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Effects of the Integrative Weight Control Program Including East Asian Traditional Medicine on the Degree of Obesity and Body Composition.

Kyoung Ae PARK ; Eun Young JEON

Korean Journal of Rehabilitation Nursing.2010;13(1):62-69.

PURPOSE: The purpose of this study was to evaluate the effects of an integrative weight control program including East Asian traditional medicine on the degree of obesity and body compositions. METHOD: Using one group pre-post test design, 63 subjects aged 19 years or older were conveniently recruited from D University hospital. The weight control program consisted of acupuncture, aerobic exercise, moderate caloric restriction, and behavioral modification for weight loss. Paired t-tests were conducted using the SPSS V18.0. RESULTS: Body weight (t=10.44, p<.001), body fat mass (t=11.47, p<.001), percentage of body fat (t=11.49, p<.001), the degree of obesity (t=10.48, p<.001), body mass index (t=10.66, p<.001), waist circumference (t=10.25, p<.001), hip circumference (t=6.10, p<.001), and WHR (t=2.21, p=.040) decreased after administering the integrative weight control program. CONCLUSION: This integrative weight control program effectively reduced the obesity degree and percentage of body fat. Further study is needed to replicate our program in a larger sample with control group to validate the findings.
Acupuncture ; Adipose Tissue ; Aged ; Body Composition ; Body Mass Index ; Body Weight ; Caloric Restriction ; Diet ; Evaluation Studies as Topic ; Exercise ; Hip ; Humans ; Medicine, East Asian Traditional ; Obesity ; Waist Circumference ; Weight Loss

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Comparison of the Attitudes Toward and Contact with Disabled Person among Health Care Professionals, Lay Persons, and Disabled Persons.

Keumsoon KIM ; Yeon Hwan PARK ; Bum Suk LEE ; Jeong Yi KIM

Korean Journal of Rehabilitation Nursing.2010;13(1):13-22.

PURPOSE: The aim of this study was to compare the attitudes toward and contact with people with disabilities among health care professional, lay persons, and disabled persons. METHOD: Using 270 subjects (141 health care professionals, 79 lay persons, and 50 disabled persons), the self report or face-to-face interview were conducted from April to October in 2007. Attitudes and contacts were assessed respectively using the Attitude Towards Disabled Person scale and the Contact with Disabled Persons. RESULTS: Overall attitude scores of the subjects in groups of health care professionals, lay persons, and disabled persons were lower than those of individuals in the corresponding groups in other countries (F=3.232, p=.031). Health care professionals and lay persons had more negative attitudes towards disabled persons than those of disabled persons. Scores of the Contact with Disabled Persons were also lower in all three groups, as compared to those of the corresponding groups from other countries. Disabled persons had significantly more contact experiences with disabled persons than individuals in other two groups. CONCLUSION: Health care professionals as well as lay persons and disabled persons have negative attitudes toward people with disabilities. It is needed that the modification of educational curriculums in nursing school for promoting more positive attitudes toward people with disabilities.
Curriculum ; Delivery of Health Care ; Disabled Persons ; Humans ; Schools, Nursing ; Self Report

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Psychometric Properties of Korean Version of Modified Leeds Sleep Evaluation Questionnaire (KMLSEQ).

Inja KIM ; Heejung CHOI ; Beomjong KIM

Korean Journal of Rehabilitation Nursing.2014;17(1):10-17.

PURPOSE: The Leeds Sleep Evaluation Questionnaire (LSEQ) translated into Korean was modified to easily apply and reduce respondents' confusion and was evaluated for psychometric properties and discriminant ability. METHODS: A total of 960 Korean adults aged 45 years and older participated in this cross-sectional survey. To test reliability, validity and discriminant ability, Cronbach's alpha, correlation analysis, confirmatory factor analysis, simple regression analysis and receiver operating characteristics (ROC) curve analysis were used. RESULTS: Item-total correlations ranged between .62~.85 and Cronbach's alpha was .95. Area under ROC was .86 (95% CI: .83~.90) and the optimal cutoff score was identified as < or = 66 (sensitivity, .77; specificity, .84; positive/negative predictive values, .49/.95). Using this cutoff score, the prevalence of insomnia in the study sample was 25.8% and tended to be more common in female and older groups. CONCLUSION: The data supported the psychometric properties of Korean Modified Leeds Sleep Evaluation Questionnaire (KMLSEQ) as an acceptable sleep measurement. In addition, KMLSEQ is likely to be a useful screening tool for insomnia.
Adult ; Cross-Sectional Studies ; Female ; Humans ; Mass Screening ; Prevalence ; Psychometrics* ; Surveys and Questionnaires* ; ROC Curve ; Sensitivity and Specificity ; Sleep Initiation and Maintenance Disorders

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Effects of Letter on the Family Functioning, Fear of Death, and Depression among the Terminally Ill Cancer Patients.

Son Ja LEE ; Inja KIM

Korean Journal of Rehabilitation Nursing.2014;17(1):18-26.

PURPOSE: To improve the family functioning, fear of death and depression among the terminally ill cancer patients, the effects of letter as an independent nursing intervention were identified. METHODS: Non-equivalent control group pre and post test design was used. Subjects were 60 patients and their family members who were hospitalized at hospice units of an university-affiliated hospital. Patients and their family members were encouraged to write a letter to each other at least 4 times for 2 weeks. RESULTS: Family functioning, fear of death and depression in the experimental group were significantly more improved after intervention than those of control group, even depression of experimental group before intervention was worse than that of control group. CONCLUSION: Writing a letter to family members is worth to use as an independent nursing intervention for terminally ill patients. It is recommended that further study to identify the potential of letters as an independent nursing intervention is implemented for various patients.
Attitude to Death ; Depression* ; Hospices ; Humans ; Nursing ; Terminally Ill* ; Writing

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The Literature Review for Fall in the Elderly.

Won Ock KIM

Korean Journal of Rehabilitation Nursing.1998;1(1):43-50.

The literature review for fall in the elderly has been done for the better quality of life of increasing elderly people toward 21 st century. Because 30 to 50% of over sixty five years old persons have experiences of fall, five percent of the fallen have trauma such as bone fracture requiring hospitalization and three quarter of people who die as fall are over 65 year old, fall is important health problem of them. There are very little societal interest in and research related to fall. Therefore, among recent foreign and our literatures studying literature review of frequency of fall, risk factors and assessing method for fall, and the management of fall prevention program, I would like to find research direction. Conclusivelly, we should study extensively the survey of the elderly's fall and on the basis of it, developing fall prevention program, promote the elderly' s health through fall prevention.
Aged* ; Fractures, Bone ; Hospitalization ; Humans ; Quality of Life ; Risk Factors

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A Study on Knowlege and Practices about Osteoporosis in Adults.

Eun Joo YOON

Korean Journal of Rehabilitation Nursing.1998;1(1):27-42.

Osteoporosis is a major health problem in countries with aging populations, resulting in excess morbidity anti mortality. This study was conducted to investigate knowledge and practices about osteoporosis in adults and to identify some factors which were influenced to that. 56-item questionnaire was developed including five domains(general characteristics, osteoporosis-related characteristics, knowlege of risk factors, knowlege of prevetion and practices). Subjects of this study were 368 adult ranged from 30 to 59. Data were collected during the period from June 15 to July 10, 1998 by means of a structured questionnare. The data were analyzed using descriptive statistics, t-test, ANOVA, Post Hoc, Pearson Correlation by SPSSWIN program. The results were as follows: 1. The mean knowledge score of risk factors for osteoporosis was 7.46(full score=15) and that of prevention of osteoporosis was 8.79(full score=12). 2. The mean practice score of osteoporosis was slightly higher than median value. 3. Women had better knowledge about osteoporosis risk factors and practiced more osteoporosis-prevention measures than men. Although the data demonstrated fairly good general knowledge about osteoporosis in the subjects, the older group(age 50-59), those at the highest risk of developing the disease, knew less about osteoporosis than the younger group(age 30-39) did. 4. The persons who had heard about osteoporosis and bone mineral density though mass media medical pratitioners and who didn't take any medicine for osteoporosis had better know ledge about osteoporosis and preventive measures. The practice score was significantly higer in the postmenopausal women and persons who were already diagnosed as osteoporosis patients, or who underwent bone mineral density measurements. 5. The relation between knowledge and practice was significant. In conclusion, there was a modest degree of general knowledge about osteoporosis and its consequences in adults. Further randomized studies are needed to evaluate the relationship between osteoporosis and risk factors. However, these results support the importance of education to prevent osteoporosis.
Adult* ; Aging ; Bone Density ; Education ; Female ; Humans ; Male ; Mass Media ; Mortality ; Osteoporosis* ; Surveys and Questionnaires ; Risk Factors

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A Study on Patients' Concerns about Management of Cancer Pain and Related Factors.

Hongsoo KIM ; Moon Ja SUH

Korean Journal of Rehabilitation Nursing.2000;3(1):43-58.

Pain management is a major issue in caring of cancer patients. Patients' concerns for reporting pain and taking analgesics are patient-related barriers to the management of cancer pain. Since such study has not been done at all in Korea, it is clearly needed to study on these problems. The purpose of data in order this study is to attain basic data in order to improve cancer pain management in Korea. This is done by: 1) examining the extent of patients' concerns that might be barriers to the optimal pam management, and the extent of related factors (pain management hesitancy, adequacy of using analgesics, pain severity and pain interference); 2) identifying the relationship between patients' concerns and the related factors. The data has been collected from 180 cancer patients who were hospitalized in medical wards of one university hospital in Seoul. Korea during the period from November 1. 1997 to February 28. 1998. The data has been collected through interviews with (1) Barriers Questionnaire Korean Version (BQ-K); (2) Hesitancy Experience Questionnaires (HQ); (3) Pain Management Index (PMI); (4) Brief Pain Inventory (BPI); and (5) Demographic Data. The data were analyzed by descriptive statistics and by t-test. One-way ANOVA, Pearson correlation using SPSSWlN program. The Results are as following: 1) The mean scores of Pain Management Concerns (PMC) by BQ-K were toward the moderate with a little high points(2.59). Most of the patients (99.4%) had some extent of concerns (over 1 out of maximum 5 points). Among the eight subscales of BQ-K. the Pain Management Concerns (PMC) about 'Fear of tolerance' was the highest (3.80) and 'Worry about side effects' was the least (1. 40). 2) The extent of Pain Management Hesitancy (PMH) by HQ of whom had pain on the day of the interview was a little higher than moderate score(5.53 out of maximum 10 points). 56.7% of the patients with experiencing pain used less adequate analgesics for the severity of pain than they were expected. 27.8% of them never used any analgesics at all. The mean score of pain severity by BPI was 16.59 (maximum: 40), and that of the interference with daily life by BPI was 32.03 (maximum: 70). 3) The patients who were older. less educated, and in low socio-economic status were likely to have more concerns. Pain Management Concerns (PMC) was positively correlated with Pain Management Hesitancy (PMH)(r=.75), pain severity (r= .44) and pain interference (r=.50). Those who were not using adequate analgesics had higher Pain Management Concerns (PMC) than did those who were using adequate analgesics (t=-5.42), The patients who had more Pain Management Concerns (PMC) tended to hesitate more to report pain and to use analgesics. They used more inadequate analgesics for the severity of pain and also had experienced more pain severity and interference with daily life. In conclusion, the patients' concerns for reporting pain and for using analgesics are major patient-related barriers to cancer pain management in Korea. The patients' concerns were correlated significantly with the level of the hesitancy experience, inadequate use of analgesics, the pain severity and the interference with daily life. Considering this, an educational program for cancer patients under the treatment with analgesics should be developed in order to solve these problems.
Analgesics ; Humans ; Korea ; Pain Management ; Surveys and Questionnaires ; Seoul

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Caregivers' Burden in patients with acute stroke.

Sue Jin KANG ; Hee Joo LEE ; Choi Kwon SMI

Korean Journal of Rehabilitation Nursing.2002;5(1):27-37.

During acute stages of hospitalized stroke patients, family caregivers face many challenges. They often experience emotional distress. social isolation. and financial constraints. However. the burden of caregiving of stroke patients in acute stages has never been studied properly. The purpose of this study was to investigate the factors related to the caregivers' burden with acute stroke. The subjects were 123 acute stroke patients and their caregivers who were admitted to neurology and neurosurgery units at Dan Kook University Hospital in Chung-Nam area. An interview was performed with the use of standardized questionnaire which included data pertaining to the patients/caregivers characteristics, caregiver burden (Modified Zarit's Burden Scale), and social support (Fersonal Resource Questionnaire). Our results showed that the mean burden score was 3,11. indicating high level of burden, Among the sub-domain scores, financial burder was the highest, In univariate analysis, the factors related to caregiver burdens were: inability to communicate between patients and caregiver (p<.001): low cognitive function of the patients(p<.001): low level of ADL(p<.001), the gender of caregiver(p<.001) the current employment status of caregivers(p<.01) the presence of social support for caregiver(p<.001), and the availability of alternative caregivers (p<.001). In multiple regression analysis, social support for family caregivers (87%), low level of patient's cognition (2%), availability of 2nd caregiver (1%). and gender of caregiver (female, 0,4%) were significant explanatory factors of overall burden, The caregivers' burden in acute stages during hospitalization following stroke was high, Recognition of high levels of caregivers' burden and those relating factors affecting caregiver burden may allow us to develop different nursing strategies to unload the level of burden for caregivers in acute stages of stroke.
Caregivers ; Cognition ; Employment ; Hospitalization ; Humans ; Neurology ; Neurosurgery ; Nursing ; Surveys and Questionnaires ; Social Isolation ; Stroke*

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An Effect of Beach Ball Play for Depression, Powerlessness, Self-Esteem, Activity of Daily living in Stroke patients.

Gyung Mye WOO ; Myung Hwa LEE

Korean Journal of Rehabilitation Nursing.1998;1(1):15-25.

The purposes of this study was to determine the effect of beach ball play in stroke patients, and to define the strategy to promote their depression, powerlessness, self-esteem, activity of daily living. The experimental design was designed nonequivalent control group, non-synchroniged design. The study method had been done by investigating the experimental group and control group through the questionnaire on 57 patients who had been in patient department in D University hospital in Pusan from January 5th 1998 to the end of February 28th, 1998. Beach ball play was carried out experimental group once per day for 10 minute's for two weeks period from Jan 1998 to Feb 1998. Data was collected before and after the experimenation. Collected data was analyzed by means of frequency, percentage, chi-square test, mean, S.D, t-test with SPSS/PC. The results were summarized as follows: 1. The I st hypothesis: The experimental group which received the beach ball play should be higher in depression than the control group was supported(t=3.11, p=.003). 2. The 2nd hypothesis: The experimental group which received the beach ball play should be higher in powerlessness than the control group was supported(t=3.32. p=.002). 3. The 3rd hypothesis: The experimental group which received the beach ball play should be higher in self-esteem than the control group was not supported(t=-1.90, p=.064). 4. The 4th hypothesis: The experimental group which received the beach ball play should be higher in activity of daily living than the control group was not supported(t=-.47, p=.637). In conclusion, the patients who received beach ball play showed the increase in the degree of depression and powerlessness of stroke patients. So the beach ball play had been judged the nursing intervention to improve their emotional problem in stroke patients.
Busan ; Depression* ; Humans ; Nursing ; Surveys and Questionnaires ; Research Design ; Stroke*

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Factors Influencing Cancer Rescreening Intention of Korean Elderly.

Hee Jung KIM

Korean Journal of Rehabilitation Nursing.2015;18(2):118-127. doi:10.7587/kjrehn.2015.118

PURPOSE: This study was conducted to survey the cancer screening status of Korean elderly and to analyze factors influencing cancer rescreening intention. METHODS: Participants were 262 elderly aged 65 or older who visited medical examination center at D University hospital located in D city. Data were collected from June 1 to July 31, 2012 using a structured questionnaire which included health behavior and cancer screening related characteristics, theory of planned behavior variables, EQ-5D, and cancer screening satisfaction. The data were analyzed by SPSS/WIN 18.0 program. RESULTS: Factors influencing elderly's cancer rescreening intention were 'satisfaction about the cancer screening', 'attitude toward cancer rescreening behavior', 'subjective norm toward cancer rescreening behavior', and 'previous experience with cancer screening in the past 2 years'. Cancer rescreening intention was higher in participants with satisfied experience of cancer screening, more positive in attitude and higher in subjective norm toward cancer rescreening. Cancer rescreening intention was lower when participants were not screened for cancer in the past 2 years. CONCLUSION: The study results indicate that customized interventions based on influential factors such as subjective norm, attitude toward cancer screening, and cancer screening satisfaction are necessary in order to promote the consistent cancer screening of Korean elderly.
Aged* ; Early Detection of Cancer ; Health Behavior ; Humans ; Intention*

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