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A Structural Equation Model on Social Re-Adjustment of Stroke Patients: Based on Roy’s Adaptation Model
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Jungmi Kim, Hwasoon Kim
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J Korean Acad Nurs 2023;53(4):480-495. Published online August 31, 2023
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DOI: https://doi.org/10.4040/jkan.22140
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 Abstract
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- Purpose
This study aimed to develop and test a structural equation model on social re-adjustment of individuals with stroke based on a literature review and Roy’s adaptation model.
Methods
This study involved 321 participants who had a stroke and visited the outpatient department after discharge. The hypothetical model was developed based on Roy’s adaptation model and a comprehensive review of previous literature on the topic. The model comprised four exogenous variables (neurological damage, gender [man], age, and social support) and five endogenous variables (activities of daily living, acceptance of disability, depression, rehabilitation motivation, and social re-adjustment). The data were analyzed using SPSS Windows software version 22.0 and AMOS 23.0.
Results
Out of 28 research hypotheses, 18 were supported, and they indicated approximately 64% probability of social re-adjustment. Social re-adjustment is directly and significantly affected by age, social support, activities of daily living, and depression. Social re-adjustment is indirectly affected by neurological impairment, gender (men), age, social support, and rehabilitation motivation.
Conclusion
Continuous assistance and care should be provided for individuals with disabilities caused by sudden neurological damage to facilitate gradual improvement in their social re-adjustment. To enhance social re-adjustment, especially among older adults, newly developed interventions should focus on improving their activities of daily living, preventing depression, and enhancing support from family and healthcare personnel.
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Citations
Citations to this article as recorded by  - Roy Adaptation Model-Based nursing care improves quality of life for elderly burn patients
Yudan Wang
American Journal of Translational Research.2025; 17(6): 4679. CrossRef - The Effects of Aromatherapy on Stroke Symptoms in Stroke Patients: A Systematic Review and Meta-Analysis
A Reum Lim, Hyun Kyoung Kim
Korean Journal of Adult Nursing.2024; 36(2): 85. CrossRef
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Risk Factors and Features of Critically Ill Patients with Deep Vein Thrombosis in Lower Extremities
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Hwasoon Kim, Ok Min Cho, Hyo Im Cho, Ju Yeun Kim
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J Korean Acad Nurs 2012;42(3):396-404. Published online June 12, 2012
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DOI: https://doi.org/10.4040/jkan.2012.42.3.396
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Abstract
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- Abstract
Purpose
The purpose of this study was to identify the features, risk scores and risk factors for deep vein thrombosis in critically ill patients who developed deep vein thrombosis in their lower extremities.
Methods
The participants in this prospective descriptive study were 175 adult patients who did not receive any prophylactic medication or mechanical therapy during their admission in the intensive care unit.
Results
The mean age was 62.24 (± 17.28) years. Men made up 54.9% of the participating patients. There were significant differences in age, body mass index, and leg swelling between patients who developed deep vein thrombosis and those who did not have deep vein thrombosis. The mean risk score was 6.71(± 2.94) and they had on average 4.01(± 1.35) risk factors. In the multiple logistic regression, body mass index (odds ratio= 1.14) and leg swelling (odds ratio= 6.05) were significant predictors of deep vein thrombosis.
Conclusion
Most critically ill patients are in the potentially high risk group for deep vein thrombosis. However, patients who are elderly, obese or have leg edema should be closely assessed and more than one type of active prophylactic intervention should be provided.
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Citations
Citations to this article as recorded by - The Effects of Venous Thromboembolism Prevention Education for Elderly Patients with Total Knee Arthroplasty
Mi Hee Lee, Mee Ock Gu
Journal of Korean Academy of Fundamentals of Nursing.2019; 26(4): 269. CrossRef - Adaptation and Effects of the Evidence-based IPC Nursing Protocol on Prevention of Postoperative Venous Thromboembolism
Nam Yong Kim, Eun A Kim, Jae Yeun Sim, Soon Hee Jung, Hye Young Kim, Eun Hee Jang, Jee Hye Shin
Journal of Korean Academy of Nursing Administration.2017; 23(1): 63. CrossRef - Knowledge, Health Belief, and Preventive Behavioral Intention related to Venous Thromboembolism (VTE) of the Patients with Lower Limb Musculoskeletal System Disorders
Hye Jin Yang, Hee-Young Kang
The Journal of Korean Academic Society of Nursing Education.2013; 19(4): 531. CrossRef
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A Study on the Physiological and Psychological Factors related to Successful Weaning
from a Mechanical Ventilator
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Cho Ja Kim, Hwasoon Kim, Yeon Soo Jang, Eun Sung Kim
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Journal of Korean Academy of Nursing 2000;30(4):995-1005. Published online March 29, 2017
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DOI: https://doi.org/10.4040/jkan.2000.30.4.995
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Abstract
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This study was performed to identify the physiological and psychological variables related to successful weaning
from a mechanical ventilator. The subjects of this study were 22 patients who received mechanical ventilation
therapy for more than 3 days in intensive care units. Before the weaning trial, baseline data for following
physiologic variables were obtained: spontaneous respiration rate, blood pressure, pulse rate, PaO2, PaCO2, PEEP,
static compliance, minute ventilation, tidal volume, rapid shallow breathing index(f/VT), SaO2, PaO2/FiO2 and mean
arterial pressure. During spontaneous breathing, physiologic and psychologic variables such as vital signs, ABG,
perspiration, chest retraction, paradoxical respiration, dyspnea, anxiety, confidence and efficacy were measured.
Successful weaning was defined as sustaining spontaneous respiration over 24 hours after extubation. Weaning
failure was defined as the development of more than one of following signs: (1) hypoxemia, (2) CO2 retention or (3)
perspiration, tachypnea, chest retraction, tachycardia, arrhythmia, hypotension or hypertension. Subjects (N=18) who
successfully weaned from mechanical ventilator were compared with subjects (N=4) who failed. The results are as
follows;
Eighteen percents of the subjects failed during the weaning trial. Most subjects in the failed group were
mechanically ventilated for long-time. This result shows that the success of weaning is more difficult in
long-term ventilation patients. In the baseline data that was measured before weaning trial, the mean score of PaO2
in the successfully weaned group was 121mmHg. This is significantly higher than the mean score of PaO2 in the
failed group(95mmHg). However, the scores of pH, tidal volume, f/VT, pulse rates, blood pressure, mean airway
pressure, SaO2, and PaCO2 were similar between the two groups. Specially the scores of f/VT index as a
predominant predictor for successful weaning were not significant (f/VT=44.4) and (f/VT=47). During spontaneous
breathing, the scores of dyspnea and anxiety level in the successfully weaned group were less than those of the
failed group. On the contrary, the scores of confidence and efficacy in the successful group were greater than those
of the failed group. In conclusion, the baseline data that were measured before weaning trial were similar between
the both groups, therefore future studies are needed to focus on searching other variables besides physiological
parameters related to weaning outcome.
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