Journal of Korean Academy of Nursing

Review Article

Effects of Reminiscence Therapy on Depressive Symptoms in Older Adults with Dementia: A Systematic Review and Meta-Analysis: Kyungsoo Kim, Jia Lee; J Korean Acad Nurs 2019;49(3):225-240. Published online January 15, 2019; DOI: https://doi.org/10.4040/jkan.2019.49.3.225

Abstract Purpose

The purpose of this study was to evaluate the effects of reminiscence therapy on depressive symptoms in older adults with dementia using a systematic review and meta-analysis.

Methods

Randomized controlled trials (RCTs) published from January 2000 to January 2018 were searched through Research Information Sharing Service (RISS), Korean Studies Information Service System (KISS), Korean Medical Database (KMbase), KoreaMed, PubMed, Cochrane Library, Cumulative Index to Nursing and Allied Health Literature (CINAHL), and Ovid MEDLINE. Two researchers independently performed the search, selection, and coding. Comprehensive Meta-Analysis 3.0 was used for meta-analysis, and Review Manager program 5.3 was used for quality assessment.

Results

Out of the 1,250 retrieved articles, 22 RCTs were selected for analysis. The overall effect size of reminiscence therapy for mitigating depressive symptoms in older adults with dementia was -0.62 (95% Cl: -0.92 to -0.31). The effect size was greater in older adults under 80, those with less disease severity, and those for whom the therapy session lasted less than 40 minutes.

Conclusion

Reminiscence therapy is an effective non-pharmacological therapy to improve depressive symptoms in older adults with dementia. Because its effectiveness is also influenced by age, disease severity, and application method, it is necessary to consider treatment designs based on individual characteristics as well as methodological approaches.

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Group reminiscence therapy interventions in non-clinical older adults: A systematic review
Ali Eryılmaz, Emre Yıldırım, Hacer Yıldırım Kurtulus, Murat Yıldırım
Geriatric Nursing.2025; 63: 35. CrossRef
Evaluation of the Influence of Garden Therapy on Memory Decline and Depression in Older Adults with Cognitive Impairments
Chohye Youn, Minji Kang, Hyejin Kim, Hyeyoon Kim, Jiyun Choi, Suyeon Lee, Juyoung Lee
Journal of Environmental Science International.2025; 34(3): 125. CrossRef
Effects of reminiscence interventions on depression and anxiety: a meta-analysis of randomized controlled trials
Martin Pinquart
Aging & Mental Health.2024; 28(5): 717. CrossRef
Effects of reminiscence therapy on quality of life and life satisfaction of the elderly in the community: a systematic review
Eunyoung Shin, Myeongshin Kim, Seyoon Kim, Sohyune Sok
BMC Geriatrics.2023;[Epub] CrossRef
Transcultural Pilot Study of the Efficacy of Reminiscence Therapy for Mexican and Spanish Older Adults with Different Levels of Cognitive Decline
Alba Villasán-Rueda, Antonio Sánchez-Cabaco, Manuel Mejía-Ramírez, Rosa Marina Afonso, Eduardo Castillo-Riedel
Journal of Cross-Cultural Gerontology.2023; 38(4): 371. CrossRef
Cross-cultural effects of reminiscence therapy on life satisfaction and autobiographical memory of older adults: a pilot study across Mexico and Spain
Alba Villasán Rueda, Antonio Sánchez Cabaco, Manuel Alejandro Mejía-Ramírez, Rosa Marina Afonso, Eduardo Castillo-Riedel
Alzheimer's Research & Therapy.2023;[Epub] CrossRef
Efficacy of group reminiscence therapy based on Chinese traditional festival activities (CTFA-GRT) on loneliness and perceived stress of rural older adults living alone in China: a randomized controlled trial
Shasha Li, Yanyan Dai, Yuqiu Zhou, Jiayuan Zhang, Chiteng Zhou
Aging & Mental Health.2022; 26(7): 1377. CrossRef
Behavioral and Psychological Symptoms and Associated Factors in Community-Dwelling Persons at the First Time of Dementia Diagnosis
Gijung Jung, Jia Lee
International Journal of Environmental Research and Public Health.2022; 19(13): 7765. CrossRef

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Original Articles

Psychosocial Adjustment in Korean Colorectal Cancer Survivors: Hyejin Sun, Jia Lee; J Korean Acad Nurs 2018;48(5):545-553. Published online October 31, 2018; DOI: https://doi.org/10.4040/jkan.2018.48.5.545

Abstract PDF

Purpose

The increasing survival rate of colorectal cancer demands various nursing interventions and continuous care for patients to adapt to their psychosocial daily lives. The purpose of this study was to identify factors associated with psychosocial adjustment in colorectal cancer survivors.

Methods

A cross-sectional descriptive study with face-to-face interviews was conducted of 156 colorectal cancer survivors after surgery visiting an outpatient cancer clinic at a tertiary hospital in S city, Korea. Posttraumatic growth, health-promoting behavior, length of treatment, difficulty in activities of daily living, and having a stoma were entered into the linear regression model.

Results

The strongest factor influencing the level of psychosocial adjustment was health-promoting behavior (β=.33, p<.001), followed by difficulty in activities of daily living (β=-.24, p=.001), posttraumatic growth (β=.20, p=.004), and having a stoma (β=-.19, p=.004).

Conclusion

Nursing interventions for psychosocial adjustment in colorectal cancer survivors need to include the contents for posttraumatic growth, as well as health-promoting behavior, and activities of daily living.

Citations

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Factors Influencing Daily Living and Ostomy Self‐Care Management in Ostomates: A Mixed Methods Study
Elif Budak Ertürk, Hacer Ari, Çiğdem Üstündağ, Esra Yilmaz, Ülkü Topdemir
Journal of Clinical Nursing.2025;[Epub] CrossRef
Psychosocial adjustment and influencing factors in patients with newly diagnosed colorectal cancer: A latent profile analysis
Chen Yuan, Jingyue Xie, Lu Cui, Qianqian Du, Xinxin Li, Xiaoxuan Wang, Jianfei Liu, Xiaodan Wu, Meifen Zhang
European Journal of Oncology Nursing.2025; 75: 102818. CrossRef
Correlated factors of posttraumatic growth in patients with colorectal cancer: A systematic review and meta-analysis
Dingyuan Wei, Xue Wang, Mengxing Wang, Jiayan Wang, Fangping Chen, Luyang Jin, Xuemei Xian
International Journal of Nursing Sciences.2025; 12(1): 96. CrossRef
The Trajectory of Adjustment Outcomes Among New Ostomy Patients
Carol Stott, Julia Kittscha, Lisa Graaf, Ian Whiteley, Colleen Mendes, Deb Day, Brenda Christiansen, Jill Fairhall, Jenny Duggan, Joan Walsh, Karen Cole, Mark Murtagh, Greg Fairbrother
Journal of Wound, Ostomy & Continence Nursing.2025; 52(2): 126. CrossRef
Predictors of psychosocial adjustment and its subdomains in young adults with hematologic malignancy: A cross-sectional study
Seul Gi Lee, Sung Reul Kim
European Journal of Oncology Nursing.2024; 70: 102571. CrossRef
The Relationship Between Stress, Disability Acceptance, and Quality of Life of People With Physical Disabilities in South Korea: Focused on the Psychosocial Adaptation Model
Hyun-Ju Ju, Uibin Lee, Yein Kim, Debra A. Harley
Journal of Applied Rehabilitation Counseling.2024; 55(2): 143. CrossRef
‘That gave me a lot of comfort, that he would ask my opinion about how we wanted to talk about this’: A qualitative analysis of clinical communication experiences of ostomy patients
Braidyn S Lazenby, Ashley Guidry, Erin E Donovan, René Dailey, Srinivas Joga Ivatury
BMJ Open.2024; 14(2): e079362. CrossRef
Relationships between stigma, coping styles, self-care and post-traumatic growth among colorectal cancer patients with permanent enterostomy: A cross-sectional study
Meida Zhang, Yiming Li
Heliyon.2024; : e38902. CrossRef
Social isolation profiles and conditional process analysis among postoperative enterostomy patients with colorectal cancer
Yuan Liao, Xuelan Liu, Xinyu Wu, Chun Li, Yu Li
BMC Psychology.2024;[Epub] CrossRef
Elevating Elderly Cancer Care: A Systematic Review of Advanced Practice Nursing’s Role in Senior Oncology Patients’ Quality of Life
Cristian-David Useche-Guerrero, María-de-los-Ángeles Merino-Godoy, Eva-María Barroso-Márquez, Emilia Isabel Martins Teixeira da Costa, Rafaela Camacho Bejarano, Francisco-Javier Gago-Valiente, Rizal Angelo Grande
Journal of Nursing Management.2024;[Epub] CrossRef
Posttraumatic growth in colorectal cancer survivors: A systematic review
Zhiming Wang, Xuan Chen, Junrui Zhou, Alice Yuen Loke, Qiuping Li
Clinical Psychology & Psychotherapy.2023; 30(4): 740. CrossRef
Adjustment to an Ostomy
Julia Kittscha, Greg Fairbrother, Vida Bliokas, Val Wilson
Journal of Wound, Ostomy & Continence Nursing.2022; 49(5): 439. CrossRef
Effects of the Advanced Practice Nurse-Led Psychoeducational Program for Colorectal Cancer Survivors
Hye Kyung Kim, Yang-Sook Yoo
Journal of Korean Academy of Nursing.2022; 52(3): 245. CrossRef
Factors associated with psychosocial adjustment in working-age colorectal cancer survivors: A cross-sectional study
Wenjie Zou, Yiheng Zhang, Lizhen Gong, Meng Zhang, Xiaoyu Wu, Jingyue Xie, Meifen Zhang
Asia-Pacific Journal of Oncology Nursing.2022; 9(6): 100057. CrossRef
Moderating Effect of Posttraumatic Growth on the Relationship Between Social Support and Quality of Life in Colorectal Cancer Patients With Ostomies
Hyerang Kim, Heesook Son
Cancer Nursing.2021; 44(3): 251. CrossRef
Health promoting lifestyle behaviors and associated predictors among clinical nurses in China: a cross-sectional study
Wen Zeng, Shaomei Shang, Qian Fang, Shan He, Juan Li, Yuanrong Yao
BMC Nursing.2021;[Epub] CrossRef

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Symptom Clusters in Korean Patients with Acute Myocardial Infarction: Eunjin Park, Jia Lee; J Korean Acad Nurs 2015;45(3):378-387. Published online June 30, 2015; DOI: https://doi.org/10.4040/jkan.2015.45.3.378

Abstract PDF

Purpose

Acute myocardial infarction (AMI) leads to death if the patient does not receive emergency treatment. Thus it is very important to recognize the symptoms in the early stage. The purpose of this study was to identify clusters of symptoms that represent AMI in Koreans.

Methods

The study used a retrospective, descriptive design with secondary data analysis. Data were abstracted from 725 medical records of AMI patients admitted from June 1, 2006 to August 15, 2014 at a university hospital.

Results

Analysis of the AMI symptoms revealed five symptom clusters; Cluster 1 (n=140): middle chest pain (100%), shortness of breath, and cold sweating, Cluster 2 (n=256): substernal pain (100%), cold sweating, and shortness of breath, Cluster 3 (n=47): substernal pain (95.7%), left arm pain, shortness of breath, cold sweating, left shoulder pain, right arm pain, and the lower neck pain, Cluster 4 (n=212): shortness of breath (28.3%), left chest pain, and upper abdominal pain, and Cluster 5 (n=70): cold sweating (100%), left chest pain, shortness of breath, left shoulder pain, and upper abdominal pain. Length of hospital stay and mortality rate were significantly different according to symptom clusters (F=2.52, p=.040; F=3.62, p=.006, respectively).

Conclusion

Symptom clusters of AMI from this study can be used for AMI patients in order to recognize their symptoms at an early stage. The study findings should be considered when developing educational prevention programs for Koreans with AMI.

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Atypical Symptoms on Admission Predict Progression to Heart Failure in Patients With First-Time Myocardial Infarction
Seon Young Hwang, In Ae Uhm, Sun Hwa Kim, Jiyoung Kim, Myung Ho Jeong
Journal of Cardiovascular Nursing.2025;[Epub] CrossRef
Factors Associated with Mortality of Older Adults Hospitalized via Emergency Departments in Korea
Jungeun Lim, Jia Lee
Korean Journal of Adult Nursing.2020; 32(3): 273. CrossRef
Factors Affecting Care Workers’ Coping Abilities in Emergencies to the Korean Elderly
Soon-Ok Kim, JaeLan Shim
International Journal of Environmental Research and Public Health.2019; 16(16): 2946. CrossRef
Symptom clusters and treatment time delay in Korean patients with ST-elevation myocardial infarction on admission
Hee-Sook Kim, Sang Jun Eun, Jin Yong Hwang, Kun-Sei Lee, Sung-il Cho
Medicine.2018; 97(19): e0689. CrossRef

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Effects of a Face-to-face Self-management Program on Knowledge, Self-care Practice and Kidney Function in Patients with Chronic Kidney Disease before the Renal Replacement Therapy: Eun Sung Choi, Jia Lee; J Korean Acad Nurs 2012;42(7):1070-1078. Published online December 31, 2012; DOI: https://doi.org/10.4040/jkan.2012.42.7.1070

Abstract PDF

Purpose

The purpose of this study was to examine the effects of a face-to-face self-management educational program on knowledge, self-care practice and kidney function in patients with chronic kidney disease (CKD) before kidney replacement therapy.

Methods

This study employed a nonequivalent control group, non-synchronized design. Data were collected from 61 patients with CKD visiting an outpatient department of nephrology in a university hospital in Seoul, South Korea. The experimental group (n=31) took the pre-test, then after 3 weeks, face-to-face education and individualized consultation (1st intervention), after a week of self-practice, the 1st post-test, followed by re-enforcement education and consultation (2nd intervention), and 4 weeks later, the 2nd post-test. The control group (n=30) took the pre-test and post-tests at 4 and 8 weeks.

Results

Scores for knowledge of CKD and self-care practice over time improved significantly in the experimental group compared to the control group. Kidney function did not improve significantly in the experimental group.

Conclusion

Health care providers can identify various and individualized needs, and provide effective education and consultation through face to face self-management for patients with chronic irreversible illnesses. Nurses can coordinate for these program by designing and providing systematic and effective education.

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Journal of Advanced Nursing.2017; 73(6): 1255. CrossRef
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International Journal of Nursing Studies.2017; 67: 51. CrossRef
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Journal of Behavioral Medicine.2017; 40(5): 702. CrossRef
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Chronic Illness.2015; 11(1): 44. CrossRef
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Ann Bonner, Kathryn Havas, Clint Douglas, Thiwawan Thepha, Paul Bennett, Robyn Clark
Journal of Renal Care.2014; 40(3): 194. CrossRef

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Development of an Evaluation Instrument for Service Quality in Nursing Homes: Jia Lee, Eun Sun Ji; J Korean Acad Nurs 2011;41(4):510-519. Published online August 31, 2011; DOI: https://doi.org/10.4040/jkan.2011.41.4.510

Abstract PDF: Purpose
The purposes of this study were to identify the factors influencing service quality in nursing homes, and to develop an evaluation instrument for service quality.
Methods
A three-phase process was employed for the study. 1) The important factors to evaluate the service quality in nursing homes were identified through a literature review, panel discussion and focus group interview, 2) the evaluation instrument was developed, and 3) validity and reliability of the study instrument were tested by factor analysis, Pearson correlation coefficient, Cronbach's α and Cohen's Kappa.
Results
Factor analysis showed that the factors influencing service quality in nursing homes were healthcare, diet/assistance, therapy, environment and staff. To improve objectivity of the instrument, quantitative as well as qualitative evaluation approaches were adopted. The study instrument was developed with 30 items and showed acceptable construct validity. The criterion-related validity was a Pearson correlation coefficient of .85 in 151 care facilities. The internal consistency was Cronbach's α=.95.
Conclusion
The instrument has acceptable validity and a high degree of reliability. Staff in nursing homes can continuously improve and manage their services using the results of the evaluation instrument.

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Effect of an Integral Care System: a Combination of Oriental and Western Care for Older Adults with Degenerative Arthritis: Jia Lee, Eun Sun Ji; J Korean Acad Nurs 2011;41(1):18-25. Published online February 28, 2011; DOI: https://doi.org/10.4040/jkan.2011.41.1.18

Abstract PDF

Purpose

This study was done to examine the effect of an integrated care service which included a combination of oriental and western care on health outcomes in elderly patients with degenerative arthritis.

Methods

A prospective comparative design was used. Data were collected from May 1, 2008 to June 30, 2009 from 85 elderly patients with degenerative arthritis in the lower extremities who were followed in a hospital out-patient department for 8 weeks. The integrated care service group (n=36) received a combination of physical therapy, acupuncture, western medicines or herbal medicines, and the western care group (n=49) received physical therapy or western medicines. Functional independence, walking speed, rotation balance, pain intensity, service satisfaction and total medical costs for the two groups were compared at 8 weeks.

Results

Functional independence (t=2.14, p=.036) and walking speed (t=2.51, p=.014) improved significantly in the integrated care group while pain intensity improved significantly in the western care group (t=3.35, p=.002). The integrated care group reported higher scores for service satisfaction (t=2.09, p=.041) and higher medical costs than the western care group (t=2.15, p=.035).

Conclusion

The results suggest that integrated care services are effective modalities to improve mobility and quality of life for elders with degenerative arthritis.

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Soyong Park, Yoonju Lee, Linae Kim, Shiva Raj Acharya, NamKwen Kim
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Min Kyung Gu, Sohyune R. Sok
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Jaekwon Shin, Yoon Jae Lee, Joon-Shik Shin, Jinho Lee, Haneul Kim, Me-riong Kim, In-Hyuk Ha, Jenny M. Wilkinson
Evidence-Based Complementary and Alternative Medicine.2018;[Epub] CrossRef
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Ye-Seul Lee, In-Seon Lee, Song-Yi Kim, Hyangsook Lee, Hi-Joon Park, Hyejung Lee, Sung-Hoon Kim, Younbyoung Chae
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Journal of the Korean Data and Information Science Society.2013; 24(3): 515. CrossRef
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Bo-Ram Wang, In Young Choi, Kwang-Jum Kim, Young Dae Kwon, C. Mary Schooling
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Development of a Multimedia Learning DM Diet Education Program using Standardized Patients and Analysis of Its Effects on Clinical Competency and Learning Satisfaction for Nursing Students: Kyung Sun Hyun, Hyun Sook Kang, Won Ock Kim, Sunhee Park, Jia Lee, Sohyune Sok; J Korean Acad Nurs 2009;39(2):249-258. Published online April 28, 2009; DOI: https://doi.org/10.4040/jkan.2009.39.2.249

Abstract PDF

Purpose

The purpose of this study was to develop a multimedia learning program for patients with diabetes mellitus (DM) diet education using standardized patients and to examine the effects of the program on educational skills, communication skills, DM diet knowledge and learning satisfaction.

Methods

The study employed a randomized control posttest non-synchronized design. The participants were 108 third year nursing students (52 experimental group, 56 control group) at K university in Seoul, Korea. The experimental group had regular lectures and the multimedia learning program for DM diet education using standardized patients while the control group had regular lectures only. The DM educational skills were measured by trained research assistants.

Results

The students who received the multimedia learning program scored higher for DM diet educational skills, communication skills and DM diet knowledge compared to the control group. Learning satisfaction of the experimental group was higher than the control group, but statistically insignificant.

Conclusion

Clinical competency was improved for students receiving the multimedia learning program for DM diet education using standardized patients, but there was no statistically significant effect on learning satisfaction. In the nursing education system there is a need to develop and apply more multimedia materials for education and to use standardized patients effectively.

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The Effects of Mobile Learning and Group Discussion for Psychotropic Drug Education on Nursing Students’ Learning, Satisfaction, and Attitude: An Educational Intervention
Manoosh Mehrabi, Zahra Tabandeh, Ladan Zarshenas, Ali Akbar Nekooeian, Ebrahim Moghimi Sarani
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Predictors of Facility Adaptation in Nursing Home Residents: Hyekyung Lee, Hyang-Yeon Lee, Jia Lee; J Korean Acad Nurs 2009;39(2):177-185. Published online April 28, 2009; DOI: https://doi.org/10.4040/jkan.2009.39.2.177

Abstract PDF

Purpose

The purposes of this study were to examine the relationships among activities of daily living, self-efficiency, nursing home care quality and nursing home adaptation, and to identify the influencing factors of nursing home adaptation in nursing home residents.

Methods

The study employed a descriptive correlational design. The data were collected from 148 older adults without dementia by interview from six nursing homes in three cities from February 1, 2008 to February 28, 2008.

Results

Levels of nursing home adaptation in older adult residents were different by type of decision maker of nursing home admission, reason of nursing home admission, type of payment and length of nursing home stay. The nursing home adaptation was significantly correlated with self-efficiency and nursing home care quality. The strongest predictor of nursing home adaptation was type of decision maker of nursing home admission followed by the self-efficiency.

Conclusion

The study suggested that during the decision making period of nursing home admission, older adults should have enough time and careful considerations of their families to decide by themselves in positive ways. Nursing home staff should be able to identify reasons of nursing home admission and demands or expectations of older adults and their families.

Citations

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Validity and Reliability of the Korean Version of the Observable Indicators of Nursing Home Care Quality Evaluation Instrument: Jia Lee; J Korean Acad Nurs 2008;38(3):474-482. Published online June 30, 2008; DOI: https://doi.org/10.4040/jkan.2008.38.3.474

Abstract PDF

Purpose

The purposes of this study were; 1) to test the validity and reliability of the Korean version of Rantz's Observable Indicators of Nursing Home Care Quality Instrument (ONHQ) and 2) to evaluate the quality of Korean nursing homes.

Methods

The study employed a three-phase methodological research design. 1) The original instrument of Rantz's ONHQ was translated into Korean and modified by Korean nursing home experts. 2) A pilot study using the modified instrument was done in 20 nursing homes to examine inter-rater reliability. 3) The validity and reliability were tested in 98 nursing homes.

Results

Seven factors were extracted through factor analysis: 'communication', 'care delivery', 'grooming', 'odor', 'environment-basics', 'environment-access', and 'environment-homelike'. These factors explained 86.07% of the total variance. Cronbach's alpha coefficient of the 30 items was .97 indicating a high internal consistency of the instrument. Inter-rater reliability according to Kappa was .82. The average score of nursing home quality was 112.07 indicating an average range of quality level.

Conclusion

The Korean version of the ONHQ was identified as a tool with a high degree of validity and reliability. This tool can be effectively used to assess the quality of nursing homes by professions as well as family members.

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