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Effect of Acculturative Stress on Multicultural Adolescents’ Life Satisfaction: Sequential Multiple Mediating Effects of Bicultural Acceptance Attitude, Self-Esteem, and Social Withdrawal -Using the 2016 Multicultural Adolescents Panel Study-
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Soo Mi Kim, Hyeon Ok Kim
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J Korean Acad Nurs 2022;52(3):324-340. Published online June 30, 2022
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DOI: https://doi.org/10.4040/jkan.22030
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Abstract
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- Purpose
This study determined acculturative stress’ effect on the life satisfaction of multicultural adolescents based on Roy’s Adaptation Model and some earlier studies. Further, it examined the sequential multiple mediating effects of bicultural acceptance attitude, self-esteem, and social withdrawal on life satisfaction. Methods Participants included 1,163 multicultural adolescents who participated in the sixth Multicultural Adolescents Panel Study. A hypothesis test was conducted using Hayes’ Process Macro Model 81. Results Life satisfaction increased with a decline in acculturative stress. Each of bicultural acceptance attitude, self-esteem, and social withdrawal had a single mediating effect on the relationship between acculturative stress and life satisfaction in multicultural adolescents. The sequential multiple mediating effects of bicultural acceptance attitude and self-esteem were confirmed significant after their impact on the relationship between acculturative stress and life satisfaction was analyzed. Bicultural acceptance attitude and social withdrawal were found to have a significant sequential multiple mediating effect on the relationship, as well. Conclusion This study’s results demonstrate that acculturative stress reduction is critical to improving multicultural adolescents’ life satisfaction. Bicultural acceptance attitude, self-esteem, and social withdrawal have a single mediating or sequential multiple mediating effect on the relationship between multicultural adolescents’ acculturative stress and life satisfaction. The findings, which highlight mediating effects, indicate that by increasing bicultural acceptance attitude and self-esteem, and reducing social withdrawal, multicultural adolescents’ life satisfaction can be improved.
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Citations
Citations to this article as recorded by 
- Association between parents’ country of birth and multicultural adolescents’ psychological well-being in South Korea: A study on depression, worries, life satisfaction, and social withdrawal
Abdullatif Ghafary, Jaeyong Shin, Sang Sook Beck, Jieun Jang, Rajaguru Vasuki, So Yoon Kim, Hanif Abdul Rahman PLOS Mental Health.2025; 2(6): e0000356. CrossRef - Acculturative Stress and Psychosocial Well-Being of Multicultural Youth in South Korea: The Moderating Role of Host Culture Identity
Cheolwoo Park, Hannah B. Bayne International Journal for the Advancement of Counselling.2024; 46(3): 465. CrossRef - Bicultural Acceptance Attitude as a Protective Factor Against the Effect of Acculturative Stress on Life Satisfaction Among Korean Multicultural Adolescents
Jong-Hye Park, Sung-Man Bae Applied Research in Quality of Life.2024; 19(4): 1811. CrossRef - The influence of bullying victimization on acculturation and life satisfaction among children from multicultural families in South Korea
Jinho Kim, Eric Fong Journal of Ethnic and Migration Studies.2024; 50(18): 4718. CrossRef - The Influence of Support Services for Multicultural Adolescents on
School Adjustment and the Moderated Mediation Effect of Bicultural Attitude
by Social Support
Rae-Hyuck Lee, Jae-Kyoung Lee Korean Journal of family welfare.2024; 29(1): 149. CrossRef
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Effect of Lifestyle Intervention Program for Overweight and Obesity Pregnant Women
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Hye Kyung Choi, Hyeon Ok Kim
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J Korean Acad Nurs 2020;50(3):459-473. Published online June 30, 2020
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DOI: https://doi.org/10.4040/jkan.19228
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Abstract
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- Purpose
This study was conducted to identify the effects of a lifestyle intervention program on weight gain, dietary habits, fatigue andpregnancy stress, blood pressure, and neonatal birth weight, using Cox’s interaction model of client health behavior for overweight andobese women. Methods This was a quasi-experimental research with a non-equivalent control group pre-post test design. A total of 52patients who met the selection criteria, including 25 in the experimental group and 27 in the control group, were the subjects of the study;they comprised overweight and obese pregnant women who were receiving prenatal care at A and B women’s hospital in J province. Thelifestyle intervention program ran for 12 weeks in total and consisted of interactions involving affective support, health information, andprofessional/technical competencies. The data collection period was from February 1, 2017 to August 31, 2017. Results This study showeddifferences in the appropriate weight gain rate (x2=6.17, p=.013), suppression of an increase in fatigue (t=-2.32, pp =.012), and an increasein pregnancy stress (t=-1.87, p=.034). Yet, no differences in physical activity, dietary habits change, blood pressure, and neonatal birthweight (p>.05) were found. Conclusion The study findings indicate that this program could be an effective intervention for the control ofappropriate weight gain, fatigue, and pregnancy stress. Therefore, a lifestyle intervention program based on Cox’s interaction model of clienthealth behavior could be an efficient strategy for a positive health outcome of overweight and obesity pregnant women.
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Citations
Citations to this article as recorded by 
- Literature Review on Lifestyle Intervention Program for Adults in Korea
Keun-Young Yang Journal of Digital Contents Society.2023; 24(8): 1815. CrossRef - Research Trends of Lifestyle Intervention for Women With Obesity: A Text Network Analysis
Sook Kyoung Park, Ju-Hee Nho Journal of Lifestyle Medicine.2023; 13(1): 44. CrossRef
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The Effect of Pain Relieving Intervention During Infiltration among Gamma Knife Surgery Patients for Stereotactic Frame Fixation
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Young Jun Jang, Hyeon Ok Kim
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J Korean Acad Nurs 2018;48(2):221-231. Published online January 15, 2018
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DOI: https://doi.org/10.4040/jkan.2018.48.2.221
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Abstract
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- Abstract
Purpose
This study aimed to compare the effects of three interventions on pain, blood pressure, and pulse rate during infiltration anesthesia in patients about to undergo gamma knife surgeries.
Methods
The three interventions employed in a university-affiliated Hospital in J City, South Korea were as follows: EMLA cream plus Vapocoolant spray (Vapocoolant, n=30), EMLA cream plus 10.0% Lidocaine spray (Lidocaine, n=30), and EMLA cream only (EMLA, n=30). The equivalent control-group pre test - post test study design was used. Pain was assessed subjectively using the numeric rating scale (NRS) and objectively using a Galvanic Skin Response (GSR) tester. NRS scores were assessed after infiltration anesthesia and the GSR was assessed during infiltration anesthesia. Blood pressure and pulse rate were assessed twice: before and after infiltration anesthesia. Data were collected between August 3, 2016 and March 24, 2017.
Results
NRS scores after infiltration anesthesia and the GSR during infiltration anesthesia were significantly lower in the Vapocoolant group than in the Lidocaine and EMLA groups (F=13.56, p<.001 and F=14.43, p<.001, respectively). The increase in systolic blood pressure (F=4.77, p=.011) and in pulse rates (F=4.78, p=.011) before and after infiltration anesthesia were significantly smaller in the Vapocoolant group than in the Lidocaine and EMLA groups; however, no significant differences were observed in diastolic blood pressures (F=1.51, p=.227).
Conclusion
EMLA cream plus Vapocoolant spray was the most effective intervention to relieve pain and to lower increase in systolic blood pressure and pulse rate caused by infiltration anesthesia for stereotactic frame fixation. Thus, application of Vapocoolant spray in addition to EMLA cream is highly recommended as a nursing intervention for patients undergoing gamma knife surgeries.
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Effects of a Patient Educational Video Program on Bowel Preparation Prior to Colonoscopy
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You Young Cho, Hyeon Ok Kim
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J Korean Acad Nurs 2015;45(5):704-712. Published online October 30, 2015
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DOI: https://doi.org/10.4040/jkan.2015.45.5.704
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Abstract
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Purpose
The purpose of this study was to evaluate the effects of an educational video program on bowel preparation for a colonoscopy.
Methods
The study used a non-equivalent control group and non-synchronized design as a quasi-experimental research involving 101 participants undergoing bowel preparation for a colonoscopy (experimental group 51, control group 50 subjects) at W. university hospital, from Aug. 7 to Oct. 31, 2013. The control group received verbal education with an explanatory note while the experimental group received education using a video program. To measure knowledge of diet restrictions and compliance with ingesting bowel preparation solutions, a questionnaire, based on The Korean Society of Gastrointestinal Endoscopy's Guide (2003), developed by Sam-Sook You, was used after revisions and supplementation was done. To measure bowel cleanness, the 'Aronchick Bowel Preparation Scale' was adopted. Data were analyzed using the SPSS WIN 12.0 program.
Results
A higher proportion of the experimental group showed a positive change in knowledge level on diet restrictions (U=1011.50, p=.035) and ingestion of bowel preparation solutions (U=980.50, p=.019), a higher level of compliance with diet restrictions (U=638.50, p<.001), ingesting bowel preparation solutions (U=668.00, p<.001) and the level of bowel cleanness (χ2=17.00, p<.001) than the control group.
Conclusion
The results of this study indicate that a video educational program for patients having a colonoscopy can improve knowledge, level of compliance with diet restrictions, ingestion of bowel preparation solutions, and bowel cleanness. Therefore video educational program should be used with this patient group.
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Citations
Citations to this article as recorded by 
- Improving Colonoscopy Preparation Using Information and Communication Technologies (ICT), Randomized Clinical Trial
Diego Mauricio Aponte Martín, Claudia Liliana Corso Bernal, María Valentina Aponte Aparicio, Luis Carlos Sabbagh Sanvicente Revista colombiana de Gastroenterología.2024; 39(1): 51. CrossRef - Development and Effectiveness Evaluation of 360-Degree Virtual Reality-Based Educational Intervention for Adult Patients Undergoing Colonoscopy
Minju Gwag, Jaeyong Yoo Healthcare.2024; 12(14): 1448. CrossRef - Relationship between Health Literacy and Knowledge, Compliance with Bowel Preparation, and Bowel Cleanliness in Older Patients Undergoing Colonoscopy
Minju Gwag, Jaeyong Yoo International Journal of Environmental Research and Public Health.2022; 19(5): 2676. CrossRef - Comparative Effectiveness of Enhanced Patient Instructions for Bowel Preparation Before Colonoscopy: Network Meta-analysis of 23 Randomized Controlled Trials
Xu Tian, Li-Juan Yi, Yang Han, Hui Chen, Xiao-Ling Liu, Wei-Qing Chen, Maria F Jiménez-Herrera Journal of Medical Internet Research.2021; 23(10): e19915. CrossRef - The Effects of Repeated Information using Visual and Video-Audio Media on Uncertainty and Anxiety in Patients undergoing Thyroidectomy
Hyeon-Ok Lee, Ji-Yeong Seo Asian Oncology Nursing.2020; 20(2): 92. CrossRef - Enhanced education for bowel preparation before colonoscopy: A state‐of‐the‐art review
Zhu Liu, Ming Ming Zhang, Yue Yue Li, Li Xiang Li, Yan Qing Li Journal of Digestive Diseases.2017; 18(2): 84. CrossRef - Effects of Video Assisted Education Using Smartphone on Bowel Preparation for Colonoscopy
Choi Mi-Hee, Song Jun-Ah Journal of Korean Academy of Fundamentals of Nursing.2017; 24(1): 60. CrossRef - Video on Diet Before Outpatient Colonoscopy Does Not Improve Quality of Bowel Preparation: A Prospective, Randomized, Controlled Trial
Sean C Rice, Tina Higginbotham, Melanie J Dean, James C Slaughter, Patrick S Yachimski, Keith L Obstein American Journal of Gastroenterology.2016; 111(11): 1564. CrossRef - Online Educational Video Improves Bowel Preparation and Reduces the Need for Repeat Colonoscopy Within Three Years
Umar Hayat, Peter J.W. Lee, Rocio Lopez, John J. Vargo, Maged K. Rizk The American Journal of Medicine.2016; 129(11): 1219.e1. CrossRef
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An Ethnographic Study about Taegyo Practice in Korea
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Hyeon Ok Kim
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Journal of Nurses Academic Society 1997;27(2):411-422. Published online March 30, 2017
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DOI: https://doi.org/10.4040/jnas.1997.27.2.411
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Abstract
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The purpose of this study is twofold :(i) to investigate how much effort the married couples are making for the good health of both the pregnant woman and her unborn child from the time of their marriage to and during the period of conception ; and(ii) to comprehensive investigate socio-cultural backgrounds which affect prenatal effort. Result of this study provide a basis for the prenatal care program which will be appropriate to our culture. This study has been done by the ethnographic research method. The subjects of this study are 53 people in all consisting of 33 pregnant women and 20 husbands. In order to investigate socio-cultural factors which influence Taegyo, producers of Taegyo music were interviewed. In addition, the researcher surveyed the markets of Taegyo music, participated in special courses of prenatal education, analyzed the content of the books and periodicals dealing and collected the concept of Taegyo distributed by the mass media. The full-fledged study continued for eight months from February to August, 1996. The data were analyzed as soon as they were collected. Spradly's(1979, 1980) developmental, sequential method of domain analysis, taxonomic analysis, componential analysis, and theme analysis in this order was adopted as the procedure of analyzing the data. To obtain the exactness of study, Sandelowski's(1986) four criteria, that is, Credibility, Fittingness, Auditability, and Confirmability were applied to all stages of data collection, data analysis, the interpretation of the result, and the description of the result. The following are the result : 1. The couples' Taegyo at the stage of preconception was related to their physical, psychological, spiritual conditions under which a healthy baby will be born. Specific methods they prefer are : "the choice of one's spouse," "physical check-up," "physical good health," "praying," and so on. 2. When the married couple have sex in order to conceive, their Taegyo was related to the imposition of their physical, psychological, and environmental conditions. Specific methods they prefer are: "having sex at specific time," "having sex in nice place," "to purify their minds while having sex," and so on. 3. The married couples' Taegyo while they are in pregnancy was related to the imposition of their physical, psychological, emotionmental, environmental, social and spiritual conditions. Specific methods they prefer are : "listening to music," "reading," "looking at beautiful things only," "to avoid looking at or listening to bad things," "to eat food in good shape," "to avoid drugs," "eating Korean herbal medicine," "sexual abstinence," "to avoid dangerous places," " to keep emotional tranquility," "moderate exercises and rest," "leading a pure life," "praying," "being aware of their words and behavior," "for the couple to keep a good relationship," "interaction with their unborn child," "to support Taegyo for pregnant women," and so on. 4. The married couple put Taegyo into practice on the basis of the following principles : the principle of respecting an unborn child, the principle of forming a good disposition, the principle of top-down parental love, the principle of synergy between a pregnant woman and her unborn child, the principle of expecting a good child, the principle of forming a good habit, and the principle of acquiring a parental role.
5. The practice of Taegyo is influenced by such factors as the married couple, the supporting system, and the married couple, the supporting system, and the mass media. As the husband-and-wife factor, their information of Taegyo, the degree of importance is assigned to their characters, their time to spare, their healthiness, the age of pregnant woman, their conception plan, their religion, their belief of the Taegyo effects, and the birth of a baby in this order. The factor of the supporting system consists of her husband's support, he family support, and her neighbor's support. The mass media specialized in Taegyo, periodicals for pregnant women, booklets for advertizing powdered milk, Taegyo music of record manufacturing companies, and the teaching materials for gifted children. Among these the mass media is especially taking advantage of Taegyo as its main source of economic profits and leading the public behavior pattern to a prodigal one.
Taegyo is a self-control behavior which requires practice for the following : the physical and psychological good health of the pregnant woman and her unborn child, the development of the unborn child's good character, the envelopment of the unborn child's intelligence and talents, the expectation of the unborn child's good features, shape a good habit, the expectation of the unborn child's bright future, and the learning of a parental role, the expectation of male birth. Above all it is a type of our good cultural tradition which pursues a value higher than the one that the prenatal care does. The principles of pregnancy care inherent in the habit of Taegyo will provide us a guideline for the development of the prenatal care.
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Citations
Citations to this article as recorded by 
- Gender Differences in Awareness of Preconception Care and Pregnancy
Dong Sook Cho, Eun Jung Kim, Eun Mi Jun Korean Journal of Women Health Nursing.2013; 19(4): 219. CrossRef - Effects of a Coaching-based Childbirth Program on Anxiety and Childbirth Self-efficacy among Primigravida Women
Sue Kim, Hee-Sook Kim, Ha-Yoon Cheong Korean Journal of Women Health Nursing.2011; 17(4): 369. CrossRef - Factors Associated with the Practice of Traditional Prenatal Education (Taegyo) among Pregnant Korean Women
Young Hee Kim Korean Journal of Women Health Nursing.2011; 17(5): 491. CrossRef - Effects of aTaegyoProgram on Parent-Fetal Attachment and Parenthood in First Pregnancy Couples
Kyung Mi Yang, Soon-Lae Kim Journal of Korean Academy of Nursing.2010; 40(4): 571. CrossRef
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