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The Effects of Cognitive Behavioral Anger Management Program on Self-consciousness and Anger in Korean Military Man.

Myung Sun HYUN ; Kyoung A NAM ; Hee Sun KANG

Journal of Korean Academy of Nursing.2006;36(6):1076-1084. doi:10.4040/jkan.2006.36.6.1076

PURPOSE: The purpose of this study was to evaluate a cognitive behavioral anger management intervention in order to increase self-consciousness and decrease anger among Korean military men. METHODS: A quasi-experimental design was used for this study. Ninety two soldiers were screened for unhealthy anger expression using a questionnaire. Among them, 26 soldiers who showed unhealthy anger expression were selected for this study. They were matched by rank and assigned to either a treatment or control group. The treatment group received the intervention three consecutive times, once a week and for 120 minutes per session. Participants were assessed before and after the intervention for anger (the State-Trait Anger Scale) and self-consciousness (Self-consciousness Scale). Data was analyzed using descriptive statistics, chi-square-test, Mann-Whitney test, and Wilcox on signed rank test. RESULTS: There was no statistically significant decrease in anger or increase in self-consciousness between the two groups following treatment. However, there was a significant increase in private self-consciousness in the treatment group after the intervention(p=.006). CONCLUSION: The cognitive behavioral anger management program improves private self-consciousness in soldiers. However, Additional research is needed to explore whether long-term intervention is more effective for anger control in the military setting. The findings from this study suggest that more attention should be given to mental health care for Korean soldiers.
Adult ; *Anger ; Cognitive Therapy/*methods ; Consciousness ; Expressed Emotion ; Humans ; Korea ; Male ; Mental Health ; Military Personnel/*psychology ; Program Evaluation ; Questionnaires

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An Explanatory Model for Health-Promoting Behaviors in Patients Living at Home who have Post Stroke Hemiplegia.

Mi Hee KIM

Journal of Korean Academy of Nursing.2006;36(6):1065-1075. doi:10.4040/jkan.2006.36.6.1065

PURPOSE: A structural equation model was analyzed to explore the determinants of health-promoting behaviors in patients living at home in Korea who had post stroke hemiplegia. METHOD: Demographic characteristics, activities of daily living, religiosity, family support, self-efficacy, acceptance of disability, perceived barriers to health-promoting activities, depression, and health-promoting behavioral data was collected from 239 patients using self-report questionnaires. RESULT: Variables that have a direct effect on health-promoting behaviors were self-efficacy and family support. Depression, acceptance of disability, perceived barriers, activities of daily living and religiosity also influenced health-promoting behaviors in an indirect way. CONCLUSION: It is imperative to explore strategies for patients with post stroke hemiplegia to identify and maximize their resources, develop their self-efficacy, improve their emotional state, and enhance their physical activity and spiritual growth, which would maximize health-promoting behaviors.
Adult ; Aged ; Aged, 80 and over ; Attitude to Health ; Female ; *Health Behavior ; *Health Promotion ; Hemiplegia/etiology/*nursing/rehabilitation ; *Home Nursing ; Humans ; Male ; Middle Aged ; Models, Theoretical ; Questionnaires ; Self Efficacy ; Stroke/complications/*nursing/psychology

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Concept Analysis of DNR(Do-Not-Resuscitate).

Hyoung Sook PARK ; Mi Jee KOO ; Young Hee KIM

Journal of Korean Academy of Nursing.2006;36(6):1055-1064. doi:10.4040/jkan.2006.36.6.1055

PURPOSE: The purpose of this study was to analyze and clarify the ambiguous concept of DNR, and to distinguish between DNR and euthanasia. METHOD: This study used the process of Walker & Avant's concept analysis. RESULT: The definable attributes of DNR were care for comfort, no further treatment and no CPR. The antecedents of DNR were the autonomy of patients and families feelings about death, the uselessness of treatment and the right to die with dignity. The process of the DNR decision should be documented and the antecedents of DNR also can be a basis for objective standards of DNR decision-making. The result of DNR was the acceptance of death by patients and families. CONCLUSION: DNR is decided and documented by the antecedents of DNR, and the result is a natural acceptance of death, the last process of human life. Hospice care should be activated and nurses must be patient's advocates and families' supporters in the process.
*Attitude to Death ; Decision Making ; Family ; Hospice Care ; Humans ; *Resuscitation Orders

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The Effects of Pneumoperitoneum on Heart Rate, Mean Arterial Blood Pressure and Cardiac Output of Hypertensive Patients during Laparoscopic Colectomy.

Eun Ju KIM ; Haesang YOON

Journal of Korean Academy of Nursing.2010;40(3):433-441. doi:10.4040/jkan.2010.40.3.433

PURPOSE: This study was performed to identify effects of pneumoperitoneum on hemodynamic changes of hypertensive patients undergoing laparoscopic colectomy under general anesthesia. METHODS: Data collection was done from January 2 to June 10, 2008. Seventy-six patients, including 38 hypertensive patients, who had taken antihypertensive drugs more than 1 month and 38 normotensive patients undergoing laparoscopic colectomy were enrolled in this study. The hemodynamic parameters were heart rate (HR), mean arterial pressure (MAP) and cardiac output (CO) which were measured 7 times from before induction of anesthesia to 5 min after deflation of the pneumoperitoneum. Collected data were analyzed using Repeated Measures ANOVA and Bonferroni comparison method. RESULTS: HR in the hypertensive group was significantly decreased at deflation of the pneumoperitoneum and 5 min after deflation of the pneumoperitoneum (p=.012). MAP in the hypertensive group was not different from the normotensive group (p=.756). CO in hypertensive group was significantly lower than normotensive group (p<.001) from immediately after pneumoperitoneum to 5 min after deflation of the pneumoperitoneum. CONCLUSION: The results indicate that pneumoperitoneum during laparoscopic surgery does not lead to clinically negative hemodynamic changes in heart rate, mean arterial pressure or cardiac output of hypertensive patients, who have taken antihypertensive drugs for more than 1 month.
Aged ; Anesthesia/methods ; Antihypertensive Agents/therapeutic use ; Blood Pressure/*physiology ; Cardiac Output/*physiology ; Colectomy ; Colonic Neoplasms/surgery ; Female ; Heart Rate/*physiology ; Humans ; Hypertension/drug therapy/*physiopathology ; Laparoscopy ; Male ; Middle Aged ; *Pneumoperitoneum, Artificial

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Effects of Nei-Guan Acupressure on Nausea, Vomiting and Level of Satisfaction for Gynecological Surgery Patients Who Are Using a Patient-Controlled Analgesia.

Nam Cho KIM ; Je Bog YOO ; Myung Sook CHO ; Eun Ju SHIN ; Tae Soo HAHM

Journal of Korean Academy of Nursing.2010;40(3):423-432. doi:10.4040/jkan.2010.40.3.423

PURPOSE: This study was done to examine effects of Nei-Guan acupressure on nausea, vomiting and level of satisfaction for gynecological surgery patients who were using a patient-controlled analgesia (PCA). METHODS: For this study, 51 patients were assigned to one of three groups, a control group (17 patients), experimental group 1 (finger acupressure group) (17 patients), and experimental group 2 (relief band group) (17 patients). The data were collected for 24 hr in the recovery room of a university hospital located in Seoul. The 6 hr-intervals including the time of leaving the recovery room were taken into consideration. RESULTS: The occurrence of nausea between the experimental group with Nei-Guan acupressure treatment and the control group was different. However, there was no difference in nausea and vomiting control or level of patient satisfaction between the finger acupressure group and the relief band group. CONCLUSION: Nei-Guan acupressure is recommended for nursing practice as a way for alleviating the opioid-induced nausea and accelerating the recovery of patients who are using PCA after surgery.
*Acupressure ; Adult ; *Analgesia, Patient-Controlled ; Female ; Genital Diseases, Female/*psychology/surgery ; Hospitals, University ; Humans ; Middle Aged ; *Personal Satisfaction ; Postoperative Care ; Postoperative Nausea and Vomiting/*prevention & control ; Young Adult

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The Life of Adolescent Patients with Complex Congenital Heart Disease.

Sunhee LEE ; So Sun KIM

Journal of Korean Academy of Nursing.2010;40(3):411-422. doi:10.4040/jkan.2010.40.3.411

PURPOSE: In the present study, an analysis of the life of adolescents with complex congenital heart disease (CHD) was done using grounded theory. Consideration was given to the socio-cultural context of Korea. METHODS: After approval from the institutional review board of Y hospital, 12 patients ranging in age from 14 to 35 were recruited. Data were gathered using in-depth interviews. Theoretical sampling was performed until the concepts were saturated. RESULTS: The results confirmed the life of adolescents with complex CHD as a 'journey to finding uniqueness of oneself as a person with CHD'. The life consisted of 3 stages. In the crisis stage, participants had a feeling of threat to self-existence, and made an effort to be the same as others. In the self-recognition stage, participants who had sufficient role-performance built self-esteem while those who did not fell into self-accusation. In the self-establishment stage, participants who reached sufficiency in independence and knowledge planned the future, whereas those who did not conformed to the realities of life. CONCLUSION: The results of present study provide help in understanding the experiences of adolescents with CHD and provide a basis for developing nursing intervention strategies for these patients.
Adolescent ; *Adolescent Psychology ; Adult ; Female ; Heart Defects, Congenital/*psychology ; Humans ; Interviews as Topic ; Male ; Perception ; Quality of Life ; Self Concept

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Factors Affecting the Health-related Quality of Life According to Age in Vulnerable Aged Men.

Eun Young JEON ; Yeon Hee CHOI

Journal of Korean Academy of Nursing.2010;40(3):400-410. doi:10.4040/jkan.2010.40.3.400

PURPOSE: The purpose of this study was to investigate the factors that influenced the health-related quality of life of young-old (65-74 yr) men, old-old (75-84 yr) men, and oldest-old (85 yr or above) men in vulnerable aged received home care from public health center. METHODS: The participants for this study were 318 aged Korean men living in D city. The data was collected from August to October, 2009 using structured questionnaires. Chi-square, One way ANOVA, Duncan test, Pearson's Correlation Coefficient and multiple regression with the SPSS WIN 14.0 program were used to analyze the data. RESULTS: There were statistically significant differences among young-old, old-old, and oldest-old men regarding the health-related quality of life, health promoting behavior, IADL (Instrumental Activities of Daily Living), rehabilitation, depression, and social support. The model including variables related to physical, psychological, and social aspects of life, explained variance of the health-related quality of life of aged men differently, such as 39.6% of young-old, 35.4% of old-old, and 47.0% of oldest-old. Finally, IADL and social support were predictors in explaining the level of health-related quality of life among vulnerable old men regardless of age. CONCLUSION: Based on the findings of the study, nursing interventions should be developed to improve health-related quality of life of vulnerable aged men according to age differences.
Activities of Daily Living ; Aged ; Aged, 80 and over ; Depression ; Health Promotion ; *Health Status ; Home Care Services ; Humans ; Male ; *Quality of Life ; Social Support

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A Structural Equation Model on Mental Health of Korean Immigrants in Canada.

Jeongyee BAE ; Youngsuk PARK

Journal of Korean Academy of Nursing.2010;40(3):389-399. doi:10.4040/jkan.2010.40.3.389

PURPOSE: The aim of this study was to construct a structural equation model that would further explain the mental health status of Korean immigrants living in Canada. METHODS: Survey using a structured questionnaire was conducted with 386 people in Canada (Vancouver and Toronto). Six instruments were used in this model. The analysis of data was done with both SPSS 14.0 for descriptive statistics and AMOS 5.0 for covariance structure analysis. RESULTS: Based on the constructed model, physical health status, immigrant life stress, self esteem, and quality of life were found to have significant direct effect on mental health. In addition, factors such as physical health status, immigrant life stress, quality of life, English proficiency, family cohesion and social support were found to indirectly affect mental health. The final modified model yielded Chi-square=34.79 (p<.001), df=13, Chi-square/df=2.68, GFI=0.98, AGFI=0.94, NFI=0.95, PNFI=0.44, PGFI=0.35, RMSE=0.07 and exhibited good fit indices. CONCLUSION: This structural equation model is a comprehensive theoretical model that explains the related factors and their relationship with mental health in Korean immigrants. Findings of this study can contribute to the designing of an appropriate prevention strategy to further improve the mental health of immigrants in Canada.
Adult ; Canada ; Emigrants and Immigrants/*psychology ; Female ; Health Status ; Humans ; Male ; *Mental Health ; Middle Aged ; *Models, Psychological ; Quality of Life ; Republic of Korea/ethnology ; Self Concept ; Social Support ; Stress, Psychological

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A Prediction Model for Internet Game Addiction in Adolescents: Using a Decision Tree Analysis.

Ki Sook KIM ; Kyung Hee KIM

Journal of Korean Academy of Nursing.2010;40(3):378-388. doi:10.4040/jkan.2010.40.3.378

PURPOSE: This study was designed to build a theoretical frame to provide practical help to prevent and manage adolescent internet game addiction by developing a prediction model through a comprehensive analysis of related factors. METHODS: The participants were 1,318 students studying in elementary, middle, and high schools in Seoul and Gyeonggi Province, Korea. Collected data were analyzed using the SPSS program. Decision Tree Analysis using the Clementine program was applied to build an optimum and significant prediction model to predict internet game addiction related to various factors, especially parent related factors. RESULTS: From the data analyses, the prediction model for factors related to internet game addiction presented with 5 pathways. Causative factors included gender, type of school, siblings, economic status, religion, time spent alone, gaming place, payment to Internet cafe, frequency, duration, parent's ability to use internet, occupation (mother), trust (father), expectations regarding adolescent's study (mother), supervising (both parents), rearing attitude (both parents). CONCLUSION: The results suggest preventive and managerial nursing programs for specific groups by path. Use of this predictive model can expand the role of school nurses, not only in counseling addicted adolescents but also, in developing and carrying out programs with parents and approaching adolescents individually through databases and computer programming.
Adolescent ; Adolescent Behavior ; Adolescent Psychology ; Behavior, Addictive/*psychology ; Child ; Child Behavior ; *Decision Trees ; Female ; Humans ; *Internet ; Logistic Models ; Male ; Models, Theoretical ; Students/psychology

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Comparison of the Factors Influencing Children's Self-esteem between Two Parent Families and Single Parent Families.

Sohyune R SOK ; Sung Hee SHIN

Journal of Korean Academy of Nursing.2010;40(3):367-377. doi:10.4040/jkan.2010.40.3.367

PURPOSE: This study was done to compare factors influencing children's self-esteem between two parent families and single parent families. METHODS: The participants were 692 children aged 11 to 13 yr (388 in two parent families and 304 in single parent families) recruited from 20 community agencies and 5 elementary schools in Gyeonggi Province and Seoul City, South Korea. Data were collected from May to July, 2007 using a survey questionnaire containing items on self-esteem, internal control, problematic behavior, school record, family hardiness, parent-child communication and social support. The data were analyzed using SPSS 15.0 program and factors affecting children's self-esteem were analyzed by stepwise multiple regression. RESULTS: Scores for the study variables were significantly different between the two groups. The factors influencing children's self-esteem were also different according to family type. For two parent families, internal control, problematic behavior, school record, and parent-child communication significantly predicted the level of self-esteem (adjusted R2=.505, p<.001). For single parent families, social support, family hardiness, internal control, problematic behavior, school record, and parent-child communication significantly predicted the level of self-esteem (adjusted R2=.444, p<.001). CONCLUSION: Nurse working with children should consider family type-specific factors influencing their self-esteem.
Adolescent ; Adolescent Behavior ; *Adolescent Psychology ; Child ; Child Behavior ; Communication ; Educational Status ; Female ; Humans ; Male ; Parent-Child Relations ; Questionnaires ; *Self Concept ; *Single-Parent Family ; Social Support

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