Purpose
This study aims to explore the relationship between the discharge process and two-year prognosis in patients with Heart Failure (HF) who were hospitalized because of HF exacerbation. Methods Medical records were reviewed to identify patients admitted for HF exacerbation. Information regarding the following discharge processes was collected: follow-up visits, discharge educational contents, and the presence of family caregivers during patient education. HF-related events, including emergency department visits, readmissions, or death because of HF, were defined as a composite of events. A multivariate Cox proportional hazards regression model was used after adjusting for covariates to explore the association between the discharge process and HF-related events. Results A total of 201 patients were included in this study. In the two-year follow-up periods, 41 patients (20.4%) experienced at least one HF-related event. Follow-up visits were scheduled at an average of 8.11±2.92 days after discharge. Approximately 95.0% of the patients received discharge education with an average of 1.66±1.04 topics, and 69.7% of the families participated in this educational activity. In the multivariate Cox regression model, not having family members during education was associated with a longer time to HF-related events (hazard ratio: 2.09; 95% confidence interval: 1.001~4.346). However, follow-up visits and the amount of educational content received were not associated with time to HF-related events. Conclusion The presence of family caregivers during education appears to be a protective factor against adverse prognosis in patients with HF. Our results highlight the importance of family engagement during discharg

Citations

• Depression, mutuality, and self-care behaviors in patients with heart failure and their caregivers: An actor–partner interdependence model extended to mediation
  Youn-Jung Son, JiYeon Choi, Da-Young Kim, So Hyun Park
  Heart & Lung.2025; 73: 123.     CrossRef
• Association Between Nurse-Led Multidisciplinary Education and Cardiac Events in Patients With Heart Failure: A Retrospective Chart Review
  Haeng-Mi Son, Hyeongsuk Lee
  Asian Nursing Research.2024; 18(1): 60.     CrossRef

Purpose
The purpose of this study was to investigate the effect of a self-care education program using a QR-Code on self-efficacy, self-care performance, and education satisfaction among pneumothorax patients after discharge from a hospital.
Methods
The participants comprised 60 inpatients diagnosed with spontaneous pneumothorax and operated on at a tertiary general hospital in G city. The experimental group (n=30) attended a self-nursing education program using handouts and a QR-Code, and the control group (n=30) was provided discharge education through existing handouts. χ² test, fisher’s exact test, independent t-test, and repeated measures ANOVA were performed to analyze the collected data using the SPSS 26.0 version program.
Results
After three weeks of intervention, the experimental group showed a significant increase in self-efficacy (t=-4.50, p<.001) and self-care performance (t=-5.54, p<.001). The experimental group also showed significant increases in self-efficacy (F=37.72, p<.001) and self-care performance over time (F=52.00, p<.001). and reported significantly higher education satisfaction compared to the control group (t=-6.84, p<.001).
Conclusion
QR-Code-based self-care education increases self-efficacy, self-care performance, and education satisfaction among pneumothorax patients. Thus, this program can be used as an effective nursing intervention to maintain and improve the health of pneumothorax patients.

Citations

• 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 Chemotherapy Education Reflecting Educational Needs on Self-Care Knowledge and Performance in Female Cancer Patients: A Non-Equivalent Control Group Pretest-Posttest Design
  Jin Hee Jun, Se-Na Lee
  Asian Oncology Nursing.2024; 24(3): 103.     CrossRef

Purpose
This study investigated the level of Activities of Daily Living (ADL) of elderly patients with pulmonary disease preparing for discharge and the factors affecting it. Methods The participants of this cross-sectional, descriptive study were 104 patients aged over 65 diagnosed with pulmonary disease at an acute care hospital. Data were collected from November 28, 2018 to March 15, 2019 using a structured questionnaire and the participants’ electronic medical record. The questionnaire asked about demographic and disease-related characteristics and respiratory symptoms experience, and included the Korean versions of the ENRICHD Social Support Instrument, Hospital Anxiety and Depression Scale, and Katz’s ADL. Results In the enter-method multiple linear regression analysis, the model explained 38.1% of the ADL (F=4.26, p<.001). The higher the participants’ level of depression, the lower their level of ADL (β=0.43, p<.001), while those without a history of any neurological or psychiatric disease had higher levels of ADL than their counterparts with it (β=-0.22, p=.024). Conclusion The findings suggest that an intervention that considers depression and history of neurological or psychiatric disease should be implemented to promote ADL among elderly patients with pulmonary disease preparing for discharge. In addition, the results of this study can be used as fundamental information to assess the discharge readiness of elderly patients with pulmonary disease and improve their health-related quality of life by promoting ADL.

PURPOSE
This study was designed to identify factors affecting depression among hospitalized older adults prior to discharge from an acute care hospital.
METHODS
This descriptive study included adults aged 65 or older who were hospitalized in a general hospital in Seoul, Korea. Depression was measured by the Short Form Geriatric Depression Scale and illness perception was evaluated by the Brief Illness Perception Questionnaire. Social support was examined using the Perceived Geriatric Social Support Scale. Data were collected from August 25 to October 12, 2015. Data analysis included descriptive statistics, independent t-test, Kruskal-Wallis test, Pearson's correlation coefficient, and hierarchical multiple regression.
RESULTS
Among a total of 120 participants, 57 patients (47.5%) experienced depression. Mean depression score was 7.37±3.67. Depression was associated with illness perception (r=.53, p < .001), social support (r=-.19, p=.043), number of admission due to the recurrence (r=.31, p=.001), and time to recognize discharge plan (r=.25, p=.044). In hierarchical multiple regression, illness perception (β=.45, p < .001) and time to recognize discharge plan (β=.21, p=.039) were predictors of depression (F=7.68, p < .001, Adjusted R²=.38).
CONCLUSION
The findings of this study suggest that management of illness perception and timely notice of discharge are important to reduce depression in hospitalized elderly patients.

Citations

• The Mediating Effects of Health Concern and Depression in the Relation between Self-quarantined People’s COVID-19 Stress and Fatigue
  Sun Hwa Shin, Eun Hye Lee
  Journal of Korean Academy of Community Health Nursing.2022; 33(1): 43.     CrossRef
• Mediating Effect of Stress on the Relationship between Illness Perception and Sleep in Patients at Risk of Metabolic Syndrome
  Hyun-E Yeom, Jee-Won Shin
  Korean Journal of Adult Nursing.2019; 31(4): 449.     CrossRef
• The Level of Successful Aging and Influencing Factors of the Community Elderly
  Kyeong-Sook Cha, Hung Sa Lee, Chunmi Kim, Eun Man Kim
  Korean Journal of Health Promotion.2019; 19(1): 39.     CrossRef
• Distress and Quality of Life among Elderly Patients with Gastric Cancer: The Mediating Effect of Social Support
  Yoon Sun Kim, Young Sook Tae, Gum Hee Nam
  Korean Journal of Adult Nursing.2017; 29(5): 536.     CrossRef

PURPOSE
The aim of this study was to identify demographic, clinical, physical, and psychosocial factors affecting discharge delay in lumbar spinal surgery patients who were treated according to a critical pathway.
METHODS
A sample of 170 patients with lumbar spinal surgery agreed to participate in the study, between April 1, 2014 and August 30, 2015. Data were analyzed by mean, standard deviation, t-test, χ2-test, ANCOVA, and logistic regression analysis using SPSS 22.0 program.
RESULTS
Approximately fifty-nine percent of the participants was delayed discharge. On logistic regression analysis, female gender (OR=2.63, 95% CI=1.40~4.94), age (OR=1.03, 95% CI=1.01~1.05), spondylolisthesis (OR=4.49, 95% CI=1.90~10.61), and spinal fusion operation (OR=4.14, 95% CI=1.89~9.05) were significant factors predicting discharge delay of the participants. However, discharge delay was not related with pain, physical function, depression, or family support.
CONCLUSION
An analysis of discharge delay may assist in evaluating and revising critical pathway for optimal care. In addition, nurses need to understand the factors affecting discharge delay of the given population who were treated according to a critical pathway.

Citations

• Evaluation of the Critical Pathway for Laparoscopic Cholecystectomy from the Perspective of Pain Course
  Seon Hwa Kim, Jin Hong Lim, Hyung Sun Kim
  Quality Improvement in Health Care.2024; 30(2): 50.     CrossRef
• Discharge Transition Experience for Lumbar Fusion Patients: A Qualitative Study
  Jeoung Hee Kim, Yong Soon Shin
  Journal of Neuroscience Nursing.2021; 53(6): 228.     CrossRef
• Effects of Functions of Daily Living, Depression, and Anxiety on Catastrophizing Pain among Patients Undergoing Lumbar Spinal Surgery
  Jeong Eun Yoon, Ok-Hee Cho
  Journal of Korean Academy of Fundamentals of Nursing.2020; 27(3): 289.     CrossRef
• Development and Effects of Early Exercise Program for Lumbar Spine Surgery Patients
  Geun Jin Kim, Hye Young Kim
  Korean Journal of Adult Nursing.2018; 30(3): 245.     CrossRef