Pub Date : 2021-06-01DOI: 10.7475/kjan.2021.33.3.203
Nina So, Hyunli Kim
{"title":"Factors related to Medication Adherence in Patients with Heart Failure","authors":"Nina So, Hyunli Kim","doi":"10.7475/kjan.2021.33.3.203","DOIUrl":"https://doi.org/10.7475/kjan.2021.33.3.203","url":null,"abstract":"","PeriodicalId":38646,"journal":{"name":"Korean Journal of Adult Nursing","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44270181","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-06-01DOI: 10.7475/kjan.2021.33.3.259
Min Jung Kim, Y. Shin
{"title":"Relationship between Health Literacy and Self-care Behavior in Patients with Stomach Cancer after Gastrectomy: Mediating Effects of Subjective Health Status and Specific Self-efficacy","authors":"Min Jung Kim, Y. Shin","doi":"10.7475/kjan.2021.33.3.259","DOIUrl":"https://doi.org/10.7475/kjan.2021.33.3.259","url":null,"abstract":"","PeriodicalId":38646,"journal":{"name":"Korean Journal of Adult Nursing","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48576920","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-06-01DOI: 10.7475/kjan.2021.33.3.226
T. Yang, J. Kim, Hyeon-Sung Kim, Jung-Eun Park
{"title":"Incidence and Risk Factors Associated with Medical Device-Related Pressure Injuries in Neurosurgery Surgery Patients","authors":"T. Yang, J. Kim, Hyeon-Sung Kim, Jung-Eun Park","doi":"10.7475/kjan.2021.33.3.226","DOIUrl":"https://doi.org/10.7475/kjan.2021.33.3.226","url":null,"abstract":"","PeriodicalId":38646,"journal":{"name":"Korean Journal of Adult Nursing","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71353159","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-04-01DOI: 10.7475/KJAN.2021.33.2.189
Sook Hee Kang, Eun Ko
{"title":"Factors Associated with Medication Adherence among the Elderly with Chronic Diseases","authors":"Sook Hee Kang, Eun Ko","doi":"10.7475/KJAN.2021.33.2.189","DOIUrl":"https://doi.org/10.7475/KJAN.2021.33.2.189","url":null,"abstract":"","PeriodicalId":38646,"journal":{"name":"Korean Journal of Adult Nursing","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42771810","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-04-01DOI: 10.7475/KJAN.2021.33.2.125
Myoyoun Kim, S. Hwang
Purpose: This study aimed to examine the influence of lifestyle-related factors, such as sleep quality, eating habits, and perceived stress, on the incidence of thyroid cancer in healthy adults. Methods: This study is a cross-sectional case-control study comparing lifestyle-related factors in thyroid cancer and healthy groups. Outpatients with thyroid cancer were recruited from 2012 to 2013, 3~6 months after thyroidectomy at a tertiary hospital in Seoul, Korea (n=468). For the control group, 935 healthy adults were recruited by propensity score matching on demographic characteristics in a 1:2 ratio from hospital health checkup data. The effect of sleep quality, eating habits, and perceived stress on the incidence of thyroid cancer was determined through multiple logistic regression analysis and backward stepwise variable selection. Results: Sleep disturbance and mild/moderate daytime dysfunction were found to have a 1.22 and 1.66/1.77-fold influence, respectively, in patients with thyroid cancer than in healthy controls ( p < .05). Coffee consumers who drink 3~6 times/day showed reduced cancer incidence than those who drink very little (odds ratio=0.53, 95% confidence interval=0.32~0.87). Perceived stress was a significant risk factor in univariate ( p =.004), but not in multivariate analysis. Conclusion: These findings highlight the need for evaluating sleep quality, especially in high-risk adults and patients with thyroid cancer. Preventive measures should be adopted to lower stress levels and improve sleep quality.
{"title":"Influence of Sleep Quality, Coffee Consumption, and Perceived Stress on the Incidence of Thyroid Cancer in Healthy Korean Adults","authors":"Myoyoun Kim, S. Hwang","doi":"10.7475/KJAN.2021.33.2.125","DOIUrl":"https://doi.org/10.7475/KJAN.2021.33.2.125","url":null,"abstract":"Purpose: This study aimed to examine the influence of lifestyle-related factors, such as sleep quality, eating habits, and perceived stress, on the incidence of thyroid cancer in healthy adults. Methods: This study is a cross-sectional case-control study comparing lifestyle-related factors in thyroid cancer and healthy groups. Outpatients with thyroid cancer were recruited from 2012 to 2013, 3~6 months after thyroidectomy at a tertiary hospital in Seoul, Korea (n=468). For the control group, 935 healthy adults were recruited by propensity score matching on demographic characteristics in a 1:2 ratio from hospital health checkup data. The effect of sleep quality, eating habits, and perceived stress on the incidence of thyroid cancer was determined through multiple logistic regression analysis and backward stepwise variable selection. Results: Sleep disturbance and mild/moderate daytime dysfunction were found to have a 1.22 and 1.66/1.77-fold influence, respectively, in patients with thyroid cancer than in healthy controls ( p < .05). Coffee consumers who drink 3~6 times/day showed reduced cancer incidence than those who drink very little (odds ratio=0.53, 95% confidence interval=0.32~0.87). Perceived stress was a significant risk factor in univariate ( p =.004), but not in multivariate analysis. Conclusion: These findings highlight the need for evaluating sleep quality, especially in high-risk adults and patients with thyroid cancer. Preventive measures should be adopted to lower stress levels and improve sleep quality.","PeriodicalId":38646,"journal":{"name":"Korean Journal of Adult Nursing","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47822748","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-02-01DOI: 10.7475/KJAN.2021.33.1.67
M. Lee
Purpose: Patient outcomes should improve through patient involvement and improved interactions with healthcare providers during the care process. This study aimed to examine factors affecting the perceived health status of patients with cancer, focused on their treatment experiences, and explored the differences in treatment-related experiences according to the patients ’ characteristics. Methods: This cross-sectional study used the 2015 Korea National Health and Nutrition Examination Survey, which assesses patients ’ general characteristics, treatment-related experiences, and perceived health status. Data from 255 cancer survivors aged 19 years or older were used in this study. Descriptive statistics, independent t-tests, and multiple regression were used for the data analyses. Results: Cancer patients ’ perception of a lower health resulted from the following factors: insufficient information provision during the care process ( β =-.13, p =.026), less participation in the treatment-related decision-making ( β =-.25, p =.005), and more comorbidities ( β =-.31, p =.018). A higher education level ( β =.68, p < .001) was associated with higher perceived health status. The set of significant factors explained 19% of the total variance of the perceived health status. Conclusion: Sufficient information provision during the care process and patients ’ participation in treatment-related decision-making affected the perceived health status of cancer patients. Hence, providing cancer patients with information and involving them in decision-making may improve illness self-management capabilities and health status.
{"title":"Association between Treatment Experiences and Health Status of Patients with Cancer: Results from the Korea National Health and Nutrition Examination Survey in 2015","authors":"M. Lee","doi":"10.7475/KJAN.2021.33.1.67","DOIUrl":"https://doi.org/10.7475/KJAN.2021.33.1.67","url":null,"abstract":"Purpose: Patient outcomes should improve through patient involvement and improved interactions with healthcare providers during the care process. This study aimed to examine factors affecting the perceived health status of patients with cancer, focused on their treatment experiences, and explored the differences in treatment-related experiences according to the patients ’ characteristics. Methods: This cross-sectional study used the 2015 Korea National Health and Nutrition Examination Survey, which assesses patients ’ general characteristics, treatment-related experiences, and perceived health status. Data from 255 cancer survivors aged 19 years or older were used in this study. Descriptive statistics, independent t-tests, and multiple regression were used for the data analyses. Results: Cancer patients ’ perception of a lower health resulted from the following factors: insufficient information provision during the care process ( β =-.13, p =.026), less participation in the treatment-related decision-making ( β =-.25, p =.005), and more comorbidities ( β =-.31, p =.018). A higher education level ( β =.68, p < .001) was associated with higher perceived health status. The set of significant factors explained 19% of the total variance of the perceived health status. Conclusion: Sufficient information provision during the care process and patients ’ participation in treatment-related decision-making affected the perceived health status of cancer patients. Hence, providing cancer patients with information and involving them in decision-making may improve illness self-management capabilities and health status.","PeriodicalId":38646,"journal":{"name":"Korean Journal of Adult Nursing","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49623716","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-02-01DOI: 10.7475/KJAN.2021.33.1.44
Min-Eun Cho, Sun-Kyung Hwang
Purpose: During hospitalization, sleep can be disturbed and the quality reduced. This study investigated the effect of applying white noise on hospitalized patients for improving their sleep quality. Methods: In a randomized controlled trial design, participants were randomly assigned to an experimental group (n=30) or a comparison group (n=31), enrolled from rehabilitation medicine wards at a university hospital in South Korea. For three days of the intervention, the experimental group listened to white noise for one hour before sleep. The comparison group wore only earplugs before sleep. Sleep quality was assessed by the Verran and Snyder-Halpern (VSH) sleep scale as a subjective measure and the Fitbit ® wrist band monitor as an objective measure. Data were collected pre- and three days post-intervention. Data were analyzed by repeated measures ANOVA using SPSS/WIN 22.0 program. Results: The white noise group showed positive effects on subjective sleep quality ( p < .001) compared to the earplug group. Among the objective sleep quality measures, sleep time ( p < .001) and sleep efficiency ( p =.003) were statistically significant, but there were no statistically significant differences in time of awakening, number of awakening, time of restless and number of restless. Conclusion: Findings indicate that applying white noise could be considered as a useful nursing intervention to improve subjective and objective sleep quality in hospitalized patients.
{"title":"The Effect of White Noise on Sleep in Hospitalized Patients: A Randomized Controlled Trial","authors":"Min-Eun Cho, Sun-Kyung Hwang","doi":"10.7475/KJAN.2021.33.1.44","DOIUrl":"https://doi.org/10.7475/KJAN.2021.33.1.44","url":null,"abstract":"Purpose: During hospitalization, sleep can be disturbed and the quality reduced. This study investigated the effect of applying white noise on hospitalized patients for improving their sleep quality. Methods: In a randomized controlled trial design, participants were randomly assigned to an experimental group (n=30) or a comparison group (n=31), enrolled from rehabilitation medicine wards at a university hospital in South Korea. For three days of the intervention, the experimental group listened to white noise for one hour before sleep. The comparison group wore only earplugs before sleep. Sleep quality was assessed by the Verran and Snyder-Halpern (VSH) sleep scale as a subjective measure and the Fitbit ® wrist band monitor as an objective measure. Data were collected pre- and three days post-intervention. Data were analyzed by repeated measures ANOVA using SPSS/WIN 22.0 program. Results: The white noise group showed positive effects on subjective sleep quality ( p < .001) compared to the earplug group. Among the objective sleep quality measures, sleep time ( p < .001) and sleep efficiency ( p =.003) were statistically significant, but there were no statistically significant differences in time of awakening, number of awakening, time of restless and number of restless. Conclusion: Findings indicate that applying white noise could be considered as a useful nursing intervention to improve subjective and objective sleep quality in hospitalized patients.","PeriodicalId":38646,"journal":{"name":"Korean Journal of Adult Nursing","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46274645","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-02-01DOI: 10.7475/KJAN.2021.33.1.29
Linlin Lindayani, Bhakti Permana, Taryudi, I. Darmawati
Purpose: Nurses are at the forefront of the battle against the Coronavirus Disease 2019 (COVID-19) pandemic. Nurses ’ expertise, attitude, and practice of prevention and control are important to provide a good quality of care for patients and to protect themselves from COVID-19 infection. This study aimed to investigate the attitudes and practices toward droplet and airborne universal precaution among nurses during the COVID-19 outbreak and to identify factors associated with nursing practices. Methods: A cross-sectional online survey was conducted among nurses who had been involved in COVID-19 prevention and control and were able to join in the research from referral hospitals from Bandung, West Java, Indonesia from May 1 to 20, 2020. The questionnaire comprised three parts: demographic characteristics, attitude toward droplet and airborne universal precaution, and practice toward droplet and airborne universal precaution. Results: The response rate was 91.7% (550 of 600 nurses). The majority were women (75.5%), aged 31.26 ± 7.19 years (range: 22~55). Attitude ( β =.51, p =.036) and perception of risk of contracting COVID-19 ( β =.66, p =.045) were factors found to be associated with practices toward droplet and airborne universal precaution during the COVID-19 outbreak. Conclusion: The Indonesian government needs to improve health services by enhancing and expanding tailored training programs for nurses on routine infection prevention and provide policies to better control the spread of the COVID-19 pandemic.
{"title":"Attitudes and Practices toward Droplet and Airborne Universal Precaution among Nurses during the COVID-19 Outbreak in Indonesia","authors":"Linlin Lindayani, Bhakti Permana, Taryudi, I. Darmawati","doi":"10.7475/KJAN.2021.33.1.29","DOIUrl":"https://doi.org/10.7475/KJAN.2021.33.1.29","url":null,"abstract":"Purpose: Nurses are at the forefront of the battle against the Coronavirus Disease 2019 (COVID-19) pandemic. Nurses ’ expertise, attitude, and practice of prevention and control are important to provide a good quality of care for patients and to protect themselves from COVID-19 infection. This study aimed to investigate the attitudes and practices toward droplet and airborne universal precaution among nurses during the COVID-19 outbreak and to identify factors associated with nursing practices. Methods: A cross-sectional online survey was conducted among nurses who had been involved in COVID-19 prevention and control and were able to join in the research from referral hospitals from Bandung, West Java, Indonesia from May 1 to 20, 2020. The questionnaire comprised three parts: demographic characteristics, attitude toward droplet and airborne universal precaution, and practice toward droplet and airborne universal precaution. Results: The response rate was 91.7% (550 of 600 nurses). The majority were women (75.5%), aged 31.26 ± 7.19 years (range: 22~55). Attitude ( β =.51, p =.036) and perception of risk of contracting COVID-19 ( β =.66, p =.045) were factors found to be associated with practices toward droplet and airborne universal precaution during the COVID-19 outbreak. Conclusion: The Indonesian government needs to improve health services by enhancing and expanding tailored training programs for nurses on routine infection prevention and provide policies to better control the spread of the COVID-19 pandemic.","PeriodicalId":38646,"journal":{"name":"Korean Journal of Adult Nursing","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48107450","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-02-01DOI: 10.7475/KJAN.2021.33.1.37
A. Fauzi, Rusmai Triaswati
Purpose: Intradialytic exercise could be a cornerstone of management in hemodialysis patients. The aim of this study was to evaluate the effect of intradialytic stretching training on Restless Legs Syndrome (RLS) and sleep quality among patients undergoing hemodialysis. Methods: This 8-week quasi-experimental design study involved adult patients undergoing chronic hemodialysis treatment for at least 3 months at the Drug Dependency Hospital Nephrology Unit in Jakarta. Nineteen participants were listed in each group, so a total of 38 participants were registered. Convenience sampling was used to select respondents. In addition, each respondent was asked to complete the International Restless Legs Syndrome Study Group (IRSSG) rating scale and the Pittsburgh Sleep Quality Index (PSQI). Results: The majority of respondents were women (55.3%), unemployed (71.1%), with duration of hemodialysis>12 months (55.3%), and having hemoglobin levels less than 10 mg/dl (68.4%). The mean RLS before intervention was 1.74 (Standard Deviation [SD]=0.23) and after intervention, there was significant reduction in RLS score to a mean of 0.42 (SD=0.17) (p<.001). Similarly, mean sleep quality before intervention was 4.02 (SD=2.56) and after intervention, it reduced significantly to a mean of 6.16 (SD=3.18) (p<.001). Conclusion: Intradialytic stretching training could play a significant role in decreasing RLS and improving quality of sleep. Further studies with larger sample sizes and longer periods of intervention are required to validate our results and contribute to better patient outcomes.
{"title":"The Effect of Intradialytic Stretching Training on Restless Legs Syndrome and Sleep Quality in Hemodialysis Patients","authors":"A. Fauzi, Rusmai Triaswati","doi":"10.7475/KJAN.2021.33.1.37","DOIUrl":"https://doi.org/10.7475/KJAN.2021.33.1.37","url":null,"abstract":"Purpose: Intradialytic exercise could be a cornerstone of management in hemodialysis patients. The aim of this study was to evaluate the effect of intradialytic stretching training on Restless Legs Syndrome (RLS) and sleep quality among patients undergoing hemodialysis. Methods: This 8-week quasi-experimental design study involved adult patients undergoing chronic hemodialysis treatment for at least 3 months at the Drug Dependency Hospital Nephrology Unit in Jakarta. Nineteen participants were listed in each group, so a total of 38 participants were registered. Convenience sampling was used to select respondents. In addition, each respondent was asked to complete the International Restless Legs Syndrome Study Group (IRSSG) rating scale and the Pittsburgh Sleep Quality Index (PSQI). Results: The majority of respondents were women (55.3%), unemployed (71.1%), with duration of hemodialysis>12 months (55.3%), and having hemoglobin levels less than 10 mg/dl (68.4%). The mean RLS before intervention was 1.74 (Standard Deviation [SD]=0.23) and after intervention, there was significant reduction in RLS score to a mean of 0.42 (SD=0.17) (p<.001). Similarly, mean sleep quality before intervention was 4.02 (SD=2.56) and after intervention, it reduced significantly to a mean of 6.16 (SD=3.18) (p<.001). Conclusion: Intradialytic stretching training could play a significant role in decreasing RLS and improving quality of sleep. Further studies with larger sample sizes and longer periods of intervention are required to validate our results and contribute to better patient outcomes.","PeriodicalId":38646,"journal":{"name":"Korean Journal of Adult Nursing","volume":"33 1","pages":"37-43"},"PeriodicalIF":0.0,"publicationDate":"2021-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43534912","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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