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
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

• 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 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
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
• 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
  Journal of Korean Academy of Nursing Administration.2022; 28(5): 558.     CrossRef
• 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
  Nursing Open.2022; 9(6): 2697.     CrossRef
• 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
  Nursing Open.2021; 8(5): 2406.     CrossRef
• Nursing stress factors affecting turnover intention among hospital nurses
  Eun‐Kyoung Lee, Ji‐Soo Kim
  International Journal of Nursing Practice.2020;[Epub]     CrossRef
• Effects of Academic Motivation on Clinical Practice-Related Post-Traumatic Growth among Nursing Students in South Korea: Mediating Effect of Resilience
  Mi Ra Yun, Eun Ju Lim, Boas Yu, Sookja Choi
  International Journal of Environmental Research and Public Health.2020; 17(13): 4901.     CrossRef
• Mixed Method Research Investigating Turnover Intension with ICU Nurses
  Jung-Hoon Lee, Yeoungsuk Song
  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
  Mi‐Aie Lee, Young‐Hee Ju, So‐Hee Lim
  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
  The Korean Journal of Psychology: General.2020; 39(3): 445.     CrossRef
• 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
  Myoung Yi Choi, Hyang Sook So, Eun Ko
  Journal of Korean Academy of Fundamentals of Nursing.2019; 26(1): 42.     CrossRef
• 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
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

PURPOSE
The purpose of this study was to review and identify factors relevant to workplace bullying in nursing.
METHODS
Twenty-three studies that met the criteria were selected from a sample of twenty-six studies. These articles were retrieved from a central literature databases (N=13,241). The total correlational effect size (ESr) for each related factor was calculated from Fisher's Zr. A funnel plot inspection (similar to scatter plot) with a trim-and-fill method was used to assess the publication bias of the meta-analyzed studies.
RESULTS
From the systematic review, fifty-one factors were identified as having an influencing effect. Fourteen factors (five individual and nine organizational factors) were eligible for meta-analysis. The individual factors included, self-esteem (ESr=-.31), psychological capital (ESr=-.26), and marital status (ESr=-.06) which were significantly correlated with workplace bullying. Organizational factors included, organizational tolerance (ESr=.48), supervisor incivility (ESr=.47), job stress (ESr=.46), group morale (ESr=-.36), group support (ESr=-.35), supervisor leadership (ESr=-.35), group identity (ESr=-.33), and structural empowerment (ESr=-.27). These factors were significantly correlated with workplace bullying. There were no publication biases except for both individual and organizational factors.
CONCLUSION
Organizational factors have more of an greater impact than individual factors on workplace bullying. The results of this study support the need for intervention at the organizational level.

Citations

• Interventions against bullying at work: a meta-analysis
  Alfredo Rodríguez-Muñoz, Alejandro Díaz-Guerra, Mirko Antino, William Fernando Duran, Iván Sánchez
  Work & Stress.2025; 39(1): 1.     CrossRef
• Global prevalence and factors associated with workplace violence against nursing students: A systematic review, meta-analysis, and meta-regression
  Farouq Bin Mohamed Mohamed, Ling Jie Cheng, Xiang Er Cherrie Chia, Hannele Turunen, Hong-Gu He
  Aggression and Violent Behavior.2024; 75: 101907.     CrossRef
• Effectiveness of cognitive rehearsal programs for the prevention of workplace bullying among hospital nurses: a systematic review and meta-analysis
  Yulliana Jeong, Hye Sun Jung, Eun Mi Baek
  BMC Public Health.2024;[Epub]     CrossRef
• Factors Influencing Hospital Nurses’ Workplace Bullying Experiences Focusing on Meritocracy Belief, Emotional Intelligence, and Organizational Culture: A Cross‐Sectional Study
  Insil Jang, Sun Joo Jang, Sun Ju Chang, Miyuki Takase
  Journal of Nursing Management.2024;[Epub]     CrossRef
• Association between Workplace Bullying, Job Stress, and Professional Quality of Life in Nurses: A Systematic Review and Meta-Analysis
  Petros Galanis, Ioannis Moisoglou, Aglaia Katsiroumpa, Maria Mastrogianni
  Healthcare.2024; 12(6): 623.     CrossRef
• Intervention types and their effects on workplace bullying among nurses: A systematic review
  Sun Joo Jang, Youn‐Jung Son, Haeyoung Lee
  Journal of Nursing Management.2022; 30(6): 1788.     CrossRef
• Empirical Analysis With Legislative Solutions of Workplace Cyberbullying
  Muhammad Danyal Khan, Muhammad Daniyal, Ali Hassan, Muhammad Arif Saeed, Kassim Tawiah
  International Journal of Cyber Behavior, Psychology and Learning.2022; 12(1): 1.     CrossRef
• The Experience of Clinical Nurses after Korea’s Enactment of Workplace Anti-Bullying Legislation: A Phenomenological Study
  Hee-Sun Kim, In-Ok Sim
  International Journal of Environmental Research and Public Health.2021; 18(11): 5711.     CrossRef
• PROFESSIONAL HARASSMENT AT A HOSPITAL SETTING
  KARIM KARISHMA
  i-manager’s Journal on Nursing.2021; 11(1): 43.     CrossRef
• Nursing students' experiences of violence and aggression: A mixed-methods study
  Nutmeg Hallett, Chris Wagstaff, Tony Barlow
  Nurse Education Today.2021; 105: 105024.     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
• The Effects of Nursing Organizational Culture, Work Performance and Workplace Bullying Type on Workplace Bullying Consequence of Nurses
  Ga Yeon Jeong, Hyun Jung Jang
  Journal of Korean Academic Society of Nursing Education.2019; 25(4): 424.     CrossRef
• Effects of nursing organisational culture on face‐to‐face bullying and cyberbullying in the workplace
  JeongSil Choi, Mijeong Park
  Journal of Clinical Nursing.2019; 28(13-14): 2577.     CrossRef
• Response Patterns of Nursing Unit Managers regarding Workplace Bullying: A Q Methodology Approach
  Jin Kyu Choi, Byoungsook Lee
  Journal of Korean Academy of Nursing.2019; 49(5): 562.     CrossRef
• Effectiveness of Interventions for Workplace Bullying among Nurses: A Systematic Review
  Sun-young Park, Hana Shin, Yeuok Cho, Sue Kim
  Journal of Korean Academy of Nursing Administration.2018; 24(4): 339.     CrossRef

PURPOSE
The purpose of this study was to provide basic data about agitation in patients with dementia by surveying the literature.
METHODS
Key words used for search through hand-search and electronic database (CINHAL, Pubmed, Google scholar, Riss, Kiss, DBpia) included 'dementia', 'Alzheimer disease', 'agitation', 'aggression or aggressive behavior', 'problem or disruptive behavior', and 'abnormal behavior.' Seventeen 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 variables related to agitation were identified as the demographic (age, gender), dementia-related (cognition, medication uses), physical (Activity of Daily Living [ADL], pain), psychological (depression, psychotic symptom, caregiver burden) and environmental (psychosocial environment) factors. The effect size between the correlated variables and agitation were low to moderate (caregiver burden .36; ADL -.24; psychotic symptom and depression .21; pain .19; cognition -.15; medication uses .12; and psychosocial environment -.12).
CONCLUSION
Based on the findings of this study, strategies to improve patients' depressive and psychotic symptoms and ADL and to reduce caregivers' burden are needed for prevention and management of agitation in patients with dementia.

PURPOSE
This study was performed to evaluate the effects of non-pharmacological interventions on sleep disturbance amongst adults aged 55 and above.
METHODS
PubMed, Cochrane Library, EMBASE, CINAHL and several Korean databases were searched. The main search strategy combined terms including non-pharmacological interventions and presence of insomnia. Non-pharmacological interventions included cognitive behavioral therapy, auricular acupuncture, aromatherapy, and emotional freedom techniques. 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
Sixteen clinical trials met the inclusion criteria with a total of 962 participants. Non-pharmacological interventions was conducted for a mean of 5.5 weeks, 7.7 sessions, and an average of 70 minutes per session. The effects of non-pharmacological interventions on sleep quality (ES=-1.18), sleep efficiency (ES=-1.14), sleep onset latency (ES=-0.88), awakening time after sleep onset (ES=-0.87), and sleep belief (ES=-0.71) were significant, and their effect sizes were ranged from moderate to large. However, the effects on total sleep time and insomnia severity were not significant.
CONCLUSION
The findings of the current study suggest that non-pharmacological interventions have a positive impact on attitudes and beliefs about sleep, sleep quality, sleep duration, and sleep efficiency. Therefore, the findings of the study provide an evidence to incorporate various non-pharmacological interventions into nursing practice to improve both sleep quality and quantity in patients with insomnia.

Citations

• Effects of Forest Activities on Sleep and Problematic Behaviors in Young Children
  Ga-Yeon Kim, Poung-Sik Yeon
  Journal of People, Plants, and Environment.2024; 27(2): 161.     CrossRef
• Information and Communication Technology-Based Application for Cognitive Behavioral Therapy among Community-Dwelling Older Adults with Insomnia: Development and Validation Study
  Yeonhee Lee, Inseong Kim, Seonheui Lee, Soyoung Yu
  Healthcare.2024; 12(1): 106.     CrossRef
• Effects of Nonpharmacological Interventions on Sleep Quality and Insomnia in Perimenopausal and Postmenopausal Women: A Meta-Analysis
  Beomman Ha, Jisoon Kim, Wi-Young So, Seonho Kim
  Healthcare.2023; 11(3): 327.     CrossRef
• Effects of Non-Pharmacological Interventions to Improve the Sleep of Korean Elderly: A Systematic Review
  Yunhee Park, Hyun Jung Yun
  Journal of Korean Academy of Fundamentals of Nursing.2022; 29(1): 67.     CrossRef
• The Effects of Non-pharmacological Interventions on Sleep among Older Adults in Korean Long-term Care Facilities: A Systematic Review and Meta-analysis
  Sun Ok Jung, Hyeyoung Kim, Eunju Choi
  Journal of Korean Academy of Community Health Nursing.2022; 33(3): 340.     CrossRef
• Effects of Non-pharmacological Interventions on Cancer Patients with Sleep Disorder: A Meta-analysis
  Jeong Hye Chae, Young Suk Kim, Mi Young Han
  Asian Oncology Nursing.2021; 21(1): 1.     CrossRef
• Factors Affecting Sleep Disturbances in Hospitalized Patients with Colorectal Cancer undergoing Chemotherapy: A Retrospective Study
  Jihyeon Song, Smi Choi-kwon
  Korean Journal of Adult Nursing.2019; 31(1): 100.     CrossRef
• Quality of Sleep and Depression for Patients in Psychiatric Hospitals
  Sukgyoung Jeong, Aeyoung So
  Journal of Korean Academy of Psychiatric and Mental Health Nursing.2017; 26(4): 374.     CrossRef
• Cognitive Behavioral Therapy for Primary Insomnia: A Meta-analysis
  Ji-Hyun Kim, Pok-Ja Oh
  Journal of the Korea Academia-Industrial cooperation Society.2016; 17(9): 407.     CrossRef

PURPOSE
This study is to determine the predictive validity of the St. Thomas Risk Assessment Tool in Falling Elderly Inpatients (STRATIFY) for inpatients' fall risk.
METHODS
A literature search was performed to identify all studies published between 1946 and 2014 from periodicals indexed in Ovid Medline, Embase, CINAHL, KoreaMed, NDSL and other databases, using the following key words; 'fall', 'fall risk assessment', 'fall screening', 'mobility scale', and 'risk assessment tool'. The QUADAS-II was applied to assess the internal validity of the diagnostic studies. Fourteen studies were analyzed using meta-analysis with MetaDisc 1.4.
RESULTS
The predictive validity of STRATIFY was as follows; pooled sensitivity .75 (95% CI: 0.72~0.78), pooled specificity .69 (95% CI: 0.69~0.70) respectively. In addition, the pooled sensitivity in the study that targets only the over 65 years of age was .89 (95% CI: 0.85~0.93).
CONCLUSION
The STRATIFY's predictive validity for fall risk is at a moderate level. Although there is a limit to interpret the results for heterogeneity between the literature, STRATIFY is an appropriate tool to apply to hospitalized patients of the elderly at a potential risk of accidental fall in a hospital.

Citations

• Development of a fall prediction model for community-dwelling older adults in South Korea using machine learning: a secondary data analysis
  Minhee Suh, Hyesil Jung, Juli Kim
  Journal of Korean Biological Nursing Science.2024; 26(4): 288.     CrossRef
• Trends of Nursing Research on Accidental Falls: A Topic Modeling Analysis
  Yeji Seo, Kyunghee Kim, Ji-Su Kim
  International Journal of Environmental Research and Public Health.2021; 18(8): 3963.     CrossRef
• Systematic Review and Meta-analysis for Usefulness of Fall Risk Assessment Tools in Adult Inpatients
  Seong-Hi Park, Eun-Kyung Kim
  Korean Journal of Health Promotion.2016; 16(3): 180.     CrossRef

PURPOSE
The aim of this study was to investigate the accuracy of infrared temperature measurements compared to axillary temperature in order to detect fever in patients.
METHODS
Studies published between 1946 and 2012 from periodicals indexed in Ovid Medline, Embase, CINAHL, Cochrane, KoreaMed, NDSL, KERIS and other databases were selected using the following key words: "infrared thermometer." QUADAS-II was utilized to assess the internal validity of the diagnostic studies. Selected studies were analyzed through a meta-analysis using MetaDisc 1.4.
RESULTS
Twenty-one diagnostic studies with high methodological quality were included representing 3,623 subjects in total. Results of the meta-analysis showed that the pooled sensitivity, specificity, and area under the curve (AUC) of infrared tympanic thermometers were 0.73 (95% CI 0.70~0.75), 0.92 (95% CI 0.91~0.92), and 0.90, respectively. For axillary temperature readings, the pooled sensitivity was 0.67 (95% CI 0.62~0.73), the pooled specificity was 0.87 (95% CI 0.85~0.90), and the AUC was 0.80.
CONCLUSION
Infrared tympanic temperature can predict axillary temperature in normothermic and in febrile patients with an acceptable level of diagnostic accuracy. However, further research is necessary to substantiate this finding in patients with hyperthermia.

PURPOSE
The purpose of this study was to assess the effects of cognitive behavioral therapy (CBT) on depression, anxiety, self care behavior and quality of life in cancer patients.
METHODS
Two thousand and eighty three abstracts were identified through six electronic databases (1980 to June 2012) in Korea. Seventeen studies involving 679 participants met the inclusion criteria for meta analysis. Two authors independently assessed trial quality by Cochrane's Risk of Bias and Methodological Items for Non Randomized Studies and extracted data. The data were analyzed by the RevMan 5.2 program of Cochrane library.
RESULTS
Overall, study quality was moderate to high. CBT was conducted for a mean of 4.2 weeks, 7 sessions and an average of 36.1-minutes per session. CBT was effective for depression (d=-0.85; 95% CI=-1.09, -0.61), anxiety (d=-0.52; 95% CI=-0.75, -0.29), self care behavior (d=-1.34; 95% CI=-1.93, -0.74), and quality of life (d=-0.42; 95% CI=-0.80, -0.04). Publication bias was not detected as evaluated by funnel plot and Egger's test.
CONCLUSION
CBT has small to large effects on depression, anxiety, self care and quality of life. These finding suggests that various CBT interventions can assist cancer patients in reducing emotional distress and improving self care and quality of life.

Citations

• The role of stigma and depression in the reduced adherence among young breast cancer patients in Hungary
  Gabriella Vizin, Tamás Szekeres, Anita Juhász, Lilla Márton, Magdolna Dank, Dóra Perczel-Forintos, Róbert Urbán
  BMC Psychology.2023;[Epub]     CrossRef
• Meta-analysis of psychosocial interventions on survival time in patients with cancer
  P.J. Oh, S.R. Shin, H.S. Ahn, H.J. Kim
  Psychology & Health.2016; 31(4): 396.     CrossRef
• Effects of Integrated Palliative Care Intervention on Quality of Life in Terminal Cancer Patients: A Meta-analysis
  Kae Hwa Jo, Ae Ran Park, Jin Ju Lee
  The Korean Journal of Hospice and Palliative Care.2015; 18(2): 136.     CrossRef
• The Effect of a Community-Based Self-Management Program for Patients at Thyroid Cancer-Diagnosis Stage : a Pilot Study
  Hyera Yoo, Sunjoo Boo, Mison Chun, Eun Mi Jo
  Journal of Korean Public Health Nursing.2015; 29(3): 582.     CrossRef
• Effects of Psychosocial Interventions on Cortisol and Immune Parameters in Patients with Cancer: A Meta-analysis
  Pok Ja Oh, Eun-su Jang
  Journal of Korean Academy of Nursing.2014; 44(4): 446.     CrossRef
• Effects of Dignity Interventions on Psychosocial and Existential Distress in Terminally ill Patients: A Meta-analysis
  Pok Ja Oh, Sung-Rae Shin
  Journal of Korean Academy of Nursing.2014; 44(5): 471.     CrossRef

PURPOSE
This study was conducted to meta-analyze the effects of hardiness on health-related variables. METHOD: After review of 19 studies performed by Korean nurses, research variables, statistical data(r or F), and other methodological data were extracted and coded. Research variables were categorized under 5 groups such as health-related behavior, well-being, adaptation, stress, and support according to conceptual similarity. Using SAS program, 20 research variables and 34 effect sizes were calculated after eliminating heterogeneous data by Q-test, RESULTS: Effects of hardiness on whole research variables was .512 and ranged from .322 to .643 by categories. The greatest effect was obtained from well-being category, whereas the smallest effect from stress category. All effect sizes were statistically significant. But fail-safe numbers were small and failed to achieve reasonable tolerance level. CONCLUSION: Results of meta-analysis indicated that hardiness has a moderate effect on health-related variables. But for improving the reliability of the results by minimizing publication bias, the more hardiness studies should be done.

A meta-analysis of 13 quasi-experimental studies was conducted to determine the effect of various nursing interventions applied to surgery patients. The studies were selected from dissertations done between 1982 to 1996 and had randomized or nonequivalent control groups in a pretest-post test design. The studies were classified according to three criteria : 1) types of surgery 2) types of nursing interventions 3) types of respondent variables. The following analysis was done : 1) Determination of usefulness of nursing interventions for surgery patients. 2) The magnitude of effect for each study was tested for different types of surgery, nursing interventions and outcome variables. 3) For a group of homogenious studies, the weighted mean effect size and standard error were estimated. Some findings are summarized as follows : Nursing interventions on relaxation effect applied to surgery patients have resulted in a significant effect size on pain, anxiety, and BP stabilization. Relaxation and music therapy were more effective on surgery patients than either education, heat therapy, or purposeful touch. It was impossible to identify which type of surgery was more effected by these interventions. On the basis of these findings, the following recommendations were made : 1) Many studies on the same kind of intervention applied to similar surgery patients should be accumulated continuously to identify factors that affect the effect size. 2) The detailed explanation of research process, such as, assignment method to experimental and control groups, starting points, duration and frequency of nursing interventions, and estimation of the outcome variables should be described in orther to be utilized for further research and practice.