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A Study on Age-related Difference in Risk Perception of Breast Cancer and Influencing Predictors.

Journal of Korean Academy of Adult Nursing.2004;16(2):327-336.

PURPOSE: The aim of this study was to identify the age-related differences in risk perception of breast cancer and the age-related differences in predictors of risk perception. METHOD: The subjects were 553 women aged from 15 to 64 who lived in Seoul, Kwang-Ju, Jeon-nam province. Data was collected by self-reported questionnaire surveys using convenience sampling. The collected data was analyzed using descriptive statistics, F-test with Scheffe test, and stepwise multiple regression with SPSS-Win 10.0 version. RESULT: Risk perception of breast cancer was different by age group. Especially, risk perception in teenagers and the 50~64 years group was lower than the other groups. Additionally, general fear of breast cancer, information seeking style, experience, and knowledge were different between the age groups. The results of multiple regression analyses predicting risk perception indicated the following significant predictors: general fear and knowledge in all the subjects, general fear and experience in the 20~29 years group, and general fear in the other age groups. CONCLUSION: These results suggested that the construction of educational messages for breast cancer prevention and early detection should be designed differently for each age group.
Adolescent ; Breast Neoplasms* ; Breast* ; Female ; Gwangju ; Humans ; Jeollanam-do ; Seoul ; Surveys and Questionnaires

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Self-efficacy and Compliance in Patients with Chronic Heart Failure: The Effect of a Self-management Program using Decision Tree.

Cho Ja KIM ; Gi Yon KIM ; Yeon Soo JANG

Journal of Korean Academy of Adult Nursing.2004;16(2):316-326.

PURPOSE: The purpose of this study was to identify effects of a self-management program on self-efficacy and compliance in patients with CHF. Hypothesis: 1) Patients with CHF who are provided with a self-management program will show higher self-efficacy scores than a control group. 2) Patients who are provided with a self-management program will show higher compliance scores than a control group. METHOD: This study was designed as a nonequivalent non-synchronized pre-posttest control group. There were eight patients in the experimental group, and twelve in the control group. According to NYHA classification, all patients belonged under the classesl to lV. Data were collected using the instruments developed by the researchers. Data were analyzed using descriptive statistics and Mann Whitney U test. RESULT: There were significant differences in self-efficacy scores and compliance scores between the experimental and control group. CONCLUSION: By utilizing the program, patients were able to monitor their symptoms routinely, comply with therapeutic regimen, and feel better able to positively influence their disease. Therefore, better compliance means fewer readmissions of patients with CHF.
Classification ; Compliance* ; Decision Trees* ; Heart Failure* ; Heart* ; Humans ; Self Care* ; Statistics, Nonparametric ; Surveys and Questionnaires

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A Q Study on Gender-role Identity among College Students.

Myung Ae KIM ; Seung Hee NAM

Journal of Korean Academy of Adult Nursing.2004;16(2):306-315.

PURPOSE: The purpose of this study is to explore the structure and characteristics among college students' gender-role identity. METHOD: The study used a Q-method to measure college students' gender-role identity types. Korean Gender Role Identity Inventory(KGRII) formed the Q sample. The P sample consisted of a convenience sample of 44 college students. Q statements were written on separate cards and were given to the subjects to sort according to degree of agreement or disagreement. The Q-sorts by each subject were coded and analyzed with the Quanl PC program. RESULT: From data, three types were extracted. Three types showed a low correlation with each other, and accounted for 41 percent of the variance of the participants. The first type, a 'sex-role transcendence', expresses warm, humane, and kind. The second type, a 'masculinity intention type', has leadership, activity, power, and initiative. And the third type, a 'femininity intention type' pursues emotional, expressive, delicate and tactful. CONCLUSION: This paper classifies and subdivides three types of gender-role identity in college students. It helps understanding of gender-role identity, and further developing a sense of value and attitude related to gender identity in college students.
Gender Identity ; Humans ; Intention ; Leadership ; Q-Sort

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Influencing Factors on Health Examination: Focused on the Middle Aged Living in Busan.

Keum Ryang CHOO ; Jin Hyang YANG

Journal of Korean Academy of Adult Nursing.2006;18(2):261-271.

PURPOSE: The purpose of this study was to investigate factors that have influence on a health examination among the middle aged living in Busan. METHOD: The survey was conducted with 235 participants who were the parents of students of five nursing schools in Busan, living in Busan, and subjects to a health examination under the National Health Insurance Corporation. The data was collected from September to November 2004 using a structured self-administered questionnaire that contained general characteristics, characteristics related to a health examination, and health belief variables. Collected data were analyzed using SPSS/WIN 10.0. RESULTS: Among the subjects, 122(51.9%) had performed a health examination in the past, and 113(48.1%) had not. Variables that have a significant influence on getting a health examination were: previous disease experience, perceived barrier and perceived seriousness. Those who did not have previous disease experience(2.6 times) and whose perceived seriousness was high(1.1 times) were more likely to have a health examination, and those with perceived barrier high(0.9 times) were less likely. CONCLUSION: Therefore, to increase the rate of health examinations, it is necessary to advertise the importance of health examinations particularly for the people who had disease experience and the seriousness of target diseases; and furthermore, to remove barriers of a health examination.
Busan* ; Health Behavior ; Humans ; Middle Aged* ; National Health Programs ; Parents ; Schools, Nursing ; Surveys and Questionnaires

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An Analytic Study on Influencing Factors for Sexual Satisfaction in Climacteric Women.

Mi Hae SUNG

Journal of Korean Academy of Adult Nursing.2006;18(2):251-260.

PURPOSE: This study was undertaken in order to examine the factors related to sexual satisfaction in climacteric women. METHOD: This was a descripitive correlation study. The subjects were 544 women in climacteric stage. Data were analyzed a using of descriptive statistics, t-test, ANOVA, Pearson correlation coefficients and multiple regression with a SPSS WIN11.0. RESULTS: The predictors of sexual satisfaction were age, education, marital status, family income, number of delivery, hormone therapy, body image, state anxiety, trait anxiety, spouse support. These factors explained 57.6% of the total variance. CONCLUSION: These finding suggest the need to develope nursing strategy to improve the sexual satisfaction in climacteric women. To improve the climacteric women's sexual satisfaction, the above major influencing factors should be considered.
Anxiety ; Body Image ; Climacteric* ; Education ; Female ; Humans ; Marital Status ; Nursing ; Sex Factors ; Spouses ; Statistics as Topic

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Effects of Spirituality Promoting Intervention on Spirituality, Social Support and Fighting Spirit among the Cancer Patients.

Joo Hyong KIM ; Suk Jeong LEE ; Jae Kyung ROH ; Jeong Soon YOON ; Won Hee LEE

Journal of Korean Academy of Adult Nursing.2006;18(2):240-250.

PURPOSE: This study examined the effects of spirituality promoting intervention for the stomach and colon cancer patients. METHOD: A quasi-experimental design was used. Data collection was carried out from April 2004 to June, 2004 at a cancer center in Korea. The intervention included pray, meditation, group education and discussion for coping with cancer. The experimental group were received a 1-hour intervention per week for 6 weeks, while the control group received usual care. Data collection was done at pre and post intervention. The degree of spirituality was measured by the Korean version of WHOQOL-SRPB pilot test(WHO Quality of Life-Spirituality, Religiousness and Personal Beliefs pilot test) Module, and social support was measured using scores on a PRQ 85(Personal Resources Questionnaire). Fighting spirit was measured by the scores of MAC(Mental Adjustment to Cancer) scale. RESULTS: The experimental group showed significant increase in the scores of social support and fighting spirit compared to those in the control group after the intervention. There were no significant changes in terms of the spirituality score compared to the baseline score in the experimental group and the control group. CONCLUSION: This intervention appeared to be effective in increasing social support and fighting spirit, which considered to be very helpful in cancer adjustment.
Colonic Neoplasms ; Data Collection ; Education ; Humans ; Korea ; Meditation ; Spirituality* ; Stomach

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Effects of Web-based Multimedia Contents for Mechanical Ventilator Practice on Knowledge and Clinical Competence of Nursing Students.

Jin Ju YANG

Journal of Korean Academy of Adult Nursing.2006;18(2):231-239.

PURPOSE: The purpose of this study was to identify the effect of web-based learning for ventilator practice on the knowledge and clinical competence of nursing students. METHOD: The research design was a non-equivalent control group pre-post non-synchronized design. Twenty five nursing students were collected for the experimental group from August 23 to November 26, 2004 and nineteen nursing students for the control group from August 22 to November 25, 2005. All subjects experienced clinical practices in an intensive care unit of a hospital in G city for 2 weeks. The web-based learning for ventilator practice was conducted in the experimental group only. The data were analyzed with t-test and ANCOVA using SPSS 10.1 program. RESULT: The 2 week web-based clinical practice learning significantly improved the knowledge scores for the experimental group, however, there was no significant differences in the score for the clinical competence between experimental and control group. CONCLUSION: These findings suggest that a self-directed web-based learning for ventilator practice of nursing students can facilitate the knowledge of care for a ventilated patient. Therefore, faculties should develop a variety of web-based multimedia content programs for clinical instruction based on clinical situation.
Clinical Competence* ; Humans ; Intensive Care Units ; Learning ; Multimedia* ; Nursing* ; Research Design ; Students, Nursing* ; Ventilators, Mechanical*

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The Effect of Electrical Muscle Stimulation Therapy on Chronic Knee Pain and Depression for Aged.

So Hyune SOK ; Il Won KIM ; Kwuy Bun KIM

Journal of Korean Academy of Adult Nursing.2006;18(2):223-230.

PURPOSE: This study was to examine the effect of electrical muscle stimulation therapy on chronic knee pain and depression for the aged. METHOD: Design was one-group pretest-posttest design. Samples were 32 elderly of 60 years old and above with chronic knee pain and depression. Measures were the S-F McGill Pain Questuionnaire for chronic knee pain and the Korean Elderly Depression Scale for depression. Electrical muscle stimulation therapy, experimental treatment, was applied for 12 weeks, 3 times/week, 15 min/time. Data were collected from January 2005 to May 2005. Data were analyzed using SPSS PC+ 12 version. RESULTS: After receiving electrical muscle stimulation therapy, chronic knee pain (t=-88.034, P=.000) and depression (t=-114.659, P=.000) were significantly decreased. CONCLUSION: Electrical muscle stimulation therapy can be a better effective primary nursing intervention on chronic knee pain and depression for community dwelling elders.
Aged ; Depression* ; Electric Stimulation Therapy ; Humans ; Knee* ; Middle Aged ; Primary Nursing ; Therapies, Investigational

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Construction of Health-related Quality of Life Model in Acquired People with Physical Disabilities.

Kye Ha KIM

Journal of Korean Academy of Adult Nursing.2006;18(2):213-222.

PURPOSE: This study was designed to construct a structural model for explaining model health-related quality of life in acquired people with physical disabilities. METHOD: The hypothetical model of this study was consisted of 6 latent variables and 14 observed variables. Exogenous variables included in this model were physical status and economical level. Endogenous variables were social attitudes, family function, self-esteem, and health-related quality of life. Data were collected from 226 acquired people with physical disabilities residing in Seoul and Kyunggi-do from January to February, 2005. The collected data were analyzed using SAS 8.2 version and LISREL 8.32 version program. RESULTS: The results of the fitness test of the modified model were follow as; chi-square=67.479 (df=50, p=.05), GFI= .959, AGFI=.914, SRMR=.049, NFI=.961, NNFI=.979, CN=249.244. Health-related quality of life was influenced directly by physical status, economic level, and social attitudes and accounted for 88.8% of the variance by these factors. CONCLUSION: These results suggest that physical status is the most significant effect on health-related quality of life, and social attitudes and economic level are important factors having influences on health- related quality of life. Therefore improving physical status and economic level, and modifying negative attitudes are necessary to increase health-related quality of life of acquired people with acquired physical disabilities.
Disabled Persons ; Gyeonggi-do ; Humans ; Models, Structural ; Quality of Life* ; Seoul

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The Effect of School Based Smoking Prevention Program for College Freshmen.

Sung Rae SHIN ; Sun Woo LEE ; Sun Kyoung KIM

Journal of Korean Academy of Adult Nursing.2006;18(2):202-212.

PURPOSE: This study was conducted to investigate the effects of a school based smoking prevention program for college freshmen. METHOD: The nonequivalent control group, pretest-post-test design was used. Among 16 departments in a University located in S city, students in 8, randomly selected, departments received 6 sessions of smoking prevention program consisted of small group discussion led by smoking cessation leaders, video watching, and lectures from March 15 to June 9, 2004. Students in remaining 8 departments did not receive any education. Student's attitude, intention, stress, temptation, knowledge and self efficacy was measured. RESULT: The level of stress and smoking temptation was significantly decreased in the experimental group over that of the control group. CONCLUSION: It was proven that this school based smoking prevention program was effective for decreasing smoking temptation in college freshmen. In the future, more efforts should be given to college age students to prevent them becoming chronic smokers.
Education ; Humans ; Intention ; Lectures ; Self Efficacy ; Smoke* ; Smoking Cessation ; Smoking*

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