Journal of Korean Academy of Nursing

Research Papers

Factors Affecting the Intention to Use Smartmonitor-Based Mobile Health in Middle-Aged in Patients Applying the Technology Acceptance Model II: Ol Eum Joo, Yi Kyung Ha; J Korean Acad Nurs 2024;54(4):620-632. Published online November 13, 2024; DOI: https://doi.org/10.4040/jkan.24091

Abstract PDF ePub: Purpose
This study aimed to identify factors that influence the intention to use smart monitor-based mobile health (SBM) technology among middle-aged inpatients, based on the technology acceptance model II (TAM II).
Methods
A total of 222 participants were surveyed. Data were analyzed using SPSS Statistics 23.0 and IBM SPSS Amos 23. Seven exogenous variables–social influence (SI), personal self-efficacy, (PSE), environmental self-efficacy (ESE), health literacy, health concerns, resistance to innovative technology (RIT), accessibility (AC)– and three endogenous variables–perceived ease of use (PEOU), perceived usability (PU), and intention to use (ITU)–were investigated.
Results
The hypothesized path model demonstrated a good fit for the data. SI (β = .13, p = .042), PU (β = .46, p < .001), and PEOU (β = .16, p = .008) had significant direct effects on the ITU, which explained 39.5% of the variance. Additionally, SI (β = .27, p < .001), ESE (β = .16, p = .010), RIT (β = - .12, p = .026), AC (β = .28, p < .001), and PEOU (β = .20, p = .001) indirectly affected ITU through PU, which explained 50.7% of the variance. Furthermore, PSE (β = .38, p < .001) indirectly influenced ITU via PEOU, which explained 38.4% of the variance.
Conclusion
This study demonstrates that the TAM II can be used to effectively predict ITU in SBMs among middle-aged inpatients. To expand the intention to use SBMs, it is necessary to develop SBMs that include content and programs that promote PU, SI, and PEOU.

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Psychometric Properties of the Fall Risk Perception Questionnaire-Short Version for Inpatients in Acute Care Hospitals: Choi, Jeeeun , Lee, Sujin , Park, Eunjin , Ku, Sangha , Kim, Sunhwa , Yu, Wonhye , Jeong, Eunmi , Park, Sukhee , Park, Yusun , Kim, Hye Young , Kim, Sung Reul; J Korean Acad Nurs 2024;54(2):151-161. Published online May 31, 2024; DOI: https://doi.org/10.4040/jkan.23127

Abstract PDF: Purpose
Patients’ perception of fall risk is a promising new indicator for fall prevention. Therefore, a fall risk perception questionnaire that can be used rapidly and repeatedly in acute care settings is required. This study aimed to develop a short version of the fall risk perception questionnaire (Short-FRPQ) for inpatients.
Methods
For the psychometric measurements, 246 inpatients were recruited from an acute care hospital. The construct (using confirmatory factor analysis and discriminant validity of each item), convergent, and known-group validities were tested to determine the validity of the Short-FRPQ. McDonald’s omega coefficient was used to examine the internal consistency of reliability.
Results
In the confirmatory factor analysis, the fit indices of the Short-FRPQ, comprising 14 items and three factors, appeared to be satisfactory. The Short-FRPQ had a significantly positive correlation with the original scale, the Korean Falls Efficacy Scale-International, and the Morse Fall Scale. The risk of falls group, assessed using the Morse Fall Scale, had a higher score on the Short-FRPQ. McDonald’s omega coefficient was .90.
Conclusion
The Short-FRPQ presents good reliability and validity. As patient participation is essential in fall interventions, evaluating the fall risk perception of inpatients quickly and repeatedly using scales of acceptable validity and reliability is necessary.

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Original Articles

Effects of Oral Gargling with Aroma Solution in Psychiatric Inpatients: A Non-Randomized Controlled Trial: Jung, Yun Ah , Kim, Hee Sook; J Korean Acad Nurs 2020;50(2):200-209. Published online April 30, 2020; DOI: https://doi.org/10.4040/jkan.2020.50.2.200

Abstract PDF

Purpose
The purpose of this study was to examine the effects of oral gargling with an aromatic solution on xerostomia, objective oral status, and oral health-related quality of life in psychiatric inpatients.
Methods
A nonequivalent control group with a non-synchronized design was used in this study. The experimental group (n=34) received oral gargling with an aroma solution, while the control group (n=33) gargled with 0.9% normal saline. Dependent variables were measured at pre-, post-, and follow-up test. Data were analyzed using an c2-test, Fisher’s exact probability test, t-tests, and repeated measures ANOVA using SPSS/WIN v.21.0.
Results
After the intervention, significant differences were revealed in xerostomia (F=15.30, p <.001), objective oral status (F=38.44, p <.001), and oral health-related quality of life (F=62.70, p <.001) with an interaction effect between group and time.
Conclusion
These findings indicate that gargling with an aroma solution is more effective than 0.9% normal saline for the oral health of psychiatric inpatients. Therefore gargling with an aroma can be safely recommended as a brief, economical, and positive intervention in clinical settings.

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The impact of aromatherapy-based oral care on oral conditions, salivary pH, and halitosis in older adults with dementia: Pilot study
Ae Kyung Chang, Bo kyoung Kim, Ah Young Kim
Geriatric Nursing.2023; 53: 109. CrossRef

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Effects of Group Art Therapy Program on Self-Esteem and Mental Health Status in Chronic Schizophrenic Inpatients: Kil Soo Chung; Journal of Korean Academy of Nursing 1999;29(6):1314-1323. Published online March 29, 2017; DOI: https://doi.org/10.4040/jkan.1999.29.6.1314

Abstract PDF

The purpose of the study was to determine the effects of the 8-week, 15-session group art therapy program on self-esteem and mental health status in chronic schizophrenic inpatients. The sample consisted of two groups of chronic schizophrenic inpatients: 10 patients with an average of total disease duration of 8.90 years who participated in a 8-week group art therapy program, and 8 comparison subjects with an average of total disease duration of 8.25 years who did not participate in the program. A pretest-posttest quasiexperimental design was used to assess self-esteem and mental health status at the beginning and at the end of the 8-week, 15-session group art therapy program. The time points for obtaining data were matched for both groups. The effectiveness of the 8-week group art therapy program was assessed by Rosenberg's Self-esteem Scale(Rosenberg, 1965) and SCL-90- R(Derogatis et al., 1973). SPSSWIN 8.0 was utilized for data entry and analysis employing Mann-Whitney U test. The findings of the study indicated the followings: (a) No significant differences were found between two groups in self-esteem and (b) The experimental group showed significantly lower scores in obsessive-compulsive symptom dimension and interpersonal sensitivity symptom dimension on the SCL-90-R than the comparison group after participating in the group art therapy program. In conclusion, the findings showed the possibility of applying group art therapy as an effective nursing intervention for patients with lack of verbal communication skills and social interaction to improve their interpersonal relationship.

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The Effects of an Integrated Health Care Program on the Physical, Psychosocial, and Spiritual Health of People with Mental Disorder in Community
Gwang Ha Jung, Young Ran Chin
Journal of Korean Academy of Community Health Nursing.2015; 26(2): 69. CrossRef

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Effects of a Constipation Intervention Program on Inpatients' Defecation: Ja Yun Choi; Journal of Korean Academy of Nursing 2004;34(1):72-80. Published online March 28, 2017; DOI: https://doi.org/10.4040/jkan.2004.34.1.72

Abstract PDF

Purpose

The purpose of this study was to evaluate the effect of a constipation reduction program for inpatients.

Method

Subjects were selected in one medical ward of C University Hospital from May, 2001 to November, 2001. Twenty-nine subjects were assigned to an experimental group and 32 subjects to a control group. Data related to the frequency of defecation and to the length and amount of laxative drugs used was collected by a medical record review and data on the degree of constipation was obtained by a self-report using a constipation assessment scale.

Result

More than 90% of the subjects admitted in the department of neurology and one third of total subjects presented with activity limitation and about one fourth of the subjects were fed with a nasogastric tube. There was a significant difference in the degree of constipation, frequency of defecation, and the length and amount of laxative drug use between the two groups.

Conclusion

This program is effective in inpatient's constipation reduction. Further studies need to apply this program in various clinical environments and properly use this program in different clinical settings.

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Jeong Hee Park, Sun Ok Yun, Sun Hwa Kim, Mi Gyeong Yu, Eun Jin Ham
Korean Journal of Adult Nursing.2016; 28(6): 637. CrossRef
Effects of Hands Moxibustion Therapy and Hand Press Pellet on Decreasing Constipation among Homebound Elders
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Korean Journal of Adult Nursing.2012; 24(2): 109. CrossRef
Effects of Carbonated Water Intake on Constipation in Elderly Patients Following a Cerebrovascular Accident
Jae-Hee Mun, Seong Sook Jun
Journal of Korean Academy of Nursing.2011; 41(2): 269. CrossRef
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Kyung-Dong Cho, Eun Jin Kim, Mi Young Kim, Ok-Hee Baek, Changsun Choi, Chan-Kyu Han, Bog-Hieu Lee
The Korean Journal of Nutrition.2010; 43(1): 34. CrossRef

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Characteristics and Risk Factors for Falls in Tertiary Hospital Inpatients: Eun-Ju Choi, Young-Shin Lee, Eun-Jung Yang, Ji-Hui Kim, Yeon-Hee Kim, Hyeoun-Ae Park; J Korean Acad Nurs 2017;47(3):420-430. Published online January 15, 2017; DOI: https://doi.org/10.4040/jkan.2017.47.3.420

Abstract PDF

Abstract Purpose

The aim of this study was to explore characteristics of and risk factors for accidental inpatient falls.

Methods

Participants were classified as fallers or non-fallers based on the fall history of inpatients in a tertiary hospital in Seoul between June 2014 and May 2015. Data on falls were obtained from the fall report forms and data on risk factors were obtained from the electronic nursing records. Characteristics of fallers and non-fallers were analyzed using descriptive statistics. Risk factors for falls were identified using univariate analyses and logistic regression analysis.

Results

Average length of stay prior to the fall was 21.52 days and average age of fallers was 61.37 years. Most falls occurred during the night shifts and in the bedroom and were due to sudden leg weakness during ambulation. It was found that gender, BMI, physical problems such elimination, gait, vision and hearing and medications such as sleeping pills, antiarrhythmics, vasodilators, and muscle relaxant were statistically significant factors affecting falls.

Conclusion

The findings show that there are significant risk factors such as BMI and history of surgery which are not part of fall assessment tools. There are also items on fall assessment tools which are not found to be significant such as mental status, emotional unstability, dizziness, and impairment of urination. Therefore, these various risk factors should be examined in the fall risk assessments and these risk factors should be considered in the development of fall assessment tools.

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Sensitivity of Fall Risk Perception and Associated Factors in Hospitalized Patients with Mental Disorders
Ji Young Kim, Sung Reul Kim, Yusun Park, Jin Kyeong Ko, Eunmi Ra
Asian Nursing Research.2024; 18(5): 443. CrossRef
Psychometric Properties of the Fall Risk Perception Questionnaire-Short Version for Inpatients in Acute Care Hospitals
Jeeeun Choi, Sujin Lee, Eunjin Park, Sangha Ku, Sunhwa Kim, Wonhye Yu, Eunmi Jeong, Sukhee Park, Yusun Park, Hye Young Kim, Sung Reul Kim
Journal of Korean Academy of Nursing.2024; 54(2): 151. CrossRef
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Yeon Hwa Lee, Myo Sung Kim
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Development and validation of the fall risk perception questionnaire for patients in acute care hospitals
Jieun Choi, Se Min Choi, Jeong Sin Lee, Soon Seok Seo, Ja Yeon Kim, Hye Young Kim, Sung Reul Kim
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Shinae Ahn, Da Eun Kim
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Chia-Hui Liu, Ya-Han Hu, Yu-Hsiu Lin
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Young-Shin Lee, Eun-Ju Choi, Yeon-Hee Kim, Hyeoun-Ae Park
Journal of Patient Safety.2020; 16(4): e376. CrossRef
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Victoria L. Tiase, Kui Tang, David K. Vawdrey, Rosanne Raso, Jason S. Adelman, Shao Ping Yu, Jo R. Applebaum, Anil K. Lalwani
American Journal of Preventive Medicine.2020; 58(6): 839. CrossRef
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Min Kyung Jung, Sun-Mi Lee
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Soo-Jin Yoon, Chun-Kyon Lee, In-Sun Jin, Jung-Gu Kang
Quality Improvement in Health Care.2018; 24(2): 2. CrossRef

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Risk Factors for Pediatric Inpatient Falls: Myung Sook Cho, Mi Ra Song, Sun Kyung Cha; J Korean Acad Nurs 2013;43(5):595-604. Published online October 15, 2013; DOI: https://doi.org/10.4040/jkan.2013.43.5.595

Abstract PDF

Abstract Purpose

The purpose of this study was to identify risk factors for pediatric inpatients falls.

Methods

The study was a matched case-control design. The participants were 279 patients under the age of 6 who were admitted between January 1, 2004 and December 31, 2009. Through chart reviews, 93 pediatric patients who fell and 186 ones who did not fall were paired by gender, age, diagnosis, and length of stay. Five experts evaluated the 38 fall risk factors selected by the researchers.

Results

In a general hospital, pediatric patients with secondary diagnosis, tests that need the patient to be moved, intravenous lines, hyperactivity, anxiolytics, sedatives and hypnotics, and general anesthetics showed significance for falls on adjusted-odds ratios. Conditional logistic regression analysis was performed to elucidate the factors that influence pediatric inpatient falls. The probability of falls increased with hyperactivity and general weakness. Patients who didn't have tests that required them to be moved and intravenous line had a higher risk of falls.

Conclusion

These findings provide information that is relevant in developing fall risk assessment tools and prevention programs for pediatric inpatient falls.

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Risk factors for falls among children aged 0–18 years: a systematic review
Lan Wang, Mao-Lin Qian, Xiao Shan, Xiao-Qin Liu
World Journal of Pediatrics.2022; 18(10): 647. CrossRef
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Eun-Joo Kim, Geun-Myun Kim, Ji-Young Lim
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Ebru Alemdaroğlu, Sibel Demir Özbudak, Sibel Mandiroğlu, Seda Alakoç Biçer, Neşe Özgirgin, Halil Uçan
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Impact of level of physical activity on healthcare utilization among Korean adults: Jiyun Kim, Seungmi Park; J Korean Acad Nurs 2012;42(2):199-206. Published online April 30, 2012; DOI: https://doi.org/10.4040/jkan.2012.42.2.199

Abstract PDF

Purpose

This study was done to identify the impact of physical activity on healthcare utilization among Korean adults.

Methods

Drawing from the 2008 Korean National Health and Nutrition Examination Survey (NHANES IV-2), data from 6,521 adults who completed the Health Interview and Health Behavior Surveys were analyzed. Association between physical activity and healthcare utilization was tested using the χ²-test. Multiple logistic regression analysis was used to calculate the odds ratios of using outpatient and inpatient healthcare for different levels of physical activity after adjusting for predisposing, enabling, and need factors. A generalized linear model applying a negative binomial distribution was used to determine how the level of physical activity was related to use of outpatient and inpatient healthcare.

Results

Physically active participants were 16% less likely to use outpatient healthcare (OR, 0.84; 95% CI, 0.74-0.97) and 23% less likely to use inpatient healthcare (OR, 0.77; 95% CI, 0.63-0.93) than physically inactive participants. Levels of outpatient and inpatient healthcare use decreased as levels of physical activity increased, after adjusting for relevant factors.

Conclusion

An independent association between being physically active and lower healthcare utilization was ascertained among Korean adults indicating a need to develop nursing intervention programs that encourage regular physical activity.

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Falls Risk Factors of Inpatients: Eun-Kyung Kim, Jae Chang Lee, Mi-Ran Eom; J Korean Acad Nurs 2008;38(5):676-684. Published online October 30, 2008; DOI: https://doi.org/10.4040/jkan.2008.38.5.676

Abstract PDF

Purpose

The purpose of this study was to identify the risk factors for falls and to suggest data for developing a program for preventing falls.

Methods

This was a case-control study in five university hospitals and a general hospital. In total, 216 patients over the age of 18 yr admitted from January 1 to December 31, 2007 participated. One hundred eight patients with experience of falling were matched by gender, age level, diagnosis, and length of stay with 108 patents with no experience of falling admitted on the same unit. A quality assurance coordinator nurse in each hospital examined 35 fall risk factors developed by researchers.

Results

In acute hospitals, history of falls, orientation ability, dizziness or vertigo, general weakness, urination problems, transfer/mobility difficulty, walking dependency, impatience, benzodiazepines, diuretics, and vasodilators showed significance on adjusted-odds ratios for fall. Logistic regression analysis was performed to elucidate the factors that influence falls. The probability of falls was increased by dizziness/vertigo, general weakness, and impatience/agitation.

Conclusion

This finding can be used as a useful resource in developing nursing intervention programs to predict and prevent the falls of inpatients.

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Effects of Weight Control Program on Body Weight and the Sense of Efficacy for Control of Dietary Behavior of Psychiatric Inpatients: Mi Na Hong, Geum Sun Baek, Yong Hee Han, Myung Soon Kwon; J Korean Acad Nurs 2008;38(4):533-540. Published online August 31, 2008; DOI: https://doi.org/10.4040/jkan.2008.38.4.533

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Purpose

This study was designed to examine the effects of a weight control program on body weight and the sense of efficacy for control of dietary behavior in psychiatric inpatients.

Methods

A quasi-experimental design was used. Data were collected from March 1 to September 30, 2007. Female mentally ill patients in closing psychiatry ward of H University Hospital participated in the study (16 persons in the experimental group and 13 in the control group).

Results

The weight control program including diet therapy, exercise, education and behavior modification therapy decreased the rate of weight gain in female mentally ill patients taking atypical antipsychotics, and effectively increased a sense of efficacy for control of dietary behavior.

Conclusion

Weight control program had a positive effect as a nursing intervention to decrease obesity and to increase the sense of efficacy for control of dietary behavior of psychiatric inpatients in psychiatric inpatients.

Citations

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Obesity and Related-factors in Patients with Chronic Mental Illness Registered to Community Mental Health Welfare Centers
Eun-Suk Park, Eun-Hyun Lee
Journal of Korean Academy of Community Health Nursing.2018; 29(1): 76. CrossRef
Effects of Weight Reduction Program on Body Weight, Self Esteem and Self Efficacy of Chronic Mentally Ill Persons
Su Yeon Kim, Soo Jin Kim
Journal of Korean Public Health Nursing.2015; 29(3): 594. CrossRef
The Effect of a Wellness Program on Knowledge of Obesity and Weight Loss in Women Schizophrenia Inpatients
Myung Sill Chung
The Journal of Korean Academic Society of Nursing Education.2013; 19(1): 60. CrossRef

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