PURPOSE: To identify the effects of a smart program for the patients who underwent percutaneous coronary intervention (SP-PCI) on coronary disease-related knowledge, health behaviors, and quality of life. METHODS: A nonequivalent control group with a non-synchronized design was utilized and 48 participants (experimental=22, control=26) were recruited from a university hospital in Gyeongsang area from May to December, 2016. The 12-week SP-PCI consisted of self-study of health information using smart phone applications (1/week), walking exercise (>5/week) using smart band, feedback using Kakao talk (2/week), and telephone counseling (1/week). Patients in the control group received usual care from their primary health care providers and a brief health education with basic self-management brochure after the PCI. Data were analyzed using the SPSS 21.0 program through descriptive statistics, χ2 test, and t-test. RESULTS: After the 12-week SP-PCI, the experimental group showed higher levels of coronary disease-related knowledge (t=2.43, p=.019), heart-related health behaviors (t=5.96, p < .001), regular exercise (Z=-4.47, p < .001), and quality of life-MCS (t=3.04, p=.004) and showed lower levels of stress (Z=-3.53, p < .001) and sodium intake (t=-4.43, p < .001) than those in the control group. There were no significant group differences in medication adherence and food intake in total energy, lipids, and cholesterol. CONCLUSION: The suggested SP-PCI provided easy access and cost-effective intervention for patients after PCI and improved their knowledge of the disease, performance of health behaviors, and quality of life. Further study with a wider population is needed to evaluate the effects of SP-PCI on disease recurrence and quality of life for patients after PCI.
Cholesterol ; Counseling ; Eating ; Health Behavior* ; Health Education ; Humans ; Medication Adherence ; Pamphlets ; Percutaneous Coronary Intervention* ; Primary Health Care ; Quality of Life* ; Recurrence ; Self Care ; Smartphone ; Sodium ; Telephone ; Walking

OBJECTIVES: This study draws from the resource depletion and conservation theories to develop a process model of informal caregiving. The model includes the burnout as a key mediator of the relationship between benefit/threat appraisals and critical outcomes including perceived physical health, depression and life satisfaction. METHODS: A self-report questionnaire was utilized to collect relevant data from 137 informal caregivers of older adults. The proposed model and hypotheses were evaluated with the Structural Equation Modeling method using the software EQS. RESULTS: The relatively high reported levels of emotional exhaustion and reduced personal accomplishment established the relevance of the burnout construct for informal caregivers. In addition, the test of the proposed model provides support for the hypothesis that burnout is an important mediator in the appraisal process model of informal caregiving. However, while burnout effectively mediates the influence of threat appraisals, its role in mediating the effect of benefit appraisals is mixed. CONCLUSION: The proposed model and results highlight the significance and potential for utilizing a process approach for understanding the link between appraisals and outcomes for informal caregivers. More importantly, the proposed model suggests that attention must be paid toward burnout tendencies to reveal fruitful intervention directions for researchers and practitioners to enhance the positive outcomes of informal caregivers, and maintain their psychological and physical well-being.
Adult ; Aluminum Hydroxide ; Carbonates ; Caregivers ; Depression ; Fruit ; Humans ; Negotiating ; Surveys and Questionnaires

PURPOSE: This study aimed to examine the factors related to the bone mineral density (BMD) in male and female adults aged 50 years or older. The factors included were socio-demographics, body mass index (BMI), blood pressure, blood lipids, and health habits. METHODS: As a secondary data analysis, this study used raw data from the 5th Korean National Health and Nutrition Examination Survey, and selected 2,295 adults aged over 50 years who participated in the survey and had BMD values. The T-score of the femoral neck was evaluated for BMD. Data were analyzed using descriptive statistics, ANOVA and multiple regression. RESULTS: The factors influencing the BMD in men were age (β=−.029, p<.001), BMI (β=.100, p<.001), triglyceride (β=−.001, p=.001), and calcium (β=.001, p=.003), and the suggested regression equation explained 25.6% of the variance in BMD (F=16.32, p<.001). The factors related to BMD in women were age (β=−.060, p<.001), BMI (β=.091, p<.001), total cholesterol (β=−.002, p=.028), HDL cholesterol (β=.009, p=.001), and calcium (β=.001, p=.004), and the suggested regression equation explained 47.0% of the variance in BMD (F=61.72, p<.001). CONCLUSION: Based on the findings of this study, the modifiable factors, such as BMI, blood cholesterol, and calcium, should be targeted to improve the BMD in both men and women.
Adult* ; Blood Pressure ; Body Mass Index ; Bone Density ; Calcium ; Cholesterol ; Cholesterol, HDL ; Female ; Femur Neck ; Humans ; Male ; Miners* ; Nutrition Surveys* ; Osteoporosis ; Sex Characteristics ; Statistics as Topic ; Triglycerides

PURPOSE: The purpose of this study was to examine the effects of a smoking cessation program using self-regulated learning strategy as an approach for middle-school boys to stop smoking. METHODS: A one group time series study was utilized for the purpose of this study. A five-week smoking cessation program, based on the self-regulated learning strategy of Zimmerman (1989), was provided to 15 middle-school boys who were smokers. Data were collected from July to September, 2008 and analyzed using descriptive statistics, repeated measures ANOVA, and nonparametric test, Friedman, 2 related samples with SPSS/WIN 14.0 program. RESULTS: Following the intervention, the participants showed significant differences on self-regulatory efficacy, cons of smoking, stage of smoking behavior change, nicotine dependency, urine cotinine levels, and CO expiration levels compared to those at pretest and those differences remained at 5 months after the intervention, except cons of smoking. CONCLUSION: This study suggest that the smoking cessation program using self-regulated learning strategy is effective for smoking cessation in middle-school boys and those smoking cessation behaviors remained for up to 5 months after the completion of the intervention. Broad application of the program would be beneficial for teenagers who smoke.
Adolescent ; Analysis of Variance ; Cotinine ; Humans ; Learning* ; Nicotine ; Smoke ; Smoking ; Smoking Cessation*

PURPOSE: The purpose of this study was to identify the levels of customer orientation in nurses whose work experience was between 1 and 5 years and to examine factors associated with customer orientation and nursing productivity. METHODS: For this descriptive correlational study, nurses (N=164) were recruited from a University Hospital in B city, from November 1 to 23, 2012. Questionnaires included measures of customer orientation, nursing productivity, organizational commitment, job stress, and turnover intention. Data were analysed with the SPSS/WIN 18.0 program using descriptive statistics, t-test, ANOVA, Pearson correlation coefficient, and stepwise multiple regression. RESULTS: The mean age of participants was 25 years, 96% were single, and 54.9% had a bachelor degree. Organizational commitment (beta=.387) and job stress (beta=.280) significantly explained the variance in customer orientation (R2=15.8). Customer orientation (beta=.479), education level (beta=.196), and turnover intention (beta=-.184) significantly explained the variance in nursing productivity (R2=35.3). Customer orientation was the most important factor in explaining the variance in the nursing productivity. CONCLUSION: This study highlighted the relationship between customer orientation and nursing productivity. Improving the customer orientation could result in increasing nursing productivity. Future managerial intervention to improve customer orientation is warranted.
Education ; Efficiency* ; Efficiency, Organizational ; Intention ; Nursing* ; Surveys and Questionnaires

PURPOSE: The purpose of this study was to develop an empowerment program as a nursing intervention for the patients having an acute stroke and to determine the effects of the program on their motivation, depression, and activities of daily living(ADLs). METHODS: An non-equivalent control group pretest-posttest design was used in this study. Sixty subjects were recruited from two separated institutions: 31 patients were allocated into experimental group and 29 were into control group. Six week empowerment program was provided to the experimental group. The study was conducted from November 2006 to March 2007. RESULTS: After 6 week empowerment program, rehabilitation motivation was significantly increased in the experimental group in comparison to the control group(t=-2.173, p=.036). There were no significant differences in depression and ADLs between experimental and control groups. CONCLUSION: The empowerment program effectively increased rehabilitation motivation of patients with stroke, while did not improve the levels of depression and ADLs. Future long-term intervention may benefit the patients more in terms of depression and ADLs when considering the acute stage of the patients in this study.
Activities of Daily Living ; Depression ; Humans ; Motivation ; Power (Psychology) ; Stroke

PURPOSE: The purpose of this study was to identify the effects of a Progressive Walking program (PW) on physical activity, exercise tolerance, recovery, and post-operative complications for patients with a lung resection. METHODS: A nonequivalent control group non-synchronized design was utilized and 37 participants with a lung resection (22 for control group, 15 for experimental group) were recruited at A university hospital from December 2012 to August 2013. The PW consisted of preoperative education, goal setting, and feedback, provided to the experimental group, and usual care to the control group. Data were analyzed using the SPSS WIN 18.0. RESULTS: A higher proportion of patients in the experimental group showed adequate levels of physical activity (p=.001), shorter period of chest tube retention (< or = 7 days; p=.011), and shorter stay in the hospital (< or = 10 days; p=.036) than patients in the control group. Patients in the experimental group reported longer 6-minute walking distance (p=.032) and lower levels of dyspnea (p=.049) than patients in the control group. The PW did not influence the occurrence of pulmonary complications. CONCLUSION: The findings of this study suggest that the PW could be a useful strategy for improving patients' post-operative health and reducing cost after lung resection.
Aged ; Dyspnea/diagnosis ; Exercise Tolerance ; Female ; Humans ; Length of Stay ; Lung Neoplasms/pathology/*surgery ; Male ; Middle Aged ; Postoperative Care ; Postoperative Complications ; Questionnaires ; Treatment Outcome ; *Walking

PURPOSE: The purpose of this study was to identify the predictors of clinical competence in new graduate nurses. METHODS: The subjects of this study were 238 nurses at 13 general hospitals who have had less than 12 months of nursing experience. The data were collected by structured questionnaire from August 5 to August 31 of 2009 and analyzed by the SPSS Win 12.0 program. RESULTS: The total mean score for clinical competence was 181.05+/-15.17, critical thinking disposition was 94.65+/-8.12, and practice environment was 41.00+/-5.55. There were significant differences of clinical competence according to the GPA (t=-3.58, p<.001), the number of beds in the hospital (t=-3.22, p=.001), instruction by preceptor (t=-2.32, p=.021), and previous experience of clinical practice in the hospital (t=-2.21, p=.028). Additionally, critical thinking disposition and practice environment were positively correlated to clinical competence (r=.50, p<.001; r=.20, p=.002). In multivariate approach, predictors included in this study explained 43% of variance in clinical competence. Significant predictors of clinical competence were critical thinking disposition (beta=.50, p<.001), practice environment (beta=.14, p=.012), and working duration (beta=.13, p=.018). CONCLUSIONS: Based on these findings, it is needed that providing supportive practice environment and developing curriculum for enhancing the critical thinking disposition to improve the clinical competence in new graduate nurses.
Clinical Competence ; Curriculum ; Hospitals, General ; Mental Processes ; Surveys and Questionnaires ; Thinking

PURPOSE: The purpose of this study was to identify the predictors of clinical competence in new graduate nurses. METHODS: The subjects of this study were 238 nurses at 13 general hospitals who have had less than 12 months of nursing experience. The data were collected by structured questionnaire from August 5 to August 31 of 2009 and analyzed by the SPSS Win 12.0 program. RESULTS: The total mean score for clinical competence was 181.05+/-15.17, critical thinking disposition was 94.65+/-8.12, and practice environment was 41.00+/-5.55. There were significant differences of clinical competence according to the GPA (t=-3.58, p<.001), the number of beds in the hospital (t=-3.22, p=.001), instruction by preceptor (t=-2.32, p=.021), and previous experience of clinical practice in the hospital (t=-2.21, p=.028). Additionally, critical thinking disposition and practice environment were positively correlated to clinical competence (r=.50, p<.001; r=.20, p=.002). In multivariate approach, predictors included in this study explained 43% of variance in clinical competence. Significant predictors of clinical competence were critical thinking disposition (beta=.50, p<.001), practice environment (beta=.14, p=.012), and working duration (beta=.13, p=.018). CONCLUSIONS: Based on these findings, it is needed that providing supportive practice environment and developing curriculum for enhancing the critical thinking disposition to improve the clinical competence in new graduate nurses.
Clinical Competence ; Curriculum ; Hospitals, General ; Mental Processes ; Surveys and Questionnaires ; Thinking

PURPOSE: The purpose of this study was to identify relatively important predictors of quality of life (QOL) of HSCT recipients among client's characteristics(age, gender, family income, religiosity), HSCT-related characteristics(time since HSCT, type of HSCT, decision maker of HSCT) and social support. METHODS: Eighty two participants who had a HSCT were recruited for the study. Data were analyzed by descriptive analysis, pearson's correlation, ANOVA and stepwise multiple regression using SPSS for Window(version 12.0) program to answer the research questions. RESULTS: Family income, time since HSCT and religiosity explained 23.8% of the variance in the QOL of HSCT recipients. HSCT recipients who had higher family income, longer time past since HSCT, and more religious tend to have higher quality of life. CONCLUSION: Based on the findings of this study, we could know that the HSCT recipients need certain amount of time to recover their QOL after HSCT. Opportunities of reemployment and religious support should be considered when we develop intervention program for HSCT recipients.
Humans ; Quality of Life