Journal of Korean Academy of Nursing

Original Article

The Effects of a Health Mentoring Program in Community-dwelling Vulnerable Elderly Individuals with Diabetes: Ki wol Sung, Hye Seung Kang, Ji Ran Nam, Mi Kyung Park, Ji Hyeon Park; J Korean Acad Nurs 2018;48(2):182-194. Published online January 15, 2018; DOI: https://doi.org/10.4040/jkan.2018.48.2.182

Abstract Purpose

This study aimed to estimate the effects of a health mentoring program on fasting blood sugar, total cholesterol, triglyceride, physical activity, self care behavior and social support changes among community-dwelling vulnerable elderly individuals with diabetes.

Methods

A non-equivalent control group pre-post-test design was used. Participants were 70 community-dwelling vulnerable elderly individuals with diabetes. They were assigned to the experimental (n=30) or comparative (n=30) or control group (n=28). The experimental group participated in the health mentoring program, while the comparative group participated in health education program, the control group did not participate in any program. Data analyses involved a chi-square test, Fisher's exact test, a generalized linear model, and the Bonferroni correction, using SPSS 23.0.

Results

Compared to the control group, the experimental and comparative groups showed a significant decrease in fasting blood sugar, total cholesterol, and triglyceride. Compared to the comparative and control groups, the experimental group showed significant improvement in self care behavior. However, there were no statistical differences in physical activity or social support among the three groups.

Conclusion

These findings indicate that the health mentoring program is an effective intervention for community-dwelling vulnerable elderly individuals with diabetes. This program can be used as an efficient strategy for diabetes self-management within this population.

Citations

Citations to this article as recorded by

The Moderating Effect of Social Networks on Health-Promoting Behaviors Among Korean Older Adults
Hyewon Shin, William N. Dudley, Minjoo Hong, Jennie C. De Gagne
Sage Open.2024;[Epub] CrossRef
The Association between the Low-density Lipoprotein-Cholesterol to High-density Lipoprotein-Cholesterol Ratio and the Incidence of Type 2 Diabetes Mellitus in Korean Adults: A Secondary Data Analysis Using a Community-based Cohort Study in Korea
Bo-Kyoung Cha
Journal of Korean Academy of Fundamentals of Nursing.2023; 30(1): 66. CrossRef
Story Telling Problem Based Learning (ST-PBL): A Program for Rural Elderly with Chronic Diseases
Jeong-Hyeon Kong, Eun-Young Jung, Ji-Hye Seo, Jeong-Ja Im
Journal of Problem-Based Learning.2022; 9(1): 37. CrossRef
Effects of a Physical Exercise Program on Physiological, Psychological, and Physical Function of Older Adults in Rural Areas
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Review Article

An Integrative Review of Home Care Service for Pregnant Women, Mothers, Infants, and Toddlers in Vulnerable Group: Dasom Kim, Insook Lee; J Korean Acad Nurs 2017;47(5):577-588. Published online January 15, 2017; DOI: https://doi.org/10.4040/jkan.2017.47.5.577

Abstract PDF

Abstract Purpose

This study was intended to integrate the evidence of home care service intervention for mothers and children in vulnerable groups through an integrative literature review.

Methods

We searched the MEDLINE (PubMED), EMBASE, Cochrane Central Register of Controlled Trials, CINAHL, DBpia databases. The quality of the articles was assessed by one doctoral researcher and verified by one professor of community health nursing who had participated in the systematic review of literature. A framework was developed to identify the intervention patterns in the selected papers and categorize various elements. The extracted intervention elements were grouped into potential themes, which were verified by assessors on whether they clearly reflected the interventions in the papers.

Results

Among 878 searched papers, we selected 16 papers after excluding literature that does not satisfy the selection criteria and quality evaluation. The intervention elements of 16 selected papers were categorized into six themes. The extracted intervention elements were divided into the themes of Patient-specific/Situation-specific care planning and intervention, Emphasis on self care competency, Intense home visit by developmental milestone, Reinforcing and modeling mother-child attachment, Communication and interaction across the intervention, Linkage with community resource and multidisciplinary approach.

Conclusion

As a result of the analysis of proper interventions of home care services for mothers and children in vulnerable groups, it was found that it is necessary to consider indispensable intervention elements that can standardize the quality of home care services, and conduct studies on developing intervention programs based on the elements.

Citations

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Prenatal nursing intervention studies published in Korean nursing journals: a scoping review
Seo Yun Kim, Hae Won Kim
Korean Journal of Women Health Nursing.2020; 26(2): 109. CrossRef
Adaptation to Motherhood in Central Asian-Korean Immigrants to Korea: A Grounded Theory Study
Su Hyun Kim, Hyang-In Cho Chung
Journal of Korean Academy of Nursing.2019; 49(6): 677. CrossRef
An Integrative Review of Intervention for School-bullying Perpetrators
Yul-mai Song, Moonju Song, Sunah Kim
Journal of Korean Academy of Psychiatric and Mental Health Nursing.2018; 27(4): 355. CrossRef

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Original Articles

Fall Risk in Low-Income Elderly People in One Urban Area: Kyung Won Choi, In-Sook Lee; J Korean Acad Nurs 2010;40(4):589-598. Published online August 31, 2010; DOI: https://doi.org/10.4040/jkan.2010.40.4.589

Abstract PDF

Purpose

The purpose of this study was to investigate the factors that increase of the risk for falls in low-income elders in urban areas.

Methods

The participants were elderly people registered in one of public health centers in one city. Data were collected by interviewing the elders, assessing their environmental risk factors, and surveying relevant secondary data from the public health center records. For data analysis, descriptive statistics and multiple logistic regression were performed using SPSS version 14.

Results

Stroke, diabetes, visual deficits, frequency of dizziness, use of assistive devices and moderate depression were statistically significant risk factors. The comorbidity of chronic diseases with other factors including depression, visual deficit, dizziness, and use of assistive devices significantly increased the risk of falls. From multiple logistic regression analysis, statistically significant predictors of falls were found to be stroke, total environmental risk scores, comorbiditiy of diabetes with visual deficits, and with depression.

Conclusion

Fall prevention interventions should be multifactorial, especially for the elders with stroke or diabetes, who were identified in this study as the high risk group for falls. A fall risk assessment tool for low-income elders should include both the intrinsic factors like depression, dizziness, and use of assistive devices, and the extrinsic factors.

Citations

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Understanding the Home Environment as a Factor in Mitigating Fall Risk among Community-Dwelling Frail Older People: A Systematic Review
Gwang Suk Kim, Namhee Kim, Mi-So Shim, Jae Jun Lee, Min Kyung Park, Qing-Wei Chen
Health & Social Care in the Community.2023; 2023: 1. CrossRef
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Beomryong Kim, Kwangsun Do, Jongeun Yim
Physical Therapy Rehabilitation Science.2022; 11(1): 66. CrossRef
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Zhang Yue, Hang Liang, Xuyao Gao, Xigang Qin, Huwei Li, Nan Xiang, Erpeng Liu
Journal of Affective Disorders.2022; 301: 300. CrossRef
Epidemiology of fall and its socioeconomic risk factors in community-dwelling Korean elderly
Taekyoung Kim, Sang D. Choi, Shuping Xiong, Kyoung-Sae Na
PLOS ONE.2020; 15(6): e0234787. CrossRef
Comparison of falls-related physical fitness and fall experience characteristics of the elderly between Ulsan, Korea and Gifu, Japan

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The elderly and falls: Factors associated with quality of life A cross-sectional study using large-scale national data in Korea
Jin-Won Noh, Kyoung-Beom Kim, Ju Hyun Lee, Byeong-Hui Lee, Young Dae Kwon, Seon Heui Lee
Archives of Gerontology and Geriatrics.2017; 73: 279. CrossRef
Falls among the non-institutionalized elderly in northern Minas Gerais, Brazil: prevalence and associated factors
Jair Almeida Carneiro, Gizele Carmen Fagundes Ramos, Ana Teresa Fernandes Barbosa, Élen Débora Souza Vieira, Jéssica Santos Rocha Silva, Antônio Prates Caldeira
Revista Brasileira de Geriatria e Gerontologia.2016; 19(4): 613. CrossRef
The Comparison of Risk Factors for Falls in the Community-Dwelling Elderly
Soo-Min Kim
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Effect of Tai-Chi on Grip Power, Pain and Fear of Falling in Elderly Person
Chung-uk Oh
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Relation of the Physical Performance and Fear of Falls of the Elderly
Eun-Suk Yun, Jisook An
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The Effects of the Urinary Incontinence and Quality of Sleep on Fall Efficacy of the Community Dwelling Elderly
Eun-Suk Yun
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Chong Mi Lee, Bok-Hee Cho
Journal of muscle and joint health.2014; 21(1): 36. CrossRef
Factors Associated with Senile Macular Degeneration in Elders within Communities
Chul-Gyu Kim, Yungeong Park, Seungmi Park
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Safety Consciousness of the Elderly Living Alone
Youngsil Kang, Sun Jae Jung
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The Prevalence and Factors of Falls among the Community-Dwelling Elderly
Insun Jang, Eunok Park
Journal of Korean Public Health Nursing.2013; 27(1): 89. CrossRef
Fall Experience and Risk Factors for Falls among the Community-dwelling Elderly
Young Hee Kim, Kyung Hee Yang, Kum Sook Park
Journal of muscle and joint health.2013; 20(2): 91. CrossRef
Fear of Falling and Related Factors in Elderly Living Alone Based on Fall Experience
Myungsuk Lee, Yunbok Lee
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In Sook Park, Hee Young So, Rhayun Song, Hyunli Kim, Sukhee Ahn
Journal of muscle and joint health.2012; 19(3): 282. 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
Incidence and Predictors of Falls in Institutionalized Elderly
Ae-Ja Park, Nan-Young Lim, Yoon-Shin Kim, Yoon-Kyoung Lee, Jung-Hee Song
Journal of muscle and joint health.2011; 18(1): 50. CrossRef
Effects of a Health Diary Program on Fall-Related Outcomes in Low-Income Elderly Women with Osteoarthritis
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Journal of agricultural medicine and community health.2011; 36(3): 167. CrossRef

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Factors Affecting the Health-related Quality of Life According to Age in Vulnerable Aged Men: Eun Young Jeon, Yeon Hee Choi; J Korean Acad Nurs 2010;40(3):400-410. Published online June 30, 2010; DOI: https://doi.org/10.4040/jkan.2010.40.3.400

Abstract PDF

Purpose

The purpose of this study was to investigate the factors that influenced the health-related quality of life of young-old (65-74 yr) men, old-old (75-84 yr) men, and oldest-old (85 yr or above) men in vulnerable aged received home care from public health center.

Methods

The participants for this study were 318 aged Korean men living in D city. The data was collected from August to October, 2009 using structured questionnaires. Chi-square, One way ANOVA, Duncan test, Pearson's Correlation Coefficient and multiple regression with the SPSS WIN 14.0 program were used to analyze the data.

Results

There were statistically significant differences among young-old, old-old, and oldest-old men regarding the health-related quality of life, health promoting behavior, IADL (Instrumental Activities of Daily Living), rehabilitation, depression, and social support. The model including variables related to physical, psychological, and social aspects of life, explained variance of the health-related quality of life of aged men differently, such as 39.6% of young-old, 35.4% of old-old, and 47.0% of oldest-old. Finally, IADL and social support were predictors in explaining the level of health-related quality of life among vulnerable old men regardless of age.

Conclusion

Based on the findings of the study, nursing interventions should be developed to improve health-related quality of life of vulnerable aged men according to age differences.

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