Journal of Korean Academy of Nursing

Volume 44(4); August 2014

Original Articles

Comparison of Demographic Characteristics, Comorbidity, and Health Habits of Older Adults with Mild Cognitive Impairment and Older Adults with Normal Cognitive Function: Myonghwa Park, Mi Ra Sung, Sun Kyung Kim, Dong Young Lee; J Korean Acad Nurs 2014;44(4):351-360. Published online August 15, 2014; DOI: https://doi.org/10.4040/jkan.2014.44.4.351

Abstract Purpose

This study was done to compare demographic characteristics, comorbidity, and health habits of elders with mild cognitive impairment (MCI) and elders with cognitively normal function (CNF).

Methods

Secondary data analysis was conducted using data from the Database of the Seoul Dementia Management Project for 5,773 adults age 60 and above.

Results

The MCI group showed an older age distribution, but there was no significant education difference between the two groups. Elders with MCI had more diabetes and stroke than elders with CNF. In subgroups, the same findings were observed in women, but not in men. While more men with MCI had hypertension compared to men with CNF, there was no significant difference in hypertension between the two groups for women. Elders with MCI, men in particular, had a lower prevalence of obesity than men with CNF. MCI individuals did less exercise compared to individuals with CNF. While there were no significant differences in alcohol consumption and smoking between MCI and CNF groups, the over 80's subgroup with MCI reported more alcohol consumption.

Conclusion

Findings from this study could be helpful in designing community-based dementia prevention programs and health policies to reduce the prevalence of dementia or related cognitive impairments.

Citations

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Manchmal trink ich auch Wasser… – Alkoholkonsum von Menschen mit leichter kognitiver Beeinträchtigung
Carolin Donath, Elmar Gräßel, Julia-Sophia Scheuermann, Sophia Bösl, Petra Scheerbaum
Psychiatrische Praxis.2024; 51(01): 39. CrossRef
Development of an Internet of things-based treatment adherence program among older adults with mild cognitive impairment using Intervention Mapping: A developmental study
Jinhee Shin, Eunhee Cho, Gwang Suk Kim, Heejung Kim, Byoung Seok Ye, Chang-Gi Park
Journal of Korean Gerontological Nursing.2023; 25(3): 217. CrossRef
Characteristics and Factors Associated with Cognitive Decline of Elderly with Mild Cognitive Impairment
Eul Hee Roh
Journal of Health Informatics and Statistics.2023; 48(3): 179. CrossRef
Potential genetic biomarkers are found to be associated with both cognitive function and blood pressure: A bivariate genome-wide association analysis
Liming Zhang, Weijing Wang, Chunsheng Xu, Haiping Duan, Xiaocao Tian, Dongfeng Zhang
Mechanisms of Ageing and Development.2022; 204: 111671. CrossRef
Examining the effects of multiple chronic conditions on cognitive decline and potential moderators among older Koreans: Findings from the Korean Longitudinal Study of Ageing 2006–2016
Yura Lee, Chi C. Cho
Archives of Gerontology and Geriatrics.2021; 95: 104424. CrossRef
Correlation between Sleep, Depression, Metabolic Syndrome and Cognition in Community Dwelling Elderly
Joohee Shim, Jihyun Baek
Journal of Health Informatics and Statistics.2021; 46(2): 212. CrossRef
Differential Deficits of Nouns and Verbs in a Generative Naming Task for Individuals with Mild Cognitive Impairment
Sujin Choi, Jee Eun Sung, Jee Hyang Jeong
Communication Sciences & Disorders.2020; 25(1): 50. CrossRef
Correlates of cognitive impairment in patients with chronic kidney failure on haemodialysis: Systematic review and meta‐analysis
HyunSoo Oh, JinA Mo, WhaSook Seo
Journal of Advanced Nursing.2019; 75(5): 962. CrossRef
Factors Influencing Participation in National Health Screening Program among Korean Older Adults by Cognitive Function Level
Song Yi Han, Young Ko
Journal of Korean Academy of Community Health Nursing.2019; 30(4): 508. CrossRef
Causal Relationships Between Modifiable Risk Factors of Cognitive Impairment, Cognitive Function, Self-Management, and Quality of Life in Patients With Rheumatic Diseases
JiSuk Park, HyunSoo Oh, Won Park, SeongRyul Kwon, OkKyung Ham, YeonOk Suh, HyeSun Jeong, WhaSook Seo
Orthopaedic Nursing.2018; 37(5): 305. CrossRef
Factors affecting cognitive function according to gender in community-dwelling elderly individuals
Miwon Kim, Jeong-Mo Park
Epidemiology and Health.2017; 39: e2017054. CrossRef
The Effects of a Functional Game (Rejuvenescent Village) for Older Koreans’ Cognitive Function, Instrumental Activities of Daily Living, Depression, and Life Satisfaction
Kyung Choon Lim, Min Ho Chun
Journal of Korean Biological Nursing Science.2016; 18(4): 296. CrossRef
Effect of an educational tooth-brushing program using priming in an elderly population with dementia residing in nursing homes
Gwi-Ryung Son Hong, Jung-Soo Woo
Journal of Korean Academy of Oral Health.2016; 40(3): 149. CrossRef
Correlates of Cognitive Impairment of Rheumatic Disease: Systematic Review and Meta-analysis
JinA Mo, JiSuk Park, HyunSoo Oh
Journal of Korean Academy of Nursing.2016; 46(1): 1. CrossRef
Reversion to Normal Cognition and Its Correlates among the Community-dwelling Elderly with Mild Cognitive Impairment: the Longitudinal Cohort Study
Younhee Kang, Sun A Whang, Kuemju Park
Korean Journal of Adult Nursing.2015; 27(6): 656. CrossRef

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Mediating Effect of Self-efficacy in the Relationship between Anger and Functional Health of Homeless Men: Su In Park, Sunah Kim; J Korean Acad Nurs 2014;44(4):361-370. Published online August 29, 2014; DOI: https://doi.org/10.4040/jkan.2014.44.4.361

Abstract PDF

Purpose

The purpose of this study was to examine the mediation of self-efficacy in the relationship between anger and the functional health of homeless men in order to provide a basis for planning nursing interventions to improve the functional health of homeless persons.

Methods

The participants were 137 homeless men who lived in homeless shelters or visited one center serving free meals for homeless persons in Seoul. Data were collected using self-report questionnaires and analyzed with the SPSS-WIN 20.0 program. The instruments were the Functional Health Pattern Screening Assessment Tool (FHPAST), Self-efficacy Scale (SES), and State-trait Anger Expression Inventory-Korean version (STAXI-K).

Results

The mean score for functional health was 2.41. Overall self-efficacy was 70.82. state anger was 16.53, trait anger was 19.54, and anger expression was 25.31. There were signigicant correlations among the 3 variables, functional health, self-efficacy, and anger. Also, self-efficacy had a complete mediating effect in the relationship between anger and functional health.

Conclusion

Based on the findings of this study, health management programs focusing on anger management and self-efficacy improvement are highly recommended to promote functional health in homeless persons.

Citations

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Factors influencing satisfaction with medical services in medically underserved populations: an analytical cross-sectional study at a free medical clinic in the Republic of Korea
Joo Hyun Kim, Yeon Jeong Heo, Jae Bok Kwak, Samil Park, Curie Ahn, So Hee Ahn, Bumjo Oh, Jung Sik Lee, Jun Hyun Lee, Ho Young Lee
Osong Public Health and Research Perspectives.2025;[Epub] CrossRef
The Urban Poor Patients’ Experience of Visiting a Free Clinic
Joo Hyun Kim, Yeon Jeong Heo, Jae Bok Kwak, So Hee Ahn, Bumjo Oh, Jung Sik Lee, Ho-Young Lee
Journal of Korean Association for Qualitative Research.2023; 8(2): 137. CrossRef
Association between post‐traumatic stress symptoms and functional health among internally displaced people in Myanmar
Go‐Un Kim, Eunyoung Jung, Mi‐So Shim, Gwang Suk Kim
Journal of Psychiatric and Mental Health Nursing.2022; 29(4): 555. CrossRef
Factors Influencing Functional Health of Patients with Chronic Insomnia based on Theory of Unpleasant Symptoms
Eun Kyoung Han, Sunah Kim, In-Young Yoon
Korean Journal of Adult Nursing.2019; 31(2): 165. CrossRef
A Phenomenology Study of the Lived Experience of Homeless Persons
Jin Ju Kim, Eunyoung Park, Myungsun Hyun
Journal of Korean Academy of Psychiatric and Mental Health Nursing.2017; 26(1): 88. CrossRef
Comparing anger, anger expression, life stress and social support between Korean female nursing and general university students
Won Hee Jun, Gyungjoo Lee
Journal of Advanced Nursing.2017; 73(12): 2914. CrossRef
Anger expression, self‐efficacy and interpersonal competency of Korean nursing students
W.‐H. Jun
International Nursing Review.2016; 63(4): 539. CrossRef
Mediating Effect of Self-Efficacy in the Relationship between Internalized Stigma and Treatment Adherence of Community Dwelling Patients with Mental Illness
Jin Hee Kim, Hyunjoo Na
Journal of Korean Academy of Psychiatric and Mental Health Nursing.2016; 25(1): 11. CrossRef
Trait Anger, Anger Expression, Positive Thinking and Gratitude in College Students
Won-Hee Jun
Journal of Korean Academy of Psychiatric and Mental Health Nursing.2016; 25(1): 28. CrossRef

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Effects of Antioxidant on Reduction of Hindlimb Muscle Atrophy Induced by Cisplatin in Rats: Jin il Kim, Myoung-Ae Choe; J Korean Acad Nurs 2014;44(4):371-380. Published online August 29, 2014; DOI: https://doi.org/10.4040/jkan.2014.44.4.371

Abstract PDF

Purpose

The purpose of this study was to examine the effects of Cu/Zn SOD on reduction of hindlimb muscular atrophy induced by cisplatin in rats.

Methods

Forty-two rats were assigned to three groups; control group, Cisplatin (CDDP) group and cisplatin with Cu/Zn SOD (CDDP-SOD) group. At day 35 hindlimb muscles were dissected. Food intake, activity, withdrawal threshold, muscle weight, and Type I, II fiber cross-sectional area (CSA) of dissected muscles were measured. Relative SOD activity and expression of MHC and phosphorylated Akt, ERK were measured after dissection.

Results

Muscle weight and Type I, II fiber CSA of hindlimb muscles in the CDDP group were significantly less than the control group. Muscle weight and Type I, II fiber CSA of hindlimb muscles, food intake, activity, and withdrawal thresholds of the CDDP-SOD group were significantly greater than the CDDP group. There were no significant differences in relative SOD activities of hindlimb muscles between the CDDP-SOD and CDDP groups. MHC expression and phosphorylated Akt, ERK of hindlimb muscles in the CDDP-SOD group were significantly greater than the CDDP group.

Conclusion

Cu/Zn SOD attenuates hindlimb muscular atrophy induced by cisplatin through increased food intake and activity. Increment of phosphorylated Akt, ERK may relate to attenuation of hindlimb muscular atrophy.

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Polyphenols and their potential role in preventing skeletal muscle atrophy
Sara Salucci, Elisabetta Falcieri
Nutrition Research.2020; 74: 10. CrossRef
Protective Effect of Tea Grape Extract on Cisplatin-Induced Muscle Atrophy: A Morphological Study
Mehmet Sabri Balik, Levent Tumkaya, Tolga Mercantepe, Adnan Yilmaz, Gulsah Balik, Atilla Topcu, Zihni Yazici
Iranian Red Crescent Medical Journal.2018;[Epub] CrossRef
Use of Animals for Nursing Research in Korea
Hae Young Yoo
Journal of Korean Biological Nursing Science.2015; 17(4): 324. CrossRef

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Effects of a Progressive Walking Program on Physical Activity, Exercise Tolerance, Recovery, and Post-Operative Complications in Patients with a Lung Resection: Inah Kim, Haejung Lee; J Korean Acad Nurs 2014;44(4):381-390. Published online August 15, 2014; DOI: https://doi.org/10.4040/jkan.2014.44.4.381

Abstract PDF

Abstract Purpose

The purpose of this study was to identify the effects of a Progressive Walking program (PW) on physical activity, exercise tolerance, recovery, and post-operative complications for patients with a lung resection.

Methods

A nonequivalent control group non-synchronized design was utilized and 37 participants with a lung resection (22 for control group, 15 for experimental group) were recruited at A university hospital from December 2012 to August 2013. The PW consisted of preoperative education, goal setting, and feedback, provided to the experimental group, and usual care to the control group. Data were analyzed using the SPSS WIN 18.0.

Results

A higher proportion of patients in the experimental group showed adequate levels of physical activity (p= .001), shorter period of chest tube retention (≤ 7 days; p= .011), and shorter stay in the hospital (≤ 10 days; p= .036) than patients in the control group. Patients in the experimental group reported longer 6-minute walking distance (p= .032) and lower levels of dyspnea (p= .049) than patients in the control group. The PW did not influence the occurrence of pulmonary complications.

Conclusion

The findings of this study suggest that the PW could be a useful strategy for improving patients’ post-operative health and reducing cost after lung resection.

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Effects of patient-based self-assessed fatigue intervention on early postoperative ambulation following gynaecological oncology surgery: a randomised controlled non-inferiority trial
Qian Du, Bo Chen, Xiaohong Zhang, Hong He, Xiaomin Qin, Lin Li, Junyi Du, Xindi He, Shaoyong Xu, Huang Xiaojie
BMJ Open.2024; 14(7): e078461. CrossRef
Walking to a better future? Postoperative ambulation after cesarean delivery and complications: A prospective study
Offra Engel, Einat Haikin Herzberger, Yael Yagur, Anat Hershko Klement, Ami Fishman, Naama Constantini, Tal Biron Shental
International Journal of Gynecology & Obstetrics.2022; 157(2): 391. CrossRef
Effectiveness of Exercise after Lung Cancer Surgery: A Systematic Review in PubMed Database
Ui Min Jerng
Journal of Korean Medicine Rehabilitation.2021; 31(1): 149. CrossRef
Applying Extended Theory of Planned Behavior for Lung Cancer Patients Undergone Pulmonary Resection: Effects on Self-Efficacy for Exercise, Physical Activities, Physical Function, and Quality of Life
Yeonjung Lim, Haejung Lee, Do Hyung Kim, Yeong Dae Kim
Journal of Korean Academy of Nursing.2020; 50(1): 66. CrossRef
Preoperative exercise training for patients with non-small cell lung cancer
Vinicius Cavalheri, Catherine Granger
Cochrane Database of Systematic Reviews.2017;[Epub] CrossRef
The Effects of a Standardized Preoperative Education Program on Stomach Cancer Patients undergoing Gastrectomy
Min Ah Yun, So Sun Kim, SangHee Kim, Sung Hoon Noh
Asian Oncology Nursing.2016; 16(2): 85. CrossRef

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Factors Affecting Dementia Prevalence in People Aged 60 or Over: A Community based Cross-sectional Study: Seong Min Kim, Hyun-Ju Seo, Mi Ra Sung; J Korean Acad Nurs 2014;44(4):391-397. Published online August 29, 2014; DOI: https://doi.org/10.4040/jkan.2014.44.4.391

Abstract PDF

Purpose

This study was done to examine the association between body mass index (BMI) and any type of clinical dementia.

Methods

Participants were 60,321 people over 60 years of age enrolled in the Seoul Dementia Management Project in 2011. K-MMSE was used to classify participants as having a cognitive impairment and the Clinical Dementia Rating or DSM-IV by psychiatrists or neurologists to determine whether participants were in the dementia group or the non-dementia group. Descriptive statistics, chi-square test, and binary logistic regression analysis were performed.

Results

In the univariate analysis, age, education level, living with spouse, BMI, alcohol consumption, and exercise were significantly associated with dementia. In multivariable analysis, increasing age was positively associated with dementia, and educational level was negatively associated with dementia. The exercise group had a lower prevalence of dementia than the non-exercise group. The odds ratio of dementia in the over-weight and obese groups compared to the normal group was 0.85 (95% CI 0.60, 0.98) and 0.64 (95%CI 0.46, 0.75), respectively.

Conclusion

Results indicate that dementia is negatively associated with increasing BMI in people aged 60 years or older, but a prospective cohort study is needed to elucidate the causal effect relationship between BMI and dementia.

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A comparison of dementia care and policy in five Asian regions: A literature review
Younhee Kang, Dukyoo Jung, Jay Jung Jae Lee, Sumalee Lirtmunlikaporn, Huei-Chuan Sung, Miyae Yamakawa, Yujin Hur, Leeho Yoo
Journal of Korean Gerontological Nursing.2023; 25(2): 174. CrossRef
Associations Among Health Insurance Type, Cardiovascular Risk Factors, and the Risk of Dementia: A Prospective Cohort Study in Korea
So-Hyun Moon, Hyun-Ju Seo, Dong Young Lee, Seong Min Kim, Jeong Min Park
International Journal of Environmental Research and Public Health.2019; 16(14): 2616. CrossRef
Factors affecting aging cognitive function among community‐dwelling older adults
Chun‐Ja Kim, JeeWon Park, Se‐Won Kang, Elizabeth A. Schlenk
International Journal of Nursing Practice.2017;[Epub] CrossRef
Convergence factors among their physical state, function and activities influencing on the cognition of elderly residents in a community
Jin-Kyoung Park
Journal of the Korea Convergence Society.2015; 6(6): 153. CrossRef

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Validity and Reliability of the Korean Version of the Pain Assessment Checklist for Seniors with Limited Ability to Communicate: Eun-Kyung Kim, Se Young Kim, Mi Ran Eom, Hyun Sook Kim, Eunpyo Lee; J Korean Acad Nurs 2014;44(4):398-406. Published online August 29, 2014; DOI: https://doi.org/10.4040/jkan.2014.44.4.398

Abstract PDF

Purpose

This study was done to develop and test the validity and reliability of the Korean version of the Pain Assessment Checklist for Seniors with Limited Ability to Communicate (PACSLAC-K) in assessing pain of elders with dementia living in long-term care facilities.

Methods

The PACSLAC-K was developed through forward-backward translation techniques. Survey data were collected from 307 elders with dementia living in 5 long-term care facilities in Korea. Data were analyzed using descriptive statistics, Pearson correlation, Spearman's rho, paired t-test, ROC (receiver operation characteristic) curve with the SPSS/WIN (20.0) program.

Results

The PACSLAC-K showed high internal consistency (.90), inter-rater reliability (.86), intra-rater reliability (.93), and high concurrent validity (.74) in paired t-test with PAINAD. Discriminant validity also showed a significant difference compared with no pain. The PACSLAC-K showed a sensitivity of .93, specificity of .88, and Area Under the Curve of .95 in the ROC curve.

Conclusion

The findings of this study demonstrate that PACSLAC-K is useful in assessing pain for elders with dementia living in long-term care facilities.

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Quality of Assessment Tools for Aphasia: A Systematic Review
Francescaroberta Panuccio, Giulia Rossi, Anita Di Nuzzo, Ilaria Ruotolo, Giada Cianfriglia, Rachele Simeon, Giovanni Sellitto, Anna Berardi, Giovanni Galeoto
Brain Sciences.2025; 15(3): 271. CrossRef
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Vivian Tran, Emily Winters, Eleni Stroulia, Thomas Hadjistavropoulos
Aging & Mental Health.2024; 28(4): 611. CrossRef
Measuring Pain in Aphasia: Validity and Reliability of the PACSLAC-D
Neeltje J. de Vries, Jenny T. van der Steen, Wilco P. Achterberg, Hanneke J.A. Smaling
Pain Management Nursing.2023; 24(4): e68. CrossRef
Development of the Korean Version of the Pain Assessment Tool in Impaired Cognition (KPAIC-15) for Patients with Dementia: A Scale Development
Sun Young Lim, Su Jung Lee, Sung Ok Chang
Journal of Korean Gerontological Nursing.2022; 24(2): 218. CrossRef
Reliability and Feasibility of the Pain Assessment in Advanced Dementia Scale–Korean Version (PAINAD-K)
So-Hi Kwon, Yeon-Su Cho, Hyunsim Kim
Pain Management Nursing.2021; 22(5): 660. CrossRef
Validation of Pain Assessment Checklist for Seniors with Limited Ability to Communicate‐II (PACSLAC‐II) in Iranian older adults with dementia living in nursing homes
Marjan Haghi, Reza Fadayevatan, Mahtab Alizadeh‐khoei, Bijan Kaboudi, Mahshid Foroughan, Behrouz Mahdavi
Psychogeriatrics.2020; 20(3): 278. CrossRef
Development and Effect of Evidence-based Nursing Practice Guidelines for Pain Management in Patients with Dementia
Young Seun Ryu, Jeong Sook Park
Korean Journal of Adult Nursing.2019; 31(2): 176. CrossRef
Protocolos de gestión del dolor en demencia avanzada
Mercedes Montoro-Lorite, Montserrat Canalias-Reverter
Enfermería Clínica.2018; 28(3): 194. CrossRef
Advanced dementia pain management protocols
Mercedes Montoro-Lorite, Montserrat Canalias-Reverter
Enfermería Clínica (English Edition).2018; 28(3): 194. CrossRef
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Karol Bezerra Thé, Fernanda Martins Gazoni, Guilherme Liausu Cherpak, Isabel Clasen Lorenzet, Luciana Alves dos Santos, Edlene Maria Nardes, Fânia Cristina dos Santos
Einstein (São Paulo).2016; 14(2): 152. CrossRef
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Kyung Mi Lee, Jun-Ah Song
Journal of Korean Gerontological Nursing.2016; 18(3): 147. CrossRef
Factors affecting nurse's pain management for patients with dementia
Young-Seun Ryu, Jeong-Sook Park
Journal of the Korea Academia-Industrial cooperation Society.2016; 17(9): 253. CrossRef

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Experience of Treatment Adherence in Korean Patients with HIV: Yunhee Park, Min Jeong Seo, Sanghee Kim, Soon-Young Park; J Korean Acad Nurs 2014;44(4):407-417. Published online August 29, 2014; DOI: https://doi.org/10.4040/jkan.2014.44.4.407

Abstract PDF

Purpose

The purpose of this study was to explore the subjective experience of Highly active Antiretroviral therapy (HAART) adherence in Korean patients with HIV.

Methods

A phenomenological methodology was used for the study. Data were collected from March to December, 2013 using open-ended questions during in-depth interviews. Participants were taking HAART for HIV, and were contacted through purposive techniques.

Results

Four men and 4 women whose average treatment period was 5.9 years participated in this study. Seven themes emerged from the analysis using Colazzi's method: (a) Seizing life in a deep sense of despair, (b) Struggling with medication, (c) Facing harsh treatment from health care providers, (d) Spoiling healthy pattern, (e) Hungering for communication and emotional support, (f) Turning to accepting HIV, (g) Becoming adherent to HIV treatment.

Conclusion

Prejudice from health care providers and lack of emotional support were barriers to HAART in Korea. Intervention strategies are needed to decrease prejudices from health care providers and to increase family support.

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Developing an app-based self-management program for people living with HIV: a randomized controlled pilot study during the COVID-19 pandemic
Mi-So Shim, Sunah Kim, Mona Choi, Jun Yong Choi, Chang Gi Park, Gwang Suk Kim
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Testing a Question Prompt Intervention to Improve Communication between Patients with HIV and Healthcare Providers: A Pilot Study
Gwang Suk Kim, Mi-So Shim, Jun Yong Choi, Jeong In Lee, Ji Min Kim
Journal of Community Health Nursing.2020; 37(3): 153. CrossRef
Nursing students' experiences as dementia partners in volunteer activities: An inductive content analysis
Dooree Kim, Yunhee Park
The Journal of Korean Academic Society of Nursing Education.2020; 26(2): 146. CrossRef
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Mi-So Shim, Gwang Suk Kim
International Journal of Environmental Research and Public Health.2020; 17(21): 8076. CrossRef
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Gwang Suk Kim, Jae-Phil Choi, Jeong Min Yi, Mi-So Shim
Journal of the Association of Nurses in AIDS Care.2019; 30(5): 575. CrossRef
Factors Influencing the Initiation of Treatment after the Diagnosis of Korean Patients with HIV
Mi-So Shim, Gwang Suk Kim, Chang Gi Park
Journal of Korean Academy of Community Health Nursing.2018; 29(3): 279. CrossRef
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Min Jung Kim, Sang Ah Lee, Hyun-Ha Chang, Min Ja Kim, Jun Hee Woo, Sang Il Kim, Chun Kang, Mee-Kyung Kee, Ju-yeon Choi, Yunsu Choi, Bo Youl Choi, June Myung Kim, Jun Yong Choi, Hyo Youl Kim, Joon-Young Song, Shin-Woo Kim
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CVD-related Knowledge, Perception, Belief and Prevention Behaviors of Korean Blue-collar Workers: Needs Assessment for Developing the Intervention Program through Qualitative Approach
Won Ju Hwang, Yunhee Park
Korean Journal of Occupational Health Nursing.2016; 25(4): 362. CrossRef

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Association between Efficiency and Quality of Health Care in South Korea Long-term Care Hospitals: Using the Data Envelopment Analysis and Matrix Analysis: Minsung Sohn, Mankyu Choi; J Korean Acad Nurs 2014;44(4):418-427. Published online August 29, 2014; DOI: https://doi.org/10.4040/jkan.2014.44.4.418

Abstract PDF

Purpose

Objectives of this study were to investigate the association between efficiency and quality of health care in Long-term Care Hospitals (LTCH) and determine related factors that would enable achievement of both high efficiency and high quality at the same time.

Methods

Major data sources were the "2012 Korean Assessment of Propriety by Long-term Care Hospitals" obtained from the Health Insurance Review & Assessment Service. Cost variables were supplemented by a National Tax Service accounting document. First, data envelopment analysis was performed by generating efficiency scores for each LTCH. Second, matrix analysis was conducted to ascertain association between efficiency and quality. Lastly, kruskal-wallis and mann-whitney tests were conducted to identify related factors.

Results

First, efficiency and quality of care are not in a relationship of trade-offs; thus, LTCH can be confident that high efficiency-high quality can be achieved. Second, LTCH with a large number of beds, longer tenure of medical personnel, and adequate levels of investment were more likely to have improved quality as well as efficiency.

Conclusion

It is essential to enforce legal standards appropriate to the facilities, reduce turnover of nursing staff, and invest properly in human resources. These consequences will help LTCH to maintain the balance of high efficiency-high quality in the long-run.

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Ha Sung Park, Daecheol Kim
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Difference in Recognition of Internal Customer Service Quality of Outsourcing Staff in Hospital Using IPA
Sung-Soo Kim
Journal of Health Informatics and Statistics.2018; 43(1): 80. CrossRef
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Hai-Won Yoo, Kyoung-Hoon Kim
The Korean Journal of Health Service Management.2016; 10(1): 1. CrossRef
Person-centered Care and Nursing Service Quality of Nurses in Long-term Care Hospitals
Hae Sagong, Ga Eon Lee
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A Study on Fitness Evaluation for Major Education of Competency Unit Element by the Development and Application of Subject Contents Based on NCS of Health Majoring Students at Junior Colleges
Min-Ja Kim, Hee-Jung Yang
Journal of the Korea Academia-Industrial cooperation Society.2016; 17(8): 508. CrossRef

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Effects of Newborn Care Education for First-time Fathers on Their Knowledge and Confidence in Newborn Care at Postpartum One Month: Hye-Sun An, Kyung-Sook Bang; J Korean Acad Nurs 2014;44(4):428-436. Published online August 29, 2014; DOI: https://doi.org/10.4040/jkan.2014.44.4.428

Abstract PDF

Purpose

This study was conducted to identify the effects of newborn care education for fathers on their knowledge and confidence in newborn care at postpartum one month.

Methods

A nonequivalent control group pretest posttest design was used. The participants were 53 first-time fathers of newborns, 27 in experimental group, and 26 in control group. They were recruited at the nursery of one municipal hospital in Seoul. For the experimental group, a 50-minute education on newborn care using video, verbal education, demonstration and practice were provided prior to discharge. Fathers' knowledge and confidence in newborn care and their satisfaction with the education program were measured at postpartum one month.

Results

The fathers in the experimental group showed significantly higher knowledge (t=-4.51, p<.001), and confidence in newborn care (t=-2.29, p=.026) compared to the control group at postpartum one month. Fathers in the experimental group had a satisfaction score of 27.37±2.73 immediately after the education, and 25.30±3.40 at postpartum one month.

Conclusion

Results indicate that newborn care education for first-time fathers is an effective method in enhancing the level of knowledge and confidence in newborn care. It can be used in the nursery department before discharge as a useful nursing intervention.

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Yijin Lee, Kyung-Sook Bang
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Pain Perception of Nurses and Pain Expression of Patients in Critical Care Units: Kyung Hee Bae, Ihn Sook Jeong; J Korean Acad Nurs 2014;44(4):437-445. Published online August 29, 2014; DOI: https://doi.org/10.4040/jkan.2014.44.4.437

Abstract PDF

Purpose

This study was done to identify pain perception (P-PER) by nurses and pain expression (P-EXP) by patients in critical care units (ICUs) and degree of agreement between nurses' P-PER and patients' P-EXP.

Methods

Nurses' P-PER was measured with a self-administered questionnaire completed by 99 nurses working in ICUs during May, 2013. Patients' P-EXP was measured with the Critical Care Non-Verbal Pain Scale through observations of 31 ICU patients during nine nursing procedures (NPs) performed between May and July, 2013.

Results

Nurses' P-PER was from 4.49 points for nasogastric tube (NGT) insertion to 0.83 for blood pressure (BP) measurement based on a 9-point scale, Patients' P-EXP was 4.48 points for NGT to 0.18 for BP measurement based on a 10-point scale. Eight NPs except oral care showed higher scores for nurses' P-PER than for patients' P-EXP. Position change (p=.019), subcutaneous injection (p<.001), blood sugar test (p<.001), and BP measurement (p<.001) showed significant differences between nurses' P-PER and patients' P-EXP.

Conclusion

Nasogastric tube (NGT) insertion was scored highest by both nurses and patients. Eight NPs except 'oral care' showed nurses' P-PER was higher or similar to patients' P-EXP, which indicates that nurses may overestimate procedural pain experienced by patients.

Citations

Citations to this article as recorded by

Understanding oral care in the intensive care unit: A qualitative study of nurse experiences and practices with mechanically ventilated patients
Li SuWen, Huang YuYang, Bu Wei
Nursing in Critical Care.2025;[Epub] CrossRef
A Systematic Review on Pain Assessment Tools for Intensive Care Unit Patients
Eun-Jeong Kim, Jiwon Hong, Jiyeon Kang, Na geong Kim, NaRi Kim, Su-Youn Maeng, Hye-Ryeon Park, Min Kyung Ban, Gun Young Yang, Kyung Suk Lee, Eun Hye Jang
Journal of Korean Critical Care Nursing.2020; 13(1): 44. CrossRef
Clinical Practice Guidelines for the Prevention and Management of Pain, Agitation/Sedation, Delirium, Immobility, and Sleep Disruption in Adult Patients in the ICU
John W. Devlin, Yoanna Skrobik, Céline Gélinas, Dale M. Needham, Arjen J. C. Slooter, Pratik P. Pandharipande, Paula L. Watson, Gerald L. Weinhouse, Mark E. Nunnally, Bram Rochwerg, Michele C. Balas, Mark van den Boogaard, Karen J. Bosma, Nathaniel E. Bru
Critical Care Medicine.2018; 46(9): e825. CrossRef

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Review Article

Effects of Psychosocial Interventions on Cortisol and Immune Parameters in Patients with Cancer: A Meta-analysis: Pok Ja Oh, Eun-su Jang; J Korean Acad Nurs 2014;44(4):446-457. Published online August 29, 2014; DOI: https://doi.org/10.4040/jkan.2014.44.4.446

Abstract PDF

Purpose

This study was done to evaluate the effects of psychosocial interventions on cortisol and immune response in adult patients with cancer.

Methods

MEDLINE via PubMed, Cochrane Library CENTRAL, EMBASE, CINAHL and domestic electronic databases were searched. Twenty controlled trials (11 randomized and 9 non-randomized trials) met the inclusion criteria with a total of 862 participants. Methodological quality was assessed using the Cochrane's Risk of Bias for randomized studies and the Risk of Bias Assessment tool for non randomized studies. Data were analyzed using the RevMan 5.2.11 program of Cochrane library.

Results

Overall, study quality was moderate to high. The weighted average effect size across studies was -0.32 (95% CI [-0.56, -0.07], p=.010, I²=45%) for cortisol concentration, -0.62 (95%CI [-0.96,-0.29], p<.001, I²=0%) for T lymphocyte (CD3) and -0.45 (95%CI [-0.74, -0.16], p=.003, I²=0%) for Th lymphocyte (CD4) numbers. Psychosocial interventions were not effective for Tc lymphocyte (CD4), NK cell, monocyte, and cytokine response.

Conclusion

Although these results provide only small evidence of successful immune modulation, they support the conclusion that psychosocial interventions can assist cancer patients in reducing emotional distress and improving immune response.

Citations

Citations to this article as recorded by

Depression and Cancer (literature review)
A. N. Blinkov
V.M. BEKHTEREV REVIEW OF PSYCHIATRY AND MEDICAL PSYCHOLOGY.2020; (2): 16. CrossRef
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Journal of Korean Academy of Nursing.2016; 46(1): 19. CrossRef
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Ji Hyun Kim, Pok Ja Oh
Korean Journal of Adult Nursing.2016; 28(1): 13. CrossRef
The Effect of a Community-Based Self-Management Program for Patients at Thyroid Cancer-Diagnosis Stage : a Pilot Study
Hyera Yoo, Sunjoo Boo, Mison Chun, Eun Mi Jo
Journal of Korean Public Health Nursing.2015; 29(3): 582. CrossRef
Effects of Dignity Interventions on Psychosocial and Existential Distress in Terminally ill Patients: A Meta-analysis
Pok Ja Oh, Sung-Rae Shin
Journal of Korean Academy of Nursing.2014; 44(5): 471. CrossRef

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