Purpose This study examined the relationships of health literacy, physical activity, and grip strength with self-care compliance in older male patients with chronic heart failure. Methods A cross-sectional descriptive was conducted, and 106 older male outpatients with chronic HF were recruited from a veterans’ hospital in Seoul. Data were collected from February 7, 2022 to April 10, 2022 using a self-reported questionnaire and were analyzed using SPSS/WIN 23.0. Results The average age of the participants was 76.3±4.5 years, and the average time elapsed since the heart failure diagnosis was 3.22±2.01 years. The mean self-care compliance score was 42.21±6.03 out of 60 points.
In the univariate analysis, grip strength was not significantly correlated with self-care compliance. The hierarchical regression analysis indicated that health literacy (β=.33, p<.001), physical activity (β=.32, p=.001), and alcohol drinking (β=-.28, p=.001) had statistically significant effects on self-care compliance, collectively explaining 34% of the variance (adjusted R2 =.34, F=12.00, p<.001). Conclusion The study highlights the necessity of periodically assessing and considering health literacy and the level of physical activity when developing educational strategies to promote self-care compliance among older male patients with heart failure in outpatient nursing practice.
Purpose This study aims to confirm the influence of type D personality and health literacy on resilience of patients hospitalized for Cardiovascular Diseases (CVDs), and provide basic information for improving resilience as a post-discharge strategy to promote self-care among patients with chronic diseases.
Methods A questionnaire-based survey was carried out in this cross-sectional study. The subjects were 142 patients who were being treated at a tertiary general hospital for CVDs such as coronary artery disease, arrhythmia, and heart failure. Data were collected from July to October 2022 using a structured questionnaire, and then analyzed using the SPSS program version 26.0.
Results 75.3% of the study subjects (n=107) had type D personalities, and the average health literacy and resilience scores were 48.96±9.13 points and 68.27±13.02 points, respectively, indicating relatively low grades. Following a hierarchical regression analysis, low monthly income (β=-.62, p<.001), current smokers (β=-.23, p=.010), patients with type D personality (β=-.24, p=.001), and patients with low health literacy (β=.27, p<.001) were identified as significant predictors of resilience (Adjusted R2=.57, F=14.32, p<.001).
Conclusion In order to increase the resilience of patients hospitalized for CVD, it is necessary to identify and take into account smokers with low socioeconomic status, poor health literacy, and type D personality. We advise doing a follow-up study to ascertain if the resilience of patients hospitalized for CVD influences post-discharge self-care and clinical outcomes.
Purpose This study aimed to examine the influence of lifestyle-related factors, such as sleep quality, eating habits, and perceived stress, on the incidence of thyroid cancer in healthy adults.
Methods: This study is a cross-sectional case-control study comparing lifestyle-related factors in thyroid cancer and healthy groups. Outpatients with thyroid cancer were recruited from 2012 to 2013, 3~6 months after thyroidectomy at a tertiary hospital in Seoul, Korea (n=468). For the control group, 935 healthy adults were recruited by propensity score matching on demographic characteristics in a 1:2 ratio from hospital health checkup data. The effect of sleep quality, eating habits, and perceived stress on the incidence of thyroid cancer was determined through multiple logistic regression analysis and backward stepwise variable selection.
Results: Sleep disturbance and mild/moderate daytime dysfunction were found to have a 1.22 and 1.66/1.77-fold influence, respectively, in patients with thyroid cancer than in healthy controls (p<.05). Coffee consumers who drink 3~6 times/day showed reduced cancer incidence than those who drink very little (odds ratio=0.53, 95% confidence interval=0.32~0.87). Perceived stress was a significant risk factor in univariate (p=.004), but not in multivariate analysis.
Conclusion: These findings highlight the need for evaluating sleep quality, especially in high-risk adults and patients with thyroid cancer. Preventive measures should be adopted to lower stress levels and improve sleep quality.
Citations
Citations to this article as recorded by
Development and Effects of a Smartphone Application to Improve Self-Management in Workers Who Underwent Thyroid Cancer Surgery Myoyoun Kim, Seon Young Hwang Cancer Nursing.2025;[Epub] CrossRef
Multidimensional Prediction Method for Thyroid Cancer Based on Spatiotemporally Imbalanced Distribution Data Zhiwei Jia, Yuqi Huang, Yanhui Lin, Min Fu, Chenhao Sun IEEE Access.2024; 12: 4674. CrossRef
Determining the spatial non-stationarity underlying social and natural environment in thyroid cancer in China Xiyu Zhang, Yongqiang Lai, Xiaodan Bai, Bing Wu, Wenjing Xiang, Chenxi Zhang, Guihong Geng, Wenqing Miao, Qi Xia, Qunhong Wu, Huiying Yang, Yanjie Wang, Wanxin Tian, Yu Cao, Xinwei Liu, Hongyu Li, Yulu Tian, Zhe Song, Ziwen Zhao, Zhipeng Huang, Xiaonan Ch Science of The Total Environment.2023; 870: 162009. CrossRef
Sleep quality, stress and thyroid cancer: a case–control study S. Afrashteh, M. Fararouei, M. T. Parad, A. Mirahmadizadeh Journal of Endocrinological Investigation.2022; 45(6): 1219. CrossRef
Purpose Since anticancer medication nursing is an evaluation area for accreditation by medical institutions in Korea, all clinical nurses are required to attend an annual classroom lecture. However, it is necessary to reconsider the methods and effects of this requirement. This study was conducted to develop a web-based anticancer chemotherapy nursing course for clinical nurses and to examine its effectiveness in terms of job knowledge, self-efficacy, and nursing performance. Methods A randomized controlled design using random selection was utilized. The content was developed into 5 modules featuring basic and advanced learning, and the total learning time was 80 minutes. To test the effect of the multimedia contents, a randomized control group pretest-posttest study design was adopted. Clinical nurses with less than five years of experience were recruited from a university-affiliated hospital and randomly assigned to an experimental (n=28) or control (n=28) group. The experimental group autonomously learned web-based anticancer chemotherapy nursing for two weeks through a website. Results There was a statistically significant increase in the job knowledge of the experimental group receiving the classroom lecture (p=.001). However, there were no statistically significant differences between the two groups in self-efficacy (p=.055) and nursing performance (p=.359). Conclusion This study found that web-based self-learning could be a useful learning strategy for the anticancer chemotherapy and nursing education that clinical nurses must complete annually. However, it is necessary to verify the effect on self-efficacy and nursing performance through repeated studies.
Citations
Citations to this article as recorded by
Effectiveness of a blended learning program on chemotherapy nursing education led by oncology clinical nurse specialists: A single-group pretest–posttest study Hyuna Kim, Laehee Kim, Suyeon Kim, Shin Kim, Eunhye Park, Kyounmin Lee, Suyeoun Lee, Jeounghee Kim Asia-Pacific Journal of Oncology Nursing.2025; : 100695. CrossRef
Redesigning Competency Assessment Sharon R. Kauffman, Brittni Prosdocimo Journal for Nurses in Professional Development.2024; 40(6): 322. CrossRef
Asynchronous e-learning with technology-enabled and enhanced training for continuing education of nurses: a scoping review Rika Kimura, Mayumi Matsunaga, Edward Barroga, Naoko Hayashi BMC Medical Education.2023;[Epub] CrossRef
Self‐efficacy in the context of nursing education and transition to practice as a registered practitioner: A systematic review Mousa Abusubhiah, Nuala Walshe, Rena Creedon, Brendan Noonan, Josephine Hegarty Nursing Open.2023; 10(10): 6650. CrossRef
Effect of Website-based Learning on Improved Monitoring of Adverse Drug Reactions by Clinical Nurses Hyun jin Kim, Seon Young Hwang Asian Nursing Research.2022; 16(1): 45. CrossRef
Development of a Web-Based Korean Triage and Acuity Scale Learning Program for Emergency Department Nurses Hyo-Jin Kim, Hee-Young Kang, Hae-Ran Kim CIN: Computers, Informatics, Nursing.2021; 39(11): 821. CrossRef
Purpose Maintaining a healthy lifestyle and quality of life after receiving acute treatment is important in patients with coronary artery disease (CAD). This study aims to compare the lifestyle and the quality of life of CAD patients with those of healthy people through a propensity-matched comparison. Methods This study is a secondary analysis of the data from the Korea National Health and Nutrition Examination Survey conducted with 23,657 subjects from 2015 to 2017. A propensity-matched comparison was conducted for 472 CAD patients and 941 healthy individuals using 1:2 matching of nine sociodemographic characteristics. R program version 3.6.2 was used for statistical analysis and an independent t-test was employed to examine the differences between the relevant variables of the two matched groups. Results The rate of aerobic physical activity, the levels of quality of life, and the subjective health condition of the CAD patients were significantly lower as compared to the healthy group (p<.001). The degree of perceived stress was higher in patients with CAD than those in the healthy group (p<.001). However, no statistical difference was found in smoking and drinking behavior and body mass index. Conclusion This study found that the CAD group's level of physical activity is lower and their emotional health conditions are worse than those of healthy people. Therefore, relevant support, including follow-up intervention programs, is required for CAD patients to prevent secondary adverse cardiac events and to maintain a healthier life.
Citations
Citations to this article as recorded by
A Case Report of Korean Medicine Treatment for Chest Pain in Variant Angina Junghwa Hong, Eun-joo Seok, Youngju Rhee, Jae-hyuk You, Jin-young Lee, Dong-jun Choi, Seong-woo Lim The Journal of Internal Korean Medicine.2024; 45(2): 234. CrossRef
Association between Coping Profiles and Cardiac Health Behavior among Patients with Coronary Artery Disease: A Latent Profile Analysis Yesul Lee, Yoonju Lee, Jeong Cheon Choe, Hyesun Jeong, Sunyoung Jung Korean Journal of Adult Nursing.2024; 36(3): 228. CrossRef
Comparison of Sleep Disturbance, Physical Activity, and Health-Related Quality of Life According to Depressive Symptoms in Patients with Metabolic Syndrome: A Secondary Analysis from the Korea National Health and Nutrition Examination Survey Using a Prope Jungmi Yun, Yunji Lee Healthcare.2023; 11(12): 1802. CrossRef
Formation of Balloon with Porous Structures in NaCl Vapor Assisted by Amphiphilic Polymer for Stent Delivery System Han Chang Lee, Se Kye Park, Hyobin Kim, Dong Yun Choi, Gyu Man Kim, Woojin Kim Advanced Materials Technologies.2023;[Epub] CrossRef
Comparison of Coronary Risk Factor and Nutrient Intake Status of Patients with Chronic Kidney Disease and Normal Subjects : Data Obtained from the 2015-2019 Korea National Health and Nutrition Examination Survey Hyun Kyung Oh, Ho Kyung Ryu The Korean Journal of Community Living Science.2022; 33(2): 189. CrossRef
Purpose Identify the cluster-type risk factors when disease occurs in patients with coronary artery disease (CAD) and examine the impact of the cluster-type on adverse clinical prognosis in CAD patients. Methods Secondary data analysis was utilized with data collected from electronic medical records of patients who underwent percutaneous coronary intervention in a university hospital from 2011 to 2015 and who were on an outpatient follow-up visit as of January 2020. The K-means cluster analysis was performed on seven cardiovascular risk factors. Major adverse cardiac events (MACEs), including hospitalization due to restenosis or cardiac-related death, was required in clinical prognosis. The Cox proportional-hazard regression and Kaplan-Meier survival analyses were used. Results Cluster analysis identified three clusters of ‘obesity and family history’ (n=150), ‘smoking and drinking’ (n=178), and ‘chronic disease’ (n=190). The MACEs occurred in 10.4% of study subjects. When the ‘obesity and family history’ cluster (62.94±12.09 years) was used as a reference, the relative risk of MACEs was 2.57 times higher in the ‘smoking and drinking’ cluster (62.63±13.31 years) and 2.41 times higher in the ‘chronic disease’ cluster (70.90±10.30 years). Conclusion Cluster-type risk factors are necessary when considering secondary prevention strategies for MACEs in patients with CAD. Patients with smoking, drinking, and chronic diseases are especially required to improve their lifestyles and to regularly monitor their management of underlying diseases during follow-up periods.
Citations
Citations to this article as recorded by
Effect of risk factor-tailored autonomy enhancement education in the first-time middle-aged patients undergoing percutaneous coronary intervention: a randomized controlled trial In Ae Uhm, Seon Young Hwang BMC Nursing.2023;[Epub] CrossRef
PURPOSE This study was conducted to identify cardiovascular risk factor cluster types in early middle-aged male workers in their 30s and 40s, and to identify differences in awareness of mobile health and preventive health behaviors by cluster type. METHODS This study adopted a cross-sectional descriptive design. Male workers aged 30~49 years with cardiovascular risk factors (n=166) at three medical device manufacturers in June, 2019 were recruited. Self-reported questionnaires were administered. K-means cluster analysis was performed using four measurement tools: e-health literacy, behavior of seeking health information on the internet, intent to use mobile health, and preventive health behavior. RESULTS Three cluster groups were identified based on 7 risk factors: "unhealthy behavior (51.8%)", "chronic disease (28.9%)", and "dyslipid · family history (19.3%)". In the "unhealthy behavior" group where more than 70% of the participants were smoking and drinking heavily, the awareness of mobile health utilization such as behavior of seeking information on the internet and intent to use mobile health, especially usefulness, was significantly lower than that in the other two groups. The preventive health behavior was also the lowest among the three groups. CONCLUSION We suggest that when planning for mobile-use cardiovascular prevention education for early middle-aged male workers, it is necessary to consider a cluster of risk factors. Strategies for raising positive awareness of the use of mobile health should be included prior to cardiovascular health education for workers with unhealthy lifestyles such as smoking and excessive drinking alcohol.
Citations
Citations to this article as recorded by
The Moderating Effect of Mental Health on the Relationship Between Cardiovascular Disease Awareness and Health Behaviors of Middle-Aged Korean Chinese Workers With Cardiovascular Risk Factors in Korea Yu Zhu Zhang, Seon Young Hwang Journal of Transcultural Nursing.2023; 34(2): 131. CrossRef
Comparison of Factors Related to Health Behavior for Cardiocerebrovascular Disease Prevention in Middle-Aged Women with and without Depression Eun Ko, Hyukjoon Kim Journal of Korean Academy of Fundamentals of Nursing.2022; 29(4): 543. CrossRef
Comparison of Stroke Knowledge, Health Beliefs, and Stroke Prevention Behavior between Early and Middle-Aged Adults Eun Ko STRESS.2022; 30(2): 98. 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
PURPOSE To identify the factors influencing Quality of Life (QoL) in rectal cancer patients and to examine whether perceived social support mediates the relationship between defecation function and QoL. METHODS Using self-report questionnaires, a descriptive survey was conducted with 131 rectal cancer patients who underwent anal sphincter-saving resection, in a large medical center in Korea. Data were collected between September and November, 2014, using research instruments validated in the Korean language. The data were analyzed using SPSS/WIN 21.0 and AMOS 21.0. RESULTS The mean age and post-surgical follow-up period of the participants were 59.0±10.2 years and 15.9±9.8 months, respectively. Multiple linear regression analysis revealed that, after adjusting for age and gender, defecation function, perceived social support, and employment status predicted QoL. Path analysis showed that perceived social support partially mediated the relationship between defecation function and QoL with a significant indirect effect. CONCLUSION These results suggest that a positive perception of social support from family and healthcare providers is necessary to improve the QoL of patients experiencing defecation dysfunction after rectal cancer surgery. To this end, periodic counseling and education from outpatient healthcare providers, during the postoperative follow-up period, could encourage patients to perceive higher social support.
Citations
Citations to this article as recorded by
A causal model of health-related quality of life in colorectal cancer patients post-surgery Thi Hong Hanh Tran, Sureeporn Thanasilp, Noppamat Pudtong European Journal of Oncology Nursing.2024; 72: 102691. CrossRef
The Relationships among Social Support, Bowel Function Symptoms and Uncertainty in Rectal Cancer Patients Kyungmi Lee, Semi Lim Journal of Korean Academy of Fundamentals of Nursing.2021; 28(4): 421. CrossRef
PURPOSE The aim of this study was to impact describe the perception of safety and barriers to adverse drug reactions (ADR) reporting on clinical nurses' monitoring practice for ADR. METHODS A cross-sectional descriptive study was conducted for 270 nurses working at two major general hospitals by convenience sampling. Data were collected using self-report structured questionnaires from May to June, 2017 and analyzed using the SPSS/WIN 22.0 program. RESULTS The nurses' mean score of perceived safety climate was identified towards the hospital organization level (34.41±7.12), towards the work unit level (66.32±9.42), towards the individual level (7.56±1.50) and towards the ADR monitoring practice (32.68±5.42). ADR monitoring practices are positively correlated with that of perceived safety climate at the work unit level and negatively correlated with the barriers to ADR reporting both at the individual and organizational (p < .001) levels. Multiple regression analysis showed that perceived safety climate at the work unit level (β=.37), at the hospital organization level (β=−.18) and the individual barriers to ADR reporting (β=−.42) were found to be predictors of ADR monitoring practice (Adj R2=.36, F=16.38, p < .001). CONCLUSION These findings suggest that an effective educational program needs to be developed to assist the clinical nurses' ADR monitoring practice by improving the nurses' perception of safety climate at the work unit level and reducing the barriers to ADR reporting.
Citations
Citations to this article as recorded by
Predictors of Adverse Drug Reaction Monitoring Practices Among Hospital Nurses Anyeong Kim, Duckhee Chae JONA: The Journal of Nursing Administration.2025; 55(5): 267. CrossRef
Influences of Organizational Communication Satisfaction and Safety Climate on Medication Safety Competence in Hospital Nurse Garam Song, Oksoo Kim Journal of Korean Academy of Nursing Administration.2022; 28(3): 297. CrossRef
Validity and Reliability of a Korean Version of the ConCom Safety Management Scale Mi Young Kwon, Nam Yi Kim International Journal of Environmental Research and Public Health.2021; 18(23): 12514. CrossRef
Effect of A Pharmacovigilance Practice Training Course for Future Doctors of Korean Medicine on Knowledge, Attitudes and Self Efficacy Mikyung Kim Journal of Korean Medicine.2020; 41(1): 21. CrossRef
PURPOSE This study was a secondary data analysis using the 6th Korea National Health and Nutritional Examination Survey 2014. The purpose of the study was to identify and compare the impacts of Physical Activity (PA), central obesity and depression on health-related quality of life (HRQoL). The study sample was postmenopausal women aged 45~65 years of aged with or without cardiovascular risk factors. Specifically, the sample consisted of 472 women who had cardiovascular risk factors (risk group) and 374 women with no reported risk factors (no risk group). METHODS The degree of PA (MET-min/week) was estimated based on the International PA Questionnaire and depression was measured by the Patient Health Questionnaire-9. RESULTS The scores from the PA were lower than the recommended PA scores among both groups, and muscle strengthening was significantly lower within the risk group compared to those in the no risk group (p < .001). Multiple linear regression analyses showed that depression, PA and WHtR accounted for 32.8% of the HRQoL in the risk group (R²=.328, F=64.49, p < .001), while depression and WHtR accounted for 28.5% of the HRQoL in the no risk group (R²=.256, F=35.18, p < .001). CONCLUSION It is essential to correct low PA, central obesity, and depression in order to improve the HRQoL of middle-aged women with cardiovascular risk factors. For those who have cardiovascular risk factors, the PA intervention program including muscle strengthening exercise might be needed.
Citations
Citations to this article as recorded by
Factors influencing health-related quality of life in older adult women with sarcopenia: analysis of the Korean National Health and Nutrition Examination Survey 2019 Sol Hyun Lee, Ju-Hee Nho, Hye Young Kim, Eun Jee Lee Korean Journal of Women Health Nursing.2023; 29(4): 328. CrossRef
Effects of Somatic, Depression Symptoms, and Sedentary Time on Sleep Quality in Middle-Aged Women with Risk Factors for Cardiovascular Disease Hyun-Sook Choi, Kyung-Ae Kim Healthcare.2021; 9(10): 1378. CrossRef
Use of Clinical Preventive Service and Related Factors in Middle-Aged Postmenopausal Women in Korea Kisook Kim Healthcare.2020; 8(2): 83. CrossRef
Comparison of health-related habits and metabolic syndrome risk factors according to obesity type in Korean postmenopausal women Han-Gyo Choi, Hye-Jin Kim Menopause.2020; 27(9): 1022. CrossRef
Factors Influencing Pre-Diabetes in Middle-aged Women based on the KNHANES Kyung Ae Kim, Jae Lan Shim Korean Journal of Adult Nursing.2019; 31(6): 628. CrossRef
Factors related to the Identification of Middle-Aged Women Who are Disadvantaged by Cardio-cerebrovascular Disease Moon Jung Kang, Jee Seon Yi, Chang Seung Park Korean Journal of Women Health Nursing.2018; 24(2): 185. CrossRef
PURPOSE This study examined knowledge about cardio-cerebrovascular disease (CVD) and its relationship to health behaviors among middle-aged postmenopausal women with CVD risk factors. METHODS The study was a cross-sectional descriptive study. One hundred and thirty-six postmenopausal women were recruited from outpatient departments of four hospitals. The women were 60.69±6.5 years old. Self-reported questionnaires were administered, and waist-hip ratios (WHR) were measured. RESULTS Among the women, 72.8% reported hypertension, 19.1% reported diabetes, 33.8% reported hypercholesterolemia, and 24.2% reported angina pectoris. Moreover, 73.9% of the women reported not knowing of CVD prevention, and only 26.1% reported exercising regularly. A majority of the women (80.9%) had a WHR > 0.85. Multiple linear regression analysis after adjusting for age and marital status indicated that the risk of myocardial infarction and stroke increased (p<.001). Waist-hip ratio≤0.85 (p=.022) and living with family members (p=.006) were significant predictors of healthier behaviors (R²=0.21, p<.001). Knowledge of CVD and health behaviors were not correlated. CONCLUSION Obese women and women who live alone are no more likely to practice health behaviors aimed at CVD prevention than their counterparts in the sample. Education and exercise interventions are needed, especially for obese women, to promote healthy behaviors among middle-aged postmenopausal women with CVD risk factors.
Citations
Citations to this article as recorded by
The Effects of Health Status and Social Support on Happiness in MiddleAged Women Bok Hui Baek, So Young Choi Journal of Korean Public Health Nursing.2024; 38(1): 16. CrossRef
The Moderating Effect of Mental Health on the Relationship Between Cardiovascular Disease Awareness and Health Behaviors of Middle-Aged Korean Chinese Workers With Cardiovascular Risk Factors in Korea Yu Zhu Zhang, Seon Young Hwang Journal of Transcultural Nursing.2023; 34(2): 131. CrossRef
Blood Pressure Awareness and Knowledge of Cardio-Cerebrovascular Diseases in South Korean Women with Hypertension Yeo Won Jeong Healthcare.2021; 9(3): 360. CrossRef
Factors related to the Identification of Middle-Aged Women Who are Disadvantaged by Cardio-cerebrovascular Disease Moon Jung Kang, Jee Seon Yi, Chang Seung Park Korean Journal of Women Health Nursing.2018; 24(2): 185. 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
Citations to this article as recorded by
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 was conducted to test whether Health Communication Assessment Tool (HCAT) developed by Campbell et al. in 2013 can be applied to assess Korean nursing students' communication skills in simulation education. METHODS The content validity of the Korean version of HCAT (K-HCAT) was evaluated through expert's assessment and a principal component analysis was conducted for testing construct validity. The convergent validity was tested by measuring relationship between the K-HCAT and those of existing communication assessment tool for standardized patient instruction. The evaluation was done by surveying 154 senior students from four different nursing colleges. RESULTS The K-HCAT was condensed into 15 items from the original 22 HCAT items. Four factors were extracted from the principal component analysis; factor loadings ranged from .50 to .83; cumulative explained variance was 62.65%. Four factors were entitled as 'relationship building', 'empowering', 'empathy/response', and 'education/feedback'. Cronbach's α for sub-dimensions ranged from .73 to .84. An evaluation of convergent validity showed that the scores of the K-HCAT were moderately correlated with those of an assessment tool for standardized patient instruction. CONCLUSION The K-HCAT can be used as an effective tool for assessing nursing students' communication skills in various kinds of simulation educations Further research is needed to test the consistency of the K-HCAT.
Citations
Citations to this article as recorded by
Impact of grit, empathy, and communication competence on the clinical competence of nursing students in the post-COVID-19 era in Korea: a cross-sectional study Soo-Hyun Nam, Seurk Park Journal of Korean Biological Nursing Science.2025; 27(1): 115. CrossRef
The effects of problem-based learning integrated with the nursing process on clinical reasoning, communication skills attitude and nursing process competency among nursing students: A quasi-experimental study Ji Sun Lee, Hae Kyoung Son Nurse Education in Practice.2024; 81: 104131. CrossRef
Development and Validation of the Therapeutic Communication Scale in Nursing Students Soolgi Han, Jinhee Yoo, Kyonghwa Kang Healthcare.2024; 12(3): 394. CrossRef
The Development, Implementation, and Evaluation of a Geriatric Disaster Nursing Simulation Intervention With Supportive Debriefing Joo-Young Jin, Yun-Jung Choi Simulation in Healthcare: The Journal of the Society for Simulation in Healthcare.2024; 19(5): e84. CrossRef
Communication training program for nurses caring for patients with aphasia: a quasi-experimental study Yujin Hur, Younhee Kang BMC Nursing.2024;[Epub] CrossRef
Technology-based interactive communication simulation addressing challenging communication situations for nursing students Yeseul Jeon, Heeseung Choi, Ujin Lee, Hannah Kim Journal of Professional Nursing.2024; 53: 71. CrossRef
The Validity and Reliability of Nursing Assessment Communication-Competence Scale for Clinical Nurses Hyojin Kim, Heeyoung Oh Journal of Korean Academy of Fundamentals of Nursing.2023; 30(1): 78. CrossRef
Technology-based interactive communication simulation for Korean nurses: A randomized controlled repeated-measures design Heeseung Choi, Yeseul Jeon, Ujin Lee, Junggeun Ahn, Hannah Kim Nurse Education Today.2023; 128: 105879. CrossRef
The effects of simulation-based education on the communication and clinical judgment of nursing students and nurses: A systematic review and meta-analysis Jung Min Park, Sangeun Jun The Journal of Korean Academic Society of Nursing Education.2023; 29(3): 203. CrossRef
Effects of simulation problem-based learning based on Peplau's Interpersonal Relationship Model for cesarean section maternity nursing on communication skills, communication attitudes and team efficacy Jeongim Lee, Hae Kyoung Son Nurse Education Today.2022; 113: 105373. CrossRef
The effects of a home-visit nursing simulation for older people with dementia on nursing students' communication skills, self-efficacy, and critical thinking propensity: Quantitative research Yun-Jung Choi, Youn-Joo Um Nurse Education Today.2022; 119: 105564. CrossRef
An Integrative Review of Simulation Programs for Nursing Students: Patient and Caregiver-Centered Communication Soolgi Han, Jinhee Yoo, Kyongwha Kang Korean Journal of Stress Research.2021; 29(3): 168. CrossRef
The Effects of Empathy and Gender Role Identity on Communication Competence in Nursing College Students Hyun Sook Choi, Kyung Ae Kim, SankBok Lee, Hyeyoung Joung Journal of Korean Critical Care Nursing.2020; 13(3): 41. CrossRef
Effect of SEGUE-based communication education on nursing simulation practice: a quasi-experimental design Hae Kyoung Son, Dong Hee Kim Contemporary Nurse.2019; 55(4-5): 330. CrossRef
Comparison of Standardized Patient and Faculty Agreement in Evaluating Nursing Students’ Assessment and Communication Skills Young Ju Kim Journal of Korean Academy of Fundamentals of Nursing.2017; 24(3): 189. CrossRef
PURPOSE This study was aimed to develop frequently-used clinical scenarios and scoring rubrics to assess core basic nursing skills in adult health nursing clinical practice for clinical evaluation based on program learning outcomes (PO). METHODS This study was a methodological research combining focus group interviews and questionnaires to select and construct scenarios. Data were collected from clinical practitioners, adult health nursing professors, and new nurses from November, 2013 to April, 2014. The developed scenarios and rubrics were applied to nursing students by way of showing an example. RESULTS The 12 frequently-used clinical scenarios were developed. The proportion of the evaluation rubrics were 30% for clinical instructors where as 70% for college instructors. In order for students to achieve the important learning outcomes from the courses for clinical practice, four program outcomes (POs) were selected as well as a rubric for each POs was developed. Students who had situation-based clinical practices showed higher levels of satisfaction on mastery of core basic nursing skills and communication skills. CONCLUSION This findings of the study suggested the strategies for complementing pitfalls in clinical setting and achieving PO during students' clinical practicum.
Citations
Citations to this article as recorded by
The Coping Experience of Nursing Students in Clinical Practice: Trying to be a Meaningful Presence Doo Nam Oh, Young-Rhan Um, Chunmi Kim, Sejin Ju, Jung Hyun Choi, Myung Sook Park The Journal of Korean Academic Society of Nursing Education.2016; 22(4): 430. CrossRef
PURPOSE This study was aimed to examine the prevalence of metabolic syndrome (MetS) and cardiovascular risk factors among workers at small-sized companies having fewer than 50employees in Korea. METHODS A descriptive cross-sectional study was conducted using a secondary data analysis on workers' health examination data. Data from 21,784 employed workers were analyzed, including 16,488 males (mean age 38.7years)and 5,296 females (mean age 40.5 years). Participants were newly enrolled in annual health check-ups at a professional health clinic from 2009 to 2011. Logistic regression analysis was performed to identify age-adjusted gender specific predicting factors of MetS incidence. RESULTS The prevalence of MetS was 13.4% in male and 7.7% in female workers. Logistic regression analysis showed that, when age was adjusted for, family history of cardiovascular disease (CVD) was a predicting factor in both male and female workers. For male workers, heavy alcohol drinking and non-manual occupation (office workers/drivers) predicted MetS. CONCLUSION Health care providers should screen for MetS periodically in small work places especially for those with a family history of CVD. Educational counseling needs to be given to male workers with sedentary occupations with an aim to reduce heavy drinking and encourage lifestyle modification.
PURPOSE The plan proposed by the Ministry of Health and Welfare in 2012 did not reflect the position of nurses and focused only on how to increase the number of nurses. There is a need for coming up with a specific and viable alternative plan considering the qualitative aspect of nursing, delegation of nursing tasks, the in-death analysis of the reasons for leaving the nursing profession, and the legal standards based on varying nursing tasks. METHODS Drawing on a review of existing literature, this report was written to examine policy directions and the factors that influence the institutional environment that regulates the supply and demand of the nursing workforce in Korea. RESULTS Implementing the government's plan for introducing a new type of nurse, the registered practical nurse, which generally requires a two-year associate's degree, must be reconsidered. Also, a concrete plan to make use of unemployed nurses and to close the salary gap between nurses working at hospitals in cities and those working at hospitals in rural areas must be prepared. Furthermore, there is a need for introducing a new rating system aimed at boosting the quality of nursing care in small-and medium-sized hospitals, thereby increasing the number of nursing professionals who provide high quality care. CONCLUSION In preparation for expected poor quality of care and looming unemployment crisis due to the increase in the number of nursing professionals, a practical and concrete plan for the supply and demand of the nursing workforce should be made. The Korean Nurses Association should mount a profession-wide campaign to make the government formulate a new and viable policy on the supply and demand of the nursing workforce.
PURPOSE This study was conducted to examine the effects of tailored supportive education on physical, psychological status and quality of life in the patients with congestive heart failure (CHF) who had not participated previously in cardiac rehabilitation program. METHODS This study was used a non-equivalent control pre-post design, conducted on 64 CHF patients under medical treatment in a hospital. The experimental group (n=31) received the tailored supportive educational program (once 1~2 days before discharge and 6 times after discharge through outpatient visits or telephone contact: once every week for the first 4 weeks after discharge and once every 2 weeks for the remaining 4 weeks). The control group (n=33) received a traditional discharge education. Data were analyzed using descriptive statistics, chi2-test, Fisher's exact test, t-test and repeated measure ANOVA using the SPSS/WIN 18.0 program. RESULTS Participants in the experimental group showed the significantly increased scores of the quality of life (F=16.01, p<.001), and the significantly decreased scores of physical function (F=7.27, p=.009), depression (F=8.25, p=.006) and anxiety (F=4.11, p=.047), when compared to those of the control group. CONCLUSION The findings indicated tailored supportive education was an effective intervention care in physical, emotional status and quality of life for CHF patients.
Citations
Citations to this article as recorded by
Needs for Discharge Education of Family Caregivers of Pediatric Patients: An Integrative Review Hyunjie Lee, Seung Eun Lee, Sang Hwa Lee Journal of Korean Academy of Fundamentals of Nursing.2023; 30(2): 137. CrossRef
Knowledge Structure of Nursing Studies on Heart Failure Patients in South Korea through Text Network Analysis Seang Ryu, Hyunyoung Park, Yun-Hee Kim Korean Journal of Adult Nursing.2020; 32(4): 409. CrossRef
The Effect of a Telephone-Based Self-management Program Led by Nurses on Self-care Behavior, Biological Index for Cardiac Function, and Depression in Ambulatory Heart Failure Patients Mi Kyoung Moon, JongEun Yim, Mi Yang Jeon Asian Nursing Research.2018; 12(4): 251. CrossRef
The Effects of Reinforced Walking Exercise on Dyspnea-fatigue Symptoms, Daily Activities, Walking Ability, and Health related Quality of Life in Heart Failure Patients Hyekyung Jin, Haejung Lee Korean Journal of Adult Nursing.2016; 28(3): 266. CrossRef
Development and Effects of a Heart Health Diary for Self-Care Enhancement of Patients with Heart Failure Jae Lan Shim, Seon Young Hwang Journal of Korean Academy of Nursing.2016; 46(6): 881. CrossRef
Influence of Social Support and Negative Emotional Status on Self-care Adherence in Symptomatic Patients with Heart Failure In-Suk Yang Korean Journal of Adult Nursing.2016; 28(3): 302. CrossRef
Symptom Management to Predict Quality of Life in Patients with Heart Failure: A Structural Equation Modeling Approach Ja Ok Lee, Rhayun Song Journal of Korean Academy of Nursing.2015; 45(6): 846. CrossRef
PURPOSE This study was conducted to examine the effects of the nurse-led one-on-one discharge education on the levels of symptom experience and self-care compliance among patients with chronic obstructive pulmonary disease (COPD) who had not previously participated in an education or respiratory rehabilitation program. METHODS This study used a quasi-experimental pre-and post-test design with nonequivalent control group. Sixty seven hospitalized patients (34 for experimental and 33 for control groups) were recruited from in-patient units of a general hospital from August to November, 2010. The one-on-one education session of symptom management and daily self-care was administered to experimental group for 50 minutes along with a follow-up phone call. Self-administered questionnaire was administered at the pretest and at 1 month after discharge. RESULTS The subjects were 67.43(+/-10.24)years old in average. The mean differences of symptom experience (t=3.39, p=.001) and self-care compliance (t=-38.13, p<.001) in the experimental group was significantly higher than those of the control group. CONCLUSION Nurse-led one-on-one discharge education was effective in reducing the level of symptom experience and enhancing self-care compliance at home within one month after discharge. Therefore, this form of one-on-one education provided by nurses might be applicable effectively for COPD patients who do not have access to respiratory rehabilitation programs.
PURPOSE This study was designed to identify the incidence risk of cardicerebrovascular disease (CVD) among male bus drivers, and to examine and compare the predictors of their health behavior according to the level of CVD incidence risk. METHODS The convenience sample of 222 male bus drivers were recruited from a bus company located in Jeonnam province. Data were collected from self-reported questionnaires and annual medical examination records from 2010. The CVD incidence risk was calculated based on the risk criteria for industrial workers. RESULTS The 26.6% and 26.1% of the participants were in the moderate and high risk group, respectively. The 72% of the participants were in the precontemplation stage and reported no intention to change their unhealthy lifestyles. Stepwise multiple regression analyses showed that current smoking, excessive alcohol drinking, physical inactivity and lack of knowledge were negative predictors of good health behavior in the normal/low risk group (Adj R2=.443). Heavy alcohol drinking, current smoking, physical inactivity and dyslipidemia were reported by the moderate/high risk group (Adj R2=.427). CONCLUSION This study suggested that targeted education and counseling are needed to modify unhealthy lifestyles such as alcohol consumption, smoking and exercise among middle aged male drivers. Especially, dyslipidemia should be managed among those who are at risk for CVD.
PURPOSE This study was conducted to identify the factors that predict a current smoking behavior and higher emotional stress among male patients with acute coronary syndrome (ACS). METHODS The study was approved by an institutional review board from a university hospital, 2010. A face to face interview using questionnaires was performed with 185 first-time ACS male patients who were undertaken a percutaneous coronary intervention at a cardiovascular care unit. Data were analyzed using SPSS/WIN 15.0. RESULTS About 54% of the study subjects were currently smoking. The current smokers had dyslipidemia and reported bad eating habits compared to the non-smokers. The current smokers were younger, living alone, and reported lower perceived benefit on smoking cessation than the non-smokers, and 15% of them did not consider quitting (precontemplation stage). Smoking status was not significantly related to emotional stress. Logistic regression analysis revealed that being employed including professional or labor increased the odds of current smoking four or three times compared to the non-employed or retired. Low income or dyslipidemia also increased the likelihood of current smoking 2.8 and 2.1 times, respectively. Blue collar workers or heavy drinkers had 2.9 and 2.8 times more risks of having higher level of stress. CONCLUSION An occupational background and health habits should be considered to develop an effective educational strategy for smoking cessation and stress reduction among male patients with ACS.
PURPOSE This study was designed to identify meaningful themes related to the recognition of lifestyle risk factors and barriers in seeking treatment following an acute event of first-time acute myocardial infarction. METHODS A methodological mixed method of thematic content analysis and a quantitative analysis was used. The sample consisted of 120 male patients < 65 years of age who agreed to be in the study were interviewed using a semi-structured during 2008-2009. Data were analyzed according to the procedure of thematic content analysis and the meaningful themes were coded into SPSS data for quantitative analysis. RESULTS Pre-hospital delay greater than three hours reported by 58.3% (n=70) of the sample and similarly 63.3% had no recognition about their symptoms as cardiac in origin. The mean number of risk factors was 3.9+/-1.8 out of 11 when lifestyle and psychosocial factors were included. From the interview data among the 70 patients delayed greater than three hours, thirty-five themes categorized into 12 main themes influenced the delayed decision which was identified according to personal-cognitive, socio-cultural, and contextual factors. CONCLUSION Health care providers should consider these themes in designing individual interventions to make lifestyle changes and to facilitate more prompt decisions to seek care.
PURPOSE This study was conducted to examine the degrees of depression and activities of daily living (ADLs), and to identify factors that predict depression in elderly patients. METHODS The sample was149 patients (80% female; mean age 79.1) from three geriatric hospitals located in small cities and who agreed to participate in the study. Data were collected by staff nurses involved in direct patient care from October to September 2009. The level of depression was measured on a daily basis for seven days using a 13-item scale. Patients' ADLs was measured using a modified 10-item Bathel ADLs scale. Data were analyzed using SPSS/WIN 17.0. RESULTS Mean depression score was 10.05+/-4.77 out of 26 points and about 27% was assessed as depressed with more than 13 points. Multiple regression analysis showed that low educational level, absence of spouse and fewer family visits predict depression. In addition, low ADLs and sleep disturbance predict depression. CONCLUSION Nursing care providers need to be concerned about ADLs of older patients and should develop nursing activity programs to increase their in-hospital physical activities. It is also important care for older patients' sleep and encourages family visits to decrease their depression.
PURPOSE The purpose of this study was to explore the direction for development of the Korean Journal of Adult Nursing toward becoming an international journal through analysing the accepted and rejected papers during the last three years (2007-2009). METHODS Two hundred and ten accepted papers were analyzed focusing on research methodology and key words using descriptive statistics. In addition, rejected papers were reviewed to analyze their study designs and key words. RESULTS The proportion of quantitative research was 86.4% while the proportion of qualitative research was 9.5%. The majority of the qualitative research design was survey (71.8%). Sixty percent of the research had verbal consent and 32.7% had written consent from the participants. The prevailing data collection settings were hospitals (52.1%), and community (22.7%). The most frequently used research domain was health. It was noted that theoretical framework was rarely presented. The paper rejection rate was 31.5% and among the rejected paper, 75.3% was survey. CONCLUSION The results of this analysis suggest that published studies have been improved and diversified compared with the papers published before the year 2007. However, translation research, clinical trials by nurses, and more detailed evaluation process for ethics in research need to be facilitated.
PURPOSE This study was conducted to develop a Web-based learning program on cardiopulmonary emergency care for clinical nurses and to evaluate learners' responses. METHODS Based on the assessment of learning needs of clinical nurses, a total of three self-directed learning modules were developed according to the procedure of the ADDIE (assessment, design, development, implementation, & evaluation) model. RESULTS Each learning module included the emergency treatments and drugs used in the real patients' situations with cardiopulmonary crisis, which had been adopted from the emergency department of a C University hospital located in G-city. Real video clips for endotracheal intubation and ACLS (advanced cardiac life support) were developed with the help of the staff of the department of emergency medicine using a human simulator, SimMan(R). The program published on the Web was evaluated by 20 clinical nurses who are working in the emergency department and wards of a C-University hospital. About 80% of the respondents were satisfied with the program contents, design, and learning strategy. CONCLUSION Web-based learning programs on cardiopulmonary emergency care are needed for clinical nurses as educational material for staff education to increase their knowledge for making immediate clinical decisions and in giving skilled care in emergency situations.
PURPOSE This study was conducted to identify the clinical characteristics and risk factors on the occurrence of variant angina, and to examine the predicting factors on the vascular endothelial dysfunction of the patients with variant angina. METHODS A total of 134 patients diagnosed with variant angina were recruited from 2006 to 2008. The degrees of endothelial dysfunction were measured and recorded by the researcher using the values of flow-mediated vasodilation of their brachial arteries and Nitroglycerine-mediated dilation. Subjects' demographic data and risk factors were gathered after obtaining informed consent, and their electronic medical records were reviewed to collect laboratory data. RESULTS The mean age was 54.2 +/- 9.6 years and 52% was male patients. More than 50% of the male patients were cigarette smokers and had hypercholesterolemia. 84% of the male patients and 70% of the female patients had more than one risk factor of cardiovascular disease. A stepwise multiple regression analysis showed that smoking and hypercholesterolemia predicted the decrease of flow-mediated vasodilation (Adjusted R(2) = .204, p < .001). CONCLUSION Tailored educational interventions for smoking cessation and cholesterol management are needed to prevent recurrence of angina attack for patients with variant angina and to prevent cardiovascular disease for middle-aged workers.
PURPOSE This descriptive study was conducted to identify the level of knowledge of stroke symptoms and risk factors among older adults. METHODS A total of 200 older adults over 65 years of age were conveniently recruited from out patient departments of two hospitals and a health care center from October to November 2008. The level of knowledge was assessed using both open-ended questions and a structured questionnaire based on semi-structured interviews. Data were analyzed by t-tests and ANOVA using the SPSS program. RESULTS 52.5% of the sample had hypertension and 30% had diabetes. The mean knowledge scores for symptoms and risk factors were 8.4 +/- 3.1(out of 15) and 9.5 +/- 3.9 (out of 16), respectively. The older adults who had lower education, lower family income, and who lived in rural areas were more likely to have less knowledge of stroke symptom and risk factors(p < .05). There was no significant knowledge difference between the older adults who had at least one risk factor and those who had no risk factor for stroke. CONCLUSIONS Educational intervention should be focused on informing older adults who are at risk for stroke about the early symptoms and management of risk factors, especially those who have low education and low social status.
PURPOSE This study was conducted to develop Web-based multimedia contents for supporting student nurses' clinical practice on critical care, and to evaluate learners' responses. METHODS Based on the steps of Assessment, Design, Development, Implementation, & Evaluation(ADDIE) model, a total of 13 self-directed learning modules including live lectures and real video clips were developed through faculty collaboration of nine nursing colleges in Gwangju and Chonnam province. The finally developed multimedia contents were published on the Web of the learning management system at a local e-learning center. RESULTS The Web contents were evaluated after self-learning by 81 junior college nursing students who were encouraged to study it at their own pace during their two-week clinical practice at a medical or surgical intensive care unit of a university hospital and two hospitals. The knowledge (t = -27.66, p < .001) and self-evaluated clinical performance level(t = 7.54, p < .001) were significantly increased after learning of the Web contents and clinical practice, and satisfaction level that measured post-test only was 4.0 out of 5 point. CONCLUSION The use of Web contents for critical care need to be extended as a complimentary material in a class room lecture or clinical practice of students to increase their self-learning ability and understandings of clinical knowledge and situation.
PURPOSE This study was conducted to develop an integrated undergraduate course including a PBL based on a blended learning strategy, and evaluate learners' responses. METHODS The learning contents of cardiovascular, respiratory, and musculoskeletal medical systems, and nursing diagnoses of 'activity and rest' domain (NANADA's classification II, 2005) were analyzed. Six clinical scenarios with the clients in different life cycles were developed for PBL. Classical lecture and group presentation with on-line self learning were implemented in addition to PBL. The developed course was implemented on 84 junior nursing students in a university for 7 weeks with 5 hours per day, two days per week. Students were asked to complete structured questionnaires including problem solving, critical thinking, and nursing diagnosis differentiation abilities. RESULTS Learner's evaluation was positive in problem solving skills and in the differentiation ability of nursing diagnoses relevant to an 'activity and rest' functional health pattern. CONCLUSION Development and implementation of integrated courses based on a blended learning method need to be continued to enhance students' thinking and self-directed learning abilities. Supporting strategies for individual learners should be added for successful blended learning such as individual on-line feedback and consideration of individual learning outcomes.
PURPOSE This study aimed at developing the problem-based learning packages on the respiratory and cardiac system of an adult- health nursing course, and to examine the effect of PBL on the knowledge, learning attitude and motivation in nursing students. METHOD: A total of 7 PBL packages were developed through the analysis of learning contents and integration of concepts. Clinical scenarios used in 7 PBL packages were selected and composed at a respiratory and a cardiovascular unit, a medical ICU and a chest-surgery unit of C university hospital in G-city. The PBL method was implemented 3 hours a week for 12 weeks to 35 students of an experimental group, and the conventional lecture was implemented to 38 students at C college of C province from Sept. to Dec. 2002. A pretest-posttest experimental design was used. RESULT: The PBL students (n=35) scored significantly higher knowledge than conventional students (n=38) in the area of problem solving (t=3.418, p=. 001). But, there is no significant difference in the memory-dependent knowledge. Also, The level of learning attitude (t=3.570, p=. 001) and learning motivation (t=3.446. p=. 001) was significantly higher in PBL students. CONCLUSION: PBL method appears to be effective in improving nursing students' problem-solving knowledge and positive learning attitude and motivation.
This study has been conducted for the purpose of identifying the levels of knowledge and attitude about dementia, and exploring the degrees of practice and the relationship among these variables in nursing assistants caring institutionalized demented elders. The subjects were 87 formal caregivers from 3 dementia-specialized nursing facilities, 2 dementia-specialized hospitals, 1 general psychiatric hospitals, and 3 general nursing homes. The data were gathered from July 10th to August 5th, 1998 through interviews by questionnaires. The measuring instruments of this study were developed by the researcher and proven for their reliability and validity. The collected data were analyzed using SAS program. 1) The lowest score among 6 sub-areas about practice showed on this subarea of maintenance of remained ADL function, offering stimuli and activities to demented elders was the second. 2) The third hypothesis of "the higher the attitude score they have, the higher the practice score they do" was supported (r=.370, p=.025). 3) The influencing factors significantly on knowledge were educational status, learning experience about taking care of patients, learning experience about dementia during last a year. 4) A factor of the period of taking care demented elders have significantly influenced on the attitude about dementia. 5) The influencing factors significantly on practice were age, marital status, learning experience about taking care of patients, learning experience about dementia during the last a year. 6) The most difficult situation the subjects perceived in taking care of demented elders was managing the aggressive and resistive behaviors of demented elders.
E-SUBMISSION
First
Prev
