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.

Purpose
The purpose of this study was to investigate the effect of a self-care education program using a QR-Code on self-efficacy, self-care performance, and education satisfaction among pneumothorax patients after discharge from a hospital.
Methods
The participants comprised 60 inpatients diagnosed with spontaneous pneumothorax and operated on at a tertiary general hospital in G city. The experimental group (n=30) attended a self-nursing education program using handouts and a QR-Code, and the control group (n=30) was provided discharge education through existing handouts. χ² test, fisher’s exact test, independent t-test, and repeated measures ANOVA were performed to analyze the collected data using the SPSS 26.0 version program.
Results
After three weeks of intervention, the experimental group showed a significant increase in self-efficacy (t=-4.50, p<.001) and self-care performance (t=-5.54, p<.001). The experimental group also showed significant increases in self-efficacy (F=37.72, p<.001) and self-care performance over time (F=52.00, p<.001). and reported significantly higher education satisfaction compared to the control group (t=-6.84, p<.001).
Conclusion
QR-Code-based self-care education increases self-efficacy, self-care performance, and education satisfaction among pneumothorax patients. Thus, this program can be used as an effective nursing intervention to maintain and improve the health of pneumothorax patients.

Citations

• Effects of a video-based enteral nutrition education program using QR codes for intensive care unit nurses: a quasi-experimental study
  Won Kee Seo, Hyunjung Kim
  Journal of Korean Biological Nursing Science.2024; 26(1): 16.     CrossRef
• The Effects of Chemotherapy Education Reflecting Educational Needs on Self-Care Knowledge and Performance in Female Cancer Patients: A Non-Equivalent Control Group Pretest-Posttest Design
  Jin Hee Jun, Se-Na Lee
  Asian Oncology Nursing.2024; 24(3): 103.     CrossRef

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

• 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
• 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

Purpose
This study aimed to identify the factors affecting patient satisfaction in an emergency department based on the use of the Korea Triage and Acuity Scale (KTAS).
Methods
A survey and medical record review were conducted. Participants included 100 patients and 20 nurses from an emergency medical institution located in B city, between June and August 2020. Data were analyzed using descriptive statistics, independent t-test, one way analysis of variance, partial correlation, and multiple regression.
Results
The mean score of patient satisfaction was 3.99±0.63. The mean waiting time, duration of stay, and occupation rate were 14.29±10.97 min, 104.96 ±67.35 min, and 22.0±7.4%, respectively. From the multiple regression analysis, waiting time (β=-.36, p<.001), nurse’s self-efficacy (β=.19, p=.013), and professional competence (β=.36, p<.001) explained 57.9% of the patients’ satisfaction with their use of the emergency medical institution (F=34.50, p<.001).
Conclusion
Patient satisfaction after experiencing the KTAS was influenced by waiting time, nurses’ self-efficacy, and professional competence. Therefore, institutions need to define an appropriate waiting time that does not reduce patient satisfaction, and introduce an internal marketing strategy to increase nurses’ professional competence and self-efficacy.

Citations

• Factors Influencing Sleep Quality in Patients with Hepatocellular Carcinoma Undergoing Transarterial Chemoembolization: A Cross-Sectional Study
  Ji Young Park, Myoung Soo Kim, Han Byeol Lim
  Korean Journal of Adult Nursing.2024; 36(2): 160.     CrossRef
• Satisfacción de los pacientes sobre la atención recibida por la enfermera en el triaje de los servicios de urgencias hospitalarios: revisión de alcance
  Meritxell López-Hernández, Montserrat Puig-Llobet, Lidia Miralles-Sánchez, Yolanda Moreno-Mateos, Jordi Galimany-Masclans
  Enfermería Clínica.2024; 34(5): 408.     CrossRef
• Patient satisfaction with nursing triage care in hospital emergency departments: Scoping review
  Meritxell López-Hernández, Montserrat Puig-Llobet, Lidia Miralles-Sánchez, Yolanda Moreno-Mateos, Jordi Galimany-Masclans
  Enfermería Clínica (English Edition).2024; 34(5): 408.     CrossRef
• Patient Satisfaction With the Level of Competence of the Triage Nurse in Hospital Emergency Departments
  Meritxell López Hernández, Montserrat Puig‐Llobet, Sergio Higon Fernández, Marta Franco Freirut, Yolanda Moreno Mateos, Jordi Galimany Masclans
  Journal of Clinical Nursing.2024;[Epub]     CrossRef
• Emergency nurses’ communication experiences with patients and their families during the COVID-19 pandemic: A qualitative study
  Soyoung Shin, Hye Jin Yoo
  International Emergency Nursing.2023; 66: 101240.     CrossRef

Purpose
The purpose of this study was to identify the relationship between triage competency, nursing task performance, and self-efficacy among nurses working at local emergency departments, and to identify factors that affect triage competency.
Methods
Participants in this descriptive study were 111 nurses working at 20 local emergency departments. Data were collected from August 1 to August 31, 2019, and then analyzed in terms of Independent t-test and one-way ANOVA, Pearson's correlation coefficient, and multiple regression by using the SPSS/WIN 21.0 program.
Results
Triage competency was positively correlated with nursing task performance, and self-efficacy was positively correlated with nursing task performance. There were significant predictors of nursing task performance (β=.41, p<.001) and self-efficacy (β=.35, p<.001), thus explaining the 60.4% variance in triage competency.
Conclusion
Nursing task performance was identified as the most significant factor affecting the triage competency of nurses working in emergency departments. Going forward, it is recommended to conduct a follow-up study to confirm the impact of developing a program for increasing triage competency by expanding subjects and scope in terms of regions.

Purpose
This study identified factors related to bowel cleanliness of colonoscopy examinees.
Methods
From December 2, 2020 to January 21, 2021, we surveyed 152 participants who underwent colonoscopy at a university hospital at B City. The questionnaires included participants characteristics, social cognitive determinants (knowledge on bowel preparation, severity and susceptibility for colon cancer as perceived threat, self-efficacy, and social support), and compliance with bowel preparation. For data analysis, SPSS/WIN 21.0 and AMOS 22.0 statistical programs were used. Descriptive statistics, an independent t-test, one way ANOVA, Pearson correlation coefficient, and path analysis were utilized.
Results
Participants’ knowledge level on bowel preparation was 8.49±1.57; severity, 18.49±4.43; susceptibility, 12.55±4.10; self-efficacy, 41.92±9.28; social support, 24.90±4.84; compliance with bowel preparation, 9.26±1.81; and degree of bowel cleanliness, 6.05±1.71. Factors influencing the compliance with bowel preparation included self-efficacy (β=.27, p=.007), knowledge on bowel preparation (β=.23, p=.005), marital status (β=.19, p=.048), social support (β=.17, p=.030), and age (β=-.16, p=.007). The factor directly affecting bowel cleanliness was compliance with bowel preparation (β=.17, p=.043). Indirectly affecting factors were self-efficacy (β=.05 p=.021), knowledge on bowel preparation (β=.04, p=.022), social support (β=.03, p=.026), marital status (β=.03, p=.034), and age (β=-.03, p=.018).
Conclusion
Bowel cleanliness of colonoscopy examinees can be improved by enhancing compliance with bowel preparation. Future studies should examine the effects of strategies that concern self-efficacy, knowledge on bowel preparation, social support, marital status and age on compliance with bowel preparation.

Purpose
The purpose of this study was to investigate family support and medical staff support and their mediating effects in the relationship between self-efficacy and resilience in patients with colorectal cancer with stoma. Methods: The participants were 170 patients with colorectal cancer who were hospitalized or receiving treatment for colorectal anus surgery in general hospitals located in B, D, and I cities. Data were collected from July 1 to October 25, 2019 through a structured questionnaire. Data analysis was conducted using descriptive statistics, Pearson's correlation coefficient, multiple linear regression analysis, and the bootstrapping method with SPSS/WIN 25.0 and the PROCESS macro program. Results: The mean score for resilience was 2.70±0.62 (range 0~4). Resilience was significantly associated with self-efficacy (r=.59, p<.001), family support (r=.38, p<.001), and medical staff support (r=.37, p<.001). Using Baron and Kenny's approach and PROCESS macro model 4, resilience was found to be affected by self-efficacy (β=.53, p<.001). Further, family support (β=.25, p<.001) and medical staff support (β=.39, p<.001) were affected by self-efficacy. The partial mediating effects of family support (β=.25, p<.001, 95% confidence interval 0.01~0.12) and medical staff support(β=.15, p=.022, 95% confidence interval 0.01~0.16) in the impact of self-efficacy on resilience were confirmed. Conclusion: The impact of self-efficacy on resilience was mediated by family support and medical staff support in patients with colorectal cancer with stoma. The results suggest that family and medical staff support need to be considered in developing nursing interventions to improve self-efficacy and resilience in these patients.

Purpose
This study aimed to examine the effect of pre-operative information by audiovisual media on patients before bariatric surgery.
Methods
This study was conducted from July 4 to October 25, 2019 at Busan city in South Korea. Non-equivalent control groups with quasi-experimental design were used. A total of 24 patients were assigned to the experiment group (n=12) and the control group (n=12). Experimental tools provided information using audiovisual media, including a seven-step introduction of video contents. After that, the investigator used a Universal Serial Bus (USB) to transmit the "Obesity Escape" program to the electronic devices (smartphones, laptops, etc.) belonging to the patient or guardian, and then provided a self-learning checklist. The subjects self-learned through reviewing the items in the checklist at least three times each day at home for a total of two weeks until the day of re-admission until discharge. The investigator provided encouragement and counseling by phone once a week (every Friday).
Results
There were significant differences between the two groups in the preoperative self-care (p<.001) and preoperative self-efficacy (p=.001), and preoperative state anxiety (p=.036).
Conclusion
The results of this study suggest that the use of audiovisual media can be actively used in the nursing practice field to increase preoperative self-care and preoperative self-efficacy and reduce preoperative state anxiety in patients before bariatric surgery.

Citations

• eHealth Intervention via LINE® Social Media as an Adjunct for Postoperative Care After Bariatric-Metabolic Surgery: Single Institution Experience
  Ya-Wei Huang, Kuo-Feng Hsu, Ting-Wei Chang, Chih-Kun Huang, Hui-Yu Chuang, Chieh-Hao Lai, Po-Chih Chang
  Obesity Surgery.2023; 33(3): 860.     CrossRef
• Weight Loss Experience of Highly Obese Young Adult Who Underwent Bariatric Surgery
  Hoim Lee, Hyoju Jeong, Suhye Kwon
  Journal of Korean Academy of Nursing.2023; 53(2): 260.     CrossRef
• Are eHealth interventions for adults who are scheduled for or have undergone bariatric surgery as effective as usual care? A systematic review
  Charlene Wright, Rumbidzai N. Mutsekwa, Kyra Hamilton, Katrina L. Campbell, Jaimon Kelly
  Surgery for Obesity and Related Diseases.2021; 17(12): 2065.     CrossRef

Purpose
This study aimed to identify the effects of psychological insulin resistance, diabetes distress, and diabetes self-efficacy of patients and their spouses on insulin therapy adherence of patients with type 2 diabetes.
Methods
A path analysis based on the actor-partner interdependence model, a couple analysis method, was used to identify the actor and partner effects of psychological insulin resistance, diabetes distress, diabetes self-efficacy on the insulin therapy adherence of patients with type 2 diabetes. Data were collected between February 25 and May 1, 2019, from 200 patients with type 2 diabetes and their spouses.
Results
The psychological insulin resistance of the patient had an actor effect on the diabetes self-efficacy of the patient and a partner effect on the diabetes self-efficacy of the spouse, and the patient’s diabetes distress had a partner effect on the diabetes self-efficacy of the spouse. The psychological insulin resistance of the spouse had an actor effect on the diabetes self-efficacy of the spouse, and the diabetes self-efficacy of the patient and spouse were found to affect the insulin therapy adherence of the patient directly.
Conclusion
This study provided basic data for the development of programs that can enhance insulin therapy adherence in patients with type 2 diabetes, focusing on the perspectives of both the patient and spouse.

Citations

• The Impact of Psychological Insulin Resistance and Dyadic Coping on Insulin Medication Adherence in Elderly Diabetes Patients and Their Spouses: A Latent Profile Analysis
  Yuanhong Wu, Huijing Xu, Yuxin Wang, Xiaohui Wang, Shanyu Wu
  Patient Preference and Adherence.2024; Volume 18: 2647.     CrossRef
• The use of multiple daily injections versus insulin pump therapy for HgbA1c reduction in patients with insulin-dependent type 2 diabetes
  Dana E. Stallings, Karen J. Higgins
  Journal of the American Association of Nurse Practitioners.2023; 35(10): 615.     CrossRef

PURPOSE
This study aimed to identify the associations among psychological insulin resistance, diabetes self-efficacy, and diabetes self-care management in Korean patients with type 2 diabetes requiring insulin therapy.
METHODS
This study was a part of a parent study, for which data were collected from December 2015 to March 2016. Participants were 192 patients with type 2 diabetes who were recommended insulin therapy but were either not taking insulin or had been taking it for less than one year. Data were analyzed using descriptive statistics and Pearson's correlation coefficient. To identify the predictors of diabetes self-care management, sociodemographic and disease-related characteristics, psychological insulin resistance, and diabetes self-efficacy were entered into the hierarchical multiple regression model.
RESULTS
The mean age of participants was approximately 63 years, and 56.3% were men. A significant negative correlation was found between diabetes self-care management and psychological insulin resistance (r=−.19, p=.010), whereas self-care management and diabetes self-efficacy were positively correlated (r=.56, p < .001). In the hierarchical multiple regression model, psychological insulin resistance and diabetes self-efficacy were both strong predictors of diabetes self-care management after controlling for covariates such as education and economic status.
CONCLUSION
The levels of both psychological resistance and diabetes self-efficacy should be considered when educating and counseling patients in order to promote diabetes self-care management. Further research is needed on what type of intervention will improve self-care management in terms of reducing psychological insulin resistance and improving self-efficacy.

Citations

• Factors influencing self-management and health-related quality of life in low-income patients with diabetes: a predictive model
  Jihyon Pahn, Youngran Yang, Sun Hee Kim
  International Journal of Nursing Studies Advances.2025; 8: 100349.     CrossRef
• Factors Influencing the Subjective Health Status of Men with Insulin-treated Type 2 Diabetes Mellitus: A Secondary Analysis Using Quantile Regression Analysis
  Kang Sun Lee, Hyuk Joon Kim, Young Man Kim, Hye Young Kim
  Journal of Korean Academy of Fundamentals of Nursing.2023; 30(4): 530.     CrossRef
• Factors affecting the health status of patients with type 2 diabetes mellitus receiving insulin treatments: A multi‐mediation path analysis
  Kang Sun Lee, Hye Young Kim, Heung Young Jin
  Journal of Clinical Nursing.2022; 31(9-10): 1285.     CrossRef
• Evaluation of the effect of training given according to Pender's Health Promotion Model on psychological insulin resistance
  Ezgi Bağrıaçık, Nurhan Bayraktar
  Human Nutrition & Metabolism.2022; 29: 200153.     CrossRef
• Diyabetli Hastalarda Psikolojik İnsülin Direnci Ölçeğinin Türkçeye Uyarlanması
  Kevser IŞIK, Hilal YILDIRIM, Zeliha CENGİZ
  Turkish Journal of Family Medicine and Primary Care.2021; 15(4): 726.     CrossRef
• Influences of Patient Activation on Diabetes Self-Care Activities and Diabetes-Specific Distress
  Sookyung Choi, Su Hyun Kim
  Korean Journal of Adult Nursing.2020; 32(1): 10.     CrossRef
• Willingness of people with Type 2 diabetes to start insulin therapy: Evidence from the South African Tshwane Insulin Project (TIP)
  Patrick Ngassa Piotie, Paola Wood, Elizabeth M. Webb, Tessa S. Marcus, Paul Rheeder
  Diabetes Research and Clinical Practice.2020; 168: 108366.     CrossRef

PURPOSE
The purpose of the study was to systematically review the associations among health literacy, psychosocial factors, and cancer-related health actions.
METHODS
PubMed, CINAHL, PsycARTICLES, KISS, RISS, and KoreaMed were searched for articles published between January 2000 and March 2018. Fourteen studies were identified and reviewed for the associations among the variables based on Von Wagner's framework on health literacy and health actions. Two researchers reviewed the articles independently using the Mixed Methods Appraisal Tool.
RESULTS
Of the 14 relevant studies, five studies analyzed all of the associations among health literacy, motivational or volitional factors, and cancer-related health actions. Eleven studies investigated the association between health literacy and motivational factors, including knowledge (n=11) and attitudes (n=6). Four studies investigated the association between health literacy and volitional factors, including self-efficacy (n=4) and efforts to search cancer-related information (n=1).
CONCLUSION
The possible paths between health literacy and cancer-related health actions mediated through the psychosocial variables were identified. Further research is warranted to substantiate the mediating pathways of the associations between health literacy and cancer-related health actions.

Citations

• Determining global trends in health literacy research using topic modeling
  Su Hyun Kim, Woojin Kang, Eunhye Yoon, Jongwook Lee
  Korean Journal of Health Education and Promotion.2023; 40(2): 79.     CrossRef
• Health literacy measures in South Korea: A scoping review
  Heeran Chun, Su Hyun Kim, Eunja Park
  Korean Journal of Health Education and Promotion.2022; 39(4): 39.     CrossRef
• Validity and Reliability of the Korean Version of Assessment of Health Literacy in Breast and Cervical Cancer Screening
  Hye Sook Shin, Eunlim Chi, Hae-Ra Han
  Journal of Korean Academy of Nursing.2021; 51(6): 769.     CrossRef
• The Impact of Sleep Quality and Education Level on the Relationship between Depression and Suicidal Ideation in Parents of Adolescents
  Ji Yeon Shim, Sook Lee, Il Hyun Lee, Yoo Mi Jeong
  Healthcare.2021; 9(9): 1171.     CrossRef

PURPOSE
The purpose of this study was to identify the factors influencing resilience of patients with stroke.
METHODS
A cross-sectional descriptive research design was used. The subjects of this study were 136 hospitalized patients with stroke in Dankook university hospital in Cheonan, Korea. Data were collected from August 2016 to March 2017 using a structured questionnaire including patient's characteristics, depression, uncertainty, social support, self-efficacy, and resilience. Data were analyzed using the SPSS/WIN 21.0 program for descriptive statistics, using independent t-test, one way analysis of variance, Pearson's correlation coefficient, and multiple regression.
RESULTS
Resilience had a statistically significant relationship with education (t=−2.17, p=.032), duration of diagnosis (F=4.09, p=.019), and mobility (F=4.44, p=.014). Further, depression (r=−.30, p < .001), self-efficacy (r=.44, p < .001), and social support (r=.37, p < .001) were significantly correlated with resilience. In the multiple regression analysis, self-efficacy and social support were statistically significant factors that explained 30.3% of variance of resilience in hospitalized patients with stroke. Depression and uncertainty were not found to be significant.
CONCLUSION
The results of the study indicate that factors influencing resilience are self-efficacy and social support. Therefore, nursing intervention programs for increasing the resilience should include strategies for improving self-efficacy and social support for hospitalized patients with stroke.

Citations

• Factors associated with resilience among patients with end-stage kidney disease receiving hemodialysis in a teaching hospital: a cross-sectional study
  Bimala Poudel, Rekha Timalsina
  BMC Nephrology.2025;[Epub]     CrossRef
• Impact of Stigma, Social Support, and Resilience on Post-traumatic Growth among Patients with Stroke: A Cross-Sectional Study
  Ga-Eul Park, Heekyung Chang
  Korean Journal of Adult Nursing.2025; 37(1): 13.     CrossRef
• Influencing Factors of Psychological Resilience in Stroke Patients: A Systematic Review and Meta-Analysis
  Yuxin Wang, Hongxia Xie, Hongyu Sun, Liya Ren, Hao Jiang, Meijia Chen, Chaoqun Dong
  Archives of Clinical Neuropsychology.2024; 39(5): 644.     CrossRef
• Hospital-acquired insomnia scale: A validity and reliability study
  Bahar Çiftçi, Güzel Nur Yıldız, Özgür Yıldız
  World Journal of Psychiatry.2023; 13(3): 113.     CrossRef
• Psychosocial Factors Affecting Post-acute Stroke Patients’ Rehabilitation Adherence
  Hye Ji Choi, Hee Kyung Chang
  The Korean Journal of Rehabilitation Nursing.2022; 25(2): 49.     CrossRef
• The Effect of Perceived Stress, Fine Dust Risk Perception, and Resilience on Stress Response in Patients with Respiratory and Circulatory Disorders
  Jin-Hee Park, Kuem-Sun Han
  STRESS.2021; 29(1): 21.     CrossRef

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 57.10±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 3–5) and 43.7% were non-frail (frailty scores 0–2). 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=−.56), exercise self-efficacy (r=−.40), pros decisional balance (r=−.24), and physical and mental HRQoL (r=−.32; r=−.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.

Citations

• The Impact of Physical Performance and Fear of Falling on Fall Risk in Hemodialysis Patients: A Cross-Sectional Study
  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

PURPOSE
This study was designed to identify knowledge, attitude, environment, and self-efficacy among perioperative nurses in terms of radiation protection and to describe those factors affecting radiation protection behaviors.
METHODS
The sample was comprised of 128 perioperative nurses who agreed to participate in this descriptive study. Data were collected from a self-administered questionnaire and were analyzed using the t-test, analysis of variance, Mann-whitney U test, Kruskal-Wallis test, Pearson's correlation, and multiple regression analyses.
RESULTS
Radiation protection behaviors were significantly different by participant's gender, length of career as a perioperative nurse, educational level and prior experience with radiation protection education. Radiation protection behaviors were significantly correlated with radiation protection environment and self-efficacy in terms of radiation protection behaviors. In the multiple linear regression models, radiation protection environment and self-efficacy on radiation protection behaviors were statistically significant predictors of radiation protection behaviors, which accounted for 50.3% of variance in dependent variable.
CONCLUSION
This study concluded that radiation protective environment in operating room is important to promote radiation protective behaviors and radiation safety management program to enhance self-efficacy is highly recommended.

Citations

• Factors Influencing Radiation Protection Behavior of Nurses in Intensive Care Units
  Seo Jeong Kim, Yun Hee Kim
  Journal of Korean Critical Care Nursing.2024; 17(3): 1.     CrossRef
• 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 Influencing Protective Behaviors for Dental Radiation Exposure among Female Korean Dental Hygienists Using Health Belief Model
  Su-Yeon Hwang, Jung-Eun Park, Jong-Hwa Jang
  International Journal of Environmental Research and Public Health.2022; 19(1): 518.     CrossRef
• Factors Affecting Radiation Protection Behaviors among Emergency Room Nurses
  Sookkyoung Park, Yaki Yang
  International Journal of Environmental Research and Public Health.2021; 18(12): 6238.     CrossRef
• Factors Affecting Radiation Protection Behaviors among Emergency Room Nurses
  Su Jin Lee, Sunjoo Boo, Jeong-Ah Ahn, Mi-Ae You
  Journal of Korean Critical Care Nursing.2020; 13(1): 15.     CrossRef
• A Study on Knowledge, Attitude and Behavior for Radiation Protection of Nurses : Focus on the Operating Rooms and Intensive Care Units
  Choi Jung-im, Yang Young-Ok
  Journal of Radiological Science and Technology.2019; 42(6): 461.     CrossRef
• Radiation safety education and compliance with safety procedures—The Korea Nurses’ Health Study
  Oksoo Kim, Mi Sun Kim, Hee Jung Jang, Hyangkyu Lee, Younhee Kang, Yanghee Pang, Heeja Jung
  Journal of Clinical Nursing.2018; 27(13-14): 2650.     CrossRef

PURPOSE
The purpose of the study was to examine the impact of self-efficacy in the prevention of sexually transmitted diseases (STD), knowledge of and susceptibility to STD, and the role of gender in sexual autonomy.
METHODS
Data were collected from 267 college students using self-report questionnaires during the period from the first to the twentieth of June 2015. Data were analyzed using χ² test, Fisher's exact test, t-test, Pearson correlation coefficients, simple and multiple regression techniques with the PASW/WIN 20.0 program. Mediation analysis was performed according to the Baron and Kenny method and Sobel test.
RESULTS
In male students, self-efficacy for STD prevention showed a full mediating effect in the relationship between STD susceptibility and sexual autonomy (β=-.08, p=.370). But in female students, it had a partial mediating effect (β=-.25, p=.001). And self-efficacy for STD prevention showed partial mediating effects in the relationship between knowledge of STD and sexual autonomy in the both male (β=.25, p=.005) and female students (β=.33, P<.001).
CONCLUSION
To enhance college students' sexual autonomy, it may be useful to build effective strategies enhancing students' knowledge about and susceptibility to STD and to develop a self-efficacy promotion program for college students.

Citations

• The effect of counseling based on Bandura’s self-efficacy theory on sexual self-efficacy and quality of sexual life
  Leila Alimohammadi, Fatemeh Zarei, Mojgan Mirghafourvand
  Women & Health.2020; 60(4): 473.     CrossRef
• Emotional Intelligence, Problem Solving Ability, Self Efficacy, and Clinical Performance among Nursing Students: A Structural Equation Model
  Mi Sook Kim, Sue Kyung Sohn
  Korean Journal of Adult Nursing.2019; 31(4): 380.     CrossRef

PURPOSE
The purpose of this study was to describe the impact of fatigue and distress on self-efficacy among breast cancer survivors and to provide a base for development of nursing intervention strategy to improve self-efficacy.
METHODS
A descriptive research design was used. The subjects were 158 patients who were either being treated or were receiving follow-up care at a university breast center in D City from May 30 to August 30, 2014. Structured questionnaires, Revised Piper Fatigue Scale, Distress Thermometer, and Self-Efficacy Scale for Self-Management of Breast Cancer were used to measure fatigue, distress, and self-efficacy. Data were analyzed using t-test, ANOVA, Pearson's correlation coefficients, and multiple regressions.
RESULTS
The mean scores of fatigue, distress, and self-efficacy were 3.83, 4.31, and 3.77, respectively. There were significant differences among participants in terms of educational background, current treatment methods, perceived health status, economic burden for fatigue and perceived health status for distress. Self-efficacy was impacted by age, educational background, marital status, average monthly income, perceived health status, and medical expenses. Fatigue, age, and the burden on medical expense had the most impact on self-efficacy, accounting for 17% of the variance.
CONCLUSION
Fatigue should be managed to improve self-efficacy of breast cancer survivors. Therefore, nursing programs designed to decrease fatigue may be helpful.

Citations

• Analysis of Breast Cancer Nursing Education Content and Educational needs for Breast Cancer Patient Nursing Perceived by Nurses
  Young-Hee Je, Kyoung-Ah Kang
  Asian Oncology Nursing.2025; 25(1): 1.     CrossRef
• Does the Association Between Fatigue and Fatigue Self-management Preference Vary by Breast Cancer Stage?
  Min Kyeong Jang, Chang Park, Keon Suk Lee, KyungHi Lee, Eun Kyung Hwang, Hye Jin Joh, Kyung Hee Lim, Yun Hee Ko, Dong Mi Kim, Jeehee Han, Sue Kim
  Cancer Nursing.2022; 45(1): 43.     CrossRef
• Pro-inflammatory Cytokine Levels and Cancer-related Fatigue in Breast Cancer Survivors: Effects of an Exercise Adherence Program
  Sung Hae Kim, Yoon Kyung Song, Jeehee Han, Yun Hee Ko, Hyojin Lee, Min Jae Kang, Hyunki Park, Hyangkyu Lee, Sue Kim
  Journal of Breast Cancer.2020; 23(2): 205.     CrossRef
• Relationships between Attitude Towards Treatment, Distress, and Decision Conflict among Cancer Patients Receiving Chemotherapy
  Hyun Mi You, Eun Young Park
  Asian Oncology Nursing.2019; 19(4): 242.     CrossRef
• The Role of Sleep Quality, Social Support and Fatigue on Daily Life Self-Efficacy in People with Spinal Cord Injury
  Simin Zeqeibi Ghannad1, Tayebe Fateminik, Sirus Alipoor
  Iranina Journal of Psychiatric Nursing.2017; 5(5): 26.     CrossRef
• The Impact of Social Cognitive Constructs on Dietary Behaviors in Breast Cancer Survivors
  Hyenam Hwang
  Asian Oncology Nursing.2016; 16(3): 139.     CrossRef

PURPOSE
The purpose of this study was to identify association between maternal depression and multiple contextual factors in 1,519 mothers in Korea who participated in the 2009 Panel Study of Korean Children (PSKC).
METHODS
The second wave data which was a comprehensive longitudinal data set with a nationally representative birth cohort was analyzed using SAS 9.3 software. Kessler depression scale was used for this study.
RESULTS
Of the mothers, 23.0% reported being mild to moderate depression and 4.5% of the mothers reported severe depression. The factors influencing maternal depression include; mother's self-efficacy, mother's marital conflict, mother's social support, infant's and toddler's emotionality, mother's smoking and infant's feeding & eating of daily routine. These variables explained 39.5% of maternal depression.
CONCLUSION
The results of this study suggest that the identified factors for maternal depression should be included in an intervention program to reduce the risk of depression.

Citations

• The longitudinal effects of children’s temperament on maternal depression: A hierarchical linear modeling approach
  Chul-Gyu Kim, Mi-Young Choi
  The Journal of Korean Academic Society of Nursing Education.2022; 28(1): 91.     CrossRef
• The Influence of Ego-identity, Parenting Efficacy and Stress Coping Style on Depression in Mothers of Toddlers
  Hyun-Yi Chai, Mi-Young Choi
  Child Health Nursing Research.2019; 25(2): 196.     CrossRef
• Effects of Psychological, Parenting and Relational Characteristics of Mothers of Preschool Children on Their Depression Levels
  Hye Young Song, Won Jin Ju, Yanghee Pang
  Journal of Korean Academy of Community Health Nursing.2018; 29(4): 393.     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
This study investigated the level of adherence to vestibular rehabilitation exercise program(VREP) and evaluated how health belief model (HBM) variables are related with adherence to VREP in patients with dizziness.
METHODS
The data were collected from 150 individuals, who agreed to participate in the study between December, 2012 and May, 2013. Adherence to VREP, severity of dizziness, health belief variables (health belief scale) and self-efficacy (self-efficacy scale) were measured.
RESULTS
The result of this study showed poor adherence to VREP. The mean adherence score to VREP was 2.11+/-1.05 (1-5). In multivariate analysis, severity of dizziness (p<.001), taking sedative medication (p<.001), high self-efficacy (p<.001), high perceived seriousness (p=.019) & benefit (p=.036) were independent predicting factors explaining 57.7% of adherence to VREP.
CONCLUSION
Adherence to VREP was poor among these patients. To improve the patient's adherence to VREP, strategies to increase perceived seriousness, benefit, or self-efficacy and to decrease barriers are urgently needed.

Citations

• Barriers and Facilitators of Vestibular Rehabilitation: Patients and Physiotherapists’ Perspectives
  Liran Kalderon, Azriel Kaplan, Amit Wolfovitz, Shelly Levy-Tzedek*, Yoav Gimmon*
  Journal of Neurologic Physical Therapy.2024; 48(3): 140.     CrossRef
• Review on Physical Therapy for Patients with Vestibular Disorder
  Yong Hyun Kwon, Yu Min Ko
  The Journal of Korean Physical Therapy.2017; 29(6): 316.     CrossRef
• Effectiveness of Self-efficacy Promoting Vestibular Rehabilitation Program for Patients with Vestibular Hypofunction
  Hyun Jung Lee, Smi Choi-Kwon
  Journal of Korean Academy of Nursing.2016; 46(5): 710.     CrossRef

PURPOSE
The purpose of this study was to investigate the factors influencing the health-promoting behaviors of the people living with HIV.
METHODS
Descriptive cross-sectional study design was used. The study participants included 99 people living with HIV recruited via the Korea HIV/AIDS Network of Solidarity from May 15 to August 15, 2012. Self-report questionnaires were used fo data collection measuring perceived stress, depression, self-efficacy, health-promoting behaviors (HPLP-II), and the perceived health status. The analysis was done using SPSS/Win 18.0 program. Descriptive statistics, pearson correlation, t-test, ANOVA and stepwise multiple regressions were used for data analysis.
RESULTS
Perceived stress (r=-.21, p=.040), depression (r=-.37, p<.001), self-efficacy (r=.42, p<.001), perceived health status (r=.29, p=.003), and health-promoting behaviors were significantly correlated with each other. The self-efficacy, religion and perceived health status were significant factors, which explained about 26% of the variance of the health-promoting behaviors. Multiple regression analysis showed that a powerful predictor of health-promoting behaviors among people living with HIV was self-efficacy.
CONCLUSION
This study suggested that a focus of nursing intervention program on self-efficacy is necessary in order to increase health-promoting behaviors among people living with HIV.

Citations

• Psychometric Properties of the Korean Version of Self-Efficacy for HIV Disease Management Skills
  Gwang Suk Kim, Layoung Kim, Mi-So Shim, Seoyoung Baek, Namhee Kim, Min Kyung Park, Youngjin Lee
  Journal of Korean Academy of Nursing.2023; 53(3): 295.     CrossRef
• Developing an app-based self-management program for people living with HIV: a randomized controlled pilot study during the COVID-19 pandemic
  Mi-So Shim, Sunah Kim, Mona Choi, Jun Yong Choi, Chang Gi Park, Gwang Suk Kim
  Scientific Reports.2022;[Epub]     CrossRef
• Associations of depression and anxiety with cardiovascular risk among people living with HIV/AIDS in Korea
  Kyong Sil Park, Seon Young Hwang, Bo Youl Choi, June Kim, Sang Il Kim, Woo-Joo Kim, Chun Kang
  Epidemiology and Health.2020; 43: e2021002.     CrossRef
• Factors Influencing the Initiation of Treatment after the Diagnosis of Korean Patients with HIV
  Mi-So Shim, Gwang Suk Kim, Chang Gi Park
  Journal of Korean Academy of Community Health Nursing.2018; 29(3): 279.     CrossRef
• Effects of Self-efficacy, Health Attitudes, and Healthy Lifestyle on Recovery of People with Mental Disorders in the Community
  Yun Bok Kwak, Ji Young Kim, Myung Ha Lee
  Journal of Korean Academy of Psychiatric and Mental Health Nursing.2018; 27(4): 303.     CrossRef

PURPOSE
The purpose of this study was to investigate the effect of laughter therapy and cognitive reinforcement program on self-efficacy, depression and cognitive functions of the elderly with mild cognitive impairments (MCI).
METHODS
The study design was a non-equivalent control group pre and posttest design. Thirty-six subjects over the age of 65 with a diagnosis of mild cognitive impairment were assigned either to a treatment or a comparison group. Data were collected from February 7 to March 27, 2012 in the dementia supporting center. An eight week treatment program that included laughter therapy coupled with a cognitive reinforcing program including hand exercise, laughter dance routine, laughter technic and cognitive training for attention, memory, orientation and execution skill.
RESULTS
MoCA-K (t=-6.86, p<.001) and Stroop test CW correct (t=-2.54, p=.008), self-efficacy (t=-3.62, p=.001) in the treatment group were significantly higher than those of the comparison group. Reported depression (t=2.29, p=.014), Stroop test CW error (U=53.50, p<.001) in the treatment group was significantly less than the comparison group.
CONCLUSION
In this study, the treatment was effective in improving self-efficacy, cognitive function and reducing depression in the elderly with MCI.

Citations

• Literature Review on Non-Pharmacological Intervention for Mild Cognitive Impairment in Korea
  Ok Hee Kim
  Journal of Korean Academy of psychiatric and Mental Health Nursing.2024; 33(4): 456.     CrossRef
• The development and evaluation of a self-efficacy enhancement program for older adults with mild cognitive impairment
  Jungeun Lee, Eunhee Cho, Heejung Kim, Kyung Hee Lee, Eosu Kim, Byoung Seok Ye
  Applied Nursing Research.2023; 73: 151726.     CrossRef
• Development and Evaluation of a Community based Multifaceted Cognitive Training Program for the Elderly with Mild Cognitive Impairment
  Yeonhee Park, Heeyoung Oh
  Journal of Korean Academy of Community Health Nursing.2019; 30(2): 119.     CrossRef
• Effects of Integrated Dementia Managing Programme for the Elderly with Mild Dementia in Nursing Home
  Meung Sook Ahn, Hyun Sook Jo
  Journal of Korean Academy of Community Health Nursing.2019; 30(4): 550.     CrossRef
• Effects of Exercise and Cognitive Intervention Program on Cognitive Function, Sedentary Behavior and Health-Related Quality of Life in Elderly Women with Mild Cognitive Impairment
  Min-Ki Jeong, Hyun-Hun Jung, Sang-Kab Park
  Exercise Science.2019; 28(2): 198.     CrossRef
• The Effect of a Dementia Preventive Intervention based on Motivational Interviewing among the Elderly over 75 Years of Age in Nursing Homes
  Hyun Mi Jo, Suk-Sun Kim
  Journal of Korean Academy of Community Health Nursing.2017; 28(3): 260.     CrossRef
• The Effects of Exercise-Cognitive Combined Dual-Task Program on Cognitive Function and Depression in Elderly with Mild Cognitive Impairment
  Kyoungah Kim, Oksoo Kim
  Korean Journal of Adult Nursing.2015; 27(6): 707.     CrossRef

PURPOSE
This study examines the relationships between academic self-efficacy, major satisfaction, and career attitude maturity among nursing students. The study further explored the mediating effect of major satisfaction on the relationship between academic self-efficacy and career attitude maturity.
METHODS
Data were collected via questionnaires from 239 nursing students in D city and P city from March 1 to March 30, 2012. Pearson's correlation and multiple regression analyses were used to assess the relationships between the variables.
RESULTS
1. The mean scores for academic self-efficacy, career attitude maturity, and major satisfaction were 3.81, 3.67, and 3.89, respectively. 2. Academic self-efficacy was positively correlated with major satisfaction and career attitude maturity. 3. Major satisfaction had a mediating effect on the relationship between academic self-efficacy and career attitude maturity.
CONCLUSION
Academic self-efficacy is expected to serve as a foundation for the promotion of career attitude maturity.

Citations

• The effects of satisfaction with major, and dental hygiene professionalism on career preparation behavior of dental hygiene students
  Ji-Hyoung Han, Min-Young Kim
  Journal of Korean Society of Dental Hygiene.2023; 23(5): 387.     CrossRef
• Academic Achievement of Nursing College Students according to Academic Self-efficacy: The Mediating Effect of Major Satisfaction
  Juyeoun Kim, Hyeon Ok Kim, Myungha Lee
  Child Health Nursing Research.2019; 25(2): 205.     CrossRef
• The Effects of Major Satisfaction and Self-esteem of Students Majoring in Optometry and Optic Science on College Life Adaptation
  Eun-Sun Seo, Sun-Hee Park
  The Korean Journal of Vision Science.2019; 21(2): 153.     CrossRef
• Factors Associated with the Choices of Local Hospitals among New Graduate Nurses
  Eun-Young Kim, Hun Ha Cho
  Journal of Korean Academy of Nursing Administration.2018; 24(3): 202.     CrossRef
• Moderating Effect of Professor-Student Interaction on the Relationship between Career Decision Self-efficacy and Major Satisfaction among Nursing Students
  Hye Sun Hyun, Yunyoung Kim
  Journal of Korean Academic Society of Nursing Education.2018; 24(1): 29.     CrossRef
• Specialty satisfaction, positive psychological capital, and nursing professional values in nursing students: A cross-sectional survey
  Chung Hee Woo, Ju Young Park
  Nurse Education Today.2017; 57: 24.     CrossRef
• Convergence Study about Problem-based Learing and Self-directed Learning Ability, Problem Solving Skills, Academic Self-efficacy, Motivation toward Learning of Nursing Students
  Seung-Ju Kang, Eun-Ju Kim, Hae-Jin Shin
  Journal of the Korea Convergence Society.2016; 7(2): 33.     CrossRef
• Factors Influencing the Career Preparation Behavior of Nursing Students
  Tae Jeong Jang, Mikyung Moon
  Journal of Korean Academy of Nursing Administration.2016; 22(4): 344.     CrossRef
• Senior Nursing Students' Perceived Competence of Intensive and Critical Care Nursing
  Jin-il Kim, Doo Ree Kim, Hyo Nam Lim
  The Journal of Korean Academic Society of Nursing Education.2016; 22(2): 115.     CrossRef
• The Relationship between Emotional intelligence, Academic self-efficacy and self-leadership among Nursing Students
  Oi Sun Lee
  Journal of the Korea Academia-Industrial cooperation Society.2015; 16(9): 6036.     CrossRef
• Nursing Students' Awareness of Career Decision-making Self-efficacy, Career Search Behavior and Commitment to Career Choice
  Kyoung A Lee, Jinhyun Kim
  Perspectives in Nursing Science.2015; 12(1): 42.     CrossRef
• Factors Influencing on Learning Flow of Nursing Students
  Seon-Hwa Kim, Sang-Youn Park
  Journal of the Korea Academia-Industrial cooperation Society.2014; 15(3): 1557.     CrossRef
• The Relationship of Career Identity, Major Satisfaction and College Adaptation of Nursing Freshmen
  In-Young Cho
  Journal of the Korea Academia-Industrial cooperation Society.2014; 15(5): 2937.     CrossRef

PURPOSE
The purpose of this study was to identify aging anxiety and influencing factors of middle-aged adults.
METHODS
Descriptive correlation design was used. Three hundred and three middle-aged adults participated in the study and completed the questionnaires in the period from September 11 to October 15 of 2011. The data was analyzed using independent t-test, one-way ANOVA, Scheffe test, Pearson correlation coefficients, and hierarchial multiple regression analysis.
RESULTS
Aging anxiety of middle-aged adults was higher than a moderate level. Socio-demographic variables such as age, religion, education, economic level, perceived health status and experience of living with older adults influenced significantly on aging anxiety. In contrast, general self-efficacy, aging knowledge and attitude toward older adults were negatively correlated with aging anxiety. Hierarchial multiple regression analysis incorporating these variables showed an explanation rate of aging anxiety at 21%. And religion, perceived health status, attitude toward older adults, and general self-efficacy were statistically significant among variables that influence on aging anxiety.
CONCLUSION
The findings of this study suggest that senior preparation programs that can enhance self-efficacy, induce positive attitude on older adults and promote health should be implemented to reduce aging anxiety of middle-aged adults.

Citations

• 중년 여성의 행복감과 삶의 의미가 노화 불안에 미치는 영향*
  성민 전, 정윤 박
  Journal of Family Relations.2025; 29(4): 49.     CrossRef
• Yaşlı Bireylere Bakım Verenlerde Yaşlılık Dönemi Korkusu ve Ölüm Kaygısı
  Kübra Sarı, Merve Çayır Yılmaz
  Geriatrik Bilimler Dergisi.2025; 8(1): 10.     CrossRef
• Aging is inevitable: understanding aging anxiety related to physical symptomology and quality of life with the mediating role of self-esteem in adults
  Rowaida Yawar, Soulat Khan, Maryam Rafiq, Nimra Fawad, Sundas Shams, Saher Navid, Muhammad Abdullah Khan, Nabiha Taufiq, Areesha Touqir, Moazma Imran, Tayyab Ali Butt
  International Journal of Human Rights in Healthcare.2024; 17(2): 170.     CrossRef
• Association between Menopausal Women’s Quality of Life and Aging Anxiety: The Role of Life Satisfaction and Depression
  Seunghee Lee, Mijung Jang, Dohhee Kim, KyooSang Kim
  Medicina.2024; 60(8): 1189.     CrossRef
• Evaluating Eye Health and Interest in Eye Health Care of Middle-Aged Adults
  Myoung-Hee Lee, Ka-Ul Choi, Se-Jin Kim
  Journal of Korean Ophthalmic Optics Society.2023; 28(2): 83.     CrossRef
• Aging anxiety and beliefs about exercise in middle-aged women
  Nedim TEKİN, Adeviye AYDIN
  Turkish Journal of Kinesiology.2023; 9(3): 214.     CrossRef
• The health status, aging anxiety, social networking, generativity, and happiness of late middle-aged adults
  Hae Kyung Chang
  The Journal of Korean Academic Society of Nursing Education.2021; 27(4): 392.     CrossRef
• The Effects of Climacteric Symptom Cognition, Self-efficacy on Aging Anxiety in Middle-Aged Couples: Actor and Partner Interdependence Mediation Model
  Yeon-Suk Kim, Myung-Haeng Hur
  Korean Journal of Adult Nursing.2021; 33(3): 247.     CrossRef
• Development of an Aging Anxiety Scale for Middle-Aged Women
  Haejin Lee, Mi-Ae You
  Journal of Korean Academy of Nursing.2019; 49(1): 14.     CrossRef
• The Effects of Social support, Self-efficacy and Perceived health status on Aging anxiety of the Middle-aged women
  Young-Ok Jung, Hyo-Sook Oh
  Journal of Korean Public Health Nursing.2016; 30(1): 30.     CrossRef
• Aging Anxiety, Factors of Successful Aging and Preparation for Aging in Early and Late Middle Age
  Kum-Hee Hong, Ju-Young Ha
  Journal of Korean Public Health Nursing.2015; 29(1): 29.     CrossRef
• Influences on the Aging Anxiety of University Students
  Suk-Jung Han, Hyo-Sun Kim
  Journal of the Korea Academia-Industrial cooperation Society.2015; 16(2): 1164.     CrossRef

PURPOSE
The purpose of this study was to identify the predictors of Organizational Citizenship Behavior (OCB) among hospital nurses.
METHODS
Participants in this study were 231 nurses from two hospitals. The self-reported questionnaire was used to assess the level of self-efficacy, social support and OCB. The data were analyzed using descriptive statistics, Pearson's correlation coefficient, t-test, ANOVA and multiple regression.
RESULTS
The mean score of OCB was 4.82, self-efficacy was 4.65, and social support was 4.56. The OCB was statistically significant according to position (t=-1.97, p=.049). The OCB was positively correlated with self-efficacy (r=.558, p<.001) and social support (r=.245, p<.001). The self-efficacy and social support explained 33.0% of the variance for OCB.
CONCLUSION
The findings suggest that developing programs to improve self-efficacy and social support might be useful. Furthermore, more studies are needed to explore variables that influence nurses' Organizational Citizenship Behavior.

PURPOSE
The purpose of this study was to examine if simulation training affects new graduate critical care nurses' knowledge, self-efficacy, and performance ability in emergency situations. METHODS: Forty new graduate critical care nurses were randomly assigned to either an experimental or a control group. The experimental group had didactic with simulation. The control group received only didactic without simulation about emergency situations. The data were collected before and after the training interventions. An independent t-test used for difference among variables. RESULTS: There were no significant demographic differences between the two groups or any differences on data collected knowledge, self-efficacy and performance ability. Following the training, there were significant performance ability scores (p<.001) among the nurses receiving didactic with simulation. There were no significant difference between the two groups relative to knowledge scores (p=.117), or the self-efficacy scores (p=.100). CONCLUSION: This study showed that simulation training for new graduate critical care nurses is useful to improve performance ability on emergency situations. Hence, providing simulation training to critical care nurses during an orientation period would improve quality of critical care nursing and help the new graduates nurse's adaptation.

PURPOSE
The purpose of this study was to investigate the influences of depression, stress, and self-efficacy on the addiction to cell phone use among university students.
METHODS
Data were collected through questionnaires from 563 students and analyzed by applying descriptive statistics, t-test, chi-square test, and stepwise multiple regression with SPSS/WIN 16.0.
RESULTS
The proportion of depressed subjects was 52.6%. The addictive group scored higher than the non-addictive group in depression rate and stress, but scored lower in self-efficacy. Out of the subjects, 32.9% were found to be addictive users, 31.3% at potential risk, and 1.6% at high risk. Significant variables influencing addictive users were stress, self-efficacy, and the user's general characteristics including monthly spending money, sex, the hours of daily use, and the main method of use.
CONCLUSION
It is concluded that such variables should be carefully considered in interventions for university students addicted to cell phone use.

PURPOSE
This correlational study was to examine the relationships between dementia knowledge, attitude, self-efficacy and preventive behavior of low income middled-aged women.
METHODS
The subjects for this study were 125 low income middle aged women living in I city. The data were collected using the questionnaires for dementia knowledge, attitude, self-efficacy and preventive behavior. The data analysis was done by descriptive statistics, t-test, ANOVA, Pearson product moment correlation and stepwise multiple regression analysis.
RESULTS
The mean of dementia knowledge was 13.96 out of 20, attitude was 43.98 out of 60, self-efficacy was 54.07 out of 75 and preventive behavior was 25.98 out of 36. The positive correlations were revealed between dementia knowledge (r=.458, p=.000), attitude (r=.498, p=.000), self-efficacy (r=.573, p=.000) and preventive behavior. The influencing factors for dementia preventive behavior were self-efficacy, belief in Buddhism and attitude which accounted for 42.5% of the total variance.
CONCLUSION
Dementia knowledge, attitude and self-efficacy were identified as variables that correlate dementia preventive behavior. Also, self-efficacy is the most influential factor affecting dementia preventive behavior. On the basis of these results, it is necessary for nurses to consider using dementia knowledge and mode of efficacy expectation in order to improve dementia preventive behavior.

PURPOSE
This study examined the effect of a self-help management program which strengthens self-efficacy on the self-efficacy and the activities of daily living(ADL) in stroke patients. METHODS: A quasi-experimental nonequivalent control group, pre and post design was used. The subjects consisted of 47 stroke patients. Twenty-six patients were assigned to the experimental group and 21 patients were assigned to the control group. The self-help management program by strengthen self-efficacy and general hospital care were carried out on the experimental group. General hospital care was performed on the control group. The data was collected before and 5 weeks after the program. All subjects were questioned about the self-efficacy and ADL before and after the program. RESULTS: The scores of the self-efficacy and ADL in the experimental group were higher than those in the control group. CONCLUSION: The self-help management program by strengthen self-efficacy is effective in increasing the self-efficacy and ADL. Therefore this program may be a useful intervention to increase the ADL in stroke patients.

PURPOSE
This study was to examine the effects of electric stimulation therapy on chronic knee pain, exercise self-efficacy, and quality of life in Korean elderly women.
METHODS
The design was an unequivalent control pretest-posttest study. Samples were total of 60 (experimental: 30, control: 30) elderly women with healthy cognitive and communication abilities aged 65 years old and above. The experimental treatment involved was the electric stimulation of both thigh quadriceps muscles for 15 minutes per treatment, 3times per a week, for a total of 12 weeks. Measurements taken were S-F MPQ and AIMS for chronic knee pain, exercise self-efficacy measurement for exercise self-efficacy, and S-F 36 scale for quality of life. Data were analyzed using SPSS PC+ 12.
RESULTS
Chronic knee pain according to the Short-Form McGill Pain Questionnaire (t=43.563, p=.000) and Arthritis Impact Measurement Scale (t=31.364, p=.000) were significantly decreased in the experimental group by the application of electrical stimulation therapy. Exercise self-efficacy (t=107.116, p=.000) and quality of life (t=76.429, p=.000) were significantly increased in the experimental group by the application of electrical stimulation therapy.
CONCLUSION
Electrical stimulation therapy could be a more effective primary nursing intervention in decreasing chronic knee pain, and on increasing exercise self-efficacy and quality of life for Korean elderly women.

PURPOSE
The purpose of this study was to identify predictors of cardiovascular risk factors of type 2 diabetic patients.
METHODS
Diabetic patients (N=160) were interviewed from November, 2003 to June, 2004. The 24 hour dietary recall, the International Physical Activity Questionnaire, the Diabetes Management Self-Efficacy Scale for patient with Type 2 diabetes, the Revised Summary of Diabetes Self-Care Activities Measure Scale and Parma Cardiovascular Risk Index were used to measure the predictors. Data were analyzed by descriptive analyses, Pearson correlation coefficients, and stepwise multiple regression using the SPSS WIN 10.0.
RESULTS
Mean dietary intakes of the participants were protein(P) of 64.5g, carbohydrate(C) of 280.74g, fat(F) of 30g, and calcium of 511.45mg. The ratio of CPF was 75:17:8. About 45% of the participants didn't exercise on a regular basis. The levels of self-efficacy, self-care, and cardiovascular risk factors of the participants were moderate. Self-efficacy was the most important predictor of cardiovascular risk factors along with self-care, exercising for more than 6 months, carbohydrate intakes and levels of physical activities.
CONCLUSION
The findings of the study suggest that intervention programs increasing self-efficacy on diabetic management would be more beneficial than the fractional approach focusing only on diet or physical activities.