Construction of Explanatory Model for Medication Adherence in Older People with Chronic disease / 기본간호학회지

PURPOSE: The main purpose of this study was to identify factors affecting medication adherence and to develop an explanatory model for medication adherence in elders with chronic disease. METHOD: Empirical data were collected from 312 older adults with chronic disease and the data collect period was from August 8 to 31, 2011, and were analyzed using SPSS for Windows 19.0 program and confirmatory factor analysis with the structural equation model (SEM) procedure performed with AMOS 19.0 program. RESULTS: Results of this study showed that perceived self-efficacy was the strongest factor influencing medication adherence, and it affected also outcome expectations positively but impediments were negatively influenced by self-efficacy. Outcome expectations and impediments subsequently acted on medication adherence with the same relationship as self-efficacy. In additional results, self-efficacy and medication adherence were further significantly affected by the factors; social support, medication knowledge, and depression. CONCLUSION: These results show that nursing interventions to promote medication adherence in this population should focus on self-efficacy promotion including social support, education for delivery of medication knowledge, and reduction in depression.

Effects of Cancer-Overcome BeHaS (Be Happy and Strong) Exercise Program on Shoulder Joint Function, Stress, Body Image and Self-esteem in Breast Cancer Patients after Surgery / 기본간호학회지

PURPOSE: The purpose of this study was to identify the effects of cancer-overcome BeHaS exercise program on shoulder joint function, stress, body image and self-esteem in women who have had surgery for breast cancer. METHOD: A non-equivalent control group pre-post test design with an experimental group (n=25) and a control group (n=25) was used. The experimental group participated in the program once a week for eight weeks. Data were analyzed using descriptive statistics and Chi square and t-test with the SPSS Win 17.0. RESULTS: There were significantly increased in shoulder joint function (p=.012), body image (p=.001), and self-esteem (p=.013), and significantly decreased in stress (p=.003). CONCLUSION: The results suggest that breast cancer-overcome BeHaS exercise program had beneficial effects on shoulder joint function, body image, self-esteem and stress in patients who have had surgery for breast cancer.

Effects of BeHaS Exercise Program on Pain, Balance and Fall Efficacy in Elderly with Osteoarthritis / 기본간호학회지

PURPOSE: The purpose of this study was to evaluate the effects of BeHaS exercise program on pain, balance, and falling efficacy in elderly with osteoarthritis. METHOD: A convenience sample of 52 elderly people with osteoarthritis who lived in C city were recruited through the public health center. For this quasi-experimental study design, 31 of the elders were assigned to the experimental group which received the BeHaS exercise program twice week for eight weeks, and 24 were assigned for the control group (no intervention). Outcome measures were numeric pain scale, standing on one leg for balance, fall efficacy scale. Analysis was performed with SPSS version 12.0 program. RESULTS: Pain was decreased significantly in the experimental group as compared to the control group. Balance and fall efficacy were improved significantly in the experimental group as compared to the control group. CONCLUSION: The BeHaS exercise program can be effective in improving pain, balance, and fall efficacy in elders with osteoarthritis.