| Smi Choi-Kwon | 9 Articles |
PURPOSE
Sleep disturbances related to multiple conditions are common in patients with cancer while undergoing chemotherapy. The quality of life in these patients may be negatively affected due to sleep disturbances. Therefore, by analyzing nursing records, this study aimed to examine factors influencing sleep disturbances among hospitalized patients with colorectal cancer undergoing chemotherapy. METHODS This study was a retrospective review of nursing records of 231 patients with colorectal cancer who were hospitalized for chemotherapy in 2015. Data were collected from electronic medical records, and analyzed using the independent t-test, χ2 test, and logistic regression. RESULTS Thirty-five (15.2%) patients had sleep disturbances. Nursing records related to sleep (n=85) consisted of 32 (37.6%) assessments and 53 (62.4%) interventions. Pharmacological interventions for sleep disturbances (98.1%) were used more often as compared to non-pharmacological interventions (1.9%). In logistic regression analysis, sleep disturbances were related to the body mass index (Odds Ratio [OR]=0.86, 95% Confidence Interval [CI]=0.76~0.98), targeted therapy(OR=2.62, 95% CI=1.09~6.32), and length of hospital stay (OR=1.08, 95% CI=1.02~1.14). CONCLUSION Sleep disturbances were influenced by body mass index, targeted therapy, and length of hospital stay. Thus, nutritional and psycho-emotional status after metastasis or recurrence should be closely monitored in patients with colorectal cancer undergoing chemotherapy, especially during prolonged hospitalization. Further, in addition to the use of pharmacological interventions, various non-pharmacological nursing interventions to promote sleep health should be developed. Citations Citations to this article as recorded by
PURPOSE
Fatigue is common in older adults and may decrease the quality of life. The purpose of this study was to investigate the level and characteristics of fatigue of older adults, and identify the factors associated with fatigue. METHODS This study used a secondary data analysis (n=200). Data collection was conducted from July to September 2015. Fatigue Severity Scale, Geriatric Depression Scale Short Form Korea Version, Korean Version of Physical Activity Scale for Elderly, and Verran & Synder-Halpern Sleep Scale were used. RESULTS We used the data from 200 older adults in a local senior welfare center. Their average age was 74.5 years. We found that 35.5% of them had fatigue (≥4). The reported factors alleviating fatigue were taking rest, warm bath, and sleeping. Engaging in light sports was also reported to alleviate fatigue. The level of fatigue was higher in subjects with older age (p=.009), lower income (p=.003), higher number of diseases (p < .001), more medications (p < .001), and lower perceived health status (p < .001). In multiple linear regression analysis, the factors predicting fatigue were older age (p < .001), depression (p < .001), pain (p=.001), irregular exercise (p=.013), and lower perceived health status (p < .001). The explanatory power of the model was 47.5%. CONCLUSION Our study suggests that depression and pain were risk factors although engaging in light sports was a factor alleviating fatigue in older adults. The fatigue management strategies tailored to alleviate fatigue in older individuals by reducing these manageable risk factors are needed. Citations Citations to this article as recorded by
PURPOSE
Reported insomnia and decreased sleep quality are common among older adults. The purpose of this study was to identify factors contributing to insomnia and decreased sleep quality among elderly persons living within a community. The data will be verified with Actigraph which is a non-invasive measurement of rest/activity cycles. METHODS 137 participants over 65 years old were recruited from a senior welfare center. Their mean age was 74.07±5.18 years old and majority was women (69.3%). The quality and quantity of nighttime sleep were assessed using Varren-synder-Halper Sleep Scale and a sleep log. Depression and fatigue were assessed using Geriatric Depression Scale Short Form and Fatigue Severity Scale, respectively. Pain was assessed using 11-point Numeric rating scale. An actigraph was used to verify the self-reported sleep. RESULTS Ninety-two participants (67.2%) reported insomnia. Sixty-eight subjects (49.6%) reported good sleep. Of the participants, 56.2% reported depression and 33.6% reported fatigue. In logistic regression, depression was related to insomnia (OR=3.09, p=.003). Sleep quality was related to depression (OR=2.13, p=.045) and fatigue (OR=2.24, p=.044). The data from the Sleep logs correlated with data obtained from the actigraph. CONCLUSION Depression significantly influenced insomnia and sleep quality whereas fatigue only influenced sleep quality. Thus, depression and fatigue should be closely monitored among elderly persons with sleep disturbances. Citations Citations to this article as recorded by
PURPOSE
The purpose of this study was to explore the quality of life (QoL) in patients with Alzheimer's disease (AD) and their and caregivers and its influencing factors. METHODS A descriptive research design was used. 211 pairs of AD patients and their caregivers were recruited from a neurology outpatient clinic of S medical center in Seoul, Korea. Caregivers completed several structured questionnaires regarding AD patients' QoL as well as their QoL, patients' behavioral and psychological symptoms, patients' activities of daily living (ADL), social support, and quality of relationship between AD patients and caregivers. Cognitive status of AD patients was assessed by the researchers using Korean Mini-Mental State Examination. RESULTS The scores of QoL were 26.91 for AD patients and 85.62 for their caregivers. In the multiple regression, factors associated with AD patients' QoL were the quality of relationship (β=.44), ADL (β=-.33), patient's age (β=.20), caregivers' QoL (β=.20), and patient's gender (β=.11). Factors associated with caregivers' QoL were the quality of relationship (β=.34), relationship (β=.32), patient's QoL (β=.26), caregivers' gender (β=.18), social support (β=.12), and the level of caregivers' education (β=.12). CONCLUSION To improve the QoL in AD patients and their caregivers, strategies to promote their quality of relationship are needed. Citations Citations to this article as recorded by
PURPOSE
This study aimed to investigate sleep, fatigue, and the level of health promoting behaviors in Korean army soldiers. The factors influencing on health promoting behaviors of soldiers were also identified. METHODS A cross-sectional descriptive survey design was used. Data was collected from 269 soldiers in four military units of Korea in July 2015. Verran and Snyder-Halpern Sleep Scale, Fatigue Severity Scale, and Health Promoting Lifestyle Profile- were used. RESULTS The health promoting behaviors were significantly different by perceived health status (p<.001) and presence of fatigue (p<.001). There were significant correlations between quality of sleep, fatigue, and health promoting behaviors of the subjects. In a multiple linear regression analysis, the level of health promoting behaviors were lower in the subjects with high level of fatigue (p<.001) and with fair perceived health status (p=.003). CONCLUSION In order to increase health promoting behaviors of soldiers, it takes into account of soldiers' fatigue and perceived health status. Environmental arrangement for soldiers for the break time is needed urgently to decrease their fatigue as well as to improve their sleep quality. Citations Citations to this article as recorded by
PURPOSE
This study was aimed to investigate the effects of the nutritional intervention program including DASH diet education and calcium/vitamin D supplements in Korean elderly women. METHODS This was a quasi-experimental study employing non-equivalent control group pretest-posttest design. The experimental group (n=26) was given DASH diet education and supplements (calcium 1200mg and vitamin 800 IU) while the control group (n=16) was given only general health consults. After the interventions, differences were analyzed in nutrient intake, bone turnover markers and bone mineral density between the two groups. RESULTS After one year, bone mineral density was found reduced in both groups, but showed higher levels (p=.003) in the experimental group than the control group. After research, nutrient intakes of participants improved generally, yet there was no significant difference between the two groups. The experimental group was divided into subgroups after interventions according to the level of calcium intake, and bone density and bone markers were compared between the subgroups. In a subgroup whose calcium intake was in the normal range, bone mineral density was significantly high (p=.002) while CTx and osteocalcin were significantly low (p=.003, p=.006, respectively). CONCLUSION This study is significant in that it provided a nutritional intervention program for one year to elderly women who are susceptible to osteoporosis and severely low in dietary calcium intake and it proved to be effective. Citations Citations to this article as recorded by
PURPOSE
This study investigated the level of adherence to vestibular rehabilitation exercise program(VREP) and evaluated how health belief model (HBM) variables are related with adherence to VREP in patients with dizziness. METHODS The data were collected from 150 individuals, who agreed to participate in the study between December, 2012 and May, 2013. Adherence to VREP, severity of dizziness, health belief variables (health belief scale) and self-efficacy (self-efficacy scale) were measured. RESULTS The result of this study showed poor adherence to VREP. The mean adherence score to VREP was 2.11+/-1.05 (1-5). In multivariate analysis, severity of dizziness (p<.001), taking sedative medication (p<.001), high self-efficacy (p<.001), high perceived seriousness (p=.019) & benefit (p=.036) were independent predicting factors explaining 57.7% of adherence to VREP. CONCLUSION Adherence to VREP was poor among these patients. To improve the patient's adherence to VREP, strategies to increase perceived seriousness, benefit, or self-efficacy and to decrease barriers are urgently needed. Citations Citations to this article as recorded by
PURPOSE
The purpose of this study was to identify the fall risk factors and to evaluate the effectiveness of the Morse Fall Scale(MFS) as an assessment tool among hospitalized inpatients. METHODS The medical records of a total of 294 patients who admitted to hospital from January 1 to December 31, 2010 were reviewed. One hundred forth seven patients who had experienced fall were matched with 147 patients who have never experienced fall. The fall information was obtained from electronic medical records and fall reports. RESULTS There were significant differences in visual disturbances, pain, emotional disturbances, sleep disorder, urination problems and elimination disorder at admission between fallers and non-fallers. Patients who had higher MFS scores at admission were more likely to fall as compared to the patients with lower MFS scores. When falls did occur, these occurred within five days following admission, in the patient room, among patients with alert mental status, and among patients who were ambulant with some assistance. CONCLUSION The findings of this study support the need of using risk assessment tool for predicting risk for falls. This finding can be used as a useful resource to develop nursing intervention strategies for fall prevention at the hospital. Citations Citations to this article as recorded by
This longitudinal study examines the burdens and related factors for stroke patient's primary family caregivers. Sixty-one patients treated for stroke at a general hospital in Chung-nam province and family member caregivers participated in this study from July 28, 1998 to August 1, 1999. Family caregivers' burdens were assessed by the burden scale originally developed by Zarit(1980) and Novak &Geust(1989) and modified by Oh's(1993) for use in Korea. The burden scale instrument consists of five subscales.: financial burden, social burden, physical burden, dependency burden, and emotional burden. Repeated ANOVA and Stepwise multiple regression were used in the data analyses. The results were as follows: The burden mean score was 3.23 in the hospital, 3.26 after hospital release, and 3.27 in the home environment. In the hospital, a patient's degree of cognition, and social support for family caregivers were significant factors affecting the sense of burden felt by family caregivers. After hospital release, the significant factors affecting the sense of burden were the degree to which stroke patients could participate in daily living activities, social support for family caregivers, and changing to a second caregiver. In the home environment, the most significant factor affecting the sense of burden was social support for family caregivers.
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