Purpose
This study aimed to examine the direct and indirect effects of general characteristics, basic psychological needs, health promoting behaviors, and emotional status on sleep quality of the older adults with low back pain. Methods: We conducted a cross-sectional correlational study in B and Y cities between August and September 2020. A total of 217 older adults participated in the study and their general characteristics (age, gender, duration of back pain, pain intensity, disability, perceived health status, risk for malnutrition), basic psychological needs (autonomy, competence, relatedness), health promoting behavior (physical activity, self care), emotional status (depression, quality of life), and sleep quality were measured. Data were analyzed through descriptive analysis, independent t-test, ANOVA with Scheffé post-hoc test, hierarchical multiple regression, and path analysis using SPSS/WIN 22.0 and AMOS 22.0. Results: The mean age of the participants was 70.31±5.39 years, the pain intensity was 6.40±1.09, and the duration of back pain was 6.69±6.46 years. The significant factors influencing sleep quality were depression (β=.45, p=.001), gender (β=-.22, p=.001), disability (β=.21, p=.003), perceived health status (β=-.21, p=.001), duration of back pain (β=-.20, p=.001), self care on back pain (β=-.15, p=.009), basic psychological needs (β=-.15, p=.001), and risk for malnutrition (β=.03, p=.028). Conclusion: The findings of this study suggest that special attention is required for older women with high levels of depression and disability due to back pain, especially those with pain duration of less than 5 years or greater than 10 years.

Citations

• Effects of Auricular Acupressure Therapy on Psychological Factors, Sleep Quality, and Salivary Cortisol Levels in South Korean Older Adults in the Community: A Single-blind, Randomized Controlled Trial
  Hyeongyeong Yoon
  Journal of Korean Academy of Fundamentals of Nursing.2023; 30(4): 509.     CrossRef

Purpose
The purpose of this study was to verify the effects of a repeated hemodialysis diet education program on dietary knowledge, dietary self-care compliance, and physiological indices in older adults on hemodialysis.
Methods
This study employed a non-equivalent control group pre-post repeated measures design. Based on Ebbinghaus’ forgetting curve, the experimental group received diet education four times. Data were analyzed by the x 2 -test, t-test, and Fisher’s exact test. A repeated measures ANOVA was used for hypothesis testing.
Results
There were statistically significant between-groups differences in dietary knowledge by time of assessment, within group differences by time of assessment, and interactions between group and time. Regarding dietary self-care compliance, there were significant within-group differences by time of assessment and interactions between group and time. There were significant within-group changes in inter-dialytic weight gain by time of assessment. For the physiological indices, blood sodium and albumin showed significant within-group changes by time of assessment. Phosphorus and blood urea nitrogen scores showed significant within-group changes. For blood potassium concentration, there was a significant difference in interactions between group and time.
Conclusion
Owing to the resulting improvements in dietary knowledge and self-care compliance, the repeated education program applied in this study can be used as a preventive measure for complications in older adults on hemodialysis.

Citations

• Development and Effectiveness of Dietary Self-care Promotion Program Using Online Community for Hemodialysis Patients: A Pilot Randomized Controlled Trial
  Hana Kim, Mi-Kyoung Cho
  Asian Nursing Research.2025; 19(2): 126.     CrossRef
• The Mediating Effects of Symptom Experiences on the Relationship between Body Image and Quality of Life among Hemodialysis Patients in a Single Center
  Yaki Yang
  Healthcare.2024; 12(17): 1779.     CrossRef
• Effects of a video-based enteral nutrition education program using QR codes for intensive care unit nurses: a quasi-experimental study
  Won Kee Seo, Hyunjung Kim
  Journal of Korean Biological Nursing Science.2024; 26(1): 16.     CrossRef
• The Effects of Tailored Dietary Education among Role Failure Hemodialysis Patients on Self-care Compliance, Self-efficacy and Physiologic Indices
  Sangsuk Kim, Youngsil Choi
  The Korean Journal of Rehabilitation Nursing.2021; 24(1): 46.     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
Although there is a high incidence of delirium with increased age, the risk factors have been too various. We investigated the incidence and risk factors in the older inpatient with neurological disorders.
METHODS
We reviewed the Electronic Medical Records (EMR) of older patients admitted to a neurology unit from August 2016 to January 2017. We analyzed the incidence and risk factors of delirium in 382 patients in a tertiary hospital. Delirium was determined daily using the Nursing Delirium Screening Scale (Nu-DESC). Demographic, disease, and environmental characteristics were obtained by using structured EMR data.
RESULTS
The incidence rate of delirium was 6.0% (n=23). Delirium was prevalent in patients who were older, had a lower serum hemoglobin, had hypertension or had diabetes mellitus. Delirium was also observed in patients on antibiotics, having a higher number of drugs or catheters, or receiving mechanical monitoring. A longer hospital stay, being admitted to a sub-intensive care unit, and sleep deprivation were significantly associated with delirium. Multiple logistic regression analysis found older age, having sleep deprivation, a higher number of catheters placed, and having diabetes mellitus to be significant predictors of delirium.
CONCLUSION
This study shows that age, sleep deprivation, number of catheters, and comorbidity of diabetes mellitus were identified as a risk factor for delirium. And it will guide the development of algorithms through its possible applications for the future in hospitalized older adults.

Citations

• Relationship between Barriers and Performance for Delirium Care among Hospital Nurses: The Mediating Effect of Self-confidence
  Hee Yeon Kim, Hye-Ja Park
  Journal of Health Informatics and Statistics.2025; 50(1): 81.     CrossRef
• The evaluation of frequency and predictors of delirium and its short-term and long-term outcomes in hospitalized older adults’
  Yamini Ajmera, Karandeep Paul, Maroof Ahmad Khan, Bharti Kumari, Nand Kumar, Prasun Chatterjee, Aparajit Ballav Dey, Avinash Chakrawarty
  Asian Journal of Psychiatry.2024; 94: 103990.     CrossRef
• Patterns of Symptoms and Symptom-related Factors of Patients in the Intensive Care Unit: A Secondary Data Analysis of Electronic Medical Records
  Moonjung Kwak, Yeon-Hwan Park
  Korean Journal of Adult Nursing.2024; 36(2): 146.     CrossRef
• Leptin as a Predictor of Delirium in Geriatric Inpatients
  Yamini Ajmera, Avinash Chakrawarty, Masroor Anwar, Maroof Ahmad Khan, Prasun Chatterjee, Sharmistha Dey
  Journal of the Indian Academy of Geriatrics.2022; 18(4): 157.     CrossRef
• Effectiveness of Delirium Education Programs for Nurses in Acute Hospitals: A Systematic Review and Meta-Analysis
  Jungyeon Roh, Sujin Shin, Eunmin Hong
  Korean Journal of Adult Nursing.2022; 34(5): 435.     CrossRef

PURPOSE
The purpose of this study was to categorize and to understand the structure of subjectivity in the gender role identity of older female adults. The perception of gender role identity is subjective and varies according to the uniqueness of individual experiences and the value of social culture.
METHODS
Q-methodology, a technique for extracting subjective opinions was used. In 2010, forty participants completed the Q-sort activity, rating each statement relative to the others. The Q sample has two categories, representing masculinity and femininity, and each category has 20 statements, resulting in 40 adjectives.
RESULTS
Using the Q factor analysis, three classifications were identified: 'caring-affectionate type,', 'assertive-confident type,' and 'sensitive-affectionate type.' Despite the differences among the three types in this research, elderly females are likely to have the understanding and patience to comfort others and care for the children.
CONCLUSION
The results of this study revealed new dimensional types of gender role identity and raise the issue of why we need to develop methods for the new dimensional types. Based on the results, further research is needed to compare the findings with those of older males or with women of different age groups.

Citations

• Perceptions on Gender Role Identity in Male and Female Adolescents
  Sung-Hee KO, Euna PARK
  JOURNAL OF FISHRIES AND MARINE SCIENCES EDUCATION.2018; 30(1): 116.     CrossRef
• Practical Issues of Conducting a Q Methodology Study
  Teresa Elizabeth Stone, Jane Maguire, Sook Jung Kang, Chiyoung Cha
  Advances in Nursing Science.2017; 40(3): 291.     CrossRef
• Relationship between Parenting Styles and Gender Role Identity in College Students
  Yi-Ching Lin, Robert E. Billingham
  Psychological Reports.2014; 114(1): 250.     CrossRef

PURPOSE
The purpose of this study was to identify the influencing factors on the single and recurrent falls in community-dwelling older women.
METHODS
Seventy eight volunteers aged over 65 were included in the study. The participants experienced at least one fall within the past one year. Data were measured on each participant from May 2007 to September 2007, collected using structured researcher-administered sheets and measuring their physical strengths and analyzed by descriptive statistics, t-test, chi-square test, Mann-Whitney U test and logistic regression analysis.
RESULTS
The prevalence of recurrent falls were 53.8%. The level of education(Z = -2.455, p = .014) and the presence of spouse(chi-square = 4.843, p = .044) showed significant differences between the single-fall group and the recurrent-fall group in the study. Significantly predicting factor on the recurrent falls was the level of education and the variable explained 20.1% of variants in the occurrence of recurrent falls.
CONCLUSION
Although a variety of factors affected the single fall in the elderly women, the level of education and the presence of spouse proved to be the significant factors in their recurrent falls. These factors proven to be significant as the result of this should be reflected in the development of effective programs for preventing the elderly from recurrent falls.

PURPOSE
The purpose of present study was to explore relationship between physical activity (PA) behavior and self-efficacy among older Korean-Americans (OKAs) based on reviewing major theories that are used to understand PA behavior, particularly as they relate to older adults within sociocultural contexts.
METHODS
151 OKAs, living in California, were recruited and interviewed once. Self-efficacy and PA level were measured by Exercise Self-Efficacy Scale, Community Healthy Activities Model Program for Seniors (K-CHAMPS) questionnaire, respectively.
RESULTS
82.8% of OKA women and 72.4% of OKA men had relatively low (38.8+/-29.3) self-efficacy related to PA. Exercise self-efficacy was statistically significant and positively associated with frequency for moderate and greater PA (r = 0.25, p < .01), frequency for all listed PA (r = 0.21, p < .05), caloric expenditure for moderate and greater PA (r = 0.23, p < .01), and caloric expenditure for all listed PA (r = 0.31, p < .01).
CONCLUSION
Social Cognitive Theory including self-efficacy can provide insight about how to shape strategies that encourage OKAs to adhere to regular PA because it focuses on environmental as well as personal factors. Increased efforts are needed to understand the other factors associated with being active in OKAs.

PURPOSE
The purpose of this study were to identify the essential component and meaning structure of the experience of 'Sockalee' among abused elders.
METHOD
This study was done using a phenomenological analytic method by Giorgi. The participants in this study were six elders who had the previous experience of 'Sockalee' as abused elders. The data were collected by interviewing the participants from May to September, 2003. Generally, three interviews for one person were performed and each interview lasted for one and half hours.
RESULTS
The meanings of 'Sockalee' of abused elders were categorized with seven components. Those are (1) Unsolved family conflicts. (2) Being powerless. (3) Being pushed out. (4) Egocentric situation-recognition. (5) Strengthening egocentric situation-recognition (6) Attempts for re-powerfulness. (7) Release from abuse. (8) Situation recognition with others' position considered.
CONCLUSION
Therefore, the nursing intervention must be focused on the above concerns to accomplish the successful solution for the abused elderly problems, especially approaching from the standpoint of the whole human.

PURPOSE
The present study was designed to explore and compare attributes of the quality of life between Korean elderly and Korean- American elderly.
METHOD
The research design was a descriptive design and questionaries were used. Studies were done using questionnaires. Data were collected from convenient sample of 163 Korean elderly and 151 Korean-American elderly recruited from senior centers and churches. Collected data were analyzed by using SPSS/WIN 10.0.
RESULTS
There were significant difference between Korean elderly and Korean- American elderly in education and income. Korean-American elderly showed higher self- esteem, self-efficacy, and quality of life than those of Korean elderly. The influencing factors on quality of life in Korean elderly were defined as self-esteem and self-efficacy. And the influencing factor on quality of life in Korean- American elderly was defined as self-efficacy.
CONCLUSION
In conclusion, the results of this study showed that self-efficacy was a very important factor as attribution to the quality of life for both elderly group. Therefore, self-efficacy should be promoted in nursing intervention in order to enhance the quality of life for both Korean and Korean-American elderly.

PURPOSE
This study was to explore the predictors of subjective well-being of Korean older adults. METHOD: Data were collected through the structured interview using questionnaire with 199 older adults over 60 years. To identify the most effective predictor of the SWB, a stepwise regression analysis was conducted on each subscale of SWB measure. RESULTS: The results showed that receiving support from family was the effective factor of life satisfaction. Receiving support from family, health, optimism, economy, positive reappraisal, and giving support to family were the effective factors of emotional well-being. CONCLUSION: This study found that family support was the most important predictor on SWB among Korean older adults.