Purpose
This study aimed to clarify the concept of nursing competence in coping with clinical deterioration by employing Rodgers’ evolutionary concept analysis, which reflects both sociocultural and temporal dimensions. Methods: A six-step concept analysis was conducted following Rodgers’ methodology. A systematic literature review was performed using PubMed, Embase, CINAHL, and Google Scholar, yielding 35 relevant studies published between 2000 and 2025. Data extraction followed the Joanna Briggs Institute template, and quality was appraised using the STROBE checklist. Results: Four key attributes of nursing competence were identified: technical skills in patient monitoring, situational awareness and clinical intuition, decision-making regarding escalation of care, and communication and teamwork to ensure timely intervention. Antecedents included formal education, clinical experience, and institutional support. Consequences encompassed enhanced patient safety, increased nurse confidence, and greater professional autonomy. The concept was demonstrated to be dynamic and influenced by healthcare policies, such as the implementation of rapid response systems. Conclusion: Nursing competence in managing clinical deterioration is a multidimensional and evolving concept that is essential for patient safety. Clarification of this concept can inform the development of assessment tools and simulation-based education. Further research should explore its application across diverse healthcare contexts and address challenges related to escalation of care.

Purpose
This study aimed to identify the main keywords, network structures, and topical themes in patient safety incident reports using text network analysis. Methods: The study analyzed patient safety incident reports from a general hospital in Seoul, covering a total of 3,576 cases reported over five years, from 2019 to 2023. Unstructured data were extracted from the text of the incident reports, detailing how the patient safety incidents occurred and how they were managed according to the six-part principles. The analysis was conducted in four steps: 1) word extraction and refinement, 2) keyword extraction and word network generation, 3) network connectivity and centrality analysis, and 4) topic modeling analysis. The NetMiner program was used for data analysis. Results: The analysis of degree, betweenness, and closeness centrality revealed that the most common keywords among the top five were "confirmation," "medication," "inpatient room," "caregiver," and "condition." Topic modeling analysis identified three main topic groups: 1) incidents caused by a lack of awareness of fall risk, 2) incidents of non-compliance with basic medication principles, and 3) incidents due to inaccurate patient identification.
Conclusion
To prevent patient safety incidents, it is necessary to promote a culture of safety in hospitals, standardize patient identification procedures, and provide basic training in medication safety and fall prevention to healthcare staff. Furthermore, empirical research on patient safety practices is necessary to encourage active participation in patient safety activities by patients and family caregivers.

Purpose
This study investigated the mediating effect of sleep discomfort in the relationship between tinnitus distress and depression.
Methods
This cross-sectional study used the Tinnitus Handicap Inventory, the Korean Screening Tool for Depressive Disorders, and the Korean version of the Pittsburgh Sleep Quality Index to examine a convenience sample of 139 individuals with tinnitus who were selected from an online patient community in January 2023. Data were analyzed using the independent t-test, Pearson's correlation coefficients, and the PROCESS macro with 95% bootstrap confidence intervals. All statistical analyses were performed using IBM SPSS/WIN 25.0.
Results
Tinnitus distress exhibited a positive correlation with depression (r=.70, p<.001) and sleep discomfort (r=.33, p<.001), and depression showed a positive correlation with sleep discomfort (r=.52, p<.001). Further, sleep discomfort had a statistically significant partial mediating effect in the relationship between tinnitus distress and depression (β=.11; 95% CI, 0.05~0.18).
Conclusion
The findings of this study indicate that sleep discomfort plays a partial mediatory role in the relationship between tinnitus distress and depression. Intervention programs for improving sleep discomfort among individuals with tinnitus are recommended to reduce depression in this population. In addition, screenings for sleep discomfort and depression should be routinely carried out as part of the treatment strategy for individuals with tinnitus.

Purpose
This systematic review and meta-analysis aimed to investigate the effects of aromatherapy interventions on stroke symptoms in stroke patients.
Methods
This study adhered to the Preferred Reporting Items of Systematic Reviews and Meta-Analysis guidelines. Relevant studies published between 2004 and 2022 were searched in the PubMed, CINAHL, Cochrane Library, EMBASE, ERIC, and RISS databases. The review included randomized and non-randomized studies of stroke patients who received aromatherapy interventions targeting stroke symptoms. The extracted literature was evaluated via the ROB 2 and ROBINS-1 quality appraisal checklists and visualized using a risk-of-bias visualization tool.
Results
The review included five randomized controlled trials and five quasi-experimental studies. The results showed that aromatherapy, administered through massage, inhalation, acupressure, mouth care, and olfactory stimulation, was effective in alleviating pain, constipation, oral health, motor power, muscle strength, balance, fatigue, and sleep quality. Aromatherapy also demonstrated beneficial effects in reducing depression, stress, delirium, blood pressure, pulse rate, respiration rate, serum cortisol, and antioxidants, while enhancing happiness, body temperature, and quality of life. A meta-analysis of mean differences in post-test results revealed that three studies reported a significant effect on pain, with an effect size of 1.85 (95% CI, 0.18~3.51).
Conclusion
Aromatherapy had positive effects on physical, physiological, psychological, cognitive, and integrative health outcomes. We recommend the use of aromatherapy in stroke patients to improve pain relief and health outcomes.

Citations

• Traditional, complementary, and integrative medicine in the management of ischemic stroke: a narrative review
  S. Sowmiya, Rukaiah Fatma Begum, L. S. Dhivya, Praveen Rajendran, N. Harikrishnan, Ankul Singh S
  Frontiers in Pharmacology.2025;[Epub]     CrossRef

Purpose
The purpose of this study was to identify factors influencing the readmission of heart transplant recipients through survival analysis. Methods: We collected data from heart transplant recipients who were discharged after surgery between November 2005 and September 2020 from the electronic medical records of Y University Hospital in Seoul. The Kaplan-Meier estimation was utilized to calculate the survival rate, and Cox's proportional hazards model was employed to determine the factors influencing readmission within 1 year. Results: Out of 150 heart transplant recipients, 81 (54.0%) were readmitted within one year. The median time to readmission was 231 days. An increased duration of postoperative days was associated with a higher risk of readmission (p=.016). Groups with abnormal sodium levels (p<.001), those requiring postoperative hemodialysis (p=.013), patients with chronic kidney disease (p=.002), dyslipidemia (p=.040), or diabetes mellitus (p=.045) also faced higher readmission risks. In the final model, sodium levels (hazard ratio [HR]=2.31, p<.001) and chronic kidney disease (HR=1.67, p=.045) were significant risk factors for readmission (x² =31.90, p<.001). Conclusion: Interventions to improve kidney function and a multidisciplinary approach are needed to reduce readmission of heart transplant recipients.

Purpose
This study aimed to translate and adapt the Type 1 Diabetes Stigma Assessment Scale (DSAS-1) into Korean and investigate its validity and reliability for Korean patients with type 1 diabetes mellitus (T1DM). Methods Following a forward-backward translation process, six experts evaluated the content validity of the translated DSAS-1. The DSAS-1 scale (19 items) was administered to 106 T1DM patients, and the data were analyzed. Construct validity, convergent validity, discriminant validity, and scale reliability were examined using confirmatory factor analyses and Cronbach’s α coefficient. Data were analyzed using SPSS 28.0 and AMOS 26.0. Results The item “Some people expect less of me because I have Type 1 diabetes” had a factor loading of .41 in confirmatory factor analyses. When the item was removed, the average variance extracted increased from .47 to .53. The results of the confirmatory factor analysis showed adequate model fit indices (χ²/df=1.60, p<.001, GFI=.82, RMSEA=.075, CFI=.92, TLI=.90). The DSAS-1-K (18 items) exhibited moderate convergent and discriminant validity. Cronbach’s α for the overall scale (18 items) was .90, and the three-factor scale ranged from .84 to .89. Conclusion Our results indicate that 18 DSAS-1 items are recommended in Korea. However, the original scale’s copyright issue prevented any modifications. When using 19 items, the convergent validity was partially unsatisfactory; the model fit index was somewhat low but within the acceptable range. Therefore, we suggest that researchers using the DSAS-1-K (19 items) should consider the results of our study.

Citations

• Higher suicide risk in type 1 diabetes compared to cancer and the general population in Korea
  Seohyun Kim, So Hyun Cho, Rosa Oh, Ji Yoon Kim, You‐Bin Lee, Sang‐Man Jin, Kyu Yeon Hur, Jae Hyeon Kim, Gyuri Kim
  Journal of Internal Medicine.2025; 297(4): 423.     CrossRef
• Diabetes advocacy in the Asia–Pacific region
  Noriko Kodani, Asuka Kato, Moon‐Kyu Lee, Ronald Ching Wan Ma, Anita Sabidi, Renza Scibilia, Zhiguang Zhou, Alicia Jenkins
  Journal of Diabetes Investigation.2025; 16(7): 1191.     CrossRef
• Increased risk of incident mental disorders in adults with new-onset type 1 diabetes diagnosed after the age of 19: A nationwide cohort study
  Seohyun Kim, Gyuri Kim, So Hyun Cho, Rosa Oh, Ji Yoon Kim, You-Bin Lee, Sang-Man Jin, Kyu Yeon Hur, Jae Hyeon Kim
  Diabetes & Metabolism.2024; 50(1): 101505.     CrossRef

Purpose
Health behavior is important for the treatment of tuberculosis patients. This study aims to clarify the concept of health behavior in tuberculosis patients.
Methods
We used Rodger's evolutionary concept analysis method. A literature search was performed using the NDSL, NAL, RISS, PubMed, ProQuest, CINAHL, Web of Science and Cochrane Library published in Korean and English language from January 2015 to April 2021. After applying inclusion and exclusion criteria, a total of 69 articles were selected for final analysis.
Results
The analysis showed that five attributes determine health behavior concepts: willpower, the choice for every moment, counterbalance, overcoming, and multi-level multi-causal processes.
Conclusion
This study shows that health behavior in tuberculosis patients has evolved into a patient-centered approach in an evolutionary context. The results of this study will contribute to the development of intervention access and management programs for health care providers, including nurses.

Purpose
The purpose of this study was to identify the incidence and risk factors associated with the unplanned removal of nasogastric (NG) tubes in neurocritical patients.
Methods
Data were collected retrospectively from the medical records of 479 patients admitted to the tertiary hospital's neuro-intensive care units (NCU). Subjects were divided into two groups depending on whether there was unplanned NG tube removal. Multivariate logistic regression analysis was used to identify risk factors.
Results
Unplanned removal of NG tubes occurred in 35.9% of patients. The incidence of unplanned NG tube removal was 47.2 per 1,000 patient days. Intubated time of the NG tube was 3.96 days in patients with unplanned removal. Risk factors associated with unplanned removal were men (Odds Ratio [OR]=2.19), epilepsy (OR=9.99), traumatic brain injury (OR=5.50), stroke (OR=4.42), improvement of Glasgow Coma Scale (GCS) (OR=1.08), delirium (OR=1.88), physical restraint (OR=2.44), and drainage or decompression purpose (OR=1.67).
Conclusion
Unplanned removal of NG tubes occurred very frequently in neurocritical patients. Care should be taken for patients with neurological diseases who show improvement in their level of consciousness but are still confused due to brain lesions or delirium to reduce it. The application of physical restraints cannot guarantee the prevention of unplanned NG tube removal. Therefore, nurses need to assess the condition of patients and NG tubes frequently.In particular, more attention should be paid to using NG tubes for decompression or drainage purposes. It is also proposed to actively review the NG tube removal plan through periodic evaluation.

Citations

• Impact of the restraint decision tree for physical restraint use in South Korean neurointensive care units
  Jaejin Kang, Sol Kim, Minji Lee, Hyunjoo Na
  Nursing in Critical Care.2024; 29(5): 1110.     CrossRef

Purpose
This review aimed to evaluate the effectiveness of exercise on Chemotherapy-induced Peripheral Neuropathy (CIPN).
Methods
The medical databases PubMed, EMBASE, and CINAHL, and several Korean databases were searched until December 2020. Additionally, a manual search was conducted. The risk of bias was assessed using the revised Cochrane risk-of-bias tool for randomized trials. The Review Manager 5.3 version of the Cochrane Library was used to estimate effect size through meta-analysis.
Results
Nine studies were included. The most common types of exercise reported were yoga, combined aerobics and strength exercise, and combined strength and balance exercise; each was backed by two studies. Four randomized controlled trials were meta-analyzed, and five studies were synthesized qualitatively. A significant effect on CIPN was found using meta-analysis (standardized mean difference=-0.28, 95% confidence interval=-0.47~-0.09, p=.004). As a result of qualitative synthesis, groups that did exercises were reported to have significantly lessened CIPN symptoms than control groups in three studies. In one study, the exercise group showed significant reduction in CIPN symptoms. And in another, the exercise group was more relieved of CIPN symptoms than the control group, although the difference was not significant.
Conclusion
The results indicate that exercise should be part of the regimen for patients who are receiving or have completed neurotoxic chemotherapy, for relieving CIPN symptoms. However, these results should be interpreted cautiously, especially due to the limited number of studies and the small number of participants. Therefore, further well-designed studies with sufficient numbers of participants are required.

Citations

• Factors Associated with Quality of Life in Cancer Patients Experiencing Chemotherapy-Induced Peripheral Neuropathy (CIPN) : Scoping review
  Minah Cho, Injung Hyun, Jiyeon Lee
  Asian Oncology Nursing.2025; 25(2): 75.     CrossRef
• The impact of peripheral neuropathy symptoms, self-care ability, and disturbances to daily life on quality of life among gynecological cancer patients undergoing chemotherapy: a cross-sectional survey
  Sohee Mun, Hyojung Park
  Korean Journal of Women Health Nursing.2022; 28(4): 296.     CrossRef

Purpose
This meta-analysis was conducted to analyze the effect of Diabetes Mellitus (DM) on the risk of Parkinson Disease (PD).
Methods
Original prospective observational studies were searched through PubMed, Cumulative Index of Nursing and Allied Health Literature (CINAHL), ProQuest, Web of Science, Science Direct, Koreanstudies Information Service System (KISS), and DBpia published up to March 2020. The Relative Risks (RRs) were calculated using the random-effects model.
Results
An integrated analysis of ten large population-based cohort studies, involving 10,730,117 participants, showed that patients with DM had a 30% higher risk of PD than those without DM (pooled RR=1.30, 95% Confidence Interval [CI]=1.14~1.48). Subgroup analyses based on the characteristics of the studies were conducted, and the association between DM and PD was significant in studies conducted in Asia (RR=1.30, 95% CI=1.01~1.69) and Europe (RR=1.45, 95% CI=1.09~1.94), and for patients with DM durations less than ten years (RR=1.31, 95% CI=1.27~1.37) and stroke (RR=1.16, 95% CI=1.03~1.31). Each study included in the analysis had methodologically good quality and showed no evidence of publication bias.
Conclusion
DM resulted in a significantly increased risk of PD; therefore, prevention and early detection of PD in patients with DM should be encouraged.

Citations

• Associations Between Diabetes Mellitus and Neurodegenerative Diseases
  Leszek Szablewski
  International Journal of Molecular Sciences.2025; 26(2): 542.     CrossRef

Purpose
This study was intended to clarify the concept of spiritual distress in cancer patients using the hybrid model of Schwarz-Barcott and Kim. Methods: The hybrid model was used to clarify the dimension, attributes, and definition of spiritual distress. In the theoretical phase, a systemic literature review of nursing and other disciplines was conducted. In the fieldwork phase, individual in-depth interviews were held with six cancer patients. In the final analytic phase, the results of the theoretical and fieldwork phases were integrated after comparing and reviewing. Results: The concept of spiritual distress was analyzed in three domains: a changed relationship with God, a changed relationship with the self, and a changed relationship with others. Also, 10 attributes were clarified. The changed relationship with God domain had two attributes: “low connectedness in relationship with God” and a “feeling of guilt”. The changed relationship with the self domain had five attributes: “loss of self-identity”, “changed meaning of life”, “loss of inner peace”, “dwelling on the cause of unsloved suffering”, and “avoidance of confronting death”. The changed relationship with others domain had three attributes: “shrunk relationships”, “the feeling of being unloved and unforgivable”, and “burden on family”. Conclusion: The concept of spiritual distress in patients with cancer encompasses multidimensional domains and 10 attributes. To assess spiritual distress in patients with cancer based on the findings of this study, it is necessary to develop a suitable spiritual distress assessment scale.

Citations

• The Development of a Tool for Assessment of Spiritual Distress in Cancer Patients
  Jin Sook Kim, Il-Sun Ko, Su Jin Koh
  Journal of Korean Academy of Nursing.2022; 52(1): 52.     CrossRef
• A Concept Analysis of Stress in Hemodialysis Patients
  Bomi Kim, Hyeyoung Kim, Jisun Lee
  Korean Journal of Adult Nursing.2021; 33(6): 601.     CrossRef

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

• Socioeconomic disparities in hypertension and diabetes among older adults in South Korea: a trend analysis from a national survey, 2011–2023
  Bokyoung Choi, Jihee Choi, Jihwan Lee, Eunhee Choi, Soong-nang Jang
  Social Science & Medicine.2025; 382: 118350.     CrossRef
• The Impact of Clusters With Distinct Social Determinants by a Two-Step Cluster Analysis on Cardiovascular Health
  Seok Hee Lee, Minsu Ock, Seongmi Moon, Eun Kyeung Song
  Journal of Cardiovascular Nursing.2025;[Epub]     CrossRef
• 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
Identify the cluster-type risk factors when disease occurs in patients with coronary artery disease (CAD) and examine the impact of the cluster-type on adverse clinical prognosis in CAD patients.
Methods
Secondary data analysis was utilized with data collected from electronic medical records of patients who underwent percutaneous coronary intervention in a university hospital from 2011 to 2015 and who were on an outpatient follow-up visit as of January 2020. The K-means cluster analysis was performed on seven cardiovascular risk factors. Major adverse cardiac events (MACEs), including hospitalization due to restenosis or cardiac-related death, was required in clinical prognosis. The Cox proportional-hazard regression and Kaplan-Meier survival analyses were used.
Results
Cluster analysis identified three clusters of ‘obesity and family history’ (n=150), ‘smoking and drinking’ (n=178), and ‘chronic disease’ (n=190). The MACEs occurred in 10.4% of study subjects. When the ‘obesity and family history’ cluster (62.94±12.09 years) was used as a reference, the relative risk of MACEs was 2.57 times higher in the ‘smoking and drinking’ cluster (62.63±13.31 years) and 2.41 times higher in the ‘chronic disease’ cluster (70.90±10.30 years).
Conclusion
Cluster-type risk factors are necessary when considering secondary prevention strategies for MACEs in patients with CAD. Patients with smoking, drinking, and chronic diseases are especially required to improve their lifestyles and to regularly monitor their management of underlying diseases during follow-up periods.

Citations

• Effect of risk factor-tailored autonomy enhancement education in the first-time middle-aged patients undergoing percutaneous coronary intervention: a randomized controlled trial
  In Ae Uhm, Seon Young Hwang
  BMC Nursing.2023;[Epub]     CrossRef

PURPOSE
This study aimed to establish the translation adequacy and examine the psychometric properties of Face Mask Use Scale (FMUS).
METHODS
This methodological study employed a cross-sectional design with repeated measures. Phase 1 examined the equivalence and relevance of English and Chinese versions of FMUS. Phase 2 examined the internal consistency, stability and construct validity. Different sample batches (213 university students and 971 general public) were used appropriately for psychometric testing. The 2-phase data were collected between January and April 2017.
RESULTS
In Phase 1, the semantic equivalence and relevance (item- and scale-level content-validity-index=100%) was satisfactory. Furthermore, from 133 paired test-retest responses, the quadratic weighted kappa (.53~.73, p<.001) and Intraclass Correlation Coefficient (ICC=.81) between the English and Chinese version of FMUS were satisfactory. In Phase 2, FMUS demonstrated satisfactory internal consistency (Cronbach's α=.80~.81; corrected item-total correlation coefficients=.46~.67) and two-week test-retest stability (ICC=.84). The known-groups method (t=3.08, p<.001), exploratory (71.10% of total variance in two-factor model) and confirmatory factory analysis (χ²/df=4.02, Root Mean Square Residual=.03, Root Mean Square Error of Approximation=.06, Goodness of Fit Index=.99, Comparative Fit Index=.99) were all satisfactory for establishing the construct validity.
CONCLUSION
The FMUS has an equivalence Chinese and English versions, satisfactory reliability and validity for measuring the practice of face mask use. This poses clinical and research implications for those community health nurses who works on respiratory protection. Further research should be conducted on the ‘negligent practice’ of FMU.

Citations

• An assessment of the health belief model (HBM) properties as predictors of COVID-19 preventive behaviour
  Sashikala Subedi, Walter Leal Filho, Adekunle Adedeji
  Journal of Public Health.2025; 33(6): 1329.     CrossRef
• Development of generic student engagement scale in higher education: An application on healthcare students
  Shuang Li, Stephen Wai Hang Kwok, Summer Cho Ngan Siu, Jessie Yuk Seng Chung, Hemio Chung Yan Lam, Eva Yuen Mei Tsang, Kam Cheong Li, Joanna Wing Yan Yeung, Simon Ching Lam
  Nursing Open.2023; 10(3): 1545.     CrossRef
• Groningen Frailty Indicator–Chinese (GFI-C) for pre-frailty and frailty assessment among older people living in communities: psychometric properties and diagnostic accuracy
  Emma Yun Zhi Huang, Jasmine Cheung, Justina Yat Wa Liu, Rick Yiu Cho Kwan, Simon Ching Lam
  BMC Geriatrics.2022;[Epub]     CrossRef
• Perception of E-health Technology Scale in Chinese Brief (PETS-C Brief): Translation, item reduction, and psychometric testing
  Rick Yiu Cho Kwan, Simon Ching Lam, Shao Ling Wang, Arkers Kwan Ching Wong, Lei Shi, Frances Kam Yuet Wong
  DIGITAL HEALTH.2022; 8: 205520762211260.     CrossRef
• Global Imperative of Suicidal Ideation in 10 Countries Amid the COVID-19 Pandemic
  Teris Cheung, Simon Ching Lam, Paul Hong Lee, Yu Tao Xiang, Paul Siu Fai Yip
  Frontiers in Psychiatry.2021;[Epub]     CrossRef
• Pandemia da COVID-19: adaptação e avaliação psicométrica da “Face Mask Use Scale”
  Fernanda Maria Vieira Pereira-Ávila, Simon Ching Lam, Hilda Ho, Elucir Gir, Natália Maria Vieira Pereira Caldeira, Fernanda Garcia Bezerra Góes, Laelson Rochelle Milanês Sousa
  Acta Paulista de Enfermagem.2021;[Epub]     CrossRef
• Fatores associados à prática do uso de máscaras pela população paraibana durante a pandemia da COVID-19
  Fernanda Maria Vieira Pereira-Ávila, Simon Ching Lam, Elucir Gir, Fernanda Garcia Bezerra Góes, Maria Eliane Moreira Freire, Ana Cristina de Oliveira e Silva
  Revista da Escola de Enfermagem da USP.2021;[Epub]     CrossRef
• Face Mask Wearing Behaviors, Depressive Symptoms, and Health Beliefs Among Older People During the COVID-19 Pandemic
  Rick Yiu Cho Kwan, Paul Hong Lee, Daphne Sze Ki Cheung, Simon Ching Lam
  Frontiers in Medicine.2021;[Epub]     CrossRef
• An Evaluation of the Validity and Reliability of the Face Mask Use Scale's Korean Version among Community-Dwelling Adults
  Kyungmi Lee, Nayeon Shin, Younhee Kang
  Journal of Korean Academy of Nursing.2021; 51(5): 549.     CrossRef
• Association Between Depression, Health Beliefs, and Face Mask Use During the COVID-19 Pandemic
  Daniel Thomas Bressington, Teris Cheuk Chi Cheung, Simon Ching Lam, Lorna Kwai Ping Suen, Tommy Kwan Hin Fong, Hilda Sze Wing Ho, Yu-Tao Xiang
  Frontiers in Psychiatry.2020;[Epub]     CrossRef
• Adaptation and psychometric testing of the hoarding rating scale (HRS): a self-administered screening scale for epidemiological study in Chinese population
  Tai Wa Liu, Simon Ching Lam, Man Hon Chung, Ken Hok Man Ho
  BMC Psychiatry.2020;[Epub]     CrossRef

PURPOSE
This study was conducted to identify cardiovascular risk factor cluster types in early middle-aged male workers in their 30s and 40s, and to identify differences in awareness of mobile health and preventive health behaviors by cluster type.
METHODS
This study adopted a cross-sectional descriptive design. Male workers aged 30~49 years with cardiovascular risk factors (n=166) at three medical device manufacturers in June, 2019 were recruited. Self-reported questionnaires were administered. K-means cluster analysis was performed using four measurement tools: e-health literacy, behavior of seeking health information on the internet, intent to use mobile health, and preventive health behavior.
RESULTS
Three cluster groups were identified based on 7 risk factors: "unhealthy behavior (51.8%)", "chronic disease (28.9%)", and "dyslipid · family history (19.3%)". In the "unhealthy behavior" group where more than 70% of the participants were smoking and drinking heavily, the awareness of mobile health utilization such as behavior of seeking information on the internet and intent to use mobile health, especially usefulness, was significantly lower than that in the other two groups. The preventive health behavior was also the lowest among the three groups.
CONCLUSION
We suggest that when planning for mobile-use cardiovascular prevention education for early middle-aged male workers, it is necessary to consider a cluster of risk factors. Strategies for raising positive awareness of the use of mobile health should be included prior to cardiovascular health education for workers with unhealthy lifestyles such as smoking and excessive drinking alcohol.

Citations

• Factors influencing cardiovascular health behaviors among Korean-Chinese migrant workers with metabolic syndrome using mixed methods
  Yu Zhu Zhang, Seon Young Hwang
  Scientific Reports.2025;[Epub]     CrossRef
• The Moderating Effect of Mental Health on the Relationship Between Cardiovascular Disease Awareness and Health Behaviors of Middle-Aged Korean Chinese Workers With Cardiovascular Risk Factors in Korea
  Yu Zhu Zhang, Seon Young Hwang
  Journal of Transcultural Nursing.2023; 34(2): 131.     CrossRef
• Comparison of Factors Related to Health Behavior for Cardiocerebrovascular Disease Prevention in Middle-Aged Women with and without Depression
  Eun Ko, Hyukjoon Kim
  Journal of Korean Academy of Fundamentals of Nursing.2022; 29(4): 543.     CrossRef
• Comparison of Stroke Knowledge, Health Beliefs, and Stroke Prevention Behavior between Early and Middle-Aged Adults
  Eun Ko
  STRESS.2022; 30(2): 98.     CrossRef
• The Impact of Cluster-Type Risk Factors on Adverse Clinical Prognosis in Patients with Coronary Artery Disease: A Secondary Data Analysis
  In Ae Uhm, Seon Young Hwang
  Korean Journal of Adult Nursing.2020; 32(2): 156.     CrossRef

PURPOSE
This systematic review and meta-analysis was performed to confirm the effects of exercise on Breast Cancer-Related Lymphedema (BCRL) in breast cancer survivors.
METHODS
Totally, 1,614 articles were retrieved from databases including PubMed, Ovid MEDLINE, Embase, Cochrane CENTRAL, CINAHL, Korea Med, Kmbase, KISS, NDSL, KiSTi, and academic journals related to nursing in Korea between June 17 and 18, 2019. Fifteen Randomized Controlled Trials (RCTs) were selected for the analysis from June 19 to July 12, 2019. Cochrane's Risk of Bias assessed the quality and risk of bias of selected articles. Review Manager version 5.3 was used for the meta-analysis.
RESULTS
Studies were published since 2006 including a total of 1,109 participants who were diagnosed with or at risk of BCRL or had undergone surgery for breast cancer treatment. Although exercises were found ineffective for reducing upper extremity edema (Z=0.37, 95% Confidence Interval [CI]=−0.06~0.04, p=.710), they significantly improved shoulder Range of Motion (ROM), especially flexion (Z=5.88, 95% CI=3.06~6.12, p<.001) and abduction (Z=3.41, 95% CI=2.71~10.06, p<.001), upper extremity function (Z=4.02, 95% CI=−12.09~−4.17, p<.001), and Quality of Life (QoL) (Z=3.00, 95% CI=0.13~0.61, p=.003). Egger's regression test assessed publication bias (Intercept=3.75, t=1.79, df=8, p=.111).
CONCLUSION
Results suggest that exercise is beneficial to BCRL management, especially improvement of shoulder ROM, upper extremity function, and QoL. However, exercise must be performed carefully to prevent side effects. Therefore, nurses should continuously observe signs and symptoms related to BCRL and educate breast cancer survivors on safely performing exercise.

Citations

• A Narrative Inquiry of the Difficulties by Breast Cancer Survivors in the Sports Participating
  Ji Yeon Suh, Seami Lim, Junho Lee
  IJASS(International Journal of Applied Sports Sciences).2022; : 203.     CrossRef
• Funcionalidad y marcha en pacientes con linfedema de miembro inferior tratados mediante un programa de ejercicio terapéutico: serie de casos
  P. Toro, P. Araya-Castro, E. Srur
  Fisioterapia.2021; 43(3): 143.     CrossRef

PURPOSE
This study was a systematic review and meta-analysis designed to investigate the variables related to burden of caregivers of people with dementia living at home.
METHODS
In total, 24 studies were identified through a systematic review and 11 studies met the inclusion criteria for the meta-analysis. EMBASE, MEDLINE (Ovid-MEDLINE, Pubmed) and several Korean databases were searched until April 2018. ‘R 3.5.1’ version was used to analyze the correlated effect sizes.
RESULTS
According to the results, variables related to caregivers' burden were categorized into factors related to patients and factors related to family caregivers. The effect sizes of correlations between factors associated with patients and caregivers' burden were as follows: problematic behavior & cognition (memory) (.42), problematic behavior (.37), cognition (memory) (.35), stage of dementia (.31), and ability to perform daily life functions (−.27). Factors associated with family caregivers correlated with caregiver burden as follows: health status (−.40), relation (.33), education (.25), time of caring (.24), income (−.21), age (.20), job (−.17), duration of caring (.15), and religion (.14).
CONCLUSION
Based on the findings, family caregiver needs to preferentialy try to manage problematic behavior & cognition (memory) of dementia and health professionals need to provide comprehensive nursing interventions to improve health for patients with dementia but also family caregivers.

Citations

• Exploring Family Caregiver Burden Using the Ecological Model: Insights From Thailand's Older Population
  Phanida Juntasopeepun, Donna Z. Bliss, Jirawan Deeluea, Jittawadee Rhiantong
  Nursing & Health Sciences.2025;[Epub]     CrossRef
• Allocation‐routing problem in a multi‐hospital home hospitalization system: the case of a healthcare provider in Portugal
  Valentina Bonomi, Maria Lopes, Daniel Rebelo Santos, Renata Mansini, Ana Paula Barbosa‐Pòvoa
  International Transactions in Operational Research.2025;[Epub]     CrossRef
• Factors influencing the care burden among family caregivers using dementia care centers for older adults with dementia in Korea: a cross-sectional descriptive study
  Ja Eun Kim, Soo Jin Lee
  Journal of Korean Biological Nursing Science.2024; 26(4): 382.     CrossRef
• Resilience of Family Caregivers of People With Dementia in South Korea: A Scoping Review
  Hyun‐Ju Seo, Song‐I Park, Min‐Jung Choi, Il‐Han Choo, Jeong‐Hwan Park
  International Journal of Older People Nursing.2024;[Epub]     CrossRef
• Mason Caregivers Aiming for Resilience, Empowerment, and Support Study: Assessing Family Caregiver Burden Post-Intervention
  Gilbert Gimm, Shannon Layman, Megumi Inoue, Emily S. Ihara, Harveen Pantleay, Catherine J. Tompkins
  Journal of Applied Gerontology.2024; 43(9): 1274.     CrossRef
• The Relationships between Caregiver Burden, Physical Frailty, Race, Behavioral and Psychological Symptoms (BPSD), and Other Associated Variables: An Exploratory Study
  Carl I. Cohen, Saeed Hashem, Kay Thwe Kyaw, Sharon A. Brangman, Suzanne Fields, Bruce R. Troen, Michael Reinhardt
  Medicina.2024; 60(3): 426.     CrossRef
• Exploring Factors Influencing Caregiver Burden: A Systematic Review of Family Caregivers of Older Adults with Chronic Illness in Local Communities
  Jin Young Choi, Seon Heui Lee, Soyoung Yu
  Healthcare.2024; 12(10): 1002.     CrossRef
• CBD Oil as a Miracle Drug: A Thematic Analysis of Caregivers’ Attitudes and Practices Towards Cannabidiol in Dementia Treatment
  Urszula Kłosińska, Magdalena Leszko
  Journal of Drug Issues.2024; 54(1): 38.     CrossRef
• The Lived Experience of Informal Caregivers of People Who Have Severe Mental Illness and Coexisting Long‐Term Conditions: A Qualitative Study
  C. Carswell, J. V. E. Brown, D. Shiers, R. Ajjan, A. Balogun‐Katung, S. Bellass, R. I. G. Holt, R. Jacobs, I. Kellar, C. Lewisohn, J. Lister, N. Siddiqi, I. Sidorova, P. Coventry
  Health Expectations.2024;[Epub]     CrossRef
• Factors related to depression in primary caregivers of older adults with dementia in the COVID-19 pandemic era: A cross-sectional descriptive study
  Su-In Kim, Gwi-Ryung Son Hong
  Journal of Korean Gerontological Nursing.2023; 25(4): 420.     CrossRef
• The impact of aromatherapy-based oral care on oral conditions, salivary pH, and halitosis in older adults with dementia: Pilot study
  Ae Kyung Chang, Bo kyoung Kim, Ah Young Kim
  Geriatric Nursing.2023; 53: 109.     CrossRef
• Factors related to the organizational silence of Korean nurses: A systematic review and meta-analysis
  Kyungja Kang, Jeong-Hee Kim
  The Journal of Korean Academic Society of Nursing Education.2023; 29(3): 302.     CrossRef
• Perceptions of Burden and Preparedness for Caregiving among the Family Caregivers of Hospitalised Older Adults: A Cross-Sectional Study
  Carla Gomes da Rocha, Béatrice Perrenoud, Anne-Sylvie Ramelet
  Geriatrics.2022; 7(1): 19.     CrossRef
• Health Promotion Behavior among Older Korean Family Caregivers of People with Dementia
  Aram Cho, Chiyoung Cha
  International Journal of Environmental Research and Public Health.2021; 18(8): 4123.     CrossRef
• Behavioural and psychological symptoms of dementia in patients with Alzheimer’s disease and family caregiver burden: a path analysis
  Bokyoung Kim, Gie Ok Noh, Kyunghee Kim
  BMC Geriatrics.2021;[Epub]     CrossRef
• A systematic review of interventions for family caregivers of the elderly with dementia in Korea
  Seonghee Jeong, Jeonghae Hwang, Doonam Oh
  The Journal of Korean Academic Society of Nursing Education.2021; 27(3): 306.     CrossRef
• The Impact of Dementia Knowledge and Attitude on Caregiving Appraisal among Caregivers of Older Adults with Dementia Using Dementia Care Centers
  Ji Yeon Hong, Dukyoo Jung
  Journal of Korean Gerontological Nursing.2020; 22(4): 348.     CrossRef
• Relationship between Caring Burden and Caring Behavior among Family Caregivers of Elderly with Dementia in Community-Dwelling: Mediating Effects of Caring Self-Efficacy and Social Support
  Young Ju Oh, Myung Ha Lee, Hee Sun Kim
  Korean Journal of Adult Nursing.2020; 32(2): 186.     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
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 aimed to define the concept of patient rights.
METHODS
A concept analysis on patient rights through the concept analysis method proposed by Walker and Avant was conducted.
RESULTS
The attributes of the concept identified in this study are as follows: (1) respect for the patient's opinion, (2) patient benefits, (3) human dignity, (4) equality, and (5) legal, moral, and ethical guarantees. The antecedents of patient rights include the recognition of the importance of patient rights and a medical system in which patient rights can be protected. Regarding the consequences of patient rights, this study identified the improvement of medical services, enhancement of professional awareness and reliability of medical staff, increase in awareness and establishment of patient safety, decline in medicolegal problems, and increase in satisfaction with medical services.
CONCLUSION
This study aimed to clarify the concept and attributes of patient rights through a concept analysis, and to connect the same to practical work to enable useful application to nursing practice. In determining the attributes of patient rights through a concept analysis, the study hoped to contribute to research on nursing intervention and the development of tools, as well as the establishment and implementation of legal systems related to patient rights.

Citations

• Validity and Reliability of the Korean Version of Nurses' Ethical Behaviors for Protecting Patient's Rights Scale: A Methodological Study
  Jihye Yun, Heeyoung Oh
  Korean Journal of Adult Nursing.2023; 35(2): 138.     CrossRef
• Factors influencing clinical nurses’ advocacy for people with disability
  Ji Young Jeon, Hyunkyung Choi
  The Journal of Korean Academic Society of Nursing Education.2020; 26(3): 269.     CrossRef
• Factors affecting the attitude toward withdrawal of life-sustaining treatment of nurses working at long-term care hospitals
  Mi Sook Kim
  The Journal of Korean Academic Society of Nursing Education.2020; 26(4): 383.     CrossRef

PURPOSE
The purpose of this study was to better understand the concept of fighting spirit in Korean patients with cancer by identifying its dimensions and attributes and clarifying its definition through concept analysis.
METHODS
The hybrid model was used to perform the concept analysis of fighting spirit in patients with cancer. Through a review of 11 studies in the theoretical phase and interviews of 12 patients with cancer in the field phase, the derived results were brought together in the integration phase. The interviews were conducted from April 2017 to March 2018.
RESULTS
The concept of fighting spirit in Korean patients with cancer was found to have four dimensions with eight attributes: personal factors (acceptance, self-control, goals of life, change in belief, and positive attitude), sociocultural factors (supportive relationships), environmental factors (therapeutic environment), and spiritual factors (reliance on faith).
CONCLUSION
In this study, fighting spirit in Korean patients with cancer was characterized as the belief in overcoming cancer by accepting it as a part of life, having a goal in life, maintaining self-control with a positive attitude, and continuing to maintain health with social and spiritual support in a therapeutic environment. Based on the results, future studies should develop a tool for measuring the fighting spirit of patients with cancer and effective programs for improving patients' fighting spirit.

Citations

• A North Korean Defector’s Experience With Becoming A Nurse in South Korea
  Sang Hui Chu, Jinsook Kim
  Journal of Korean Public Health Nursing.2024; 38(2): 220.     CrossRef
• The Effects of Coping Strategies Between Uncertainty and Quality of Life of Korean Women With Gynecological Cancer
  Eungil Ko, Yaelim Lee
  Advances in Nursing Science.2024; 47(3): E84.     CrossRef
• Perceptions of the meaning of life among Korean patients with advanced cancer: A mixed-methods study
  Su-Jin Koh, Kyung-Ah Kang, Hyeyeong Kim, Jaekyung Cheon, Hyeon-Su Im, Jae-Hon Lee, Minsu Ock, Juhee Cho, Eun-Hye Lee
  Palliative and Supportive Care.2023; 21(4): 658.     CrossRef
• “When I Sing, I Feel Peaceful”: Experiences of Older Choral Singers From North Korea
  Jinmoo Heo, Sanghee Lee, Sua Im, Jaeyoon Bae
  Journal of Applied Gerontology.2022; 41(1): 245.     CrossRef
• Family Caregiver Suffering in Caring for Patients with Amyotrophic Lateral Sclerosis in Korea
  Juyeon Oh, Jung-A Kim, Min Sun Chu
  International Journal of Environmental Research and Public Health.2021; 18(9): 4937.     CrossRef
• Predictors of Breast Self Examination Practice among North Korean Immigrant Women
  Mi Yeul Hyun, Hyo Jeong Song, Eun Joo Lee, Seong Chul Hong, Sung Yob Kim, Chang Hyun Lee
  Korean Journal of Health Promotion.2015; 15(1): 9.     CrossRef

PURPOSE
The purpose of this study was to examine the direction and strength of the relationships between depressive symptoms and Activities of Daily Living (ADLs) among older, cognitively intact adults as reported in observational studies.
METHODS
A systematic review and meta-analysis were conducted to search the existing published observational studies in five electronic databases. PubMed, EMBASE, PsycINFO, the Cochrane library, CINAHL, and Medline were used from June 2005 to June 2015. The search strategies all used MeSH terms. Studies reporting r-values between depressive symptoms and the ADLs of older adults were included in the meta-analysis. Overall effect size was computed, and subgroup/moderation analysis was then performed.
RESULTS
16 studies involving 7,184 older adults were identified, and no publication bias was found. The overall effect size was moderate, with a value of −.28. The strength of the effect size was moderated by sample residence type.
CONCLUSION
From the meta-analysis results, it was concluded that the strength of the relationship between depressive symptoms and ADLs was significant. The relationship showed a negative direction in all included studies. Therefore, various nursing intervention programs should be developed to increase the ADL related to depression according to the cognitive status and the residence status of the elderly by nurses.

Citations

• Moderating effect of social participation on the relationship between health status and depressive symptoms in older adults
  Yvonne Su Yong Ow, Chia-Shine Wei, Yang-Tzu Li
  Frontiers in Public Health.2025;[Epub]     CrossRef
• Depressive symptoms and their association with age, chronic conditions and health status among middle-aged and elderly people in peri-urban Tanzania
  Laura-Marie Stieglitz, Leslie B. Adams, Till Bärnighausen, Anne Berghöfer, Patrick Kazonda, Japhet Killewo, Germana H. Leyna, Julia Lohmann, Julia K. Rohr, Stefan Kohler
  Cambridge Prisms: Global Mental Health.2023;[Epub]     CrossRef
• A Systematic Review: Factors Related to Happiness and Quality of Life in the Elderly Depression
  Thika Marliana, Budi Keliat, Novy Helena Catharina Daulima, Tri Budi W. Rahardjo
  Open Access Macedonian Journal of Medical Sciences.2022; 9(T5): 1.     CrossRef
• The presence of neighbours in informal supportive interactions is important for mental health in later life
  Yaya Li, Mai Kabayama, Winston Tseng, Kei Kamide
  Archives of Gerontology and Geriatrics.2022; 100: 104627.     CrossRef

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
This systematic review and meta-analysis provided scientific evidence for oral cryotherapy as a nursing intervention for the prevention of Oral Mucositis (OM) associated with Hematopoietic Stem Cell Transplantation (HSCT).
METHODS
The literature search was carried out in July and October 2017. The MEDLINE, EMBASE, Cochrane Library, CINAHL, and KoreaMed electronic databases were searched using the MeSH keywords “mucositis” and “cryotherapy.” The Cochrane's Risk of Bias tool was used to assess the internal validity of the Randomized Controlled Trials (RCTs). The selected studies were included in the meta-analysis using Review Manager 5.3.
RESULTS
Among seven RCTs with 264 patients, oral cryotherapy significantly decreased the incidence of OM (Relative Risk [RR]=0.46, 95% Confidence Interval [CI]=0.31~0.66), including severe OM (grade 2~4: RR=0.33, 95% CI=0.21~0.52; grade 3~4: RR=0.34, 95% CI, 0.22~0.53), and also reduced the OM severity score (Standardized Mean Difference [SMD]=−0.92, 95% CI=−1.25~−0.58). In addition, the need of intravenous narcotics therapy (RR=0.19, 95% CI=0.07~0.51) and the total parenteral nutrition (RR=0.54, 95% CI=0.35~0.84) were reduced. These results were associated with a significantly reduced length of hospitalization (Weighted Mean Difference [WMD]=−1.22, 95% CI=−2.37~−0.07).
CONCLUSION
Oral cryotherapy is effective and well-tolerated nursing intervention to alleviate OM among patients receiving myeloablative therapy before HSCT. Nurses caring for patients treated with myeloablative therapy should place high priority to prevent OM based on this evidence.

Citations

• Radyoterapiye Bağlı Oral Mukozit ve Yönetiminde Kanıta Dayalı Uygulamalar
  Ülkü Saygılı Düzova
  Black Sea Journal of Health Science.2025; 8(2): 79.     CrossRef
• Nutritional interventions for the prevention and treatment of cancer therapy-induced oral mucositis: an umbrella review of systematic reviews and meta-analysis
  Reza Amiri Khosroshahi, Sepide Talebi, Sheida Zeraattalab-Motlagh, Hossein Imani, Amirabbas Rashidi, Nikolaj Travica, Hamed Mohammadi
  Nutrition Reviews.2023; 81(9): 1200.     CrossRef
• Cryotherapy for oral mucositis in cancer: review of systematic reviews and meta-analysis
  Reza Amiri Khosroshahi, Sepide Talebi, Nikolaj Travica, Hamed Mohammadi
  BMJ Supportive & Palliative Care.2023; 13(e3): e570.     CrossRef
• Oral cryotherapy for management of chemotherapy‐induced oral mucositis in haematopoietic cell transplantation: a systematic review
  Faizah Jabr Alsulami, Sadr ul Shaheed
  BMC Cancer.2022;[Epub]     CrossRef
• Effectiveness of low level laser therapy versus cryotherapy in cancer patients with oral mucositis: Systematic review and network meta-analysis
  Chih-Chin Lai, Shiau-Yee Chen, Yu-Kang Tu, Yu-Wei Ding, Jiu-Jenq Lin
  Critical Reviews in Oncology/Hematology.2021; 160: 103276.     CrossRef
• Kemoterapi ve Radyoterapi Alan Hastalarda Oral Mukozit: Bir Gözden Geçirme
  Seher ÇAKMAK, Nesrin NURAL
  Dokuz Eylül Üniversitesi Hemşirelik Fakültesi Elektronik Dergisi.2020; 13(3): 185.     CrossRef
• Experiences of Unrelated Hematopoietic Stem-cell Donors and Experts of Relevant Institutions
  Soyoung Yu, Miok Kim, Tai-Gyu Kim, Su-Hee Beom
  Korean Journal of Adult Nursing.2019; 31(5): 522.     CrossRef

PURPOSE
The purpose of this study was to systematically review the effects of cognitive-based interventions on the cognitive function of older adults with mild cognitive impairment and conduct a meta-analysis to present basic data based on objective evidence.
METHODS
This study analyzed the effects on older adults' cognitive function based on 21 studies using randomized controlled trials of cognitive-based interventions from 2000 to 2017.
RESULTS
The results demonstrated that the cognitive-based interventions showed statistically significant effects on language, global cognitive function, executive function, memory, visuospatial ability, and attention. All of them showed a medium effect size.
CONCLUSION
A cognitive-based intervention for older adults with mild cognitive impairment needs to be systematically and continuously applied to improve cognitive function. Such interventions can delay and prevent the progress of dementia, which will help in reducing the socioeconomic burden associated with it. In the future, it is necessary to study further, the various variables involved in continuous cognitive training programs.

Citations

• Development and Impact of a Cognitive Reserve Enhancement Program for Climacteric Korean Women
  Ji Hyun KIM, Seungmi PARK
  Journal of Nursing Research.2024; 32(6): e363.     CrossRef
• The Effects of Occupational Therapy Program Using Dual-Task on Cognitive Function and Gait for the Elderly With Mild Cognitive Impairment
  Jae-Hyeon Lee, Yo-Soon Bang, Eun-Sol Ju, Min-Ji Hwang
  Journal of Korean Society of Occupational Therapy.2020; 28(1): 109.     CrossRef
• Effects of Subjective Memory Complaints, Depression and Executive Function on Activities of Daily Living in Individuals with Mild Cognitive Impairment
  Mi Sook Jung, Eun Young Oh, Eun Young Chung
  The Korean Journal of Rehabilitation Nursing.2019; 22(1): 15.     CrossRef

PURPOSE
The purpose of this study was to conduct a systematically review of factors related to the reported intention of hospital nurses in Korea to leave their positions.
METHODS
Appropriate studies in the recent ten years were selected from databases. A total of 263 studies were selected for the systematic review on the basis of the PRISMA flow. The correlational effect size of 35 studies was analyzed through meta-analysis using CMA 3.0.
RESULTS
Through systematic review, 52 related factors were classified by ecological system: 18 individual, 12 microsystem, 11 mesosystem, 8 exosystem, and 3 macrosystem. The overall effect size of turnover intention was 3.26. The total correlational effect size of related factors was 0.28: 0.14 for individual, 0.50 for microsystem, 0.25 for mesosystem and 0.40 for exosystem. Among single factors with larger effect size, emotional labor, role conflict, and work-home conflict were classified into contributors whereas organizational commitment, job satisfaction, and internal marketing were classified as inhibitors.
CONCLUSION
Previous studies focused on the individual and the microsystem in the quantitative respect. In addition, the effect size was relatively greater for the microsystem and the exosystem. It is therefore necessary to conduct further research on the systems with larger effects.

Citations

• Impact of Professional Quality of Life on Turnover Intention among General Hospital Nurses: A Comparative Study Using Linear and Nonlinear Analysis Methods
  Mi-Jin Park, Il-Ok Kim
  Journal of Korean Academy of Nursing Administration.2025; 31(1): 132.     CrossRef
• Nurses' Hospital Selection within a Dual Labor Market Framework: The Dilemma of Professional Identity
  Hyun-Ji Bae, Hyoung Suk Kim, Hwal Lan Bang
  Journal of Korean Academy of Nursing Administration.2025; 31(1): 14.     CrossRef
• Effects of Auricular Acupressure on Nurses’ Perceived Stress, Sleep Quality, and Presenteeism
  Hyunseo Sim, Younghee Park
  Holistic Nursing Practice.2025; 39(1): 15.     CrossRef
• The Influence of Socio-Cognitive Mindfulness, Job Stress and Social Support on Turnover Intention in General Hospital Nurses
  Chun Ha Kim, Mikyoung Lee
  Journal of Korean Academy of Nursing Administration.2025; 31(2): 155.     CrossRef
• What is behind the high turnover intention among hospital nurses during the full liberalization of COVID-19 and the postpandemic era in China: a 2-wave multicentre cross-sectional comparison study
  Julan Xiao, Lili Liu, Yueming Peng, Xia Lyu, Chunfeng Xing, Yanling Tao, Shening Zhu, Aihuan Mai, Lijun Liang, Hongying Hu, Yi Fan, Weisi Peng, Haishan Xie, Jun Ren, Weixiang Luo
  BMC Nursing.2025;[Epub]     CrossRef
• Influence of COVID-19–Induced Anxiety on Job Turnover Intention among Emergency Room Nurses during the COVID-19 Pandemic, the Mediating Effect of Needs Satisfaction: A Cross-Sectional Study
  YuJin Seo, Myung Kyung Lee
  Korean Journal of Adult Nursing.2025; 37(2): 104.     CrossRef
• Factors affecting the turnover intention of newly graduated Generation Z nurses in Korea: multilevel analysis
  Mee Sun Lee, Sujin Shin
  Human Resources for Health.2025;[Epub]     CrossRef
• Effect of Nursing Professionalism on Turnover Intention among Nurses: The Mediating Effect of Job Embeddedness
  Ja In Kim, Seok Hee Jeong, Hyoung Eun Chang, Sunmi Kim
  Journal of Korean Academy of Nursing Administration.2025; 31(4): 446.     CrossRef
• Mediating Effect of Leader-Member Exchange on the Ethical Leadership of Nursing Unit Managers and Turnover Intention of Clinical Nurses: A Nationwide Survey using Proportional Quota Sampling
  Jihun Kim, Sunmi Kim, Nara Han, Seok Hee Jeong
  Journal of Korean Academy of Nursing Administration.2024; 30(1): 42.     CrossRef
• Examining the experiences of mid-career nurses in hospitals: a phenomenological study
  Yukyung Ko, Soyoung Yu, Bohyun Park
  Contemporary Nurse.2024; 60(4): 333.     CrossRef
• Effect of Work-Family Conflict on Turnover Intention among Married Female Nurses: The Mediating Effect of Nursing Work Environment
  Min Gyeong Jeong, So Young Choi
  Journal of Korean Academy of Nursing Administration.2024; 30(5): 451.     CrossRef
• Experiences of Career Nurses Balancing Clinical Nursing with Ongoing Studies
  Yunhyung Kim, Yeonsook Joo, Eun Hee Kang, Jeong Hye Kim
  Journal of Korean Association for Qualitative Research.2024; 9(3): 215.     CrossRef
• The Influence of Positive Psychological Capital, Perceived Value of Work, and Nurse Practice Environment on Retention Intention in Small-Medium Sized Hospital Nurses
  Su Hye Kwon, Miseon Bang, Young Kyoung Kim
  Journal of Korean Academy of Nursing Administration.2024; 30(3): 189.     CrossRef
• Exploring nurses' experiences: Abandoning the profession and migrating for improved opportunities
  Paola Galbany-Estragués, Miquel Àngel Giménez-Lajara, Glòria Jodar-Solà, Rocio Casañas, Maria Romeu-Labayen, Encarnación Gomez-Gamboa, Olga Canet-Vélez
  Applied Nursing Research.2024; 77: 151787.     CrossRef
• Effect of Transition Shock on Intention to Stay in Newly Graduated Nurses : The Mediating Effect of Positive Psychological Capital
  Hyuna Kam, Chanhee Kim, Yeonok Yoon, Heeyoung Shin, Junghwa Lee, Myoungohk Kim
  Journal of Korean Critical Care Nursing.2024; 17(3): 25.     CrossRef
• Research Trends on Doctors’ Competencies in Korea Using Text Network Analysis
  Youngjon Kim, Jea Woog Lee, So Jung Yune
  Korean Medical Education Review.2024; 26(Suppl 1): S84.     CrossRef
• Analysis of issues related to nursing law: Examination of news articles using topic modeling
  JooHyun Lee, Hyoung Eun Chang, Jaehyuk Cho, Seohyun Yoo, Joonseo Hyeon, Andrea Cioffi
  PLOS ONE.2024; 19(8): e0308065.     CrossRef
• Structural Equation Modeling of Advanced Beginner-Stage Nurses' Intention to Continue Employment
  Seung-Hee Lee, Hwasoon Kim
  Journal of Korean Academy of Nursing Administration.2023; 29(5): 517.     CrossRef
• An Exploratory Study of Psychological Distress, Professional Quality of Life, Effort-Reward Imbalance, and Turnover Intention of Hospital Nurses during the COVID-19 Pandemic
  Suk-Jung Han, Soon-Youl Lee, Sie-Eun Kim
  Healthcare.2023; 11(19): 2695.     CrossRef
• Comparative Study on Work-Life Balance, Nursing Work Environment, Nursing Organizational Culture, and Job Satisfaction before Turnover among Nurses Leaving Hospital: Current Clinical Nurses versus Non-clinical Nurses
  Yejin Seo, Mi Yu
  Journal of Korean Academy of Nursing Administration.2023; 29(4): 385.     CrossRef
• Effects of Job Crafting, Burnout, and Job Satisfaction on Nurses' Turnover Intention: A Path Analysis
  Mihee Chung, Sujeong Han
  Journal of Korean Academy of Fundamentals of Nursing.2023; 30(2): 281.     CrossRef
• Effects of perceived spiritual management, work engagement, and organizational commitment on job satisfaction among clinical nurses: the mediating role of perceived spiritual management
  Eun-Hye Lee, Hea-Jin Yu
  BMC Nursing.2023;[Epub]     CrossRef
• Effects of Nursing Work Environment on Intention to Stay of Hospital Nurses: A Two-Mediator Serial Mediation Effect of Career Motivation and Job-Esteem
  Yu Na Lee, Eungyung Kim
  Journal of Korean Academy of Nursing.2023; 53(6): 622.     CrossRef
• Development of a Nurse Turnover Prediction Model in Korea Using Machine Learning
  Seong-Kwang Kim, Eun-Joo Kim, Hye-Kyeong Kim, Sung-Sook Song, Bit-Na Park, Kyoung-Won Jo
  Healthcare.2023; 11(11): 1583.     CrossRef
• Factors Influencing Occupational Retention of Nurses in Their 20s and 30s
  Eunmi Lee, Yujeong Kim, Haeyoung Lee
  Sage Open.2023;[Epub]     CrossRef
• Effect of the Nursing Work Environment on Turnover Intention: Serial Mediation Effects of Career Motivation and Job Satisfaction
  Young Deok Park, Sun Ju You
  Journal of Korean Academy of Nursing Administration.2023; 29(5): 529.     CrossRef
• Safeguarding the retention of nurses: A systematic review on determinants of nurse's intentions to stay
  Charlene Pressley, Joanne Garside
  Nursing Open.2023; 10(5): 2842.     CrossRef
• Technology-based interactive communication simulation for Korean nurses: A randomized controlled repeated-measures design
  Heeseung Choi, Yeseul Jeon, Ujin Lee, Junggeun Ahn, Hannah Kim
  Nurse Education Today.2023; 128: 105879.     CrossRef
• Predicting Nurse Turnover for Highly Imbalanced Data Using the Synthetic Minority Over-Sampling Technique and Machine Learning Algorithms
  Yuan Xu, Yongshin Park, Ju Dong Park, Bora Sun
  Healthcare.2023; 11(24): 3173.     CrossRef
• The Experiences of Overcoming Turnover Intention among Experienced Nurses
  Min Jeong Kwon, Kyung Mi Sung
  Journal of Korean Academy of Nursing Administration.2023; 29(1): 32.     CrossRef
• Research Topic Trends on Turnover Intention among Korean Registered Nurses: An Analysis Using Topic Modeling
  Jung Lim Lee, Youngji Kim
  Healthcare.2023; 11(8): 1139.     CrossRef
• Mediating Effect of Job Satisfaction on the Relationship between Nursing Practice Environment and Turnover Intention of Nurses in a National Forensic Psychiatic Hospital
  Moonhee Gang, Donghyeon Gwak
  Journal of Korean Academy of psychiatric and Mental Health Nursing.2023; 32(3): 307.     CrossRef
• Effects of External Employment Opportunities, Nursing Professionalism, and Nursing Work Environments on Korean Hospital Nurses’ Intent to Stay or Leave
  Mi-Aie Lee, So-Hee Lim
  International Journal of Environmental Research and Public Health.2023; 20(5): 4026.     CrossRef
• Research Trends on Doctor’s Job Competencies in Korea Using Text Network Analysis
  Young-Jon Kim, Jea Woog Lee, Sojung Yune
  Korean Medical Education Review.2022; 24(2): 93.     CrossRef
• Effects of Leadership Styles of Nursing Managers on Turnover Intention of Hospital Nurses: A Systematic Review and Meta-Analysis
  Yunjeong Cho, Seok Hee Jeong, Hee Sun Kim, Young Man Kim
  Journal of Korean Academy of Nursing.2022; 52(5): 479.     CrossRef
• Effect of an Age-Stratified Working Environment and Hospital Characteristics on Nurse Turnover
  Yoseb Lee, Jeong Lim Kim, So Hee Kim, Jungmi Chae
  Health Insurance Review & Assessment Service Research.2022; 2(1): 106.     CrossRef
• Trajectories of subjective health status among married postmenopausal women based on the ecological system theory: a longitudinal analysis using a latent growth model
  Eun Jin Kim, Ju-Hee Nho
  Korean Journal of Women Health Nursing.2022; 28(2): 123.     CrossRef
• Verbal violence and turnover intention among new nurses in Korea: A time‐lagged survey
  Ae Kyung Chang, Ah Young Kim
  Journal of Nursing Management.2022; 30(6): 1823.     CrossRef
• The effect of sleep disturbance on the association between work–family conflict and burnout in nurses: a cross-sectional study from South Korea
  Sujeong Han, Sungjung Kwak
  BMC Nursing.2022;[Epub]     CrossRef
• The Influence of Role Conflict, Head Nurses' Super Leadership, and Nursing Organizational Culture on Organizational Commitment of Male Nurses
  Mingi Chang, Yujeong Kim
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• Relationship of Job Stress to Turnover Intention in Hospital Nurses of Rural Areas: Job Embeddedness as a Mediator
  Eun Hee Kang, Im Sun Seo
  Journal of Korean Academy of Nursing Administration.2022; 28(5): 534.     CrossRef
• The Effect of Occupational Stress among Occupational Groups Related to Healthcare Accreditation on Turnover Intention
  So-Hee Nam, Yeon-Jeong Heo
  Quality Improvement in Health Care.2022; 28(1): 55.     CrossRef
• The Factors That Affect Turnover Intention According to Clinical Experience: A Focus on Organizational Justice and Nursing Core Competency
  Hanna Choi, Sujin Shin
  International Journal of Environmental Research and Public Health.2022; 19(6): 3515.     CrossRef
• Effects of resilience, burnout, and work-related physical pain on work-life balance of registered nurses in South Korean nursing homes: A cross-sectional study
  Deulle Min
  Medicine.2022; 101(30): e29889.     CrossRef
• Assessing the effect of nursing stress factors on turnover intention among newly recruited nurses in hospitals in China
  Lulin Zhou, Arielle Doris Kachie Tetgoum, Prince Ewudzie Quansah, Joseph Owusu‐Marfo
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• Effect of Sleep Quality and Depression on Married Female Nurses’ Work–Family Conflict
  Eunhee Hwang, Yeongbin Yu
  International Journal of Environmental Research and Public Health.2021; 18(15): 7838.     CrossRef
• Strategies for reducing hospital nurse turnover in South Korea: Nurses' perceptions and suggestions
  Mi Ra Yun, Boas Yu
  Journal of Nursing Management.2021; 29(5): 1256.     CrossRef
• The Influence of Traumatic Events on Turnover Intention among Nurses Working in Intensive Care Units: The Moderating Effect of Emotional Intelligence
  Hyunmi Kim, Jiyoung Park
  Journal of Korean Critical Care Nursing.2021; 14(2): 70.     CrossRef
• Factors Influencing Turnover Intention among Male Nurses in Korea
  Su Ol Kim, Sun-Hee Moon
  International Journal of Environmental Research and Public Health.2021; 18(18): 9862.     CrossRef
• A meta‐analysis on predictors of turnover intention of hospital nurses in South Korea (2000–2020)
  Hyeoneui Kim, Eun Gyung Kim
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• Nursing stress factors affecting turnover intention among hospital nurses
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• Effects of Academic Motivation on Clinical Practice-Related Post-Traumatic Growth among Nursing Students in South Korea: Mediating Effect of Resilience
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• Mixed Method Research Investigating Turnover Intension with ICU Nurses
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  Journal of Korean Academy of Fundamentals of Nursing.2020; 27(2): 153.     CrossRef
• A study on the intent to leave and stay among hospital nurses in Korea: A cross‐sectional survey
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  Journal of Nursing Management.2020; 28(2): 332.     CrossRef
• Current Trends in Nursing Research Across Five Locations: The United States, South Korea, Taiwan, Japan, and Hong Kong
  Eun‐Ok Im, Reiko Sakashita, Chia‐Chin Lin, Tae‐Hwa Lee, Hsiu‐Min Tsai, Jillian Inouye
  Journal of Nursing Scholarship.2020; 52(6): 671.     CrossRef
• Reliability and Validity of the Bullying Measurement in Korean Nurses' Workplace
  Hyo-Suk Song, So-Hee Lim
  Journal of Korean Academy of Nursing Administration.2020; 26(5): 478.     CrossRef
• An Exploratory Analysis of Domestic ICT Workers’ Dissatisfaction with their Jobs and Differences between Former and Incumbent Employees: Application of Topical Modeling
  Jae Yoon Chang, Yeon Jae Choi, Ji-Yeon Kang
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• The Effect of Work-Life Balance on Job Satisfaction and Turnover Intention of Hospital Nurses: Compared to Female Wage Workers
  Dong Min Son, Young-Il Jung
  Stress.2019; 27(3): 268.     CrossRef
• A Topic Modeling Analysis for Online News Article Comments on Nurses' Workplace Bullying
  Jiyeon Kang, Soogyeong Kim, Seungkook Roh
  Journal of Korean Academy of Nursing.2019; 49(6): 736.     CrossRef
• Influences of Occupational Stress, Ethical Dilemma, and Burnout on Turnover Intention in Hospital Nurses
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• Nurses’ emotions, emotional labor, and job satisfaction
  Mikyoung Lee, Keum-Seong Jang
  International Journal of Workplace Health Management.2019; 13(1): 16.     CrossRef
• Factors related to Family Support for Hemodialysis Patients: A Systematic Review and Meta-analysis
  Young Ran Chae, Sun Hee Lee, Young Mi Jo, Hyo Young Kang
  Korean Journal of Adult Nursing.2019; 31(2): 123.     CrossRef
• Relationship between Career Plateau, Career Planning, Social Support, and Turnover Intention in Nurses
  Jeonga Ko, Heeyoung Kim
  Journal of Korean Academy of Nursing Administration.2018; 24(1): 97.     CrossRef

PURPOSE
This study was a meta-analysis of the effects of exercise intervention in preventing falls among persons with arthritis.
METHODS
The review consisted of searches from Pubmed, Ovid-MEDLINE, CINAHL, EMBASE and Korean DBs using PICO-SD format. Key words for searching included ‘arthritis’, ‘exercise’, ‘fall’ and the articles published until January 2017 were selected for this study. Methodological quality was assessed using Cochrane's Risk of Bias for randomized studies and Risk of Bias Assessment tool for non randomized studies. Data were analyzed by the RevMan 5.3 program of Cochrane Library.
RESULTS
Nineteen clinical trials met the inclusion criteria with a total of 832 participants. There were significant differences in Tai Chi exercise (ES=0.76), exercise interventions performed over 60 minutes at one time (ES=0.98), exercise interventions provided once a week (ES=0.69) or 2~3 times a week (ES=0.65), exercise interventions provided for a total of 12 weeks or less (ES=0.86). The outcome measures such as balance (ES=0.66), fall efficacy (ES=0.70), and fear of falling (ES=−0.70) showed the significant difference, and their effect sizes were ranged from moderate to large.
CONCLUSION
The results of the study show that the exercise intervention is effective to prevent fall in persons with arthritis. It is necessary to include the comprehensive exercise interventions to enhance balance and fall efficacy and reduce fear of falling for the fall prevention program in persons with arthritis.

Citations

• Effects of Nurse-Led Intervention Programs Based on Goal Attainment Theory: A Systematic Review and Meta-Analysis
  Bom-Mi Park
  Healthcare.2021; 9(6): 699.     CrossRef
• Motivation for adopting fall prevention measures: a literature review searching for technology acceptance factors
  Jan Aidemark, Linda Askenäs
  Procedia Computer Science.2018; 138: 3.     CrossRef

PURPOSE
This study was designed to develop and test the Hope Scale for Korean cancer patients.
METHODS
The process for the development of the Hope Test was a selection of initial items drawn from a literature review and in-depth interviews. The selected items were assessed for content validity by experts. The Hope Scale was comprised of five factors and 30 preliminary items. The preliminary Hope Scale for Korean Cancer Patients (HS_KCP) was administered to 259 cancer patients from one university hospital and one cancer hospital in Busan. Data were analyzed using item analysis, factor analysis, Pearson correlation coefficients, and Cronbach's α.
RESULTS
Eighteen items were selected for the final scale. Five factors (inner sense of control, trust and expectation for recovery of disease, interconnection, spirituality, emotional despair) evolved from the factor analysis, which explained 63.3% of the total variance. The convergent & discriminent validity was r=.83 (p<.001), r=-73 (p<.001). The internal consistency, Cronbach's α was .88 and reliability of the subscales ranged from .54 to .85.
CONCLUSION
The Hope Scale for Korean cancer patients demonstrated acceptable validity and reliability. It can be used to assess the hope of cancer patients and is feasible within a clinical setting.

Citations

• The Effects of Spiritual Well-being on Self-care Practices in People Undergoing Hemodialysis: The Mediating Effect of Hope
  Bu Kyung Kim, Pok-Ja Oh
  Korean Journal of Adult Nursing.2022; 34(6): 592.     CrossRef
• Psychometric Evaluation of Persian Version of Hope Scale in Iranian Patients With Cancer
  Hamid Sharif Nia, Pardis Rahmatpour, Long She, Mahdi Abounoori, Mohammad Moein Maddah, Saeed Pahlevan Sharif, Mobin Mohammadinezhad
  Journal of Nursing Measurement.2022; 30(1): 40.     CrossRef
• The Catalogue of Spiritual Care Instruments: A Scoping Review
  Ricko Damberg Nissen, Erik Falkø, Dorte Toudal Viftrup, Elisabeth Assing Hvidt, Jens Søndergaard, Arndt Büssing, Johan Wallin, Niels Hvidt
  Religions.2020; 11(5): 252.     CrossRef
• Concept Analysis of Fighting Spirit in Korean Patients with Cancer
  Kyung Ok Kim, Jung A Kim
  Korean Journal of Adult Nursing.2019; 31(1): 50.     CrossRef
• Post-traumatic Growth among Stroke Patients: Impact of Hope, Meaning in Life, and Social Support
  Young-Ju Jeong, Hee Sun Kim
  Korean Journal of Adult Nursing.2019; 31(6): 605.     CrossRef
• Relationships among Hope, Self-care Agency and Quality of Life of Female Oncology Patients with Lymphedema
  Ka Ryeong Bae, Young Soon Im, Gie Ok Noh, Yoojung Son, Han Gil Seo
  Asian Oncology Nursing.2017; 17(4): 213.     CrossRef

PURPOSE
A meta-analysis was conducted to identify the effect of cognitive improvement programs for the elderly with mild cognitive impairment (MCI) in Korea.
METHODS
Five databases, as well as relevant reference lists, of studies published from 2000 to 2016, were searched. Fourteen studies were identified. Quality assessments of included studies were conducted using the Scottish Intercollegiate Guidelines Network checklist. An R program was used to analyze effect sizes and to identify possible sources of heterogeneity among studies. The potential for publication bias was investigated using a funnel plot, Egger's regression test and sensitivity analysis.
RESULTS
The total effect size was large (Standardized Mean Difference [SMD]=1.44, 95% CI: 1.11~1.77), with cognition based intervention (SMD= 1.77, 95% CI: 1.26~2.29) and exercise intervention (SMD=1.13, 95% CI: 0.82~1.44). Statistically significant moderators were identified intervention type by meta-ANOVA analyses. Finally, no significant evidence of publication bias was found.
CONCLUSION
There is clear evidence that cognitive improvement programs can greatly enhance cognition in elderly with MCI. Future research should examine the effects of non-pharmacological interventions targeting elderly populations with mild-to-severe cognitive impairment in order to develop and enhance the effectiveness of cognitive improvement programs in Korea.

Citations

• Experiences of Robot Cognitive Improvement Programs in Community-Dwelling Older Adults: Using thematic Analysis and Focus Group Interviewing
  Eun-A Park, Ae-Ri Jung
  Journal of Korean Gerontological Nursing.2021; 23(2): 176.     CrossRef
• Effects of Exercise and Cognitive Intervention Program on Cognitive Function, Sedentary Behavior and Health-Related Quality of Life in Elderly Women with Mild Cognitive Impairment
  Min-Ki Jeong, Hyun-Hun Jung, Sang-Kab Park
  Exercise Science.2019; 28(2): 198.     CrossRef

PURPOSE
The purpose of this study was to provide data about the risk factors related to falls among elderly patients with dementia using meta-analysis.
METHODS
Key words used for search through electronic database (CINAHL, PubMed, Ovid-MEDLINE, RISS, KISS, DBPIA, National Assembly Library) included ‘ dementia’, ‘ Alzheimer’, ‘ fall’. Twenty studies met the inclusion criteria for the meta-analysis and ‘ R’ version 3.2.2 was used to analyze the correlated effect size.
RESULTS
Study results showed that risk factors related to falls were identified as the demographic (age, gender, education), dementia-related (disease duration, cognition), physical (body mass index, walking, balance, activity of daily living, use of walking aids, number of medications including psychotropic drugs, musculoskeletal problems, parkinsonism, comorbidity), psychological (neuropsychiatric symptom, depression), environmental (Physical environment), and fall-related (fall history, high risk group of fall) factors. The effect size of risk factors such as high risk group of fall (r=.35), use of walking aids (r=.33), depression (r=.31), psychotropic drugs (r=.27), Musculoskeletal problems (r=.25) were higher than the other risk factors.
CONCLUSION
Based on the findings of this study, strategies to improve elderly patient's depression, intensive care for high risk group of fall, and adequate training with walking aids are needed for prevention of falls in elderly patients with dementia

Citations

• Development and Effects of a Person-Centered Fall Prevention Program for Older Adults with Dementia in Long-Term Care Hospitals: For Older Adults with Dementia and Caregivers in Long-Term Care Hospitals
  Jeong Ok Lim, Mee Ock Gu
  Journal of Korean Academy of Nursing.2022; 52(3): 341.     CrossRef
• Understanding and Prevention of Fall-related Injuries in Older Adults in South Korea: A Systematic Review
  Ki-taek Lim, Ji-eun Lee, Ha-eun Park, Su-young Park, Woochol Joseph Choi
  Physical Therapy Korea.2019; 26(2): 34.     CrossRef