The influences of mental health problem on suicide-related behaviors among adolescents: Based on Korean Youth Health Behavior Survey / 한국간호교육학회지

Purpose@#This study explored the influencing factors on suicide-related behaviors (ideation, plans, and attempts) focusing on mental health problems (anxiety, depression, and loneliness) among Korean adolescents. @*Methods@#A secondary analysis was conducted with data from the 16th Korean Youth Health Behavior Survey collected from in 2020 by the Korea Centers for Disease Control and Prevention. Chi-square tests and multivariate logistic regression analyses were performed. @*Results@#After the adjustment of demographic characteristics and health risk behaviors, the influences of mental health problems on suicidal ideation, plans, and attempts showed the anxiety odds ratio (OR) for severe anxiety vs. minimal (OR 4.65, 4.67, and 3.75), depression (OR 4.27, 3.69, and 4.49), loneliness (OR 2.18, 1.96, and 1.96). Health risk behaviors (violence experience, drug use, stress, smoking, and drinking alcohol) and demographic variables (gender, school record, and socioeconomic status) were also significantly associated with suicide-related behaviors. @*Conclusion@#Anxiety, depression, and loneliness were strong predictors of suicide-related behaviors. Early detection of suicide risks through screening for comprehensive mental health problems was recommended. Suicide prevention that considers the risk factors, including mental health problems and other risk factors, needs to be developed and implemented to reduce suicide risks among adolescents.

The Obesity and the Metabolic Syndrome among Korean Adults: Based on National Representative Survey

Background@#The obesity and metabolic syndrome (MetS) are main health issues worldwide. This study was to investigate the association of obesity and MetS. @*Methods@#A secondary analysis was conducted using data from Korea National Health and Nutrition Examination Survey for this study. The data from 10,488 Korean adults who were 30-64 years old were utilized and the pooled weights for the stratified complex sampling were implemented in the analysis. The participants were divided into five groups based on body mass index (BMI), and waist circumference, triglyceride, high density lipid, glucose, and blood pressures were used for the MetS. @*Results@#The prevalence of MetS was 29.8% and it was higher in highly obese adults than people who has normal weights (odds ratio, 36.9; 95% confidence interval, 25.9-52.3) after adjusting age, gender, education, income, job, smoking, high risk drinking, and physical activity. There was gradients for the MetS and the components of MetS according to BMI. @*Conclusions@#The obesity increased the risk of MetS and its components’ prevalence. The targeted intervention to control weight need to be developed and implemented. Further researches might be also needed to evaluate the effect of the weight loss on the decreased the risk of MetS.

The Obesity and the Metabolic Syndrome among Korean Adults: Based on National Representative Survey

Background@#The obesity and metabolic syndrome (MetS) are main health issues worldwide. This study was to investigate the association of obesity and MetS. @*Methods@#A secondary analysis was conducted using data from Korea National Health and Nutrition Examination Survey for this study. The data from 10,488 Korean adults who were 30-64 years old were utilized and the pooled weights for the stratified complex sampling were implemented in the analysis. The participants were divided into five groups based on body mass index (BMI), and waist circumference, triglyceride, high density lipid, glucose, and blood pressures were used for the MetS. @*Results@#The prevalence of MetS was 29.8% and it was higher in highly obese adults than people who has normal weights (odds ratio, 36.9; 95% confidence interval, 25.9-52.3) after adjusting age, gender, education, income, job, smoking, high risk drinking, and physical activity. There was gradients for the MetS and the components of MetS according to BMI. @*Conclusions@#The obesity increased the risk of MetS and its components’ prevalence. The targeted intervention to control weight need to be developed and implemented. Further researches might be also needed to evaluate the effect of the weight loss on the decreased the risk of MetS.

A Study on Daytime Sleepiness, Insomnia, and the Quality of Sleep in Clinical Nurses / 산업간호학회지

PURPOSE: The purposes of this study were to investigate sleep quality and the related factors among clinical nurses. METHODS: Data were collected from 208 nurses in general hospitals through self-report. Pittsburgh Sleep Quality Index (PSQI), Korean Epworth Sleepiness Scale (KESS), Insomnia Severity Index (ISS) were used. The data were analyzed t-test, ANOVA, Scheffé test, and multiple regression using the SPSS 20.0 program. RESULTS: The mean scores of the subjects were 7.58±3.61 on daytime sleepiness, 9.93±6.22 on insomnia, and 7.29±3.05 on sleep quality. The sleep quality in clinical nurses significantly influenced by insomnia (β=.55, t=8.14, p < .001), daytime sleepiness (β=.16, t=2.83, p=.005), and work satisfaction (β=−.15, t=−2.35, p=.020). The three variables explained 55.9% of variance of sleep quality (F=10.73, p < .001). CONCLUSION: Sleep quality was influenced by daytime sleepiness, insomnia, and job satisfaction. To improve sleep quality, hospitals managers or leaders need to provide sleep promotion programs for preventing daytime sleepiness and insomnia.

Environment Factors Affecting Childhood Obesity: Voices from Students, Parents, and Teachers with Photograph / 간호학회지

PURPOSE: This study aimed to explore the environmental factors affecting childhood obesity using photovoice from the perspectives of students, parents, and teachers in the community. METHODS: Six school students, seven parents, and seven school teachers completed an assignment requiring them to take 24 pictures and participate in group discussions. After training session, the participants were asked to take pictures associated with food and physical activity environments related to childhood obesity at home, school, and within their communities for two weeks and to submit the pictures with records. Each group had four sessions for discussion. RESULTS: School cafeteria, convenience stores near schools, instant food and fast food joints, food delivery, and high-calorie snacks comprised the food environmental factors. Lack of physical activity classes at school, commuting by car, barriers to physical activity, and use of smart-phone were environmental factors that inhibited physical activity. CONCLUSION: To reduce childhood obesity, the creation of a supportive environment for encouraging the consumption of healthy foods and enhancing physical activity should be considered. Modifications of and improvement to the obesogenic environment might be a good strategy to prevent and reduce childhood obesity.

Influence of Emotional Intelligence, Communication, and Organizational Commitment on Nursing Productivity among Korean Nurses

PURPOSE: Improving productivity in nursing practice is an important issue. This study investigated factors affecting nursing productivity of Korean clinical nurses. METHODS: A structured survey tool was used in a cross-sectional design with a convenience sample of 239 nurses working in university hospitals. Stepwise multiple regressions were done to identify influential factors. RESULTS: The level of nursing productivity was at a moderate level (3.3 out of 5). Those nurses who were over 36, married, over master-graduated, regularly employed, on day duty, and with experiences as a charge or head nurse reported better achievements in nursing productivity than the other groups of nurses. All three independent variables, age, and employment status explained 55.4% of the variance in nursing productivity. CONCLUSION: The leaders and managers of nursing organizations should develop educational programs aimed at increasing nurses' competencies in relation to emotion controls and communication skills, which consequently should improve nursing productivity.

Current State and the Future Tasks of Home Visit Nursing Care in South Korea / 農村醫學 地域保健

OBJECTIVES: We searched and reviewed the literature including the laws or acts, statistics, guidelines, papers and conference proceedings related to home visit nursing care in South Korea. METHOD: We searched and reviewed the literature including the laws or acts, statistics, guidelines, papers and conference proceedings related to home visit nursing care in Korea. RESULTS: There are three types of home care nursing in Korea. Public health center provides home visit nursing to vulnerable population by registered nurses for free, based on community health act in public health center. As of 2017, 1,261,208 people were enrolled in the visiting health program of public health center. Health behavior and disease management has been improved and showed having cost-benefit effect among the enrolled people in visiting health program. Visiting nursing care in long-term care services is provided by registered nurses or nurse aid, based on long-term care act. The cost is paid as the unit price according to service time. 1,095,764 older people used long-term care services in 2017, only 0.2% of total cost used for home visiting nursing. Even though the number of user of home visiting nursing, it was reported that users spent less medical cost and hospitalized shorter. Hospital-based home care nursing is provided to patients and their families under the prescription of a doctor by family nurse specialists who are employed by medical institute based on medical law. Four hundred sixty family nurse specialists worked for hospital-based home care nursing and hospital-based home care services accounted for 0.038% of total medical expenses in 2017. CONCLUSION: Even though home visit nursing care services are different in aspect of legal basis, personnel, running institutes, and cost basis, home visit nursing care showed cost-benefit effect and good health outcomes. In order to advance home visit nursing care, the integrated home visiting care, improvement of working condition, and revision of legal basis should be considered.

A Study on Daytime Sleepiness, Insomnia, and the Quality of Sleep in Clinical Nurses / 한국직업건강간호학회지

PURPOSE@#The purposes of this study were to investigate sleep quality and the related factors among clinical nurses.@*METHODS@#Data were collected from 208 nurses in general hospitals through self-report. Pittsburgh Sleep Quality Index (PSQI), Korean Epworth Sleepiness Scale (KESS), Insomnia Severity Index (ISS) were used. The data were analyzed t-test, ANOVA, Scheffé test, and multiple regression using the SPSS 20.0 program.@*RESULTS@#The mean scores of the subjects were 7.58±3.61 on daytime sleepiness, 9.93±6.22 on insomnia, and 7.29±3.05 on sleep quality. The sleep quality in clinical nurses significantly influenced by insomnia (β=.55, t=8.14, p < .001), daytime sleepiness (β=.16, t=2.83, p=.005), and work satisfaction (β=−.15, t=−2.35, p=.020). The three variables explained 55.9% of variance of sleep quality (F=10.73, p < .001).@*CONCLUSION@#Sleep quality was influenced by daytime sleepiness, insomnia, and job satisfaction. To improve sleep quality, hospitals managers or leaders need to provide sleep promotion programs for preventing daytime sleepiness and insomnia.

Environment Factors Affecting Childhood Obesity: Voices from Students, Parents, and Teachers with Photograph

PURPOSE@#This study aimed to explore the environmental factors affecting childhood obesity using photovoice from the perspectives of students, parents, and teachers in the community.@*METHODS@#Six school students, seven parents, and seven school teachers completed an assignment requiring them to take 24 pictures and participate in group discussions. After training session, the participants were asked to take pictures associated with food and physical activity environments related to childhood obesity at home, school, and within their communities for two weeks and to submit the pictures with records. Each group had four sessions for discussion.@*RESULTS@#School cafeteria, convenience stores near schools, instant food and fast food joints, food delivery, and high-calorie snacks comprised the food environmental factors. Lack of physical activity classes at school, commuting by car, barriers to physical activity, and use of smart-phone were environmental factors that inhibited physical activity.@*CONCLUSION@#To reduce childhood obesity, the creation of a supportive environment for encouraging the consumption of healthy foods and enhancing physical activity should be considered. Modifications of and improvement to the obesogenic environment might be a good strategy to prevent and reduce childhood obesity.

Gender Differences in Harmful Use of Alcohol Among Korean Adults

OBJECTIVES: Harmful alcohol consumption is associated with considerable social and economic damage to individuals and society. Because gender and ethnic background influence alcohol intake differently, examining gender specific factors influencing harmful drinking is necessary. This study investigated gender differences in alcohol consumption, harmful drinking, and the associated factors among Korean adults. METHODS: We analyzed the data from the 2012–2015 Korean National Health and Nutrition Examination Survey. Data from survey participants aged 20–64 years (N = 18,581) were included. The Alcohol Use Disorders Identification Test was used for alcohol dependence, and pooled weights were used. Chi-squared tests and multiple logistic regression analyses were conducted. RESULTS: The prevalence of harmful alcohol use (Alcohol Use Disorders Identification Test score ≥ 16) was 10.7% in the total sample; 18.4% in men and 3.4% in women, which constituted a significant difference. Education, marital status, smoking, perceived stress, and depressive feeling were associated with harmful drinking in both genders. However, household income, occupation, and perceived health status were associated with harmful drinking only in men. CONCLUSION: Since there are gender differences in harmful drinking and alcohol dependence, gender tailored prevention and intervention strategies for alcohol dependence are necessary including consideration of smoking, stress, and depressive feeling.

Comparisons of Cardiometabolic Biomarkers, Lifestyle Behaviors, and Dietary Sodium and Potassium Intake in a Representative Sample of Korean Adults with and without Cardio-cerebrovascular Diseases

PURPOSE: To compare the cardiometabolic condition of obesity, blood pressure (BP), cholesterol, dietary sodium and potassium intake, and lifestyle behaviors of persons with cardio-cerebrovascular diseases, with those who are disease-free in Korea. METHODS: A secondary data analysis was conducted using a representative sample of Korean adults. RESULTS: Of 10,906 Korean adults (mean age 43.12 ± 0.24 years, women 50.4%), 9,074 were disease-free and 1,520 had hypertension, 137 stroke, and 175 ischemic heart disease. Compared with the disease-free group, obesity, BP, and total cholesterol were higher for the hypertensives. 25.5% of ischemic heart disease group were still smoking; 14.9% of hypertensives were heavy alcohol drinkers. Physical activity was lower in cardio-cerebrovascular diseases than disease-free group. No significant association was found between Na/K ratio adequacy and types of cardio-cerebrovascular diseases. CONCLUSION: The cardiometabolic condition varied, with hypertensives having a higher prevalence for obesity, high BP, and cholesterol; poorer adherence to the behavioral recommendations was also noted in cardio-cerebrovascular diseases. Such variations in cardiovascular risks would provide implications for addressing vulnerability across groups.

Comparison of Organizational Culture and Organizational Commitment based on Experience of Workplace Bullying in Clinical Nurses / 한국직업건강간호학회지

PURPOSE: This study aimed to investigate the relationship among nurses' workplace bullying experience, organizational culture, and organizational commitment. METHODS: Nurses who had worked for more than 6 months (N=299) were selected from 5 general hospitals. Data were collected from August to September 2014, using a self- reported questionnaire, and were analyzed using SPSS version 20.0. RESULTS: Among the participants, 17.7% reported having experienced workplace bullying. Those who had experienced workplace bullying reported significantly lower relation-oriented culture, innovation-oriented culture, and organizational commitment as compared to the other group (t=-2.50, p=.016; t=-2.60, p=.011; t=-2.91, p=.004, respectively). Rank-oriented culture was higher in those who had experienced workplace bullying as compared to those who had not (t=2.76, p=.007). CONCLUSION: Those who had experienced workplace bullying had higher scores on rank-oriented culture and lower scores on innovation-oriented culture, relation-oriented culture, and organizational commitment. To reduce workplace bullying among nurses, hospital managers should improve the relation-oriented organizational culture and alleviate the rank-oriented culture.

Frailty and its related Factors in Vulnerable Elderly Population by Age Groups

PURPOSE: This study aimed to investigate factors affecting frailty by age groups among vulnerable elders in Korea. METHODS: In this secondary analysis, data were collected from records for 22,868 eldesr registered in the Visiting Health Management program of Publci Health Centers in 2012. Health behaviors, clinically diagnosed disease, frailty, depression and cognitive condition were assessed. Data were analyzed using stepwise regression to determine the associated factors of frailty by age group. RESULTS: Alcohol consumption, physical activity, number of diseases, DM, CVA, arthritis, urinary incontinence, depression and cognitive condition were found to be factors significantly associated with frailty among the elders aged 65~74 (F=135.66, p <.001). Alcohol consumption, physical activity, CVA, arthritis, urinary incontinence, depression and cognitive condition were found to be factors associated with frailty in the elders aged 75~84 (F=245.40, p <.001). Physical activity, CVA, arthritis, depression and cognitive condition were factors associated with frailty in the elders over 85 years of age (F=96.48, p <.001). CONCLUSION: The findings show that frailty of elders and associated factors were different by age group, and common factors affecting frailty were physical activity, CVA, arthritis, depression and cognitive condition. Thus, these factors should be considered in the development of intervention program for care and prevention of frailty and program should be modified according to age group.

Development and Evaluation of Allergic Rhinitis-Specific Quality of Life (ARSQOL) Scale for Adults

PURPOSE: The purpose of this study was to develop an Allergic Rhinitis-Specific Quality of Life (ARSQOL) scale and verify its validity and reliability. METHODS: ARSQOL was developed in 5 steps. Items for the preliminary instrument of ARSQOL were developed through a literature review and deep interviews with allergic rhinitis patients. Face validity with Content Validity Index (CVI), construct validity using factor analysis, and known group comparison, criterion validity test using correlation between ARSQOL and total nasal symptoms score (TNSS) were conducted to evaluate the validity of ARSQOL. Cronbach's α was used to evaluate the reliability of ARSQOL. RESULTS: CVI for the items in the final ARSQOL were. 92. Five factors including discomfort associated with nasal symptoms (4 items), physical function (7 items), mental function (5 items), sleep disorder and social function (4 items), and problems of daily life (6 items) were identified through factor analysis and these five factors explained 66.6% of the total variance. The correlation coefficient between TNSS and the total score of life quality was -.69. In the group comparison, the persistent allergic rhinitis group showed lower ARSQOL scores than the intermittent patient group, and moderate to the severe allergic rhinitis patient group presented poorer ARSQOL than the mild symptom patient group. The Cronbach's α reliability coefficient was .95. CONCLUSION: Results show that the ARSQOL has good reliability and validity and thus ARSQOL is a useful scale for clinical practices and research as a measure of quality of life in adults with allergicr hinitis.

Suicide Ideation and the Related Factors among Korean Adults by Gender / 農村醫學 地域保健

OBJECTIVES: This study investigates the prevalence of suicide ideation and its the related factors by gender among Korean adults. METHODS: National cross-sectional data from the database of the first and second year of 5th Korean National Health and Nutritional Examination Survey (KNHANES V-1, V-2) were used for this study. 13,165 adults (> or =20 years) were included in this analysis. RESULTS: The prevalence of suicide ideation was 9.8% for men, 18.9% for women. Renal failure, depression, melancholy, stress, perceived health status, and smoking were significant risk factors among both men and women for suicide ideation. Divorced, separated or widowed of marital status and severe physical activity were related factors of suicide ideation for men. Low educational attainment, and alcohol dependency were associated factors of suicide ideation for women. CONCLUSIONS: There was gender difference of prevalence and risk factors of suicide ideation. These gender differences should be considered for planning and implementing suicide prevention program.

The Association of Sleep Duration and Hypertension in Adults in Korea

PURPOSE: This study investigated the association between sleep duration and hypertension in Korean adults. METHODS: A secondary analysis was performed using data from the 5th Korea National Health and Nutrition Examination Survey conducted in 2010. Of the respondents, 5,450 adults over 30 years were included in this analysis. Logistic regression analysis was applied using SAS 9.2. RESULTS: Among Korean adults, the prevalence of hypertension was 28.9% and the mean duration of sleep per night was 6.8 hours. The unadjusted odds ratio (OR) for hypertension was 2.16 (95% confidence interval [95% CI]=1.73-2.69) among adults who slept over 6 hours per night compared to those who slept 8 hours per night. After adjusting for risk factors of hypertension including age, gender, socioeconomic status, and health behaviors (smoking, obesity, alcohol intake, physical activity, and stress), the OR remained significant (OR=1.32, 95% CI=1.03-1.69). CONCLUSION: Short sleep duration should be considered a risk factor for hypertension. Interventions for adequate sleep duration could be added to other lifestyle changes (smoking cessation, weight control, low sodium diet, physical activities, and etc.) for preventing hypertension.

The Prevalence of Metabolic Syndrome and Related Risk Factors Based on the KNHANES V 2010 / 農村醫學 地域保健

OBJECTIVES: This study is to investigate the prevalence and related factors of metabolic syndrome among Korean adults aged 20 years and above. METHODS: From the database of the 5th Korea National Health and Nutrition Examination Survey (KNHANES V) conducted in 2010, data of 5,670 adults who responded to all the questionnaires of health interview and had metabolic syndrome in the health examination were included in this analysis. SAS 9.2 was used for statistical analysis with complex sample survey modules and commands. RESULTS: The prevalence rate of metabolic syndrome based on the criteria proposed by International Diabetes Federation (IDF) was 18.8%. The prevalence of metabolic syndrome in each group was: 20.7% of women, 43.1% among elderly over 70 years old, 40.6% of the divorced or the separated, 27.6% of recipients of economic support from the government, 23.6% of people who had alcohol dependency problem, and 43.7% of overweight or obese adults. Independent risk factors based on the multiple logistic regression analysis revealed that prevalence of metabolic syndrome was associated with female (odds ratio 1.59 [95% confidence interval 1.20-2.11]), age (50s 3.95 [2.11-7.37], 60s 5.62 [2.98-10.61], 70s 10.56 [5.25-21.25]), high school education (0.52 [0.37-0.74]), clerk occupation (2.14 [1.27-3.60]), divorced marital status (1.72 [1.15-2.59]), alcohol dependency (1.86 [1.16-2.98]), higher BMI (14.08 [10.60-18.70]). CONCLUSIONS: The metabolic syndrome is prevalent among Korean adult population according to IDF criteria. Several demographic characteristics and potentially modifiable factors are associated with metabolic syndrome. Identification of this high-risk group and management of these modifiable factors are warranted to reduce the prevalence of metabolic syndrome.

The Association of Sleep Duration and Hypertension in Adults in Korea

PURPOSE: This study investigated the association between sleep duration and hypertension in Korean adults. METHODS: A secondary analysis was performed using data from the 5th Korea National Health and Nutrition Examination Survey conducted in 2010. Of the respondents, 5,450 adults over 30 years were included in this analysis. Logistic regression analysis was applied using SAS 9.2. RESULTS: Among Korean adults, the prevalence of hypertension was 28.9% and the mean duration of sleep per night was 6.8 hours. The unadjusted odds ratio (OR) for hypertension was 2.16 (95% confidence interval [95% CI]=1.73-2.69) among adults who slept over 6 hours per night compared to those who slept 8 hours per night. After adjusting for risk factors of hypertension including age, gender, socioeconomic status, and health behaviors (smoking, obesity, alcohol intake, physical activity, and stress), the OR remained significant (OR=1.32, 95% CI=1.03-1.69). CONCLUSION: Short sleep duration should be considered a risk factor for hypertension. Interventions for adequate sleep duration could be added to other lifestyle changes (smoking cessation, weight control, low sodium diet, physical activities, and etc.) for preventing hypertension.

The Association of Sleep Duration and Hypertension in Adults in Korea

PURPOSE: This study investigated the association between sleep duration and hypertension in Korean adults. METHODS: A secondary analysis was performed using data from the 5th Korea National Health and Nutrition Examination Survey conducted in 2010. Of the respondents, 5,450 adults over 30 years were included in this analysis. Logistic regression analysis was applied using SAS 9.2. RESULTS: Among Korean adults, the prevalence of hypertension was 28.9% and the mean duration of sleep per night was 6.8 hours. The unadjusted odds ratio (OR) for hypertension was 2.16 (95% confidence interval [95% CI]=1.73-2.69) among adults who slept over 6 hours per night compared to those who slept 8 hours per night. After adjusting for risk factors of hypertension including age, gender, socioeconomic status, and health behaviors (smoking, obesity, alcohol intake, physical activity, and stress), the OR remained significant (OR=1.32, 95% CI=1.03-1.69). CONCLUSION: Short sleep duration should be considered a risk factor for hypertension. Interventions for adequate sleep duration could be added to other lifestyle changes (smoking cessation, weight control, low sodium diet, physical activities, and etc.) for preventing hypertension.

Effects of Visiting Laughter Therapy on Depression and Insomnia among the Vulnerable Elderly

PURPOSE: The purpose of this study is to investigate the effects of visiting laughter therapy on depression and insomnia in the vulnerable elderly. METHODS: A quasi-experimental nonequivalent control group pretest-posttest design was used for this study. The participants were 87 elderly who were registered in the Tailored Visiting Health Program of public health centers. Data were collected from September to November 2010. The experimental group received visiting laughter therapy froma visiting nurse who had taken laughter training provided by laughter therapy experts. The experimental group received 10~15 min of laughter therapy once a week for 8 weeks. The instruments included Geriatric Depression Scale and Insomnia Severity Index to measure depression and sleep problems before and after the laughter therapy. RESULTS: The results showed that visiting laughter therapy was effective in decreasing depression and insomnia among the vulnerable elderly. CONCLUSION: These findings indicate that laughter therapy may be an effective nursing intervention to improve depression and insomnia Further studies would be needed to identify the difference of effects according to time, interval, or period of visiting laughter therapy and to evaluate the lasting effect of visiting laughter therapy.