous Coronary Intervention: Eun Sun Lee, Hee Sun Kim, Jeong Hee Kang, Hyun Kyung Kim; Korean J Adult Nurs 2022;34(5):498-511. Published online October 31, 2022; DOI: https://doi.org/10.7475/kjan.2022.34.5.498

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Purpose
This study aimed to determine the impact of health literacy, self-efficacy, and social support on the Health-Related Quality of Life (HRQoL) of Korean patients with Acute Coronary Syndrome (ACS) after Percutaneous Coronary Intervention (PCI).
Methods
A cross-sectional design was used, and a total of 189 participants were enrolled. Data were collected using self-reported questionnaires and patient medical records between September and November of 2021. Health literacy, self-efficacy, social support, and HRQoL were measured. The HRQoL was measured using the 12-item Short Form Survey, which included Physical Component Summary (PCS) and Mental Component Summary (MCS). Data were analyzed using hierarchical multiple regression with SPSS/WIN 26.0 program.
Results
The findings revealed statistically significant differences in the PCS according to gender, presence of hypertension, exercise, and sleep state. Furthermore, there were statistically significant differences in the MCS according to disease period and stress management. Hierarchical multiple regression analysis showed that higher social support was a significant factor of better PCS (p<.005). Higher health literacy, self-efficacy, and social support were significant factors of better MCS (p<.005).
Conclusion
Nurses should play a key role in providing social support to ACS patients, particularly to female patients and patients with hypertension and poor sleep state and no regular exercise for better PCS. Also, nurses should think about how to promote health literacy, self-efficacy, and social support for better MCS, particularly in ACS patients who had undergone PCI, had longer diagnosis periods, and had no stress management.

Citations

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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
Factors influencing disease-related knowledge and health empowerment on health behavior compliance among patients after percutaneous coronary intervention in Korea: a cross-sectional study
Hyeon-Jung Lee, Insook Lee
Journal of Acute Care Surgery.2025; 15(2): 49. CrossRef
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

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Relationship between Andropause Syndrome and Health-Related Quality of Life in Middle-Aged Males in South Korea: Family Bond as a Mediator: Gyoo Yeong Cho, Mi Kyung Seo; Korean J Adult Nurs 2022;34(4):424-434. Published online August 31, 2022; DOI: https://doi.org/10.7475/kjan.2022.34.4.424

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Purpose
This study aimed to clarify the relationship between andropause syndrome and health-related quality of life, as well as the mediation effect of family bond among middle-aged males in South Korea. Methods A total of 135 middle-aged males who live in B, K, and U City participated in the study, conducted from March 10 to May 31, 2021. Participants were invited to complete self-reported questionnaires measuring andropause syndrome, health-related Quality of Life (QoL), family bond, and demographic information. The data obtained were analyzed using multiple regression and a simple mediation model applying the PROCESS macro with 95% bias-corrected bootstrap confidence interval (5,000 bootstrap resampling). Results The QoL of middle-aged males in South Korea showed a significant negative correlation with andropause syndrome (r=-.32, p<.001), and a significant positive correlation with family bond (r=.59, p<.001). Futher, family bond had a mediating effect between andropause syndrome and QoL (indirect effect=-4.07, 95% Boot confidence interval=-6.53~-1.97). Conclusion Based on the results of this study, in order to improve the QoL of middle-aged males in South Korea, it is necessary to provide programs that can improve family bond along with physical and mental intervention programs to effectively alleviate andropause syndrome.

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A comprehensive analysis of research trends on andropause among middle-aged South Korean men
Young Hwa Lee, Sun Jung Park, Hyun Ji Kim, Bock Soon Park, Hyo Yeol Jang, Ha Na Cho, Young Sook Lim
International Journal of ADVANCED AND APPLIED SCIENCES.2023; 10(6): 129. CrossRef

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Mediating Effect of Resilience between Supportive Care Needs and Quality of Life of Female Genital Cancer Patients: Yu-Jung Son, Keum-Hee Nam; Korean J Adult Nurs 2022;34(3):269-279. Published online June 30, 2022; DOI: https://doi.org/10.7475/kjan.2022.34.3.269

Abstract
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Purpose
This study aimed to confirm the relationship between supportive care needs and resilience of female genital cancer patients, and to investigate the mediating effect of resilience in the relationship between supportive care needs and quality of life.
Methods
This study was conducted with 105 outpatients and inpatients who were receiving treatment for female genital cancer at K University Hospital in B City. Data were collected from July 22, 2021 to August 17, 2021 and analyzed by using the SPSS/WIN 23.0 program. The correlation between the patients’ supportive care needs, resilience, and quality of life was analyzed by Pearson's correlation coefficients, and SPSS Process Macro was used for the significance of parameter indirect effects.
Results
The quality of life of female genital cancer patients showed a significant negative correlation with supportive care needs (r=-.68, p<.001), and a significant positive correlation with resilience (r=.53, p<.001). Moreover, resilience partially mediated the relationship between supportive care needs and quality of life (95% CI -0.009~-0.032).
Conclusion
Based on the results of this study, improving the resilience of female genital cancer patients may act as an additional coping strategy to reduce supportive care needs and establish an enhanced quality of life.

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Validity and Reliability of the Korean Version of Supportive Care Needs Survey-Short Form 34 for Patients With Cancer: A Methodological Study
Eun Ji Park, Hye Young Kim, Ju-Hee Nho, Eun Ko, Allison W. Boyes
Asian Nursing Research.2025; 19(1): 60. CrossRef
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Asian Oncology Nursing.2025; 25(2): 53. CrossRef
Influences of Fatigue, Uncertainty, and Resilience on Self-Care Behaviors in Cancer Patients Undergoing Chemotherapy
Sa-Rang Kim, Gie-Ok Noh
Asian Oncology Nursing.2025; 25(2): 110. CrossRef
Factors influencing the supportive care needs of female patients with genital cancer in South Korea
Yu-Jung Son, Keum-Hee Nam, JaeLan Shim
Medicine.2023; 102(51): e36650. CrossRef

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Distress, Family Resilience, and Quality of Life among Family Caregivers of Cancer Patients Undergoing Chemotherapy: The Moderating Role of Family Resilience: Son-Hee Ahn, Soo Hyun Kim; Korean J Adult Nurs 2022;34(2):225-232. Published online April 30, 2022; DOI: https://doi.org/10.7475/kjan.2022.34.2.225

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Purpose
This study aimed to evaluate distress, family resilience, and Quality of Life (QoL) among family caregivers of cancer patients undergoing chemotherapy and explore whether family resilience moderates the association between distress and QoL.
Methods
This is a cross-sectional study. One hundred seventeen family caregivers of cancer patients undergoing chemotherapy were recruited through the oncology outpatient clinic and two oncology wards at a tertiary university hospital. The participants completed self-reported questionnaires, including the Hospital Anxiety and Depression Scale, Family Resilience Scale-Cancer, and Caregivers’ Quality of Life Index-Cancer. Descriptive statistics, independent t-tests, one-way Analysis of Variance (ANOVA), and hierarchical regression analysis were used for statistical analysis.
Results
The mean distress score was 15.31±6.91, the mean family resilience score was 112.71±14.11, and the mean QoL score was 71.19±18.90. After controlling for potential covariates, distress was found to be negatively associated with QoL (β=-.45, p<.001), whereas family resilience was positively associated with QoL (β=.49, p<.001), explaining 62.8% of the variance. However, family resilience did not moderate the association between distress and QoL in this study.
Conclusion
Distress and family resilience are crucial factors associated with QoL in the caregivers of cancer patients undergoing chemotherapy. This finding indicates that oncology nurses should develop interventions to relieve distress and enhance family resilience to improve family caregivers’ QoL. Further studies are required to confirm the moderating role of family resilience.

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Applied Research in Quality of Life.2025; 20(5): 2099. CrossRef
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Gülyeter Erdoğan Yüce, Ayser Döner, Aylin Bilgin, Gamze Muz
Worldviews on Evidence-Based Nursing.2024; 21(5): 528. CrossRef
The experiences of family resilience in patients with permanent colostomy and their spouses: A dyadic qualitative study
Fangfang Yang, Sumin Cui, Mengyi Cai, Fangming Feng, Meihui Zhao, Mengchen Sun, Weiying Zhang
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Dyadic effects of family resilience on quality of life in patients with lung cancer and spousal caregivers: The mediating role of dyadic coping
Jianfan Ke, Jialing Lin, Xiujing Lin, Wei-ti Chen, Feifei Huang
European Journal of Oncology Nursing.2023; 66: 102400. CrossRef
Family resilience and its influencing factors among advanced cancer patients and their family caregivers: a multilevel modeling analysis
Panpan Cui, Jiaoxia Shi, Shifeng Li, Mikiyas Amare Getu, Ruibo Wang, Changying Chen
BMC Cancer.2023;[Epub] CrossRef

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A Prediction Model for Quality of Life by Resilience in Disaster Female Victims: Jiyeong Seo, Minju Kim; Korean J Adult Nurs 2021;33(6):639-648. Published online December 31, 2021; DOI: https://doi.org/10.7475/kjan.2021.33.6.639

Abstract
PDF

Purpose
To identify factors associated with Quality of Life (QOL) in disaster female victims.
Methods
A descriptive cross-sectional design used secondary data from the 2018 long-term survey on the change of life of disaster victims conducted by the National Disaster Management Research Institute (NDMI). The participants were 1,267 female victims over the age of 20 who completed a survey including QOL, resilience, perceived health status, depression, anxiety, Post-Traumatic Stress (PTS), social adaptation, and social support. Descriptive statistics, chi-square-test, independent t-test, and a decision tree were used for data analysis.
Results
The decision tree identified 8 final nodes predicting QOL of disaster female victims. Resilience was associated with quality of life (△p<.001, F=115.14). The mean QOL was 2.81 with predicted rate of 55.7% in the Low Resilience Group (LRG) and 3.24 with predicted rate of 44.3% in the High Resilience Group (HRG). The highest QOL group in LRG was Node 9 with perceived health status of more than 3 and low depression (mean=3.17), while the lowest QOL group was Node 3 with perceived health status of less than 2 (mean=2.54). The highest QOL group in HRG was Node 8 with social support of more than 3.92 (mean=3.57), while the lowest group was Node 12 with high anxiety (mean=2.81).
Conclusion
Factors predicting the QOL of disaster victims differed between HRG and LRG. In order to improve QOL of disaster victims, customized interventions according to the level of resilience are needed.

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Trajectories of quality of life among disaster victims: A national longitudinal study
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Prediction model for identifying a high-risk group for food insecurity among elderly South Koreans
Myeunghee Han
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Prediction model for post-retirement depression in the older population: A cross-sectional study
Myeunghee Han
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Prediction model of weight control experience in men with obesity in their 30 s and 40 s using decision tree analysis
Myeunghee Han
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Prediction model of health checkup and cancer screening experience of elderly population using 2021 Community Health Survey
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Prediction model of quality of life using the decision tree model in older adult single-person households: a secondary data analysis
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A model for predicting fall experience in the elderly population over 65 years old: Decision tree analysis
Myeunghee Han
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The Effects of Nurse-Led Motivational Interviewing on Exercise and Quality of Life among Koreans with Heart Failure: A Randomized Controlled Trial: Haejung Lee, Gaeun Park, Hyekyung Jin, Kook Jin Chun, Jong Hyun Kim; Korean J Adult Nurs 2021;33(6):588-600. Published online December 31, 2021; DOI: https://doi.org/10.7475/kjan.2021.33.6.588

Abstract
PDF

Purpose
Patients with heart failure report low levels of physical activity and quality of life, both of which are important predictors of patient prognosis. This study aimed to investigate the effects of nurse-led motivational interviewing on self-efficacy for exercise, engagement in regular exercise, exercise capacity, and quality of life among patients with heart failure.
Methods
A randomized controlled trial design was used, and 66 Korean participants (i.e., 38 in a control group and 28 in an intervention group) aged 40~80 years who were diagnosed with heart failure were recruited between May 2012 and September 2013. The intervention group received telephone-based motivational interviews twice a week for one month. All participants were assessed for exercise regularity, levels of exercise, exercise capacity, and quality of life at baseline, one month, and three months. The data were analyzed using independent t-tests, repeated measures ANOVA, and nonparametric tests.
Results
At one month, there were significant group differences in exercise regularity (x² =6.10, p=.013) and levels of exercise (Z=-2.56, p=.024). There was a significant group-by-time effect on the quality of life (F=3.76, p=.044).
Conclusion
Nurse-led motivational interviewing was effective in increasing exercise levels and quality of life in patients with heart failure. In the future, we propose a study with a larger number of participants and a long-term follow-up study with additional contact to maintain the intervention effect.

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Empowering Trusted Messengers With Motivational Interviewing Skills: Improving Dissemination of Accurate Information to Communities
Marie Ivantechenko, Shubarna Akhter, Damara Gutnick
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Effectiveness of behavioural interventions with motivational interviewing on physical activity outcomes in adults: systematic review and meta-analysis
SuFen Zhu, Deepra Sinha, Megan Kirk, Moscho Michalopoulou, Anisa Hajizadeh, Gina Wren, Paul Doody, Lucy Mackillop, Ralph Smith, Susan A Jebb, Nerys M Astbury
BMJ.2024; 386: e078713. CrossRef
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Journal of Medical Internet Research.2023; 25: e46439. CrossRef

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Symptom Clusters and Quality of Life in Patients with Type 2 Diabetes Mellitus: Su-Yeon Hong, Yang-Sook Yoo; Korean J Adult Nurs 2021;33(5):498-508. Published online October 31, 2021; DOI: https://doi.org/10.7475/kjan.2021.33.5.498

Abstract
PDF

Purpose
This study aimed to investigate the symptom clusters and quality of life among patients with type 2 diabetes mellitus and to identify the relationship between quality of life and symptoms by cluster.
Methods
Data were collected through questionnaires and medical records of 123 patients with type 2 diabetes between December 27, 2018 and May 8, 2019. Type 2 diabetes-related symptoms were investigated using the Diabetes Symptom Self-Care Inventory, and quality of life was evaluated using the EuroQoL 5-Dimension 5-Level (EQ-5D-5L). The collected data were analyzed using mean, standard deviation, factor analysis, Pearson correlation coefficient, and hierarchical multiple regression analysis.
Results
Tiredness was a most frequently reported symptom; however, symptom with weight loss was the most critical symptom reported. Five symptom clusters were identified, four of which correlated with quality of life. Hierarchical multiple regression analysis showed that thirst-fatigue clusters affected quality of life (β=-.26, p=.019).
Conclusion
Active treatment and continuous lifestyle management are needed to maintain proper blood sugar levels to address type 2 diabetes mellitus-related symptoms within a thirst-fatigue cluster. Identifying the cause of fatigue and applying physical and psychosocial interventions is also required. Symptoms experienced by patients with type 2 diabetes are connected to clusters. Effective disease management and improvement in the quality of life can be achieved by identifying these symptoms through merging and managing the relevant symptoms simultaneously.

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Sujung Lee, Dae-Soon Son, Jae-In Kim, Jungmin Lee
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Seung-Yeon Kong, Mi-Kyoung Cho
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Eun-Kyung Lee, Sun-Young Jung
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Effect of Self-Regulation and Social Support Intervention on the Life Quality in Patients with Post-Stroke Urinary Incontinence: Heltty Heltty, Ratna Sitorus, Nury Nusdwinuringtyas, Evi Martha; Korean J Adult Nurs 2021;33(4):399-405. Published online August 31, 2021; DOI: https://doi.org/10.7475/kjan.2021.33.4.399

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Social needs and resilience of post-stroke patients: an exploratory case study
Heltty Heltty, Rahmawati Rahmawati, Taufik Taufik
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Self-efficacy, social support, and their relationship to treatment adherence in pulmonary tuberculosis: A cross-sectional study
Heltty Heltty, Siti Masriwati, Mimi Yati, La Ode Saltar, Hasniah Dina
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Impact of applying the theory of human becoming and self-care deficit theory of nursing on insomnia in after stroke urinary incontinence patients
Heltty Heltty, Ratna Sitorus, Haryanto Haryanto
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Heltty Heltty, Basso Palingrungi, Apriyanti Apriyanti
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Patient, Family, and Peer Engagement in Nursing Care as an Effort to Improve the Functional Independence of Post-stroke Urinary Incontinence Patients: A Cross-Sectional Study
Heltty Heltty
Cureus.2022;[Epub] CrossRef

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Effects of Hand Press Pellet on Constipation in Patients with Breast Cancer Receiving Chemotherapy: Dawoon Jung, Hyojung Park; Korean J Adult Nurs 2021;33(2):145-155. Published online April 30, 2021; DOI: https://doi.org/10.7475/kjan.2021.33.2.145

Abstract
PDF

Purpose
The purpose of this study was to evaluate whether hand press pellet is effective for constipation in breast cancer patients receiving chemotherapy. Methods: This was a quasi-experimental study that used non-equivalent control group pretest-posttest design. Participants were 52 breast cancer patients-26 each in the experimental and control groups. The intervention was conducted thrice a week for 6 weeks; for the experimental group, a hand press pellet was applied to the corresponding points (A1, A5, A8, A12, A16, N18, E22, K9, F6, D2, D6, H2, L4, B7, B19) of the left hand (palm and back) to alleviate constipation. Three and 6 weeks after the intervention, outcomes were measured by using the Constipation Assessment Scale, Bristol Stool Form Scale, and Patient Assessment of Constipation-Quality of Life questionnaire. Results: A significant difference was observed between the two groups on the Constipation Assessment Scale (χ²=44.38, p<.001) and Bristol Stool Form Scale (χ²=33.24, p<.001). Patient assessment of constipation-quality of life of the experimental group were statistically significant compared with that of the control group (F=37.23, p<.001). Conclusion: Hand press pellet can be used as an effective nursing intervention to alleviate constipation in breast cancer patients.

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Effects of hand-press pellet on pain and daily life of elders with chronic lower back pain: randomized controlled trial
Hyojung Park, Hyejin Lee
BMC Complementary Medicine and Therapies.2024;[Epub] CrossRef

752 View

19 Download

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Effects of Oral Care Interventions on Oral Health and Oral Health-related Quality of Life among Denture-wearing Older Adults

Chanhee Lim, Haejung Lee, Gaeun Park

Korean J Adult Nurs 2021;33(1):76-86.   Published online February 28, 2021

DOI: https://doi.org/10.7475/kjan.2021.33.1.76

Abstract

PDF

Purpose
This study investigates the effects of oral care interventions on oral health and oral health-related quality of life in denture-wearing older adults. Methods: A nonequivalent control group pretest-posttest design was utilized. There were 26 participants in the experimental group and 30 in the control group. Participants were aged 65 or older, residing at long-term care facilities for more than six months, using dentures, able to brush their teeth, follow gymnastics without jaw joint problems, and cooperate in the measurement of bad breath. The oral care interventions consisted of brushing teeth, denture management, and mouth gymnastics and was performed three times/week, for 20 minutes/session, for a total of 4 weeks. The x 2 test, Fisher's exact test, repeated measures ANOVA, and independent t-test using SPSS/WIN 22.0 program were analyzed. Results: The performance of brushing teeth (F=27.66, p<.001), denture management (F=38.23, p<.001), and mouth gymnastics (F=5.12, p=.016) significantly increased with time up to the fourth week. After the interventions, significant differences were found between groups in subjective oral health status (t=5.87, p<.001), dry mouth (t=-9.24, p<.001), bad breath (t=-3.37, p<.001), and oral health-related quality of life (t=-6.46, p<.001). Conclusion: The oral care interventions, including a self-administered oral care checklist, can improve the motivation for oral care performance, oral health behaviors, oral health status, and oral health-related quality of life among older adults. Broader application of the intervention is warranted.

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Changes in concentration of VSCs after home oral care interventions based on community care in older adults

Journal of Korean Society of Dental Hygiene.2023;[Epub]     CrossRef
Effect of Oral Health Education Using a Mobile App (OHEMA) on the Oral Health and Swallowing-Related Quality of Life in Community-Based Integrated Care of the Elderly: A Randomized Clinical Trial
Ji-Yun Ki, Se-Rim Jo, Kyung-Sook Cho, Jung-Eun Park, Ja-Won Cho, Jong-Hwa Jang
International Journal of Environmental Research and Public Health.2021; 18(21): 11679.     CrossRef

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Mediating Effects of Self-Care Competence on the Relationship between Uncertainty and Quality of Life in Stroke Patients

Eunhee Jo, Su-Jin Lee, Jung-Hwa Jo

Korean J Adult Nurs 2021;33(1):56-66.   Published online February 28, 2021

DOI: https://doi.org/10.7475/kjan.2021.33.1.56

Abstract

PDF

Purpose
This study investigates the mediating effects of self-care competence on the relationship between uncertainty and quality of life in stroke patients. Methods: This study adopts a descriptive research approach using 158 patients diagnosed with ischemic or hemorrhagic stroke through brain Magnetic Resonance Imaging (MRI) or Computed Tomography (CT). The data collection period was from May 20, 2020 to September 29, 2020. The data were analyzed using descriptive statistics, Pearson’s correlation coefficient analysis, and a three-step regression analysis using Baron and Kenny’s method for mediation. Results: The mean scores for uncertainty, self-care competence, and quality of life were 3.07±0.49, 3.66±1.07, and 3.54±0.93, respectively. Self-care competence was found to completely mediate the relationship between uncertainty and quality of life (z=-5.31, p<.001), and its explanatory power was 77.2%. Conclusion: To improve the quality of life among stoke patients in uncertain situations, it is necessary to improve their self-care competence and develop step-by-step and differentiated self-care competence enhancement programs through multidisciplinary collaboration.

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Mediating Effect of Self-Efficacy on the Relationship between Symptom Experience and Health-Related Quality of Life in Patients with Chronic Obstructive Pulmonary Disease
Enhee Jo, Ju-Young Park, Young Jun Jang
Journal of Korean Academy of Fundamentals of Nursing.2024; 31(3): 315.     CrossRef
Telehealth interventions to support self-care of stroke survivors: An integrative review
Ha-Young Park, In-Sun Yeom, Yoo-Jin Kim
Heliyon.2023; 9(6): e16430.     CrossRef
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

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Factors Influencing Health-Related Quality of Life among Korean Seniors with Osteoarthritis: Focusing on 10-Year Duration with Osteoarthritis Disease

Hye Young Choi

Korean J Adult Nurs 2020;32(5):526-538.   Published online October 31, 2020

DOI: https://doi.org/10.7475/kjan.2020.32.5.526

Abstract

PDF

Purpose
This study examined sociodemographic and health factors affecting Health-Related Quality of Life (HRQoL) among older adults with osteoarthritis based on the duration of osteoarthritis.
Methods
Data were obtained from the Seventh Korean National Health and Nutrition Examination Survey (Ⅶ-1, 2016; Ⅶ-2, 2017). The sample consisted of total 747 older adults with osteoarthritis. The complex sample analysis was performed using an independent t-test, ANOVA, x² test, and multiple linear regression using the SPSS/WIN 24.0 program.
Results
The HRQoL of older adults who had experienced osteoarthritis for 10 years or more was lower than the group who had experienced osteoarthritis for less than 10 years. The most influential factors affecting HRQoL across both groups were subjective health, limit of daily activity, and sickbed experience. Current alcohol consumption and body weight control were factors affecting HRQoL in the group who had experienced osteoarthritis for less than 10 years, while gender, current smoking, and walking were factors affecting HRQoL in the group who had experienced osteoarthritis for 10 years or more.
Conclusion
Community nurses should consider the target population and customize interventions based on the duration of osteoarthritis in order to improve HRQoL in older adults with osteoarthritis.

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A Network Analysis of Quality of Life Among Older Adults With Arthritis
Dahee Wi, Chang G. Park, Jiae Lee, Eunjin Kim, Yoonjung Kim
International Journal of Older People Nursing.2025;[Epub]     CrossRef
Effects of Multidirectional Knee Strengthening Exercises Using Elastic Bands on Elderly Patients Aged 65 and Older With Knee Osteoarthritis
Sang-woo Yoon, Suhn-yeop Kim
Physical Therapy Korea.2025; 32(2): 150.     CrossRef
Comparative Effects of Rehabilitation Programs After Total Knee Arthroplasty: A Modified GLA:D® Program and a Lower-Limb Strengthening Program
Se Hee Kong, Je Yang Moon, Hyun Seung Kim, Jin Sung Bae
Journal of Clinical Medicine.2025; 14(21): 7565.     CrossRef
Effects of Progressive Balance Training Exercise Programs with Whole Body Vibration on Pain, Function, Psychosocial Status, and Balance in Patients with Knee Osteoarthritis
Sang-woo Yoon, Suhn-yeop Kim
Journal of The Korean Society of Physical Medicine.2024; 19(1): 81.     CrossRef
Factors Related to Quality of Life among Older Adults who Had Arthritis: Limited Daily Activities and Physical Activity
Jee-Seon Yi
Physical Therapy Rehabilitation Science.2023; 12(4): 431.     CrossRef
The effects of hemp seed consumption on depression, anxiety and cognitive improvement based on machine learning
Jea-Bum Jung, Yong-Won Cho, Sang-Yub Kim, Soo-Yeon Chung, Kyung-Hoon Han, Byung-Joo Ham, Sung-Hee Han
Archives of Food and Nutritional Science.2023; 7(1): 032.     CrossRef

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Stigma, Adjustment, and Quality of Life of Middle-aged Male Patients with Lung Cancer

Mi young Yoo, Eunyoung E. Suh

Korean J Adult Nurs 2020;32(5):494-503.   Published online October 31, 2020

DOI: https://doi.org/10.7475/kjan.2020.32.5.494

Abstract

PDF

Purpose
To investigate the relationship between stigma, adjustment, and quality of life of middle-aged male patients with lung cancer and the influences of those factors on the patients’ quality of life.
Methods
A descriptive survey design was used. A total of 120 male patients between 45 to 64 years participated in the study. They answered a self-reported survey composed of Cataldo Lung Cancer Stigma Scale, Korean Mini-Mental Adjustment to Cancer Scale, and The Functional Assessment of Cancer Therapy Scale-General Version 4. The data were analyzed using Pearson’s correlation coefficients, stepwise multiple regression by the SPSS 25 version.
Results
The stigma showed a positive correlation with “helplessness-hopelessness” and “anxious preoccupation” (r=.30, p=.001; r=.41, p<.001, respectively), and a negative correlation with emotional well-being (r=-.24, p=.008). “Helplessness-hopelessness” and “anxious preoccupation” were negatively correlated with quality of life (r=-.61, p<.001; r=-.46, p<.001, respectively). “Fatalism”, “fighting spirit”, and “cognitive avoidance” showed positive correlations with quality of life (r=.37, p<.001; r=.42, p<.001; r=.19, p=.035, respectively). Factors influencing quality of life by multiple regression were identified as helpless-hopelessness, fatalism, performance status, and anxious preoccupation (F=35.76, p<.001, Adjusted R² =54%).
Conclusion
Maximizing positive adjustment response and improving performance status were effective in improving quality of life of middle-aged male patients with lung cancer. The development of nursing interventions focusing on psychological adjustment and physical activity should be warranted for the given patient population.

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Mideum Kang, Myung Sun Hyun, Sun Hyoung Bae, Sunjoo Boo
Asian Oncology Nursing.2024; 24(3): 144.     CrossRef

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18 Download

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Influence of Perceived Health, Anxiety, Depression, and Social Support on Quality of Life in Patients with Meniere Disease

Young Mi Ryu, Woo Joung Joung

Korean J Adult Nurs 2020;32(4):399-408.   Published online August 31, 2020

DOI: https://doi.org/10.7475/kjan.2020.32.4.399

Abstract

PDF

Purpose
This study investigated factors affecting Quality of Life (QoL) of patients with Meniere disease.
Methods
A descriptive study design was used. Data were collected from March to April 2020 through an online survey of 130 participants diagnosed with probable or definite Meniere disease from a community of online-based patients. The data were analyzed using the independent t-test, Pearson’s correlation coefficient, and multiple linear regression analysis.
Results
Perceived health, anxiety, depression, family support, and health care provider support significantly correlated with QoL. As a result of the multiple regression analysis, family support, perceived health, anxiety, and ear fullness were identified as factors influencing QoL, and these factors accounted for 65.0% of the variance in QoL. Of these variables, family support was the factor affecting the participants’ QoL the most (β=.45).
Conclusion
These results indicate a need for continuous efforts and strategies to increase family support to enhance the QoL of this population. In addition, to increase perceived health (which was the second most influencing factor on the QoL of this population), improved health care provider support (which showed a positive correlation with perceived health) is also warranted. Therefore, nursing interventions aiming to increase social support should be developed and implemented.

472 View

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Health-related Quality of Life and Its Related Factors among Cancer Survivors and General Adults: Focusing on Lifestyle Behaviors and Mental Health

Eun A Song, Youngran Kweon, Yoon Young Hwang, Minjeong An

Korean J Adult Nurs 2020;32(4):385-398.   Published online August 31, 2020

DOI: https://doi.org/10.7475/kjan.2020.32.4.385

Abstract

PDF

Purpose
The purpose of this study was to examine lifestyle behaviors, mental health, and Health-Related Quality of Life (HRQoL) and identify the effects of lifestyle behaviors and mental health on the HRQoL of cancer survivors and general adults.
Methods
Secondary data analysis was conducted. The data used in the study were drawn from the Korea National Health and Nutrition Examination Survey VII-2 (January 1, 2017, to December 31, 2017). A sample of 190 cancer survivors (mean age, 65.12 years; women, 63.7%) and 1,815 general adults (mean age, 52.67 years; women, 52.6%) was used, focusing on demographic characteristics, lifestyle behaviors (including tobacco smoking, alcohol drinking, physical activity, and eating behavior), and mental health (including sleeping hours, stress, and depressive symptoms). Descriptive statistics, independent t-test, one-way ANOVA, Pearson’s correlation coefficient, and hierarchical stepwise multiple regression were performed to analyze the data.
Results
The overall mean of HRQoL for all the participants was 0.96±0.08 (0.93±0.11 for cancer survivors and 0.97±0.08 for general adults). For cancer survivors, age, depressive symptoms, and moderate intensity physical activity were associated with HRQoL (adjusted R 2 =.180, p<.001). For general adults, age, education level, economic activity, income level, walking, sodium intake, depressive symptoms, and stress were associated with HRQoL (adjusted R 2 =.165, p<.001).
Conclusion
Cancer survivors had lower HRQoL than general adults. Differences were found in the factors associated with HRQOL in cancer survivors and general adults. Therefore, customized health programs and policies should be developed and provided for each group to improve their HRQoL.

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Soo Hyun Kim, Yu Hyeon Choe, Jingyeong Choi, Ji Young Park, Eun Yi
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Se-Na Lee
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Mediating Effect of Vitamin Intake on the Relationship Between Depression and Health-related Quality of Life in Cancer Survivors (Using the Korea National Health and Nutrition Examination Survey in 2020)
Min Ho Yun, Jong Eun Oh
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Jin Ah Kim, Juyoun Yu
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Factors associated with health-related quality of life on mental and oral health in patients with cancer and cancer survivors using the Korea National Health and Nutrition Examination Survey (2005–2018)
Min-young Lee, Insil Jang, Yeunhee Kwak
Asia-Pacific Journal of Oncology Nursing.2024; 11(4): 100398.     CrossRef
Effects of Physical and Mental Health on the Quality of Life of People with Spinal Cord Injury
Hyun Ji Kim
The Korean Journal of Rehabilitation Nursing.2023; 26(2): 77.     CrossRef
Factors Associated with Stress among Employed Korean Cancer Survivors: A Cross-sectional Descriptive Study Based on National Data
Kisook Kim, Booyoung Oh
Korean Journal of Adult Nursing.2023; 35(3): 254.     CrossRef
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So Young Kim, Yeonju Lee, Sang Baek Koh
International Journal of Environmental Research and Public Health.2022; 19(14): 8615.     CrossRef
Long COVID-19 and Health-Related Quality of Life of Mild Cases in Korea: 3-Months Follow-up of a Single Community Treatment Center
Hi Sun Soh, BeLong Cho
Journal of Korean Medical Science.2022;[Epub]     CrossRef
Priority Analysis of Educational Needs of Forest Healing Instructors Related to Programs for Cancer Survivors: Using Borich Needs Assessment and the Locus for Focus Model
Kwang-Hi Park, Min Kyung Song
International Journal of Environmental Research and Public Health.2022; 19(9): 5376.     CrossRef
The Influencing Factors on Health-Related Quality of Life in Childbearing Women Based on the Korea National Health and Nutrition Examination Survey (KNHANES) 2019 Data
Jeongim Lee
Journal of The Korean Society of Maternal and Child Health.2021; 25(4): 282.     CrossRef
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Hee Jung Kim
The Korean Journal of Rehabilitation Nursing.2021; 24(2): 109.     CrossRef

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Impact of Chronic Kidney Disease on Depression, Perceived Health, and Health-Related Quality of Life: Results from the Korea National Health and Nutrition Examination Survey in 2014 and 2016

Cheong Sook Yoo, Yunmi Kim, Hyun-Young Kim

Korean J Adult Nurs 2020;32(4):374-384.   Published online August 31, 2020

DOI: https://doi.org/10.7475/kjan.2020.32.4.374

Abstract

PDF

Purpose
This study evaluated the impact of Chronic Kidney Disease (CKD) on depression, perceived health, and Health-Related Quality of Life (HRQOL) in community-dwelling adults.
Methods
Data from 9,778 adults who participated in the Korea National Health and Nutrition Examination Survey (KNHANES) in 2014 and 2016 were analyzed. The estimated glomerular filtration rate was calculated using the CKD Epidemiology Collaboration (CKD EPI) equation. Depression was defined as a score of at least 10 points on Patient Health Questionnaire-9 (PHQ-9). The HRQOL was measured using the EuroQol-5D (EQ-5D). The effects of CKD on depression were analyzed using multivariate logistic regression, and the effects on perceived health and HRQOL were analyzed using multivariate ordered logistic regression.
Results
The prevalence of CKD was 3.7%. Among the adults with CKD, 13.1% had depression, 42.9% perceived their health to be bad, and their HRQOL was significantly lower than that of their non-CKD counterparts. The odds ratio for depression in patients with CKD was 1.66 (95% Confidence Interval [CI]=1.10~2.52, p=.017) and that of perceived bad or fair health was 1.80 (95% CI=1.35~2.40, p<.001). The likelihood of lower HRQOL in CKD patients was 1.44 times higher than in the non-CKD patients (95% CI=1.09~1.90, p=.010).
Conclusion
The prevalence of psychological problems in CKD patients was higher than in non-CKD patients. The results suggest the importance of comprehensive intervention for patients with CKD. Policies are needed to help assess and manage patients with CKD who are experiencing emotional problems.

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Regional Differences in Medical Costs of Chronic Kidney Disease in the South Korean Population: Marginalized Two-Part Model
Minah Park, Choa Yun, Jae Hong Joo, Soo Hyun Kang, Sung Hoon Jeong, Chung-Mo Nam, Eun-Cheol Park, Yoondae Han, Sung In Jang
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Good subjective health status and health-related quality of life in people with chronic kidney disease: A secondary analysis using the Korea National Health and Nutritional Examination Survey in 2019 and 2020
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Self-care Efficacy and Health-related Quality of Life among Patients on Primary Treatment for Pulmonary Tuberculosis: The Mediating Effects of Self-Care Performance

Hyun Ju Lee, Hyun Ju Park

Korean J Adult Nurs 2020;32(3):305-314.   Published online June 30, 2020

DOI: https://doi.org/10.7475/kjan.2020.32.3.305

Abstract

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Purpose
The purpose of this study was to verify the mediating effect of self-care performance between Self-Care Efficacy (SCE) and Health-Related Quality of Life (HRQoL) among patients on primary treatment for pulmonary tuberculosis.
Methods
A structured self-report survey was conducted with 143 patients on primary treatment for pulmonary tuberculosis. The collected data were analyzed using descriptive statistics, analysis of variance, Pearson correlation coefficient, hierarchical multiple linear regression, and Sobel test.
Results
There were significant correlations between participants’ SCE and self-care performance (r=.62, p<.001), SCE and HRQoL (r=.44, p<.001), and self-care performance and HRQoL (r=.54, p<.001). Self-care performance completely mediated the relationship between SCE and HRQoL (z=3.72, p<.001).
Conclusion
It is necessary to develop interventions for reinforcing SCE, focusing on low self-care groups, to ultimately improve the HRQoL of patients on primary treatment for pulmonary tuberculosis.

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Correlation of self-efficacy and medication adherence with treatment continuity among tuberculosis patients in East Java, Indonesia
Karyo Karyo, Ah Yusuf, Ilya Krisnana, Nursalam Nursalam, Miftahul Munir, Tri Yunita Fitria Damayanti, Kusno Ferianto, Ahmad Daniel
Healthcare in Low-resource Settings.2025;[Epub]     CrossRef
Validity and reliability of the Korean caregiver contribution to self-care chronic illness inventory
Juhee Lee, Eunyoung Kim, Misook Chung, Insun Yeom
Scientific Reports.2023;[Epub]     CrossRef
Effects of Depression, Social Support of Tuberculosis Patients on Self-care
Go Un Lee, Hye Kyung Lee
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Factors affecting quality of life in low‐income overweight and obese women: The mediating effects of health‐promoting behaviors
Ju‐Hee Nho, Hye Young Kim, Eun Jin Kim
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Factors Influencing Health-Related Quality of Life in the Korean Seniors with Lower Education Level: Focusing on Physical Activity Types

Hye Young Choi, Guna Lee

Korean J Adult Nurs 2020;32(3):292-304.   Published online June 30, 2020

DOI: https://doi.org/10.7475/kjan.2020.32.3.292

Abstract

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Purpose
This study examined physical activity and health-related factors affecting Health-Related Quality of Life (HRQoL) in older adults with lower educational levels.
Methods
Data were obtained from the Seventh Korea National Health and Nutrition Examination Survey (Ⅶ-1, 2016; Ⅶ-2, 2017). The sample consisted of 2,985 individuals aged 65 years or older, and the focus was on 1,788 older adults with low educational levels. The data were analyzed using an independent t-test, x2 test, and hierarchical multiple linear regression using the SPSS/WIN 24.0 program.
Results
The results of the hierarchical multiple regression analysis showed that subjective perceived health, cognitive stress, number of chronic diseases, and daily activity explained 25% of the variance in HRQoL after controlling for age and gender. In final model, physical activity types explained an additional 1% of the variance in HRQoL; walking was a significant predictor. Especially, among the various physical activity types, walking proved important for HRQoL. While aerobic exercise and strength exercise were associated with health status, in the hierarchical multiple regression analysis, they did not have an impact on HRQoL.
Conclusion
A walking-centric health care program to improve physical activity should be considered for HRQoL improvement in older adults with lower educational levels. Further research should consider how aerobic exercise and strength exercise could contribute to HRQoL improvement in this population.

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Analysis of the Difference in Nutrient Intake Status by Household Income and Education Level
Min-Young Chong, Inhwa Han
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Prediction model of health-related quality of life in older adults according to gender using a decision tree model: a study based on the Korea National Health and Nutrition Examination Survey
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Eunha Kim, Hye Young Choi
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Eun-Kyung Lee, Sun-Young Jung
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Hye Young Choi
Korean Journal of Adult Nursing.2020; 32(5): 526.     CrossRef

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Lifestyle and Quality of Life in Patients with Coronary Artery Disease: A Propensity-Matched Comparison with a Healthy Control Group

Seong Hui Choi, Seon Young Hwang

Korean J Adult Nurs 2020;32(2):199-208.   Published online April 30, 2020

DOI: https://doi.org/10.7475/kjan.2020.32.2.199

Abstract

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Purpose
Maintaining a healthy lifestyle and quality of life after receiving acute treatment is important in patients with coronary artery disease (CAD). This study aims to compare the lifestyle and the quality of life of CAD patients with those of healthy people through a propensity-matched comparison.
Methods
This study is a secondary analysis of the data from the Korea National Health and Nutrition Examination Survey conducted with 23,657 subjects from 2015 to 2017. A propensity-matched comparison was conducted for 472 CAD patients and 941 healthy individuals using 1:2 matching of nine sociodemographic characteristics. R program version 3.6.2 was used for statistical analysis and an independent t-test was employed to examine the differences between the relevant variables of the two matched groups.
Results
The rate of aerobic physical activity, the levels of quality of life, and the subjective health condition of the CAD patients were significantly lower as compared to the healthy group (p<.001). The degree of perceived stress was higher in patients with CAD than those in the healthy group (p<.001). However, no statistical difference was found in smoking and drinking behavior and body mass index.
Conclusion
This study found that the CAD group's level of physical activity is lower and their emotional health conditions are worse than those of healthy people. Therefore, relevant support, including follow-up intervention programs, is required for CAD patients to prevent secondary adverse cardiac events and to maintain a healthier life.

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Association between Coping Profiles and Cardiac Health Behavior among Patients with Coronary Artery Disease: A Latent Profile Analysis
Yesul Lee, Yoonju Lee, Jeong Cheon Choe, Hyesun Jeong, Sunyoung Jung
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The Korean Journal of Community Living Science.2022; 33(2): 189.     CrossRef

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Factors Influencing on Health-Related Quality of Life among Men Osteoporosis Patients over 50 Years

Ji Young Kim, Youngran Yang

Korean J Adult Nurs 2020;32(2):145-155.   Published online April 30, 2020

DOI: https://doi.org/10.7475/kjan.2020.32.2.145

Abstract

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Purpose
The purpose of this study is to investigate factors influencing health-related quality of life (HRQoL) among male patients with osteoporosis over 50 years of age.
Methods
This study used a cross-sectional design with secondary data. The data of male patients with osteoporosis over 50 years of age (n=1,307) from the Community Health Survey (2016) were selected for analysis. Complex sampling design multiple regression analysis was conducted for influential factors on HRQoL, measured by the Euro Quality of Life-5D (EQ-5D).
Results
The mean HRQoL score of male patients with osteoporosis over 50 years of age was 0.74. Factors that influenced HRQoL included age, spouse, job, household income, body mass index, stress, depression, self-reported health status, hours of sleep per day, health examination experience, comorbidity (stroke, osteoarthritis), and osteoporosis fracture (hip bone, spine), which together explained 42% of the HRQoL.
Conclusion
To improve the HRQoL among male patients with osteoporosis over 50 years of age, comprehensive management is required from the stage of diagnosis. Developing and applying long-term programs including multidimensional approaches and early screenings of osteoporosis and prevention education for men are also needed.

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Structural Equation Modeling of Quality of Life in Patients With Uterine Cancer

So Yeun Jun, Il Sun Ko

Korean J Adult Nurs 2020;32(2):109-123.   Published online April 30, 2020

DOI: https://doi.org/10.7475/kjan.2020.32.2.109

Abstract

PDF

Purpose
This study was conducted to determine a hypothetical model for the factors affecting uterine cancer patients’ health-related quality of life.
Methods
Data were collected from 409 patients with cervical cancer or endometrial cancer, between March 16 and May 15, 2015, using a self-administered questionnaire . The data were analyzed using SPSS v18 and AMOS v21.
Results
The model supported 14 of the 19 hypotheses for all participants. The results indicated that resilience, marital intimacy, social support, and perceived health status directly affected participants’ quality of life, while sexual function indirectly affected participants’ quality of life. Of these variables, perceived health status had the strongest direct effect on participants’ quality of life. Social support and sexual function were found to directly affect perceived health status. Somatic symptoms were found to directly affect sexual function, and resilience and marital intimacy in turn were found to directly affect somatic symptoms.
Conclusion
These results suggest that management strategies to enhance uterine cancer patients’ quality of life should address patients’ perceived health status, social support, sexual function, and marital intimacy.

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Self-disclosure in Adult Patients With Cancer
Hyungran Lee, Younhee Jeong
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Hyeon-Ok Lee, Ji-Yeong Seo
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Hyun Jin Jung, Yu Jin Hong, Seo Young Hong, Ju-Hee Nho
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Health-related quality of life in female patients with reumatoid arthritis: a structural equation model
Bukyung Kim, Mi-Hae Sung
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Hee Nam Moon, Seung Hee Yang
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Joung Woo Joung
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Dong Rim Hyun, So Yeun Jun, Chang Wan Jun, Sue Kyung Sohn
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Young Mi Ryu, Woo Joung Joung
Korean Journal of Adult Nursing.2020; 32(4): 399.     CrossRef

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Mediating Effects of Self-Care Competence on the Relationship between Uncertainty and Quality of Life in Hemodialysis Patients

Yoon Jung Chae, Jun Hee Ahn, Kyung Pyo Kang, Eunhee Jo

Korean J Adult Nurs 2020;32(1):67-77.   Published online February 29, 2020

DOI: https://doi.org/10.7475/kjan.2020.32.1.67

Abstract

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PURPOSE
This study aimed to explore the mediating effect of self-care competence on the relationships between uncertainty, self-care competence, and quality of life in patients undergoing hemodialysis.
METHODS
This study used a descriptive correlation design. Participants were 169 patients who were receiving hemodialysis treatment. Data were collected from November 01, 2017, to June 30, 2018. Measurements included the Patient Assessment of Mishel Uncertainty in Illness Scale, Self-as-Carer Inventory Scale, and the Medical Outcomes Study Short Form-12 (MOS SF-12). The MOS SF-12 comprises the Physical Component Score (PCS) and Mental Component Score (MCS). Data were analyzed using descriptive statistics, Pearson's correlation coefficient analysis, and a three step regression analysis using Baron and Kenny's method for mediation.
RESULTS
Mean scores were 2.78Â±0.03 and 3.96Â±0.07 for uncertainty and self-care competence, respectively. The mean PCS score was 41.90Â±17.45) and the mean MCS score was 55.23Â±15.09. Self-care competence had a partial mediating effect (z=âˆ’3.50, p<.001) between uncertainty and PCS as well as an explanatory power of 20%. Self-care competence had a partial mediating effect (z=âˆ’2.36, p<.001) between uncertainty and MCS as well as an explanatory power of 11%.
CONCLUSION
To improve the quality of life of hemodialysis patients, developing programs suitable for patients with high uncertainty or programs that increase the self-care competence abilities of the patients should be considered.

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Moonja Kang, Younhee Jeong, Hyungran Lee
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Eunhee Jo, Su-Jin Lee, Sun Hee Han
Journal of Korean Academy of Fundamentals of Nursing.2023; 30(3): 325.     CrossRef
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Mi Kyung Kim, Eun Hee Jang
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Mediating Effects of Self-Care Competence on the Relationship between Uncertainty and Quality of Life in Stroke Patients
Eunhee Jo, Su-Jin Lee, Jung-Hwa Jo
Korean Journal of Adult Nursing.2021; 33(1): 56.     CrossRef

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Mediating Effect of Physical Activity in the Relationship between Depressive Symptoms and Health-related Quality of Life in Patients with Coronary Artery Disease: The 2016 Nationwide Community Health Survey in Korea

Mi Hwa Won

Korean J Adult Nurs 2019;31(6):691-700.   Published online December 31, 2019

DOI: https://doi.org/10.7475/kjan.2019.31.6.691

Abstract

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PURPOSE
This study aimed to examine the mediating role of physical activity in the relationship between depressive symptoms and health-related quality of life in patients with coronary artery disease.
METHODS
A descriptive cross-sectional study design was conducted using the data from the 2016 Korea Community Health Survey. The participants comprised 6,072 patients with coronary artery disease aged 19 years or older. Depressive symptoms, physical activity, and health-related quality of life were assessed. The collected data were analyzed by a complex sample test using SPSS/WIN 24.0 program. Bootstrapping methodology was utilized to examine the mediating role of physical activity in the relationship between depressive symptoms and health-related quality of life with SPSS PROCESS macro Model 4.
RESULTS
The results of the hierarchical linear regression analysis showed that depressive symptoms (t=âˆ’22.37, p<.001) and physical activity (t=12.12, p<.001) were significant predictor of health-related quality of life. A mediation analysis further revealed that physical activity mediates the relationship between depressive symptoms and health-related quality of life.
CONCLUSION
This study suggests that the negative impact of depressive symptoms on health-related quality of life can be improved through physical activity. Healthcare providers should consider these finding during early assessment of depressive symptoms in patients with coronary artery disease. Moreover, developing intervention strategies to enhance the level of physical activity could improve health-related quality of life of patients.

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In-Young Yoo
Journal of The Korean Society of Living Environmental System.2025; 32(2): 179.     CrossRef
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Minju Kim, Ju Youn Choi
Journal of Korean Academy of Fundamentals of Nursing.2025; 32(3): 320.     CrossRef
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Jungmi Yun, Yunji Lee
Healthcare.2023; 11(12): 1802.     CrossRef
Moderating Effect of Physical Activity on the Relationship between Perceived Stress and Depression in Patients with Ischemic Heart Disease: A Cross-Sectional Study
Yue-Hee Yeom, Suk Jeong Lee
Korean Journal of Adult Nursing.2023; 35(3): 204.     CrossRef
Prevalence of physical activity levels and perceived benefits of and barriers to physical activity among Jordanian patients with coronary heart disease: A cross-sectional study
Eman Alsaleh, Faris Baniyasin
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A comparison of health-related quality of life and personal, social, and environmental factors of older adults according to a residential area: a propensity score matching analysis
Jungmi Yun, Yeongsuk Lee, Hyun-Ju Lee
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Association between Social Support and Physical Activity in Patients with Coronary Artery Disease: Multiple Mediating Roles of Self-Efficacy and Autonomous Motivation
Nam-Sin Han, Mi-Hwa Won
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Lifestyle and Quality of Life in Patients with Coronary Artery Disease: A Propensity-Matched Comparison with a Healthy Control Group
Seong Hui Choi, Seon Young Hwang
Korean Journal of Adult Nursing.2020; 32(2): 199.     CrossRef

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Quality of Life and Supportive Care Needs of Back-to-Work Breast Cancer Survivors

Su Jeong Han, Hye Won Kim, Dae Sung Yoon, Mi Ran Kim

Korean J Adult Nurs 2019;31(5):552-561.   Published online October 31, 2019

DOI: https://doi.org/10.7475/kjan.2019.31.5.552

Abstract

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PURPOSE
The purpose of this study was to identify the relationship between the supportive care needs and quality of life of back-to-work breast cancer survivors, and determine the factors that affect their quality of life.
METHODS
Data were collected from 146 patients who had undergone surgery and treatment for breast cancer at Konyang University Hospital in Daejeon city and were receiving outpatient care from December 21, 2017 to November 30, 2018. The collected data were analyzed using the SPSS/WIN 21.0 program with descriptive statistics, an independent t-test, a one-way ANOVA, the Duncan test, Pearson's correlation coefficient, and hierarchical multiple regression.
RESULTS
Back-to-work breast cancer survivors show higher physical and mental health indices, which reflect quality of life, when they have fewer physical supportive care needs. Additionally, their physical and mental health indices based on the characteristics of the illness differed according to the cancer stage.
CONCLUSION
It is necessary to develop and test the effectiveness of health education programs that meet the supportive care needs and improve the quality of life of breast cancer survivors returning to work.

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Kisook Kim, Hyohyeon Yoon
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Eun Ji Park, Hye Young Kim, Ju-Hee Nho, Eun Ko, Allison W. Boyes
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Bang-Eun Lee, Ju-Yeon Uhm
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Rongrong Fan, Lili Wang, Xiaofan Bu, Wenxiu Wang, Jing Zhu
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Unhee Kim, Ju-Young Lee
Asia-Pacific Journal of Oncology Nursing.2023; 10(10): 100295.     CrossRef
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Juhyun Jin
Asia-Pacific Journal of Oncology Nursing.2022; 9(2): 97.     CrossRef
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Eun Young Park
Asian Oncology Nursing.2022; 22(3): 121.     CrossRef
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Slobodan Tomić, Sanja Tomić, Milena Mikić, Goran Malenković
Sestrinska rec.2022; 25(84): 4.     CrossRef
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Hyekyung Kim, Yang-Sook Yoo
Asian Nursing Research.2021; 15(1): 60.     CrossRef
Factors Influencing Quality of Life among Cancer Survivors: Based on the Korean National Health and Nutrition Examination Survey (KNHANES) for 2019
Hee Jung Kim
The Korean Journal of Rehabilitation Nursing.2021; 24(2): 109.     CrossRef
Factors Affecting Quality of Work Life in a Sample of Cancer Survivor Female Nurses
Ju Hyun Jin, Eun Ju Lee
Medicina.2020; 56(12): 721.     CrossRef
A Narrative Inquiry into the Adjustment Experiences of Male Bladder Cancer Survivors with a Neobladder
So Hee Kim, Eunjung Ryu, Eun-Ju Kim
International Journal of Environmental Research and Public Health.2020; 17(21): 8260.     CrossRef

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Predictors of Quality of Life and Social Support as a Mediator between Defecation Function and Quality of Life among Rectal Cancer Patients

Jung Rang Kim, Seon Young Hwang

Korean J Adult Nurs 2019;31(5):487-495.   Published online October 31, 2019

DOI: https://doi.org/10.7475/kjan.2019.31.5.487

Abstract

PDF

PURPOSE
To identify the factors influencing Quality of Life (QoL) in rectal cancer patients and to examine whether perceived social support mediates the relationship between defecation function and QoL.
METHODS
Using self-report questionnaires, a descriptive survey was conducted with 131 rectal cancer patients who underwent anal sphincter-saving resection, in a large medical center in Korea. Data were collected between September and November, 2014, using research instruments validated in the Korean language. The data were analyzed using SPSS/WIN 21.0 and AMOS 21.0.
RESULTS
The mean age and post-surgical follow-up period of the participants were 59.0Â±10.2 years and 15.9Â±9.8 months, respectively. Multiple linear regression analysis revealed that, after adjusting for age and gender, defecation function, perceived social support, and employment status predicted QoL. Path analysis showed that perceived social support partially mediated the relationship between defecation function and QoL with a significant indirect effect.
CONCLUSION
These results suggest that a positive perception of social support from family and healthcare providers is necessary to improve the QoL of patients experiencing defecation dysfunction after rectal cancer surgery. To this end, periodic counseling and education from outpatient healthcare providers, during the postoperative follow-up period, could encourage patients to perceive higher social support.

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Savitree Suratako, Yaowarat Matchim, Mary Quinn Griffin
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Kyungmi Lee, Semi Lim
Journal of Korean Academy of Fundamentals of Nursing.2021; 28(4): 421.     CrossRef

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Mediating Effects of Depression and Social Supports between Type D Personality and Quality of Life on Hemodialysis Patients

Geum Soon Kwon, Kyung Hee Lim

Korean J Adult Nurs 2019;31(4):439-448.   Published online August 31, 2019

DOI: https://doi.org/10.7475/kjan.2019.31.4.439

Abstract

PDF

PURPOSE
The purpose of this study was to explore influence of Type D personality of hemodialysis patients on quality of life and to elucidate mediation effects of depression and social supports between Type D personality and quality of life.
METHODS
The subjects were 126 patients who were receiving hemodialysis treatments at four dialysis clinics in Pusan and Daegu metropolitans. Data were collected from January 22th to February 28th, 2018 and analyzed with descriptive statistics, Ï‡2 test, independent t-test, Pearson's correlation coefficient and three-step mediated regression analysis using SPSS/WIN 22.0. Significances of mediation effects were examined using bootstrapping method based on SPSS Process Macro program.
RESULTS
The prevalence of Type D personality in hemodialysis patients were 42.9%. Type D personality in hemodialysis patients had significant effects on quality of life, showing explanatory power of 12%. Depression showed complete mediating effects and also showed 42% of substantiating probability, and social supports showed partial mediating effects and showed 19% of substantiating probability.
CONCLUSION
Summing up the result of research until now, in order to improve the quality of life for Type D personality hemodialysis patient, it is necessary to develop strategies not only to relieve depression using early evaluation on depression status, consulting therapy, cognition behavior mediation and so on, but also to enhance social supports like participating in voluntary meetings and building up social network to expand relationship with close people.

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Eunha Lee, Jungmin Kim
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The Effect of Post-prostatectomy Urinary Incontinence on Health-related Quality of Life in Patients with Prostate Cancer

Jeong Hyun Kim, Yeon Soo Jang, Young Deuk Choi, Eui Geum Oh

Korean J Adult Nurs 2019;31(3):293-302.   Published online June 30, 2019

DOI: https://doi.org/10.7475/kjan.2019.31.3.293

Abstract

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PURPOSE
The purpose of this study was to examine the degree of Health-Related Quality of Life (HRQoL), and determine the effect of Urinary Incontinence (UI) on HRQoL in patients after prostatectomy.
METHODS
The participants were 110 adults who had undergone radical prostatectomies at Severance Hospital in Seoul, Korea. The data of this cross-sectional study were collected between April 10, 2015, and June 12, 2015. The questionnaire included demographic and disease-related characteristics, the International Consultation on Incontinence Questionnaire-Short Form (ICIQ-SF), and the King's Health Questionnaire (KHQ). Descriptive statistics and multiple linear regression were used.
RESULTS
The mean age was 66.27Â±7.24 years. The mean score of HRQoL was 47.37 (range 0~100). The lowest-ranked domains were â€œphysical limitationsâ€ (M=51.21) and â€œrole limitationsâ€ (M=49.85). The HRQoL was significantly different according to the number of post-operative day. HRQoL was significantly correlated with UI, and was affected by UI. The regression model of this study accounted for 70% of the HRQoL.
CONCLUSION
UI might influence HRQoL in patients after prostatectomy. Nursing interventions with special consideration of UI are needed to improve their HRQoL.

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Review Article

Impact of Type D Personality on Depression, Anxiety, and Health-related Quality of Life among Coronary Artery Disease Patients: A Systematic Review and Meta-analysis

Sun Hyoung Bae, Jin Hee Park

Korean J Adult Nurs 2019;31(3):219-234.   Published online June 30, 2019

DOI: https://doi.org/10.7475/kjan.2019.31.3.219

Abstract

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PURPOSE
The purpose of this study was to investigate the impact of Type D personality among patients with Coronary Artery Disease (CAD).
METHODS
Seven databases were searched to conduct a systematic review and meta-analysis. Two reviewers independently searched, selected, extracted, and assessed the studies. The quality of studies was evaluated using the JBI Critical Appraisal Checklist. To estimate the effect size, meta-analysis of the studies was performed using the Comprehensive Meta-Analysis 3.0 program.
RESULTS
Of 1,128 publications identified, 31 studies that met the inclusion criteria were used to estimate the effect size of Type D personality. Effect size (Standardized Mean Difference [SMD]) was used in the analyses. Patients with CAD who had Type D personality had higher levels of depression (SMD=0.92; 95% Confidecne Interval (CI)=0.74~1.10) and anxiety (SMD=1.19; 95% CI=0.81~1.57), but lower levels of physical and mental health-related quality of life (SMD=âˆ’0.56; 95% CI=âˆ’0.75~âˆ’0.38; SMD=âˆ’0.91; 95% CI=âˆ’1.10~âˆ’0.73). Publication bias was not detected.
CONCLUSION
Type D personality was associated with increased depression and anxiety and impaired health-related quality of life in patients with CAD. Personality and psychosocial risk screening in patients with CAD should be conducted in the clinical setting.

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Kyung-Hee Cho, Kyungmi Oh, Sunho Kim, Sung Reul Kim
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The Effects of Lifestyle Interventions on the Health-Promoting Behavior, Type D Personality, Cognitive Function and Body Composition of Low-Income Middle-Aged Korean Women
Eun-Jin Kim, Ju-Hee Nho, Hye-Young Kim, Sook-Kyoung Park
International Journal of Environmental Research and Public Health.2021; 18(11): 5637.     CrossRef

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Original Articles

Factors Affecting Quality of Life in Patients with Radical Prostatectomy

Hyo Jung Park, Yoonju Lee

Korean J Adult Nurs 2019;31(2):190-201.   Published online April 30, 2019

DOI: https://doi.org/10.7475/kjan.2019.31.2.190

Abstract

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PURPOSE
This study aimed to identify the factors affecting the quality of life of patients with radical prostatectomy.
METHODS
Participants included 114 patients with radical prostatectomy in Pusan National University Hospital in Busan, Korea. Data were collected from May to July 2018, using a structured questionnaire measuring quality of life, erectile dysfunction, lower urinary tract symptoms, appraisal of uncertainty, resilience, educational needs for sexual health, and marital intimacy. Data were analyzed using descriptive statistics, an independent t-test, a one-way analysis of variance, and hierarchical multiple regression.
RESULTS
The statistically significant regression model explained about 77% of the variance in quality of life. Appraisal of uncertainty as an opportunity, appraisal of uncertainty as a danger, and resilience were identified as factors influencing the participants' quality of life.
CONCLUSION
In order to improve the quality of life of patients with radical prostatectomy, it is necessary to reduce uncertainty through providing practical information on uncertain situations, and the programs should be applied that can lower the danger aspect of uncertainty, increase the opportunity factor of uncertainty, and increase the resilience of the patient himself.

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Min Kweon Ahn, Hyun Kyung Kim
Korean Journal of Adult Nursing.2021; 33(5): 532.     CrossRef

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Resilience as a Moderator and Mediator of the Relationship between Symptom Experience and Quality of Life in Hemodialysis Patients

Yeon Hee Cho, Yun Mi Lee

Korean J Adult Nurs 2019;31(1):68-77.   Published online February 28, 2019

DOI: https://doi.org/10.7475/kjan.2019.31.1.68

Abstract

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PURPOSE
The purpose of this study is to identify the moderating and mediating effects of resilience in the relationship between symptom experience and quality of life.
METHODS
Participants were recruited from one general hospital and one hospital specialized in hemodialysis located in Busan city. The participants included 105 patients diagnosed with chronic renal failure who had been receiving hemodialysis twice a week or more on a regular basis. Data collection was conducted from December 14, 2017, to January 15, 2018. Collected data were analyzed using the SPSS/WIN 24.0 program.
RESULTS
There were significant correlations between participants' symptom experience and resilience (r=âˆ’.36, p < .001), symptom experience and quality of life (r=âˆ’.50, p < .001), and resilience and quality of life (r=.67, p < .001), respectively. Resilience had a partial mediating effect (z=âˆ’3.48, p < .001) in the relationship between symptom experience and quality of life but did not have moderating effects.
CONCLUSION
To improve the quality of life among patients on hemodialysis, it is necessary to develop interventions that enhance resilience in addition to providing symptom relief.

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Zahra Shafiei Kisomi, Omid Taherkhani, Mina Mollaei, Hoda Esmaeily, Ghazaleh Shirkhanloo, Zahra Hosseinkhani, Mohammad Amerzadeh
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Ji Hye Jung, Hye Young Kim
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Soo Jin Lee, Sujin Lee, Xianglan Jin
Journal of Korean Biological Nursing Science.2023; 25(3): 160.     CrossRef
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Ae Kyung Chang, Jin Yi Choi
Clinical Nursing Research.2022; 31(6): 1172.     CrossRef
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Semi Moon, Chiyoung Cha
Journal of Korean Academy of Fundamentals of Nursing.2022; 29(3): 295.     CrossRef
Effect of Role Conflict on Job Satisfaction by Comprehensive Nursing Care Service Ward Nurse: Moderating and Mediating Effect of Resilience
So Hee Lee, Roma Seol, Min Hye Kim
Journal of Korean Critical Care Nursing.2021; 14(3): 50.     CrossRef
Factors Affecting Quality of Life of Hemodialysis Patients - with Focus on Resilience, Symptom Experience and Self-management
Hyun-Young Jung, Yong-Kyung Park, Soon-Rim Suh
Journal of Health Informatics and Statistics.2021; 46(4): 429.     CrossRef
Perceptions of resilience in patients undergoing peritoneal dialysis: A Q‐methodology study
Mi Young Chon, Eun Ja Yeun, Kyoung Hee Jung, Young‐il Jo, Kyeong Ryong Lee
Nursing & Health Sciences.2020; 22(1): 108.     CrossRef
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Mi Na Yun, Kyoung Mi Kim
Korean Journal of Adult Nursing.2020; 32(6): 599.     CrossRef
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Young Mi Ryu, Woo Joung Joung
Korean Journal of Adult Nursing.2020; 32(4): 399.     CrossRef

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An Empowerment Program to Improve Self-Management in Patients with Chronic Kidney Disease

Suk Jeong Lee

Korean J Adult Nurs 2018;30(4):426-436.   Published online August 31, 2018

DOI: https://doi.org/10.7475/kjan.2018.30.4.426

Abstract

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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.

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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
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Effective Nutritional Guidance for Obesity by Low Carbohydrate Diet (LCD)
Nakamura T, Kawashima T, Dobashi M, Narita A, Bando H
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Factors associated with Health-related Quality of Life in Patients with Peripheral Arterial Disease

Da El Jang, Yeon Soo Jang, Eui Geum Oh, Young Guk Ko

Korean J Adult Nurs 2018;30(3):266-276.   Published online June 30, 2018

DOI: https://doi.org/10.7475/kjan.2018.30.3.266

Abstract

PDF

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.

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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
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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

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Structural Equation Modeling on Health-related Quality of Life among Patients with Thyroid Cancer

Seon Young Lee, Hyun Kyung Kim

Korean J Adult Nurs 2018;30(2):171-182.   Published online April 30, 2018

DOI: https://doi.org/10.7475/kjan.2018.30.2.171

Abstract

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PURPOSE
The aim of the study was to create a structural model based on Wilson and Cleary's Conceptual Model of Patient Outcomes. Secondly, the intention was to identify variables influencing the health-related quality of life (HRQoL) as reported by patients with thyroid cancer.
METHODS
A total of 201 patients with thyroid cancer were recruited from an outpatient clinic. Data were collected from June to November, 2015, using a structured questionnaire. The questionnaire included the Quality of Life-Thyroid Scale, Thyroid Stimulating Hormone (TSH), Medical Outcome Study Social Support Survey, MD Anderson Symptom Inventory-Thyroid, the Brief Illness Perception Questionnaire, and general characteristics of patients. The data were analyzed using the SPSS/WIN 21.0, AMOS 21.0, and SmartPLS 3.2.3 programs.
RESULTS
The fitness of the hypothetical model with the Wilson and Cleary model was satisfactory, showing that the coefficients of determination (R2) were between .101 and .692 and the predictive relevance (Q2) were between .124 and .320. The model explained 69.2% of the HRQoL. Symptom experience, functional status, disease perception, and social support directly and indirectly affected HRQoL. Age and TSH had an indirect influence on the HRQoL with the mediation effect of reported symptom experience.
CONCLUSION
To improve the quality of life for patients with thyroid cancer, comprehensive nursing interventions need to be developed and applied. Decreasing the reported symptoms, changing the perception of the disease, improving functional status, and increasing social support may contribute to a higher quality of life among patients with thyroid cancer.

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Path Analysis of Factors Influencing Health-Related Quality of Life for Community-Dwelling Vulnerable Older Adults with Chronic Diseases in Korea
Hyun-Ju Lee
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Lavinia Rat, Andrada Moldovan, Daniela Trifan, Loredana Matiș, Gelu Murvai, Lavinia Maris, Timea Ghitea, Marius Maghiar
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Jeong Won Yeom, Yeon Ok Suh
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Xin Chen, Osamah Ibrahim Khalaf
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Myoyoun Kim, Seon Young Hwang
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Hyun-E Yeom, Jee-Won Shin
Korean Journal of Adult Nursing.2019; 31(4): 449.     CrossRef

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Influences on the Performance based Frailty of Physical Performance, Exercise Self-efficacy, Decisional Balance, and Health related Quality of Life in Adults Undergoing Hemodialysis

Sun Ki Kim, Hye Ja Park, Dong Ho Yang, Hye Yun Jeong

Korean J Adult Nurs 2018;30(2):149-160.   Published online April 30, 2018

DOI: https://doi.org/10.7475/kjan.2018.30.2.149

Abstract

PDF

PURPOSE
This study was to examine the relationships among frailty, physical performance, exercise self-efficacy, decisional balance, and health-related quality of life (HRQoL) and to identify the impact factors on frailty in adults undergoing hemodialysis.
METHODS
In this cross-sectional study, 96 adults (41 women, 55 men, age 57.10Â±13.56 years) were enrolled an university hospital-affiliated outpatient hemodialysis clinic. Participants were asked to administer questionnaires including exercise change stages, exercise self-efficacy, decisional balance, and HRQoL. Participants also completed measures of the short battery physical performance test (SPPB), usual gait speed, grip strength (JAMAR Hand Dynamometer, Paterson medical Ltd. Warrenville, USA), and body composition (Inbody S10, Biospace company, Seoul, Korea). Frailty status was classified according to the frailty phenotype developed by Fried using gait speed, grip strength, vitality from mental HRQoL, physical activity from exercise change stages, and body mass index.
RESULTS
According to frailty scores, 56.3% (n=54) were frail (frailty scores 3â€“5) and 43.7% were non-frail (frailty scores 0â€“2). Exercise self-efficacy, pros decisional balance, and HRQoL were lower in the frail patients (all p < .05). Frailty correlated with worse scores of SPPB (r=âˆ’.56), exercise self-efficacy (r=âˆ’.40), pros decisional balance (r=âˆ’.24), and physical and mental HRQoL (r=âˆ’.32; r=âˆ’.26) by Spearman correlation analysis. Factors associated with non-frailty includes higher SPPB (odds ratio: 1.67, 95% confidence interval: 1.15~2.44) and exercise self-efficacy (odds ratio 1.17, 95% confidence interval: 1.03~1.33).
CONCLUSION
A targeted management program based on the frailty stage may benefit individuals undergo hemodialysis.

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Jiwon Choi, Sun-Kyung Hwang
Korean Journal of Adult Nursing.2024; 36(1): 63.     CrossRef
Effects of an arteriovenous fistula stenosis prevention program in patients receiving hemodialysis
Haegyeong Lee, Gyuli Baek, Eunju Lee
Osong Public Health and Research Perspectives.2023; 14(4): 279.     CrossRef
Factors Affecting Quality of Life in Hemodialysis Patients
Kyung Hee Lim, Geum Soon Kwon
Journal of Korean Academy of Fundamentals of Nursing.2023; 30(1): 1.     CrossRef
Modifiable Physical Factors Associated With Physical Functioning for Patients Receiving Dialysis: A Systematic Review
Brett D. Tarca, Thomas P. Wycherley, Paul Bennett, Anthony Meade, Katia E. Ferrar
Journal of Physical Activity and Health.2020; 17(4): 475.     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

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Influence of Post-traumatic Stress Disorders on Quality of Life among Patients with Ostomy: Focused on the Mediating Effect of Resilience

Jee Hye Shin, Hyang Sook So, Eun A Kim

Korean J Adult Nurs 2017;29(6):657-666.   Published online December 31, 2017

DOI: https://doi.org/10.7475/kjan.2017.29.6.657

Abstract

PDF

PURPOSE
This study was performed to identify the mediating effect of resilience in the relationship between post-traumatic stress disorder (PTSD) and quality of life (QoL) among patients with ostomy.
METHODS
A crosssectional survey design was used. A convenience sample of 150 patients with ostomy was recruited from three hospitals located in Gwangju and Chonnam province in Korea. Data were collected by self-report questionnaires and included demographics as well as measures of PTSD, resilience, and QoL. Data were analyzed with descriptive statistics, Pearson correlation coefficients, independent t-test, One-way ANOVA, and linear regression using the SPSS 24.0 program.
RESULTS
There were significant negative relationships between PTSD and QoL (r=âˆ’.30, p < .001) and between PTSD and resilience (r=âˆ’.57, p < .001). Resilience showed a partial mediating effect (Î²=.39, p < .001) between PTSD and QoL (Z=âˆ’3.12, p < .001).
CONCLUSION
This study findings suggest the importance of reducing PTSD scores and improving resilience among persons with ostomy which will possibly increase their QoL. Nursing interventions including counseling or education to improve psychological resilience might help better manage PTSD among patients with ostomy.

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Meida Zhang, Yiming Li
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Nasrin Sarabi
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Keum Hee Nam, Heui Yeoung Kim, Jung Ho Kim, Ki‐Noh Kang, Soo Yang Na, Bok Hee Han
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Eun Jung Yang, Ho Sihn Ryu
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Distress and Quality of Life among Elderly Patients with Gastric Cancer: The Mediating Effect of Social Support

Yoon Sun Kim, Young Sook Tae, Gum Hee Nam

Korean J Adult Nurs 2017;29(5):536-546.   Published online October 31, 2017

DOI: https://doi.org/10.7475/kjan.2017.29.5.536

Abstract

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PURPOSE
The purpose of this study was to describe the mediating effect of social support and its relationship between distress and quality of life (QoL) of elderly patients with gastric cancer.
METHODS
186 elderly patients who visited an inpatient/outpatient at two cancer hospitals were recruited from May 30 to July 26, 2017. Distress, social support, and QoL were measured using structured questionnaires such as Distress Thermometer and Problem list, Perceived Social Support scale, and QoL scale for Korean patients with cancer. The mediating effects were analyzed by a multiple hierarchical regression.
RESULTS
Distress was found to have significant negative correlations with social support (r=-.47, p < .001) and QoL (r=-.58, p < .001). There was a positive correlation between social support and QoL (r=.72, p < .001). The influencing factors on QoL were education, recurrence, sleep, dietary problem, distress, and social support. These variables were explained 66% of the variance in QoL. The direct effect of distress on QoL was significant (Î²=-.24, p < .001) and the indirect effect of distress on QoL via social support was significant (z=-4.14, p < .001).
CONCLUSION
Based on this study findings, intervention programs directed at reducing distress by focusing on bolstering social support is recommended to improve QoL in elderly patients with gastric cancer.

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Factors Affecting the Quality of Life in Low-Income Older Adults with Sarcopenia: A Cross-Sectional Study
Ju-Hee Nho, Eun Jin Kim
Journal of Korean Academy of Nursing.2023; 53(1): 1.     CrossRef
Predictive Factors for Psychological Distress in Patients with Lung Cancer Who Underwent Video-Assisted Thoracic Surgery Lobectomy
Ji Eun Han, Kwhanmien Kim, Jin-Hee Park
Asian Oncology Nursing.2023; 23(3): 136.     CrossRef
Factors That Influence Sleep Disturbance and the Mediating Effects of Depression on Sleep Disturbance in Patients With Rheumatoid Arthritis
SiWon Lee, HyunSoo Oh, SooHyun Kim, Won Park, SeongRyul Kwon, Mie Jin Lim, Kyong-Hee Jung, WhaSook Seo
Orthopaedic Nursing.2022; 41(5): 335.     CrossRef
Effects of the teach-back method among cancer patients: a systematic review of the literature
Seonhwa Choi, Jahyun Choi
Supportive Care in Cancer.2021; 29(12): 7259.     CrossRef
Impact of Posttraumatic Growth and Health Promoting Behavior on Quality of Life in Patients with Gastrointestinal Cancer
Mi-Ae Kim, Hyun-Ju Lee
Journal of Korean Academy of Fundamentals of Nursing.2021; 28(1): 32.     CrossRef
The Development and Evaluation of a Health Literacy-Adapted Self-Management Intervention for Elderly Cancer Patients Undergoing Chemotherapy
Yoon Sun Kim, Young Sook Tae, Kwuy-Im Jung
Journal of Korean Academy of Nursing.2019; 49(4): 472.     CrossRef
Predictors of Quality of Life and Social Support as a Mediator between Defecation Function and Quality of Life among Rectal Cancer Patients
Jung Rang Kim, Seon Young Hwang
Korean Journal of Adult Nursing.2019; 31(5): 487.     CrossRef
Symptom Distress and Depression in Patients with Recurrent Gynecologic Cancer Undergoing Chemotherapy: Mediating Effect of Resilience
Eun Jung Yang, Ho Sihn Ryu
Korean Journal of Adult Nursing.2019; 31(1): 28.     CrossRef
Oxaliplatin-induced Peripheral Neuropathy, Symptoms, Distress and Quality of Life among Korean Patients with Gastrointestinal Cancer
Hye Jeong Jung, Soo jung Ahn, Yoo Ri Yang, Kyoung A Kim, Sang Joon Shin, Min Kyu Jung, Sang Hui Chu
Asian Oncology Nursing.2019; 19(4): 204.     CrossRef

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Effects of Subjective Hearing Handicap and Perceived Stress on Quality of Communication Life of Older Adults

Younghye Go, Myonghwa Park

Korean J Adult Nurs 2017;29(5):496-504.   Published online October 31, 2017

DOI: https://doi.org/10.7475/kjan.2017.29.5.496

Abstract

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PURPOSE
The aim of the study was to identify factors influencing quality of communication life of older adults in the community.
METHODS
Participants in this study were 128 older adults who registered at the community welfare center. The data were collected from September to October 2015 by using audiometer and three self-administered questionnaires including Korean Evaluation Scale for Hearing Handicap, Korean-Perceived Stress Scale, and Quality of Communication Life Scale. Mean minimal threshold of both ears was defined as 40dB and above for hearing handicap in this study. Data analysis included descriptive statistics, t-test, Pearson correlation coefficients, and hierarchical regression.
RESULTS
According to the screening test result from audiometer measurement, 53.9% of the participants were found to have hearing impairment. The main factors influencing quality of communication life in older adults were subjective hearing handicap of social domain and perceived stress. They explained about 41% of quality of communication life.
CONCLUSION
This study identified that subjective hearing handicap on social domain and self perceived stress in older adults were more important factors for their quality of communication life compared to physical hearing loss. Nurses caring for older people should include strategies to increases communication skills and to decrease communication related stress.

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Knowledge and Attitude Regarding the Care of the Elderly with Hearing Loss among Nurses
Ye Seul Kang, Jeong Yun Park
Korean Journal of Health Promotion.2023; 23(3): 147.     CrossRef
Association of age-related hearing loss, tinnitus, and chronic low back pain in middle-aged and older Korean adults
Hye-Mi Noh, Yi Hwa Choi, Jee Hye Wee, Hong Ji Song, Hye-Ji An, Keum Ji Kim, Soo Kyung Lee, Min Soo Jang, Nayoung Yeon, Tadashi Ito
PLOS ONE.2023; 18(9): e0291396.     CrossRef
A Grounded Theory Study on the Symptom Acceptance of Tinnitus Patients
Woo Joung Joung
Korean Journal of Adult Nursing.2018; 30(6): 611.     CrossRef

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3 Scopus

Understanding Quality of Life among Adult Patients with Terminal Cancer in South Korea: An Integrative Review

Hyejin Kim, Jeonghyun Cho

Korean J Adult Nurs 2017;29(4):419-431.   Published online August 31, 2017

DOI: https://doi.org/10.7475/kjan.2017.29.4.419

Abstract

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PURPOSE
Despite the importance of promoting quality of life (QOL) among patients with terminal cancer, a comprehensive understanding of QOL among this population is lacking in South Korea. Thus, the purpose of the integrative review was to identify patterns in studies about patient-reported QOL among Korean adult patients with a diagnosis of terminal cancer.
METHODS
The integrative review method described by Whittemore and Knaf was used in this stuy. Twenty-five articles were selected for analysis.
RESULTS
Most articles addressed factors that influenced QOL or validated an assessment instrument to measure QOL in patients with terminal cancer. Only one qualitative research article which described patients' experiences of living with terminal cancer. Six other articles examined the effects of interventions on patients' QOL but these did not provide detailed information about interventions. These articles seldom used robust designs and methods to test the interventions.
CONCLUSION
Findings from the review suggest conducting studies with qualitative methodologies to gain an in-depth understanding of QOL from patients' perspectives. Additional studies with robust designs and methods are also necessary to develop and test theory-based, empirically-derived interventions that help maintain or promote QOL in patients with terminal cancer.

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Challenges and Proposed Improvements in Advance Care Planning: Insights from a Real Clinical Case of a Terminally Ill Patient in Korea
Hongyeul Lee
Korean Journal of Medical Ethics.2025; 28(1): 41.     CrossRef
Effect of Laughter Therapy on Mood Disturbances, Pain, and Burnout in Terminally Ill Cancer Patients and Family Caregivers
Hee Moon, Songjah Journ, Seonah Lee
Cancer Nursing.2024; 47(1): 3.     CrossRef
Cross-Cultural Validation of the McGill Quality of Life Questionnaire-Revised (MQOL-R), Korean Version; A Focus on People at the End of Life
Kyung-Ah Kang, Myung-Nam Lee
The Korean Journal of Hospice and Palliative Care.2022; 25(3): 110.     CrossRef
Initial Assessment and Care Planning in Palliative Hospice Care: Focus on Assessment Tools
Eun Ju Park, Su Jin Koh, Jae Kyung Cheon
The Korean Journal of Hospice and Palliative Care.2019; 22(2): 67.     CrossRef

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Effects of a Home Respiratory Management Program for Patients with Amyotrophic Lateral Sclerosis

Moon Sook Hwang, Mi Kyung Lee, Jong Rye Song

Korean J Adult Nurs 2017;29(4):406-418.   Published online August 31, 2017

DOI: https://doi.org/10.7475/kjan.2017.29.4.406

Abstract

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PURPOSE
The purpose of this study was the evaluation of a Home Nursing Care based Respiratory Management Program (HHNbRMP) on health care ability, respiratory and psychological status and quality of life (QoL) of patients with Amyotrophic Lateral Sclerosis (ALS). The management program utilizes a home mechanical ventilator (HMV) in the home.
METHODS
A non-randomized controlled experimental design was employed. HHNbRMP based on Cox's Interaction Model which includes cognitive assent (education, specialized medical care, case management), internal motivation (airway clearance, thoracic exercise, air accumulated exercise) and psychological response (meditation & active listening). These variables were measured first for a base line reading and then at four, twelve, and twenty-four weeks. The data were analyzed by t-test/ANOVA and Repeated Measures ANOVA/ANCOVA.
RESULTS
Only respiratory difficulty among the variables showed a significant difference at twelve and twenty-four weeks (F=7.52, p=.009; F=7.58, p=.009).
CONCLUSION
The Home Health Nursing Management program was effective in managing respiratory difficulty. The patients were satisfied with this program. Applying this program tailored to patients' condition, their respiratory health parameters would be improved.

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Factors associated with caring behaviors of family caregivers for patients receiving home mechanical ventilation with tracheostomy: A cross-sectional study
Hyang Sook Kim, Chung Eun Lee, Yong Sook Yang, Tai-Heng Chen
PLOS ONE.2021; 16(7): e0254987.     CrossRef

466 View

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1 Scopus

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