Factors Influencing Health-related Quality of Life according to Sitting-time of Elders Living Alone: Data from the 7th Korea National Health and Nutrition Examination Survey (2016~2018) / 기본간호학회지

Purpose@#The purpose of this study was to identify factors influencing health-related quality of life depending on time sitting by elders living alone. @*Methods@#This was a secondary data analysis study of the 7th Korea Health and Nutrition Examination Survey (2016~2018). The participants in the study were 1,499 elderly people living alone who were 65 years of age or older. @*Results@#The average time sitting for elders living alone was 8.93 hours. If they had more than eight hours of sedentary time, their physical and psychological health conditions and quality of life were lower than those in the group that had less than 8 hours. The factors influencing quality of life were age, household income, central obesity, and subjective health status for elders with sitting-time within 8 hours (R2=.28, p<.001), and household income, economic activity, and subjective health status in elders with sitting-time over 8 hours (R2=.33, p<.001). @*Conclusion@#There were differences in factors affecting the quality of life depending on the length of sitting-time for elders living alone. Depending on the length of sitting-time, it is necessary to establish nursing interventions to promote physical and psychological health to improve the quality of life of elders living alone.

Effects of BeHaS Program on Health Behavior, Physiologic Index and Self-Esteem of the Elderly Living Alone with Metabolic Syndrome Based on Community Based Participatory Research

Purpose@#This study aimed to determine the effects of a 12-week metabolic syndrome BeHaS (Be Happy and Strong) program in elderly people with metabolic syndrome living alone, based on a community-based participatory research (CBPR). @*Methods@#A nonequivalent control group pre-posttest design was used, and the participants were 43 elderly people living alone (experimental group 24, control group 19). The experimental group received a one-hour program per week and two individual health consultations during 12 weeks. The control group received two sessions about the metabolic syndrome and two individual health consultations. The effects of health behavior, blood pressure, blood sugar levels, abdominal circumference, triglycerides, and self-esteem were evaluated. The data were analyzed using the independent t-test and Mann-Whitney U test. @*Results@#The health behavior with respect to the metabolic syndrome in the experimental group increased significantly (t = - 3.19, p = .002). Both diastolic blood pressure and abdominal circumference decreased in the experimental group (t = 2.00, p = .028 and t = 3.91, p < .001). No significant differences were observed between the groups in systolic blood pressure, fasting blood sugar levels, triglycerides, and self-esteem. @*Conclusion@#The 12-week metabolic syndrome BeHaS program using community resources improves the health of elderly people with metabolic syndrome living alone. Based on these findings, further studies on the effectiveness of the metabolic syndrome BeHaS program and the experiences of those who participated in the CBPR are warranted.

A Delphi Study to Elicit Policies for Nurse Workforce based on Patient Safety / 간호행정학회지

PURPOSE: This study was done to suggest policies for nurse workforce based on patient safety. METHODS: The two steps in developing the items were items related to what would be desirable policies and items on how the policies should be developed for patient safety regarding nurse workforce. A literature review was done and suggestions from experts through two rounds using the Delphi technique were outlined. The fifteen experts who participated in this study were six representatives of service consumers and nine representatives of service providers (four medical doctors and fives nurses). RESULTS: To guarantee patient safety, accreditation of nursing practice and nursing education were found to be necessary, and to prevent medical and nursing accidents in clinical practice, the professional judgement of the nurses was found to be pivotal to the provision of safe nursing services. CONCLUSION: Polices on nursing for the nurse workforce based on patient safety in clinical settings should be established to ensure that nursing care is provided according to the nurses' clinical judgements based on their professional knowledge and assessment skills.

Levels of Health-related Quality of Life (EQ-5D) and Its Related Factors among Vulnerable Elders Receiving Home Visiting Health Care Services in Some Rural Areas

PURPOSE: The purpose of this study is to identify levels of quality of health-related life (EQ-5D) and its related factors among vulnerable elders receiving home visiting health care services in some rural areas. METHODS: The subjects of this study were vulnerable elders aged 65 or higher receiving visiting health care benefits by a public health center in a county. RESULTS: Levels of health-related EQ-5D were high when the subjects were males, their ADL and IADL were high. The EQ-5D of the vulnerable elders and social supports had a positive correlation, while their IADL and depression had a negative correlation with the EQ-5D. We can see that the EQ-5D related factors are variables that have significance influence on gender, subjective health status, BMI, IADL, depression levels, and social support. CONCLUSION: To improve the EQ-5D of the vulnerable elderly, it needs maintenance of independent IADL levels, social supporting systems using small meeting of the elderly in community. It is necessary to maintain independent IADL levels, enhance social supporting systems including small group gatherings for elders living alone by means of places like community halls, and develop specific intervention programs for the prevention and management of depressive elders.

Perceived Importance and Performance of Intravenous Fluid Therapy by Nurses in Small-Medium General Hospitals / 기본간호학회지

PURPOSE: This study was done to investigate nurses' perceived importance of, and performance of intravenous fluid therapy. METHODS: Data were collected from a convenience sample of 234 nurses (return rate: 93%) working in 3 small-medium general hospitals. RESULTS: The score for perceived importance of intravenous fluid therapy (3.65+/-0.37) was higher than that of performance (3.45+/-0.39). There were positive correlations between perceived importance and performance (r=.576, p<.001). There were 180 (80.8%) errors in intravenous fluid therapy. Perceived importance and performance scores were higher in nurses who had not experienced medication errors in intravenous fluid therapy. CONCLUSION: The results indicate a need to develop appropriate strategies to improve perceived importance and performance and enhance safety management during intravenous fluid therapy for nurses in small-medium general hospitals.

Effects of the BeHaS Exercise Program on Hand strength, Depression and Life Satisfaction in Institutionalized Elders with CVA / 기본간호학회지

PURPOSE: This study was done to identify the effects of the BeHaS exercise program consisting of exercise, education, and cognitive supports on the hand strength, depression and life satisfaction in institutionalized elderly people with CVA. METHOD: A quasi-experimental design with an experimental group (n=18) and a control group (n=18) was used. The elders in the experimental group participated in the program once a week for eight weeks. Data were analyzed using descriptive statistics, Chi-square and t-test with SPSS /Win 18.0. RESULTS: Hypothesis 1 was supported as the hand strength of the elders in experimental group significantly increased compared to those in the control group. Hypothesis 2 was also supported as depression scores for elders in the experimental group significantly decreased compared to those in the control group. Hypothesis 3 was supported as life satisfaction scores for elders in the experimental group significantly increased compared to those in the control group. CONCLUSION: The results of this study indicate that the BeHaS exercise program can play a useful role in improving depression and life satisfaction in institutionalized elderly people with CVA.

Construction of Explanatory Model for Medication Adherence in Older People with Chronic disease / 기본간호학회지

PURPOSE: The main purpose of this study was to identify factors affecting medication adherence and to develop an explanatory model for medication adherence in elders with chronic disease. METHOD: Empirical data were collected from 312 older adults with chronic disease and the data collect period was from August 8 to 31, 2011, and were analyzed using SPSS for Windows 19.0 program and confirmatory factor analysis with the structural equation model (SEM) procedure performed with AMOS 19.0 program. RESULTS: Results of this study showed that perceived self-efficacy was the strongest factor influencing medication adherence, and it affected also outcome expectations positively but impediments were negatively influenced by self-efficacy. Outcome expectations and impediments subsequently acted on medication adherence with the same relationship as self-efficacy. In additional results, self-efficacy and medication adherence were further significantly affected by the factors; social support, medication knowledge, and depression. CONCLUSION: These results show that nursing interventions to promote medication adherence in this population should focus on self-efficacy promotion including social support, education for delivery of medication knowledge, and reduction in depression.

Trends in Research Studies Published in Journal of Korean Academy of Fundamentals of Nursing: 2009-2011 / 기본간호학회지

PURPOSE: The purpose of this study was to identify the trends in research studies published in Journal of Korean Academy of Fundamentals of Nursing from 2009 to 2011. METHODS: A total of 156 studies published between 2009 and 2011 were reviewed using analysis criteria developed by the researchers. RESULTS: Quantitative studies accounted for 90.4% and qualitative studies, 8.3%. The research designs for the quantitative studies were experimental, 28.0% and survey, 63.8%. IRB approval was received for only 25.6% of the studies and 61.0% of studies presented participant criteria. Questionnaires were used for data collection in 90.8% of studies. Individual or group education was the most frequent intervention in the experimental studies. CONCLUSION: The results indicate that more randomized controlled trials with a low risk of bias are needed to support greater evidence-based nursing practice. Considering the low rate of ethical consideration, it is important that stricter application of research methods needs to be encouraged to improve the quality of Journal of Korean Academy of Fundamentals of Nursing.

Breast Cancer Screening Practice and Health-Promoting Behavior Among Chinese Women

PURPOSE: This study examined breast cancer screening practice and health promoting behaviors and the predicting factors of breast cancer screening practice in Chinese women. METHODS: A correlational research design was used to recruit a convenience sample of 770 women living in four cities (Beijing, Shanghai, Guangzhou, and Xi'an) in China. Participants completed self-report questionnaire consisting of general characteristics, breast cancer screening, health promoting behaviors, perceived benefits and perceived barriers. RESULTS: The participants were mostly 36-55 years old (51.3%), married (86.8%), premenopause (77.7%), had children (83.4%), and breastfed (73%). About 60% of Chinese women participated in some type of breast cancer screening practices, among them only 60 (7.8%) women used mammography, ultrasonogram and breast self-examination. The main reason for doing breast cancer screening was "feeling necessary for the screening". About 36% of the participants reported they did not perform any of screening practices, because they "don't feel it necessary". The women who had breast cancer screening regularly reported better health promoting behavior and perceived benefits and less perceived barriers than those who did not (F = 10.45, p < .001). Logistic regression showed that model 1 (age, higher education, being employed) and model 2 (perceived benefits and health behaviors) were the significant predicting factors (p < .05), explaining 10-13.8% of variance in breast cancer screening practice. CONCLUSION: On the basis of these results, public education about importance of breast cancer screening and health promoting behavior should be strongly advocated by health professionals and mass media in China.

A Study to Identify Contents of the Journal through Review of Classification of Sectional Editorship / 기본간호학회지

PURPOSE: The purpose of this study was to provide data for development of the Journal of Fundamentals of Nursing through reviewing classification of sectional editorship. METHODS: Descriptive statistical analysis was used, to identify content then, the classifications of sectional editorship were reviewed. RESULTS: The categories, "Basic concepts of nursing" (30.2%:17.9%), "Needs for comfort" (15.9%:13.1%), "Nursing education" (12.7%:12.7%), and "Needs for activity and exercise" (7.1%:7.1%) were most frequent through both the 1st and 2nd sectional editorship. CONCLUSION: Classification of sectional editorship was developed to clarify the educational purpose of fundamentals of nursing, and was modified through reflections by researchers. The current classification of sectional editorship is not a permanent formula, so using various viewpoints in further examination is needed.

Effects of Cancer-Overcome BeHaS (Be Happy and Strong) Exercise Program on Shoulder Joint Function, Stress, Body Image and Self-esteem in Breast Cancer Patients after Surgery / 기본간호학회지

PURPOSE: The purpose of this study was to identify the effects of cancer-overcome BeHaS exercise program on shoulder joint function, stress, body image and self-esteem in women who have had surgery for breast cancer. METHOD: A non-equivalent control group pre-post test design with an experimental group (n=25) and a control group (n=25) was used. The experimental group participated in the program once a week for eight weeks. Data were analyzed using descriptive statistics and Chi square and t-test with the SPSS Win 17.0. RESULTS: There were significantly increased in shoulder joint function (p=.012), body image (p=.001), and self-esteem (p=.013), and significantly decreased in stress (p=.003). CONCLUSION: The results suggest that breast cancer-overcome BeHaS exercise program had beneficial effects on shoulder joint function, body image, self-esteem and stress in patients who have had surgery for breast cancer.

Content and Educational Needs for Fundamental Nursing Practice / 기본간호학회지

PURPOSE: The purpose of this study was to identify content of Fundamental Nursing Practice (FNP) and the educational needs for nursing practice items in schools of nursing. METHODS: Participants were 81 professors who were teaching FNP and 166 clinical nurses. The research questionnaire included 148 practice items, which were selected by content analysis of 7 FNP textbooks. Data were collected from May 20 to July 27, 2011 and analyzed using descriptive statistics and t-test with SPSS 17.0. RESULTS: The research findings showed that : 1) the seven items included in the education content of all schools of nursing were putting on sterile gloves, checking radial pulse, checking blood pressure in the arm, Foley catheterization, injection preparation with ampule, intramuscular injection in the buttocks, and mixing intravenous fluid. Fifty items were included in the content in more than 80% of the schools. 2) Educational domains needing emphasis were medication, infection control, health assessment, oxygenation, urinary elimination, activity/positioning, and nutrition. There were significant differences in reported educational needs between professors and clinical nurses for 62.8% of practice items. CONCLUSIONS: Results indicated that standardization of FNP education contents using the findings of this study should lead to improvement in quality of FNP education.

The Association between hs-CRP Concentration of Blood and Metabolic Syndrome in the Residents of a Rural Community / 대한지역사회영양학회지

This study investigated the correlations and risk distribution differences between high sensitivity C-reactive protein (hs-CRP) and the diagnosis factors of metabolic syndrome among the residents of a rural community. Two thousand adults aged from 40 to 70 were recruited and 1,968 subjects were included in the study after excluding those with infectious disease or with hs-CRP higher than 10 mg/L in blood. The subjects were then divided into three groups of hs-CRP to examine the correlations and risk ratio with the risk factors of metabolic syndrome. There was a tendency of hs-CRP increasing according to the number of risk factors of metabolic syndrome. The risk ratio with hs-CRP according to metabolic syndrome significantly increased by 2.0 and 2.2 times in the intermediate and high risk group, respectively, compared with the low risk group. The risk ratio with the risk factors of metabolic syndrome according to hs-CRP rose in abdominal obesity, triglyceride, and W/Ht in the intermediate risk group of hs-CRP. The risk ratio also surged in high pressure, W/Ht, ex-drinking (1.7 times), exsmoking (2.0 times) and current smoking (2.0 times) in the high risk group. The results indicate that hs-CRP is related to the risk factors of metabolic syndrome and that it's very important to manage obesity including abdominal obesity and W/Ht and everyday habits including drinking and smoking.

How Do the Drinking Motives and Expectancies Relate to Drinking Problems among University Students? / 가정의학회지

BACKGROUND: This study evaluated how the alcohol drinking motives and alcohol drinking expectancies, as the internal factors, would relate to university students' alcohol drinking problems. METHODS: The general characteristics, the alcohol drinking problems, the motives to drink, and drinking expectancy were surveyed with 197 university students (106 males, 91 females) who visited the Health Center of Chungnam National University. RESULTS: The alcohol drinking amount per drink (P < 0.001), weekly alcohol drinking frequency (P < 0.001), alcohol drinking problem score (P < 0.001), the score of drinking expectancy (P < 0.001) and motives to drink for each domain (P < 0.05) for male students were significantly higher or larger than those of the female students. The distribution of the number of binge, heavy and at risk drinkers didn't show significant difference between sexes. The drinking problem score, the score of drinking expectancy and motives to drink for each domain showed significant (P < 0.001) positive correlation and male students displayed a higher positive correlation than that of female. Stepwise multiple regression analysis was conducted to evaluate the influence on drinking problem score. The male students' drinking problem score was associated with the score of coping motive, lower grade, the score of enhancement motive and drinking expectancy (R2, 0.325; P < 0.05) whereas those of female students were related to the score of social and coping motive (R2, 0.477; P < 0.001). CONCLUSION: The common factor that related to drinking problem for both male and female students was the coping motive to resolve negative feeling. In addition, the enhancement motive and drinking expectancy in male students and the social motive in female students were the associated factors.

How Do the Drinking Motives and Expectancies Relate to Drinking Problems among University Students? / 가정의학회지

BACKGROUND: This study evaluated how the alcohol drinking motives and alcohol drinking expectancies, as the internal factors, would relate to university students' alcohol drinking problems. METHODS: The general characteristics, the alcohol drinking problems, the motives to drink, and drinking expectancy were surveyed with 197 university students (106 males, 91 females) who visited the Health Center of Chungnam National University. RESULTS: The alcohol drinking amount per drink (P < 0.001), weekly alcohol drinking frequency (P < 0.001), alcohol drinking problem score (P < 0.001), the score of drinking expectancy (P < 0.001) and motives to drink for each domain (P < 0.05) for male students were significantly higher or larger than those of the female students. The distribution of the number of binge, heavy and at risk drinkers didn't show significant difference between sexes. The drinking problem score, the score of drinking expectancy and motives to drink for each domain showed significant (P < 0.001) positive correlation and male students displayed a higher positive correlation than that of female. Stepwise multiple regression analysis was conducted to evaluate the influence on drinking problem score. The male students' drinking problem score was associated with the score of coping motive, lower grade, the score of enhancement motive and drinking expectancy (R2, 0.325; P < 0.05) whereas those of female students were related to the score of social and coping motive (R2, 0.477; P < 0.001). CONCLUSION: The common factor that related to drinking problem for both male and female students was the coping motive to resolve negative feeling. In addition, the enhancement motive and drinking expectancy in male students and the social motive in female students were the associated factors.

Study on the Present Status of Practicum of Fundamentals of Nursing and Test for Competency of Nursing Skills / 기본간호학회지

PURPOSE: In this study the present status of the practicum in Fundamentals of Nursing and test for student competency in nursing skills were surveyed. METHOD: Participants included 72 nursing schools. A structured questionnaire was used for data collection and SPSS 17.0 for data analysis. RESULTS: Credits for Fundamentals of Nursing, credits for practicum and hours per credit were 2.93, 7.34, and 2.14 respectively. Number of students per practice unit, full time assistants and students per assistant were 28.6, 0.6, and 20.2 respectively. Utilization of CPX room and OSCE room for practice was 5.6%, and 9.7% respectively. Of the school, 32.0% included clinical practice in the practicum. 90.3% provided an open lab but only 48.4% had full-time assistants for these clinical practice areas. Testing for nursing skill competency was performed twice a semester in most schools. Utilization of standard patients and high fidelity models for testing was 8.3%, and 23.6% respectively. The test was thought to be inappropriate in 33.4% of the schools. CONCLUSIONS: The results suggest that to improve the outcomes, the practicum for Fundamentals of Nursing needs to be changed to include expansion of facilities and human resources, utilization of standard patients and high fidelity models and development of appropriate test methods.

The Effects of the BeHaS Exercise Program on Balance and Walking Ability in Middle-aged Women with Knee Osteoarthritis / 기본간호학회지

PURPOSE: The purpose of this study was to determine the effects of the BeHaS exercise program on balance and walking ability in middle-aged women with knee osteoarthritis. METHOD: Participants were 36 patients (experimental group: 18, control group: 18) with knee osteoarthritis. Women with knee osteoarthritis in the experimental group participated in the BeHaS exercise program for 65 to 90 minutes per session twice a week for 12 weeks. Data were collected by a structured interview and measurement tool from September 1, 2005 to March 30, 2006. Descriptive statistics, such as frequency, percentages, means, SD and t-test, Chi square test were used with the SPSS Win 12.0 to analyze the data. RESULTS: There was a significant difference between the two groups for dynamic balance, but differences in balance and walking ability were only partially supported. CONCLUSION: These findings indicate that the BeHaS exercise program could be a good nursing intervention for health maintenance and promotion of patients with knee osteoarthritis. Further research is needed in order to confirm these findings in elderly people with osteoarthritis.

The hs-CRP Levels and the Metabolic Syndrome according to Glucose Intolerance in Inhabitants of Rural Communities

PURPOSE: This study was to investigate the relations and odds ratio between hs-CRP and the risk factors of metabolic syndrome according to glucose intolerance and diabetes among the residents of a rural community. METHODS: The subjects include 1,968 adults aged from 40 to 70 who were divided into four groups and a diabetes group according to glucose intolerance to compare the relations and risk ratio between hs-CRP and the risk factors of metabolic syndrome. RESULTS: The results reveal that the greater the subjects' glucose intolerance was, the higher their hs-CRP became and the more risk factors of metabolic syndrome they had. The impaired glucose tolerance group showed 1.7 times higher blood pressure than the control group. The diabetes group showed a high odds ratio with 2.3 times higher blood pressure, 2.2 times higher abdominal obesity, and 2.4 times higher W/Ht than the control group. And the odds ratio increased significantly by 1.7 times in the hs-CRP intermediate risk group and 2.5 times in the high risk group compared with the control group. CONCLUSION: Considering the study results, it is very important to monitor abdominal obesity, blood pressure and the intermediate and high risk group of hs-CRP in order to reduce the contraction of cardiovascular diseases.

The Effect of Cancer-overcome BeHaS Exercise Program on Pain, Flexibility, Grip Strength and Stress in Breast Cancer Patients Following Surgery / 기본간호학회지

PURPOSE: The purpose of this study was to investigate the effect of cancer-overcome BeHaS exercise program on pain, flexibility, grip strength and stress in patient with breast cancer following surgery. METHOD: Study was designed as a non-synchronized research method with a nonequivalent control group. Data collection was performed from September 2007 to January 1, 2008. Participants were 34 patients (experimental group: 19, control group: 15) undergoing surgery for breast cancer in a hospital in D city. Women in the experimental group were participated in the cancer-overcome BeHaS (Be Happy and Strong) exercise program for 60 minutes per session once a week for 8 weeks and it was recommended that they do the exercises once more each week at home. The control group received one education session on breast cancer management. RESULTS: There were no significant differences between the two groups for pain, flexibility or grip strength. But stress in experimental group was significantly decreased compared to that of the control group. CONCLUSION: This result suggests that cancerovercome BeHaS exercise program is helpful to reduce stress in patients after breast cancer surgery. Further research is needed for multi-dimensional evaluation on psycho-social effects of cancer-overcome BeHaS exercise program.

Correlation Study on Physiological Stress from Drinking, Alcohol Abstinence Self-efficacy and Outcome Expectancy in Youths / 기본간호학회지

PURPOSE: The purpose of this study was to identify the relationships among distress from drinking, alcohol abstinence self-efficacy and outcome expectancy in youths. METHOD: The participants in this study were 174 university students who were enrolled by convenience sampling. The data were collected from March to August, 2005. Descriptive statistics and Pearson's correlation coefficients with SPSS 12.0 were used to analyze the data. RESULTS: There were significant differences in the physical distress from drinking according to gender, age, residence, drinking frequency and drinking capacity. There were significant differences in alcohol abstinence self-efficacy by drinking frequency and drinking capacity. There were significant differences in drinking outcome expectancy according to gender, drinking frequency and drinking capacity. The physical distress from drinking showed a significant positive correlation with alcohol abstinence self-efficacy (r=.312, p=.000) and negative correlation with drinking outcome expectancy (r=-.353, p=.000). Alcohol abstinence self-efficacy showed a significant negative correlation with drinking outcome expectancy (r=-.387, p=.000). CONCLUSION: There were relationships among physical distress from drinking, alcohol abstinence self-efficacy, and drinking outcome expectancy. These findings provide the basis to prevent problems of drinking by developing alcohol control program for university students.