Purpose This study aims to determine a hypothetical model concerning factors affecting hospital nurses’compliance with the guidelines of antineoplastic drugs safety management based on the theory of planned behavior. Methods Data were collected from 339 nurses managing antineoplastic drugs through an online survey conducted from March 23 to April 2, 2022. The data were analyzed using SPSS 28.0 and AMOS 25.0. Results The hypothetical model had the goodness of fit indices of χ2 =370.13 (df=140, p<.001), CFI=.94, SRMR=.07, and RMSEA=.07. Compliance with the guidelines was significantly influenced by compliance intention. Compliance intention and perceived behavioral controls’ explanatory power was 59.9% to explain compliance with the guidelines. In addition, compliance intention was significantly influenced by perceived behavioral control. Perceived behavioral control, attitude toward behavior, and subjective norm had an explanatory power of 65.2% to explain compliance intention. Moreover, perceived behavioral control was influenced by the knowledge of antineoplastic drugs safety management. Conclusion These findings suggest that for promoting hospital nurses’ compliance with the antineoplastic drugs safety management guidelines, an intervention strategy is required to enhance compliance intention, perceived behavior control, and antineoplastic drugs safety management knowledge.
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PURPOSE This study was conducted to test the model for sleep in community-dwelling older adults. The hypothetical model based on a senescent sleep model was constructed using the multiple influencing factors of sleep and associated adverse outcomes of changes in sleep in the older adults. METHODS Data were collected from 203 community-dwelling older adults living in Korea, and analyzed using IBM SPSS 21.0 and AMOS 21.0. RESULTS Increased age and multiple comorbidities were associated with decreased physical activities. Decreased physical activities were associated with smaller social networks, and smaller social networks were associated with higher level of loneliness. Multiple comorbidities, decreased physical activities, larger social networks, and higher level of loneliness were associated with maladaptive sleep hygiene. Decreased physical activities, higher level loneliness, and shorter actual sleep duration were associated with worse sleep quality. Smaller social networks and shorter actual sleep duration were associated with lower cognitive functions. Smaller social networks, higher loneliness, and worse sleep quality were associated with more severe depressive symptoms. CONCLUSION These findings suggest that the sleep improvement interventions not only with physical perspectives but psychosocial ones for older adults may improve depressive symptoms as well as sleep quality.
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PURPOSE This study was aimed to investigate the factors influencing problem drinking of male drinkers above 19 years old according to the life cycle. METHODS The study subjects consisted of a representative community sample of 2,229 male drinkers aged 19 and older from the 2011 Korean National Health and Nutrition Examination Survey. The collected data were analyzed using descriptive statistics, Rao-Scott chi2-test, simple and multiple logistic regressions. RESULTS The problem drinking rates were 38.7% in adolescence, 44.5% in middle age, and 23.9% in senescence. In adolescence, the predictors of problem drinking included occupation, stress recognition, and smoking. In middle age, the predictors of problem drinking were education level, depression, and smoking. In senescence, the predictors of problem drinking were not identified in this study. CONCLUSION The findings of this study suggested that the factors influencing problem drinking of male drinkers were different according to life cycle. Thus different intervention methods should be developed for each age group in order to intervene the problem drinking.
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PURPOSE The purpose of this study was to investigate the effect of laughter therapy and cognitive reinforcement program on self-efficacy, depression and cognitive functions of the elderly with mild cognitive impairments (MCI). METHODS The study design was a non-equivalent control group pre and posttest design. Thirty-six subjects over the age of 65 with a diagnosis of mild cognitive impairment were assigned either to a treatment or a comparison group. Data were collected from February 7 to March 27, 2012 in the dementia supporting center. An eight week treatment program that included laughter therapy coupled with a cognitive reinforcing program including hand exercise, laughter dance routine, laughter technic and cognitive training for attention, memory, orientation and execution skill. RESULTS MoCA-K (t=-6.86, p<.001) and Stroop test CW correct (t=-2.54, p=.008), self-efficacy (t=-3.62, p=.001) in the treatment group were significantly higher than those of the comparison group. Reported depression (t=2.29, p=.014), Stroop test CW error (U=53.50, p<.001) in the treatment group was significantly less than the comparison group. CONCLUSION In this study, the treatment was effective in improving self-efficacy, cognitive function and reducing depression in the elderly with MCI.
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PURPOSE The purpose of this secondary analysis study was to examine the incidence of abuse and the contributing factors for that abuse among the Korean elderly with stroke. METHODS Data were derived from the 2008 Korean National Survey on Older Adults. The participants were 934 community-dwelling elderly with stroke. Data were analyzed using the Rao-Scott chi2-test, simple logistic regression and multiple logistic regression with the PASW 18.0 complex samples analysis module. RESULTS The prevalence of elder abuse was 13.5%. Emotional abuse (10.0%) was the most frequently reported abuse, followed by financial neglect (3.8%), caring neglect (3.3%), financial abuse (2.1%), and physical abuse (1.9%). 44.6% of the perpetrators of emotional abuse were coresidential family members. Participants without spouses (odds ratio=2.05, 95% CI=1.14~3.68), those without diabetes (odds ratio=2.24, 95% CI=1.15~4.39), and depressed participants (odds ratio=2.72, 95% CI=1.34~5.52) were more likely to be abused. CONCLUSION Emotional abuse was the most frequently reported type of abuse while physical abuse was least frequent among the elderly with stroke. Nurses caring for the elderly with stroke should be aware of the types of abuse and risk factors such as lack of spouse and incidents of depression.
PURPOSE The purpose of this study was to test hand hygiene behavior model of hospital nurses, based on theory of planned behavior. METHODS Data were collected from 253 nurses from four university hospitals for the period of December 2010 to January 2011. Data were analyzed using of SAS (ver.9.1). Fitness of the study model was identified with SAS PROC CALIS. RESULTS The overall fitness was chi2=57.81 (df=13, p<.001), GFI=.99, AGFI=.99, CFI=.95, NFI=.93. The variance of actual implementation of hand hygiene by predictor variables was 11.0% and the variance of intention to hand hygiene was 53.5%. Variable that had a direct effect on hand hygiene behavior was intention. Perceived behavior control and attitude affected hand hygiene behavior indirectly. Control belief had a direct effect on perceived behavior control and had an indirect effect on intention and behavior. Behavioral belief had a direct effect on attitude and an indirect effect on intention and behavior. CONCLUSION The study provides basic information for understanding nurses' hand hygiene behavior. Further testing of the model will indicate which variables can contribute to improved hand hygiene.
PURPOSE The purpose of this study was to identify the prevalence of visual and hearing impairment and to investigate the effect of visual and hearing impairment on depression and cognitive function in community-dwelling Korean elderly. METHODS The study population consisted of a representative community sample of 4,028 persons aged 65 and older fromthe Korean Longitudinal Study of Aging 2008. Depression and cognitive function were measured by CES-D 10-item scale and K-MMSE. Visual and hearing impairment were measured by 5-Likert scale. Data were analyzed using Rao-Scott chi2 test, simple and multiple logistic regression. RESULTS The prevalence of visual and hearing impairment were 37.3% and 14.0%, respectively. Of the participants, the prevalence of depression was 58.4% and cognitive impairment was 50.6%. There were significant differences in depression and cognitive function according to visual and hearing impairment. Far vision and hearing impairment were predictors for both depression and cognitive impairment even after covariates had been adjusted. CONCLUSION These data suggest that visual and hearing impairment in older adults may increase their probability of experiencing depression and cognitive impairment. Thus sensory impairment should be considered a risk factor for mental health and the cognitive function of elderly.
PURPOSE The purpose of this study was to investigate the effects of the internet based coaching program for obesity management on weight control related knowledge, self-efficacy, eating habits, physical activity and obesity related physiological indexes in hypertensive patients. METHODS The study design was non-equivalent control group pre-test-post-test design. A total of 43 subjects were overweight or obese hypertensive patients aged 30 or older, who were divided into experimental group (n=23) and control group (n=20). This program lasting 12 weeks consisted of a weight control related education, internet based individual coaching for diet, exercise and behavior modification, offering internet community and health counseling. The variables were measured three times (before the treatment, after 6 weeks, and after 12 weeks) and the collected data were analyzed by SPSS/WIN 17.0 program. RESULTS The experimental group had significantly improved weight control related knowledge, self efficacy, eating habits, body composition, and systolic blood pressure with time. CONCLUSION The internet based coaching program was effective in improving obesity management, also this program will help to prevent cardiovascular disease of obese hypertensive patients.
PURPOSE The purpose of this study was to investigate the balance confidence and balance ability among community-residing stroke patients. METHODS: The sample for this study was a convenience sample obtained from patients who visited welfare centers for the disabled in three cities from October to December in 2009. The Activities-specific Balance Confidence Scale and Berg Balance Scale were used to measure confidence in task performance and balance ability. RESULTS: The level of balance confidence and balance ability were low in these subjects. There was a significant relationship between balance confidence and balance ability (r=.424, p=.000). Subjects with less balance ability felt less balance confidence. CONCLUSION: Among community-residing stroke patients, falls are common. Falls prevention which may contribute to the incidence of fall and fall related injury should be part of stroke rehabilitation plan. Also, it is necessary that an intervention for falls prevention after stroke should take into account factors such as the balance confidence and balance ability.
PURPOSE The purpose of this study was to investigate the risk factors related to prehypertension in Korean adults. METHODS The data were obtained from the Korean National Health and Nutrition Examination Survey 2005. The ubjects of this study were 3,981 adults aged over 20 years of age. Demographic characteristics, alcohol drinking, smoking, physical activity, stress, BMI, serum lipid profiles and blood pressure were analyzed in this study. RESULTS Prevalence of prehypertension was 38.9% in this study. As the result of multiple logistic regression, the risk of prehypertension in male, elderly and low income persons was increased. And the risk of prehypertension was increased in the case of problem drinking, alcohol abuse, formal smoker, overweight, obesity and hyperlipidemia in triglyceride. CONCLUSION To decrease prehypertension prevalence, it is necessary to detect and manage the influencing risk factors of prehypertension such as alcohol drinking, smoking, obesity, physical activity, stress and serum lipid profiles.
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