Journal of Korean Academy of Nursing

Original Articles

Effect of a Physical Activity Promoting Program Based on the IMB Model on Obese-Metabolic Health Outcomes among Obese Older Adults with Knee Osteoarthritis: Kim, Jung-Suk , Kim, Chun-Ja; J Korean Acad Nurs 2020;50(2):271-285. Published online April 30, 2020; DOI: https://doi.org/10.4040/jkan.2020.50.2.271

Purpose
This study examined the effects of a physical activity promoting program based on the Information-Motivation-Behavioral Skills (IMB) model on physical activity and health outcomes among obese older adults with knee osteoarthritis.
Methods
This study utilized a randomized controlled trial with a convenience sample of 75 obese older adults with knee osteoarthritis in a university hospital. The older adults in the intervention group participated in a 12-week program involving weekly group sessions and monitoring calls with education booklets and video clips for exercise dances, while those in the control group received an usual care. Outcomes were measured using self-report questionnaires, anthropometrics, and blood analyses. The intervention effects were analyzed using Mann-Whitney U test and ANCOVA.
Results
The mean age of participants was 74.9 years with 84.0% women. The intervention group at 12 weeks showed significantly greater improvements in self-efficacy for physical activity (F=81.92, p <.001), physical activity amounts (Z=-2.21, p =.044), knee joint function (F=15.88, p <.001), and health-related quality of life (F=14.89, p <.001) compared to the control group. Among obese-metabolic outcomes, the intervention group at 12 weeks showed a significant decrease in visceral fat mass (F=7.57, p =.008) and improvement in high-density level cholesterol (F=9.51, p =.003) compared to the control group.
Conclusion
Study findings support the need for an IMB based physical activity program for promoting physical activity, knee function and health outcomes in obese older adults with knee osteoarthritis. Longitudinal studies are warranted to confirm the persistence of obese-metabolic effects in clinical settings.

Citations

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Does Higher Compliance With American College of Sports Medicine Exercise Prescription Guidelines Influence Exercise Outcomes in Knee Osteoarthritis? A Systematic Review With Meta‐Analysis
Belinda J. Lawford, Rana S. Hinman, Libby Spiers, Alexander J. Kimp, Andrea Dell'Isola, Alison R. Harmer, Martin Van der Esch, Michelle Hall, Kim L. Bennell
Arthritis Care & Research.2025; 77(4): 460. CrossRef
Effects of Progressive Balance Training Exercise Programs with Whole Body Vibration on Pain, Function, Psychosocial Status, and Balance in Patients with Knee Osteoarthritis
Sang-woo Yoon, Suhn-yeop Kim
Journal of The Korean Society of Physical Medicine.2024; 19(1): 81. CrossRef
A predictive model for medication adherence in older adults with heart failure
Eun Ha Oh, Chun-Ja Kim, Elizabeth A Schlenk
European Journal of Cardiovascular Nursing.2024; 23(6): 635. CrossRef
Exercise for osteoarthritis of the knee
Belinda J Lawford, Michelle Hall, Rana S Hinman, Martin Van der Esch, Alison R Harmer, Libby Spiers, Alex Kimp, Andrea Dell'Isola, Kim L Bennell
Cochrane Database of Systematic Reviews.2024;[Epub] CrossRef
Development and Evaluation of a Web-Based Self-Management Program for Korean Adult Patients with Irritable Bowel Syndrome Based on the Information–Motivation–Behavioral Skills Model
Seohyeon Hwang, Woori Na, Dayoung Oh, Cheongmin Sohn
Applied Sciences.2023; 13(12): 6915. CrossRef
The Information-Motivation-Behavioral Skills Model: An Examination of Snacking-Avoidance Behavior Among Elementary Schoolchildren
Chun-Hsia Huang, Shu Yu, Caroline Chou, Tze-Fang Wang
Child & Family Behavior Therapy.2023; 45(4): 304. CrossRef
The effectiveness of exercise with behavior change techniques in people with knee osteoarthritis: A systematic review with meta‐analysis
Takashi Ariie, Hiroshi Takasaki, Ryota Okoba, Hiroki Chiba, Yusuke Handa, Takahiro Miki, Shunsuke Taito, Yusuke Tsutsumi, Masaharu Morita
PM&R.2023; 15(8): 1012. CrossRef
Effectiveness of online caries management platform in children's caries prevention: A randomized controlled trial
Siqi Yan, Song Luo, Xiaoxia Yang, Lidan He, Xinyi Chen, Guoying Que
Frontiers in Public Health.2023;[Epub] CrossRef
The Relationship Between Psychosocial Behavior and the Quality of Life of Male Gout Patients in Southwest China: A Cross-Sectional Study Based on an Information-Motivation-Behavioral Skills Model
Ying Wang, Xin Guo, Bo Chen, Hong Chen, Yanling Chen, Ling Ma, Huan Liu
Patient Preference and Adherence.2023; Volume 17: 3503. CrossRef
Development and Evaluation of an Integrated Health Management Program for Psychiatric Patients with Metabolic Syndrome
Yun Bock Kwak, Ji Young Kim
Journal of Korean Academy of Nursing.2022; 52(3): 261. CrossRef
Outcomes addressed in randomized controlled lifestyle intervention trials in community‐dwelling older people with (sarcopenic) obesity—An evidence map
Isabel Galicia Ernst, Gabriel Torbahn, Lukas Schwingshackl, Helge Knüttel, Robert Kob, Wolfgang Kemmler, Cornel C. Sieber, John A. Batsis, Dennis T. Villareal, Nanette Stroebele‐Benschop, Marjolein Visser, Dorothee Volkert, Eva Kiesswetter, Daniel Schoene
Obesity Reviews.2022;[Epub] CrossRef
Given According to Knowledge, Motivation and Behavioral Skills (IMB Model) The Effect of Diabetes Education on Self-Care
Bahar İNKAYA, Tuba YILMAZER, Hilal TÜZER, Elif Yeter ERBİL
Turkish Journal of Diabetes and Obesity.2022; 6(3): 241. CrossRef
[Retracted] Effects of Physical Exercise on Physical Fitness and Mental Health of Obese Students
Junfang Wu, Shao Liang
Journal of Environmental and Public Health.2022;[Epub] CrossRef

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The Development & Effect of an Tailored Falls Prevention Exercise for Older Adults: Mee Ock Gu, Mi Yang Jeon, Young Eun; Journal of Korean Academy of Nursing 2006;36(2):341-352. Published online March 28, 2017; DOI: https://doi.org/10.4040/jkan.2006.36.2.341

Abstract PDF

Purpose

This study was conducted to develop and to determine the effect of an tailored falls prevention exercise for older adults.

Method

Subjects consisted of 59 older adults (experimental group : 29, control group : 30) living at nursing homes. Experimental group participated in tailored falls prevention exercise for 16 weeks (3 times a week, 50 min every session). Data were collected before the exercise, 16 weeks and 24 weeks after the beginning of exercise.

Results

1) the experimental group significantly improved the muscle strength of hip extensor and flexor, knee extensor and flexor, ankle dorsiflexor, and plantar flexor compared to the control group. 2) the experimental group significantly decreased the mean time for 10 times chair stand. 3) the experimental group significantly increased the standing time on one leg and the number of heel raise for 30 seconds compared to the control group. In addition more older adults in the experimental group completed the tandem stance and semi-tandem stance for 10 seconds than the control group. 4) The experimental group significantly decreased the mean time of 6m walk and the fall frequency compared to the control group.

Conclusions

This results suggest that tailored falls prevention exercise for older adults can improve muscle strength, static and dynamic balance and decrease the fall frequency of older adults.

Citations

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Characteristics and Effects of Fall Prevention Interventions among the Korean Older Adults: A Systematic Review
Jeong Ha Park, Hee Ju Kim
Journal of Korean Gerontological Nursing.2022; 24(1): 65. CrossRef
Development and Effects of a Person-Centered Fall Prevention Program for Older Adults with Dementia in Long-Term Care Hospitals: For Older Adults with Dementia and Caregivers in Long-Term Care Hospitals
Jeong Ok Lim, Mee Ock Gu
Journal of Korean Academy of Nursing.2022; 52(3): 341. CrossRef
Strategies on fall prevention for older people living in the community: A report from a round-table meeting in IAGG 2013
Eun Joo Kim, Hidenori Arai, Piu Chan, Liang-Kung Chen, Keith D. Hill, Bernard Kong, Philip Poi, Maw Pin Tan, Hyung Joon Yoo, Chang Won Won
Journal of Clinical Gerontology and Geriatrics.2015; 6(2): 39. CrossRef
Effects of Community-based Comprehensive Fall Prevention Program on Muscle Strength, Postural Balance and Fall Efficacy in Elderly People
Jeongyee Bae, Seong-il Cho
Journal of Korean Academy of Nursing.2014; 44(6): 697. CrossRef
The Effects of Obesity on Fall Efficacy in Elderly People
Byoung-Jin Jeon
Journal of Physical Therapy Science.2013; 25(11): 1485. CrossRef
Comparison of the Reliability and Validity of Fall Risk Assessment Tools in Patients with Acute Neurological Disorders
Sung Reul Kim, Sung-Hee Yoo, Young Sun Shin, Ji Yoon Jeon, Jun Yoo Kim, Su Jung Kang, Hea Sook Choi, Hea Lim Lee, Young Hee An
Korean Journal of Adult Nursing.2013; 25(1): 24. CrossRef
Effects of a Fall Prevention Program on Falls in Frail Elders Living at Home in Rural Communities
Jae-Soon Yoo, Mi Yang Jeon, Chul-Gyu Kim
Journal of Korean Academy of Nursing.2013; 43(5): 613. CrossRef
Risk Factors for Recurrent Falls Among Community-dwelling Elderly in Rural Areas
Mi-Yang Jeon, Sun Hee Yang
Journal of the Korea Academia-Industrial cooperation Society.2013; 14(12): 6353. CrossRef
Effect of Jumping Exercise on Muscle Strength and Balance of Elderly People: a Randomized Controlled Trial
Jinnam Park, Kihun Cho, Wanhee Lee
Journal of Physical Therapy Science.2012; 24(12): 1345. CrossRef
Home environmental and health‐related factors among home fallers and recurrent fallers in community dwelling older Korean women
Young Mi Lim, Mi Hae Sung
International Journal of Nursing Practice.2012; 18(5): 481. CrossRef
Effects of an Elder Health Promotion Program using the Strategy of Elder Health Leader Training in Senior Citizen Halls
Mee Ock Gu, Young Eun, Eun Sim Kim, Hwang Ran Ahn, In Soo Kwon, Hyun Sook Oh, Young-Sil Kang, Myun Sook Jung, So Young Choi, Kyung Mi Sung, Hye Yeon Kang
Journal of Korean Academy of Nursing.2012; 42(1): 125. CrossRef
The Effects of Exercise in the Frail Elderly
Young-Im Park, Kang-Yi Lee, Tae-Im Kim, Moung-Hee Jeon, Dong-Oak Kim, Ji-Hyun Kim
Journal of Korean Academy of Community Health Nursing.2012; 23(1): 91. CrossRef
A Study of Muscular Activities and Onset Times of the Tibialis Anterior and Medial Gastrocnemius Muscles of Elderly People in Climbing Stairs
Se-Won Yoon, Jeong-Woo Lee, Moon-Jeong Kim, Su-Hyon Kim, Woong-Sik Park
Journal of Physical Therapy Science.2012; 24(8): 767. CrossRef
The Effectiveness of the Exercise Education Programme on Fall Prevention of the Community-dwelling Elderly: A Preliminary Study
Moonyoung Chang, Yan-hua Huang, Heyyoung Jung
Hong Kong Journal of Occupational Therapy.2011; 21(2): 56. CrossRef
Exercise for improving balance in older people
Tracey E Howe, Lynn Rochester, Fiona Neil, Dawn A Skelton, Claire Ballinger
Cochrane Database of Systematic Reviews.2011;[Epub] CrossRef
Falls among Koreans 45 years of age and older: incidence and risk factors
Gwi‐Ryung Son Hong, Sung‐Hyun Cho, YoungRan Tak
Journal of Advanced Nursing.2010; 66(9): 2014. CrossRef
Effect of Tai Chi Exercise on Loneliness, Sleep Pattern, and Instrumental Activities of Daily Living in Elderly Women
Young-Ju Park, In-Hyae Park
Journal of muscle and joint health.2010; 17(2): 151. CrossRef
The prevalence, characteristics and correlates of falls in Korean community‐dwelling older adults
K.‐R. Shin, Y. Kang, E.‐H. Hwang, D. Jung
International Nursing Review.2009; 56(3): 387. CrossRef
The Mediating Effect of Depression in the Relationship between Muscle Strength of Extremities and Falls among Community-Dwelling Elderly
Hyoung-Sook Park, Kyung-Yeon Park
Journal of Korean Academy of Nursing.2008; 38(5): 730. CrossRef

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Urinary Incontinence: Prevalence and Knowledge Among Community-Dwelling Korean Women Aged 55 and Over: Jin Sun Kim, Eun Hyun Lee, Hyung Cheol Park; Journal of Korean Academy of Nursing 2004;34(4):609-616. Published online March 28, 2017; DOI: https://doi.org/10.4040/jkan.2004.34.4.609

Abstract PDF

Purpose

The prevalence of urinary incontinence (UI) among community-dwelling older women in Korea is not well known. This study examined the prevalence of UI and UI-related knowledge among community-dwelling Korean women aged 55 and over.

Method

A cross-sectional descriptive-correlational study was conducted. Data were collected from 276 women aged 55 and over in a metropolitan city using a structured questionnaire.

Result

Of 276 respondents, 28.3% (n=78) reported experiencing UI. More than 50% of respondents incorrectly agreed with the statement that UI is the result of normal aging, with only 20.9% realizing that there is an exercise that can control urine leaks when one coughs, sneezes, or laughs. Older women who had sought treatment had higher mean score for UI-related knowledge.

Conclusion

This study revealed substantial misconception about UI among community dwelling older women, demonstrating that comprehensive educational programs need to be developed to increase knowledge of UI.

Citations

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Factors associated with health-seeking for urinary incontinence in Hong Kong Chinese women: a cross-sectional study
Minru Li, Huali Wang, Wai-Kit Ko, Siu-Kei Kwong
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Help-seeking behavior for nonsevere stress urinary incontinence among elderly women in communities, Beijing, China
Di Zhang, Xiaohui Sun, Hongmei Zhu, Haibo Wang, Xiuli Sun, Jianliu Wang
International Urogynecology Journal.2023; 34(10): 2565. CrossRef
Explaining factors affecting help-seeking behaviors in women with urinary incontinence: a qualitative study
Fahimeh Rashidi Fakari, Sepideh Hajian, Soodabeh Darvish, Hamid Alavi Majd
BMC Health Services Research.2021;[Epub] CrossRef
Women’s knowledge, attitude and practice related to urinary incontinence: systematic review
Camila Teixeira Moreira Vasconcelos, Mariana Luisa Veras Firmiano, Mônica Oliveira Batista Oriá, José Ananias Vasconcelos Neto, Dayana Maia Saboia, Leonardo Robson Pereira Sobreira Bezerra
International Urogynecology Journal.2019; 30(2): 171. CrossRef

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The Relationships among Loneliness, Social Support,and Family Function in Elderly Korean: Ok Soo Kim, Sung Hee Baik; Journal of Korean Academy of Nursing 2003;33(3):425-432. Published online March 28, 2017; DOI: https://doi.org/10.4040/jkan.2003.33.3.425

Abstract PDF

Purpose

To examine the relationships among loneliness, social support, and family function in elderly Korean.

Method

The sample for this study were 290 elderly Korean who were at least 60 years of age. Data were collected by interview using the translated Korean versions of the Revised University of California Los Angels Loneliness Scale(RULS), Family APGAR, and Social Support Questionnaire 6.

Result

Subjects were moderately lonely and had moderately functional families. Means for social support were 1.42 for network size and 4.09 for satisfaction. Subjects who lived with their spouses had a larger number of network members than who did not live with spouses. However, living with spouses was not associated with social support satisfaction. The level of loneliness was related negatively to the level of social support network, social support satisfaction and family function in this study. Social support satisfaction and Family function were the significant predictor of loneliness.

Conclusion

The number of social supporter and satisfaction and family function should be considered in nursing intervention to decrease the level of loneliness in older adults. Further studies and efforts will be needed to reduce the level of loneliness in older adults.

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Jung-Su Han, Seong-Woo Yun, Sung-Soo Choi
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Hack-Sun Kim, Sun-Woo Hong, Kyung-Sook Choi, Ae-Joo Lee
Korean Journal of Occupational Health Nursing.2011; 20(2): 185. CrossRef
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Sohyune R. Sok
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Journal of muscle and joint health.2010; 17(2): 151. CrossRef
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Transitional Care for Older Adults with Chronic Illnesses as a Vulnerable Population: Theoretical Framework and Future Directions in Nursing: Youn-Jung Son, Mi-Ae You; J Korean Acad Nurs 2015;45(6):919-927. Published online December 31, 2015; DOI: https://doi.org/10.4040/jkan.2015.45.6.919

Abstract PDF

Purpose

Effective transitional care is needed to improve the quality of life in older adult patients with chronic illness and avoid discontinuity of care and adverse events. The aim of this article is to provide an overview of the key features, broader implications, and the utility of Meleis' transition theory intended for the transitional care of older adults with chronic illnesses. We present the role of nurse in the context of transitional care and propose future directions to increase the quality of nursing care.

Methods

The online databases Cumulative Index of Nursing and Allied Health Literature, MEDLINE, and Science Direct were searched for relevant literature published since 1970 along with textbooks regarding nursing theory.

Results

An evaluation of the usefulness of transition theory based on transitional care in older adult patients with chronic illnesses is provided. Healthy transition should be the expected standard of nursing care for older adults across all healthcare settings.

Conclusion

Nurses need to contribute to the development of transitional care for vulnerable populations; however, transition theory needs to be enhanced through additional theoretical work and repeated evaluations of the applicability in areas of transitional care.

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Salud, Ciencia y Tecnología.2024;[Epub] CrossRef
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Asian Nursing Research.2019; 13(2): 107. CrossRef

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Effects of a Physical Activity Program using Exergame with Elderly Women: Jungok Yu, Jungsoon Kim; J Korean Acad Nurs 2015;45(1):84-96. Published online February 15, 2015; DOI: https://doi.org/10.4040/jkan.2015.45.1.84

Abstract PDF

Abstract Purpose

This study was done to investigate the motivational, physical and affective benefits of exergaming in community dwelling older adult women.

Methods

The research design was a nonequivalent control group pre-test and post-test design. Sixty-one older adult women over the age of 65 were recruited from 6 community senior centers to participate in the 8 week exercise intervention or control group. Six centers were divided into one of three groups: exergame, qigong exercise, or control. The exergame and the qigong exercise group received 16 sessions, scheduled twice a week, with each session lasting 50 minutes. Test measures were completed before and after the 8 week intervention period for all participants. Measures included: Grip strength, chair stand, 6 m walking, balance, geriatric depression scale, vitality and intrinsic motivation.

Results

There were significant improvements in the exergame and qigong exercise group for grip strength, chair stand, 6m walking, balance, vitality and intrinsic motivation at the end the 8-week program compared with the control group.

Conclusion

The exergame could be an effective alternative for older adult women to group exercise classes.

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Sleep Disorder Experience in Older Patients with Depression: Seong-Sook Jun, Su-Jung Ha; J Korean Acad Nurs 2014;44(3):270-279. Published online June 30, 2014; DOI: https://doi.org/10.4040/jkan.2014.44.3.270

Abstract PDF

Purpose

The purpose of this study was to identify sleep disorder experience in older patients living in the community and acknowledging being depressed.

Methods

For this study, 11 older patients with depression were purposively chosen. Data were collected through in-depth individual interviews from July 2013 to January 2014 and analyzed in terms of by Giorgi's phenomenological methodology.

Results

The study results showed that sleep disorder experience in older patients with depression consisted of sixteen themes and five themes-clusters: 1) exposure of the causes of sleep disorders; 2) life is painful; 3) harassing themselves and their family; 4) difficulty in controlling themselves; 5) trying to deal with the sleep disorder to overcome the situation.

Conclusion

It is necessary to develop educational guidelines for patients with sleep disorders or nursing interventions that anyone can easily provide for elders in the communities. The first priority should be given to efforts to apply diverse methods to improve sleep hygiene and minimize the period of exposure to medication before starting medication for patients with sleep disorders.

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Information and Communication Technology-Based Application for Cognitive Behavioral Therapy among Community-Dwelling Older Adults with Insomnia: Development and Validation Study
Yeonhee Lee, Inseong Kim, Seonheui Lee, Soyoung Yu
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Experience of Insomnia Symptoms in the Elderly Living Alone in the Community
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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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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.

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Effects of a Strengthening Program for Lower Back in Older Women with Chronic Low Back Pain: Hee-Kyoung Hyoung; J Korean Acad Nurs 2008;38(6):902-913. Published online December 31, 2008; DOI: https://doi.org/10.4040/jkan.2008.38.6.902

Abstract PDF

Purpose

The purpose of this study was to identify effects of a strengthening program for the lower back in older women with chronic low back pain.

Methods

The research design was a nonequivalent control group pretest-posttest experiment. The experimental group consisted of 16 older women and the control group, 14, all of whom had experienced low back pain for at least 3 months. The strengthening program for the lower back included lumbar stabilization exercises and education on pain management in daily living. For an 8 week period, exercises were done 3 days a week and on one day education was also given.

Results

Pain and disability scores decreased significantly in the experimental group compared to the control group. Flexibility, life satisfaction and lumbar muscle strength scores increased significantly in the experimental group compared to the control group.

Conclusion

Low back pain and disability can be relieved, and flexibility, muscle strength, and life satisfaction increased through a program to strengthen the lower back. It is suggested that a program to strengthen the lower back would be an effective nursing intervention for older women with low back pain.

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