Purpose
The study aimed to develop a Healthcare Empowerment Program for patients with Temporary Ileostomy (HCEP-TI) and evaluate its effectiveness.
Methods
The HCEP-TI was developed based on Johnson’s model of healthcare empowerment by reviewing relevant literature, identifying patients’ needs through in-depth interviews, and testing content validity. The study was conducted at K University D hospital from June 2019 to September 2020 using a randomized controlled trial with a pretest-posttest design. The subjects were randomly assigned to two groups: experimental (n=15), which participated in HCEP-TI once a week for seven weeks, and control (n=15), which participated in conventional ileostomy care. Data were analyzed using linear by linear association, MannWhitney U, and Wilcoxon signed-rank tests.
Results
There were significant differences between the experimental and control groups in healthcare empowerment, self-management knowledge and behavior, and degree of peristomal skin damage. However, there was no significant difference between the groups regarding dehydration.
Conclusion
The HCEP-TI including engaged, informed, collaborative, committed, and tolerant of uncertainty intervention is effective in improving healthcare empowerment, self-management knowledge and behavior, and the degree of peristomal skin damage. This program can help patients with temporary ileostomy improve their empowerment, self-management, and stoma conditions.

PURPOSE
The aim of this study was to explore the factors contributing to death anxiety among elders through family support, ageism experience, loneliness and helplessness.
METHODS
The participants were 155 elders who lived in S city. The data were collected through a self-reported questionnaire in elders over age 65. In addition, their levels of death anxiety, family support, ageism experience, loneliness, helplessness and death anxiety were measured using a likert scale Data analysis using a t-test, one-way ANOVA, Pearson correlation and multiple regression analysis with the SPSS 20 program.
RESULTS
Significant differences were found in the levels of perceived death anxiety between the variables affecting death anxiety in elders. Pearson's Correlation were found family support (p<.001), ageism experience (p<.001), loneliness (p<.001) and helplessness (p<.001) with death anxiety.
CONCLUSION
It is concluded that such variables should be considered for decreasing death anxiety by family support, ageism experience, loneliness and helplessness in elders.

Citations

• Meaning of Work, Ageism Experience, Social Exclusion, and Quality of Life in Working Older Adults
  Ju Young Park
  Journal of Gerontological Nursing.2025; 51(5): 46.     CrossRef
• Factors associated with attitudes toward death and dying in the second half of life: A scoping review
  Alana Officer, Matthew Prina, Andreea Badache, Barbara Broers, Sam Gnanapragasam, Sophie Pautex
  Death Studies.2024; : 1.     CrossRef
• YAŞLILARDA ÖLÜM KAYGISI İLE HASTALIK ÖZELLİKLERİ, YALNIZLIK VE SOSYAL DESTEK ARASINDAKİ İLİŞKİLER
  Serpil GÜNDOĞAN, Aysun BABACAN GÜMÜŞ
  STED / Sürekli Tıp Eğitimi Dergisi.2023;[Epub]     CrossRef
• Controversies in terror management theory research and its implications for research on the psychology of death
  Xianghan MENG, Qiang LI, Yanbang ZHOU, Jin WANG
  Advances in Psychological Science.2021; 29(3): 492.     CrossRef
• Factors Influencing Death Anxiety among Rural Elderly
  Hyenam Hwang
  Journal of Health Informatics and Statistics.2019; 44(2): 111.     CrossRef
• Factors Influencing Death Anxiety in Community-Dwelling Elderly: Based on the Ecology Theory
  Yeonha Kim, Minju Kim
  The Korean Journal of Hospice and Palliative Care.2019; 22(1): 30.     CrossRef
• Factors Influencing Death Anxiety in Elderly Patients in Long-term Care Hospitals
  Mi Suk Lee, Hee Jung Choi
  Journal of Korean Gerontological Nursing.2016; 18(3): 138.     CrossRef

PURPOSE
The purpose of this study was to develop an empowerment program as a nursing intervention for the patients having an acute stroke and to determine the effects of the program on their motivation, depression, and activities of daily living(ADLs). METHODS: An non-equivalent control group pretest-posttest design was used in this study. Sixty subjects were recruited from two separated institutions: 31 patients were allocated into experimental group and 29 were into control group. Six week empowerment program was provided to the experimental group. The study was conducted from November 2006 to March 2007. RESULTS: After 6 week empowerment program, rehabilitation motivation was significantly increased in the experimental group in comparison to the control group(t=-2.173, p=.036). There were no significant differences in depression and ADLs between experimental and control groups. CONCLUSION: The empowerment program effectively increased rehabilitation motivation of patients with stroke, while did not improve the levels of depression and ADLs. Future long-term intervention may benefit the patients more in terms of depression and ADLs when considering the acute stage of the patients in this study.

PURPOSE
This critical ethnography was performed to explore the experiences of nurses who are working with patients in an industrial disaster hospital. During the research process, I focused on the experiences of conflict in caring patients.
METHODS
Data for the study came from 13 informants with their corresponding patients through interview and observation from March 2002 to February 2004. The data was examined line by line; then compared and contrasted based on a critical discourse analysis.
RESULTS
Nurses' conflicts came from discrepancies of the world views from that of the patients. Such conflicts arose because of various issues as follows: Worker as an individual vs patients, nurse as young women vs the medical profession, hospital as an extended home vs health care setting, and hospitalization as a means to enhance work capacity vs a means of treatment.
CONCLUSION
We need more study on the development of adaptive strategy for the nurses to overcome conflicts during their nursing career. Developing a nurses' and patient role intervention program is needed.

PURPOSE
The purpose of this study was to identify an influence of self-esteem and family- support on powerlessness of hospitalized elderly patients with chronic disease. METHOD: The subjects were 151 hospitalized elderly patients, age over 60, with chronic disease and admitted for at least 1 week. The data were collected by individual interview using a tructured questionnaire during the period from July 10th to August l0th, 2003 from three general hospitals in Busan. The data were analyzed by descriptive statistics, t-test, ANOVA, Pearson's correlation, hierarchical multiple regression. RESULT: The level of self-esteem, family support, and powerlessness was 38.00, 38.26, and 38.38, respectively. There was a significant positive correlation between self-esteem and family support and a negative correlation between self-esteem and powerlessness and between family support and powerlessness. Self-esteem and family support were each significant predictor of powerlessness. CONCLUSION: This study showed the hospitalized elderly patients need greater family-support and higher self-esteem to relieve the level of powerlessness. I suggest to study for replication in a larger sample size and considering the lengths of hospitalization for generalization of this study and to develop individual intervention programs for increasing family support and self esteem and testify their effects on the relief of powerlessness of the elderly.

PURPOSE
The purpose of this study was to examine the effects of a six week self-help empowerment strategy program on the empowerment status, pain intensity, physical function, joint flexibility and depression status in rheumatoid arthritis patients.
METHOD
The subjects of the study consisted of a convenience sample thirteen rheumatoid arthritis patients. Data was collected from July to November, 2001. All patient received a self-help empowerment strategy program, once a week for six weeks.
RESULT
After receiving the self-help empowerment strategy program, the empowerment status increased significantly, the pain intensity and the depression score decreased significantly and the level of physical function significantly improved but the flexibilities of shoulders, knees and ankles were not significantly changed.
CONCLUSION
Further studies need to be done to determine the feasibility of implementing empowerment strategy and its possibility as an effective intervention program for decreasing pain intensity and depression score and improving the physical function.

PURPOSE
The purpose of this study was to identify the degree of perceived powerlessness in hospitalized elderly patients of the medical and surgical unit.
METHOD
The instrument for this study was the Powerlessness Behavioral Assessment Tool(Miller, 1983). The reliability of the instruments was .85. The data was analyzed by descriptive statistics, t-test, and ANOVA.
RESULTS
The results were as follows; 1. The mean score of powerlessness was 35.02(SD=+/-9.24) in a range of 19 to 64, and the mean of powerlessness was total 1.84. Among 4 subscales, the highest score was in the area of verbal response (M=1.98), and the lowest score for powerlessness was in the area of daily activities(M=1.74). In all items, 'verbal expression of fatalism' showed the highest score(M=2.78), and 'verbal expressions of giving up' showed the lowest score(M=1.38). 2. There were significant differences in the level of powerlessness according to hospitalization experience(t=-3.03, p=0.006), medical treatment experience(t=.291, p=.004). Especially, there was significant difference according to the hospitalization experience of the hospital in all sub-scales.
CONCLUSION
Based on these conclusions, nursing education for patient's diseases and treatment can be used for proper nursing intervention in reducing the level of powerlessness of hospitalized elderly.

This study was designed and undertaken to find out the degree of powerlessness, self-esteem and family support of elderly home residents and to determine the relationship between powerlessness, self-esteem and family support. The data were collected from October 1st to 20th, 1998. The subjects in this study were 271 elderly home residents over the age 60 living in Taejon city. The study tool for measuring powerlessness was developed by S.E.Chung(1998), the other for measuring self-esteem, was a self-esteem scale developed by Rosenberg, and the tool for measuring family support was developed by Choi(1983), Cobb(1976) and Kang(1984). Data were analysed for percentage, mean, t-test, ANOVA and Peason-correlation coefficients using the SPSS program. The results of this study were as follows ; 1. The degree of powerlessness, self-esteem and family support was scored avove the median. 2. The relationship between powerlessness and self-esteem revealed a no significant inverse correlation, but powerlessness and family support, showed a significant inverse correlation, and self-esteem and family support, registered a very statistically significant correlation. 3. The general characteristics showing the differences of the elderly' powerlessness were sex, one' s health of state compared to other elderly' and living expense load. These yielded statistically very significant results. 4. The general characteristics showing the differences of the elderly' self-esteem were sex, state of ownership of a house, age, religion, one's health of state compared to other elderly'. Among these, sex and state of ownership of a house revealed statistically very significant differences, also age, religion and one's health of state produced statistically significant differences. 5. The general characteristics showing the differences of the elderly' family support were sex, state of ownership of a house, having some diagnosed diseases or not and one's health of state compared to other elderly' health. These also showed statistically significant differences. In conclusion, the factors influencing the elderly' powerlessness, self-esteem and family support generally were age, sex, their economic independence and health of state(which included especially having a diagnosed disease). Also, the family support was needed to reduce their powerlessness and to have their self-esteem highly.

This study was a descriptive correlationstudy. It tried to test the relationships between family support, powerlessness and depression in the elderly patient to develop basic data for nursing intervention. The subjects of this study were 61 patients, over the age of 60, who were admitted in one university hospital in Daegue. The data were analyzed by percentage, ANOVA and Pearson correlation coefficient. The results were as follows: 1. The mean score for family support was 3.52 (maximum score ; 4). The mean score for powerlessness was 2.51 (maximum score ; 4). The mean score for depression was 2.35(maximum score ; 4). 2. In general characteristics, educational level and number of children were significantly related to the level of depression 3. The correlations between family support and powerlessness, or family support and depression were negative. The correlation between power-lessness and depression was positive. This study revealed that powerlessness and depression were correlated with family support. Consequently, the implication for nursing is that there is a need to develop an intervention program for the patient's family in order to improve family support.