Purpose
The subjective experiences of middle-aged individuals during the coronavirus disease 2019 (COVID-19) pandemic play a pivotal role in fostering resilience for reintegration into normal life post-pandemic and preparing for potential future infectious disease outbreaks. This study aimed to explore the experiences of middle-aged individuals during the COVID-19 pandemic using the Q methodology.
Methods
Forty-six middle-aged individuals from 10 cities in South Korea participated in this study. The participants arranged and ranked 39 Q statements describing their experiences with the COVID-19 pandemic using a Q-sort table. Subsequently, the data were analyzed using the PQ method.
Results
Three distinct viewpoints were identified: concerns regarding government policies related to COVID-19 (political perspective: consistent government policies are of utmost importance); concerns about personal loss related to COVID-19 (personal perspective: daily life is of the utmost importance); and concerns about social losses related to COVID-19 (social perspective: societal interests take precedence over individual needs).
Conclusion
The nursing interventions recommended for these three factors serve as a strategic blueprint for effectively addressing future outbreaks of infectious diseases. These nursing intervention strategies can significantly enhance positive perceptions of the three identified elements of the COVID-19 experience, providing an opportunity to transform negative outlooks into positive ones.

Purpose
The incidence of diabetes mellitus (DM) rises significantly in the post-middle-age population, and stress along with depressive symptoms hinders effective DM management. This study examined the mediating effect of social capital (trust in the physical environment, reciprocity, social participation, and social networks) on the relationship between perceived stress and depression among middle-aged adults with DM in Korea. It also aimed to provide data for developing targeted interventions to enhance blood glucose management in this population.
Methods
A descriptive correlational study using data from the 2019 Community Health Survey by the Korea Disease Control and Prevention Agency (KDCA) was conducted. Complex sample regression analysis and the Sobel test were employed for mediation analysis. The study included 9,394 middle-aged adults (aged 45-64 years) diagnosed with DM. The analysis assessed the effects of perceived stress on social capital and depression, as well as the mediating role of social capital.
Results
Perceived stress negatively impacted social capital (β=-0.16, p<.001) and positively influenced depression (β=0.37, p<.001). Both perceived stress and social capital significantly affected depression (F=998.83, p<.001), with social capital showing a partial mediating effect (z=2.65, p<.001).
Conclusion
Social capital partially mediated the relationship between stress and depression, suggesting its potential as a strategy for reducing stress and lowering depression among middle-aged adults with DM. These findings lay the groundwork for targeted interventions to improve blood glucose management in this population. Future research should explore the relationships among specific components of social capital, stress, and depression.

Purpose
This study aimed to determine the rates of intensive care unit readmission and to identify the factors influencing readmission among intensive care unit patients aged≥65 years with internal medicine conditions.
Methods
We retrospectively reviewed electronic medical records from a tertiary care hospital in Seoul, analyzing the characteristics of patients who were and were not readmitted between December 2020 and September 2022.
Results
A total of 351 patients were included. The unplanned intensive care unit readmission rate was 4.8% within 7 days and 9.1% beyond 7 days after discharge. Comorbid diabetes, higher total bilirubin levels at intensive care unit admission, lower PaO₂/FiO₂ ratios at discharge, and elevated Blood Urea Nitrogen (BUN) levels at discharge were associated with an increased risk of readmission within 7 days. In contrast, hypertension, prolonged intensive care unit stays, and lower hemoglobin levels at discharge were associated with readmissions occurring after 7 days.
Conclusion
Intensive care unit readmission among older patients is influenced by several clinical and hematological factors. Nurses should consider a patient's history of diabetes and hypertension, length of intensive care unit stay, and laboratory values-specifically total bilirubin at admission, and PaO₂/FiO₂ ratio, hemoglobin, and BUN levels at discharge-when making discharge decisions. These findings can inform the development of discharge guidelines.

Purpose
Middle-aged women often experience weight gain, particularly as visceral fat, due to hormonal changes associated with menopause. Visceral fat, which accumulates in the abdomen, poses significant risks to cardiometabolic health. This cross-sectional study aimed to compare the cardiometabolic risks associated with Visceral Fat Obesity (VFO) and Subcutaneous Fat Obesity (SFO) in middle-aged Korean women and to identify factors that influence VFO.
Methods
Women aged 40 to 64 with overweight or obesity were recruited from March to April 2019. The study involved anthropometric measurements, fasting blood tests, and low-volume abdominal computed tomography. Additionally, participants provided self-reported sociodemographic, health-related, and lifestyle information, including Physical Activity (PA) and dietary intake.
Results
Of all participants, 70.8% were post-menopausal, and 55.1% had VFO. Those with VFO exhibited significantly higher mean values for waist circumference, total cholesterol, low-density lipoprotein cholesterol, triglycerides, fasting glucose, high sensitivity C-reactive protein, and the Framingham risk score compared to those with SFO. The factors influencing VFO were age (odds ratio (OR)=1.14; 95% confidence interval (CI), 1.032~1.247), body mass index (OR=1.47; 95% CI, 1.151 ~1.875), days of vigorous PA per week (OR=0.42; 95% CI, 0.244~0.735), and intake of animal calcium (OR=0.99; 95% CI, 0.988~0.997).
Conclusion
The findings indicate that middle-aged women with VFO face increased cardiometabolic risks. Since menopause is inevitable in women, targeting modifiable behaviors to reduce weight, particularly visceral fat, is crucial for lowering cardiometabolic risk.

Purpose
Sarcopenia is significantly associated with frailty, readmission, and mortality in patients with heart failure. This review aims to provide an overview of the literature on sarcopenia in individuals with heart failure.
Methods
A comprehensive literature review was conducted regarding the current state of knowledge on assessment tools for the diagnosis, prognosis, and optimal management of sarcopenia in patients with heart failure.
Results
Sarcopenia can be defined as the loss of muscle mass with low muscle strength and/or poor physical performance. Sarcopenia has been officially listed as a disease in the eighth revision of the Korean Classification of Diseases in 2021. The causes of sarcopenia in patients with heart failure are multifactorial, including chronic inflammation, hormonal imbalances, nutritional deficiencies, low muscle blood flow, and endothelial dysfunction. The management of sarcopenia is primarily focused on exercise and/or nutritional management because there is no specific pharmacological therapy to treat sarcopenia.
Conclusion
Healthcare professionals should be aware of the significance of early detection and timely management of sarcopenia to avoid physical disability, long-term institutional care, and mortality in individuals with heart failure. Clinical trials are required to evaluate the effectiveness of interventions including exercise and nutrition, alone or in combination, on sarcopenia in patients with heart failure. In addition, more research is required to identify multidimensional risk factors and diagnostic biomarkers for sarcopenia.

Purpose
The objective of this study was to ascertain the level of life satisfaction among baby boomers in South Korea, as well as the factors that influence it.
Methods
We conducted a secondary analysis and descriptive research using data from the 2020 Korea National Survey of Elderly. From a total of 10,097 individuals, we analyzed the responses of 605 who provided feedback on life satisfaction, applying sample weights for accuracy. Data analysis was performed using hierarchical multiple regression in the SPSS/WIN 23.0 program.
Results
The study's participants comprised 61.8% women, 80.2% individuals with a living spouse, and 54.8% high school graduates, and the participants had an average subjective health status score of 3.77 points. Hierarchical regression analysis revealed several significant factors impacting life satisfaction. These included the presence or absence of a spouse (p<.001), education level (p<.001), subjective health status (p<.001), experience of suicidal thoughts after the age of 60 (p=.004), and use of a smartphone or tablet (p=.037), degree of social respect (p<.001) and the degree of preparation for death (p=.001). The overall explanatory power for life satisfaction was 57.5%.
Conclusion
The life satisfaction of baby boomers did not differ greatly from that of previous generations of older adults. A future longitudinal study should observe changes in older adults' life satisfaction. Additionally, it is important to explore variations in life satisfaction across different age groups, especially given the increasing longevity of older adults.

Citations

• Deficits in facial emotion recognition and cognitive function among baby boomers
  Hyunsan Cho, Hee-Jin Park, Yoon Hee Park, Intae Hwang, Hyo Jin Kang
  Acta Psychologica.2025; 253: 104738.     CrossRef
• Purposes of Internet Use and Its Impacts on Physical and Psychological Health of Korean Older Adults
  Gyeong-Suk Jeon, Kyungwon Choi
  Healthcare.2024; 12(2): 244.     CrossRef

Purpose
This study investigated the effects of spiritual well-being on the cognitive function of elderly people, focusing on the mediating effects of health-promoting behaviors and depression.
Methods
Using convenience sampling, 136 elderly people were recruited from October 2018 through February 2019 for a cross-sectional survey. Data were collected through the Spiritual Well-Being Scale, Health-Promoting Lifestyle Profile, Geriatric Depression Scale, Everyday Cognition, and Montreal Cognitive Assessment and analyzed using descriptive statistics and correlation. Mediation analysis was also conducted using Hayes’ PROCESS macro (Model 4).
Results
The mean scores for spiritual well-being, health-promoting behaviors, depression, objective cognitive function, and subjective cognitive function were 60.96, 108.09, 18.58, 19.49, and 63.35. The mediation effects in step 1 indicated that spiritual well-being had a statistically significant positive effect on health-promoting behaviors (B=0.32, p<.001) (R² =32.0%) and a significant negative effect on depression (B=-0.09, p=.001) (R² =31.0%). In step 2, spiritual well-being had a significant negative effect on subjective cognitive function (B=-0.12, p=.007) (R² =23.0%). In step 3, the direct effect of spiritual well-being on subjective cognitive function was not significant when the mediating variables (healthpromoting behaviors and depression) were introduced. Health-promoting behaviors (B=-0.18, p=.047) and depression (B=0.41, p=.008) had complete mediating effects on the relationship between spiritual well-being and subjective cognitive function.
Conclusion
These findings suggest that there is a need to develop and implement nursing strategies that can improve spiritual well-being, and to develop a holistic nursing intervention that considers depression and health-promoting behaviors, when applicable, to improve cognitive function in elderly people.

Citations

• Analysis of the Domestic Research Trends on Spiritual Health
  Gyeong-Hye Choi
  Journal of Korean Association for Qualitative Research.2023; 8(2): 189.     CrossRef

Purpose
This study aimed to clarify the relationship between andropause syndrome and health-related quality of life, as well as the mediation effect of family bond among middle-aged males in South Korea. Methods A total of 135 middle-aged males who live in B, K, and U City participated in the study, conducted from March 10 to May 31, 2021. Participants were invited to complete self-reported questionnaires measuring andropause syndrome, health-related Quality of Life (QoL), family bond, and demographic information. The data obtained were analyzed using multiple regression and a simple mediation model applying the PROCESS macro with 95% bias-corrected bootstrap confidence interval (5,000 bootstrap resampling). Results The QoL of middle-aged males in South Korea showed a significant negative correlation with andropause syndrome (r=-.32, p<.001), and a significant positive correlation with family bond (r=.59, p<.001). Futher, family bond had a mediating effect between andropause syndrome and QoL (indirect effect=-4.07, 95% Boot confidence interval=-6.53~-1.97). Conclusion Based on the results of this study, in order to improve the QoL of middle-aged males in South Korea, it is necessary to provide programs that can improve family bond along with physical and mental intervention programs to effectively alleviate andropause syndrome.

Citations

• A comprehensive analysis of research trends on andropause among middle-aged South Korean men
  Young Hwa Lee, Sun Jung Park, Hyun Ji Kim, Bock Soon Park, Hyo Yeol Jang, Ha Na Cho, Young Sook Lim
  International Journal of ADVANCED AND APPLIED SCIENCES.2023; 10(6): 129.     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 is a prospective observational study that analyzes the factors affecting and the incidence of postoperative delirium in elderly patients under general anesthesia.
Methods
The study enrolled 193 elderly patients who entered the recovery room after surgery under general anesthesia in a certified tertiary hospital. Data were measured twice-first, before surgery and, second, 30 minutes after the patient entered the recovery room-using the Korean Nursing Delirium Screening Scale. The data were analyzed using x ² tests, the independent t-test, and logistic regression from SPSS 22.0.
Results
The incidence of delirium in elderly patients after surgery under general anesthesia was 13.0% (25 of 193 patients). The incidence of delirium was a significant in the following cases: elderly patient, patients who performed physical activity with assistance at pre-operation, those with lower body mass index, those with lower body weight, those with long operative times, and those with high preoperative pain scores. The occurrence of delirium was 16.57 times higher in the presence of comorbidities, 5.74 times higher when hospitalization occurred through the emergency room, and 3.99 times higher when the number of catheters was high.
Conclusion
Screening for early delirium in the recovery room is important, and it can provide basic data for early nursing intervention in patients suffering from postoperative delirium.

Purpose
This study aimed to investigate the effects of a Multicomponent Intervention Program for Preventing Delirium (MIPPD) on the incidence of delirium, self-extubation or self-removal of the catheter, and length of stay among elderly patients in the Intensive Care Unit (ICU).
Methods
This study employed a nonequivalent control group pretest-posttest non-synchronized design to verify the MIPPD effects. The participants, 73 patients aged over 65 years were admitted to a university hospital's ICU in J province between December 2015 and July 2016. The MIPPD contained the following elements: family caregiver education, delirium assessment, reorientation activities, therapeutic communication, sensory intervention for vision and hearing impairments, management of immobility or limited mobility, family support, and maintenance of sleeping patterns. Under the program, nurses and family members provided immediate intervention to elderly patients with an expected length of stay of at least 48 hours.
Results
After the MIPPD application, the incidence of delirium in the intervention group was significantly lower (odds ratio=0.19, 95% confidence interval=0.03~0.97) than that in the control group. However, there were no significant differences between the groups in terms of self-extubation or catheter self-removal and length of stay.
Conclusions
This program can effectively reduce the incidence of delirium. Because prevention is optimal for delirium management, a proactive intervention must be considered; given that, in this study, there were no problems in terms of family engagement, an MIPPD involving family participation should be actively implemented in intensive care unit practice.

Citations

• The effectiveness of family participation interventions for the prevention of delirium in intensive care units: A systematic review
  Marli Lopo Vitorino, Adriana Henriques, Graça Melo, Helga Rafael Henriques
  Intensive and Critical Care Nursing.2025; 89: 103976.     CrossRef
• Promoting Family Involvement in the Management of Delirium in Intensive Care: Scoping Review
  Sandra Lange, Wioletta Mędrzycka-Dąbrowska
  Medicina.2024; 60(12): 1934.     CrossRef
• Microteoria de enfermagem na prevenção do delirium em pessoas idosas na unidade de terapia intensiva
  Sandra da Silva Kinalski, Margrid Beuter, Eliane Raquel Rieth Benetti, Marinês Tambara Leite, Larissa Venturini, Marcos Antônio Gomes Brandão
  Revista Latino-Americana de Enfermagem.2023;[Epub]     CrossRef
• Factors Affecting Delirium in ICU Patients
  I Seul Jeong, Mi-Kyoung Cho
  International Journal of Environmental Research and Public Health.2023; 20(10): 5889.     CrossRef
• Nursing microtheory in the prevention of delirium in older adult in the intensive care unit
  Sandra da Silva Kinalski, Margrid Beuter, Eliane Raquel Rieth Benetti, Marinês Tambara Leite, Larissa Venturini, Marcos Antônio Gomes Brandão
  Revista Latino-Americana de Enfermagem.2023;[Epub]     CrossRef
• Educational intervention for family caregivers of older adults with delirium: An integrative review
  JuHee Lee, Insun Yeom, Subin Yoo, Soomin Hong
  Journal of Clinical Nursing.2023; 32(19-20): 6987.     CrossRef
• Microteoría de enfermería en la prevención del delirium en personas mayores en la unidad de cuidados intensivos
  Sandra da Silva Kinalski, Margrid Beuter, Eliane Raquel Rieth Benetti, Marinês Tambara Leite, Larissa Venturini, Marcos Antônio Gomes Brandão
  Revista Latino-Americana de Enfermagem.2023;[Epub]     CrossRef

Purpose
Long-Term Care Facilities (LTCF) are places where older adults who require help managing dementia, stroke, and other senile diseases live. The facilities provide convenience for meals, medical and nursing care, and daily life. Therefore, since the actual consumers are older adults rather than the young, it is important to understand the perceptions of older adults about LTCF. This study aimed to identify subjective perceptions toward LTCF in home-dwelling older adults.
Methods
The Q methodology systematic research method, which investigates participants’ subjective viewpoints and perceptions of certain issues, was used. Forty Q-statements were derived from the Q population and arranged in rank order by 50 participants (over 65 years old) into a normal distribution grid (from -4 to +4). A pc QUANL program was used to analyze the collected data.
Results
Three types of subjective perceptions toward LTCF were revealed: “demand for LTCF management improvement (viewpoint of management first, use after)”, “support for LTCF admission (viewpoint of essential use)”, and “distrust of using LTCF (viewpoint of opposition to use)”.
Conclusion
The results of this study can be helpful in developing nursing strategies to ensure better understanding of LTCF among home-dwelling older adults. It is also necessary to develop individualized nursing intervention programs reflecting the three types of subjective perceptions derived in this study.

Citations

• Person-Centered Care Experience of Nursing Home Workers: A Qualitative Meta-Synthesis Study
  Eun Young Kim, Sung Ok Chang
  Journal of Korean Gerontological Nursing.2022; 24(1): 33.     CrossRef
• A Meta-Synthesis Study of Person-Centered Care Experience from the Perspective of Nursing Home Residents
  Eun-Young Kim, Sung-Ok Chang
  International Journal of Environmental Research and Public Health.2022; 19(14): 8576.     CrossRef

Purpose
This study aimed to construct and test the Actor and Partner Interdependence Mediation Model (APIMeM) of aging anxiety of middle-aged couples based on Social Cognitive Theory and the “Crossover” concept.
Methods
Couples’ data were collected from 192 middle-aged couples.
Results
Actor effects and partner effects were supported in the two APIMeM models. Regarding the wives' aging anxiety, the actor effect of their climacteric symptoms and their cognition (husband climacteric symptoms) was mediated by their self-efficacy. Similarly, the partner effect of the husbands' cognition (wife climacteric symptoms) was also mediated by their husbands' self-efficacy. Considering the husbands' aging anxiety, the actor effect of the husbands' climacteric symptoms and the husbands' cognition (wife climacteric symptoms) was mediated by the wives' self-efficacy. The partner effect of the wives' climacteric symptoms and their cognition (husband climacteric symptoms) was mediated by the husbands' self-efficacy.
Conclusion
To reduce the aging anxiety of middle-aged couples and to reach a healthy old age, it is essential for a wife and husband to realize this together. It is considered that the aging anxiety of middle-aged couples will be more effectively prevented by implementing an interactive program to enhance self-efficacy, which has been identified as an important parameter of the actor-partner effect.

Purpose
This study investigates the effects of oral care interventions on oral health and oral health-related quality of life in denture-wearing older adults. Methods: A nonequivalent control group pretest-posttest design was utilized. There were 26 participants in the experimental group and 30 in the control group. Participants were aged 65 or older, residing at long-term care facilities for more than six months, using dentures, able to brush their teeth, follow gymnastics without jaw joint problems, and cooperate in the measurement of bad breath. The oral care interventions consisted of brushing teeth, denture management, and mouth gymnastics and was performed three times/week, for 20 minutes/session, for a total of 4 weeks. The x 2 test, Fisher's exact test, repeated measures ANOVA, and independent t-test using SPSS/WIN 22.0 program were analyzed. Results: The performance of brushing teeth (F=27.66, p<.001), denture management (F=38.23, p<.001), and mouth gymnastics (F=5.12, p=.016) significantly increased with time up to the fourth week. After the interventions, significant differences were found between groups in subjective oral health status (t=5.87, p<.001), dry mouth (t=-9.24, p<.001), bad breath (t=-3.37, p<.001), and oral health-related quality of life (t=-6.46, p<.001). Conclusion: The oral care interventions, including a self-administered oral care checklist, can improve the motivation for oral care performance, oral health behaviors, oral health status, and oral health-related quality of life among older adults. Broader application of the intervention is warranted.

Citations

• Changes in concentration of VSCs after home oral care interventions based on community care in older adults
  
  Journal of Korean Society of Dental Hygiene.2023;[Epub]     CrossRef
• Effect of Oral Health Education Using a Mobile App (OHEMA) on the Oral Health and Swallowing-Related Quality of Life in Community-Based Integrated Care of the Elderly: A Randomized Clinical Trial
  Ji-Yun Ki, Se-Rim Jo, Kyung-Sook Cho, Jung-Eun Park, Ja-Won Cho, Jong-Hwa Jang
  International Journal of Environmental Research and Public Health.2021; 18(21): 11679.     CrossRef

Purpose
This study examined sociodemographic and health factors affecting Health-Related Quality of Life (HRQoL) among older adults with osteoarthritis based on the duration of osteoarthritis.
Methods
Data were obtained from the Seventh Korean National Health and Nutrition Examination Survey (Ⅶ-1, 2016; Ⅶ-2, 2017). The sample consisted of total 747 older adults with osteoarthritis. The complex sample analysis was performed using an independent t-test, ANOVA, x² test, and multiple linear regression using the SPSS/WIN 24.0 program.
Results
The HRQoL of older adults who had experienced osteoarthritis for 10 years or more was lower than the group who had experienced osteoarthritis for less than 10 years. The most influential factors affecting HRQoL across both groups were subjective health, limit of daily activity, and sickbed experience. Current alcohol consumption and body weight control were factors affecting HRQoL in the group who had experienced osteoarthritis for less than 10 years, while gender, current smoking, and walking were factors affecting HRQoL in the group who had experienced osteoarthritis for 10 years or more.
Conclusion
Community nurses should consider the target population and customize interventions based on the duration of osteoarthritis in order to improve HRQoL in older adults with osteoarthritis.

Citations

• A Network Analysis of Quality of Life Among Older Adults With Arthritis
  Dahee Wi, Chang G. Park, Jiae Lee, Eunjin Kim, Yoonjung Kim
  International Journal of Older People Nursing.2025;[Epub]     CrossRef
• Effects of Progressive Balance Training Exercise Programs with Whole Body Vibration on Pain, Function, Psychosocial Status, and Balance in Patients with Knee Osteoarthritis
  Sang-woo Yoon, Suhn-yeop Kim
  Journal of The Korean Society of Physical Medicine.2024; 19(1): 81.     CrossRef
• Factors Related to Quality of Life among Older Adults who Had Arthritis: Limited Daily Activities and Physical Activity
  Jee-Seon Yi
  Physical Therapy Rehabilitation Science.2023; 12(4): 431.     CrossRef
• The effects of hemp seed consumption on depression, anxiety and cognitive improvement based on machine learning
  Jung Jea-Bum, Cho Yong-Won , Kim Sang-Yub , Chung Soo-Yeon , Han Kyung-Hoon , Ham Byung-Joo , Han Sung-Hee
  Archives of Food and Nutritional Science.2023; 7(1): 032.     CrossRef

Purpose
To investigate the relationship between stigma, adjustment, and quality of life of middle-aged male patients with lung cancer and the influences of those factors on the patients’ quality of life.
Methods
A descriptive survey design was used. A total of 120 male patients between 45 to 64 years participated in the study. They answered a self-reported survey composed of Cataldo Lung Cancer Stigma Scale, Korean Mini-Mental Adjustment to Cancer Scale, and The Functional Assessment of Cancer Therapy Scale-General Version 4. The data were analyzed using Pearson’s correlation coefficients, stepwise multiple regression by the SPSS 25 version.
Results
The stigma showed a positive correlation with “helplessness-hopelessness” and “anxious preoccupation” (r=.30, p=.001; r=.41, p<.001, respectively), and a negative correlation with emotional well-being (r=-.24, p=.008). “Helplessness-hopelessness” and “anxious preoccupation” were negatively correlated with quality of life (r=-.61, p<.001; r=-.46, p<.001, respectively). “Fatalism”, “fighting spirit”, and “cognitive avoidance” showed positive correlations with quality of life (r=.37, p<.001; r=.42, p<.001; r=.19, p=.035, respectively). Factors influencing quality of life by multiple regression were identified as helpless-hopelessness, fatalism, performance status, and anxious preoccupation (F=35.76, p<.001, Adjusted R² =54%).
Conclusion
Maximizing positive adjustment response and improving performance status were effective in improving quality of life of middle-aged male patients with lung cancer. The development of nursing interventions focusing on psychological adjustment and physical activity should be warranted for the given patient population.

Citations

• Factors Affecting Quality of Life Among Patients with Primary Lung Cancer
  Mideum Kang, Myung Sun Hyun, Sun Hyoung Bae, Sunjoo Boo
  Asian Oncology Nursing.2024; 24(3): 144.     CrossRef

Purpose
The developmental tasks of the midlife are to integrate youth and aging, have a positive attitude to aging, and prepare for old age. The purpose of this study was to identify the influence of health condition and awareness of successful aging on preparation for old age of midlife in the community.
Methods
The participants in this study were 247 middle-aged people, aged between 40 and 64 years and living in Korea. The data collection period was from December 2019 to January 2020, and data were analyzed using descriptive statistics, independent t-test, one-way ANOVA, Pearson’s correlation coefficients, and multiple regression with the SPSS Statistics 23.0.
Results
Results showed statistically significant correlations between health condition and awareness of successful aging (r=.19, p=.002), health condition and preparation for old age (r=.27, p<.001), and awareness of successful aging and preparation for old age (r=.58, p<.001). Age (β=-.11, p=.029), avocation (β=.12, p=.022), health condition (β=.13, p=.017), and awareness of successful aging (β=.53, p<.001) were all factors influencing preparation for old age in final model, and its explanatory power was adjusted R 2 of .39.
Conclusion
Intervention programs such as a regular mental and physical health checkups and tailored post-retirement plans for middle-aged people should be developed to promote health conditions and enhance awareness of successful aging.

Citations

• The Effects of Health Status and Social Support on Happiness in Middle­Aged Women
  Bok Hui Baek, So Young Choi
  Journal of Korean Public Health Nursing.2024; 38(1): 16.     CrossRef

Purpose
This study examined physical activity and health-related factors affecting Health-Related Quality of Life (HRQoL) in older adults with lower educational levels.
Methods
Data were obtained from the Seventh Korea National Health and Nutrition Examination Survey (Ⅶ-1, 2016; Ⅶ-2, 2017). The sample consisted of 2,985 individuals aged 65 years or older, and the focus was on 1,788 older adults with low educational levels. The data were analyzed using an independent t-test, x2 test, and hierarchical multiple linear regression using the SPSS/WIN 24.0 program.
Results
The results of the hierarchical multiple regression analysis showed that subjective perceived health, cognitive stress, number of chronic diseases, and daily activity explained 25% of the variance in HRQoL after controlling for age and gender. In final model, physical activity types explained an additional 1% of the variance in HRQoL; walking was a significant predictor. Especially, among the various physical activity types, walking proved important for HRQoL. While aerobic exercise and strength exercise were associated with health status, in the hierarchical multiple regression analysis, they did not have an impact on HRQoL.
Conclusion
A walking-centric health care program to improve physical activity should be considered for HRQoL improvement in older adults with lower educational levels. Further research should consider how aerobic exercise and strength exercise could contribute to HRQoL improvement in this population.

Citations

• The Mediating Effect of Physical Activity on the Relationship between Depression and Health-related Quality of Life among Patients with Hypertension and Diabetes in Seoul
  In-Young Yoo
  Journal of The Korean Society of Living Environmental System.2025; 32(2): 179.     CrossRef
• The impact of health literacy, walking practice, and sarcopenia on health-related quality of life in rural older adults: A cross-sectional descriptive study
  Yun Mi Lee, Eun-Jung Kim
  Journal of Korean Gerontological Nursing.2025; 27(2): 226.     CrossRef
• Effects of sleep quality and physical activity measured by a Fitbit and self-rated questionnaire on the health-related quality of life in community-dwelling older adults: A cross-sectional study
  Mi Ui Jeong, Yeongmi Ha
  Journal of Korean Gerontological Nursing.2024; 26(1): 43.     CrossRef
• Prediction model of health-related quality of life in older adults according to gender using a decision tree model: a study based on the Korea National Health and Nutrition Examination Survey
  Hee Sun Kim, Seok Hee Jeong
  Journal of Korean Biological Nursing Science.2024; 26(1): 26.     CrossRef
• Factors Associated with Poor Self-Rated Health among Older Women Living Alone
  Eunha Kim, Hye Young Choi
  International Journal of Environmental Research and Public Health.2022; 19(18): 11182.     CrossRef
• Associated Factors with Health-related Quality of Life among Older Adults with Diabetes in Korea
  Eun-Kyung Lee, Sun-Young Jung
  The Korean Journal of Rehabilitation Nursing.2022; 25(2): 61.     CrossRef
• Factors Influencing Health-Related Quality of Life among Korean Seniors with Osteoarthritis: Focusing on 10-Year Duration with Osteoarthritis Disease
  Hye Young Choi
  Korean Journal of Adult Nursing.2020; 32(5): 526.     CrossRef

Purpose
As the rate of older people visiting Emergency Departments (EDs) increases, nurses are responsible for identifying patients at risk of poor outcomes and providing preventive interventions. The aim of this study was to identify the factors associated with the mortality of older adults hospitalized through EDs.
Methods
The study design was a retrospective correlational design using the electronic medical records from a tertiary hospital in Korea. Data were collected from January 3 to March 6, 2016 through the hospital information center based on elderly patients admitted from January 1, 2011 to August 31, 2015. The study variables included general and admission characterstics, disease characteristics, and mortality of older patients visiting EDs.
Results
Of the 9,896 patients, the mortality rate was 7.4%; highest in patients aged over 86 years, men, or those hospitalized from nursing homes. Older adults arriving by private ambulance were 2.36 times more likely to die than walk-ins, and 1.38 times more likely for those using the 119 government emergency ambulance. Older patients hospitalized for more than four weeks were 2.17 times more likely to die than those hospitalized for less than a week.
Conclusion
Based on the study findings ward nurses will be able to early detect older patients at risk of poor outcomes and make better clinical decisions to improve the quality of nursing care. Nurses can propose health policies such as stricter management of the private ambulance service and considering the most efficient length of hospital stay for older adults hospitalized through EDs.

Citations

• Mortality and its determinants among patients attending in emergency departments
  Mengistu Abebe Messelu, Baye Tsegaye Amlak, Gebrehiwot Berie Mekonnen, Asnake Gashaw Belayneh, Sosina Tamre, Ousman Adal, Tiruye Azene Demile, Yeshimebet Tamir Tsehay, Alamirew Enyew Belay, Henok Biresaw Netsere, Wubet Tazeb Wondie, Gebremeskel Kibret Abe
  BMC Emergency Medicine.2024;[Epub]     CrossRef
• Factors Associated with Return Visits by Elders within 72 Hours of Discharge from the Emergency Department
  Li-Hsiang Wang, Hui-Ling Lee, Chun-Chih Lin, Chia-Ju Lan, Pei-Ting Huang, Chin-Yen Han
  Healthcare.2023; 11(12): 1726.     CrossRef
• Retrospective Analysis of the Oldest-Old Patients Who Applied to the Emergency Department and Their Differences from the Young-Old And Middle-Old
  İbrahim TOKER, Ayşin KILINÇ TOKER, İrfan GÖKÇEK, Emre BULBUL, Gökhan YILMAZ, Mustafa SİLCAN, Şaban IRMAK, Mükerrem ALTUNTAŞ
  Anatolian Journal of Emergency Medicine.2023; 6(1): 20.     CrossRef
• Potentially Inappropriate Prescriptions to Older Patients in Emergency Departments in South Korea: A Retrospective Study
  Kyungim Kim, Jinyoung Jung, Haesook Kim, Jung Tae Kim, Jung Mi Oh, Hyunah Kim
  Therapeutics and Clinical Risk Management.2021; Volume 17: 173.     CrossRef

Purpose
This study aimed to examine the effects of auricular acupressure on shoulder pain and shoulder joint Range of Motion (ROM) in older adults.
Methods
This is an experimental, single-blind, randomized study with a placebo-controlled approach. The participants were older adults with shoulder pain. Each group was assigned 27 participants. The experimental group received auricular acupressure on shoulder pain-related points and the placebo-control group received auricular acupressure on shoulder pain-unrelated points. The intervention was implemented for eight weeks. To validate the effects of the treatment, a Visual Analogue Scale (VAS), the Shoulder Pain and Disability Index (SPADI), Pressure Pain Thresholds (PPTs), and ROM were conducted. VAS was measured before and after every intervention. SPADI, PPTs, and ROM were measured at the beginning and end of every intervention.
Results
The VAS scores in the experimental group with auricular acupressure significantly decreased with time (p<.001) and SPADI scores also significantly decreased (p<.001) compared with the scores of the placebo-control group. The experimental group's PPTs for their upper trapezius, levator scapulae, and rhomboideus major increased significantly, compared to that of the placebo-control group. The experimental group's ROM of flexion, abduction, and external rotation increased significantly compared to the placebo-control group. but there were no significant differences in internal rotation.
Conclusion
Auricular acupressure, applied for eight weeks, was found to effectively reduce shoulder joint pain and shoulder ROM. Consequently, auricular acupressure can be used as a nursing intervention method to reduce joint pain and improve shoulder ROM in elders.

Citations

• Effects of Auricular Acupressure on Nurses’ Perceived Stress, Sleep Quality, and Presenteeism
  Hyunseo Sim, Younghee Park
  Holistic Nursing Practice.2025; 39(1): 15.     CrossRef
• Effects of Auricular Acupressure on Pain and Stress in Nursing College Students With Cervical Pain: A Single-Blind Placebo-Controlled Trial
  Yuna Cho, Eunmi Cho, Eunseol Cho, Yeonju Chae, Eunkyung Choi, Hyeongyeong Yoon
  Pain Management Nursing.2025; 26(1): e59.     CrossRef
• Effects of Auricular Acupressure on Dry Eye Syndrome, Stress, and Depressive Symptoms in Older Adults: A Single-blind, Randomized Controlled Trial
  Hyeongyeong Yoon
  Journal of Korean Academy of Fundamentals of Nursing.2024; 31(2): 243.     CrossRef
• Factors affecting physical and mental fatigue in adults from South Korea: A cross-sectional study
  Kyeha Kim, Jihyun Oh
  Medicine.2023; 102(50): e36549.     CrossRef
• 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
• Effects of auricular acupressure on sleep and pain in elderly people who have osteoarthritis and live in nursing homes: A randomized, single-blind, placebo-controlled trial
  Won Jin Lee, Hyojung Park
  EXPLORE.2023; 19(2): 214.     CrossRef
• Effect of Auriculotherapy on Musculoskeletal Pain: A Systematic Review and Meta-Analysis
  Sun Yeob Choi, Yeo Ju Kim, Bomi Kim
  Journal of Korean Academy of Nursing.2022; 52(1): 4.     CrossRef

Purpose
The purpose of this study was to identify the risk factors for suicidal ideation according to gender of old-old adults in South Korea.
Methods
Data were collected from the 2017 Living Profiles of Older People Survey, and participants were 4214 older adults (aged 75 years and above). Data were analyzed using SPSS Statistics 21.0 for Windows. Differences in suicidal ideation by gender were identified using the x2 test or independent t-test, with multi-variate logistic regression analyses conducted to determine the factors associated with suicidal ideation by gender.
Results
Among old-old adult participant, the prevalence of suicidal ideation in men and women were 5.4% and 6.7%, respectively. The significant predictive factors for suicidal ideation in men were the following: living alone, frequency of contact with children and friends etc., experience of discrimination, conflict with children, self-blame, anxiety, perceived health, number of chronic diseases, and diagnosed depression. The significant predictive factors for suicidal ideation in women were the following: frequency of contact with children, experience of discrimination, experience of abuse, conflict with children, anxiety, number of chronic diseases, perceived economic status, and diagnosed depression.
Conclusion
The study revealed differences in factors associated with suicidal ideation according to gender among old-old adults. These findings suggested that different approaches and strategies for suicidal prevention programs should therefore be considered according to gender in this population age group.

Citations

• Factors associated with depression and suicidal ideation among oldest‐old adults aged 85 years or older based on gender, using the survey data of South Korea
  Yujeong Kim, Eunhee Nam, Younghee Yun
  Psychogeriatrics.2023; 23(6): 996.     CrossRef

Purpose
This study aimed to explore the level of well-dying in the elderly and identify the effects of social support, family support, and repulsion related nursing home on that.
Methods
The sample for this cross-sectional study consisted of 110 community-dwelling elderly and 103 nursing home residents. Data were collected using a structured questionnaire from August to October 2019. SPSS/WIN 25.0 program was used to conduct statistical analyses, including descriptive statistics, an independent t-test, a one-way analysis of variance, and stepwise multiple linear regression.
Results
The mean score for well-dying was 2.63±0.28 (range 1~4). Well-dying had a statistically significant relationship with religion (t=5.56, p<.001), household income (F=14.04, p<.001) and perceived health status (F=44.59, p<.001). Furthermore, social support (r=.71, p<.001), family support (r=.42, p<.001), and repulsion related nursing home (r=-.56, p<.001) significantly correlated with well-dying. Stepwise multiple linear regression demonstrated that social support, repulsion related nursing home, and having a religion explained 62.0% of the variance in well-dying.
Conclusion
Social support was found to have the largest influence on well-dying, followed by repulsion related nursing home and religion. The results highlight the need to develop a detailed nursing intervention that considers these factors to promote well-dying in the elderly.

Citations

• Predictors of preparedness for well‐dying among middle‐aged and older adults
  Sun‐Ae Kim, Jae‐Sun An, Kyung‐Hyun Suh
  Psychogeriatrics.2024; 24(6): 1335.     CrossRef
• Factors Affecting the Well-dying Awareness of Lung Cancer Survivors
  Dong Sim Choi, Gie Ok Noh
  Asian Oncology Nursing.2023; 23(4): 225.     CrossRef
• The effects of ego integrity and readiness for death on the preferences of care near the end-of-life of hospitalized older adults in long-term care hospitals: A cross-sectional correlation study
  Jangmi Baek, Jun-Ah Song
  Journal of Korean Gerontological Nursing.2023; 25(2): 185.     CrossRef
• Understanding Cultural Beliefs of a Good Death by Older People in South Korea: An Integrative Review of the Literature
  Kyoungsun Yun, Minjeong Jo, Yunji Lee
  Journal of Hospice & Palliative Nursing.2022;[Epub]     CrossRef
• Effect of Life Satisfaction on Depression among Childless Married Couples: A Cross-Sectional Study
  Ju-Young Ha, Hyo-Jin Park
  International Journal of Environmental Research and Public Health.2022; 19(4): 2055.     CrossRef
• A qualitative study of the first batch of medical assistance team’s first-hand experience in supporting the nursing homes in Wuhan against COVID-19
  Xiu-Fen Yang, Meng-qi Li, Lu-lu Liao, Hui Feng, Si Zhao, Shuang Wu, Ping Yin, Giovanni Ottoboni
  PLOS ONE.2021; 16(4): e0249656.     CrossRef
• Subjective Perception of Long-Term Care Facilities in Home-Dwelling Older Adults: A Q Methodological Study
  Eun Ho Ha
  Korean Journal of Adult Nursing.2021; 33(3): 269.     CrossRef

Purpose
The purpose of this study was to investigate the roles of the perception of aging symptoms in mediating and moderating the relationship between family function and stress in middle-aged adults.
Methods
This was a cross-sectional correlational study of 244 middle-aged men and women. Self-administered surveys were conducted using the Family APGAR, stress index, and symptom management beliefs questionnaire. The data were analyzed using descriptive statistics, independent t-test, Pearson’s correlation coefficient, hierarchical multiple regression analysis, and PROCESS macro using SPSS 23.0.
Results
A significant interaction between family function and the perception of aging symptoms in predicting stress was found, indicating a moderating effect of the perception of aging symptoms on the relationship between family function and stress. An indirect effect of family function on stress through the perception of aging symptoms was not significant, indicating an insignificant mediating effect of the perception of aging symptoms.
Conclusion
The relationship between family function and stress differed depending on participants’ perceptions of aging symptoms. Individuals with negative perceptions of aging symptoms may be vulnerable to stress caused by poorer family function. It is necessary to develop programs to help modify negative perceptions of aging as well as strengthen family function to decrease the stress of middle-aged adults.

Purpose
This study investigated factors affecting participation in dementia screening, based on the health belief model.
Methods
Data from 191 participants that fully answered the distributed questionnaires were analyzed. Data on the following variables were collected: general characteristics with modifying variables, health beliefs, and cue to action for dementia screening. Data were analyzed with descriptive statistics, x2 test, Fisher’s exact test, independent t-test, and logistic regression using SPSS/WIN software version 23.0.
Results
Factors affecting participation in dementia screening were as follows: For age, those in their 70s were more likely to participate in screening tests for dementia than those in their 60s (Odds Ratio [OR]=0.36, p=.003). For level of education, people with less than elementary school education were more likely to participate in screening tests for dementia than those with more than university education (OR=6.13, p=.020). Presence of spouse (OR=3.65, p=.027), presence of family or friends who underwent dementia screening tests (OR=5.63, p=.002), being exposed to dementia screening advertising (OR=3.94, p=.009), and having showed a lower average score of perceived barrier for dementia screening (OR=0.13, p=.002) were factors that increased the likelihood of participation in dementia screening.
Conclusion
To increase participation in dementia screening, strategies should be developed taking into account the influencing factors found by this study. In particular, an advertising strategy that emphasizes the importance of participating in dementia screening will be needed.

Citations

• Factors Related to the Dementia Prevention Behavior among Community-dwelling Older Adults based on the Health Belief Model: A Cross-sectional Descriptive Study
  Jin Young Lee, Eun Ko
  Journal of Korean Academy of Fundamentals of Nursing.2024; 31(3): 263.     CrossRef
• Factors influencing dementia preventive behaviors of older adults at high risk of dementia: Application of extended health belief model
  So Hee Jung, Mee Ock Gu
  Research in Community and Public Health Nursing.2024; 35: 22.     CrossRef
• Effects of a 6-Week Integrated Dementia Awareness and Prevention Program for Community-Dwelling Older Adults
  Ji-yeon Kim, Sunghee H. Tak, Hana Ko, SuJung Jung, Jaegyeong Lee, Hyein Choi
  Sage Open.2022;[Epub]     CrossRef
• Factors affecting preventive behaviors of Alzheimer’s disease in family members of patients with Alzheimer’s disease
  JiEun Kim, Min Young Kim, Jung-Ae Kim, Youngeun Lee
  Medicine.2022; 101(42): e31136.     CrossRef

PURPOSE
This study aimed to investigate suicide ideation and attempts in older women living alone and to identify the factors affecting suicide ideation.
METHODS
This is a cross-sectional correlational study using secondary data analysis. Original data (n=1,023) were collected using face-to-face interviews from August to October 2018 in Siheung city to investigate the need for health care and daily life support services. Study participants were 297 older women (age=74.67±5.35), with inclusion criteria being women≥65 years old and living alone, those without cognitive impairment(Mini-Mental State Examination-2 Standard Version (MMSE-2 SV)≥24), and those who could evaluate instrumental activities of daily living. Data were analyzed using descriptive analysis, independent t-test, Pearson's correlation coefficient, and multiple linear regression analysis.
RESULTS
Data analysis showed 26.9% of participants reported suicide ideation with a frequency of 4.14 out of 10 points. Among study participants, 8.8% had attempted suicide with an average of 2.65 attempts. Participants who had children thought about suicide more than those who did not. Living children, personal income, participation in economic activity, social support, depression, chronic diseases, frailty, and suicide attempts were significantly correlated with suicide ideation. Therefore, depression, frailty and suicide attempts were factors affecting suicide ideation for older women living alone.
CONCLUSION
Our findings provide evidence that evaluating depression, frailty, and history of suicide attempts is important for suicide prevention in older women living alone.

Citations

• Sleep, physical activity, and sedentary behaviors as factors related to depression and health-related quality of life among older women living alone: a population-based study
  Soyoung Jang, Eunjin Yang
  European Review of Aging and Physical Activity.2023;[Epub]     CrossRef
• Factors Related to Suicidal Ideation and Prediction of High-Risk Groups among Youngest-Old Adults in South Korea
  Eungyung Kim, Jee-Seon Yi
  International Journal of Environmental Research and Public Health.2022; 19(16): 10028.     CrossRef

PURPOSE
This study aimed to verify the validity and reliability of the Korean version of the Basic Physical Capability Scale (BPCS-K).
METHODS
The BPCS was translated into Korean using forward and back translations. Data were collected from January 16 to May 10, 2019. The study participants comprised 285 older adults, with 147 recruited from an acute care setting, and 138, who had dementia, were from long-term care facilities. Data analysis included KR-20, intraclass correlation coefficient, independent t-test, Kruskal-Wallis H test, hierarchical multiple regression, and Rasch analysis (item difficulty, infit/outfit, separation index, reliability index, and differential item function analysis), and were conducted using SPSS/WIN 25.0 and R programs. The criterion-related validity was examined using the Barthel Index.
RESULTS
The KR-20 reliability coefficient was .93 and the intraclass correlation coefficient for 2-week test-retest reliability was .97. The BPCS-K scores were significantly different compared to the known groups. Moreover, controlling for age, gender, and cognitive status, the Barthel Index score was significantly associated with the BPCS-K scores. Rasch analysis supported good construct validity.
CONCLUSION
The findings suggest that the 16-item BPCS-K is an appropriate instrument to measure basic physical capability in Korean older adults. The BPCS-K can establish individualized physical activity goals for the elderly in a variety of clinical settings and can also serve to measure changes of physical function in physical activity interventions for older adults.

Citations

• Validity and Reliability of the Korean Version of Assessment of Health Literacy in Breast and Cervical Cancer Screening
  Hye Sook Shin, Eunlim Chi, Hae-Ra Han
  Journal of Korean Academy of Nursing.2021; 51(6): 769.     CrossRef

PURPOSE
This study aimed to examine the effect of multidisciplinary lifestyle modification program in overweight or obese middle-aged women.
METHODS
This study was conducted from January 2 to June 5, 2018 at Jeonju city in South Korea. A non-equivalent control group quasi-experimental design was used. A total of 46 women were assigned to the experiment group (n=22) or the control group (n=24). The multidisciplinary lifestyle modification program for this study consisted of physical activity, nutritional management, stress management, health counseling, lifestyle monitoring, and affective support based on King's goal attainment theory, which was implemented for eight weeks.
RESULTS
Significant group differences were found in health- promoting behavior (p<.001), depression (p<.001), anxiety (p=.018), stress (p=.001), weight loss (p=.002) and reproductive symptoms (p=.020) among over-weight and obese middle-aged women.
CONCLUSION
Multidisciplinary lifestyle modification program is effective in improving health-promoting behavior, depression, anxiety, stress, weight loss and reproductive symptoms. Therefore, healthcare providers should develop strategies to expand and provide multidisciplinary lifestyle modification program through interaction and transaction for overweight or obese middle-aged women.

Citations

• The effects of a lifestyle intervention for men in infertile couples in South Korea: a non-randomized controlled trial
  Yun Mi Kim, Ju-Hee Nho
  Journal of Korean Academy of Nursing.2025; 55(2): 191.     CrossRef
• Research Trends of Lifestyle Intervention for Women With Obesity: A Text Network Analysis
  Sook Kyoung Park, Ju-Hee Nho
  Journal of Lifestyle Medicine.2023; 13(1): 44.     CrossRef
• Factors affecting unmet healthcare needs of low-income overweight and obese women in Korea: analysis of the Korean National Health and Nutrition Examination Survey 2017
  Ju-Hee Nho, Sook Kyoung Park
  Korean Journal of Women Health Nursing.2021; 27(2): 93.     CrossRef
• The development of a lifestyle modification mobile application, “Health for You” for overweight and obese breast cancer survivors in Korea
  Su-Jin Seo, Ju-Hee Nho, Youngsam Park
  Korean Journal of Women Health Nursing.2021; 27(3): 243.     CrossRef
• Effects of a Lifestyle Intervention on Health-Promoting Behavior, Psychological Distress and Reproductive Health of Overweight and Obese Female College Students
  Ju-Hee Nho, Soo-Wan Chae
  Healthcare.2021; 9(3): 309.     CrossRef
• The Effects of Lifestyle Interventions on the Health-Promoting Behavior, Type D Personality, Cognitive Function and Body Composition of Low-Income Middle-Aged Korean Women
  Eun-Jin Kim, Ju-Hee Nho, Hye-Young Kim, Sook-Kyoung Park
  International Journal of Environmental Research and Public Health.2021; 18(11): 5637.     CrossRef
• Effects of Nurse-Led Intervention Programs Based on Goal Attainment Theory: A Systematic Review and Meta-Analysis
  Bom-Mi Park
  Healthcare.2021; 9(6): 699.     CrossRef
• Development and Evaluation of an Antiviral Agent Medication Adherence Education Program for Patients with Chronic Hepatitis C
  Hoo Jeung Cho, Euna Park
  International Journal of Environmental Research and Public Health.2020; 17(18): 6518.     CrossRef

PURPOSE
This study aimed to investigate attitude toward and intention to use the so-called silver-care robot technology in older adults and family members.
METHODS
This descriptive correlational study recruited 80 older adults and 80 family members who were users of a general hospital in Seoul city. Data collection, conducted from February to March 2019, used the Almere model and self-reported questionnaires that included items on socio-demographic and robot-related characteristics.
RESULTS
The mean age of the older adults was 73.48±6.88 years and that of family members was 53.48±10.08 years. No differences were identified in attitude toward and intention to use silver-care robot technology among the older adults and family members. The older adults were more concerned with the trustworthiness (t=2.46, p=.015) of the care robot technology, whereas the family members were more concerned with ease of use (t=−2.97, p=.003). Intention to use was significantly affected by perceived enjoyment in the older adults (25.4%, p=.001) and perceived usefulness (p=.009) and ease of use (p=.002) in the family members (57.1%).
CONCLUSION
The participants showed a positive attitude toward and intention to use silver-care robot technology. Perceived enjoyment, perceived usefulness and ease of use should be considered in the development and application of silver-care robot technology.

Citations

• Analysis of instructors’ intention to use and experience of using cognitive training robots for older adults with mild cognitive impairment
  Lee Kyounga, Jung Ae-Ri, Park Eun-A, Jang Seon-Mi
  Universal Access in the Information Society.2024;[Epub]     CrossRef
• Factors associated with intention to use care robots among people with physical disabilities
  Sang H. Jung, Yong Soon Shin
  Nursing Outlook.2024; 72(3): 102145.     CrossRef
• Developmental Study on “Smart Silver Care”: A Mobile Application to Alleviate Loneliness in Older Adults within the Community
  Hee-Kyung Choi, Kayoung Lee, Seon-Heui Lee
  Healthcare.2023; 11(17): 2376.     CrossRef
• Needs Analysis for Non-Face-to-Face Services among Older Adults to Reduce Loneliness
  Hee Kyung Choi, Seon Heui Lee
  Healthcare.2022; 10(8): 1576.     CrossRef
• The Humanoid Robot Sil-Bot in a Cognitive Training Program for Community-Dwelling Elderly People with Mild Cognitive Impairment during the COVID-19 Pandemic: A Randomized Controlled Trial
  Eun-A Park, Ae-Ri Jung, Kyoung-A Lee
  International Journal of Environmental Research and Public Health.2021; 18(15): 8198.     CrossRef

PURPOSE
This study aims to identify the effects of health literacy and stroke knowledge on adherence to self-care behavior among the elderly with ischemic stroke.
METHODS
The participants were 92 outpatients aged 65 or older with ischemic stroke, who were visiting the neurology or neurosurgery departments of two general hospitals in Chungcheongbuk-do between November 20, 2018, and April 9, 2019. The SPSS/WIN 23.0 program was used to analyze descriptive statistics, independent t-tests, and one-way ANOVA, and multiple regression.
RESULTS
The mean age of participants was 73.25±5.72 and the proportion of men was 71.7%. The average score for health literacy, stroke knowledge, and adherence to self-care behavior were 9.26±2.32, 10.34±2.53, and 81.67±14.72, respectively. There were statistically significant differences in adherence to self-care behavior according to living and time since stroke. Adherence to self-care behavior and health literacy showed a statistically significant positive correlation with stroke knowledge. Stroke knowledge, living alone, and time since stroke(less than one year) were significantly related to the adherence to self-care behavior. This regression model explained 24.0% of the variance in the adherence to self-care behavior.
CONCLUSION
To improve the adherence to self-care behavior in the elderly with ischemic stroke, it is necessary to develop and implement educational program for those who live alone and who have experienced stroke less than one year previously.

Citations

• Stroke knowledge and health-promoting behaviors: Mediating effect of patient self-esteem
  GyeongChae MUN, JaeLan SHIM
  Patient Education and Counseling.2024; 129: 108398.     CrossRef
• Two stroke education programs designed for older adults
  Jeongha Sim, Chanam Shin
  Geriatric Nursing.2024; 55: 105.     CrossRef
• Mediating effects of patient safety perception and willingness to participate in patient safety on the relationship between health literacy and patient participation behavior among inpatients
  Mi Hwa Won, Sun-Hwa Shin
  Frontiers in Public Health.2024;[Epub]     CrossRef
• Impact of Mobile Health Literacy, Stroke-Related Health Knowledge, Health Beliefs, and Self-Efficacy on the Self-Care Behavior of Patients with Stroke
  Hana Kim, Aro Han, Hyunjung Lee, Jiwoo Choi, Hyohjung Lee, Mi-Kyoung Cho
  Healthcare.2024; 12(19): 1913.     CrossRef
• Predictive Model of Self-management in Patients With Stroke Based on the Information-Motivation-Behavioral Skills Model
  Sung Reul Kim, Sunho Kim, Hye Young Kim, Kyung-Hee Cho
  Journal of Cardiovascular Nursing.2023; 38(2): 158.     CrossRef
• Health Literacy in Neurosurgery: A Scoping Review
  Nathan A. Shlobin, Jonathan Huang, Sandi Lam
  World Neurosurgery.2022; 166: 71.     CrossRef
• Factors Influencing Health Behavior Compliance in Adult Moyamoya Patients
  Bo Eun Kim, Ju-Eun Song
  Journal of Korean Academy of Nursing.2021; 51(1): 80.     CrossRef
• Mediating Effects of Self-Care Competence on the Relationship between Uncertainty and Quality of Life in Stroke Patients
  Eunhee Jo, Su-Jin Lee, Jung-Hwa Jo
  Korean Journal of Adult Nursing.2021; 33(1): 56.     CrossRef

PURPOSE
The purpose of this paper was to develop a stage-matched intervention based on the TransTheoretical Model (TTM) for elderly women with chronic back pain in the contemplation and preparation stage and evaluate its effectiveness.
METHODS
Fifty elderly women with chronic back pain (experimental group, n=25; control group, n=25) was recruited from elderly welfare centers. The research was a nonequivalent control group pre- posttest experimental design. The process of change for exercise, exercise decisional balance, and exercise self-efficacy were used as interventional strategies. To examine the effectiveness of this program, the dependent variables, back pain and muscle strength, were measured before, immediately after, and 4 weeks after the intervention, from May 16 to August 26, 2016. The data were analyzed with the χ2 test, independent t-test, two way repeated measured ANOVA.
RESULTS
The process of change for exercise, exercise self-efficacy, and muscle strength were improved and back pain was decreased in the experimental group as compared with the control group.
CONCLUSION
The results of this study suggest that the stage-matched intervention was effective for improving the process of change for exercise, exercise self-efficacy, and muscle strength in elderly women with chronic back pain in the contemplation and preparation stage. It's wider implementation in community settings will promise promoted exercise activity among elderly women with chronic back pain.

Citations

• Relationships Between Socioecological Factors and Self-Efficacy to Participate in Physical Activity for Adults With Chronic Musculoskeletal Pain: An Integrative Review
  Mark Vorensky, Stephanie L Orstad, Allison Squires, Susan Parraga, Katherine Byrne, Ericka N Merriwether
  Physical Therapy.2024;[Epub]     CrossRef
• Effect of integrated exercise therapy and psychosocial interventions on self-efficacy in patients with chronic low back pain: A systematic review.
  Mark Vorensky, Tyler Murray, Andrew F. McGovern, Yera Y. Patel, Smita Rao, Mitchell Batavia
  Journal of Psychosomatic Research.2023; 165: 111126.     CrossRef