Purpose
This study was a scoping review designed to identify research trends in intervention studies related to the frailty of older adults in Korea.
Methods
The scoping review utilized the Joanna Briggs Institute (JBI) protocol. A literature search was conducted on DBpia, KISS, KMBASE, NDSL, RISS, CINAHL, and PubMed. In total, 1,131 articles were identified, and 41 articles were used for the final analysis. Two reviewers independently selected studies and extracted characteristics using pre-tested forms to determine the final inclusion.
Results
The most widely utilized measurement tools were the Frailty phenotype scale and a basic measurement tool for frail older adults used in a customized visiting health care project at a public health center. For the intervention program, an exercise program as well as educational and cognitive enhancement programs, nutrition kit provision, etc., was used in 40 studies. The most common outcome variables measured in this study were bodily function followed by body composition. In addition, depression, quality of life, cognitive function, daily activities, perceived health status, and falling incidents were measured.
Conclusion
Research related to frailty is being conducted on community-dwelling older adults, to develop and apply interventions suitable for institutionalized older adults. In research, the use of reliable tools to determine any weakness of older adults should be expanded, and various interventions such as psychosocial interventions, nutritional provision, and exercise programs should be developed and applied.

PURPOSE
This study aimed to investigate suicide ideation and attempts in older women living alone and to identify the factors affecting suicide ideation.
METHODS
This is a cross-sectional correlational study using secondary data analysis. Original data (n=1,023) were collected using face-to-face interviews from August to October 2018 in Siheung city to investigate the need for health care and daily life support services. Study participants were 297 older women (age=74.67±5.35), with inclusion criteria being women≥65 years old and living alone, those without cognitive impairment(Mini-Mental State Examination-2 Standard Version (MMSE-2 SV)≥24), and those who could evaluate instrumental activities of daily living. Data were analyzed using descriptive analysis, independent t-test, Pearson's correlation coefficient, and multiple linear regression analysis.
RESULTS
Data analysis showed 26.9% of participants reported suicide ideation with a frequency of 4.14 out of 10 points. Among study participants, 8.8% had attempted suicide with an average of 2.65 attempts. Participants who had children thought about suicide more than those who did not. Living children, personal income, participation in economic activity, social support, depression, chronic diseases, frailty, and suicide attempts were significantly correlated with suicide ideation. Therefore, depression, frailty and suicide attempts were factors affecting suicide ideation for older women living alone.
CONCLUSION
Our findings provide evidence that evaluating depression, frailty, and history of suicide attempts is important for suicide prevention in older women living alone.

Citations

• Sleep, physical activity, and sedentary behaviors as factors related to depression and health-related quality of life among older women living alone: a population-based study
  Soyoung Jang, Eunjin Yang
  European Review of Aging and Physical Activity.2023;[Epub]     CrossRef
• Factors Related to Suicidal Ideation and Prediction of High-Risk Groups among Youngest-Old Adults in South Korea
  Eungyung Kim, Jee-Seon Yi
  International Journal of Environmental Research and Public Health.2022; 19(16): 10028.     CrossRef

PURPOSE
This study was to examine the relationships among frailty, physical performance, exercise self-efficacy, decisional balance, and health-related quality of life (HRQoL) and to identify the impact factors on frailty in adults undergoing hemodialysis.
METHODS
In this cross-sectional study, 96 adults (41 women, 55 men, age 57.10±13.56 years) were enrolled an university hospital-affiliated outpatient hemodialysis clinic. Participants were asked to administer questionnaires including exercise change stages, exercise self-efficacy, decisional balance, and HRQoL. Participants also completed measures of the short battery physical performance test (SPPB), usual gait speed, grip strength (JAMAR Hand Dynamometer, Paterson medical Ltd. Warrenville, USA), and body composition (Inbody S10, Biospace company, Seoul, Korea). Frailty status was classified according to the frailty phenotype developed by Fried using gait speed, grip strength, vitality from mental HRQoL, physical activity from exercise change stages, and body mass index.
RESULTS
According to frailty scores, 56.3% (n=54) were frail (frailty scores 3–5) and 43.7% were non-frail (frailty scores 0–2). Exercise self-efficacy, pros decisional balance, and HRQoL were lower in the frail patients (all p < .05). Frailty correlated with worse scores of SPPB (r=−.56), exercise self-efficacy (r=−.40), pros decisional balance (r=−.24), and physical and mental HRQoL (r=−.32; r=−.26) by Spearman correlation analysis. Factors associated with non-frailty includes higher SPPB (odds ratio: 1.67, 95% confidence interval: 1.15~2.44) and exercise self-efficacy (odds ratio 1.17, 95% confidence interval: 1.03~1.33).
CONCLUSION
A targeted management program based on the frailty stage may benefit individuals undergo hemodialysis.

Citations

• The Impact of Physical Performance and Fear of Falling on Fall Risk in Hemodialysis Patients: A Cross-Sectional Study
  Jiwon Choi, Sun-Kyung Hwang
  Korean Journal of Adult Nursing.2024; 36(1): 63.     CrossRef
• Effects of an arteriovenous fistula stenosis prevention program in patients receiving hemodialysis
  Haegyeong Lee, Gyuli Baek, Eunju Lee
  Osong Public Health and Research Perspectives.2023; 14(4): 279.     CrossRef
• Factors Affecting Quality of Life in Hemodialysis Patients
  Kyung Hee Lim, Geum Soon Kwon
  Journal of Korean Academy of Fundamentals of Nursing.2023; 30(1): 1.     CrossRef
• Modifiable Physical Factors Associated With Physical Functioning for Patients Receiving Dialysis: A Systematic Review
  Brett D. Tarca, Thomas P. Wycherley, Paul Bennett, Anthony Meade, Katia E. Ferrar
  Journal of Physical Activity and Health.2020; 17(4): 475.     CrossRef
• Relationship between Uncertainty in Illness, Subjective Health Status, and Compliance with Sick Role Behavior according to Levels of Health Literacy in Hemodialysis Patients
  Young-Mun Cho, Yon-Hee Seo, Mee-Jeong Park
  Korean Journal of Adult Nursing.2018; 30(4): 437.     CrossRef