PURPOSE
The aim of this study was to evaluate the effect of exercise on chronic musculoskeletal pain in older adults.
METHODS
In order to conduct a meta-analysis, a total 7,186 studies were retrieved from seven databases (Pubmed, CINAHL, Cochrane Library, RISS, KISS, NDSL, KoreaMed) without restriction on publication year and the articles published until June 2018 were selected for this study. Sixteen studies were selected for the meta-analysis based on their satisfaction of the inclusion criteria and low risk of bias. Baseline demographic data, exercise features, and outcome data were extracted from all included trials. The data was analyzed using the RevMan 5.2 and CMA 3.0. program.
RESULTS
The results of the meta-analysis (n=16) revealed that the exercise intervention was found to be significantly superior to control group on pain (Standardized Mean Difference [Hedges'g]=−0.43, 95% Confidence Interval [CI]=−0.59~−0.27). Also, meta-ANOVA was performed using study period, length and frequency of session and type of exercise, but no statistically significant moderators were found.
CONCLUSION
In this study, the exercise demonstrated significant reduction in pain intensity in older adults and there was no difference in pain reduction according to type or duration of exercise. Therefore, exercise that older adults prefers and is feasible in where they are, should be adopted as a nursing intervention for older adults' chronic musculoskeletal pain management.

Citations

• Effects of Contrast Therapy Using Flexible Thermoelectric Devices on Lower Extremity Edema, Pain, Muscle Fatigue, and Stress in Nursing Home Workers: A Randomized Controlled Trial
  Ji-Ah Song
  Korean Journal of Adult Nursing.2023; 35(1): 61.     CrossRef
• The best treatment option(s) for adult and elderly patients with chronic primary musculoskeletal pain: a protocol for a systematic review and network meta-analysis
  Helen Koechlin, Ben Whalley, Nicky J. Welton, Cosima Locher
  Systematic Reviews.2019;[Epub]     CrossRef

PURPOSE
The aims of this study were to describe the incidence rate of delirium and to identify factors influencing delirium in neurological intensive care unit patients.
METHODS
The participants were 193 critically ill patients with neurological disorder from Chonbuk national university hospital in Jeonju. Data were collected between April 1 and November 25, 2017 using four structured questionnaires: Confusion Assessment Method for the Intensive Care Unit, Glasgow Coma Scale, Acute Physiology and Chronic Health Evaluation II, and Karnofsky Performance Scale. Data were analyzed using descriptive statistics, independent t-test, χ2 test, Mann-Whitney U test, and logistic regression using the SPSS/WIN 24.0 program.
RESULTS
The incidence rate of delirium was 11.9%. Delirium was related with age, length of stay in intensive care unit, Glasgow Coma Scale score, Acute Physiology and Chronic Health Evaluation II score, Karnofsky Performance Scale score, use of physical restraint, antihypertensive drugs, and anticonvulsants. Logistic regression analysis showed that age, length of stay in intensive care unit, use of physical restraint, and anticonvulsants were factors influencing delirium in neurological intensive care unit patients.
CONCLUSION
Delirium was related to demographic, clinical, medication-related, and environmental factors in patients in neurological intensive care units. Therefore, nurses should consider the patient's age, length of stay intensive care unit, use of physical restraint, and anticonvulsants in assessing delirium in neurological intensive care unit patients. Delirium prevention programs considering these factors may be effective for such patients.

Citations

• Factors-related to the severity of delirium among older adults in neurologic intensive care units: A retrospective study using electronic medical record data
  Ae Young Cho, JiYeon Choi, Jung Yeon Kim, Kyung Hee Lee
  Journal of Korean Gerontological Nursing.2025; 27(2): 166.     CrossRef
• Risk Factors for Delirium in Trauma Intensive Care Unit Patients
  Jongran Kim, Jeong-Ah Ahn
  Korean Journal of Adult Nursing.2020; 32(6): 623.     CrossRef

PURPOSE
This study aimed to investigate the effects of a video-centered nursing education program on anxiety, uncertainty, and self-care in patients undergoing cataract surgery.
METHODS
A video-centered nursing education program was developed. The program consisted of a video and leaflet. The video was in 4 sections (introduction, pre-operation examination, operation, and post-operation self-care) for a total of 8 minutes. The leaflet included information on cataracts and self-care. The program was performed from January to April 2017. The participants were scheduled to undergo cataract surgery. The experimental group (n=26) underwent the program before the operation and the control group (n=30) received usual care at Bundang Jesaeng Hospital. In the pre-test, general characteristics, trait-state anxiety, and uncertainty were measured. The state anxiety, uncertainty, and self-care were evaluated as post-test. Data were analyzed using Kolmogorov-Smirnov, Shapiro-Wilk, χ2, Fisher's exact, t-, and Mann-Whitney U tests and covariance analysis.
RESULTS
In the post-test, there were significant differences between groups on uncertainty (F=8.10, p=.006) and self-care (F=11.06, p=.002).
CONCLUSION
The program was effective in reducing uncertainty and improving self-care in patients undergoing cataract surgery. These results will help to reduce nurse shortages and excessive workload and enable efficient clinical practice.

Citations

• Effects of a Video-based Education Program for Cerebral Angiography on Patients’ Outcomes: A Randomized Controlled Trial
  Sung-Hyun Tark, Jee-In Hwang
  Quality Improvement in Health Care.2024; 30(1): 76.     CrossRef
• Effect of audiovisual media-based nursing information on environmental stress, anxiety, and uncertainty in patients undergoing open-heart surgery
  Jeong-Yeong Jeon, Dong-Hee Kim, Kyoungrim Kang
  Medicine.2023; 102(8): e33001.     CrossRef
• A comparative study on the training method that mixed face-to-face/non-face-to-face education for apprentice engineers in the training ship
  Jung-Ho Noh, Eun-Seok Jeong, Jin-Uk Lee, Sae-Gin Oh, Kyoung-Kuk Yoon, Jong-Su Kim, Hyeon-Min Jeon, Jae-Jung Hur
  Journal of Advanced Marine Engineering and Technology.2022; 46(2): 93.     CrossRef
• A comparative study on video training and lecture-style training for apprentice engineers of training ships
  Ki-Young Han, Jun-Soo Kim, Hong-Beom Kim, Jae Jung Hur
  Journal of Advanced Marine Engineering and Technology.2021; 45(6): 459.     CrossRef
• The effect of film screening training before cataract surgery on anxiety in the elderly: A clinical trial
  Mozhgan Eftekharpour Fatemi, Farahnaz Mohammadi Shahboulaghi, Razieh Bandari, Kian Nourozi Tabrizi, Akbar Biglarian
  Health Monitor Journal of the Iranian Institute for Health Sciences Research.2021; 20(4): 497.     CrossRef
• The Effect of Video Education on Cancer Patient Advance Directive Writing
  Ji Su Kang, Hyeon Ok Kim
  Asian Oncology Nursing.2020; 20(1): 39.     CrossRef
• Effects of a video education program for patients with benign uterine tumors receiving high-intensity focused ultrasound treatment
  Mi Suk Hong, Hyoung Sook Park, Young Suk Cho
  Korean Journal of Women Health Nursing.2020; 26(2): 151.     CrossRef

PURPOSE
This study aimed to explore medication adherence and its related factors, stigma, self-efficacy, and sense of coherence in patients with tuberculosis.
METHODS
A cross-sectional survey was conducted with a convenience sample of 130 adult outpatients with tuberculosis at a university hospital in Busan during from May 1 to August 21, 2017. The data were collected using structured questionnaires comprising research instruments measuring medication adherence, stigma, self-efficacy, and sense of coherence and face-to-face interviews and medical records for treatment delays and participant characteristics. The SPSS/WIN 22.0 program for descriptive statistics, Pearson's correlation coefficients and stepwise multiple regression were used to analyze the data.
RESULTS
The mean score for medication adherence was 4.86±1.48. The factors related to medication adherence in adult outpatients with tuberculosis were stigma (β=−.23, p=.004), self-efficacy (β=.20, p=.036), perceived family support (β=.19, p=.012), and alcohol (β=−.19, p=.021), which explained 38.9% of the variance in medication adherence.
CONCLUSION
The study results suggest that a nursing intervention must be designed to reduce stigma, improve self-efficacy, promote family support, and stop alcohol consumption in order to enhance the medication adherence in adult patients with tuberculosis. Efforts need to educate and encourage tuberculosis patients to adhere strictly to their drugs and conduct various campaigns against the negative perception of tuberculosis.

Citations

• Factors Influencing the Medication Adherence in Patients with Pulmonary Tuberculosis in the COVID-19 Pandemic
  Bongsil Lim, Min Young Kim
  The Korean Journal of Rehabilitation Nursing.2023; 26(2): 87.     CrossRef
• Health-Related Quality of Life Based on EQ-5D Utility Score in Patients With Tuberculosis: A Systematic Review
  Hae-Young Park, Hyo-Bin Cheon, Sun Ha Choi, Jin-Won Kwon
  Frontiers in Pharmacology.2021;[Epub]     CrossRef
• Factors Associated with Medication Adherence among the Elderly with Chronic Diseases
  Sook Hee Kang, Eun Ko
  Korean Journal of Adult Nursing.2021; 33(2): 189.     CrossRef
• THE EFFECT VIDEO MEDIA PSYCHEDUCATION ON ANXIETY LEVELS AND SELF EFFICACY OF TUBERCULOSIS PATIENTS IN THE TREATMENT AT PARU CENTER RSUD CILACAP
  Rosi Arista
  Critical Medical and Surgical Nursing Journal.2020; 9(1): 34.     CrossRef

PURPOSE
The purpose of this study was to cross-culturally adapt the eHealth Literacy Scale into Korean (KeHEALS) and evaluate its reliability and validity.
METHODS
The cross-cultural adaptation of the KeHEALS was conducted according to the World Health Organization's guideline. To evaluate the reliability and validity, the data of 397 participants (210 young adults and 187 older adults) were collected from 2017 November to 2018 February. An online survey was conducted with young adults, while a face-to-face survey was conducted with older adults in two senior welfare centers. The reliability of the KeHEALS was examined using the internal consistency and test-retest reliability tests. Regarding the validity, the content validity index was calculated for content validity, and exploratory and confirmatory factor analyses and the hypothesized test were conducted for assessing construct validity of the KeHEALS.
RESULTS
The Cronbach's α coefficient was .89 and the intraclass correlation coefficient for the 2-week test-retest reliability was .80. The content validity index of the KeHEALS was 1.0. From the exploratory factor analysis, eight items were retained in one factor, which accounted for 58.1% of the total variance. This factor structure was confirmed by the confirmatory factor analysis. The total score of the KeHEALS was significantly correlated with the attitudes toward internet health information.
CONCLUSION
The findings of this study provide evidence for the adequate psychometric properties of the KeHEALS. The KeHEALS will be useful to evaluate the eHealth literacy among Koreans.

Citations

• Development and Validation of the Media Health Literacy Scale: Assessment Tool Development Study
  Sangyoon Shin, Seungyeon Kim, Youngshin Song, Hyesun Jeong, Yun Mi Yu, Euni Lee
  Journal of Medical Internet Research.2025; 27: e62884.     CrossRef
• The Effect of Digital Health Literacy, Self-Efficacy on Self-Care Behaviors among Community-Dwelling Elderly: Focusing on Gyeongsangbuk-do
  Hyojin Son, Youngran Han
  Research in Community and Public Health Nursing.2025; 36: 59.     CrossRef
• Current Status of Information and Communication Technologies Utilization, Education Needs, Mobile Health Literacy, and Self-Care Education Needs of a Population of Stroke Patients
  Mi-Kyoung Cho, Aro Han, Hyunjung Lee, Jiwoo Choi, Hyohjung Lee, Hana Kim
  Healthcare.2025; 13(10): 1183.     CrossRef
• Development and validation of a menopause-specific health literacy scale for middle-aged women
  Haein Lee, Junghee Kim, Hanna Lee
  Patient Education and Counseling.2025; 136: 108762.     CrossRef
• Measuring Digital Health Literacy in Older Adults: Development and Validation Study
  SungMin Kim, Choonghee Park, Sunghyeon Park, Dai-Jin Kim, Ye-Seul Bae, Jae-Heon Kang, Ji-Won Chun
  Journal of Medical Internet Research.2025; 27: e65492.     CrossRef
• Need for and Acceptance of Digital Health Interventions for Self-Management Among Older Adults Living Alone: A Mixed-Methods Approach
  Gahye Kim, Minhwa Hwang, Seonghyeon Lee, Yeon-Hwan Park
  Asian Nursing Research.2025; 19(1): 86.     CrossRef
• Effects of e-health literacy on health-related quality of life in young adults with type 2 diabetes: Parallel mediation of diabetes self-efficacy and self-care behaviors
  Yura Jang, Youngran Yang
  Applied Nursing Research.2025; 82: 151917.     CrossRef
• Factors Affecting the Health-Related Quality of Life of Patients with Bladder Cancer
  Haetsal Kwon, Hyojung Park
  Journal of Korean Public Health Nursing.2024; 38(3): 358.     CrossRef
• A Scoping Review of Tools to Assess Digital Health Literacy Among Middle-Aged and Older Adults for Application to Dietetic Practice
  Jingyi Jess Bai, Mariam Mandoh, Yee Mei Yu, Margaret Allman-Farinelli
  Dietetics.2024; 3(4): 523.     CrossRef
• The Impact of Mothers’ Smartphone Use, eHealth Literacy, Maternal Role Performance Confidence, and Online Social Support on Health Promotion Behavior for Infants and Toddlers
  Se-Young JUNG, So Yeon PARK
  Korean Journal of Health Promotion.2024; 24(3): 134.     CrossRef
• Influence of Digital Literacy and Patient Activation on Sick Role Behavior in Vulnerable Older Adults with Diabetes
  Young-Eun Yi, Hyun-Ju Lee
  Journal of Korean Academy of Fundamentals of Nursing.2024; 31(2): 179.     CrossRef
• Quality controlled YouTube content intervention for enhancing health literacy and health behavioural intention: A randomized controlled study
  Yujin Park, Su Hwan Kim, Hyung-Jin Yoon
  DIGITAL HEALTH.2024;[Epub]     CrossRef
• Validity testing of the Korean version of the Health Literacy Questionnaire (HLQ) and its application in people with chronic diseases
  Yon Hee Seo, Richard H Osborne, Yeunhee Kwak, Jung-Won Ahn, Mohammad Asghari Jafarabadi
  PLOS ONE.2024; 19(8): e0308086.     CrossRef
• The Impact of e-Health Literacy and Technological Self-efficacy on Older Adults’ Level of Digital Informatization
  Sein Ryu, Yeojoo Chae
  Journal of Health Informatics and Statistics.2024; 49(4): 348.     CrossRef
• Impact of Mobile Health Literacy, Stroke-Related Health Knowledge, Health Beliefs, and Self-Efficacy on the Self-Care Behavior of Patients with Stroke
  Hana Kim, Aro Han, Hyunjung Lee, Jiwoo Choi, Hyohjung Lee, Mi-Kyoung Cho
  Healthcare.2024; 12(19): 1913.     CrossRef
• The effects of health literacy on medication compliance in the independent living: Mediating effect of e-health literacy: A cross-sectional descriptive study
  Woo Joo Nam, Ju Young Ha
  Journal of Korean Gerontological Nursing.2024; 26(2): 180.     CrossRef
• Digital Health Equity and Tailored Health Care Service for People With Disability: User-Centered Design and Usability Study
  Sandeul Ha, Seung Hee Ho, Young-Hyeon Bae, Minyoung Lee, Ju Hee Kim, Ju Han Kim, Jisan Lee
  Journal of Medical Internet Research.2023; 25: e50029.     CrossRef
• The Impacts of Digital Literacy, Attitudes towards Internet Health Information, and e-Health Literacy on Health Promotion Behavior among Adults: A Cross-Sectional Study
  HeeJin Shin, JaeHee Jeon
  Korean Journal of Adult Nursing.2023; 35(4): 367.     CrossRef
• Effects of e-Health Literacy, Parenting Stress, and Maternal Role Confidence on Children’s Health-Promoting Behaviors in Mothers of Infants and Toddlers
  So-Hee Park, Jeung-Im Kim
  Journal of The Korean Society of Maternal and Child Health.2023; 27(2): 92.     CrossRef
• Core contents for digital healthcare services across the life span
  Jiye Kim, Jiyoung Lee, Sunyoung Yang, Hyekyeong Kim
  Korean Journal of Health Education and Promotion.2023; 40(4): 33.     CrossRef
• Mediating Effects of Self-Efficacy and Social Support on the Relationship Between eHealth Literacy and Self-Care Competency in Patients Undergoing Percutaneous Coronary Interventions: A Cross-Sectional Study
  Eunhee Jo, Su-Jin Lee, Sun Hee Han
  Journal of Korean Academy of Fundamentals of Nursing.2023; 30(3): 325.     CrossRef
• Social Support, eHealth Literacy, and mHealth Use in Older Adults With Diabetes
  Minjin Kim, Beomsoo Kim, Sunhee Park
  CIN: Computers, Informatics, Nursing.2023;[Epub]     CrossRef
• Digital literacy among Korean older adults: A scoping review of quantitative studies
  Hun Kang, Jiwon Baek, Sang Hui Chu, JiYeon Choi
  DIGITAL HEALTH.2023;[Epub]     CrossRef
• What topics are women interested in during pregnancy: exploring the role of social media as informational and emotional support
  Joo Yun Lee, Eunhee Lee
  BMC Pregnancy and Childbirth.2022;[Epub]     CrossRef
• Understanding the digital health care experience based on eHealth literacy: Focusing on the Seoul citizens
  Na-Young Park, Nan-He Yoon, Namsoo Park, Young-Bok Kim, Minson Kwak, Sarang Jang
  Korean Journal of Health Education and Promotion.2022; 39(4): 67.     CrossRef
• Factors associated with eHealth literacy focusing on digital literacy components: A cross-sectional study of middle-aged adults in South Korea
  Jaegyeong Lee, Sunghee H Tak
  DIGITAL HEALTH.2022; 8: 205520762211027.     CrossRef
• Evaluating a theory-based intervention for improving eHealth literacy in older adults: a single group, pretest–posttest design
  Sun Ju Chang, Kyoung-eun Lee, Eunjin Yang, Hyunju Ryu
  BMC Geriatrics.2022;[Epub]     CrossRef
• Factors Influencing on Intention to Use Mobile Application for Health Promotion in Middle Aged Women: Applying the Health Belief Model
  Sunah Park, Youngrye Park
  The Korean Journal of Rehabilitation Nursing.2022; 25(2): 91.     CrossRef
• Factors associated with eHealth use among community dwelling older adults
  MoonKi Choi
  International Journal of Nursing Practice.2022;[Epub]     CrossRef
• The influence of Digital Informatization Level, Self-efficacy, and Social Support on Digital Health Literacy in the Elderly with Cancer
  Hye Su Kim, Ji Hyun Sung
  Asian Oncology Nursing.2022; 22(4): 255.     CrossRef
• Selected health behaviors associated with health literacy and digital health literacy
  Eun Jin Choi, Heeran Chun, Woosung Kwak
  Korean Journal of Health Education and Promotion.2022; 39(5): 81.     CrossRef
• Validating the Digital Health Literacy Instrument in Relation to COVID-19 Information (COVID-DHL-K) among South Korean Undergraduates
  Heeran Chun, Eun-Ja Park, Seul Ki Choi, Hyeran Yoon, Orkan Okan, Kevin Dadaczynski
  International Journal of Environmental Research and Public Health.2022; 19(6): 3437.     CrossRef
• Psychometric comparisons of measures of eHealth literacy using a sample of Korean older adults
  Hyunjung Kim, Eunjin Yang, Hyunju Ryu, Hee Jung Kim, Sun Joo Jang, Sun Ju Chang
  International Journal of Older People Nursing.2021;[Epub]     CrossRef
• Internet health information education for older adults: A pilot study
  Sun Ju Chang, Eunjin Yang, Kyoung-Eun Lee, Hyunju Ryu
  Geriatric Nursing.2021; 42(2): 533.     CrossRef
• Association of eHealth Use, Literacy, Informational Social Support, and Health-Promoting Behaviors: Mediation of Health Self-Efficacy
  MoonKi Choi
  International Journal of Environmental Research and Public Health.2020; 17(21): 7890.     CrossRef
• Comparing Factors Associated With eHealth Literacy Between Young and Older Adults
  Eunjin Yang, Sun Ju Chang, Hyunju Ryu, Hee Jung Kim, Sun Joo Jang
  Journal of Gerontological Nursing.2020; 46(8): 46.     CrossRef
• Effects of the Health Literacy and Knowledge on Adherence to Self-care Behavior among Elderly with Ischemic Stroke Visiting Local General Hospitals
  Young-Nam Park, Chul-Gyu Kim
  Korean Journal of Adult Nursing.2019; 31(5): 573.     CrossRef
• Mediating Effects of Health Belief on the Correlations among Disease-related Knowledge, eHealth Literacy, and Self-care Behaviors in Outpatients with Hypertension
  Gyoo Yeong Cho, Myung Nam Ha
  Korean Journal of Adult Nursing.2019; 31(6): 638.     CrossRef

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

• Fatigue-Related Factors for Community-Dwelling Older Adults with Diabetes: A Theory-Guided Multi-Dimensional Approach Using the Dynamic Biopsychosocial Model
  Hyerang Kim, Heesook Son
  International Journal of Environmental Research and Public Health.2019; 16(22): 4502.     CrossRef
• Differences of Stress, Sleep Quality and Metabolic Syndrome by Prolonged Fatigue in Early Adulthood
  Bok Nam Seo, Inja Kim
  Korean Journal of Adult Nursing.2019; 31(2): 202.     CrossRef

PURPOSE
As advanced medical care has resulted in the unintended consequence of prolonging deaths, there is a growing interest in the decision to withhold life-sustaining treatments. The purpose of this study was to determine factors associated with the decision to withhold life-sustaining treatments in middle-aged and older adults who die in hospital in the United States.
METHODS
This cross-sectional correlational study conducted secondary analysis of 2000–2012 exit interview data from the Health and Retirement Study. Adults aged 50 and older who died in hospital and who had made a decision regarding life-sustaining treatments were included. Multivariable logistic regression was used to identify factors related to the decision to withhold life-sustaining treatments.
RESULTS
Among 1,412 adults, the prevalence of the decision to withhold life-sustaining treatments was 61.1%. Significant factors associated with the decision to withhold life-sustaining treatments were being African American (Adjusted Odds Ratio [AOR]=0.50, 95% Confidential Interval [CI]=0.30~0.86), Catholic (AOR=0.5, 95% CI=0.32~0.93), having at least one private insurance policy (AOR=1.40, 95% CI=1.02~1.92), having a living will (AOR=1.71, 95% CI=1.04~2.83), and having discussed end-of-life care with someone (AOR=1.810, 95% CI=1.25~2.62).
CONCLUSION
Differences in race and religious affiliation should be considered when older adults, family members, and health care providers make decisions regarding life-sustaining treatments at the end-of-life. Also, health insurance coverage for advance care planning makes it easier for people to discuss life-sustaining treatments with health care providers.

PURPOSE
The purpose of this retrospective study was to investigate the effect of revised cardiac rehabilitation Clinical Pathways (CPs) on the Cardiac Rehabilitation (CR) participation rate of patients with Myocardial Infarction (MI) undergoing Percutaneous Coronary Intervention (PCI).
METHODS
We reviewed the electronic medical record of patients who were referred for CR after MI from July 2015 to December 2016. In April 2016, the patient groups were divided into 9-month periods: pre- and post-CP revision. We reduced the mean number of hospital visits for CR and the wait times before starting CR and the first Cardio Pulmonary Exercise (CPX) test. We added a home-based CR program and reinforced the CR liaison nurse's role. The changes in the CR wait time, mean number of hospital visits post-discharge, and participation rates at 1 and 3 months were investigated.
RESULTS
Ninety-two patients were recruited from July 2015 to March 2016. Twenty-four (26.1%) participated in CR at 1 month, and 11 (12.0%) were maintained up to 3 months. From April 2016 to December 2016, 107 patients were recruited. Sixty-five (60.7%) participated at 1 month, and 38 (35.5%) were maintained up to 3 months. The mean number of hospital visits was 3.5±0.8 versus 1.9±0.9 in the previous and revised CP groups. The average number of days to the first CPX test after MI was 43.4±17.6 versus 26.3±10.6.
CONCLUSION
Following CP revision, the CR participation rate significantly improved among patients with PCI post-MI. CP revision in terms of inter-physician communication and additional nursing interventions should be considered.

Citations

• The content and characteristics of face-to-face interventions to encourage patients’ enrollment in cardiac rehabilitation; a scoping review
  Birgit Rasmussen, Thomas Maribo, Bente Skovsby Toft
  Disability and Rehabilitation.2024; 46(13): 2734.     CrossRef

PURPOSE
This study was conducted to examine the effects of a group reminiscence program on self-forgiveness, life satisfaction, and death anxiety among Korean older adults in nursing homes.
METHODS
This study was undertaken in two nursing homes in Korea using a nonequivalent control group with a pretest-posttest design. The subjects were 47 older adults aged 69 to 91 years. The experimental group underwent the group reminiscence program for eight weeks. All participants' self-forgiveness, life satisfaction, and death anxiety levels were measured using the State Self-Forgiveness Scale-Korea (SSFS-K), the Satisfaction with Life Scale (SWLS), and the Death Anxiety Scale (DAS), respectively, before and after the eight-week intervention.
RESULTS
After the group reminiscence program, life satisfaction (t=3.23, p=.003) and death anxiety (t=2.49, p=.018) levels of the experimental group improved significantly compared to those of the control group. There was no statistically significant difference in self-forgiveness between the experimental and control groups.
CONCLUSION
The results of this study suggest that use of the group reminiscence program can be considered an effective intervention, with a positive impact on life satisfaction and death anxiety of Korean older adults in nursing homes.

Citations

• The Role and Effectiveness of the Life Map Design Tool in Establishing a Care Plan
  Yunkyu Lee, Yasuyuki Hirai, Melanie Sarantou, Akihiro Kawaguchi, Jia Wang
  Archives of Design Research.2025; 38(1): 31.     CrossRef
• A Network Meta-Analysis of Different Psychological Therapies for Death Anxiety in Older Adults
  Jinhong Lu, Youzhuan Yang, Hongchao Ma
  OMEGA - Journal of Death and Dying.2025;[Epub]     CrossRef
• Psychological interventions to promote self-forgiveness: a systematic review
  A. Vismaya, Aswathy Gopi, John Romate, Eslavath Rajkumar
  BMC Psychology.2024;[Epub]     CrossRef
• Self-Transcendence as a Mediator of the Relationship Between Reminiscence Functions and Death Anxiety: Implications for Psychiatric Nurses
  Abdallah Abu Khait, Austin Menger, Hanan Al-Modallal, Asem Abdalrahim, Theodora Moldovan, Shaher H. Hamaideh
  Journal of the American Psychiatric Nurses Association.2024; 30(3): 646.     CrossRef
• The effect of structured group reminiscence on depression and anxiety of the elderly female hookah users
  Mohammad-Rafi Bazrafshan, Mozhgan Jokar, Omid Soufi, Hamed Delam
  Journal of Substance Use.2022; 27(5): 528.     CrossRef
• Depression and quality of life in older adults with pneumoconiosis: The mediating role of death anxiety
  Sunghee Cho, Ok-Hee Cho
  Geriatric Nursing.2022; 44: 215.     CrossRef
• The effect of group reminiscence therapy on death anxiety and adaptation of the elderly to old age
  Mohammad-Rafi Bazrafshan, Zohreh Faramarzian, Omid Soufi, Hamed Delam
  Archives of Psychiatric Nursing.2022; 41: 312.     CrossRef
• Scoping review of reminiscence research undertaken in long-term care communities
  Yuxuan Yang, Leah Graf, Madisyn Longdin, Abdallah Abu Khait, Juliette Shellman
  Geriatric Nursing.2022; 46: 191.     CrossRef
• Forgiveness Interventions for Older Adults: A Review
  Javier López, Maria Inés Serrano, Isabel Giménez, Cristina Noriega
  Journal of Clinical Medicine.2021; 10(9): 1866.     CrossRef
• Effect of Reminiscence Therapy on Death Anxiety in Retired Elderly Men: An Interventional Study
  Abbasali Sheykhi, Farshid Saeedinezhad, Zahra Raiesi, Nasrin Rezaee
  Medical - Surgical Nursing Journal.2020;[Epub]     CrossRef
• The Effectiveness of Biographical Approaches in Long-Term Care: A Systematic Review
  Lara Menn, Sabine Corsten, Norina Lauer, Sarah J Wallace, Patricia C Heyn
  The Gerontologist.2020; 60(4): e309.     CrossRef

PURPOSE
The purposes of this study were to examine the relationships between resilience, depression, and self-care competence and identify factors associated with self-care competence in patients with type 1 and type 2 diabetes mellitus.
METHODS
This study was a descriptive research. Structured questionnaire on patients' sociodemographic and clinical characteristics, resilience, depression, and self-care competence was used for survey with a convenience sample of 152 patients with diabetes mellitus. Data were collected from July to December 2016. Data were analyzed using descriptive statistics, independent t-test, one way ANOVA, Pearson's correlation coefficient, and multiple regression with SPSS/WIN 21.0 program.
RESULTS
The mean scores on resilience, depression, and self-care competence were 2.86±0.42, 18.11±10.05, and 4.27±0.78, respectively. Self-care competence showed a statistically significant positive correlation with resilience (r=.47, p < .001), and negative correlation with depression (r=−.29, p < .001). Resilience showed a negative correlation with depression (r=−.53, p < .001). Resilience (β=.38, p < .001) was significantly associated with factors of self-care competence in patients with diabetes mellitus.
CONCLUSION
The results of the study indicate that factor influencing self-care competence was resilience in patients with diabetes mellitus. Therefore, nursing intervention programs for increasing the self-care competence should include regular assessments and strategies for improving resilience in patients with diabetes mellitus. It is recommended that the studies should be performed to confirm the relationship between resilience and self-care competence by using resilience instrument developed for adults.

Citations

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