Purpose
Lung cancer (LC) is the leading cause of cancer-related death globally, and understanding symptom clusters (SCs) among LC patients could improve symptom management. This scoping review provides a comprehensive summary of the most common SCs and their compositions identified in studies specifically investigating SCs of LC patients.
Methods
A scoping review was conducted following the Joanna Briggs Institute methodology. The study included LC patients as participants, SCs as the concept, and studies with distinct aim to investigate LC SCs as the context. We searched studies from inception to September 2022 in PubMed, Embase, PsycINFO, CINAHL, and the Cochrane Library databases using the terms: "lung cancer," "cancer survivors, " and "symptom cluster." Results: Of 41 reviewed reports, 188 SCs were identified. Both a priori and de novo method were used to identify LC SCs, with exploratory factor analysis being the most commonly used statistical method in the de novo approach. The three most frequent SCs were respiratory, gastrointestinal (GI), and psychological SCs. The most common respiratory SC included cough + dyspnea. Nausea + vomiting was the most prevalent cluster membership among GI SCs. Sad + feeling irritable + feeling nervous + worrying was the most common cluster membership among psychological SCs.
Conclusion
Respiratory, GI, and psychological SCs were common among LC patients, and addressing these clusters could improve symptom management strategies. Further research on SCs across the lung cancer trajectory is essential to enhance our understanding about SCs and facilitate effective symptom management throughout the disease course.

Purpose
This systematic review and meta-analysis aimed to investigate the effects of aromatherapy interventions on stroke symptoms in stroke patients.
Methods
This study adhered to the Preferred Reporting Items of Systematic Reviews and Meta-Analysis guidelines. Relevant studies published between 2004 and 2022 were searched in the PubMed, CINAHL, Cochrane Library, EMBASE, ERIC, and RISS databases. The review included randomized and non-randomized studies of stroke patients who received aromatherapy interventions targeting stroke symptoms. The extracted literature was evaluated via the ROB 2 and ROBINS-1 quality appraisal checklists and visualized using a risk-of-bias visualization tool.
Results
The review included five randomized controlled trials and five quasi-experimental studies. The results showed that aromatherapy, administered through massage, inhalation, acupressure, mouth care, and olfactory stimulation, was effective in alleviating pain, constipation, oral health, motor power, muscle strength, balance, fatigue, and sleep quality. Aromatherapy also demonstrated beneficial effects in reducing depression, stress, delirium, blood pressure, pulse rate, respiration rate, serum cortisol, and antioxidants, while enhancing happiness, body temperature, and quality of life. A meta-analysis of mean differences in post-test results revealed that three studies reported a significant effect on pain, with an effect size of 1.85 (95% CI, 0.18~3.51).
Conclusion
Aromatherapy had positive effects on physical, physiological, psychological, cognitive, and integrative health outcomes. We recommend the use of aromatherapy in stroke patients to improve pain relief and health outcomes.

Citations

• Traditional, complementary, and integrative medicine in the management of ischemic stroke: a narrative review
  S. Sowmiya, Rukaiah Fatma Begum, L. S. Dhivya, Praveen Rajendran, N. Harikrishnan, Ankul Singh S
  Frontiers in Pharmacology.2025;[Epub]     CrossRef

Purpose
This study aimed to identify the characteristics and efficacy of Intermittent Pneumatic Compression (IPC) interventions for preventing Venous Thromboembolism (VTE) in critically ill patients. Methods: The CENTRAL, Embase, OVID, CINAHL, KMbase, KoreaMed, and KoreaScience databases were searched from January 7 to 11, 2023. The search included all records from the inception of each database up to January 2023, with publication language restrictions to English and Korean. Three reviewers independently carried out the entire process, which included data search, quality assessment, and data extraction. Results: Out of 1066 articles, six Randomized Controlled Trials (RCTs) were included. One of the four studies that reported on the incidence of DVT, and one of the six studies that measured the incidence of Pulmonary Embolism (PE), found that IPC alone was effective in reducing the incidence of DVT and PE. One of the four studies that reported on VTE incidence demonstrated a significant reduction in VTE incidence with a triple intervention of IPC, anticoagulants, and elastic compression stockings compared to a combined intervention of anticoagulants and graduated compression stockings. Four studies that reported data on the incidence of bleeding reported no effect on reducing bleeding. Conclusion: Our findings suggest that IPC interventions may reduce the incidence of DVT as a preventive strategy in critically ill patients. Further RCTs are necessary to evaluate the effect of IPC interventions on DVT prevention in this patient population and to provide robust evidence for critical care nursing.

Purpose
After Transarterial Chemoembolization (TACE), patients may experience Post-Embolization Syndrome (PES), which is characterized by abdominal pain, fever, and nausea/vomiting. Various risk factors, including demographic, clinical, laboratory, and radiological data, have been reported. This study aimed to identify sex-specific risk predictors of PES following TACE.
Methods
This retrospective study included 1,495 patients who underwent TACE and were discharged from January 1, 2014 to December 31, 2021. The demographic, clinical, laboratory, and radiological characteristics of the patients undergoing TACE were analyzed. Descriptive statistics, the χ² test, the independent t-test (or Mann-Whitney U test), Spearman correlation analysis, and logistic regression were used.
Results
The incidence of PES was higher in female (43.9%) than in male (37.3%). Multivariate logistic regression analysis Alanine aminotransaminase (ALT) levels as the only independent predictor of PES in female patients (Exp [B]=1.01, 95% Confidence Interval [CI]=1.00~1.01). The risk factors of PES in male patients were a tumor >5 cm in diameter (Exp [B]=2.51, 95% CI=1.46~4.32), the amount of lipiodol (Exp [B]=1.27, 95% CI=1.01~1.60), C-Reactive Protein (CRP) levels (Exp [B]=1.11, 95% CI=1.02~1.21), ALT level (Exp [B]=1.00, 95% CI=1.00-1.01), lymphocyte levels (Exp [B]=0.98, 95% CI=0.96~0.99), and right posterior section (S6-S7) (Exp [B]=0.71, 95% CI=0.55-0.92).
Conclusion
Oncology nurses should be aware of sex-specific differences in PES risk and monitor clinical, laboratory, and radiological data to evaluate PES in female and male after TACE. The results of this study will serve as basic data for establishing a clinical decision-supporting system.

Purpose
The purpose of this study was to investigate the impacts of digital literacy, attitudes towards internet health information, and e-health literacy on health promotion behavior among adults.
Methods
A cross-sectional survey design was used. Data were collected from 260 adults aged 19 and older from two provinces. Data were collected from September 1 to 22, 2020. The data were analyzed using descriptive statistics, the independent t-test, one-way analysis of variance, Pearson correlation coefficients, and hierarchical multiple regression analysis.
Results
Hierarchic multiple regression analysis was conducted to evaluate the impact of the analyzed variables on participants' health promotion progress older age, better self-perceived health status, frequency of exercise (≥3/week), frequency of exercise (1~2/week), higher digital literacy scores, and no smoking history were associated with a higher degree of health promotion behavior, with an explanatory power of 37.0%.
Conclusion
Based on these results, in order to improve health promotion behavior in adults, it is necessary to pay more attention to younger people, those who do not exercise regularly, and smokers. In particular, as digital literacy was found to be a factor influencing health promotion behavior in adults, it is necessary to consider strategies that are tailored towards improving digital literacy in adults from all age groups and to conduct systematic education on digital devices.

Citations

• The Effect of Digital Health Literacy, Self-Efficacy on Self-Care Behaviors among Community-Dwelling Elderly: Focusing on Gyeongsangbuk-do
  Hyojin Son, Youngran Han
  Research in Community and Public Health Nursing.2025; 36: 59.     CrossRef
• The Parallels, Pearls, and Perils of Health and Genomic Literacy
  Rebecca Kronk, Kim Subasic
  Nursing Clinics of North America.2025; 60(2): 229.     CrossRef

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

Citations

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

Purpose
This study aimed to examine the effects of health-related behaviors on metabolically healthy non-obese or obese groups and to analyze gender differences.
Methods
This study was a secondary descriptive study. A total of 14,277 adults from the Korea National Health and Nutrition Examination Survey 2013~2015 were classified as: metabolically healthy non-obese; metabolically unhealthy non-obese; metabolically healthy obese; or metabolically unhealthy obese. Five health-related behaviors (amount of alcohol consumption, smoking status, physical activity, daily energy intake, and sleep duration) were included as independent variables.
Results
The health-related behaviors associated with metabolic status in non-obese participants were drinking and smoking, whereas those of obese individuals were associated with physical activity. Subgroup analysis showed that more metabolically healthy non-obese men were light drinkers and former smokers than metabolically unhealthy non-obese men. Metabolically healthy non-obese women were more likely to engage in physical activity than metabolically unhealthy non-obese women. Among the obese men, light drinking and physical activity were associated with metabolic status.
Conclusion
Evidence-based interventions promoting health-related behaviors are needed to support metabolic health, considering the metabolic status and obesity phenotypes of the participants and their gender.

Citations

• Health Characteristics, Nutrient Intake, and Associated Risk Factors According to the Metabolic Health and Obesity Status in Korean Adults : Based on the Korea National Health and Nutrition Examination Survey 2015
  Jounghee Lee, Seonghyun Lim, Young-Min Lee
  Korean Journal of Human Ecology.2023; 32(6): 845.     CrossRef

Purpose
The purpose of this study was to compare and verify the effects of aroma essential oil inhalation and music listening on stress response, vital signs, and bispectral index. Methods In a randomized controlled trial design, the participants consisted of healthy adults aged 20~50 years who were randomly assigned to the Aroma essential oil inhalation Group (AG), Music Listening Group (MLG), or control group. The AG inhaled aroma essential oil for 10 minutes, the MLG listened to music for 10 minutes, and the control group took a break for 10 minutes. Stressors introduced to the participants included 70 dB of white noise and an arithmetic calculation. Results The perceived stress was significantly different between three groups at 10 minutes and 30 minutes after the intervention. The stress responses of the AG and MLG were significantly lower than that of the control group. At 10 minutes and 30 minutes after the intervention, there were significant differences in the Bispectral index (BIS) between three groups, and the BIS of the AG and MLG were significantly lower than that of the control group. At 30 minutes after the intervention, the stress index, systolic blood pressure, and heart rate were significantly different between three groups. Conclusion Aroma essential oil inhalation and music listening are effective nursing interventions as they reduce stress, stabilize vital signs, and have sedative effects in healthy adults who perceive stress.

Citations

• Effect of Healing Beats Program on Stress, Heart Rate and Sleep Quality of Colorectal Cancer Patients Treated with Chemotherapy: A Randomized Controlled Trial
  Eun-Jeong Hong
  Asian Oncology Nursing.2024; 24(1): 32.     CrossRef
• Comparative effects of music therapy and aromatherapy on stress, quality of life, and happiness among shift nurses in Korea: a randomized controlled trial
  So-heun Lee, Won-jong Kim, Eun-Hi Choi, Myung-Haeng Hur
  Journal of Korean Biological Nursing Science.2024; 26(4): 337.     CrossRef

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.

Citations

• Development and Effectiveness of a Pattern Management Educational Program Using Continuous Glucose Monitoring for Type 2 Diabetic Patients in Korea: A Quasi-Experimental Study
  Seung-Yeon Kong, Mi-Kyoung Cho
  Healthcare.2024; 12(14): 1381.     CrossRef
• Associated Factors with Health-related Quality of Life among Older Adults with Diabetes in Korea
  Eun-Kyung Lee, Sun-Young Jung
  The Korean Journal of Rehabilitation Nursing.2022; 25(2): 61.     CrossRef

Purpose
Intradialytic exercise could be a cornerstone of management in hemodialysis patients. The aim of this study was to evaluate the effect of intradialytic stretching training on Restless Legs Syndrome (RLS) and sleep quality among patients undergoing hemodialysis. Methods: This 8-week quasi-experimental design study involved adult patients undergoing chronic hemodialysis treatment for at least 3 months at the Drug Dependency Hospital Nephrology Unit in Jakarta. Nineteen participants were listed in each group, so a total of 38 participants were registered. Convenience sampling was used to select respondents. In addition, each respondent was asked to complete the International Restless Legs Syndrome Study Group (IRSSG) rating scale and the Pittsburgh Sleep Quality Index (PSQI). Results: The majority of respondents were women (55.3%), unemployed (71.1%), with duration of hemodialysis>12 months (55.3%), and having hemoglobin levels less than 10 mg/dl (68.4%). The mean RLS before intervention was 1.74 (Standard Deviation [SD]=0.23) and after intervention, there was significant reduction in RLS score to a mean of 0.42 (SD=0.17) (p<.001). Similarly, mean sleep quality before intervention was 4.02 (SD=2.56) and after intervention, it reduced significantly to a mean of 6.16 (SD=3.18) (p<.001). Conclusion: Intradialytic stretching training could play a significant role in decreasing RLS and improving quality of sleep. Further studies with larger sample sizes and longer periods of intervention are required to validate our results and contribute to better patient outcomes.

Citations

• Comparisons of Intradialytic Exercise Versus Home-Based Exercise in Hemodialysis Patients: A Narrative Review
  Chao-Lin Lee, Ping-Chen Wang, Yi-Ling Chen, Zen-Yong Chen, Ching-Cherng Uen, Hsien-Yung Lai, Chih-Chung Shiao
  Biomedicines.2024; 12(10): 2364.     CrossRef
• Efficacy of Aerobic and Stretching Exercises in Managing Willis-Ekbom Disease (Restless Leg Syndrome) Among Hemodialysis Patients
  Mohamedalamin Alnoor Altayb Ismail , Islam Daffalla, Taranpreet Singh, Qandeel Rida Siddique, Mohammed Khaleel I. KH. Almadhoun , Rabail Irfan, Moeez Saqib, Muhammad Haris, Zaid Khan, Jaqueline Giselle Farias Fernandes, Asma Iqbal, Syed Faqeer Hussain Bok
  Cureus.2024;[Epub]     CrossRef
• Pharmacological and non-pharmacological treatments for restless legs syndrome in end-stage kidney disease: a systematic review and component network meta-analysis
  Jia-Jin Chen, Tao Han Lee, Yu-Kang Tu, George Kuo, Huang-Yu Yang, Chieh-Li Yen, Pei-Chun Fan, Chih-Hsiang Chang
  Nephrology Dialysis Transplantation.2022; 37(10): 1982.     CrossRef
• Analysis of the Influence of Nursing Safety Management on Nursing Quality in Hemodialysis Room
  Ying Huang, Hong Chen, Zhao kaifa
  Computational Intelligence and Neuroscience.2022; 2022: 1.     CrossRef

PURPOSE
This study aimed to identify the factors explaining the performance of health behaviors among adults with metabolic syndrome based on the theory of planned behavior.
METHODS
A total of 218 adults with metabolic syndrome were recruited for the study from September to December, 2017. Data were analyzed using SPSS/WIN 22.0 and AMOS 24.0.
RESULTS
The hypothetical model appeared to fit the data with χ²/df=2.65, SRMR (Standardized Root Mean Residual)=.07, PNFI (Parsimonious Normed Fit Index)=.67. Attitude toward health behavior, subjective norm and perceived behavioral control explained 32.3% of variance in intention toward health behavior. Perceived behavioral control showed significant direct effects and mediating effect through intention on health behavior (γ=.57, t=5.85). Family support also had significant direct effects on health behavior (γ=.38, t=4.75). Attitude toward health behavior, subjective norm, perceived behavioral control, and family support were the significant factors explaining 56.3% of variance in the performance of health behaviors among patients with metabolic syndrome.
CONCLUSION
Health promotion programs for behavioral modification in this population should focus on these factors to lead to better health outcomes. Further studies are warranted to test the health promotion strategies based on theory of planned behavior for long-term change toward a healthy lifestyle among individuals with metabolic syndrome.

Citations

• Factors Affecting Radiation Protective Behaviors in Perioperative Nurses Applying the Theory of Planned Behavior: Path Analysis
  Se Young Jang, Hee Sun Kim, Seok Hee Jeong, Young Man Kim
  Journal of Korean Academy of Nursing.2023; 53(2): 222.     CrossRef
• Factors Associated with Prevention of Metabolic Syndrome Among Middle-Aged Postmenopausal Korean Women: A Study Based on the Information, Motivation, Behavioral Skills (IMB) Model
  Yoonjung Kim, Sooyeon Park
  Patient Preference and Adherence.2023; Volume 17: 2279.     CrossRef
• Predictors of Health Promotion Behaviors Among Working Adults at Risk for Metabolic Syndrome
  Sungwon Park, Min Kyeong Jang, Chang Gi Park, Oi Saeng Hong
  Nursing Research.2022; 71(4): 275.     CrossRef
• Development and Evaluation of an Integrated Health Management Program for Psychiatric Patients with Metabolic Syndrome
  Yun Bock Kwak, Ji Young Kim
  Journal of Korean Academy of Nursing.2022; 52(3): 261.     CrossRef
• An Analysis and Evaluation of the Theory of Planned Behavior Using Fawcett and DeSanto-Madeya's Framework
  Sungwon Park, Hyewon Shin
  Advances in Nursing Science.2021; 44(4): E141.     CrossRef

PURPOSE
This study aimed to examine the relationship between illness perception, stress, and sleep, focusing on the influence of illness perception on the quality of sleep through the mediating effect of stress in patients with metabolic syndrome risk factors.
METHODS
A cross-sectional correlational study was conducted with 219 patients with two metabolic syndrome risk factors. Participants were recruited from outpatient clinics in Daegu and Gyeongbuk between June and July 2016. Data were collected using a self-administered structured questionnaire that included items from the Brief Illness Perception Scale, the Perceived Stress Inventory, and the Pittsburgh Sleep Quality Index. Pearson's correlation coefficient, independent t-test, one-way ANOVA, multiple linear regression analysis, and a SPSS macro bootstrap approach were performed.
RESULTS
There were significant correlations between illness perception and sleep (r=.42, p<.001) and between stress and sleep (r=.49, p<.001). Illness perception was a significant predictor of stress (t=7.99, p<.001) and sleep (t=5.83, p<.001) after adjusting for the influence of age, gender, job status, and body mass index. A mediating effect of stress on the relationship between illness perception and sleep was demonstrated by Baron and Kenny's approach (Z=4.57, p<.001) and the PROCESS macro for SPSS (95% confidence interval=0.04~0.13).
CONCLUSION
This study suggests that the negative impact of illness perception on sleep can be reduced by regulating stress. Further, it is necessary to develop intervention programs that can reduce stress linked to the illness perception among patients with metabolic syndrome risk factors.

Citations

• Disease Perception, Stigma, Distress, Physical Symptom Experience and Quality of Life in Colorectal Cancer Patients Undergoing Chemotherapy: A Cross-Sectional Study
  Eun-Hee Lee, Dongwon Choi
  Journal of Korean Academy of Fundamentals of Nursing.2024; 31(4): 494.     CrossRef
• Illness perception and cardiovascular risk factors in patients with myocardial infarction undergoing percutaneous coronary intervention in Iran
  Aysan Thagizadeh, Akram Ghahramanian, Vahid Zamanzadeh, Naser Aslanabadi, Tonia C. Onyeka, Nargess Ramazanzadeh
  BMC Cardiovascular Disorders.2022;[Epub]     CrossRef

PURPOSE
To measure the degree of physical activity among breast cancer survivors and to identify how it was influenced by social cognitive factors, as defined in Bandura's social cognitive theory.
METHODS
A total of 128 breast cancer survivors were recruited for this descriptive study and answered the survey questionnaire. The collected data covered general characteristics, physical activity, and social cognitive factors, such as self-efficacy, outcome expectations, goal setting, and socio-structural factors (social support and negative impact of cancer). Data collection was conducted from July to October 2017.
RESULTS
The degree of physical activity among breast cancer survivors was moderate. The participants' level of physical activity differed according to their Body Mass Index (BMI) and type of surgery. Physical activity was significantly correlated with exercise goal setting, exercise self-efficacy, outcome expectations, and family support. Exercise goal setting (β=.55, p<.001), BMI (kg/m2) (β=−.21, p=.003), and exercise self-efficacy (β=.15, p=.040) were identified as factors influencing physical activity.
CONCLUSION
Intervention programs to increase the degree of physical activity among breast cancer survivors will need to consider various aspects, including goal setting, BMI regulation, and self-efficacy improvement. Repeated studies on the social recognition of breast cancer survivors and extended studies on health promotion activities are recommended.

Citations

• Predictor Scales of Cognitive Factors Affecting Physical Activity in Individuals Surviving Cancer: Psychometric Properties of Turkish Versions
  Şura Kaya, Melek Nihal Esin
  Rehabilitation Oncology.2025; 43(1): 10.     CrossRef
• Using the transtheoretical model of behaviour change to analyse the impact of stopping exercise: a reflection
  Lucy Scott, Tanya Andrewes
  British Journal of Nursing.2021; 30(20): 1203.     CrossRef

PURPOSE
To provide basic data for the health management of adults with prolonged fatigue, demographic characteristics, stress, sleep quality, and metabolic syndrome were compared between groups with and without prolonged fatigue.
METHODS
Data of 370 adults (197 with Prolonged Fatigue [PF] and 173 without PF) from the 2014~2016 database of Korea Medicine Data Center were used. Fatigue, stress and sleep quality were measured with the revised Chalder Fatigue Scale, Psychosocial Well-being Index-Short Form, and Pittsburgh Sleep Quality Index, respectively. Metabolic syndrome was diagnosed according to the National Cholesterol Education Program Adult Treatment Panel III criteria.
RESULTS
First, regarding demographic characteristics, there were significant differences in occupation, smoking, and Body Mass Index (BMI) between groups with and without PF. More of the participants with PF than those without PF were employed, and smokers. They were also more likely to be obese than the participants in the group without PF. Second, there were significant differences between the groups in terms of stress and sleep quality; the participants with PF showed higher stress and lower sleep quality than those without PF. Finally, the prevalence of metabolic syndrome was found to be higher in the participants with PF than those without PF.
CONCLUSION
Considering the characteristics of the participants with PF, it is necessary to develop nursing programs to improve stress, sleep quality, and metabolic syndrome to reduce fatigue. These kinds of nursing programs are particularly necessary for people who are smokers, obese and employed.

Citations

• Effects of Varying Caffeine Dosages and Consumption Timings on Cerebral Vascular and Cognitive Functions: A Diagnostic Ultrasound Study
  Min-Ki Choi, Hee-Seul Ahn, Da-Eun Kim, Da-Seul Lee, Chan-Sol Park, Chang-Ki Kang
  Applied Sciences.2025; 15(4): 1703.     CrossRef
• Factors affecting physical and mental fatigue in adults from South Korea: A cross-sectional study
  Kyeha Kim, Jihyun Oh
  Medicine.2023; 102(50): e36549.     CrossRef
• A Study on the Relationship between Fatigue, Psychosocial Stress, and Behavior that Reduces Endocrine Disrupting Chemicals Exposure in Infertile Males
  Sung Ju Kim, So Young Choi
  Journal of The Korean Society of Maternal and Child Health.2021; 25(3): 211.     CrossRef

PURPOSE
This study aimed to compare the effects of hand massage with the preferred aroma oil to those of hand massage with lavender oil on stress and sleep in residents at a long-term care facility.
METHODS
A group randomized controlled design was used. Of the 37 participants, 19 were assigned to the experimental group(hand massage with the preferred aroma oil) and 18 to the control group(hand massage with lavender oil). Data collection was performed from Nov. 26 2016 to Jan. 27 2017. Hand massage was offered for 5 minutes each side 3 times a week for a total of 12 sessions over 4 weeks. Stress was measured using the Perceived Stress Questionnaire and sleep was measured using the Verran and Snyder-Halpern Sleep Scale.
RESULTS
Subjects in the experimental group showed significantly lower stress levels (physical stress, t=−2.10, p=.048; psychological stress, t=−4.41, p<.001) and sleep (t=3.37, p=.002) than those in the control group.
CONCLUSION
These results suggest that aromatherapy with hand massage should consider client aroma preference for elderly at long-term care facilities in the future.

Citations

• Effects of Non-Pharmacological Sleep Interventions in Older Adults: A Systematic Review and Meta-Analysis
  Hye-Ja Gu, Oi-Sun Lee
  International Journal of Environmental Research and Public Health.2023; 20(4): 3101.     CrossRef
• The Effect of Lavender on Sleep Quality in Individuals Without Insomnia
  Tzu-Ying Chen, Akiko Hiyama, Masumi Muramatsu, Atsuko Hinotsu
  Holistic Nursing Practice.2022; 36(4): 223.     CrossRef
• The effect of lavender on stress in individuals: A systematic review and meta-analysis
  Tina Ghavami, Mohsen Kazeminia, Fatemeh Rajati
  Complementary Therapies in Medicine.2022; 68: 102832.     CrossRef
• The effect of aromatherapy hand massage on distress and sleep quality in hemodialysis patients: A randomized controlled trial
  Dilek Efe Arslan, Nazan Kılıç Akça
  Complementary Therapies in Clinical Practice.2020; 39: 101136.     CrossRef

PURPOSE
The purposes of this study were to investigate the moderating effect of lifestyle and Type-D personality on the relation between metabolic syndrome and severity of coronary artery disease and to provide practical knowledge and directions for nursing intervention.
METHODS
The participants were 111 adult outpatients with coronary artery disease in the cardiology department of a medical center in Korea. The study tools included diagnostic criteria for metabolic syndrome, lifestyle evaluation tool for patients with metabolic syndrome, the Korean Type-D scale-14, and measures of severity of coronary artery disease. The data were obtained by electronic medical record reviews and surveys using structured questionnaires and interviews. Data were analyzed using descriptive statistics, χ2 test, independent t-test, one-way ANOVA, Pearson's correlation coefficient, multiple linear regression analysis and two-way ANOVA.
RESULTS
The severity of coronary artery disease was positively correlated with the presence of metabolic syndrome (r=.26, p=.006) and type-D personality (r=.49, p < .001). There was a significant negative correlation (r=−.54, p < .001) between the severity of coronary artery disease and lifestyle. Lifestyle had the moderating effect on the relationship between metabolic syndrome and severity of coronary artery disease (β=−.22, p < .001), but type-D personality had no moderating effect (F=0.13, p=.719) on it.
CONCLUSION
Based on the results of this study, it is necessary to establish individualized intervention considering the condition of the patients according to the criteria of the metabolic syndrome diagnosis when establishing the lifestyle intervention plan. And also it is necessary to define influencing factors including the personality on lifestyle change.

Citations

• Relationship between type D personality, symptoms, cancer stigma, and quality of life among patients with lung cancer
  Yu Mi Park, Hye Young Kim, Ji Young Kim, Sung Reul Kim, Yeong Hun Choe
  European Journal of Oncology Nursing.2022; 57: 102098.     CrossRef
• Impact of Type D Personality on Depression, Anxiety, and Health-related Quality of Life among Coronary Artery Disease Patients: A Systematic Review and Meta-analysis
  Sun Hyoung Bae, Jin-Hee Park
  Korean Journal of Adult Nursing.2019; 31(3): 219.     CrossRef

PURPOSE
The purpose of this study was to identify factors associated with insomnia in college students with Irritable Bowel Syndrome (IBS).
METHODS
College students with IBS (n=259) were recruited in 4 universities in Daegu city and Ulsan city, South Korea. Participants completed questionnaires measuring the following variables: insomnia (Insomnia Severity Index [ISI]), dysfunctional beliefs and attitudes about sleep (Dysfunctional Beliefs and Attitudes about Sleep Scale-16 [DBAS-16]), pre-sleep arousal (Pre-Sleep Arousal Scale [PSAS]), gastrointestinal symptoms during sleep (Gastrointestinal Symptoms during Sleep), sleep hygiene (Sleep Hygiene Practices Scale [SHPS]), psychological distress (Brief Symptom Inventory-18 [BSI-18]), and IBS symptom severity(IBS Severity Scoring System [IBS-SSS]).
RESULTS
In our participants, 53.3%(n=138) reported having insomnia (ISI score ≥10). Compared to the non-insomnia group (n=121), the insomnia group reported significantly higher scores in DBAS-16, PSAS, gastrointestinal symptoms during sleep, IBS-SSS, SHPS, and BSI-18 (p < .001 for all). Multiple logistic regression analysis revealed that gastrointestinal symptoms during sleep (Odds Ratio [OR]=2.77, 95% Confidence Interval [CI]: 1.29~5.96), dysfunctional beliefs and attitudes about sleep (OR=1.04, 95% CI: 1.03~1.06), cognitive arousal before sleep (OR=1.10, 95% CI: 1.05~1.17), and somatization (OR=1.12, 95% CI: 1.02~1.23) were associated with insomnia in this sample.
CONCLUSION
Our findings indicate that insomnia is a serious problem for college students with IBS and that gastrointestinal symptoms during sleep and sleep related dysfunctional cognitions should be managed to improve insomnia of them.

Citations

• A reliability generalization meta-analysis of the internal consistency and test-retest reliability of the pre-sleep arousal scale (PSAS)
  Inês Luana Correia, Waqar Husain, Maria Teresa Gonçalves, Luís Pires, Khaled Trabelsi, Ammar Achraf, Seithikurippu R. Pandi-Perumal, Perry M. Nicassio, Markus Jansson-Fröjmark, Michael V. Vitiello, Daniel Ruivo Marques, Haitham Jahrami
  Sleep Medicine.2025; 126: 290.     CrossRef
• Mitochondrial DNA Copy Number Is Associated with the Severity of Irritable Bowel Syndrome
  Soo-Jung Jung, Jae-Ho Lee, Ji-Yeon Lim, Yun-Yi Yang
  Medicina.2024; 60(10): 1605.     CrossRef
• An Association between Telomere Length and Irritable Bowel Syndrome in Korean Populations
  Yun-Yi Yang, Jae-Ho Lee, Jae-Hee Park
  Keimyung Medical Journal.2024; 43(2): 122.     CrossRef
• Painful GI Conditions and Their Bidirectional Relationships with Sleep Disturbances
  Jessica K. Salwen-Deremer, Sarah Ballou
  Current Sleep Medicine Reports.2022; 8(4): 105.     CrossRef
• The Effects of Cognitive Behavioral Therapy for Insomnia among College Students with Irritable Bowel Syndrome: A Randomized Controlled Trial
  Yun-Yi Yang, Sangeun Jun
  International Journal of Environmental Research and Public Health.2022; 19(21): 14174.     CrossRef

PURPOSE
The study aims were to examine motivation factors for behavioral modification among individuals with metabolic syndrome at each stage of behavioral change.
METHODS
The correlational research design was used to explore motivation factors of self-efficacy, perceived benefits, perceived barriers, and emotional salience to explain health behaviors. Total of 239 patients with metabolic syndrome completed the structured questionnaire and the data were analyzed by SPSS/WIN 22.0 for ANOVA and multiple regression analysis.
RESULTS
The average age of participants were 59 years old, and 52.3% perceived their health relatively worse than others. The motivation and health behaviors except for smoking cessation were significantly different at each stage of planning, preparation, and action-maintenance. The motivation factors explained 25% of variance in health behavior at planning stage, 38% at preparation stage, and 31% at action-maintenance stage. Self-efficacy and perceived barriers were significant predictors at the planning and action-maintenance stages, while self-efficacy was a significant predictor at preparation stage.
CONCLUSION
The performance of health behaviors was significantly different at the stages of change along with a different set of motivation factors. Nursing strategies should focus on cognitive and emotional motivation factors to lead initiation and maintenance of behavioral modification in individuals with metabolic syndrome.

Citations

• Factors Related to the Dementia Prevention Behavior among Community-dwelling Older Adults based on the Health Belief Model: A Cross-sectional Descriptive Study
  Jin Young Lee, Eun Ko
  Journal of Korean Academy of Fundamentals of Nursing.2024; 31(3): 263.     CrossRef
• Cognitive and Emotional Motivation to Explain Infection-Prevention Behaviors with Social Support as a Mediator During the COVID-19 Pandemic: A Nationwide Cross-Sectional Study in Korea
  Myonghwa Park, Keunyeob Oh, Hyungjun Kim, Xing Fan, Thi-Thanh-Thnh Giap, Rhayun Song
  Patient Preference and Adherence.2023; Volume 17: 1063.     CrossRef
• Motivational Factors for Smoking Behaviors in Individuals with Metabolic Syndrome
  Moonkyoung Park, Baram Kang, Ahyun Ryu, YueLin Li, Rhayun Song
  Patient Preference and Adherence.2021; Volume 15: 2847.     CrossRef
• The Relationship between Meal Regularity and Oral Health and Metabolic Syndrome of Adults in Single Korean Households
  Jin-Ah Jung, Hye-Won Cheon, On-Ju Ju
  Journal of Dental Hygiene Science.2021; 21(3): 185.     CrossRef
• Effects of BeHaS Program on Health Behavior, Physiologic Index and Self-Esteem of the Elderly Living Alone with Metabolic Syndrome Based on Community Based Participatory Research
  Jong Im Kim, Sun Ae Kim, Keumok Park, Jiyoung Kim, Lina Lee, Si Wan Choi, Bon Jeong Ku
  Journal of Korean Academy of Nursing.2020; 50(4): 571.     CrossRef

PURPOSE
The purpose of this study was to describe and explore the adaptation process of patients with myelodysplastic syndrome (MDS).
METHODS
Using a grounded theory methodology, 15 interviews were performed with nine men and six women, 43-83 years of age, suffering from MDS. Data were analyzed using the constant comparative analysis method.
RESULTS
The core category emerged as “To do my best in uncertainty”. MDS patients engaged in three stages: Panic, Active fighting against illness, and Putting down/Adaptation phase. Causal conditions were unexpected cancer diagnosis, endless painful treatment, and uncertainty. Contextual conditions were physical deterioration and differences in recovery. The central phenomenon of the illness adaptation process among the patients with MDS was powerlessness at the dead end. Action/Interaction strategies included dependence on the constant medical care, physical energy conservation, mind control and environmental control. Intervening conditions were social support and desire to live. Consequences were hope for recovery and tug-of-war from repetition of exacerbation and recuperation.
CONCLUSION
When caring for these patients, it is important to identify needs, allow patients to express what they want at that moment and support them in maintaining a daily life.

PURPOSE
The purpose of this study was to assess the relationship between menopausal symptoms and decline in cognitive functioning of menopausal women with mediating effects of health promoting behavior.
METHODS
Using a convenience sampling, 140 menopausal women were recruited for the cross-sectional survey. Data were collected by using the Menopause Rating Scale, Health Promoting Lifestyle Profile, Everyday Cognition, and Korean Mini-Mental State Examination.
RESULTS
The mean scores for menopausal symptoms, health promotion behavior, and subjective cognitive decline were 14.40, 153.79, and 67.40 respectively. Health promotion behavior was directly affected by menopausal symptom (R2=8%). Cognitive decline was directly affected by menopausal symptom (R2=11%). Menopausal symptom (β=.33, p<.001) and health promotion behavior (β=−.21, p=.014) were found to be predictive factors in subjective cognitive decline and explained 14%. Health promotion behavior had a partial mediating effect in the relationship between menopausal symptom and perceived cognitive decline (Sobel test: Z=2.05, p=.040).
CONCLUSION
Based on the findings of this study, developing nursing intervention programs focusing on decreasing menopausal symptoms and encouraging health promotion behavior are recommended to improve cognitive decline in menopausal women.

Citations

• A Case Report of Korean Medicine in Treating Postmenopausal Syndrome with Dyspepsia and Arthralgia
  Dong-soo Seol, Tae-ha Kwon, Min-seok Go, Seong-hyun Lee, Ji-eun Oh, Sae-young Bong, Yoo-jin Lee, Cha-young Lee, Su-won Yu
  The Journal of Internal Korean Medicine.2024; 45(5): 951.     CrossRef
• The Effect of Urban Gardening Activities on Physical Activity and Sleep Quality in Middle-Aged Women
  Young-Bin Jung, Hyung-Kwon Yun, In-Chang Son, Se-Na Choi, Kwan Jeong Song
  Journal of People, Plants, and Environment.2024; 27(4): 247.     CrossRef
• Development and Impact of a Cognitive Reserve Enhancement Program for Climacteric Korean Women
  Ji Hyun KIM, Seungmi PARK
  Journal of Nursing Research.2024; 32(6): e363.     CrossRef
• Health-promoting behaviours and psychological distress in breast cancer with endocrine therapy: Mediating roles of menopausal symptoms and social support
  Xia Li, Tingting Wei, Yan Zhang, Hailing Ren, Xinyu Liu
  Post Reproductive Health.2024; 30(1): 29.     CrossRef
• The relationship between psychological distress, depressive symptoms, emotional eating behaviors and the health-related quality of life of middle-aged korean females: a serial mediation model
  Jihyun Oh, Sunghee Kim
  BMC Nursing.2023;[Epub]     CrossRef
• Evaluating Health-promoting Lifestyle Profile among Menopausal Women: A Meta-analysis
  Zeinab Moshfeghy, Hedyeh Riazi, Sepideh Hajian, Ali Montazeri
  The Open Nursing Journal.2023;[Epub]     CrossRef
• Factors influencing the health-related quality of life in Korean menopausal women: a cross-sectional study based on the theory of unpleasant symptoms
  Ji-Hyun Kang, Moon-Jeong Kim
  Korean Journal of Women Health Nursing.2022; 28(2): 100.     CrossRef
• Mediating effect of a health-promoting lifestyle in the relationship between menopausal symptoms, resilience, and depression in middle-aged women
  Sungwon Park
  Health Care for Women International.2020; 41(9): 967.     CrossRef
• A Structural Model for Chemotherapy Related Cognitive Impairment and Quality of Life in Breast Cancer Patients
  Jung Ran Lee, Pok Ja Oh
  Journal of Korean Academy of Nursing.2019; 49(4): 375.     CrossRef
• Effects of Multidisciplinary Lifestyle Modification Program on Health-promoting Behavior, Psychological Distress, Body Composition and Reproductive Symptoms among Overweight and Obese Middle-aged Women
  Ju-Hee Nho, Eun Suk Hwang
  Korean Journal of Adult Nursing.2019; 31(6): 663.     CrossRef
• Factors Influencing Adaptation to Menopause in Middle-aged Women
  Eun Joo Lee
  Korean Journal of Women Health Nursing.2018; 24(4): 336.     CrossRef

PURPOSE
The purpose of this study was to investigate the effect of geriatric syndrome on mortality among community-dwelling older adults in Korea.
METHODS
Data were obtained from the Actual Living Condition of the Elderly and Welfare Need Survey, with a baseline study in 2008 and a 3-year follow-up of mortality data. The mortality risk was measured using the hierarchical Cox proportional hazard model.
RESULTS
In Cox regression analysis, male (Hazard Ratio [HR], 2.53; 95% Confidence Interval [CI], 2.12~3.01), old age (HR, 2.14; 95% CI, 1.82~2.53), low education level (HR, 1.31; 95% CI, 1.04~1.65), limitation in instrumental activities of daily living (HR, 1.91; 95% CI, 1.60~2.28), depressive symptoms (HR, 1.21; 95% CI, 1.01~1.43), and frailty (HR, 2.32; 95% CI, 1.78~3.03) significantly affected mortality risk.
CONCLUSION
Based on the results of this study, nursing intervention programs should be provided to decrease preventable death in older adults.

Citations

• Factors Associated with Frailty According to Gender of Older Adults Living Alone
  Hye-Young Jang, Ji-Hye Kim
  Healthcare.2021; 9(4): 475.     CrossRef
• Factors contributing to the use of complementary and alternative medicine in rural older women with chronic pain in South Korea
  Saunjoo L. Yoon, Jeong-Hee Kim
  Applied Nursing Research.2013; 26(4): 186.     CrossRef

PURPOSE
The purpose of this study was to describe the reported experiences of health management among twenty elderly workers living in urban areas.
METHODS
Corbin and Strauss's grounded theory approach was used to capture the meaning of health management. Theoretical sampling technique was used in the interviews. Using open coding, axial coding, and selective coding, data were collected and analyzed simultaneously.
RESULTS
The core category was ‘pursuing health to take root in the workplace.’ Four stages of the elderly workers' health management were identified as ‘awareness of health changes’, ‘having the will to be healthy’, ‘utilization of health care resources’, and ‘reorganization of health habits.’ However, when the elderly workers reported limited capacity to manage their health, then two new categories were described: ‘awareness of health changes’ and ‘settlement with current health.’ CONCLUSION: To the elderly workers the concept of working was equated with being healthy. Further, the participants reported having a future oriented view of health and sought health to extend their working lives. The specialized intervention of health management targeting elderly workers in the settlement stage of current health habits should be provided.

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

Citations

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

PURPOSE
The purpose of this study was to assess the relationship between cognitive function impairment and quality of life (QoL) among patients with breast cancer. Specifically, the intention was to verify the mediating effects for promoting behaviors leading to better health and QoL.
METHODS
A purposive sample of 152 patients undergoing chemotherapy was recruited. A cross-sectional survey design was used. Data were collected using four instruments: Everyday Cognition Scale, Korean Mini-Mental State Examination, Functional Assessment of Cancer Therapy-Breast Cancer Version 4, and Health Promoting Lifestyle Profile.
RESULTS
The mean score for subjective cognitive decline was 65.84; the health promotion behavior was 95.89, and 83.34 for QoL. Health promotion behavior was directly affected by cognitive decline (R2=6.0%) as was QoL (R2=43%). Subjective cognitive decline (β=-.57, p<.001) and health promotion behavior (β=.37, p<.001) were seen as predicting factors in QoL and explained 56% (R2=56%). Health promotion behavior had a partial mediating effect in the relationship between self-reported cognitive decline and QoL (Sobel test: Z=-3.37, p<.001).
CONCLUSION
Based on the findings of this study, nursing intervention programs focusing on managing cognitive decline and promoting health promotion behavior are highly recommended to improve QoL in cancer patients.

Citations

• Impacts of Uncertainty and Social Support on the Quality of Life of Breast Cancer Survivors after Chemotherapy: Based on Self-help Group Participants
  Hyenam Hwang, Yoonshin Lee
  Asian Oncology Nursing.2023; 23(4): 177.     CrossRef
• Analysis of Health management Awareness and Practice Experience of Breast Cancer Survivors using Focus Group Interviews
  Hye Won Kim, Su Jeong Han, Mi Ran Kim
  The Korean Journal of Rehabilitation Nursing.2020; 23(1): 48.     CrossRef
• Factors associated with Oncology Nurses' Adherence to Chemotherapy-Induced Neutropenia Guidelines based on Pender's Health Promotion Model
  Gyeong-Jin Kim, Ja Yun Choi
  Korean Journal of Adult Nursing.2019; 31(4): 389.     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
• A Structural Model for Chemotherapy Related Cognitive Impairment and Quality of Life in Breast Cancer Patients
  Jung Ran Lee, Pok Ja Oh
  Journal of Korean Academy of Nursing.2019; 49(4): 375.     CrossRef
• Computerized programs for cancer survivors with cognitive problems: a systematic review
  Yoonjung Kim, Sook Jung Kang
  Journal of Cancer Survivorship.2019; 13(6): 911.     CrossRef
• Changes of Cognitive Function and Depression following Chemotherapy in Women with Breast Cancer: A Prospective Study
  Pok Ja Oh, Jung Ran Lee, Hyun Ah Kim
  Asian Oncology Nursing.2018; 18(2): 66.     CrossRef
• Menopause Symptoms and Perceived Cognitive Decline in Menopausal Women: The Mediating Effect of Health Promotion Behavior
  Ji Hyun Kim, Pok Ja Oh
  Korean Journal of Adult Nursing.2017; 29(2): 200.     CrossRef
• Development of the Cognitive Function Scale for Breast Cancer Patients
  Bok Yae Chung, Eun Hee Choi, Gyung Duck Kim, Kyung Hae Kim, Hye Sun Byun
  Asian Oncology Nursing.2017; 17(1): 12.     CrossRef

PURPOSE
This study examined the influence of occupational type and lifestyle habits on the prevalence of metabolic syndrome (MetS) among Korean male workers.
METHODS
Through secondary analysis of their four-year health examination data, 3,892 subjects were divided into four subgroups according to the presence of MetS now and four years ago.
RESULTS
Nineteen percent (n=739) suffered from MetS and these 739 subjects were classified into following occupations: 7.1% were office workers, 17.6% were non-office workers, and 42.2% were drivers. Multiple logistic regression analyses showed that when the data adjusted for age, the predicting factors on the prevalence of MetS were heavy drinking (OR 1.34, 95% CI 1.09~1.64) and the occupation of non-office workers (OR 2.99, 95% CI 2.13~4.18) and drivers (OR 7.97, 95% CI 4.89~10.83) among workers without MetS four years ago. Among workers already with a history of MetS, the predicting factors were less exercise (OR 1.55, 95% CI 1.02~2.35) and drivers (OR 2.21, 95% CI 1.03~2.94).
CONCLUSION
Heavy drinking and less exercise and drivers were reported as influencing factors on the prevalence of MetS by this sample. The findings suggest that employers need to provide their employees with screening and management program for those at risk of MetS.

Citations

• Effects of a Remote Physical Activity Improvement Program on Male Office Workers with Metabolic Syndrome in Their 30s and 40s with Sedentary Behavior: A Randomized Controlled Trial
  Kyong Sil Park, Seon Young Hwang
  Asian Nursing Research.2024; 18(2): 81.     CrossRef
• Effects of a Health Partnership Program Using Mobile Health Application for Male Workers with Cardiovascular Risk Factors in Small and Medium Enterprises: A Randomized Controlled Trial
  Eun Jin Kim, Seon Young Hwang
  Journal of Korean Academy of Nursing.2024; 54(1): 44.     CrossRef
• Occupational Assessments of Risk Factors for Cardiovascular Diseases in Labors: An Application of Metabolic Syndrome Scoring Index
  Ching-Yuan Lin, Chih-Ming Lin
  International Journal of Environmental Research and Public Health.2020; 17(20): 7539.     CrossRef
• The Impact of Cluster-Type Risk Factors on Adverse Clinical Prognosis in Patients with Coronary Artery Disease: A Secondary Data Analysis
  In Ae Uhm, Seon Young Hwang
  Korean Journal of Adult Nursing.2020; 32(2): 156.     CrossRef
• Metabolic Syndrome Status of Chinese Workers and Their Physical Profiles, Lifestyle Scores, and Nutrient Intakes
  Chao Wang, Hokyung Ryu
  Korean Journal of Community Nutrition.2017; 22(1): 63.     CrossRef

PURPOSE
This study aimed to investigate sleep, fatigue, and the level of health promoting behaviors in Korean army soldiers. The factors influencing on health promoting behaviors of soldiers were also identified.
METHODS
A cross-sectional descriptive survey design was used. Data was collected from 269 soldiers in four military units of Korea in July 2015. Verran and Snyder-Halpern Sleep Scale, Fatigue Severity Scale, and Health Promoting Lifestyle Profile- were used.
RESULTS
The health promoting behaviors were significantly different by perceived health status (p<.001) and presence of fatigue (p<.001). There were significant correlations between quality of sleep, fatigue, and health promoting behaviors of the subjects. In a multiple linear regression analysis, the level of health promoting behaviors were lower in the subjects with high level of fatigue (p<.001) and with fair perceived health status (p=.003).
CONCLUSION
In order to increase health promoting behaviors of soldiers, it takes into account of soldiers' fatigue and perceived health status. Environmental arrangement for soldiers for the break time is needed urgently to decrease their fatigue as well as to improve their sleep quality.

Citations

• The Effectiveness of Acceptance and Commitment Therapy Training on Health Promoting Lifestyle Profile among Soldiers
  Alireza Karimpour Vazifehkhorani, Mohammad Reza Jafari, Fatemeh Rahmati
  ranian Journal of Health Education and Health Promotion.2022; 10(4): 350.     CrossRef
• A Quantile Regression Analysis of Factors Associated with First-Time Maternal Fatigue in Korea
  Jeongok Park, Chang Gi Park, Kyoungjin Lee
  International Journal of Environmental Research and Public Health.2021; 19(1): 215.     CrossRef
• An analysis of health behavior among professional military personnel using propensity score matching
  Hee Jin Moon, Da Seul Kim, Kwang Kee Kim
  Korean Journal of Health Education and Promotion.2021; 38(1): 1.     CrossRef
• Differences in Sleep, Fatigue, and Neurocognitive Function between Shift Nurses and Non-shift Nurses
  Yoo Jin Jung, Seung Wan Kang
  Korean Journal of Adult Nursing.2017; 29(2): 190.     CrossRef

PURPOSE
The purpose of this study was to examine the effects of health promotion program on healthy aging preparation for late middle aged women.
METHODS
The research design was a non-equivalent control group quasi-experimental study. Participants were recruited from K and Y cities in Gyeong-nam Province from October, 2013 to January, 2014. They were 26 for the experimental group and 31 for the control group. The experimental group participated in a health promotion program for healthy aging preparation. The program consisted of education, exercise, and small group discussion over 8 weeks. Data were analyzed by Chi-square, t-test and ANCOVA, using the PASW 18.0 program.
RESULTS
There were significant improvements in aging anxiety and general self-efficacy, health promoting behaviors in the experimental group compared to those of the control group. However, there was no significant differences in attitude toward older adults between the two groups.
CONCLUSION
The health promotion program on healthy aging preparation for late middle aged women was found to be effective in enhancing aging anxiety and self-efficacy, and health promoting behavior. Thus, the developed program is recommended for use in clinical practice as an effective nursing intervention for late middle aged women in order to keep up with their health in later life.

Citations

• The effect of multiple nursing interventions on physical activity and health promotion in the elderly: A randomized controlled trial
  Zeynep Saçıkara, Dilek Cingil
  Geriatric Nursing.2024; 59: 150.     CrossRef
• Effects of a Walking Exercise-Focused Health Promotion Program for Middle-Aged Women in the Korean Community
  Soojeong Yang, Hyunlye Kim
  International Journal of Environmental Research and Public Health.2022; 19(22): 14947.     CrossRef
• Concept Analysis of Health Promotion Activities in the Middle-aged Women
  Jeong-Soo KIM
  JOURNAL OF FISHRIES AND MARINE SCIENCES EDUCATION.2020; 32(5): 1242.     CrossRef
• Effects of aromatherapy on stress, fructosamine, fatigue, and sleep quality in prediabetic middle-aged women: A randomised controlled trial
  Myung-Haeng Hur, Jun Hwa Hong, SeongHee Yeo
  European Journal of Integrative Medicine.2019; 31: 100978.     CrossRef

PURPOSE
The purpose of this study was to identify the effects of using aroma essential oils on allergic symptoms, eosinophils and quality of life related to rhinitis for university students with allergic rhinitis.
METHODS
A randomized controlled experimental design was used. There were 37 participants in the experimental group, and 30 in the control group. The experimental group applied the essential oils four times a day in the nasal area as well as using inhalation of the oils each night for four weeks. Rhinoconjunctivitis quality of life questionnaire was composed of 28 questions regarding seven areas associated with allergic reactions. The data were analyzed with SPSS/WIN 21.0 program.
RESULTS
Rhinitis symptom index, nose itching (p<.001), sneezing (p<.001), watery rhinorrhea (p<.001), and nose congestion (p<.001) all had significant difference for the participants in the treatment group. Further there were significant differences in eosinophils both for measured time and interaction (p<.001). For the quality of life related to rhinitis, the results showed significant difference (p<.001).
CONCLUSION
Using aroma therapy by applying essential oils turned out to be an effective nursing intervention that can be utilized in the easing of allergic symptom and the decrease of eosinophils, causing improvement in the quality of life related to rhinitis.

Citations

• The effects of mask applied aromatherapy on allergic rhinitis symptoms, fatigue, and quality of life related to allergic rhinitis in the COVID-19 era: a randomized controlled trial
  Jihoo Her, Myung-Haeng Hur
  Journal of Korean Biological Nursing Science.2024; 26(3): 177.     CrossRef
• Effects of Auricular Acupressure on Symptoms and Quality of Life of Patients with Allergic Rhinitis
  Hyesuk Lee, Hyojung Park
  Journal of Korean Academy of Fundamentals of Nursing.2018; 25(3): 197.     CrossRef

PURPOSE
The purpose of this study was to determine the relationships among health locus of control, resilience, social support, and health promoting behavior in patients with coronary artery diseases.
METHODS
This study utilized a descriptive correlational design using a survey method. The subjects were 165 coronary artery disease patients at the cardiology out-patient clinic of the C university hospital. Data were collected through Health Locus of Control Scale, Resilience Scale, ENRICHD Social Support Instrument, Health Promoting Lifestyle Profile scale. Data were analyzed using descriptive statistics, t-test, ANOVA, Pearson's correlation coefficient and hierarchial regression.
RESULTS
There were significant positive bivariate correlations of health promoting behavior with internal health locus of control, doctors health locus of control, resilience and social support respectively, and correlation between resilience and social support. Among predictors, internal health locus of control (beta=.28), social support (beta=.28) and resilience (beta=.25) had statistically significant influences on health promoting behavior.
CONCLUSION
These results proposed that internal health locus of control, social support and resilience have important influences on health promoting behavior. Nursing interventions to enhance internal health locus of control, resilience and social support might be essential for patients with coronary artery disease in order to promote their health behaviors.

Citations

• The Association Between Clinical Nurses’ Work Environment, Job Stress, and Health Locus of Control and Presenteeism in South Korea
  Jin-Young Park, Yong-Sook Eo
  Healthcare.2024; 12(22): 2293.     CrossRef
• Effects of health perception, health literacy, and resilience on health behaviors among elderly women
  Yong Mi Kim, Min Sun Song
  Korean Journal of Health Education and Promotion.2024; 41(2): 79.     CrossRef
• The effects of self-efficacy, a health-promoting lifestyle, and social support on resilience of patients receiving percutaneous coronary intervention: A descriptive survey study
  Su-Jin Kim, Jeong-soo Kim
  Journal of Korean Gerontological Nursing.2024; 26(4): 403.     CrossRef
• Associations Between Psychological Factors and Adherence to Health Behaviors After Percutaneous Coronary Intervention: The Role of Cardiac Rehabilitation
  Emma R Douma, Willem J Kop, Nina Kupper
  Annals of Behavioral Medicine.2024; 58(5): 328.     CrossRef
• Psychological separation, health locus of control, and transition readiness in adolescents and young adults with type I diabetes
  Nuri Kang, Sunhee Lee
  Journal of Pediatric Nursing.2024; 76: 38.     CrossRef
• Factors Influencing Resilience in Patients with Multiple Myeloma: A Cross-Sectional Study
  Hae-Lyeon Jeon, Hye-Ah Yeom
  Korean Journal of Adult Nursing.2024; 36(1): 41.     CrossRef
• Health-Promoting Behaviors, Relationship Satisfaction, and Resilience Among a Community Sample
  Chelsey L. Holden, Pam Rollins, Mosiah Gonzalez
  Contemporary Family Therapy.2023; 45(2): 146.     CrossRef
• Self-Management Behaviors for Chronic Low Back Pain in Patients with Spinal Disease: A Structural Equation Modeling Analysis
  Jeom Suk Jung, Gwang Suk Kim
  Korean Journal of Adult Nursing.2023; 35(4): 340.     CrossRef
• Predictive and Protective Role of Grit, Internal Locus of Control and Social Support in Mental Health of Cardiac Patients
  Syed Messum Ali Kazmi, Fatima Murtaza, Farhan Hashmi, Masooma Iftikhar, Muhammad Nasar Iqbal, Awais Nasir
  Pakistan Journal of Health Sciences.2023; : 34.     CrossRef
• Factors Influencing the Dementia-Preventive Behaviors among Middle-Aged Persons with Chronic Diseases in Korea
  Jisung Park, Juh Hyun Shin
  International Journal of Environmental Research and Public Health.2021; 18(6): 2936.     CrossRef
• Factors related to Bowel Cleanliness of Colonoscopy Examinees
  Yohan Lee, Haejung Lee
  Korean Journal of Adult Nursing.2021; 33(6): 545.     CrossRef
• Factors affecting frailty among community-dwelling older adults: A multi-group path analysis according to nutritional status
  Eunjung Kim, Sohyune R. Sok, Chang Won Won
  International Journal of Nursing Studies.2021; 115: 103850.     CrossRef
• Vitamin D levels are associated with trait resilience but not depression in a general population sample
  Jan Terock, Anke Hannemann, Deborah Janowitz, Jasmin Müller, Henry Völzke, Hans J. Grabe
  Brain and Behavior.2020;[Epub]     CrossRef
• Resilience and its correlates among first ischemic stroke survivors at acute stage of hospitalization from a tertiary hospital in China：a cross-sectional study
  Zhihui Liu, Xuan Zhou, Wei Zhang, Lanshu Zhou
  Aging & Mental Health.2020; 24(5): 828.     CrossRef
• Korean frailty and aging cohort study (KFACS): cohort profile
  Chang Won Won, Seoyoon Lee, Jinhee Kim, Doukyoung Chon, Sunyoung Kim, Chang-O Kim, Mi Kyung Kim, Belong Cho, Kyung Mook Choi, Eun Roh, Hak Chul Jang, Sang Joon Son, Jin-Hee Lee, Yong Soon Park, Sam-Gyu Lee, Bong Jo Kim, Hyeon Ju Kim, Jaekyung Choi, Hyuk G
  BMJ Open.2020; 10(4): e035573.     CrossRef
• Prevalence of Physical Frailty and Its Multidimensional Risk Factors in Korean Community-Dwelling Older Adults: Findings from Korean Frailty and Aging Cohort Study
  Heeeun Jung, Miji Kim, Yunhwan Lee, Chang Won Won
  International Journal of Environmental Research and Public Health.2020; 17(21): 7883.     CrossRef
• Factors Influencing the Improvement in Lifestyle Among Patients with Colorectal Cancer
  Song Ok Lim, Sangeun Jun
  Korean Journal of Adult Nursing.2019; 31(3): 325.     CrossRef
• Predictive model for quality of life in patients with recurrent coronary artery disease
  Eunhee Jo, Sung Reul Kim, Hye Young Kim
  European Journal of Cardiovascular Nursing.2019; 18(6): 501.     CrossRef
• Gender Comparison Factors Influencing Regular Exercise Adherence in Patients with Coronary Artery Disease: Data from the 6th Korea National Health and Nutrition Examination Survey (2013~2015)
  Hyekyung Jin, Minju Kim
  Journal of Korean Academy of Fundamentals of Nursing.2018; 25(2): 134.     CrossRef
• Effects of Birth Control Empowerment Program for Married Immigrant Vietnamese Women in South Korea
  Jihyun Kim, Nam Cho Kim
  Korean Journal of Women Health Nursing.2017; 23(1): 1.     CrossRef
• The Effects of Smart Program for Patients Who Underwent Percutaneous Coronary Intervention (SP-PCI) on Disease-Related Knowledge, Health Behavior, and Quality of Life: A Non-Randomized Controlled Trial
  Jueun Lee, Haejung Lee
  Journal of Korean Academy of Nursing.2017; 47(6): 756.     CrossRef
• The Mediating Effect of Resilience on Depression and Rehabilitation Motivation in Stroke Patients
  Eun Sil Choi, Eun Nam Lee, Jeong Lim Cho
  Journal of muscle and joint health.2016; 23(1): 19.     CrossRef
• The Effect of Physical and Psychological, and Social factors on Health Promotion Behavior among the stroke patients
  Eun-Ju Kim
  Journal of the Korea Academia-Industrial cooperation Society.2015; 16(12): 8525.     CrossRef

PURPOSE
This study was to develop a health promotion program for marriage immigrant women and to evaluate its efficacy.
METHODS
The health promotion program was comprised of eight 100-minute weekly sessions. Each session included understanding of health responsibility, nutrition, physical activity, interpersonal relations, stress management, and self actualization. The research was conducted under the principles of nonequivalent control group pretest-post test design. The outcome variables were health promoting behavior, health status, acculturation, self efficacy, and perceived barrier. The participants were 15 immigrant women in the experimental group and 16 in the control group. Data was analyzed using chi2 test, Fisher's exact test, Mann Whitney U-test and Wilcoxon signed rank test.
RESULTS
There was a significant improvement in health promoting behaviors (U=-3.08, p=.002), left shoulder flexibility (U=-3.02, p=.003), right shoulder flexibility (U=-3.02, p=.003), low back flexibility (U=-3.37, p=.001), social health status (U=-3.38 p=.001) and subjective health status (U=-2.17 p=.030) in the experimental group compared to the control group.
CONCLUSION
The health promotion program for marriage immigrant women was an effective intervention for improving health promoting behavior, physical health status, social health, and subjective health status. Therefore, the developed health promotion program needs to be applied to married immigrant women in other kinds nursing care settings in future research.

Citations

• The Effects of the Infant Health Promotion Program for Mothers with Their Firstborn Infants
  Chae-Min Yoon, Mi-Ae You
  Journal of Korean Academy of Nursing.2023; 53(6): 666.     CrossRef
• Influence of Perceived Health Status, Perceived Barrier, Cultural Acculturation on Empowerment in Married Migrant Women
  Yong-Sook EO, Yeon Hee LEE
  JOURNAL OF FISHRIES AND MARINE SCIENCES EDUCATION.2020; 32(5): 1308.     CrossRef
• Effects of Web-based Preconception Health Promotion Program for Couples about to be Married
  Nam Joo Je, So Young Choi
  Journal of Korean Academy of Nursing.2016; 46(5): 720.     CrossRef
• Analysis of Health Related Intervention Research for Married Immigrant Women
  Hyun-mi Ahn, Mi-ok Kim
  Journal of Digital Convergence.2016; 14(12): 245.     CrossRef