Journal of Korean Academy of Nursing

Sun Hee Lee

4 Articles

Characteristics of Aerobic Exercise as Determinants of Blood Pressure Control in Hypertensive Patients: A Systematic Review and Meta-Analysis: Sun Hee Lee, Young Ran Chae; J Korean Acad Nurs 2020;50(6):740-756. Published online December 31, 2020; DOI: https://doi.org/10.4040/jkan.20169

Purpose
The purpose of this study was to evaluate the effect on blood pressure (BP) and heart rate (HR) according to aerobic exercise characteristics in adults with hypertension using a systematic review and meta-analysis.
Methods
The related researches were selected from PubMed, EMBASE, Cochrane library, CINAHL, PsycINFO, SPORTDiscus and 5 domestic databases up to September 4, 2019. To estimate the effect size, random effect models were used to derive weighted mean differences (WMD) and their 95% confidence intervals (CI) of aerobic exercise on BP and HR.
Results
A total of 37 RCTs with 1,813 samples were included. Aerobic exercise was found to significantly reduce systolic BP (WMD, - 8.29 mmHg; 95% CI, - 10.12 to - 6.46), diastolic BP (WMD, - 5.19 mmHg; 95% CI, - 6.24 to - 4.14) and HR (WMD, - 4.22 beats/min; 95% CI, - 5.36 to –3.09). In detail, systolic BP and diastolic BP were significantly decreased in all groups of exercise types, frequency and duration. Systolic BP and diastolic BP were significantly decreased in the moderate and vigorous-intensity group. Exercise characteristics with the most dramatical change in systolic BP were water-based training, moderate-intensity, 3 times a week and 8 to 11 weeks of duration. In diastolic BP, the greatest effect size was over 24 weeks of exercise.
Conclusion
Moderate aerobic exercise, especially water-based exercise can be an important part of lifestyle modification for hypertensive patients. Also, it can be recommended in a variety of clinical settings for lowering BP and HR. However, there is insufficient evidence that low-intensity exercise is effective in lowering BP.

Citations

Citations to this article as recorded by

Thermogenic supplement attenuates post-exercise hypotension after aerobic exercise in normotensive young adults without affecting heart rate variability
Douglas Cavalcante Silva, Reabias de Andrade Pereira, Gustavo da Silva Félix, Marizângela Ferreira de Souza, Glêbia Alexa Cardoso, George Celso Souza Côrtes de Araújo, Marcos Antonio Pereira dos Santos, Alexandre Sérgio Silva
Sport Sciences for Health.2025;[Epub] CrossRef
Effect of exercise based on ACSM recommendations on blood pressure and heart rate in hypertensive patients: A systematic review and meta-analysis of randomized controlled trials
Jiu Chen, Wenlai Cui, Jun Xie, Ratko Peric
PLOS Global Public Health.2024; 4(12): e0003743. CrossRef
Physical Activity Intensity and Risk of Dementia
Angelique G. Brellenthin, Duck-chul Lee, Elizabeth C. Lefferts, Wesley K. Lefferts, Ryan J. Dougherty, Youngwon Kim
American Journal of Preventive Medicine.2024; 66(6): 948. CrossRef
Effects of aerobic exercise on blood pressure in patients with hypertension: a systematic review and dose-response meta-analysis of randomized trials
Bahareh Jabbarzadeh Ganjeh, Sheida Zeraattalab-Motlagh, Ahmad Jayedi, Mojtaba Daneshvar, Zahra Gohari, Reyhane Norouziasl, Shadi Ghaemi, Maryam Selk-Ghaffari, Navid Moghadam, Ramin Kordi, Sakineh Shab-Bidar
Hypertension Research.2024; 47(2): 385. CrossRef
The Western and Chinese exercise training for blood pressure reduction among hypertensive patients: An overview of systematic reviews
Kelvin Tsoi, Amy Lam, Joshua Tran, Ziyu Hao, Karen Yiu, Yook‐Chin Chia, Yuda Turana, Saulat Siddique, Yuqing Zhang, Hao‐Min Cheng, Ji‐Guang Wang, Kazuomi Kario
The Journal of Clinical Hypertension.2024; 26(12): 1327. CrossRef
Does regular exercise help significantly reduce blood pressure in adults diagnosed with hypertension within the general population?
Jesse Schmidt, Nikhil Vatti, Nicole Tenegra
Evidence-Based Practice.2023; 26(3): 25. CrossRef
Physical Activity and Hypertension
Peter Hayes, Alexandra Ferrara, Aoife Keating, Kathryn McKnight, Andrew O'Regan
Reviews in Cardiovascular Medicine.2022;[Epub] CrossRef

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Development of an Instrument to Assess the Quality of Childbirth Care from the Mother's Perspective: Geum Hee Jeong, Hyun Kyoung Kim, Young Hee Kim, Sun-Hee Kim, Sun Hee Lee, Kyung Won Kim; J Korean Acad Nurs 2018;48(1):38-49. Published online January 15, 2018; DOI: https://doi.org/10.4040/jkan.2018.48.1.38

Abstract PDF

Abstract Purpose

This study aimed to develop an instrument to assess the quality of childbirth care from the perspective of a mother after delivery.

Methods

The instrument was developed from a literature review, interviews, and item validation. Thirty-eight items were compiled for the instrument. The data for validity and reliability testing were collected using a questionnaire survey conducted on 270 women who had undergone normal vaginal delivery in Korea and analyzed with descriptive statistics, exploratory factor analysis, and reliability coefficients.

Results

The exploratory factor analysis reduced the number of items in the instrument to 28 items that were factored into four subscales: family-centered care, personal care, emotional empowerment, and information provision. With respect to convergence validation, there was positive correlation between this instrument and birth satisfaction scale (r=.34, p<.001). The internal consistency reliability was acceptable (Cronbach's alpha =.96).

Conclusion

This instrument could be used as a measure of the quality of nursing care for women who have a normal vaginal delivery.

Citations

Citations to this article as recorded by

Effect of a continuity of midwifery care model that used a respectful maternal care framework in Korea: a non-randomized study
Geumhee Jeong, Hyun Kyoung Kim, Uri Bang
Frontiers in Public Health.2025;[Epub] CrossRef
Maternal Health Effects of Internet-Based Education Interventions during the Postpartum Period: A Systematic Review
Jung Mi Chae, Hyun Kyoung Kim
Journal of Korean Academy of Community Health Nursing.2021; 32(1): 116. CrossRef
Internet-based prenatal interventions for maternal health among pregnant women: A systematic review and meta-analysis
JungMi Chae, Hyun Kyoung Kim
Children and Youth Services Review.2021; 127: 106079. CrossRef
Development and Evaluation of Prenatal Education for Environmental Health Behavior Using Cartoon Comics
Hyun Kyoung Kim, Hee Kyung Kim, Mirim Kim, Seohwa Park
Journal of Korean Academy of Nursing.2021; 51(4): 478. CrossRef
Development and Effect of Nurse-Centered Doula Support Program for Mothers with Natural Childbirth: PILOT TEST
Jimi Park, Ho Ran Park
Journal of The Korean Society of Maternal and Child Health.2019; 23(4): 269. CrossRef
Comparison of the Quality of Nursing Care as Perceived by Pediatric Nurses and Mothers of Hospitalized Children
So Yeon Yoo, Yae Young Kim, Haeryun Cho
Child Health Nursing Research.2018; 24(4): 373. CrossRef

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The Physical Restraint Use in Hospital Nursing Situation: Ki Sook Kim, Jin Hee Kim, Sun Hee Lee, Hye Kyoung Cha, Su Jeong Shin, Sung Ai Chi; Journal of Korean Academy of Nursing 2000;30(1):60-71. Published online March 29, 2017; DOI: https://doi.org/10.4040/jkan.2000.30.1.60

Abstract PDF

This research is a field investigation to collect basic information about the safe and efficient use of physical restraint in hospitals and for the ultimate minimization of restraint use. The objects of this study were sixty-four patients. They were restrained physically. Add their 32 family members, 24 nurses of two university hospitals in Seoul were also involved in the study. From April 16, to May 27, 1999. Research data were collected throughout the observation and interview process. Also, the data was analyzed using frequencies and field study notes that were invented by researchers.
Results
of this study were as follows: 1. According to the sex and age distinction; male's restraint use was 75%, female's was 25% and pre-schoolage children 39.1%, middle age 26.5%, and senior citizens 20.3%. According to the disease distinction; neuro-system was 35.9%, respiratory system was 21.9%. In the Ward, 40.6% of ICU patients were restrained and 39.0% of pediatric ward children were also to restraint. 70.3% of patients were restrained under 5days, while 10.9% were restrained 10days. 2. Types of physical restraints were wrist restraint (45.21%), arm board (35.62%), leg restraint (8.22%), chest restraint (6.85%), elbow restraint (2.74%) and mitten restraint (1.37%). 3. The percentage was 3.5%, which was in 64 restrained out of 1828 hospitalized people. At 1st investigation, the ratio was 3.5%, the 2nd was 3.0% and the 3rd was 3.9%. 4. The reasons of using the physical restraint were 'to protect implements' (72.84%), 'to protect patients' (18.52%), 'to protect an operative site' (8.64%). 5. The result of the patients; family and nurses' response analysis was: 'It seems to be safe', 'It uses properly', 'It is convenient for relatives and nurses', 'It is helpful to treatment', 'Objective think it is not restraint' were 79.9%. 'It is discomfort and stuffy', 'The implement is ineffective' were 21.1%. However in interview of the patients who can do verbally communication, 6 of 7 was responded that 'It is stuffy and uncomfortable'. 6. When restraint is used, the main decision is usually made by the nurses 42.2% of the time. The statistics read as thus: nurses and the physician in charge 31.3%, nurses and family 12.5%, physician's order 7.8%, only family 6.2%. Although the record of restraint was only 15.6% so that only 10 cases out of all the 26 ICU patients restrained. This study shows that physical restraints which of infringe independent-right of patients, are used without using criterion, explaining the agreement. Also, subjective decision of physician, nurses, and family make the decision of using restraint. So development of practice manuals and rules for restraint implementation is urgent.

Citations

Citations to this article as recorded by

Use of physical restraints on older adults in South Korean nursing homes: a multicenter study
Eunhee Cho, Deulle Min
Scientific Reports.2024;[Epub] CrossRef
Factors affecting nursing practice of patient physical restraint among nurses
Jihyun Kim, Yaki Yang
Archives of Public Health.2024;[Epub] CrossRef
Factors Influencing Nursing Practice for Physical Restraints among Nurses in the Intensive Care Unit
Da Eun Kim, Hye Sook Min
Journal of Korean Critical Care Nursing.2022; 15(3): 62. CrossRef
Factors related to Use of Physical Restraints for Older Adults with Dementia in Long-term Care Settings
Haejung Lee, Myonghwa Park, Sung-Hwa Lee, Mihyun Lee, Younghye Go, Chun-Gill Kim, Jeong Sun Kim, Kyung Sook Kim, Young Whee Lee, Young Mi Lim, Jun-Ah Song, Young Sun Park, Jong Chul Youn, Ki Woong Kim, Gwi-Ryung Son Hong
Journal of Korean Gerontological Nursing.2019; 21(2): 125. CrossRef
A Study on Caregiver's Perception of Restraints
Hye-kyung Kang
Journal of the Korea Academia-Industrial cooperation Society.2016; 17(5): 452. CrossRef
Families' Perception and Attitude toward Applied Physical Restraints in General Neurological Wards
So-Yeon Ha, Yi-Kyung Ha, Myung-Hee Kim
Journal of the Korea Academia-Industrial cooperation Society.2015; 16(5): 3293. CrossRef
Types of Physical Restraint Experience in Mentally Ill Persons: Q Methodological Approach
Hee Sung Ko, Yang Sook Hah
Journal of Korean Academy of Psychiatric and Mental Health Nursing.2012; 21(1): 30. CrossRef
Effects of an Educational Program for the Reduction of Physical Restraint Use by Caregivers in Geriatric Hospitals
Keumbong Choi, Jinsun Kim
Journal of Korean Academy of Nursing.2009; 39(6): 769. CrossRef
Development and Testing of an Instrument to Measure Family's Emotional Response toward Physically Restrained Patients
Eun-Nam Lee, Su-Jin Ha, Ji-Yeon Kang
Journal of Korean Academy of Nursing.2008; 38(4): 629. CrossRef

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