Purpose The purpose of this study was to review non-pharmacologic intervention programs designed to alleviate symptoms in adults with overactive bladder syndrome. Methods A systematic search using Korean and English keywords was conducted in nine electronic databases. Ten studies were included in the sample for the systematic review. The Risk of Bias (RoB) and the Risk of Bias Assessment tool for Non-randomized Study (RoBANS) were used to assess methodological rigor and quality of scientific evidence. Results Randomized Controlled Trials (RCTs) were used in eight studies and quasi-experimental designs were used in two studies. Non-pharmacological interventions included education, acupuncture, Tibial Nerve Stimulation (TNS), exercise (pelvic muscle exercise, Tai-chi), and Heart Rate Variability (HRV) biofeedback. The majority of the literature has been evaluated to have a low risk of bias. Nine out of 10 studies applied interventions on women only. It was shown that education, TNS, exercise, and HRV biofeedback were effective in alleviating overactive bladder syndrome symptoms, but acupuncture’s efficacy depended on the frequency and intensity of the intervention. Conclusion The results provide a basis for developing an intervention program to improve the symptoms of overactive bladder syndrome. Future studies should also include men as subjects. The results of the intervention should be generalized by confirming the consistency and effectiveness of the aforementioned based on its frequency and intensity.
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Purpose Person-Centered Care (PCC) is a key indicator of health care quality. The purpose of this scoping review is to identify the characteristics of nursing literatures on PCC and examine the theoretical and operational definition of PCC. Methods The scoping review was conducted following the Joanna Briggs Institute’s scoping review guidance.
The search terms were “patient-centered”, “person-centered”, “participant-centered”, and “nursing”; and only publications on PCC were selected. Literatures published in Korean since 2001 were searched using electronic databases, and the last search date was June 2020. Results Nineteen publications were included. Approximately 80% of the researches were published since 2018, and the most common methodology was survey (53%). Most researches were conducted in nursing homes (63%), and 74% of the participants were health-care providers or facility staff. The conceptual framework was used in only one study. The conceptual and operational definitions of PCC both comprised multilevels, including intrapersonal, interpersonal, and organizational levels. The conceptual definitions of PCC were mainly characterized by intrapersonal elements, including individualized care, dignity, and autonomy followed by organizational attributes such as comfortable environment. However, there were some inconsistencies in the attributes survey instruments shared. Conclusion PCC needs to be recognized as a multilevel concept. More studies such as concept analysis and scale development are warranted for conceptualizing PCC systematically.
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Purpose Since anticancer medication nursing is an evaluation area for accreditation by medical institutions in Korea, all clinical nurses are required to attend an annual classroom lecture. However, it is necessary to reconsider the methods and effects of this requirement. This study was conducted to develop a web-based anticancer chemotherapy nursing course for clinical nurses and to examine its effectiveness in terms of job knowledge, self-efficacy, and nursing performance. Methods A randomized controlled design using random selection was utilized. The content was developed into 5 modules featuring basic and advanced learning, and the total learning time was 80 minutes. To test the effect of the multimedia contents, a randomized control group pretest-posttest study design was adopted. Clinical nurses with less than five years of experience were recruited from a university-affiliated hospital and randomly assigned to an experimental (n=28) or control (n=28) group. The experimental group autonomously learned web-based anticancer chemotherapy nursing for two weeks through a website. Results There was a statistically significant increase in the job knowledge of the experimental group receiving the classroom lecture (p=.001). However, there were no statistically significant differences between the two groups in self-efficacy (p=.055) and nursing performance (p=.359). Conclusion This study found that web-based self-learning could be a useful learning strategy for the anticancer chemotherapy and nursing education that clinical nurses must complete annually. However, it is necessary to verify the effect on self-efficacy and nursing performance through repeated studies.
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Purpose This study evaluated the impact of Chronic Kidney Disease (CKD) on depression, perceived health, and Health-Related Quality of Life (HRQOL) in community-dwelling adults. Methods Data from 9,778 adults who participated in the Korea National Health and Nutrition Examination Survey (KNHANES) in 2014 and 2016 were analyzed. The estimated glomerular filtration rate was calculated using the CKD Epidemiology Collaboration (CKD EPI) equation. Depression was defined as a score of at least 10 points on Patient Health Questionnaire-9 (PHQ-9).
The HRQOL was measured using the EuroQol-5D (EQ-5D). The effects of CKD on depression were analyzed using multivariate logistic regression, and the effects on perceived health and HRQOL were analyzed using multivariate ordered logistic regression. Results The prevalence of CKD was 3.7%. Among the adults with CKD, 13.1% had depression, 42.9% perceived their health to be bad, and their HRQOL was significantly lower than that of their non-CKD counterparts. The odds ratio for depression in patients with CKD was 1.66 (95% Confidence Interval [CI]=1.10~2.52, p=.017) and that of perceived bad or fair health was 1.80 (95% CI=1.35~2.40, p<.001). The likelihood of lower HRQOL in CKD patients was 1.44 times higher than in the non-CKD patients (95% CI=1.09~1.90, p=.010). Conclusion The prevalence of psychological problems in CKD patients was higher than in non-CKD patients. The results suggest the importance of comprehensive intervention for patients with CKD. Policies are needed to help assess and manage patients with CKD who are experiencing emotional problems.
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Purpose The purpose of this study was to examine lifestyle behaviors, mental health, and Health-Related Quality of Life (HRQoL) and identify the effects of lifestyle behaviors and mental health on the HRQoL of cancer survivors and general adults. Methods Secondary data analysis was conducted. The data used in the study were drawn from the Korea National Health and Nutrition Examination Survey VII-2 (January 1, 2017, to December 31, 2017).
A sample of 190 cancer survivors (mean age, 65.12 years; women, 63.7%) and 1,815 general adults (mean age, 52.67 years; women, 52.6%) was used, focusing on demographic characteristics, lifestyle behaviors (including tobacco smoking, alcohol drinking, physical activity, and eating behavior), and mental health (including sleeping hours, stress, and depressive symptoms). Descriptive statistics, independent t-test, one-way ANOVA, Pearson’s correlation coefficient, and hierarchical stepwise multiple regression were performed to analyze the data. Results The overall mean of HRQoL for all the participants was 0.96±0.08 (0.93±0.11 for cancer survivors and 0.97±0.08 for general adults). For cancer survivors, age, depressive symptoms, and moderate intensity physical activity were associated with HRQoL (adjusted R 2 =.180, p<.001). For general adults, age, education level, economic activity, income level, walking, sodium intake, depressive symptoms, and stress were associated with HRQoL (adjusted R 2 =.165, p<.001). Conclusion Cancer survivors had lower HRQoL than general adults. Differences were found in the factors associated with HRQOL in cancer survivors and general adults. Therefore, customized health programs and policies should be developed and provided for each group to improve their HRQoL.
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Purpose This study investigated factors affecting Quality of Life (QoL) of patients with Meniere disease. Methods A descriptive study design was used. Data were collected from March to April 2020 through an online survey of 130 participants diagnosed with probable or definite Meniere disease from a community of online-based patients.
The data were analyzed using the independent t-test, Pearson’s correlation coefficient, and multiple linear regression analysis. Results Perceived health, anxiety, depression, family support, and health care provider support significantly correlated with QoL. As a result of the multiple regression analysis, family support, perceived health, anxiety, and ear fullness were identified as factors influencing QoL, and these factors accounted for 65.0% of the variance in QoL. Of these variables, family support was the factor affecting the participants’ QoL the most (β=.45). Conclusion These results indicate a need for continuous efforts and strategies to increase family support to enhance the QoL of this population. In addition, to increase perceived health (which was the second most influencing factor on the QoL of this population), improved health care provider support (which showed a positive correlation with perceived health) is also warranted. Therefore, nursing interventions aiming to increase social support should be developed and implemented.
Purpose The aim of this study was to identify the knowledge structure of nursing research on heart failure in Korea. Methods Fifty-two studies published in Korea and 41 published abroad by domestic researches from 1988 to 2019, were included. Meaningful morphemes from the abstracts were extracted and refined, and co-occurrence matrix was generated. Using Phython 3.7 for edge weight, degree centrality, closeness centrality, and betweenness centrality and Gephi 0.9.2 for visualization, 571 keywords were analyzed. Results The core keywords were “patient”, “heart failure”, “symptom”, “function”, “quality of life”, “self-care”, and “intervention”. The sociogram identified “patient”, “heart failure”, and “symptom” as the largest node, and the edge weight between the keywords was the highest. From 1988 to 2019, keywords such as “patient”, “heart failure”, and “symptom” ranked the highest.
Especially, from 2016 to 2019, “quality of life”, “NYHA”, and “medication” ranked lower, but “cognition”, “health literacy”, “behavior”, “self-efficacy”, “man”, “woman”, and “age” newly appeared or ranked higher. Conclusion It is recommended that Korean heart failure nursing researchers conduct researches related to self-care for symptom management of heart failure patients, especially on nursing interventions. In addition, nursing researchers should conduct studies on the cognition and health literacy related to self-care of the elderly patients with heart failure
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Purpose This study aimed to examine the effect of pre-operative information by audiovisual media on patients before bariatric surgery. Methods This study was conducted from July 4 to October 25, 2019 at Busan city in South Korea. Non-equivalent control groups with quasi-experimental design were used. A total of 24 patients were assigned to the experiment group (n=12) and the control group (n=12). Experimental tools provided information using audiovisual media, including a seven-step introduction of video contents. After that, the investigator used a Universal Serial Bus (USB) to transmit the "Obesity Escape" program to the electronic devices (smartphones, laptops, etc.) belonging to the patient or guardian, and then provided a self-learning checklist. The subjects self-learned through reviewing the items in the checklist at least three times each day at home for a total of two weeks until the day of re-admission until discharge. The investigator provided encouragement and counseling by phone once a week (every Friday). Results There were significant differences between the two groups in the preoperative self-care (p<.001) and preoperative self-efficacy (p=.001), and preoperative state anxiety (p=.036). Conclusion The results of this study suggest that the use of audiovisual media can be actively used in the nursing practice field to increase preoperative self-care and preoperative self-efficacy and reduce preoperative state anxiety in patients before bariatric surgery.
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