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"Systematic review"

Review Articles
The Effects of Aromatherapy on Stroke Symptoms in Stroke Patients: A Systematic Review and Meta-Analysis
A Reum Lim, Hyun Kyoung Kim
Korean J Adult Nurs 2024;36(2):85-101.   Published online May 31, 2024
DOI: https://doi.org/10.7475/kjan.2024.36.2.85
Purpose
This systematic review and meta-analysis aimed to investigate the effects of aromatherapy interventions on stroke symptoms in stroke patients.
Methods
This study adhered to the Preferred Reporting Items of Systematic Reviews and Meta-Analysis guidelines. Relevant studies published between 2004 and 2022 were searched in the PubMed, CINAHL, Cochrane Library, EMBASE, ERIC, and RISS databases. The review included randomized and non-randomized studies of stroke patients who received aromatherapy interventions targeting stroke symptoms. The extracted literature was evaluated via the ROB 2 and ROBINS-1 quality appraisal checklists and visualized using a risk-of-bias visualization tool.
Results
The review included five randomized controlled trials and five quasi-experimental studies. The results showed that aromatherapy, administered through massage, inhalation, acupressure, mouth care, and olfactory stimulation, was effective in alleviating pain, constipation, oral health, motor power, muscle strength, balance, fatigue, and sleep quality. Aromatherapy also demonstrated beneficial effects in reducing depression, stress, delirium, blood pressure, pulse rate, respiration rate, serum cortisol, and antioxidants, while enhancing happiness, body temperature, and quality of life. A meta-analysis of mean differences in post-test results revealed that three studies reported a significant effect on pain, with an effect size of 1.85 (95% CI, 0.18~3.51).
Conclusion
Aromatherapy had positive effects on physical, physiological, psychological, cognitive, and integrative health outcomes. We recommend the use of aromatherapy in stroke patients to improve pain relief and health outcomes.

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  • Traditional, complementary, and integrative medicine in the management of ischemic stroke: a narrative review
    S. Sowmiya, Rukaiah Fatma Begum, L. S. Dhivya, Praveen Rajendran, N. Harikrishnan, Ankul Singh S
    Frontiers in Pharmacology.2025;[Epub]     CrossRef
  • 84 View
  • 4 Download
  • 1 Crossref
  • 0 Scopus
Purpose
This study aimed to identify the characteristics and efficacy of Intermittent Pneumatic Compression (IPC) interventions for preventing Venous Thromboembolism (VTE) in critically ill patients. Methods: The CENTRAL, Embase, OVID, CINAHL, KMbase, KoreaMed, and KoreaScience databases were searched from January 7 to 11, 2023. The search included all records from the inception of each database up to January 2023, with publication language restrictions to English and Korean. Three reviewers independently carried out the entire process, which included data search, quality assessment, and data extraction. Results: Out of 1066 articles, six Randomized Controlled Trials (RCTs) were included. One of the four studies that reported on the incidence of DVT, and one of the six studies that measured the incidence of Pulmonary Embolism (PE), found that IPC alone was effective in reducing the incidence of DVT and PE. One of the four studies that reported on VTE incidence demonstrated a significant reduction in VTE incidence with a triple intervention of IPC, anticoagulants, and elastic compression stockings compared to a combined intervention of anticoagulants and graduated compression stockings. Four studies that reported data on the incidence of bleeding reported no effect on reducing bleeding. Conclusion: Our findings suggest that IPC interventions may reduce the incidence of DVT as a preventive strategy in critically ill patients. Further RCTs are necessary to evaluate the effect of IPC interventions on DVT prevention in this patient population and to provide robust evidence for critical care nursing.
  • 104 View
  • 3 Download
  • 0 Scopus
Association of Psychological Stress with Telomere Length as a Biomarker of Cellular Aging: A Systematic Review
Seolbin Han, Sangeun Jun, Nahyun Kim
Korean J Adult Nurs 2022;34(5):450-465.   Published online October 31, 2022
DOI: https://doi.org/10.7475/kjan.2022.34.5.450
Purpose
This study aimed to synthesize evidence for the association of psychological stress with Telomere Length (TL)-a potential biomarker of cellular aging. Methods: A systematic literature search was conducted to identify eligible studies in the Cochrane Library, PubMed, Embase, and CINHAL. In this review, we included all papers published since the initiative's inception and summarized results as of March 2022. Studies that investigated subjective stress using questionnaires and objective stress using biomarkers of adults (aged≥18 years) were included. Ultimately, 20 studies met our selection criteria. The risk of bias was assessed using the Newcastle-Ottawa Scale. Results: Fifteen of the twenty studies (75.0%) reported that individuals with higher psychological stress levels had shorter TL. Eleven of sixteen studies (68.8%) measuring subjective stress and five of eight studies (62.5%) measuring objective stress showed significant associations of psychological stress with TL. However, five studies reported no association between psychological stress and TL shortening. Although the heterogeneous studies limited the ability to draw clear conclusions, it is suggested that psychological stress might accelerate the erosion of telomere ends.
Conclusion
Our findings indicate that TL could be a useful emerging biomarker for measuring stress-related health outcomes in nursing. Further large-scale longitudinal studies using TL as a genetic biomarker with multidimensional stress measurements are needed to investigate the association between psychological stress and cellular senescence.

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  • A biobehavioral theoretical framework based on the mechanism of cellular aging for nursing interventions to promote autonomic balance
    Nahyun Kim, Jooyeon Park
    Journal of Korean Biological Nursing Science.2024; 26(2): 99.     CrossRef
  • The Understanding and Application of Telomere Length as an Emerging Biomarker in Adult Nursing Research: A Review
    Seolbin Han, Jihee Min, Dae-Kwang Kim, In Deok Kong, Nahyun Kim
    Korean Journal of Adult Nursing.2023; 35(1): 1.     CrossRef
  • 106 View
  • 0 Download
  • 2 Crossref
  • 2 Scopus
Effectiveness of Delirium Education Programs for Nurses in Acute Hospitals: A Systematic Review and Meta-Analysis
Jungyeon Roh, Sujin Shin, Eunmin Hong
Korean J Adult Nurs 2022;34(5):435-449.   Published online October 31, 2022
DOI: https://doi.org/10.7475/kjan.2022.34.5.435
Purpose
This study aimed to review the effectiveness of delirium education programs for nurses in acute hospitals.
Methods
The inclusion criteria were studies on delirium education programs for nurses published in English and Korean from 2012 to 2022. A literature search was conducted in the RISS, KISS, DBpia, PubMed, CINAHL, PsycINFO, and Web of Science databases using the key words of "delirium", "nurse", and "education". Qualitative appraisal of studies was conducted using the revised Cochrane risk-of-bias tool for randomized trials (RoB 2) and the Risk of Bias in Non-randomized Studies of Interventions (ROBINS-I) tool translated by National Evidence-based Healthcare Collaborating Agency (NECA). For meta-analysis, the effect size of the intervention was calculated as standardized mean difference.
Results
Eighteen studies were selected for the systematic review. While the contents of the education programs were similar, the teaching methods were different. Interventions implemented included traditional learning, e-learning, and blended learning. Teaching methods of delirium education programs for nurses included lecture, discussion, practice, simulation, role-play, and coaching. The systematic review found that delirium education programs for nurses effectively increased post-intervention outcomes in 17 studies. Delirium education programs for nurses have benefits regarding delirium knowledge and performance. In four studies, delirium education program interventions improved delirium nursing performance (95% CI: 0.48~2.44, p=.003).
Conclusion
These results demonstrate the need for a standardized delirium education program. It is recommended that further studies evaluating the patient outcome effects of delirium education programs should be conducted.

Citations

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  • The influence of delirium knowledge, critical thinking disposition, and compassion competence on delirium nursing performance in general hospital clinical nurses: A cross-sectional descriptive study
    Hyang Sook Lee, Jeong Eun Yang
    Journal of Korean Gerontological Nursing.2025; 27(1): 95.     CrossRef
  • Educational programs to improve nursing competency of patient- and family-centered care in intensive care units: A systematic review
    Youngshin Joo, Eugene Han, Yeonsoo Jang
    Nurse Education Today.2025; 151: 106699.     CrossRef
  • Performance, Knowledge, and Barrier Awareness of Medical Staff Regarding the Prevention and Management of Pain, Agitation/Sedation, Delirium, Immobility, and Sleep Disruption in Adult Critical Care Patients: A Cross-Sectional Study
    Hyo-Geun Song, Duckhee Chae, Sung-Hee Yoo
    Korean Journal of Adult Nursing.2023; 35(4): 379.     CrossRef
  • 63 View
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  • 3 Crossref
  • 3 Scopus
Experiences of Nurses Caring for Hemodialysis Patients: A Qualitative Meta-Synthesis Study
Ye-Na Lee, Eun Young Kim
Korean J Adult Nurs 2022;34(2):168-177.   Published online April 30, 2022
DOI: https://doi.org/10.7475/kjan.2022.34.2.168
Purpose
We aimed to systematically review and synthesize qualitative evidence on the experiences of nurses caring for hemodialysis patients.
Methods
We used Noblit and Hare’s meta-ethnography. Seven databases (PubMed, EMBASE, CINAHL, Web of Science, RISS, KISS, National Assembly Electronic Library) were used for the literature search. There were no restrictions placed on publication dates. A total of 10 studies published in English and Korean up until July 2021 were finally selected for review.
Results
Three themes were identified from the literature review, which were then divided into six subthemes: acquiring the technical skills of hemodialysis, responsibility for prolonging patients’ lives, and maintaining stable hemodialysis in patients’ daily lives.
Conclusion
The results of this study provide basic data that emphasizes the specific role of nurses in the hemodialysis unit, a specialized area of nursing, and can be utilized as educational material for hemodialysis unit nurse education.

Citations

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  • A Qualitative Study on Nurses' Caring Experiences With Individuals With Kidney Failure Receiving Haemodialysis
    Edward Appiah Boateng, Bernice Bodua‐Mango, Joana Kyei‐Dompim, Philemon Adoliwine Amooba
    Journal of Renal Care.2025;[Epub]     CrossRef
  • Cherubims in Rdu: Experiences of Novice Nurses in Renal Dialysis Unit Among Tertiary Hospitals in Davao City
    ANNALIE G. CUEVA, SAMUEL F. MIGALLOS
    International Journal of Latest Technology in Engineering Management & Applied Science.2025; 14(4): 438.     CrossRef
  • Improving assessment and escalation of threatened haemodialysis access: results of a nursing-led program
    Dana Forcey, Dan Tran, Jenny Connor, Piriya Kusuma Na Ayudhya, Christian Ocampo, Craig Nelson, Sandra Crikis
    BMC Nephrology.2023;[Epub]     CrossRef
  • 69 View
  • 1 Download
  • 3 Crossref
  • 2 Scopus
Effects of Exercise on Chemotherapy-induced Peripheral Neuropathy: A Systematic Review and Meta-Analysis
Yu Hyeon Choe, Da Hye Kim
Korean J Adult Nurs 2021;33(5):458-471.   Published online October 31, 2021
DOI: https://doi.org/10.7475/kjan.2021.33.5.458
Purpose
This review aimed to evaluate the effectiveness of exercise on Chemotherapy-induced Peripheral Neuropathy (CIPN).
Methods
The medical databases PubMed, EMBASE, and CINAHL, and several Korean databases were searched until December 2020. Additionally, a manual search was conducted. The risk of bias was assessed using the revised Cochrane risk-of-bias tool for randomized trials. The Review Manager 5.3 version of the Cochrane Library was used to estimate effect size through meta-analysis.
Results
Nine studies were included. The most common types of exercise reported were yoga, combined aerobics and strength exercise, and combined strength and balance exercise; each was backed by two studies. Four randomized controlled trials were meta-analyzed, and five studies were synthesized qualitatively. A significant effect on CIPN was found using meta-analysis (standardized mean difference=-0.28, 95% confidence interval=-0.47~-0.09, p=.004). As a result of qualitative synthesis, groups that did exercises were reported to have significantly lessened CIPN symptoms than control groups in three studies. In one study, the exercise group showed significant reduction in CIPN symptoms. And in another, the exercise group was more relieved of CIPN symptoms than the control group, although the difference was not significant.
Conclusion
The results indicate that exercise should be part of the regimen for patients who are receiving or have completed neurotoxic chemotherapy, for relieving CIPN symptoms. However, these results should be interpreted cautiously, especially due to the limited number of studies and the small number of participants. Therefore, further well-designed studies with sufficient numbers of participants are required.

Citations

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  • The impact of peripheral neuropathy symptoms, self-care ability, and disturbances to daily life on quality of life among gynecological cancer patients undergoing chemotherapy: a cross-sectional survey
    Sohee Mun, Hyojung Park
    Korean Journal of Women Health Nursing.2022; 28(4): 296.     CrossRef
  • 56 View
  • 2 Download
  • 1 Crossref
  • 1 Scopus
Artificial Intelligence-based Healthcare Interventions: A Systematic Review
Gaeun Park, Haejung Lee, Misoon Lee
Korean J Adult Nurs 2021;33(5):427-447.   Published online October 31, 2021
DOI: https://doi.org/10.7475/kjan.2021.33.5.427
Purpose
This study aimed to identify the components of artificial intelligence-based healthcare interventions and determine their effects on health behaviors and physiological, psychological, and cost-effectiveness outcomes among adults.
Methods
Nine core electronic databases were searched for articles published between January, 2009 and May, 2021 using terms related to artificial intelligence, healthcare, and randomized controlled trials. Qualitative synthesis was then performed.
Results
Of the 1,194 retrieved articles, 20 were selected for analysis. Many of the studies targeted adults who wanted to change their health behaviors, patients with diabetes, and those aged 20~50 years. The characteristics of the artificial intelligence-based healthcare interventions were analyzed in terms of the following components: external data, artificial intelligence technology, problem solving, and goals. Many interventions offered personalized suggestions by learning participant behavior patterns using machine learning technology and diet and physical activity data. The majority of interventions targeted health behaviors and physiological outcomes. These artificial intelligence-based healthcare interventions were effective in decreasing hospital visits and improving psychological outcomes and health behaviors.
Conclusion
Artificial intelligence-based healthcare interventions can be an important part of decreasing hospital visits and improving psychological outcomes and health behaviors among adults. The results suggest that there is a need to develop and apply appropriate artificial intelligence algorithms for patients with chronic diseases that require continuous management in Korea.

Citations

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  • Keyword Network Analysis and Topic Modeling of News Articles Related to Artificial Intelligence and Nursing
    Ju-Young Ha, Hyo-Jin Park
    Journal of Korean Academy of Nursing.2023; 53(1): 55.     CrossRef
  • The Development of Automated Personalized Self-Care (APSC) Program for Patients with Type 2 Diabetes Mellitus
    Gaeun Park, Haejung Lee, Ah Reum Khang
    Journal of Korean Academy of Nursing.2022; 52(5): 535.     CrossRef
  • 146 View
  • 3 Download
  • 2 Crossref
  • 3 Scopus
Individual and Institutional Outcomes of Nurse Residency Program for New Nurses: A Systematic Review
Min Kyoung Han, Sujin Shin, Jeonghyun 3 Kim
Korean J Adult Nurs 2021;33(1):10-28.   Published online February 28, 2021
DOI: https://doi.org/10.7475/kjan.2021.33.1.10
Purpose
This study aimed to review the outcomes of nurse residency programs for new graduate nurses. Methods: The inclusion criteria were peer-reviewed articles on the outcomes of nurse residency programs for new graduate nurses published in English from 2010 to 2019. A literature search was conducted in the PubMed, CINAHL, Science Direct, EMBASE, and PsycINFO databases using the search terms "nurse residency program," "new graduate nurse," and "transition to practice program." A qualitative appraisal of studies was conducted using the revised Cochrane risk-of-bias tool for randomized trials (RoB 2) and the Risk Of Bias In Non-randomized Studies of Interventions (ROBINS-I) tool. Results: Twenty-five studies were selected. The systematic review found that nurse residency programs effectively increased the competence and confidence of new graduate nurses in 14 studies. Job satisfaction, job stress and anxiety, and support showed different results, which were increased, decreased, or statistically insignificant after the programs. In three studies, institutional outcomes, including the retention rate in 16 surveys and hospital cost savings, were improved. Patient safety had different results depending upon the study. Conclusion: This study's results can provide evidence for the necessity of a standardized nursing education program and for developing a system for evaluating its effectiveness to improve the quality of nursing education.

Citations

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  • South Korean Nurse Residency Program for New Graduates: A Posttest Study
    Jihye Song, Kyunghee Kim, Yunjung Jang
    The Journal of Continuing Education in Nursing.2024; 55(8): 393.     CrossRef
  • Outcome Evaluation of a Health System Clinical Nurse Specialist Fellowship Program
    Tiffany Rader, Alyson Keen, Brandee Wornhoff, Jan Powers
    Clinical Nurse Specialist.2024; 38(4): 163.     CrossRef
  • The development and evaluation of a pediatric nurse preceptor education program in a children’s hospital
    Nam-Ju Cho, Kyung-Sook Bang, Na-Rae Jung, Eun-Chul Kim
    The Journal of Korean Academic Society of Nursing Education.2024; 30(3): 280.     CrossRef
  • Nursing practice readiness improvement program tailored for newly graduated registered nurses: A quasi-experimental study
    Eun A Kim, Ji Sun Lee, Young Sook Bong, Eun Hee Jang, Yang Hwa Lim, Jung Ah Kim, Nan Song
    Nurse Education Today.2024; 133: 106077.     CrossRef
  • Exploring the Roles and Outcomes of Nurse Educators in Hospitals: A Scoping Review
    Soyoung Kim, Sujin Shin, Inyoung Lee
    Korean Medical Education Review.2023; 25(1): 55.     CrossRef
  • Quality of clinical nursing education for new graduate nurses: A concept analysis with a hybrid model
    Heehwa Choi, Sujin Shin
    The Journal of Korean Academic Society of Nursing Education.2023; 29(1): 27.     CrossRef
  • 111 View
  • 7 Download
  • 6 Crossref
  • 6 Scopus
Purpose
The purpose of this study was to review non-pharmacologic intervention programs designed to alleviate symptoms in adults with overactive bladder syndrome.
Methods
A systematic search using Korean and English keywords was conducted in nine electronic databases. Ten studies were included in the sample for the systematic review. The Risk of Bias (RoB) and the Risk of Bias Assessment tool for Non-randomized Study (RoBANS) were used to assess methodological rigor and quality of scientific evidence.
Results
Randomized Controlled Trials (RCTs) were used in eight studies and quasi-experimental designs were used in two studies. Non-pharmacological interventions included education, acupuncture, Tibial Nerve Stimulation (TNS), exercise (pelvic muscle exercise, Tai-chi), and Heart Rate Variability (HRV) biofeedback. The majority of the literature has been evaluated to have a low risk of bias. Nine out of 10 studies applied interventions on women only. It was shown that education, TNS, exercise, and HRV biofeedback were effective in alleviating overactive bladder syndrome symptoms, but acupuncture’s efficacy depended on the frequency and intensity of the intervention.
Conclusion
The results provide a basis for developing an intervention program to improve the symptoms of overactive bladder syndrome. Future studies should also include men as subjects. The results of the intervention should be generalized by confirming the consistency and effectiveness of the aforementioned based on its frequency and intensity.

Citations

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  • Effectiveness of Fluid and Caffeine Modifications on Symptoms in Adults With Overactive Bladder: A Systematic Review
    Jeongok Park, Hyojin Lee, Youngkyung Kim, Christine Norton, Sue Woodward, Sejeong Lee
    International Neurourology Journal.2023; 27(1): 23.     CrossRef
  • 65 View
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  • 1 Crossref
  • 1 Scopus
PURPOSE
This study was a systematic review and meta-analysis designed to investigate the variables related to burden of caregivers of people with dementia living at home.
METHODS
In total, 24 studies were identified through a systematic review and 11 studies met the inclusion criteria for the meta-analysis. EMBASE, MEDLINE (Ovid-MEDLINE, Pubmed) and several Korean databases were searched until April 2018. ‘R 3.5.1’ version was used to analyze the correlated effect sizes.
RESULTS
According to the results, variables related to caregivers' burden were categorized into factors related to patients and factors related to family caregivers. The effect sizes of correlations between factors associated with patients and caregivers' burden were as follows: problematic behavior & cognition (memory) (.42), problematic behavior (.37), cognition (memory) (.35), stage of dementia (.31), and ability to perform daily life functions (−.27). Factors associated with family caregivers correlated with caregiver burden as follows: health status (−.40), relation (.33), education (.25), time of caring (.24), income (−.21), age (.20), job (−.17), duration of caring (.15), and religion (.14).
CONCLUSION
Based on the findings, family caregiver needs to preferentialy try to manage problematic behavior & cognition (memory) of dementia and health professionals need to provide comprehensive nursing interventions to improve health for patients with dementia but also family caregivers.

Citations

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  • Exploring Family Caregiver Burden Using the Ecological Model: Insights From Thailand's Older Population
    Phanida Juntasopeepun, Donna Z. Bliss, Jirawan Deeluea, Jittawadee Rhiantong
    Nursing & Health Sciences.2025;[Epub]     CrossRef
  • Allocation‐routing problem in a multi‐hospital home hospitalization system: the case of a healthcare provider in Portugal
    Valentina Bonomi, Maria Lopes, Daniel Rebelo Santos, Renata Mansini, Ana Paula Barbosa‐Pòvoa
    International Transactions in Operational Research.2025;[Epub]     CrossRef
  • Factors influencing the care burden among family caregivers using dementia care centers for older adults with dementia in Korea: a cross-sectional descriptive study
    Ja Eun Kim, Soo Jin Lee
    Journal of Korean Biological Nursing Science.2024; 26(4): 382.     CrossRef
  • Resilience of Family Caregivers of People With Dementia in South Korea: A Scoping Review
    Hyun‐Ju Seo, Song‐I Park, Min‐Jung Choi, Il‐Han Choo, Jeong‐Hwan Park
    International Journal of Older People Nursing.2024;[Epub]     CrossRef
  • Mason Caregivers Aiming for Resilience, Empowerment, and Support Study: Assessing Family Caregiver Burden Post-Intervention
    Gilbert Gimm, Shannon Layman, Megumi Inoue, Emily S. Ihara, Harveen Pantleay, Catherine J. Tompkins
    Journal of Applied Gerontology.2024; 43(9): 1274.     CrossRef
  • The Relationships between Caregiver Burden, Physical Frailty, Race, Behavioral and Psychological Symptoms (BPSD), and Other Associated Variables: An Exploratory Study
    Carl I. Cohen, Saeed Hashem, Kay Thwe Kyaw, Sharon A. Brangman, Suzanne Fields, Bruce R. Troen, Michael Reinhardt
    Medicina.2024; 60(3): 426.     CrossRef
  • Exploring Factors Influencing Caregiver Burden: A Systematic Review of Family Caregivers of Older Adults with Chronic Illness in Local Communities
    Jin Young Choi, Seon Heui Lee, Soyoung Yu
    Healthcare.2024; 12(10): 1002.     CrossRef
  • CBD Oil as a Miracle Drug: A Thematic Analysis of Caregivers’ Attitudes and Practices Towards Cannabidiol in Dementia Treatment
    Urszula Kłosińska, Magdalena Leszko
    Journal of Drug Issues.2024; 54(1): 38.     CrossRef
  • The Lived Experience of Informal Caregivers of People Who Have Severe Mental Illness and Coexisting Long‐Term Conditions: A Qualitative Study
    C. Carswell, J. V. E. Brown, D. Shiers, R. Ajjan, A. Balogun‐Katung, S. Bellass, R. I. G. Holt, R. Jacobs, I. Kellar, C. Lewisohn, J. Lister, N. Siddiqi, I. Sidorova, P. Coventry
    Health Expectations.2024;[Epub]     CrossRef
  • Factors related to depression in primary caregivers of older adults with dementia in the COVID-19 pandemic era: A cross-sectional descriptive study
    Su-In Kim, Gwi-Ryung Son Hong
    Journal of Korean Gerontological Nursing.2023; 25(4): 420.     CrossRef
  • The impact of aromatherapy-based oral care on oral conditions, salivary pH, and halitosis in older adults with dementia: Pilot study
    Ae Kyung Chang, Bo kyoung Kim, Ah Young Kim
    Geriatric Nursing.2023; 53: 109.     CrossRef
  • Factors related to the organizational silence of Korean nurses: A systematic review and meta-analysis
    Kyungja Kang, Jeong-Hee Kim
    The Journal of Korean Academic Society of Nursing Education.2023; 29(3): 302.     CrossRef
  • Perceptions of Burden and Preparedness for Caregiving among the Family Caregivers of Hospitalised Older Adults: A Cross-Sectional Study
    Carla Gomes da Rocha, Béatrice Perrenoud, Anne-Sylvie Ramelet
    Geriatrics.2022; 7(1): 19.     CrossRef
  • Health Promotion Behavior among Older Korean Family Caregivers of People with Dementia
    Aram Cho, Chiyoung Cha
    International Journal of Environmental Research and Public Health.2021; 18(8): 4123.     CrossRef
  • Behavioural and psychological symptoms of dementia in patients with Alzheimer’s disease and family caregiver burden: a path analysis
    Bokyoung Kim, Gie Ok Noh, Kyunghee Kim
    BMC Geriatrics.2021;[Epub]     CrossRef
  • A systematic review of interventions for family caregivers of the elderly with dementia in Korea
    Seonghee Jeong, Jeonghae Hwang, Doonam Oh
    The Journal of Korean Academic Society of Nursing Education.2021; 27(3): 306.     CrossRef
  • The Impact of Dementia Knowledge and Attitude on Caregiving Appraisal among Caregivers of Older Adults with Dementia Using Dementia Care Centers
    Ji Yeon Hong, Dukyoo Jung
    Journal of Korean Gerontological Nursing.2020; 22(4): 348.     CrossRef
  • Relationship between Caring Burden and Caring Behavior among Family Caregivers of Elderly with Dementia in Community-Dwelling: Mediating Effects of Caring Self-Efficacy and Social Support
    Young Ju Oh, Myung Ha Lee, Hee Sun Kim
    Korean Journal of Adult Nursing.2020; 32(2): 186.     CrossRef
  • 74 View
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  • 18 Crossref
  • 19 Scopus
PURPOSE
The purpose of this study was to review articles that used the Pittsburgh Sleep Quality Index (PSQI) scale to measure sleep quality among adults with trauma experiences.
METHODS
Databases such as PubMed, CINAHL, Embase, Cochrane, Medline, Google Scholar, Riss, NDSL, and reference data were searched systematically for relevant studies from July 5 to 6, 2018. A quality assessment was conducted using the COSMIN (COnsensus-based Standards for the selection of health Measurement INstruments) risk of bias checklist, including content validity, structural validity, internal consistency, reliability, measurement error, hypotheses testing, cross-cultural validity, criterion validity, and responsiveness.
RESULTS
Fourteen studies met the inclusion criteria. All selected studies confirmed the overall quality of sleep by total score, but only 28.6% of the papers presented subscales. The quality of the methodology used varied within and between studies. Internal consistency of 21.5%, cross-cultural validity of 7.1%, and criterion validity of 14.2% were all evaluated as sufficient (+). Reliability and measurement errors were not presented in selected studies.
CONCLUSION
Our findings revealed that overall quality of sleep was measured by analyzing the characteristics and measurement attributes of the PSQI. However, as a result of the varying purposes of each study, the full potential of the tool could not be optimized. Future research should assess the attributes of the PSQI based on the content specified in the COSMIN evaluation standard, using it carefully to consider the target population's socio-cultural characteristics.

Citations

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  • Current status of systematic review studies on patient-reported outcome measures published in Korean journals
    Duck-Hee Chae, Jiyeon Lee, Eun-Hyun Lee
    Research in Community and Public Health Nursing.2025; 36: 1.     CrossRef
  • Evaluation of changes in skin characteristics due to the poor quality of sleep caused by smartphone usage
    Sue Im Jang, Yuchul Jung, Myeongryeol Lee, Jinsol Kim, Beom Joon Kim, Byung‐Fhy Suh, Eunjoo Kim
    Journal of Cosmetic Dermatology.2022; 21(4): 1656.     CrossRef
  • Affecting Factors on Sleep Quality in Foreign Workers
    Soojeong Kim, Min Kyung Kim, Inkyoung Lee, Kyoung Won Cho
    Journal of Health Informatics and Statistics.2022; 47(2): 139.     CrossRef
  • Discharge Readiness Scale for Parents of High-Risk Infants: A Systematic Review
    Ki-Eun Kim, Hyejung Lee, Na-Young Jeon
    Journal of The Korean Society of Maternal and Child Health.2022; 26(4): 205.     CrossRef
  • A Systematic Review of Measurement Properties of Spirituality related Assessment Tools Published in Korean Journals
    Il-Sun Ko, Jin Sook Kim, Soyoung Choi
    Journal of Korean Academy of Fundamentals of Nursing.2021; 28(1): 133.     CrossRef
  • 149 View
  • 2 Download
  • 5 Crossref
  • 3 Scopus
Factors related to Family Support for Hemodialysis Patients: A Systematic Review and Meta-analysis
Young Ran Chae, Sun Hee Lee, Young Mi Jo, Hyo Young Kang
Korean J Adult Nurs 2019;31(2):123-135.   Published online April 30, 2019
DOI: https://doi.org/10.7475/kjan.2019.31.2.123
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.

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Associations among Health Literacy, Psychosocial Factors, and Cancer-related Health Actions: A Systematic Literature Review
Eun Jin Kim, Su Hyun Kim
Korean J Adult Nurs 2018;30(6):565-576.   Published online December 31, 2018
DOI: https://doi.org/10.7475/kjan.2018.30.6.565
PURPOSE
The purpose of the study was to systematically review the associations among health literacy, psychosocial factors, and cancer-related health actions.
METHODS
PubMed, CINAHL, PsycARTICLES, KISS, RISS, and KoreaMed were searched for articles published between January 2000 and March 2018. Fourteen studies were identified and reviewed for the associations among the variables based on Von Wagner's framework on health literacy and health actions. Two researchers reviewed the articles independently using the Mixed Methods Appraisal Tool.
RESULTS
Of the 14 relevant studies, five studies analyzed all of the associations among health literacy, motivational or volitional factors, and cancer-related health actions. Eleven studies investigated the association between health literacy and motivational factors, including knowledge (n=11) and attitudes (n=6). Four studies investigated the association between health literacy and volitional factors, including self-efficacy (n=4) and efforts to search cancer-related information (n=1).
CONCLUSION
The possible paths between health literacy and cancer-related health actions mediated through the psychosocial variables were identified. Further research is warranted to substantiate the mediating pathways of the associations between health literacy and cancer-related health actions.

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Related Factors of Turnover Intention among Korean Hospital Nurses: A Systematic Review and Meta-Analysis
Youngock Lee, Jiyeon Kang
Korean J Adult Nurs 2018;30(1):1-17.   Published online February 28, 2018
DOI: https://doi.org/10.7475/kjan.2018.30.1.1
PURPOSE
The purpose of this study was to conduct a systematically review of factors related to the reported intention of hospital nurses in Korea to leave their positions.
METHODS
Appropriate studies in the recent ten years were selected from databases. A total of 263 studies were selected for the systematic review on the basis of the PRISMA flow. The correlational effect size of 35 studies was analyzed through meta-analysis using CMA 3.0.
RESULTS
Through systematic review, 52 related factors were classified by ecological system: 18 individual, 12 microsystem, 11 mesosystem, 8 exosystem, and 3 macrosystem. The overall effect size of turnover intention was 3.26. The total correlational effect size of related factors was 0.28: 0.14 for individual, 0.50 for microsystem, 0.25 for mesosystem and 0.40 for exosystem. Among single factors with larger effect size, emotional labor, role conflict, and work-home conflict were classified into contributors whereas organizational commitment, job satisfaction, and internal marketing were classified as inhibitors.
CONCLUSION
Previous studies focused on the individual and the microsystem in the quantitative respect. In addition, the effect size was relatively greater for the microsystem and the exosystem. It is therefore necessary to conduct further research on the systems with larger effects.

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