PURPOSE
This review aimed to determine the effectiveness of oral care using Chlorhexidine Gluconate (CHX) in Ventilator-Associated Pneumonia (VAP) in the intensive care unit.
METHODS
An electronic databases search was conducted with Ovid-MEDLINE, EMBASE, CENTRAL, CINAHL and four domestic databases from July 10 to 16, 2018. Two reviewers independently selected the studies; three reviewers assessed their methodological quality and extracted relevant data. We conducted a meta-analysis of the effect of CHX oral care versus placebo using the Review Manager 5.3 software program and summarized the results of intervention from the included studies.
RESULTS
Of the 512 articles identified, 17 randomized controlled trials met the inclusion criteria for review. The incidence of VAP differed significantly between the CHX and placebo groups (Relative Risk [RR]=0.72, 95% Confidence Interval [CI]=0.63~0.84). The pooled effects of oral care using 0.12% CHX were RR=0.65 (95% CI=0.52~0.80) and RR=0.68 (95% CI=0.54~0.86) using CHX solution, which were statistically significant. When CHX oral care was performed three times a day, the size of the effect was statistically significant (RR=0.63, 95% CI=0.40~0.99). There was no significant difference in mortality between the CHX oral care and placebo groups (RR=1.08, 95% CI=0.94~1.28).
CONCLUSION
This review provides evidence that performing oral care using a 0.12% CHX solution three times a day could decrease the incidence of VAP. For improving the quality of nursing practice, the results of this review should be used as the basis for the oral care evidence-based practice guidelines for critical patients.

Citations

• Oral Hygiene Care of Endotracheal Intubated Patients in Korean Intensive Care Units : A Scoping Review
  Jungeun Lim, Dukyoo Jung, Leeho Yoo
  Journal of Korean Critical Care Nursing.2024; 17(1): 68.     CrossRef
• Effect of 2% Chlorhexidine Bathing on the Incidence of Hospital-Acquired Infection and Multidrug-Resistant Organisms in Adult Intensive Care Unit Patients: Systematic Review and Meta-Analysis
  Jisu Seo, Rhayun Song
  Journal of Korean Academy of Nursing.2021; 51(4): 414.     CrossRef

PURPOSE
This study was conducted to explore the factors related to family support for hemodialysis patients.
METHODS
Preferred Reporting Items Systematic Reviews and Meta-Analysis (PRISMA) flow diagram was used to select 18 studies in Korea for systematic review and meta-analysis. The Effect Sizes of correlation coefficients (ESr) were determined through Fisher's Z transformation.
RESULTS
The systematic review revealed 31 factors that affect family support(including socio-economic and disease-specific factors) and 23 factors that are influenced by family support (including socio-psychological factors and physiological indicators). In the meta-analysis, 18 factors (10 socio-economic and disease-specific factors and 8 psychological factors and physiological indicators) were used. The socio-economic factors that significantly affected family support were type of medical insurance, perceived economic state, marital status, primary care giver, living together, family monthly income, education level, and job state. Disease-specific factors such as frequency of dialysis per week did not have a significant impact on family support. Family support had a positive influence over patients' self efficacy (ESr=.56), quality of life (ESr=.48), self-esteem(ESr=.42), fatigue (ESr=−.32), sick role behavior (ESr=.32), and depression (ESr=−.24).
CONCLUSION
This study showed that economic status and family characteristics of hemodialysis patients in Korea affect the level of family support that patients receive, and family support promotes patients' positive psychology and sick role behavior. The results of this study provide useful information in developing family support intervention programs for hemodialysis patients.

Citations

• The influence of family health on self-efficacy in patients with chronic diseases: the mediating role of perceived social support and the moderating role of health literacy
  Zhen-ni Luo, Kun Li, An-qi Chen, Yu-chi Qiu, Xi-xi Yang, Zhi-wen Lin, Jing-han Liu, Yi-bo Wu, Jiang-yun Chen
  BMC Public Health.2024;[Epub]     CrossRef
• Variables Associated with Self-Compassion among Nurses: A Systematic Review and Meta-Analysis
  Bokeung Peun, Heeseung Choi
  STRESS.2022; 30(4): 221.     CrossRef
• Healthy life of Korean patients with chronic kidney failure undergoing hemodialysis: A situation-specific nursing theory
  Jinhyang Yang, Myung-Ok Cho, Haeok Lee
  Applied Nursing Research.2022; 65: 151584.     CrossRef
• Mediating effect of Maternal and Paternal Family Relationship between Neuroticism and Postpartum Depression: The Actor-Partner Interdependence Mediation Model
  Hye Gyeong Seo, Suk-Sun Kim
  Journal of Korean Academy of psychiatric and Mental Health Nursing.2021; 30(4): 400.     CrossRef
• Effect of Hemodialysis Adequacy on Quality of Life in Older adults with Chronic Kidney Disease
  Virgianti Nur Faridah, Muhamad Syukri Ghozali, Arifal Aris, Siti Sholikhah, Masunatul Ubudiyah
  Indonesian Journal of Community Health Nursing.2021; 6(1): 28.     CrossRef
• Quality of Life and Social Support of People on Peritoneal Dialysis: Mixed Methods Research
  Miquel Sitjar-Suñer, Rosa Suñer-Soler, Afra Masià-Plana, Emilia Chirveches-Pérez, Carme Bertran-Noguer, Concepció Fuentes-Pumarola
  International Journal of Environmental Research and Public Health.2020; 17(12): 4240.     CrossRef
• Relationships between depression, family function, physical symptoms, and illness uncertainty in female patients with chronic kidney disease
  Oksoo Kim, Eun Yi Yeom, Hae Ok Jeon
  Nursing & Health Sciences.2020; 22(3): 548.     CrossRef
• Factors Influencing Self-Care Behaviors of Renal Dialysis Patients
  Yoonjung Kim, Sanggeon Park
  STRESS.2019; 27(4): 320.     CrossRef

PURPOSE
The objective of this study was to identify the risk factors for early symptoms of phlebitis with peripheral intravenous catheters.
METHODS
This study involved 226 patients who were admitted to Hallym university Kangnam sacred heart hospital in Seoul. The analysis included 703 intravenous lines. Basic information was extracted from Electronic Medical Records (EMRs) primarily, and the detailed information was collected by reviewing the EMRs from September 21 in 2017 to October 31 in 2017. Data were analyzed using descriptive statistics, independent t-test, χ2 test, and mixed effect logistic regression.
RESULTS
Of the intravenous lines, 4.1% involved early stage of phlebitis, and 36.3% involved early symptoms of phlebitis. Gender, needle gauge size and osmolarity of fluids were significant factors for early symptoms of phlebitis.
CONCLUSION
To prevent serious phlebitis, rapid detection and intervention of early symptoms of phlebitis are needed. As multiple factors, including patient factors and intravenous infection factors, contribute to the development of phlebitis, a protocol should be developed to prevent infusionrelated phlebitis considering various risk factors.

Citations

• Frequency of Phlebitis Development and Associated Factors in Hospitalised Adult Patients: A Descriptive and Correlational Study
  Musa Çiftçi, Meftun Akgün, Hatice Demirdağ
  European Archives of Medical Research.2024; 40(1): 7.     CrossRef

PURPOSE
Delirium is a common symptom among heart surgery patients, and its prevalence is reported to range from 16.0~73.0%. As patients with delirium exhibit multiple negative prognoses, it is important to identify and prevent the risk factors for delirium. However, little research has been conducted to identify the prevalence of delirium and its risk factors among patients who have undergone heart surgery in Korea. Therefore, the aim of this study is to explore the prevalence of delirium and its risk factors in heart surgery patients in the Intensive Care Unit (ICU).
METHODS
This is a retrospective descriptive correlational study. From 623 patients who entered the ICU after heart surgery in a tertiary referral hospital from September 2016 to August 2017, 421 were selected for this study. Data were collected using electronic medical record. Delirium was evaluated using the Korean Nursing Delirium Screening Scale (Nu-DESC).
RESULTS
A total of 63 participants (15.0%) were diagnosed with delirium. Multivariate logistic regression analysis of the variables identified that complex surgery (Odds Ratio [OR]=7.24, 95% Confidence Interval [CI]= 2.80~18.74, p<.001), aortic aneurysm surgery (OR=3.30, 95% CI=1.40~7.77, p=.006), creatinine (OR=2.32, 95% CI=1.17~4.60, p=.016), and ICU length of stay (OR=1.72, 95% CI=1.48~1.99, p<.001) were associated with delirium after heart surgery.
CONCLUSION
The prevalence of delirium after heart surgery in Korean ICU patients is similar to that reported by the American Heart Association study. Type of surgery, lab data, ICU length of stay should be considered in the prevention and management of delirium in heart surgery patients in Korea.

Citations

• Prevalence and risk factors of delirium of older adults after cardiac surgery at the intensive care unit: A retrospective study
  Jeong-Ok Ryu, Gwi-Ryung Son Hong
  Journal of Korean Gerontological Nursing.2024; 26(1): 113.     CrossRef
• Risk factors for postoperative delirium in patients with cardiac surgery
  Min-Song Kim, Sang-Hee Kim
  Science Progress.2024;[Epub]     CrossRef
• Investigation of Delirium Occurrence and Intervention Status in Intensive Care Unit at a Hospital and Perception of Delirium by Medical Staff
  Yi-Seul Kang, Soon-Hee Kim, Min-Jeoung Lee, Hyo-Jin Lee, Oak-Bun Lim, Sang-Bum Hong, Hye-Ran Choi
  Journal of Korean Critical Care Nursing.2023; 16(1): 71.     CrossRef
• Incidence and Risk Factors of Postoperative Recovery Room Delirium in Elderly Patients after Surgery under General Anesthesia
  Eunjung Choi, Ye-Eun Seo, Hyun-Sook Yoo, Dong Yeon Kim
  Korean Journal of Adult Nursing.2022; 34(2): 215.     CrossRef
• A Systematic Review and Meta-analysis on the Effect of Delirium Prevention Intervention in Korean Intensive Care Units
  Jiyeon Kang, Min Jeong Choi
  Journal of Korean Critical Care Nursing.2021; 14(3): 141.     CrossRef
• Nursing Delirium Screening Scale, a Tool for Early Detection of Delirium: Integrative Review
  Angela María Henao-Castaño, Laura Elizabeth Pachón Cetina, Juan David Monroy Rodríguez
  Aquichan.2020; 20(4): 1.     CrossRef

PURPOSE
This study aimed to compare the effects of hand massage with the preferred aroma oil to those of hand massage with lavender oil on stress and sleep in residents at a long-term care facility.
METHODS
A group randomized controlled design was used. Of the 37 participants, 19 were assigned to the experimental group(hand massage with the preferred aroma oil) and 18 to the control group(hand massage with lavender oil). Data collection was performed from Nov. 26 2016 to Jan. 27 2017. Hand massage was offered for 5 minutes each side 3 times a week for a total of 12 sessions over 4 weeks. Stress was measured using the Perceived Stress Questionnaire and sleep was measured using the Verran and Snyder-Halpern Sleep Scale.
RESULTS
Subjects in the experimental group showed significantly lower stress levels (physical stress, t=−2.10, p=.048; psychological stress, t=−4.41, p<.001) and sleep (t=3.37, p=.002) than those in the control group.
CONCLUSION
These results suggest that aromatherapy with hand massage should consider client aroma preference for elderly at long-term care facilities in the future.

Citations

• Effects of Non-Pharmacological Sleep Interventions in Older Adults: A Systematic Review and Meta-Analysis
  Hye-Ja Gu, Oi-Sun Lee
  International Journal of Environmental Research and Public Health.2023; 20(4): 3101.     CrossRef
• The Effect of Lavender on Sleep Quality in Individuals Without Insomnia
  Tzu-Ying Chen, Akiko Hiyama, Masumi Muramatsu, Atsuko Hinotsu
  Holistic Nursing Practice.2022; 36(4): 223.     CrossRef
• The effect of lavender on stress in individuals: A systematic review and meta-analysis
  Tina Ghavami, Mohsen Kazeminia, Fatemeh Rajati
  Complementary Therapies in Medicine.2022; 68: 102832.     CrossRef
• The effect of aromatherapy hand massage on distress and sleep quality in hemodialysis patients: A randomized controlled trial
  Dilek Efe Arslan, Nazan Kılıç Akça
  Complementary Therapies in Clinical Practice.2020; 39: 101136.     CrossRef

PURPOSE
The purpose of this study was to identify factors influencing functional health of patients with chronic insomnia based on the Theory of Unpleasant Symptoms (TOUS).
METHODS
Data were collected from 184 patients with chronic insomnia who had been treated at the sleep center in hospital in South Korea. Data were collected from 23 December 2014 to 18 May 2015 through self-reported questionnaires from pre-sleep arousal, worry, perceived stress, social support, insomnia symptom, and functional health. Data were analyzes using an independent t-test, one-way ANOVA, Pearson's correlation coefficient, and hierarchical multiple regression analysis with the SPSS/WIN 21.0 program.
RESULTS
The regression model had an adjusted R2 of 50%, which indicated that pre-sleep arousal, social support, perceived stress, education, and insomnia symptom were significant predictors of functional health in patients with insomnia.
CONCLUSION
In order to improve the functional health of patient's with chronic insomnia, clinical nurses should develop and provide nursing interventions that improve social support and reduce pre-sleep arousal, stress, and insomnia symptoms.

Citations

• Factors influencing the health-related quality of life in Korean menopausal women: a cross-sectional study based on the theory of unpleasant symptoms
  Ji-Hyun Kang, Moon-Jeong Kim
  Korean Journal of Women Health Nursing.2022; 28(2): 100.     CrossRef
• Nomophobia in Lebanon: Scale validation and association with psychological aspects
  Youssef Farchakh, Rabih Hallit, Marwan Akel, Clarissa Chalhoub, Maria Hachem, Souheil Hallit, Sahar Obeid, Yuka Kotozaki
  PLOS ONE.2021; 16(4): e0249890.     CrossRef
• Influence of Sleep Quality, Coffee Consumption, and Perceived Stress on the Incidence of Thyroid Cancer in Healthy Korean Adults
  Myoyoun Kim, Seon Young Hwang
  Korean Journal of Adult Nursing.2021; 33(2): 125.     CrossRef

PURPOSE
This study aimed to develop evidence-based nursing practice guidelines for pain management in patients with dementia and to verify their effects.
METHODS
Guidelines were developed according to the Clinical Practice Guideline Adaptation Manual. Additionally the quality of six guidelines was evaluated using the AGREE (Appraisal of Guidelines for Research & Evaluation) tool. Subsequently, the guidelines were translated into Korean and a preliminary set of guidelines was established. After a group of experts confirmed the content validity of the guidelines, the Korean version was applied to clinical settings for 4 weeks, to examine their applicability. Data was collected from April to August 2017. The dependent variables were nurses' knowledge and attitudes about pain management in patients with dementia, pain assessment frequency, use of pharmacological and nonpharmacological intervention to reduce pain, and subjective and objective pain scores of patients with dementia. Data were analyzed using an independent t-test, Mann-Whitney U test, Wilcoxon Signed Ranks test, and analysis of covariance with SPSS/WIN 22.0.
RESULTS
Nurses in the experimental group had a higher degree of knowledge and more positive attitudes regarding pain management, and they reported a higher frequency of pain assessment as compared to those in the control group. As compared to patients in the control group, those in the experimental group had more days of regular treatment with analgesics and were provided with a higher analgesics dose as well as more frequently received physical and relaxation therapies. The two groups did not show significant differences in subjective and objective pain scores.
CONCLUSION
The present findings indicates that the evidence-based guidelines for pain management developed in this study were effective in helping nurses and patients with dementia to resolve their pain for which they were currently seeking treatment.

Citations

• Developing evidence‐based medication therapy management tools for psychiatric nurses: An evaluative qualitative case study
  Melisa Bulut, Çiğdem Yüksel
  Journal of Evaluation in Clinical Practice.2024; 30(8): 1519.     CrossRef
• Development and Evaluation of Evidence-Based Nursing Protocol for Extracorporeal Membrane Oxygenation to Critically Ill Patients
  Soomi Kim, Chul-Gyu Kim
  Journal of Korean Academy of Nursing.2023; 53(3): 275.     CrossRef
• Self-rated health as a predictor of mortality according to cognitive impairment: findings from the Korean Longitudinal Study of Aging (2006-2016)
  Goun Park, Wankyo Chung
  Epidemiology and Health.2021; 43: e2021021.     CrossRef
• Development and Effectiveness of Practice Application Program of Intravenous Infusion Evidence-Based Nursing Practice Guideline - for Small and Medium Sized Hospitals
  Inhwa Hong, Young Eun
  Journal of Korean Academy of Nursing.2020; 50(6): 863.     CrossRef
• Factors Influencing Performance of Pain Assessment and Pain Intervention for Dementia Patients among Long-term Care Hospital Nurses
  Mi Seon Jeon, Chi Eun Song, Jeong Min Park, Weon Gyeong Kim
  Korean Journal of Adult Nursing.2020; 32(3): 283.     CrossRef

PURPOSE
This study aimed to identify the factors affecting the quality of life of patients with radical prostatectomy.
METHODS
Participants included 114 patients with radical prostatectomy in Pusan National University Hospital in Busan, Korea. Data were collected from May to July 2018, using a structured questionnaire measuring quality of life, erectile dysfunction, lower urinary tract symptoms, appraisal of uncertainty, resilience, educational needs for sexual health, and marital intimacy. Data were analyzed using descriptive statistics, an independent t-test, a one-way analysis of variance, and hierarchical multiple regression.
RESULTS
The statistically significant regression model explained about 77% of the variance in quality of life. Appraisal of uncertainty as an opportunity, appraisal of uncertainty as a danger, and resilience were identified as factors influencing the participants' quality of life.
CONCLUSION
In order to improve the quality of life of patients with radical prostatectomy, it is necessary to reduce uncertainty through providing practical information on uncertain situations, and the programs should be applied that can lower the danger aspect of uncertainty, increase the opportunity factor of uncertainty, and increase the resilience of the patient himself.

Citations

• A Structural Equation Modeling of Sexual Adjustment in Radical Prostatectomy Patients
  Min Kweon Ahn, Hyun Kyung Kim
  Korean Journal of Adult Nursing.2021; 33(5): 532.     CrossRef

PURPOSE
To provide basic data for the health management of adults with prolonged fatigue, demographic characteristics, stress, sleep quality, and metabolic syndrome were compared between groups with and without prolonged fatigue.
METHODS
Data of 370 adults (197 with Prolonged Fatigue [PF] and 173 without PF) from the 2014~2016 database of Korea Medicine Data Center were used. Fatigue, stress and sleep quality were measured with the revised Chalder Fatigue Scale, Psychosocial Well-being Index-Short Form, and Pittsburgh Sleep Quality Index, respectively. Metabolic syndrome was diagnosed according to the National Cholesterol Education Program Adult Treatment Panel III criteria.
RESULTS
First, regarding demographic characteristics, there were significant differences in occupation, smoking, and Body Mass Index (BMI) between groups with and without PF. More of the participants with PF than those without PF were employed, and smokers. They were also more likely to be obese than the participants in the group without PF. Second, there were significant differences between the groups in terms of stress and sleep quality; the participants with PF showed higher stress and lower sleep quality than those without PF. Finally, the prevalence of metabolic syndrome was found to be higher in the participants with PF than those without PF.
CONCLUSION
Considering the characteristics of the participants with PF, it is necessary to develop nursing programs to improve stress, sleep quality, and metabolic syndrome to reduce fatigue. These kinds of nursing programs are particularly necessary for people who are smokers, obese and employed.

Citations

• Effects of Varying Caffeine Dosages and Consumption Timings on Cerebral Vascular and Cognitive Functions: A Diagnostic Ultrasound Study
  Min-Ki Choi, Hee-Seul Ahn, Da-Eun Kim, Da-Seul Lee, Chan-Sol Park, Chang-Ki Kang
  Applied Sciences.2025; 15(4): 1703.     CrossRef
• Factors affecting physical and mental fatigue in adults from South Korea: A cross-sectional study
  Kyeha Kim, Jihyun Oh
  Medicine.2023; 102(50): e36549.     CrossRef
• A Study on the Relationship between Fatigue, Psychosocial Stress, and Behavior that Reduces Endocrine Disrupting Chemicals Exposure in Infertile Males
  Sung Ju Kim, So Young Choi
  Journal of The Korean Society of Maternal and Child Health.2021; 25(3): 211.     CrossRef

PURPOSE
To measure the degree of physical activity among breast cancer survivors and to identify how it was influenced by social cognitive factors, as defined in Bandura's social cognitive theory.
METHODS
A total of 128 breast cancer survivors were recruited for this descriptive study and answered the survey questionnaire. The collected data covered general characteristics, physical activity, and social cognitive factors, such as self-efficacy, outcome expectations, goal setting, and socio-structural factors (social support and negative impact of cancer). Data collection was conducted from July to October 2017.
RESULTS
The degree of physical activity among breast cancer survivors was moderate. The participants' level of physical activity differed according to their Body Mass Index (BMI) and type of surgery. Physical activity was significantly correlated with exercise goal setting, exercise self-efficacy, outcome expectations, and family support. Exercise goal setting (β=.55, p<.001), BMI (kg/m2) (β=−.21, p=.003), and exercise self-efficacy (β=.15, p=.040) were identified as factors influencing physical activity.
CONCLUSION
Intervention programs to increase the degree of physical activity among breast cancer survivors will need to consider various aspects, including goal setting, BMI regulation, and self-efficacy improvement. Repeated studies on the social recognition of breast cancer survivors and extended studies on health promotion activities are recommended.

Citations

• Predictor Scales of Cognitive Factors Affecting Physical Activity in Individuals Surviving Cancer: Psychometric Properties of Turkish Versions
  Şura Kaya, Melek Nihal Esin
  Rehabilitation Oncology.2025; 43(1): 10.     CrossRef
• Using the transtheoretical model of behaviour change to analyse the impact of stopping exercise: a reflection
  Lucy Scott, Tanya Andrewes
  British Journal of Nursing.2021; 30(20): 1203.     CrossRef