| Hee Kyung Kim | 13 Articles |
Purpose
This study investigated factors affecting participation in dementia screening, based on the health belief model. Methods Data from 191 participants that fully answered the distributed questionnaires were analyzed. Data on the following variables were collected: general characteristics with modifying variables, health beliefs, and cue to action for dementia screening. Data were analyzed with descriptive statistics, x2 test, Fisher’s exact test, independent t-test, and logistic regression using SPSS/WIN software version 23.0. Results Factors affecting participation in dementia screening were as follows: For age, those in their 70s were more likely to participate in screening tests for dementia than those in their 60s (Odds Ratio [OR]=0.36, p=.003). For level of education, people with less than elementary school education were more likely to participate in screening tests for dementia than those with more than university education (OR=6.13, p=.020). Presence of spouse (OR=3.65, p=.027), presence of family or friends who underwent dementia screening tests (OR=5.63, p=.002), being exposed to dementia screening advertising (OR=3.94, p=.009), and having showed a lower average score of perceived barrier for dementia screening (OR=0.13, p=.002) were factors that increased the likelihood of participation in dementia screening. Conclusion To increase participation in dementia screening, strategies should be developed taking into account the influencing factors found by this study. In particular, an advertising strategy that emphasizes the importance of participating in dementia screening will be needed. Citations Citations to this article as recorded by
PURPOSE
The purpose of this study was to explore in depth the essential structure and meaning of disease experience for the elderly living alone with Parkinson disease, and provide basic data and grounds for national and social support measures and nursing intervention development for them. METHODS In this study, van Manen's hermeneutic phenomenological methodology was applied, and data were collected from April to September 2015. Participants were 12 elderly people aged over 65 who live alone in Chungcheongnam-do and Daejeon Metropolitan City and have Parkinson disease. Data were collected until saturation through in-depth interviews and participant observations. RESULTS Through analysis of the experience of participants of this study, 7 essential themes and 18 investigated themes were derived in the 4 existing bodies of world of life that they experienced. “Can't accept the disease that came after a hard lifeâ€, “Catch the hopesâ€, “Feel painful body and soul because my body does not move at willâ€, “Want life and death without pain anymoreâ€, “Don't want to reveal my disease to othersâ€, “Look for something to rely on and to feel secureâ€, and “Want to return the helps that I received from others†were derived. CONCLUSION It is suggested that nursing providers must provide individualized nursing intervention, which the elderly living alone with Parkinson disease truly need, through deep sympathy for their disease experience. Citations Citations to this article as recorded by
PURPOSE
This study was undertaken to identify which delirium screening instrument would be more useful in clinical practice. METHODS Data were collected from 118 nurses from six hospitals in five provinces in Korea. For the delirium screening three instruments were compared: NEECHAM Confusion Scale (NEECHAM), Nursing Delirium Screening Scale (Nu-DESC), Delirium Observation Scale (DOS). The MMSE-K was used for concurrent validity. The nurse subjects were surveyed as to the practical clinical value of each instrument. Cronbach's alpha coefficient and Kuder-Richardson 20 were used to confirm the reliability. RESULTS The range of three scales reliability was .70~.82 and the range of correlation coefficient was .63~.82 with MMSE-K. For sensitivity of NEECHAM, Nu-DESC and DOS was 1.00, 1.00 and 0.81 respectively and specificity NEECHAM, Nu-DESC and DOS was 0.88, 0.89 and 0.89 respectively. Nurses rated the practical use of the DOS scale as significantly easier to use than the NEECHAM and Nu-DESC. CONCLUSION NEECHAM, Nu-DESC and DOS scales were acceptable in terms of reliability, validity, sensitivity and specificity. However, nurses rated the DOS scale as easier scale to use and had more relevance to their practice. Citations Citations to this article as recorded by
PURPOSE
This study was conducted to explore nursing education modality for facilitating undergraduate students' critical thinking within the Korean nursing education context. METHODS Data were collected from four group interviews from two focus groups, which were composed of six nursing professors in each group. Data were analyzed using qualitative content analysis. RESULTS Five themes with 13 sub-themes involving 10 categories were delineated. The five themes were managing shared resources, a supportive system in preparing qualified faculty, reflective thinking (self-directed learning), theory courses for understanding nursing resources, and clinical practicum for exercising critical thinking. CONCLUSION A nursing educational model for facilitating critical thinking within Korean context was suggested. This could be used as an accelerator in developing nursing undergraduate course programs for critical thinking in Korea.
PURPOSE
This study was to identify the health status and reported resilience according to acculturation type among Chinese students in Korea. METHODS The subjects were 386 Chinese students studying in three universities in Chungnam province. The data were collected by standardized questionnaires and SPSS/WIN 15.0 program was used to analyze the data with descriptive statistics, Chi-square, t-test, and ANOVA. RESULTS Subjects reported the following Acculturation type: integration (26.7%), assimilation (28.5%), separation (32.4%), and marginalization (12.4%). The reported resilience was significantly different according to economic status. The health status was significantly different according to religion and economic status. Acculturation type was significantly different according to age, educational level, length of stay, type of residency and economic status working style. The health status and resilience were significantly different according to acculturation type. CONCLUSION The findings suggest that integration of acculturation type is most useful to health status and resilience among Chinese students in Korea. Future studies need to examine acculturation type as coping strategy for foreign students' adaptation.
PURPOSE
The purpose of this study was to identify the predictors of acculturative stress among Chinese students in Korea. METHODS Between October and December 2009, two hundred one Chinese students from three universities located in Cungnam province, were included in the current study using a questionnaire survey. Data analysis was done using SPSS/WIN 17.0 program. RESULTS The average score of acculturative stress was 38.50+/-6.97. There were significant differences in acculturative stress according to educational level, economic status, type of residence, speaking skill in Korean, listening skill in Korean, grade point average, satisfaction for studying abroad, and perceived health status. The acculturative stress was significantly correlated with depression, resilience and social support. The strongest predictor of acculturative stress among Chinese students was depression. CONCLUSIONS The findings suggest that developing programs to improve psychological health may provide a buffer against acculturative stress experienced by migrating Chinese students. Furthermore, more studies are needed to explore variables that influence on the international students' acculturation in Korea.
PURPOSE
The purpose of this study was to examine what types of customized nursing intervention for the elderly were most effective by looking at age group difference and other factors related to ego integrity. METHODS A secondary analysis was used with 104 elderly people. The data were analyzed using chi-square-test, Fisher's exact test, ANCOVA, Pearson's correlation analysis and multiple regression. RESULTS For those 80 and older, powerlessness was higher than for those in their 60s and 70s. The factors influencing ego integrity for those in their 60s were powerlessness, economic condition, source of discretionary money, and health condition; for those in their 70s - life satisfaction, self-esteem, and health condition; and for those 80 and older-life satisfaction and source of discretionary money. CONCLUSION In nursing for the elderly, age differences should be taken into consideration. The study suggests that for people in their 60s, the creation of jobs that allow them to earn money is important. For people in their 70s over, offering of health care and self-esteem programs through community health centers are equally important. For people in their 80s over, nursing programs for advocacy, support, and psychological care are needed in order to elevate their life satisfaction.
PURPOSE
This study was conducted to examine the knowledge level and assessment experience of nurses in regards to delirium, and to utilize the study results as baseline data for planning delirium education programs for nurses. METHODS Subjects were 465 nurses who were working in a general hospital. A 'delirium related knowledge and assessment experience' questionnaire was used to collect data. RESULTS Knowledge levels regarding delirium averaged 70 out of 100, and at each domain, they scored 87 for etiology of delirium, 62 for symptoms, and 69 for nursing management. The knowledge level of delirium was significantly different according to educational level (F=3.851, p=.022), past education related to geriatrics(t=2.471, p=.014), and awareness of need for in-service education on geriatric nursing(F=2.663, p=.032). About 85% of nurses had past experience of dealing with delirious patients and only 7.7% of nurses used delirious state assessment tools. CONCLUSION According to the above results, it is necessary, not only to provide delirium related educational programs for nurses, but also to emphasize the usefulness of applying the assessment tool.
PURPOSE
The purposes of this study were to provide baseline data for nursing service program and to elevate the quality of service by examining whether nurses' nursing service is related to job stress, job satisfaction, organi-zational commitment, leadership and nursing service satisfaction in hospitals. METHOD Subjects were 135 nurses and 135 patients, working and being in the hospitals in C province < D city from November. 7 to 21, 2005 and completed a structured questionnaire. The data was analyzed using descriptive statistics, t-test, ANOVA, ANCOVA, Pearson's correlation analysis, and multiple regression analysis. RESULTS The most powerful predictor of nursing service was leadership(60.7%). Altogether leadership, nursing service satisfaction, organizational commitment, and work stress explained 72.5% of nursing service of the nurses in hospitals. CONCLUSION The results showed the nurses' nursing service in hospitals was influenced by leadership, nursing service satisfaction, organizational commitment, and job stress. It suggested that concepts of leadership, nursing service satisfaction, organizational commitment, and job stress should be considered in developing nursing services programs.
PURPOSE
The purpose of this study is to provide basic data for nursing programs in order to reduce depression among middle aged adults by looking at gender differences. METHOD A comparative descriptive design was used. Subjects were 315 adults from February. 15 to March. 2, 2005, using a structured question- naire. The data was analyzed using chi-square-test, Pearson correlation analysis and stepwise multiple regression. RESULTS chi-square-test revealed significant gender differences in socio- demographic variables for career, drinking, smoking, and satisfaction with the spouse. The factors that influenced depression for men were stress, fatigue, job satisfaction and self-efficacy. For women, those factors were stress, family support, coping skills, and well-being. CONCLUSIONS The results show that gender differences existed in terms of depressions, in terms of factors influencing depression. As a result, when middle aged adults are provided nursing programs, gender differences should be considered. To decrease the depression of men, nursing interventions are needed to decrease their stress and fatigue, and to improve their job satisfaction and self-efficacy. To decrease the depression of women, it is also needed to decrease their stress, to elevate their family support and coping skills, and to support them so that their well-being is perceived good.
PURPOSE
The purposes of this study were to examine the effects of recreational therapy (60 minutes * 3times/week * 6weeks) on dementia behavior & affection, and activity of daily living of senile people with dementia. METHODS: The subjects were 27 senile people with dementia, 16 experimental group, 11 control group, admitted at K hospital in Chungnam province in quasi-experimental study. The recreational therapy program was developed, based on the recreational program for senile welfare made by athletics science research institute in Chungnam National University(1997). It consisted of rhythm game, ball play, and beanbag game. The data were collected through questionnaires from May 1st to June 10th 2003 and were analyzed using descriptive statistics, chi2-test, Fisher' exact test, and Man Whitney U test. RESULT: The dementia behavior and affection score was significantly different between the two groups (U=32.5, p=.005). The ADL score was significantly different between the two groups (U=12.0, p=.000). There were significant decrease in dementia behavior & affection, and improvement in ADL in the experimental group compared to the control group. CONCLUSION: Recreational therapy intervention was proved effect in decreasing dementia behavior & affection and promoting ADL of senile people with dementia. We recommended re-test in containing a communicating variable.
PURPOSE
The Purposes of this study were to examine the effects of Koryo-Sooji-Chim (30minutes * 2times/week * 2weeks) on menstrual pain and menstrual symptoms of female university students with dysmenorrhea. METHOD: The subjects were 22 female students with dysmenorrhea, 12 experimental group, 10 control group, studying at K university in Chungnam province. The data were collected through questionnaires from September 1st to November 30th 2003 were analyzed using descriptive statistics, X2-test, Fisher's exact test and Mann-Whitney test. RESULT: 1. The menstrual pain scores were significantly different between the two groups(U=16.0, p=.001). 2. The menstrual symptom scores were significantly different between the two groups(U=28.5, p=.038). CONCLUSION: These findings showed that Koryo-Sooji-Chim was effective related to menstrual pain and menstrual symptoms of female university students with dysmenorrhea. Koryo-Sooji-Chim during dysmenorrhea could be applied as an effective nursing intervention.
The purpose of this study was to determine the effects of the music therapy, one of the dementia treatment programs, on patients' cognition, behaviors and affection, and thereby, developing a nursing intervention to help them live a quality of life. The subjects of the study were 37 dementia senial people who admitted the mental hospital at K city in chungnam province. The study was designed as repeated measures design for a single test group. The subjects were received music therapy for 40 minutes 2 times a day during 6 weeks from February 16 to March 29, 2000. The tools of study were K-MMSE developed by Park, J. H. and Kuen, Y. C.(1989), Clinical Dementia Rating developed by Morris, J(1993) at Washington university, and A fourteen symptom behavior and mood rating scale developed by Wyatt and Kupfer(1968). For the tools of music therapy, elderly favorite songs (changs, folk songs, old popular songs and children's songs) were recorded. These tapes and other tools were edited according to experts' advices. The music therapy consisted of music listening, rhythmic instrument playing and following-up singing. The therapy was performed at the lounge of the center to which the sample people could get access conveniently. A nurse was asked to observe sample people's cognition, dementia behaviors and affection, evaluated them according to the checklist scale. The collected data were processed using the SPSS WIN 7.5 program for absolute values, percentiles, mean, SD, ANOVA, GLM-repeated measure method. The items of scale and its reliability analyzed were Cronbach's alpha. The results of this study were as follows: 1. As a result of analyzing dementia elderly cognition, behaviors and affection before the music therapy, it was found that the disorder of cognition, behavior and affection was most outstanding. 2. After the therapy, the average scores of subjects' overall cognition, behavior and affection were lowered significantly. It was conceived that the music therapy should continue for 3-4 weeks. 3. Difference of cognition in test groups was significant statistically between pre-test and 2 weeks, 4 weeks, 6 weeks after test (df=3, F=6.39, p=.000), pretest and 4, 6 weeks after test (p=.01, p=.001), which suggests that a continued music therapy would be desirable to treat dementia. Difference of behaviors and affection in test groups was significant statistically between pre-test and 1-6 weeks after test (F=52.01, p = .000), pretest and 3-6 weeks after test (p=.000), which suggests that a continued music therapy would be desirable to treat dementia. 5. It was found that the music therapy was more effective in treating moderate dementia (MMSE-K score 16-23) than severe one (MMSE-K score 15 or lower), and vascular type of dementia than Alzheimer's type of one. After all, it may well be concluded that the musical therapy is an effective nursing intervention to provide the dementia elderly with a quality service and thereby, increase cognition and reduce the problematic behaviors and affection of dementia senile people.
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