Journal of Korean Academy of Nursing

Research Papers

A Structural Equation Model on Social Re-Adjustment of Stroke Patients: Based on Roy’s Adaptation Model: Kim, Jungmi , Kim, Hwasoon; J Korean Acad Nurs 2023;53(4):480-495. Published online August 31, 2023; DOI: https://doi.org/10.4040/jkan.22140

Purpose
This study aimed to develop and test a structural equation model on social re-adjustment of individuals with stroke based on a literature review and Roy’s adaptation model.
Methods
This study involved 321 participants who had a stroke and visited the outpatient department after discharge. The hypothetical model was developed based on Roy’s adaptation model and a comprehensive review of previous literature on the topic. The model comprised four exogenous variables (neurological damage, gender [man], age, and social support) and five endogenous variables (activities of daily living, acceptance of disability, depression, rehabilitation motivation, and social re-adjustment). The data were analyzed using SPSS Windows software version 22.0 and AMOS 23.0.
Results
Out of 28 research hypotheses, 18 were supported, and they indicated approximately 64% probability of social re-adjustment. Social re-adjustment is directly and significantly affected by age, social support, activities of daily living, and depression. Social re-adjustment is indirectly affected by neurological impairment, gender (men), age, social support, and rehabilitation motivation.
Conclusion
Continuous assistance and care should be provided for individuals with disabilities caused by sudden neurological damage to facilitate gradual improvement in their social re-adjustment. To enhance social re-adjustment, especially among older adults, newly developed interventions should focus on improving their activities of daily living, preventing depression, and enhancing support from family and healthcare personnel.

Citations

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The Effects of Aromatherapy on Stroke Symptoms in Stroke Patients: A Systematic Review and Meta-Analysis
A Reum Lim, Hyun Kyoung Kim
Korean Journal of Adult Nursing.2024; 36(2): 85. CrossRef

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Predictive Model for Quality of Life of the Older Men Living Alone: Kim, Su Jin , Jeon, Gyeong-Suk; J Korean Acad Nurs 2020;50(6):799-812. Published online December 31, 2020; DOI: https://doi.org/10.4040/jkan.20087

Abstract PDF

Purpose
This study aimed to construct and test a predictive model that explains and predicts the quality of life in older men living alone.
Methods
A self-report questionnaire was used to collect data from 334 older adult men living along aged 65 years or over living in Jeollanam-do provinces. The endogenous variables were depression, self-rated health, instrumental activity of daily life, health promotion behaviors, the number of social participation activities and quality of life. Data were analyzed using the SPSS 21.0 and AMOS 21.0 programs.
Results
The final model with 14 of the 8 analysed paths showed a good fit to the empiri cal data: χ²= 173.26(p < .001, df = 53),normed χ²= 3.27, GFI = .92, NFI = .90, CFI = .93, TLI = .89, RMSEA = .08 and SRMR = .06. Activities had direct effect on quality of life of older men living alone and social support had both direct and indirect effects. Meanwhile, function and socioeconomic status showed only indirect effects.The variables included in the eight significant paths explained 83.7% of variance in the prediction model.
Conclusion
Instrumental activities of daily living and social support effect directly on quality of life in the older men living alone. Findings suggest that health care providers including community nurses need to provide social support as well as empowerment programs of instrumental activities of daily living and health promotion for improving quality of life of the older men living alone.

Citations

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Changes in the health status and health-related quality of life of community-dwelling older adults living alone: one-year follow-up from a cohort study
Hana Ko, Belong Cho, Kyung-Choon Lim, Soong-Nang Jang, Sun Ju Chang, Yu Mi Yi, Hye Ryung Cho, So Im Ryu, Eun-Young Noh, Yeon-Hwan Park
Frontiers in Public Health.2023;[Epub] CrossRef
Influencing factors on self-care of older adults living alone in a community during COVID-19: A cross-sectional study
Heeyoung Woo, Minkyung Gu
Journal of Korean Gerontological Nursing.2023; 25(1): 1. CrossRef
A novel nomogram to stratify quality of life among advanced cancer patients with spinal metastatic disease after examining demographics, dietary habits, therapeutic interventions, and mental health status
Yue Li, Ze Long, Xiuju Wang, Mingxing Lei, Chunzi Liu, Xiaolin Shi, Yaosheng Liu
BMC Cancer.2022;[Epub] CrossRef
Associated Factors with Health-related Quality of Life among Older Adults with Diabetes in Korea
Eun-Kyung Lee, Sun-Young Jung
The Korean Journal of Rehabilitation Nursing.2022; 25(2): 61. CrossRef

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Original Articles

Effects of Biofeedback Exercise Training in Hemiplegic Patients after Stroke: Keum Soon Kim, So Woo Lee, Myung Ae Choe, Myung Sun Yi, Eun Jung Kim; Journal of Korean Academy of Nursing 2001;31(3):432-442. Published online March 29, 2017; DOI: https://doi.org/10.4040/jkan.2001.31.3.432

Abstract PDF

PURPOSE: The purpose of this study was to investigate the effects of biofeedback exercise training on muscle activity and activities of daily livings (ADL) in hemiplegic patients. An experimental group consisting of 17 people, was given biofeedback exercise training for 30- 60 minutes per week for 5 weeks, while a control group consisting of 18 people, was given normal exercise with quasi-experimental design. RESULT: The results of the study show that biofeedback exercise is effective for improving muscle activity in hemiplegic patients, especially in the hemiplegic limbs. However, this study found no significant differences in ADL and IADL between the experimental and the control groups. It implies that ADL and IADL may not be improved for a short period of time, such as 5 weeks, for people with more than five years of hemiplegia. The study suggests that the effect of biofeedback exercise on ADL and IADL should be determined in hemiplegic patients in acute stage.

Citations

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The effects of training using EMG biofeedback on stroke patients upper extremity functions
Ju-Hong Kim
Journal of Physical Therapy Science.2017; 29(6): 1085. CrossRef
IT based EMG biofeedback training on the effects of upper extremity function in chronic stroke patients
Ju-Hong Kim, Myung-Hwa Oh
The Journal of the Korea institute of electronic communication sciences.2014; 9(1): 41. CrossRef
Effects of family caregivers on the use of formal long‐term care in South Korea
E.‐Y. Kim, E. Cho, N.‐J. Lee
International Nursing Review.2013; 60(4): 520. CrossRef
Effects of wheelchair-based rehabilitation on the physical functions and health perception of stroke patients
Hye Jung Choi, Yeon Soo Kim, Doo Soon Park, Hyun Joo Kang
Personal and Ubiquitous Computing.2013; 17(7): 1365. CrossRef
Factors associated with Health-related Quality of Life among Family Caregivers of Elders Receiving Home Care Services
Eun-Young Kim, Jung Hee Yeo
Journal of Korean Academy of Community Health Nursing.2012; 23(2): 117. CrossRef

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A Structural Relational Analysis of the Determinants of Functional Status in Korean Rural Elderly People: Eun Suk Kong; Journal of Korean Academy of Nursing 1998;28(2):380-391. Published online March 29, 2017; DOI: https://doi.org/10.4040/jkan.1998.28.2.380

Abstract PDF: This study was conducted to develop a theoretical model for the determinants of activities of daily living in Korean rural elderly people. The theoretical model was derived from Lawton's Ecological Model to explain human behavior. The model includes determinant variables for functional status such as age, sex, physical status, cognitive status, physical environment, social environment, and depression. Data for this study was collected from 189 elderly people in a rural district near Chonju City. The data was analyzed with SPSS PC+ 4.1 and LISREL 8. The analysis of the data showed that the first proposed theoretical model did not fit the collected data well. In order to increase the fit of the model to the data, the model was modified by deleting the exogenous variables of sex, physical environment, and social environment. The fit of the modified model to the data was increased and was move suitable. The results of this study show that the determinants of the activities of Korean rural elderly people were age, perceived physical condition, cognitive status, and depressional status. Age has a significant direct and indirect effect on the activities of daily living of rural elderly people. Perceived physical condition has a significant indirect effect through depression on activities of daily living. Cognitive status also has a significant indirect effect through depression of functional status. Depression has a significant direct effect on the functional status. Physical environment and social environment showed reversal relationships to functional status. In conclusion, the results of this study show that personal characteristic factors are more important than environmental characteristic factors for functional status of elderly people. However, the importance of depression to functional status in korean rural elderly people and the reverse relationship between social environment and functional status, reflect Korean specificity. Korean nursing needs to focus more on this Korean specificity in order to develop nursing knowledge and practice appropriate to Korea people.

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The Effects of a Cognitive Behavior Program on Cognition, Depression, and Activities of Daily Living in Elderly with Cognitive Impairment: Su Kyong Chu, Jang Hak Yoo, Chung Yul Lee; Journal of Korean Academy of Nursing 2007;37(7):1049-1060. Published online March 28, 2017; DOI: https://doi.org/10.4040/jkan.2007.37.7.1049

Abstract PDF

PURPOSE: This study was conducted to investigate the effects of a cognitive behavior program on cognition, depression, and activities of daily living in elderly with Cognitive Impairment. METHOD: The research design was a nonequivalent control group pretest-posttest design. There were 21 subjects in the experimental group and 19 in the control group among 40 senior residents in a Hall for the elderly in the city of S. The subjects scores ranged from 15 to 23 on the MMSE-K(Korean Version of Mini-Mental State Examination) over age 65. The length of time for data collection and intervention was from Jun 26 to September 1, 2006. The cognitive behavior program consisted of 'Facing problem behavior', 'Searching for a coping skill', and 'Training in the coping skill'. It was applied to the experimental group twice a week, fifty minutes per session for six weeks. RESULT: Cognition(t=-4.232, p< .001) and IADL(t=-2.939, p< .01) in the experimental group were significantly higher than those of the control group. Depression in the experimental group was significantly less than the control group(t=3.870, p< .01). However, ADL in the experimental group was not significantly higher than the control group. CONCLUSION: These findings confirmed that a cognitive behavior program contributed to improving cognition and IADL, and to reducing depression in the elderly with Cognitive Impairment.

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Effects of walking exercise on cognitive and physical functions: meta-analysis of older adults
Mi Jin Lee, Hee Ju Ro, Jung Kee Choi, So Yeon Kim
Forest Science and Technology.2024; 20(2): 201. CrossRef
Development and Effectiveness of an AI Chatbot-Based Mobile Cognitive Screening and Customized Training Application for Preventing Dementia: Older Adults Living in Rural Areas of South Korea
Byung Hun Yun, Whani Kim, Hyun Jeong Ko, So Yoon Park, Jin Sung Kim, Geon Ha Kim, Bori Kim, Jee Hang Lee, Jin Woo Kim
Archives of Design Research.2024; 37(5): 77. CrossRef
Development and Evaluation of a Community based Multifaceted Cognitive Training Program for the Elderly with Mild Cognitive Impairment
Yeonhee Park, Heeyoung Oh
Journal of Korean Academy of Community Health Nursing.2019; 30(2): 119. CrossRef
Effects of Silver-Care-Robot Program on Cognitive Function, Depression, and Activities of Daily Living for Institutionalized Elderly People
Jin-Hwan Oh, Yeo-Jin Yi, Chul-Jin Shin, Cheonshu Park, Sangseung Kang, Jaehong Kim, In-Sook Kim
Journal of Korean Academy of Nursing.2015; 45(3): 388. CrossRef
The Effects of an Individual Cognitive Improvement Program on the Elderly with Mild Cognitive Impairments
Inhyae Park, In-Hee Choi, Seo Young Kang, Younkyoung Kim, Chong Mi Lee
Journal of Korean Academy of Community Health Nursing.2015; 26(1): 1. CrossRef
Effect of the Laughter Therapy Combined with Cognitive Reinforcement Program for the Elderly with Mild Cognitive Impairment
Eunjoo Ji, Oksoo Kim
Korean Journal of Adult Nursing.2014; 26(1): 34. CrossRef
Effects of Art Therapy on Cognition, Depression, and Quality of Life in Elderly
Yeon Hee Choi, En Young Jeon
Journal of Korean Academy of Community Health Nursing.2013; 24(3): 323. CrossRef
The Effects of a Cognitive Enhancement Group Training Program for Community-dwelling Elders
Young Ran Han, Mi Sook Song, Ji Young Lim
Journal of Korean Academy of Nursing.2010; 40(5): 724. CrossRef
Cognitive Impairment, Behavioral Problems, and Mental Health in Institutionalized Korean Elders -An Eligibility Issue for Care Settings-
Hyun-Sil Kim, Young-Mi Jung, Hung-Sa Lee
Journal of Korean Academy of Nursing.2009; 39(5): 741. CrossRef
Depressive Symptoms and Related Risk Factors in Old and Oldest-old Elderly People with Arthritis
Ji-Yeon An, Young-Ran Tak
Journal of Korean Academy of Nursing.2009; 39(1): 72. CrossRef
Power Analysis in Experimental Designs with t test Analysis
Jeong-Hee Kang, Kyung-Sook Bang, Sung-Hee Ko
The Journal of Korean Academic Society of Nursing Education.2009; 15(1): 120. CrossRef

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Influencing Factors that Affect the Psychological Well-being in Family Caregivers of Stroke Patients: Jung Hee Kim, Ok Soo Kim; Journal of Korean Academy of Nursing 2005;35(2):399-406. Published online March 28, 2017; DOI: https://doi.org/10.4040/jkan.2005.35.2.399

Abstract PDF

Purpose

The purpose of this study was to investigate the factors that affect the psychological well-being in family caregivers of stroke patients.

Method

The General Health Perception, short form 36, Health Survey Questionaire was used to measure health perception. The Caregiving Mastery Scale was used to assess the mastery, while the Psychological General Well-Being Index was used to examine the level of well-being.

Result

Subjective health, caregiving mastery, patient's ADL and caregiving duration influenced on caregiver's psychological well-being. Subjective health had effect on psychological well-being both directly and indirectly. Caregiving duration and patient's ADL had indirect effect on psychological well-being through caregiving mastery.

Conclusion

It is need to develop a health program for the caregivers of stroke patient's and to provide nursing intervention to improve the caregiver's ability, thereby improving the well-being of the family caregivers.

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Happiness Felt by Family Caregivers of Older Adults Needing Care
Chikako Takabayashi
Journal of Japan Academy of Nursing Science.2024; 44: 743. CrossRef
Associations among disability, depression, anxiety, stress, and quality of life between stroke survivors and their family caregivers: An Actor‐Partner Interdependence Model
Sri Yuliana, Erica Yu, Yohanes Andy Rias, Nur Atikah, Hsiu Ju Chang, Hsiu Ting Tsai
Journal of Advanced Nursing.2023; 79(1): 135. CrossRef
Personality and Psychological Well-Being among Cancer Caregivers at the Uganda Cancer Institute and Mbarara Regional Referral Hospital
Rachel K., Milton M., Godfrey Z.R., Nixon N., Jackson O., Simon K.
African Journal of Social Sciences and Humanities Research.2022; 5(3): 62. CrossRef
Influencing Factors on Stress in Caregivers of Stroke Patients Being Admitted in Rehabilitation Centers
Nam-Hee Kim, Young-Sook Tae, Yooun-Sook Choi, Joo-Hee Bae
Journal of the Korea Academia-Industrial cooperation Society.2016; 17(2): 188. CrossRef
Effects of a Patient Educational Video Program on Bowel Preparation Prior to Colonoscopy
You Young Cho, Hyeon Ok Kim
Journal of Korean Academy of Nursing.2015; 45(5): 704. CrossRef
Effects of a web-based stroke education program on recurrence prevention behaviors among stroke patients: a pilot study
J.-I. Kim, S. Lee, J.-H. Kim
Health Education Research.2013; 28(3): 488. CrossRef
Factors Influencing the Burden Felt by Main Family Caregivers of Elderly Patients with Brain and Spinal Diseases
Hee Kyung Park, Kyung Min Park
Journal of Korean Academy of Community Health Nursing.2011; 22(4): 389. CrossRef
Effects of Moxibustion on Physiological Indices and Autonomic Nervous Symptoms in Adults with Prehypertension
Soon Hee Cho
Journal of Korean Academy of Nursing.2010; 40(5): 686. CrossRef

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Effects of a Cognitive Training Program on Cognitive Function and Activities of Daily Living in Patients with Acute Ischemic Stroke: Eun Young Oh, Mi Sook Jung; J Korean Acad Nurs 2017;47(1):1-13. Published online February 28, 2017; DOI: https://doi.org/10.4040/jkan.2017.47.1.1

Abstract PDF

Purpose

The purpose of this study was to examine the effects of a cognitive training program on neurocognitive task performance and activities of daily living (ADL) in patients who had a stroke.

Methods

The research design for this study was a nonequivalent control group non-synchronized design. Patients were assigned to the experimental (n=21) or control group (n=21). The experimental group received a 4-week cognitive training program and usual care (i.e., rehabilitation service), while the control was received usual care only. Cognitive function was measured with a standardized neurocognitive test battery and ADL was assessed at baseline and one and two months after completion of the intervention. Repeated measures ANOVA was used to determine changes in cognitive function and ADL over 2 months.

Results

The interaction of group and time was significant indicating that the experimental group showed improvement in attention, visuospatial function, verbal memory, and executive function compared to the control group which had a sustained or gradual decrease in test performance. A significant group by time interaction in instrumental ADL was also found between the experimental group with gradual improvement and the control group showing no noticeable change.

Conclusion

Findings show that the cognitive training program developed in this study is beneficial in restoring cognitive function and improving ADL in patients following a stroke. Further study is needed to investigate the long-term relationship between cognitive training participation and cognitive improvement and effective functioning in daily living.

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Clinical efficacy of aerobic exercise combined with computer-based cognitive training in stroke: a multicenter randomized controlled trial
Ting-Ting Yeh, Ku-Chou Chang, Ching-Yi Wu, Chao-Jung Chen, I-Ching Chuang
Topics in Stroke Rehabilitation.2022; 29(4): 255. CrossRef
Effects of a cognitive rehabilitation programme on cognitive function, self‐management and quality of life in patients with chronic obstructive pulmonary disease
Myoung Ok Park, Hyun Soo Oh, Wha Sook Seo
International Journal of Nursing Practice.2021;[Epub] CrossRef
A Systematic Review and Meta-Analysis of Cognitive Rehabilitation Occupational Therapy Intervention for Stroke Patients
Chi-Hwan Shin, Mo-sei Hwang, Eun-Young Yoo
Journal of Korean Society of Occupational Therapy.2019; 27(1): 51. CrossRef
Cognitive rehabilitation for attention deficits following stroke
Tobias Loetscher, Kristy-Jane Potter, Dana Wong, Roshan das Nair
Cochrane Database of Systematic Reviews.2019;[Epub] CrossRef
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Journal of Korean Academy of Nursing.2018; 48(4): 432. CrossRef

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Effects of Silver-Care-Robot Program on Cognitive Function, Depression, and Activities of Daily Living for Institutionalized Elderly People: Jin-Hwan Oh, Yeo-Jin Yi, Chul-Jin Shin, Cheonshu Park, Sangseung Kang, Jaehong Kim, In-Sook Kim; J Korean Acad Nurs 2015;45(3):388-396. Published online June 30, 2015; DOI: https://doi.org/10.4040/jkan.2015.45.3.388

Abstract PDF

Purpose

The purpose of this study was to identify the effects on cognitive function, depression, and activities of daily living of Silver-Care-Robot Program for institutionalized elders.

Methods

This study was a nonequivalent control group pretest-posttest design. The participants were 42 institutionalized elders (17 in the experimental group and 25 in the control group). The Silver-Care-Robot Program was provided as an intervention which was conducted twice a week for 5 weeks. The Silver-Care-Robot Program is an integrated entertainment program to help the mental, emotional, and physical health of elderly people. Pre-test was conducted on the two groups, and, in order to examine the effects of intervention, a post-test was conducted after 5 weeks.

Results

There were significant differences in cognitive function and ADL (activities of daily living) between two groups after the program. But the difference in depression in the institutionalized elders was not statistically significant between the two groups.

Conclusion

The Silver-Care-Robot Program should be considered as a regular program for cognitive function and activities of daily living for institutionalized elders.

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JunSeo Lim
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Factors Impacting the Physical Function of Older Adults in Korean Long-Term Care Hospitals: Ji-Yun Lee, Eun-Young Kim, Eunhee Cho; J Korean Acad Nurs 2011;41(6):780-787. Published online December 31, 2011; DOI: https://doi.org/10.4040/jkan.2011.41.6.780

Abstract PDF

Purpose

This study was conducted to examine activities of daily living (ADL) of older adults admitted to Korean long-term care hospitals (LTCHs), and to explore the patient and organizational factors that have an impact on the ADL of this population.

Methods

A secondary analysis of the Korean minimum data set (K-MDS) of patients (N=14,369) and of the profiles of LTCHs (N=358) from the Health Insurance Review and Assessment Service was done between January and July 2008. The outcome variable was ADL score 6 months after baseline assessment. Multi-level linear regression was employed to explore the patient and organizational factors that affected ADL scores.

Results

Of the patients, 45.4% had a baseline ADL score of between 31 and 40, with a score of 40 indicating that the patient was entirely dependent for all items. None of the organizational characteristics were significantly associated with effects on the ADLs of older adults who had been in a LTHC for at least 6 months. However, patient characteristics, such as age, baseline ADL, frequency of physical therapy, urinary incontinence, fecal incontinence, pressure ulcers, and having a tube or catheter, were significantly associated with ADL 6 months after baseline.

Conclusion

In order to maintain and improve the ADL of older adults in LTCHs, we should develop strategies to prevent urinary and fecal incontinence, pressure ulcers, unnecessary tubes or catheters, providing adequate physical therapy. Additional studies should include more detailed information regarding nursing staff, including RN hours for direct care, education level and turnover.

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Prediction Model of Quality of Life in Elderly Based on ICF Model: Heeyoung So, Hyunli Kim, Kyungok Ju; J Korean Acad Nurs 2011;41(4):481-490. Published online August 31, 2011; DOI: https://doi.org/10.4040/jkan.2011.41.4.481

Abstract PDF

Purpose

The purpose of this study was to identify from the International Classification of Functioning model, factors influencing quality of life in elderly persons and to describe the concrete pathway of influence and the power of each variable.

Methods

The sample included 334 elders who lived in 5 districts of D Metropolitan City. A structured questionnaire was used and the collected data were analyzed for fitness, using the AMOS 18.0 program.

Results

This model was concise and extensive in predicting the quality of life of elders. The research verified the factors influencing quality of life for elders as direct factors such as activity of daily living (ADL) (β=.13, t=2.47), leisure activity (β=.55, t=5.04), social disengagement (β=-.25, t=-2.25), and depression (β=-.62, t=-10.86). Indirect factors including economic status (γ=.17, p=.009), type of residence (γ=.19, p=.004), ADL (γ=.12, p=.027) were important factors in predicting quality of life for elders. These variables explained 75.6% of variance in the prediction model.

Conclusion

The findings indicate a need for the nursing scientific community to develop intervention programs considering these variables to improve the quality of life for elders.

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The Relationship of Quality of Sleep, Depression, Late-Life Function and Disability (LLFDI) in Community-Dwelling Older Women with Urinary Incontinence: Kyung Rim Shin, Younhee Kang, Jiwon Oak; J Korean Acad Nurs 2008;38(4):573-581. Published online August 31, 2008; DOI: https://doi.org/10.4040/jkan.2008.38.4.573

Abstract PDF

Purpose

The purpose of this study was to investigate the relationships among quality of sleep, depression, late-life function and disability in community-dwelling older women with urinary incontinence.

Methods

A stratified random sampling method was conducted to recruit participants from May 10 to August 17, 2007. Data were collected by questionnaires, which were constructed to include lower urinary tract symptoms, quality of sleep, depression, and late-life function and disability in 128 community-dwelling older women.

Results

The major findings of this study were as follow: 1) 56.3% of participants belonged to urinary incontinence group. 2) There were significant relationships between depression and sleep latency, sleep duration, daytime dysfunction, quality of sleep, function component, frequency dimension, and limitation dimension. 3) Depression was significantly associated with frequency dimension, limitation dimension in capability which explained 44% of variance in depression.

Conclusion

These results may contribute to a better understanding of sleep quality, depression, late-life function and disability in the community-dwelling older women with urinary incontinence. Therefore, health programs for prompting older women's health should be planned based on results of the study.

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A Study on Physical Symptom, Activity of Daily Living, and Health-Related Quality of Life (HRQoL) in the Community-Dwelling Older Adults: Kyung-Rim Shin, Young Soon Byeon, Younhee Kang, Jiwon Oak; J Korean Acad Nurs 2008;38(3):437-444. Published online June 30, 2008; DOI: https://doi.org/10.4040/jkan.2008.38.3.437

Abstract PDF

Purpose

This study aimed to identify the relationships among physical symptoms, activities of daily living, and health-related quality of life (HRQoL) in community-dwelling older adults.

Methods

A stratified random sampling method was conducted to recruit participants from May 10 to August 17, 2007. Physical symptoms were measured using the Physical Health Questionnaire (PHQ), activities of daily living using the Late-Life Functional and Disability Instrument (LLFDI), and HRQoL using the Medical Outcomes Short-Form Health Survey (SF-36) in 242 community-dwelling elderly Korean people.

Results

The HRQoL correlates with the physical symptoms (r=-.31) and the function component (r=.59). Of the two disability parts of the LLFDI, the limitation dimension correlates higher (r=.57) with HRQoL than the frequency dimension (r=.42). The HRQoL is significantly associated with the function component, and disability limitation in capability which explained 44.4% of variance in physical health.

Conclusion

These results may contribute to a better understanding of physical symptoms, activities of daily living, and HRQoL in community-dwelling older adults. Therefore, health programs for prompting older adult's health should be planned based on results of the study.

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Activities of Daily Living of The Elderly with a Chronic Disease and Burden on Family Care-givers: Su Hyang Bang, Hee Jeong Jang; Journal of Korean Academy of Nursing 2007;37(1):135-144. Published online February 28, 2007; DOI: https://doi.org/10.4040/jkan.2007.37.1.135

Abstract PDF

Purpose

The purpose of this study was to help families decrease and alleviate the burden on family care-givers taking care of elderly patients.

Method

Data was collected by a questionnaire from 100 family members who were registered in the department of home health care nursing at 4 hospitals of H University Medical Center from September 20 to October 25, 2005. The collected data was analyzed using Mean and Standard Deviation, Pearson Correlation Coefficient, t-test and One-Way ANOVA with the Duncan's test, and Stepwise multiple regression.

Result

The average burden on family care-givers of elderly patients with chronic diseases was 3.31. The social burden was the highest(M=3.68), the lowest was the emotional burden (M=2.95). In ADL of elderly patients with chronic diseases, all 10 questions showed an average point above 2.50. The dependency level of going up and down the stairs was the highest (M=2.88).

Conclusion

This research is necessary for the application of a plan in the social support system in order to reduce the burden on family care-givers who are taking care of elderly patients with a chronic disease.

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Factors Influencing the Emotional State of Patients with Lymphedema: Hyang Mi Jung, Myung Ok Cho; Journal of Korean Academy of Nursing 2006;36(5):845-852. Published online August 31, 2006; DOI: https://doi.org/10.4040/jkan.2006.36.5.845

Abstract PDF

Purpose

The purpose of this study was to investigate the emotional state and related factors in patients with lymphedema.

Methods

The subjects of this study consisted of 95 patients with lymphedema at 8 hospitals in Busan and Seoul. Data was collected by a self-administered questionnaire between March 2001 to December 2001. Data was analyzed by Pearson correlation coefficient, and stepwise multiple regression using SPSS Win 12.0.

Results

The mean score of the emotional state of the subjects was 3.06; of their physical symptoms, 1.84; of their Activities of Daily Living(ADLs), 2.30; and of their social activities, 3.67. The emotional states of lymphedema patients correlated with their physical symptoms, their ADLs, and their social activities. The Factor influencing the emotional state of the subjects was social activities.

Conclusion

These results suggest that a negative emotional state is very common in patients with lymphedema, to which appropriate attention should be given. Rehabilitation programs must be implemented to improve lymphedema patients' emotional state, physical symptoms, ADLs, and social activities.

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