Purpose
This scoping review aimed to comprehensively examine environmental and individual factors contributing to clinical practice stress among nursing students in South Korea and to provide evidence-based recommendations for improving the clinical education environment. Methods: A scoping review was conducted following Arksey and O’Malley’s five-stage framework and the PRISMA-ScR guidelines. Relevant studies published between January 2016 and March 2025 were identified through searches of domestic databases (KCI, RISS) and international databases (PubMed, CINAHL) using predefined keywords. A total of 18 studies met the inclusion criteria. Data were extracted using a standardized template and categorized by study characteristics, methodological features, and stress-related variables. Results: Most included studies were conducted after 2022 and involved students from multiple institutions. Environmental stressors identified included poor clinical setting quality, lack of instructor support, interpersonal challenges, limited educational infrastructure, and disruptions caused by new infectious diseases. At the individual-level, resilience, coping strategies, and emotional regulation were the most frequently studied variables. Among these, resilience was consistently reported as a protective factor against stress, while incivility emerged as the most prominent environmental stressor. Multiple regression models indicated that stress-related factors explained between 18.0% and 75.6% of the variance in outcomes. Conclusion: Clinical practice stress in nursing students results from a dynamic interaction between environmental and individual factors. Nursing education programs should incorporate resilience-enhancing interventions, strengthen collaboration with clinical sites, and adopt flexible educational methods, such as simulation-based training, particularly during periods of restricted clinical access.

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

Purpose
The incidence of diabetes mellitus (DM) rises significantly in the post-middle-age population, and stress along with depressive symptoms hinders effective DM management. This study examined the mediating effect of social capital (trust in the physical environment, reciprocity, social participation, and social networks) on the relationship between perceived stress and depression among middle-aged adults with DM in Korea. It also aimed to provide data for developing targeted interventions to enhance blood glucose management in this population.
Methods
A descriptive correlational study using data from the 2019 Community Health Survey by the Korea Disease Control and Prevention Agency (KDCA) was conducted. Complex sample regression analysis and the Sobel test were employed for mediation analysis. The study included 9,394 middle-aged adults (aged 45-64 years) diagnosed with DM. The analysis assessed the effects of perceived stress on social capital and depression, as well as the mediating role of social capital.
Results
Perceived stress negatively impacted social capital (β=-0.16, p<.001) and positively influenced depression (β=0.37, p<.001). Both perceived stress and social capital significantly affected depression (F=998.83, p<.001), with social capital showing a partial mediating effect (z=2.65, p<.001).
Conclusion
Social capital partially mediated the relationship between stress and depression, suggesting its potential as a strategy for reducing stress and lowering depression among middle-aged adults with DM. These findings lay the groundwork for targeted interventions to improve blood glucose management in this population. Future research should explore the relationships among specific components of social capital, stress, and depression.

Purpose
This study aimed to assess the level of depression among older adults experiencing tinnitus and to identify predictive factors of depression through an analysis of secondary data.
Methods
Data from the ninth Korea National Health and Nutrition Examination Survey conducted in 2022 were utilized for this analysis. We examined individuals aged 60 years or older who had experienced tinnitus for more than 6 months. Complex sample analysis techniques were conducted, and multiple regression analysis was performed to identify predictors of depression.
Results
The study included 231 participants. Significant differences in depression levels were observed across several demographics and health factors, including gender, education level, self-rated health status, living alone, and stress level. Depression levels were significantly correlated with self-rated health status, stress levels, and average sleep duration. Additionally, significant correlations were found between self-rated health and stress levels, self-rated health and the number of chronic diseases, as well as between stress levels and the number of chronic diseases. Multiple regression analysis indicated that self-rated health status (p<.001), stress level (p<.001), and average sleep duration (p=.042) were significantly associated with depression. Specifically, poorer self-rated health, higher stress levels, and shorter sleep duration were associated with higher levels of depression.
Conclusion
In older patients with tinnitus, self-rated health status, stress level, and average sleep duration significantly impact depression levels. These findings provide an important foundation for developing interventions to reduce depression in individuals with tinnitus.

Purpose
Cancer diagnosis is associated with psychological distress, which often leads to a significant reduction in adaptation and quality of life. This study aimed to identify the prevalence and related factors of psychological distress in newly diagnosed breast cancer patients.
Methods
The study included 138 women scheduled for surgery or neoadjuvant chemotherapy following a recent breast cancer diagnosis at a university hospital in Korea. Psychological distress was assessed using the National Comprehensive Cancer Network Distress Thermometer and problem lists. Data collection occurred from November 1, 2021, to November 30, 2022. Descriptive statistics and logistic regression analysis were utilized for data analysis.
Results
The average age of the participants was 51.72 years. Among the 138 participants, 67.4% (n=93) reported moderate to severe levels of psychological distress. Multivariate logistic regression analysis identified financial burden (Odds Ratio [OR]=4.32), fears (OR=5.35), and nervousness (OR=5.50) as predictors of moderate to severe psychological distress.
Conclusion
Approximately two-thirds of newly diagnosed breast cancer patients experienced significant psychological distress. Nervousness, fears, and financial burden were significant factors influencing this distress. Therefore, management of psychological distress should be implemented for patients experiencing financial burdens or emotional problems, such as nervousness and fear, from the time of diagnosis.

Citations

• Impact of fragmented care on cancer outcomes among korean women with breast and cervical cancer: a focus on regional and economic disparities
  Sun Jung Kim, Noorhee Son, Woo-Ri Lee, Dong-Woo Choi, Seojin Park, Kyu-Tae Han
  International Journal for Equity in Health.2025;[Epub]     CrossRef
• Family roles and limitations as mediators in medical communication for cancer patients: A qualitative study
  Yeori Park, Jiyeon Kang, Yeonju Kim, Young Su Park, Sang-Ho Yoo, Taiwo Opeyemi Aremu
  PLOS One.2025; 20(10): e0333669.     CrossRef

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

Purpose
This study was conducted to investigate the moderating effect of physical activity on the relationship between perceived stress and depression in patients newly diagnosed with ischemic heart disease. Methods: This study had a cross-sectional design. Data were collected using a structured self-report questionnaire, which covered demographic characteristics, perceived stress, depression, and physical activity. Multiple linear regression was used to determine whether perceived stress and physical activity influenced depression, after controlling for demographic characteristics. The moderating effect of physical activity on the relationship between perceived stress and depression was analyzed using model 1 of the PROCESS macro (bootstrap sample size=5,000). Results: The findings revealed that the level of depression was higher in women (p=.003), individuals without a spouse (p=.004), and those with an average monthly income of less than 3 million won (p=.045). The regression results showed that perceived stress was associated with a significant increase in the level of depression (β=.53, p<.001), and low physical activity was also a significant predictor of depression (β=.16, p=.013). The moderating effect of physical activity on the relationship between perceived stress and depression was confirmed, indicating that when physical activity was high, the impact of perceived stress on depression was weaker than when physical activity was low (B=-0.37, p=.038). Conclusion: The findings suggest the need to implement a nursing program that can enhance physical activity and early screening for stress and depression in patients with ischemic heart disease.

Purpose
Contrast therapy, which includes alternately applying cold and heat therapy, is an effective intervention to increase muscle elasticity and reduce musculoskeletal edema and pain. This study aimed to confirm the effects of contrast therapy by using flexible Thermoelectric Devices (TEDs) — that not only maintain a constant temperature but can also change the temperature in a short time — on lower extremity edema, pain, muscle fatigue, and stress among nursing home workers.
Methods
This randomized controlled pre-post experimental study used a flexible thermoelectric element to administer contrast therapy in nursing home workers to compare its impact on lower extremity swelling, pain, muscle fatigue, and stress. As an intervention method, 4 minutes of heat therapy and 1 minute of cold therapy were repeated for a total of 30 minutes.
Results
The experimental group displayed a significant difference of -2.53 points, and the control group displayed a significant difference of -0.94 points (t=2.65, p<.050) as a result of an analysis comparing the two groups’ pain levels before and after the experimental treatment. The experimental group also displayed a statistically significant reduction in the degree of lower extremity edema (t=3.91, p=.001). Furthermore, the experimental group’s lower extremity stress index decreased significantly (t=2.87, p=.049).
Conclusion
The findings of this study indicated that contrast therapy by using flexible TEDs alleviated stress, leg pain, and swelling in nursing home workers and could be used as an intervention to alleviate musculoskeletal problems in healthcare workers.

Purpose
This study aimed to synthesize evidence for the association of psychological stress with Telomere Length (TL)-a potential biomarker of cellular aging. Methods: A systematic literature search was conducted to identify eligible studies in the Cochrane Library, PubMed, Embase, and CINHAL. In this review, we included all papers published since the initiative's inception and summarized results as of March 2022. Studies that investigated subjective stress using questionnaires and objective stress using biomarkers of adults (aged≥18 years) were included. Ultimately, 20 studies met our selection criteria. The risk of bias was assessed using the Newcastle-Ottawa Scale. Results: Fifteen of the twenty studies (75.0%) reported that individuals with higher psychological stress levels had shorter TL. Eleven of sixteen studies (68.8%) measuring subjective stress and five of eight studies (62.5%) measuring objective stress showed significant associations of psychological stress with TL. However, five studies reported no association between psychological stress and TL shortening. Although the heterogeneous studies limited the ability to draw clear conclusions, it is suggested that psychological stress might accelerate the erosion of telomere ends.
Conclusion
Our findings indicate that TL could be a useful emerging biomarker for measuring stress-related health outcomes in nursing. Further large-scale longitudinal studies using TL as a genetic biomarker with multidimensional stress measurements are needed to investigate the association between psychological stress and cellular senescence.

Citations

• A biobehavioral theoretical framework based on the mechanism of cellular aging for nursing interventions to promote autonomic balance
  Nahyun Kim, Jooyeon Park
  Journal of Korean Biological Nursing Science.2024; 26(2): 99.     CrossRef
• The Understanding and Application of Telomere Length as an Emerging Biomarker in Adult Nursing Research: A Review
  Seolbin Han, Jihee Min, Dae-Kwang Kim, In Deok Kong, Nahyun Kim
  Korean Journal of Adult Nursing.2023; 35(1): 1.     CrossRef

Purpose
This study aimed to identify the relationship among post-traumatic stress disorder (PTSD), resilience, and retention intention in nurses who had experienced a traumatic event during hospital work. Methods A structured questionnaire, was administered online from September 10 to September 22, 2021 to 198 nurses who had experienced a traumatic event during work at a university hospital in G metropolitan city. Data were analyzed using three-step mediated regression analysis. Results Of the total participants, 70.7% had a high risk of PTSD. PTSD (β=-.20, p=.002) and resilience (β=.47, p<.001) had a direct effect on retention intention, and the explanatory power was 27.0%. However, the mediating effect of resilience on the relationship between PTSD and retention intention was not supported, which indicates that the relationship between post-traumatic stress and resilience was not significant (β=-.09, p=.232). Conclusion Although there was no mediating effect of resilience, PTSD and resilience are considered to be important in order to improve nurses’ retention intention. It is needed to develop strategies to prevent the occurrence of traumatic events and to formulate policies and conduct programs for stress symptom management, aimed at increasing nurses’ resilience.

Citations

• Vicarious Resilience in Hospital Nurses: A Concept Analysis
  Miri Jeong
  Healthcare.2025; 13(18): 2279.     CrossRef

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

Citations

• Navigate Chronic Illness: Antecedents and Consequences of Family Resilience—A Systematic Review and Meta-Analysis
  Charin Suwanwong, Darawan Raksat
  The Family Journal.2025;[Epub]     CrossRef
• Effectiveness of web-based education program on knowledge, coping, burden, and quality of life among colorectal cancer caregivers in Vietnam: a quasi-experimental study
  Hien Thi Nguyen, Hsiu-Hsin Tsai, Hong Thuy Phuong Huynh, Thuy Khanh Linh Tran, Tuan Anh Le, Li-Chueh Weng, Ching-Yu Cheng, Pei-Kwei Tsay, Wann-Yun Shieh, Chia-Yih Liu
  BMC Nursing.2025;[Epub]     CrossRef
• Mediating Effects of Family and Clinical Characteristics on the Quality of Life of Children With Spina Bifida and Their Parents
  Seung Hyeon Yang, Hyeseon Yun, Hooyun Lee, Kyua Kim, Chang Gi Park, Eun Kyoung Choi
  Journal of Advanced Nursing.2025;[Epub]     CrossRef
• Resilience and its association with caregiving and psychosocial factors among lung cancer caregivers in Vietnam
  Thinh Toan Vu, Sasha Fleary, Glen Johnson, Victoria Khanh Ngo
  European Journal of Oncology Nursing.2025; 77: 102932.     CrossRef
• Asian American Occupational Therapy Practitioners’ Perspectives on Supporting the Mental Health of Asian American Caregivers for Older Adults
  Arianna Bayangos, Rawan AlHeresh, Hadeel R. Bakhsh, Diane Smith, Claudia Hilton
  Occupational Therapy International.2025;[Epub]     CrossRef
• Linking Healthcare, Family, and Work Systems: the Roles of Family-Centered Care, Family Resilience, and Caregiving-to-Work Conflict in Psychological Well-being among Parents of Children with Autism Spectrum Disorder
  Liangqi Shen, Linxiao Zhang
  Applied Research in Quality of Life.2025; 20(5): 2099.     CrossRef
• The effect of mindfulness‐based interventions on caregiver burden, quality of life and psychological distress in caregivers of adults with chronic diseases: Systematic review and meta‐analysis of randomized controlled trials
  Gülyeter Erdoğan Yüce, Ayser Döner, Aylin Bilgin, Gamze Muz
  Worldviews on Evidence-Based Nursing.2024; 21(5): 528.     CrossRef
• The experiences of family resilience in patients with permanent colostomy and their spouses: A dyadic qualitative study
  Fangfang Yang, Sumin Cui, Mengyi Cai, Fangming Feng, Meihui Zhao, Mengchen Sun, Weiying Zhang
  European Journal of Oncology Nursing.2024; 70: 102590.     CrossRef
• Dyadic effects of family resilience on quality of life in patients with lung cancer and spousal caregivers: The mediating role of dyadic coping
  Jianfan Ke, Jialing Lin, Xiujing Lin, Wei-ti Chen, Feifei Huang
  European Journal of Oncology Nursing.2023; 66: 102400.     CrossRef
• Family resilience and its influencing factors among advanced cancer patients and their family caregivers: a multilevel modeling analysis
  Panpan Cui, Jiaoxia Shi, Shifeng Li, Mikiyas Amare Getu, Ruibo Wang, Changying Chen
  BMC Cancer.2023;[Epub]     CrossRef

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

Citations

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

Purpose
This study aimed to examine health-promoting behaviors among Vietnamese students in Korea and identify the factors affecting these behaviors. Methods: A survey using self-administered questionnaires was employed. Data were collected between October 2020 and May 2021 from 260 Vietnamese students whose stay in Korea has been for longer than six months and who agreed to participate in the study. Variables included health-promoting behaviors (physical activity, nutrition, stress management, and health risk behavior), self-esteem, acculturative stress, and social support. A multiple regression analysis was performed to assess the factors that might influence health-promoting behaviors. Results: Of the total participants, 56.9% were women, and the mean age was 24.60±2.58 years. The mean score of the participants on total health-promoting behaviors was 2.64±0.36, on self-esteem 2.96±0.35, on acculturative stress 2.39±0.15, and on social support 2.53±0.24. Self-esteem, acculturative stress, social support, length of stay in Korea, and education level were found to affect healthpromoting behaviors, and these variables explained 76.2% of the variance. Conclusion: There is a need to develop intervention strategies for promoting self-esteem and social support programs and coping strategies for managing acculturative stress to increase health-promoting behaviors among Vietnamese students.

Purpose
This study aimed to identify the mediating effect of fatigue in the relationship between clinical nurses’ job stress and medication safety performance.
Methods
For this cross-sectional study, 122 registered nurses were recruited through convenience sampling. The results were collected from August to September 2020 using self-reported structured questionnaires, analyzed with IBM SPSS Statistics 25.0 and using descriptive statistics, independent t-tests, one-way analysis of variance and Pearson correlation coefficient, and hierarchical multiple regression analysis. The mediating effect was analyzed using PROCESS macro with a 95.0% bias-corrected bootstrap confidence interval (5,000 bootstraps re-sampling).
Results
Significant positive correlation was observed between job stress and fatigue (r=.57, p<.001). Significant negative correlations were observed between job stress and medication safety performance (r=-.27, p=.003), fatigue, and medication safety performance (r=-.55, p<.001). Fatigue has a mediating effect between job stress and medication safety performance in nurses (indirect effect=-0.11, 95% Boot confidence interval=-0.16~-0.07).
Conclusion
To improve the medication safety performance of clinical nurses who experience job stress and fatigue, early detection and periodic observation of nurses’ job stress and fatigue should be made. Moreover, job stress and fatigue should be considered together in devising relevant interventions.

Citations

• The Mediating Effect of Self-Transcendence on the Relationship between Job Stress and Wellness among Nurses
  Sung Mi Kim, Da Eun Kim
  Journal of Korean Academy of Nursing Administration.2025; 31(4): 394.     CrossRef
• Factors influencing job stress in pediatric nurses during the pandemic period: Focusing on fatigue, pediatric nurse−parent partnership
  Bo Yeong Jeon, Sun Jeong Yun, Hye Young Kim
  Journal for Specialists in Pediatric Nursing.2024;[Epub]     CrossRef
• Comparison of methods for testing mediation effects under structural equation modeling framework: Percentile bootstrap and bias-corrected bootstrap
  Mikyung Sim, Youngsuk Suh, Su-Young Kim
  The Korean Journal of Psychology: General.2022; 41(2): 103.     CrossRef

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

• 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
The purpose of this study was to investigate the roles of the perception of aging symptoms in mediating and moderating the relationship between family function and stress in middle-aged adults.
Methods
This was a cross-sectional correlational study of 244 middle-aged men and women. Self-administered surveys were conducted using the Family APGAR, stress index, and symptom management beliefs questionnaire. The data were analyzed using descriptive statistics, independent t-test, Pearson’s correlation coefficient, hierarchical multiple regression analysis, and PROCESS macro using SPSS 23.0.
Results
A significant interaction between family function and the perception of aging symptoms in predicting stress was found, indicating a moderating effect of the perception of aging symptoms on the relationship between family function and stress. An indirect effect of family function on stress through the perception of aging symptoms was not significant, indicating an insignificant mediating effect of the perception of aging symptoms.
Conclusion
The relationship between family function and stress differed depending on participants’ perceptions of aging symptoms. Individuals with negative perceptions of aging symptoms may be vulnerable to stress caused by poorer family function. It is necessary to develop programs to help modify negative perceptions of aging as well as strengthen family function to decrease the stress of middle-aged adults.

Citations

• The Relationship Among Stress, Sense of Coherence and Sleep Quality in Middle-aged Women
  So Hyeon Kim, So Young Choi
  Journal of Korean Maternal and Child Health.2025; 29(3): 137.     CrossRef

PURPOSE
Critical care nurses are often exposed to many stressors, which may predispose them to develop work-related Post-Traumatic Stress Disorder (PTSD). Hence, this study's purpose was to identify factors associated with PTSD among nurses in the Intensive Care Unit (ICU), who had experienced trauma events.
METHODS
For this descriptive study, 169 subjects were recruited at the C University Hospital, where data were collected through the intranet from February 1 to March 16, 2018. Based on the stress, appraisal-coping model, well-structured questionnaires were used to measure PTSD as the dependent variable; and Type D personality, resilience, communication ability, problem solving ability, stress coping style, stress inducing events, and social support as independent variables. Multiple logistic regression was used to analyze PTSD related factors.
RESULTS
The mean of PTSD symptoms was 15.52±12.94; with 20.7% and 45.6% of participants falling in the PTSD high risk and Type D personality groups, respectively. Moreover, resilience was found to be 107.41±12.79, traumatic events to be 28.25±7.07, and social support to be 80.22±12.20, while the following parameters were associated with PTSD: D type personality (Odds Ratio [OR]=4.27, 95% Confidence Interval [CI]=1.62~11.21), experience of traumatic events (OR=1.08, 95% CI=1.02~1.15), resilience (OR=0.96, 95% CI=0.92~0.99), and social support (OR=0.96, 95% CI=0.92~0.99).
CONCLUSION
While examining risk factors associated with PTSD, Type D personality and the occurrence of trauma events should be considered when nurses are assigned to ICUs, along with the improvements required in hospital culture for enhancing resilience and social support.

Citations

• The Effects of Operating Room Nurses’ Experiences of Verbal Violence, Resilience, and Social Support on Post-Traumatic Stress
  Do Kyun Kim, Sung Hee Shin
  Healthcare.2025; 13(16): 2027.     CrossRef
• The impact of intensive care unit nurses’ deliberate rumination, resilience, and social support on post-traumatic growth
  Mi Hee Jin, Youngji Kim
  The Journal of Korean Academic Society of Nursing Education.2025; 31(4): 496.     CrossRef
• Professional quality of life, resilience, posttraumatic stress and leisure activity among intensive care unit nurses
  Noori Shin, Yun‐Jung Choi
  International Nursing Review.2024; 71(1): 94.     CrossRef
• The Moderating Role of Perceived Social Support in the Relation between Type D Personality and PTSD Symptoms among ICU and ER Nurses
  Sohyeon Kim, Myung-Ho Hyun
  STRESS.2023; 31(4): 197.     CrossRef
• Psychopathological Factors Associated With Burnout in Intensive Care Nurses: A Cross-Sectional Study
  Erman Yıldız
  Journal of the American Psychiatric Nurses Association.2023; 29(2): 122.     CrossRef
• Relationship among Post-traumatic Stress Disorder, Resilience, and Retention Intention in Nurses who had Perceived Traumatic Events
  Jin Young Lee, Ja Yun Choi
  Korean Journal of Adult Nursing.2022; 34(4): 403.     CrossRef
• The Impact of Social Supports on the Excessive Alcohol Use of the Middle-Aged Adults in South Korea: Do All Types of Social Supports Have Positive Effects on Excessive Alcohol Users?
  Seong-Jun Maeng, Kwang-Hyun Kim, Jun-Hyeok Kang
  International Journal of Environmental Research and Public Health.2022; 19(19): 12624.     CrossRef
• Post-traumatic Growth and it’s associations with Deliberate Rumination, Self-disclosure, and Social Support among Intensive Care Unit Nurses
  Sae Mi Min, Hee Jun Kim, Chun-Ja Kim, Jeong-Ah Ahn
  Journal of Korean Critical Care Nursing.2022; 15(2): 50.     CrossRef
• Experience of Violence and Factors Influencing Response to Violence Among Emergency Nurses in South Korea: Perspectives on Stress-Coping Theory
  Seung-Yi Choi, Hyunlye Kim, Kwang-Hi Park
  Journal of Emergency Nursing.2022; 48(1): 74.     CrossRef
• The Influence of Traumatic Events on Turnover Intention among Nurses Working in Intensive Care Units: The Moderating Effect of Emotional Intelligence
  Hyunmi Kim, Jiyoung Park
  Journal of Korean Critical Care Nursing.2021; 14(2): 70.     CrossRef
• Predictors of posttraumatic growth of intensive care unit nurses in Korea
  Ae Kyung Chang, Hyejin Yoon, Ji Hyun Jang
  Japan Journal of Nursing Science.2021;[Epub]     CrossRef
• Effect of Expressive Writing on Professional Quality of Life and Resilience among Intensive Care Unit Nurses
  Danbi You, Hye-Ja Park
  Journal of Health Informatics and Statistics.2021; 46(3): 276.     CrossRef

PURPOSE
The purpose of the study was to evaluate the influence of patient activation on diabetes self-care activities and diabetes-specific distress among patients with type 2 diabetes mellitus.
METHODS
This cross-sectional correlational study was a secondary data analysis, utilizing data collected from September 2016 to July 2017, for 151 adults diagnosed with type 2 diabetes in ambulatory endocrinology units of two tertiary hospitals in a metropolitan city. The instruments used for data collection included the Summary of Diabetes Self-Care Activities Questionnaire, the Patient Activation Scale, and the Brief Diabetes Distress Screening Instrument. Hierarchical multiple linear regression analyses were conducted to test the influence of patient activation levels on self-care activities and diabetes-specific distress, after controlling for demographic and clinical variables.
RESULTS
The average patient activation level was 67.8±16.72 (with the possible range from 0 to 100), and the average diabetes-specific distress level was 6.91±2.69 (with the possible range from 2 to 12). Diabetes self-care activities scores were highest in medication adherence and lowest in glucose self-monitoring. Patient activation was the significant factor influencing self-care activities, after controlling for demographic and clinical variables, but showed no significant influence on diabetes-specific distress. Oral hypoglycemic agents and insulin medications were the significant factors influencing diabetes-specific distress.
CONCLUSION
These findings indicate the importance of nursing interventions to improve patient activation and to alleviate diabetes-specific distress. Therefore, in order to improve diabetes self-care activities, it is necessary to facilitate patient activation for diabetes care.

Citations

• Diabetes self‐care activities and its correlates in patients with diabetic neuropathy
  Younhee Kang, Inkyung Park
  Journal of Clinical Nursing.2025; 34(6): 2163.     CrossRef
• Relationship between Person-Centered Climate and Patient Satisfaction in Cancer Patients: The Mediating Effects of Patient Activation and Nurse Trust
  Hyun Jin Jung, Seon Hwa Park, Jung Hwa Jo, Hyun Jo Youn, A Ram Kim, Da Hye Lee, Mi Sun Park
  Asian Oncology Nursing.2024; 24(1): 21.     CrossRef
• Influence of Digital Literacy and Patient Activation on Sick Role Behavior in Vulnerable Older Adults with Diabetes
  Young-Eun Yi, Hyun-Ju Lee
  Journal of Korean Academy of Fundamentals of Nursing.2024; 31(2): 179.     CrossRef
• Patient Activation in Cancer Patients: Concept Analysis
  Se Young Jang, Eun Sun Lee
  Korean Journal of Adult Nursing.2024; 36(1): 15.     CrossRef
• The Mediating Effect of Experiential Avoidance on the Relationship between Diabetes Distress and Self-Stigma in People with Diabetes Mellitus Type 2 in Republic of Korea
  Kawoun Seo
  Healthcare.2023; 11(20): 2773.     CrossRef
• The Mediating Effect of Acceptance Action in the Relationship between Diabetes Distress and Self-stigma among Old Adults with Diabetes in South Korea
  Hyesun Kim, Kawoun Seo
  Journal of Korean Academy of Community Health Nursing.2022; 33(4): 446.     CrossRef
• Psychometric Evaluation of the Korean Version of PROMIS Self-Efficacy for Managing Symptoms Item Bank: Item Response Theory
  Mona Choi, Chang Gi Park, Soomin Hong
  Asian Nursing Research.2022; 16(4): 187.     CrossRef
• Effects of Symptoms and Patient Activation on Sleep Disturbance in Patients with Acute Leukemia Undergoing Chemotherapy
  Suna Lee, Eunjung Ryu
  Asian Oncology Nursing.2021; 21(3): 173.     CrossRef

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

Citations

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

PURPOSE
Although many studies have reported the high-stress levels of clinical nurses, there are few studies regarding the stress of clinical nurses who are concurrently working and studying as graduate students. This study investigated the stress, self-efficacy, and context of stress experienced by clinical nurses in graduate school.
METHODS
Explanatory sequential strategy of mixed method was used. Stress and self-efficacy were quantitatively analyzed by general and academic characteristics of 61 nurses. The effect of self-efficacy on stress and the conditional effect of the years employed were investigated through conditional process analysis. Stress and related contextual aspects were explored through focus group interviews, differentiated by the number of years employed, with 22 nurses in June of 2018.
RESULTS
The average score of self-efficacy was 3.42±0.53, and stress was 2.88±0.60, out of 5 points. There were no differences in self-efficacy and stress according to demographics and academic characteristics. The moderation effect of the number of years employed on stress was present for those nurses with under 8.88 years of experience. Nurses who had under 9 years of work experience endured a busy schedule full of study and work. On the other hand, participants with more than 9 years of work experience reported having household chores or childcare, so their academic career was less of a priority, and they faced incrementally increasing physical illness or strain in their family life.
CONCLUSION
Since graduate school provides clinical nurses with the opportunity to further advance within the nursing field, a supportive environment is imperative.

Citations

• Experiences of Career Nurses Balancing Clinical Nursing with Ongoing Studies
  Yunhyung Kim, Yeonsook Joo, Eun Hee Kang, Jeong Hye Kim
  Journal of Korean Association for Qualitative Research.2024; 9(3): 215.     CrossRef
• Experience of Work-Study Balance among Clinical Nurses in a Nursing Doctoral Program: A Qualitative Study
  Suyeon Noh, Yeongbin Yu, Sunyeob Choi
  Journal of Korean Academy of Fundamentals of Nursing.2023; 30(2): 193.     CrossRef
• Evaluation of the Effectiveness of Mobile App-Based Stress-Management Program: A Randomized Controlled Trial
  Won Ju Hwang, Hyun Hee Jo
  International Journal of Environmental Research and Public Health.2019; 16(21): 4270.     CrossRef

PURPOSE
This study sought to examine the relationships among patient's stress, pain, and nursing needs in the recovery room after surgery that was performed under general anaesthesia.
METHODS
Participants were adult patients aged 20 to 64 years who underwent surgery under general anesthesia from February 5, 2018 to March 9, 2018. A survey was conducted to evaluate the participants' general demographics, stress, pain and recovery room nursing needs at a Post Anesthesia Care Unit (PACU). A total of 145 patients receiving operational treatment in Daejin Medical Center at Gyeonggi-do were recruited. Collected data were analyzed in terms of percentage, frequency, independent t-test, one-way ANOVA, and Pearson's correlation coefficient using SPSS/WIN 23.0 program.
RESULTS
Among the PACU nursing needs environmental and educational nursing needs were the highest. In addition, patients with underlying diseases experienced more post-operational stress and had fewer educational nursing needs in the recovery room. Therefore, Aggressive pain management and emotional recovery room nursing needs should be provided in the PACU.
CONCLUSION
It is necessary to build a comfortable environment for the patient as well as protect patients from infection and guarantee their privacy. In order to reduce patients' stress, educational nursing needs in the recovery room should be provided before an operation.

Citations

• Preoperative Anxiety and Its Postoperative Associated Factors in Patients Receiving Post Anesthetic Recovery Care at Surgical Intensive Care Unit
  Yul Ha Lee, Hye-Ja Park
  Journal of Health Informatics and Statistics.2023; 48(3): 267.     CrossRef

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

Citations

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

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

Citations

• Pruritus in Palliative Care: A Narrative Review of Essential Oil-Based Strategies to Alleviate Cutaneous Discomfort
  Sara Diogo Gonçalves
  Diseases.2025; 13(8): 232.     CrossRef
• Effects of Non-Pharmacological Sleep Interventions in Older Adults: A Systematic Review and Meta-Analysis
  Hye-Ja Gu, Oi-Sun Lee
  International Journal of Environmental Research and Public Health.2023; 20(4): 3101.     CrossRef
• The Effect of Lavender on Sleep Quality in Individuals Without Insomnia
  Tzu-Ying Chen, Akiko Hiyama, Masumi Muramatsu, Atsuko Hinotsu
  Holistic Nursing Practice.2022; 36(4): 223.     CrossRef
• The effect of lavender on stress in individuals: A systematic review and meta-analysis
  Tina Ghavami, Mohsen Kazeminia, Fatemeh Rajati
  Complementary Therapies in Medicine.2022; 68: 102832.     CrossRef
• The effect of aromatherapy hand massage on distress and sleep quality in hemodialysis patients: A randomized controlled trial
  Dilek Efe Arslan, Nazan Kılıç Akça
  Complementary Therapies in Clinical Practice.2020; 39: 101136.     CrossRef

PURPOSE
The purpose of this study was to test the effect of visual information blocking nursing intervention (VIBNI) on stress and anxiety of patients undergo chemoport insertion in operating rooms.
METHODS
A non-equivalent control quasi-experimental design was used. Forth eight participants were enrolled and randomized to experimental group (VIBNI group, n=24) and control group (n=24). All participants received chemoport insertion under local anesthesia. During chemoport insertion, participants allocated to the VIBNI group had their both eyes covered with gamma-sterilized white gauze (5cm × 20cm, 0.5cm in thickness and 4g in weight) that can transmit light of 330Lux. Data from 43 participants were analysed after excluding 5 participants who withdrew (3 in the VIBNI group, and 2 in the control group) due to hypertension and anxiety history. Blood pressure and pulse were measured for stress. Blood sample (3 mL) was obtained before and during the procedure to measure serum cortisol level. State anxiety and VAS was measured for anxiety.
RESULTS
The difference of cortisol level between two groups was statistically significant after VIBNI intervention (p=.007). In terms of systolic blood pressure (p=.005) and pulse (p < .001), interaction of two groups appeared to be significant over time.
CONCLUSION
In our sample, participants received the VIBNI reported lower stress responses (cortisol level, systolic blood pressure and pulse) during chemoport insertion. Based upon our preliminary results, further evaluation in a larger sample and objective anxiety is warranted.

Citations

• Effects of Forced-Air Warming Therapy on Anxiety, Pain, and Body Temperature of Patients under Local Anesthesia during Surgery: A Quasi-Experimental Study
  Jeongmin Lee, Yeojin Yi
  Journal of Korean Academy of Fundamentals of Nursing.2023; 30(2): 206.     CrossRef

PURPOSE
This study was performed to identify the mediating effect of resilience in the relationship between post-traumatic stress disorder (PTSD) and quality of life (QoL) among patients with ostomy.
METHODS
A crosssectional survey design was used. A convenience sample of 150 patients with ostomy was recruited from three hospitals located in Gwangju and Chonnam province in Korea. Data were collected by self-report questionnaires and included demographics as well as measures of PTSD, resilience, and QoL. Data were analyzed with descriptive statistics, Pearson correlation coefficients, independent t-test, One-way ANOVA, and linear regression using the SPSS 24.0 program.
RESULTS
There were significant negative relationships between PTSD and QoL (r=−.30, p < .001) and between PTSD and resilience (r=−.57, p < .001). Resilience showed a partial mediating effect (β=.39, p < .001) between PTSD and QoL (Z=−3.12, p < .001).
CONCLUSION
This study findings suggest the importance of reducing PTSD scores and improving resilience among persons with ostomy which will possibly increase their QoL. Nursing interventions including counseling or education to improve psychological resilience might help better manage PTSD among patients with ostomy.

Citations

• Relationships between stigma, coping styles, self-care and post-traumatic growth among colorectal cancer patients with permanent enterostomy: A cross-sectional study
  Meida Zhang, Yiming Li
  Heliyon.2025; 11(10): e38902.     CrossRef
• Resilience Among Residents from the Areas First Affected by COVID-19 in South Korea
  Eunhee Nam, Yujeong Kim
  Psychology Research and Behavior Management.2022; Volume 15: 1033.     CrossRef
• Mediating Effect of Resilience between Supportive Care Needs and Quality of Life of Female Genital Cancer Patients
  Yu-Jung Son, Keum-Hee Nam
  Korean Journal of Adult Nursing.2022; 34(3): 269.     CrossRef
• Patient Perspectives on Medical Trauma Related to Inflammatory Bowel Disease
  Kimberly Pothemont, Sarah Quinton, Majdoline Jayoushe, Sharon Jedel, Alyse Bedell, Stephen B. Hanauer, Ece A. Mutlu, Tiffany H. Taft
  Journal of Clinical Psychology in Medical Settings.2022; 29(3): 596.     CrossRef
• Development and Evaluation of Resilience Enhancement Program Applying Mindfulness Meditation in Patients with Ileostomy
  Jee Hye Shin, Ja Yun Choi
  Journal of Korean Academy of Nursing.2021; 51(3): 334.     CrossRef
• Relationship between Self-efficacy and Resilience among Patients with Colorectal Cancer with Stoma: Mediating Effects of Family Support and Medical Staff Support
  Mi Na Yun, Kyoung Mi Kim
  Korean Journal of Adult Nursing.2020; 32(6): 599.     CrossRef
• Hopelessness and suicide ideation in ostomy patients: a mixed method study
  Nasrin Sarabi
  Journal of Coloproctology.2020; 40(03): 214.     CrossRef
• Effects of social support and self‐efficacy on the psychosocial adjustment of Korean ostomy patients
  Keum Hee Nam, Heui Yeoung Kim, Jung Ho Kim, Ki‐Noh Kang, Soo Yang Na, Bok Hee Han
  International Wound Journal.2019; 16(S1): 13.     CrossRef
• Symptom Distress and Depression in Patients with Recurrent Gynecologic Cancer Undergoing Chemotherapy: Mediating Effect of Resilience
  Eun Jung Yang, Ho Sihn Ryu
  Korean Journal of Adult Nursing.2019; 31(1): 28.     CrossRef

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

Citations

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

PURPOSE
There is limited available research about the experiences of family caregivers and their care of family members with cancer. The purpose of this study was to explore the experience of distress among family caregivers. Further, this study explored what aspects of caring for family member contributed to the distress.
METHODS
Data were collected through in-depth interviews with thirteen family members primarily responsible for the care of the member with cancer. All interviews were audio-taped, transcribed, and analyzed with qualitative content analysis.
RESULTS
The findings showed that the patients' physical, psychological, socio-relational, and spiritual symptoms influenced their caregivers' distress. The four categories that emerged from the data included “focusing attention only on the patient battling with cancer,”“being trapped in turmoil of complex emotions and feelings,”“having had to endure alone,” and “hanging in there at the crossroads of life and death.” With respect to these categories, fourteen sub-categories were ultimately identified.
CONCLUSION
Based on this study, researchers need to focus more attention on, and explore such co-existing distress to develop an adequate support program for the family caregivers of cancer patients.

Citations

• Caregivers of patients with cancer: perceived stress, quality of life and immune function
  Yoonjoo Kim, Misook L Chung, Hyangkyu Lee
  BMJ Supportive & Palliative Care.2025; 15(2): 195.     CrossRef
• Validity and Reliability of the Korean Version of the Parkinson’s Disease Questionnaire–Carer
  JuHee Lee, Young H. Sohn, Seok Jong Chung, Sung Hae Kim, Yujin Suh, Jungah Park, Yielin Kim
  Journal of Clinical Neurology.2023; 19(6): 547.     CrossRef
• Influences of Depression and Social Support on Quality of Life in Family Caregivers of Cancer Patients Undergoing Chemotherapy at an Outpatient Department
  Hye Young Kim, Eun Ko
  Journal of Korean Academy of Fundamentals of Nursing.2022; 29(4): 430.     CrossRef
• Factors Related to the Caregiving Burden on Families of Korean Patients With Lung Cancer
  Hyun Jung Lee, Soo Kyung Park
  Clinical Nursing Research.2022; 31(6): 1124.     CrossRef
• Caregiving experiences of Korean family caregivers of cancer patients: An integrative literature review
  Eunice E. Lee, Shin‐Young Lee
  Psycho-Oncology.2020; 29(10): 1486.     CrossRef
• Factors influencing caregiver burden in families of hospitalised patients with lung cancer
  Ye Ji Seo, Heeok Park
  Journal of Clinical Nursing.2019; 28(9-10): 1979.     CrossRef

PURPOSE
This study was aimed to identify the level of emotional labor, job stress and professional quality of life and to identify the factors affecting on professional quality of life among nurses in long-term care hospitals.
METHODS
136 nurses working at eight different long-term care hospitals were recruited from May 1 to June 30, 2016. Data were analyzed by descriptive statistics, t-test, ANOVA, Pearson correlation, and stepwise multiple regression using SPSS/WIN 22.0.
RESULTS
Professional quality of life is consisted of three subcategories as compassion satisfaction, secondary traumatic stress and burn-out. As for the factors affecting on compassion satisfaction, age, satisfaction on working ward and shift pattern of duties were significant factors. The three variables' explanation power on compassion satisfaction was 25.0%. As for factors affecting on secondary traumatic stress, emotional labor was a significant factor. The emotional labor's explanation power on secondary traumatic stress was 13.0%. Factors affecting on burn-out, emotional labor, age, and health condition were significant factors. The three variables' explanation power on burnout is 31.0%.
CONCLUSION
On the basis of results, program development are required to relieve emotional labor and job stress for nurses at long-term care hospitals and to improve their professional quality of life.

Citations

• How emotional labor harms employee’s performance: unleashing the missing links through anxiety, quality of work-life and Islamic work ethic
  Shazia Nauman, Sania Zahra Malik, Farida Saleem, Sabreen Ashraf Elahi
  The International Journal of Human Resource Management.2024; 35(12): 2131.     CrossRef
• Workload-Related Issues among Nurses Caring for Patients with Behavioral and Psychological Symptoms of Dementia: A Scoping Review
  Younhee Kang, Chohee Bang
  Healthcare.2024; 12(18): 1893.     CrossRef
• Secondary traumatic stress among pediatric nurses: Relationship to peer-organizational support and emotional labor strategies
  Einat Yehene, Adi Asherman, Gil Goldzweig, Hadar Simana, Amichai Brezner
  Journal of Pediatric Nursing.2024; 74: 92.     CrossRef
• Comparison of Quality of Life and Coping Strategies among Firefighters and Emergency Medical Services Personnel in Saveh, Iran
  Bahram Armoon, Parisa Hosseini Koukamari, Mohammad Reza Rouhani, Leila Gharegozloo, Mahmood Karimy, Anthony Coetzer-Liversage
  NEW SOLUTIONS: A Journal of Environmental and Occupational Health Policy.2024; 34(2): 120.     CrossRef
• Factors Influencing Professional Quality of Life in Intensive Care Unit Nurses of University Hospitals
  Sun Jung Moon, Haena Jang
  Journal of Korean Critical Care Nursing.2022; 15(3): 23.     CrossRef
• Factors influencing professional quality of life of nurses in long-term care hospitals: A cross-sectional study
  Hyun-Ju Lee
  Journal of Korean Gerontological Nursing.2022; 24(4): 377.     CrossRef
• Factors Associated with Job Stress among Hospital Nurses: A Meta-Correlation Analysis
  Ji-Young Lim, Geun-Myun Kim, Eun-Joo Kim
  International Journal of Environmental Research and Public Health.2022; 19(10): 5792.     CrossRef
• Occupational Risks in Hospitals, Quality of Life, and Quality of Work Life: A Systematic Review
  Carlos Rodrigo Nascimento de Lira, Rita de Cássia Akutsu, Priscila Ribas de Farias Costa, Luana de Oliveira Leite, Karine Brito Beck da Silva, Raquel B. A. Botelho, António Raposo, Heesup Han, Antonio Ariza-Montes, Luis Araya-Castillo, Renata Puppin Zando
  International Journal of Environmental Research and Public Health.2021; 18(21): 11434.     CrossRef
• Compassion Satisfaction, Secondary Traumatic Stress, and Burnout among Nurses Working in Trauma Centers: A Cross-Sectional Study
  Hyoung Ju Lee, Miyoung Lee, Sun Joo Jang
  International Journal of Environmental Research and Public Health.2021; 18(14): 7228.     CrossRef
• Lived experiences toward moral distress among long-term care hospital nurses: A phenomenological approach
  So young Lee, Jung A Kim
  The Journal of Korean Academic Society of Nursing Education.2020; 26(2): 167.     CrossRef
• Effects of Self-leadership, Professional Self-concept, Emotional Labor on Professional Quality of Life in Hospital Nurses
  Yu-Yeong Kyun, Mi-Aie Lee
  Journal of Korean Academy of Nursing Administration.2020; 26(5): 447.     CrossRef
• Person-Centered Care, Job Stress, and Quality of Life Among Long-Term Care Nursing Staff
  HeeKyung CHANG, Chorong GIL, Hyejin KIM, Hanju BEA
  Journal of Nursing Research.2020; 28(5): e114.     CrossRef
• Effects of Communication Skills and Humanistic Knowledge on Professional Quality of Life in Intensive Care Unit Nurses
  Gyoo Yeong CHO, Myung Nam Ha, Mi Kyung Seo
  Journal of Korean Critical Care Nursing.2020; 13(2): 45.     CrossRef
• Effect of the Professional Quality of Life on Verbal Abuse Experience among Emergency Nurses: Mediating Effect of Job Stress
  Kyoung Ju Lee, Hye Young Kim
  Journal of Korean Academy of Nursing Administration.2020; 26(5): 533.     CrossRef
• Impact of Traumatic Events and Resilience on the Professional Quality of Life among Clinical Nurses
  Dan-Bi Yoo, Hye-Ja Park, Phill-Ja Kim
  The Korean Journal of Rehabilitation Nursing.2019; 22(1): 27.     CrossRef
• Nurses' Views on Infection Control in Long-Term Care Facilities in South Korea: A Focus Group Study
  Chi-Young Lee, Min-Hye Lee, Seong-Hyeon Lee, Yeon-Hwan Park
  Korean Journal of Adult Nursing.2018; 30(6): 634.     CrossRef
• Psychometric Properties of Korean version of Nurse Emotional Labor Strategy Scale (K-NELSS)
  Heejung Choi, Miyeon Kim
  Journal of Korean Academy of Nursing Administration.2018; 24(2): 161.     CrossRef

PURPOSE
The purpose of this study was to explore the subjective experience of job stress among nurses working in long-term care hospitals.
METHODS
A phenomenological approach was used for the study. Data were collected from May to June, 2016 using open-ended questions during in-depth interviews. Participants were nurses working in long-term care hospitals and had reported experiences of stress. Six nurses participated in this study.
RESULTS
Six themes emerged from the analysis using Colaizzi's method: (a) Heavy workload and responsibility due to nurse shortage, (b) Getting exhausted by caring for cognitively impaired patients, (c) Feeling pressure due to conflict with patients' family, (d) compassion for patients who are getting worse, (e) Low value in being a long-term hospital nurse, and (f) Efforts to overcome stress.
CONCLUSION
Sufficient labor supply, environmental improvements, program for improving interpersonal skills, education and counseling on end-of-life care, and recognition improvement about long term hospital are suggested to reduce the job stress of long-term hospital nurses.

Citations

• The Experience of turnover to long-term care hospital nurse: A phenomenological qualitative research
  Inhee Choo, Milim Cho, Eunha Kim
  Journal of Korean Gerontological Nursing.2024; 26(4): 392.     CrossRef
• Factors influencing professional quality of life of nurses in long-term care hospitals: A cross-sectional study
  Hyun-Ju Lee
  Journal of Korean Gerontological Nursing.2022; 24(4): 377.     CrossRef
• Predictors of Nursing Competency of Nurses in Long-term Care Hospitals: A Descriptive Study
  Jung-Hye Lim, Mi-Jung Kim, Oe-Seon Lee
  Journal of Korean Gerontological Nursing.2022; 24(3): 238.     CrossRef
• Development and Effect of a Fall Prevention Program Based on King’s Theory of Goal Attainment in Long-Term Care Hospitals: An Experimental Study
  Bom-Mi Park
  Healthcare.2021; 9(6): 715.     CrossRef
• Effects of the Resilience of Nurses in Long-Term Care Hospitals during on Job Stress COVID-19 Pandemic: Mediating Effects of Nursing Professionalism
  Bom-Mi Park, Jiyeon Jung
  International Journal of Environmental Research and Public Health.2021; 18(19): 10327.     CrossRef
• Communication Skills, Problem-Solving Ability, Understanding of Patients’ Conditions, and Nurse’s Perception of Professionalism among Clinical Nurses: A Structural Equation Model Analysis
  Ae Young Kim, In Ok Sim
  International Journal of Environmental Research and Public Health.2020; 17(13): 4896.     CrossRef
• Effect of Job Embeddedness on Turnover Intention of Nurses in Long Term Care Hospitals: The Mediating Effect of Nursing Work Environment
  Sun Mi Ha, Yeong Ju Ko
  Journal of Korean Academy of Nursing Administration.2020; 26(5): 439.     CrossRef
• Person-Centered Care, Job Stress, and Quality of Life Among Long-Term Care Nursing Staff
  HeeKyung CHANG, Chorong GIL, Hyejin KIM, Hanju BEA
  Journal of Nursing Research.2020; 28(5): e114.     CrossRef
• Adaptation Experience of Nurses who were Transferred to a Long Term Care Hospital from an Acute Hospital
  Hyoung Sook Park, Yun Jeong Lee, Mi Jeong Ji, Mi Suk Hong
  Journal of Korean Academy of Fundamentals of Nursing.2019; 26(4): 301.     CrossRef
• End of Life Care Competencies and Terminal Care Stress of Nurses in Long Term Care Hospitals
  Young-Hee Jeong, Kyung Ja June
  The Korean Journal of Hospice and Palliative Care.2019; 22(3): 125.     CrossRef
• Experiences of Long-term Care Hospital Nurses Caring for Elders with Dementia
  Eun Kyoung Suh, Hye Ryoung Kim
  Journal of Korean Gerontological Nursing.2019; 21(2): 99.     CrossRef
• Comparative Analysis of Cognitive and Physical Function according to Dysphagia of Aged Patients in Geriatric Hospitals
  Jin Su Kim, Jeong Soo Kim
  Journal of Korean Gerontological Nursing.2019; 21(3): 190.     CrossRef
• Long-term Care Hospital Nurses' Awareness and Ethical Attitudes toward DNR
  Kye Ha Kim, Sun Jin Jeong
  Journal of Korean Gerontological Nursing.2019; 21(2): 61.     CrossRef
• Nurses' Views on Infection Control in Long-Term Care Facilities in South Korea: A Focus Group Study
  Chi-Young Lee, Min-Hye Lee, Seong-Hyeon Lee, Yeon-Hwan Park
  Korean Journal of Adult Nursing.2018; 30(6): 634.     CrossRef
• Nurses' Experiences of End of Life Care of Older Adults with Dementia
  Chun-Gill Kim, Young Hee Lee
  Korean Journal of Adult Nursing.2017; 29(2): 119.     CrossRef

PURPOSE
This study was conducted to examine the effects of music therapy on anxiety, sedation, and stress responses of patients during surgery with spinal anesthesia.
METHODS
A quasi-experimental design with a non-equivalent control group pre-post test was used. There were 55 adults over 19 years of age scheduled for a lower leg surgery with spinal anesthesia: 27 in the treatment group and 28 in the comparison group. Each subject in the treatment group identified their music preference which was used during the period of surgery which usually lasted, 61 minutes. Data were analyzed using chi-square, Fisher's exact test, independent t-test and repeated measured ANOVA.
RESULTS
There were significant reported differences in levels of anxiety, sedation, and stress responses which were measured by plasma cortisol levels, heart rate, and respiratory rate. The findings of all the variables were effectively decreased among those in the treatment group than the comparison group.
CONCLUSION
The preference based music therapy may be useful as a non-pharmacological intervention.

Citations

• The Effect of Reciting the Quran on the Anxiety of Neurosurgery Muslim Candidates
  Nader Salari, Reza Fayzi, Elahe Abdipuor, Hooman Ghasemi, Shamarina Shohaimi, Masoud Mohammadi
  Health Science Reports.2025;[Epub]     CrossRef
• Integrative review of non‐pharmacological intervention and multidimensional evaluation for intraoperative anxiety under spinal anaesthesia
  Kyuhee Lim, Sooah Jung, Heejung Kim
  Journal of Clinical Nursing.2023; 32(9-10): 2114.     CrossRef
• The effects of music intervention on anxiety and stress responses in adults with CHD undergoing cardiac catheterisation
  Ju Ryoung Moon, Jinyoung Song, June Huh, I-Seok Kang, Jung Hawn Kim, Seung Woo Park, Sung-A Chang
  Cardiology in the Young.2023; 33(2): 213.     CrossRef
• The Effect of Visual Information Blocking Nursing Intervention on Stress and Anxiety during Chemoport Insertion in Adult Cancer Patients of Operation Rooms
  Mimi Lee, Wanju Park
  Korean Journal of Adult Nursing.2018; 30(2): 194.     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 factors influencing a family's quality of life (QoL) when one member has a liver transplantation.
METHODS
A total of 98 families were asked questions about characteristics, stress, social support and QoL. The instruments used for this study were the Stress Scale for Families of Liver Transplantation Recipients, the Personal Resources Questionnaire, the Korean version of QoL Simple Type Scale. Data were analyzed by t-test, ANOVA, Pearson's correlation coefficient and multiple regression.
RESULTS
The mean scores of stress was 2.58±0.75 and of social support was 4.81±0.87. The mean of the QoL was 3.39±0.60. Quality of life had significant correlations with stress and social support. Using multiple regression analysis, the QoL was significantly influenced by social support, stress and monthly average household income.
CONCLUSION
The results suggest that social support, stress and income should be considered in developing the nursing interventions to improve the QoL of families of patients with liver transplantation.

Citations

• The Caring Experience of Family Caregivers for Patients of Living Donor Liver Transplantation from the Family Members
  Miseon Bang, Suhye Kwon
  Journal of Korean Academy of Nursing.2022; 52(4): 435.     CrossRef
• Impact of Self-esteem and Social support on Self-care Performance in Liver Transplantation Recipients
  Hyun Jung Jung, Young-Ju Kim
  The Korean Journal of Rehabilitation Nursing.2020; 23(2): 132.     CrossRef

PURPOSE
The purpose of the study was to explore and describe the experience of breast cancer self-help group activities in Korea.
METHODS
The data were collected via individual in-depth interviews with 8 women with breast cancer, who participated in self-help groups during 2012~2013. All interviews were audio-taped and transcribed, and they were analyzed using a phenomenological method.
RESULTS
Six theme clusters were identified. "Breakthrough toward survival" describes how the participants identified self-help groups and got involved in the activities. "Genuine comfort obtained by 'misery loves company' deals with the emotional relief and catharsis. "New life fully recharged" demonstrates the changed belief system and the joy for life and living. "Rebirth in family" deals with how family dynamics has been changed. "Societal change by raising collective consciousness" illustrates many activities to improve their rights and advocate employment issues. "Obstacles to the group harmony" illustrates the major difficulties including interpersonal conflicts the participants encountered during their participation.
CONCLUSION
The results of the study showed that participating in self-help groups was mostly beneficial for women with breast cancer. Therefore, oncology professionals need to encourage them to participate in self-help groups and also need to provide professional support to self-help groups for their harmonious interpersonal relationships.

Citations

• Health-related quality of life of premenopausal young breast cancer survivors undergoing endocrine therapy
  Kyungmi Lee, Hye Suk Jun
  European Journal of Oncology Nursing.2024; 68: 102496.     CrossRef
• Experiences of peer support activities and the need for a metaverse-based program in young women with breast cancer: A qualitative study
  Jeonghee Ahn, Kyoung-eun Lee
  Asia-Pacific Journal of Oncology Nursing.2023; 10(7): 100253.     CrossRef
• Experiences of Accessing Medical Services after Diagnosis in Breast Cancer Survivors
  Jae Woo Oh, Mi Ran Kim
  The Korean Journal of Rehabilitation Nursing.2022; 25(1): 22.     CrossRef
• Operation Experiences of Women with Breast Cancer
  Hyeon-Young Kim, Sun Hwa Shin
  Journal of Korean Academy of Fundamentals of Nursing.2020; 27(2): 129.     CrossRef
• Relationships Among Self-Efficacy, Social Support, and Community Participation in Breast Cancer Survivors
  Hye-Mi Kim, Gyeong-A Park, Jin-Ju Park, Myung-Hwa Oh
  Journal of Korean Society of Occupational Therapy.2019; 27(4): 69.     CrossRef
• Journey through the Fight against Ovarian Cancer: Finding the Existence Value with being Tied to the Bridle of Death
  Young-Suk Park, Jeong Sook Park
  Korean Journal of Adult Nursing.2018; 30(6): 656.     CrossRef
• Effect of empowerment on the quality of life of the survivors of breast cancer: The moderating effect of self‐help group participation
  Sunhwa Shin, Hyojung Park
  Japan Journal of Nursing Science.2017; 14(4): 311.     CrossRef
• Analysis of Nursing Needs of Home-dwelling Breast Cancer Patients Based on Counselling Contents
  Eun Ja Kim, Jin Sook Hyun, Jung Hwa Han, Nahyun Kim
  Journal of Korean Public Health Nursing.2016; 30(3): 420.     CrossRef
• Exploring Existential Coping Resources: The Perspective of Koreans with Cancer
  Fereshteh Ahmadi, Jisung Park, Kyung Mee Kim, Nader Ahmadi
  Journal of Religion and Health.2016; 55(6): 2053.     CrossRef
• Experiences of Self-management Support among Breast Cancer Survivors
  Seok-Mo Heo, Narae Heo
  Korean Journal of Adult Nursing.2016; 28(4): 470.     CrossRef
• Development and Validation of the Empowerment Scale for Woman with Breast Cancer
  Sun Hwa Shin, Hyojung Park
  Journal of Korean Academy of Nursing.2015; 45(4): 613.     CrossRef

PURPOSE
This study was to identify relationships between the levels of perceived stress, cancer-related knowledge, attitude and prevention behaviors, and to explore factors influencing cancer prevention behaviors of adult women in Korea.
METHODS
This study was a descriptive research, using a cross-sectional survey. A convenience sample of 314 women aged 20 to 64 was selected. A self-administered questionnaire was used to measure perceived stress, cancer-related knowledge, cancer-related attitude, and cancer prevention behaviors. The data were analyzed with the SPSS/WIN 21.0 program.
RESULTS
Cancer-related knowledge significantly differed according to age, marital status, education level, and occupation. While correlations between cancer-related knowledge, cancer-related attitude, and cancer prevention behaviors were positive, correlations between perceived stress and cancer prevention behaviors were negative. The hierarchical regression analyses revealed significant positive relations between cancer prevention behaviors and age (beta=.18, p=.003), perceived health status (beta=.22, p<.001), periodic checkup (beta=.21, p=.002), and cancer-related attitude (beta=.25, p<.001). Perceived stress on the other hand was negatively related to cancer prevention behaviors (beta=-.23, p<.001).
CONCLUSION
Interventions targeting women, especially young adults should focus on enhancing cancer-related attitude in order to improve cancer prevention behaviors. Thus, there continues to be a need to reduce perceived stress in adult women.

Citations

• Factors related to Cancer Preventive Behavior among Patients with Early Gastric Cancer who Underwent Endoscopic Submucosal Dissection
  Sunghye Choo, Sanghee Kim, Yong Chan Lee, Eunsung Kim
  Asian Oncology Nursing.2023; 23(2): 47.     CrossRef
• Structural Equation Modeling Analysis on Health Literacy and Cancer Prevention Behaviors among Medically-Underserved, Low-Income Populations
  Eun Jin Kim, Su Hyun Kim
  Journal of Korean Academy of Fundamentals of Nursing.2021; 28(1): 83.     CrossRef
• Influence of Sleep Quality, Coffee Consumption, and Perceived Stress on the Incidence of Thyroid Cancer in Healthy Korean Adults
  Myoyoun Kim, Seon Young Hwang
  Korean Journal of Adult Nursing.2021; 33(2): 125.     CrossRef
• Influence of Knowledge and Attitude of Cancer on Cancer Prevention Health Promoting Behavior in General Hospital Nurses
  SooHyeon Kim, Eun Young Park
  Asian Oncology Nursing.2018; 18(3): 163.     CrossRef
• Impacts of Colorectal Cancer Knowledge and Health Literacy on Self-management Behaviors among Elderly Women in Rural Areas
  Hyenam Hwang
  Korean Journal of Adult Nursing.2017; 29(5): 527.     CrossRef
• Health Literacy, Cancer Knowledge, and Cancer Preventive Behaviors among Rural Older Adults
  Hyenam Hwang
  Asian Oncology Nursing.2016; 16(4): 234.     CrossRef
• Knowledge, Attitude, and Preventive Health Behavior of Cancer in Middle-aged Men
  Youngrye Park, Hwee Wee
  The Korean Journal of Rehabilitation Nursing.2014; 17(2): 97.     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

• Health problems and challenges due to aging among people living with HIV aged 50 and older: a qualitative study
  Mi-So Shim, Inah Kim, Goun Kim
  BMC Public Health.2025;[Epub]     CrossRef
• 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 determine whether Selection, Optimization and Compensation (SOC) Strategy mediated the relationship between job stress and health promoting behaviors among nurses.
METHODS
A descriptive causal relationship research design was used. 245 subjects recruited from the five general hospitals, which have over 500 beds in Seoul and Kyunggi-do, participated in the study by completing a survey which included questions about SOC strategy, job stress and health promoting behaviors. t-test, ANOVA, Pearson's correlation coefficient and multiple regression were used to analyze the data. SPSS/WIN 20.0 was used for all analysis.
RESULTS
The mean job stress score was 47.89; mean SOC strategy score was .71. 'Spiritual development' was the highest reported health promoting behavior with a mean of 3.57. Job stress was significantly and negatively related to health promoting behaviors. The result showed that all the mediating paths of SOC strategy were significant. The partial mediating model showed high goodness of fit demonstrating that the model was outstanding.
CONCLUSION
SOC strategy mediated the relationship between job stress and health promoting behaviors. Applying better SOC strategies among nurses will increase flexibility in responding to job stress and will also better perform health promoting behaviors.

Citations

• Factors Associated with Job Stress among Hospital Nurses: A Meta-Correlation Analysis
  Ji-Young Lim, Geun-Myun Kim, Eun-Joo Kim
  International Journal of Environmental Research and Public Health.2022; 19(10): 5792.     CrossRef
• Rotating between day and night shifts: Factors influencing sleep patterns of hospital nurses
  Seunghwa Shin, SuHyun Kim
  Journal of Clinical Nursing.2021; 30(21-22): 3182.     CrossRef
• Comparison Study of e-Health Literacy and Health Promoting Behaviors of Cancer Patients and Nurses
  Hyoen Jeong Kim, Miyoung Kim
  Asian Oncology Nursing.2020; 20(2): 100.     CrossRef
• Influence of Clinical Nurses’ Job Stress on Mental Health Problems: Mediating Effect of Appreciation Moderated by Health-Promoting Lifestyle
  Sun Hwa Shin, Hwa Jin Kim
  Journal of Korean Academy of Nursing Administration.2020; 26(4): 378.     CrossRef
• Association of Job Stress with Health-promoting Behaviors and Health Status in Clinical Nurses
  Jung-Suk Kim, Chun-Ja Kim
  Korean Journal of Occupational Health Nursing.2016; 25(4): 311.     CrossRef
• Research Trends on Mibyeong Symptoms and Related Factors of Korean Nurses
  Jiyoung Kim, Hee-Jeong Jin, Younghwa Baek, Jonghyang Yoo, Siwoo Lee
  Journal of East-West Nursing Research.2016; 22(1): 17.     CrossRef

PURPOSE
This study examined the effects of a yoga exercise program on stress response, physical fitness and self-esteem among middle-aged women.
METHODS
Participants were 39 middle-aged females from District Y in Seoul who were assigned to either a treatment (N=19) or to a control group (N=20). The treatment participated three times a week in a yoga exercise program which included classes and practices. Data collection instruments included the Symptoms of Stress Inventory (1977), the Rosenberg's self-esteem scale (1965) and measurements of grip strength, flexibility and balance. The data were analyzed using the SPSS-WIN 12.0 program.
RESULTS
The treatment group had significantly lower score for stress response (t=-6.18, p<.001) and higher scores on grip strength (t=2.52, p=.018), balance (t=3.24, p=.003), and self-esteem (t=4.46, p<.001). There was no significant difference in flexibility (F=0.51, p=.479).
CONCLUSION
The yoga exercise program can be used as a nursing intervention for middle-aged women to reduce stress and improve self-esteem.

Citations

• Navigating Societal Stressors Through Yoga in Korea
  Jasmyn Kim, Sua Im, Rokbit Sanghee Lee, Jinmoo Heo
  Leisure Sciences.2025; 47(7): 1553.     CrossRef
• Designing differential pressure leggings for late middle age women using 3D technology: Identifying optimal muscle support levels via electromyography
  Nam Yim Kim, Hyojeong Lee
  Journal of Engineered Fibers and Fabrics.2025;[Epub]     CrossRef
• Yoga fitness with middle-aged women: benefits for physical and mental health
  A. Yefremenko, O. Nasonkina, Ya. Aleksenko, M. Marchenkov, H. Poltoratska, T. Fedorina
  Scientific Journal of National Pedagogical Dragomanov University Series 15 Scientific and pedagogical problems of physical culture (physical culture and sports).2024; (10(183)): 109.     CrossRef
• 중년여성 요가참여자의 객체화된 신체의식과 요가만족 간의 구조적 관계 연구*
  예진 이, 용수 이
  The Korean Journal of Physical Education.2023; 62(5): 265.     CrossRef
• Effects of Forest Therapy on Psychological Improvement in Middle-aged Women in Korea
  Bum-Jin Park, Won-Sop Shin, Chang-Seob Shin, Poung-Sik Yeon, Chung-Yeub Chung, Si-Hyung Lee, Dong-Jun Kim, Youn-Hee Kim, Chang-Eun Park
  Journal of Preventive Medicine and Public Health.2022; 55(5): 492.     CrossRef
• Influence of Comprehensive Lifestyle Intervention (LSI) Program on Health, Fatigue, and Quality of Life in Middle-Aged Women
  Su-Jin Jung, Seung-Ok Lee, Min-Jun Choi, Jun Heo, Soo-Wan Chae, Baik-Hwan Cho
  Journal of Lifestyle Medicine.2022; 12(3): 127.     CrossRef
• Effects of Forest Therapy on Health Promotion among Middle-Aged Women: Focusing on Physiological Indicators
  Bum-Jin Park, Chang-Seob Shin, Won-Sop Shin, Chung-Yeub Chung, Si-Hyung Lee, Dong-Jun Kim, Youn-Hee Kim, Chang-Eun Park
  International Journal of Environmental Research and Public Health.2020; 17(12): 4348.     CrossRef

PURPOSE
The purpose of this study was to identify impact of stress on depression among university students and the moderating effect of social support in the relationship between stress and depression in university students.
METHODS
A total of 445 subjects were participated from May to July 2011. Data were collected by self-reported questionnaires and t-test, ANOVA, and stepwise multiple regression with SPSS/WIN 20.0 were used to analyze the data.
RESULTS
The results indicate that depression was increased by stress and decreased with social support. Social support included four type of social support behavior; emotional support, informational support, material support, and appraisal support. Multiple regression analysis showed that moderating effect of emotional support was significant when provided by friends but not by parents.
CONCLUSION
These finding indicate the importance of emotional support of friends on depression in university students.

Citations

• The Effect of Stress and Impulsivity on Drinking Problem in College Student: The Moderated Mediation Effect of Social Support
  Dong-Jun LEE, Su-Gyun SEO
  THE JOURNAL OF FISHERIES AND MARINE SCIENCES EDUCATION.2022; 34(6): 1042.     CrossRef
• The Moderating Effect of Social Support on Parental Stress and Depression in Mothers of Children with Disabilities
  Gyeong-A Park, Oan Na Lee, Claudia Hilton
  Occupational Therapy International.2022; 2022: 1.     CrossRef
• The Effects of Acculturative Stress, Career Stress, and Social Support on Depression in Korean International Students in China
  Ah Ra Lee, Hye Kyung Lee
  Journal of Korean Academy of Community Health Nursing.2020; 31(1): 96.     CrossRef
• Moderating Effect of Mindfulness on the Influence of Stress on Depression According to the Level of Stress among University Students in South Korea
  Kwang-Hi Park, Hyunlye Kim, Jaehee Kim
  International Journal of Environmental Research and Public Health.2020; 17(18): 6634.     CrossRef
• A Mediator Effect of Social Support in the Association between Stress for College Life and Depression among Nursing Students
  Kyung Hee Yoo
  Journal of Korean Academic Society of Nursing Education.2019; 25(1): 125.     CrossRef
• Self-efficacy, Depression and Health Promotion Behaviors of Nursing and Non-nursing Female College Students
  Yeon Hee Jeong, Min Sun Song
  Journal of Korean Academic Society of Nursing Education.2018; 24(3): 290.     CrossRef
• The Relationship between Subjective Sleep, Emotions, Social Support and Excessive Daytime Sleepiness in Female Undergraduate Students
  Jiyoung Lee, Sooyeon Suh
  Journal of Sleep Medicine.2017; 14(1): 36.     CrossRef
• University Students' Health Behavior, Depression, and Ego-resilience
  Keum Suk Park, Hae Min Yoon
  Journal of Korean Academy of Psychiatric and Mental Health Nursing.2016; 25(2): 113.     CrossRef
• Dysfunctional attitude mediates the relationship between psychopathology and Internet addiction among Korean college students: A cross‐sectional observational study
  Dabok Noh, Sunah Kim
  International Journal of Mental Health Nursing.2016; 25(6): 588.     CrossRef
• A Path Analysis of Factors Influencing Health-related Quality of Life among Male Adults
  Bo-Kyoung Cha
  Journal of Korean Academy of Community Health Nursing.2016; 27(4): 399.     CrossRef
• Analysis of Convergent Influence of Positive Emotion, Negative Emotion and Job Seeking Stress on Depression among College Women of Health Affiliated Educations
  Sang-Yun Bae, Seung-Hee Kim
  Journal of Digital Convergence.2016; 14(3): 269.     CrossRef
• Analysis of Convergent Factors Related to Depression among Some College Women of Health Affiliated Educations
  Seung-Hee Kim, Sang-Yun Bae
  Journal of Digital Convergence.2015; 13(10): 367.     CrossRef
• A Study on the Mediation Effects of Depression and Self-efficacy on College Students' Stress and Subjective Happiness
  Seong-Ah Ahn, Mi-Young Sim
  Journal of the Korea Academia-Industrial cooperation Society.2015; 16(10): 7021.     CrossRef
• Social support moderates stress effects on depression
  Xingmin Wang, Lin Cai, Jing Qian, Jiaxi Peng
  International Journal of Mental Health Systems.2014;[Epub]     CrossRef

PURPOSE
The purpose of this study was to assess the effects of cognitive behavioral therapy (CBT) on depression, anxiety, self care behavior and quality of life in cancer patients.
METHODS
Two thousand and eighty three abstracts were identified through six electronic databases (1980 to June 2012) in Korea. Seventeen studies involving 679 participants met the inclusion criteria for meta analysis. Two authors independently assessed trial quality by Cochrane's Risk of Bias and Methodological Items for Non Randomized Studies and extracted data. The data were analyzed by the RevMan 5.2 program of Cochrane library.
RESULTS
Overall, study quality was moderate to high. CBT was conducted for a mean of 4.2 weeks, 7 sessions and an average of 36.1-minutes per session. CBT was effective for depression (d=-0.85; 95% CI=-1.09, -0.61), anxiety (d=-0.52; 95% CI=-0.75, -0.29), self care behavior (d=-1.34; 95% CI=-1.93, -0.74), and quality of life (d=-0.42; 95% CI=-0.80, -0.04). Publication bias was not detected as evaluated by funnel plot and Egger's test.
CONCLUSION
CBT has small to large effects on depression, anxiety, self care and quality of life. These finding suggests that various CBT interventions can assist cancer patients in reducing emotional distress and improving self care and quality of life.

Citations

• The role of stigma and depression in the reduced adherence among young breast cancer patients in Hungary
  Gabriella Vizin, Tamás Szekeres, Anita Juhász, Lilla Márton, Magdolna Dank, Dóra Perczel-Forintos, Róbert Urbán
  BMC Psychology.2023;[Epub]     CrossRef
• Meta-analysis of psychosocial interventions on survival time in patients with cancer
  P.J. Oh, S.R. Shin, H.S. Ahn, H.J. Kim
  Psychology & Health.2016; 31(4): 396.     CrossRef
• Effects of Integrated Palliative Care Intervention on Quality of Life in Terminal Cancer Patients: A Meta-analysis
  Kae Hwa Jo, Ae Ran Park, Jin Ju Lee
  The Korean Journal of Hospice and Palliative Care.2015; 18(2): 136.     CrossRef
• The Effect of a Community-Based Self-Management Program for Patients at Thyroid Cancer-Diagnosis Stage : a Pilot Study
  Hyera Yoo, Sunjoo Boo, Mison Chun, Eun Mi Jo
  Journal of Korean Public Health Nursing.2015; 29(3): 582.     CrossRef
• Effects of Psychosocial Interventions on Cortisol and Immune Parameters in Patients with Cancer: A Meta-analysis
  Pok Ja Oh, Eun-su Jang
  Journal of Korean Academy of Nursing.2014; 44(4): 446.     CrossRef
• Effects of Dignity Interventions on Psychosocial and Existential Distress in Terminally ill Patients: A Meta-analysis
  Pok Ja Oh, Sung-Rae Shin
  Journal of Korean Academy of Nursing.2014; 44(5): 471.     CrossRef

PURPOSE
The purpose of this study was to determine the effects of auricular acupressure on menstrual pain, dysmenorrhea and academic stress among college students.
METHODS
A non-equivalent pretest-posttest design was used. Participants were 57 female students recruited from one college. The treatment group (n=30) received an auricular acupressure on a valid zone and the control group (n=27) received an auricular acupressure on an invalid zone (placebo). The independent t-test and chi2-test were used to examine group differences by using SPSS/Win18.0.
RESULTS
Subjects in the treatment group reported much less menstrual pain of premenstrual day (p=.001), 1st day (p<.001), 2nd day (p=.003), and dysmenorrhea (p=.003). Of significance, participants in the treatment group reported much less academic stress (p=.049) following auricular acupressure.
CONCLUSION
The findings support that auricular acupressure is effective in controlling menstrual pain and academic stress related to menstruation. As the method is simple it would be useful for women students to be taught and encouraged to utilize this method to mitigate the symptoms related to menstruation through self care.

Citations

• Effect of Auriculotherapy on Stress: A Systematic Review and Meta-Analysis
  Sunyeob Choi, Bomi Kim
  Journal of Holistic Nursing.2024;[Epub]     CrossRef
• Using Acudetox for Stress Reduction in College Students: A Brief Intervention Strategy for College Counselors
  Elisabeth Tomlin
  Journal of Creativity in Mental Health.2022; 17(2): 188.     CrossRef
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PURPOSE
This study was performed to identify the relationship between Sense of Humor, Coping Humor, Perceived stress and self-esteem in the middle-aged women. METHODS: Data were collected from the 20th of June to the 30th of August in 2009 from 145 middle-aged women living in Seoul. Data analysis was done with SPSS/WIN 12.0 program for descriptive statistics and Pearson correlation. RESULTS: The mean score of the humor sense was 55.94+/-6.52, coping humor was 21.11+/-3.82, perceived stress was 22.21+/-3.03 and self-esteem was 27.50+/-2.88. Subcategories of sense of humor were that emotional expressiveness was average 20.75+/-2.70, meta-message sensitivity was average 20.12+/-2.74 and liking of humor was average 15.13+/-3.44. Sense of humor was difference according to the economic status(t=2.000, p=.047), coping humor was difference according to the on medication use(t=2.227, p=.027). There was a significant correlation between the coping humor, perceived stress and the self-esteem. When the coping humor was higher, perceived stress was lower and the self-esteem was higher. CONCLUSION: This study showed that medication and economic status influences the humor scores and the sense of humor and coping humor were related to perceived stress and self-esteem in middle-aged women Therefore, these findings can provide the basis for the development of nursing intervention to increase the ability to coping with stress.

PURPOSE
This study was to explore family member's caregiving stress and satisfaction of care for patients with dementia in long term care facilities and day care centers. METHODS: The subjects were 129 family members of elders with dementia from ten long term care facilities and eight day care centers in Daegu and Kyungsangbukdo. Data were collected from August to October, 2007. The instruments were self administered questionnaires and included. The Family Perceptions of Caregiving Role (FPCR) and the Family Perceptions of Care Tool (FPCT) which were developed by Maas and Buckwalter (1990) and translated by Park (2002). RESULTS: Family member's care giving stress in day care centers were higher than that of long term care facilities (t=-2.89, p=.005) especially in the categories of captivity (t=-3.27, p=.001), guilty (t=-2.93, p=.004), and loss (t=-2.44, p=.016). Family member's satisfaction of care in day care centers was higher than that of long term care facilities (t=-3.21, p=.002) in the (use - categories or measures since you are referring to the instrument and delete aspects) aspects of effective management (t=-3.69, p=.000) and activity (t=-2.00, p=.045). CONCLUSION: The results of this study showed that family members' perceptions toward their care giving roles and satisfaction of care differ whether the facilities are long term care or day care centers. This study provides baseline data that could be used for improving the quality of long term care services.

PURPOSE
The purpose of this study was to identify predictors on drinking problems of university students.
METHODS
The participants were 359 students by convenience sampling in P city. Data were collected from October 15 to December 20, 2007 using drinking problems questionnaire, Global assessment of recent stress scale, CES-D and self-esteem scale. The collected data were analyzed by descriptive statistics, Pearson's correlation coefficient, and stepwise multiple regression.
RESULTS
There were positive correlations between stress and drinking problems, between depression and drinking problems. Also, there were negative correlations between stress and self-esteem, between depression and self-esteem. In stepwise multiple regression analysis, the most powerful predictor of drinking problems was depression.
CONCLUSION
The results suggest that effective management of depression and stress can be considered when developing a prevention program of drinking problems for university students.

PURPOSE
The purpose of this study was to investigate the effects of aromatherapy on stress, fatigue, mood, and vital signs of the nurses in the operating rooms.
METHODS
The data were collected from September 2007 to February 2008 in the operating room at K hospital located in Seoul, Korea. A total of 48 nurses were recruited. Among them, 25 nurses were randomly assigned to an experimental group and 23 were assigned to a control group. Experimental group was provided with aroma inhalation by necklace which had essential oil mixture of 0.2 cc. For aroma inhalation, Lavender, Zeranium and Mazoram were mixed in ratio of 5:3:2. In order to test the effectiveness of aroma inhalation, the pretest and posttest results for stress, fatigue, mood, and vital signs were compared between the experimental group and the control group. The data were analyzed by unpaired t-test and ANCOVA using the SPSS/WIN 15.0 program.
RESULTS
There were statistically significant decreases in the stress and fatigue scores, and increase in the mood scores and showed significant relaxation in the vital signs after the aroma inhalation.
CONCLUSION
The aromatherapy had the positive effects on stress, fatigue, mood, and vital signs.

PURPOSE
The purpose of this study was to identify the predictors of acculturative stress among Chinese students in Korea.
METHODS
Between October and December 2009, two hundred one Chinese students from three universities located in Cungnam province, were included in the current study using a questionnaire survey. Data analysis was done using SPSS/WIN 17.0 program.
RESULTS
The average score of acculturative stress was 38.50+/-6.97. There were significant differences in acculturative stress according to educational level, economic status, type of residence, speaking skill in Korean, listening skill in Korean, grade point average, satisfaction for studying abroad, and perceived health status. The acculturative stress was significantly correlated with depression, resilience and social support. The strongest predictor of acculturative stress among Chinese students was depression.
CONCLUSIONS
The findings suggest that developing programs to improve psychological health may provide a buffer against acculturative stress experienced by migrating Chinese students. Furthermore, more studies are needed to explore variables that influence on the international students' acculturation in Korea.

PURPOSE
In numerous studies, MBSR programs have been shown to reduce stress and improve health-related QOL. Although MBSR programs have been shown to be beneficial, its effects have not been well-determined among Korean populations in clinical nursing practice. The purpose of this review was to describe the effects of MBSR on stress and health-related QOL so that the potential benefits of this intervention may be evaluated for wider application in Korea.
METHODS
Articles published in peer-reviewed journals in the English or Korean language up to 2009 were reviewed; 14 articles met the inclusion criteria for this review and there were no Korean papers.
RESULTS
MBSR groups were found to have significantly reduced stress outcomes relative to non-MBSR groups in 6 of 11 studies. In regards to health-related QOL, participants of the MBSR programs had increased scores after MBSR intervention relative to control groups in 5 of 7 studies.
CONCLUSION
MBSR programs was effective in decreasing stress and increased the health-related QOL in the majority of studies reviewed. MBSR merits study in Korean patients to determine whether similar salutary patient outcomes may be obtained.

PURPOSE
This study was to identify the mental health and self-care activities according to perceived stress level in type 2 diabetic patients with metabolic syndrome.
METHODS
The descriptive survey design was conducted using a convenient sample. One hundred and fifty-two diabetic participants with metabolic syndrome were recruited in a university hospital. The data were analyzed using descriptive statistics, Students' t-test, and ANOVA with SPSS/WIN 12.0.
RESULTS
The high, moderate, and low stress groups according to perceived stress score consisted of 30.9%, 38.2%, and 30.9%, respectively. Differences of mental health and total self-care activities among the three groups were statistically significant. Depression (F=46.73, p<.001), trait anger (F=5.75, p<.01), and anger expression-in (F=4.60, p<.01) of participants in the high stress group were higher than other groups, whereas the total of self-care activities (F=2.85, p<.05) and exercise (F=3.49, p<.05) were lower than other groups.
CONCLUSION
This study concluded that type 2 diabetic patients with metabolic syndrome with a high stress level were low in self-care activities along with elevated depression and anger.

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 study examined relationships among stress, stress coping strategies, and somatization in mothers-in-law from multi-cultural families in a rural area.
METHODS
Elderly mothers-in-law (n=227) living with foreign daughters-in-law completed a self-reporting questionnaire. Data were collected from April to August 2009. Questions related to stress (Visual Analog Scale, VAS), coping strategies (Coping Strategy Scale) for stress, and somatization (Symptom Check List 90, Revised). SPSS/WIN 12.0 program was used for descriptive analysis, t-test, one-way ANOVA, Pearson correlation, and multiple regression analyses.
RESULTS
Subjects had a moderate level of stress (5.03). There were significant differences in stress level according to age, educational level, religion, chronic disease, health status, number of children, agreement of an international marriage of her sons, satisfaction in living with a foreign daughter-in-law, and family conflict. Stress showed a significant positive correlation with offensive coping strategy, passive strategy, and somatization. Stress, offensive coping strategy, and passive coping strategy affected the level of somatization.
CONCLUSION
In a family situation involving co-habitation of mother- and foreign daughter-in-law, increased stress experienced by the mother-in-law can lead to increased offensive and passive coping strategies, and increased somatization. More effective means of stress reduction are needed for mothers-in-law from multi-cultural families.

PURPOSE
The purpose of this study was to investigate the correlation of sexual satisfaction and daily stress in breast cancer patients.
METHODS
Data was collected through self-administered questionnaires and analyzed by descriptive statistics, t-test, ANOVA and Pearson's correlation. Data survey was conducted with 500 conveniently selected breast cancer patients who visited the out patient department in 5 university hospitals in Seoul, Gyung-gi and Gang-won province.
RESULTS
The sexual satisfaction of breast cancer patients score was 31.34 and there were significant sexual satisfaction differences by age, education level, menopause and sexual activity frequency. Sexual satisfaction was negatively related with daily stress (r = -.177) especially personal stress (r = -.155), economic stress (r = -.138), stress of self (r = -.181), family stress (r = -.154) and stress about leisure (r = -.139).
CONCLUSION
These findings are expected to make a contribution to creation of ideal sexual rehabilitation nursing interventions for breast cancer patients care nurse. Furthermore continuous and customized education and counseling programs can contribute to promote healthy sexual life for breast cancer patients.