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The Effect of Depression on Aggression in Patients with Coronary Artery Disease

Korean Journal of Rehabilitation Nursing.2019;22(1):67-75. doi:10.7587/kjrehn.2019.67

PURPOSE: The purpose of this study was to investigate the relationship between depression and aggression in patients with coronary artery disease. METHODS: This study used Korean version of Personality Assessment Inventory (PAI). SPSS/WIN 23.0 statistical program was used. The data were analyzed by descriptive statistics, independent t-test, one-way ANOVA, and Scheffé-test to know the differences in depression and aggression according to the general characteristics. The correlation between depression and aggression was analyzed by Pearson's correlation coefficient and multiple linear regression analysis was conducted to determine the effect of depression on aggression. RESULTS: There was no statistically significant effect on verbal and physical aggression according to sub-factors of depression. However. aggressive attitude due to emotional depression was statistically significant (β=.23, p=.031). CONCLUSION: If nurses recognize the psychological and emotional problems as well as the physical symptoms of patients with coronary artery disease and train themselves in a systematic manner, they will be able to return to their normal daily lives.
Aggression ; Coronary Artery Disease ; Coronary Vessels ; Depression ; Humans ; Linear Models ; Personality Assessment

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Family Characteristics, Family Support, Family Function and Compliance of Patient Role Behavior in Long-term Hemodialysis Patients

Sinhye KANG ; Inja KIM

Korean Journal of Rehabilitation Nursing.2019;22(1):58-66. doi:10.7587/kjrehn.2019.58

PURPOSE: The purpose of this study was to examine the role of family to the compliance of patient role behavior in long-term hemodialysis patients. METHODS: In this descriptive correlational design, 103 participants recruited from 3 hemodialysis clinics at D city. They completed the self-reported questionnaire including family characteristics, family support, family function, and compliance of patient role behavior. All participants have family and are undergoing regular hemodialysis more than 1 year. RESULTS: Among patient's characteristics, compliance of patient role behavior was significantly different by standard of living, burden of treatment, marital status, experience of hospitalization, perceived health status, kidney transplantation plan, and depression. Experience of hospitalization, perceived health status and family support explained 31.9% of the variance in the compliance of patient role behavior (R2=.319, F=5.34, p=.001). CONCLUSION: Family support is important for compliance of patient role behavior in the long-term hemodialysis patients. Therefore it is recommended that the family must be included to improve compliance of patient role behaviors.
Compliance ; Depression ; Family Characteristics ; Hospitalization ; Humans ; Kidney Transplantation ; Marital Status ; Patient Compliance ; Renal Dialysis ; Sick Role ; Socioeconomic Factors

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The Effect of Symptom Experience, Nutritional Status, and Self Care on Quality of Life in Elderly Patients with Colorectal Cancer

Jeong Won YEOM ; Yeon Ok SUH

Korean Journal of Rehabilitation Nursing.2019;22(1):48-57. doi:10.7587/kjrehn.2019.48

PURPOSE: The aim of this study was to explore the significant factors that influence quality of life in elderly patients with colorectal cancer. METHODS: A total of 107 patients with colorectal cancer completed the self-reported MD Anderson Symptom Inventory (MDASI-GI), Patient Generated Subjective Global Assessment (PG-SGA), self-care, and Functional Assesment of Illness Therapy-Colorectal (FACT-C). RESULTS: The mean scores were 87.20±19.84 for QOL, 2.80±2.25 for symptom experience, 6.84±0.58 for nutritional status, and 3.81±0.62 for self-care. The highest score was emotional well-being whereas the lowest score was social/family well-being. Factors affecting quality of life were analyzed by hierarchical multiple regression. As a result, self-care (β=.36, p<.001), symptom experience (β=-.34, p<.001), and nutritional status (β=-.25, p=.001) were identified as factors affecting quality of life. The explanation power of this regression model was 52.0% and it was statistically significant (F=23.55, p<.001). CONCLUSION: The quality of life can be improved by evaluating the comprehensive symptoms experienced by the elderly patients after colorectal cancer treatment, helping self-care, and maintaining proper nutritional status.
Aged ; Colorectal Neoplasms ; Equidae ; Humans ; Nutritional Status ; Quality of Life ; Self Care

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The Effects of Perceived Stress, Marital Intimacy and Mental Health on the Climacteric Adaptation in Middle-aged Women in Urban Areas

Hyun Joo PARK

Korean Journal of Rehabilitation Nursing.2019;22(1):38-47. doi:10.7587/kjrehn.2019.38

PURPOSE: This study is to provide basic data for the development of climacteric adaptation programs by identifying relevant factors based on the degree of climacteric adaptation and perceived stress, marital closeness and mental health in middle-aged women. METHODS: The data were collected from 191 middle-aged women aged 45 to 60 living in the B metropolitan city during July to September 2018. The data were analyzed using the SPSS/WIN 21.0 Statistical Program by descriptive statistics, independent t-test, one-way ANOVA, Scheffé test, Pearson's correlation coefficient, and multiple linear regression. RESULTS: The relevant variables that affect the adaptation of middle-aged women to climacteric were founded as somatization (β=-.29, t=−3.99, p<.001), depression(β=−.24, t=−3.03, p=.003), perceived stress (β=−.19; t=−2.50; p=.013), and spouse's job status (β=.16; t=2.77, p=.006). Overall, approximately 37.8% of the variability in climacteric adaptation was explained by the 4 variables in this study (R2=.378, F=24.12, p<.001). CONCLUSION: Since the middle-aged women in menopause show maladjustment due to negative emotions, it is important for them to control negative emotions and stress. Therefore, it will be necessary to develop a support system through spouse's careful attention and self-help meetings as well as a program of self-awareness of their symptoms for middle-aged climacteric adaptation.
Climacteric ; Female ; Humans ; Linear Models ; Marriage ; Menopause ; Mental Health

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Impact of Traumatic Events and Resilience on the Professional Quality of Life among Clinical Nurses

Dan Bi YOO ; Hye Ja PARK ; Phill Ja KIM

Korean Journal of Rehabilitation Nursing.2019;22(1):27-37. doi:10.7587/kjrehn.2019.27

PURPOSE: This study was to determine the impacts of traumatic events and resilience on the professional quality of life (ProQoL) among clinical nurses. METHODS: In this cross-sectional correlational descriptive study, 325 nurses completed questionnaires of traumatic events, resilience, and ProQoL consisted of compassion satisfaction (CS) and compassion fatigue (CF). Data were analyzed by Spearman correlation analysis and hierarchical regression. RESULTS: Traumatic events positively correlated with CF. Resilience positively correlated with CS and negatively correlated with CF. In this study, multivariate analysis showed that traumatic events and resilience explained 24% of the variance in CS and 7% of the variance in CF. CONCLUSION: A nursing education to enhance resilience and recognition of CS and CF from stressful work-related traumatic events may benefit to improve the professional quality of life for clinical nurses.
Compassion Fatigue ; Education, Nursing ; Empathy ; Multivariate Analysis ; Quality of Life

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Effects of Subjective Memory Complaints, Depression and Executive Function on Activities of Daily Living in Individuals with Mild Cognitive Impairment

Mi Sook JUNG ; Eun Young OH ; Eun Young CHUNG

Korean Journal of Rehabilitation Nursing.2019;22(1):15-26. doi:10.7587/kjrehn.2019.15

PURPOSE: This study aimed to examine the effects of subjective memory complaints, depression and cognitive function on performance of activities of daily living (ADL) in individuals with mild cognitive impairment (MCI). METHODS: A total sample consisted of 250 MCI patients diagnosed within one year. All participants were assessed with a battery of standardized neuropsychological tests, self-report measures of subjective memory complaints and depression, and performance of basic and instrumental ADL. Correlational and multiple linear regression analyses were conducted to identify the factors associated with performance of basic and instrumental ADL, respectively. RESULTS: Executive function and depression explained 9.4% of the variance in basic ADL. Reduced executive function and greater depressed mood were associated with worse performance on basic ADL. Executive function, subjective memory complaints, and time since onset of cognitive symptoms accounted for 22.2% of the variance in instrumental ADL in individuals with MCI. Lower executive function (t=−2.02, p=.044), greater memory complaints (t=5.36, p<.001), and longer periods of experiencing cognitive symptoms (t=2.24, p=.026) were associated with worse instrumental ADL performance. CONCLUSION: These results may help healthcare professionals develop interventions to improve cognitive outcomes with better understanding of the relationship among cognition, mood, and behavioral performance in individuals with MCI.
Activities of Daily Living ; Cognition ; Delivery of Health Care ; Depression ; Executive Function ; Humans ; Linear Models ; Memory Disorders ; Memory ; Mild Cognitive Impairment ; Neurobehavioral Manifestations ; Neuropsychological Tests

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Impact of Resistance Training on Obesity index, Lipid Index, Blood Pressure, Pulse Rate, and Bone Mineral Densitometer in Middle-aged Women: A Meta-analysis of Randomized Controlled Trials

Seong Hi PARK ; Chul Gyu KIM

Korean Journal of Rehabilitation Nursing.2019;22(1):1-14. doi:10.7587/kjrehn.2019.1

PURPOSE: We reviewed the effects of resistance training on obesity index, lipid index, blood pressure, pulse rate, and bone mineral densitometer in middle-aged women. METHODS: Randomized, controlled trials lasting 12 weeks investigating the effects of resistance training obesity index, lipid index, blood pressure, and bone densitometer in middle-aged women and published in a peer-reviewed journal up to March 2018 were included. Random- and fixed-effects models were used for analyses, with data reported as weighted means and 95% confidence limits. RESULTS: We included 8 randomized, controlled trials, involving 18 study groups and 335 participants. Overall, resistance training induced a significant low-density lipoprotein reduction [−13.44 (95% CI=−26.71~−0.18)]. No significant effect was observed on other blood lipids, obesity index, blood pressure, pulse rate, and bone mineral density. When study groups were divided according to the period of training, resistance training groups for 24 weeks resulted in a significant decrease in systolic blood pressure [−6.19 (95% CI=−10.95~−1.43 mm Hg)]. CONCLUSION: This meta-analysis supports the potential of resistance training to reduce the level of low-density lipoprotein in middle-aged women. Based on these results, we suggest the application of comprehensive management strategies such as aerobic exercise, resistance exercise, behavior control, and dietary management to prevent obesity in middle-aged women.
Behavior Control ; Blood Pressure ; Bone Density ; Exercise ; Female ; Heart Rate ; Humans ; Lipoproteins ; Miners ; Obesity ; Resistance Training

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Relationship between Types of Role Conflict and Turnover Intention in Nurses Working at Rehabilitation Hospitals

Bo Young KIM ; Joo yun LEE

Korean Journal of Rehabilitation Nursing.2019;22(2):142-151. doi:10.7587/kjrehn.2019.142

PURPOSE: Nurses working at rehabilitation hospitals play an important role in interdisciplinary teams. However, conflicts with others within the teams are common. This study (1) explored the frequency and seriousness of role conflicts and determined the relationship between turnover intention and type of role conflict among nurses in rehabilitation hospitals and (2) investigated differences in turnover intention by the type of role conflict. METHODS: Data were collected from 110 nurses in two rehabilitation hospitals. A survey was performed to measure role conflicts including conflicts regarding nursing practice, and conflicts with staff nurses, patients/guardians, staffs in other departments, and doctors. Also, nurses' turnover intentions were evaluated. Data were analyzed using descriptive statistics and cluster analysis. RESULTS: The most common and serious conflicts were developed with patients/guardians, followed by conflicts related to nursing practice. Conflicts in relation to nurses' roles were classified into four categories: â€˜High conflict typeâ€™, â€˜High frequency of conflict typeâ€™, â€˜High seriousness of conflict typeâ€™, and â€˜Low conflict typeâ€™. The level of turnover intention was increased in this order. CONCLUSION To decrease rehabilitation nurses' intentions to leave a hospital, it is important to reduce role conflicts by providing tailored interventions for each type of conflict and to improve the organizational interrelationship process.

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Effects of Job Embeddedness, Nursing Work Environment, and Nursing Professionalism on Turnover Intention in Nurses Working at Rehabilitation Hospitals

Kyung Mi KIM ; Sook Young KIM ; Hyenam HWANG ; Hye Min HWANG ; Hyoeun KIM ; Eun Sun LIM

Korean Journal of Rehabilitation Nursing.2019;22(2):134-141. doi:10.7587/kjrehn.2019.134

PURPOSE: This study was conducted to identify the effects of job embeddedness, nursing work environment, and nursing professionalism on turnover intention in nurses working at rehabilitation hospitals. METHODS: This descriptive study employed a cross-sectional research design. Questionnaires were collected from May to June, 2019. Participants were 200 nurses from three rehabilitation hospitals in Seoul and Gyunggi province. Data were analyzed using independent t-test, ANOVA, Pearson correlation, stepwise multiple regression. RESULTS: Mean scores for turnover intention, nursing work environment, nursing professionalism. and job embeddedness were 3.21Â±0.65, 2.90Â±0.43, 3.06Â±0.24, and 3.11Â±0.40, respectively. Turnover intention was negatively correlated with job embeddedness, nursing practice environment, and nursing professionalism. Nursing work environment was the most important predictor in turnover intention, followed by job embeddedness. CONCLUSION The findings in this study indicated that we need to investigate the level of job embededness, nursing work environment, and nursing professionalism in nurses working at rehabilitation hospitals. Hospital managers should develop and apply appropriate policies and strategies to reduce nurses' turnover intention, improve nursing work environment and enhance the level of job embededness.

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Factors Influencing Nurses' Job Satisfaction in Integrated Nursing and Care Services Unit: Focused on Compassion Fatigue, Compassion Satisfaction and Communication Efficacy

Kyounghee KIM ; Jongeun LEE

Korean Journal of Rehabilitation Nursing.2019;22(2):124-133. doi:10.7587/kjrehn.2019.124

PURPOSE: This study aimed to examine the levels of compassion fatigue/satisfaction, communication efficacy, and job satisfaction among integrated nursing and care services (INCS) units, and to analyze the factors affecting their job satisfaction. METHODS: This descriptive study was conducted between January 1 and February 15, 2019 with 174 nurses working at INCS units. Data were analyzed using independent t-test, one-way ANOVA, Pearson`s correlation coefficient, and hierarchial multiple regression with SPSS/WIN 23.0. RESULTS: Job satisfaction was significantly different according to age, marital status, monthly income, total clinical career, and job position. Job satisfaction was positively correlated with compassion satisfaction (r=.72, p<.001) and communication efficacy (r=.52, p<.001) and showed a negative correlation with compassion fatigue (r=.-25, p<.001). Factors affecting job satisfaction were compassion satisfaction (Î²=.61, p<.001) and communication efficacy (Î²=.18, p=.004). Overall, approximately 58.9% of the variability in job satisfaction was explained by these two variables in this study. CONCLUSION Compassion satisfaction has the effect of maintaining an emotional balance in the nurse's interprofessional relationships. High communication efficacy among professionals in the INCS ward is a necessary factor to increase nurses' job satisfaction. These results suggest that programs to improve compassion satisfaction and communication efficacy are needed to enhance nurses' job satisfaction.

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