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Song, Youngshin
- Depression, Stress and Self-Esteem According to Treatment Phase in Patients with Breast Cancer
Authors
1 College of Nursing, Chungnam National University, Daejeon, KR
2 College of Nursing, Kyungwoon University, Gumi, KR
3 Department of Physical Therapy, Korea National University of Transportation, Chungcheongbuk-do, KR
4 Department of Industry-Academic Cooperation Foundation, Korea National University of Transportation, Chungcheongbuk-do, KR
5 Department of Nursing, Kkottongnae University, Chungcheongbuk-do, KR
6 Department of Nursing, Woosong College, Daejeon, KR
7 Department of Nursing, Hyejeon College, Chungcheongnam-do, KR
Source
Indian Journal of Science and Technology, Vol 8, No 25 (2015), Pagination:Abstract
The purpose of this study was to describe the degree of depression, stress, and self-esteem according to treatment phase in patient with breast cancer in Korea. We also investigate the relationships between depression, stress, and self-esteem in breast cancer patients. The participants were 168 female patients with breast cancer who were inpatients at a university hospital. Data were collected using self-reported questionnaire utilizing the BDI-K scale, the BEPSI-K scale, the Self-esteem scale. Data were analyzed with SPSS WIN 18.0 program for descriptive statistics, Pearson's correlations, ANOVA, and Scheffe tests. The level of depression and stress were 28.14 ± 12.47 and 3.48 ± 1.15. And the score for self-esteem was 26.29 ± 3.97. The preoperative group had a statistically significantly higher depression compared to other groups (F = 11.687, p < .001). The preoperative group had a statistically significantly higher stress compare to the chemotherapy group (F = 7.953, p = .001). Self-esteem did not show statistical differences among the groups. Depression showed significant correlation with stress (r = .406, p < .001), self-esteem (r = -.425, p < .001). Stress showed significant correlation with self-esteem (r = -.344, p < .001). These results found this study suggest that for the better understanding and help toward the patient of breast cancer. Future nursing research should be directed toward the implementation and evaluation of interventions the increase self-esteem and decrease depression and stress in breast cancer patients.Keywords
Breast Cancer, Depression, Self-Esteem, Stress.Full Text
- Key Factors of Blood Glucose Control for Korean People with Diabetes
Authors
1 College of Nursing, Chungnam National University, Munhwaro 266, Jung-gu, Daejeon - 301-747, KR
Source
Indian Journal of Science and Technology, Vol 9, No 39 (2016), Pagination:Abstract
Objectives: The purpose of this study was to determine the differences between good and poor glucose control groups, and as a result, to identify the factors affecting glycemic control. Methods/Statistical Analysis: This was a descriptive survey study wherein the subjects were adults with diabetes. Based on blood test results from 267 subjects, the participants were divided into two groups: good and poor glucose control. To measure the factors affecting glucose control, the demographics, clinical factors, and health-related behaviors were surveyed using a questionnaire. Real number, percentage, mean, standard deviation, Pearson's correlation, and hierarchical logistic regression were used to obtain glucose control characteristics. Findings: The American Diabetes Association has recommended that Hemoglobin A1c levels be below 7.5% in healthy adults with a long life expectancy. We used this recommended level as the criterion for our study. In the logistic regression analysis, when all variables were controlled for, the following factors were identified as significantly affecting glucose control: depression, experience of having hypoglycemia, and diabetic diet. The odds ratios were 3.58, 2.28 and 2.11, respectively. This study found that diabetic education, smoking, and alcohol consumption did not significantly affect glucose control. Improvement/Applications: Physicians and nurses should promote effective glucose control in patients with diabetes through individualized intervention methods; in this way, the patients' glucose control is maintained at an adequate level.Keywords
Diabetes, Factor, Glucose Control, Hba1c, Hierarchical Logistic Regression.Full Text
- Psychometric evaluation of Interpersonal Process of Care for Korean Version
Authors
1 College of Nursing, Chungnam National University, 266 Munwha-ro Jung-gu, Daejeon, 301-747, KR
Source
Indian Journal of Science and Technology, Vol 9, No 35 (2016), Pagination:Abstract
Objectives: To test the psychometric of the Korean version of the Interpersonal Process of Care-18 (IPC-18) for health care providers. Methods/Statistical Analysis: To test the psychometric properties, this tool was translated into Korean and then back-translated into English by bilingual nurses independently. A total of 159 patients with diabetes enrolled in a cross-sectional survey. Reliability and validity of the Korean IPC-18 were tested. Exploratory factor analysis was conducted to assess content, concurrent, and construct validity. In content validity and item analysis, six items were deleted due to low item-total correlations. Findings: For confirming the content validity, content validity index (CVI) was calculated. Results showed that three items were deleted because of scored below 80%. The mean CVI was 85% for the remaining 15 items. Item-analysis was performed for 15 items. During this analysis, three items were deleted because of low valued in term-total correlation. Remained 12 items were entered into exploratory factor analysis. The finding showed that a twofactor 12-item solution that explained 61.8% of variance provided the best-defined factor structure. Factor 1 consisted of 10 items and explained 48.3% of variance; it was named “Health Care Provider” (HCP). Factor 2 included 2 items and explained 13.5% of variance; it was named “Staff Helper”. To confirm concurrent validity, the correlation between the diabetes self-efficacy and the Korean version of the IPC was analyzed. The 12-item Korean version of the IPC was significantly correlated with the diabetes self-efficacy. Patients who scored higher on the IPC had better diabetes self-efficacy. It provided appropriate concurrent validity. Improvements/Applications: Therefore, it can be considered a valid and reliable scale to assess the interpersonal process of care using communication between health care providers and patients with diabetes.Keywords
Communication, Cultural Adaptation, Interpersonal, Reliability, Validation.Full Text
- The Mediation Role of Unmet Need in Healthcare Providers’ Support for Diabetes
Authors
1 College of Nursing, Chungnam National University, 266 Munwha-ro Jung-gu, Daejeon, 301-747, KR
Source
Indian Journal of Science and Technology, Vol 9, No 35 (2016), Pagination:Abstract
Objectives: The present study examined the role of unmet social support needs on the relationship between health care providers’ communication efforts and self-efficacy among patients with diabetes. Methods/Statistical Analysis: Patients with diabetes, who were outpatients from an endocrinology department at C University Hospital, participated in a cross-sectional survey. A total 303 patients were enrolled and assessed. Descriptive statistics, Pearson’s correlations, and Structural Equation Modeling (SEM) analyses were performed. Findings: Results showed that interpersonal care processes with health care providers was significantly correlated with diabetes self-efficacy. Unmet needs in terms of health care providers’ support was also significantly and negatively correlated with interpersonal care processes and diabetes self-efficacy. SEM results revealed that unmet needs regarding health care providers’ support mediated the relationship between interpersonal care processes and diabetes self-efficacy. Improvements/ Applications: Therefore, diabetes self-efficacy is likely enhanced when interpersonal care processes include adequate communication between providers and patients, which in turn boosts support for patients with diabetes.Keywords
Health Care Provider, Interpersonal Process, Mediation Analysis, Self-efficacy, Support.Full Text
- The Development and Testing the Effects of Pre-Clinical Placement Program
Authors
1 Department of Nursing, Daejeon Institute of Science and Technology, Daejeon, KR
2 Department of College of Nursing, Chungnam National University, Daejeon, KR
Source
Indian Journal of Science and Technology, Vol 9, No 25 (2016), Pagination:Abstract
Background/Objectives: This study was to develop a pre-clinical placement program and evaluate its effect for the second year nursing students. Methods/Statistical Analysis: A non-randomized control trial study was used. A total of 106 students participated in experimental group, attending the pre-clinical placement program, which consist of 8 hours of clinical practice after completion of fundamental nursing subject. Control group, 109 students, attended the standards education course. Both groups completed pre/post-test measure of self-efficacy, communication competency, and self-directed learning competency. The differences of main variables between groups were analyzed by t-test using SPSS program. Findings: Results showed that the mean difference of self-efficacy in nursing practice (t = -0.83, p = 0.41), communication competence (t = -0.19, p = 0.85), and SDL competence (t = -0.01, p = 0.99) between pre-test and post-test was not significant. However, the variable of self-efficacy in nursing practice and the mean score for several items such as 'nursing diagnoses' (t = 2.66, p = .01), 'physical examination' (t = 3.58, p<.001), and 'self-care education' (t = 3.11, p<.001) were significantly changed in the experimental group. Moreover, the experimental group had significant improvement in self-efficacy in aspects of nursing such as diagnosis (t = 2.66, p = 0.01), physical examination (t = 3.58, p<0.001), and self-care education (t = 3.11, p<0.001) compared to the control group. Application/Improvements: The PCP program was effective in improving multiple self-efficacies in nursing practice, such as defining nursing diagnoses, physical examination, and patient education.Keywords
Clinical Practice, Communication, Nursing Students, Self-Directed Learning, Trial.Full Text
- Cancer Screening Findings in Korean People with Disabilities:2016-2017
Authors
1 Professor, Chungnam National University College of Medicine, Department of Rehabilitation, KR
2 Professor, Chungnam National University College of Nursing, Department of Nursing, KR
3 Associate Professor, Joongbu University, Department of Nursing, KR
4 Researchers, National Health Insurance Service, Big Data Department, KR
Source
Medico-Legal Update, Vol 20, No 1 (2020), Pagination: 1529-1532Abstract
Background/Objectives: Cancer screening programs are effective in the early detection of several cancers. This study aimed to identify the findings of cancer screenings that were conducted in 2016 and 2017.
Methods/Statistical Analysis: Sample were obtained from the National Health Insurance Service, and the cancer screening findings among both people with disabilities and those without were compared. Gastric, breast, colon, liver, and cervical cancer were analyze the findings of the screening programs. The findings were categorized as benign, suspicious of malignancy, or other categories (depending on type of cancer). Descriptive statistics and the X2-test were used to analyze the findings among the groups.
Findings: The findings were as follows: For gastric cancer screenings, 0.30% in 2016 and 0.35% in 2017 of those screened who had brain injury were found to have gastric cancer, whereas 0.16% in 2016 and 0.15% in 2017 of those screened who were non-disabled where found to have gastric cancer (p<.001). For breast cancer screenings, 0.90% in 2016 and 0.54% in 2017 of those screened who had brain injury had findings that were suspicious of malignancy. For colon cancer screenings, 4.48% in 2016 of those screened who had brain injury were found to have colon cancer, whereas 3.70% in 2016 of those who were non-disabled were found to have colon cancer (p<.001). For liver cancer screenings, people with brain injury had the most findings that were suspicious of liver cancer in 2016 (p<.001), whereas people with physical impairment had the most findings that were suspicious of liver cancer in 2017 (p<.001). The non-disabled group had the highest incidence of carcinoma in situ among groups in 2016 (p<.001) and 2017 (p<.001).
Improvements/Applications: Rigorous cancer screening programs should be implemented and expanded to include brain injury and physical impairment disabilities for the early detection of gastric, breast, colon, and liver cancer.
Keywords
Disability, Cancer, Screening, Brain Injury, Physical I.mpairment
- National Health Screening Program Non-Participation Rates Among Koreans with Brain Injury-Based Disabilities: 2016–2017
Authors
1 Professor, Chungnam National University College of Nursing, Department of Nursing, KR
2 Associate Professor, Eulji University College of Nursing, Department of Nursing, KR
3 Professor, Chungnam National University College of Medicine, Department of Rehabilitation, KR
4 Doctoral Student, Chungnam National University College of Nursing, Department of Nursing, KR
5 Researchers, National Health Insurance Service, Big Data Department, KR
Source
Medico-Legal Update, Vol 20, No 1 (2020), Pagination: 1533-1539Abstract
Background/Objectives: The National Health Screening Program is currently performed in Korea. This study compared the non-participation rates between disabilities caused by brain injury and those without disability in 2016 and 2017.
Methods/Statistical Analysis: Data were extracted from the National Health Insurance database. Among the data, chest X-ray, blood pressure, blood sugar, body mass index (BMI), auditory and visual functions, Hepatitis B virus, hemoglobin, liver function, bone mineral density, lower extremity function test, balance test, depression, and cognitive function test results were compared between the disability from brain injury and non-disability groups. Descriptive statistics were used to analyse the non-participation rates between these groups.
Findings: About 0.3% (n=42,457) of individuals had disabilities due to brain injury. In 2016, the nonparticipation rates for chest X-ray and urine cholesterol among those with disability due to brain injury were 3.8%, and 4.1%, respectively. However, the non-participation rates among those without disabilities were only 0.9% and 0.4%, respectively. The non-participation rates among disabilities due to brain injury were also significantly higher than that in those without disability population in other examination programs. In 2017, 3.3% of individuals with disabilities due to brain injury did not participate in chest X-rays, compared to 0.8% of individuals without disabilities. Similarly, the non-participation rates for urine protein test were 4.1% and 0.4%, respectively. The non-participation rate for all examination programs for health screening was higher among those with disabilities due to brain injury than that in those without disabilities. The average non-participation rates for the group of individuals with disabilities due to brain injury were 5.0% in 2016 and 4.4% in 2017, compared to 1.6% and 1.4%, respectively, for the group without disabilities.
Improvements/Applications: The National Health Screening program should be applied to all citizens regardless of disability. Policies are needed to increase participation in health screening programs among individuals with disabilities.