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Development and Psychometric Evaluation of the Ischemic Stroke Distress Scale (ISDS)
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Jaejin Kang, Yang-Sook Yoo
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J Korean Acad Nurs 2023;53(1):12-27. Published online February 28, 2023
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DOI: https://doi.org/10.4040/jkan.22090
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This study aimed to develop a scale to measure distress in patients with ischemic stroke and verify its validity and reliability. Methods Preliminary items were developed from literature review and in-depth interviews. The final preliminary scale was confirmed through a content validity test of eight experts and a preliminary survey of 10 stroke patients. The participants for psychometric testing were 305 stroke patients in the outpatient clinic. Validity and reliability analyses included item analysis, exploratory and confirmatory factor analysis, convergent validity, known-group validity, and internal consistency of the scale. Results The final scale consisted of 17 items and 3 factors. The three distinct factors were ‘self-deprecation, worry about future health, and withdrawal from society’ and this structure was validated using a confirmatory factor analysis. Convergent validity was supported by comparison with the Center for Epidemiologic Studies Depression Scale (r = .54, p < .001) and Brief Illness Perception Questionnaire (r = .67, p < .001). Known-groups validity was verified by dividing groups according to ‘duration since diagnosis’ (t = 2.65, p = .009), ‘presence of sequela’ (t = 10.16, p < .001), and ‘awareness of distress’ (t = 12.09, p < .001). The internal consistency of the scale using Cronbach’s α for the total items was .93. Conclusion The Ischemic Stroke Distress Scale is a valid and reliable tool that reflects stroke distress effectively. It is expected to be used as a basic tool to develop various intervention strategies to reduce distress in ischemic stroke patients.
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Effects of the Advanced Practice Nurse-Led Psychoeducational Program for Colorectal Cancer Survivors
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Hye Kyung Kim, Yang-Sook Yoo
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J Korean Acad Nurs 2022;52(3):245-260. Published online June 30, 2022
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DOI: https://doi.org/10.4040/jkan.21207
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Abstract
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- Purpose
This study aimed to investigate the effects of an advanced practice nurse-led psychoeducational program on distress, anxiety, depression, coping with cancer (CWC), health promotion behavior (HPB), and quality of life (QOL) among colorectal cancer survivors. Methods This study was designed as a quasi-experimental study with a non-equivalent control group pretest-posttest. The participants were survivors of colorectal cancer who underwent follow-up care. There were 39 survivors: 19 in the experimental group and 20 in the control group. The experimental group performed a psychoeducational program for 120 minutes per session, once a week for a total of six weeks, while the control group received routine education and counseling. Distress, anxiety, depression, CWC, HPB, and QOL were investigated before, immediately after, and 4 weeks after the intervention. The data were analyzed with SPSS/WIN ver. 24.0, using repeated measures ANOVA. Results There were significant interactions between time and group for distress and anxiety. In addition, CWC interacted with the total of CWC and interpersonal coping, and QOL interacted with the total of QOL and functional status. However, there were no significant differences in the depression or HPB scores. Conclusion Based on the results of this study, we expect that this program can be used as an effective intervention for colorectal cancer survivors.
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Kisook Kim, Hyohyeon Yoon Journal of Cancer Survivorship.2025; 19(2): 713. CrossRef - Elevating Elderly Cancer Care: A Systematic Review of Advanced Practice Nursing’s Role in Senior Oncology Patients’ Quality of Life
Cristian-David Useche-Guerrero, María-de-los-Ángeles Merino-Godoy, Eva-María Barroso-Márquez, Emilia Isabel Martins Teixeira da Costa, Rafaela Camacho Bejarano, Francisco-Javier Gago-Valiente, Rizal Angelo Grande Journal of Nursing Management.2024;[Epub] CrossRef - Effects of Psycho-education Interventions on Colorectal Cancer Patients: A systematic review and meta-analysis
XiaoYing Zhang, HuangQin Liu, LiYing Lin, Huimin Xiao Journal of Cancer Education.2023; 38(5): 1413. CrossRef - How should the healthcare system support cancer survivors? Survivors’ and health professionals’ expectations and perception on comprehensive cancer survivorship care in Korea: a qualitative study
Su Jung Lee, Dal-Lae Jin, Young Ae Kim, Hyun-Ju Seo, Seok-Jun Yoon BMC Cancer.2023;[Epub] CrossRef - Cancer Survivorship Care and Roles of Oncology Nurses
Eun Young Park Asian Oncology Nursing.2022; 22(3): 121. CrossRef
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Life Experience of Patients suffering from Crohn's Disease
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Yang-Sook Yoo, Eun-Ju Lee, Ok-Hee Cho
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J Korean Acad Nurs 2013;43(3):409-419. Published online June 28, 2013
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DOI: https://doi.org/10.4040/jkan.2013.43.3.409
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Abstract
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Purpose
The purpose of this study was to describe and explore the experience process of life of patients with Crohn's disease.
Methods
Using a grounded theory methodology, 24 interviews were performed with 7 men and 5 women, 17-47 years of age, suffering from Crohn's disease.
Results
'Tuning of two conflicting lives' was identified as the core category, and 5 subcategories were identified and they were integrated into the core category. The identified outcomes were 'Living a withdrawn life', 'coping flexibly', 'drifting with tangled emotions' and 'maintaining long-term remission'.
Conclusion
When caring for these patients, it is important to identify needs, allow patients to express what they want at that moment and support them in maintaining a daily life that can be perceived as normal.
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Citations
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- Regaining normality: A grounded theory study of the illness experiences of Chinese patients living with Crohn’s disease
Jiayin Ruan, Yunxian Zhou International Journal of Nursing Studies.2019; 93: 87. CrossRef
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Depression and Risk Factors in Patients with Crohn's Disease
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Ok-Hee Cho, Yang-Sook Yoo, Suk-Kyun Yang
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J Korean Acad Nurs 2012;42(2):207-216. Published online April 30, 2012
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DOI: https://doi.org/10.4040/jkan.2012.42.2.207
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Abstract
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Purpose
This study was conducted to determine the risk factors among patients with depression with Crohn's disease.
Methods
Data were collected by questionnaire from 276 patients who were diagnosed with Crohn's disease at a tertiary hospital located in Seoul. Measurements included patients' demographic characteristics, clinical characteristics, depression level, and health-related quality of life. Data were analyzed using t-test, χ2-test, Wilcoxon rank sum test, and logistic regression analyses.
Results
The incidence rate of depression (BDI-II≥14scores) was 31.9% (n=88). Univariate analysis revealed that being a woman, school graduation status, economic status (low), BMI(<18.5Kg/m2), disease duration (≥3 years), CDAI (≥150 scores), frequency of hospital admission (≥2), extra-intestinal manifestation (arthralgia, stomatitis), administration of 5-aminosalicylic acid, and disease related quality of life (SIBDQ<50 scores) were associated with depression. Multivariate analysis revealed that economic status (low), school graduation status, and quality of life (SIBDQ<50 scores) were more likely to report high level of depression.
Conclusion
Future research should consider managing depression as an essential component of comprehensive care for patients with Crohn's disease. In addition, further research is needed to develop strategies to better improve quality of life among patients with Crohn's disease who are depressed.
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Jessica L Sheehan, Ariel A Jordan, Kira L Newman, Laura A Johnson, Dala Eloubeidi, Shirley Cohen-Mekelburg, Jeffrey A Berinstein, Renuka Tipirneni, Peter D R Higgins Inflammatory Bowel Diseases.2024; 30(10): 1696. CrossRef - Prevalence of symptoms of anxiety and depression in patients with inflammatory bowel disease: a systematic review and meta-analysis
Brigida Barberio, Mohammad Zamani, Christopher J Black, Edoardo V Savarino, Alexander C Ford The Lancet Gastroenterology & Hepatology.2021; 6(5): 359. CrossRef - Prevalence of Anxiety and Depression in Inflammatory Bowel Disease: Systematic Review and Meta-Analysis
Brigida Barberio, Mohammad Zamani, Christopher J. Black, Edoardo V. Savarino, Alexander Ford SSRN Electronic Journal .2020;[Epub] CrossRef - Depression, Anxiety, Related Risk Factors and Cognitive Distortion in Korean Patients with Inflammatory Bowel Disease
Jun Ho Song, Jong Woo Kim, Chi Hyuk Oh, Hyo Jong Kim, Chang Kyun Lee, Won Sub Kang Psychiatry Investigation.2020; 17(11): 1126. CrossRef - A Model of the Quality of Life in Patients with Crohn’s Disease
Shin Ae Lee Journal of Korean Academy of Fundamentals of Nursing.2020; 27(4): 333. CrossRef - Is the Chinese medicinal formula Guipi Decoction (归脾汤) effective as an adjunctive treatment for depression? A meta-analysis of randomized controlled trials
Chen-xia Sheng, Ze-qi Chen, Han-jin Cui, A-li Yang, Cong Wang, Zhe Wang, Nan-xiang Su, Tao Tang Chinese Journal of Integrative Medicine.2017; 23(5): 386. CrossRef - Determinants of Healthcare Utilization Among Veterans with Inflammatory Bowel Disease
Mimi C. Tan, Hashem B. El-Serag, Jason K. Hou Digestive Diseases and Sciences.2017; 62(3): 607. CrossRef - The Mental Health State of Quiescent Inflammatory Bowel Disease Patients
Sung Chul Park, Yoon Tae Jeen Gut and Liver.2016;[Epub] CrossRef - Factors Associated with Anxiety and Depression in Korean Patients with Inactive Inflammatory Bowel Disease
Min Chul Kim, Yoon Suk Jung, Young Seok Song, Jung In Lee, Jung Ho Park, Chong Il Sohn, Kyu Yong Choi, Dong Il Park Gut and Liver.2016;[Epub] CrossRef - The Mediating Effect of Resilience on Depression and Rehabilitation Motivation in Stroke Patients
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Young Jin Lee, Eui Geum Oh Korean Journal of Adult Nursing.2014; 26(4): 383. CrossRef - Factors related to Quality of Life of Patients with Ulcerative Colitis
Yang-Sook Yoo, Miyoung Chung, Ok-Hee Cho Korean Journal of Adult Nursing.2014; 26(2): 129. CrossRef - Psychiatric co-morbidities in Crohn's disease: an often overlooked aspect
Shailendra Kapoor Revista da Associação Médica Brasileira.2013; 59(2): 100. CrossRef - Psychiatric co-morbidities in Crohn's disease: an often overlooked aspect
Shailendra Kapoor Revista da Associação Médica Brasileira (English Edition).2013; 59(2): 100. CrossRef
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Development and Evaluation of 「Hospice Smart Patient」 Service Program
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Chai-Soon Park, Yang-Sook Yoo, Dong-Won Choi, Hyun-Jeong Park, Ji-In Kim
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J Korean Acad Nurs 2011;41(1):9-17. Published online February 28, 2011
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DOI: https://doi.org/10.4040/jkan.2011.41.1.9
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Abstract
PDF
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Purpose
The purpose of this study was to develop and implement the Hospice Smart Patient Program and to evaluate its effectiveness.
Methods
It was quasi-experimental non-equivalent pre-post study. Breast cancer patients who underwent surgery, chemotherapy or radiotherapy, or who needed palliative care, participated in the study. Participants were divided into two groups, experimental and control groups based on their preferences. The program was developed after literature review and discussion among experts on hospice and palliative care. Participants who were in the experimental group received either face-to-face or phone 「Hospice Smart Patient」 Service at least once a week for 5 months.
Results
There was a significant difference in quality of life and communication skill between the two groups after the service was provided. In addition, participants in experimental group showed improved decision making skills, mastery sense, and understanding of hospice and palliative care, which would be beneficial in improving their quality of life.
Conclusion
We have concluded that the 「Hospice Smart Patient」 Program is useful for cancer patients in decision making, improving self-control and choosing hospice care to improve their quality of life.
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Effects of Aromatherapy on Changes in the Autonomic Nervous System, Aortic Pulse Wave Velocity and Aortic Augmentation Index in Patients with Essential Hypertension
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Jung-Hee Cha, Sun-Hee Lee, Yang-Sook Yoo
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J Korean Acad Nurs 2010;40(5):705-713. Published online October 31, 2010
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DOI: https://doi.org/10.4040/jkan.2010.40.5.705
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Abstract
PDF
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Purpose
To investigate the effectiveness of aromatherapy on blood pressure, heart rate variability, aortic pulse wave velocity and the aortic augmentation index of essential hypertensive patients.
Methods
Using a coin toss, 22 participants were assigned to the experimental group and 20 to the control. The experimental group was given a blend of oils of lemon (Citrus limonum), lavender (Lavandula angustifolia), and ylang ylang (Cananga odorata) which were prepared in the ratio of 2:2:1, respectively. The control group was given an artificial lemon fragrance of Limonene (35 cc) and Citral (15 cc) mixture. The experiment, inhalation, was conducted for 3 weeks (2 min per inhalation, 2 times per day) to both groups.
Results
There was a noticeable difference in systolic blood pressure between the groups (p=.001), however the difference in diastolic blood pressure between the two groups was not significant. There was a notable difference in sympathetic nerve system activity of heart rate variability (p=.047). However, the differences in aortic pulse wave velocity or the aortic augmentation index were not significant.
Conclusion
Aromatherapy is effective in lowering systolic blood pressure
and sympathetic nerve system activity.
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