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
This study was designed to evaluate a patient safety application in the prevention of adverse event among surgical patients. Seventy three surgical patients with thirty six of them using the patient safety application and the rest (N=37) were provided educational booklet. Further, the instrument would measure patients' right to know, knowledge about patient safety, and attitude toward patient safety.
METHODS
The patient safety application was developed by the ADDIE along with input from experts, patients and an extensive literature review. Data were collected from 7 September through 20 October 2015.
RESULTS
The experimental group had significantly higher scores in patients' right to know (t=2.01, p=.024), knowledge on patient safety (t=3.80, p<.001) and attitude toward patient safety (t=2.74, p=.004) than those of the control group.
CONCLUSION
The patient safety application developed using Smartphone could be an effective tool enhancing patient involvement in preventing adverse events that may occur to patients. Further studies are recommended with diverse subjects with varying medical conditions.

Citations

• The Mediating Role of Patient Safety Perception in the Relationship between Right to Know and Patient Participation among Inpatients
  Sun-Hwa Shin, On-Jeon Baek
  Korean Journal of Adult Nursing.2025; 37(2): 114.     CrossRef
• Factors Influencing Patient Safety Management Activities among General Hospital Operating Room Nurses
  Seon Mi Kim, Su Hye Kwon
  Journal of Korean Academy of Nursing Administration.2023; 29(2): 89.     CrossRef
• APLICATIVOS DE CELULAR PARA EDUCAÇÃO SOBRE SEGURANÇA DO PACIENTE: REVISÃO INTEGRATIVA
  Maria Aline Moreira Ximenes, Cristina da Silva Fernandes, Thamires Sales Macêdo, Maria Girlane Sousa Albuquerque Brandão, Nelson Miguel Galindo Neto, Joselany Áfio Caetano, Lívia Moreira Barros
  Revista de Enfermagem UFPE on line.2023; 17(1): 14.     CrossRef
• The effects of a mobile application for patient participation to improve patient safety
  Nam‐Ju Lee, Shinae Ahn, Miseon Lee
  Health Expectations.2022; 25(4): 1601.     CrossRef
• Development and Effectiveness of a Patient Safety Education Program for Inpatients
  Sun Hwa Shin, Mi Jung Kim, Ho Jin Moon, Eun Hye Lee
  International Journal of Environmental Research and Public Health.2021; 18(6): 3262.     CrossRef
• Development and Evaluation of an Informatics System for Nursing Faculty to Improve Patient Safety Teaching Competency
  Nam-Ju Lee, Shinae Ahn, Miseon Lee, Haena Jang
  Journal of Korean Academy of Nursing Administration.2020; 26(5): 488.     CrossRef

PURPOSE
The purpose of the study was to examine preventive effects of tailored water drinking on orthostatic hypotension and heart rate variability in the elderly.
METHODS
A non-equivalent control group pre and post time-series design was adapted. Among a total of 64 elderly people admitted to two nursing homes, 35 elderly were assigned to the experimental group and 29 were assigned to the control group. As for the elderly people in the experimental group, tailed water drink was provided according to the scheduled time for six weeks. Blood pressure and heart rate were measured twice before the intervention in both groups. The data were analyzed with SPSS program using t-test, chi2-test, and repeated measure of ANOVA.
RESULTS
There were significant differences in blood pressure and heart rate variability between the two groups.
CONCLUSION
Tailored water drinking had preventive effects on decreasing blood pressure fall as well as prevalence of orthostatic hypotension in the elderly people.

Citations

• The Effect of a Biofeedback-Based Integrated Intervention for Older Adults with Orthostatic Hypotension: A Secondary Analysis on Psychological Health Outcomes in a Non-Randomized Pilot Trial
  Nahyun Kim, Jeonghwa Han, Hyunwook Kang
  Healthcare.2024; 12(21): 2143.     CrossRef

PURPOSE
The purpose of this study was to assess the importance and contribution of 9 nursing outcomes and their indicators that could be applied to cerebrovascular patients. METHODS: Data were collected from 175 neurosurgical nurses working at two university affiliated hospitals and five secondary hospitals located in Gwang-ju. The Fehring method was used to estimate outcome content validity(OCV) and outcome sensitivity validity(OSV) of nursing outcomes and their indicators. Stepwise regression was used to evaluate relationship between outcome and its indicators. RESULTS: The core outcomes identified by the OCV were Tissue Perfusion: Cerebral, Nutritional Status, Neurological Status, and Wound Healing: Primary Intention, whereas highly supportive outcomes identified by the OSV were Oral Health, Self-Care: ADL, and Nutritional Status. All the critical indicators selected for Fehring method were not included in stepwise regression model. By stepwise regression analysis, the indicators explained outcomes from 19% to 52% in importance and from 21% to 45% in contribution. CONCLUSION: This study identified core and supportive outcomes and their indicators which could be useful to assess the physical status of cerebrovascular patients. Further research is needed for the revision and development of nursing outcomes and their indicators at neurological nursing area.

PURPOSE
The purpose of this study was to compare the importance and performance of nursing interventions linked to five nursing diagnoses in CVA patients.
METHODS
First, total 37 nursing diagnoses were identified from the analysis of 78 nursing records of CVA patients, and then top 5 diagnoses were mapped with nursing interventions. Second, each intervention was compared in terms of importance and performance by 80 nurses working at neurosurgical units from 5 general hospitals. Data were analyzed using mean, SD, and t-test using the SPSS program.
RESULTS
Selected the top five nursing diagnoses were Acute Pain, Risk for Disuse Syndrome, Decreased Intracranial Adaptive Capacity, Ineffective Cerebral Tissue Perfusion and Acute Confusion. In general, most of the interventions were scored higher in importance than performance and most of independent interventions were not performed as frequently as it perceived in importance. The interventions which scored high in performance were the interventions ordered by physician or interventions related to medication behavior.
CONCLUSION
We identified which nursing interventions should be performed more frequently and more critically important to nursing diagnoses. We recommend further research that enhances the performance of nursing interventions to provide better quality of nursing services to the patients in practice.

No abstract available.