Purpose
This study explored tools to measure service experiences for families of older adults living in long-term care facilities, with the goal of suggesting directions for developing service experience measurement indicators for these families in the Korean context.
Methods
In this scoping review, English-language literature on the service experiences of families of older adults in long-term care facilities published in academic journals from January 1990 to December 2021 was reviewed. The CINAHL, Embase, and PubMed databases were searched. The review process involved identifying the research question; searching for relevant published studies; selecting studies; mapping the data; and collating, summarizing, and reporting the results. This method helped identify knowledge gaps, explore, and define key concepts, and obtain an overview of extant studies’ focus by determining the literature scope. Among 118 articles, seven were finally selected according to predetermined criteria.
Results
Through an analysis of the sub-factors of the tools used in the seven selected articles, the following themes were derived: environment, information and family member involvement, tailored care, respect, and responsive workforce. Concept definitions were clarified and examined.
Conclusion
Measuring the service experiences of families serving as surrogates for older adults who are in long-term care facilities and cannot express their opinions is essential for improving service quality. Developing a measurement tool for experiences of facility service experience that accurately reflects the perspectives of family members of older adults in these facilities in the Korean context is a pressing need given South Korea’s rapidly aging population.

Purpose
This study aimed to compare the health expenditure and unmet health care needs and factors associated with these, in single-person households pre- and post-baby boomer generation, and of baby boomers.
Methods
This cross-sectional study used secondary data from the 2016 Korea Health Panel Study, which was conducted to investigate the factors associated with health expenditures and unmet healthcare needs of single-person households through hierarchical multiple regression analysis.
Results
The subjective health status of a single household showed a significant interaction with pre-baby boomers (β=.16, p=.045) in health expenditure. Identifying as men (OR=1.59, p=.046) and subjective health status (OR=1.90, p=.001) were statistically significant in terms of unmet healthcare needs. However, there was no significant interaction between pre-baby boomers and unmet healthcare needs.
Conclusion
Baby boomers are the first to be prepared for their later years in the current aging society. Despite a stable financial status due to vital economic activities, social support for baby boomers is inadequate. The rights guaranteed to family members under the system centered around kinship should also be guaranteed to single-person households.

Citations

• The impact of physical functionality and activity level on the self-rated health status of older adults living alone: An analysis of the mediating effect of social engagement
  Dajung Ryu
  Geriatric Nursing.2025; 63: 464.     CrossRef

Purpose
This study aimed to clarify the relationship between andropause syndrome and health-related quality of life, as well as the mediation effect of family bond among middle-aged males in South Korea. Methods A total of 135 middle-aged males who live in B, K, and U City participated in the study, conducted from March 10 to May 31, 2021. Participants were invited to complete self-reported questionnaires measuring andropause syndrome, health-related Quality of Life (QoL), family bond, and demographic information. The data obtained were analyzed using multiple regression and a simple mediation model applying the PROCESS macro with 95% bias-corrected bootstrap confidence interval (5,000 bootstrap resampling). Results The QoL of middle-aged males in South Korea showed a significant negative correlation with andropause syndrome (r=-.32, p<.001), and a significant positive correlation with family bond (r=.59, p<.001). Futher, family bond had a mediating effect between andropause syndrome and QoL (indirect effect=-4.07, 95% Boot confidence interval=-6.53~-1.97). Conclusion Based on the results of this study, in order to improve the QoL of middle-aged males in South Korea, it is necessary to provide programs that can improve family bond along with physical and mental intervention programs to effectively alleviate andropause syndrome.

Citations

• A comprehensive analysis of research trends on andropause among middle-aged South Korean men
  Young Hwa Lee, Sun Jung Park, Hyun Ji Kim, Bock Soon Park, Hyo Yeol Jang, Ha Na Cho, Young Sook Lim
  International Journal of ADVANCED AND APPLIED SCIENCES.2023; 10(6): 129.     CrossRef

Purpose
This study aimed to construct and test a hypothetical model which explains the psychosocial adjustment of breast cancer survivors using the family resilience model suggested by McCubbin and McCubbin.
Methods
The study participants were 242 breast cancer survivors who had finished active treatments within the past five years. Data were collected from September to October 2017 from an offline breast cancer self-help group survey and an online breast cancer support group. Data were analyzed using SPSS version 22.0 and AMOS version 23.0.
Results
The model fit indices for the modified hypothetical model were suitable for the recommended level: x² =223.80 (df=88, p<.001), x² /df=2.54, RMR=.04, GFI=.90, IFI=.93, CFI=.93, and RMSEA=.08. Symptoms and posttraumatic growth directly affected psychosocial adjustment. Symptoms were found to be the most influential factors in the psychosocial adjustment. All three family resilience factors-family hardiness, problem-solving communication, and problem-solving coping-directly affected posttraumatic growth and indirectly affected psychosocial adjustment through posttraumatic growth. These variables explained 81.2% of breast cancer survivors’ psychosocial adjustment.
Conclusion
Health care professionals need to continue to provide interventions for symptom relief and support to improve the psychosocial adjustment of breast cancer survivors. Additionally, practical nursing interventions should be prepared for individuals and families of breast cancer survivors to promote recovery and reinforce family resilience. This will ultimately improve the quality of life for breast cancer survivors and their families.

Citations

• Validation of the Korean Version of Patient-Centered Care Tool: For Outpatients
  Yeo Ju Kim, Gunjeong Lee, Sunyeob Choi
  Patient Preference and Adherence.2023; Volume 17: 1525.     CrossRef
• Do spouse burden of care, family resilience, and coping affect family function in gynecologic cancer in Korea?: a cross-sectional study
  Minkyung Kim, Sukhee Ahn
  Korean Journal of Women Health Nursing.2022; 28(3): 197.     CrossRef

Purpose
This study aimed to investigate the effects of a Multicomponent Intervention Program for Preventing Delirium (MIPPD) on the incidence of delirium, self-extubation or self-removal of the catheter, and length of stay among elderly patients in the Intensive Care Unit (ICU).
Methods
This study employed a nonequivalent control group pretest-posttest non-synchronized design to verify the MIPPD effects. The participants, 73 patients aged over 65 years were admitted to a university hospital's ICU in J province between December 2015 and July 2016. The MIPPD contained the following elements: family caregiver education, delirium assessment, reorientation activities, therapeutic communication, sensory intervention for vision and hearing impairments, management of immobility or limited mobility, family support, and maintenance of sleeping patterns. Under the program, nurses and family members provided immediate intervention to elderly patients with an expected length of stay of at least 48 hours.
Results
After the MIPPD application, the incidence of delirium in the intervention group was significantly lower (odds ratio=0.19, 95% confidence interval=0.03~0.97) than that in the control group. However, there were no significant differences between the groups in terms of self-extubation or catheter self-removal and length of stay.
Conclusions
This program can effectively reduce the incidence of delirium. Because prevention is optimal for delirium management, a proactive intervention must be considered; given that, in this study, there were no problems in terms of family engagement, an MIPPD involving family participation should be actively implemented in intensive care unit practice.

Citations

• The effectiveness of family participation interventions for the prevention of delirium in intensive care units: A systematic review
  Marli Lopo Vitorino, Adriana Henriques, Graça Melo, Helga Rafael Henriques
  Intensive and Critical Care Nursing.2025; 89: 103976.     CrossRef
• Promoting Family Involvement in the Management of Delirium in Intensive Care: Scoping Review
  Sandra Lange, Wioletta Mędrzycka-Dąbrowska
  Medicina.2024; 60(12): 1934.     CrossRef
• Microteoria de enfermagem na prevenção do delirium em pessoas idosas na unidade de terapia intensiva
  Sandra da Silva Kinalski, Margrid Beuter, Eliane Raquel Rieth Benetti, Marinês Tambara Leite, Larissa Venturini, Marcos Antônio Gomes Brandão
  Revista Latino-Americana de Enfermagem.2023;[Epub]     CrossRef
• Factors Affecting Delirium in ICU Patients
  I Seul Jeong, Mi-Kyoung Cho
  International Journal of Environmental Research and Public Health.2023; 20(10): 5889.     CrossRef
• Nursing microtheory in the prevention of delirium in older adult in the intensive care unit
  Sandra da Silva Kinalski, Margrid Beuter, Eliane Raquel Rieth Benetti, Marinês Tambara Leite, Larissa Venturini, Marcos Antônio Gomes Brandão
  Revista Latino-Americana de Enfermagem.2023;[Epub]     CrossRef
• Educational intervention for family caregivers of older adults with delirium: An integrative review
  JuHee Lee, Insun Yeom, Subin Yoo, Soomin Hong
  Journal of Clinical Nursing.2023; 32(19-20): 6987.     CrossRef
• Microteoría de enfermería en la prevención del delirium en personas mayores en la unidad de cuidados intensivos
  Sandra da Silva Kinalski, Margrid Beuter, Eliane Raquel Rieth Benetti, Marinês Tambara Leite, Larissa Venturini, Marcos Antônio Gomes Brandão
  Revista Latino-Americana de Enfermagem.2023;[Epub]     CrossRef

Purpose
This narrative review aims to provide an introduction and overview of dyadic research within the context of chronic illness. In addition, some methodological considerations and future directions for conducting dyadic research are presented.
Methods
The focus of this review is on adult participants in dyads and with chronic illness based on the previous studies and literatures on dyadic science.
Results
Theory of Dyadic Illness Management and Dyadic Regulation-Connectivity Model (DR-CM) may be appropriate for performing dyadic research. At present, there is a lack of qualitative and quantitative knowledge on the dyadic approach for research on chronic diseases. Dyadic health interventions for building collaborative relationships within a dyad may be beneficial to improve dyadic health outcomes. This article addressed some of the challenges regarding recruitment, data collection, and analysis when it comes to planning dyadic research pertaining to chronic illnesses.
Conclusion
Healthcare professionals should prioritize needs and preferences at the dyadic level when designing effective chronic disease management. Particularly, it is critical to regularly monitor the dyadic relationships or type of dyadic care during illness trajectories. More research should be undertaken on patient-family caregiver dyads in chronic care, considering the various types of chronic diseases and cultural diversities.

Purpose
The purpose of this study is to examine the validity and reliability of Korean version of the attitude measurement tool for Family Presence during Resuscitation (K-FPDR).
Methods
Data were collected from 299 nurses working at a tertiary hospital located in Seoul via structured-questionnaire and analyzed using SPSS 24.0 and AMOS 21.0. To examine the validity and reliability of K-FPDR, content/construct validity using exploratory/ confirmatory factor analysis and reliability test and criterion validity using Pearson correlation coefficient were conducted.
Results
There were 6 of the 30 items deleted through content/construct validity test. The Korean version of K-FPDR was composed of three dimensions: benefits, negative effects, and decision-making on K-FPDR. K-FPDR was validated by confirmatory factor analysis (CFI=.82, GFI=.86, AGFI=.83, RMR=.07, and RMSEA= .07), and factor loading of the 24 items ranged from .40 to .82. In terms of criterion validity, the K-FPDR positively correlated with Family Presence Self-Confidence Scale. Also, the reliability of the scale was confirmed with Cronbach's ⍺=.85.
Conclusion
The K-FPDR is a reliable and valid scale; therefore, this scale is expected to be useful in measuring the attitude toward family presence during resuscitation among Korean nurses.

Purpose
The purpose of this study was to investigate caring self-efficacy and social support, and their mediating effects on the relationship between caring burden and caring behavior in family caregivers of elderly with dementia in the community-dwelling.
Methods
A sample of 210 participants was used in a cross-sectional study. Data were collected from July 15th to November 22nd, 2019 through structured questionnaires and analyzed using descriptive statistics, multiple linear regression analysis, and the bootstrapping method with SPSS/WIN 25.0 and PROCESS macro program.
Results
The mean score for caring behavior was 3.14±0.81 (range 1~5). Caring behavior was significantly associated with caring burden (r=-.54, p<.001), caring self-efficacy (r=.68, p<.001), and social support (r=.69, p<.001). Using Baron and Kenny's approach and PROCESS macro model 4, caring behavior was found to be directly affected by caring burden (β=-.55, p<.001). Caring self-efficacy (β=-.36, p<.001) and social support (β=-.34, p<.001) were directly affected by caring burden. The partial mediating effects of caring self-efficacy (β =-.18, p=.007, 95% confidence interval -0.44~-0.14) and social support (β=-.23, p<.001, 95% confidence interval -0.38~-0.13) on the impact of caring burden on caring behavior were confirmed.
Conclusion
The impact of caring burden on caring behavior was mediated by caring self-efficacy and social support in family caregivers of elderly with dementia in the community-dwelling. The results suggest that caring self-efficacy and social support need to be considered in developing nursing interventions to reduce caring burden and improve caring behavior for family caregivers of elderly with dementia.

Citations

• Care burden, depression, quality of life, and institutionalization factors among family caregivers of long-term care recipients: A secondary data analysis
  Eun-Jeong Han, Yeongwoo Park, Heejung Kim, Myonghwa Park
  Journal of Korean Gerontological Nursing.2025; 27(1): 57.     CrossRef
• Factors influencing the caring behaviors of primary family caregivers of older adults with dementia: A cross-sectional study
  Da-Mi Kim, Hye-Young Jang
  Journal of Korean Gerontological Nursing.2024; 26(2): 146.     CrossRef
• Effect of perceived chronic illness management support, health literacy, and social support on the care burden of families caring for older people with multiple chronic conditions at home: A cross-sectional study
  Eun Sil Lee, Mi Young Kim
  Journal of Korean Gerontological Nursing.2023; 25(1): 76.     CrossRef
• Influence of Gratitude and Sense of Meaning in Life on Caregiving Self-Efficacy of Family Caregivers of Persons With Mental Illness
  Won Hee Jun
  Western Journal of Nursing Research.2023; 45(12): 1104.     CrossRef
• Resilience of family caregivers of people with dementia in South Korea: protocol for a scoping review
  Hyun-Ju Seo, Min-Jung Choi, Song-I Park, Jeong-hwan Park
  BMJ Open.2022; 12(7): e056739.     CrossRef
• Positive Changes in Caregiving Experiences of Family Caregivers for Long-Term Care Recipients after a Family Counseling Support Program
  Eun-Jeong Han, Myonghwa Park, Jihye Jung
  Journal of Korean Gerontological Nursing.2022; 24(1): 85.     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

Purpose
The purpose of this study was to investigate the roles of the perception of aging symptoms in mediating and moderating the relationship between family function and stress in middle-aged adults.
Methods
This was a cross-sectional correlational study of 244 middle-aged men and women. Self-administered surveys were conducted using the Family APGAR, stress index, and symptom management beliefs questionnaire. The data were analyzed using descriptive statistics, independent t-test, Pearson’s correlation coefficient, hierarchical multiple regression analysis, and PROCESS macro using SPSS 23.0.
Results
A significant interaction between family function and the perception of aging symptoms in predicting stress was found, indicating a moderating effect of the perception of aging symptoms on the relationship between family function and stress. An indirect effect of family function on stress through the perception of aging symptoms was not significant, indicating an insignificant mediating effect of the perception of aging symptoms.
Conclusion
The relationship between family function and stress differed depending on participants’ perceptions of aging symptoms. Individuals with negative perceptions of aging symptoms may be vulnerable to stress caused by poorer family function. It is necessary to develop programs to help modify negative perceptions of aging as well as strengthen family function to decrease the stress of middle-aged adults.

PURPOSE
This study aimed to investigate attitude toward and intention to use the so-called silver-care robot technology in older adults and family members.
METHODS
This descriptive correlational study recruited 80 older adults and 80 family members who were users of a general hospital in Seoul city. Data collection, conducted from February to March 2019, used the Almere model and self-reported questionnaires that included items on socio-demographic and robot-related characteristics.
RESULTS
The mean age of the older adults was 73.48±6.88 years and that of family members was 53.48±10.08 years. No differences were identified in attitude toward and intention to use silver-care robot technology among the older adults and family members. The older adults were more concerned with the trustworthiness (t=2.46, p=.015) of the care robot technology, whereas the family members were more concerned with ease of use (t=−2.97, p=.003). Intention to use was significantly affected by perceived enjoyment in the older adults (25.4%, p=.001) and perceived usefulness (p=.009) and ease of use (p=.002) in the family members (57.1%).
CONCLUSION
The participants showed a positive attitude toward and intention to use silver-care robot technology. Perceived enjoyment, perceived usefulness and ease of use should be considered in the development and application of silver-care robot technology.

Citations

• Analysis of instructors’ intention to use and experience of using cognitive training robots for older adults with mild cognitive impairment
  Lee Kyounga, Jung Ae-Ri, Park Eun-A, Jang Seon-Mi
  Universal Access in the Information Society.2024;[Epub]     CrossRef
• Factors associated with intention to use care robots among people with physical disabilities
  Sang H. Jung, Yong Soon Shin
  Nursing Outlook.2024; 72(3): 102145.     CrossRef
• Developmental Study on “Smart Silver Care”: A Mobile Application to Alleviate Loneliness in Older Adults within the Community
  Hee-Kyung Choi, Kayoung Lee, Seon-Heui Lee
  Healthcare.2023; 11(17): 2376.     CrossRef
• Needs Analysis for Non-Face-to-Face Services among Older Adults to Reduce Loneliness
  Hee Kyung Choi, Seon Heui Lee
  Healthcare.2022; 10(8): 1576.     CrossRef
• The Humanoid Robot Sil-Bot in a Cognitive Training Program for Community-Dwelling Elderly People with Mild Cognitive Impairment during the COVID-19 Pandemic: A Randomized Controlled Trial
  Eun-A Park, Ae-Ri Jung, Kyoung-A Lee
  International Journal of Environmental Research and Public Health.2021; 18(15): 8198.     CrossRef

PURPOSE
The purpose of this study was to identify the significance and structure of the painful experience of primary decision-makers regarding the Do-Not-Resuscitate (DNR) instruction.
METHODS
This study was a qualitative research based on Parse's qualitative research method. Participants were 7 family members who were primary decision-makers for regarding DNR instruction for the family member from July 28, to October 6, 2018.
RESULTS
The core concepts of the difficulties of the participants were Distress emerging from the pitiful condition of the patient, guilt, sadness and regret, Seeking comfort for loved ones, Uncertainty of DNR decision, Planning the resumption of daily life and decision about own DNR. The painful experience of participants can be defined as the process of empowering the patient through verbal communication with them, by valuing them, and by enabling them to overcome their limitations.
CONCLUSION
The result of this study is expected to contribute to a deep understanding of primary DNR decision-makers' suffering and developing guidelines for nursing care for health care professionals and primary DNR decision-makers who provide end-of-life care to the patients.

Citations

• Nurse's, physician's and family member's experiences of withholding or withdrawing life‐sustaining treatment process in an intensive care unit
  Hye Ri Choi, Sheila Rodgers, Jennifer Tocher, Sung Wook Kang
  Journal of Clinical Nursing.2023; 32(15-16): 4827.     CrossRef

PURPOSE
This study aimed to compare the needs of family caregivers and program providers in family support program by exploring perspectives about the program in the long-term care system.
METHODS
This was a secondary analysis study using the content analysis method. The data of 11 family caregivers and 7 program providers that were collected from focus group interviews in two primary studies were used. Each data was collected in April and May 2015. The units of analysis were dyads of family caregivers and program providers.
RESULTS
The data were deductively analyzed within three main categories: program purpose, program content, and program method. Within the main categories, ten subcategories represented the essential elements for developing a family support program. There were differences between family caregivers and program providers in terms of the contents and intentions of the family support program. Family caregivers wanted to receive help from the family support program in a passive manner, while program providers expected the family support program to improve families' ability to solve their own problems.
CONCLUSION
Based on the results of this study, it is important to establish the strategies of customized and flexible program considering the needs of the caregivers to make family support program more effective. Further, it is necessary to fill the gap between the needs of the two groups and focus on family-centered approaches to conduct family support program more effectively.

Citations

• Factors relating to intention of use non-face-to-face services among family caregivers of persons with dementia: A cross-sectional study
  Myonghwa Park, Jinju Kim, Jihye Jung, Seonhwa Kim, Jinhee Lee, Dongyoung Lee
  Journal of Korean Gerontological Nursing.2023; 25(4): 377.     CrossRef

PURPOSE
This study aimed to understand the experiences of family caregivers utilizing Care Support of Dementia Centers (CSDC) in the community.
METHODS
Colaizzi's phenomenological approach was used for this study. The participants were 10 family caregivers. Open in-depth interviews were used to collect data from January 2018 to February 2018.
RESULTS
Four categories emerged from the analysis. The experiences of family caregivers utilizing CSDC included “becoming to open the mind to dementia”, “forming of good field for each other”, “alterations in the patterns of family life” and “hoping for a better life”. There were 8 clusters of themes and 17 themes. The experiences of family caregivers utilizing CSDC were driving force of understanding about dementia, older adults with dementia and caring. The older adults with dementia accepted their disease, they actively participated in supporting programs. So, forming of another world that provide regular activities for older adults with dementia, giving rest to the family caregivers, and rearranging the pattern of life according to the schedule of older adults with dementia. Moreover, they expressed the need for a helpful and empathetic support program.
CONCLUSION
These results suggest that CSDC helped older adults with dementia and their family caregivers. Therefore, the importance of the role of dementia centers has been emphasized. It is necessary to provide guidance on the content and direction of the network of community support systems.

Citations

• Factors influencing the caring behaviors of primary family caregivers of older adults with dementia: A cross-sectional study
  Da-Mi Kim, Hye-Young Jang
  Journal of Korean Gerontological Nursing.2024; 26(2): 146.     CrossRef
• Time Usage and Satisfaction Based on Occupational Area Between Weekdays and Weekends of Family Caregivers and Non-family Caregivers of Dementia Patients
  Woo-Hyuk Jang, Jong-Hwi Park
  Annals of Indian Academy of Neurology.2024; 27(5): 543.     CrossRef
• Time usage analysis according to occupational area and satisfaction level in family caregivers of dementia patients
  Woo-Hyuk Jang, Jong-Sik Jang, Jong-Hwi Park
  PeerJ.2023; 11: e15178.     CrossRef
• Evaluating the Effectiveness of Community-Based Dementia Caregiver Intervention on Caregiving Burden, Depression, and Attitude Toward Dementia: A Quasi‐experimental Study
  Su Jung Lee, Hyun-Ju Seo, IL Han Choo, Seong Min Kim, Jeong Min Park, Eun-Young Yang, Yu Mi Choi
  Clinical Interventions in Aging.2022; Volume 17: 937.     CrossRef
• Experience of family caregivers using dementia management programs for patients with dementia during COVID-19: Based on focus group interviews
  Doonam Oh, Jeonghae Hwang, Seonghee Jeong
  Korean Journal of Health Education and Promotion.2022; 39(5): 101.     CrossRef
• Comparing the Needs of Family Caregivers and Program Providers in Long-Term Care in Terms of Family Support Program
  Myonghwa Park, Younghye Go, Miri Jeong, Eun-Jeong Han
  Korean Journal of Adult Nursing.2019; 31(1): 14.     CrossRef

PURPOSE
This study was designed to explore positive and negative aspects of the caregiver reaction and identify factors influencing psychological well-being among family caregivers of home-based cancer patients.
METHODS
The participants were 139 family caregivers from two cities. These caregivers took care of he family member in the home. Data were collected utilizing the Caregiver Reaction Assessment Scale and the Psychological Well-being Scale.
RESULTS
Self-esteem was the highest reaction reported among the family caregivers. There were significant correlations between caregiver reaction and their psychological well-being. In multiple regression analysis, self-esteem and family support were predictors of psychological well-being among family caregivers (F=13.71, p < .001, Adj. R²=.393).
CONCLUSION
The results demonstrated that self-esteem and family support impacts the psychological well-being among cancer family caregivers. Thus, nursing intervention are needed to enhance self-esteem to improve psychological well-being among family caregivers.

Citations

• Family Caregivers’ Experiences Related to Fear of Cancer Recurrence in Caring for Cancer Survivors
  Ka Ryeong Bae, Jisoo Yu
  Asian Oncology Nursing.2023; 23(2): 64.     CrossRef
• The effect of caregiver educational program on caregiver reactions and lifestyle behaviors for caregivers of colorectal cancer patients: a quasi-experimental study
  Nilay Bektas Akpinar, Tulin Beduk, Filiz Cay Senler
  Supportive Care in Cancer.2022; 30(5): 4389.     CrossRef
• Influences of Depression and Social Support on Quality of Life in Family Caregivers of Cancer Patients Undergoing Chemotherapy at an Outpatient Department
  Hye Young Kim, Eun Ko
  Journal of Korean Academy of Fundamentals of Nursing.2022; 29(4): 430.     CrossRef
• Palyatif bakım kliniğinde yatan hastalara bakım veren bireylerin mental iyi oluş durumları ve sosyal destek düzeylerinin incelenmesi
  Fatma ERSİN, Dursun ÇADIRCI, Gül KILIÇ DEDEOĞLU
  Ege Tıp Dergisi.2022; 61(3): 379.     CrossRef
• Factors associated with Burden of Family Caregivers of Home-dwelling Elderly People with Dementia: A Systematic Review and Meta-analysis
  Eun Kyung Kim, Heeok Park
  Korean Journal of Adult Nursing.2019; 31(4): 351.     CrossRef

PURPOSE
The purpose of this study was to identify the mediating effects of self-efficacy and family support in the relationship between illness perception and health behaviors among patients with tuberculosis.
METHODS
A descriptive, cross-sectional study was conducted with 219 patients with tuberculosis from one general hospital in D city in Korea. The participants took medication over a two months period. Data were collected from four self-reported questionnaires including Health behaviors Questionnaire and Family Support Questionnaire. Of the four questionnaires, Venereal Disease Education Health Belief Model Scales and Health Belief Model Scales were modified for this study population with tuberculosis. Data were analyzed by descriptive statistics, Pearson's correlation coefficients, and multiple regression analysis using SPSS statistics 23.0 program.
RESULTS
A positive correlation existed between health behaviors and illness perception (r=0.80, p < .001), self-efficacy (r=0.66, p < .001), and family support (r=0.73, p < .001). Self-efficacy and family support had partial mediating effect on the relationship between illness perception and health behaviors.
CONCLUSION
Theses results indicated that in order to improve the health behaviors of patients with tuberculosis, it is necessary to develop a management plan that focuses not only on the illness perception but also on the self-efficacy and the role of the family support.

Citations

• Effects of illness perception on negative emotions and fatigue in chronic rheumatic diseases: Rumination as a possible mediator
  Yanxia Lu, Xia Jin, Li-Wei Feng, CSK Tang, Michelle Neo, Roger C Ho
  World Journal of Clinical Cases.2022; 10(34): 12515.     CrossRef
• Self-care Efficacy and Health-related Quality of Life among Patients on Primary Treatment for Pulmonary Tuberculosis: The Mediating Effects of Self-Care Performance
  Hyun Ju Lee, Jiyoung Park
  Korean Journal of Adult Nursing.2020; 32(3): 305.     CrossRef
• Qualitative Analysis of the Disease Experience of Korean Older Men With Chronic Obstructive Pulmonary Disease
  Kisook Kim, Ji Woon Ko, Sangbong Choi
  Journal of Gerontological Nursing.2020; 46(2): 49.     CrossRef
• Emotional Intelligence, Problem Solving Ability, Self Efficacy, and Clinical Performance among Nursing Students: A Structural Equation Model
  Mi Sook Kim, Sue Kyung Sohn
  Korean Journal of Adult Nursing.2019; 31(4): 380.     CrossRef

PURPOSE
The purpose of this study was to identify the factors which contribute to the burnout of a family member providing care to a family member in the intensive care unit (ICU).
METHODS
Data about participants' characteristics, stress, burden, social support and burnout were collected from March 1 to September 15, 2016. Data were collected through interviews and a self-report questionnaire. One hundred and twenty-three participants who were the primary caregiver participated in the study.
RESULTS
The reported mean stress score was 2.13±0.78 and of reported burden was 3.24±0.27. The mean score of social support was 3.17±0.59 and of burnout was 2.61±0.58. There were significant differences in education level, financial burden, assistant, and health status in burnout of the family caregivers. Burnout had significant correlations with stress (r=.76, p < .001), burden (r=.43, p < .001), and social support (r=-.62, p < .001). The influencing factors on burnout were stress (β=0.63, p < .001), burden (β=0.14, p=.010), and social support (β=-0.32, p < .001). These variables explained 71.8% of the total variance in burnout.
CONCLUSION
The results suggest that stress, burden, and social support should be considered in developing the nursing interventions to improve the burnout among family caregivers of the ICU patients.

Citations

• Challenges Experienced by Family Caregivers of the Adult Intensive Care Unit Patients in Korea: An Integrative Review
  JiYeon Choi, Judith A. Tate, Youn-Jung Son
  Clinical Nursing Research.2021; 30(4): 423.     CrossRef
• Influence of Self-care on Burnout in Primary Family Caregiver of Person with Dementia
  Jeong Hwa Kwon, Gwi-Ryung Son Hong
  Journal of Korean Academy of Nursing.2021; 51(2): 217.     CrossRef

PURPOSE
There is limited available research about the experiences of family caregivers and their care of family members with cancer. The purpose of this study was to explore the experience of distress among family caregivers. Further, this study explored what aspects of caring for family member contributed to the distress.
METHODS
Data were collected through in-depth interviews with thirteen family members primarily responsible for the care of the member with cancer. All interviews were audio-taped, transcribed, and analyzed with qualitative content analysis.
RESULTS
The findings showed that the patients' physical, psychological, socio-relational, and spiritual symptoms influenced their caregivers' distress. The four categories that emerged from the data included “focusing attention only on the patient battling with cancer,”“being trapped in turmoil of complex emotions and feelings,”“having had to endure alone,” and “hanging in there at the crossroads of life and death.” With respect to these categories, fourteen sub-categories were ultimately identified.
CONCLUSION
Based on this study, researchers need to focus more attention on, and explore such co-existing distress to develop an adequate support program for the family caregivers of cancer patients.

Citations

• Caregivers of patients with cancer: perceived stress, quality of life and immune function
  Yoonjoo Kim, Misook L Chung, Hyangkyu Lee
  BMJ Supportive & Palliative Care.2025; 15(2): 195.     CrossRef
• Validity and Reliability of the Korean Version of the Parkinson’s Disease Questionnaire–Carer
  JuHee Lee, Young H. Sohn, Seok Jong Chung, Sung Hae Kim, Yujin Suh, Jungah Park, Yielin Kim
  Journal of Clinical Neurology.2023; 19(6): 547.     CrossRef
• Influences of Depression and Social Support on Quality of Life in Family Caregivers of Cancer Patients Undergoing Chemotherapy at an Outpatient Department
  Hye Young Kim, Eun Ko
  Journal of Korean Academy of Fundamentals of Nursing.2022; 29(4): 430.     CrossRef
• Factors Related to the Caregiving Burden on Families of Korean Patients With Lung Cancer
  Hyun Jung Lee, Soo Kyung Park
  Clinical Nursing Research.2022; 31(6): 1124.     CrossRef
• Caregiving experiences of Korean family caregivers of cancer patients: An integrative literature review
  Eunice E. Lee, Shin‐Young Lee
  Psycho-Oncology.2020; 29(10): 1486.     CrossRef
• Factors influencing caregiver burden in families of hospitalised patients with lung cancer
  Ye Ji Seo, Heeok Park
  Journal of Clinical Nursing.2019; 28(9-10): 1979.     CrossRef

PURPOSE
The purpose of the study was to provide deep understanding of the reported experiences of families with their loved one in the intensive care unit (ICU), focusing on interactions with healthcare providers.
METHODS
The data were collected by individual interviews of eleven participants. The transcribed data were analyzed using qualitative content analysis to identify major themes and sub-themes that represented the experiences of families.
RESULTS
Five themes and 13 sub-themes emerged. “Captive of patients' delayed death: Fear and anxiety” describes psychological problems arising when the family member became critically ill enough to warrant being admitted to the ICU. “Families as the weak: Suppression and resistance” describes interpersonal difficulties arisingdue to lack of information and trust with healthcare providers. “Deprivation of authority and duty as families: Helplessness” illustrate situational barriers in attempting to protect and support family member. “Re-establishment of trust relationship with healthcare providers: Gratitude and appreciation” describes how they satisfied with themselves by regaining trust relationship. Lastly, “Acceptance of reality through direct care participation: Relief and peace” illustrates peace of mind by gaining sense of reality through active direct care participation.
CONCLUSION
This study demonstrates the positive and negative experiences of families with ICU patients. The results will be useful in developing family-centered nursing interventions.

Citations

• A Comparison of the Importance, Satisfaction, and Barrier Levels of Communication Performance between Family Members and Staff Nurses in Intensive Care Units
  Haetsal Hong, Myoungock Jang
  Journal of Korean Critical Care Nursing.2025; 18(1): 55.     CrossRef
• Experiences of Family Members With Visitation Prohibition for Critically Ill Patients
  Sunjung Kim, Sunghee H. Tak
  Western Journal of Nursing Research.2024; 46(11): 854.     CrossRef
• Factors Affecting Intention of Signing the Advance Directives in Middle Aged Adults in Korea Based on the Theory of Planned Behavior: A Cross-sectional Study
  Hyun Jeong Park, Kyu Eun Lee
  Journal of Health Informatics and Statistics.2024; 49(3): 279.     CrossRef
• The impact of family care visitation programme on patients and caregivers in the intensive care unit: A mixed methods study
  Hye Jin Yoo, JaeLan Shim
  Journal of Clinical Nursing.2023; 32(13-14): 3797.     CrossRef
• Family's Perception of Proxy Decision Making to Authorize Do Not Resuscitate Order of Elderly Patients in Long Term Care Facility: A Q-Methodological Study
  Hyeon Jin Cho, Jiyeon Kang
  Journal of Korean Academy of Nursing.2021; 51(1): 15.     CrossRef
• Challenges Experienced by Family Caregivers of the Adult Intensive Care Unit Patients in Korea: An Integrative Review
  JiYeon Choi, Judith A. Tate, Youn-Jung Son
  Clinical Nursing Research.2021; 30(4): 423.     CrossRef
• Effects of a person‐centred care intervention in an intensive care unit: Using mixed methods to examine nurses’ perspectives
  Hye Jin Yoo, JaeLan Shim
  Journal of Nursing Management.2020;[Epub]     CrossRef
• Critical care nurses’ communication experiences with patients and families in an intensive care unit: A qualitative study
  Hye Jin Yoo, Oak Bun Lim, Jae Lan Shim, Liza Heslop
  PLOS ONE.2020; 15(7): e0235694.     CrossRef
• The Relationship between Person-Centered Nursing and Family Satisfaction in ICUs
  Jiyeon Kang, Eun-Ja Shin
  Journal of Korean Critical Care Nursing.2019; 12(3): 1.     CrossRef
• Willingness to pay for family education and counselling services provided by critical care advanced practice nurses
  Chung Mee Ko, Chin Kang Koh, Sangho Kwon
  International Journal of Nursing Practice.2019;[Epub]     CrossRef

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

Citations

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

PURPOSE
The purpose of this study was to identify factors influencing a family's quality of life (QoL) when one member has a liver transplantation.
METHODS
A total of 98 families were asked questions about characteristics, stress, social support and QoL. The instruments used for this study were the Stress Scale for Families of Liver Transplantation Recipients, the Personal Resources Questionnaire, the Korean version of QoL Simple Type Scale. Data were analyzed by t-test, ANOVA, Pearson's correlation coefficient and multiple regression.
RESULTS
The mean scores of stress was 2.58±0.75 and of social support was 4.81±0.87. The mean of the QoL was 3.39±0.60. Quality of life had significant correlations with stress and social support. Using multiple regression analysis, the QoL was significantly influenced by social support, stress and monthly average household income.
CONCLUSION
The results suggest that social support, stress and income should be considered in developing the nursing interventions to improve the QoL of families of patients with liver transplantation.

Citations

• The Caring Experience of Family Caregivers for Patients of Living Donor Liver Transplantation from the Family Members
  Miseon Bang, Suhye Kwon
  Journal of Korean Academy of Nursing.2022; 52(4): 435.     CrossRef
• Impact of Self-esteem and Social support on Self-care Performance in Liver Transplantation Recipients
  Hyun Jung Jung, Young-Ju Kim
  The Korean Journal of Rehabilitation Nursing.2020; 23(2): 132.     CrossRef

PURPOSE
The purpose of this study was to investigate the effect of Family Resilience Reinforcement Program (FRRP) for family caregivers of the elderly with dementia on the family resilience, caregiver burden, family adaptation, perceived health status and depression.
METHODS
FRRP was implemented for 60 minutes each time, once a week, for 8 weeks. According to 3 factors of Walsh's Family resilience theory, FRRP was organized and specified as redefining 'belief system' in 1 to 2 sessions, figuring out one's own 'organizational pattern' in 3 to 5 sessions, enhancing 'communication process' in 6 to 8 sessions. A total of 46 family caregivers were assigned into either the experimental group with FRRP or the control group. Data were collected from February 18 to April 12, 2013 at the dementia support centers, and the data of 36 participants were finally analyzed.
RESULTS
The experimental group reported statistically significant differences in family resilience (p=.002), caregiver burden (p=.012), family adaptation (p<.001), and perceived health status (p=.002) compared to those in the control group. No significant difference was found between the two groups in depression.
CONCLUSION
In the light of these results, FRRP is considered to decrease caregiver burden and to influence family resilience, family adaptation and perceived health status positively. The developed FRRP is considered to be an efficient nursing intervention for strengthening family resilience of the given population. It warrants future research expanding the range of target population to those caregivers of the patients with other chronic conditions.

Citations

• A program to enhance family resilience through improved family communication for young and middle-aged breast cancer survivors and their spouses: A feasibility study
  Yuzhou Liu, Weiyi Lin, Yaoyi Pan, Jian Li, Jingran Lyu, Yuli Li
  European Journal of Oncology Nursing.2025; 75: 102819.     CrossRef
• Unleashing the missing link between neuroticism and compliance behavior among quick service restaurant employees
  Juman Iqbal, Shameem Shagirbasha, Kumar Madhan
  International Journal of Hospitality Management.2023; 114: 103570.     CrossRef
• Investigation of the Effect of an Online Supportive Education Program on the Family Caregivers’ Resilience and Abuse of People with Dementia: A Controlled Randomized Trial
  Mojgan Afshari, Nahid Dehghan Nayeri, Gholamreza Hajati, Ava Pashaei, Leila Sayadi
  The Family Journal.2023;[Epub]     CrossRef
• A randomized controlled trial of a coping-focused family resilience intervention program for breast cancer patients: Study protocol
  Jie Gao, Jia-Xin Li, Wei-Ying Chen, Jiang-Yan Song, Meng-Ke Zhou, Shan-Shan Zhang, Hui-Ping Li
  Frontiers in Psychology.2022;[Epub]     CrossRef
• Effects of cultural adaptation resilience promotion program for mothers-in-law in multicultural families
  Sang-Hwa Lee, Dong-Hee Kim, Kyoungrim Kang, Omnia Samir El Seifi
  PLOS ONE.2022; 17(9): e0274224.     CrossRef
• Meaning Making as a Lifebuoy in Dementia Caregiving: Predicting Depression from a Generation Perspective Using a Fuzzy-Set Qualitative Comparative Analysis
  Vivian Weiqun Lou, Clio Yuen Man Cheng, Doris Sau Fung Yu, Daniel Fu Keung Wong, Daniel W. L. Lai, Alice Ming Lin Chong, Shuangzhou Chen, Kee Lee Chou
  International Journal of Environmental Research and Public Health.2022; 19(23): 15711.     CrossRef
• Resilience of family caregivers of people with dementia in South Korea: protocol for a scoping review
  Hyun-Ju Seo, Min-Jung Choi, Song-I Park, Jeong-hwan Park
  BMJ Open.2022; 12(7): e056739.     CrossRef
• An Identification of the Knowledge Structure on the Resilience of Caregivers of People with Dementia using a Text Network Analysis
  Eun Young Kim, Sung Ok Chang
  Journal of Korean Gerontological Nursing.2021; 23(1): 66.     CrossRef
• A feasibility study of a manualized resilience-based telehealth program for persons with multiple sclerosis and their support partners
  Elizabeth J Halstead, Victoria M Leavitt, Damian Fiore, Kim T Mueser
  Multiple Sclerosis Journal - Experimental, Translational and Clinical.2020;[Epub]     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
• Influencing Factors on Care Burden among Family Caregivers for Elders with Dementia: Focusing on Family Caregivers using a Support Center for Dementia
  Kyung Choon Lim
  Journal of Korean Academic Society of Nursing Education.2019; 25(1): 136.     CrossRef
• Realist Review: Understanding Effectiveness of Intervention Programs for Dementia Caregivers
  Youngran Tak, Junghee Song, Haeyoung Woo, Jiyeon An
  Asian Nursing Research.2019; 13(1): 11.     CrossRef

PURPOSE
The aims of this study were to identify the reported attitudes of older patients with cancer toward advance directives (ADs) and the factors associated with their attitudes toward ADs.
METHODS
The design was a cross-sectional survey. The age mean of the 130 participants were 70.8, and 66.2% of the participants were male. The data were collected at one university hospital in Seoul, South Korea during the period from October 1st to December 5th in 2013. The data collecting instruments were the Advance Directives Attitude Survey (ADAS) and questionnaires including socio-demographic and disease-related characteristics, family function.
RESULTS
30.0% of the participants were aware of ADs, only 9% of them had been informed by healthcare providers. Most participants (93.1%) intended to complete ADs. The mean score of ADAS was 48.29. The stepwise linear regression analysis indicated that family function, perceived health status, period of education, and age accounted for a significant percentage (52.0%, p<.001) of the variance in participants' ADAS. The variable with the greatest effect was family function.
CONCLUSION
The findings suggest that family function and attitude of older cancer patients need to be considered for adapting ADs to Korean health care systems. Healthcare providers should include family members in advanced care planning discussions.

Citations

• Factors Affecting Intention of Signing the Advance Directives in Middle Aged Adults in Korea Based on the Theory of Planned Behavior: A Cross-sectional Study
  Hyun Jeong Park, Kyu Eun Lee
  Journal of Health Informatics and Statistics.2024; 49(3): 279.     CrossRef
• Factors That Influence Attitudes toward Advance Directives among Female Cancer Patients
  Aeri Kim, Kisook Kim
  The Korean Journal of Hospice and Palliative Care.2023; 26(2): 80.     CrossRef
• Making decisions on life-sustaining treatment among Koreans: a population-based nationwide survey
  Ae-Ran Kim, Kwang-Hwan Kim, Seok-Hwan Bae, Jung-Hee Park, Chiara Achangwa, Moo-Sik Lee
  Journal of Global Health Science.2022;[Epub]     CrossRef
• Factors Influencing Advanced Directives Among Hemodialysis Patients
  Eunseong SON, Minjeong SEO
  Korean Journal of Medical Ethics.2022; 25(3): 243.     CrossRef
• Factors Affecting Intention of Signing an Advanced Directives in Cancer Patients
  Eun-Ju Ha, Mee Ock Gu
  Journal of Korean Academy of Fundamentals of Nursing.2021; 28(1): 121.     CrossRef
• Modifiable Factors Associated with the Completion of Advance Treatment Directives in Hematologic Malignancy: A Patient–Caregiver Dyadic Analysis
  JinShil Kim, Jinny Park, Mee Ok Lee, Eun Young Park, Seongkum Heo, Jae Lan Shim
  Journal of Palliative Medicine.2020; 23(5): 611.     CrossRef
• Attitudes toward advance directives and prognosis in patients with heart failure: a pilot study
  JinShil Kim, Minjeong An, Seongkum Heo, Mi-Seung Shin
  The Korean Journal of Internal Medicine.2020; 35(1): 109.     CrossRef
• Associations of Advance Directive Knowledge, Attitudes, and Barriers/Benefits With Preferences for Advance Treatment Directives Among Patients With Heart Failure and Their Caregivers
  JINSHIL KIM, MI-SEUNG SHIN, YAE MIN PARK, HYANG-NANG LEE, SEONGKUM HEO, SONGTHIP OUNPRASEUTH
  Journal of Cardiac Failure.2020; 26(1): 61.     CrossRef
• Psychometric Testing of the Korean Version of the Attitudes toward the Advance Directives in Low-Income Chronically Ill Older Adults
  JinShil Kim, Seongkum Heo, Sun Woo Hong, HeeRyang Kim, Ahrang Jung, Minjeong An, JaeLan Shim
  Healthcare.2020; 8(1): 62.     CrossRef
• Development of Advance Directives for Nursing Home Residents
  Kyem Ju Lee, Sung Ok Chang
  Journal of Korean Gerontological Nursing.2019; 21(2): 75.     CrossRef
• The Relationship among Attitudes toward the Withdrawal of Life-sustaining Treatment, Death Anxiety, and Death Acceptance among Hospitalized Elderly Cancer Patients
  YeonMi Seo, Sujin Shin
  Asian Oncology Nursing.2019; 19(3): 142.     CrossRef
• Good Death Awareness, Attitudes toward Advance Directives and Preferences for Care Near the End of Life among Hospitalized Elders in Long-term Care Hospitals
  Eunju Kim, Yoonju Lee
  Journal of Korean Academy of Fundamentals of Nursing.2019; 26(3): 197.     CrossRef
• The Korean–Advance Directive Model and Factors Associated With Its Completion Among Patients With Hematologic Disorders
  Mee Ok Lee, Jinny Park, Eun Young Park, Youngji Kim, Eunjoo Bang, Seongkum Heo, JinShil Kim
  Journal of Hospice & Palliative Nursing.2019; 21(4): E10.     CrossRef
• Comparison of forecasting models of disease occurrence due to the weather in elderly patients
  Seonjae Lee, In-Kwon Yeo
  Korean Journal of Applied Statistics.2016; 29(1): 145.     CrossRef

PURPOSE
The purpose of this study was to explore and identify the role adaptation processes of family caregivers with patients transferred from intensive care unit to general ward.
METHODS
Using a grounded theory methodology, in-depth individual interviews were conducted. Data were collected from 11 participants. The participants were asked about their experiences of role adaptation considering situational contexts and interactional strategies. Transcribed data and field notes were analyzed using constant comparative analysis.
RESULTS
The core category was 'becoming almost a nurse with hope and fear.' The identified phenomena by the participants were the joy of being alive, having hope for a full recovery, anxiety and fear of uncertain future, feeling burdensome on a given role. The results included both role adaptation and mal-adaptation of caregivers.
CONCLUSION
The role adaptation processes of family caregiver with patients transferred from intensive care unit to general ward can be explained as becoming almost a nurse with hope and fear. The findings of the study provided fundamental information for developing programs to support the given family caregivers for successful role adaptation.

Citations

• Validity and Reliability of the Korean Version of the Parkinson’s Disease Questionnaire–Carer
  JuHee Lee, Young H. Sohn, Seok Jong Chung, Sung Hae Kim, Yujin Suh, Jungah Park, Yielin Kim
  Journal of Clinical Neurology.2023; 19(6): 547.     CrossRef
• Transfer anxiety in parents of children transferred from pediatric intensive care units to general wards in South Korea: a hybrid concept analysis
  Jisu Park, Eun Kyoung Choi
  Child Health Nursing Research.2022; 28(2): 154.     CrossRef
• Challenges Experienced by Family Caregivers of the Adult Intensive Care Unit Patients in Korea: An Integrative Review
  JiYeon Choi, Judith A. Tate, Youn-Jung Son
  Clinical Nursing Research.2021; 30(4): 423.     CrossRef

PURPOSE
The aim of this study was to explore the factors contributing to death anxiety among elders through family support, ageism experience, loneliness and helplessness.
METHODS
The participants were 155 elders who lived in S city. The data were collected through a self-reported questionnaire in elders over age 65. In addition, their levels of death anxiety, family support, ageism experience, loneliness, helplessness and death anxiety were measured using a likert scale Data analysis using a t-test, one-way ANOVA, Pearson correlation and multiple regression analysis with the SPSS 20 program.
RESULTS
Significant differences were found in the levels of perceived death anxiety between the variables affecting death anxiety in elders. Pearson's Correlation were found family support (p<.001), ageism experience (p<.001), loneliness (p<.001) and helplessness (p<.001) with death anxiety.
CONCLUSION
It is concluded that such variables should be considered for decreasing death anxiety by family support, ageism experience, loneliness and helplessness in elders.

Citations

• Meaning of Work, Ageism Experience, Social Exclusion, and Quality of Life in Working Older Adults
  Ju Young Park
  Journal of Gerontological Nursing.2025; 51(5): 46.     CrossRef
• Factors associated with attitudes toward death and dying in the second half of life: A scoping review
  Alana Officer, Matthew Prina, Andreea Badache, Barbara Broers, Sam Gnanapragasam, Sophie Pautex
  Death Studies.2024; : 1.     CrossRef
• YAŞLILARDA ÖLÜM KAYGISI İLE HASTALIK ÖZELLİKLERİ, YALNIZLIK VE SOSYAL DESTEK ARASINDAKİ İLİŞKİLER
  Serpil GÜNDOĞAN, Aysun BABACAN GÜMÜŞ
  STED / Sürekli Tıp Eğitimi Dergisi.2023;[Epub]     CrossRef
• Controversies in terror management theory research and its implications for research on the psychology of death
  Xianghan MENG, Qiang LI, Yanbang ZHOU, Jin WANG
  Advances in Psychological Science.2021; 29(3): 492.     CrossRef
• Factors Influencing Death Anxiety among Rural Elderly
  Hyenam Hwang
  Journal of Health Informatics and Statistics.2019; 44(2): 111.     CrossRef
• Factors Influencing Death Anxiety in Community-Dwelling Elderly: Based on the Ecology Theory
  Yeonha Kim, Minju Kim
  The Korean Journal of Hospice and Palliative Care.2019; 22(1): 30.     CrossRef
• Factors Influencing Death Anxiety in Elderly Patients in Long-term Care Hospitals
  Mi Suk Lee, Hee Jung Choi
  Journal of Korean Gerontological Nursing.2016; 18(3): 138.     CrossRef

PURPOSE
The purpose of this study was to develop sleeve-type restraints and to compare the sleeve-type and conventional wrist restraints.
METHODS
Forty four pairs of intensive care unit (ICU) patients and their families participated in the experiment. The nurses applied sleeve-type restraints to the patients in the experimental group, and wrist restraints to the control group. The trained research assistant measured ROMs, skin temperature, edema, and skin lesions of both upper extremities (UEs) before, 24, 48, and 72 hours after the restraints applied. The emotional response of family was measured 72 hours after the restraints applied. Thirty one ICU nurses evaluated the efficiency of both types of restraints.
RESULTS
Compared to the control group, changes of ROMs, edema, and skin abrasions on both U/Es of the experimental group indicated a significant difference in physical side effects. The emotional response scores of the experimental group were significantly lower than those of the control group. The mean efficiency scores for the sleeve-type restraints were significantly higher than those for the wrist restraints.
CONCLUSION
The results indicate that the sleeve-type restraints are better than wrist restraints with respect to physical side effects, emotional responses of family members, and application efficiency.

Citations

• Factors Influencing Nursing Practice for Physical Restraints among Nurses in the Intensive Care Unit
  Da Eun Kim, Hye Sook Min
  Journal of Korean Critical Care Nursing.2022; 15(3): 62.     CrossRef
• Perceptions and Intention of Nurses in Using Physical Restraints for Dementia Patients in Geriatric Hospitals
  Hyunju Lee, Kye Ha Kim
  Journal of Korean Gerontological Nursing.2016; 18(3): 159.     CrossRef
• Development and Application of Glove Type Restraints for Elderly Patients in Nursing Care Facilities: A Pilot Study
  Kisook Kim, Nanju Park
  Journal of Korean Gerontological Nursing.2016; 18(3): 107.     CrossRef
• Families' Perception and Attitude toward Applied Physical Restraints in General Neurological Wards
  So-Yeon Ha, Yi-Kyung Ha, Myung-Hee Kim
  Journal of the Korea Academia-Industrial cooperation Society.2015; 16(5): 3293.     CrossRef

PURPOSE
The purpose of this study was to identify on the perceptions of family care-givers toward use of physical restraints according to their values, beliefs, and perceptions using Q methodology.
METHODS
Thirty-three family care-givers classified 41 selected Q-statements into 9 points standard. The obtained data were analyzed by using a pc QUANL program.
RESULTS
Principal component analysis identified 4types of the perceptions of family care-givers toward the use of physical restraints. Type I is 'Rational accepted', which means that they perceived the restraints are essential therapeutic devices and had cooperative attitude to use of medical staffs' restraints. Type II is 'Sardonic sensibility', which means that they have a negative and a cynical attitude to use of physical restraints. Type III is 'Ambivalent', which means that they have conflicts between rationality and emotion, and type IV is 'Practical claim of a right', which means they insist that patients and their family members must be provided with a detailed explanation regarding the application of physical restraints.
CONCLUSION
The findings of this study suggest that perceptions toward the use of physical restraints among family care-givers should be understood for patients' safety and dignity in medical circumstance. Based on the results, this study will be useful in developing the customized nursing intervention for supporting family care-givers' subjectivity considering the Korean context.

Citations

• Families' Perception and Attitude toward Applied Physical Restraints in General Neurological Wards
  So-Yeon Ha, Yi-Kyung Ha, Myung-Hee Kim
  Journal of the Korea Academia-Industrial cooperation Society.2015; 16(5): 3293.     CrossRef

PURPOSE
The purpose of this study was to compare reported physical symptoms, hope and family support of cancer patients between general hospitals and long-term care hospitals.
METHODS
Subjects were 175 patients diagnosed with cancers from two general hospitals and six long-term care hospitals located in G city. Subjects completed a questionnaire with questions about general characteristics and questions about the disease, physical symptoms, hope and family support. Data was collected from February to April and the data were analyzed using an independent t-test and one-way ANOVA.
RESULTS
The subjects in long-term care hospitals showed higher percentage in pain, nausea, fatigue, sleep disorder, and change in appearance. There was a significant difference in family support between two groups. A significant positive correlation was found between hope and family support in subjects in general and long-term care hospitals.
CONCLUSION
Significant differences were found in some physical symptoms and family support between cancer patients in general hospitals and long-term care hospitals. Thus, nurses in long-term care hospitals need provide care suitable for the characteristics of cancer patients in long-term care hospitals.

Citations

• Experience of Family Caregivers in Long-Term Care Hospitals During the Early Stages of COVID-19: A Phenomenological Analysis
  Hye-Ji Cha, Mi-Kyeong Jeon
  Healthcare.2024; 12(22): 2254.     CrossRef
• Convalescent Hospital Use among Young and Older Female Cancer Survivors
  Hyesun Park, Kisook Kim
  International Journal of Environmental Research and Public Health.2021; 18(5): 2744.     CrossRef
• A Qualitative Study on Discharge Planning Needs for Cancer Patients
  Kyung Ok Kim, So-Youn Jung, Yoon Jung Chang
  Asian Oncology Nursing.2021; 21(2): 110.     CrossRef
• Factors Influencing Quality of Life of Cancer Patients Hospitalized in Long-term Care Hospitals
  A Young Jang, Jeong Sook Park
  Journal of Korean Gerontological Nursing.2018; 20(1): 35.     CrossRef
• Health care Utilization of Cancer patient Women at Nursing Hospital
  Hye-Sun Park, Kyung-Sook Park
  Journal of Digital Contents Society.2018; 19(11): 2139.     CrossRef
• Biopsychosocial correlates of hope in Asian patients with cancer: a systematic review
  Rathi Mahendran, Shi Min Chua, Haikel A Lim, Isaac J Yee, Joyce Y S Tan, Ee Heok Kua, Konstadina Griva
  BMJ Open.2016; 6(10): e012087.     CrossRef
• Comparison of Health Status and Mini Nutritional Assessment according to Self-esteem of Elderly in Care Hospital    
  Eun-mi Kim, Jin Kwon
  Journal of the East Asian Society of Dietary Life.2015; 25(4): 631.     CrossRef

PURPOSE
The purpose of this study was to investigate the emotional response of family members of physically restrained patients in the intensive care units (ICUs).
METHODS
The study subjects were 200 family members of ICU patients who had been on physical restraints in two university hospitals. Data were collected using the "Instrument of family's emotional response toward physically restrained patients".
RESULTS
The mean score of familial emotional response was 2.69 out of a possible 5. The subcategory of acceptance was the highest with 3.56 points followed by depression (3.02), helplessness (2.94), anxiety (2.87), shock (2.74), avoidance (2.64), and grudge (2.08). Multiple stepwise regression analysis indicated that the age of family members, side effects of restraints, and information provision were the variables influencing on negative emotional response of family.
CONCLUSION
Family members showed slightly negative emotional response toward the physical restraints. This finding could be influenced by their limited knowledge of the need for the restraints. Educational programs or fact sheets to be given to family members may be helpful.

Citations

• The Conditions for Ethical Application of Restraints
  Parker Crutchfield, Tyler S. Gibb, Michael J. Redinger, Daniel Ferman, John Livingstone
  Chest.2019; 155(3): 617.     CrossRef
• A Study on Caregiver's Perception of Restraints
  Hye-kyung Kang
  Journal of the Korea Academia-Industrial cooperation Society.2016; 17(5): 452.     CrossRef
• Perceptions and Intention of Nurses in Using Physical Restraints for Dementia Patients in Geriatric Hospitals
  Hyunju Lee, Kye Ha Kim
  Journal of Korean Gerontological Nursing.2016; 18(3): 159.     CrossRef
• Evidence-Based Practice Guideline: Changing the Practice of Physical Restraint Use in Acute Care
  Helen W. Lach, Kathy M. Leach, Howard K. Butcher
  Journal of Gerontological Nursing.2016; 42(2): 17.     CrossRef
• Families' Perception and Attitude toward Applied Physical Restraints in General Neurological Wards
  So-Yeon Ha, Yi-Kyung Ha, Myung-Hee Kim
  Journal of the Korea Academia-Industrial cooperation Society.2015; 16(5): 3293.     CrossRef

PURPOSE
The purpose of this study was to compare the attitude of physicians and nurses toward family presence during cardiopulmonary resuscitation (CPR).
METHODS
100 physicians and 100 nurses from five hospitals with than 500 beds in B city were surveyed using a Family Presence During Resuscitation (FPDR) Inventory. The data were analyzed by t-test, ANOVA and Duncan's multiple range test using SPSS/WIN 19.0 version.
RESULTS
Nurses showed more positive attitudes toward family presence during CPR but reported more concerns about the problem of confidentiality, arguing with family members, and emotional distress of family members than physicians did.
CONCLUSION
On the basis of results from this study, we recommend that educational program be developed within the hospitals to change the negative perception of health care providers for the family presence during CPR.

Citations

• Emergency Nurses' Perceptions of Family Presence during Resuscitation: A Thematic Analysis
  You Ri Choi, Yeojin Yi
  Journal of Korean Academy of Fundamentals of Nursing.2023; 30(4): 519.     CrossRef
• Family presence during resuscitation
  Monika Afzali Rubin, Tintin LG Svensson, Suzanne Forsyth Herling, Patricia Jabre, Ann Merete Møller
  Cochrane Database of Systematic Reviews.2023;[Epub]     CrossRef
• A Corbin and Strauss Grounded Theory on the Experiences of Patients, Relatives, and Health Professionals About the Family Presence During Emergency Care
  Mayckel da Silva Barreto, Cristina Garcia-Vivar, Thiago Privado da Silva, Nara Marilene Oliveira Girardon-Perlini, Sonia Silva Marcon
  Advances in Nursing Science.2022; 45(1): E1.     CrossRef
• Family presence during invasive procedures: a pilot study to test a tool
  Eva de Mingo-Fernández, Ángel Belzunegui-Eraso, Guillermina Medina-Martín, Roser Cuesta-Martínez, Raquel Tejada-Musté, María Jiménez-Herrera
  BMC Health Services Research.2022;[Epub]     CrossRef
• Predicting nurses' intentions in allowing family presence during resuscitation: A cross‐sectional survey
  Ju Young Park, Jiyeon Ha
  Journal of Clinical Nursing.2021; 30(7-8): 1018.     CrossRef
• La ausencia familiar en la atención de urgencia conlleva sufrimiento en pacientes y familiares
  M.S. Barreto, C. Garcia-Vivar, G. Dupas, L. Misue Matsuda, S. Silva Marcon
  Enfermería Intensiva.2020; 31(2): 71.     CrossRef
• Validity and Reliability of Korean Version of the Attitude Measurement Tool for Family Presence during Resuscitation
  Mi-Ran Lee, Mi Ha Chung
  Korean Journal of Adult Nursing.2020; 32(2): 209.     CrossRef
• The absence of the family in emergency care contributes to suffering in patients and family members
  M.S. Barreto, C. Garcia-Vivar, G. Dupas, L. Misue Matsuda, S. Silva Marcon
  Enfermería Intensiva (English ed.).2020; 31(2): 71.     CrossRef
• Decidindo “caso a caso” a presença familiar no serviço de atendimento emergencial
  Mayckel da Silva Barreto, Sonia Silva Marcon, Cristina Garcia-Vivar, Mara Cristina Ribeiro Furlan, Leidyani Karina Rissardo, Maria do Carmo Lourenço Haddad, Giselle Dupas, Laura Misue Matsuda
  Acta Paulista de Enfermagem.2018; 31(3): 272.     CrossRef
• Emergency department nurses’ experience of performing CPR in South Korea
  Mi-ran Lee, Chiyoung Cha
  International Emergency Nursing.2018; 38: 29.     CrossRef
• Attitudes and Type Analysis of Cardiopulmonary Resuscitation among Hospital Nurses in Emergency Room and Intensive Care Units
  Eun-Ho Ha, Kyoung-Soon Hyun
  Korean Journal of Adult Nursing.2017; 29(5): 484.     CrossRef
• Intention of Korean Nurses to Allow Family Presence During Resuscitation
  Kyoung-Iel Kim, Minju Kim
  Journal of Hospice & Palliative Nursing.2016; 18(4): 364.     CrossRef

PURPOSE
The purpose of this study was to explore conflict resolution styles, marital intimacy and family functions among breast cancer patients and their spouses.
METHODS
The subjects were total 126 participants. Breast cancer patients who completed chemotherapy and or radiation along with their spouses. Data were collected using questionnaires with questions about conflict resolution styles, marital intimacy and family functions.
RESULTS
There were no differences between breast cancer patients and their spouses in verbal aggression, avoidance of conflict resolution styles and family functions. As patients reported using positive conflict resolution styles the spouse-perceived marital intimacy and family functions were higher. Those patients who perceived marital intimacy as lower they also reported more verbal aggression and avoidance. As breast cancer patients perceived family functions increasing, their spouses perception of both intimacy and family function increased.
CONCLUSION
As these results, it should be considered as basic data to develop family intervention programs such as positive communication and effective stress management and improving of conflict resolution, intimacy and family functions among breast cancer patients and their spouses.

Citations

• Do spouse burden of care, family resilience, and coping affect family function in gynecologic cancer in Korea?: a cross-sectional study
  Minkyung Kim, Sukhee Ahn
  Korean Journal of Women Health Nursing.2022; 28(3): 197.     CrossRef
• Impact of Uncertainty on the Quality of Life of Young Breast Cancer Patients: Focusing on Mediating Effect of Marital Intimacy
  Yeong Kyong Oh, Seon Young Hwang
  Journal of Korean Academy of Nursing.2018; 48(1): 50.     CrossRef