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Shin, Nah-Mee,Choi, JiWon,Cho, InHae,Park, Byung-Jun ASPEN PUBLISHERS INC 2017 JOURNAL OF CARDIOVASCULAR NURSING Vol.32 No.6
<P>Background: The prevalence of metabolic syndrome (MetS) has been increasing among Koreans, and middle-aged and older women are at risk of metabolic syndrome. Effective strategies to promote lifestyle modification need to be developed. Objective: We examined the effects of a self-management program on improving the cardiovascular health status and promoting healthy behaviors among overweight or obese Korean women at risk of metabolic syndrome. Methods: A pretest and posttest intervention design was used. Sixty women participated in a group teaching session. They also received a pedometer and a diary for self-monitoring. On the basis of blood test results, women's metabolic syndrome status was identified. Thirty women with metabolic syndrome received additional tailored counseling and weekly follow-up calls for 4 weeks, whereas 30 women without metabolic syndrome did not receive any tailored counseling or follow-up calls. Twenty-three women in the MetS group and 22 women in the non-MetS group completed the posttest. Results: Overall, women significantly improved their cardiovascular health status including systolic blood pressure, diastolic blood pressure, body mass index, low-density lipoprotein, triglycerides, number of metabolic syndrome risk factors, and 10-year risk estimates from pretest to posttest. Seventy-eight percent of the MetS group (n = 18) no longer had metabolic syndrome, whereas 5% of the non-MetS group (n = 1) became to have metabolic syndrome. Women significantly increased frequency and duration of walking per week and significantly decreased the time spent sitting. Conclusions: Promoting self-management for healthy behaviors might be effective for obese or overweight women to prevent metabolic syndrome and cardiovascular diseases, if it is tailored to their health needs.</P>
Prevalence of the Metabolic Syndrome Among Overweight and Obese College Students in Korea.
Cha, Eunseok,Burke, Lora E,Kim, Kevin H,Shin, Yun-A,Kim, Hee Young Aspen Publishers 2010 JOURNAL OF CARDIOVASCULAR NURSING Vol.25 No.1
<P>OBJECTIVES:: This study examined the prevalence of metabolic risk factors among overweight and obese college students aged 18 to 29 years in Korea. METHODS:: Baseline data from a healthy lifestyle intervention study for overweight and obese college students in Korea were used. We recruited the sample (N = 73) (84% male; mean [SD] age, 23.77 [2.45] years) from 2 universities in Seoul, Korea, and measured body mass index, waist-hip circumstance, blood pressure, and fasting blood chemistry. Descriptive statistics, Spearman rank order correlations, and analysis of variance were conducted using SPSS 16.0 (SPSS Inc, Chicago, Illinois) for windows. RESULTS:: Three-fourths of the participants were identified as being viscerally obese based on the Asia Pacific criteria. Of the total sample, about 12% and 20% were defined as having metabolic syndrome according to the National Cholesterol Education Program-the Adult Treatment Panel III and International Diabetes Federation, respectively. Concordance between the National Cholesterol Education Program-the Adult Treatment Panel III and International Diabetes Federation definitions was very good in the current study (Cohen kappa coefficient = 0.74, P <.001). Body mass index was significantly correlated with greater triglyceride and systolic and diastolic blood pressure and waist circumference but with lower high-density lipoprotein cholesterol. CONCLUSIONS:: Early screening and targeted interventions to prevent obesity and the metabolic syndrome are urgently needed to promote health for adolescents and young adults in South Korea.</P>
Kim, Chun-Ja,Kim, Bom-Taeck,Chae, Sun-Mi Aspen Publishers 2010 JOURNAL OF CARDIOVASCULAR NURSING Vol.25 No.4
<P>BACKGROUND: Although regular exercise has been recommended to reduce the risk of cardiovascular disease (CVD) among people with metabolic syndrome, little information is available about psychobehavioral strategies in this population. OBJECTIVE: The purpose of this study was to identify the stages, processes of change, decisional balance, and self-efficacy of exercise behavior and to determine the significant predictors explaining regular exercise behavior in adults with metabolic syndrome. METHODS: This descriptive, cross-sectional survey design enrolled a convenience sample of 210 people with metabolic syndrome at a university hospital in South Korea. Descriptive statistics were used to analyze demographic characteristics, metabolic syndrome risk factors, and transtheoretical model-related variables. A multivariate logistic regression analysis was used to determine the most important predictors of regular exercise stages. RESULTS: Action and maintenance stages comprised 51.9% of regular exercise stages, whereas 48.1% of non-regular exercise stages were precontemplation, contemplation, and preparation stages. Adults with regular exercise stages displayed increased high-density lipoprotein cholesterol level, were more likely to use consciousness raising, self-reevaluation, and self-liberation strategies, and were less likely to evaluate the merits/disadvantages of exercise, compared with those in non-regular exercise stages. CONCLUSIONS: In this study of regular exercise behavior and transtheoretical model-related variables, consciousness raising, self-reevaluation, and self-liberation were associated with a positive effect on regular exercise behavior in adults with metabolic syndrome. Our findings could be used to develop strategies and interventions to maintain regular exercise behavior directed at Korean adults with metabolic syndrome to reduce CVD risk. Further prospective intervention studies are needed to investigate the effect of regular exercise program on the prevention and/or reduction of CVD risk among this population. Health care providers, especially nurses, are optimally positioned to help their clients initiate and maintain regular exercise behavior in clinical and community settings.</P>
Factors affecting shared decision making at end of life in Korean adults.
Jo, Kae-Hwa,An, Gyeong-Ju Aspen Publishers 2013 Holistic nursing practice Vol.27 No.6
<P>The purpose of this study was to explore the factors affecting shared decision making among Korean adults. Attitudes toward advance directives and withdrawal of life-sustaining treatment explained 45.0% of shared decision making, suggesting that these 2 factors influence shared decision making in end-of-life care.</P>
The link of unintentional weight loss to cardiac event-free survival in patients with heart failure.
Song, Eun Kyeung,Lee, Yongjik,Moser, Debra K,Dekker, Rebecca L,Kang, Seok-Min,Lennie, Terry A ASPEN PUBLISHERS INC 2014 JOURNAL OF CARDIOVASCULAR NURSING Vol.29 No.5
<P>Patients with heart failure (HF) commonly have unintentional weight loss, depressive symptoms, and elevated levels of high-sensitivity C-reactive protein (hsCRP). Each of these variables has been independently associated with shorter cardiac event-free survival. However, little data exist on the relationships of unintentional weight loss, hsCRP level, and depressive symptoms to cardiac event-free survival.</P>
Lee, Kyoung Suk,Lennie, Terry A.,Yoon, Ju Young,Wu, Jia-Rong,Moser, Debra K. ASPEN PUBLISHERS INC 2017 JOURNAL OF CARDIOVASCULAR NURSING Vol.32 No.2
<P>Background: Depressive symptoms hinder heart failure patients' engagement in self-care. As social support helps improve self-care and decrease depressive symptoms, it is possible that social support buffers the negative impact of depressive symptoms on self-care. Objective: The purpose of this study is to examine the effect of living arrangements as an indicator of social support on the relationship between depressive symptoms and self-care in heart failure patients. Methods: Stable heart failure patients (N = 206) completed the Patient Health Questionnaire-9 to measure depressive symptoms. Self-care (maintenance, management, and confidence) was measured with the Self-Care of Heart Failure Index. Path analyses were used to examine associations among depressive symptoms and the self-care constructs by living arrangements. Results: Depressive symptoms had a direct effect on self-care maintenance and management (standardized beta = -0.362 and -0.351, respectively), but not on self-care confidence in patients living alone. Depressive symptoms had no direct or indirect effect on any of the 3 self-care constructs in patients living with someone. Conclusions: Depressive symptoms had negative effects on self-care in patients living alone, but were not related to self-care in patients living with someone. Our results suggest that negative effects of depressive symptoms on self-care are buffered by social support.</P>