Relationships among Handgrip Strength, Blood Pressure, Dialysis Adequacy, Dialysis Symptoms, and Depression in Hemodialysis Patients / 재활간호학회지

Purpose@#This study aimed to determine relationships among handgrip strength (HGS), blood pressure, dialysis adequacy, dialysis symptoms, and depression in hemodialysis patients. @*Methods@#Data from 150 subjects were obtained and analyzed, following a descriptive approach. @*Results@#The average grip strength of the subjects was lower than the standard value for both men and women, and the grip strength differed significantly according to age, gender, education level, monthly income, and BMI. The physiological indicators that showed significant results with the study variables were hemoglobin, serum calcium, and serum phosphorus. The average dialysis adequacy (Kt/V) of the subjects was higher than the normal standard, and there were significant differences according to age, gender, education level, monthly income, dialysis period, number of accompanying diseases, and BMI. The subject's depression score had a significant negative correlation with dialysis adequacy, and the dialysis symptom score and depression score had a significant positive correlation. @*Conclusion@#General characteristics, dialysis-related characteristics, and physiological indicators of hemodialysis patients were analyzed in detail, and differences between these characteristics and grip strength, blood pressure, dialysis adequacy, dialysis symptoms, and depression were also examined. It is necessary to provide delicate nursing according to the individual characteristics of the patient.

Study on the Relationship between Hand Grip Strength, Depression, Somatic Symptoms and Health-related Quality of Life of the Elderly in Rural Area / 재활간호학회지

Purpose@#The purpose of the study was to investigate relationships between Hand Grip Strength (HGS), depression, somatic symptoms and Health-Related Quality of Life (HRQoL) among the elderly. @*Methods@#The data were collected from 138 elderly people living in rural area from June 23 to August 13, 2019. The data were analyzed by descriptive statistics, t-test, One-way ANOVA and Pearson correlation coefficient with SPSS 25 version. @*Results@#The average HGS of the subjects was 19.56kg. HGS in aged (F=7.833, p=.001), women (t=-11.258, p<.001) and elderly without spouses (t=3.804, p<.001) were found to be lower in the group. There was a positive correlation between HGS with HRQoL (r=.411, p=.001), and a negative relationship between HGS both with depression (r=-.285, p<.001) and with somatic symptoms (r=-.307, p<.001). Among the variables HRQoL appeared in the most significant correlation with HGS. @*Conclusion@#The results of this study showed that elderly experienced poor HGS and the elderly with low HGS had more severe depression, somatic symptoms and HRQoL.HGS will be suggested an independent indicator for identifying and predicting depression, somatic symptoms and HRQoL in the elderly. Evidence study to estimate HGS and to identify effect of HGS on depression, somatic symptoms and HRQoL for elderly is needed.

Relationships between Symptom of Restless Legs Syndrome, Depression, Somatic Symptom and Activities of Daily Living among the Elderly / 재활간호학회지

PURPOSE@#The purpose of this study was to investigate relationships between the symptom of restless legs syndrome (RLS), somatic symptom, depression, and activities of daily living (ADL) among the elderly.@*METHODS@#A descriptive approach was taken in this study. Data were collected from May 23 to July 5, 2019 and 140 elderly people replied to the questionnaire. The data were analyzed by descriptive statistics, t-test, One-way ANOVA, Pearson's correlation coefficient, and χ² test.@*RESULTS@#48.6% of the respondents had RLS symptom and the severity of RLS symptom was 9.57±11.55. RLS symptom had a positive correlation with depression (r=.538, p<.001), with somatic symptom (r=.528, p<.001), with ADL (r=.308, p<.001), and with IADL (r=.360, p<.001). Depression had the most significant correlation with RLS symptoms. There were significant differences in depression, somatization, ADL, and IADL according to the RLS severity.@*CONCLUSION@#The results of this study showed that many elders experienced mild to severe RLS symptom. Also, the elderly with RLS symptom had more severe depression, somatic symptom, ADL, and IADL than those without RLS symptom in this study. Depression, somatic symptom, and ADL could be deteriorated if the RLS symptom is not diagnosed early.

Relationship of Restless Legs Syndrome Symptom, Sleep Disturbance and Depression in Middle-aged Women / 재활간호학회지

PURPOSE: The purpose of this study was to investigate relationships between the symptoms of Restless Legs Syndrome (RLS), sleep disturbance and depression among middle-aged women. METHODS: The study took a descriptive approach. A self-reported questionnaire was provided to women aged between 45 and 65 living in community area. The data were analyzed via SPSS program (version 25). RESULTS: 47.8% of the respondents showed moderate to severe RLS symptoms and the severity of RLS symptoms was 10.72. Depression score was 13.12 and sleep disturbance score was 4.97. There was a significant correlation between RLS symptoms and sleep disturbance (r=.423, p < .001), and RLS symptoms had a positive impact on sleep disturbance. There was also a significant correlation between RLS symptoms and depression (r=.494, p < .001) and RLS symptoms also had a positive impact on depression. CONCLUSION: Women with RLS symptoms had more severe sleep disturbance, depression and vasomotor syndrome than those without RLS symptoms. If RLS symptoms among middle-aged women is simply diagnosed as a menopausal symptom, this misdiagnosis can lead to sleep disorder and depression. Therefore, further empirical researches should be done to estimate the prevalence of RLS symptoms and to launch a program to detect RLS at the early stage.

The Level of Performance, Frequency and Educational Needs of Nursing Activities in Long-term Care Hospital / 재활간호학회지

PURPOSE: This study was to explore the level of core nursing activities performed by long-term care hospital nurses and to investigate the frequency and educational needs of major nursing activities. METHODS: A cross-sectional descriptive research design was used. The subjects were 155 nurses working at seven long-term care hospitals in Korea. Data were collected in 2018 from September 15 to October 16 using a structured questionnaire. Data were analyzed using the SPSS program. RESULTS: The mean age of nurses was 45.19±10.99 years and the mean career of long-term care hospital was 49.84±40.52 months. Monitoring activity was shown as the highest score in the performance level and frequency, whereas infection control received the highest score in educational needs. A scatter plot revealed that physical examination, respiratory care, wound care, communication and education showed overall high scores in the performance level, frequency, and educational needs. Emergency care and infection control were the activities that were performed less frequently but had high performance level and educational needs. CONCLUSION: It is important to establish rules for requisite and delegable activities considering the performance level and frequency of nursing activities in long-term care hospitals in order to improve the quality of patient care.