Korean Journal of Adult Nursing最新文献_第10页

Effects of Diabetes Mellitus on the Risk of Parkinson Disease: An Updated Meta-Analysis with Cohort Studies 糖尿病对帕金森病风险的影响:一项队列研究的最新荟萃分析

Korean Journal of Adult Nursing Pub Date : 2021-01-01 DOI: 10.7475/kjan.2021.33.5.448

Seo-yeong Yeom, Youngran Yang, J. Kang

{"title":"Effects of Diabetes Mellitus on the Risk of Parkinson Disease: An Updated Meta-Analysis with Cohort Studies","authors":"Seo-yeong Yeom, Youngran Yang, J. Kang","doi":"10.7475/kjan.2021.33.5.448","DOIUrl":"https://doi.org/10.7475/kjan.2021.33.5.448","url":null,"abstract":"Purpose: This meta-analysis was conducted to analyze the effect of Diabetes Mellitus (DM) on the risk of Parkinson Disease (PD). Methods: Original prospective observational studies were searched through PubMed, Cumulative Index of Nursing and Allied Health Literature (CINAHL), ProQuest, Web of Science, Science Direct, Koreanstudies Information Service System (KISS), and DBpia published up to March 2020. The Relative Risks (RRs) were calculated using the random-effects model. Results: An integrated analysis of ten large population-based cohort studies, involving 10,730,117 participants, showed that patients with DM had a 30% higher risk of PD than those without DM (pooled RR=1.30, 95% Confidence Interval [CI]=1.14~1.48). Subgroup analyses based on the characteristics of the studies were conducted, and the association between DM and PD was significant in studies conducted in Asia (RR=1.30, 95% CI=1.01~1.69) and Europe (RR=1.45, 95% CI=1.09~1.94), and for patients with DM durations less than ten years (RR=1.31, 95% CI=1.27~1.37) and stroke (RR=1.16, 95% CI=1.03~1.31). Each study included in the analysis had methodologically good quality and showed no evidence of publication bias. Conclusion: DM resulted in a significantly increased risk of PD; therefore, prevention and early detection of PD in patients with DM should be encouraged.","PeriodicalId":38646,"journal":{"name":"Korean Journal of Adult Nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71353574","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Korean Undergraduate Nursing Education: Current Status and Developmental Strategies as Perceived by Nursing Educators and Nurses 韩国本科护理教育:护理教育者和护士感知的现状和发展策略

Korean Journal of Adult Nursing Pub Date : 2021-01-01 DOI: 10.7475/kjan.2021.33.4.360

Suk-Jeong Lee, Young Man Kim, E. Oh

引用次数: 3

Concept Analysis of Spiritual Distress in Cancer Patients Using a Hybrid Model 基于混合模型的癌症患者精神痛苦概念分析

Korean Journal of Adult Nursing Pub Date : 2021-01-01 DOI: 10.7475/kjan.2021.33.2.169

Jin Sook Kim, I. Ko

{"title":"Concept Analysis of Spiritual Distress in Cancer Patients Using a Hybrid Model","authors":"Jin Sook Kim, I. Ko","doi":"10.7475/kjan.2021.33.2.169","DOIUrl":"https://doi.org/10.7475/kjan.2021.33.2.169","url":null,"abstract":"Purpose: This study was intended to clarify the concept of spiritual distress in cancer patients using the hybrid model of Schwarz-Barcott and Kim. Methods: The hybrid model was used to clarify the dimension, attributes, and definition of spiritual distress. In the theoretical phase, a systemic literature review of nursing and other disciplines was conducted. In the fieldwork phase, individual in-depth interviews were held with six cancer patients. In the final analytic phase, the results of the theoretical and fieldwork phases were integrated after comparing and reviewing. Results: The concept of spiritual distress was analyzed in three domains: a changed relationship with God, a changed relationship with the self, and a changed relationship with others. Also, 10 attributes were clarified. The changed relationship with God domain had two attributes: “low connectedness in relationship with God” and a “feeling of guilt”. The changed relationship with the self domain had five attributes: “loss of self-identity”, “changed meaning of life”, “loss of inner peace”, “dwelling on the cause of unsloved suffering”, and “avoidance of confronting death”. The changed relationship with others domain had three attributes: “shrunk relationships”, “the feeling of being unloved and unforgivable”, and “burden on family”. Conclusion: The concept of spiritual distress in patients with cancer encompasses multidimensional domains and 10 attributes. To assess spiritual distress in patients with cancer based on the findings of this study, it is necessary to develop a suitable spiritual distress assessment scale.","PeriodicalId":38646,"journal":{"name":"Korean Journal of Adult Nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71353082","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

The Moderating Effect of Patient Safety Knowledge in the Relationship between Patient Experience and Patient Safety Perception for Patients in Primary Care Institutions 基层医疗机构患者安全知识在患者体验与患者安全感知关系中的调节作用

Korean Journal of Adult Nursing Pub Date : 2021-01-01 DOI: 10.7475/kjan.2021.33.4.387

O. Baek, Sun-Hwa Shin

引用次数: 0

Symptom Clusters and Quality of Life in Patients with Type 2 Diabetes Mellitus 2型糖尿病患者的症状群与生活质量

Korean Journal of Adult Nursing Pub Date : 2021-01-01 DOI: 10.7475/kjan.2021.33.5.498

Su-Yeon Hong, Y. Yoo

引用次数: 0

Effects of a Multimodal Sensory Stimulation Intervention on Glasgow Coma Scale Scores in Stroke Patients with Unconsciousness 多模态感觉刺激干预对卒中伴无意识患者格拉斯哥昏迷评分的影响

Korean Journal of Adult Nursing Pub Date : 2021-01-01 DOI: 10.7475/kjan.2021.33.6.649

Ekan Faozi, S. Fadlilah, Yusup Dwiyanto, Listyana Natalia Retnaningsih, Paulinus Deny Krisnanto, Sumarni

引用次数: 2

Working Experience of Nurses at a COVID-19 Dedicated Hospital 新冠肺炎专科医院护士工作经验

Korean Journal of Adult Nursing Pub Date : 2021-01-01 DOI: 10.7475/kjan.2021.33.6.657

I. Oh, S. Yoon, K. Nam

{"title":"Working Experience of Nurses at a COVID-19 Dedicated Hospital","authors":"I. Oh, S. Yoon, K. Nam","doi":"10.7475/kjan.2021.33.6.657","DOIUrl":"https://doi.org/10.7475/kjan.2021.33.6.657","url":null,"abstract":"Purpose: The study was conducted to explore nurses’ working experiences during the pandemic at a Coronavirus Disease 2019 (COVID-19) dedicated hospital in Korea. Methods: Twenty registered nurses who provided care for the COVID-19 affected patients participated in this study. Data were collected using three focus groups with 19 participants, and in-depth interviews with 11. Data were analyzed by qualitative content analysis. Results: Seven categories and 18 subcategories were extracted. The seven categories were ‘Hesitating to move forward’, ‘Standing up with the name of nurse’, ‘Experiencing unfamiliarity and confusion’, ‘Walking on thin ice every day’, ‘Getting used to working’, ‘Growing one step further’ and ‘Being left with an unsolved issue’. The experiences of participants changed over time. In the preparation phase the participants experienced fear of the unknown, but eventually they decided to enter the COVID-19 battlefield. After the opening of the COVID-19 wards, participants were confused and felt nervous because everything was unfamiliar and undefined. While they gradually adapted to work and they felt that they grew as nurses through these experiences. They were also concerned about several unresolved issues, including ethical dilemmas about patient care, optimal working environment and compensation for work. Conclusion: This study provides an understanding of nurses’ working experiences at a COVID-19 dedicated hospital over a time interval. These findings suggest multidimensional implications for future studies and policy making on nursing management issues and on patients care in the pandemic era. © 2021 Korean Society of Adult Nursing. All Rights Reserved.","PeriodicalId":38646,"journal":{"name":"Korean Journal of Adult Nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71353952","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 4

Relationship between Simulation Design Characteristics and Clinical Reasoning Competence: Multiple Additive Moderating Effects of Teaching Effectiveness and Students' Anxiety on Nursing Students 模拟设计特征与临床推理能力的关系:护生教学效果与学生焦虑的多重加性调节作用

Korean Journal of Adult Nursing Pub Date : 2021-01-01 DOI: 10.7475/kjan.2021.33.4.322

Kyung-In Cheon, H. Hur

{"title":"Relationship between Simulation Design Characteristics and Clinical Reasoning Competence: Multiple Additive Moderating Effects of Teaching Effectiveness and Students' Anxiety on Nursing Students","authors":"Kyung-In Cheon, H. Hur","doi":"10.7475/kjan.2021.33.4.322","DOIUrl":"https://doi.org/10.7475/kjan.2021.33.4.322","url":null,"abstract":"Purpose: The purpose of this study was to identify the moderating effect of teaching effectiveness and students ’ anxiety in the relationship between simulation design characteristics and clinical reasoning competence among nursing students. Methods: The participants were 123 nursing students who underwent simulation practice. Data were collected from September 1 to October 30, 2020 using self-report questionnaires. The collected data were analyzed using descriptive statistics, independent t-test, Pearson ’ s correlation coefficient, and SPSS PROCESS Macro program (to study the multiple additive moderation effect). Results: Significant positive correlations were observed between clinical reasoning competence and simulation design characteristics (r=.57, p < .001), clinical reasoning competence and teaching effectiveness (r=.49, p < .001), while negative correlations were observed between clinical reasoning competence and students ’ anxiety (r=-.33, p < .001). Teaching effectiveness and students ’ anxiety had a multiple additive moderating effect on the relationship between simulation design characteristics and clinical reasoning competence among the nursing students (F=15.10, p < .001). Conclusion: The relationship between simulation design characteristics and clinical reasoning competence differed depending on the students ’ anxiety. To improve the clinical reasoning competence of nursing students in simulation practice, developing interventions and techniques to manage students ’ anxiety levels are important.","PeriodicalId":38646,"journal":{"name":"Korean Journal of Adult Nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71353955","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Effects of Nurse-Led Motivational Interviewing on Exercise and Quality of Life among Koreans with Heart Failure: A Randomized Controlled Trial 护士引导的动机访谈对韩国心力衰竭患者运动和生活质量的影响:一项随机对照试验

Korean Journal of Adult Nursing Pub Date : 2021-01-01 DOI: 10.7475/kjan.2021.33.6.588

Haejung Lee, Gaeun Park, Hyekyung Jin, K. Chun, Jong Hyun Kim

{"title":"The Effects of Nurse-Led Motivational Interviewing on Exercise and Quality of Life among Koreans with Heart Failure: A Randomized Controlled Trial","authors":"Haejung Lee, Gaeun Park, Hyekyung Jin, K. Chun, Jong Hyun Kim","doi":"10.7475/kjan.2021.33.6.588","DOIUrl":"https://doi.org/10.7475/kjan.2021.33.6.588","url":null,"abstract":"Purpose: Patients with heart failure report low levels of physical activity and quality of life, both of which are important predictors of patient prognosis. This study aimed to investigate the effects of nurse-led motivational interviewing on self-efficacy for exercise, engagement in regular exercise, exercise capacity, and quality of life among patients with heart failure. Methods: A randomized controlled trial design was used, and 66 Korean participants (i.e., 38 in a control group and 28 in an intervention group) aged 40~80 years who were diagnosed with heart failure were recruited between May 2012 and September 2013. The intervention group received telephone-based motivational interviews twice a week for one month. All participants were assessed for exercise regularity, levels of exercise, exercise capacity, and quality of life at baseline, one month, and three months. The data were analyzed using independent t-tests, repeated measures ANOVA, and nonparametric tests. Results: At one month, there were significant group differences in exercise regularity ( x 2 =6.10, p =.013) and levels of exercise (Z=-2.56, p =.024). There was a significant group-by-time effect on the quality of life (F=3.76, p =.044). Conclusion: Nurse-led motivational interviewing was effective in increasing exercise levels and quality of life in patients with heart failure. In the future, we propose a study with a larger number of participants and a long-term follow-up study with additional contact to maintain the intervention effect.","PeriodicalId":38646,"journal":{"name":"Korean Journal of Adult Nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71353990","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Effect of Nursing Competence on Patient-Centered Care among Nurses Caring for Patients with Chronic Disease: The Mediating Effect of Burnout and the Moderating Effect of Nursing Work Environment 护理能力对慢性病护士以病人为中心护理的影响:倦怠的中介作用和护理工作环境的调节作用

Korean Journal of Adult Nursing Pub Date : 2021-01-01 DOI: 10.7475/kjan.2021.33.2.134

Jin-Yeong Ahn, Young Eun

{"title":"The Effect of Nursing Competence on Patient-Centered Care among Nurses Caring for Patients with Chronic Disease: The Mediating Effect of Burnout and the Moderating Effect of Nursing Work Environment","authors":"Jin-Yeong Ahn, Young Eun","doi":"10.7475/kjan.2021.33.2.134","DOIUrl":"https://doi.org/10.7475/kjan.2021.33.2.134","url":null,"abstract":"Purpose: This study aims to explore the mediating effect of burnout and the moderating effect of nursing work environment in the relationship between nursing competence and patient-centered care among nurses caring for patients with chronic disease. Methods: This study uses a cross-sectional descriptive research design. The participants were 150 nurses at a general hospital. The data were collected from February 10 to May 10, 2020. The questionnaire consisted of measuring tools for general characteristics, patient-centered care, nursing competency, nursing work environment, and burnout. The SPSS/25.0 program was used to analyze the data using descriptive statistics, Pearson ’ s correlation coefficient, independent t-test, one-way ANOVA, Scheffe ́ test, and hierarchical multiple regression. Results: The average score of patient-centered care was found to be 3.75 ± 0.44. Nursing competency had a mean score of 3.64 ± 0.44, nursing work environment of 3.04 ± 0.43, and burnout of 2.91 ± 0.68. Patient-centered care was significantly associated with nursing competency, nursing work environment, and burnout. In the relationship between nursing competency and patient-centered care, burnout had a partial mediating effect. The relationship between nursing competency and patient-centered care showed that nursing work environment had no moderating effect. Conclusion: The results revealed that patient-centered care was performed well if nursing competency was high. It is necessary to lower burnout and increase nursing competency such that patient-centered care can be performed better. In addition, since nursing work environment has a significant effect on nursing competency and patient-centered care, it is necessary to improve nursing work environment to improve nursing competency and patient-centered care","PeriodicalId":38646,"journal":{"name":"Korean Journal of Adult Nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71353439","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 4