Journal of Korean Academy of Nursing

Research Papers

Effects of social support on organizational commitment among experienced nurses experiencing department rotation: the mediating effect of organizational socialization: Young Jun Jang, Jeong A Jeong, Yu Seung Ban, Seon Hwa Park, Eun Jee Lee; J Korean Acad Nurs 2025;55(3):364-376. Published online August 18, 2025; DOI: https://doi.org/10.4040/jkan.25042

Purpose
This study explored the mediating role of organizational socialization in the relationship between social support and organizational commitment among nurses in hospitals who had experienced department rotation.
Methods
A descriptive survey design was used with 202 nurses from a tertiary hospital who had experienced department rotation within the past 12 months. Data were collected via an online questionnaire from August 1 to August 30, 2024. Analyses included frequency analysis, descriptive statistics, Pearson correlation, and multiple regression. The mediating effect was tested using IBM SPSS WIN ver. 23.0 and the PROCESS macro (model 4) with 10,000 bootstrap resamples.
Results
Organizational socialization partially mediated the relationship between social support and organizational commitment (B=.21; bootstrapped 95% confidence interval, 0.12–0.32).
Conclusion
The findings suggest that both social support and organizational socialization play essential roles in improving nurses’ organizational commitment following department rotation. Thus, practical programs, such as mentoring systems, should be implemented that both enhance social support and actively promote organizational socialization. These efforts have the potential to help nurses adjust more effectively to new units and ultimately improve retention and performance within healthcare organizations.

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The Effects of Nurses’ Dispatch Work Characteristics on Job Embeddedness, Organizational Commitment, and Turnover Intention
Eejee Jung, Gunjeong Lee
Journal of Korean Academy of Nursing Administration.2025; 31(5): 560. CrossRef
Nurses' Experience Working with Substitute Nurses
Hye Mi Kim, Yeon Hee Kim, Jeong Hye Kim
Journal of Korean Association for Qualitative Research.2025; 10(3): 208. CrossRef

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Serial mediation effects of social support and antepartum depression on the relationship between fetal attachment and anxiety in high-risk pregnant couples of South Korea: Mihyeon Park, Sukhee Ahn; J Korean Acad Nurs 2025;55(1):19-33. Published online February 4, 2025; DOI: https://doi.org/10.4040/jkan.24070

Abstract PDF ePub: Purpose
This study examined the direct effects of fetal attachment, social support, and antepartum depression on anxiety in pregnant women with high-risk pregnancy-related conditions and their husbands. Furthermore, it aimed to explore the serial mediation effects of social support and antepartum depression in the relationship between fetal attachment and anxiety.
Methods
A survey-based study was conducted among pregnant women diagnosed with high-risk pregnancy conditions at 24–32 weeks and their husbands, recruited from a pregnant women’s online community between January 20, 2021 and July 20, 2022. Data were collected from 294 individuals (147 couples) using self-report questionnaires. Correlations between variables were analyzed using the IBM SPSS software ver. 26.0 (IBM Corp.), and the mediation effects were assessed using the PROCESS macro, model 6.
Results
In the maternal model, maternal-fetal attachment directly affected anxiety (p=.005), with antepartum depression partially mediating this relationship (95% confidence interval [CI], –0.26 to –0.01). In the paternal model, paternal-fetal attachment had no direct effect on anxiety (p=.458). However, social support and antepartum depression fully mediated the relationship between paternal-fetal attachment and anxiety (95% CI, –0.14 to –0.03).
Conclusion
The findings indicate that social support in the relationship between fetal attachment and depression in high-risk pregnant women and their partners can have direct or indirect effects on the negative emotions of high-risk pregnant couples. It is necessary to assess the level of anxiety in couples experiencing high-risk pregnancies and provide comprehensive nursing interventions that address fetal attachment, social support, and antepartum depression in order to reduce anxiety.

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Structural Equation Modeling of Health Promotion Behavior on Migrant Workers: A Multi-Group Analysis Based on the Period of Residence: Hanna Jeong, Youngsuk Kim; J Korean Acad Nurs 2024;54(1):73-92. Published online February 29, 2024; DOI: https://doi.org/10.4040/jkan.23101

Abstract PDF

Purpose
This study developed and tested a hypothetical model of health promotion behavior on migrant workers based on the Health Promotion Model and the Health Literacy Skills Framework.
Methods
Data were collected from 298 migrant workers in 9 regions across the country from December 2020 to March 2021. The exogenous variables were e-health literacy, occupational stress, acculturation, and social support. The endogenous variables were perceived benefits of action, self-efficacy, and health promotion behavior. Data were analyzed using SPSS/WIN 25.0, AMOS 20.0, and R-4.0.3 program.
Results
The model fit was appropriate. Social support had the most significant direct impact on the health promotion behavior of migrant workers. Perceived benefits of action and self-efficacy played a mediating role in the relationship among e-health literacy, social support, and health promotion behavior. Based on multi-group analysis, the migrant worker group with less than 5 years of residency had a more statistically significant effect on the relationship between perceived benefits of action and health promotion behavior than those with over 5 years.
Conclusion
Providing social support as a critical administrative strategy to enhance the health promotion behavior of migrant workers is necessary. Furthermore, when developing an intervention program utilizing the internal mechanism between social support and health promotion behavior, a self-efficacy-enhancing strategy is considered to be more effective. Additionally, educating migrant workers with short-term residence of less than 5 years about the benefits of health behaviors is essential.

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Factors influencing cardiovascular health behaviors among Korean-Chinese migrant workers with metabolic syndrome using mixed methods
Yu Zhu Zhang, Seon Young Hwang
Scientific Reports.2025;[Epub] CrossRef
Factors Associated With Physical Activity in Home‐Based Rehabilitation Patients With Ankylosing Spondylitis: A Prospective Longitudinal Study
Heng‐Ying Fang, Ying‐Hua Pan, Yi‐Heng Zhang, Yu‐Hua Deng, Xiao‐Wen Li, Lei Huang, Hui‐Ting Gu, Yue Ding, Xin‐Xin Hu, Mu Liu, Rui‐Chong Wang, MeiFen Zhang
Musculoskeletal Care.2025;[Epub] CrossRef

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A Structural Equation Model on Social Re-Adjustment of Stroke Patients: Based on Roy’s Adaptation Model: Jungmi Kim, Hwasoon Kim; J Korean Acad Nurs 2023;53(4):480-495. Published online August 31, 2023; DOI: https://doi.org/10.4040/jkan.22140

Abstract PDF

Purpose
This study aimed to develop and test a structural equation model on social re-adjustment of individuals with stroke based on a literature review and Roy’s adaptation model.
Methods
This study involved 321 participants who had a stroke and visited the outpatient department after discharge. The hypothetical model was developed based on Roy’s adaptation model and a comprehensive review of previous literature on the topic. The model comprised four exogenous variables (neurological damage, gender [man], age, and social support) and five endogenous variables (activities of daily living, acceptance of disability, depression, rehabilitation motivation, and social re-adjustment). The data were analyzed using SPSS Windows software version 22.0 and AMOS 23.0.
Results
Out of 28 research hypotheses, 18 were supported, and they indicated approximately 64% probability of social re-adjustment. Social re-adjustment is directly and significantly affected by age, social support, activities of daily living, and depression. Social re-adjustment is indirectly affected by neurological impairment, gender (men), age, social support, and rehabilitation motivation.
Conclusion
Continuous assistance and care should be provided for individuals with disabilities caused by sudden neurological damage to facilitate gradual improvement in their social re-adjustment. To enhance social re-adjustment, especially among older adults, newly developed interventions should focus on improving their activities of daily living, preventing depression, and enhancing support from family and healthcare personnel.

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Roy Adaptation Model-Based nursing care improves quality of life for elderly burn patients
Yudan Wang
American Journal of Translational Research.2025; 17(6): 4679. CrossRef
The Effects of Aromatherapy on Stroke Symptoms in Stroke Patients: A Systematic Review and Meta-Analysis
A Reum Lim, Hyun Kyoung Kim
Korean Journal of Adult Nursing.2024; 36(2): 85. CrossRef

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A Predictive Model of Resilience in Mothers of Children with Developmental Disabilities: Youyoung Cho, Hyeonok Kim; J Korean Acad Nurs 2022;52(4):407-420. Published online August 31, 2022; DOI: https://doi.org/10.4040/jkan.21235

Abstract PDF

Purpose
This structural model study was constructed and verified a hypothetical model to examine the effects of parenting stress, social resources, family resources, and positive coping on resilience among mothers of children with developmental disabilities.
Methods
Data were collected using self‐report structured questionnaires, from October 19 to October 30, 2018, with 214 mothers caring for chil-dren with developmental disabilities under the age of 20 years.
Results
In the fitness test results of the hypothesis model, with the fit index χ ² (p) = 69.27 (< .001), and the normed fit indices (χ ² = 1.87, GFI = .94, CFI = .97, NFI = .93, and TLI = .95, RMSEA = .06, SRMR = .06), this study satisfies the good fitness in standards. There are seven statistically significant paths among the 10 paths set in the hypotheti-cal model. The explanatory power of parenting stress and social resources, which affects the family resources was 41.4%, the explanato-ry power of parenting stress, social resources, and family resources affecting the positive coping was 58.9%, and the explanatory power of parenting stress, social resources, family resources, and positive coping affecting resilience was 55.5%.
Conclusion
Positive coping, family resources, and social resources of mothers of children with developmental disabilities directly affect their resilience, and parenting stress indirectly affects it. Therefore, to improve the resilience of mothers of children with developmental disabilities, it is necessary to develop a systematic nursing intervention that considers parenting stress, social resources, family resources, and positive coping.

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ÖZEL GEREKSİNİMLİ ÇOCUK ANNELERİ: MUĞLA-MENTEŞE ÖRNEĞİ
Ebru Açık Turguter
Dokuz Eylül Üniversitesi Edebiyat Fakültesi Dergisi.2025; 12(1): 320. CrossRef
Factors influencing the family management of children with atopic dermatitis: an integrative review
Sunyeob Choi, Hyewon Shin
Child Health Nursing Research.2025; 31(4): 187. CrossRef

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Factors Influencing Nurses’ Performance of Care in COVID-19 Wards: Yoon Sun Kim, Mi-Ae Kim; J Korean Acad Nurs 2021;51(6):678-688. Published online December 31, 2021; DOI: https://doi.org/10.4040/jkan.21131

Abstract PDF

Purpose
The purpose of this study was to identify factors influencing nurses’ performance of care in COVID-19 wards.
Methods
The participants were 132 nurses who worked in COVID-19 wards at three hospitals, and were recruited from April 1 to May 31, 2021. Data were analyzed using descriptive statistics, t-test, ANOVA, and multiple regression analysis with SPSS/WIN 24.0 program.
Results
Nursing performance was significantly and positively correlated with ethical sensitivity (r = .75, p < .001), nursing professionalism (r = .67, p < .001), and social support (r = .67, p < .001). Nursing professionalism was positively correlated with ethical sensitivity (r = .64, p < .001) and social support (r = .55, p < .001). Multiple regression analysis for nursing performance revealed that the most significant factor was ethical sensitivity (β = .47, p < .001). Ethical sensitivity, nursing professionalism, and social support explained 66.0% of total variance in nursing performance.
Conclusion
Ethical sensitiviy, nursing professionalism, and social support significantly influence nurses’ performace of care in COVID-19 wards. It suggests that intervention programs should be directed at improving nurses’ ethical sensitivity, bolstering social support, and enhancing nursing professionalism.

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The Influence of Knowledge on Standard Precautions, Nursing Professionalism, and Organizational Culture for Infection Control on Hospital Nurses’ Performance with Guidelines for Standard Precautions
Jiwon Kim, Hyojung Park
Journal of Korean Academy of Fundamentals of Nursing.2023; 30(2): 225. CrossRef
Factors Affecting the Infection Control Practices of Nurses at University Hospitals
Mi Hyang Lee, Sun Hwa Jun
Healthcare.2022; 10(8): 1517. CrossRef
Factors Influencing the Anxiety of Nursing Students in Clinical Practice during the COVID-19 Pandemic
Gun Ja Jang, Shin Jeong Park, Sangjin Ko
Journal of Health Informatics and Statistics.2022; 47(4): 363. CrossRef
Factors Influencing Post-traumatic Growth of Nurses at Nationally Designated Infectious Disease Hospital
Ji Eun Oh, Ju Young Park
Journal of Korean Academy of Nursing Administration.2022; 28(5): 499. CrossRef

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The Influence of Family Function on Occupational Attitude of Chinese Nursing Students in the Probation Period: The Moderation Effect of Social Support: J Korean Acad Nurs 2021;51(6):746-757. Published online December 31, 2021; DOI: https://doi.org/10.4040/jkan.21103

Abstract PDF

Purpose
The purpose of this study was to explore the factors influencing the occupational attitudes of nursing students in the probation period.
Methods
Nursing students in the probation period from five hospitals completed an anonymous survey. The instruments included the nursing occupational attitude scale, family adaptability, partnership, growth, affection, and resolve index, and perceived social support scale. The study examined the moderation model between family function, perceived social support, and occupational attitudes using PROCESS 3.2.
Results
For nursing students, when social support was low, family function had a significant positive impact on occupational attitudes and intentions, and the effect was much higher than that of perceived social support.
Conclusion
Family function has a significant positive explanatory effect on attitude and intention (β = .13, p < .001 and β = .12, p < .001); the interaction term between family function and perceived social support are significant (β = .01, p < .001 and β = .01, p < .001). Perceived social support has a significant moderating effect on the relationship between family function and occupational attitudes of nursing students in the probation period. Family function has a significant difference in the occupational attitudes and intentions of nursing students with low perceived social support. Nursing students perceive social support in the probation period has a significant moderation effect in the relationship between their family function and occupational attitudes. Interns with low family function should be given more social support to improve their occupational attitudes.

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Self-disclosure, perceived social support, and reproductive concerns among young male cancer patients in China: A mediating model analysis
Lihua Wu, Xingyu Chen, Tingting Dong, Wei Yan, Linying Wang, Wanling Li
Asia-Pacific Journal of Oncology Nursing.2024; 11(7): 100503. CrossRef
Moderating role of family functioning and resource support in the relationship between career calling and academic burnout among Chinese medical students during the controlled COVID-19 pandemic: a cross-sectional study
Jia-Jun He, Zi-Jiao Wang, Xiao-Ning Liu, Yan-Ping Wang, Chen-Xi Zhao, Feng Lu, Shu-E Zhang, De-Pin Cao
Annals of Medicine.2023;[Epub] CrossRef
Influence of family function on social anxiety among Chinese nursing students: The mediating role of alexithymia
Yuying Chu, Yuqiang Zhang, Dan Yang, Suyan Wang, Chunguang Liang, Xue Wang, Hongliang Dai
Nursing Open.2023; 10(3): 1356. CrossRef
The association between academic stress, social support, and self-regulatory fatigue among nursing students: a cross-sectional study based on a structural equation modelling approach
Zhang Yuhuan, Zheng Pengyue, Chen Dong, Niu Qichao, Pang Dong, Song Anqi, Jiang Hongbo, Di Zhixin
BMC Medical Education.2022;[Epub] CrossRef

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Factors Influencing Health Behavior Compliance in Adult Moyamoya Patients: Bo Eun Kim, Ju-Eun Song; J Korean Acad Nurs 2021;51(1):80-91. Published online February 28, 2021; DOI: https://doi.org/10.4040/jkan.20222

Abstract PDF

Purpose
The purpose of this study was to identify factors influencing health behavior compliance in adult patients with moyamoya.
Methods
A descriptive correlation study was conducted to investigate the factors influencing health behavior compliance. Participants were 142 adult patients diagnosed with moyamoya disease who were hospitalized or visited an outpatient clinic in the Gyeonggi province. Data were collected from December 16, 2019 to April 14, 2020 using self-report questionnaires and analyzed using the IBM SPSS 26.0 Win software.
Results
The hierarchical multiple regression analysis demonstrated that self-efficacy (β = .60, p < .001), social support (β = .13, p = .032), and age (β = .21, p = .005) affected the health behavior of adults with moyamoya disease. These 3 variables explained 62.0% of the variance of health behavior compliance, and the most influential factor was self-efficacy.
Conclusion
Based on the results of this study, it concludes that nursing interventions should be focused on self-efficacy and social support to improve health behavior compliance with adult patients diagnosed with moyamoya disease. For that, various strategies to enhance self-efficacy and social support should be developed and actively applied in the clinical setting for adult moyamoya patients.

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Predictors of self-care performance in patients with unruptured intracranial aneurysms
Hae-Na Woo, Yong-Cheol Lim, Joo Hee Lee, Sun Hyoung Bae
Scientific Reports.2024;[Epub] CrossRef

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Actor and Partner Effects of Couple’s Daily Stress and Dyadic Coping on Marital Satisfaction: Su Kyung Won, Kyoung Ok Seol; J Korean Acad Nurs 2020;50(6):813-821. Published online December 31, 2020; DOI: https://doi.org/10.4040/jkan.20162

Abstract PDF

Purpose
This study aimed to identify the actor and partner effects of daily stress and dyadic coping on marital satisfaction using the Actor-Partner Interdependence Mediational Model (APIeM).
Methods
Participants were 314 couples who met the study’s eligibility criteria. Data were collected from March to April 2016 through apartment and cooperative company communities in Seoul. Two APIeMs of positive and negative dyadic coping were analyzed using SPSS 20.0 and Mplus 7.4. All measures were self-administered.
Results
Daily stress and positive and negative dyadic coping in both spouses had direct actor effects on their marital satisfaction. Daily stress in both spouses had an indirect actor effect on marital satisfaction through their positive and negative dyadic coping. The husband’s daily stress had an indirect partner effect on the wife’s marital satisfaction through his positive dyadic coping, while the wife’s positive dyadic coping had a direct partner effect on the husband’s marital satisfaction. The husband’s daily stress had an indirect partner effect on the wife’s marital satisfaction through his negative dyadic coping, while the wife’s negative dyadic coping had a direct partner effect on the husband’s marital satisfaction.
Conclusion
Dyadic coping is an effective way to deal with couple’s daily hassles as it increase their satisfaction in marriage.

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Analysis of risk factors for co-morbid anxiety and depression in pregnant women
Wei Zhang, Ling Li, Xiabidan Tuxunjiang, Bahedana Sailike, Xiaoting Wang, Weicui Meng, Sufeila Shalayiding, Ting Jiang
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Shiqiong Yan, Wenzhuo Fan, Yonghong Ma, Sijia Xie, Rong Li, Yao Lan, Linli Xie, Jie Jing
International Journal of Women's Health.2024; Volume 16: 1009. CrossRef
Spouse Burnout and Marriage Satisfaction in Married Individuals: The Mediating Role of Psychologıcal Well-being
Bülent Şen, Nergüz Bulut Serin, Kadriye Karagülmez
Batı Anadolu Eğitim Bilimleri Dergisi.2024; 15(2): 1266. CrossRef
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Mengjie Liu, Yu Fang, Mengshi Liu, Min Wu, Jingshuo Zhang, Tianchen Niu, Xiaoman Zhang
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수산나 주, 미선 강, 인혜 정, 서진 조
Journal of Family Relations.2023; 28(1): 33. CrossRef
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Zhiguang Fan, Hanwei Wu, Min Tao, Lei Chen
Frontiers in Public Health.2022;[Epub] CrossRef
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Lian Xiong, Caihua Zhou, Liangshi Yan, Pan Zhao, Mengting Deng, Yan Hu
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Predictive Model for Quality of Life of the Older Men Living Alone: Su Jin Kim, Gyeong-Suk Jeon; J Korean Acad Nurs 2020;50(6):799-812. Published online December 31, 2020; DOI: https://doi.org/10.4040/jkan.20087

Abstract PDF

Purpose
This study aimed to construct and test a predictive model that explains and predicts the quality of life in older men living alone.
Methods
A self-report questionnaire was used to collect data from 334 older adult men living along aged 65 years or over living in Jeollanam-do provinces. The endogenous variables were depression, self-rated health, instrumental activity of daily life, health promotion behaviors, the number of social participation activities and quality of life. Data were analyzed using the SPSS 21.0 and AMOS 21.0 programs.
Results
The final model with 14 of the 8 analysed paths showed a good fit to the empiri cal data: χ²= 173.26(p < .001, df = 53),normed χ²= 3.27, GFI = .92, NFI = .90, CFI = .93, TLI = .89, RMSEA = .08 and SRMR = .06. Activities had direct effect on quality of life of older men living alone and social support had both direct and indirect effects. Meanwhile, function and socioeconomic status showed only indirect effects.The variables included in the eight significant paths explained 83.7% of variance in the prediction model.
Conclusion
Instrumental activities of daily living and social support effect directly on quality of life in the older men living alone. Findings suggest that health care providers including community nurses need to provide social support as well as empowerment programs of instrumental activities of daily living and health promotion for improving quality of life of the older men living alone.

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Original Articles

Psychosocial Well-Being of Clinical Nurses Performing Emotional Labor: A Path Analytic Model Approach: Yoonjeong Lee, Hyunli Kim; J Korean Acad Nurs 2019;49(3):307-316. Published online January 15, 2019; DOI: https://doi.org/10.4040/jkan.2019.49.3.307

Abstract PDF

Abstract Purpose

This study was conducted to investigate the influence of emotional expressivity, emotional intelligence, affectivity, job autonomy, social support, and emotional labor on clinical nurses’ individual well-being and to provide guidelines for interventions and strategies for its improvement.

Methods

The sample consisted of 207 nurses recruited from a general hospital in Korea. The participants completed a structured self-report questionnaire comprising measures of emotional expressivity, emotional intelligence, positive affectivity, negative affectivity, job autonomy, supervisor support, coworker support, deep acting, surface acting, emotional exhaustion, and job satisfaction. Data were analyzed using SPSS statistics 22.0 and AMOS 22.0.

Results

The final model was a good fit for the data based on the model fit indices. In the path analysis, surface acting, negative affectivity, supervisor support, and coworker support had statistically significant effects on emotional exhaustion, explaining 29.0% of the variance. Deep acting, emotional exhaustion, positive affectivity, and emotional intelligence had statistically significant effects on job satisfaction, explaining 43.0% of the variance.

Conclusion

Effective strategies to improve clinical nurses’ individual well-being should focus on surface acting, deep acting, affectivity, social support, and emotional intelligence. The results of this study can be utilized as base data to manage emotional labor and improve clinical nurses’ individual well-being.

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Validity and Reliability of the Korean version of the Wong and Law Emotional Intelligence Scale for Nurses
Hye-Ja Park, Soyoung Yu
Sage Open.2021;[Epub] CrossRef

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Psychoeducational Approach to Distress Management of Newly Diagnosed Patients with Breast Cancer: Jin-Hee Park, Mison Chun, Yong Sik Jung, Sun Hyoung Bae, Young-Mi Jung; J Korean Acad Nurs 2018;48(6):669-678. Published online January 15, 2018; DOI: https://doi.org/10.4040/jkan.2018.48.6.669

Abstract PDF

Abstract Purpose

The purpose of this study was to examine the effects of integrated psychoeducational program for distress management of newly diagnosed patients with breast cancer.

Methods

A quasi-experimental trial was conducted. The participants consisted of 47 female patients with breast cancer assigned to an intervention group (n=25) and control group (n=22). The intervention group participated in integrated psychoeducational program, consisting of individual face-to-face education and telephone-delivered health-coaching sessions. Data were collected at three time points: pre-intervention (T1), post-intervention (T2), and 6-month follow-up (T3). Study instruments were Distress thermometer, Supportive Care Needs Survey Short Form 34 and Functional Assessment of Cancer Therapy-Breast.

Results

Compared with the control group, breast cancer patients in the intervention group reported lower distress and supportive care needs than the control group. The intervention group reported higher quality of life (QOL) overall and higher emotional well-being than the control group.

Conclusion

These findings indicate that the integrated psychoeducational program is an effective intervention for reducing distress and supportive care needs and increasing QOL of newly diagnosed patients with breast cancer. Oncology nurses need to provide psychoeducational intervention to support patients with breast cancer in managing their distress and helping them adjust to their life.

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Psychological Distress and Influencing Factors in Newly Diagnosed Patients with Breast Cancer: A Cross-Sectional Study
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Kyu-Sic Hwang, Kuy-Haeng Lee, Chan-Mo Yang, Hye-Jin Lee, Sang-Yeol Lee
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Symptom Distress and Coping in Young Korean Breast Cancer Survivors: The Mediating Effects of Social Support and Resilience: Ji Hyun Lee, Hye Young Kim; J Korean Acad Nurs 2018;48(2):241-253. Published online January 15, 2018; DOI: https://doi.org/10.4040/jkan.2018.48.2.241

Abstract PDF

Abstract Purpose

The purpose of this study was to test the mediating effect of social support and resilience on the relationship between symptom distress and coping in young Korean breast cancer survivors.

Methods

A purposive sample of 209 young breast-cancer survivors (mean age 39.9) was recruited for a cross-sectional survey, and the data were collected between June and October 2015. The instruments used in this study were the Memorial Symptom Assessment Scale-Short Form, the Multidimensional Scale of Perceived Social Support, 10-item Connor-Davidson Resilience Scale, and Cancer Coping Questionnaire. The collected data were then analyzed using the SPSS 23.0 and AMOS 23.0 programs.

Results

Symptom distress was found to have a significant indirect effect on coping (beta=-.32, p=.002), but not a significant direct effect (beta=.06, p=.577). Additionally, based on the values obtained for the squared multiple correlation, symptom distress, social support, and resilience were found to explain 46.4% of the total variance of coping.

Conclusion

Based on the results of this study, it can be suggested that in order to enhance young breast cancer survivors’ ability to cope with the distress they commonly feel, intervention methods that strengthen resilience and provide social support should be developed and made available to them.

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Structural Equation Modeling on Successful Aging in Elders with Chronic Obstructive Pulmonary Disease Based on Selection-Optimization-Compensation Strategy: Young Mi Jang, Rhayun Song; J Korean Acad Nurs 2017;47(4):488-498. Published online August 31, 2017; DOI: https://doi.org/10.4040/jkan.2017.47.4.488

Abstract PDF

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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Factors Influencing Burnout among Mothers of Children with Cerebral Palsy: Ji-Young Seo, Hae-Jin Lee, Mi-Ae You; J Korean Acad Nurs 2017;47(2):233-241. Published online April 28, 2017; DOI: https://doi.org/10.4040/jkan.2017.47.2.233

Abstract PDF

Purpose

The purpose of this study was to examine the effects of parental stress, social support, and coping behavior on burnout among mothers caring for children with cerebral palsy.

Methods

Participants in this cross-sectional, descriptive study were 185 mothers who completed a self-report structured questionnaire. The data were analyzed using descriptive statistics, t-test, one-way ANOVA, correlation and multiple linear regression analyses with IBM SPSS Win 22 program.

Results

Parental stress and coping behavior were strong predictors of burnout among mothers of children with cerebral palsy. These variables explained 50.0% of the variance in burnout. Social support was not a predictor of burnout. A higher level of burnout was associated with higher levels of parental stress and lower levels of social support and coping behavior.

Conclusion

Mothers of children with cerebral palsy are vulnerable to burnout. These results show that effective strategies for reducing parental stress and improving positive coping behavior are needed to reduce burnout in these mothers.

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Effects of a Social Support Group on Burden and Well-being of Mothers of Developmentally Delayed Children: Ka Sil Oh; Journal of Nurses Academic Society 1997;27(2):389-400. Published online March 30, 2017; DOI: https://doi.org/10.4040/jnas.1997.27.2.389

Abstract PDF

This study examined the effects of group social support on the reduction of burden and increase in well-being of mothers of developmentally delayed children. The research used a one group pre-post experimental design. The independent variable in the experiment was group social support. Two series of 4-weekly meetings for group social support were conducted by the researcher with the intention of developing a self-help group. The dependent variables were burden and well-being. Well-being was operationalized as physical symptoms and quality of life. Thirty mothers of developmentally delayed infants from the rehabilitation center of a medical center participated in the study. Data were collected by interview and a self-administered questionnaire. The mean age of the subjects was 29.9 years. Changes of the dependent variables between pre and post tests were compared using the t-test. Even though there was a slight improvement in the scores for the dependent variables, they were not statistically significant. The items, "I resent my baby", "I feel angry about my interactions with my baby", "I feel guilty in my relationship with my baby" showed a significant decrease in burden score and were statistically significant. Symptoms of loneliness, constipation, anxiety, restlessness were less and feeling of happiness was greater after participation in the group social support, than on the pretest. The mothers showed emotional instability and frustrations during the group sessions but their reactions in general were positive. Emotional support, stress management and information provided were identified as the most valuable content of the sessions. However, participation was not active due to the mother's denial, delayed acceptance and/or avoidance of their infants' problems. It can be seen that group social support for the mothers with developmentally delayed children should be provided after infancy when the mothers have time to accept their children's conditions and are ready to receive support. The use of comprehensive instruments which measure burden in both families and mothers needs to be developed for future research.

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Social Support, Stressful Life Events, and Health Behaviors of Korean Undergraduate Students: Young Joo Park, Sook Ja Lee, Ka Sil Oh, Kyoung Ok Oh, Jeong Ah Kim, Hee Soon Kim, Sang Soon Choi, Sung Eun Yi, Choo Ja Chung, Hoa Yun Jun; Journal of Korean Academy of Nursing 2002;32(6):792-802. Published online March 29, 2017; DOI: https://doi.org/10.4040/jkan.2002.32.6.792

Abstract PDF

PURPOSE: This cross-sectional study was designed to explore the relationship among social support, experienced stressful life events and health behaviors of Korean undergraduate students, and validate the mediator effect of social support. METHOD: One thousand four hundred fifty-three undergraduate students were randomly selected from five universities located in the middle area of Korea. RESULT: The health behaviors of Korean undergraduates tend to have unhealthy patterns. In the case of the students living without family, experiencing more stressful life events and perceiving lower social support, health behaviors are poor. The relationship between perceived social supports, the frequency of the experienced stressful life events and the score of health behavior patterns is statistically significant. After controlling the effect of social support, the correlation coefficient between the frequency of experienced stressful life events and the score of health behavior patterns was slightly lower. The score of health behaviors between the group with an extremely high score of social support and the group with an extremely low score were statistically significantly different. CONCLUSION: Future studies need to be pursued to develop various strategies such as a health education programs and counseling programs for health maintenance and health promotion of undergraduates.

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Prediction Model of Exercise Behavior in Patients with Rheumatoid Arthritis: Eun Ok Lee, In Ja Kim, Jong Im Kim, Hyun Sook Kang, Sang Cheol Bae; Journal of Korean Academy of Nursing 2001;31(4):681-691. Published online March 29, 2017; DOI: https://doi.org/10.4040/jkan.2001.31.4.681

Abstract PDF: PURPOSE: The exercise status in patients with rheumatoid arthritis, associations between exercise behavior and personal factors, and associations between exercise behavior and exercise-specific cognitions and their effects were assessed. METHOD: Four hundred thirty nine outpatients with rheumatoid arthritis were studied. The exercise status was measured by a single item. The intensity was multiplied by the frequency and duration of each exercise. The product of these intensity values for all exercises was defined as exercise behavior. Based on the Pender's revised health promotion model, exercise benefit, barrier, self-efficacy, enjoyment and social support were chosen as exercise specific cognitions and affect variables. Path analysis was used to identify the predictors of exercise behavior. Results: Compared to the duration before being diagnosed, the number of subjects who exercised regularly increased after being diagnosed. However over half of the subjects refrain from any sort of exercise and the type of exercise is very limited. Among the variables, exercise barrier, self-efficacy, and social support were found to be significant predictors of exercise behavior, and only previous exercise experience was found to be significant predictors of all behavior specific cognitions and affect variables. CONCLUSION: These findings suggest that studies should explore exercise behaviors and strategies to emphasize the cognitive-motivational messages to promote exercise behaviors.

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Major Effect Models of Social Support and Its Statistical Methods in Korean Nursing Research: Eun Hyun Lee, Jin Sun Kim; Journal of Korean Academy of Nursing 2000;30(6):1503-1520. Published online March 29, 2017; DOI: https://doi.org/10.4040/jkan.2000.30.6.1503

Abstract PDF

The purpose of the present study is 1) to explain major effect models (main, moderating, and mediating) of social support and statistical methods for testing the effect models and 2) to analyze and evaluate the consistency in the use of the effect models and its statistical methods in Korean nursing studies. A total of 57 studies were selected from Journal of Korean Academy of Nursing, Journal of Korean Academic Society of Adult Nursing, Journal of Korean Women's Health Nursing Academic Society, Journal of Fundamentals of Nursing, Journal of Korean Community Nursing, Journal of Korean Psychiatric and Mental Health Nursing Academic Society, and Journal of Korean Pediatric Nursing Academic Society published in the year of 1990-1999. In results, most studies on social support performed in Korea Nursing Society were about a main effect model. There are few studies on moderating or mediating model of social support. Thus, it was difficult to find research findings how, why, under what conditions social support impacted on health outcomes. Most studies on the moderating or mediating effect model of social support used statistical methods for testing main effect model rather than for testing moderating or mediating effect model. That is, there are inconsistency between effect models of social support and its statistical methods in Korean nursing researches. Therefore, it is recommended to perform studies on moderating or mediating effect model and use appropriate statistical methods.

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The Effect of Social Support Intervention on Mood and Maternal Confidence of Premature's Mothers: In Hae Lee; Journal of Korean Academy of Nursing 2000;30(5):1111-1120. Published online March 29, 2017; DOI: https://doi.org/10.4040/jkan.2000.30.5.1111

Abstract PDF

The purpose of this study is to examine the effect of social support intervention on mood and maternal confidence of premature's mothers. The social support intervention is known to induce improved mood state and provide information on caretaking so as to increase the maternal confidence in the mother of a premature. To systematically investigate its effect, this study employed a nonequivalent randomized post-repeated quasi-experimental design. The intervention was given individually to mothers of prematures five times spanning five weeks. The sample consisted of the 50 mothers (experimental 27, control 23) of a premature. The data were collected using the structured questionaires twice as post tests. Various instruments were used in this study. The POMS developed by Lee(1990) was used to measure the mothers' mood state, Mother and Baby Scales by Wolke et al (1987). The results are as follows: 1. For the hypothesis test to see the effect of the social support intervention, the mean of the experimental group and the control group was compared by means of t-test and the following results are obtained. Hypothesis I. "The mood state of mothers with social support intervention is more positive than that of the mothers without such intervention." was not statistically supported and thus discarded (t=.799, p=.429). However the mean scores were 49.68 and 51.38 for the experimantal and control group, respectively, indicating more positive mood for the experimental group. Hypothesis II. "The maternal confidence of mothers with social support intervention is higher than that of the mothers without the intervention." was statistically supported (t=3.667, p=.001). 2. The mean score of the mood state was highest before discharge (52.29), meaning most negative, declined to 49.68 shortly after the discharge, again increased a bit to 50.07 at four weeks after the discharge, and stabilized to 49.22 around six weeks after the discharge. On the other hand the mean score of the maternal confidence was continuously increased with time. In view of the above results, it is concluded that the social support intervention with a preprogrammed protocol has the definite positive effect on increasing the maternal confidence and positive effect on improving mother's mood state.

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Hye-Jung Seo, Ju-Eun Song, Youngjin Lee, Jeong-Ah Ahn
Korean Journal of Women Health Nursing.2020; 26(1): 84. CrossRef
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The Relationship of Self Efficacy and Social Support to the Psychosocial Adjustment in People with Epilepsy: Seong Mi Moon; Journal of Korean Academy of Nursing 2000;30(3):694-708. Published online March 29, 2017; DOI: https://doi.org/10.4040/jkan.2000.30.3.694

Abstract PDF

The main purpose of this study was to identify the relationship of self efficacy and social support to the psychosocial adjustment in people with epilepsy. Data were collected from October 1 to October 15, 1999 from 101 people with epilepsy who were being treated regularly at one of the university hospitals located in Seoul. The research instruments were a questionnaire to gather demographic and disease-specific data, the Epilepsy Psycho- Social Effects Scale developed by Chaplin et al(1990), the Epilepsy Self Efficacy Scale developed by DiIorio et al(1992a) and translated by Park(1999), the Norbeck Social Support Questionnaire developed by Norbeck et al(1981) and translated by Oh(1985). Data were analyzed using the SPSS program. The results are as follow : 1. Of the 14 psychosocial adjustment areas, 75 of 101 subjects experienced problems in ten or more areas and 28 in all 14 areas. The severity of the psychosocial adjustment problem was moderate or more in six areas. 2. The score for self efficacy was an average of 1103.86 out of a possible 1800, for social support 117.57 for total functional out of a possible 720, and 48.21 for total network out of a possible 264. There were an average of five people on the network. The main network people were parents, brothers and sisters, spouse, friends. 3. Of the 14 psychosocial adjustment areas, six areas correlated with self efficacy and 'problems with taking medication' area had a negative correlation with social support. In conclusion, people with epilepsy have various problems in psychosocial adjustment. Nursing interventions using self efficacy should be developed to improve psychosocial adjustment in people with epilepsy. Also, instruments and interventions for regimen-specific supports which are suitable for epilepsy should be developed.

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A Study Burden, Social Support and Quality of Life in Mothers of a Child with Nephrotic Syndrome: Mi Hae Sung; Journal of Korean Academy of Nursing 2000;30(3):670-681. Published online March 29, 2017; DOI: https://doi.org/10.4040/jkan.2000.30.3.670

Abstract PDF

The purpose of this study was to identity the level of burden, social support and quality of life of the subjects. The subjects of this study were 68 mothers of nephrotic syndrome patients whose children were hospitalized in one pediatric ward of the University Hospital in Seoul. The data was collected using questionnaires, and the period of the data collection was from Nov. 15 to Dec. 31, 1999. The instruments used for this study were the Burden Measurement Instrument developed by Montgomery et. al(1985), social support measurement instrument designed Brandt an Weinert(1978) and Quality of life scale designed by Ro,Yoo JA(1988). The data analysis was done by SPSS, t-test, ANOVA and the Pearson correlation coefficient. The results of were as follows. 1. The level of burden showed a mean score of 54.47, the level of social support, a mean score of 86.00 and the level quality of life, a mean score of 140.20. 2. The level of burden differed according to mother's religion, patient's purpose for admission and perceived patient's condition by mothers. 3. The level of social support and the level of quality of life differed according to perceived patient's condition by mothers. 4. There was a negative correlation between burden and social support(r=-.348, p<.001). Also, burden was negatively related with quality of life(r=-3.97, p<.001). Social support was positively related with quality of life(r=.064, p<.001).

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Relations between Perceived Burden and Social Support of Stroke Patient's Family Caregiver: Yeo Shin Hong, Moon Ja Suh, Keum Soon Kim, In Ja Kim, Nam Ok Cho, Hee Jung Choi, Sung Hee Jung, Eun Man Kim; Journal of Korean Academy of Nursing 2000;30(3):595-605. Published online March 29, 2017; DOI: https://doi.org/10.4040/jkan.2000.30.3.595

Abstract PDF

The purpose of this study was to describe the perceived burden of the stroke patient's caregiver and related factors to analyze relationships between perceived burden and social supports. A convenient sample of 225 caregivers who take care for a stroke patient at home participated in this study. Caregiver's perceived burden was measured by the objective and subjective burden scale developed by Montgomery (1985). Related factors of burden were studied in terms of the patient's instrumental activties of daily living, cognitive function, caregiver's demographic variables and caregiver's illness intrusiveness. The results were as follows: (1) The mean of objective burden score was 4.5, and subjective burden score was 3.1. These scores show that caregivers perceive moderate level of burden. (2) Caregivers' objective burden was significantly related to caregivers's illness intrusiveness (r=.62), patient's IADL (r=-.33), and patient's cognitive function (r=-.15). The subjective burden was related to the caregiver's illness intrusiveness (r=.29), the patient's IADL (r=.24), and the caregiver's age(r=.23). (3) The percentage of stroke caregivers who perceived physical support was 49.1%. The percentage of those who perceived emotional support was 61.0%, and those who perceived financial support totaled 37.6%. (4) Caregivers who received any type of social supports perceived lower subjective burden, and caregivers who received physical or psychological support perceived lower objective burden. These results emphasized the necessity of a rehabilitation programs for stroke patients and support program for family caregivers.

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Identification of Attributes Constituiting Korean Social Support: Based on Middle Aged Women: Ka Sil Oh, Kyong Ok Oh, Jeong Ah Kim, Sook Ja Lee, Hee Soon Kim, Chu Ja Jeong, Young Joo Park; Journal of Korean Academy of Nursing 1999;29(4):780-789. Published online March 29, 2017; DOI: https://doi.org/10.4040/jkan.1999.29.4.780

Abstract PDF

This study was conducted to identify the attributes constituting Korean social support and to validate the results of the previous study 'Search for the meaning of social support in Korean Society.' The informants were 41 Korean middle-aged women in three cities : Seoul, Dagjun and Daeku. The data were collected through indepth interviews using the interview guide from Jun. 1994 to Jun. 1995. The interview guide was developed in the simulated situations of 'Stroke attack' which expected to be in need of social support. The women were asked to answer what they felt and the appropriated terms representing the situations. Data analysis were conducted by content analysis. consequently, the Koran social support pyramid was modified as follows ; Support is the apex of the pyramid. The four sides of the pyramid are made up of 'Jung'(Bound by ties of affection, regard or shared common experience, Connectedness), Do-oom(both emotional and material help), Mi-dum(Faith or belief in) and Sa-Rang(Love). The base of the pyramid is 'yun'(the basic network of relationships in Korean culture) that connote the meaning of Eunhae(Benevolence), Euimu(duty, responsibility) and Dori(obligation).

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Chu-Ja Jeong, Sun-Ock Lee, Jung-Hee Kang, Jeong Ah Kim, Hye-Ryoung Kim, Kyong-Ok Oh, Sook-Ja Lee, Hoa-Yun Jun, Sung Kyung Hong
The Journal of Korean Academic Society of Nursing Education.2012; 18(3): 436. CrossRef
experience of social support among working mothers: a concept map
A Young Phang, Ki‐Hak Lee
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Psychometric Evaluation of the Korean Social Support Questionnaire
Kasil Oh, Kyong-Ok Oh, Sook-Ja Lee, Jeong-Ah Kim, Chu-Ja Jeong, Hye-Ryoung Kim, Hoa-Yun Jun, Jung-Hee Kang
Journal of Korean Academy of Nursing.2008; 38(6): 881. CrossRef

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Readjustment and Social Support of the Post Hospitalized Stroke Patients: Moonja Suh, Samuel Noh, Gerald M Devins, Keumsoon Kim, Kookgi Kim, Jiyoung Song, Namok Cho, Ywoshin Hong, Inja Kim, Heejung Choi, Sunghee Jung, Eunman Kim; Journal of Korean Academy of Nursing 1999;29(3):639-655. Published online March 29, 2017; DOI: https://doi.org/10.4040/jkan.1999.29.3.639

Abstract PDF

An explanatory design was employed to identify the relationship of physical, emotional & social readjustment and social support of post hospitalized stroke patients and their caregiver. A convenient sample of 254 patients who given follow-up care at the outpatient department after discharge and 225 caregivers were recruited. Mental Status Questionnaire(MSQ), Social Support Inventory Stroke Survivors(SSISS), Illness intrusiveness(II), Instument Activity of Daily Living(IADL), Center of Epidnmilogic Studies-Depression(CES-D), social activity and caregiver burden were used for measurement in this study. Results showed patient's physical level measured by IADL and psychological level measured by depression were high. But social activity was low. Cognitive function, depression & social activity were not significantly different by the posthospitalized period, but IADL was. The source of professional support was mostly the physician at the outpatient department. The family support was found significantly related to patient's depression & social activity and caregiver's subjective related to patient's IADL & depression. ILLness intrusiveness as a mediating variable was a significantly predicting power on patient's IADL & depression. The path analysis was used to identify the variables to predict the physical, emotional, and social status of patients, the physical, emotional, and cognitive function, illness intursiveness and professional support significantly predicted the level of siveness and family support significantly predicted the level of depression ; and patient's age and family support significantly predicted the level of social activity of posthospitalized stroke patients. Based upon these results, the rehabilitation programs to reduce the illness intrusiveness and improve cognitive function were recommended for the readjustment of the stroke patients. This model of the readjustment of the posthospitalized stroke patients is recommended as the framework for care of the stroke patients.

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Using the Illness Intrusiveness Ratings Scale to understand health-related quality of life in chronic disease
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Comparision of Group and Individual Social Support on Burden and Family Functioning in Families with Asthmatic Children: Hoa Yun Jun; Journal of Korean Academy of Nursing 1999;29(2):418-428. Published online March 29, 2017; DOI: https://doi.org/10.4040/jkan.1999.29.2.418

Abstract PDF: The main purpose of this study was to identify the effects of group social support and individual social support on the reduction of burden and improvement in family functioning of families with asthmatic children. The design of this study was a randomized pre-posttest quasi-experimental design to compare the two experimental groups. The theoretical framework for this study was derived from the study of burden in family caregivers by Suh and Oh(1993) based on the main effect model of social support theories. The data were collected from February 12, 1998 to May 29, 1998 at the pediatric out patient department of a university hospital located in Suwon city. The sample consisted of 39 family members who were identified as families with asthmatic children, Eighteen subjects were randomly assigned to the group social support group and 21 were assigned to the individual social support group. Group and individual social support members were seen for 60 to 90 minutes, four times over one to three weeks. The instruments used in this study were the Burden Scale developed by Suh and Oh(1993), the Visual Analogue Scale, and the Family Adaptability Cohesion Evaluation Scale(FACES-III) developed by Olson, Portner, and Lavee(1985). The collected data were analyzed using Mann-Whitney test, x2-test, Wilcoxon sign rank test, t-test, ANOVA(Scheff), pearson correlation coefficient, multiple regression, and social support process and content analysis. The results are as follow ; 1. There was no significant difference before the experimental treatment among the subjects in the group social support group and individual social support group for general characteristics, burden, or family functioning. 2. Hypothesis 1 ; "There will be a greater reduction on the burden score of the group social support group compared to the individual social support group" was not statistically significant(U=174.5, p=.683). The burden scores showed a significant decrease after participation in social support as compared to before participation for both groups. However there was a tendency for more reduction in the burden scores for the group social support than for individual social support. 3. Hypothesis 2 ; "There will be a greater improvement in the family functioning scores for the group social support group compared to the individual social support group" was not statistically significant(U=153.0, p=.309). There was a tendency toward improvement in the family functioning scores of the group social support as compared to that of the individual social support. 4. According to the length of the treatment period, families with asthmatic children displayed affirmative responses, and the families set up a self-help group of mothers with asthmatic children n order to share their experiences, to get information and to solve their problems. In conclusion, it was found that group social support was the more effective nursing intervention for reducing burden and for improving family functioning of families with asthmatic children.

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A Prediction Model for health Promoting Behavior of The Korean Elderly: Young Joo Park, Sook Ja Lee, Eun Sook Park, Sung Ok Chang; Journal of Korean Academy of Nursing 1999;29(2):281-292. Published online March 29, 2017; DOI: https://doi.org/10.4040/jkan.1999.29.2.281

Abstract PDF

This study was designed to construct a model that predicts the health promoting behavior of the Korean elderly. Data were collected by self-reported questionnaires from 254 Korean elderly in seoul, from June 1 to July 15, 1998. Data were analyzed by descriptive statistics and correlational analysis using pc-SAS program. The Linear Structural Modeling(LISREL) 8.0 program was used to find the best fit model which predicts causal relationships of variables. The overall fit of the hypothetical model to the data was moderate[X2=249.83(df=83, p=.00), RMR=.07, GFI=.90, NNFI=.92, NFI=.91]. The predictable variables of health promoting behavior of the Korean elderly were social activity, social support, self-integrity and helplessness except the perceived health status. These variables explained 17.1% of health promoting behavior of the Korean elderly.

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Jung Won Yun, Yu Hee Lee, Kyeung Ae Jang, Jung Hwa Lee
Journal of Korean Academy of Oral Health.2019; 43(4): 217. CrossRef
Effect of social support and self-esteem on the oral health behaviors of Korean elderly people
Yuna Shin, Jinsil Hong, Youngsam Kim, Kee-Wan Chang
Journal of Korean Academy of Oral Health.2017; 41(4): 282. CrossRef
The Effect of the Traditional Living Arrangement, Anpakkori, on Depressive Symptoms in Elderly People Residing on Jeju Island
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Young Eun, Mee Soon Song, Mee Ock Gu
Journal of Korean Academy of Nursing.2008; 38(2): 332. CrossRef

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The Burden and Social Support of Mothers of Nephrotic Syndrome Patients: Mi Hae Sung; Journal of Korean Academy of Nursing 1999;29(1):84-96. Published online March 29, 2017; DOI: https://doi.org/10.4040/jkan.1999.29.1.84

Abstract PDF: This study was conducted to identity the degree of burden and social support perceived by mothers of nephrotic syndrome patients. Also, relations between burden and social support were investigated to provide basis data for their family health and nursing intervention. The study subjects were mothers of nephrotic syndrome patients whose children were hospitalized in 2 Pediatric wards of University Hospital in Seoul and 1 in Pusan from Jun. 1, 1998 to Jun. 30, 1998. Burden measurement instrument for this study was designed by the researcher and its basis in one developed by Montgomery et al.(1985) and the reliability was .78. Also. P.R.Q. Part I II, by Brandt and Weinert(1981) was used as social support measurement instrument and the reliability .71. The data analysis was done by SPSS, t-test, ANOVA, Pearson correlation. The result were as follows. 1. Burden felt by mothers shows an average value of 60.82 (Maximum 86, Standard deviation 1.244). 2. Of the mother characteristics, the score of burden was high in case of no religion and low income. Of the patient characteristics, the score burden ranked as high MCNS, doing oral therapy, injection therapy at the same time and negative perceived patients condition. 3. The mean score of support was 77.54(Maximum 96, Standard deviation 1.096). 4. The main supporters were husband(the highest), brother, sister, health speciality and the subject expressed the highest satisfaction toward supporters in chronic disease. 5. Of the patient characteristics, the higher age group and the elder group showed high support. Also, positive perceived patients condition, high support. 6. The relationship between burden and social support is not significant. In conclusion to the above study, the researcher suggests. 1. The Qualitative research to investigate influential factors on burden of family of nephrotic syndrome patients in needed.

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Determinants of Smoking-Cessation Behaviors in Female University Students: Hae Won Kim; Journal of Korean Academy of Nursing 1999;29(1):48-60. Published online March 29, 2017; DOI: https://doi.org/10.4040/jkan.1999.29.1.48

Abstract PDF

This study was done to determine the factors influencing smoking-cessation behavior in female university students. a total of 534 students participated in this cross sectional study by answering a questionnaire. The data collection was done between September 1 and October 31, 1997. The measurement tools used in this study were the self help change process scale(Cronbach's alpha=.9930 : developed by Oh&Kim, 1996) for smoking-cessation behaviors, the self efficacy scale(Cronbach's alpha=.8250 : developed by Sherer et al, 1982), the sex role acceptance scale(KR-20=.7757 : developed by Kim, 1991) and the social support scale(Cronbach's alpha=.9172 : developed by Park, 1985). The summarized results are follows : 1. The mean scores for smoking-cessation behaviors in smokers(N=150) was 91.72 that was considered a middle score compared to the total possible score of measurement tool(150.0). The mean score for smoking-cessation behaviors by smoking-cessation step showed significant different between the groups(F=11.71, p= .000). 2. The group with no experience in smoking(N=332) showed a high general self efficacy score(t=5.24, p= .000), and more openness to sex role acceptance(t=-2.15, p= .032) compared to the group with smoking experience(N=202). 3. General self efficacy, sex role acceptance, and social support were not different significantly between the groups according to the steps in smoking-cessation. 4. Significant factors influencing smoking-cessation behavior(total, sub concepts) were religion, sex role acceptance, social support, smoking duration, smoking attitude, time of smoking onset, amount of smoking, drinking, and perception of health status. 5. Smoking-cessation behaviors which explained 11% of the variance were smoking attitude, and smoking duration. In conclusion, this study identified factors influencing smoking-cessation behavior. Thereby it will help in the development of smoking-cessation ration other determinants of smoking cessation behaviors, evaluation of intervention efficiency, and comparative study by gender characteristics are needed.

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Integrative Smoking Cessation Stage Model for Chinese Students Studying in Korea
Hyunsoo Oh, Hyesun Jeong, Whasook Seo
Asian Nursing Research.2013; 7(4): 182. CrossRef

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The Effect of Social Support on Compliance with Sick Role Behavior in Hypertensive Clients and Duration of the Effect for up to 6 months: Oh Jang Park, Mi Soon Hong, Kum Sung Jan, Ji Young Kim; Journal of Korean Academy of Nursing 1998;28(1):159-170. Published online March 29, 2017; DOI: https://doi.org/10.4040/jkan.1998.28.1.159

Abstract PDF

This study was done using a Quasi-experimental research design to determine the effects of social support on compliance with sick role behavior in hypertensive patients and to know if the effect of the social support on compliance lasted for at least 6 months. The subjects consisted of 81 hypertensive patients who were registered in the Cardio-Vascular OPD at Chonnam National University Hospital. They were divided by random sampling into 42 people for the experimental group and 39 for the control group. Data were gathered from June 3, 1996 to June 10, 1997 through individual interviews using a structured questionnaire. The results of the study were summarized as follows : 1. Compliance with sick role behaviors in hypertensive clients was significantly increased in the experimental group who received social support from the nurse as compared to the control group who did not receive social support(t=15.99, p<.001). 2. The effect of social support on compliance with sick role behaviors in hypertensive clients lasted for 6 months(t=7.99, p<.001). 3. Four of six people stopped smoking in experimental group after the intervention of social support, but none of the five in control group were able to stop smoking. Fisher's Exact test showed a significant difference between the experimental and control group(x2=4.385, p<.05). Mantel Haenszel test showed that the effect of social support on stopping smoking in the experimental group lasted for six months because there were no significant differences between one month after the social support and six months after, in the number of subjects who stopped smoking(x2=1.154, p>.05). Finally, social support was effective on compliance with sick role behaviors and stopping smoking in the hypertensive clients, and the effect of social support on compliance lasted for 6 months.

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The Influence of Depression on the Life Satisfaction of the Elderly with Hypertension
Hun-Hee Lee, Jung-Seo Lee, Gyeong-Nam Lee
Journal of the Korea Society of Computer and Information.2016; 21(8): 117. CrossRef
Effects of Community-based Case Management Program for Clients with Hypertension
Ae-Young So, Yun-Mi Kim, Eun-Young Kim, Chang-Yup Kim, Cheol-Hwan Kim, Hee-Gerl Kim, Eun-Young Shin, Weon-Seob Yoo, Ggod-Me Yi, Kyung-Ja June
Journal of Korean Academy of Nursing.2008; 38(6): 822. CrossRef

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Self-image and Social Support of Adolescents among the Korean-Chinese: Wen Xiang Cui, Sheng Ji Jin, Kasil Oh; Journal of Korean Academy of Nursing 2005;35(7):1343-1352. Published online March 28, 2017; DOI: https://doi.org/10.4040/jkan.2005.35.7.1343

Abstract PDF

Purpose

This study was designed to identify the degree of self-image and social support among Korean-Chinese adolescents and investigate the relationship between these variables.

Method

A total of 621 Korean-Chinese adolescents in five middle schools in YanBian, China were recruited from March 1st to the 9th, 2005. Data was analysed using descriptive statistics, Pearson correlation coefficient, t-test, and ANOVA with the SPSS 11.5 program.

Result

In Korean-Chinese adolescents, the total self-image score was statistically different for age, parents' education status, parents' job and living with parents. In the 12 subscales, scoresof emotional tone, impulse control, sexuality, social functioning, vocational attitudes and self-reliance had significant differences between groups regarding gender. The total self-image was in the average range. However, areas of mental health and family function were lower than average and the scale of idealism washigher than average. The adolescents perceived parent's support was higher then friend's support. There was a positive correlation between self-image and social support.

Conclusion

The findings suggest there is a need to examine self-image and social support of Korean- Chinese adolescents according to their parents' marital status and a need to develop a program to help these broken family's adolescents.

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Moderating Effect of Social Support on the Relationship Between Acculturation Stress and University Adjustment: Focused on Foreign Students Majoring Tourism at Universities in Korea
Sun Y. Yoon
Journal of Service Research and Studies.2015; 5(2): 177. CrossRef
Social Support and Acculturative Stress in Migrant Workers
Soon-Hee Lee, Young-Joo Lee, Sook-Young Kim, Shin-Jeong Kim
Journal of Korean Academy of Nursing.2009; 39(6): 899. CrossRef

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Family Resiliency Facto for the Adaptation of Family who have a Congenital Heart Disease: Young Ran Tak, E Hwa Yun, Ji Yeon An, Sang Hwa Kim; Journal of Korean Academy of Nursing 2004;34(7):1298-1306. Published online March 28, 2017; DOI: https://doi.org/10.4040/jkan.2004.34.7.1298

Abstract PDF: Purpose
The purpose of this study was to explore the relationships of family strain, perceived social support, family hardiness, and family adaptation and identify the family resiliency factors for the adaptation of families who have a child with congenital heart disease.
Method
The sample consisted of 90 families who had a child diagnosed with congenital heart disease and completed surgical treatment. Data was collected from parents using a questionnaire.
Results
Results from path analyses revealed that family strain had a direct effect on both perceived social support and family hardiness, and an indirect effect on family adaptation. Also, the findings revealed that perceived social support had a direct effect on both family hardiness and family adaptation, and family hardiness had a direct effect on family adaptation. Thus, these results indicated that perceived social support and family hardiness had a mediating effect on family strain.
Conclusion
Findings provide the evidence for the theoretical and empirical significance of perceived social support and family hardiness as family resiliency factors for family adaptation. Clinical implications of these findings might be discussed in terms of family-centered nursing interventions for the families who have a child with congenital heart disease based on an understanding of family resiliency for adaptation.

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Structural Equation Model for the Health Behaviors of University Students in Korea: Sung Eun Yi, Ka Sil Oh, Young Joo Park, Jeong Ah Kim, Hee Soon Kim, Kyoung Ok Oh, Sook Ja Lee, Hoa Yun Jun, Choo Ja Chung, Sang Soon Choi, Hyun Chul Kang; Journal of Korean Academy of Nursing 2004;34(6):903-912. Published online March 28, 2017; DOI: https://doi.org/10.4040/jkan.2004.34.6.903

Abstract PDF

Purpose

A structural equation model was analysed to explore the determinants of health behaviors of university students in Korea.

Metnod

Nine hundred sixty nine university students were selected by random cluster sampling from five universities located in the central area of Korea.

Data Collection

The data was collected by questionnaires about demographic characteristics, stressful life events, perceived social support, perceived health status and health behaviors.
RESULTS
1. Gender showed indirect effect on health behaviors. 2. Living together with(out) family had a direct effecton health behaviors: students living with family showed more positive health behaviors. 3. Stressful life events had an indirect effect on health behaviors via perceived health status;a higher score of stressful life events was the predictor for negative health behaviors. 4. A higher score of perceived health status predicted positive health behaviors.

Recommendation

Each university should be encouraged to develop a health behavior control program and health promotion program for their own university students. It would be more effective to develop health programs separately according to the demographic or social characteristics of the students. It is also necessary for the Ministry of Education to reform the School Health Act and school health policy to strengthen a health promotion program for university students. In conclusion, following studies should identify and promote the validity and reliability of perceived health status and health behaviors measurements.

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Kyeng Jin Kim, Yeon Kyung Na
Korean Journal of Occupational Health Nursing.2016; 25(3): 199. CrossRef
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The Relationship between Optimistic Bias about Health Crisis and Health Behavior
Su Ho Park, Sul Hee Lee, Eun Mi Ham
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Model Development of an Elderly Health Promotion Center: The Effect of a Social Support Program at a Community Health Center: Oh Jang Park, Hyang Sook So; Journal of Korean Academy of Nursing 2004;34(5):781-790. Published online March 28, 2017; DOI: https://doi.org/10.4040/jkan.2004.34.5.781

Abstract PDF

Purpose

The purpose of this study was to develop a model of an elderly health promotion center after witnessing the effect of a social support program on dependent variables in older adults at a local community health center.

Method

The subjects were 60 female adults over 65 years dwelling in a rural area, and they were divided into experimental and control groups each with 30 people. A social support program was implemented 6 hours a day, 3 times a week, for 4 months in the experimental group. Included was health assessment, health education, counseling, consultation, exercise, physical & occupational therapy, primary care, recreation, lunch & transfer service. Data was collected from May 1stto September 14th, 2002 by questionnaires, and analyzed by x²-test, t-test, Pearson's correlation coefficient and stepwise multiple regression using SAS.

Result

The social support program in the elderly was very effective on all dependent variables of physical health (t= 4.68, p= .001), health knowledge (t= 3.60, p= .001), life satisfaction (t= 8.65, p= .001), and health promoting behaviors (t= 5.23, p= .001).

Conclusion

The Social Support Program at a Community Health Center was effective on health promoting behaviors in the elderly.

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Miok Ha, Seungja Kang
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Mee Young Im, Young-Hee Mun
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Asian Pacific Journal of Cancer Prevention.2012; 13(4): 1495. CrossRef

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The Relationship of Stress, Social Support and Depression in the Elderly: Pyoung Sook Lee, Yong Mi Lee, Ji Young Lim, Ra IL Hwang, Eun Young Park; Journal of Korean Academy of Nursing 2004;34(3):477-484. Published online March 28, 2017; DOI: https://doi.org/10.4040/jkan.2004.34.3.477

Abstract PDF

Purpose

This study was to identify the relationship between stress, social support and depression in the elderly.

Method

The subjects were 283 elderly adults over 60 in Seoul. Data was collected by questionnaire surveys using convenience sampling. The instruments used in this study are the ELSI developed by Aldwin(1990), the Interpersonal Support Evaluation List developed by Cohen & Hoberman (1983), and the Geriatric Depression Scale by Yesavage & Brink(1982). Data was analyzed by the SAS program, using descriptive statistics, Pearson Correlation Coefficient, t-test, ANOVA and progressed Multiple Regression.

Result

The relationship between stress and depression had a positive correlation (r= 0.33), but the relationship between stress and social support had no significant correlations. The relationship between social support and depression had a negative correlation (r= -0.38). The most powerful predictor of depression was the economic status and then a combination of stress, and social support account for 39% of the variance in depression in the elderly.

Conclusion

These results suggested that stress and social support deficits can be potential risk factors in old age depression. Therefore, these findings give useful information for constructing an intervention program focused on depression in the elderly.

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A Study on Depression, Stress, and Social Support in Adult Women: Jeong Sun Kim, Kyung Rim Shin; Journal of Korean Academy of Nursing 2004;34(2):352-361. Published online March 28, 2017; DOI: https://doi.org/10.4040/jkan.2004.34.2.352

Abstract PDF

Purpose

This study was conducted to examine the relationship among Depression, Stress, and Social support in Korean Adult Women.

Method

The subjects of this study consisted of 2,503 Korean Adult Women from 20 to 64years. The data was collected through personal interviews from March to May of 2001 using questionnaires. The data was analyzed by the SPSS(ver.10.0) computer program, and it included descriptive statistics, t-test, one way ANOVA, the pearson correlation coefficient, and Stepwise multiple regression.

Result

The level of depression, stress, and social support were 16.22 for depression, 27.43 for stress, and 87.48 for social support. There was a significant difference in social support according to residence area, age, level of education, marital status, type of family, religion, income, and job. There was a significant positive correlation between stress and depression, a significant negative correlation between stress and social support, and social support and depression. Stress and social support were significant predictors (29.6%) of depression.

Conclusion

This study showed that thorough nursing assessment of variables related to social support is needed for development of nursing intervention strategies. Further studies need to be conducted for group comparisons according to the life cycle of Korean women.

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10.5932/JKPHN.2012.26.1.072

CrossRef Listing of Deleted DOIs.2000;[Epub] CrossRef

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Perceived Social Support and Morale of the Elderly Staying at Home: Yang Gyeong Yoo; Journal of Korean Academy of Nursing 2004;34(2):297-306. Published online March 28, 2017; DOI: https://doi.org/10.4040/jkan.2004.34.2.297

Abstract PDF

Purpose

This study was done to identify the relationship between social support and morale in the elderly.

Method

A structured questionnaire was carried out from April, 2003 to June, 2003 on 203 elderly. The data was analyzed with a SPSS program for descriptive statistics, Pearson's correlation coefficients, t-test, ANOVA, and stepwise multiple regression was done

Result

The level of social support was moderate, and family support was the highest score. In types of support, appraisal support was the highest score. The level of morale was slightly lower than moderate, and the score of social support showed significantly positive correlation with morale. In general characteristics, several variables were significantly related to social support and morale. The most powerful predictor of morale was material support by family and the variance was 19.6%. A combination of material support by family, emotional support by relatives, level of satisfaction with pocket money, perceived health, level of intimacy with one's children, and material support by friends account for 43.3% of the variance in morale of the elderly.

Conclusion

To increase the morale of the elderly, it is necessary to consolidate material support by family and relatives.

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Predictors of Depression among Family Caregivers of Older Adults with Dementia: Hae Jung Lee, Young Sook Kim, Ki Ryeon Kim, Ju Sung Kim, Ji Min Seo; Journal of Korean Academy of Nursing 2003;33(7):936-944. Published online March 28, 2017; DOI: https://doi.org/10.4040/jkan.2003.33.7.936

Abstract PDF

Purpose

This study was to identify important predictors of depression among characteristics of caregiving situation and utilized resources in order to provide basic information for effective nursing interventions to reduce depression experienced by family caregivers of older adults with dementia.

Method

Seventy one family caregivers were identified from community service centers and face-to-face interviewed using structured questionnaires. Data were analyzed with descriptive statistics, Pearson correlation and hierarchical multiple regression using SPSS WIN 10.0 program.

Result

Family caregivers reported high levels of depression, moderate levels of social support, and moderate utilization of coping strategies. Female caregivers who (β=.22) utilized ‘negative’ coping strategies more often (β=.48) and ‘cognitive reconstructuring’ coping strategies less often (β=-.23) were more likely to report higher depression (R²=0.63).

Conclusion

Nursing interventions increasing family caregivers' utilization of positive coping strategies such as problem solving, existential growth, and help seeking and decreasing their utilization of negative coping strategies such as self-blaming are needed to decrease their depression levels.

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Effects of a Problem-Solving Program on Problem-Solving Ability, Self-Esteem, and Depression for Middle School Girls
Hwa-Yoon Um, Haejung Lee, Yeonjung Lim
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Family Caregiver Burden by Relationship to Care Recipient with Dementia in Korea
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Effects of TES Program on Exercise Capacity, Self-Efficacy and Patient Compliance in Patients with Myocardial Infarction: Jina Choo, Mae Ja Kim, Kyung Pyo Hong; Journal of Korean Academy of Nursing 2003;33(7):905-916. Published online March 28, 2017; DOI: https://doi.org/10.4040/jkan.2003.33.7.905

Abstract PDF

Purpose

This study aimed to develop a TES program to improve exercise capacity to promote patient compliance to the prescribed exercise, and to test the feasibility of the program.

Method

The 8-week TES program consisted of three components : exercise training, self-efficacy enhancement and social support. Using the matching of gender, age, and the left ventricular ejection fraction, thirty one subjects were consecutively assigned to either TES group (n=15, 52+7 years) or Control group (n=16, 58+11 years) 3 weeks after MI. With the exception of exercise compliance (only after the TES program), the exercise capacity and exercise self-efficacy were both measured both before and after the 8-week TES program.

Result

The VO₂peak (p= .043), anaerobic threshold (p= .023) and exercise duration (p= .015) improved in TES group compared to Control group after 8 weeks. The cardiac exercise self-efficacy (p= .036) was significantly higher in TES group than Control group. There was a significant increase of exercise compliance(p= .005) in TES group compared to Control group.

Conclusion

The 8-week TES program improved the exercise capacity, exercise self-efficacy and exercise compliance. A appropriately implemented TES program in cardiovascular nursing practice may promote healthy behavioral modification and, therefore, contributing to reduce the risk of mortality and morbidity in MI patients.

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The Development of A Crisis Prediction Model for Early Adolescent: Young Sook Park; Journal of Korean Academy of Nursing 2003;33(7):895-904. Published online March 28, 2017; DOI: https://doi.org/10.4040/jkan.2003.33.7.895

Abstract PDF: Purpose
The purpose of this study is to identify the influencing factors in a crisis state while considering the relationship between them, to suggest the crisis model for early adolescent, and to test its fitness empirically.
Method
A hypothetical model of this study was consisted of 8 theoretical variables and 12 measurable variables with 15 constructed paths. The data from the 439 middle school students at crisis state were analyzed to test the hypothetical model by using covariance structure analysis.
Result
The final model which is modified from the hypothetical model improved to x²=46.79(df=34, p<0.71), GFI(0.98), AGFI(0.95), NNFI(0.99), NFI(0.98), RMR (0.02), Normed x²(1.38), Critical N(525.83). The crisis state was influenced directly by vulnerability of personality, precipitating events, stress, social support, coping strategy and also indirectly by social support. Crisis state was accountable for 65% of the variance by these factors.
Conclusion
This model can offer understanding for the comprehensive multivariate covariance relationship of the influencing factors regarding the crisis of early adolescent, and can offer a preventive perspective focused on growth potential. I propose that a repeated study of complementing coping strategy should be done and the various crisis prevention and intervention strategies should be developed based on the results of this study.

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The Role of Social Support in the Relationship between Stress and Depression among Family Caregivers of Older Adults with Dementia: Hae Jung Lee, Ji Min Seo, Suk Hee Ahn; Journal of Korean Academy of Nursing 2003;33(6):713-721. Published online March 28, 2017; DOI: https://doi.org/10.4040/jkan.2003.33.6.713

Abstract PDF

Purpose

This study was to determine the mediator or moderator role of social support in the relationship between stress and depression among family caregivers of older adults with dementia.

Method

Sixty nine family caregivers were randomly selected from health care centers in P city and a face-to-face interview was conducted using questionnaires from January to May of 2002. Data were analyzed with descriptive statistics, Pearson correlation, and hierarchical multiple regression using SPSS program.

Result

Family caregivers of older adults with higher dependency in ADLs and higher problematic behaviors, provided care to the older adults for a longer period of time, and perceived less social support reported higher depression. Social support showed mediating effects between stress and depression, while did not show moderating effects. Elderly dependency on ADLs and caregiving duration decreased perceived social support and decreased social support increased depression.

Conclusion

To increase family and social support to the caregivers of more functionally impaired elderly, family education to increase emotional support and physical assistance to the caregivers and broader and flexible application of social support such as increasing accessibility to the elderly daycare service with lower price may prove beneficial.

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The Relationships among Loneliness, Social Support,and Family Function in Elderly Korean: Ok Soo Kim, Sung Hee Baik; Journal of Korean Academy of Nursing 2003;33(3):425-432. Published online March 28, 2017; DOI: https://doi.org/10.4040/jkan.2003.33.3.425

Abstract PDF

Purpose

To examine the relationships among loneliness, social support, and family function in elderly Korean.

Method

The sample for this study were 290 elderly Korean who were at least 60 years of age. Data were collected by interview using the translated Korean versions of the Revised University of California Los Angels Loneliness Scale(RULS), Family APGAR, and Social Support Questionnaire 6.

Result

Subjects were moderately lonely and had moderately functional families. Means for social support were 1.42 for network size and 4.09 for satisfaction. Subjects who lived with their spouses had a larger number of network members than who did not live with spouses. However, living with spouses was not associated with social support satisfaction. The level of loneliness was related negatively to the level of social support network, social support satisfaction and family function in this study. Social support satisfaction and Family function were the significant predictor of loneliness.

Conclusion

The number of social supporter and satisfaction and family function should be considered in nursing intervention to decrease the level of loneliness in older adults. Further studies and efforts will be needed to reduce the level of loneliness in older adults.

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The Role of Social Support in the Relationship between Job Stress and Job Satisfaction/Organizational Commitment among Hospital Nurses: Jong Wook Ko, Young Hee Yom; Journal of Korean Academy of Nursing 2003;33(2):265-274. Published online March 28, 2017; DOI: https://doi.org/10.4040/jkan.2003.33.2.265

Abstract PDF

Purpose

The purpose of this study is to investigate the role of social support in the experience of job stress among hospital nurses.

Method

This study was carefully designed to overcome methodological shortcomings found in past research, and examined two organizational effectiveness variables(job satisfaction and organizational commitment) as outcome variables. The sample used in this study consisted of 602 nurses from 5 general hospitals. Data were collected with self-administered questionnaires and analyzed using hierarchical regression and LISREL technique.

Result

It was found that: (a) three job stress variables(workload, role conflict and conflict with other medical staff) have negative effects on job satisfaction and organizational commitment; (b) social support have positive main effects on the two output variables; (c) the negative effects of job stress variables on job satisfaction and organizational commitment are not buffered by social support, and (d) social support mediates the effects of job stress on job satisfaction and organizational commitment, and the size of the mediating effects is small.

Conclusion

Further research needs to be done to further refine this study.

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Prediction Model for Health-Related Quality of Life in Hospitalized Patients with Pulmonary Tuberculosis: Kwang-Sim Jang, Gyeong-Suk Jeon; J Korean Acad Nurs 2017;47(1):60-70. Published online February 28, 2017; DOI: https://doi.org/10.4040/jkan.2017.47.1.60

Abstract PDF

Purpose

This study was conducted to construct and test a structural equation model of health-related quality of life (HRQoL) among hospitalized patients with pulmonary tuberculosis (PTB).

Methods

Participants were 256 patients with PTB who were 20 years or older and admitted in two national tuberculosis hospitals. The patients participated in pulmonary function testing and responded to structured questionaries.

Results

The goodness-of-fit statistics of the final hypothetical model were as follows: χ²/df=2.19, RMSEA=.07, SRMR=.05, GFI=.95, NFI=.95, CFI=.96, TLI=.92, and PCFI=.52. Symptoms and general health perception had significant direct effects, and subjective economic status, social support and stigma had significant indirect effect on HRQoL of hospitalized patients with PTB. These variables explained 64% of variance in the prediction model.

Conclusion

Findings suggest that strategies and intervention for physical symptoms and depressive symptoms are crucial to improve the quality of life in hospitalized patients with PTB. The development of various social support programs is also recommended.

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Factors Influencing Post Traumatic Stress Disorder in Crime Scene Investigators: Seon Mi Nho, Eun A Kim; J Korean Acad Nurs 2017;47(1):39-48. Published online February 28, 2017; DOI: https://doi.org/10.4040/jkan.2017.47.1.39

Abstract PDF

Purpose

The purpose of this study was to verify the relationships among social support, resilience and post traumatic stress disorder (PTSD), and especially to identify factors influencing PTSD in police crime scene investigators.

Methods

A cross-sectional design was used, with a convenience sample of 226 police crime scene investigators from 7 Metropolitan Police Agencies. Data were collected through self-report questionnaires during July and August, 2015. Data were analyzed using t-test, χ²-test, Fisher's exact test, and binary logistic regression analysis with SPSS/WIN 21.0 program.

Results

The mean score for PTSD in police crime scene investigators was 13.69. 11 points. Of the crime scene investigators 181 (80.1%) were in the low-risk group and 45 (19.9%) in high-risk group. Social support (t=5.68, p<.001) and resilience (t=5.47, p<.001) were higher in the low-risk group compared to the high-risk group. Logistic regression analysis showed that resilience (OR=4.74, 95% CI: 1.57~14.35), and social support (OR=2.13, 95% CI: 1.23~3.69) are effect factors for PTSD low group.

Conclusion

For effective improvement of PTSD in police crime scene investigators, intervention programs including social support and strategies to increase should be established.

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Structural Equation Modeling on Health-Related Quality of Life in Adults with Epilepsy: Jeong Ok Ko, Myung Ha Lee; J Korean Acad Nurs 2017;47(5):624-637. Published online January 15, 2017; DOI: https://doi.org/10.4040/jkan.2017.47.5.624

Abstract PDF

Abstract Purpose

This study aimed to identify variables influencing the health-related quality of life (HRQoL) of adults with epilepsy in order to establish a structural model and design an intervention strategy to improve patients’ HRQoL.

Methods

The selected subjects were 212 patients with epilepsy aged between 18 and 70 years who were currently receiving treatment from hospital, general hospital, and clinic. They were surveyed using a structured questionnaire.

Results

The goodness of fit measures of the final hypothetical model were as follows: c²/df=2.51, GFI=.91, AGFI=.90, CFI=.96, SRMR=.04, NFI=.93, and RMSEA=.08. The major variables influencing the HRQoL of adults with epilepsy were epilepsy self-efficacy, depression, social support, and side effects of anti-epileptic drugs (AEDs), which were significant in the mentioned order, whereas the duration of AEDs use and perceived stigma did not show any effects. Six variables accounted for 75.6% of HRQoL. Variables having a direct and total effect on the HRQoL of adults with epilepsy were the side effects of AEDs, social support, epilepsy self-efficacy, and depression, and those with an indirect effect were the side effects of AEDs and social support.

Conclusion

It is necessary to accurately identify the side effects of AEDs in adults with epilepsy and accurately observe the physical changes caused by depression. In addition, it is imperative to establish an active and effective nursing intervention program to strengthen the self-efficacy of the patients and to improve their quality of life through social support provided by family members and medical professionals.

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The Influence of Subjective Health Status, Post-Traumatic Growth, and Social Support on Successful Aging in Middle-Aged Women: Seung Hee Lee, Hyung Suk Jang, Young Hee Yang; J Korean Acad Nurs 2016;46(5):744-752. Published online October 31, 2016; DOI: https://doi.org/10.4040/jkan.2016.46.5.744

Abstract PDF

Purpose

This study was done to investigate factors influencing successful aging in middle-aged women.

Methods

A convenience sample of 103 middle-aged women was selected from the community. Data were collected using a structured questionnaire and analyzed using descriptive statistics, two-sample t-test, one-way ANOVA, Kruskal Wallis test, Pearson correlations, Spearman correlations and multiple regression analysis with the SPSS/WIN 22.0 program.

Results

Results of regression analysis showed that significant factors influencing successful aging were post-traumatic growth and social support. This regression model explained 48% of the variance in successful aging.

Conclusion

Findings show that the concept 'post-traumatic growth' is an important factor influencing successful aging in middle-aged women. In addition, social support from friends/co-workers had greater influence on successful aging than social support from family. Thus, we need to consider the positive impact of post-traumatic growth and increase the chances of social participation in a successful aging program for middle-aged women.

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Factors Influencing Posttraumatic Growth in Survivors of Breast Cancer: Jin-Hee Park, Yong-Sik Jung, Youngmi Jung; J Korean Acad Nurs 2016;46(3):454-462. Published online June 30, 2016; DOI: https://doi.org/10.4040/jkan.2016.46.3.454

Abstract PDF

Purpose

Posttraumatic growth (PTG) is defined as 'positive psychological change experienced as a result of a struggle with highly challenging life circumstances'. The purpose of this study was to identify the level of PTG and its correlates in Korean patients with breast cancer.

Methods

A sample of 120 participants was recruited from outpatients, who had successfully completed primary treatment of breast cancer at a university hospital., Data were collected from June to December, 2014 using Posttraumatic Growth Inventory, lllness Intrusiveness Rating Scale, Cancer Coping Questionnaire, Revised Life Orientation Test and The Multidimensional Scale of Perceived Social Support.

Results

Total score for the PTG was 79.18±17.54 in patients surviving breast cancer. Bivariate analyses indicated that PTG was positively associated with having a religion, perceived social support, greater optimism, cancer coping, and illness intrusiveness. Results of the regression analysis showed that cancer coping (β=.29, p=.001), optimism (β=0.28, p=.001) and illness intrusiveness (β=0.17, p=.037) were statistically significant in patients' PTG.

Conclusion

The research findings show that the variables of cancer coping, optimism and illness intrusiveness significantly explain PTG and these psychological variables can be used to provide improvement in PTG for patients with breast cancer

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The Structural Equation Model on Resilience of Breast Cancer Patients Receiving Chemotherapy: Jeong Ha Yang, Ok Soo Kim; J Korean Acad Nurs 2016;46(3):327-337. Published online June 30, 2016; DOI: https://doi.org/10.4040/jkan.2016.46.3.327

Abstract PDF

Purpose

The purpose of this study was to construct and test a structural equation model on resilience of breast cancer patients receiving chemotherapy.

Methods

Participants were 204 patients with breast cancer who received chemotherapy treatment. They participated in a structured interview, which included social support, depression, symptom experience, self-efficacy, hope, resilience, and infection prevention behaviors. Data were analyzed using SPSS/WIN 20.0 and AMOS 18.0.

Results

Lower depression (γ=-.33, p=.020) and symptom experience (γ=-.31, p=.012) and higher self-efficacy (γ=.32, p=.005) and hope (γ=.48, p=.016) were influenced by higher social support. Greater resilience was influenced by lower symptom experience (β=-.18, p=.016), higher self-efficacy (β=.49, p=.023), and higher hope (β=.46, p=.012), and these predictors explained 66.7% of variance in resilience. Greater resilience (β=.54, p=.009) made an impact on greater infection prevention behaviors. Resilience mediated the relations of symptom experience (β=-.10 p=.013), self-efficacy (β=.27, p=.006) and hope (β=.25, p=.009) with infection prevention behaviors. These predictors explained 24.9% of variance in infection prevention behaviors.

Conclusion

The findings of the study suggest that breast cancer patientsw ith greater resilience who are receiving chemotherapy participate in increased infection prevention behaviors. Further research should be conducted to seek intervention strategies that improve breast cancer patients' resilience.

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Structural Equation Modeling of Quality of Work Life in Clinical Nurses based on the Culture-Work-Health Model: Miji Kim, Eunjung Ryu; J Korean Acad Nurs 2015;45(6):879-889. Published online December 31, 2015; DOI: https://doi.org/10.4040/jkan.2015.45.6.879

Abstract PDF

Purpose

The purpose of this study was to construct and test a structural equation model of quality of work life for clinical nurses based on Peterson and Wilson's Culture-Work-Health model (CWHM).

Methods

A structured questionnaire was completed by 523 clinical nurses to analyze the relationships between concepts of CWHM-organizational culture, social support, employee health, organizational health, and quality of work life. Among these conceptual variables of CWHM, employee health was measured by perceived health status, and organizational health was measured by presenteeism. SPSS21.0 and AMOS 21.0 programs were used to analyze the efficiency of the hypothesized model and calculate the direct and indirect effects of factors affecting quality of work life among clinical nurses.

Results

The goodness-of-fit statistics of the final modified hypothetical model are as follows: χ²=586.03, χ²/df=4.19, GFI=.89, AGFI=.85, CFI=.91, TLI=.90, NFI=.89, and RMSEA=.08. The results revealed that organizational culture, social support, organizational health, and employee health accounted for 69% of clinical nurses' quality of work life.

Conclusion

The major findings of this study indicate that it is essential to create a positive organizational culture and provide adequate organizational support to maintain a balance between the health of clinical nurses and the organization. Further repeated and expanded studies are needed to explore the multidimensional aspects of clinical nurses' quality of work life in Korea, including various factors, such as work environment, work stress, and burnout.

Citations

Citations to this article as recorded by

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