Purpose
This study aimed to identify key predictive factors influencing adherence to physical exercise rehabilitation among adults during the first three months following a first-onset ischemic stroke in China. Methods: A cross-sectional descriptive study was conducted among 137 adults who attended clinical follow-up appointments within the first three months after experiencing a first-onset ischemic stroke. Predictors included family support, coping with role transition, depression, self-efficacy, and body image. Hierarchical multiple regression analysis was performed. Results: The mean adherence score for physical exercise rehabilitation was 39.58 (standard deviation=6.71), indicating a moderate adherence level (70.6%). In model 1, male sex (β=.20, p=.017) and post-stroke duration of 2 months (β=.31, p=.015) and 3 months (β=.39, p=.002) were significant predictors of adherence to physical exercise rehabilitation. Adding main predictors in model 2 resulted in a significant increase in explained variance (ΔR²=.418, p<.001), accounting for 51.5% of the total variance (R²=.515, adjusted R²=.484). Male sex (β=.15, p=.017), family support (β=.43, p<.001), self-efficacy (β=.26, p<.001), depression (β=–.24, p=.001), and coping with role transition (β=.16, p=.033) were significant predictors. Body image and post-stroke duration were not significant after adjustment. Conclusion: Efforts to promote adherence to physical exercise rehabilitation should prioritize family support, depressive symptoms, self-efficacy, and coping with role transition. Furthermore, body image may warrant attention when developing sex-specific intervention strategies.

Purpose
This study examined the effects of cognitive function, health literacy, and social support influence the risk of self-care non-adherence among older adults with chronic kidney disease. Methods: A cross-sectional survey was conducted using structured questionnaires. The study included 105 older adults (≥65 years) in the pre-dialysis stage, all of whom were receiving regular follow-up at a nephrology outpatient clinic in Jeonju, Jeollabuk-do, Korea. Data were collected through one-on-one interviews from April to May 2024 and analyzed using SPSS version 26.0. Predictive factors were assessed using hierarchical multiple regression analysis. Results: The risk of self-care non-adherence was significantly correlated with cognitive impairment (r=.61, p<.001), lower social support from healthcare providers (r=–.36, p<.001), and reduced health literacy (r=–.42, p<.001). Multiple regression analysis indicated that decreased physical activity (β=.25, p=.002), greater cognitive impairment (β=.29, p<.001), and lower support from healthcare providers (β=–.26, p=.008) were significant predictors of increased risk of self-care non-adherence. The model explained 46% of the variance in the risk of self-care non-adherence. In contrast, family support and health literacy were not significant predictors. Conclusion: To reduce the risk of self-care non-adherence in older adults with chronic kidney disease, routine cognitive screening and tailored education for those with cognitive impairment should be implemented in outpatient care. Promoting physical activity and strengthening support from healthcare providers are also key strategies to improve adherence in this population.

Purpose
The aim of this study was to identify the effects of stigma, social support, and resilience on post-traumatic growth in patients with stroke and to provide foundational data for developing nursing interventions that can effectively promote post-traumatic growth in this population.
Methods
This cross-sectional study employed a questionnaire-based survey. The participants were 150 patients who attended the neurology outpatient clinic three months after a stroke diagnosis. Data were collected between February and April 2024 using a structured self-report questionnaire. Analyses included descriptive statistics, reliability analysis, inferential statistics(independent t-test, one-way ANOVA, and Scheffé's test), and hierarchical multiple regression using SPSS/WIN 27.0.
Results
The mean post-traumatic growth score was 2.52±1.05 out of 5. Significant factors affecting post-traumatic growth were age, education, religion, the presence of a housemate, income, time since stroke onset, stroke type, and stroke recurrence. Post-traumatic growth was positively correlated with social support (r=.44, p<.001) and resilience (r=.53, p<.001), but not significantly correlated with stigma. Regression analysis identified resilience (β=.37, p<.001), religion (β=.29, p<.001), and stroke type (β=.23, p=.033) as significant predictors, explaining 44.2% of the variance in post-traumatic growth (F=9.45, p<.001).
Conclusion
Developing and implementing nursing interventions to increase resilience may be crucial for promoting post-traumatic growth in patients with stroke. Further research is needed to design and evaluate these interventions.

Purpose
The purposes of this study were to develop a prediction model for pressure injury using a machine learning algorithm and to integrate it into clinical practice.
Methods
This was a retrospective study of tertiary hospitals in Seoul, Korea. It analyzed patients in 12 departments where many pressure injuries occurred, including 8 general wards and 4 intensive care units from January 2018 to May 2022. In total, 182 variables were included in the model development. A pressure injury prediction model was developed using the gradient boosting algorithm, logistic regression, and decision tree methods, and it was compared to the Braden scale.
Results
Among the 1,389,660 general ward cases, there were 451 cases of pressure injuries, and among 139,897 intensive care unit cases, there were 297 cases of pressure injuries. Among the tested prediction models, the gradient boosting algorithm showed the highest predictive performance. The area under the receiver operating characteristic curve of the gradient boosting algorithm's pressure injury prediction model in the general ward and intensive care unit was 0.86 (95% confidence interval, 0.83~0.89) and 0.83 (95% confidence interval, 0.79~0.87), respectively. This model was integrated into the electronic health record system to show each patient's probability for pressure injury occurrence, and the risk factors calculated every hour.
Conclusion
The prediction model developed using the gradient boosting algorithm exhibited higher performance than the Braden scale. A clinical decision support system that automatically assesses pressure injury risk allows nurses to focus on patients at high risk for pressure injuries without increasing their workload.

Citations

• Machine Learning Applications in Nursing-Affiliated Research: A Systematic Review
  Eun Joo Kim, Seong Kwang Kim
  Korean Journal of Adult Nursing.2025; 37(3): 189.     CrossRef
• Data Analytics and Administrative Decision‐Making in Nursing Management: A Systematic Review
  Nathidathip Darach, Min Su Kim, Wasinee Wisesrith, Eileen G. Collins, Majd Mrayyan
  Journal of Nursing Management.2025;[Epub]     CrossRef

Purpose
The purpose of this study was to investigate the level of resilience in multiple myeloma patients and to identify the impact of symptom experience, cancer coping, and social support on resilience. Methods: Data were collected from January 2022 to May 2022 using self-report structured questionnaires administered to 162 outpatients who were undergoing chemotherapy or follow-up care after multiple myeloma treatment. The measured variables included symptom experience, cancer coping, social support, and resilience. The collected data were analyzed using SPSS/WIN 25 for descriptive statistics, the independent t-test, one-way analysis of variance, the Scheffé test, Pearson correlation coefficients, and hierarchical regression analysis. Results: The mean resilience score of the participants was 66 out of 100 points. The levels of resilience were significantly higher in patients who had a job, recognized the importance of religion, and had a good economic status. Significantly higher levels of resilience were also observed in patients with lower physical performance status, fewer symptom experiences, more positive cancer coping, and higher support from healthcare staff. Conclusion: Monitoring the symptom experience and physical performance ability of patients with multiple myeloma is important for enhancing their resilience. Positive coping strategies need to be developed and additional support from nurses should be provided to strengthen the personal resilience of patients with multiple myeloma.

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

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

Citations

• Influence of self-efficacy in health management and resilience on treatment compliance in Korean patients undergoing percutaneous coronary intervention: a descriptive survey study
  Mi-Ra Jung, Eun Jeong, Kyung Sim Lee, Jang Hyun Cho
  Journal of Korean Biological Nursing Science.2025; 27(2): 266.     CrossRef
• Factors influencing disease-related knowledge and health empowerment on health behavior compliance among patients after percutaneous coronary intervention in Korea: a cross-sectional study
  Hyeon-Jung Lee, Insook Lee
  Journal of Acute Care Surgery.2025; 15(2): 49.     CrossRef
• Mediating Effects of Self-Efficacy and Social Support on the Relationship Between eHealth Literacy and Self-Care Competency in Patients Undergoing Percutaneous Coronary Interventions: A Cross-Sectional Study
  Eunhee Jo, Su-Jin Lee, Sun Hee Han
  Journal of Korean Academy of Fundamentals of Nursing.2023; 30(3): 325.     CrossRef

Purpose
It is necessary for nurses who perform tasks related to life-sustaining treatment to play a supporting role in the decision-making process of life-sustaining treatment for patients and guardians based on their knowledge of decisions and implementation, such as cessation of life-sustaining treatment. Therefore, the Knowledge Scale of the Life-Sustaining Treatment (KS-LST) was developed and reliability and validity were verified.
Methods
Our methodological study aimed at developing tools to measure the knowledge of nurses´ life-saving medical decision system and to verify their reliability and validity. To this end, preliminary questions were constructed through literature review. In this regard, content validity, face validity, k-group comparison, and composition validity through item analysis were verified, and reliability was derived from KR-20.
Results
A total of 26 questions were derived from the 35 preliminary questions through content validity and facial validity; depending on whether they were educated or not, there was a significant difference between the two groups (p=.004). The final 23 questions were derived by deleting 3 questions with low discrimination, and KR-20 was .62.
Conclusion
Using the KS-LST that was developed through this study, we can measure the nurses´ knowledge of the life-sustaining medical decision system and provide education in the deficient areas. We expect nurses with accurate knowledge to provide accurate information to patients and caregivers to help patients make the right choices.

Citations

• Factors associated with disaster nursing competence among emergency department nurses: the roles of disaster preparedness, self-efficacy, and communication ability
  Gyu Bong Noh, Sun Hyoung Bae
  BMC Nursing.2025;[Epub]     CrossRef
• Knowledge, Attitudes and Nursing Stress Related to Life-Sustaining Treatment among Oncology Nurses
  Seul Lee, Suyoun Hong, Sojung Park, Soojung Lim
  The Journal of Hospice and Palliative Care.2023; 26(3): 112.     CrossRef

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

Citations

• Social needs and resilience of post-stroke patients: an exploratory case study
  Heltty Heltty, Rahmawati Rahmawati, Taufik Taufik
  Healthcare in Low-resource Settings.2025;[Epub]     CrossRef
• Self-efficacy, social support, and their relationship to treatment adherence in pulmonary tuberculosis: A cross-sectional study
  Heltty Heltty, Siti Masriwati, Mimi Yati, La Ode Saltar, Hasniah Dina
  The Journal of Palembang Nursing Studies.2025; 4(2): 81.     CrossRef
• Impact of applying the theory of human becoming and self-care deficit theory of nursing on insomnia in after stroke urinary incontinence patients
  Heltty Heltty, Ratna Sitorus, Haryanto Haryanto
  Frontiers of Nursing.2024; 11(3): 259.     CrossRef
• Booster dose of COVID-19 vaccination: Perception among elderly
  Heltty Heltty, Basso Palingrungi, Apriyanti Apriyanti
  The Journal of Palembang Nursing Studies.2023; 2(1): 20.     CrossRef
• Patient, Family, and Peer Engagement in Nursing Care as an Effort to Improve the Functional Independence of Post-stroke Urinary Incontinence Patients: A Cross-Sectional Study
  Heltty Heltty
  Cureus.2022;[Epub]     CrossRef

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
The study sought to investigate the relationships between beliefs about medications, self-efficacy of medication use, social support and medication adherence, and the general factors associated with medication adherence among the elderly living with chronic disease. Methods: This study took the form of a descriptive survey involving 222 elderly outpatients - aged 65 years or older - who visited S medical center, located in S city. Data were collected through self-report questionnaires from July to August 2019. Data analysis was conducted using descriptive statistics, an independent t-test, a one-way ANOVA, Pearson's correlation coefficient, and a hierarchical multiple regression via the SPSS/WIN 25.0 program. Results: The mean score for medication adherence was 61.80±10.19 (range 16~80). Participants' medication adherence positively correlated with beliefs about medications (r=.17, p=.012), self-efficacy for medication use (r=.31, p<.001) and social support (r=.20, p=.003). Frequency of alcohol consumption (β=-.20, p=.001), burden level of medical costs (β=-.18, p=.012), experience of side-effects (β=-.21, p=.001), medication-taking education (β=.17, p=.008), beliefs about medication (β=.13, p=.038), and self-efficacy for medication use (β=.19, p=.004) explained for 24.9% of medication adherence (F=6.23, p<.001). Conclusion: It is necessary to consider the beliefs about medication and self-efficacy for medication use when developing educational programs aimed at improving medication adherence among the elderly living with chronic diseases.

Citations

• Factors associated with health literacy in older adults aged 65 and over: a secondary data analysis of the 2021 Korea Health Panel applying the Andersen behavioural model
  Yeong Eun Kim, Ol Han, Chang Sun Moon
  BMJ Open.2025; 15(3): e085696.     CrossRef
• Factors Influencing Medication Adherence among Adult Patients with Hypertension
  Soo Kyung Lee, Myung Sun Hyun
  The Korean Journal of Rehabilitation Nursing.2025; 28(1): 1.     CrossRef
• Factors associated with medication adherence among older adults with multimorbidity: A culture perspective
  Eunhwa Lee, MoonKi Choi
  Geriatric Nursing.2024; 55: 297.     CrossRef
• Factors Influencing the Medication Adherence in Patients with Pulmonary Tuberculosis in the COVID-19 Pandemic
  Bongsil Lim, Min Young Kim
  The Korean Journal of Rehabilitation Nursing.2023; 26(2): 87.     CrossRef
• Development and effectiveness of an integrated medication management program centered on senior welfare centers for older adults with hypertension: A cross-sectional study
  Heuijeong Moon, Dukyoo Jung
  Journal of Korean Gerontological Nursing.2023; 25(3): 297.     CrossRef
• Relationships between health literacy, self-efficacy, and medication adherence in older people with polypharmacy: A cross-sectional study
  Jee Young Cho, Sun Ju Chang
  Journal of Korean Gerontological Nursing.2023; 25(4): 357.     CrossRef
• Effects of Changes in Multiple Chronic Conditions on Medical Costs among Older Adults in South Korea
  Soojin Park, Jin Young Nam
  Healthcare.2022; 10(4): 742.     CrossRef

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

Citations

• Influences of Fatigue, Uncertainty, and Resilience on Self-Care Behaviors in Cancer Patients Undergoing Chemotherapy
  Sa-Rang Kim, Gie-Ok Noh
  Asian Oncology Nursing.2025; 25(2): 110.     CrossRef

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

Purpose
This study aimed to explore the level of well-dying in the elderly and identify the effects of social support, family support, and repulsion related nursing home on that.
Methods
The sample for this cross-sectional study consisted of 110 community-dwelling elderly and 103 nursing home residents. Data were collected using a structured questionnaire from August to October 2019. SPSS/WIN 25.0 program was used to conduct statistical analyses, including descriptive statistics, an independent t-test, a one-way analysis of variance, and stepwise multiple linear regression.
Results
The mean score for well-dying was 2.63±0.28 (range 1~4). Well-dying had a statistically significant relationship with religion (t=5.56, p<.001), household income (F=14.04, p<.001) and perceived health status (F=44.59, p<.001). Furthermore, social support (r=.71, p<.001), family support (r=.42, p<.001), and repulsion related nursing home (r=-.56, p<.001) significantly correlated with well-dying. Stepwise multiple linear regression demonstrated that social support, repulsion related nursing home, and having a religion explained 62.0% of the variance in well-dying.
Conclusion
Social support was found to have the largest influence on well-dying, followed by repulsion related nursing home and religion. The results highlight the need to develop a detailed nursing intervention that considers these factors to promote well-dying in the elderly.

Citations

• Predictors of preparedness for well‐dying among middle‐aged and older adults
  Sun‐Ae Kim, Jae‐Sun An, Kyung‐Hyun Suh
  Psychogeriatrics.2024; 24(6): 1335.     CrossRef
• Factors Affecting the Well-dying Awareness of Lung Cancer Survivors
  Dong Sim Choi, Gie Ok Noh
  Asian Oncology Nursing.2023; 23(4): 225.     CrossRef
• The effects of ego integrity and readiness for death on the preferences of care near the end-of-life of hospitalized older adults in long-term care hospitals: A cross-sectional correlation study
  Jangmi Baek, Jun-Ah Song
  Journal of Korean Gerontological Nursing.2023; 25(2): 185.     CrossRef
• Understanding Cultural Beliefs of a Good Death by Older People in South Korea: An Integrative Review of the Literature
  Kyoungsun Yun, Minjeong Jo, Yunji Lee
  Journal of Hospice & Palliative Nursing.2022; 24(6): E265.     CrossRef
• Effect of Life Satisfaction on Depression among Childless Married Couples: A Cross-Sectional Study
  Ju-Young Ha, Hyo-Jin Park
  International Journal of Environmental Research and Public Health.2022; 19(4): 2055.     CrossRef
• A qualitative study of the first batch of medical assistance team’s first-hand experience in supporting the nursing homes in Wuhan against COVID-19
  Xiu-Fen Yang, Meng-qi Li, Lu-lu Liao, Hui Feng, Si Zhao, Shuang Wu, Ping Yin, Giovanni Ottoboni
  PLOS ONE.2021; 16(4): e0249656.     CrossRef
• Subjective Perception of Long-Term Care Facilities in Home-Dwelling Older Adults: A Q Methodological Study
  Eun Ho Ha
  Korean Journal of Adult Nursing.2021; 33(3): 269.     CrossRef

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

Citations

• Self-disclosure in Adult Patients With Cancer
  Hyungran Lee, Younhee Jeong
  Cancer Nursing.2025; 48(4): 289.     CrossRef
• Factors Influencing Health-Related Quality of Life in Patients With Atrial Fibrillation
  Hyeon-Ok Lee, Ji-Yeong Seo
  Journal of Cardiovascular Nursing.2025;[Epub]     CrossRef
• Influencing factors on quality of life in women undergoing cancer treatment: a cross-sectional study
  Hyun Jin Jung, Yu Jin Hong, Seo Young Hong, Ju-Hee Nho
  Women's Health Nursing.2025; 31(3): 192.     CrossRef
• Health-related quality of life in female patients with reumatoid arthritis: a structural equation model
  Bukyung Kim, Mi-Hae Sung
  Korean Journal of Women Health Nursing.2023; 29(2): 91.     CrossRef
• Quality of Life in Middle-aged Men with Prostatic hyperplasia: A Structural Equation Model
  Hee Nam Moon, Seung Hee Yang
  Korean Journal of Adult Nursing.2023; 35(4): 327.     CrossRef
• Factors influencing quality of life in caregivers of adolescents with developmental disabilities
  Joung Woo Joung
  Osong Public Health and Research Perspectives.2022; 13(4): 298.     CrossRef
• Structure Equation Modeling for Resilience in Patients with Breast Cancer
  Dong Rim Hyun, So Yeun Jun, Chang Wan Jun, Sue Kyung Sohn
  Korean Journal of Adult Nursing.2021; 33(2): 87.     CrossRef
• Influence of Perceived Health, Anxiety, Depression, and Social Support on Quality of Life in Patients with Meniere Disease
  Young Mi Ryu, Woo Joung Joung
  Korean Journal of Adult Nursing.2020; 32(4): 399.     CrossRef

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

Citations

• Structural equation modeling of symptom clusters and health-related quality of life among patients with advanced colorectal cancer receiving chemotherapy in Bangkok, Thailand
  Savitree Suratako, Yaowarat Matchim, Mary Quinn Griffin
  Belitung Nursing Journal.2025; 11(4): 468.     CrossRef
• A causal model of health-related quality of life in colorectal cancer patients post-surgery
  Thi Hong Hanh Tran, Sureeporn Thanasilp, Noppamat Pudtong
  European Journal of Oncology Nursing.2024; 72: 102691.     CrossRef
• The Relationships among Social Support, Bowel Function Symptoms and Uncertainty in Rectal Cancer Patients
  Kyungmi Lee, Semi Lim
  Journal of Korean Academy of Fundamentals of Nursing.2021; 28(4): 421.     CrossRef

PURPOSE
The purpose of this study was to explore influence of Type D personality of hemodialysis patients on quality of life and to elucidate mediation effects of depression and social supports between Type D personality and quality of life.
METHODS
The subjects were 126 patients who were receiving hemodialysis treatments at four dialysis clinics in Pusan and Daegu metropolitans. Data were collected from January 22th to February 28th, 2018 and analyzed with descriptive statistics, χ2 test, independent t-test, Pearson's correlation coefficient and three-step mediated regression analysis using SPSS/WIN 22.0. Significances of mediation effects were examined using bootstrapping method based on SPSS Process Macro program.
RESULTS
The prevalence of Type D personality in hemodialysis patients were 42.9%. Type D personality in hemodialysis patients had significant effects on quality of life, showing explanatory power of 12%. Depression showed complete mediating effects and also showed 42% of substantiating probability, and social supports showed partial mediating effects and showed 19% of substantiating probability.
CONCLUSION
Summing up the result of research until now, in order to improve the quality of life for Type D personality hemodialysis patient, it is necessary to develop strategies not only to relieve depression using early evaluation on depression status, consulting therapy, cognition behavior mediation and so on, but also to enhance social supports like participating in voluntary meetings and building up social network to expand relationship with close people.

Citations

• The impact of illness acceptance, depression, and social support on health-related quality of life in older adults on hemodialysis: A descriptive study
  Eunha Lee, Jungmin Kim
  Journal of Korean Gerontological Nursing.2025; 27(1): 106.     CrossRef
• Relationship Between Illness Adaptation and Type D Personality in Hemodialysis Patients
  Berna Akay, Canan Bozkurt, Nurdan Sahin
  Hemodialysis International.2025; 29(4): 655.     CrossRef
• Relationships among Type-D Personality, Fatigue, and Quality of Life in Infertile Women
  Ju-Hee Nho, Eun Jin Kim
  Asian Nursing Research.2022; 16(4): 208.     CrossRef
• Mediating Effects of Self-Care Competence on the Relationship between Uncertainty and Quality of Life in Hemodialysis Patients
  Yoon Jung Chae, Jun Hee Ahn, Kyung Pyo Kang, Eunhee Jo
  Korean Journal of Adult Nursing.2020; 32(1): 67.     CrossRef

PURPOSE
The purpose of this study was to identify factors influencing functional health of patients with chronic insomnia based on the Theory of Unpleasant Symptoms (TOUS).
METHODS
Data were collected from 184 patients with chronic insomnia who had been treated at the sleep center in hospital in South Korea. Data were collected from 23 December 2014 to 18 May 2015 through self-reported questionnaires from pre-sleep arousal, worry, perceived stress, social support, insomnia symptom, and functional health. Data were analyzes using an independent t-test, one-way ANOVA, Pearson's correlation coefficient, and hierarchical multiple regression analysis with the SPSS/WIN 21.0 program.
RESULTS
The regression model had an adjusted R2 of 50%, which indicated that pre-sleep arousal, social support, perceived stress, education, and insomnia symptom were significant predictors of functional health in patients with insomnia.
CONCLUSION
In order to improve the functional health of patient's with chronic insomnia, clinical nurses should develop and provide nursing interventions that improve social support and reduce pre-sleep arousal, stress, and insomnia symptoms.

Citations

• Factors influencing the health-related quality of life in Korean menopausal women: a cross-sectional study based on the theory of unpleasant symptoms
  Ji-Hyun Kang, Moon-Jeong Kim
  Korean Journal of Women Health Nursing.2022; 28(2): 100.     CrossRef
• Nomophobia in Lebanon: Scale validation and association with psychological aspects
  Youssef Farchakh, Rabih Hallit, Marwan Akel, Clarissa Chalhoub, Maria Hachem, Souheil Hallit, Sahar Obeid, Yuka Kotozaki
  PLOS ONE.2021; 16(4): e0249890.     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

PURPOSE
This study was conducted to explore the factors related to family support for hemodialysis patients.
METHODS
Preferred Reporting Items Systematic Reviews and Meta-Analysis (PRISMA) flow diagram was used to select 18 studies in Korea for systematic review and meta-analysis. The Effect Sizes of correlation coefficients (ESr) were determined through Fisher's Z transformation.
RESULTS
The systematic review revealed 31 factors that affect family support(including socio-economic and disease-specific factors) and 23 factors that are influenced by family support (including socio-psychological factors and physiological indicators). In the meta-analysis, 18 factors (10 socio-economic and disease-specific factors and 8 psychological factors and physiological indicators) were used. The socio-economic factors that significantly affected family support were type of medical insurance, perceived economic state, marital status, primary care giver, living together, family monthly income, education level, and job state. Disease-specific factors such as frequency of dialysis per week did not have a significant impact on family support. Family support had a positive influence over patients' self efficacy (ESr=.56), quality of life (ESr=.48), self-esteem(ESr=.42), fatigue (ESr=−.32), sick role behavior (ESr=.32), and depression (ESr=−.24).
CONCLUSION
This study showed that economic status and family characteristics of hemodialysis patients in Korea affect the level of family support that patients receive, and family support promotes patients' positive psychology and sick role behavior. The results of this study provide useful information in developing family support intervention programs for hemodialysis patients.

Citations

• The influence of family health on self-efficacy in patients with chronic diseases: the mediating role of perceived social support and the moderating role of health literacy
  Zhen-ni Luo, Kun Li, An-qi Chen, Yu-chi Qiu, Xi-xi Yang, Zhi-wen Lin, Jing-han Liu, Yi-bo Wu, Jiang-yun Chen
  BMC Public Health.2024;[Epub]     CrossRef
• Variables Associated with Self-Compassion among Nurses: A Systematic Review and Meta-Analysis
  Bokeung Peun, Heeseung Choi
  STRESS.2022; 30(4): 221.     CrossRef
• Healthy life of Korean patients with chronic kidney failure undergoing hemodialysis: A situation-specific nursing theory
  Jinhyang Yang, Myung-Ok Cho, Haeok Lee
  Applied Nursing Research.2022; 65: 151584.     CrossRef
• Mediating effect of Maternal and Paternal Family Relationship between Neuroticism and Postpartum Depression: The Actor-Partner Interdependence Mediation Model
  Hye Gyeong Seo, Suk-Sun Kim
  Journal of Korean Academy of psychiatric and Mental Health Nursing.2021; 30(4): 400.     CrossRef
• Effect of Hemodialysis Adequacy on Quality of Life in Older adults with Chronic Kidney Disease
  Virgianti Nur Faridah, Muhamad Syukri Ghozali, Arifal Aris, Siti Sholikhah, Masunatul Ubudiyah
  Indonesian Journal of Community Health Nursing.2021; 6(1): 28.     CrossRef
• Quality of Life and Social Support of People on Peritoneal Dialysis: Mixed Methods Research
  Miquel Sitjar-Suñer, Rosa Suñer-Soler, Afra Masià-Plana, Emilia Chirveches-Pérez, Carme Bertran-Noguer, Concepció Fuentes-Pumarola
  International Journal of Environmental Research and Public Health.2020; 17(12): 4240.     CrossRef
• Relationships between depression, family function, physical symptoms, and illness uncertainty in female patients with chronic kidney disease
  Oksoo Kim, Eun Yi Yeom, Hae Ok Jeon
  Nursing & Health Sciences.2020; 22(3): 548.     CrossRef
• Factors Influencing Self-Care Behaviors of Renal Dialysis Patients
  Yoonjung Kim, Sanggeon Park
  STRESS.2019; 27(4): 320.     CrossRef

PURPOSE
The purpose of this study was to identify the factors involved in psychosocial adjustment of hemodialysis patients.
METHODS
This correlational, cross-sectional study included 172 hemodialysis patients from 11 different nephrology clinics. Data was collected from May to August 2018 using a structured questionnaire including patient' characteristics, uncertainty, social support, coping, and psychosocial adjustment. Data was analyzed using descriptive statistics, independent t-tests, one-way ANOVA, Pearson's correlation coefficient, and stepwise multiple linear regression.
RESULTS
The total score for psychosocial adjustment was 406.23±44.58 out of a maximum of 700. Psychosocial adjustment had a statistically significant relationship with occupation(t=−3.88, p < .001) and albumin (t=−2.06, p=.041). Furthermore, uncertainty (r=.45, p < .001), social support (r=−.37, p < .001), and coping (r=−.31, p < .001) were significantly correlated with psychosocial adjustment. Stepwise multiple linear regression demonstrated that uncertainty, having an occupation, social support, and being women explained 35.4% of the variance in psychosocial adjustment.
CONCLUSION
Uncertainty was found to have the largest influence on psychosocial adjustment, followed by occupation, social support, and gender. It is necessary to develop a detailed intervention that considers all these factors to promote psychosocial adjustment of patients with hemodialysis. Furthermore, the importance of the psychosocial adjustment of chronic illness needs to be stressed in nursing education.

Citations

• Predictors of psychosocial adaptation in haemodialysis patients according to haemodialysis vintage: a quantitative study
  Ae Kyung Chang, Ah Young Kim
  Contemporary Nurse.2025; 61(4): 377.     CrossRef
• Association Between Dyadic Coping and Psychosocial Adjustment and the Mediation Effect of Fear of Disease Progression in Patients With Malignancy and Their Caregivers: Based on the Actor-Partner Interdependence Model
  Hualong Ma, Yongyue He, Weixin Wu, Qiuyun Ye, Qinyang Wu, Ke Hu, Xiaohao Jiang, Lu Tang, Qiaohong Yang
  Cancer Nursing.2024;[Epub]     CrossRef
• Health Literacy and Anxiety Among Hemodialysis Patients During the Coronavirus Disease Pandemic
  In Ju Yoon, Su Jung Lee
  Psychology Research and Behavior Management.2023; Volume 16: 1051.     CrossRef
• Factors contributing to chronic obstructive pulmonary disease patients' functional performance: Structural equation modelling based on theory of unpleasant symptoms
  Hye Suk Jun, Younhee Kang
  Nursing Open.2023; 10(5): 3132.     CrossRef
• Development and Evaluation of an Online Self-Management Program in Patients with Chronic Kidney Failure Undergoing Hemodialysis
  Jinhyang Yang
  Journal of Korean Academy of Fundamentals of Nursing.2022; 29(4): 531.     CrossRef
• What Factors Influence on Dermatology-Related Life Quality of Psoriasis Patients in South Korea?
  So Young Park, Kon Hee Kim
  International Journal of Environmental Research and Public Health.2021; 18(7): 3624.     CrossRef
• Factors affecting supportive needs in hemodialysis patients: A literature review
  Attieh Nikkhah, Shohreh Kolagari, Mahnaz Modanloo
  Journal of Family Medicine and Primary Care.2020; 9(4): 1844.     CrossRef
• Validity and Reliability of a Korean Version of the Psychological Adaptation Scale for Patients on Hemodialysis
  Minju Kim, Sunae Joung
  Korean Journal of Adult Nursing.2020; 32(6): 560.     CrossRef
• Perceptions of resilience in patients undergoing peritoneal dialysis: A Q‐methodology study
  Mi Young Chon, Eun Ja Yeun, Kyoung Hee Jung, Young‐il Jo, Kyeong Ryong Lee
  Nursing & Health Sciences.2020; 22(1): 108.     CrossRef
• Influence of the Meaning in Life, Depression, and Social Support on the Suicidal Ideation of Old Adult Hemodialysis Patients
  Jinhee Shin, Hyebeen Sim, Eunhee Cho
  Journal of Korean Academy of Community Health Nursing.2020; 31(3): 279.     CrossRef
• Predictors Influencing of Medication Adherence in Hemodialysis Patients
  Hana Kim, Eunha Kim
  Korean Journal of Adult Nursing.2019; 31(3): 283.     CrossRef

PURPOSE
As advanced medical care has resulted in the unintended consequence of prolonging deaths, there is a growing interest in the decision to withhold life-sustaining treatments. The purpose of this study was to determine factors associated with the decision to withhold life-sustaining treatments in middle-aged and older adults who die in hospital in the United States.
METHODS
This cross-sectional correlational study conducted secondary analysis of 2000–2012 exit interview data from the Health and Retirement Study. Adults aged 50 and older who died in hospital and who had made a decision regarding life-sustaining treatments were included. Multivariable logistic regression was used to identify factors related to the decision to withhold life-sustaining treatments.
RESULTS
Among 1,412 adults, the prevalence of the decision to withhold life-sustaining treatments was 61.1%. Significant factors associated with the decision to withhold life-sustaining treatments were being African American (Adjusted Odds Ratio [AOR]=0.50, 95% Confidential Interval [CI]=0.30~0.86), Catholic (AOR=0.5, 95% CI=0.32~0.93), having at least one private insurance policy (AOR=1.40, 95% CI=1.02~1.92), having a living will (AOR=1.71, 95% CI=1.04~2.83), and having discussed end-of-life care with someone (AOR=1.810, 95% CI=1.25~2.62).
CONCLUSION
Differences in race and religious affiliation should be considered when older adults, family members, and health care providers make decisions regarding life-sustaining treatments at the end-of-life. Also, health insurance coverage for advance care planning makes it easier for people to discuss life-sustaining treatments with health care providers.

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

Citations

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

PURPOSE
The purpose of this study was to examine the characteristics of Health-Related Quality of Life (HRQoL) and its influencing factors in Koreans with Peripheral Artery Disease (PAD).
METHODS
One hundred and four participants were recruited from Severance hospital in Seoul, Korea. A PAD-specific quality of life questionnaire was used to measure HRQoL. The relevant knowledge, social support, and demographic and clinical characteristics were also measured. Descriptive analysis and multiple linear regression analysis were performed.
RESULTS
The mean scores of PAD-related knowledge and social support were high, while those of the HRQoL were low. The HRQoL was significantly higher among university graduates than those who had completed only middle school, and among those with coronary artery disease. The HRQoL in patients with PAD was significantly correlated with duration of diagnosis, the Rutherford classification, rest pain, walking pain, medical staff support, and family support. It was significantly affected by walking pain, duration of diagnosis, medical staff support, and rest pain. The regression model accounted for 38.4% of the HRQoL in this study.
CONCLUSION
Pain and medical staff support might influence HRQoL among patients with PAD. Understanding the characteristics of HRQoL may be important in developing tailored management strategies to improve HRQoL among Koreans with PAD.

Citations

• The Relationships between Healthy Lifestyle Behaviors, Hopelessness, and Illness Acceptance Levels Diagnosed with Peripheral Artery Disease and Related Factors
  Dilara Şahan, Yakup Akyüz, Fatma Güneyi, Damla Coşar
  Annals of Vascular Surgery.2025; 115: 117.     CrossRef
• Health Literacy and Disease Knowledge of Patients With Peripheral Arterial Disease or Abdominal Aortic Aneurysm: A Scoping Review
  Goudje L. van Leeuwen, Maria-Annette Kooijman, Richte C.L. Schuurmann, Barbara L. van Leeuwen, Barbara C. van Munster, Hanneke van der Wal-Huisman, Jean-Paul P.M. de Vries
  European Journal of Vascular and Endovascular Surgery.2024; 67(6): 935.     CrossRef
• A Scoping Review of Measurement Tools Evaluating Awareness and Disease-Related Knowledge in Peripheral Arterial Disease Patients
  Carolina Machado de Melo Felix, Danielle Aparecida Gomes Pereira, Maureen Pakosh, Lilian Pinto da Silva, Gabriela Lima de Melo Ghisi
  Journal of Clinical Medicine.2023; 13(1): 107.     CrossRef
• Relationship between Uncertainty and Health-related Quality of Life in Elderly Patients Undergoing Total Knee Arthroplasty: The Mediating Effects of Sense of Coherence and Social Support
  Min-Yi Song, Min-Jeong Park
  Journal of Korean Academy of Fundamentals of Nursing.2022; 29(3): 284.     CrossRef

PURPOSE
The purpose of this study was to describe the factors which may influence a reported mid-life crisis.
METHODS
The research design was a descriptive survey design using a convenience sampling. Data were collected from 209 middle aged men and women by using self-reported questionnaires including Korean versions of Mid-life Crisis Scale, Meaning in Life Questionnaire, Perceived Stress Scale, Ego-resiliency Scale and Multipledimensional Scale of Perceived Social Support. Data were analyzed using the SPSS/WIN 22.0 program for descriptive statistics, Pearson's correlation coefficients and hierarchical multiple regression.
RESULTS
The mean for mid-life crisis was 2.69±0.58. A mid-life crisis was statistically significant in relationship to education (F=3.79, p=.024) and to economic status (F=4.07, p=.019). Further, there were significant correlations among meaning of life (r=−.34, p < .001), health status (r=−.42, p < .001), stress (r=.46, p < .001), ego resilience (r=−.29, p < .001), social support (r=−.47, p < .001), and mid-life crisis. Social support (β=−.29, p < .001), stress (β=.27, p < .001), and health status (β=−.22, p < .001) were significant predictors which explained 34% of the variance reported in a mid-life crisis.
CONCLUSION
The results indicate that these factors influencing mid-life crisis should be considered when developing nursing intervention to cope with a mid-life crisis.

Citations

• Developmental Crisis Questionnaire (DCQ-12): psychometric characteristics of the Czech version among adult respondents
  Katarína Millová, Karel Rečka, Anna Khvalitska
  Current Issues in Personality Psychology.2025;[Epub]     CrossRef
• Development and validation of the concise midlife crisis measure
  Waqar Husain, Khaled Trabelsi, Angbeen Ali, Yusma Usman, Muhammad Ahmad Husain, Farrukh Ijaz, Achraf Ammar, Haitham Jahrami
  Scientific Reports.2025;[Epub]     CrossRef
• Higher adherence to a Mediterranean-type diet is associated with reduced psychosocial stress levels in baby boomers: a cross-sectional study
  Eun-Hee Jang, Ranmi Jung, Seungmin Lee
  Nutrition Research and Practice.2024; 18(2): 257.     CrossRef
• Factors influencing coping skills of middle-aged adults in COVID-19, South Korea
  Minkyung Gu, Heeyoung Woo, Sohyune Sok
  Frontiers in Public Health.2024;[Epub]     CrossRef
• The impact of the Covid-19 pandemic on the frequency of shopping and online sale of organic food among consumers of the former Yugoslavia
  Vladimir Mitić, Milica Čolović
  Food and Feed Research.2023; 50(1): 25.     CrossRef
• Sleep‐related problems as a mediator in the association between depression and work–family conflict in middle‐aged female workers: A population‐based study
  Yoonjeong Lee, Mikyung Ryu
  Nursing Open.2023; 10(8): 5446.     CrossRef
• Factors Influencing Life Satisfaction in Middle-Aged Women
  Hee Kyung Kim, Hae Kyung Chang
  Journal of Korean Academy of Fundamentals of Nursing.2022; 29(3): 326.     CrossRef
• Effects of a Walking Exercise-Focused Health Promotion Program for Middle-Aged Women in the Korean Community
  Soojeong Yang, Hyunlye Kim
  International Journal of Environmental Research and Public Health.2022; 19(22): 14947.     CrossRef
• Relationship between Andropause Syndrome and Health-Related Quality of Life in Middle-Aged Males in South Korea: Family Bond as a Mediator
  Gyoo Yeong Cho, Mi Kyung Seo
  Korean Journal of Adult Nursing.2022; 34(4): 424.     CrossRef
• Development of an Online-Coaching Blended Couple-Oriented Intervention for Preventing Depression in Middle Adulthood: An Intervention Mapping Study
  Suk-Sun Kim, Minji Gil, Daeun Kim
  Frontiers in Public Health.2022;[Epub]     CrossRef
• Lived Experience of Middle-Aged Patients with Complex Regional Pain Syndrome
  Young-suk Seo, Sunhee Lee
  Journal of Korean Academy of Nursing.2022; 52(6): 598.     CrossRef
• Mediating Effects of Family Stress on the Relationship between Self-Efficacy and Midlife Crisis in Middle-Aged Men
  Mihyoung Kwon, Jihyun Oh
  Sustainability.2021; 13(7): 3761.     CrossRef
• The health status, aging anxiety, social networking, generativity, and happiness of late middle-aged adults
  Hae Kyung Chang
  The Journal of Korean Academic Society of Nursing Education.2021; 27(4): 392.     CrossRef
• The Effects of Stress Experienced in the Prolonged COVID-19 Situation on Psychological Distress: The Moderating Effect of Social Support
  Sora Jeon, Hoyoung Kim
  Korean Journal of Stress Research.2021; 29(4): 207.     CrossRef
• Influence of the Perception of Aging Symptoms as a Mediator and Moderator on the Relationship between Family Function and Stress in Middle-Aged Adults
  Hyun-E Yeom, Kyoung Ok Ju
  Korean Journal of Adult Nursing.2020; 32(2): 175.     CrossRef
• Influence of Midlife Health Condition and Awareness of Successful Aging on Preparation for Old Age
  Eun Ho Ha, Young Mi Lee
  Korean Journal of Adult Nursing.2020; 32(5): 472.     CrossRef
• Factors Influencing Adaptation to Menopause in Middle-aged Women
  Eun Joo Lee
  Korean Journal of Women Health Nursing.2018; 24(4): 336.     CrossRef

PURPOSE
The purpose of this study was to identify how self-care agency and social support influence self-care practices among spinal cord injured patients.
METHODS
106 spinal cord injured patients were recruited from April 12 to May 28, 2016. Structured questionnaires used were the Korean version of the Appraisal of the Self-Care Agency Scale Revised (ASAS-R), the Social Support Scale, and the Spinal Cord Injury Lifestyle Scale (SCILS). Data were analyzed using descriptive statistics, t-test, one-way ANOVA, Pearson correlations, and Stepwise multiple regression analysis with the SPSS/WIN 23.0 program.
RESULTS
Self-care practices had a significant association with self-care agency (β=.30, p=.002), social support (β=.24, p=.010), and monthly income (β=.18, p=.038). A total of 21.5% of the variance explained the self-care practice among spinal cord injured patients and was explained by self-care agency, social support, and monthly income. The self-care agency was the factor most influential on self-care practices among spinal cord injured patients explaining 15.4% of variance.
CONCLUSION
The result suggests that developing strategies enhance spinal cord injured patients' self-care agency and self-care practices.

Citations

• Relationship between Uncertainty and Health-related Quality of Life in Elderly Patients Undergoing Total Knee Arthroplasty: The Mediating Effects of Sense of Coherence and Social Support
  Min-Yi Song, Min-Jeong Park
  Journal of Korean Academy of Fundamentals of Nursing.2022; 29(3): 284.     CrossRef
• Assistência de enfermagem em diálise peritoneal: aplicabilidade da teoria de orem - estudo de método misto
  Denise Rocha Raimundo Leone, Ana Carolina de Oliveira Jeronymo Neves, Roberta Teixeira Prado, Edna Aparecida Barbosa de Castro
  Escola Anna Nery.2021;[Epub]     CrossRef
• Positive Mental Health and Self‐Care in Patients with Chronic Physical Health Problems: Implications for Evidence‐based Practice
  Montserrat Puig Llobet, MªAurelia Sánchez Ortega, MªTeresa Lluch‐Canut, MªCarmen Moreno‐Arroyo, Miguel Àngel Hidalgo Blanco, Juan Roldán‐Merino
  Worldviews on Evidence-Based Nursing.2020; 17(4): 293.     CrossRef

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

Citations

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

PURPOSE
The purpose of this study was to identify the factors which contribute to the burnout of a family member providing care to a family member in the intensive care unit (ICU).
METHODS
Data about participants' characteristics, stress, burden, social support and burnout were collected from March 1 to September 15, 2016. Data were collected through interviews and a self-report questionnaire. One hundred and twenty-three participants who were the primary caregiver participated in the study.
RESULTS
The reported mean stress score was 2.13±0.78 and of reported burden was 3.24±0.27. The mean score of social support was 3.17±0.59 and of burnout was 2.61±0.58. There were significant differences in education level, financial burden, assistant, and health status in burnout of the family caregivers. Burnout had significant correlations with stress (r=.76, p < .001), burden (r=.43, p < .001), and social support (r=-.62, p < .001). The influencing factors on burnout were stress (β=0.63, p < .001), burden (β=0.14, p=.010), and social support (β=-0.32, p < .001). These variables explained 71.8% of the total variance in burnout.
CONCLUSION
The results suggest that stress, burden, and social support should be considered in developing the nursing interventions to improve the burnout among family caregivers of the ICU patients.

Citations

• Challenges Experienced by Family Caregivers of the Adult Intensive Care Unit Patients in Korea: An Integrative Review
  JiYeon Choi, Judith A. Tate, Youn-Jung Son
  Clinical Nursing Research.2021; 30(4): 423.     CrossRef
• Influence of Self-care on Burnout in Primary Family Caregiver of Person with Dementia
  Jeong Hwa Kwon, Gwi-Ryung Son Hong
  Journal of Korean Academy of Nursing.2021; 51(2): 217.     CrossRef

PURPOSE
The purpose of this study was to investigate patients’ perceived postoperative recovery over time and to identify the influences of resilience and social support on postoperative recovery among patients with gastrointestinal cancer.
METHODS
101 patients with GI cancer who underwent surgery at S tertiary hospital were recruited from October 29th, 2015 to January 19th, 2016. Data was collected 3 times at postoperative day (POD)3, and POD5 in the hospital and at POD14 at home. Statistical analyses used were descriptive statistics, t-test, ANOVA, ANCOVA, correlation, and linear mixed model.
RESULTS
The patients' perceived postoperative recovery(reverse cording) decreased at home rather than time during hospital stay (POD3: 16.70, POD5: 15.74, POD14: 17.08). Postoperative recovery at POD5 showed negative correlation with resilience (r=−.36, p=.002). Postoperative recovery scores at POD14 were negatively correlated with resilience (r=−.60, p < .001) and social support (r=−.34, p=.019). There was a positive correlation (r=−.36, p=.002) between resilience and social support. Resilience was a significant associated factor with postoperative recovery over time (β=−0.29, p=.001).
CONCLUSION
Since the degree of postoperative recovery after hospital discharge was perceived lower than that of during hospital stay, nursing interventions such as nurse-led telephone follow-up programs should be applied during the transition period.

Citations

• Influence of Resilience and Social Support on Body Image of Patients in an Acute Stage Following Traffic Accidents
  Jihye Shin, Jieun Cha
  Journal of Korean Academy of Fundamentals of Nursing.2021; 28(2): 156.     CrossRef
• Factors Affecting Quality of Life in Patients with Radical Prostatectomy
  Hyo Jung Park, Yoonju Lee
  Korean Journal of Adult Nursing.2019; 31(2): 190.     CrossRef
• Predictive model for quality of life in patients with recurrent coronary artery disease
  Eunhee Jo, Sung Reul Kim, Hye Young Kim
  European Journal of Cardiovascular Nursing.2019; 18(6): 501.     CrossRef

PURPOSE
The purpose of this study was to examine the mediation of Self-Esteem in the relationship between Social Support and attitude toward the Withdrawal of Life-Sustaining Treatment (WLST) for community dwelling elderly in order to provide a basis for planning nursing interventions to improve the attitude of elderly.
METHODS
The participants were 252 elderly residing in Seoul. The data were collected through a questionnaire survey distributed in March, 2016. The survey included scales on Social Support, attitude towards WLST and measures of Self-esteem. Collected data were analyzed using SPSS/WIN 21.0 program.
RESULTS
The mean score for the attitude towards WLST was 73.83. Self-Esteem was 29.44. Overall Social Support was 42.51. There were significant correlations among the three variables. Self-esteem was directly affected by the attitude (R²=24%). Attitude towards WLST was directly affected by Family Support. Family Support and Self-esteem affected by the attitude on WLST (R²=19%). Self-esteem had a partial mediating effect (β=.23, p < .001) in the relationship between Family Support and reported attitude from the WLST (Sobel test: Z=4.93, p < .001).
CONCLUSION
Based on the findings of this study, programs can be created focusing on Social Support and Self-Esteem improvement. The programs may positively change the elderly's attitude towards WLST.

Citations

• Influence of Advance Directives' Self-efficacy of Community-dwelling Older Adults on the Completion of Advance Directives: Mediating the Effect of Intention for Advance Directives: A Cross-Sectional Study
  Hyun Sook Kim, Gye Jeong Yeom
  Journal of Korean Gerontological Nursing.2022; 24(2): 133.     CrossRef
• Mediating Effects of Role Perception of Life-sustaining Treatment in the Relationship between Knowledge of Lifesustaining Treatment Plans and Attitudes toward Withdrawal of Life-sustaining Treatment among Nursing College Students
  Youngmi Park, Keumhee Nam, Joohee Bae
  The Korean Journal of Hospice and Palliative Care.2021; 24(1): 36.     CrossRef
• Preferences for life-sustaining treatment in Korean adults: a cross-sectional study
  HyunChul Youn, Suk-young Lee, Han-yong Jung, Shin-Gyeom Kim, Seung‑Hyun Kim, Hyun-Ghang Jeong
  BMJ Open.2021; 11(1): e039470.     CrossRef
• Family's Perception of Proxy Decision Making to Authorize Do Not Resuscitate Order of Elderly Patients in Long Term Care Facility: A Q-Methodological Study
  Hyeon Jin Cho, Jiyeon Kang
  Journal of Korean Academy of Nursing.2021; 51(1): 15.     CrossRef
• Relationships among Perceptions of Dying Well, Attitudes toward Advance Directives, and Preferences for Advance Directives among Elderly Living Alone
  Eun-Jin Ryu, So-Eun Choi
  The Korean Journal of Hospice and Palliative Care.2020; 23(4): 241.     CrossRef
• Effects of Advance Care Planning on End-of-Life Decision Making: A Systematic Review and Meta-Analysis
  Minju Kim, Jieun Lee
  The Korean Journal of Hospice and Palliative Care.2020; 23(2): 71.     CrossRef
• Influence of Older Person's Ego Integrity and Knowledge of Advance Directives on their Attitude toward Withdrawal from Life-sustaining Treatment
  Eun Yi Yeom, Kum Sook Seo
  Journal of Korean Gerontological Nursing.2019; 21(3): 173.     CrossRef
• The Relationship among Attitudes toward the Withdrawal of Life-sustaining Treatment, Death Anxiety, and Death Acceptance among Hospitalized Elderly Cancer Patients
  YeonMi Seo, Sujin Shin
  Asian Oncology Nursing.2019; 19(3): 142.     CrossRef

PURPOSE
The purpose of this study was to examine whether the uncertainty mediates relationship between rehabilitation motivation and social support.
METHODS
Participants were 123 adults patients diagnosed as stroke in a hospital located in a Metropolitan City. Data were collected by self-administered questionnaires measuring uncertainty, family support and medical team support as social support, rehabilitation motivation. Data were analyzed using t-test, one-way ANOVA, Pearson's correlation, and multiple regression analyses. The significance of mediating effect was analyzed by Sobel test.
RESULTS
Family support and uncertainty, respectively, were influential on rehabilitation motivation (β=.39, p < .001, β=-.18, p=.011). Uncertainty showed partial mediating effect on relationship between family support and rehabilitation motivation, however, the effect was not significant (Z=1.63, p=.103).
CONCLUSION
Interventions improving family support and decreasing uncertainty may be helpful in enhancing rehabilitation motivation.

Citations

• Mediating Effects of Rehabilitation Motivation between Social Support and Health-Related Quality of Life among Patients with Stroke
  Yaeram Lee, Mihwa Won
  International Journal of Environmental Research and Public Health.2022; 19(22): 15274.     CrossRef
• Psychosocial Factors Affecting Post-acute Stroke Patients’ Rehabilitation Adherence
  Hye Ji Choi, Hee Kyung Chang
  The Korean Journal of Rehabilitation Nursing.2022; 25(2): 49.     CrossRef
• Psychosocial Factors Related to Stroke Patients’ Rehabilitation Motivation: A Scoping Review and Meta-Analysis Focused on South Korea
  Moon Joo Cheong, Yeonseok Kang, Hyung Won Kang
  Healthcare.2021; 9(9): 1211.     CrossRef
• The Perceived Marital Intimacy of Spouses Directly Influences the Rehabilitation Motivation of Hospitalized Stroke Survivors
  Kil Je Moon, Misook L. Chung, Seon Young Hwang
  Clinical Nursing Research.2021; 30(4): 502.     CrossRef
• Mediating Effects of Self-Care Competence on the Relationship between Uncertainty and Quality of Life in Stroke Patients
  Eunhee Jo, Su-Jin Lee, Jung-Hwa Jo
  Korean Journal of Adult Nursing.2021; 33(1): 56.     CrossRef
• Factors Influencing Rehabilitation Motivation of Veterans after a Stroke
  Min-Young Seo, Jinhyang Yang
  Journal of Korean Academy of Fundamentals of Nursing.2020; 27(3): 215.     CrossRef
• A Prediction Model of Rehabilitation Motivation in Middle-Aged Survivors of Stroke in Rehabilitation Facilities in Korea
  Soo Yong Oh, Seon Young Hwang, Misook L. Chung, Terry A. Lennie
  Journal of Cardiovascular Nursing.2020; 35(5): 475.     CrossRef

PURPOSE
This study was designed to identify factors affecting depression among hospitalized older adults prior to discharge from an acute care hospital.
METHODS
This descriptive study included adults aged 65 or older who were hospitalized in a general hospital in Seoul, Korea. Depression was measured by the Short Form Geriatric Depression Scale and illness perception was evaluated by the Brief Illness Perception Questionnaire. Social support was examined using the Perceived Geriatric Social Support Scale. Data were collected from August 25 to October 12, 2015. Data analysis included descriptive statistics, independent t-test, Kruskal-Wallis test, Pearson's correlation coefficient, and hierarchical multiple regression.
RESULTS
Among a total of 120 participants, 57 patients (47.5%) experienced depression. Mean depression score was 7.37±3.67. Depression was associated with illness perception (r=.53, p < .001), social support (r=-.19, p=.043), number of admission due to the recurrence (r=.31, p=.001), and time to recognize discharge plan (r=.25, p=.044). In hierarchical multiple regression, illness perception (β=.45, p < .001) and time to recognize discharge plan (β=.21, p=.039) were predictors of depression (F=7.68, p < .001, Adjusted R²=.38).
CONCLUSION
The findings of this study suggest that management of illness perception and timely notice of discharge are important to reduce depression in hospitalized elderly patients.

Citations

• The Mediating Effects of Health Concern and Depression in the Relation between Self-quarantined People’s COVID-19 Stress and Fatigue
  Sun Hwa Shin, Eun Hye Lee
  Journal of Korean Academy of Community Health Nursing.2022; 33(1): 43.     CrossRef
• Mediating Effect of Stress on the Relationship between Illness Perception and Sleep in Patients at Risk of Metabolic Syndrome
  Hyun-E Yeom, Jee-Won Shin
  Korean Journal of Adult Nursing.2019; 31(4): 449.     CrossRef
• The Level of Successful Aging and Influencing Factors of the Community Elderly
  Kyeong-Sook Cha, Hung Sa Lee, Chunmi Kim, Eun Man Kim
  Korean Journal of Health Promotion.2019; 19(1): 39.     CrossRef
• Distress and Quality of Life among Elderly Patients with Gastric Cancer: The Mediating Effect of Social Support
  Yoon Sun Kim, Young Sook Tae, Gum Hee Nam
  Korean Journal of Adult Nursing.2017; 29(5): 536.     CrossRef

PURPOSE
The aims of the study were to investigate relationships among intensive care unit (ICU) nurses' attitude, role perception, and nursing stress related to life sustaining treatment (LST), and secondly, to identify factors influencing nursing stress about LST.
METHODS
Participants were 202 conveniently sampled ICU nurses from general hospitals in Korea with over 300 beds. From December 1, 2015 to January 31, 2016, data were collected using structured questionnaires. The questionnaire was designed to measure nursing stress related to LST. Content validity and reliability was established for the instrument.
RESULTS
Relationships were found between attitude and role perception, and between role perception and nursing stress about LST. Participants' role perception, gender, education level, and the experience of dealing with family members of patients receiving LST accounted for 13% of variance in nursing stress about LST.
CONCLUSION
Results confirmed that ICU nurses' role perception affects nursing stress about LST. Accordingly, the nursing education programs related to LST should aim to enhance role perception of nurses, and strategies to reduce the nursing stress about LST of the nurses in ICU need to be further developed.

Citations

• Effects of Emergency Nurses’ Life-Sustaining Treatment Withdrawal Knowledge, Role Perception, and Job Stress on Providing End-of-Life Care
  Hyun Ju Park, Eun Ah Hong, So Hyeon Min, Heeje Yun, Hyung Bok Lee, Won Ho Choi
  Journal of Hospice and Palliative Care.2025; 28(3): 89.     CrossRef
• Nursing-Related Behavioral Patterns among Hematologic Cancer Ward Nurses
  Sol-Ha Jeong, Jeongsoo Kim
  Asian Oncology Nursing.2025; 25(3): 146.     CrossRef
• Unveiling nurses’ end-of-life care experiences: Moral distress and impacts
  Myung Nam Lee, So-Hi Kwon, SuJeong Yu, Sook Hyun Park, Sinyoung Kwon, Cho Hee Kim, Myung-Hee Park, Sung Eun Choi, Sanghee Kim, Sujeong Kim
  Nursing Ethics.2024; 31(8): 1600.     CrossRef
• Factors Influencing Performance of End-of-Life Care by ICU Nurses: A Descriptive Survey Study
  Gyo Seon Lim, Yang Gyeong Yoo
  Korean Journal of Adult Nursing.2023; 35(1): 47.     CrossRef
• Knowledge, Attitudes and Nursing Stress Related to Life-Sustaining Treatment among Oncology Nurses
  Seul Lee, Suyoun Hong, Sojung Park, Soojung Lim
  The Journal of Hospice and Palliative Care.2023; 26(3): 112.     CrossRef
• Comparing Perceptions, Determinants, and Needs of Patients, Family Members, Nurses, and Physicians When Making Life-Sustaining Treatment Decisions for Patients with Hematologic Malignancies
  Semi Kim, Eun Hye Ham, Dong Yeon Kim, Seung Nam Jang, Min kyeong Kim, Hyun Ah Choi, Yun A Cho, Seung A Lee, R.N. Min Jeong Yun
  The Korean Journal of Hospice and Palliative Care.2022; 25(1): 12.     CrossRef
• Factors Affecting Psychological Burnout in Nurses Caring for Terminal Cancer Patients
  Na-Ri Seo, Hyun-E Yeom
  The Korean Journal of Hospice and Palliative Care.2022; 25(4): 159.     CrossRef
• Mediating Effects of Role Perception of Life-sustaining Treatment in the Relationship between Knowledge of Lifesustaining Treatment Plans and Attitudes toward Withdrawal of Life-sustaining Treatment among Nursing College Students
  Youngmi Park, Keumhee Nam, Joohee Bae
  The Korean Journal of Hospice and Palliative Care.2021; 24(1): 36.     CrossRef
• Evaluation of the Effect of Intensive Nursing Intervention Based on Process Analysis
  Zhiying Zhang, Huiju Zhu, Osamah Ibrahim Khalaf
  Computational and Mathematical Methods in Medicine.2021; 2021: 1.     CrossRef
• Analysis of Risk Factors of Hospital Emergency Nursing Based on Comprehensive Nursing Methods
  Fujuan Chen, Xueying Xiao, Youshan Ni, Yanan Zhu, Xiao Li, Osamah Ibrahim Khalaf
  Computational and Mathematical Methods in Medicine.2021; 2021: 1.     CrossRef
• Attitudes of the General Public towards Death with Dignity and Their Determinants
  Jung-Whan Lee
  Journal of Health Informatics and Statistics.2021; 46(2): 230.     CrossRef
• Attitudes, Perceptions, and Experiences toward End-of-Life Care Decision-Making among Intensive Care Unit Nurses in Korea : An Integrative Review
  JiYeon Choi, Youn-Jung Son, Kyounghoon Lee
  Journal of Korean Critical Care Nursing.2020; 13(1): 27.     CrossRef
• The Effects of Nurses’ Knowledge of Withdrawal of Life- Sustaining Treatment, Death Anxiety, Perceptions of Hospice on Their Attitudes toward Withdrawal of Life-Sustaining Treatment
  Young Eun Lee, Yu Jin Jung, Yoo Na Jang, Hyo Eun Jeong
  The Korean Journal of Hospice and Palliative Care.2020; 23(3): 114.     CrossRef
• The influence of Moral Sensitivity, Knowledge of Advanced Directives, Good Death Perception on Nurses’ Attitudes toward the Withdrawal of Life-Sustaining Treatment in a General Hospital
  Sun Yeob Choi, Kon Hee Kim
  The Korean Journal of Rehabilitation Nursing.2020; 23(2): 120.     CrossRef
• Reliability and Validity of an Instrument Assessing Advance Directives for Nurse
  Hojung Cheon, Eunha Kim
  The Korean Journal of Hospice and Palliative Care.2019; 22(3): 134.     CrossRef
• Text Network Analysis of Newspaper Articles on Life-sustaining Treatments
  Eun-Jun Park, Dae Woong Ahn, Chan Sook Park
  Journal of Korean Academy of Community Health Nursing.2018; 29(2): 244.     CrossRef

PURPOSE
The purpose of this study was to explore self-management support experiences among breast cancer survivors.
METHODS
Individual in-depth interviews were performed for survivors who had treated breast cancer after completion of chemotherapy and radiation therapy. Data were collected from April 2014 to July 2014 and analyzed using phenomenological method by Colaizzi.
RESULTS
Five essential themes were found as follows: 1) Need for continuous help and support to maintain self-management, 2) Need for professional resources to carry out regular exercise, 3) Overcoming psychological difficulties through others rather than health care professionals, 4) Disappointment with time with and circumstances of health care consultation, 5) Dependence on means of media for health related information.
CONCLUSION
The results might contribute to an understanding of self-management support experienced by breast cancer survivors in Korea. It is suggested that evidence-based program for self-management support should be developed and applied to nursing intervention for breast cancer survivors.

Citations

• Development and Evaluation of an App-Based Self-Management Program for Exercise Practice of Breast Cancer Survivors: A Non-Randomized Controlled Trial
  Suyoun Maeng, Jungok Yu
  Journal of Korean Academy of Nursing.2024; 54(2): 250.     CrossRef
• A systematic review of qualitative research on the self‐management experience of breast cancer patients
  Xi‐Bo Sun, He‐Peng Su, He Jiang, Bing Wang, Shuai Lu, Jin‐Xiu Qu, Xiang‐Qi Li, Ben‐Qiang Rao
  The International Journal of Health Planning and Management.2024; 39(4): 1131.     CrossRef
• Verification of Usability of Medical Image Data Using Projective Photography for Designing Clothing for Breast Cancer Patients
  Youn Joo Kim
  Tomography.2022; 8(4): 1820.     CrossRef
• Photovoice-Based Assessment of Weight Management Experiences of Breast Cancer Patients Treated with Tamoxifen
  Jung Suk Park, Jeong-Won Han, Jin Hyuk Choi, Kyoung Chun Lee
  International Journal of Environmental Research and Public Health.2020; 17(12): 4359.     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
• Experience of Chemotherapy in Ovarian Cancer Patients
  Nayeon Shin, Jiyoung Kim
  Asian Oncology Nursing.2017; 17(3): 158.     CrossRef
• The phenomenological study of self-management intervention among breast cancer survivors: Non-pharmacological approaches
  Seok-Mo Heo, Narae Heo
  Journal of the Korea Academia-Industrial cooperation Society.2016; 17(12): 270.     CrossRef

PURPOSE
This study was conducted to identify factors that influence on self-determination for withdrawal of life-sustaining treatment in the community dwelling elderly.
METHODS
This study used a descriptive correlational design. A convenience sample of 201 elderly were recruited from a welfare center located in Seoul, Korea. Data collection was done from September 1 to September 18, 2015. Four survey questionnaires were used: Multidimensional Scale of Perceived Social Support (MSPSS), Life Satisfaction Index-Z (LSI-Z), Attitude on Do Not Resuscitate (DNR), and Self-determination for Withdrawing Life-sustaining Treatment. Data analysis was done by t-test, ANOVA, Pearson's correlation, and hierrarchical multiple regression.
RESULTS
Hierarchial multiple regression showed that the factors predicting the level of self-determination for withdrawing life-sustaining treatment were educational level, DNR experience in family, life satisfaction, and DNR attitude. These factors explained 44% of the self-determination for withdrawing life-sustaining treatment in community dwelling elderly.
CONCLUSION
The results of this study suggest developing educational programs aiming at changing elderly's DNR attitude positive ways so that they can enhance self-determination for withdrawing life-sustaining treatment. Further study is needed with more elderly population in extended areas.

Citations

• Influence of Advance Directives' Self-efficacy of Community-dwelling Older Adults on the Completion of Advance Directives: Mediating the Effect of Intention for Advance Directives: A Cross-Sectional Study
  Hyun Sook Kim, Gye Jeong Yeom
  Journal of Korean Gerontological Nursing.2022; 24(2): 133.     CrossRef
• Factors influencing intention to use life-sustaining treatment of community-dwelling older adults using the 2020 national survey of older Koreans: Secondary analysis research
  Yun Hee Hwang, Hye Jung Jun, Hye-Ryeon Park
  Journal of Korean Gerontological Nursing.2022; 24(4): 424.     CrossRef
• Influence of Older Person's Ego Integrity and Knowledge of Advance Directives on their Attitude toward Withdrawal from Life-sustaining Treatment
  Eun Yi Yeom, Kum Sook Seo
  Journal of Korean Gerontological Nursing.2019; 21(3): 173.     CrossRef

PURPOSE
The objective of this study was to identify factors related to self-care adherence in symptomatic patients with heart failure (HF).
METHODS
Using a cross-sectional design, a convenience sample 209 outpatient clinic patients were recruited at two medical centers. Between October 2011 and August 2012, data were collected using the structured questionnaire. Factors related to self-care adherence were examined using hierarchical multiple regression.
RESULTS
Mean age of participants was 67.71 years and a half of them (53.6%) were female. They showed relatively low self-care adherence with mean scores of 61.88±12.92. Lower self-care adherence was reported in asking for low sodium items, weighing oneself, checking for ankle edema, and exercising for 30 minutes. The overall model significantly explained 23.9% of variance in self-care adherence. Among the predictors, education, New York Heart Association functional classification, and social support were statistically significant in influencing self-care adherence. The variable of negative emotional status such as anxiety and depression were not found to be significant.
CONCLUSION
These findings demonstrate that social support could help self-care adherence among symptomatic patients with HF. Thus, programs targeting self-care adherence in this population should consider the strategies improving social support.

Citations

• An Integrated Literature Review on Cardiac Rehabilitation Program for Patients with Coronary Artery Disease
  Hong-A Lim, Yeoungsuk Song
  Journal of Health Informatics and Statistics.2024; 49(3): 205.     CrossRef
• Self-care model based on the theory of unpleasant symptoms in patients with heart failure
  In-Suk Yang, Younhee Kang
  Applied Nursing Research.2018; 43: 10.     CrossRef

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

Citations

• The longitudinal effects of children’s temperament on maternal depression: A hierarchical linear modeling approach
  Chul-Gyu Kim, Mi-Young Choi
  The Journal of Korean Academic Society of Nursing Education.2022; 28(1): 91.     CrossRef
• The Influence of Ego-identity, Parenting Efficacy and Stress Coping Style on Depression in Mothers of Toddlers
  Hyun-Yi Chai, Mi-Young Choi
  Child Health Nursing Research.2019; 25(2): 196.     CrossRef
• Effects of Psychological, Parenting and Relational Characteristics of Mothers of Preschool Children on Their Depression Levels
  Hye Young Song, Won Jin Ju, Yanghee Pang
  Journal of Korean Academy of Community Health Nursing.2018; 29(4): 393.     CrossRef

PURPOSE
The purpose of this study was to 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 this study was to investigate the influencing factors on Posttraumatic Growth(PTG) in patients with colorectal cancer.
METHODS
Eighty patients who were diagnosed with colorectal cancer at least twelve months ago were recruited from the oncology outpatient clinic of university hospital in Y city. Participants completed four survey questionnaires: Korean versions of PTG Index, Korean versions of Cancer Coping Questionnaire, Multidimensional Scale of Perceived Social Support, and a Resilience Scale. The data were analyzed by ANOVA, Pearson-correlation coefficient, and multiple regression analysis.
RESULTS
The mean score of PTG in these patients was 51.16 indicating relatively high growth. Posttraumatic Growth had significant correlations with coping, social support, and resiliency. In addition to the variables of age and education that are found to be associated with the PTG, the PTG was significantly influenced by resilience, coping, and importance of religion. Forty-nine percent of the variations in the PTG were explained by these three variables.
CONCLUSION
The identified factors influencing colorectal cancer related to PTG could be considered in developing nursing interventions to promote positive psychological changes in response to adversity which colorectal cancer survivors might experience.

Citations

• Pathways to post-traumatic growth in Korean female cancer patients: the mediation effects of coping strategies and resilience
  Sumi Choi, Dongil Kim, Ahyoung Cho, Sohyun An, Changhyun Kim, Inhwa Yoo
  European Journal of Psychotraumatology.2023;[Epub]     CrossRef
• Effects of Post Traumatic Growth on Successful Aging in Breast Cancer Survivors in South Korea: The Mediating Effect of Resilience and Intolerance of Uncertainty
  Su Jeong Yi, Ku Sang Kim, Seunghee Lee, Hyunjung Lee
  Healthcare.2023; 11(21): 2843.     CrossRef
• Development and effects of a post-traumatic growth program for patients with breast cancer
  Sung Hee Choi, Young Whee Lee, Hwa Soon Kim, Soo Hyun Kim, Eun-Hyun Lee, Eun Young Park, Young Up Cho
  European Journal of Oncology Nursing.2022; 57: 102100.     CrossRef
• Effects of Meaning in Life and Social Support on Posttraumatic Growth in Pancreatic Cancer Survivors
  Youjin Kim, Boyoung Hwang
  Journal of Korean Academy of psychiatric and Mental Health Nursing.2021; 30(4): 330.     CrossRef
• Factors influencing posttraumatic growth in ovarian cancer survivors
  Jeong Min Oh, Yoonjung Kim, Yeunhee Kwak
  Supportive Care in Cancer.2021; 29(4): 2037.     CrossRef
• What Affects Quality of Life for People with Type 1 Diabetes?: A Cross-Sectional Observational Study
  Mi-Kyoung Cho, Mi-Young Kim
  International Journal of Environmental Research and Public Health.2021; 18(14): 7623.     CrossRef
• Structural Equation Model of the Quality of Working Life among Cancer Survivors Returning to Work
  Ju Hyun Jin, Eun Ju Lee
  Asian Nursing Research.2021; 15(1): 37.     CrossRef
• Factors associated with post-traumatic growth in male patients with rectal cancer: A cross-sectional study
  Yuri Kim, Yoonjung Kim, Yeunhee Kwak
  European Journal of Oncology Nursing.2021; 54: 102028.     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
• Resilience in Koreans With Cancer
  Shin-Young Lee, Haeok Lee, Jacqueline Fawcett, Jeong-Hwan Park
  Journal of Hospice & Palliative Nursing.2019; 21(5): 358.     CrossRef
• Psychosocial Adjustment in Korean Colorectal Cancer Survivors
  Hyejin Sun, Jia Lee
  Journal of Korean Academy of Nursing.2018; 48(5): 545.     CrossRef
• Factors Influencing Posttraumatic Growth in Cancer Survivors
  Jeong-Sook Park, You-Jeong Kim, Young-Seun Ryu, Mi-Hyang Park
  Asian Oncology Nursing.2018; 18(1): 30.     CrossRef
• Influence of Post-traumatic Stress Disorders on Quality of Life among Patients with Ostomy: Focused on the Mediating Effect of Resilience
  Jee Hye Shin, Hyang Sook So, Eun A Kim
  Korean Journal of Adult Nursing.2017; 29(6): 657.     CrossRef

PURPOSE
The purpose of this study was to investigate the effects of simulation-based training (SBT) for basic life support (BLS) utilizing video-assisted debriefing (VAD) about non-technical skills (NTSs) and technical skills (TSs). The goal of the proposed study is the evaluation of a teaching method about the correct application of cardiopulmonary resuscitation (CPR).
METHODS
The study design was a control group pre- and post-test non-synchronized experimental design. The sample included twelve teams of 36 nursing students. Both the experimental and the control groups received the SBT for BLS. Only the experimental groups received VAD where as the control groups had a verbal debriefing. Raters who used checklists for TSs and NTSs evaluated both groups. Data were analyzed by the SPSS 20.0 using Cronbach's α, Intraclass Correlation Coefficient (ICC), Mann-Whitney U test and Willcoxon signed rank test.
RESULTS
The experimental groups scored higher than the control groups in both TSs (p=.004) and the NTSs (p=.008).
CONCLUSION
The findings of this study suggest that NTSs are an important factor that lead CPR successfully, so VAD can be used as an efficient teaching-learning strategy in the SBT for BLS for nursing students and nurses.

Citations

• Effectiveness of donning and doffing personal protective equipment education using video debriefing among Korean undergraduate nursing students
  GyeJeong Yeom, Jiyun Park
  BMC Nursing.2024;[Epub]     CrossRef
• Comparison of real-time feedback and debriefing by video recording on basic life support skill in nursing students
  Mohammad Sajjad Ghaderi, Javad Malekzadeh, Seyedreza Mazloum, Tayebe Pourghaznein
  BMC Medical Education.2023;[Epub]     CrossRef
• Effect of simulation-based teaching on nursing skill performance: a systematic review and meta-analysis
  Agezegn Asegid, Nega Assefa
  Frontiers of Nursing.2021; 8(3): 193.     CrossRef
• Debriefing methods and learning outcomes in simulation nursing education: A systematic review and meta-analysis
  JuHee Lee, Hyejung Lee, Sue Kim, Mona Choi, Il Sun Ko, JuYeon Bae, Sung Hae Kim
  Nurse Education Today.2020; 87: 104345.     CrossRef
• Comparing the learning effects of debriefing modalities for the care of premature infants
  Myung‐Nam Lee, Shin‐Jeong Kim, Kyung‐Ah Kang, Sunghee Kim
  Nursing & Health Sciences.2020; 22(2): 243.     CrossRef
• Effect of Debriefing Based on the Clinical Judgment Model on Simulation Based Learning Outcomes of End-of-Life Care for Nursing Students: A Non-Randomized Controlled Trial
  Kyung In Jeong, Ja Yun Choi
  Journal of Korean Academy of Nursing.2017; 47(6): 842.     CrossRef

PURPOSE
This study aimed to examine the relationships among social support(family support, medical team support), hope, anxiety, and depression in patients with hematologic cancers before they received hematopoietic stem cell transplantation (HSCT) to obtain baseline data for developing a nursing intervention.
METHODS
The participants were 70 adult patients expecting to receive HSCT from 5 university hospitals in Seoul, Gyeonggi-do, and Jeollanam-do regions. A cross-sectional survey was done using standardized instruments for social support (Tae's Family Support Scale and Professional Medical Support Scale), hope (Kim & Lee Hope Scale), anxiety and depression (Hospital Anxiety and Depression Scale). The data were analyzed by SPSS/WIN 19.0 program using frequency, percentage, item mean and standard deviation, t-test, ANOVA, and Pearson's correlation coefficient.
RESULTS
Hope was significantly correlated with social support (r=.40, p=.001), anxiety (r=-.40, p<.001) and depression (r=-.58, p<.001). Anxiety was correlated with depression (r=.54, p<.001).
CONCLUSION
The findings of this study show greater social support for patients who expect to receive HSCT is significantly correlated to a higher level of hope, as well as low levels of anxiety and depression. In nursing practice, clinical nurses may develop a nursing intervention to reinforce social support and hope, as well as reduce anxiety and depression for patients preparing for HSCT.

Citations

• Relationship between perceived depression, suicidal ideation, and return to work among cancer survivors in South Korea: A national survey analysis
  Haeryun Cho, Hye Suk Jun
  Asia-Pacific Journal of Oncology Nursing.2025; 12: 100611.     CrossRef
• Construção de protocolo de cuidados de enfermagem à criança no pós-transplante de células-tronco hematopoiéticas
  Jéssica Alline Pereira Rodrigues, Maria Ribeiro Lacerda, Cristina Maria Galvão, Ingrid Meireles Gomes, Marcia Regina Cubas, Ana Paula Pereira Fernandes
  Revista Gaúcha de Enfermagem.2022;[Epub]     CrossRef
• Symptom Experience, Social Support, and Quality of Life in Patients with Hematologic Malignancies Undergoing Chemotherapy
  Ga Eun Kim, Ju-Eun Song, Mi-Ae You, Jin-Hee Park
  Asian Oncology Nursing.2022; 22(1): 29.     CrossRef
• Construction of a nursing care protocol for children in post-hematopoietic stem cell transplantation
  Jéssica Alline Pereira Rodrigues, Maria Ribeiro Lacerda, Cristina Maria Galvão, Ingrid Meireles Gomes, Marcia Regina Cubas, Ana Paula Pereira Fernandes
  Revista Gaúcha de Enfermagem.2022;[Epub]     CrossRef
• Experiences of Unrelated Hematopoietic Stem-cell Donors and Experts of Relevant Institutions
  Soyoung Yu, Miok Kim, Tai-Gyu Kim, Su-Hee Beom
  Korean Journal of Adult Nursing.2019; 31(5): 522.     CrossRef

PURPOSE
The purpose of this study was to examine the effects of emotional labor, somatic symptoms, and emotional support on quality of life among middle-aged women workers.
METHODS
The study design was a descriptive survey research. Data were collected from October 2013 to January 2014 in Korea. A self-reported questionnaire was administerd in a convenience sample of 264 middle aged women in various working places. The survey included socio-demographic and job-related factors, and the questionnaires about emotional labor, somatic symptoms, emotional support, and quality of life. Data were analyzed using descriptive statistics, t-test, ANOVA, pearson's correlation coefficient, and stepwise multiple regression.
RESULTS
Stepwise multiple regression showed that somatic symptoms had the greatest effect on quality of life (beta=-1.65, p<.001), followed by emotional support (beta=0.67, p<.001), and job satisfaction (beta=3.98, p<.001). And these variables accounted for 52% of quality of life among middle-aged women workers (F=97.14, p<.001).
CONCLUSION
These results suggest for clinical nurses to take somatic symptoms, emotional support, and job satisfaction into special account in order to improve the middle aged women worker's quality of life. Ultimately, a health promotion program focusing on these influential variables in workplace need to be developed for the given population.

Citations

• Determinants of Quality of Life (QoL) in Female Caregivers in Elderly Care Facilities in Korea
  Hee-Kyung Kim, Hye-Suk Oh
  Behavioral Sciences.2024; 14(1): 53.     CrossRef
• The Effects of Emotional Labor and Workplace Violence on the Somatic Symptoms of Customer Service Employees in Department Stores
  Bongsoon Ryu, Bo Hyun Park
  Research in Community and Public Health Nursing.2023; 34: 61.     CrossRef
• Somatic Symptoms and Quality of Life in Adults: Moderating Effect of Spiritual Well-being
  Youngrye Park, Hee Moon
  The Korean Journal of Rehabilitation Nursing.2018; 21(2): 132.     CrossRef
• Experiences in Self-leading Leisure Activities of Middle-aged Office Workers
  Jeong-Soo KIM
  Journal of Fisheries and Marine Sciences Education.2016; 28(5): 1348.     CrossRef

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

Citations

• Self-Care, Resilience, and Uncertainty in Patients After Coronary Artery Bypass Graft Surgery
  Eun-Hye Park, JiYeon Choi, Phill Ja Kim, Jiyeon Lee
  Journal of Cardiovascular Nursing.2025;[Epub]     CrossRef
• The Association Between Clinical Nurses’ Work Environment, Job Stress, and Health Locus of Control and Presenteeism in South Korea
  Jin-Young Park, Yong-Sook Eo
  Healthcare.2024; 12(22): 2293.     CrossRef
• Effects of health perception, health literacy, and resilience on health behaviors among elderly women
  Yong Mi Kim, Min Sun Song
  Korean Journal of Health Education and Promotion.2024; 41(2): 79.     CrossRef
• The effects of self-efficacy, a health-promoting lifestyle, and social support on resilience of patients receiving percutaneous coronary intervention: A descriptive survey study
  Su-Jin Kim, Jeong-soo Kim
  Journal of Korean Gerontological Nursing.2024; 26(4): 403.     CrossRef
• Associations Between Psychological Factors and Adherence to Health Behaviors After Percutaneous Coronary Intervention: The Role of Cardiac Rehabilitation
  Emma R Douma, Willem J Kop, Nina Kupper
  Annals of Behavioral Medicine.2024; 58(5): 328.     CrossRef
• Psychological separation, health locus of control, and transition readiness in adolescents and young adults with type I diabetes
  Nuri Kang, Sunhee Lee
  Journal of Pediatric Nursing.2024; 76: 38.     CrossRef
• Factors Influencing Resilience in Patients with Multiple Myeloma: A Cross-Sectional Study
  Hae-Lyeon Jeon, Hye-Ah Yeom
  Korean Journal of Adult Nursing.2024; 36(1): 41.     CrossRef
• Health-Promoting Behaviors, Relationship Satisfaction, and Resilience Among a Community Sample
  Chelsey L. Holden, Pam Rollins, Mosiah Gonzalez
  Contemporary Family Therapy.2023; 45(2): 146.     CrossRef
• Self-Management Behaviors for Chronic Low Back Pain in Patients with Spinal Disease: A Structural Equation Modeling Analysis
  Jeom Suk Jung, Gwang Suk Kim
  Korean Journal of Adult Nursing.2023; 35(4): 340.     CrossRef
• Predictive and Protective Role of Grit, Internal Locus of Control and Social Support in Mental Health of Cardiac Patients
  Syed Messum Ali Kazmi, Fatima Murtaza, Farhan Hashmi, Masooma Iftikhar, Muhammad Nasar Iqbal, Awais Nasir
  Pakistan Journal of Health Sciences.2023; : 34.     CrossRef
• Factors Influencing the Dementia-Preventive Behaviors among Middle-Aged Persons with Chronic Diseases in Korea
  Jisung Park, Juh Hyun Shin
  International Journal of Environmental Research and Public Health.2021; 18(6): 2936.     CrossRef
• Factors related to Bowel Cleanliness of Colonoscopy Examinees
  Yohan Lee, Haejung Lee
  Korean Journal of Adult Nursing.2021; 33(6): 545.     CrossRef
• Factors affecting frailty among community-dwelling older adults: A multi-group path analysis according to nutritional status
  Eunjung Kim, Sohyune R. Sok, Chang Won Won
  International Journal of Nursing Studies.2021; 115: 103850.     CrossRef
• Vitamin D levels are associated with trait resilience but not depression in a general population sample
  Jan Terock, Anke Hannemann, Deborah Janowitz, Jasmin Müller, Henry Völzke, Hans J. Grabe
  Brain and Behavior.2020;[Epub]     CrossRef
• Resilience and its correlates among first ischemic stroke survivors at acute stage of hospitalization from a tertiary hospital in China：a cross-sectional study
  Zhihui Liu, Xuan Zhou, Wei Zhang, Lanshu Zhou
  Aging & Mental Health.2020; 24(5): 828.     CrossRef
• Korean frailty and aging cohort study (KFACS): cohort profile
  Chang Won Won, Seoyoon Lee, Jinhee Kim, Doukyoung Chon, Sunyoung Kim, Chang-O Kim, Mi Kyung Kim, Belong Cho, Kyung Mook Choi, Eun Roh, Hak Chul Jang, Sang Joon Son, Jin-Hee Lee, Yong Soon Park, Sam-Gyu Lee, Bong Jo Kim, Hyeon Ju Kim, Jaekyung Choi, Hyuk G
  BMJ Open.2020; 10(4): e035573.     CrossRef
• Prevalence of Physical Frailty and Its Multidimensional Risk Factors in Korean Community-Dwelling Older Adults: Findings from Korean Frailty and Aging Cohort Study
  Heeeun Jung, Miji Kim, Yunhwan Lee, Chang Won Won
  International Journal of Environmental Research and Public Health.2020; 17(21): 7883.     CrossRef
• Factors Influencing the Improvement in Lifestyle Among Patients with Colorectal Cancer
  Song Ok Lim, Sangeun Jun
  Korean Journal of Adult Nursing.2019; 31(3): 325.     CrossRef
• Predictive model for quality of life in patients with recurrent coronary artery disease
  Eunhee Jo, Sung Reul Kim, Hye Young Kim
  European Journal of Cardiovascular Nursing.2019; 18(6): 501.     CrossRef
• Gender Comparison Factors Influencing Regular Exercise Adherence in Patients with Coronary Artery Disease: Data from the 6th Korea National Health and Nutrition Examination Survey (2013~2015)
  Hyekyung Jin, Minju Kim
  Journal of Korean Academy of Fundamentals of Nursing.2018; 25(2): 134.     CrossRef
• Effects of Birth Control Empowerment Program for Married Immigrant Vietnamese Women in South Korea
  Jihyun Kim, Nam Cho Kim
  Korean Journal of Women Health Nursing.2017; 23(1): 1.     CrossRef
• The Effects of Smart Program for Patients Who Underwent Percutaneous Coronary Intervention (SP-PCI) on Disease-Related Knowledge, Health Behavior, and Quality of Life: A Non-Randomized Controlled Trial
  Jueun Lee, Haejung Lee
  Journal of Korean Academy of Nursing.2017; 47(6): 756.     CrossRef
• The Mediating Effect of Resilience on Depression and Rehabilitation Motivation in Stroke Patients
  Eun Sil Choi, Eun Nam Lee, Jeong Lim Cho
  Journal of muscle and joint health.2016; 23(1): 19.     CrossRef
• The Effect of Physical and Psychological, and Social factors on Health Promotion Behavior among the stroke patients
  Eun-Ju Kim
  Journal of the Korea Academia-Industrial cooperation Society.2015; 16(12): 8525.     CrossRef

PURPOSE
To examine the relationships between self-care, social support, and biological markers in liver transplant recipients.
METHODS
The participants included 118 liver transplant recipients who visited outpatient clinic at Y University Hospital in Seoul from April to May, 2013. Questionnaires consisted of self-care and social support scales. The biological markers were collected by reviewing electronic medical records. Data were analyzed with descriptive statistics, t-test, ANOVA with Scheffe post-hoc test, and Pearson's correlation.
RESULTS
The self-care score was significantly higher in a patient group within 6 months post-transplant when compared to a patient group post-transplant 3 to 5 years (F=3.10, p=.018). The self-care showed positive correlation with social support with statistical significance (r=.36, p<.001).
CONCLUSION
As the self-care in liver transplant recipients had a positive correlation with social support from family and healthcare providers, the development of comprehensive long-term nursing intervention systems including counseling, education, and support in consideration of progress of time period after transplantation is necessary to enhance self-care behaviors among this population.

Citations

• Mothers’ experiences of caring for their children with liver transplantation: From sorrow to new determination
  Sooyoung Kim, Sook Jung Kang
  Journal of Child Health Care.2025; 29(2): 456.     CrossRef
• Impact of Mobile Health Literacy, Stroke-Related Health Knowledge, Health Beliefs, and Self-Efficacy on the Self-Care Behavior of Patients with Stroke
  Hana Kim, Aro Han, Hyunjung Lee, Jiwoo Choi, Hyohjung Lee, Mi-Kyoung Cho
  Healthcare.2024; 12(19): 1913.     CrossRef
• Factors Influencing the quality of life of lung transplant patients
  Byung Hee Hwang, Hye Sook Min
  Journal of Korean Critical Care Nursing.2023; 16(3): 73.     CrossRef
• Sleep Quality and Related Factors Among Liver Transplant Recipients in Korea: A Cross-Sectional Study
  Serah LIM, Mona CHOI, Heejung KIM, Jong Man KIM
  Journal of Nursing Research.2023; 31(4): e286.     CrossRef
• Effects of a smartphone-based self-care health diary for heart transplant recipients: A mixed methods study
  Hye Jin Yoo, Eunyoung E. Suh
  Applied Nursing Research.2021; 58: 151408.     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
• Effects of Self-efficacy and Transplant-related Knowledge on Compliance with a Therapeutic Regimen for Recipients of Liver Transplant
  So Jung Moon, Hyun-Ju Kim
  Journal of Korean Academy of Fundamentals of Nursing.2019; 26(3): 166.     CrossRef
• Nutritional Status of Liver Transplantation Recipients and Factors Influencing Nutritional Status
  SinYoung Hwang, Smi Choi-Kwon
  Journal of Korean Academy of Nursing.2019; 49(3): 340.     CrossRef
• Structural Equation Modeling of Self-Management of Liver Transplant Recipients
  Mi-Kyeong Jeon, Yeon-Hwan Park
  Journal of Korean Academy of Nursing.2017; 47(5): 663.     CrossRef

PURPOSE
The purpose of this study was to investigate the nutritional support, gastric residual volume, and nutritional status of the intensive care unit (ICU) patients on enteral feeding.
METHODS
A descriptive longitudinal design was used to collect 5 day data on enteral nutrition of 52 ICU patients in an university hospital. Nutritional support was calculated with actual caloric intake compared to individual caloric requirement. Residual volumes were measured prior to routine feedings, and the serum albumin levels and the total lymphocyte counts were checked to evaluate nutritional status. The data were analyzed using one group repeated measures ANOVA, paired t-test, and Spearman's bivariate correlation analysis.
RESULTS
The subjects received their first enteral feeding on the 5.75th day of ICU admission. The mean nutritional support rate was 49.1% of the requirement, however prescription rate and support rate were increased as time goes by. Gastric residual volumes were less than 10 cc in 95% cases. A significant negative correlation was found between nutritional support and nutritional status.
CONCLUSION
The nutritional support for ICU patient was low compared to the requirement, and their nutritional status was worse than at the time of ICU admission. Further studies are necessary to develop nursing interventions for improving nutritional support for ICU patients.

Citations

• Comparison of the nutritional indicators of critically Ill patients on extracorporeal membrane oxygen (ECMO)
  Nah-Mee Shin, Suk Yeon Ha, Yoon Soo Cho
  Journal of Nutrition and Health.2021; 54(5): 489.     CrossRef
• The effect of nutritional supply on clinical outcomes and nutritional status in critically ill patients receiving continuous renal replacement therapy
  Ju Yeun Kim, Ji-Myung Kim, Yuri Kim
  Journal of Nutrition and Health.2015; 48(3): 211.     CrossRef

PURPOSE
The aim of this study was to explore the factors contributing to death anxiety among elders through family support, ageism experience, loneliness and helplessness.
METHODS
The participants were 155 elders who lived in S city. The data were collected through a self-reported questionnaire in elders over age 65. In addition, their levels of death anxiety, family support, ageism experience, loneliness, helplessness and death anxiety were measured using a likert scale Data analysis using a t-test, one-way ANOVA, Pearson correlation and multiple regression analysis with the SPSS 20 program.
RESULTS
Significant differences were found in the levels of perceived death anxiety between the variables affecting death anxiety in elders. Pearson's Correlation were found family support (p<.001), ageism experience (p<.001), loneliness (p<.001) and helplessness (p<.001) with death anxiety.
CONCLUSION
It is concluded that such variables should be considered for decreasing death anxiety by family support, ageism experience, loneliness and helplessness in elders.

Citations

• Meaning of Work, Ageism Experience, Social Exclusion, and Quality of Life in Working Older Adults
  Ju Young Park
  Journal of Gerontological Nursing.2025; 51(5): 46.     CrossRef
• Factors associated with attitudes toward death and dying in the second half of life: A scoping review
  Alana Officer, Matthew Prina, Andreea Badache, Barbara Broers, Sam Gnanapragasam, Sophie Pautex
  Death Studies.2024; : 1.     CrossRef
• YAŞLILARDA ÖLÜM KAYGISI İLE HASTALIK ÖZELLİKLERİ, YALNIZLIK VE SOSYAL DESTEK ARASINDAKİ İLİŞKİLER
  Serpil GÜNDOĞAN, Aysun BABACAN GÜMÜŞ
  STED / Sürekli Tıp Eğitimi Dergisi.2023;[Epub]     CrossRef
• Controversies in terror management theory research and its implications for research on the psychology of death
  Xianghan MENG, Qiang LI, Yanbang ZHOU, Jin WANG
  Advances in Psychological Science.2021; 29(3): 492.     CrossRef
• Factors Influencing Death Anxiety among Rural Elderly
  Hyenam Hwang
  Journal of Health Informatics and Statistics.2019; 44(2): 111.     CrossRef
• Factors Influencing Death Anxiety in Community-Dwelling Elderly: Based on the Ecology Theory
  Yeonha Kim, Minju Kim
  The Korean Journal of Hospice and Palliative Care.2019; 22(1): 30.     CrossRef
• Factors Influencing Death Anxiety in Elderly Patients in Long-term Care Hospitals
  Mi Suk Lee, Hee Jung Choi
  Journal of Korean Gerontological Nursing.2016; 18(3): 138.     CrossRef

PURPOSE
The purpose of the study was to examine the relationships among pain belief, perceived social support, coping strategies, and quality of life of people with noncongenital spinal cord injury and to identify factors influencing quality of life.
METHODS
A correlational predictive design was used. The data were collected from 197 people with noncongenital spinal cord injury with questionnaires in 2012 in Korea. The data were analyzed using descriptive statistics, t-tests, one-way ANOVA, Pearson's correlation coefficients, and stepwise multiple regression using SPSS/WIN 18.0.
RESULTS
Pain belief, perceived social support, and coping strategies were correlated significantly with the quality of life. As a result of stepwise multiple regression analysis, pain belief, perceived social support, coping strategies, damaged area, and time since injury were discovered to account for 59.1% variance of the quality of life. The variable that most affected the quality of life was pain belief followed by perceived social support and coping strategies.
CONCLUSION
The results of the study clearly demonstrate the importance of pain control, social support, and coping skills in order to improve quality of life among people with noncongenital spinal cord injury.

Citations

• Depression and Cancer Pain: Mediating Roles of Anxiety and Pain Beliefs
  Eun-Jung Shim, Hyeju Ha, Chan-Woo Yeom, Kyung-Lak Son, Won-Hyoung Kim, Bong-Jin Hahm
  Journal of Pain and Symptom Management.2025;[Epub]     CrossRef
• Quality of Life in Middle-aged Men with Prostatic hyperplasia: A Structural Equation Model
  Hee Nam Moon, Seung Hee Yang
  Korean Journal of Adult Nursing.2023; 35(4): 327.     CrossRef
• Access and engagement with places in the community, and the quality of life among people with spinal cord damage
  Ali Lakhani, Sanjoti Parekh, David P. Watling, Peter Grimbeek, Ross Duncan, Susan Charlifue, Elizabeth Kendall
  The Journal of Spinal Cord Medicine.2022; 45(4): 522.     CrossRef

PURPOSE
The purpose of this study was to examine the relationships among perceived health, parental stress, social support, and quality of life of grandparent caregivers and to identify the factors influencing quality of their life.
METHODS
A descriptive correlational design was used. The data were collected by questionnaires from a convenience sample of 130 participants taking care of their grandchildren from ten children's daycare centers in Seoul, Korea from August to September, 2013. Data were analyzed using t-test, ANOVA, Pearson's correlation efficients, and multiple regressions.
RESULTS
Perceived health, parental stress and social support were correlated significantly with quality of life. As a result of the multiple regression analysis, education level, age of grandchildren, perceived health, parental stress and social support accounted for 48% of the variance in quality of life. Perceived health, parental stress, and social support were identified as factors influencing quality of life and the variable that most affected quality of life was perceived health.
CONCLUSION
The results of the study indicate that health of people taking care of their grandchildren must be promoted while relieving their parental stress with appropriate social support in order to improve quality of life.

Citations

• Understanding Grandparent Caregiving in Korean and U.S. Culture: An Analysis Using Role Theory
  Youjung Lee, Nancy Mendoza, Sok An
  The International Journal of Aging and Human Development.2024;[Epub]     CrossRef
• Korean Grandparents Raising Grandchildren: The Influence of Cultural Factors
  Youjung Lee, Sok An, Nancy Mendoza
  Journal of Intergenerational Relationships.2024; : 1.     CrossRef
• Intensity of Grandparent Caregiving, Health, and Well-Being in Cultural Context: A Systematic Review
  Athena C Y Chan, Sun-Kyung Lee, Jingchen Zhang, Jasmine Banegas, Scott Marsalis, Abigail H Gewirtz, Patricia C Heyn
  The Gerontologist.2023; 63(5): 851.     CrossRef
• Factors influencing quality of life in caregivers of adolescents with developmental disabilities
  Joung Woo Joung
  Osong Public Health and Research Perspectives.2022; 13(4): 298.     CrossRef
• Caregiver Stress and Related Factors in Korean Households Utilizing Childcare Support by Grandmothers
  Eun‐Jeong Kim
  Asian Social Work and Policy Review.2016; 10(1): 113.     CrossRef

PURPOSE
This study was done to develop and evaluate a smartphone application for the medication confirmation of high-alert medications.
METHODS
A nonequivalent control group non-synchronized design was used for this study. Participants in the treatment group used the application for four weeks. Data were analyzed using descriptive analysis, chi2-test, and t-test for the homogeneity of participants, and a paired t-test for effectiveness in each group with the SPSS 18.0.
RESULTS
Stability of medication administration was estimated by knowledge and certainty, ranged from a score of one to three. A correct answer with high certainty was coded as high stability, low certainty regardless of correct answer was coded as a moderate stability, and incorrect answers with high certainty were rated as low stability. There were no differences in 'knowledge of high alert medication', 'Certainty of knowledge', 'stability of medication administration', 'confidence of single checking medication', and 'medication safety activities' between the treatment group and the comparison group. The treatment group reported a greater difference between pretest and post-test in 'certainty of medication knowledge' (t=3.51, p=.001) than the comparison group.
CONCLUSION
Smartphone application for medication confirmation of high-alert medications will provide an important platform for reducing medication errors risk.

Citations

• The Development and Impact of a Respiratory Patient Care Mobile Application on Nursing Students
  Hyewon Kim
  CIN: Computers, Informatics, Nursing.2024; 42(11): 788.     CrossRef
• Development and Effectiveness of a Clinical Decision Support System for Pressure Ulcer Prevention Care Using Machine Learning
  Myoung Soo Kim, Jung Mi Ryu, Byung Kwan Choi
  CIN: Computers, Informatics, Nursing.2023; 41(4): 236.     CrossRef
• Development of a Health Promotion Application on Cancer Survivorship as an Educational Content for Nursing Students
  Yoonhee Seok, Eunyoung E. Suh
  Asian Nursing Research.2022; 16(1): 52.     CrossRef
• A model for predicting fall experience in the elderly population over 65 years old: Decision tree analysis
  Myeunghee Han
  Journal of Korean Gerontological Nursing.2022; 24(4): 366.     CrossRef
• Development and evaluation of a self‐management application for patients with gout
  Seung Gum Kang, Eun Nam Lee
  Japan Journal of Nursing Science.2020;[Epub]     CrossRef
• Effects of Smartphone-Based Mobile Learning in Nursing Education: A Systematic Review and Meta-analysis
  Ju Hee Kim, Hanjong Park
  Asian Nursing Research.2019; 13(1): 20.     CrossRef
• Development and Evaluation of “Chronic Illness Care Smartphone Apps” on Nursing Students’ Knowledge, Self-efficacy, and Learning Experience
  Jiyoung Kang, Eunyoung E. Suh
  CIN: Computers, Informatics, Nursing.2018; 36(11): 550.     CrossRef

PURPOSE
This study was to identify the impact of spiritual wellbeing and social support on the depression among middle-aged women. Descriptive study design was used.
METHODS
The subjects completed the structured questionnaires: the 'Spiritual Well-being Scale', developed by Paloutzian & Ellison, 'the Social Support Scale' developed by Park, and 'the CES-D Scale' developed by Radloff. Data were collected from 216 middle aged women in B metropolitan city and J city. The data were analyzed using t-test, ANOVA, Scheffe test, Pearson's correlation coefficients, and multiple regressions.
RESULTS
Participants with higher depression had lower scores for spiritual wellbeing (r=-.57, p<.001) and lower scores for social support (r=-.49, p=.011). The influencing factors on depression were spiritual wellbeing, social support, and utilization of spare time. These variables were explained 46% of the variance in depression.
CONCLUSION
The depression of the middle-aged women can be reduced when spiritual wellbeing and social support are improved. Therefore, we suggested to develop nursing intervention programs in order to improve spiritual wellbeing and social support of middle-aged women for reducing their depressions.

Citations

• ‘Sauna Is My Nest!’: Sense of Community Among Korean Middle-Aged Women Enjoying Sauna Bathing
  Mina Woo, Incheol Jang, Milae Lee, Toni Liechty
  Leisure Sciences.2025; : 1.     CrossRef
• The Relationship between Marital Satisfaction and Spiritual Well-Being of Chinese Older Adults: The Mediating Effect of Psychological Security and Aging Expectations
  Longxing Tang, Yachi Yang, Zhiwei An, Yalian Huang, Ping Tang
  Behavioral Sciences.2024; 14(10): 949.     CrossRef
• Experiences on Psycho-social Health Support of Middle-aged Women
  Jeong-Soo KIM, Euna PARK
  JOURNAL OF FISHRIES AND MARINE SCIENCES EDUCATION.2019; 31(5): 1432.     CrossRef
• A study on Symptom Experience, Spiritual Well-Being, and Depression in Patients Undergoing Hemodialysis
  Ju Yeon Song, Pok-Ja Oh
  Journal of the Korea Academia-Industrial cooperation Society.2016; 17(5): 660.     CrossRef
• Factors Influencing Middle-aged Women's Depression
  Hung Sa Lee, Chunmi Kim, Dohyun Lee
  Korean Journal of Health Promotion.2016; 16(1): 1.     CrossRef
• Sociopsychological factors associated with depressive symptoms among some urban middle-aged men and women: focused on social support and stress coping strategy
  Seo-Heui Jeon, Kyoung Ok Park
  Korean Journal of Health Education and Promotion.2015; 32(3): 43.     CrossRef