PURPOSE
The purpose of this study was to investigate the combined influence of smoking and alcohol drinking on suicidal ideation and attempts among Korean adults.
METHODS
This cross sectional study used secondary data from the Korean National Health and Nutrition Examination Survey (KNHANES) from 2008 to 2011. A total of 13,064 adults were included in the study. Logistic regression was used to analyze the combined influence of smoking and alcohol drinking on suicidal ideation and attempts.
RESULTS
Persons who smoke and use alcohol were more likely to report suicidal ideation and attempts than those who did not smoke and reported normal drinking. The group who reported both smoking and harmful drinking/alcohol had significantly higher incidence of suicidal ideation and attempts than the comparison group of non-smoking/normal drinking (Suicidal ideation: Adjusted Odds Ratio [AOR]: 2.13, 95% Confidence Interval [CI]: 1.60~2.83; suicidal attempts: AOR: 3.81, 95% CI: 1.60~9.05).
CONCLUSION
Based on the results of this study, smoking and alcohol drinking were individually important health behaviors for prevention of suicidal ideation and attempts. Especially, suicidal prevention programs might be needed for adults who smoke and drink at the same time to decrease suicidal ideation and attempt.

Citations

• Analysis of suicide statistics and trends between 2011 and 2021 among Korean women
  Hyunjung Jang, Seokmin Lee, Sanghee Park, Bobae Kang, Hyunkyung Choi
  Korean Journal of Women Health Nursing.2023; 29(4): 348.     CrossRef
• Effects of Alcohol Consumption and Smoking Dual Use Experience on Culturally Diverse Adolescents’ Suicidal Behaviors: Using Date from the 15~17th Korean Youth Risk Behavior Web-based Survey
  Hyun Jung Lee, Euna Si
  Journal of Korean Academy of psychiatric and Mental Health Nursing.2022; 31(4): 415.     CrossRef
• Perceived discrimination and suicidal ideation of Korean adults with disability: Examining the mediating role of depressive symptoms
  Seojin Won, Hyemee Kim
  Korean Journal of Health Education and Promotion.2019; 36(2): 65.     CrossRef
• Do the associated factors with high-risk drinking differ by smoking?
  Hyo Young Lee, Hyuk Im, Hye Sook Kim, Min Jung Kim
  Korean Journal of Health Education and Promotion.2019; 36(3): 15.     CrossRef

PURPOSE
This study was to test a structural model of spirituality and the quality of life of stroke survivors' caregivers in order to provide guidelines for the development of intervention and strategies to improve their quality of life.
METHODS
Data were collected from 133 family caregivers of stroke patients who were hospitalized in C university hospital located in Seoul. Data collection using survey questionnaires was done from May, 2013 to February, 2014.
RESULTS
Fitness of the hypothetical model was appropriate. Physical component of quality of life of family caregivers is directly affected by two variables (51.5%), burden and depression. Mental component of quality of life of family caregivers is directly affected by three variables (77.6%), depression, burden, and functional dependence of patients. Depression as well as burden were directly affected by spirituality and functional dependence of patients respectively. Thus, spirituality directly affected depression and burden and indirectly affected the quality of life of family caregivers.
CONCLUSION
Therefore, spiritual intervention to improve the stroke caregivers' quality of life might be necessary to support and strengthen their spirituality as a mediating variable that can contribute to decreasing their depression and burden.

Citations

• Factors Influencing the Quality of Life of Family Caregivers of Stroke Patients: A Cross-Sectional Survey
  Ji-Hye Lee, Mi Sook Jung
  Journal of Korean Academy of Fundamentals of Nursing.2023; 30(4): 479.     CrossRef
• Factors Influencing Family Caregivers' Self-management of Acute Stroke Survivors
  Ji Yeon Lee, Hee Kyung Chang
  Korean Journal of Adult Nursing.2018; 30(6): 669.     CrossRef

PURPOSE
This study examined the effects of a program designed to prevent ventilator-associated pneumonia (VAP) on VAP rate and endotracheal colonization. The program focused on aspiration prevention and oral care.
METHODS
A nonequivalent control group post-test only design was utilized. One hundred patients admitted to a medical intensive care unit (MICU) or coronary care unit (CCU) were assigned to either a experimental group (n=50) or a control group (n=50). The participants were selected 48 hours following an endotracheal intubation. VAP prevention program given to the experimental group includes keeping the head of the bed to 30°~45° high, maintaining continuous endotracheal cuff pressure at 25 cm H₂O, performing endotracheal suction before change position, and providing oral care with 0.1% chlorhexidine every four hours. The control group received usual care. Data were analyzed using t-test, x² test, Mantel-Haenszel x² and Cox proportional harzard regression model.
RESULTS
The experimental group showed a lower VAP rate than the control group although the difference was not statistically significant (x²=0.79, p=.375). The experimental group showed lower colonization in tracheal secretion than the control group (x²=14.59, p<.001).
CONCLUSION
Results showed that a VAP prevention program is effective in reducing colonization of tracheal secretion. Therefore, VAP prevention programs are recommended as an ICU nursing intervention.

Citations

• Effects of Oral Care Using Chlorhexidine Gluconate on Ventilator-associated Pneumonia and Mortality: A Systematic Review and Meta-analysis
  Nam Young Kim, Seang Ryu, Yun-Hee Kim
  Korean Journal of Adult Nursing.2019; 31(2): 109.     CrossRef

PURPOSE
The purpose of this study was to identify the occurrences and the factors contributing to constipation in the post surgical period following major orthopedic surgery.
METHODS
The sample included 133 patients who had surgery of the hip, knee, or spine. Patients were excluded from the study if there was a history of bowel surgery or constipation from chart review. Data were collected using questionnaires such as Korean version of Modified Barthel index (K-MBI), Hospital Anxiety and Depression Scale, and Constipation Assessment Scale (CAS) before surgery and on the third postoperative day.
RESULTS
Reports of constipation occurred in 77 instances (57.9%). The first reported defecation was within 4.0±2.2 days following surgery. Mean days of first defecation of constipation group vs. non-constipation group was 5.5±1.7 days vs. 2.1±1.0 days. There were statistically significant differences between patients who reported than those who did not in terms of age, length of NPO period, postoperative ADL, and the reported incidents of preoperative and postoperative depressive symptoms. Postoperative ADL, age, and NPO period were significant influencing factors of constipation and explained 52.4% of the variance.
CONCLUSION
Constipation is a very common symptom for patients undergoing orthopedic surgery. These results indicate a need for improving patient's ADL after surgery to prevent constipation.

Citations

• The effect of kinesiophobia on gastrointestinal disorders in patients with lower extremity orthopedic surgery
  Huseyin Gunes, Semra Bulbuloglu, Serdar Saritas, Ahmet Ozdemir
  Frontiers in Surgery.2025;[Epub]     CrossRef
• Efficacy of an Iranian herbal medicine formula for postoperative constipation in trauma patients with hip and lower limb fractures: A triple-blind, placebo-controlled randomized clinical trial
  Rezvan Ghafarzadegan, Mohammadreza Zarei, Nahid Norouzi, Neda Mirbagher Ajorpaz, Seyedeh Mahsa Lotfi, Sayyed Mehdi Rasooli Manesh, Hossein Akbari, AliReza Abedi
  International Journal of Orthopaedic and Trauma Nursing.2025; 57: 101163.     CrossRef
• A Common Complication in Orthopedic Patients: Postoperative Constipation and Related Risk Factors
  Hesna G..rler, Fatma Tok Y..ld..z, Fatma Bekmez
  Journal of PeriAnesthesia Nursing.2023; 38(5): e15.     CrossRef
• Constipation After Elective Laparoscopy for Benign Gynecological Indications–A Prospective Observational Study
  Paul Berlund, Charlotte Reddington, Claudia Cheng, Martin Healey
  Journal of Minimally Invasive Gynecology.2023; 30(10): 827.     CrossRef
• Prevalence of Constipation and related Factors in Patients with Lower Extremity Fracture Surgery
  Ok-Hee Cho, Hyerim Seo, Jeongeun Yoon
  The Korean Journal of Rehabilitation Nursing.2023; 26(1): 8.     CrossRef
• Effect of Acupressure and Abdominal Massage on Constipation in Patients with Total Knee Arthroplasty: A Randomized Controlled Study
  Mahinur Durmuş İskender, Nurcan Çalışkan
  Clinical Nursing Research.2022; 31(3): 453.     CrossRef
• Randomized Controlled Trial of a Natural Food-Based Fiber Solution to Prevent Constipation in Postoperative Spine Fusion Patients
  Deborah Wittig-Wells, Pam Sapp, Melinda Higgins, Erica Davis, Jessica Carter, Ani Jacob
  Orthopaedic Nursing.2019; 38(6): 367.     CrossRef
• Opioid induced constipation management in orthopaedic and trauma patients: treatment and the potential of nurse-initiated management
  Olivia Sonneborn, Thuy Bui
  International Journal of Orthopaedic and Trauma Nursing.2019; 34: 16.     CrossRef

PURPOSE
The aim of this study was to test the validity and reliability of the Korean version of the Quality of Nursing Work Life (QNWL-K) scale. The scale measures the reported quality of the nurse' work life among Korean nurses.
METHODS
The QNWL-K was developed through forward-backward translation techniques. An internal consistency reliability and construct validity using exploratory analysis were conducted using SPSS/WIN (21.0). Survey data were collected from 309 nurses who worked in two tertiary hospitals, four general hospitals, and two hospitals in Seoul and Gyeonggi, South Korea.
RESULTS
Factor analysis results of the revised QWNL-K demonstrated that it has a four-factor structure (work context, support systems for home/work life, work design, and staffing) that supports construct validity. Factor loadings of the 36 items ranged from .30~.77. The QNWL-K showed reliable internal consistency from Cronbach's α for the total scale of .93.
CONCLUSION
The findings support that the QNWL-K has satisfactory construct validity and is a reliable measure of nursing work life in Korea.

Citations

• Assessing the Development and Validity of Educational Videos in Educating Dental Infection Control Coordinators
  Na‐Young Lee, Han‐Na Kim
  International Journal of Dental Hygiene.2025;[Epub]     CrossRef
• Influences of Organizational Culture, Nursing Workplace Spirituality, and Nurses’ Perceived Health Status on Quality of Nursing Work Life according to Nursing Clinical Ladder
  Hyun Sook Lee, Ju Hyun Jin, Ju Ri Lee, Hye Jin Kim, Yeon Jae Jung
  Journal of Korean Academy of Nursing Administration.2024; 30(1): 31.     CrossRef
• The Effects of Disaster Nursing Core Competence and Coping Flexibility on the Quality of Work Life of Emergency Room Nurses during Long COVID-19
  Yu Jin Lee, Chung Hee Woo
  Journal of Korean Academy of Nursing Administration.2024; 30(3): 259.     CrossRef
• High-Risk Symptom Cluster Groups for Work-Life Quality and Turnover Intention among Nurses
  Chiyoung Cha, Miran Lee
  Western Journal of Nursing Research.2023; 45(3): 192.     CrossRef
• The instruments for evaluation the quality of nursing work life
  Katarína Mišovičová, Martina Tomagová
  Pielegniarstwo XXI wieku / Nursing in the 21st Century.2023; 22(2): 108.     CrossRef
• Evaluating the Quality of Work Life Among Nurses: A Systematic Review
  Abbas Ebadi, Zeinab Tabanejad
  Journal of Archives in Military Medicine.2022;[Epub]     CrossRef
• Relationship between a University Hospital Nurses’ Structural Empowerment and Quality of Nursing Work Life: Mediating Effect of Psychological Empowerment
  Eun Bee Baek, Sun Hyoung Bae
  Journal of Health Informatics and Statistics.2022; 47(2): 159.     CrossRef
• A Study of Knowledge, Attitudes, and Educational Needs for Gerontological Nursing in Cancer Hospital Nurses
  Su Ah Lee, Young Whee Lee
  Journal of Korean Gerontological Nursing.2021; 23(4): 384.     CrossRef
• Effect of Workplace Spirituality on Quality of Work Life of Nurse Cancer Survivors in South Korea
  Juhyun Jin, Eunju Lee
  Asia-Pacific Journal of Oncology Nursing.2020; 7(4): 346.     CrossRef
• Factors Affecting Quality of Work Life in a Sample of Cancer Survivor Female Nurses
  Ju Hyun Jin, Eun Ju Lee
  Medicina.2020; 56(12): 721.     CrossRef
• Factors Influencing Ageism in General Hospital Nurses
  Juah Kim, Jiyeon Ha
  Journal of Korean Academy of Nursing Administration.2019; 25(5): 393.     CrossRef

PURPOSE
This study utilized secondary data and investigated the factors associated with life satisfaction by living arrangements among community-dwelling adults aged 65 years or older in Korea.
METHODS
A total of 2,134 participants were selected from the 2014 Korean Longitudinal Study of Aging (KLoSA). Univariable and multivariable logistic regression were used for data analysis.
RESULTS
The significant factors associated with life satisfaction in older adults living with others were education level (odds ratio [OR] 1.73, 95% confidence interval [CI] 1.41~2.11), place of residence in medium-size city (OR 1.57, 95% CI 1.25~1.97), place of residence in rural town(OR 1.52, 95% CI 1.19~1.95), depression (OR 2.99, 95% CI 2.43~3.68), frequency of contact with neighbors (OR 1.39, 95% CI 1.10~1.76), and social participation (OR 1.48, 95% CI 1.14~1.93). In contrast, factors associated with life satisfaction among older adults living alone were education level (OR 1.93, 95% CI 1.15~3.24) and depression (OR 2.49, 95% CI 1.48~4.19).
CONCLUSION
These findings indicated that nursing interventions for improving life satisfaction among older adults should take into account their specific living arrangements.

Citations

• Predictors of life satisfaction among older men living alone: Analysis of the 2020 National Survey of Older Koreans: A cross-sectional study
  Young-Ran Hwang, Gwi-Ryung Son Hong
  Journal of Korean Gerontological Nursing.2024; 26(3): 278.     CrossRef
• Changes in life satisfaction among middle-aged adults living alone over a 12-year span
  Jaehee Yoon, Jeewuan Kim, Joohyun Chung, Heesook Son, Christiane Schwieren
  PLOS ONE.2023; 18(12): e0295895.     CrossRef
• Factors Related to the Life Satisfaction of Elderly Baby Boomers: An Analysis of the 2020 Korean National Survey of Elderly
  Soo-Ji Jin, Yeon-Hwan Park
  Korean Journal of Adult Nursing.2023; 35(2): 184.     CrossRef
• Association Between Social Frailty and Life Satisfaction Among Older Adults: The Role of Functional Limitations and Depressive Symptoms
  Ha Na Jeong, Sun Ju Chang
  Research in Gerontological Nursing.2023; 16(6): 291.     CrossRef
• Relationships between children-related factors, basic psychological need satisfaction, and multiple happiness among urban empty-nesters in China: a structural equation modeling
  Yang Yu-ting, Yao Miao, Yang Yong-wei, Ye Qiong, Lin Ting
  BMC Geriatrics.2022;[Epub]     CrossRef
• Structural equation model of the relationship between functional ability, mental health, and quality of life in older adults living alone
  YuMi Yi, Yeon-Hwan Park, Gianni Virgili
  PLOS ONE.2022; 17(8): e0269003.     CrossRef
• Do policy expectations, health, and social support affect the quality of life of older adults?
  Yoonhee Choi, Eunjung Hwang
  International Review of Public Administration.2022; 27(4): 325.     CrossRef
• Children’s Filial Piety Changes Life Satisfaction of the Left-Behind Elderly in Rural Areas in China?
  Yaling Luo, Xiling Wu, Liao Liao, Hongmei Zou, Lulu Zhang
  International Journal of Environmental Research and Public Health.2022; 19(8): 4658.     CrossRef
• A Structural Model of Life Satisfaction for Middle Aged or Older People Living Alone
  Kyung Sook Kim, Miok Kim
  Journal of Korean Gerontological Nursing.2021; 23(1): 96.     CrossRef
• Social participation, health‐related behavior, and depression of older adults living alone in Korea
  Seojin Won, Hyemee Kim
  Asian Social Work and Policy Review.2020; 14(1): 61.     CrossRef

PURPOSE
The purpose of this study was to explore the reported good service experiences from the perspective of elderly residents of long-term care facilities.
METHODS
Of those residents who are 65 years old or older, 14 residents whose length of stay were one month or longer and scores of the K-Mini Mental State Examination were 15 or higher were interviewed. The interview data formed the basis for the empirical statements about the reported nature of patients' experiences as residents of long-term care facilities. These data were used in concept mapping.
RESULTS
Through multidimensional scaling analysis and hierarchical cluster analysis, 62 core statements, two dimensions, and six clusters of good service experiences were derived. The two dimensions were classified as ‘care centered-participation centered services’ and as ‘physical-emotional services.’ Six cluster themes emerged as good service experiences: ‘safety of care and treatment’, ‘responsible and supportive staff’, ‘comfort of living environment’, ‘mental well-being’, and ‘respect and communication’.
CONCLUSION
The result of the study provides information about what experiences are important to older adults with cognitive impairment. The concept map can be used to develop a patient experience index for the elderly residents of long-term care facilities.

Citations

• Analysis of Tools to Measure the Service Experiences of Families of Older Adults in Long-Term Care Facilities: A Scoping Review
  Hyoung Shim Choi, Jui Kim
  Korean Journal of Adult Nursing.2024; 36(2): 102.     CrossRef
• Development of Service Experience Evaluation Tool for Visiting Nurses of Public Health Center in Korea
  Jiwon Kim
  Journal of Health Informatics and Statistics.2023; 48(2): 121.     CrossRef
• Nurses' Views on Infection Control in Long-Term Care Facilities in South Korea: A Focus Group Study
  Chi-Young Lee, Min-Hye Lee, Seong-Hyeon Lee, Yeon-Hwan Park
  Korean Journal of Adult Nursing.2018; 30(6): 634.     CrossRef

PURPOSE
This study was designed to identify knowledge, attitude, environment, and self-efficacy among perioperative nurses in terms of radiation protection and to describe those factors affecting radiation protection behaviors.
METHODS
The sample was comprised of 128 perioperative nurses who agreed to participate in this descriptive study. Data were collected from a self-administered questionnaire and were analyzed using the t-test, analysis of variance, Mann-whitney U test, Kruskal-Wallis test, Pearson's correlation, and multiple regression analyses.
RESULTS
Radiation protection behaviors were significantly different by participant's gender, length of career as a perioperative nurse, educational level and prior experience with radiation protection education. Radiation protection behaviors were significantly correlated with radiation protection environment and self-efficacy in terms of radiation protection behaviors. In the multiple linear regression models, radiation protection environment and self-efficacy on radiation protection behaviors were statistically significant predictors of radiation protection behaviors, which accounted for 50.3% of variance in dependent variable.
CONCLUSION
This study concluded that radiation protective environment in operating room is important to promote radiation protective behaviors and radiation safety management program to enhance self-efficacy is highly recommended.

Citations

• Factors Influencing Radiation Protection Behavior of Nurses in Intensive Care Units
  Seo Jeong Kim, Yun Hee Kim
  Journal of Korean Critical Care Nursing.2024; 17(3): 1.     CrossRef
• Factors Affecting Radiation Protective Behaviors in Perioperative Nurses Applying the Theory of Planned Behavior: Path Analysis
  Se Young Jang, Hee Sun Kim, Seok Hee Jeong, Young Man Kim
  Journal of Korean Academy of Nursing.2023; 53(2): 222.     CrossRef
• Factors Influencing Protective Behaviors for Dental Radiation Exposure among Female Korean Dental Hygienists Using Health Belief Model
  Su-Yeon Hwang, Jung-Eun Park, Jong-Hwa Jang
  International Journal of Environmental Research and Public Health.2022; 19(1): 518.     CrossRef
• Factors Affecting Radiation Protection Behaviors among Emergency Room Nurses
  Sookkyoung Park, Yaki Yang
  International Journal of Environmental Research and Public Health.2021; 18(12): 6238.     CrossRef
• Factors Affecting Radiation Protection Behaviors among Emergency Room Nurses
  Su Jin Lee, Sunjoo Boo, Jeong-Ah Ahn, Mi-Ae You
  Journal of Korean Critical Care Nursing.2020; 13(1): 15.     CrossRef
• A Study on Knowledge, Attitude and Behavior for Radiation Protection of Nurses : Focus on the Operating Rooms and Intensive Care Units
  Choi Jung-im, Yang Young-Ok
  Journal of Radiological Science and Technology.2019; 42(6): 461.     CrossRef
• Radiation safety education and compliance with safety procedures—The Korea Nurses’ Health Study
  Oksoo Kim, Mi Sun Kim, Hee Jung Jang, Hyangkyu Lee, Younhee Kang, Yanghee Pang, Heeja Jung
  Journal of Clinical Nursing.2018; 27(13-14): 2650.     CrossRef

PURPOSE
The aim of this study was to evaluate the effects of a computerized cognitive training on older adults affected by mild cognitive impairment (MCI) in terms of cognitive function, depression, self-esteem, and activities of daily living (ADL).
METHODS
This study used a non-equivalent control group non-synchronized design. A total of 53 older adults who reside in long-term care facilities were recruited, 26 subjects for an experimental group and 27 subjects for a control group. A computerized cognitive training was performed for 20~40 minutes/day, three days/week for ten weeks. Data were analyzed using SPSS/WIN 21.0 with x² test, Fisher's exact test, and t-test.
RESULTS
Scores of MMSE (t=3.30, p=.002), depression (t=-2.15, p=.036), and self-esteem (t=2.76, p=.008) were significantly better in the experimental group than the control group. However, the difference in ADL (t=-1.01, p=.316) was not significant between the two groups.
CONCLUSION
These findings suggest that the computerized cognitive training can be used as an effective nursing intervention to improve cognitive function and self-esteem and lower depression among older adults with MCI.

Citations

• Efficacy of smartphone application-based multi-domain cognitive training in older adults without dementia
  Jinju Cho, Dayeong An, Eunhye Cho, Daeun Kim, Ingyu Choi, Jihyun Cha, JongKwan Choi, Duk L. Na, Hyemin Jang, Juhee Chin
  Frontiers in Aging Neuroscience.2023;[Epub]     CrossRef
• A Feasibility Study of Two Cognitive Training Programs for Urban Community-Dwelling Older Adults
  Sara Benham, Kelly Otchet, Diana Senft, Ann Marie Potter
  Journal of Ageing and Longevity.2022; 2(2): 74.     CrossRef
• Effects of activities of daily living-based dual-task training on upper extremity function, cognitive function, and quality of life in stroke patients
  Hee-Su An, Deok-Ju Kim
  Osong Public Health and Research Perspectives.2021; 12(5): 304.     CrossRef
• Can Use of Digital Technologies by People with Dementia Improve Self-Management and Social Participation? A Systematic Review of Effect Studies
  David Neal, Floor van den Berg, Caroline Planting, Teake Ettema, Karin Dijkstra, Evelyn Finnema, Rose-Marie Dröes
  Journal of Clinical Medicine.2021; 10(4): 604.     CrossRef

PURPOSE
This study investigated Korean women in between age 30 to 60 who were obese or overweight in order to explore their self-perception based on lifetime phase.
METHODS
Focus group interviews were performed four times with six to eight participants in each group (a total of 27). Data were analyzed using inductive thematic analysis.
RESULTS
The data analysis from the interviews revealed recurring common themes: heavy heart, heavy body, resigned acceptance of their own condition, and compromise. The study also found that each age group had different concerns: concerning others' gaze on their obese appearances (30s), realizing their aging obese appearances (40s), recognizing red flags of their health with obesity (50s), and becoming ambivalent about their obese appearances (60s). Overall, their perceptions of being overweight were negative and stressful. Women in their 30s and 40s were more interested in their appearances, and thus were more obsessive about weight gain. In contrast, women in their 50s and 60s were more accepting of their physical appearances, and thus were more concerned about living healthy than losing weight.
CONCLUSION
These results may be useful to consider when developing tailored weight-control programs for obese and overweight Korean women. Additionally, strategic approaches for successful and effective programs targeting healthy weight should be based on better understanding about women's self-perceptions and motivations.

Citations

• Exploring Barriers to and Facilitators of Physical Activity among Korean American Women
  JiWon Choi, Juhyun Cho, Nah-Mee Shin, Janice Tsoh
  Western Journal of Nursing Research.2021; 43(9): 817.     CrossRef
• Factors Affecting Body Image Discordance Amongst Korean Adults Aged 19–39 Years
  Hye-Young Jang, Jung-Won Ahn, Mi-Kyeong Jeon
  Osong Public Health and Research Perspectives.2018; 9(4): 197.     CrossRef