Pub Date : 2024-02-28DOI: 10.17079/jkgn.2023.00234
Ho Yeong Kim, Su Ol Kim
Purpose: This study was conducted to investigate the impact of delirium knowledge and delirium nursing confidence on delirium nursing practice among nurses working in an integrated nursing and caring services ward. Methods: This descriptive study included 102 registered nurses with a minimum of 6 months of professional experience from the integrated nursing and caring services ward of a university hospital in Uijeongbu City. Data were collected from May 10, 2023 to July 5, 2023 and were subjected to independent samples t-test, one-way analysis of variance, Pearson's correlation coefficient, and multiple regression analysis using the SPSS/WIN 27.0 program. Results: Delirium nursing knowledge was positively correlated with delirium nursing confidence (r=.25, p=.01). Delirium nursing confidence was positively correlated with delirium nursing performance (r=.41, p<.001). Factors influencing delirium nursing performance were delirium nursing confidence (β=.32, p=.001), marital status (β=.21, p=.016), and delirium education experience (β=-.19, p=.032). The model used in this study explained 27% of the variance in delirium nursing performance (adjusted R2=0.27, F=8.46, p<.001). Conclusion: This study identified factors that influence delirium nursing performance of nurses in an integrated nursing and caring services ward in a university hospital. Based on the findings, delirium nursing education programs should include strategies that can improve delirium nursing confidence. Further research is needed to confirm the effectiveness of developing a delirium nursing practice improvement program and guideline that reflects the characteristics of integrated nursing and caring services wards.
{"title":"The effect of nurses’ knowledge and self-confidence on delirium nursing performance of nurses in an integrated nursing and caring services ward: A cross-sectional descriptive study","authors":"Ho Yeong Kim, Su Ol Kim","doi":"10.17079/jkgn.2023.00234","DOIUrl":"https://doi.org/10.17079/jkgn.2023.00234","url":null,"abstract":"Purpose: This study was conducted to investigate the impact of delirium knowledge and delirium nursing confidence on delirium nursing practice among nurses working in an integrated nursing and caring services ward. Methods: This descriptive study included 102 registered nurses with a minimum of 6 months of professional experience from the integrated nursing and caring services ward of a university hospital in Uijeongbu City. Data were collected from May 10, 2023 to July 5, 2023 and were subjected to independent samples t-test, one-way analysis of variance, Pearson's correlation coefficient, and multiple regression analysis using the SPSS/WIN 27.0 program. Results: Delirium nursing knowledge was positively correlated with delirium nursing confidence (r=.25, p=.01). Delirium nursing confidence was positively correlated with delirium nursing performance (r=.41, p<.001). Factors influencing delirium nursing performance were delirium nursing confidence (β=.32, p=.001), marital status (β=.21, p=.016), and delirium education experience (β=-.19, p=.032). The model used in this study explained 27% of the variance in delirium nursing performance (adjusted R2=0.27, F=8.46, p<.001). Conclusion: This study identified factors that influence delirium nursing performance of nurses in an integrated nursing and caring services ward in a university hospital. Based on the findings, delirium nursing education programs should include strategies that can improve delirium nursing confidence. Further research is needed to confirm the effectiveness of developing a delirium nursing practice improvement program and guideline that reflects the characteristics of integrated nursing and caring services wards.","PeriodicalId":52377,"journal":{"name":"Journal of Korean Gerontological Nursing","volume":"16 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140418868","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-02-28DOI: 10.17079/jkgn.2023.00220
Mihwan Kim, Haejung Lee, Gaeun Park, A. R. Khang
Purpose: This study aimed to explore the participation experiences of patients with type 2 diabetes in an Automated Personalized Self-Care program, assess the changes in self-care behavior and glycemic control, and evaluate the stages of change and readiness to change using the transtheoretical model (TTM). Methods: We examined 16 patients with type 2 diabetes who participated in a diabetes self-care program using a mobile application. Purposive sampling continued until data saturation. Using a mixed method study, we analyzed the participants’ characteristics, self-care behavior, stage of change, and readiness to change quantitatively and analyzed the qualitative data using Elo and Kyngas’s content analysis method. Results: The compliance group (CG) showed improved self-care behavior and glycemic control. In the CG, the proportion of participants in the action stage was higher in the exercise and diet domains and lower in the blood glucose testing and medication domains than in the non-compliance group (NCG). Readiness to change, motivation for health behaviors, and social motivation were higher in the CG, whereas personal motivation was higher in the NCG. In this qualitative study, three categories and 11 subcategories were identified. The findings suggest the CG regarded their experience in the program more frequently as positive, whereas the NCG perceived greater barriers to using the mobile application in the program. Conclusion: Based on the differences identified between the CG and NCG, TTM-based strategies are needed to facilitate the progression of NCG to the action stage.
{"title":"Participation experience in self-care program for type 2 diabetes: A mixed-methods study","authors":"Mihwan Kim, Haejung Lee, Gaeun Park, A. R. Khang","doi":"10.17079/jkgn.2023.00220","DOIUrl":"https://doi.org/10.17079/jkgn.2023.00220","url":null,"abstract":"Purpose: This study aimed to explore the participation experiences of patients with type 2 diabetes in an Automated Personalized Self-Care program, assess the changes in self-care behavior and glycemic control, and evaluate the stages of change and readiness to change using the transtheoretical model (TTM). Methods: We examined 16 patients with type 2 diabetes who participated in a diabetes self-care program using a mobile application. Purposive sampling continued until data saturation. Using a mixed method study, we analyzed the participants’ characteristics, self-care behavior, stage of change, and readiness to change quantitatively and analyzed the qualitative data using Elo and Kyngas’s content analysis method. Results: The compliance group (CG) showed improved self-care behavior and glycemic control. In the CG, the proportion of participants in the action stage was higher in the exercise and diet domains and lower in the blood glucose testing and medication domains than in the non-compliance group (NCG). Readiness to change, motivation for health behaviors, and social motivation were higher in the CG, whereas personal motivation was higher in the NCG. In this qualitative study, three categories and 11 subcategories were identified. The findings suggest the CG regarded their experience in the program more frequently as positive, whereas the NCG perceived greater barriers to using the mobile application in the program. Conclusion: Based on the differences identified between the CG and NCG, TTM-based strategies are needed to facilitate the progression of NCG to the action stage.","PeriodicalId":52377,"journal":{"name":"Journal of Korean Gerontological Nursing","volume":"183 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140421689","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-02-28DOI: 10.17079/jkgn.2023.00255
M. Jeong, Yeongmi Ha
Purpose: This study aimed to identify influencing factors on health-related quality of life by examining relationships among sleep quality, physical activity, and health-related quality of life in older adults living in the community using a Fitbit and self-rated questionnaire. Methods: The participants were adults aged 65 years and above who were recruited from one senior university and three senior citizen centers. A total of 106 participants were included in the analysis. The data were analyzed with t-test, ANOVA, Pearson’s correlations, and multiple regression analysis. Results: According to multiple regression analysis regarding objectively measured sleep quality and physical activity using a Fitbit, the factors affecting the health-related quality of life were age (β=-.30, p=.006), subjective health status as ‘moderate’ (β=.33, p=.001), and subjective health status as ‘good’ (β=.41, p=.001). In terms of using a self-rated questionnaire, the factors affecting health-related quality of life were age (β=-.27, p=.010), subjective health status as ‘moderate’ (β=.32, p=.001), subjective health status as ‘good’ (β=.37, p=.001), and physical activity (β=.18, p=.030). Conclusion: Although the findings may not be generalizable to community-dwelling older adults due to our convenience samples, this study suggests that customized physical activity programs are required to improve health-related quality of life in community-dwelling older adults of different age groups.
{"title":"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","authors":"M. Jeong, Yeongmi Ha","doi":"10.17079/jkgn.2023.00255","DOIUrl":"https://doi.org/10.17079/jkgn.2023.00255","url":null,"abstract":"Purpose: This study aimed to identify influencing factors on health-related quality of life by examining relationships among sleep quality, physical activity, and health-related quality of life in older adults living in the community using a Fitbit and self-rated questionnaire. Methods: The participants were adults aged 65 years and above who were recruited from one senior university and three senior citizen centers. A total of 106 participants were included in the analysis. The data were analyzed with t-test, ANOVA, Pearson’s correlations, and multiple regression analysis. Results: According to multiple regression analysis regarding objectively measured sleep quality and physical activity using a Fitbit, the factors affecting the health-related quality of life were age (β=-.30, p=.006), subjective health status as ‘moderate’ (β=.33, p=.001), and subjective health status as ‘good’ (β=.41, p=.001). In terms of using a self-rated questionnaire, the factors affecting health-related quality of life were age (β=-.27, p=.010), subjective health status as ‘moderate’ (β=.32, p=.001), subjective health status as ‘good’ (β=.37, p=.001), and physical activity (β=.18, p=.030). Conclusion: Although the findings may not be generalizable to community-dwelling older adults due to our convenience samples, this study suggests that customized physical activity programs are required to improve health-related quality of life in community-dwelling older adults of different age groups.","PeriodicalId":52377,"journal":{"name":"Journal of Korean Gerontological Nursing","volume":"14 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140419573","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-02-28DOI: 10.17079/jkgn.2024.00374
Hyejin Kim, Leeho Yoo, Dukyoo Jung
The Journal of Korean Gerontological Nursing (JKGN) is the only journal dedicated to geronto-logical nursing in South Korea. The journal aims to exchange information related to the current practice of gerontological nursing and strategies to improve the quality of care for the goal of older adults’ wellness [1]. For the past 5 years, the journal has had two important achievements: an increase in the number of issues from three to four (approximately 10 publications per issue) yearly and being indexed in Scopus. The Korean Gerontological Nursing Society and its journal editorial team seek to promote international communication of the journal publications by publishing out-standing articles and expanding the exposure of its publications to a global audience. To discuss the journal’s future directions, we reviewed the articles published in this journal from 2014 to 2023, focusing on study designs, data collection methods, participants, and topics. The JKGN has published a total of 283 articles for the past 10 years, with 277 articles from regular issues and six articles from a special issue (mainly opinion papers regarding the integration of artificial intelligence in nursing). Over 60% of the articles were published over the past 5 years
{"title":"Reflection on the Publications in the Journal of Korean Gerontological Nursing (2014~2023)","authors":"Hyejin Kim, Leeho Yoo, Dukyoo Jung","doi":"10.17079/jkgn.2024.00374","DOIUrl":"https://doi.org/10.17079/jkgn.2024.00374","url":null,"abstract":"The Journal of Korean Gerontological Nursing (JKGN) is the only journal dedicated to geronto-logical nursing in South Korea. The journal aims to exchange information related to the current practice of gerontological nursing and strategies to improve the quality of care for the goal of older adults’ wellness [1]. For the past 5 years, the journal has had two important achievements: an increase in the number of issues from three to four (approximately 10 publications per issue) yearly and being indexed in Scopus. The Korean Gerontological Nursing Society and its journal editorial team seek to promote international communication of the journal publications by publishing out-standing articles and expanding the exposure of its publications to a global audience. To discuss the journal’s future directions, we reviewed the articles published in this journal from 2014 to 2023, focusing on study designs, data collection methods, participants, and topics. The JKGN has published a total of 283 articles for the past 10 years, with 277 articles from regular issues and six articles from a special issue (mainly opinion papers regarding the integration of artificial intelligence in nursing). Over 60% of the articles were published over the past 5 years","PeriodicalId":52377,"journal":{"name":"Journal of Korean Gerontological Nursing","volume":"111 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140423548","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-02-28DOI: 10.17079/jkgn.2024.00241
Jeong-Ok Ryu, Gwi-Ryung Son Hong
Purpose: The purpose of this study is to identify the prevalence and risk factors of delirium of older adults after cardiac surgery at the intensive care unit (ICU). Methods: A retrospective descriptive correlational study design was used. Among 675 older adults who admitted to ICU after cardiac surgery in a tertiary hospital from May 2021 to April 2022, 528 were selected for data analysis. Data were collected through electronic medical records. Delirium and pain intensity were evaluated using the Confusion Assessment Method-Intensive Care Unit and Critical Care Non-verbal Pain Scale, respectively. Results: The incidence rate of delirium was 41.3% (n=218). Multivariate logistic regression analysis of the variables identified that ICU length of stay (odds ratio [OR]=1.77, p<.001), anesthesia time (OR=1.21, p=.016), pain intensity (OR=1.14, p=.044), and age (OR=1.07, p=.002) were identified as risk factors of delirium after cardiac surgery. Conclusion: ICU length of stay, anesthesia time, pain score, and advanced age should be considered as the prevention and management of delirium at the intensive care unit of older adults after cardiac surgery.
{"title":"Prevalence and risk factors of delirium of older adults after cardiac surgery at the intensive care unit: A retrospective study","authors":"Jeong-Ok Ryu, Gwi-Ryung Son Hong","doi":"10.17079/jkgn.2024.00241","DOIUrl":"https://doi.org/10.17079/jkgn.2024.00241","url":null,"abstract":"Purpose: The purpose of this study is to identify the prevalence and risk factors of delirium of older adults after cardiac surgery at the intensive care unit (ICU). Methods: A retrospective descriptive correlational study design was used. Among 675 older adults who admitted to ICU after cardiac surgery in a tertiary hospital from May 2021 to April 2022, 528 were selected for data analysis. Data were collected through electronic medical records. Delirium and pain intensity were evaluated using the Confusion Assessment Method-Intensive Care Unit and Critical Care Non-verbal Pain Scale, respectively. Results: The incidence rate of delirium was 41.3% (n=218). Multivariate logistic regression analysis of the variables identified that ICU length of stay (odds ratio [OR]=1.77, p<.001), anesthesia time (OR=1.21, p=.016), pain intensity (OR=1.14, p=.044), and age (OR=1.07, p=.002) were identified as risk factors of delirium after cardiac surgery. Conclusion: ICU length of stay, anesthesia time, pain score, and advanced age should be considered as the prevention and management of delirium at the intensive care unit of older adults after cardiac surgery.","PeriodicalId":52377,"journal":{"name":"Journal of Korean Gerontological Nursing","volume":"85 11","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140423746","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-11-30DOI: 10.17079/jkgn.2023.00269
Dukyoo Jung
adult
成人
{"title":"The role and prospects of gerontological nurses","authors":"Dukyoo Jung","doi":"10.17079/jkgn.2023.00269","DOIUrl":"https://doi.org/10.17079/jkgn.2023.00269","url":null,"abstract":"adult","PeriodicalId":52377,"journal":{"name":"Journal of Korean Gerontological Nursing","volume":"193 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139203715","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-11-30DOI: 10.17079/jkgn.2023.00108
Eun-Jeong Han, Seonhwa Lee, Jung-Suk Lee, Myonghwa Park
Purpose: This study aimed to provide basic data for improving the classification system by comparing the service time and the total resource utilization by the residents' physical function, cognitive function, and behavioral symptoms in long-term care (LTC) facilities. Methods: The service time provided by direct service providers was measured in 3,295 residents in 32 LTC facilities, from September 3 to November 16 in 2018. The LTC resources utilization was analyzed by the residents' physical function, cognitive function, and behavioral symptoms, adjusted by facilities’ characteristics. Results: The highest daily total resource utilization per resident was 110.0 minutes in the group with a physical function score 32 or above, cognitive function score under 3, and no behavioral symptom. Total resource utilization increased along with the score of physical function. When the score of physical function is within the same range, total resource utilization increased along with the score of cognitive function. But, in the group with physical function score of 32 or above, there was a inverse relationship of total resource utilization to cognitive function. Conclusion: This study confirmed that the residents' resource utilization correlates with their physical and cognitive functions. It is necessary to ensure ways to provide appropriate LTC services in accordance with their functions.
{"title":"Comparison of resource utilization by physical function, cognitive function, and behavioral symptoms of residents in long-term care facilities: A cross-sectional study","authors":"Eun-Jeong Han, Seonhwa Lee, Jung-Suk Lee, Myonghwa Park","doi":"10.17079/jkgn.2023.00108","DOIUrl":"https://doi.org/10.17079/jkgn.2023.00108","url":null,"abstract":"Purpose: This study aimed to provide basic data for improving the classification system by comparing the service time and the total resource utilization by the residents' physical function, cognitive function, and behavioral symptoms in long-term care (LTC) facilities. Methods: The service time provided by direct service providers was measured in 3,295 residents in 32 LTC facilities, from September 3 to November 16 in 2018. The LTC resources utilization was analyzed by the residents' physical function, cognitive function, and behavioral symptoms, adjusted by facilities’ characteristics. Results: The highest daily total resource utilization per resident was 110.0 minutes in the group with a physical function score 32 or above, cognitive function score under 3, and no behavioral symptom. Total resource utilization increased along with the score of physical function. When the score of physical function is within the same range, total resource utilization increased along with the score of cognitive function. But, in the group with physical function score of 32 or above, there was a inverse relationship of total resource utilization to cognitive function. Conclusion: This study confirmed that the residents' resource utilization correlates with their physical and cognitive functions. It is necessary to ensure ways to provide appropriate LTC services in accordance with their functions.","PeriodicalId":52377,"journal":{"name":"Journal of Korean Gerontological Nursing","volume":"40 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139202113","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-11-30DOI: 10.17079/jkgn.2023.00122
Jee Young Cho, Sun Ju Chang
Purpose: This study identified the relationships between health literacy, self-efficacy, and medication adherence among older people with polypharmacy and analyzed the factors affecting medication adherence. Methods: This was a cross-sectional study using a survey of 95 participants who were on five or more drugs, 65 years or older, and visited one community center in Seoul between August 5, 2019 and August 7, 2019. Data were collected using a questionnaire and analyzed with descriptive statistics, t-test, ANOVA, Tukey test, Pearson's correlation coefficient, and multiple regression via the IBM SPSS 23.0 program. Results: The participants took on average 8.32±3.90 drugs daily. Their health literacy was very low at 3.53±2.07. Self-efficacy and medication adherence were high at 33.63±5.36 and 15.03±3.27, respectively. Health literacy differed based on age and education levels, whereas self-efficacy differed depending on the frequency of medication. No demographic or medication-related factors caused a difference in medication adherence. Health literacy did not correlate with self-efficacy and medication adherence. Self-efficacy showed a negative correlation with medication adherence (r=-.52, p<.001). However, as a lower medication adherence score indicates greater adherence, a negative correlation means higher self-efficacy is linked with better adherence. Self-efficacy influenced medication adherence (β=-0.52, p<.001) with an explanatory power of 27.0% (F=17.01, p<.001) in this group. Also, the negative regression coefficient means higher self-efficacy was associated with better adherence. Conclusion: Medication adherence was generally high, with self-efficacy being the main influencing factor. Hence, intervention programs that promote self-efficacy should be implemented for older people with polypharmacy.
{"title":"Relationships between health literacy, self-efficacy, and medication adherence in older people with polypharmacy: A cross-sectional study","authors":"Jee Young Cho, Sun Ju Chang","doi":"10.17079/jkgn.2023.00122","DOIUrl":"https://doi.org/10.17079/jkgn.2023.00122","url":null,"abstract":"Purpose: This study identified the relationships between health literacy, self-efficacy, and medication adherence among older people with polypharmacy and analyzed the factors affecting medication adherence. Methods: This was a cross-sectional study using a survey of 95 participants who were on five or more drugs, 65 years or older, and visited one community center in Seoul between August 5, 2019 and August 7, 2019. Data were collected using a questionnaire and analyzed with descriptive statistics, t-test, ANOVA, Tukey test, Pearson's correlation coefficient, and multiple regression via the IBM SPSS 23.0 program. Results: The participants took on average 8.32±3.90 drugs daily. Their health literacy was very low at 3.53±2.07. Self-efficacy and medication adherence were high at 33.63±5.36 and 15.03±3.27, respectively. Health literacy differed based on age and education levels, whereas self-efficacy differed depending on the frequency of medication. No demographic or medication-related factors caused a difference in medication adherence. Health literacy did not correlate with self-efficacy and medication adherence. Self-efficacy showed a negative correlation with medication adherence (r=-.52, p<.001). However, as a lower medication adherence score indicates greater adherence, a negative correlation means higher self-efficacy is linked with better adherence. Self-efficacy influenced medication adherence (β=-0.52, p<.001) with an explanatory power of 27.0% (F=17.01, p<.001) in this group. Also, the negative regression coefficient means higher self-efficacy was associated with better adherence. Conclusion: Medication adherence was generally high, with self-efficacy being the main influencing factor. Hence, intervention programs that promote self-efficacy should be implemented for older people with polypharmacy.","PeriodicalId":52377,"journal":{"name":"Journal of Korean Gerontological Nursing","volume":"149 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139202517","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-11-30DOI: 10.17079/jkgn.2023.00143
O. Cho, J. Yoon
Purpose: The purpose of this study was to understand the characteristics and clinical outcomes of older patients with trauma before and during the COVID-19 pandemic. Methods: General characteristics, trauma-related characteristics, and clinical outcomes of older patients who visited the emergency department with trauma before the COVID-19 pandemic (March 2018 to February 2020) and during the pandemic (March 2020 to February 2022) were compared and analyzed. Results: A total of 2,270 older patients visited the emergency department due to trauma during the study periods. The proportion of ‘hypertension (yes)’ and ‘diabetes (yes)’ was higher in patients who visited the hospital during the pandemic than before the COVID-19 pandemic. 'Falls and contact injuries.' 'injury-door time (after 24 hours).' 'Injury Severity Score (very severe injury).' and the proportion of 'injury site (external).' were high. The ratio of ‘emergency department results (admission to the ward, intensive care unit)’ and ‘admission result (discharge)’ during the pandemic period was higher than before the pandemic. The survival time of subjects before the pandemic was longer than that of the pandemic period, but there was no significant difference between the two groups. Conclusion: Through this result, it was found that there were differences in the trauma-related characteristics and clinical outcomes of geriatric trauma patients before and during the pandemic. In preparation for infectious diseases that may occur in the future, it is necessary to prepare an effective geriatric trauma management strategy.
{"title":"Characteristics and clinical outcomes of older patients with trauma visiting the emergency department before and during the COVID-19 Pandemic: A level 1 trauma center cohort study","authors":"O. Cho, J. Yoon","doi":"10.17079/jkgn.2023.00143","DOIUrl":"https://doi.org/10.17079/jkgn.2023.00143","url":null,"abstract":"Purpose: The purpose of this study was to understand the characteristics and clinical outcomes of older patients with trauma before and during the COVID-19 pandemic. Methods: General characteristics, trauma-related characteristics, and clinical outcomes of older patients who visited the emergency department with trauma before the COVID-19 pandemic (March 2018 to February 2020) and during the pandemic (March 2020 to February 2022) were compared and analyzed. Results: A total of 2,270 older patients visited the emergency department due to trauma during the study periods. The proportion of ‘hypertension (yes)’ and ‘diabetes (yes)’ was higher in patients who visited the hospital during the pandemic than before the COVID-19 pandemic. 'Falls and contact injuries.' 'injury-door time (after 24 hours).' 'Injury Severity Score (very severe injury).' and the proportion of 'injury site (external).' were high. The ratio of ‘emergency department results (admission to the ward, intensive care unit)’ and ‘admission result (discharge)’ during the pandemic period was higher than before the pandemic. The survival time of subjects before the pandemic was longer than that of the pandemic period, but there was no significant difference between the two groups. Conclusion: Through this result, it was found that there were differences in the trauma-related characteristics and clinical outcomes of geriatric trauma patients before and during the pandemic. In preparation for infectious diseases that may occur in the future, it is necessary to prepare an effective geriatric trauma management strategy.","PeriodicalId":52377,"journal":{"name":"Journal of Korean Gerontological Nursing","volume":"574 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139204338","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-11-30DOI: 10.17079/jkgn.2023.00164
Myonghwa Park, Jinju Kim, Jihye Jung, Seonhwa Kim, Jinhee Lee, Dongyoung Lee
Purpose: This study investigated the decision factors influencing the intention to use non-face-to-face services such as online support, social networking, educational programs, and video conferencing among family caregivers of persons with dementia (PwD). Methods: This correlational study uses the Technology Acceptance Model as a decision process model. The study targeted family caregivers registered at local dementia care centers, and data from 284 participants were analyzed. An online questionnaire survey was conducted to obtain general characteristics, perceived usefulness, perceived ease of use, and intention to use non-face-to-face services. Results: The results indicated that perceived ease of use differed according to family caregivers’ age, education level, and relationship with the PwD. Intention to use significantly differed by education level, relationship with the PwD, and caregiving duration. Perceived usefulness and perceived ease of use were the main influential factors in the intention to use non-face-to-face services. The regression model accounted for 63.9% of the variance in the intention to use. Conclusion: This study contributed to understanding the intention to use non-face-to-face services for family caregivers and identified the influencing factors. The results indicate the need to communicate better the usefulness of non-face-to-face service and early information and education about available technologies in helping caregivers prepare to adopt new services.
{"title":"Factors relating to intention of use non-face-to-face services among family caregivers of persons with dementia: A cross-sectional study","authors":"Myonghwa Park, Jinju Kim, Jihye Jung, Seonhwa Kim, Jinhee Lee, Dongyoung Lee","doi":"10.17079/jkgn.2023.00164","DOIUrl":"https://doi.org/10.17079/jkgn.2023.00164","url":null,"abstract":"Purpose: This study investigated the decision factors influencing the intention to use non-face-to-face services such as online support, social networking, educational programs, and video conferencing among family caregivers of persons with dementia (PwD). Methods: This correlational study uses the Technology Acceptance Model as a decision process model. The study targeted family caregivers registered at local dementia care centers, and data from 284 participants were analyzed. An online questionnaire survey was conducted to obtain general characteristics, perceived usefulness, perceived ease of use, and intention to use non-face-to-face services. Results: The results indicated that perceived ease of use differed according to family caregivers’ age, education level, and relationship with the PwD. Intention to use significantly differed by education level, relationship with the PwD, and caregiving duration. Perceived usefulness and perceived ease of use were the main influential factors in the intention to use non-face-to-face services. The regression model accounted for 63.9% of the variance in the intention to use. Conclusion: This study contributed to understanding the intention to use non-face-to-face services for family caregivers and identified the influencing factors. The results indicate the need to communicate better the usefulness of non-face-to-face service and early information and education about available technologies in helping caregivers prepare to adopt new services.","PeriodicalId":52377,"journal":{"name":"Journal of Korean Gerontological Nursing","volume":"9 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139201995","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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