Pub Date : 2021-01-01DOI: 10.7475/kjan.2021.33.5.484
Shinae Jung, S. Shin
Purpose: This study was conducted to investigate selected constructs of the Transtheoretical Model (TTM) of behavior change regarding smoking behavior among Asian students in Korea. Methods: A convenience sample of 240 Chinese and Vietnamese smokers studying in colleges, graduate schools, and language programs across the country completed the Chinese and Vietnamese versions of the short form questionnaire from October 2020 to January 2021, through an online survey. The collected data were analyzed using the SPSS/WIN 25.0 program using descriptive statistics, one-way ANOVA, independent t-test, and logistic regression. Results: Analyses showed that 72.1% of participants were in contemplation and preparation stage. There were significant differences in the process of change, decisional balance, and self-efficacy depending on the stages of change in smoking cessation. Factors influencing smoking cessation intention were consciousness raising (Odds Radio [OR]=1.22, 95% Confidence Interval [CI]=1.00~1.15, p=.047), self-reevaluation (OR=1.40, 95% CI=1.15~1.70, p=.001), cons of smoking (OR=1.18, 95% CI=1.00~1.39, p=.045), and self-efficacy (OR=1.08, 95% CI=1.00~1.15, p=039). Conclusion: The results provide support on the advantages of including the concepts of consciousness raising, self-reevaluation, negative aspects of smoking (cons), and self-efficacy in intervention program development for smoking cessation.
{"title":"Factors Affecting Stages of Change in Smoking Cessation and Intention to Quit among Asian Students in Korea based on the Transtheoretical Model","authors":"Shinae Jung, S. Shin","doi":"10.7475/kjan.2021.33.5.484","DOIUrl":"https://doi.org/10.7475/kjan.2021.33.5.484","url":null,"abstract":"Purpose: This study was conducted to investigate selected constructs of the Transtheoretical Model (TTM) of behavior change regarding smoking behavior among Asian students in Korea. Methods: A convenience sample of 240 Chinese and Vietnamese smokers studying in colleges, graduate schools, and language programs across the country completed the Chinese and Vietnamese versions of the short form questionnaire from October 2020 to January 2021, through an online survey. The collected data were analyzed using the SPSS/WIN 25.0 program using descriptive statistics, one-way ANOVA, independent t-test, and logistic regression. Results: Analyses showed that 72.1% of participants were in contemplation and preparation stage. There were significant differences in the process of change, decisional balance, and self-efficacy depending on the stages of change in smoking cessation. Factors influencing smoking cessation intention were consciousness raising (Odds Radio [OR]=1.22, 95% Confidence Interval [CI]=1.00~1.15, p=.047), self-reevaluation (OR=1.40, 95% CI=1.15~1.70, p=.001), cons of smoking (OR=1.18, 95% CI=1.00~1.39, p=.045), and self-efficacy (OR=1.08, 95% CI=1.00~1.15, p=039). Conclusion: The results provide support on the advantages of including the concepts of consciousness raising, self-reevaluation, negative aspects of smoking (cons), and self-efficacy in intervention program development for smoking cessation.","PeriodicalId":38646,"journal":{"name":"Korean Journal of Adult Nursing","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71353641","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.2021.33.6.556
H. Kim, J. Park
Purpose: This descriptive phenomenological study explored the lived experiences of patients recovering from Coronavirus Disease-2019 (COVID-19). Methods: Using a purposive sampling method, participants were recruited from the Korean Psychological Association's Mental Health and Wellness Center in G city, South Korea, from May 5 to December 30, 2020. The interviews were analyzed using Colaizzi's seven-step method. Data saturation was reached after interviewing 14 participants. Results: The experiences of patients recovering from COVID-19 were clustered into 4 main themes and 10 subthemes:, namely, the patients' 1) stigmatization, leading to anxiety, fatigue, and concern about neighbors;2) negative emotions: anger and helplessness;3) coping strategies under pressure: increased gratitude, self-reflection, and self-efficacy;and 4) ways of overcoming internalized stigma: personal growth and hope for the future. Discussion: The results suggest that the positive and negative emotions of patients recovering from COVID-19 are interwoven and coexist against the background of the pandemic. Improvement of social networks, development of coping skills, and psychological growth play an important role in alleviating the psychological burden of recovering patients.
{"title":"A Phenomenological Study on the Lived Experiences of Patients Recovered from COVID-19","authors":"H. Kim, J. Park","doi":"10.7475/kjan.2021.33.6.556","DOIUrl":"https://doi.org/10.7475/kjan.2021.33.6.556","url":null,"abstract":"Purpose: This descriptive phenomenological study explored the lived experiences of patients recovering from Coronavirus Disease-2019 (COVID-19). Methods: Using a purposive sampling method, participants were recruited from the Korean Psychological Association's Mental Health and Wellness Center in G city, South Korea, from May 5 to December 30, 2020. The interviews were analyzed using Colaizzi's seven-step method. Data saturation was reached after interviewing 14 participants. Results: The experiences of patients recovering from COVID-19 were clustered into 4 main themes and 10 subthemes:, namely, the patients' 1) stigmatization, leading to anxiety, fatigue, and concern about neighbors;2) negative emotions: anger and helplessness;3) coping strategies under pressure: increased gratitude, self-reflection, and self-efficacy;and 4) ways of overcoming internalized stigma: personal growth and hope for the future. Discussion: The results suggest that the positive and negative emotions of patients recovering from COVID-19 are interwoven and coexist against the background of the pandemic. Improvement of social networks, development of coping skills, and psychological growth play an important role in alleviating the psychological burden of recovering patients.","PeriodicalId":38646,"journal":{"name":"Korean Journal of Adult Nursing","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71353814","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.2021.33.5.458
Yu Hyeon Choe, Da Hye Kim
{"title":"Effects of Exercise on Chemotherapy-induced Peripheral Neuropathy: A Systematic Review and Meta-Analysis","authors":"Yu Hyeon Choe, Da Hye Kim","doi":"10.7475/kjan.2021.33.5.458","DOIUrl":"https://doi.org/10.7475/kjan.2021.33.5.458","url":null,"abstract":"","PeriodicalId":38646,"journal":{"name":"Korean Journal of Adult Nursing","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71353582","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.2021.33.6.545
Yohan Lee, Haejung Lee
Purpose: This study identified factors related to bowel cleanliness of colonoscopy examinees. Methods: From December 2, 2020 to January 21, 2021, we surveyed 152 participants who underwent colonoscopy at a university hospital at B City. The questionnaires included participants characteristics, social cognitive determinants (knowledge on bowel preparation, severity and susceptibility for colon cancer as perceived threat, self-efficacy, and social support), and compliance with bowel preparation. For data analysis, SPSS/WIN 21.0 and AMOS 22.0 statistical programs were used. Descriptive statistics, an independent t-test, one way ANOVA, Pearson correlation coefficient, and path analysis were utilized. Results: Participants’ knowledge level on bowel preparation was 8.49±1.57; severity, 18.49±4.43; susceptibility, 12.55±4.10; self-efficacy, 41.92±9.28; social support, 24.90±4.84; compliance with bowel preparation, 9.26±1.81; and degree of bowel cleanliness, 6.05±1.71. Factors influencing the compliance with bowel preparation included self-efficacy (β=.27, p=.007), knowledge on bowel preparation (β=.23, p=.005), marital status (β=.19, p=.048), social support (β=.17, p=.030), and age (β=-.16, p=.007). The factor directly affecting bowel cleanliness was compliance with bowel preparation (β=.17, p=.043). Indirectly affecting factors were self-efficacy (β=.05 p=.021), knowledge on bowel preparation (β=.04, p=.022), social support (β=.03, p=.026), marital status (β=.03, p=.034), and age (β=-.03, p=.018). Conclusion: Bowel cleanliness of colonoscopy examinees can be improved by enhancing compliance with bowel preparation. Future studies should examine the effects of strategies that concern self-efficacy, knowledge on bowel preparation, social support, marital status and age on compliance with bowel preparation.
{"title":"Factors related to Bowel Cleanliness of Colonoscopy Examinees","authors":"Yohan Lee, Haejung Lee","doi":"10.7475/kjan.2021.33.6.545","DOIUrl":"https://doi.org/10.7475/kjan.2021.33.6.545","url":null,"abstract":"Purpose: This study identified factors related to bowel cleanliness of colonoscopy examinees. Methods: From December 2, 2020 to January 21, 2021, we surveyed 152 participants who underwent colonoscopy at a university hospital at B City. The questionnaires included participants characteristics, social cognitive determinants (knowledge on bowel preparation, severity and susceptibility for colon cancer as perceived threat, self-efficacy, and social support), and compliance with bowel preparation. For data analysis, SPSS/WIN 21.0 and AMOS 22.0 statistical programs were used. Descriptive statistics, an independent t-test, one way ANOVA, Pearson correlation coefficient, and path analysis were utilized. Results: Participants’ knowledge level on bowel preparation was 8.49±1.57; severity, 18.49±4.43; susceptibility, 12.55±4.10; self-efficacy, 41.92±9.28; social support, 24.90±4.84; compliance with bowel preparation, 9.26±1.81; and degree of bowel cleanliness, 6.05±1.71. Factors influencing the compliance with bowel preparation included self-efficacy (β=.27, p=.007), knowledge on bowel preparation (β=.23, p=.005), marital status (β=.19, p=.048), social support (β=.17, p=.030), and age (β=-.16, p=.007). The factor directly affecting bowel cleanliness was compliance with bowel preparation (β=.17, p=.043). Indirectly affecting factors were self-efficacy (β=.05 p=.021), knowledge on bowel preparation (β=.04, p=.022), social support (β=.03, p=.026), marital status (β=.03, p=.034), and age (β=-.03, p=.018). Conclusion: Bowel cleanliness of colonoscopy examinees can be improved by enhancing compliance with bowel preparation. Future studies should examine the effects of strategies that concern self-efficacy, knowledge on bowel preparation, social support, marital status and age on compliance with bowel preparation.","PeriodicalId":38646,"journal":{"name":"Korean Journal of Adult Nursing","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71353765","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.2021.33.6.601
Bomi Kim, H. Kim, Jisun Lee
Purpose: This concept analysis was performed to clarify “ stress in hemodialysis patients ” . Methods: Walker and Avant ’ s methodology guided the analysis. In addition, the concept was compared with stress from other perspectives. Results: Stress in hemodialysis patients was defined in terms of “ Physical ” , “ Psychological ” , “ Social ‧ Economic ” , and “ Behavioral ” dimensions. Stress in hemodialysis patients is preceded by kidney failure, fear of treatment, and uncertainty about prognosis, after which there is often negative coping such as non-compliance with treatment, or positive coping such as maintaining the status quo, relying on medical staff, conforming to treatment, and self-management. Conclusion: It is necessary to develop a stress intervention program suitable for hemodialysis patients and a tool to identify the concept of stress in hemodialysis patients suitable for domestic situations, as well as conduct further research to identify its influencing factors.
{"title":"A Concept Analysis of Stress in Hemodialysis Patients","authors":"Bomi Kim, H. Kim, Jisun Lee","doi":"10.7475/kjan.2021.33.6.601","DOIUrl":"https://doi.org/10.7475/kjan.2021.33.6.601","url":null,"abstract":"Purpose: This concept analysis was performed to clarify “ stress in hemodialysis patients ” . Methods: Walker and Avant ’ s methodology guided the analysis. In addition, the concept was compared with stress from other perspectives. Results: Stress in hemodialysis patients was defined in terms of “ Physical ” , “ Psychological ” , “ Social ‧ Economic ” , and “ Behavioral ” dimensions. Stress in hemodialysis patients is preceded by kidney failure, fear of treatment, and uncertainty about prognosis, after which there is often negative coping such as non-compliance with treatment, or positive coping such as maintaining the status quo, relying on medical staff, conforming to treatment, and self-management. Conclusion: It is necessary to develop a stress intervention program suitable for hemodialysis patients and a tool to identify the concept of stress in hemodialysis patients suitable for domestic situations, as well as conduct further research to identify its influencing factors.","PeriodicalId":38646,"journal":{"name":"Korean Journal of Adult Nursing","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71353881","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.2021.33.5.509
Da-Hai-Som Kang, Jinhyang Yang
Purpose: This study aimed to explore the clinical practice experience of nursing students during the Coronavirus Disease 2019 (COVID-19) pandemic. Methods: We used the qualitative content analysis steps presented by Graneheim and Lundman. The participants were 11 nursing students from two universities. We collected data by iterative work through in-depth interviews and observations and analyzed it using content analysis and dialogue between the authors to enhance interpretation. Results: Four themes emerged from the participants' clinical practice experiences during the pandemic: increased uncertainty in clinical practice and daily life, reduced opportunities for practice experiences and networking, differences in the meaning of clinical practice, and new implications of clinical practice. Conclusion: Participants were experiencing clinical practice, including themselves and the surrounding world, under the strong influence of the COVID-19. Therefore, the development of practice guidelines that can be communicated quickly between institutions, students, and universities and cope flexibly with the pandemic alarm levels will reduce uncertainty in clinical practice and minimize changes in activities and networking. Additionally, the nurses' professional intuition should be improved by expanding the awareness of nurse roles in clinical practice during the COVID-19 pandemic.
{"title":"Clinical Practice Experience of Nursing Students During the COVID-19 Pandemic","authors":"Da-Hai-Som Kang, Jinhyang Yang","doi":"10.7475/kjan.2021.33.5.509","DOIUrl":"https://doi.org/10.7475/kjan.2021.33.5.509","url":null,"abstract":"Purpose: This study aimed to explore the clinical practice experience of nursing students during the Coronavirus Disease 2019 (COVID-19) pandemic. Methods: We used the qualitative content analysis steps presented by Graneheim and Lundman. The participants were 11 nursing students from two universities. We collected data by iterative work through in-depth interviews and observations and analyzed it using content analysis and dialogue between the authors to enhance interpretation. Results: Four themes emerged from the participants' clinical practice experiences during the pandemic: increased uncertainty in clinical practice and daily life, reduced opportunities for practice experiences and networking, differences in the meaning of clinical practice, and new implications of clinical practice. Conclusion: Participants were experiencing clinical practice, including themselves and the surrounding world, under the strong influence of the COVID-19. Therefore, the development of practice guidelines that can be communicated quickly between institutions, students, and universities and cope flexibly with the pandemic alarm levels will reduce uncertainty in clinical practice and minimize changes in activities and networking. Additionally, the nurses' professional intuition should be improved by expanding the awareness of nurse roles in clinical practice during the COVID-19 pandemic.","PeriodicalId":38646,"journal":{"name":"Korean Journal of Adult Nursing","volume":"12 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71353744","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.2021.33.5.448
Seo-yeong Yeom, Youngran Yang, J. Kang
Purpose: This meta-analysis was conducted to analyze the effect of Diabetes Mellitus (DM) on the risk of Parkinson Disease (PD). Methods: Original prospective observational studies were searched through PubMed, Cumulative Index of Nursing and Allied Health Literature (CINAHL), ProQuest, Web of Science, Science Direct, Koreanstudies Information Service System (KISS), and DBpia published up to March 2020. The Relative Risks (RRs) were calculated using the random-effects model. Results: An integrated analysis of ten large population-based cohort studies, involving 10,730,117 participants, showed that patients with DM had a 30% higher risk of PD than those without DM (pooled RR=1.30, 95% Confidence Interval [CI]=1.14~1.48). Subgroup analyses based on the characteristics of the studies were conducted, and the association between DM and PD was significant in studies conducted in Asia (RR=1.30, 95% CI=1.01~1.69) and Europe (RR=1.45, 95% CI=1.09~1.94), and for patients with DM durations less than ten years (RR=1.31, 95% CI=1.27~1.37) and stroke (RR=1.16, 95% CI=1.03~1.31). Each study included in the analysis had methodologically good quality and showed no evidence of publication bias. Conclusion: DM resulted in a significantly increased risk of PD; therefore, prevention and early detection of PD in patients with DM should be encouraged.
目的:本荟萃分析旨在分析糖尿病(DM)对帕金森病(PD)风险的影响。方法:通过PubMed、护理和相关健康文献累积索引(CINAHL)、ProQuest、Web of Science、Science Direct、Koreanstudies Information Service System (KISS)和DBpia检索截至2020年3月发表的原始前瞻性观察性研究。采用随机效应模型计算相对危险度(rr)。结果:对10项大型人群队列研究的综合分析，涉及10,730,117名参与者，显示DM患者患PD的风险比非DM患者高30%(合并RR=1.30, 95%置信区间[CI]=1.14~1.48)。根据研究的特点进行亚组分析，在亚洲(RR=1.30, 95% CI=1.01~1.69)和欧洲(RR=1.45, 95% CI=1.09~1.94)以及DM持续时间小于10年的患者(RR=1.31, 95% CI=1.27~1.37)和卒中患者(RR=1.16, 95% CI=1.03~1.31)进行的研究中，DM和PD之间存在显著相关性。纳入分析的每项研究在方法学上都具有良好的质量，没有证据表明存在发表偏倚。结论:DM可显著增加PD发病风险;因此，应鼓励糖尿病患者预防和早期发现PD。
{"title":"Effects of Diabetes Mellitus on the Risk of Parkinson Disease: An Updated Meta-Analysis with Cohort Studies","authors":"Seo-yeong Yeom, Youngran Yang, J. Kang","doi":"10.7475/kjan.2021.33.5.448","DOIUrl":"https://doi.org/10.7475/kjan.2021.33.5.448","url":null,"abstract":"Purpose: This meta-analysis was conducted to analyze the effect of Diabetes Mellitus (DM) on the risk of Parkinson Disease (PD). Methods: Original prospective observational studies were searched through PubMed, Cumulative Index of Nursing and Allied Health Literature (CINAHL), ProQuest, Web of Science, Science Direct, Koreanstudies Information Service System (KISS), and DBpia published up to March 2020. The Relative Risks (RRs) were calculated using the random-effects model. Results: An integrated analysis of ten large population-based cohort studies, involving 10,730,117 participants, showed that patients with DM had a 30% higher risk of PD than those without DM (pooled RR=1.30, 95% Confidence Interval [CI]=1.14~1.48). Subgroup analyses based on the characteristics of the studies were conducted, and the association between DM and PD was significant in studies conducted in Asia (RR=1.30, 95% CI=1.01~1.69) and Europe (RR=1.45, 95% CI=1.09~1.94), and for patients with DM durations less than ten years (RR=1.31, 95% CI=1.27~1.37) and stroke (RR=1.16, 95% CI=1.03~1.31). Each study included in the analysis had methodologically good quality and showed no evidence of publication bias. Conclusion: DM resulted in a significantly increased risk of PD; therefore, prevention and early detection of PD in patients with DM should be encouraged.","PeriodicalId":38646,"journal":{"name":"Korean Journal of Adult Nursing","volume":"64 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71353574","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.2021.33.3.247
Yeon-Suk Kim, Myung-Haeng Hur
{"title":"The Effects of Climacteric Symptom Cognition, Self-efficacy on Aging Anxiety in Middle-Aged Couples: Actor and Partner Interdependence Mediation Model","authors":"Yeon-Suk Kim, Myung-Haeng Hur","doi":"10.7475/kjan.2021.33.3.247","DOIUrl":"https://doi.org/10.7475/kjan.2021.33.3.247","url":null,"abstract":"","PeriodicalId":38646,"journal":{"name":"Korean Journal of Adult Nursing","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71353267","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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