Factors Affecting Quality of Life in Hemodialysis Patients / 기본간호학회지

Purpose@#The purpose of this study was to investigate factors affecting quality of life in hemodialysis patients. @*Methods@#In this descriptive study, the subjects were 127 hemodialysis patients at four dialysis clinics in Pusan and Daegu metropolitan cities. Data were analyzed with descriptive statistics, independent t-test, one-way analysis of variance, Pearson’s correlation coefficients, and stepwise multiple regression analysis using SPSS/WIN version 26.0. @*Results@#The average scores for social support, symptom experience, physical function, self-care compliance, and quality of life were 3.97±0.66, 38.50±27.94, 2.24±0.60, 3.43±0.49, and 3.02±0.57, respectively. Fifty-five (43.3%) subjects had a type D personality. Quality of life showed significant differences according to educational background (F=6.44, p<.001), job (t=2.52, p=.013), and type D personality (t=4.39, p<.001). Social support (r=.32, p<.001), physical function (r=.45, p<.001), self-care compliance (r=.24, p=.005), albumin (r=.09, p=.027), and phosphorous (r=.27, p=.002) were positively correlated with quality of life. Symptom experience (r=-.40, p<.001) was negatively correlated with quality of life. The factors affecting quality of life were social support (β=.31, p<.001), physical function (β=.30, p<.001), educational background (β=.20, p=.007), type D personality (β=-.19, p<.001), and symptom experience (β=-.18, p=.019), with a total explanatory power of approximately 43%. @*Conclusion@#Quality of life in hemodialysis patients was affected by social support, physical function, educational background, type D personality, and symptom experience. These factors should be considered in nursing interventions to improve quality of life of hemodialysis patients.

A Study on the Influences of the COVID-19 Pandemic-related Depression, Anxiety, Stress, and Treatment-Crisis on Quality of Life in Cancer Patients

Purpose@#The purpose of this study was to investigate the factors affecting the quality of life of cancer patients by examining the degree of the COVID-19 pandemic-related depression, anxiety, stress, and treatment-crisis. @*Methods@#Data were collected from 132 cancer patients undergoing surgery, chemotherapy, radiotherapy, and hormone therapy at K University Hospital in D City using a structured questionnaire. The period of data collection was from May 6 to May 28, 2022. The collected data were analyzed using descriptive statistics, t-test, ANOVA, Pearson’s correlation, and stepwise multiple regression. @*Results@#The mean scores of quality of life, depression, anxiety, stress, and treatment-crisis during the COVID-19 pandemic were 84.64±29.09, 15.14±6.49, 4.66±5.27, 75.83±17.70, and 78.52±19.95, respectively. In terms of factors affecting the quality of life related to the COVID-19 pandemic, COVID-19 pandemic-related stress (β=.41, p<.001) appeared to have the greatest impact, followed by COVID-19 pandemic-related treatment-crisis (β=.28, p=.002), anxiety (β=.21, p=.002), and gender (β=.14, p=.009), with a total explanatory power of 67.6%. @*Conclusion@#To improve the quality of life during the COVID-19 pandemic, COVID-19 pandemic-related stress, treatment-crisis, and anxiety should be periodically monitored and nursing interventions such as education on infection prevention, management, and emotional support programs should be provided to decrease the COVID-19 pandemic-related stress, treatment-crisis, and anxiety.

Mediation Effect of Adaptation on the Quality of Life in Patients with Gastric Cancer Undergoing Gastrectomy: A Structure Equation Model

PURPOSE: This study aimed to develop a model for estimating the quality of life mediated by adaptation to changes experienced after stomach cancer diagnosis and surgery in patients with gastrectomy and to verify the model based on the Cancer Survivor Adaptation Model by Naus et al. (2009) and literature reviews. METHODS: Data was collected from 297 gastric cancer patients who underwent a gastrectomy at an outpatient clinic of two university hospitals in Daegu city from May to August, 2016. The exogenous variableswere perceived gastrointestinal symptoms, self-efficacy, anxiety, social support, and spiritual well-being. The endogenous variableswere adaptation and quality of life, and adaptationwas themediating variable. For data analysis, structural equation modeling was performed using IBM SPSS 21.0 and AMOS 18.0. RESULTS: The fitness parameters of the final model showed a reasonable fit to the data. Based on R², the exogenous variables explained 73.9% of the quality of life of stomach cancer patients who underwent surgery, through the mediation of adaptation; adaptation alone explained 73.5% of quality of life. Adaptation of stomach cancer patients with gastrectomy was a factor that strongly influenced their quality of life. CONCLUSION: It is important for gastric cancer patients with gastrectomy to adapt well to changes after surgery in order to improve the quality of life. Nursing interventions to aid successful adaptation would ultimately exert positive influences and improve the patients' quality of life.

Risk Factors for Premature Birth among Premature Obstetric Labor Women: A Prospective Cohort Study

PURPOSE: To identify risk factors for premature birth among premature obstetric labor women. METHODS: Participants were 129 hospitalized women who were diagnosed with potential premature obstetric labor with 20 weeks to 37 weeks of gestation. Data were analyzed using descriptive statistics, χ2 test, t-test, and binary logistic regression. RESULTS: Of 129 women, 78(60.5%) gave premature birth and 51 (39.5%) gave full-term birth. Risk factors for premature birth were education level (≤bachelor's degree), abnormal bowel condition (constipation or diarrhea), time firstly diagnosed with a premature obstetric labor (below 28 weeks of pregnancy), and multiple pregnancy. There were also increased risks of premature birth for participants with high level of anxiety and high level of prenatal stress. In social support, there was an increased risk of premature birth for participants with low level of social support. CONCLUSION: Prenatal nursing programs should consider not only psychosocial factors such as anxiety, prenatal stress, and social support, but also some general and obstetric factors such as education level, abnormal bowel condition, time firstly diagnosed with a premature obstetric labor, and multiple pregnancy to increase maternal and child health.

Current Use of Depression Rating Scales in Mental Health Setting

OBJECTIVE: This study was to investigate the current use of depression rating scales by psychiatrists and clinical psychologists in Korea. METHODS: The questionnaires from many psychiatrists and clinical psychologists were included in the analysis. The questionnaire was composed of items about examining the percentage of patients clinically using depression rating scales, reasons for not use of them, the degree of satisfaction, the perceived agreement rate between the result of depression rating scales and doctor's clinical interview in the evaluation of patients with depressive symptoms. Data were analyzed by chi-square and independent t-test. RESULTS: The clinical use of depression rating scales was more frequent in the psychologists than in the psychiatrists. The purposes for using depression rating scales were assessed into six areas, there was no significant difference in between two groups, and both groups pointed out their purpose as rating of severity and screening. The reasons for not using scales were that their interview may be sufficient for diagnosis and assessment of depressive patients and they are not familiar with the use of depression rating scales. The psychiatrists usually prefer the Beck Depression Inventory (BDI), Hamilton Depression Rating Scale and Symptom Checklist 90-Revision (SCL-90-R) in order of frequency, and the clinical psychologists are more likely to use the BDI, Minnesota Multiphasic Personality Inventory and SCL-90-R. Overall rate of satisfaction in the use of the scales was 67.29+/-14.45% and overall perceived agreement rate was 70.89+/-16.45%. CONCLUSION: Currently used depression rating scales at the clinical practice were not various. Therefore, to heighten clinicians' utility of these depression rating scales measures, either educational efforts or advertisements, or both, will be necessary to spread them wildly.

Posttraumatic Stress Disorder of Survivors in Daegu Subway Fire Accident: A Prospective Study on Predictors / 신경정신의학

OBJECTIVES: The purpose of this study was to determine the predictors of PTSD in subway fire accident survivors. METHODS: Subjects consisted of 129 survivors from the Daegu subway fire accident. The 129 subjects were registered at April, 2003, which was 2 months after the accident, and 49 of them were followed up from June to November 2004. Subjects were assessed at 2 months and 18 months after the accident. All participants completed BDI-II, SCL-90-R, MMPI, PCL-C, STAI-S, STAI-T and IES at the two time points, respectively. CAPS was only administered in the follow-up assessment. Statistical analysis was performed using Binary Logistic regression with SPSS 12.01. RESULTS: Only the BDI-II total scores at 2 months significantly predicted PTSD at 18 months. Other measures did not significantly predict PTSD. Conclusions: These findings suggest that high BDI-II total scores at the initial assessment may be regarded as a major predictor of PTSD. Accordingly, early treatment intervention may serve to prevent the chronicity of PTSD among accident survivors.

A Comparison of the Educational Needs of the Mothers' for the Infant Care Between Primipara and Multipara / 아동간호학회지

This study is designed to compare differences of the infant mothers' nursing educational needs between primipara and multipara. And also this study will provide the basic data for the development of Infant care educational programs based on personal characteristics. The subjects of this study were 71 infant-mothers who just experienced delivery. They were selected from a collage hospital and a obstetric hospital in D city, Korea. The tool used in this study was educational need scale developed by Choe, SeonJeong(2000), and modified by researchers. The subjects were requested to check complete the questionnaires by self-report method at the time of hospital discharge. The data were collected from February 7 to April 10, 2001. and were analysed by descriptive statistics, mean, std deviation, t-test, ANOVA with SPSS 10.0. The results of this study were as follows ; 1. The differences of the infant mothers' nursing educational needs were not significantly between primipara and multipara. 2. In the each category of the infant mothers' nursing educational needs, we could see the differences between primipara and multipara as following ; Infant care(t=2.803, p=.007), Attachment between parents and infant (t=2.442, p=.017). 3. In accordance with general characteristics, the infant mothers' nursing educational needs differed significantly according to religion in primipara and according to satisfaction of marriage in multipara. 4. In accordance with obsterical characteristics, the infant mothers' nursing educational needs differed significantly according to places of postpartum care in primipara. In conclusion, this study confirmed that the nursing educational needs of the mothers did not show significant difference between primipara and multipara. However, two subareas' parts of the infant mothers' nursing educational needs, infant care and attachment between parents and infant showed significant difference between primipara and multipara. And the infant mothers' nursing educational needs differed significantly between primipara and multipara according to several personal characteristics. Therefore the results of this study might give some real data for the development of the Infant Care Programs based on personal characteristics.