Journal of Korean Academy of Nursing

Smi Choi-Kwon

17 Articles

Secondary Data Analysis on the Factors Influencing Premenstrual Symptoms of Shift Work Nurses: Focused on the Sleep and Occupational Stress: Jihyun Baek, Smi Choi-Kwon; J Korean Acad Nurs 2020;50(4):631-640. Published online August 31, 2020; DOI: https://doi.org/10.4040/jkan.19230

Purpose
This study aimed to examine premenstrual symptoms (PMS) of shift nurses and identify the association between PMS, sleep, and occupational stress.
Methods
This study was conducted with a secondary data analysis that used data from the Shift Work Nurse’s Health and Turnover study. The participants were 258 nurses who were working in shifts including night shifts. PMS, sleep patterns (sleep time and sleep time variability), sleep quality, and the occupational stress of each participant were measured using the Moos Menstrual Distress Questionnaire, a sleep diary, an actigraph, the Insomnia Severity Index, and the Korean Occupational Stress Scale, respectively. Data were analyzed using SPSS 23 and STATA 15.1 to obtain descriptive statistics, Pearson’s correlation coefficients, multiple linear regression with generalized estimating equations (GEE) and Baron and Kenny’s mediating analysis.
Results
The average PMS score, average sleep time, average sleep time variability, average sleep quality score, and average occupational stress score of the participants was 53.95 ± 40.45, 7.52 ± 0.89 hours, 32.84 ± 8.43%, 12.34 ± 5.95, and 49.89 ± 8.98, respectively. A multiple linear regression analysis with GEE indicated that sleep time variability (B = 0.86, p = .001), and sleep quality (B = 2.36, p < .001) had negative effects on nurses’ PMS. We also found that sleep quality had a complete mediating effect in the relationship between occupational stress and PMS.
Conclusion
These findings indicate that both sleep time variability and sleep quality are important factors associated with PMS among shift work nurses. To improve shift nurses’ PMS status, strategies are urgently needed to decrease sleep time variability and increase sleep quality.

Citations

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Hospital Nurses’ Professional Quality of Life Model: A Cross‐Sectional Study Based on the Expanded Job Demands‐Resources Model
Younghee Kim, Mi Yu, Jacopo Fiorini
Journal of Nursing Management.2025;[Epub] CrossRef
Premenstrual Symptoms Risk Factors Among Newly Graduated Nurses in Shift Work: A Prospective Longitudinal Study
Iksoo Huh, Smi Choi-Kwon, Jison Ki, Soyeon Kim, Jihyun Baek
Asian Nursing Research.2024; 18(5): 501. CrossRef
Premenstrual Syndrome’s Impact on Work-Related Quality of Life Among Jordanian Nurses
Yamamah Al-Hmaid, Othman Beni Yonis, Mais Alkhalili, Khalid Kheirallah
Cureus.2024;[Epub] CrossRef
Investigating influencing factors on premenstrual syndrome (PMS) among female college students
Su Jeong Yi, Miok Kim, Ina Park
BMC Women's Health.2023;[Epub] CrossRef
Development and validation of risk prediction model for premenstrual syndrome in nurses: results from the nurses-based the TARGET cohort study
Li Li, Xiaoyan Lv, Yuxin Li, Xinyue Zhang, Mengli Li, Yingjuan Cao
Frontiers in Public Health.2023;[Epub] CrossRef
Shift nurses’ social jetlag, anxiety, and premenstrual symptoms: A cross-sectional study
Taeyeon Kim, Sun Joo Jang
Collegian.2022; 29(4): 477. CrossRef
Depressive symptoms and menstrual distress according to the menstrual phase in nurses: the Korea Nurses’ Health Study
Oksoo Kim, Sue Kim, Hae Ok Jeon, Ahrin Kim, Chiyoung Cha, Bohye Kim
Journal of Psychosomatic Obstetrics & Gynecology.2022; 43(4): 541. CrossRef
Secondary Data Analysis on the Quality of Sleep and Related Factors of Novice and Experienced Shift Work Nurses
Minjeong Yu, Smi Choi-Kwon
Journal of Korean Academy of Nursing.2020; 50(5): 646. CrossRef

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Nutritional Status of Liver Transplantation Recipients and Factors Influencing Nutritional Status: SinYoung Hwang, Smi Choi-Kwon; J Korean Acad Nurs 2019;49(3):340-348. Published online January 15, 2019; DOI: https://doi.org/10.4040/jkan.2019.49.3.340

Abstract PDF

Abstract Purpose

This study aimed to investigate the nutritional status of liver transplantation (LT) recipients and explore certain factors that influence nutritional status, including dietary patterns and physical activities.

Methods

This was a cross-sectional, descriptive study. The subjects included 211 LT recipients at a medical center outpatient clinic located in Seoul, Korea. The nutritional status, dietary patterns, and physical activities of each subject were measured using the body mass index (BMI), Mini Dietary Assessment (MDA), and Global Physical Activity Questionnaire. Independent t-test, one-way analysis of variance, and multiple linear regression analysis were used to analyze the data.

Results

The percentages of living and deceased donor LTs were 81.0% and 19.0%, respectively. The mean BMIs pre- and post-LT were 23.88 and 23.16 kg/m², respectively, and the average MDA score was 36.55. More than 60.0% of the subjects had a moderate or high level of physical activity. In multivariate analysis, a higher BMI before LT (β=.72, p<.001), a lower Model for End-stage Liver Disease (MELD) score (β=-.18, p<.001), and being male (β=-.10, p=.024) contributed to better nutritional status post-LT. Patients within six months of LT were less engaged in muscle exercises than those post six months of LT (p=.020).

Conclusion

LT recipients in Korea have good nutritional status and a good level of physical activity. To improve recipients’ post-LT nutritional status, the pre-LT nutritional status should be considered, particularly in those with a higher MELD score. In addition, physical activity including muscle-strengthening exercises should be encouraged from an earlier stage.

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Nutritional Intake after Liver Transplant: Systematic Review and Meta-Analysis
Lynsey N. Spillman, Angela M. Madden, Holly Richardson, Fumiaki Imamura, Danielle Jones, Marilyn Nash, Hong Kai Lim, Holly N. Hellawell, Kirsten L. Rennie, Linda M. Oude Griep, Michael Allison, Simon J. Griffin
Nutrients.2023; 15(11): 2487. CrossRef
Impact of Self-esteem and Social support on Self-care Performance in Liver Transplantation Recipients
Hyun Jung Jung, Young-Ju Kim
The Korean Journal of Rehabilitation Nursing.2020; 23(2): 132. CrossRef

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The Relationships among Chemotherapy-Induced Nausea and Vomiting (CINV), Non-Pharmacological Coping Methods, and Nutritional Status in Patients with Gynecologic Cancer: Haerim Lee, Smi Choi-Kwon; J Korean Acad Nurs 2017;47(6):731-743. Published online January 15, 2017; DOI: https://doi.org/10.4040/jkan.2017.47.6.731

Abstract PDF

Abstract Purpose

Chemotherapy-induced nausea and vomiting (CINV) can cause severe malnutrition. However, relationships between CINV levels, nonpharmacological coping methods, and nutritional status of female cancer patients have rarely been investigated. Therefore, this study aimed to analyze their relationships in gynecologic cancer patients.

Methods

Participants receiving a highly and moderately emetogenic chemotherapy were recruited. The level of CINV was assessed using a numeric rating scale. Coping methods were determined using multiple-choice self-report questionnaires and categorized into seven types for statistical analysis. Nutritional status was evaluated using biochemical and anthropometric parameters.

Results

Among all the 485 patients, 200 eligible inpatients were included. Despite the administration of prophylactic antiemetics, 157 patients (78.5%) still experienced CINV, and several used nonmedically recommended coping methods, such as just enduring the symptom or rejecting food intake. A total of 181 patients (90.5%) had nutritional disorders. Although the level of CINV was indirectly related to the occurrence of nutritional disorders, patients who rejected food (b=1.57, p=.023) and did not use physical measures (b= -1.23, p=.041) as coping methods were under the high risk of nutritional disorders.

Conclusion

Korean gynecologic cancer patients had high levels of CINV and were at high risk of nutritional disorders, which may be related to the use of nonscientific coping methods, possibly due to cultural backgrounds and lack of proper nutritional program. Therefore, developing a culturally appropriate educational program for the cancer patients with CINV is urgently needed.

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Perceived food literacy in women with gynecologic cancer receiving chemotherapy
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Predictors of sleep quality components in patients undergoing transarterial chemoembolisation: a cross-sectional study
Ji Young Park, Myoung Soo Kim, Jung Mi Ryu
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Elif BALKAN, Ümran OSKAY
Bandırma Onyedi Eylül Üniversitesi Sağlık Bilimleri ve Araştırmaları Dergisi.2023; 5(1): 74. CrossRef
Effects of Continuous Nutrition Care on Nutritional Status and Dietary Habits of Patients With Colorectal Cancer Receiving Adjuvant Chemotherapy After Surgery
Jina Son, Ha I Kang, Eun young Jung, Hae won Ryu, Kyung-Ha Lee
Clinical Nutrition Research.2023; 12(2): 99. CrossRef
Dietary strategies for chemotherapy-induced nausea and vomiting: A systematic review
Devanshi Gala, Hattie H. Wright, Bekhinkosi Zigori, Skye Marshall, Megan Crichton
Clinical Nutrition.2022; 41(10): 2147. CrossRef
Effect of Auricular Acupressure on Nausea, Vomiting, and Retching in Patients with Colorectal Cancer Receiving Chemotherapy
Nayeon Shin, Jummi Park
Korean Journal of Adult Nursing.2018; 30(3): 227. CrossRef

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Effectiveness of Self-efficacy Promoting Vestibular Rehabilitation Program for Patients with Vestibular Hypofunction: Hyun Jung Lee, Smi Choi-Kwon; J Korean Acad Nurs 2016;46(5):710-719. Published online October 31, 2016; DOI: https://doi.org/10.4040/jkan.2016.46.5.710

Abstract PDF

Purpose

In this study an examination was done of the effect of self-efficacy promoting vestibular rehabilitation (S-VR) on dizziness, exercise selfefficacy, adherence to vestibular rehabilitation (VR), subjective and objective vestibular function, vestibular compensation and the recurrence of dizziness in patients with vestibular hypofunction.

Methods

This was a randomized controlled study. Data were collected 3 times at baseline, 4 and 8 weeks after beginning the intervention. Outcome measures were level of dizziness, exercise self-efficacy, and level of adherence to VR. Subjective and objective vestibular function, vestibular compensation and the recurrence of dizziness were also obtained. Data were analyzed using Windows SPSS 21.0 program.

Results

After 4 weeks of S-VR, there was no difference between the groups for dizziness, subjective and objective vestibular functions. However, exercise self-efficacy and adherence to VR were higher in the experimental group than in the control group. After 8 weeks of S-VR, dizziness (p =.018) exercise self-efficacy (p <.001), adherence to VR (p <.001), total-dizziness handicap inventory (DHI) (p =.012), vision analysis ratio (p =.046) in the experimental group differ significantly from that of the control group. The number of patients with recurring dizziness were higher in the control group than in the experimental group (p <.001).

Conclusion

The results indicate that continuous 8 weeks of S-VR is effective in reducing dizziness, and improving exercise self-efficacy, subjective vestibular function and adherence to VR. Objective vestibular function and vestibular compensation were also improved in the experimental group at the end of 8 weeks of S-VR.

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Locus of Control and Dizziness: Mediation Effect of Self-Efficacy
Yemo Jeong, Won Hwa Jin, Eun-Jin Kwon, In-Sun Kwon, Han Young Yu, Seong-Hae Jeong
Research in Vestibular Science.2021; 20(4): 126. CrossRef
A Improved Case of Post Cerebral Infarction Dizziness and Gait Discomfort after Treated with Korean Medicine Treatment and Vestibular Rehabilitation Practice
Hongmin Chu, Hyeon-Seo Lim, Kwangho Kim, Young-Ung Lee, Kyungtae Park, Jongwon Jang, Ho-sun Ryu, Su-hak Kim, Cheol-hyun Kim, Sangkwan Lee, Kang-keyng Sung
Journal of Korean Medicine Rehabilitation.2020; 30(4): 179. CrossRef
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International Journal of Clinical Medicine.2017; 08(05): 322. CrossRef
The Effects of Comprehensive Education Program on Anxiety, Uncertainty and Athletic Performance of Patients undergo Spinal Nerve Block
Seon Hee Kim, Eun Sook Lee
Korean Journal of Adult Nursing.2017; 29(2): 143. CrossRef

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Changes in Quality of Life and Related Factors in Thyroid Cancer Patients with Radioactive Iodine Remnant Ablation: Seon Hee Yoo, Smi Choi-Kwon; J Korean Acad Nurs 2013;43(6):801-811. Published online December 15, 2013; DOI: https://doi.org/10.4040/jkan.2013.43.6.801

Abstract PDF

Abstract Purpose

To investigate changes in Quality of life (QOL) and related factors in patients with thyroid cancer undergoing Radioactive Iodine remnant ablation (RAI).

Methods

Data were collected longitudinally 3 times for 6 months (2 weeks post-surgery, post RAI, 3 months post RAI) in a hospital located in Seoul. Questionnaires were used to measure levels of physical symptoms, anxiety, depression, and QOL. Ninety-eight patients with thyroid cancer who had RAI were included in the analysis. Data were analyzed using SPSS (18.0).

Results

Findings for the three data collection times respectfully were: mean scores for physical symptoms, 0.53, 1.21 and 0.62, patients with depression, 47%, 36.7% and 37.7%, patients with anxiety, 18.4 %, 19.4% and 20.4%, mean scores for QOL, 7.06, 7.01 and 7.28. QOL score was highest 3 months post RAI (p=.031). In the stepwise multiple regression analysis, depression and fatigue were predicting factors for low QOL at all data collection times. Dysponia was a predicting factor for low QOL post RAI and 3 months post RAI.

Conclusion

To increase QOL, it is necessary to provide information in advance regarding physical & psychological symptoms and to develop nursing intervention programs to decrease depression and fatigue.

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Factors Associated With Quality of Life Among Posttreatment Cancer Survivors in Korea
Soo Hyun Kim, Yu Hyeon Choe, Jingyeong Choi, Ji Young Park, Eun Yi
Cancer Nursing.2025; 48(1): E47. CrossRef
Anxiety and depression status prior to radioactive iodine therapy among differentiated thyroid cancer patients during the COVID‑19 pandemic
Tingting Qiao, Dingwei Gao, Junyu Tong, Yun Shen, Jiayue Ma, Zhongwei Lv, Dan Li
Supportive Care in Cancer.2022; 30(12): 10169. CrossRef
Experiences of Korean patients with thyroid cancer receiving radioactive iodine therapy after total thyroidectomy
Jeong Ha Shin, Shin-Young Lee
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Impact of COVID-19 Pandemic on Thyroid Surgery in a University Hospital in South Korea
Seong Hoon Kim, Euna Min, Young Mi Hwang, Yun Suk Choi, Jin Wook Yi
Cancers.2022; 14(17): 4338. CrossRef
Assessing the influence of special treatment of differentiated thyroid cancer on the urinary system long-term effects
L.Ya. Vasyliev, Ye.B. Radzishevska, A.S. Savchenko, H.V. Kulinich, O.O. Solodovnikova
Український радіологічний та онкологічний журнал.2021; 29(3): 22. CrossRef
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Seon Young Lee, Hyun Kyung Kim
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The Experience of Receiving Radioactive Iodine Therapy among Thyroid Cancer Patients
Kyung Ok Kang, Hyun Kyung Kim, Ji Young Kim, Seok Tae Lim
Journal of East-West Nursing Research.2016; 22(2): 148. CrossRef
A Systematic Review of Unmet Information and Psychosocial Support Needs of Adults Diagnosed with Thyroid Cancer
Yong Gyu Hyun, Ahmad Alhashemi, Rouhi Fazelzad, Alyse S. Goldberg, David P. Goldstein, Anna M. Sawka
Thyroid.2016; 26(9): 1239. CrossRef
Quality-of-Life Priorities in Patients with Thyroid Cancer: A Multinational European Organisation for Research and Treatment of Cancer Phase I Study
Susanne Singer, Olga Husson, Iwona M. Tomaszewska, Laura D. Locati, Naomi Kiyota, Ulrike Scheidemann-Wesp, Dirk Hofmeister, Melanie Winterbotham, Christine Brannan, Cláudia Araújo, Eva M. Gamper, Dagmara Kulis, Harald Rimmele, Guy Andry, Lisa Licitra
Thyroid.2016; 26(11): 1605. CrossRef
Protocol of a Thyroid Cancer Longitudinal Study (T-CALOS): a prospective, clinical and epidemiological study in Korea
Kyu Eun Lee, Young Joo Park, Belong Cho, Yunji Hwang, June Young Choi, Su-jin Kim, Hoonsung Choi, Ho-Chun Choi, Ah Reum An, Do Joon Park, Sue K Park, Yeo-Kyu Youn
BMJ Open.2015; 5(1): e007234. CrossRef
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Jeong-Sook Jeong, In-Sook Kim, Eun-Seon Lee
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Factors Influencing Quality of Life in Thyroid Cancer Patients with Thyroidectomy
Jiyeon Yang, Myungsun Yi
Asian Oncology Nursing.2015; 15(2): 59. CrossRef

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Effects of Individualized Nutritional Education Programs on the Level of Nutrient Intake and Nutritional Status of Colorectal Cancer Patients Undergoing Palliative Chemotherapy: Kwi Ock Park, Smi Choi-Kwon; J Korean Acad Nurs 2012;42(6):799-809. Published online December 31, 2012; DOI: https://doi.org/10.4040/jkan.2012.42.6.799

Abstract PDF

Purpose

The purpose of this study was to examine the effects of an individualized nutritional education programs on nutrient intake and nutritional status of patients with colorectal cancer who are undergoing palliative chemotherapy.

Methods

Forty patients with colorectal cancer (19 experimental and 21 control patients) were recruited from a chemotherapy ward at S University Hospital in Seoul, Korea. The experimental group received two individualized nutritional counseling sessions and two telephone counseling sessions over 6 weeks. The control group received nutritional counseling after completion of data collection. Nutritional education included general guidelines for food intake while receiving chemotherapy, dietary guidelines for patients with colorectal cancer, daily meal schedules to overcome cancer, and dietary guideline for each chemotherapy side effect. Data were analyzed using χ²-test and t-test with the SPSS program 17.0.

Results

Two group comparison revealed that the experimental group had significantly improved calorie (p=.038) and total protein intake (p=.001), and serum albumin percentage change (p=.040). Body weight did not increase but remained the same as the baseline in both groups.

Conclusion

Study results indicate that this individualized nutritional education programs are effective in enhancing nutrient intake and nutritional status of patients with colorectal cancer who are undergoing palliative chemotherapy.

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Sydnee C. Wong, Abhinav V. Reddy, Amy Hacker-Prietz, Laura Kress, Priya Pathak, Colin S. Hill, Timothy A. Lin, Joseph M. Herman, Jin He, Lei Zheng, Mary-Eve Brown, Amol K. Narang
Supportive Care in Cancer.2023;[Epub] CrossRef
Effects of Continuous Nutrition Care on Nutritional Status and Dietary Habits of Patients With Colorectal Cancer Receiving Adjuvant Chemotherapy After Surgery
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Christine Baldwin, Marian AE de van der Schueren, Hinke M Kruizenga, Christine Elizabeth Weekes
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Clinical Nutrition Research.2015; 4(1): 63. CrossRef

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Structural Equation Modeling on Quality of Life in Pre-dialysis Patients with Chronic Kidney Disease: Hye Won Kim, Smi Choi-Kwon; J Korean Acad Nurs 2012;42(5):699-708. Published online October 12, 2012; DOI: https://doi.org/10.4040/jkan.2012.42.5.699

Abstract PDF

Purpose

This study was designed to test structural equation modeling of the quality of life of pre-dialysis patients, in order to provide guidelines for the development of interventions and strategies to improve the quality of life of patients with Chronic Kidney Disease (CKD).

Methods

Participants were patients who visited the nephrology outpatient department of a tertiary hospital located in Seoul. Data on demographic factors, social support, nutritional status, physical factors and biobehavioral factors and quality of life were collected between March 4 and March 31, 2011.

Results

In the final analysis 208 patients were included. Of the patients 42% were in a malnourished state. Anxious or depressed patients accounted for 62.0%, 72.6%, respectively. Model fit indices for the hypothetical model were in good agreement with the recommended levels (GFI= .94 and CFI= .99). Quality of life in pre-dialysis patients with CKD was significantly affected by demographic factors, social support, nutritional status, physical factors and biobehavioral factors. Biobehavioral factors had the strongest and most direct influence on quality of life of patients with CKD.

Conclusion

In order to improve the quality of life in pre-dialysis patients with CKD, comprehensive interventions are necessary to assess and manage biobehavioral factors, physical factors and nutritional status.

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Adaptation of Evidence-based Surgical Wound Care Algorithm: Jung Yeon Han, Smi Choi-Kwon; J Korean Acad Nurs 2011;41(6):768-779. Published online December 31, 2011; DOI: https://doi.org/10.4040/jkan.2011.41.6.768

Abstract PDF

Purpose

This study was designed to adapt a surgical wound care algorithm that is used to provide evidence-based surgical wound care in a critical care unit.

Methods

This study used, the 'ADAPTE process', an international clinical practice guideline development method. The -'Bonnie Sue wound care algorithm' - was used as a draft for the new algorithm. A content validity index (CVI) targeting 135 critical care nurses was conducted. A 5-point Likert scale was applied to the CVI test using a statistical criterion of .75.

Results

A surgical wound care algorithm comprised 9 components: wound assessment, infection control, necrotic tissue management, wound classification by exudates and depths, dressing selection, consideration of systemic factors, wound expected outcome, reevaluate non-healing wounds, and special treatment for non-healing wounds. All of the CVI tests were ≥.75. Compared to existing wound care guidelines, the new wound care algorithm provides precise wound assessment, reliabilities of wound care, expands applicability of wound care to critically ill patients, and provides evidence and strength of recommendations.

Conclusion

The new surgical wound care algorithm will contribute to the advancement of evidence-based nursing care, and its use is expected as a nursing intervention in critical care.

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Thị Thu Hiền Đỗ , Thị Huế Nguyễn , Edwards Helen, FinlaysonKathleen
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The Effects of Oral Care Education on Caregivers’ Knowledge, Attitude, & Behavior toward Oral Hygiene for Elderly Residents in a Nursing Home: Myung Sook Park, Smi Choi-Kwon; J Korean Acad Nurs 2011;41(5):684-693. Published online October 12, 2011; DOI: https://doi.org/10.4040/jkan.2011.41.5.684

Abstract PDF

Abstract Purpose

To investigate the effects of oral care education on knowledge, attitudes & behavior of caregivers in oral care and oral hygiene for residents in nursing homes.

Methods

In this quasi-experimental study, the intervention group (n=27) of residents received oral care from intervention group caregivers (n=28) who had received 6 weeks of oral care education. The control group (n=27) of residents received usual oral care from control group caregivers (n=26). Data on knowledge, attitude, and behavioral change in oral health care by the caregivers and plaque index & halitosis of the residents were collected. Data were analyzed using SPSS WIN 16.0.

Results

1) Scores on caregivers’ knowledge (p<.001) and behavior (p<.001) for oral care were higher in the intervention group 6 and 12 weeks. The caregivers’ attitude (p<.001) score for oral care was higher in the intervention group 12 weeks. 2) The plaque index (p=.004) and halitosis (p=.002) of the nursing home residents were lower in the intervention group than the control group at 6 and 12 weeks.

Conclusion

Oral care education programs for caregivers are effective in improving the oral hygiene of elderly residents in nursing homes through enhancement of caregiv-ers’ knowledge, attitude, and behavioral change.

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Journal of Korean Academy of Nursing.2018; 48(2): 167. CrossRef
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Francesca A Soldani, Thomas Lamont, Kate Jones, Linda Young, Tanya Walsh, Rizwana Lala, Janet E Clarkson
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A home‐based training programme improves family caregivers’ oral care practices with stroke survivors: a randomized controlled trial
Y‐W Kuo, M Yen, S Fetzer, L‐C Chiang, Y‐IL Shyu, T‐H Lee, H‐I Ma
International Journal of Dental Hygiene.2016; 14(2): 82. CrossRef
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Young-Hee Kim, Seung-Hee Lee, Hyun-Kyung Yun
The Korean Journal of Health Service Management.2014; 8(4): 69. CrossRef
The Effect of Inter Dental Brush Education on the Dental Plaque Index and the Degree of Halitosis for Elementary School Students
Ha Na Lee, Joo Hyun Kim
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The Effects of Oral Health on Activity of Daily Living, Depression and Quality of Life in Elderly Women
Hung Sa Lee, Chunmi Kim, Dohyun Lee
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Effects of Oral Health Impact Profile (OHIP) on Depression and Quality of Life among Community-dwelling Korean Elderly Persons
Hung Sa Lee, Chunmi Kim
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Structural Equation Modeling on Quality of Life in Stroke Survivors: Minhee Suh, Smi Choi-Kwon; J Korean Acad Nurs 2010;40(4):533-541. Published online August 31, 2010; DOI: https://doi.org/10.4040/jkan.2010.40.4.533

Abstract PDF

Purpose

This study was designed to test structural equation modeling of the quality of life of stroke survivors in order to provide guidelines for development of interventions and strategies to improve their quality of life.

Methods

The participants in the study were patients who visited the neurology outpatient department of a tertiary hospital in Seoul between June 25 and October 15, 2009. Data collection was carried out through one-on-one interviews. Demographic factors, functional independence, social support, nutritional status, post-stroke biobehavioral changes and quality of life were investigated.

Results

The final analysis included 215 patients. Fitness of the hypothetical model was appropriate (χ²=111.5, p=.000, GFI=.926, AGFI=.880, RMSA=.068, NFI=.911, CFI=.953). Functional dependency, social support and post-stroke biobehavioral changes were found to be significant explaining variance in quality of life. Post-stroke biobehavioral changes had the strongest direct influence on quality of life. Nutritional status had an indirect effect on the quality of life.

Conclusion

To improve the quality of life of stroke survivors, comprehensive interventions are necessary to manage post-stroke biobehavioral changes, and strengthening social support networks that can contribute to enhancing the quality of life of stroke survivors.

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Sung‐Hee Yoo, Gye‐Gyoung Kim, Sung Reul Kim, Man‐Seok Park, Joon‐Tae Kim, Kang‐Ho Choi, Hyun‐Young Park, Sang‐Hak Yi, Jae‐Kwan Cha, Dae‐Hyun Kim, Hyun‐Wook Nah
Journal of Clinical Nursing.2023; 32(1-2): 58. CrossRef
Factors Related to Beliefs about Medication in Ischemic Stroke Patients
Gye-Gyoung Kim, Sung-Hee Yoo, Man-Seok Park, Hyun-Young Park, Jae-Kwan Cha
Journal of Clinical Medicine.2022; 11(13): 3825. CrossRef
Is post-ischemic stroke insomnia related to a negative functional and cognitive outcome?
Andreia Matas, Luísa Amaral, Assunção Vaz Patto
Sleep Medicine.2022; 94: 1. CrossRef
A prediction model of health‐related quality of life in young adult patients with stroke
Susie Yoon, Hye Young Kim, Sung Reul Kim
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Factors related to Bowel Cleanliness of Colonoscopy Examinees
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Predictive Model for Quality of Life in Patients 1 Year After First Stroke
Sung Reul Kim, Sung-Hee Yoo, Hye Young Kim, Gye-Gyoung Kim
Journal of Cardiovascular Nursing.2021; 36(5): E60. CrossRef
Incidence and prevalence of post-stroke insomnia: A systematic review and meta-analysis
Satu Baylan, Susan Griffiths, Nicola Grant, Niall M. Broomfield, Jonathan J. Evans, Maria Gardani
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Factors Influencing 1-Year Medication Adherence of Korean Ischemic Stroke Survivors
Gye-Gyoung Kim, Duck-Hee Chae, Man-Seok Park, Sung-Hee Yoo
International Journal of Behavioral Medicine.2020; 27(2): 225. CrossRef
Factors Associated to Returning Home in the First Year after Stroke
Seung Han Kim, Yong-Il Shin, Seung Chan Kim, Sung Hwa Ko, Deog Young Kim, Jongmin Lee, Min Kyun Sohn, Sam-Gyu Lee, Gyung-Jae Oh, Yang-Soo Lee, Min Cheol Joo, Eun Young Han, Junhee Han, Won Hyuk Chang, Ji Hong Min, Yun-Hee Kim
Brain & Neurorehabilitation.2020;[Epub] CrossRef
Meta-Analysis of Social Psychological Factors related to Quality of Life in Stroke Patients
Young-Ok Yang, Minju Kim, Kyung-Yeon Park
Journal of Korean Academy of Community Health Nursing.2018; 29(4): 510. CrossRef
Characteristics and Factors related to Fatigue in Older Adults at a Senior Welfare Center
Su Yeon Jeong, Smi Choi-Kwon
Korean Journal of Adult Nursing.2018; 30(5): 516. CrossRef
Musculoskeletal and central pain at 1 year post-stroke: associated factors and impact on quality of life
S. Choi-Kwon, S. H. Choi, M. Suh, S. Choi, K.-H. Cho, H.-W. Nah, H. Song, J. S. Kim
Acta Neurologica Scandinavica.2017; 135(4): 419. CrossRef
Structural equation modeling of the quality of life for patients with marfan syndrome
Ju Ryoung Moon, Yong Ae Cho, June Huh, I-Seok Kang, Duk-Kyung Kim
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A Study about the Quality of Life and QALYs of Stroke Patients according to the Medical Care Utilization Behavior: Findings from the 2009–2012 Korea Health Panel Data
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Journal of Korean Medicine.2016; 37(1): 41. CrossRef
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Amélie Ponchel, Stéphanie Bombois, Régis Bordet, Hilde Hénon
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Nancy E. Mayo, Susan C. Scott, Mark Bayley, Angela Cheung, Jayne Garland, Jeffrey Jutai, Sharon Wood-Dauphinee
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Journal of muscle and joint health.2013; 20(2): 81. CrossRef

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Quality of Life and the Related Factors in Patients with Dizziness: Hyun Jung Lee, Smi Choi-Kwon; J Korean Acad Nurs 2009;39(5):751-758. Published online October 31, 2009; DOI: https://doi.org/10.4040/jkan.2009.39.5.751

Abstract PDF

Purpose

The purpose of this study was to investigate the Quality of Life (QOL) and related factors in the patients with dizziness.

Methods

The data were collected between March and June 2008 for 200 individuals who agreed to participate in the study. Uncertainty (Uncertainty in illness scale), anxiety, depression (Hospital anxiety & depression scale) and Vestibular disability activities of daily living (Vestibular disability-activities of daily living [ADL] scale) as well as QOL (Dizziness Handicap Inventory) were measured.

Results

The mean QOL score was 37.5 (±23.0). Monthly income, etiology of, frequency of, and total duration of dizziness were the significant factors related to QOL in these patients. Having had a fall, anxiety, depression, uncertainty and vestibular disability in daily living were also significant factors influencing QOL. In multiple regression analysis, anxiety, vestibular disability-ADL, falls, total duration of symptoms, uncertainty, and etiology of dizziness explained 41% of variance of QOL.

Conclusion

The level of QOL in our patients was moderate as compared to those in previous studies. Anxiety and vestibular disability were the most important factors predicting low QOL. Use of nursing intervention programs designed to relieve these factors should also result in improving the QOL in the patients with dizziness.

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Dizziness, psychological disorders and cognitive decline
Daniele BORSETTO, Virginia CORAZZI, Rupert OBHOLZER, Chiara BIANCHINI, Stefano PELUCCHI, Marco SOLMI, Dan JIANG, Nikul AMIN, Irumee PAI, Andrea CIORBA
Panminerva Medica.2023;[Epub] CrossRef
Interdisciplinary integration of nursing and psychiatry (INaP) improves dizziness‐related disability
Philip Gerretsen, Parita Shah, Anastasia Logotheti, Mohamed Attia, Thushanthi Balakumar, Shaleen Sulway, Paul Ranalli, Wanda A. Dillon, David D. Pothier, John A. Rutka
The Laryngoscope.2020; 130(7): 1800. CrossRef
Interdisciplinary integration of nursing and psychiatry (INaP) for the treatment of dizziness
Philip Gerretsen, Parita Shah, Anastasia Logotheti, Mohamed Attia, Thushanthi Balakumar, Shaleen Sulway, Paul Ranalli, Wanda A. Dillon, David D. Pothier, John A. Rutka
The Laryngoscope.2020; 130(7): 1792. CrossRef
Mobility in association with anxiety and quality of life in middle-aged and older female fallers and non-fallers
Taisiya Petrovna Shiryaeva, Denis Michailovich Fedotov, Anatoliy Vladimirovich Gribanov, Mikhail N. Pankov, Larisa F. Startseva, Sergey F. Bagretsov
Russian Open Medical Journal.2020;[Epub] CrossRef
Fear of falling and associated factors among patients with peripheral vestibular hypofunction
Hee Seung Song, Hyun Jung Lee
Journal of Exercise Rehabilitation.2020; 16(2): 162. CrossRef
Association Between Catastrophizing and Dizziness-Related Disability Assessed With the Dizziness Catastrophizing Scale
David D. Pothier, Parita Shah, Lena Quilty, Miracle Ozzoude, Wanda A. Dillon, John A. Rutka, Philip Gerretsen
JAMA Otolaryngology–Head & Neck Surgery.2018; 144(10): 906. CrossRef
POSTURAL-MOTOR CONTROL CHARACTERISTICS IN OLDER FEMALE FALLERS
A V Dyomin, T P Moroz, A V Gribanov, V I Torshin
Ekologiya cheloveka (Human Ecology).2016; 23(5): 30. CrossRef
Health-related Quality of Life in Korean Patients with Rheumatoid Arthritis: Association with Pain, Disease Activity, Disability in Activities of Daily Living and Depression
Dong Choon Uhm, Eun Sook Nam, Ho Yeon Lee, Eun Bong Lee, Young Im Yoon, Gong Ju Chai
Journal of Korean Academy of Nursing.2012; 42(3): 434. CrossRef

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Stages of Change in Smoking Cessation and Factors Related to Re-smoking after Coronary Artery Bypass Graft Surgery: Seung Hee Choi, Kyung Ja Song, Smi Choi-Kwon; Journal of Korean Academy of Nursing 2007;37(7):1159-1165. Published online December 31, 2007; DOI: https://doi.org/10.4040/jkan.2007.37.7.1159

Abstract PDF

Purpose

The purpose of this study was to investigate the stages of change in smoking cessation after a Coronary Artery Bypass Graft(CABG) and to identify the related factors.

Methods

The subjects (n=157) were patients who underwent a CABG in a university hospital from March 1998 to October 2005 and were smokers before the CABG. Data was collected viachart review and a telephone interview, and analyzed with descriptive statistics, χ² test, one-way ANOVA, and Kruskal-Wallis procedure by the SPSS/PC win 12.0 program.

Results

The subjects smoked for an average of 34 years (21 cigarettes per day) before surgery. Eleven percent of the subjects were in pre-contemplation, 6.4% in contemplation, 13.5% in preparation, 4.5% in action, and 64.5% in the maintenance stage. Nicotine dependence and selfefficacy were different among the groups with different stages of change in smoking cessation. Nicotine dependence was the lowest (p=0.00) and self-efficacy was the highest (p=0.00) in the maintenance stage. The number of subjects in pre-contemplation and contemplation significantly increased 6 years after surgery(p=0.05).

Conclusions

To implement effective smoking cessation interventions for CABG patients, the intervention should be developed to accommodate individual readiness for smoking cessation, especially so for those who had a CABG more than 6 years previously.

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Seon Young Hwang, Jin Shil Kim
Asian Nursing Research.2015; 9(4): 291. CrossRef
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Ai Hee Park, Suk Jeong Lee, Seung Jin Oh
International Journal of Nursing Practice.2015; 21(2): 107. CrossRef
Relationships of Factors Affecting Self-care Compliance in Acute Coronary Syndrome Patients Following Percutaneous Coronary Intervention
Eun Suk Shin, Seon Young Hwang, Myung Ho Jeong, Eun Sook Lee
Asian Nursing Research.2013; 7(4): 205. CrossRef

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Nutritional Status of Cancer Patients upon Admission: Eun Kyung Kim, Young Hee Yang, Smi Choi-Kwon; Journal of Korean Academy of Nursing 1999;29(2):271-280. Published online March 29, 2017; DOI: https://doi.org/10.4040/jkan.1999.29.2.271

Abstract PDF

The purpose of this study was to assess the nutritional status of cancer patients and non-cancer patients who were admitted to an internal medical department and to determine the degree of malutrition among these patients. The study was performed from May to July 1996 with 151 subjects recruited from the general medical department at D University Hospital. For nutritional assessment the anthropometric and biochemical assessment were performed. Biochemical measurements included serum hemoglobin, albumin, and lymphocytes. For anthropometric assessment, patient's body weight, skinfold thickness in four areas, body mass index, and percent of body fat were measured. The results were as follows : 1) Of the 151 patients who were studied, 47 patients had cancer while 104 patients had non cancer related disease. The mean age of the cancer patients was 57 and 52 for non cancer patients. The percentage of patients who had lost body weight during the last 6 months was 29.8% in cancer patients and 15.4% in non cancer patients. This percentage difference between the 2 groups was statistically significant. However, there was no statistical significance between the 2 groups in gastrointestinal symptoms which lasted more then 2 weeks. 2) There was a statistically significant difference in nutritional status(lympocyte : p=.002 ; skinfold thickness in four areas : p<0.05) between the cancer and the non-cancer patients. The percentage of the patients who had the possibility of malnutrition was 65.5% in cancer patients and 6% in non-cancer patients. 3) There was correlation between the weight loss during the last 6 months before admission and body mass index and skinfold thickness.

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Jina Son, Ha I Kang, Eun young Jung, Hae won Ryu, Kyung-Ha Lee
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Meghan J. Price, Rose Tillis, Elizabeth P. Howell, Luis Ramirez, Tara Dalton, César Baëta, Vikram Mehta, Muhammad M. Abd-El-Barr, Isaac O. Karikari, C. Rory Goodwin, David A. Brown
Clinical Spine Surgery.2022; 35(1): E248. CrossRef
Study on the Improvement of Dietary Life of Cancer Patients during Treatment by Nutrition Counseling
Keeyoun Hong, Yunjin Choi, Wanqin Yan, Hyunsook Lim, Jonghee Chyun
Korean Journal of Community Nutrition.2016; 21(1): 93. CrossRef

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Lifestyles Effects on Stroke Risk in Different Regions in Korea: Smi Choi-Kwon, Eun Kyung Kim, Mi Yang Jeon; Journal of Korean Academy of Nursing 1998;28(3):729-738. Published online March 29, 2017; DOI: https://doi.org/10.4040/jkan.1998.28.3.729

Abstract PDF

BACKGROUND AND PURPOSE: Stroke is a leading cause of death in Korea. Early measurement to prevent stroke are extremely important since it has no cure. Korean might have different risk factors since their dietary habit and socio-economical status differ from most western countries. However, the risk factors for stroke in Korea have not yet been identified. Moreover, the lifestyle of health Korean adults has not been investigated. In this study we investigate the life of health adults living in Seoul and rural areas and compare the life style of the two. METHODS: One hundred seventy one subjects were studies. Among the subjects studied, 128 were from Seoul, the other 43 were from the country area. The age of the subjects was limited to over 40 years. Blood pressure, fast blood sugar, and cholesterol were measured. The subjects' height, weight, body mass index total body fat, skinfolds thickness of triceps, subscapular and abdomen were measured to determine obesity. Using a structured interview, we assessed : sodium intake, physical activity and exercise, consumption of vegetables, fat, fish and fruits. The results of the two groups were compared. RESULTS: There were no statistical differences in age and education between the two groups of subjects. The mean age of the subjects were 66 years old. The subjects residing in rural areas had a higher intake of sodium(p<0.05), lower physical active(P<0.05), and higher BMI and body fat(p<0.05) as compared to the subjects in Seoul. Subjects with hypertension were between 24% and 33% and the prevalence of hypertension was the highest was the highest when compared to the prevalence of DM, or hypercholesterolemia. However, the prevalence of hypertension, DM, hypercholesterolemia, were not significantly different in these areas. CONCLUSION: our results show that subjects living in rural areas eat more salty food, exercise less and tend to be obese. The finding of this study lead to speculation that Korean living in rural areas have less information about the effects diet of diet on health than city dwellers do. General health and nutrition education programs aimed at the prevention of stoke and other such conditions for rural area Korean may close the risk factor gap between rural and urban dwellers.

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Evaluation of the Korean Version of Physical Activity Scale for the Elderly (K-PASE)
Myoung-Ae Choe, Jeungim Kim, Mi-yang Jeon, Young-Ran Chae
Korean Journal of Women Health Nursing.2010; 16(1): 47. CrossRef
Echocardiographic Plains Reflecting Total Amount of Epicardial Adipose Tissue as Risk Factor of Coronary Artery Disease
Jung-Won Hwang, Un-Jung Choi, Sung-Gyun Ahn, Hong-Seok Lim, Soo-Jin Kang, Byoung-Joo Choi, So-Yeon Choi, Myeong-Ho Yoon, Gyo-Seung Hwang, Seung-Jea Tahk, Joon-Han Shin, Doo-Kyung Kang
Journal of Cardiovascular Ultrasound.2008; 16(1): 17. CrossRef

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A Study on Fluid Intake and Output Measurements: Smi Choi-Kwon, Young Hee Yang, Yun Jung; Journal of Nurses Academic Society 1995;25(1):88-98. Published online March 30, 2017; DOI: https://doi.org/10.4040/jnas.1995.25.1.88

Abstract PDF

The Fluid and electrolytes balance in the body is of critical importance in maintaining good health. When the fluid and electrolyte imbalance is present, patients are in great danger. They must be assessed immediately by a nurse so that appropriate treatment can be started as soon as possible. Patients' fluid intake and output records contain highly important information for the diagnosis and treatment of fluid imbalance, but, these records are often inaccurate and the method of recording the fluid intake is not universial for every hospital. Because they are few quantitative measurements of a patient's hydration, the need to improve the accuracy of fluid intake records is very important. However, very few studies have been done to investigate the accuracy of measurements of patients' fluid intake and output. The purpose of this study was to investigate the methods used for calculation of fluid intake which is most similar to fluid output in normal adults and hospitalized patients. This study focused on three different calculation methods for fluid intake and compared these to fluid output and developed suggestions as to the ideal way to record fluid intake. Data for 43 hospitalized patients and 37 normal adults were analyzed. The findings of this study are as follows; 1) In normal adults, the daily intake of water which enteres by the oral route was 2415ml(the first method of calculation). The daily intake of water in the form of pure water or some other beverage was 1365ml(the third method of calculation). The daily intake of water including fresh fruits and vegetables, rice, porridges, and Me urn which have water content more than 80% were 2186ml (the second method of calculation). 2) The urine output of the normal adults was 1350ml. This apprroximates the amount of fluid an adult takes in the form of pure water. 3) In patient group, the total intake of water was 2550ml(the first method of calculation). The intake of water in the form of pure water or as some other beverage and IV fluid was 1661ml (the third method of calculation). The daily intake of water including foods which have high water content was 2356ml (the second method of calculation). 4) The urine output of the patient's group was 1728ml. This approximates the amount of fluid an adult takes in the form of pure water. 5) Investigation of the method of calculation of the patient fluid intake showed that among the 31 hospitals studied, only eight use the third method of calculation which reflects the most close value to urine output. From the results obtained in this study, it was indicated that the amount of fluid taken in the form of pure water reflects the most close value to urine output. Therefore, it can be suggested that the third method of calculation which includes water intake only in the form of pure water or beverage should be used as patients' fluid intake record.

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Measuring Fluid Balance in Patients with Cancers: Comparison between Cumulative Intake and Output Records and Body Weight Change
Jin Hong Lee, Hee Jung Park, Jeong Hwa Kim, Eun-Young Suh
Journal of Korean Oncology Nursing.2011; 11(3): 247. CrossRef

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