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Effect of 2% Chlorhexidine Bathing on the Incidence of Hospital-Acquired Infection and Multidrug-Resistant Organisms in Adult Intensive Care Unit Patients: Systematic Review and Meta-Analysis
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Jisu Seo, Rhayun Song
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J Korean Acad Nurs 2021;51(4):414-429. Published online August 31, 2021
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DOI: https://doi.org/10.4040/jkan.21046
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 Abstract
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- Purpose
This systematic review and meta-analysis analyzed the effects of 2% chlorhexidine bathing on the incidence of hospital-acquired infection (HAI) and multidrug-resistant organisms (MDRO) in adult intensive care units.
Methods
PubMed, CINAHL, Cochrane library, and RISS database were systematically searched, and 12 randomized studies were included in the analysis. Comprehensive Meta-Analysis version 3.0 was used to calculate the effect size using the odds ratio (OR) and a 95% confidence interval (CI). Subgroup analysis was performed according to the specific infection and intervention types.
Results
In general, 2% chlorhexidine bathing has a significant effect on the incidence of HAI (OR, 0.59; 95% CI, 0.40~0.86) and MDRO (OR, 0.52; 95% CI, 0.34~0.79). Subgroup analyses show 2% chlorhexidine bathing is effective in bloodstream infections (OR, 0.51; 95% CI, 0.39~0.66) but not for urinary tract infections, ventilator-associated pneumonia infections, and Clostridium difficile infections. Moreover, 2% chlorhexidine bathing alone or its combination with other interventions has a significant effect on the incidence of HAI and MDRO (OR, 0.59; 95% CI, 0.38~0.92).
Conclusion
This meta-analysis reveals that 2% chlorhexidine bathing significantly reduces the incidence of HAI and MDRO in intensive care units. The effect of 2% chlorhexidine bathing on pediatric patients or patients at general wards should be further assessed as a cost-effective intervention for infection control.
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Citations
Citations to this article as recorded by  - Implementation of 2% Chlorhexidine Bathing to Reduce Healthcare-Associated Infections Among Patients in the Intensive Care Unit
Hsu-Liang Chang, Tzu-Ying Liu, Po-Shou Huang, Chin-Hwan Chen, Chia-Wen Yen, Hui-Zhu Chen, Shin-Huei Kuo, Tun-Chieh Chen, Shang-Yi Lin, Po-Liang Lu
Microorganisms.2025; 13(1): 65. CrossRef - Can chlorhexidine gluconate baths reduce fungal colonisation in intensive care unit patients?
Teresa Nascimento, João Inácio, Daniela Guerreiro, Patrícia Patrício, Luís Proença, Cristina Toscano, Priscila Diaz, Helena Barroso
Antimicrobial Resistance & Infection Control.2025;[Epub] CrossRef - Trends in central line-associated bloodstream infections in pediatric intensive care units: a single-center study
Yu Gyoung Bak, Won Kyoung Jhang
Archives of Pediatric Critical Care.2024; 2(2): 96. CrossRef - A Systematic Review of Antibiotic Resistance Trends and Treatment Options for Hospital-Acquired Multidrug-Resistant Infections
Walter Y Agyeman, Aakash Bisht, Ankit Gopinath, Ameer Haider Cheema, Keyur Chaludiya, Maham Khalid, Marcellina Nwosu, Srujana Konka, Safeera Khan
Cureus.2022;[Epub] CrossRef
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Structural Equation Modeling on Successful Aging in Elders with Chronic Obstructive Pulmonary Disease Based on Selection-Optimization-Compensation Strategy
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Young Mi Jang, Rhayun Song
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J Korean Acad Nurs 2017;47(4):488-498. Published online August 31, 2017
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DOI: https://doi.org/10.4040/jkan.2017.47.4.488
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Abstract
PDF
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Purpose
The focus of the study was on the selection-optimization-compensation (SOC) strategy to predict successful aging mediated by dyspnea symptoms in older adults with chronic obstructive pulmonary disease. The model was constructed based on the hypotheses that coping strategy and social support of the elders predict successful aging through the SOC strategies.
Methods
Participants were 218 outpatients with chronic obstructive pulmonary disease recruited for the study. Data collection was done from March 25 to September 11, 2015, and analyzed using SPSSWIN 22.0 and AMOS 21.0.
Results
The hypothetical model appeared to be fit to the data. Seven of eight hypotheses selected for hypothetical model were statistically significant. The SOC strategy has only significant indirect effects through dyspnea symptoms on successful aging. Coping strategy, social support, SOC strategies and dyspnea symptoms explained 62% of variance in successful aging.
Conclusion
The SOC strategies with social support and dyspnea symptoms significantly explained successful aging among patients with chronic obstructive pulmonary disease. Nursing strategies should be focused on social support and coping strategies to optimize SOC strategies so that older adults with chronic obstructive pulmonary disease are able to manage dyspnea symptoms and eventually achieve successful aging.
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Citations
Citations to this article as recorded by - A structural equation modeling analysis of successful aging in older adults with osteoarthritis: A cross-sectional descriptive study
Jeong Hwa Kum
Journal of Korean Gerontological Nursing.2025; 27(2): 131. CrossRef - Development of a scale to measure selection, optimization, compensation (SOC) strategy in late middle-aged women: a methodological study
Do-Young Lee, Gie Ok Noh
Women's Health Nursing.2024; 30(3): 216. CrossRef - Factors contributing to chronic obstructive pulmonary disease patients' functional performance: Structural equation modelling based on theory of unpleasant symptoms
Hye Suk Jun, Younhee Kang
Nursing Open.2023; 10(5): 3132. CrossRef - Experiences on Self Management of Aged Men with Mild Chronic Obstructive Pulmonary Diseases
Jeong-Soo KIM
JOURNAL OF FISHRIES AND MARINE SCIENCES EDUCATION.2021; 33(3): 758. CrossRef - The Relationships among Social Support, Bowel Function Symptoms and Uncertainty in Rectal Cancer Patients
Kyungmi Lee, Semi Lim
Journal of Korean Academy of Fundamentals of Nursing.2021; 28(4): 421. CrossRef - Life experience of older women with chronic conditions: Flow and Balance as a coping resource
Sanghee Lee, Jinmoo Heo
Educational Gerontology.2019; 45(4): 259. CrossRef
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854
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Symptom Management to Predict Quality of Life in Patients with Heart Failure: A Structural Equation Modeling Approach
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Ja Ok Lee, Rhayun Song
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J Korean Acad Nurs 2015;45(6):846-856. Published online December 15, 2015
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DOI: https://doi.org/10.4040/jkan.2015.45.6.846
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Abstract
PDF
- Abstract
Purpose
The focus of this study was on symptom management to predict quality of life among individuals with heart failure. The theoretical model was constructed based on situation-specific theory of heart failure self-care and literature review.
Methods
For participants, 241 outpatients at a university hospital were invited to the study from May 19 to July 30, 2014. Data were collected with structured questionnaires and analyzed using SPSSWIN and AMOS 20.0.
Results
The goodness of fit index for the hypothetical model was .93, incremental fit index, .90, and comparative fit index, .90. As the outcomes satisfied the recommended level, the hypothetical model appeared to fit the data. Seven of the eight hypotheses selected for the hypothetical model were statistically significant. The predictors of symptom management, symptom management confidence and social support together explained 32% of the variance in quality of life. The 28% of variance in symptom management was explained by symptom recognition, heart failure knowledge and symptom management confidence. The 4% of variance in symptom management confidence was explained by social support.
Conclusion
The hypothetical model of this study was confirmed to be adequate in explaining and predicting quality of life among patients with heart failure through symptom management. Effective strategies to improve quality of life among patients with heart failure should focus on symptom management. Symptom management can be enhanced by providing educational programs, encouraging social support and confidence, consequently improving quality of life among this population.
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Citations
Citations to this article as recorded by - Correlation between symptom status, health perception, and spiritual well‐being in heart failure patients: A structural equation modeling approach
Hacer Eroglu, Zehra Gok Metin
Journal of Nursing Scholarship.2024; 56(4): 490. CrossRef - Factors associated with self-care behaviours among Koreans with heart failure
Choung Ryou, Seok-Min Kang, Yeonsoo Jang
European Journal of Cardiovascular Nursing.2021; 20(1): 64. CrossRef - Association Between Symptoms of Patients With Heart Failure and Patient Outcomes Based on Electronic Nursing Records
Seung Yeon Baik, Gi Wook Ryu, Hyangkyu Lee, Siwook Lee, Mona Choi
CIN: Computers, Informatics, Nursing.2021; 39(12): 1027. CrossRef - Factors associated with health-related quality of life in Chinese patients with heart failure: a cross-sectional study
Guangpeng Wang, Qingmin Yang
Collegian.2020; 27(5): 512. CrossRef - Symptom clusters and quality of life in Chinese patients with heart failure
Guangpeng Wang, Xueyan Liu, Qingmin Yang
Collegian.2020; 27(5): 521. CrossRef - Prediction of Heart Failure Symptoms and Health-Related Quality of Life at 12 Months From Baseline Modifiable Factors in Patients With Heart Failure
Seongkum Heo, Debra K. Moser, Terry A. Lennie, Mary Fischer, JinShil Kim, Mary N. Walsh, Songthip Ounpraseuth, Stephanie Turrise
Journal of Cardiovascular Nursing.2020; 35(2): 116. CrossRef - Gene expression and levels of IL-6 and TNFα in PBMCs correlate with severity and functional class in patients with chronic heart failure
V. Eskandari, A. A. Amirzargar, M. J. Mahmoudi, Z. Rahnemoon, F. Rahmani, S. Sadati, Z. Rahmati, F. Gorzin, M. Hedayat, N. Rezaei
Irish Journal of Medical Science (1971 -).2018; 187(2): 359. CrossRef
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Effects of Tai Chi on Fall Risk Factors: A Meta-Analysis
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Moonkyoung Park, Rhayun Song
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J Korean Acad Nurs 2013;43(3):341-351. Published online June 28, 2013
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DOI: https://doi.org/10.4040/jkan.2013.43.3.341
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Abstract
PDF
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Purpose
This study was done to analyze the effects of Tai Chi on fall-related risk factors through meta-analysis of randomized clinical trials published in English and Korean between 2000 and 2010.
Methods
Using health related database and hand search of references and Google, 28 randomized studies were collected from doctoral dissertation and published peer reviewed articles. The Comprehensive Meta-analysis version 2.0 was used for the analysis.
Results
The effect sizes for Tai Chi for 3 months were significant with ES=0.54 for static balance, ES=0.24 for dynamic balance, ES=0.69 for balance measured by scale, and ES=0.40 for flexibility, ES=0.48 for muscle strength, ES=0.71 for ADL, and ES=0.37 for fear of falling. Also, the effect sizes of Tai Chi for 6 months were significant for most fall-related variables. The 6 month data for flexibility was not analyzed since only one study was published.
Conclusion
The analysis of studies of randomized clinical trials indicate that Tai Chi is effective in improving balance, flexibility, muscle strength, activities of daily living, and fear of falling when applied for 3 or 6 months. The findings provide the objective evidence to apply Tai Chi as a fall preventive intervention.
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Citations
Citations to this article as recorded by - Global research on Chinese martial arts (1974–2025): A bibliometric and visualization-based analysis using Web of Science
Wei Chen, Syahrul Ridhwan Morazuki
Medicine.2025; 104(32): e43769. CrossRef - Effects of Tai-Chi and Running Exercises on Cardiorespiratory Fitness and Biomarkers in Sedentary Middle-Aged Males: A 24-Week Supervised Training Study
Yi Wang, Xian Guo, Liangchao Liu, Minhao Xie, Wing-Kai Lam
Biology.2022; 11(3): 375. CrossRef - Mind-Body Therapies From Traditional Chinese Medicine: Evidence Map
Lissandra Zanovelo Fogaça, Caio Fabio Schlechta Portella, Ricardo Ghelman, Carmen Verônica Mendes Abdala, Mariana Cabral Schveitzer
Frontiers in Public Health.2021;[Epub] CrossRef - Tai Chi for improving balance and reducing falls: An overview of 14 systematic reviews
Dongling Zhong, Qiwei Xiao, Xili Xiao, Yuxi Li, Jing Ye, Lina Xia, Chi Zhang, Juan Li, Hui Zheng, Rongjiang Jin
Annals of Physical and Rehabilitation Medicine.2020; 63(6): 505. CrossRef - Exploring the Adaptability of Tai Chi to Stroke Rehabilitation
Inok Hwang, Rhayun Song, Sukhee Ahn, Myung-ah Lee, Peter M. Wayne, Min Kyun Sohn
Rehabilitation Nursing.2019; 44(4): 221. CrossRef - The association between Tai Chi exercise and safe driving performance among older adults: An observational study
Sally Miller, Ruth E. Taylor-Piliae
Journal of Sport and Health Science.2018; 7(1): 83. CrossRef - Adapting Tai Chi for Upper Limb Rehabilitation Post Stroke: A Feasibility Study
Shujuan Pan, Dahlia Kairy, Hélène Corriveau, Michel Tousignant
Medicines.2017; 4(4): 72. CrossRef - The Effects of Tai Chi Practice With Asynchronous Music on Compliance and Fall-Related Risk Factors in Middle-Aged and Older Women: A Pilot Study
Yan Du, Penny Roberts, Qingwen Xu
Journal of Holistic Nursing.2017; 35(2): 142. CrossRef - The Effects of Exercise Intervention for Fall Prevention in Persons with Arthritis: A Meta Analysis
Chun Hee Lee, Heeok Park
Korean Journal of Adult Nursing.2017; 29(6): 587. CrossRef - The correlation between white matter hyperintensity and balance disorder and fall risk: An observational, prospective cohort study
Dong‐Chao Shen, Shuo‐Lin Wu, Yu‐Zhi Shi, Shuo Wang, Yu‐Mei Zhang, Chun‐Xue Wang
Chronic Diseases and Translational Medicine.2016; 2(3): 173. CrossRef - Effects of Nursing Interventions for Fall Prevention in Hospitalized Patients: A Meta-analysis
Yoon Lee Kim, Seok Hee Jeong
Journal of Korean Academy of Nursing.2015; 45(4): 469. CrossRef - The effects of Tai‐Chi in conjunction with thera‐band resistance exercise on functional fitness and muscle strength among community‐based older people
Shu‐Fen Lin, Huei‐Chuan Sung, Tzai‐Li Li, Tsung‐Cheng Hsieh, Hsiao‐Chin Lan, Shoa‐Jen Perng, Graeme D. Smith
Journal of Clinical Nursing.2015; 24(9-10): 1357. CrossRef - Recent Literature
Focus on Alternative and Complementary Therapies.2014;[Epub] CrossRef
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846
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Effects of Passive Upper Arm Exercise on Range of Motion, Muscle Strength, and Muscle Spasticity in Hemiplegic Patients with Cerebral Vascular Disease
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Dong Soon Shin, Rhayun Song, Eun Kyung Shin, Sung Ju Seo, Jeong Eun Park, Seung Yeon Han, Hoi Yong Jung, Choon Ji Ryu
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J Korean Acad Nurs 2012;42(6):783-790. Published online December 31, 2012
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DOI: https://doi.org/10.4040/jkan.2012.42.6.783
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Abstract
PDF
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Purpose
The purpose of this study was to investigate the effects of passive upper arm exercise on range of motion, muscle strength, and muscle spasticity in hemiplegic patients with cerebral vascular disease.
Methods
A quasi-experimental design with nonequivalent control group was utilized. According to inclusion criteria, 25 patients were assigned to the control group with routine care, followed by 25 to the intervention group with passive exercise for 30 minutes per session, twice a day for 2 weeks. Eighteen patients in the intervention group and 17 in the control group completed the posttest measurement, including range of motion for upper arm joints, manual muscle test, and Modified Ashworth Scale for muscle spasticity.
Results
The intervention group had a significantly improved range of motion in the shoulder and wrist joints. No interaction effect was found for the elbow joint. No significant differences were found in muscle strength or muscle spasticity between the groups.
Conclusion
Results of the study indicate that passive exercise safely applied for two weeks improves range of motion in joints of the upper arm in these patients. Further study with long-term follow-up is needed to verify the role of passive exercise in preventing muscle spasticity in this population.
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Citations
Citations to this article as recorded by - Effects of Passive Movement on Motor Function and Disability in Patients with Stroke: A Systematic Review and Meta-Analysis
Auwal Abdullahi, Thomson W. L. Wong, Shamay S. M. Ng
Journal of Functional Morphology and Kinesiology.2025; 10(2): 117. CrossRef - The Effects of Mokdanpisaback-san on Stroke: A Retrospective Medical Chart Review
Yu-jin Choi, Ki-tae Kim
The Journal of Internal Korean Medicine.2020; 41(1): 69. CrossRef - Utilization of electromyography during selective obturator neurotomy to treat spastic cerebral palsy accompanied by scissors gait
Songtao Ren, Weidong Liu, Li Wang, Changli Guo, Qi Pang
Journal of Integrative Neuroscience.2019;[Epub] CrossRef - Hemiparesis after Operation of Astrocytoma Grade II in Adults: Effects of Acupuncture on Sensory-Motor Behavior and Quality of Life
Haibo Yu, Sven Schröder, Yongfeng Liu, Zhifeng Li, Ying Yang, Yu Chen, Xingxian Huang
Evidence-Based Complementary and Alternative Medicine.2013; 2013: 1. CrossRef - Passive movements for the treatment and prevention of contractures
Rama KR Prabhu, Narasimman Swaminathan, Lisa A Harvey
Cochrane Database of Systematic Reviews.2013;[Epub] CrossRef
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751
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15
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Effects of Tai Chi Exercise on Cardiovascular Risk Factors and Quality of Life in Post-menopausal Women
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Rhayun Song, Sukhee Ahn, Hee Young So, In Sook Park, Hyun Li Kim, Kyung Ok Joo, Jong Sung Kim
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J Korean Acad Nurs 2009;39(1):136-144. Published online February 17, 2009
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DOI: https://doi.org/10.4040/jkan.2009.39.1.136
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Abstract
PDF
- Purpose:
Natural menopause resulting in the decline in endogenous estrogen concentrations is responsible for an increased risk of coronary heart disease in postmenopausal women. The purpose of the study was to examine the effects of a 6-month Tai Chi exercise program on cardiovascular risk factors and quality of life in post-menopausal women.
Methods:
A quasi-experimental design with pretest and posttest measures was used. The participants in the study, 29 women in the Tai Chi group and 31 in the control group, were enrolled for 6 months.
Results:
After 6 months of Tai Chi exercise, total cholesterol (M=213 to 185), LDL-cholesterol (M=135 to 128), and their 10 yr cardiovascular disease risk (M=2.62 to 2.27) had improved significantly for the Tai Chi participants compared to the control group. Total scores for quality of life along with the sub-dimensions of health perception and mental functioning were also significantly higher in the Tai Chi participants.
Conclusion:
Tai Chi exercise favorably affected cardiovascular health and quality of life in post-menopausal women after 6 months. Additional rigorous studies are needed to examine long term effects on the prevention of cardiovascular disease in this population.
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Citations
Citations to this article as recorded by - Meta-analysis of the intervention effects of tai chi on fasting blood glucose, blood pressure and triglyceride in middle-aged and elderly people
Wenzheng Zhao, Hanyu Ju, Kaituo Zhu
The Aging Male.2024;[Epub] CrossRef - Comparative Study on the Joint Biomechanics of Different Skill Level Practitioners in Chen-Style Tai Chi Punching
Hongguang Hua, Dong Zhu, Yifan Wang
International Journal of Environmental Research and Public Health.2022; 19(10): 5915. CrossRef - Self-Rated Health Status Based on the Type of Health Insurance: A Socioeconomic Perspective
Minsung Sohn, Minsoo Jung, Mankyu Choi
INQUIRY: The Journal of Health Care Organization, Provision, and Financing.2021;[Epub] CrossRef - Correlates of health-related quality of life in patients with myocardial infarction: A literature review
Kyoungrim Kang, Leila Gholizadeh, Sally C. Inglis, Hae-Ra Han
International Journal of Nursing Studies.2017; 73: 1. CrossRef - Effects of tai chi on symptoms and quality of life in women with overactive bladder symptoms: A non-randomized clinical trial
Jeong Lim Cho, Eun Nam Lee, Myeong Soo Lee
European Journal of Integrative Medicine.2017; 12: 189. CrossRef - Interventions that improve health-related quality of life in patients with myocardial infarction
Kyoungrim Kang, Leila Gholizadeh, Sally C. Inglis, Hae-Ra Han
Quality of Life Research.2016; 25(11): 2725. CrossRef - Atherogenic index of plasma and risk of cardiovascular disease among Cameroonian postmenopausal women
Jobert Richie N. Nansseu, Vicky Jocelyne Ama Moor, Murielle Elsa D. Nouaga, Bertrand Zing-Awona, Gladys Tchanana, Arthur Ketcha
Lipids in Health and Disease.2016;[Epub] CrossRef - The job analysis of Korean nurses as a strategy to improve the Korean Nursing Licensing Examination
In Sook Park, Yeon Ok Suh, Hae Sook Park, Soo Yeon Ahn, Ahn Kang, Il Sun Ko
Journal of Educational Evaluation for Health Professions.2016; 13: 24. CrossRef - A Pilot Study of APN-led Self-management Program to Improve Cardiovascular Health Status among Korean Women with Risk Factors
Nah-Mee Shin, Ji-Won Yoon, Jiwon Choi, Younghee Park, Songi Jeon
Korean Journal of Adult Nursing.2016; 28(2): 237. CrossRef - A Pilot Study Examining the Effects of 12-week Tai chi Exercise on the Activity of Autonomic Nervous System and Risk Factors of Metabolic Syndrome in Patients with Metabolic Syndrome
Kyoung Ran Kong, Eun Nam Lee, Hyun Ju Hwang
Journal of muscle and joint health.2016; 23(1): 1. CrossRef - Teaching Experience of Tai Chi Instructors with Nursing Background
In Sook Park, Rhayun Song
Journal of muscle and joint health.2013; 20(1): 10. CrossRef - Effects of Tai Chi Exercises on Cardiovascular Risks, Recurrence Risk, and Quality of Life in Patients with Coronary Artery Disease
Rha Yun Song, Moon Kyoung Park, Jin-Ok Cheong, Jae-Hyeong Park, In-Whan Seong
Korean Journal of Adult Nursing.2013; 25(5): 515. CrossRef - Tai Chi research review
Tiffany Field
Complementary Therapies in Clinical Practice.2011; 17(3): 141. CrossRef - Women Religious and Married Women's Attitudes toward Menopause and Menopausal Symptoms
Myung-Sook Yoo
Korean Journal of Women Health Nursing.2010; 16(2): 186. CrossRef - Comparison of Cardiovascular Health Status and Health Behaviors in Korean Women based on Household Income
Young-Joo Park, Nah-Mee Shin, Ji-Won Yoon, Jiwon Choi, Sook-Ja Lee
Journal of Korean Academy of Nursing.2010; 40(6): 831. CrossRef
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Factors explaining Quality of Life in Individuals with Coronary Artery Disease
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In Sook Park, Rhayun Song, Sukhee Ahn, Hee Young So, Hyun Li Kim, Kyung Ok Joo
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J Korean Acad Nurs 2008;38(6):866-873. Published online December 31, 2008
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DOI: https://doi.org/10.4040/jkan.2008.38.6.866
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Abstract
PDF
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Purpose
The study was done to compare quality of life by gender, and to identify factors which explain quality of life in
individuals with coronary artery disease.
Methods
For the survey, 91 individuals (53 men and 38 women) agreed to participate in the study. Cardiovascular risk factors, systolic blood pressure, body mass index, total cholesterol, triglyceride, high density lipoprotein-cholesterol, and low density lipoprotein-cholesterol, health behavior as well as quality of life, were measured. Descriptive statistics, t-test, correlation and hierarchical multiple regression with SPSS WIN 12.0 were used to analyze the data.
Results
Significant gender differences were found for education, smoking status, chronic disease, perceived health status, and quality of life within sub-dimensions. Hierarchical regression analysis showed gender (men), age, perceived health status, cardiovascular risk scores, and health behaviors together explained 40.2% (adjusted R2) of variance in quality of life.
Conclusion
As the factors explaining quality of life in individuals with coronary artery disease have been identified as gender (men), age, perceived health status, and health behaviors, health promotion programs designed for this population should focus on these factors for effective behavioral modification, and consequent improvement in quality of life.
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Citations
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Minju Kim, Ju Youn Choi
Journal of Korean Academy of Fundamentals of Nursing.2025; 32(3): 320. CrossRef - Health-Related Quality of Life Based on Comorbidities Among Patients with End-Stage Renal Disease
Jieun Cha, Dallong Han
Osong Public Health and Research Perspectives.2020; 11(4): 194. CrossRef - The Effects of Smart Program for Patients Who Underwent Percutaneous Coronary Intervention (SP-PCI) on Disease-Related Knowledge, Health Behavior, and Quality of Life: A Non-Randomized Controlled Trial
Jueun Lee, Haejung Lee
Journal of Korean Academy of Nursing.2017; 47(6): 756. CrossRef - Predictors of health-promoting behaviors in Taiwanese patients with coronary artery disease
Ai-Fu Chiou, Shu-Pen Hsu, Huei-Fong Hung
Applied Nursing Research.2016; 30: 1. CrossRef - Effects of position change on lumbar pain and discomfort of Korean patients after invasive percutaneous coronary intervention: a RCT study
Nam Hyun Cha, Sohyune Sok
Journal of Physical Therapy Science.2016; 28(10): 2742. CrossRef - Influencing Effects of Type D Personality on Symptom Experiences and Quality of Life in Patients with Percutaneous Coronary Intervention
Eun Hee Jo, Sun Hee Han, Myung Ha Lee, Sung Reul Kim
Korean Journal of Adult Nursing.2016; 28(5): 536. CrossRef - Relationships of Depression Symptom, Self-Esteem, and Stress to Health-Related Quality of Life in Patients with Hypertension Registered to a Community Health Center
Mi Ni Choi, Eun-Hyun Lee
Journal of Korean Public Health Nursing.2015; 29(2): 165. CrossRef - Development and Evaluation of a Self Care Education Program for Elderly Patients with Percutaneous Coronary Intervention
Gyeong-Jin Jo, Jin-Hyang Yang
The Journal of Korean Academic Society of Nursing Education.2014; 20(2): 266. CrossRef - The Health Behavioral Experience of Patients with Myocardial Infarction during the Recovery Period
Kyung Ja Kang, Moon Jeong Kim
Korean Journal of Adult Nursing.2014; 26(2): 203. CrossRef - Effects of Tai Chi Exercises on Cardiovascular Risks, Recurrence Risk, and Quality of Life in Patients with Coronary Artery Disease
Rha Yun Song, Moon Kyoung Park, Jin-Ok Cheong, Jae-Hyeong Park, In-Whan Seong
Korean Journal of Adult Nursing.2013; 25(5): 515. CrossRef - Teaching Experience of Tai Chi Instructors with Nursing Background
In Sook Park, Rhayun Song
Journal of muscle and joint health.2013; 20(1): 10. CrossRef - Postoperative Quality of Life in Patients with Papillary Thyroid Cancer
Ju-Sung Kim
Journal of the Korea Academia-Industrial cooperation Society.2011; 12(3): 1260. CrossRef - Assessment of nurses' nutritional knowledge regarding therapeutic diet regimens
K.A. Park, W.I. Cho, K.J. Song, Y.S. Lee, I.S. Sung, S.M. Choi-Kwon
Nurse Education Today.2011; 31(2): 192. CrossRef - Comparison of Cardiovascular Health Status and Health Behaviors in Korean Women based on Household Income
Young-Joo Park, Nah-Mee Shin, Ji-Won Yoon, Jiwon Choi, Sook-Ja Lee
Journal of Korean Academy of Nursing.2010; 40(6): 831. CrossRef
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Factors Influencing Quality of Life in Patients with Gastrointestinal Neoplasms
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Eun Ok Lee, Aeyong Eom, Rhayun Song, Young Ran Chae, Paul Lam
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J Korean Acad Nurs 2008;38(5):649-655. Published online October 30, 2008
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DOI: https://doi.org/10.4040/jkan.2008.38.5.649
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Abstract
PDF
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Purpose
The purpose of this study was to identify the factors influencing quality of life after analyzing the relationship between depression, health promotion and quality of life in patients with gastrointestinal neoplasms.
Methods
The subjects of this study were 63 people who underwent treatments from 2 general hospitals in Seoul and Daejeon and had no recurrence in stages I & II of gastrointestinal neoplasms. Data was collected from March 1 to April 30, 2006. A questionnaire consisting of Center for Epidemiologic Studies Depression (CES-D), Health Promoting Lifestyle Profile II (HPLP II) and Functional Assessment of Cancer Therapy-Colorectal (FACT-C) was given. The collected data was analyzed with the SPSS program which was used for descriptive statistics, Pearson correlation coefficients and hierarchical multiple regression.
Results
The major findings of this study were as follows: 1) There was a significant relationship between depression (r=-.639, p=.000), health promotion (r=.407, p=.001) and quality of life. 2) Significant factors were depression (F=-4.091, p=.000) and health promotion (F=2.375, p=.021) that explained 46% of quality of life (F=10.022, p=.000).
Conclusion
Cancer patients experienced extreme depression which led to a negative effect on quality of life. Health promotion was an important variable to the quality of life and it gave the patients motivation for having a will and belief for better health.
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Citations
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Seo Hyun Oh, Youngho Lee, Jeong-Heum Baek, Woongsang Sunwoo
JMIR Medical Informatics.2025; 13: e75022. CrossRef - Effects of Family Support and Health Promotion Behaviors on Quality of Life of Cancer Patients after Gastrectomy
Eun Hee Yang, Jeong Hee Kang
Asian Oncology Nursing.2024; 24(4): 196. CrossRef - Impact of Posttraumatic Growth and Health Promoting Behavior on Quality of Life in Patients with Gastrointestinal Cancer
Mi-Ae Kim, Hyun-Ju Lee
Journal of Korean Academy of Fundamentals of Nursing.2021; 28(1): 32. CrossRef - A Longitudinal Path Analysis of Symptom, Fatigue and Quality of life in Patients with Colorectal Cancer during Chemotherapy
Eun Hee Kim, Soon Rim Suh
Journal of Health Informatics and Statistics.2018; 43(3): 200. CrossRef - Effect of Nutrition Education on the Eating Habits and Quality of Life of Gastric Cancer Outpatients Undergoing Gastrectomy
YoonHee Jung, Joomin Lee
Korean Journal of Community Nutrition.2018; 23(2): 162. CrossRef - “Adaptación española de la escala HPLP-II con una muestra de empleados”
María-José Serrano-Fernández, Joan Boada-Grau, Carme Gil-Ripoll, Andreu Vigil-Colet
Universitas Psychologica.2016;[Epub] CrossRef - The Effects of Integrated Intervention Program for Community Dwelling Cancer Patients' Quality of Life, Depression and Self Care Agency
Young Sil Kang, In Soo Kwon, Eunyoung Hong
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Young Suk Kim, Young Sook Tae
Korean Journal of Adult Nursing.2015; 27(6): 613. CrossRef - Factors Influencing Quality of Life in Thyroid Cancer Patients with Thyroidectomy
Jiyeon Yang, Myungsun Yi
Asian Oncology Nursing.2015; 15(2): 59. CrossRef - Factors Influencing Quality of Life in Multiple Myeloma Patients
Hye Sook Kim, Myungsun Yi
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Hyung-Won Baik, Myung Kim
Journal of Digital Convergence.2014; 12(12): 477. CrossRef - Influencing Factors on Depression in Stomach Cancer Patients Receiving Chemotherapy
Jeong Hye Kim
Korean Journal of Adult Nursing.2012; 24(6): 588. CrossRef - Fatigue and Quality of Life of Korean Cancer Inpatients
Hye Sun Byun, Gyung Duck Kim, Bok Yae Chung, Kyung Hye Kim
The Korean Journal of Hospice and Palliative Care.2010; 13(2): 98. CrossRef - Factors influencing Health-related Quality of Life in Korean Medicaid Beneficiaries
Sun-Woo Hong
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Development and a Psychometric Evaluation of Cardiovascular Disease-Specific Quality of Life Scale for Koreans
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Eun Hyun Lee, Seong Jai Tahk, Jun Han Shin, Young Whee Lee, Rhayun Song
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Journal of Korean Academy of Nursing 2007;37(3):313-323. Published online April 30, 2007
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DOI: https://doi.org/10.4040/jkan.2007.37.3.313
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Abstract
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Purpose
Health-related quality of life (HRQOL) in patients with cardiovascular disease in Korea has rarely been studied, mostly due to the lack of a psychometrically validated disease-specific instrument. The purpose of this study was to develop and validate a cardiovascular specific-HRQOL questionnaire (CD-QOL).
Method
The CD-QOL was developed and validated as follows; item generation, pilot study, and psychometric tests. Patients were recruited from three-university hospitals. The patients were asked to complete the preliminary questionnaire comprising the content-validated items, SF-36, and CES-D. The NYHA and KASI classifications were used to classify the functional performance of the patients. The data was analyzed using correlation, factor analysis, multidimensional scaling, multitrait/multi-item matrix, ANOVA, and Cronbach's alpha.
Result
Preliminarily, thirty-nine items were generated. Factor analysisextracted a five-factor solution with a total of twenty-two items. One item was deleted based upon the MDS. The remaining items were moderately correlated with the subscales of the SF-36 and associated with depression measured with the CES-D. The mean scores of patients in NYHA and KASI class I were significantly higher than those in NYHA and KASI class II or/and III, which suggested patients with better functional performance were likely to have a better HRQOL. Cronbach's alphas of the total and subscales were all greater than 0.70.
Conclusion
The CD-QOL is a easily applicable instrument with excellent psychometric properties of content, criterion, factorial, convergent, and known-groups validity, and internal consistency reliability in Korean patients with cardiovascular disease.
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Citations
Citations to this article as recorded by - The Development of a Specific Quality of Life Scale for Hypertensive Patients: Methodological Study
Ho Jin Kim, Gab Sun Song
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Sukhee Ahn, Rhayun Song, Si Wan Choi
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Jung-Ha Kim, Jung-Bok Lee, Duk-Chul Lee
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In Sook Park, Rhayun Song, Kyong Ok Oh, Hee Young So, Dal Sook Kim, Jong Im Kim, Tae Sook Kim, Hyun Li Kim, Suk Hee Ahn
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Effects of a Sun-style Tai Chi Exercise on Arthritic Symptoms, Motivation and the Performance of Health Behaviors in Women with Osteoarthritis
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Rhayun Song, Eun Ok Lee, Paul Lam, Sang Cheol Bae
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Journal of Korean Academy of Nursing 2007;37(2):249-256. Published online March 28, 2017
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DOI: https://doi.org/10.4040/jkan.2007.37.2.249
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Abstract
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Purpose
Tai Chi exercise, an ancient Chinese martial art, has drawn more and more attention for its health benefits. The purpose of the study was to identify the effects of a Sun-style Tai Chi exercise on arthritic symptoms (joint pain and stiffness), motivation for performing health behaviors, and the performance of health behaviors among older women with osteoarthritis.
Methods
Total of 72 women with the mean age of 63 years old were recruited from outpatients clinic or public health centers according to the inclusion criteria and assigned randomly to either the Tai Chi exercise group or the control. A Sun-style Tai Chi exercise has been provided three times a week for the first two weeks, and then once a week for another 10 weeks. In 12 weeks of study period, 22 subjects in the Tai Chi exercise group and 21 subjects in the control group completed the posttest measure with the dropout rate of 41%. Outcome variables included arthritic symptoms measured by K-WOMAC, motivation for health behavior, and health behaviors.
Results
At the completion of the 12 week Tai Chi exercise, the Tai Chi group perceived significantly less joint pain (t=-2.19, p=0.03) and stiffness (t=-2.24, p=0.03), perceived more health benefits (t=2.67, p=0.01), and performed better health behaviors (t=2.35, p=0.02), specifically for diet behavior (t=2.06, p=0.04) and stress management (t=2.97, p=0.005).
Conclusion
A Sun-style Tai Chi exercise was found as beneficial for women with osteoarthritis to reduce their perceived arthritic symptoms, improve their perception of health benefits to perform better health behaviors.
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Citations
Citations to this article as recorded by - A Systematic Review and Meta-Analysis of Asian Exercise Techniques and Various Physical Activity Interventions in Middle and Late Adulthood Patients With Knee Osteoarthritis
Wen Qi, David Alarcón, María José Arenilla, Hongli Yu, José Carlos Jaenes, Manuel Trujillo, Dominika Wilczyńska
Journal of Aging and Physical Activity.2025; 33(4): 387. CrossRef - Physical Activity and Functioning Following Tai Chi and a Wellness Comparison Intervention in Veterans with Gulf War Illness
Craig P. Polizzi, Emma Katz, Maria Ting, Cameron Busser, Matthew Paszkiewicz, Eileen Barden, DeAnna L. Mori, Barbara L. Niles
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Jianchun Yin, Caichao Yue, Xiang Chen, Lijun Tang
International Journal of Sport and Exercise Psychology.2023; 21(5): 807. CrossRef - The effects of Tai Chi on physical function and safety in patients with rheumatoid arthritis: A systematic review and meta-analysis
Haiyang Wu, Qiang Wang, Guowei Wen, Junhao Wu, Yiru Wang
Frontiers in Physiology.2023;[Epub] CrossRef - Interpreting physical sensations to guide health-related behavior
Christian Fazekas, Dennis Linder, Franziska Matzer, Josef Jenewein, Barbara Hanfstingl
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Jiafu Huang, Dandan Wang, Jinghao Wang, Swee Keong Yeap
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Murashova Arina Viktorovna, Mayer Boris Olegovich
Novosibirsk State Pedagogical University Bulletin.2014; 4(6): 65. CrossRef - A review of Tai Chi Chuan and parameters related to balance
Pedro Jesús Jiménez-Martín, Agustín Meléndez-Ortega, Ulrike Albers, Diane Schofield
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Rhayun Song, Beverly L. Roberts, Eun-Ok Lee, Paul Lam, Sang-Cheol Bae
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In Sook Park, Rhayun Song, Kyong Ok Oh, Hee Young So, Dal Sook Kim, Jong Im Kim, Tae Sook Kim, Hyun Li Kim, Suk Hee Ahn
Journal of Advanced Nursing.2010; 66(2): 282. CrossRef - Benefits of wellness interventions for persons with chronic and disabling conditions: A review of the evidence
Alexa K. Stuifbergen, Marian Morris, Jae Hak Jung, Diana Pierini, Stephanie Morgan
Disability and Health Journal.2010; 3(3): 133. CrossRef - The Effect of Self-help Tai Chi Over 16 Weeks in Community Program for Older Adults Korean American Women
Eunhee Lee
Korean Journal of Women Health Nursing.2010; 16(1): 87. CrossRef - Power Analysis in Experimental Designs with t test Analysis
Jeong-Hee Kang, Kyung-Sook Bang, Sung-Hee Ko
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Myeong Soo Lee, Max H. Pittler, Edzard Ernst
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Effects of Motivation-Enhancing Program on Health Behaviors, Cardiovascular Risk factors, and Functional status for Institutionalized Elderly Women
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Rhayun Song, Kyung Ja June, You Ja Ro, Chun Gill Kim
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Journal of Korean Academy of Nursing 2001;31(5):858-870. Published online March 29, 2017
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DOI: https://doi.org/10.4040/jkan.2001.31.5.858
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Abstract
PDF
This study was to compare changes in health behaviors, motivational factors, cardiovascular risk factors, and functional status (SIP) after implementing the 6-month motivation-enhancing program to institutionalized elderly women.
METHODS
Sixty-four elderly women participated. Face to face interviews with blood sampling and anthropometric assessment were conducted at the pretest, 10 weeks and 6 months during the program.
RESULTS
1. The program participants showed significantly better health behaviors over 6 months. The mean motivational level was also significantly improved, especially for perceived benefits, perceived barriers, and emotional salience. 2. The mean of cardiovascular risk factors for the participants was 21.8 at the level of low to moderate risk. After completing the program, total risk score was significantly decreased to 18.7 at 10 weeks, and further to 17.7 at 6 months. A significant reduction was also found in HDL and LDL-cholesterol levels, blood pressure, obesity, inactivity, and stress. 3. The functional status (SIP) was 11% at the baseline and significantly changed in positive direction at 10 weeks (M=9.3) and at 6 month (M=6.3). The significant improvement was also found in physical and psychosocial dimensions and sleep/rest dimension.
CONCLUSION
The motivation enhancing program was effective to reduce cardiovascular risks and to improve the functional status of institutionalized elderly women by motivating them to perform better health behaviors. -
Citations
Citations to this article as recorded by - The Influence of e-Health Literacy, Technostress, and Subjective Health Status on Health Promotion Behaviors among Older Adults
Whang Sun A
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Su-Jin Kim, Jeong-soo Kim
Journal of Korean Gerontological Nursing.2024; 26(4): 403. CrossRef - The Role of Health Empowerment on Digital Health Technology Literacy by Generation
Yoongi Chung, Hyerine Shin, Hyejin Kim, Ji-Su Kim
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Ju-ri Lee, Hong-sun Song, Tae-beom Seo, Jong-baek Lee
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Jong Im Kim, Sun Ae Kim, Keumok Park, Jiyoung Kim, Lina Lee, Si Wan Choi, Bon Jeong Ku
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Rhayun Song, Hyunkyoung Oh, Sukhee Ahn, Sue Moorhead
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Min-Jae Kang, Jung-Sook Seo, Eun-Mi Kim, Mi-Sun Park, Mi-Hye Woo, Dal-Lae Ju, Gyung-Ah Wie, Song-Mi Lee, Jin-A Cha, Cheong-Min Sohn
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Yoo Kyung Park, Yeon Joo Lee, Sang Sun Lee
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Haejung LEE, Myoung‐Soo KIM, Kyung‐Yeon PARK, Hyoung‐Sook PARK, In‐Joo KIM
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Sook Hee Jung, Kyung Hee Chung
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Chun Yu Li, Ogcheol Lee, Gi Soo Shin, Xian Wen Li
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Kyoungok Ju, Heeyoung So
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Hee-Seon Kim, Kyung-Ja June, Rhayun Song
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Chun-Gill Kim, Kyung-Ja June, Rhayun Song
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Effects of Low-intensity Exercise on Functional Ability in Hospitalized Elderly
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Rhayun Song, Yeon Ok Suh, Young Rhan Um, Kyung Ja June, Beverly L Roberts
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Journal of Nurses Academic Society 1997;27(4):807-819. Published online March 30, 2017
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DOI: https://doi.org/10.4040/jnas.1997.27.4.807
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Abstract
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The purpose of the study was to identify the effects of 12-week low-intensity exercise program on muscle strength, flexibility, balance, and cognitive characteristics related to the performance of activity of daily living(ADL). A total of 16 patients who were admitted to the medical unit of a general hospital in ChoongChung province were recruited eight for the exercise group and eight for the comparison group. Four levels of low-intensity exercise from 'ROM on bed' to 'exercise while walking' were then applied to the exercise group according to their physical condition. During hospitalization, patients in the exercise group performed each level of the prescribed exercise with the researchers until they felt. comfortable doing it independently. The researchers also visited the patients' homes after discharge to make sure they could perform the exercise with Theraband in their living environment. The exercise group was contacted by phone once a week to assess the frequency and intensity in which they performed the exercise as well as their physical condition. The subjects in the comparison group participated in measurements for the study without performing the exercise and were contacted by phone after discharge, in a matched time frame with the exercise group, to assess physical condition. Muscle strength, flexibility, balance, cognitive characteristics, and performance of ADL for the two groups were compared at the pretest and the posttest after the low-intensity exercise program by utilizing SPSSWIN and the results are as follows : 1) At the posttest, measurments of muscle strengths showed that the strength of the dorsal flexor in the exercise group was significantly higher than in the comparison group. 2) Objective balance for the exercise group was significantly better than for the comparison group as measured by 'standing on one foot' and Tinetti gait and balance control. 3) The exercise group showed significantly higher task self-efficacy than the comparison group. 4) Perceived exertion for ADL for the exercise group was significantly lower than for the comparison group. 5) Improvement of performance of ADL without assistance was significantly for the exercise group than the comparison group. The findings suggest that a low-intensity exercise program would be useful for the elderly who show decline in their physical functioning due to hospitalization by partly improving physical strength, task self-efficacy, and performance of ADL. Directions for further research on issues of motivating people to exercise as well as of standardizing various types of exercise were discussed.
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Citations
Citations to this article as recorded by - Validity and Reliability of the Korean Version of the Basic Physical Capability Scale for Older Adults
Eun-Ok Song, Gwi-Ryung Son Hong
Korean Journal of Adult Nursing.2020; 32(1): 21. CrossRef - A study on the effects of exercise motivation of the elderly people on euphoria
Ah-Ra Oh, Eun-Surk Yi
Journal of Exercise Rehabilitation.2017; 13(4): 387. CrossRef
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Psychometrics of Task Self-Efficacy Scale for Korean Elderly
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Young Rhan Um, Rhayun Song, Yean Ok Suh, Kyung Ja June, Beverly L Roberts
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Journal of Nurses Academic Society 1997;27(4):831-842. Published online March 30, 2017
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DOI: https://doi.org/10.4040/jnas.1997.27.4.831
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Abstract
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The purpose of the study was to test the reliability and validity of the Korean version of Task Self-Efficacy Scale for activities of daily living(ADL). The Task Self-Efficacy Scale was developed by Roberts(1996) for low-intensity exercise study with older people to predict their performance of ADL. The scale was translated and back translated by bilingual persons, and then was modified to resolve variations in the translations. The Korean version of Self-efficacy Scale of ADL was then administered to 193 elderly people including 95 hospitalized patients and 98 outpatients or healthy people. Face to face interview was used to fill out the structured questionnaire, and each interview took approximately 30 minutes. The subjects for the study were 80 women and 112 men with an age range of 65 to 95 years(M=71 years) of whom 82.6% classified themselves as moderate or quite active. Most subjects(80.2%) had an education level of elementary school or less. The Self-Efficacy Scale for ADL is measured on a 0 to 10 VAS, assessing three areas of ADL : self care activities, household tasks, and motor tasks. The higher the score is the higher person's confidence in performing ADL. Psychometric testing revealed that the scale was found to be internally consistent, showing a Cronbach's alpha of .97. The scale was significantly correlated with subjects' level of activity and subjective assessment of their health status. Moderate correlation with health-related hardiness scale also supported the validity. Factor analysis was performed to confirm whether the scale represents the three sub-areas as suggested in the literature. The results of the factor analysis led to a three factor solution according to Kaiser's criterion, but the items were not strongly and cleanly loaded for the third factor. This can be explained in that, among the three sub-ADL ares of the self-efficacy scale, the areas of self care activities and household tasks seem to have similar levels of difficulty in performance with not enough differences for the self-efficacy scale to distinguish between the two areas. Therefore, one factor solution was suggested since ADL can be seen a unit of activities as similar level of difficulty in performance. One factor solution explained 68.1% of variance of the 19-item scale and all items all correlated over .6 with the factor, showing that the selected factor solution fits the model. The results indicated that the Korean version of Task Self-Efficacy Scale for ADL was reliable and valid in producing useful information to evaluate the effects of various interventions toward promoting health and quality of life for elderly people.
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