• Journal of Korean Academy of Psychiatric and Mental Health Nursing
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• v.27 no.4
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• pp.342-354
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• 2018

Purpose: The purposes of this study were to develop an acceptance commitment-based cognitive behavioral program for patients with schizophrenia and to use it as an intervention tool for psychiatric mental health nursing and thereby confirm the program's effects on patients' psychological flexibility, psychological well-being, and treatment adherence including insight and attitude toward treatment. Methods: This study consisted of a pretest, posttest 1, and posttest 2 for a nonequivalent control group design. The participants were 42 patients with schizophrenia (experimental group: 21, control group: 21). The acceptance commitment-based cognitive behavioral program was conducted in 10 sessions for 5 weeks. Data collected from February to April 2018 were analyzed using the SPSS/WIN 25.0 for $x^2$ test, Fisher's exact test, independent t-test, and repeated measurement ANOVA. Results: The differences between experimental and control groups were statistically significant regarding psychological flexibility, psychological well-being, and insight. Conclusion: This study findings suggest that the acceptance commitment-based cognitive behavioral program can be used as an effective mental health nursing intervention for psychological flexibility, psychological well-being, and insight of patients with schizophrenia.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.17 no.5
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• pp.660-670
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• 2016

This cross-sectional descriptive investigation attempted to identify the relationship among the symptoms, spiritual well-being, and depression experienced by patients undergoing hemodialysis. Data were collected from 146 patients at 6 hemodialysis clinics from October 15th, 2014 to January 15th, 2015. The Dialysis Symptom Index (DSI) was used to measure symptom experience, spiritual well-being was measured using the Spiritual Well-being Scale, and depression was assessed using the Center for Epidemiologic Studies Depression Scale (CES-D). The data were analyzed using ANOVA, the t-test, Scheffe's test, Pearson correlation, and hierarchical regression analysis. The mean score of the symptom experience was 26.43 (range: 0~85), the mean spiritual well-being score was 47.79 (range: 20~80), and the mean depression score was 10.56 (range: 0~35). It was found that greater existential well-being leads to lower depression (r=-.23, p=.004) and symptom experience (r=-.17, p=.045). Greater physical (B=.09) and emotional (B=.64) symptom experience leads to higher depression and the explanatory power of these factors was 52.1% (F=18.54, p<.001). Therefore, a comprehensive nursing intervention that can help reduce the symptom experience and increase the existential well-being in hemodialysis patients is needed to reduce their depression.

• Journal of Hospice and Palliative Care
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• v.12 no.1
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• pp.14-19
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• 2009

Purpose: The purpose of this study was to provide basic data to assess spiritual health of HIV/AIDS patients and devise spiritual nursing mediation plans in practical nursing work by examining the levels of spiritual wellbeing (SWB) and spiritual needs of HIV/AIDS patients'. Methods: A correlation survey study was conducted on HIV/AIDS patients age ranging from 20 to 70 years to investigate the relationship between their SWB and spiritual needs. Results: 1. Average scores of HIV/AIDS patients' related to SWB were found to be higher than the intermediate level: 54.59 in SWB; more specifically, 27.78 in existential well-being and 26.80 in religious well-being. 2. Average score of for HIV/AIDS patients' spiritual needs was 108.67: More specifically, 37.80 in the needs of love and interest, 42.35 in the needs of seeking meanings and purposes, and 28.51 in the needs of wanting to be forgiven. 3. Concerning the correlation between SWB and spiritual needs, the total SWB and total spiritual needs of HIV/AIDS patients' showed a weak positive correlation (r=0.344, P=0.013). Conclusion: The result of the study showed that SWB and spiritual needs of HIV/AIDS patients' are higher than the average scores, and these two parameters have a weak positive correlation, indicating that HIV/AIDS patients have strong spiritual needs of seeking meanings and purposes. Therefore, more studies on the spiritual nursing mediation plans are needed in order to raise their spiritual well-being levels and meet their spiritual needs through precise assessment.

• Journal of Korean Academy of Nursing
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• v.42 no.1
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• pp.28-35
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• 2012

Purpose: This study was done to evaluate the effects of a short-term life review on spiritual well-being, depression, and anxiety in patients with terminal cancer. Methods: The study used a pre posttest quasi experimental design with a nonequivalent control group. Measurement instruments included the Functional Assessment of Chronic Illness Therapy-Spiritual scale (FACIT-Sp12) and the Hospital Anxiety and Depression Scale (HADS). Participants were 32 patients with terminal cancer who were receiving chemotherapy or palliative care at hospitals or at home. Eighteen patients were assigned to the experimental group and 14 to the control group. A sixty minute short-term life review session was held twice a week as the intervention with the experimental group. Results: There was a statistically significant increase in spiritual well-being in the experimental group compared to the control group. There were also significant decreases in depression and anxiety in the experimental group compared to the control group. Conclusion: The results indicate that a short-term life review can be used as a nursing intervention for enhancing the spiritual well-being of patients with terminal cancer.

• Journal of East-West Nursing Research
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• v.25 no.1
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• pp.50-59
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• 2019

Purpose: The purpose of this study was to identify factors affecting quality of life among family members of patients with terminal cancers hospitalized in hospice institutions. Method: This study used a descriptive design. The participants were 142 families of patients with terminal cancers from 7 hospice institutions from 6 cities in Korea. Data collection was conducted from January 21 through July 31 of 2017 using self-reported questionnaires. Data were analyzed by descriptive statistics, t-test, analysis of variance, the Pearson correlation coefficient, and multiple regression analysis using the SPSS/WIN 18.0 program. Results: Quality of life was positively correlated with spiritual well-being (r=.49) and negatively correlated with burnout (r=-.59). Spiritual well-being was negatively correlated with burnout (r=-.49). Factors influencing the quality of life were burnout, perceived health status and spiritual well-being, which explained 44% of the variance. Conclusion: The findings of this study indicate that it is necessary to develop a nursing intervention program that can improve the quality of life of family members of terminal cancer patients considering burnout.

• Journal of Korean Traditional Oncology
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• v.13 no.1
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• pp.33-42
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• 2008

Objective: To investigate a clinical effect of Taichichuan training focussing on improvement of quality of life in cancer patients. Methods: The subject of study consisted of 10 cancer patients at the East-West Cancer Center of Dunsan Oriental hospital. The survey method of this study is Functional Assessment of Cancer Therapy-General (FACT-G) korean version. Patients performed Taichichuan twice a week and filled out FACT-G questionnaire before and after training. Results: Although total FACT-G score decreased 0.7 point after training, emotional well-being score increased 1.0 point after training. Male improved FACT-G score better than female. Over 50 age improved FACT-G score better than under 50 age. Over stage Ⅲ improved FACT-G score better than Under Stage II. Patients who were treated integrative treatment improved FACT-G score better than patients who were only treated conventional treatment. But all results were not significant statistically. Conclusions: Emotional well-being tends to improve after training, but this study cannot proved Taichichuan training improve quality of life in cancer patients. Well designed advanced study will be needed to prove its benefits.

• Asian Oncology Nursing
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• v.1 no.2
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• pp.217-228
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• 2001

Cancer survivor's self-help group may promote psychosocial adjustment in cancer patients. Self-transcendence has been shown to be related with crisis and adjustment in women with breast cancer. The purpose of this study is to determine the effectiveness of self-transcendence promoting program to facilitate self-transcendence, physical, and emotional well-being in women with breast cancer. Thirty patients who received mastectomy were recruited, but 9 subjects of experimental group and 14 subjects of control group participated in this study. Subjects of experimental group attended the self-help group for self-transcendence once a week for 6 weeks. Each session of program was proceeded for 2hours and the program contained activities for promoting self-transcendence, stress management, communication skill, exercise and relaxation, symptom management, and family support. Data were collected by self-reporting questionnaires within seven days after mastectomy and after the program was finished in experimental group, within 7 days after mastectomy and after 3 months in control group. Self-transcendence was assessed using the self-transcendence scale (STS) developed by Reed. Physical well being was assessed using Symptom distress scale (SDS) developed by McCorkle and Young and emotional well being was assessed using Profile of mood states (POMS). As a result, no significant differences were found between both groups in changes of self-transcendence, emotional well-being, and physical well-being. Self-transcendence score was significantly decreased in control group (p =0.16). But that of experimental group showed no decrease. In conclusions, when the self-transcendence promoting program is provided to the patients with breast cancer, it can be helpful for promoting self- transcendence. For the further study, repeated research with appropriate sample size and more intensive nursing intervention to promote self-transcendence is suggested. And reassessment after 6 months is recommended for testing long term effects of the program.

• The Journal of Korean Obstetrics and Gynecology
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• v.23 no.2
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• pp.85-94
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• 2010

Purpose: This study aimed to investigate a clinical effect of Coo-Sun activity focusing on improvement of quality of life in female cancer patients. Methods: The subject of study consisted of 5 female cancer patients at the East-West Cancer Center of OO Oriental hospital. The survey methods of this study are Functional Assessment of Cancer Therapy-General (FACT-G) and State-Trait Anxiety Inventory (STAI). Patients performed Coo-Sun activity 6 times a week and filled out FACT-G and STAI questionnaire after every 3 times training. Results: In FACT-G questionnaire, physical well-being and emotional wellbeing was improved significantly after Coo-Sun activity. And change of social/family well-being and functional well-being score were not significant statistically. In STAI questionnaire, STAI1 was improved significantly after Coo-Sun activity. And change of STAI2 score was not significant statistically. Conclusion: After Coo-Sun activity, quality of life (QOL) in female cancer patients was improved and anxiety was decreased. But this study have limitation to prove effects of Coo-Sun activity completely in female cancer patients. So well designed prospective cohort study will be needed to prove its benefits.

• Journal of Society of Preventive Korean Medicine
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• v.17 no.1
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• pp.89-105
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• 2013

Objectives : The aim of this study is to analyze the domestic research trend focusing on well-being studies in medicine. Through this study, the researchers attempt to explore the research trends of the well-being in Traditional Korean Medicine. Methods : Well-being as a key word was searched on representative domestic databases of articles and the researchers collected the articles of medical journals published from 1980 to 2012. Finally 416 articles of well-being were selected. Results : Among the fields of medicine, well-being studies have been mainly proceeded by nursing science, preventive medicine and psychiatry. Well-being studies that mainly analyzed the variables associated wih quality of life and well-being to cancer patients, workers and elderly. But every measuring instrument searched with well-being was adapted from western tools. And there has not been any study used measuring instrument of well-being and interventions related to Traditional Korean Medicine. Conclusions : In order to handle the new wave of well-being and quality of life, research methods using tools to measure these variables need to be developed. Furthermore, it seems to be necessary that research on how to take advantage of Yangseng that is health concept of Traditional Korean Medicine.

• Journal of Korean Academy of Nursing
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• v.48 no.1
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• pp.50-58
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• 2018

Purpose: The purpose of this study was to examine the mediating effect of marital intimacy on the impact of uncertainty on the quality of life (QoL) of young breast cancer patients. Methods: This study used a pathway analysis with 154 young breast cancer cases in their early diagnosis stage at a medical center in Korea. Data were collected from November 2016 to February 2017 and analyzed using correlation analysis and pathway analysis. Results: Uncertainty, marital intimacy, and 4 sub-scales of QoL showed a significant correlation. Marital intimacy was directly affected by uncertainty (${\beta}=-.39$, p=.013) and 4 sub-scales of QoL were also affected by uncertainty. Among the 4 sub-scales of QoL, physical well-being (PWB) (${\beta}=.17$, p=.026), social well-being (SWB) (${\beta}=.49$, p=.010), and functional well-being (FWB) (${\beta}=.38$, p=.009) were affected by marital intimacy but emotional well-being (EWB) was not affected by it. The mediating effect of marital intimacy on the impact of uncertainty on QoL was confirmed. Marital intimacy showed a significant indirect effect on PWB (${\beta}=-.07$, p=.024), SWB (${\beta}=-.19$, p=.008), and FWB (${\beta}=-.15$, p=.005), and it means that marital intimacy has a partial mediating effect on the impact of uncertainty on PWB, SWB, and FWB. Conclusion: Effects of uncertainty on QoL was mediated by marital intimacy of young breast cancer patients in their early diagnosis stage. It suggests that marital intimacy needs to be considered in providing nursing intervention for young breast cancer patients.