Journal of Korean Academy of Nursing

The Nature of Korean Elder's Reminiscence: A Phenomenological Approach: Eun Jeong Lee; Journal of Korean Academy of Nursing 1998;28(2):498-509. Published online March 29, 2017; DOI: https://doi.org/10.4040/jkan.1998.28.2.498

Abstract PDF: The phrases such as elders' powerless soliloquy or stammering and their positions unadjusted to the real world are, so far, one of negative views on elder's reminiscences. In other words, it means that elders can get psychological consolation from the getting themselves absorbed in their past. The starting point of this study is, however, that elders' reminiscence are their own mode of the existence. This dissertation is studied through Van Manen's phenomenological research method. The aim of this study is to examine the nature of Korean elders' reminiscing content in everyday life of elders. The research participants consist of the ten elders who are community elders, hospitalized elders and nursing home residents. The period of the research is about a year from Jan., 1996 to Feb., 1997. The results of this study are as follows : The natures of elders' reminiscences are the regretting on their life, mitigating the regrets, the confirmation of the powers and the confirmation of their life's mark. The regretting on their life is the starting point of elders's reminiscences. elders have tried to examine their life through reflection on their life that they did not live good life as son and daughter for parents and as parents for children and that they have foolishly lived, on dream that they did not come true, on their learning that they did not unsatisfied. But elders mitigate the regrets. They have felt their limitations of power in the conflict of human relation, the economic matter and the difficult predicament, and have finally accepted their life as it is by congesting from their tenacity. It is dynamically found that both the regretting on their life and mitigating of the regret. And they pursuit the powers. It means the pursuit of the vital powers, the vigorous powers and the competency. Elders have pursued their vitality, vigor and competency through their reminiscences and have wanted to be recognized by others as a powerful being. These have dynamic and compounded aspects. The confirmation of their life's mark refer to through their own situation of health, condition, children, neighbourhood and doing their duty as a human. Elders have confirmed the present value of their being through the reflecting the present, past self, other men around themselves, children, neighborhood and the doing their human duty as a good men. Therefore the results of this study can offer new view on the elders' reminiscences that we have to understand the as a process as what they are, escaping from the simple logic that elders' reminiscence have a positive or a negative effects. Also, this study which have examined the natures of Korean elders' reminiscences can cast a new light on elders' nursing proper for Korean culture.

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A Study on Knowledge and Attitudes Regarding Sexuality of Elderly People in Korea: Kyung Ja Lee, Myoung Sook Kwon, Mi Ja Kim, Seong Mi Moon; Journal of Korean Academy of Nursing 2007;37(2):179-184. Published online March 28, 2017; DOI: https://doi.org/10.4040/jkan.2007.37.2.179

Abstract PDF: Purpose
The purpose of this study was to examine the level of knowledge and the attitudes of Korean adults toward sexuality of elderly people.
Methods
This was a descriptive study using a convenience sample of 241 adults. The questionnaire had 34 items for knowledge and 26 items for attitudes.
Results
The result showed that, related to sexuality of elderly people, the level of knowledge was average and attitudes were conservative. The level of knowledge was significantly higher in groups that were highly educated and of low economic status (p<.05). Attitudes toward sexuality of elderly people were significantly more conservative in female, older, less educated, and high economic status group.
Conclusion
The findings suggest a need for more education for Korean adults regarding sexuality in elderly people.

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Comparison of Health Conservation for Elders in Assisted Living Facilities and Nursing Homes: Ki Wol Sung; Journal of Korean Academy of Nursing 2005;35(7):1379-1389. Published online March 28, 2017; DOI: https://doi.org/10.4040/jkan.2005.35.7.1379

Abstract PDF: Purpose
This study was performed to evaluate and compare health conservation and its related factors of elders in assisted living facilities or nursing homes.
Methods
Data for health conservation was collected from 316 elders in 10 institutions in Daegu city and Kyungpook province from February 1st to February 22nd, 2005. Data was collected by a structured questionnaire that included general characteristics, general health status, health conservation, functional health status (ADL, IADL) and depression (GDS-K) scales. The collected data was analyzed by the SPSS (version 11.5) program including descriptive statistics, t-test, -test, Pearson's correlation and stepwise method regression analysis.
Results
The elders in assisted living facilities revealed lower scores in health conservation, ADL and IADL than the elders in nursing homes. Predictable variables influencing health conservation of the elders in assisted living facilities were depression and MAC (Mid-Arm Circumference) that is equal to .270, and the the elders in nursing home were depression, IADL, degree of sleep, and TSF (Triceps Skin Fold) that is equal to .409.
Conclusions
The development of a health conservation program and long-term health care service system for elders in assisted living facilities are needed than for the elders in nursing homes.

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Validity and Reliability of the Korean Version of the Pain Assessment Checklist for Seniors with Limited Ability to Communicate: Eun-Kyung Kim, Se Young Kim, Mi Ran Eom, Hyun Sook Kim, Eunpyo Lee; J Korean Acad Nurs 2014;44(4):398-406. Published online August 29, 2014; DOI: https://doi.org/10.4040/jkan.2014.44.4.398

Abstract PDF: Purpose
This study was done to develop and test the validity and reliability of the Korean version of the Pain Assessment Checklist for Seniors with Limited Ability to Communicate (PACSLAC-K) in assessing pain of elders with dementia living in long-term care facilities.
Methods
The PACSLAC-K was developed through forward-backward translation techniques. Survey data were collected from 307 elders with dementia living in 5 long-term care facilities in Korea. Data were analyzed using descriptive statistics, Pearson correlation, Spearman's rho, paired t-test, ROC (receiver operation characteristic) curve with the SPSS/WIN (20.0) program.
Results
The PACSLAC-K showed high internal consistency (.90), inter-rater reliability (.86), intra-rater reliability (.93), and high concurrent validity (.74) in paired t-test with PAINAD. Discriminant validity also showed a significant difference compared with no pain. The PACSLAC-K showed a sensitivity of .93, specificity of .88, and Area Under the Curve of .95 in the ROC curve.
Conclusion
The findings of this study demonstrate that PACSLAC-K is useful in assessing pain for elders with dementia living in long-term care facilities.

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Wandering Behavior in Korean Elders with Dementia Residing in Nursing Homes: Jun-Ah Song, Young Mi Lim, Gwi-Ryung Son Hong; Journal of Korean Academy of Nursing 2008;38(1):29-28. Published online February 28, 2008; DOI: https://doi.org/10.4040/jkan.2008.38.1.29

Abstract PDF: Purpose
This study investigated various factors relatied to wandering behavior of Korean elders with dementia (KED).
Methods
A sample of 160 ambulatory residents with dementia from 14 long term care facilities was used to examine demographic, individual, cognitive, physical health, and environmental characteristics by comparing wanderers (N=108) to nonwanders (N=52). Subjects were evaluated by Korean versions of the Mini-mental State Exam (K-MMSE), the Physical and Instrumental Activities of Daily Living (K-PIADL), and the Revised Algase Wandering Scale Nursing Home version (KRAWS-NH) along its six dimensions. Demographic and environmental data were also obtained. Independent sample t-tests, Chi-square test, Fisher's Exact tests, and ANCOVAs were used to examine differences between wanderers and nonwanders.
Results
Wanderers were significantly (p<.05) older and had more limitations in K-PADL and K-IADL. The degree of overall wandering and certain features of wandering were significantly different (p<.05) by total number of residents in the facility, type of bedroom (i.e., "Ondol"), and color of bedroom and living-room walls (i.e., sky blue).
Conclusion
Findings of this study may be useful in understanding wandering behavior of KEDs and thus developing more culturally specific management strategies.

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