Purpose
This study aimed to identify variables influencing the sexual adjustment of patients who underwent radical prostatectomy in order to establish a structural model and intervention strategy for improving patients’ sexual adjustment.
Methods
Participants were 179 patients who received follow-up care after undergoing radical prostatectomy at two university hospitals in South Korea. Data were collected from July to November, 2017 using structured questionnaires. The exogenous variables were urinary symptoms and age, and the endogenous variables were sexual function, self-esteem, depression, couple intimacy, and sexual adjustment. The collected data were analyzed using SPSS 21.0 and AMOS 21.0.
Results
The goodness-of-fit measures of the final hypothetical model were satisfactory, as follows: χ² /df=2.68, GFI=.91, CFI=.90, RMSEA=.09, SRMR=.07. Sexual function, self-esteem, and couple intimacy had direct and total effects on sexual adjustment in patients who underwent radical prostatectomy, and age had only an indirect effect. These variables explained 66.5% of sexual adjustment among patients. Urinary symptoms and depression did not show any significant effects, however.
Conclusion
To improve sexual adjustment in patients who underwent radical prostatectomy, it is imperative to establish active and effective nursing interventions to strengthen their sexual function, self-esteem, and couple intimacy, considering their age.

PURPOSE
This study aimed to identify the factors explaining the performance of health behaviors among adults with metabolic syndrome based on the theory of planned behavior.
METHODS
A total of 218 adults with metabolic syndrome were recruited for the study from September to December, 2017. Data were analyzed using SPSS/WIN 22.0 and AMOS 24.0.
RESULTS
The hypothetical model appeared to fit the data with χ²/df=2.65, SRMR (Standardized Root Mean Residual)=.07, PNFI (Parsimonious Normed Fit Index)=.67. Attitude toward health behavior, subjective norm and perceived behavioral control explained 32.3% of variance in intention toward health behavior. Perceived behavioral control showed significant direct effects and mediating effect through intention on health behavior (γ=.57, t=5.85). Family support also had significant direct effects on health behavior (γ=.38, t=4.75). Attitude toward health behavior, subjective norm, perceived behavioral control, and family support were the significant factors explaining 56.3% of variance in the performance of health behaviors among patients with metabolic syndrome.
CONCLUSION
Health promotion programs for behavioral modification in this population should focus on these factors to lead to better health outcomes. Further studies are warranted to test the health promotion strategies based on theory of planned behavior for long-term change toward a healthy lifestyle among individuals with metabolic syndrome.

Citations

• Factors Affecting Radiation Protective Behaviors in Perioperative Nurses Applying the Theory of Planned Behavior: Path Analysis
  Se Young Jang, Hee Sun Kim, Seok Hee Jeong, Young Man Kim
  Journal of Korean Academy of Nursing.2023; 53(2): 222.     CrossRef
• Factors Associated with Prevention of Metabolic Syndrome Among Middle-Aged Postmenopausal Korean Women: A Study Based on the Information, Motivation, Behavioral Skills (IMB) Model
  Yoonjung Kim, Sooyeon Park
  Patient Preference and Adherence.2023; Volume 17: 2279.     CrossRef
• Predictors of Health Promotion Behaviors Among Working Adults at Risk for Metabolic Syndrome
  Sungwon Park, Min Kyeong Jang, Chang Gi Park, Oi Saeng Hong
  Nursing Research.2022; 71(4): 275.     CrossRef
• Development and Evaluation of an Integrated Health Management Program for Psychiatric Patients with Metabolic Syndrome
  Yun Bock Kwak, Ji Young Kim
  Journal of Korean Academy of Nursing.2022; 52(3): 261.     CrossRef
• An Analysis and Evaluation of the Theory of Planned Behavior Using Fawcett and DeSanto-Madeya's Framework
  Sungwon Park, Hyewon Shin
  Advances in Nursing Science.2021; 44(4): E141.     CrossRef

PURPOSE
The purpose of this study was to construct and test a predictive model for physical activity adherence for secondary prevention among patients with coronary artery disease.
METHODS
Two hundred and eighty-two patients with coronary artery disease were recruited at cardiology outpatient clinics in four general hospitals and the data collection was conducted from September 1 to October 19, 2015.
RESULTS
The model fit indices for the final hypothetical model satisfied the recommended levels: χ2/dF=0.77, adjusted goodness of fit index=.98, comparative fit index=1.00, normal fit index=1.00, incremental fit index=1.00, standardized root mean residual=.01, root mean square error of approximation=.03. Autonomy support (β=.50), competence (β=.27), and autonomous motivation (β=.31) had significant direct effects on physical activity adherence for secondary prevention among patients with coronary artery disease. This variable explained 35.1% of the variance in physical activity adherence.
CONCLUSION
This study showed that autonomy support from healthcare providers plays a key role in promoting physical activity adherence for secondary prevention among patients with coronary artery disease. The findings suggest that developing intervention programs to increase feelings of competence and autonomous motivation through autonomy support from healthcare providers are needed to promote physical activity adherence for secondary prevention among patients with coronary artery disease.

Citations

• Self‐care behaviours and their determinants in people affected by coronary heart disease
  Roberta Di Matteo, Tatiana Bolgeo, Alberto Dal Molin, Barbara Bassola, Maura Lusignani, Antonio Maconi, Laura Rasero, Ercole Vellone, Paolo Iovino
  Journal of Clinical Nursing.2025; 34(5): 1713.     CrossRef
• Prognostic factors of adherence to home-based exercise therapy in patients with chronic diseases: A systematic review and meta-analysis
  Ellen Ricke, Arie Dijkstra, Eric W. Bakker
  Frontiers in Sports and Active Living.2023;[Epub]     CrossRef
• Association between Social Support and Physical Activity in Patients with Coronary Artery Disease: Multiple Mediating Roles of Self-Efficacy and Autonomous Motivation
  Nam-Sin Han, Mi-Hwa Won
  Healthcare.2022; 10(3): 425.     CrossRef
• Concept Analysis of the Empowerment of Patients With Coronary Artery Disease Using a Hybrid Model
  Jiyoung Kim, Nayeon Shin
  Advances in Nursing Science.2022; 45(1): E31.     CrossRef
• Lifestyle and Quality of Life in Patients with Coronary Artery Disease: A Propensity-Matched Comparison with a Healthy Control Group
  Seong Hui Choi, Seon Young Hwang
  Korean Journal of Adult Nursing.2020; 32(2): 199.     CrossRef

PURPOSE
The aim of the study was to create a structural model based on Wilson and Cleary's Conceptual Model of Patient Outcomes. Secondly, the intention was to identify variables influencing the health-related quality of life (HRQoL) as reported by patients with thyroid cancer.
METHODS
A total of 201 patients with thyroid cancer were recruited from an outpatient clinic. Data were collected from June to November, 2015, using a structured questionnaire. The questionnaire included the Quality of Life-Thyroid Scale, Thyroid Stimulating Hormone (TSH), Medical Outcome Study Social Support Survey, MD Anderson Symptom Inventory-Thyroid, the Brief Illness Perception Questionnaire, and general characteristics of patients. The data were analyzed using the SPSS/WIN 21.0, AMOS 21.0, and SmartPLS 3.2.3 programs.
RESULTS
The fitness of the hypothetical model with the Wilson and Cleary model was satisfactory, showing that the coefficients of determination (R2) were between .101 and .692 and the predictive relevance (Q2) were between .124 and .320. The model explained 69.2% of the HRQoL. Symptom experience, functional status, disease perception, and social support directly and indirectly affected HRQoL. Age and TSH had an indirect influence on the HRQoL with the mediation effect of reported symptom experience.
CONCLUSION
To improve the quality of life for patients with thyroid cancer, comprehensive nursing interventions need to be developed and applied. Decreasing the reported symptoms, changing the perception of the disease, improving functional status, and increasing social support may contribute to a higher quality of life among patients with thyroid cancer.

Citations

• Can the Correlation of Periodontopathies with Gastrointestinal Diseases Be Used as Indicators in Severe Colorectal Diseases?
  Lavinia Rat, Andrada Moldovan, Daniela Trifan, Loredana Matiș, Gelu Murvai, Lavinia Maris, Timea Ghitea, Marius Maghiar
  Biomedicines.2023; 11(2): 402.     CrossRef
• A Structural Model of Quality of Life in Patients after Colorectal Cancer Surgery
  Jeong Won Yeom, Yeon Ok Suh
  International Journal of Environmental Research and Public Health.2022; 19(5): 2564.     CrossRef
• Analysis of the Effect of Nursing Intervention for Thyroid Diseases Based on Family Nursing Methods
  Xin Chen, Osamah Ibrahim Khalaf
  Computational and Mathematical Methods in Medicine.2022; 2022: 1.     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
• 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

PURPOSE
The aim of this study was to construct leisure physical activity model of middle-aged women in urban area. METHODS: Data were gathered by self-report questionnaire from 211 women aged between 41 and 59 years in urban community. The data were analyzed using the SPSS/WIN 10.0 program and the model was constructed using the LISREL 8.54 program. RESULTS: Variables that have direct effects on leisure physical activity were health state, past leisure physical activity, social support, self-efficacy, and affect. Perceived leisure state and behavioral leisure attitude also influenced leisure physical activity in an indirect way. Perceived leisure state had a direct effect on self-efficacy. Behavioral leisure attitude, past leisure physical activity, and experience of exercise effect had significantly direct effects on affect CONCLUSION: It will provide basic information for developing strategies of programs to enhance leisure physical activity of middle-aged women in urban area.

PURPOSE
This study was performed to examine predictors of allied health science students' exercise behavior using Pender's Health Promotion Model. METHOD: The subjects were 203 university students majoring in nursing, emergency medical service, and exercise prescription. The hypothetical model was based on the HPM(Pender, 1996). Exogenous variables of the model were exercise habit and role belief. Endogenous variables were exercise-related affect, exercise self-efficacy, exercise barrier, exercise intention, and exercise behavior. The data were analyzed by SAS PC program and LISREL 8.12 program. RESULT: The degree of exercise behavior was low(mean 1.86, range 1~4). The overall fit of the model to the data was acceptable. Exercise habit, exercise self-efficacy and exercise-related affect were significant predictors of exercise intention and exercise behavior. CONCLUSION: This study shows the necessity of the program to increase the level of exercise participation of university students majoring in allied health science. The model constructed in this study is applicable to explain exercise behavior of university students majoring in allied health science, and suggests that we should focus on exercise habit, exercise self- efficacy and exercise-related affect to increase the level of exercise behavior of this group.