PURPOSE
Sleep disturbances related to multiple conditions are common in patients with cancer while undergoing chemotherapy. The quality of life in these patients may be negatively affected due to sleep disturbances. Therefore, by analyzing nursing records, this study aimed to examine factors influencing sleep disturbances among hospitalized patients with colorectal cancer undergoing chemotherapy.
METHODS
This study was a retrospective review of nursing records of 231 patients with colorectal cancer who were hospitalized for chemotherapy in 2015. Data were collected from electronic medical records, and analyzed using the independent t-test, χ2 test, and logistic regression.
RESULTS
Thirty-five (15.2%) patients had sleep disturbances. Nursing records related to sleep (n=85) consisted of 32 (37.6%) assessments and 53 (62.4%) interventions. Pharmacological interventions for sleep disturbances (98.1%) were used more often as compared to non-pharmacological interventions (1.9%). In logistic regression analysis, sleep disturbances were related to the body mass index (Odds Ratio [OR]=0.86, 95% Confidence Interval [CI]=0.76~0.98), targeted therapy(OR=2.62, 95% CI=1.09~6.32), and length of hospital stay (OR=1.08, 95% CI=1.02~1.14).
CONCLUSION
Sleep disturbances were influenced by body mass index, targeted therapy, and length of hospital stay. Thus, nutritional and psycho-emotional status after metastasis or recurrence should be closely monitored in patients with colorectal cancer undergoing chemotherapy, especially during prolonged hospitalization. Further, in addition to the use of pharmacological interventions, various non-pharmacological nursing interventions to promote sleep health should be developed.

Citations

• Effect of Healing Beats Program on Stress, Heart Rate and Sleep Quality of Colorectal Cancer Patients Treated with Chemotherapy: A Randomized Controlled Trial
  Eun-Jeong Hong
  Asian Oncology Nursing.2024; 24(1): 32.     CrossRef
• The Effect of a Supportive Educational Intervention Through Virtual Social Networks on Sleep Quality and Insomnia of Patients with Cancer
  Elahe Sarlak, Jamshid Ansari, Rahmatollah Moradzadeh, Nazi Nejat
  Journal of Cancer Education.2023; 38(5): 1675.     CrossRef
• Systematic Review of the Pittsburgh Sleep Quality Index used for Measuring Sleep Quality among Adults with Trauma Experiences
  Go-Un Kim, Ju Hee Lee
  Korean Journal of Adult Nursing.2019; 31(4): 337.     CrossRef

PURPOSE
Fatigue is common in older adults and may decrease the quality of life. The purpose of this study was to investigate the level and characteristics of fatigue of older adults, and identify the factors associated with fatigue.
METHODS
This study used a secondary data analysis (n=200). Data collection was conducted from July to September 2015. Fatigue Severity Scale, Geriatric Depression Scale Short Form Korea Version, Korean Version of Physical Activity Scale for Elderly, and Verran & Synder-Halpern Sleep Scale were used.
RESULTS
We used the data from 200 older adults in a local senior welfare center. Their average age was 74.5 years. We found that 35.5% of them had fatigue (≥4). The reported factors alleviating fatigue were taking rest, warm bath, and sleeping. Engaging in light sports was also reported to alleviate fatigue. The level of fatigue was higher in subjects with older age (p=.009), lower income (p=.003), higher number of diseases (p < .001), more medications (p < .001), and lower perceived health status (p < .001). In multiple linear regression analysis, the factors predicting fatigue were older age (p < .001), depression (p < .001), pain (p=.001), irregular exercise (p=.013), and lower perceived health status (p < .001). The explanatory power of the model was 47.5%.
CONCLUSION
Our study suggests that depression and pain were risk factors although engaging in light sports was a factor alleviating fatigue in older adults. The fatigue management strategies tailored to alleviate fatigue in older individuals by reducing these manageable risk factors are needed.

Citations

• Fatigue-Related Factors for Community-Dwelling Older Adults with Diabetes: A Theory-Guided Multi-Dimensional Approach Using the Dynamic Biopsychosocial Model
  Hyerang Kim, Heesook Son
  International Journal of Environmental Research and Public Health.2019; 16(22): 4502.     CrossRef
• Differences of Stress, Sleep Quality and Metabolic Syndrome by Prolonged Fatigue in Early Adulthood
  Bok Nam Seo, Inja Kim
  Korean Journal of Adult Nursing.2019; 31(2): 202.     CrossRef

PURPOSE
Reported insomnia and decreased sleep quality are common among older adults. The purpose of this study was to identify factors contributing to insomnia and decreased sleep quality among elderly persons living within a community. The data will be verified with Actigraph which is a non-invasive measurement of rest/activity cycles.
METHODS
137 participants over 65 years old were recruited from a senior welfare center. Their mean age was 74.07±5.18 years old and majority was women (69.3%). The quality and quantity of nighttime sleep were assessed using Varren-synder-Halper Sleep Scale and a sleep log. Depression and fatigue were assessed using Geriatric Depression Scale Short Form and Fatigue Severity Scale, respectively. Pain was assessed using 11-point Numeric rating scale. An actigraph was used to verify the self-reported sleep.
RESULTS
Ninety-two participants (67.2%) reported insomnia. Sixty-eight subjects (49.6%) reported good sleep. Of the participants, 56.2% reported depression and 33.6% reported fatigue. In logistic regression, depression was related to insomnia (OR=3.09, p=.003). Sleep quality was related to depression (OR=2.13, p=.045) and fatigue (OR=2.24, p=.044). The data from the Sleep logs correlated with data obtained from the actigraph.
CONCLUSION
Depression significantly influenced insomnia and sleep quality whereas fatigue only influenced sleep quality. Thus, depression and fatigue should be closely monitored among elderly persons with sleep disturbances.

Citations

• Actigraphy-Based Assessment of Sleep Parameters in Intensive Care Unit Patients Receiving Respiratory Support Therapy
  Jiyeon Kang, Yongbin Kwon
  Journal of Korean Critical Care Nursing.2022; 15(3): 115.     CrossRef
• Sleep Patterns of Older Residents in Long-Term-Care Facilities: A Comparison with Older Adults in Home-Care Services and Community-Dwelling Older Adults
  Eunhee Hwang
  Journal of Korean Gerontological Nursing.2021; 23(1): 75.     CrossRef
• The Effect of Auricular Acupressure on Sleep in Older Adults with Sleep Disorders
  Ju Hee Lee, Hyojung Park
  Journal of Korean Gerontological Nursing.2021; 23(2): 117.     CrossRef
• Factors that Influence Sleep among Residents in Long-Term Care Facilities
  Da Eun Kim, Ju Young Yoon
  International Journal of Environmental Research and Public Health.2020; 17(6): 1889.     CrossRef
• Insomnia and its associated factors among  older people of selected ward of Banepa municipality, Nepal
  Manisha Dangol, Sunil Shrestha, Sita Kumari Rai Koirala
  Nursing Open.2020; 7(1): 355.     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
• Characteristics and Factors related to Fatigue in Older Adults at a Senior Welfare Center
  Su Yeon Jeong, Smi Choi-Kwon
  Korean Journal of Adult Nursing.2018; 30(5): 516.     CrossRef

PURPOSE
The purpose of this study was to explore the quality of life (QoL) in patients with Alzheimer's disease (AD) and their and caregivers and its influencing factors.
METHODS
A descriptive research design was used. 211 pairs of AD patients and their caregivers were recruited from a neurology outpatient clinic of S medical center in Seoul, Korea. Caregivers completed several structured questionnaires regarding AD patients' QoL as well as their QoL, patients' behavioral and psychological symptoms, patients' activities of daily living (ADL), social support, and quality of relationship between AD patients and caregivers. Cognitive status of AD patients was assessed by the researchers using Korean Mini-Mental State Examination.
RESULTS
The scores of QoL were 26.91 for AD patients and 85.62 for their caregivers. In the multiple regression, factors associated with AD patients' QoL were the quality of relationship (β=.44), ADL (β=-.33), patient's age (β=.20), caregivers' QoL (β=.20), and patient's gender (β=.11). Factors associated with caregivers' QoL were the quality of relationship (β=.34), relationship (β=.32), patient's QoL (β=.26), caregivers' gender (β=.18), social support (β=.12), and the level of caregivers' education (β=.12).
CONCLUSION
To improve the QoL in AD patients and their caregivers, strategies to promote their quality of relationship are needed.

Citations

• The relationship between dementia caregivers and quality of life in South Korean populations
  Sujin Lee, Jae Ho Chung
  Medicine.2024; 103(25): e38605.     CrossRef

PURPOSE
This study aimed to investigate sleep, fatigue, and the level of health promoting behaviors in Korean army soldiers. The factors influencing on health promoting behaviors of soldiers were also identified.
METHODS
A cross-sectional descriptive survey design was used. Data was collected from 269 soldiers in four military units of Korea in July 2015. Verran and Snyder-Halpern Sleep Scale, Fatigue Severity Scale, and Health Promoting Lifestyle Profile- were used.
RESULTS
The health promoting behaviors were significantly different by perceived health status (p<.001) and presence of fatigue (p<.001). There were significant correlations between quality of sleep, fatigue, and health promoting behaviors of the subjects. In a multiple linear regression analysis, the level of health promoting behaviors were lower in the subjects with high level of fatigue (p<.001) and with fair perceived health status (p=.003).
CONCLUSION
In order to increase health promoting behaviors of soldiers, it takes into account of soldiers' fatigue and perceived health status. Environmental arrangement for soldiers for the break time is needed urgently to decrease their fatigue as well as to improve their sleep quality.

Citations

• The Effectiveness of Acceptance and Commitment Therapy Training on Health Promoting Lifestyle Profile among Soldiers
  Alireza Karimpour Vazifehkhorani, Mohammad Reza Jafari, Fatemeh Rahmati
  ranian Journal of Health Education and Health Promotion.2022; 10(4): 350.     CrossRef
• A Quantile Regression Analysis of Factors Associated with First-Time Maternal Fatigue in Korea
  Jeongok Park, Chang Gi Park, Kyoungjin Lee
  International Journal of Environmental Research and Public Health.2021; 19(1): 215.     CrossRef
• An analysis of health behavior among professional military personnel using propensity score matching
  Hee Jin Moon, Da Seul Kim, Kwang Kee Kim
  Korean Journal of Health Education and Promotion.2021; 38(1): 1.     CrossRef
• Differences in Sleep, Fatigue, and Neurocognitive Function between Shift Nurses and Non-shift Nurses
  Yoo Jin Jung, Seung Wan Kang
  Korean Journal of Adult Nursing.2017; 29(2): 190.     CrossRef

PURPOSE
This study was aimed to investigate the effects of the nutritional intervention program including DASH diet education and calcium/vitamin D supplements in Korean elderly women.
METHODS
This was a quasi-experimental study employing non-equivalent control group pretest-posttest design. The experimental group (n=26) was given DASH diet education and supplements (calcium 1200mg and vitamin 800 IU) while the control group (n=16) was given only general health consults. After the interventions, differences were analyzed in nutrient intake, bone turnover markers and bone mineral density between the two groups.
RESULTS
After one year, bone mineral density was found reduced in both groups, but showed higher levels (p=.003) in the experimental group than the control group. After research, nutrient intakes of participants improved generally, yet there was no significant difference between the two groups. The experimental group was divided into subgroups after interventions according to the level of calcium intake, and bone density and bone markers were compared between the subgroups. In a subgroup whose calcium intake was in the normal range, bone mineral density was significantly high (p=.002) while CTx and osteocalcin were significantly low (p=.003, p=.006, respectively).
CONCLUSION
This study is significant in that it provided a nutritional intervention program for one year to elderly women who are susceptible to osteoporosis and severely low in dietary calcium intake and it proved to be effective.

Citations

• Effects of a Repeated Hemodialysis Diet Education Program for Older Adults
  Sangsuk Kim, Youngsil Choi
  Korean Journal of Adult Nursing.2020; 32(5): 515.     CrossRef
• The Effect of a Comprehensive Intervention Program on the Functional Status and Bone Density of the Socially-Vulnerable and Frail Elderly
  In Sook Lee, Kwang Ok Lee
  Journal of Korean Academy of Community Health Nursing.2016; 27(1): 51.     CrossRef

PURPOSE
This study investigated the level of adherence to vestibular rehabilitation exercise program(VREP) and evaluated how health belief model (HBM) variables are related with adherence to VREP in patients with dizziness.
METHODS
The data were collected from 150 individuals, who agreed to participate in the study between December, 2012 and May, 2013. Adherence to VREP, severity of dizziness, health belief variables (health belief scale) and self-efficacy (self-efficacy scale) were measured.
RESULTS
The result of this study showed poor adherence to VREP. The mean adherence score to VREP was 2.11+/-1.05 (1-5). In multivariate analysis, severity of dizziness (p<.001), taking sedative medication (p<.001), high self-efficacy (p<.001), high perceived seriousness (p=.019) & benefit (p=.036) were independent predicting factors explaining 57.7% of adherence to VREP.
CONCLUSION
Adherence to VREP was poor among these patients. To improve the patient's adherence to VREP, strategies to increase perceived seriousness, benefit, or self-efficacy and to decrease barriers are urgently needed.

Citations

• Barriers and Facilitators of Vestibular Rehabilitation: Patients and Physiotherapists’ Perspectives
  Liran Kalderon, Azriel Kaplan, Amit Wolfovitz, Shelly Levy-Tzedek*, Yoav Gimmon*
  Journal of Neurologic Physical Therapy.2024; 48(3): 140.     CrossRef
• Review on Physical Therapy for Patients with Vestibular Disorder
  Yong Hyun Kwon, Yu Min Ko
  The Journal of Korean Physical Therapy.2017; 29(6): 316.     CrossRef
• Effectiveness of Self-efficacy Promoting Vestibular Rehabilitation Program for Patients with Vestibular Hypofunction
  Hyun Jung Lee, Smi Choi-Kwon
  Journal of Korean Academy of Nursing.2016; 46(5): 710.     CrossRef

PURPOSE
The purpose of this study was to identify the fall risk factors and to evaluate the effectiveness of the Morse Fall Scale(MFS) as an assessment tool among hospitalized inpatients.
METHODS
The medical records of a total of 294 patients who admitted to hospital from January 1 to December 31, 2010 were reviewed. One hundred forth seven patients who had experienced fall were matched with 147 patients who have never experienced fall. The fall information was obtained from electronic medical records and fall reports.
RESULTS
There were significant differences in visual disturbances, pain, emotional disturbances, sleep disorder, urination problems and elimination disorder at admission between fallers and non-fallers. Patients who had higher MFS scores at admission were more likely to fall as compared to the patients with lower MFS scores. When falls did occur, these occurred within five days following admission, in the patient room, among patients with alert mental status, and among patients who were ambulant with some assistance.
CONCLUSION
The findings of this study support the need of using risk assessment tool for predicting risk for falls. This finding can be used as a useful resource to develop nursing intervention strategies for fall prevention at the hospital.

Citations

• Evaluation of Risk Factors for Fall Incidence Based on Statistical Analysis
  Da Hye Moon, Tae-Hoon Kim, Myoung-Nam Lim, Seon-Sook Han
  International Journal of Environmental Research and Public Health.2025; 22(5): 748.     CrossRef
• Nurses’ perspectives on the adoption of new smart technologies for patient care: focus group interviews
  Hyein Choi, Sunghee H. Tak, Young Ae Song, Jiyeon Park
  BMC Health Services Research.2025;[Epub]     CrossRef
• The Impact of Possible Sarcopenia and Obesity on the Risk of Falls in Hospitalized Older Patients
  Kahyun Kim, Dukyoo Jung
  The Korean Journal of Rehabilitation Nursing.2023; 26(1): 18.     CrossRef
• Predication of Falls in Hospitalized Cancer Patients
  Jun-Nyun Kim, Sun-Hwa Beak, Bo-Seop Lee, Mi-Ra Han
  Asian Oncology Nursing.2023; 23(2): 56.     CrossRef
• A Clinical Data Warehouse Analysis of Risk Factors for Inpatient Falls in a Tertiary Hospital: A Case-Control Study
  Eunok Kwon, Sun Ju Chang, Mikyung Kwon
  Journal of Patient Safety.2023; 19(8): 501.     CrossRef
• Comparative Study of the Accuracy of At-Point Clinical Frailty Scale and Morse Fall Scale in Identifying High-Risk Fall Patients among Hospitalized Adults
  Sunghwan Ji, Hee-Won Jung, Jeounghee Kim, Younghye Kwon, Yeonmi Seo, Semin Choi, Hyoun Jin Oh, Ji Yeon Baek, Il-Young Jang, Eunju Lee
  Annals of Geriatric Medicine and Research.2023; 27(2): 99.     CrossRef
• Falls in Patients of Medical Institutions in South Korea: A Literature Review
  Jongwon Choi, Woochol Joseph Choi
  Physical Therapy Korea.2023; 30(1): 1.     CrossRef
• Validity of the Morse Fall Scale and the Johns Hopkins Fall Risk Assessment Tool for fall risk assessment in an acute care setting
  Young Ju Kim, Kyoung‐Ok Choi, Suk Hyun Cho, Seok Jung Kim
  Journal of Clinical Nursing.2022; 31(23-24): 3584.     CrossRef
• The risk of falls among the aging population: A systematic review and meta-analysis
  Qingmei Xu, Xuemei Ou, Jinfeng Li
  Frontiers in Public Health.2022;[Epub]     CrossRef
• The Association between Comorbidities and Comorbid Injuries on Treatment Outcome in Pediatric and Elderly Patients with Injuries in Korea: An Observational Study
  Kyunghee Lee, Jieun Hwang
  International Journal of Environmental Research and Public Health.2022; 19(10): 6277.     CrossRef
• Risk Factors according to Fall Risk Level in General Hospital Inpatients
  Yeon Hwa Lee, Myo Sung Kim
  Journal of Korean Academy of Fundamentals of Nursing.2022; 29(1): 35.     CrossRef
• Development of a senior-specific, citizen-oriented healthcare service system in South Korea based on the Canadian 48/6 model of care
  Yoon-Sook Kim, Jongmin Lee, Yeonsil Moon, Hee Joung Kim, Jinyoung Shin, Jae-Min Park, Kyeong Eun Uhm, Kyoung Jin Kim, Jung A. Yoo, Yun Kyoung Oh, Pilsuk Byeon, Kunsei Lee, Seol-Heui Han, Jaekyung Choi
  BMC Geriatrics.2020;[Epub]     CrossRef
• Improving Prediction of Fall Risk Using Electronic Health Record Data With Various Types and Sources at Multiple Times
  Hyesil Jung, Hyeoun-Ae Park, Hee Hwang
  CIN: Computers, Informatics, Nursing.2020; 38(3): 157.     CrossRef
• Factors Influencing Falls in High- and Low-Risk Patients in a Tertiary Hospital in Korea
  Young-Shin Lee, Eun-Ju Choi, Yeon-Hee Kim, Hyeoun-Ae Park
  Journal of Patient Safety.2020; 16(4): e376.     CrossRef
• Comparison of the predictive validity of three fall risk assessment tools and analysis of fall‐risk factors at a tertiary teaching hospital
  Eun Hee Cho, Yun Jung Woo, Arum Han, Yoon Chung Chung, Yeon Hee Kim, Hyeoun‐Ae Park
  Journal of Clinical Nursing.2020; 29(17-18): 3482.     CrossRef
• Use of the Nursing Outcomes Classification for Falls and Fall Prevention by Nurses in South Korea
  Eunjoo Lee
  International Journal of Nursing Knowledge.2019; 30(1): 28.     CrossRef
• Tool for Categorizing Remaining Functional Ability of Nursing Home Residents
  Hyun Ju Kim, Sung Ok Chang
  Journal of Korean Gerontological Nursing.2019; 21(1): 1.     CrossRef
• Triggers and Outcomes of Falls in Hematology Patients: Analysis of Electronic Health Records
  Min Kyung Jung, Sun-Mi Lee
  Journal of Korean Academy of Fundamentals of Nursing.2019; 26(1): 1.     CrossRef
• Incidence of Falls and Risk Factors of Falls in Inpatients
  Soo-Jin Yoon, Chun-Kyon Lee, In-Sun Jin, Jung-Gu Kang
  Quality Improvement in Health Care.2018; 24(2): 2.     CrossRef
• Effects of Fall Prevention Education Program on Attitudes, Prevention Behaviors, and Satisfaction among Elderly Inpatients
  Young Ok Kang, Rhayun Song
  Korean Journal of Adult Nursing.2018; 30(1): 49.     CrossRef
• A risk-factor analysis of medical litigation judgments related to fall injuries in Korea
  Insook Kim, Seonae Won, Mijin Lee, Won Lee
  Medicine, Science and the Law.2018; 58(1): 16.     CrossRef
• Structural Analysis of Variables related to Fall Prevention Behavior of Registered Nurses in Small-to-Medium Sized Hospitals
  Ji Hyun Park, Jung Tae Son
  Journal of Korean Academy of Fundamentals of Nursing.2018; 25(4): 269.     CrossRef
• Influencing Factors on Hospital Fall Prevention Activities of Tertiary Hospital Nurses and General Hospital Nurses
  Misook Jin, Yeongmi Ha
  Journal of Health Informatics and Statistics.2017; 42(4): 361.     CrossRef
• Characteristics and Risk Factors for Falls in Tertiary Hospital Inpatients
  Eun-Ju Choi, Young-Shin Lee, Eun-Jung Yang, Ji-Hui Kim, Yeon-Hee Kim, Hyeoun-Ae Park
  Journal of Korean Academy of Nursing.2017; 47(3): 420.     CrossRef
• Factors influencing fall prevention nursing performance of hospital nurses
  Keong-Sook Jang, Hae-Sook Kim
  The Korean Journal of Emergency Medical Services.2016; 20(3): 69.     CrossRef
• Validation of Fall Risk Assessment Scales among Hospitalized Patients in South Korea using Retrospective Data Analysis
  Young Ok Kang, Rhayun Song
  Korean Journal of Adult Nursing.2015; 27(1): 29.     CrossRef
• Identifying Characteristics of Fall Episodes and Fall-related Risks of Hospitalized Patients
  Young Ok Kang, Rhayun Song
  Journal of muscle and joint health.2015; 22(3): 149.     CrossRef
• Effects of Nursing Interventions for Fall Prevention in Hospitalized Patients: A Meta-analysis
  Yoon Lee Kim, Seok Hee Jeong
  Journal of Korean Academy of Nursing.2015; 45(4): 469.     CrossRef
• Fall Risk Factors and Characteristics of an Acute Hospital Setting across Clinical Departments
  In-Sil Jang, Sun-Gyo Lee
  Journal of Korean Academy of Fundamentals of Nursing.2014; 21(3): 264.     CrossRef

This longitudinal study examines the burdens and related factors for stroke patient's primary family caregivers. Sixty-one patients treated for stroke at a general hospital in Chung-nam province and family member caregivers participated in this study from July 28, 1998 to August 1, 1999. Family caregivers' burdens were assessed by the burden scale originally developed by Zarit(1980) and Novak &Geust(1989) and modified by Oh's(1993) for use in Korea. The burden scale instrument consists of five subscales.: financial burden, social burden, physical burden, dependency burden, and emotional burden. Repeated ANOVA and Stepwise multiple regression were used in the data analyses. The results were as follows: The burden mean score was 3.23 in the hospital, 3.26 after hospital release, and 3.27 in the home environment. In the hospital, a patient's degree of cognition, and social support for family caregivers were significant factors affecting the sense of burden felt by family caregivers. After hospital release, the significant factors affecting the sense of burden were the degree to which stroke patients could participate in daily living activities, social support for family caregivers, and changing to a second caregiver. In the home environment, the most significant factor affecting the sense of burden was social support for family caregivers.