Pub Date : 2021-01-01DOI: 10.7475/kjan.2021.33.2.156
Jinhyang Yang, M. Cho
Purpose: This study was performed to explore the contexts and meanings of health life among patients with chronic kidney failure undergoing hemodialysis. Methods: The ethnography steps presented by Spradley were utilized. The participants were 12 patients from two hemodialysis centers. Data were collected by iterative fieldwork through in-depth interviews and participant observations and analyzed using text analysis and taxonomic methods. Field notes were used along with interviews and dialogue between authors to enhance interpretation. Results: Five themes on the health life of participants emerged: experiencing the loss of normality of the body and the collapse of daily life, establishing the role of dialysis patients, reorganizing the network, building an integrated coping pattern, and new normalization of the pattern of life. Patients ’ experiences differed in health life ’ s patterns and meanings according to various individual situations and sociocultural contexts. Conclusion: Establishing new patterns of life of hemodialysis patients was a normalization process to ensure the adequacy of physical indicators and stability amid physical, emotional, and social challenges. To achieve quality health life, patients should be provided with tailored nursing interventions that consider their individual, social, and cultural situations.
{"title":"Ethnography on the Health Life of Hemodialysis Patients with Chronic Kidney Failure","authors":"Jinhyang Yang, M. Cho","doi":"10.7475/kjan.2021.33.2.156","DOIUrl":"https://doi.org/10.7475/kjan.2021.33.2.156","url":null,"abstract":"Purpose: This study was performed to explore the contexts and meanings of health life among patients with chronic kidney failure undergoing hemodialysis. Methods: The ethnography steps presented by Spradley were utilized. The participants were 12 patients from two hemodialysis centers. Data were collected by iterative fieldwork through in-depth interviews and participant observations and analyzed using text analysis and taxonomic methods. Field notes were used along with interviews and dialogue between authors to enhance interpretation. Results: Five themes on the health life of participants emerged: experiencing the loss of normality of the body and the collapse of daily life, establishing the role of dialysis patients, reorganizing the network, building an integrated coping pattern, and new normalization of the pattern of life. Patients ’ experiences differed in health life ’ s patterns and meanings according to various individual situations and sociocultural contexts. Conclusion: Establishing new patterns of life of hemodialysis patients was a normalization process to ensure the adequacy of physical indicators and stability amid physical, emotional, and social challenges. To achieve quality health life, patients should be provided with tailored nursing interventions that consider their individual, social, and cultural situations.","PeriodicalId":38646,"journal":{"name":"Korean Journal of Adult Nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71353032","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 : 2021-01-01DOI: 10.7475/kjan.2021.33.3.269
E. Ha
{"title":"Subjective Perception of Long-Term Care Facilities in Home-Dwelling Older Adults: A Q Methodological Study","authors":"E. Ha","doi":"10.7475/kjan.2021.33.3.269","DOIUrl":"https://doi.org/10.7475/kjan.2021.33.3.269","url":null,"abstract":"","PeriodicalId":38646,"journal":{"name":"Korean Journal of Adult Nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71353286","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 : 2021-01-01DOI: 10.7475/kjan.2021.33.2.102
Hyunjong Park, G. Jeong
Purpose: This study was conducted to confirm the effect of providing video-program-related information on coronary disease to patients undergoing Percutaneous Coronary Intervention (PCI) on anxiety, vital signs, pain, and knowledge level related to coronary disease. Methods: A quasi-experimental design of nonequivalent control group pretest-posttest was used. The subjects of this study were 60 coronary heart disease patients hospitalized in the heart treatment center for Video educational Program (VP)-PCI (30 in the experimental group, 30 in the control group) in a general hospital in Gyeonggido Province. Data were collected from May 10 to November 30, 2019. Subjects of the experimental group were provided common nursing care and viewed a video education program before the PCI. The control group was provided common nursing care before the PCI. The data were analyzed via the x 2 test, independent t-test, and repeated measured ANOVA through the SPSS 23.0 program. Results: There were significant differences in the pain of the puncture site (F=6.83, p =.011) and knowledge related to coronary disease (F=89.94, p < .001) between the experimental group and the control group. Conclusion: Based on the findings, this study suggested that the nursing education program related to knowledge of coronary disease provided by tablet PC to PCI patients was effective to decrease the perception of pain and enhance levels of knowledge related to coronary disease. Therefore, the result is useful in nursing practice and should be utilized as a tool of nursing intervention to improve the knowledge of coronary disease patients.
目的:本研究旨在证实向经皮冠状动脉介入治疗(PCI)患者提供冠心病视频节目相关信息对患者焦虑、生命体征、疼痛及冠心病相关知识水平的影响。方法:采用非等效对照组前测后测的准实验设计。本研究以京畿道某综合医院影像教育计划(VP)-PCI心脏治疗中心住院的60例冠心病患者为研究对象(实验组30例，对照组30例)。数据采集时间为2019年5月10日至11月30日。实验组患者在PCI术前接受普通护理并观看视频教育节目。对照组患者行PCI术前常规护理。采用SPSS 23.0程序对数据进行x2检验、独立t检验和重复测量方差分析。结果:实验组与对照组在穿刺部位疼痛(F=6.83, p = 0.011)、冠心病相关知识(F=89.94, p < 0.001)方面差异有统计学意义。结论:本研究提示，通过平板电脑对PCI患者进行冠心病相关知识的护理教育，可有效降低患者的疼痛感，提高患者的冠心病相关知识水平。因此，该结果对护理实践有一定的参考价值，应作为护理干预的工具来提高冠心病患者的知识。
{"title":"Effects of Video Program by Tablet PC on Anxiety, Vital Signs, Pain, and Knowledge Level among Patients Undergoing Percutaneous Coronary Intervention","authors":"Hyunjong Park, G. Jeong","doi":"10.7475/kjan.2021.33.2.102","DOIUrl":"https://doi.org/10.7475/kjan.2021.33.2.102","url":null,"abstract":"Purpose: This study was conducted to confirm the effect of providing video-program-related information on coronary disease to patients undergoing Percutaneous Coronary Intervention (PCI) on anxiety, vital signs, pain, and knowledge level related to coronary disease. Methods: A quasi-experimental design of nonequivalent control group pretest-posttest was used. The subjects of this study were 60 coronary heart disease patients hospitalized in the heart treatment center for Video educational Program (VP)-PCI (30 in the experimental group, 30 in the control group) in a general hospital in Gyeonggido Province. Data were collected from May 10 to November 30, 2019. Subjects of the experimental group were provided common nursing care and viewed a video education program before the PCI. The control group was provided common nursing care before the PCI. The data were analyzed via the x 2 test, independent t-test, and repeated measured ANOVA through the SPSS 23.0 program. Results: There were significant differences in the pain of the puncture site (F=6.83, p =.011) and knowledge related to coronary disease (F=89.94, p < .001) between the experimental group and the control group. Conclusion: Based on the findings, this study suggested that the nursing education program related to knowledge of coronary disease provided by tablet PC to PCI patients was effective to decrease the perception of pain and enhance levels of knowledge related to coronary disease. Therefore, the result is useful in nursing practice and should be utilized as a tool of nursing intervention to improve the knowledge of coronary disease patients.","PeriodicalId":38646,"journal":{"name":"Korean Journal of Adult Nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71353476","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 : 2021-01-01DOI: 10.7475/kjan.2021.33.3.294
Geun-Ok Park, Heeyoung Oh
Purpose: This study aims to evaluate the Korean revised version of the Self-Care Behaviors Scale ’ s (SCBS-K19) validity and reliability. Methods: The data of 203 rheumatoid arthritis patients at a university hospital in D metropolitan city in South Korea were collected from July to August 2020, using a convivence sampling method. The SCBS-K19 was analyzed utilizing SPSS 26.0 and AMOS 23.0 programs. The SCBS-K19 ’ s content validity, structure validity, item-convergent/discriminant validity, convergent validity, and internal consistency and reliability were evaluated. Results: Among the items in original version, the items with a ceiling or floor effect of 30% or more were deleted, thus, resulting in a revised version with five sub-areas and 19 questions. The confirmatory factor analysis ’ results showed adequate model fit indices (c2/df=2.29, GFI=.85, RMR=.06, RMSEA=.08, CFI=.91, TLI=.89, IFI=.91). The items ’ convergence and discrimination validity were verified using the extracted mean variance (.52~.66) and composition reliability (.80~.90). The convergent validity was satisfactory as shown by its correlation with the Self-as Carer Inventory (SCI) (r=.60, p < .001). The Cronbach ’ s ⍺ for the overall scale was .88, and that of five subscales ranged from .77 to .90. Conclusion: The SCBS-K19 is a valid and reliable instrument. Therefore it is expected that this tool can be used to measure the level of self-care in Korean patients with rheumatoid arthritis.
{"title":"Validity and Reliability of Revised Version of the Self-Care Behaviors Scale-Korean (SCBS-K19) for Rheumatoid Arthritis Patients","authors":"Geun-Ok Park, Heeyoung Oh","doi":"10.7475/kjan.2021.33.3.294","DOIUrl":"https://doi.org/10.7475/kjan.2021.33.3.294","url":null,"abstract":"Purpose: This study aims to evaluate the Korean revised version of the Self-Care Behaviors Scale ’ s (SCBS-K19) validity and reliability. Methods: The data of 203 rheumatoid arthritis patients at a university hospital in D metropolitan city in South Korea were collected from July to August 2020, using a convivence sampling method. The SCBS-K19 was analyzed utilizing SPSS 26.0 and AMOS 23.0 programs. The SCBS-K19 ’ s content validity, structure validity, item-convergent/discriminant validity, convergent validity, and internal consistency and reliability were evaluated. Results: Among the items in original version, the items with a ceiling or floor effect of 30% or more were deleted, thus, resulting in a revised version with five sub-areas and 19 questions. The confirmatory factor analysis ’ results showed adequate model fit indices (c2/df=2.29, GFI=.85, RMR=.06, RMSEA=.08, CFI=.91, TLI=.89, IFI=.91). The items ’ convergence and discrimination validity were verified using the extracted mean variance (.52~.66) and composition reliability (.80~.90). The convergent validity was satisfactory as shown by its correlation with the Self-as Carer Inventory (SCI) (r=.60, p < .001). The Cronbach ’ s ⍺ for the overall scale was .88, and that of five subscales ranged from .77 to .90. Conclusion: The SCBS-K19 is a valid and reliable instrument. Therefore it is expected that this tool can be used to measure the level of self-care in Korean patients with rheumatoid arthritis.","PeriodicalId":38646,"journal":{"name":"Korean Journal of Adult Nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71353740","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 : 2021-01-01DOI: 10.7475/kjan.2021.33.4.333
Hyekyung Jin, Minju Kim
{"title":"A Structural Equation Model on Exercise Behavior in Patients with Heart Failure","authors":"Hyekyung Jin, Minju Kim","doi":"10.7475/kjan.2021.33.4.333","DOIUrl":"https://doi.org/10.7475/kjan.2021.33.4.333","url":null,"abstract":"","PeriodicalId":38646,"journal":{"name":"Korean Journal of Adult Nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71353837","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 : 2021-01-01DOI: 10.7475/kjan.2021.33.6.576
Dong Won Yun, Ji-Sun Choi
Purpose: This study identified relationships among person-centered care environment, patient engagement, and patient outcomes in stroke rehabilitation patients. Methods: This descriptive, correlational study was conducted using data from 243 post-stroke patients who were admitted in 6 rehabilitation hospitals. We collected data using self-report, structured questionnaires, which included items about the person-centered care environment, patient engagement, patient outcomes (patient satisfaction with nursing care, activities of daily living, levels of depression), and demographic characteristics. Path analysis and descriptive analyses were performed using SPSS 20.0 and AMOS 20.0. Results: The hypothesized path model fit well for data based on goodness-of-fit indices. In the path model, person-centered care environment was significantly related to patient engagement and patient satisfaction with nursing care but not to activities of daily living and levels of depression, controlling for demographic characteristics. Additionally, person-centered care was significantly related to patient satisfaction with nursing care and reduction of depression through patient engagement. Conclusion: Findings indicate the importance of developing a person-centered care environment to improve satisfaction with nursing care for stroke rehabilitation patients. A person-centered care environment improves patient engagement, which might be a significant factor in patient outcomes, including reduced depression for stroke rehabilitation patients.
{"title":"Relationships among Person-centered Care Environment, Patient Engagement, and Patient Outcomes in Stroke Rehabilitation Patients: A Path Model Analysis","authors":"Dong Won Yun, Ji-Sun Choi","doi":"10.7475/kjan.2021.33.6.576","DOIUrl":"https://doi.org/10.7475/kjan.2021.33.6.576","url":null,"abstract":"Purpose: This study identified relationships among person-centered care environment, patient engagement, and patient outcomes in stroke rehabilitation patients. Methods: This descriptive, correlational study was conducted using data from 243 post-stroke patients who were admitted in 6 rehabilitation hospitals. We collected data using self-report, structured questionnaires, which included items about the person-centered care environment, patient engagement, patient outcomes (patient satisfaction with nursing care, activities of daily living, levels of depression), and demographic characteristics. Path analysis and descriptive analyses were performed using SPSS 20.0 and AMOS 20.0. Results: The hypothesized path model fit well for data based on goodness-of-fit indices. In the path model, person-centered care environment was significantly related to patient engagement and patient satisfaction with nursing care but not to activities of daily living and levels of depression, controlling for demographic characteristics. Additionally, person-centered care was significantly related to patient satisfaction with nursing care and reduction of depression through patient engagement. Conclusion: Findings indicate the importance of developing a person-centered care environment to improve satisfaction with nursing care for stroke rehabilitation patients. A person-centered care environment improves patient engagement, which might be a significant factor in patient outcomes, including reduced depression for stroke rehabilitation patients.","PeriodicalId":38646,"journal":{"name":"Korean Journal of Adult Nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71353977","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 : 2021-01-01DOI: 10.7475/kjan.2021.33.2.87
D. Hyun, S. Jun, Chang Wan Jun, S. Sohn
Purpose: This study was conducted so as to determine a hypothetical model concerning factors affecting breast cancer patients ’ resilience. Methods: Data were collected via a self-administered questionnaire from 212 patients with breast cancer between July 25 and August 24, 2020. The data were analyzed using SPSS/WIN 20.0 and AMOS 21.0. Results: The model supported 7 of the 11 presented hypotheses for all participants. Test results indicated that “ hope ” , “ uncertainty ” , and “ symptom experience ” all directly affected participants ’ resilience, and that “ uncertainty ” also affected participants ’ , “ depression ” and “ hope ” . “ Spiritual well-being ” affected participants ’ sense of “ hope ” and “ symptom experience ” . Of these variables, “ hope ” had the strongest direct influence on resilience across all participants. “ Uncertainty ” was found to directly and indirectly affect participants, whereas “ spiritual well-being ” indirectly affected the resilience of all participants. “ Uncertainty ” and “ spiritual well-being ” indirectly affected the resilience of all participants. Conclusion: These results suggest that management strategies to enhance breast cancer patients ’ resilience should address patients ’ uncertainty, spiritual well-being, hope, and symptom experience.
{"title":"Structure Equation Modeling for Resilience in Patients with Breast Cancer","authors":"D. Hyun, S. Jun, Chang Wan Jun, S. Sohn","doi":"10.7475/kjan.2021.33.2.87","DOIUrl":"https://doi.org/10.7475/kjan.2021.33.2.87","url":null,"abstract":"Purpose: This study was conducted so as to determine a hypothetical model concerning factors affecting breast cancer patients ’ resilience. Methods: Data were collected via a self-administered questionnaire from 212 patients with breast cancer between July 25 and August 24, 2020. The data were analyzed using SPSS/WIN 20.0 and AMOS 21.0. Results: The model supported 7 of the 11 presented hypotheses for all participants. Test results indicated that “ hope ” , “ uncertainty ” , and “ symptom experience ” all directly affected participants ’ resilience, and that “ uncertainty ” also affected participants ’ , “ depression ” and “ hope ” . “ Spiritual well-being ” affected participants ’ sense of “ hope ” and “ symptom experience ” . Of these variables, “ hope ” had the strongest direct influence on resilience across all participants. “ Uncertainty ” was found to directly and indirectly affect participants, whereas “ spiritual well-being ” indirectly affected the resilience of all participants. “ Uncertainty ” and “ spiritual well-being ” indirectly affected the resilience of all participants. Conclusion: These results suggest that management strategies to enhance breast cancer patients ’ resilience should address patients ’ uncertainty, spiritual well-being, hope, and symptom experience.","PeriodicalId":38646,"journal":{"name":"Korean Journal of Adult Nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71353096","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 : 2021-01-01DOI: 10.7475/kjan.2021.33.3.212
Yun-Sil Ahn, P. Oh
{"title":"The Effect of Hospice Patients' Pain, Anxiety, Depression, Perception of Dignity, and Spiritual Well-Being on their Attitudes toward Dignified Death","authors":"Yun-Sil Ahn, P. Oh","doi":"10.7475/kjan.2021.33.3.212","DOIUrl":"https://doi.org/10.7475/kjan.2021.33.3.212","url":null,"abstract":"","PeriodicalId":38646,"journal":{"name":"Korean Journal of Adult Nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71353143","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 : 2021-01-01DOI: 10.7475/kjan.2021.33.3.236
Hye-Kyung Jo, Sung‐Heui Bae
{"title":"The Relationship between Nursing Care Needs and Nurse Staffing in Pulmonology Nursing Units","authors":"Hye-Kyung Jo, Sung‐Heui Bae","doi":"10.7475/kjan.2021.33.3.236","DOIUrl":"https://doi.org/10.7475/kjan.2021.33.3.236","url":null,"abstract":"","PeriodicalId":38646,"journal":{"name":"Korean Journal of Adult Nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71353208","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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