Purpose
This study aimed to identify socioeconomic clusters of older adults and compare cardiovascular health among the identified clusters. Methods: A secondary analysis was performed using the data from 3,303 older adults (over 65 years of age; 56.5% women) who participated in the Korean National Health and Nutrition Examination Survey (2016~2017). A two-step cluster analysis was used to identify older adults’ socioeconomic clusters based on 11 factors associated with Socioeconomic Status (SES). Differences in the cardiovascular health outcomes among the identified clusters were analyzed using the x² test and one-way ANOVA. Results: A three-cluster solution was selected (p<.001) composed of low (n=715), middle (n=1,425), and high-SES clusters (n=1,163). The three clusters differed significantly in the prevalence of diabetes (p<.010), hypertension (p<.001), and metabolic syndrome (p<.001), with greater prevalence in the lower SES clusters. Similarly, systolic blood pressure (p<.001), body mass index (p<.010), and total cholesterol (p<.010) differed significantly among the clusters in the same pattern. Conclusion: Older adults of lower SES clusters should be a crucial target group for health promotion interventions aimed at the prevention and management of cardiovascular disease risk factors. Tailored interventions can be developed by understanding intersecting SES risk factors in this group.

Citations

• The Contribution of Material, Behavioral, Psychological, and Social-Relational Factors to Income-Related Disparities in Cardiovascular Risk Among Older Adults
  Chiyoung Lee, Qing Yang, Eun-Ok Im, Eleanor Schildwachter McConnell, Sin-Ho Jung, Hyeoneui Kim
  Journal of Cardiovascular Nursing.2021; 36(4): E38.     CrossRef

Purpose
The aim of this study was to evaluate the validity and reliability of a Korean version of the Psychological Adaptation Scale (K-PAS) for patients on hemodialysis. Methods: The PAS was translated into Korean with the forward and backward translation method. The data were collected from 171 patients on hemodialysis at eight general hospitals in South Korea. Content, construct, criterion validity were evaluated. Cronbach's ⍺ coefficients were used to examine the scale’s reliability. Jamovi 1.1.9 software was used for data analysis. Results: The K-PAS consists of 15 items in four domains, including coping efficacy, self-esteem, social integration, and spiritual well-being. The results of the confirmatory factor analysis of the K-PAS showed good fitness and reliability (x² = 235.00 (p<.001), df=84, normed x²=2.79, root mean square error of approximation=.10, comparative fit index=.92, Tucker-Lewis index=.90). The K-PAS was significantly correlated with depression (r=-.32, p<.001), social support (r=.32, p<.001), and quality of life (r=.46, p<.001). Internal consistency, depicted by Cronbach's ⍺, was .94 for the total scale and ranged from .82 to .90 for all subscales. Conclusion: The K-PAS is a valid and reliable measure to assess psychological adaptation in patients on hemodialysis. Owing to its simplicity and ease of use, it may also prove to be a good assessment tool for psychological adaptation in the context of other chronic diseases.

Citations

• Predictors of psychosocial adaptation in haemodialysis patients according to haemodialysis vintage: a quantitative study
  Ae Kyung Chang, Ah Young Kim
  Contemporary Nurse.2025; : 1.     CrossRef

Purpose
The purpose of this study is to explore the benefits of and barriers to disclosing one’s depressive feelings to others. In particular, this study contrasts the barriers to face-to-face communication of depressive feelings with the benefits of using Mobile Instant Messaging (MIM). Methods: A total of 300 South Koreans participated in an online survey about their perceptions of disclosing depressive feelings. Paired t-tests, one-way ANOVA, and linear regression were used to examine the effect of demographic characteristics on the tendency to disclose depressive feelings. A semantic network analysis was conducted with open-ended responses to explore the proposed barriers and benefits. Results: Barriers to expressing depressive feelings in face-to-face communication were observed, while benefits of using MIM were revealed. More importantly, while the perception of social norms was a major barrier to disclosing depressive feelings in face-to-face communication, it was a benefit of disclosing depressive feelings via MIM. Conclusion: The results highlight the benefits of utilizing MIM as a channel for the disclosure of depressive feelings, which may, in turn, enhance emotional well-being.

Citations

• Digital Youth's Self-talk and Pep-talk: Mood Regulation via Mobile Media and Emotional Well-being
  Soontae An, Hannah Lee
  Journal of Korean Academy of Fundamentals of Nursing.2022; 29(3): 337.     CrossRef

Purpose
This study aimed to develop an intervention to reduce noise in the Intensive Care Unit (ICU) and evaluate the effects of applying it. Methods: The research design was a non-equivalent control group quasi-experimental study. To develop noise reduction interventions in ICUs, preliminary intervention techniques to reduce noise were derived through a literature review, field survey, and focus group interviews. The intervention was developed by verifying the validity of the content and the clinical applicability, and the result was applied to practice. To assess the effect of the intervention, the following were evaluated: noise level in the ICU, perceived noise level, response to noise, satisfaction of patients and staff with noise management, sleep quality of patients, noise-related knowledge, and perception and performance of noise management of the staff. Results: With the intervention developed in this study, the noise level in the ICU, perceived noise level, and response to noise of patients and staff decreased, and satisfaction with noise management increased. The sleep quality of patients, noise-related knowledge, and perception and performance of noise management of the staff increased. Conclusion: This intervention is shown to be effective in reducing the noise level in the ICU. Therefore, if it is used actively in practice, it is expected to create a comfortable environment by reducing the noise level in the ICU.

Citations

• Factors Affecting Nurses’ Performance of Noise Management in Adult Intensive Care Units
  Seo Jeong Kim, Haeyoung Min, Majd T. Mrayyan
  Journal of Nursing Management.2023; 2023: 1.     CrossRef

Purpose
The purpose of this study was to investigate family support and medical staff support and their mediating effects in the relationship between self-efficacy and resilience in patients with colorectal cancer with stoma. Methods: The participants were 170 patients with colorectal cancer who were hospitalized or receiving treatment for colorectal anus surgery in general hospitals located in B, D, and I cities. Data were collected from July 1 to October 25, 2019 through a structured questionnaire. Data analysis was conducted using descriptive statistics, Pearson's correlation coefficient, multiple linear regression analysis, and the bootstrapping method with SPSS/WIN 25.0 and the PROCESS macro program. Results: The mean score for resilience was 2.70±0.62 (range 0~4). Resilience was significantly associated with self-efficacy (r=.59, p<.001), family support (r=.38, p<.001), and medical staff support (r=.37, p<.001). Using Baron and Kenny's approach and PROCESS macro model 4, resilience was found to be affected by self-efficacy (β=.53, p<.001). Further, family support (β=.25, p<.001) and medical staff support (β=.39, p<.001) were affected by self-efficacy. The partial mediating effects of family support (β=.25, p<.001, 95% confidence interval 0.01~0.12) and medical staff support(β=.15, p=.022, 95% confidence interval 0.01~0.16) in the impact of self-efficacy on resilience were confirmed. Conclusion: The impact of self-efficacy on resilience was mediated by family support and medical staff support in patients with colorectal cancer with stoma. The results suggest that family and medical staff support need to be considered in developing nursing interventions to improve self-efficacy and resilience in these patients.

Purpose
The aim of this study was to evaluate the effects of hand acupressure on sleep quality and pruritus in patients on hemodialysis and to propose an effective, evidence-based nursing intervention. Methods: This was a single-blind, placebo-controlled, group comparison study with 40 participants. The intervention was conducted thrice a week for six weeks, and the intervention group (n=20) received hand acupressure on sleep and pruritusrelated acupoints (A1, A3, A8, A12, A16, C5, C8, I2, E8, N5, G11, K9, B19, J2, J5, N9) by attaching Seoambong and pressing with Seoamchimbong. The placebo-controlled group (n=20) received hand acupressure on sites irrelevant to sleep or pruritus in the same way as the intervention group. Data were collected before and six weeks after the intervention. Results: There were significant inter-group differences in Pittsburgh Sleep Quality Index score, total sleep time, sleep efficiency, number of awakenings, and subjective pruritus. However, there were no significant inter-group differences in time of awakenings. Conclusion: Hand acupressure was found to be an effective nursing intervention to improve sleep quality and reduce pruritus in patients on hemodialysis.

Citations

• Effects of hand-press pellet on pain and daily life of elders with chronic lower back pain: randomized controlled trial
  Hyojung Park, Hyejin Lee
  BMC Complementary Medicine and Therapies.2024;[Epub]     CrossRef

Purpose
This descriptive study aimed to present the incidence of delirium and identify risk factors for delirium in Trauma Intensive Care Unit (TICU) patients. Methods: The participants were 184 patients who were hospitalized in the TICU at a Regional Trauma Center in Gyeonggi-do. Data were collected between April and November 2019. For delirium measurement, the author used the Confusion Assessment Method for the Intensive Care Unit (CAM-ICU). Diverse dependent variables were collected through electronic medical records. Data were analyzed using descriptive statistics, independent t-test, x ² -test, and binomial logistic regression. Results: Incidence of delirium in TICU patients was 34.8%. Logistic regression analysis showed that the risk factors for delirium in TICU patients were hemoglobin (Odds Ratio [OR]=0.62, 95% Confidence Interval [CI]=0.43~0.88), injury severity score (OR=1.10, 95% CI=1.01~1.20), length of TICU stay (OR=1.15, 95% CI=1.03~1.29), administered sedatives (OR=6.04, 95% CI=2.47~14.76), and use of restraints (OR=5.75, 95% CI=2.29~14.42). Conclusion: Based on the results of this study, healthcare providers, especially TICU nurses, should try to detect the signs and symptoms of delirium as early as possible, taking into account the specified risk factors of the patient. Preventive and practical intervention programs considering the risk factors must also be developed to prevent and alleviate delirium in TICU patients in the future.

Citations

• Comparison of the Validity of the PRE-DELIRIC model and the E-PRE-DELIRIC model for Predicting Delirium in patients after Cardiac Surgery
  Eun Ju Cho, Myoung Soo Kim
  Journal of Korean Academy of Fundamentals of Nursing.2024; 31(3): 275.     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
• Intensive Care Experience of Critical Care Patients and Its Related Factors : A Secondary Analysis Study
  Jiyeon Kang, Hyojeong Woo
  Journal of Korean Critical Care Nursing.2023; 16(3): 11.     CrossRef
• Characteristics and Risk Factors for Pressure Ulcers in Severe Trauma Patients Admitted to the Trauma Intensive Care Unit
  Seung-yeon Lim, Young-min Jeong, So-young Jeong
  Journal of Acute Care Surgery.2023; 13(2): 47.     CrossRef
• Factors Affecting Delirium in ICU Patients
  I Seul Jeong, Mi-Kyoung Cho
  International Journal of Environmental Research and Public Health.2023; 20(10): 5889.     CrossRef
• Risk factors for postoperative delirium in patients with colorectal cancer
  Hyunhwa Kim, Heeok Park, Eun Kyung Kim
  Journal of Clinical Nursing.2022; 31(1-2): 174.     CrossRef
• Differences in Associated Factors according to the Time of Occurrence of Pressure Ulcers in Intensive Care Unit Patients
  Mijung Lee, Eunjeoung Seo, Miok Kim, Jeongok Park, Seonmi Lee, Hyunkyung Shin, Ilsim Yun, Mina Cho, Youngcha Cho, Bomi Kang, Hyunmi Seo, Misoon Lee, Sira Lee, Hyejoo Jang, Hyunsuk Jung, Jeong-Ah Ahn
  Journal of Korean Critical Care Nursing.2021; 14(3): 26.     CrossRef

Purpose
This study aimed to identify how health literacy in patients with stroke and their family caregivers influences their health behavior. Methods: A total of 95 patient-family caregiver dyads were recruited from March to September 2018. Health literacy was measured using the newest vital sign and the health behavior scale was used to identify the health behavior of patients. Data were analyzed using descriptive statistics, independent t-tests, one-way analysis of variance, Pearson’s correlation, and multiple regression. Results: The mean age of patients with stroke and family caregivers was 69.44±8.25 and 54.01±14.42 years, respectively. The proportion of women in the family caregivers was 72.6%. The average health literacy score of patients with stroke and their family caregivers was 2.26±1.75 and 3.03±1.97, respectively. The multiple regression analysis revealed that patients’ interest in health (p<.001), health literacy (p=.037), age (p=.001), and caregivers’ gender (p=.028) were the significant factors influencing health behavior of patients with stroke. Conclusion: In providing optimal care, nurses must ensure that information is provided to both patients and their family caregivers in a clear and effective manner. To improve health behavior in patients with stroke, various strategies are needed to increase their interest in health while considering their age and health literacy.

Citations

• Stroke knowledge and health-promoting behaviors: Mediating effect of patient self-esteem
  GyeongChae MUN, JaeLan SHIM
  Patient Education and Counseling.2024; 129: 108398.     CrossRef
• Evaluation of the health literacy in patients with stroke and relationship between health literacy and functional status on quality of life in patients with stroke
  Pınar Özge Başaran, Ayşe Gülşen Doğan
  Journal of Health Sciences and Medicine.2024; 7(1): 32.     CrossRef

Purpose
Workplace violence affects workplace performance. Bystanders’ role in social violence affects the consequences of violence. The purpose of current study was to explore the influences of workplace violence and bystander type on handover error of nurses caring for adult patients. Methods: A cross-sectional survey design was conducted using a structured questionnaire pertaining to teamwork, workplace violence, bystander type and handover error. This study involved adult patients nurses working in a tertiary university hospital having over 1,100 beds, located in a city. The questionnaire was administered to 193 bedside nurses at September 2019. Results: Nurses’ handover error was significantly correlated with overall workplace violence (p<.001), teamwork (p<.001), and all three bystander types; facilitating (p<.001), abdicating (p<.001) and defending (p<.001). A hierarchical multiple regression model with career, teamwork, workplace violence and bystander type explained 27.0% of nurses’ handover error (F=13.55, p<.001). Among input variables, positive bystander type-defender (β=-.20, p=.005) was the most powerful influential factors on nurses’ handover error. Negative bystander types - facilitating, abdicating bystander (β=.18, p=.025) workplace violence (β=.18, p=.015), and teamwork (β=-.15, p=.026) influenced nurses’ handover error, also. Conclusion: Bystanders is more than simple witnesses or observers. In this study, a positive bystander reduced the handover error in the clinical area, while a negative bystander exacerbated the handover error. Therefore, it is necessary to educate hospital nurses regarding positive bystanders and it’s importance for handover error and develop strategies to reduce nurse handover error.

Citations

• Influence of Workplace Bullying and Bystander Types on Speaking Up for Patient Safety Among Hospital Nurses: A Cross‐Sectional Study
  Sunghee Park, Kyoungja Kim, Sinhye Kim, Cheryl B. Jones
  Journal of Advanced Nursing.2025;[Epub]     CrossRef
• Development of nursing handoff competency scale: a methodological study
  Jiyoung Do, Sujin Shin
  BMC Nursing.2024;[Epub]     CrossRef
• Exploring Bystander Behavior Types as a Determinant of Workplace Violence in Nursing Organizations Focusing on Nurse‐To‐Nurse Bullying: A Qualitative Focus Group Study
  Kyoungja Kim, Scott Seung Woo Choi, Cheongin Im, Jacopo Fiorini
  Journal of Nursing Management.2024;[Epub]     CrossRef
• Effects of Communication Skills and Organisational Communication Satisfaction on Self-Efficacy for Handoffs among Nurses in South Korea
  Yongmi Lee, Hyekyoung Kim, Younjae Oh
  Healthcare.2023; 11(24): 3125.     CrossRef
• Influences of Workplace Violence on Depression among Nurses: The Mediating Effect of Social Support
  Eun-Mi Seol, Soohyun Nam
  STRESS.2021; 29(1): 37.     CrossRef

Purpose
This study aimed to develop the progressive lower-extremity exercise program for patients with total knee replacement arthroplasty and to evaluate its effectiveness on knee functions. Methods: A non-equivalent quasi-experimental design with matching sample was used. The control group was recruited prior to the experimental group with the matched inclusion criteria for age, gender, and duration of osteoarthritis. The experimental group (n=34) participated in the 8-week progressive lower-extremity exercise program and completed both pretest and posttest with the dropout rates of 15%. The control group (n=35) received conventional exercise intervention during the study period with the dropout rates of 17.5%. Outcome measures were days to achieve possible range of motion, lower-extremity strength, and knee symptoms and function. Data were collected from April, 2019 to March, 2020 and analyzed with a x ² test, independent t-test, and repeated measures ANOVA using SPSS/WIN V. 23.0. Results: The progressive lower-extremity exercise program consisted of pre-op education, post-op progressive exercise provided 2~3 times/day with progressive intensity and duration, followed by pre-discharge education. The study participants were 71.7 years old in average, mostly women, and having osteoarthritis for 9.3 years. The experimental group reported significant improvement in lower-extremity strength and knee symptoms and function compared to their controls after 8 weeks based on interaction effects. No significant interaction effect was found in days to achieve possible range of motion. Conclusion: The progressive lower-extremity exercise program provided additional benefits over the conventional exercise to patients with total knee replacement arthroplasty. This program is easily applicable and useful as rehabilitation nursing strategies in this population.

Citations

• The Effects of a Self-Efficacy Theory-Based Exercise Program for Patients Undergoing with Total Knee Arthroplasty
  Kyung-Hye Park, Hee-Young Kang
  Journal of Korean Academy of Nursing.2024; 54(4): 547.     CrossRef
• Effects of lower-limb active resistance exercise on mobility, physical function, knee strength and pain intensity in patients with total knee arthroplasty: a systematic review and meta-analysis
  Guo Wei, Zhenghui Shang, Yupeng Li, Yu Wu, Li Zhang
  BMC Musculoskeletal Disorders.2024;[Epub]     CrossRef