PURPOSE The aim of this study was to evaluate the effect of exercise on chronic musculoskeletal pain in older adults. METHODS In order to conduct a meta-analysis, a total 7,186 studies were retrieved from seven databases (Pubmed, CINAHL, Cochrane Library, RISS, KISS, NDSL, KoreaMed) without restriction on publication year and the articles published until June 2018 were selected for this study. Sixteen studies were selected for the meta-analysis based on their satisfaction of the inclusion criteria and low risk of bias. Baseline demographic data, exercise features, and outcome data were extracted from all included trials. The data was analyzed using the RevMan 5.2 and CMA 3.0. program. RESULTS The results of the meta-analysis (n=16) revealed that the exercise intervention was found to be significantly superior to control group on pain (Standardized Mean Difference [Hedges'g]=−0.43, 95% Confidence Interval [CI]=−0.59~−0.27). Also, meta-ANOVA was performed using study period, length and frequency of session and type of exercise, but no statistically significant moderators were found. CONCLUSION In this study, the exercise demonstrated significant reduction in pain intensity in older adults and there was no difference in pain reduction according to type or duration of exercise. Therefore, exercise that older adults prefers and is feasible in where they are, should be adopted as a nursing intervention for older adults' chronic musculoskeletal pain management.
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PURPOSE This study was aimed to explore and describe the experiences of mindfulness meditation (mindfulness-based stress reduction, MBSR) among patients with coronary artery disease (CAD) as a method of cardiac rehabilitation. METHODS In-depth interviews was conducted with 7 participants with CAD post percutaneous coronary intervention. Main question was 'what is your experiences with MBSR?' Colaizzi's seven steps of phenomenological analysis was used for eliciting embedded meanings. RESULTS Five theme clusters were found; rediscovery of mindfulness meditation, obtaining self-control for stress management, self-worth, feeling of happiness, and looking into myself. CONCLUSION This study provides a profound picture on the experiences of mindfulness meditation among participants with coronary artery disease. MBSR can help patients with CAD in reducing stress and to enhance their cardiac rehabilitations. It is hoped that mindfulness meditation can be used in clinical setting as a part of cardiac rehabilitation program.
BACKGROUND Few nurses are trained in palliative care for long-term care in Korea. The End-of-Life Nursing Education Consortium (ELNEC)-Geriatric training program improves nurses' ability to promote palliative care for the elderly.
PURPOSE: The aim of this study was to evaluate nurses' satisfaction and knowledge following the attendance at the ELNEC-Geriatric curriculum on nurses' knowledge of palliative care. METHODS Nine ELNEC-Geriatric modules were presented to 203 interdisciplinary professionals on July 1 and 3, 2010, in Seoul, South Korea. The Palliative care quiz for nursing (PCQN) was used to evaluate nurses' knowledge. Of all the participants, 128 nurses were completed the questionnaire. Of these nurses, 45.2% were staff nurses and 73.4% were hospital nurses. RESULTS Approximately eight nine percent of the nurses reported previous experience in caring for dying patients and attending various hospice palliative care training programs. Overall program satisfaction of the participants was 4.03 on a 5-point scale, and their mean of the total PCQN score was 12.75 out of 20 after participating in ELNEC-Geriatric course, which was a significant improvement (p=.022) from the pretest. CONCLUSION The results of this study demonstrate that ELNEC-Geriatric curriculum was successfully implemented and significantly contributed to increasing the nurses' knowledge for palliative care in long-term care in Korea.