Pub Date : 2021-11-30DOI: 10.17079/jkgn.2021.23.4.352
Ji Yeon Lee, Ha Rim Lee, K. Lee
Purpose: The purpose of this study was to understand experiences in safety accidents and coping among family caregivers of persons living with dementia.Methods: Data were collected through face-to-face interviews with 10 family caregivers who are the main caregivers of community-dwelling persons living with dementia. Inductive qualitative content analysis was conducted to reveal themes.Results: Three major themes emerged in this study: 1) various safety accident experiences, 2) coping with safety accidents, and 3) concern for the prevention of safety accidents. Family caregivers experienced various risks when caring for their care recipients with reduced cognitive function and trying to cope with a tailored method for persons living with dementia. However, family caregivers eventually recognized that none of the methods were perfect for preventing dangers and looked forward to the emergence of new methods to ensure a safe environment.Conclusion: Dementia care services and tailored information and communications technology (ICT) should be provided to promote the safety of persons living with dementia and their family caregivers in the community environment.
{"title":"Safety Accidents and Coping Experiences among Family Caregivers Caring for Community-Dwelling Persons Living with Dementia","authors":"Ji Yeon Lee, Ha Rim Lee, K. Lee","doi":"10.17079/jkgn.2021.23.4.352","DOIUrl":"https://doi.org/10.17079/jkgn.2021.23.4.352","url":null,"abstract":"Purpose: The purpose of this study was to understand experiences in safety accidents and coping among family caregivers of persons living with dementia.Methods: Data were collected through face-to-face interviews with 10 family caregivers who are the main caregivers of community-dwelling persons living with dementia. Inductive qualitative content analysis was conducted to reveal themes.Results: Three major themes emerged in this study: 1) various safety accident experiences, 2) coping with safety accidents, and 3) concern for the prevention of safety accidents. Family caregivers experienced various risks when caring for their care recipients with reduced cognitive function and trying to cope with a tailored method for persons living with dementia. However, family caregivers eventually recognized that none of the methods were perfect for preventing dangers and looked forward to the emergence of new methods to ensure a safe environment.Conclusion: Dementia care services and tailored information and communications technology (ICT) should be provided to promote the safety of persons living with dementia and their family caregivers in the community environment.","PeriodicalId":52377,"journal":{"name":"Journal of Korean Gerontological Nursing","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77303488","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 : 2021-11-30DOI: 10.17079/jkgn.2021.23.4.395
Jin-Yeong Kim, G. Hong
Purpose: The purpose of this study was to identify the factors associated with the fear of falling after discharge in older adults who had surgery for fall fractures.Methods: The participants were 143 older adults aged 65 or older hospitalized at the General Hospital due to a fall fracture. Data were collected from July 2019 to June 2020 using questionnaires for activities of daily living, pain, depression, and fear of falling. Data were analyzed using descriptive statistics, t-test, one-way ANOVA, Pearson’s correlation, and multiple regression.Results: The average age of the subjects was 75.34±6.89 years, and 74.1% were women. The influencing factors on the fear of falling after discharge were activities of daily living (β=.31, p=.001), age (β=.20, p=.004), the need for walking aids or assistance in walking before the fall (β=.20, p=.005), and pain (β=.15, p=.027). Total explained variance was 55% (F=13.17, p<.001).Conclusion: Based on the results of this study, it is necessary to actively intervene the fear of falling once older adults are hospitalized, considering the factors associated with the fear of falling after discharge in older adults who had surgery after experiencing a fall fracture and to develop an educational program to reduce the fear of falling.
{"title":"Factors Associated with the Fear of Falling after Discharge in Older Adults Who had Surgery after Experiencing a Fall Fracture","authors":"Jin-Yeong Kim, G. Hong","doi":"10.17079/jkgn.2021.23.4.395","DOIUrl":"https://doi.org/10.17079/jkgn.2021.23.4.395","url":null,"abstract":"Purpose: The purpose of this study was to identify the factors associated with the fear of falling after discharge in older adults who had surgery for fall fractures.Methods: The participants were 143 older adults aged 65 or older hospitalized at the General Hospital due to a fall fracture. Data were collected from July 2019 to June 2020 using questionnaires for activities of daily living, pain, depression, and fear of falling. Data were analyzed using descriptive statistics, t-test, one-way ANOVA, Pearson’s correlation, and multiple regression.Results: The average age of the subjects was 75.34±6.89 years, and 74.1% were women. The influencing factors on the fear of falling after discharge were activities of daily living (β=.31, p=.001), age (β=.20, p=.004), the need for walking aids or assistance in walking before the fall (β=.20, p=.005), and pain (β=.15, p=.027). Total explained variance was 55% (F=13.17, p<.001).Conclusion: Based on the results of this study, it is necessary to actively intervene the fear of falling once older adults are hospitalized, considering the factors associated with the fear of falling after discharge in older adults who had surgery after experiencing a fall fracture and to develop an educational program to reduce the fear of falling.","PeriodicalId":52377,"journal":{"name":"Journal of Korean Gerontological Nursing","volume":"87 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77949269","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 : 2021-11-30DOI: 10.17079/jkgn.2021.23.4.361
M. Park, Jisu Park, S. Moon, H. Kim
Purpose: The purpose of this study was to explore non-compliant health behaviors among urban-dwelling elderly and identify related environmental factors.Methods: This study analyzed integrated data from the 2017 Korean National Survey on the elderly and 2017 Annual Report of Air Quality in Korea (N=3,198). In this study, health behaviors included seven recommendations for promoting health. Social and physical environmental factors were selected based on Bronfenbrenner’s ecosystem theory, including air quality as an environmental factor. Hierarchical multiple regression analysis was used to analyze the data while controlling for general characteristics of the elderly.Results: The average score for non-compliant health behaviors was 3.05±1.03 among seven health behaviors. Hierarchical multiple regression showed the environmental factors related to non-compliant health behaviors were social activity participation (β=.15, p＜.001); interactions with friends, neighbors, and acquaintances (β=.06, p=.002); access to institutions and facilities (β=.06, p=.001); and particulate matter concentration (β=-.10, p＜.001).Conclusion: Our study findings emphasized that social activity participation, interactions with significant others, access to institutions and facilities, and particulate matter concentration should be considered when developing ecological interventions to improve health behaviors among the urban-dwelling elderly.
{"title":"Environmental Factors Related to Non-compliant Health Behaviors in Urban-Dwelling Elderly","authors":"M. Park, Jisu Park, S. Moon, H. Kim","doi":"10.17079/jkgn.2021.23.4.361","DOIUrl":"https://doi.org/10.17079/jkgn.2021.23.4.361","url":null,"abstract":"Purpose: The purpose of this study was to explore non-compliant health behaviors among urban-dwelling elderly and identify related environmental factors.Methods: This study analyzed integrated data from the 2017 Korean National Survey on the elderly and 2017 Annual Report of Air Quality in Korea (N=3,198). In this study, health behaviors included seven recommendations for promoting health. Social and physical environmental factors were selected based on Bronfenbrenner’s ecosystem theory, including air quality as an environmental factor. Hierarchical multiple regression analysis was used to analyze the data while controlling for general characteristics of the elderly.Results: The average score for non-compliant health behaviors was 3.05±1.03 among seven health behaviors. Hierarchical multiple regression showed the environmental factors related to non-compliant health behaviors were social activity participation (β=.15, p＜.001); interactions with friends, neighbors, and acquaintances (β=.06, p=.002); access to institutions and facilities (β=.06, p=.001); and particulate matter concentration (β=-.10, p＜.001).Conclusion: Our study findings emphasized that social activity participation, interactions with significant others, access to institutions and facilities, and particulate matter concentration should be considered when developing ecological interventions to improve health behaviors among the urban-dwelling elderly.","PeriodicalId":52377,"journal":{"name":"Journal of Korean Gerontological Nursing","volume":"47 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91308692","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 : 2021-11-30DOI: 10.17079/jkgn.2021.23.4.418
E. Y. Kim, S. Hong
Purpose: This study was conducted to analyze and synthesize the findings of qualitative studies related to the decision-making experience of older patients with cancer in choosing treatment.Methods: We used the seven steps of Noblit and Hare’s meta-ethnography to analyze and synthesize selected qualitative studies. Seven databases were used to search the literature that explored the decision-making experiences of older patients with cancer in choosing treatment: PubMed, CINAHL, Embase, Web of Science, Research Informations Sharing Service (RISS), Koreastudies Information Service System (KISS), and National Assembly Library.Results: The final 11 studies were included in the analysis. Three themes emerged as result of synthesizing: “Checking the feasibility of treatment in one’s own life”, “The constant weighing up the gains and losses of treatment”, and “Having meanings to life”.Conclusion: This study provides an in-depth understanding of treatment decision-making experiences of older patients with cancer and highlights the complex factors that influence their treatment decision-making process. This may contribute to the development of interventions that help older patients with cancer choose treatment during the decision-making process.
目的:本研究对老年癌症患者治疗选择决策经验相关的定性研究结果进行分析和综合。方法:采用Noblit和Hare的元民族志七个步骤，对选定的定性研究进行分析和综合。使用PubMed、CINAHL、Embase、Web of Science、研究信息共享服务(RISS)、韩国研究信息服务系统(KISS)、国会图书馆(National Assembly Library)等7个数据库检索老年癌症患者治疗决策经验的文献。结果:最后11项研究纳入分析。综合的结果出现了三个主题:“检查自己生命中治疗的可行性”、“不断权衡治疗的得失”和“对生命有意义”。结论:本研究深入了解老年癌症患者的治疗决策经验，突出了影响其治疗决策过程的复杂因素。这可能有助于开发干预措施，帮助老年癌症患者在决策过程中选择治疗方法。
{"title":"Decision-Making Experience of Older Patients with Cancer in Choosing Treatment: A Qualitative Meta-Synthesis Study","authors":"E. Y. Kim, S. Hong","doi":"10.17079/jkgn.2021.23.4.418","DOIUrl":"https://doi.org/10.17079/jkgn.2021.23.4.418","url":null,"abstract":"Purpose: This study was conducted to analyze and synthesize the findings of qualitative studies related to the decision-making experience of older patients with cancer in choosing treatment.Methods: We used the seven steps of Noblit and Hare’s meta-ethnography to analyze and synthesize selected qualitative studies. Seven databases were used to search the literature that explored the decision-making experiences of older patients with cancer in choosing treatment: PubMed, CINAHL, Embase, Web of Science, Research Informations Sharing Service (RISS), Koreastudies Information Service System (KISS), and National Assembly Library.Results: The final 11 studies were included in the analysis. Three themes emerged as result of synthesizing: “Checking the feasibility of treatment in one’s own life”, “The constant weighing up the gains and losses of treatment”, and “Having meanings to life”.Conclusion: This study provides an in-depth understanding of treatment decision-making experiences of older patients with cancer and highlights the complex factors that influence their treatment decision-making process. This may contribute to the development of interventions that help older patients with cancer choose treatment during the decision-making process.","PeriodicalId":52377,"journal":{"name":"Journal of Korean Gerontological Nursing","volume":"22 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84600980","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 : 2021-08-31DOI: 10.17079/jkgn.2021.23.3.239
Min-Jae Lee, Sujin Shin
Purpose: The aim of this study was to investigate and compare facility workers’ and family caregivers’ perceptions toward closed-circuit television (CCTV) in long-term care facilities.Methods: The participants included 70 family caregivers and 66 facility workers in nine long-term care facilities. A structured questionnaire gathered participants’ perceptions of CCTV in long-term care facilities. Data were analyzed using descriptive statistics, t-test, chi-squared test, and Fisher’s exact test with SPSS 26.0.Results: Family caregivers positively perceived both the function (p<.001) and compulsory installation (p<.001) of CCTV in long-term care facilities compared to facility workers. Also, family caregivers highly perceived the necessity of two improvement plans for CCTV application: “the agreement on a video-data-application plan” (p=.032), and “the necessity of a video-analytics expert” (p=.001) compared to facility workers.Conclusion: Family caregivers were more likely to recognize the importance of CCTV in long-term care facilities than facility workers. Further education on the necessity of CCTV, its positive functions, and various usage methods is required considering that the discussion on CCTV installation in long-term care facilities will become more prevalent. In addition, the legal regulations related to CCTV installation should be prepared in detail. Furthermore, it is necessary to understand that CCTV is not a solution to elder abuse, and long-term care facilities should consider future uses of AI-CCTV.
{"title":"Perceptions of Facility Workers and Family Caregivers toward CCTV in Long-Term Care Facilities","authors":"Min-Jae Lee, Sujin Shin","doi":"10.17079/jkgn.2021.23.3.239","DOIUrl":"https://doi.org/10.17079/jkgn.2021.23.3.239","url":null,"abstract":"Purpose: The aim of this study was to investigate and compare facility workers’ and family caregivers’ perceptions toward closed-circuit television (CCTV) in long-term care facilities.Methods: The participants included 70 family caregivers and 66 facility workers in nine long-term care facilities. A structured questionnaire gathered participants’ perceptions of CCTV in long-term care facilities. Data were analyzed using descriptive statistics, t-test, chi-squared test, and Fisher’s exact test with SPSS 26.0.Results: Family caregivers positively perceived both the function (p<.001) and compulsory installation (p<.001) of CCTV in long-term care facilities compared to facility workers. Also, family caregivers highly perceived the necessity of two improvement plans for CCTV application: “the agreement on a video-data-application plan” (p=.032), and “the necessity of a video-analytics expert” (p=.001) compared to facility workers.Conclusion: Family caregivers were more likely to recognize the importance of CCTV in long-term care facilities than facility workers. Further education on the necessity of CCTV, its positive functions, and various usage methods is required considering that the discussion on CCTV installation in long-term care facilities will become more prevalent. In addition, the legal regulations related to CCTV installation should be prepared in detail. Furthermore, it is necessary to understand that CCTV is not a solution to elder abuse, and long-term care facilities should consider future uses of AI-CCTV.","PeriodicalId":52377,"journal":{"name":"Journal of Korean Gerontological Nursing","volume":"104 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76739274","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 : 2021-08-31DOI: 10.17079/jkgn.2021.23.3.285
Jee-Seon Yi
Purpose: As the world population ages, it becomes increasingly important to understand how various factors interact to contribute to older adults’ quality of life. This study aimed to identify the determinants that influence quality of life among women aged 75 years and above.Methods: The data were generated from the Korea National Health & Nutrition Examination Survey (KNHANES Ⅷ Year 1, 2019). This secondary analysis included 417 women aged 75 or older. The data were analyzed using several survey variables (socio-economic status, health habits, EuroQol-5D, etc.). The analyses were conducted using a general linear regression based on a complex sample design, and a decision tree analysis.Results: There were significant differences in the socio-economic status, health status and habits between participants who live in urban areas and those in rural areas. Data analysis determined that participants in rural areas had a significantly better quality of life (p=.034) than those in urban areas. The complex characteristics differed between residents in the different areas.Conclusion: This study indicates that the area in which older women live is an essential factor in accounting for health disparities, providing evidence for developing strategies to improve quality of life considering residential area.
{"title":"Factors related to Quality of Life among Older Women in South Korea: The Impact of Residential Areas","authors":"Jee-Seon Yi","doi":"10.17079/jkgn.2021.23.3.285","DOIUrl":"https://doi.org/10.17079/jkgn.2021.23.3.285","url":null,"abstract":"Purpose: As the world population ages, it becomes increasingly important to understand how various factors interact to contribute to older adults’ quality of life. This study aimed to identify the determinants that influence quality of life among women aged 75 years and above.Methods: The data were generated from the Korea National Health & Nutrition Examination Survey (KNHANES Ⅷ Year 1, 2019). This secondary analysis included 417 women aged 75 or older. The data were analyzed using several survey variables (socio-economic status, health habits, EuroQol-5D, etc.). The analyses were conducted using a general linear regression based on a complex sample design, and a decision tree analysis.Results: There were significant differences in the socio-economic status, health status and habits between participants who live in urban areas and those in rural areas. Data analysis determined that participants in rural areas had a significantly better quality of life (p=.034) than those in urban areas. The complex characteristics differed between residents in the different areas.Conclusion: This study indicates that the area in which older women live is an essential factor in accounting for health disparities, providing evidence for developing strategies to improve quality of life considering residential area.","PeriodicalId":52377,"journal":{"name":"Journal of Korean Gerontological Nursing","volume":"3 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85036038","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 : 2021-08-31DOI: 10.17079/jkgn.2021.23.3.249
Jungsuk Lee, Hee Seung Lee, Yeon-Kyung Park, R. Hwang
Purpose: The National Health Insurance Service implemented a tele-consultation pilot project for in-home care using Information and Communication Technologies (ICTs). This study aims to investigate nurses’, doctors’, and families’ perceptions on the project.Methods: Using the pilot project database and perception survey data, this study provides a description of the satisfaction, re-participation motivation, and experiences of nurses, doctors, and families.Results: Tele-consultation for home-visit nursing was used to monitor health conditions and problems, such as pain and blood pressure, or health counseling for home-care beneficiaries. The beneficiaries' families showed higher levels of satisfaction than the service providers. Nurses and doctors had relatively positive perceptions about the usefulness of sharing information about beneficiaries, timeliness of providing nursing care, and convenience of communication. Meanwhile, nurses and doctors had negative perceptions of the sufficiency and accuracy of information obtained from tele-consultation, implying the necessity of adopting more advanced ICTs.Conclusion: This study suggests what must be considered when designing a tele-consultation service model in long-term care settings, especially in the home-visit nursing care setting. Innovative approaches using ICTs should be taken to improve home-visit nursing care quality in the era of super-aging and COVID-19.
{"title":"An Empirical Study on Tele-Consultation In Home-Visit Nursing Care Setting Under Korean Long-Term Care Insurance System","authors":"Jungsuk Lee, Hee Seung Lee, Yeon-Kyung Park, R. Hwang","doi":"10.17079/jkgn.2021.23.3.249","DOIUrl":"https://doi.org/10.17079/jkgn.2021.23.3.249","url":null,"abstract":"Purpose: The National Health Insurance Service implemented a tele-consultation pilot project for in-home care using Information and Communication Technologies (ICTs). This study aims to investigate nurses’, doctors’, and families’ perceptions on the project.Methods: Using the pilot project database and perception survey data, this study provides a description of the satisfaction, re-participation motivation, and experiences of nurses, doctors, and families.Results: Tele-consultation for home-visit nursing was used to monitor health conditions and problems, such as pain and blood pressure, or health counseling for home-care beneficiaries. The beneficiaries' families showed higher levels of satisfaction than the service providers. Nurses and doctors had relatively positive perceptions about the usefulness of sharing information about beneficiaries, timeliness of providing nursing care, and convenience of communication. Meanwhile, nurses and doctors had negative perceptions of the sufficiency and accuracy of information obtained from tele-consultation, implying the necessity of adopting more advanced ICTs.Conclusion: This study suggests what must be considered when designing a tele-consultation service model in long-term care settings, especially in the home-visit nursing care setting. Innovative approaches using ICTs should be taken to improve home-visit nursing care quality in the era of super-aging and COVID-19.","PeriodicalId":52377,"journal":{"name":"Journal of Korean Gerontological Nursing","volume":"66 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89945935","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 : 2021-08-31DOI: 10.17079/jkgn.2021.23.3.297
Sujin Eom, J. Ha
Purpose: The purpose of this study was to identify factors affecting reversion to normal cognition and progression to dementia from mild cognitive impairment (MCI) after 2 years.Methods: We analyzed data from the 6th and 7th “Korean Longitudinal Study of Ageing (KLoSA)”. A total of 773 participants aged 65 years and above classified as having MCI according to the Korean Mini-Mental State Examination in the 6th survey were included in the study. Data were analyzed by SPSS 26.0 software using x2 test, t-test, Mann-Whitney test and logistic regression analysis.Results: Of all the participants, 30.5% reverted to normal cognition, 48.5% remained with MCI, and 21.0% progressed to dementia. Factors such as young age (odds ratio [OR]=0.96, 95% confidence interval [CI]: 0.94~0.99), the absence of diabetes (OR=1.49, 95% CI: 1.01~2.19), and frequent neighbor networks “at least once or twice a month” (OR=2.35, 95% CI: 1.26~4.37), and “at least once a week” (OR=1.63, 95% CI: 1.03~2.56) compared to “never or less than 6 times a year” significantly associated with reversion to normal cognition. Meanwhile, factors such as old age (OR=1.09, 95% CI: 1.05~1.12), low level of perceived socioeconomic status (reference. above middle) (OR=1.59, 95% CI: 1.05~2.41), low levels of instrumental activities of daily living (OR=1.17, 95% CI: 1.05~1.32), and a small number of social activities (OR=0.70, 95% CI: 0.51~0.96) significantly associated with dementia progression.Conclusion: The study indicates the necessity of follow-up research for developing interventions that could aid individuals in reverting to normal cognitive function by managing diabetes or encouraging interaction with neighbors and preventing the progression to dementia by improving Instrumental Activities of Daily Living levels or encouraging participation in social activities.
{"title":"Factors Influencing Reversion to Normal Cognition and Progression to Dementia in Elderly with Mild Cognitive Impairment: Analysis of the Korean Longitudinal Study of Ageing","authors":"Sujin Eom, J. Ha","doi":"10.17079/jkgn.2021.23.3.297","DOIUrl":"https://doi.org/10.17079/jkgn.2021.23.3.297","url":null,"abstract":"Purpose: The purpose of this study was to identify factors affecting reversion to normal cognition and progression to dementia from mild cognitive impairment (MCI) after 2 years.Methods: We analyzed data from the 6th and 7th “Korean Longitudinal Study of Ageing (KLoSA)”. A total of 773 participants aged 65 years and above classified as having MCI according to the Korean Mini-Mental State Examination in the 6th survey were included in the study. Data were analyzed by SPSS 26.0 software using x2 test, t-test, Mann-Whitney test and logistic regression analysis.Results: Of all the participants, 30.5% reverted to normal cognition, 48.5% remained with MCI, and 21.0% progressed to dementia. Factors such as young age (odds ratio [OR]=0.96, 95% confidence interval [CI]: 0.94~0.99), the absence of diabetes (OR=1.49, 95% CI: 1.01~2.19), and frequent neighbor networks “at least once or twice a month” (OR=2.35, 95% CI: 1.26~4.37), and “at least once a week” (OR=1.63, 95% CI: 1.03~2.56) compared to “never or less than 6 times a year” significantly associated with reversion to normal cognition. Meanwhile, factors such as old age (OR=1.09, 95% CI: 1.05~1.12), low level of perceived socioeconomic status (reference. above middle) (OR=1.59, 95% CI: 1.05~2.41), low levels of instrumental activities of daily living (OR=1.17, 95% CI: 1.05~1.32), and a small number of social activities (OR=0.70, 95% CI: 0.51~0.96) significantly associated with dementia progression.Conclusion: The study indicates the necessity of follow-up research for developing interventions that could aid individuals in reverting to normal cognitive function by managing diabetes or encouraging interaction with neighbors and preventing the progression to dementia by improving Instrumental Activities of Daily Living levels or encouraging participation in social activities.","PeriodicalId":52377,"journal":{"name":"Journal of Korean Gerontological Nursing","volume":"78 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83176227","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 : 2021-08-31DOI: 10.17079/jkgn.2021.23.3.226
Mi-Young Suh, J. S. Kim
Purpose: This study aimed to identify the relationship between death anxiety, knowledge, and attitudes toward advance directives in middle-aged patients with acute myocardial infarction.Methods: Data were collected through a survey of 142 middle-aged adults from August 27th to October 4th, 2019 in G city. Data analysis was performed using descriptive statistics, t-test, one-way ANOVA, Scheffé test, and Pearson correlation coefficient.Results: The average score of participants’ death anxiety and attitudes toward advance directives was 44.14± 6.71 and 43.61±3.53, respectively, and the average correct rate in knowledge of advance directives was 57.1%. Participants showed significant differences in death anxiety (F=3.75, p=.013), knowledge of advance directives (F=3.02, p=.033), and attitudes toward advance directives (t=2.31, p=.022) depending on the presence or absence of an object to discuss their health status. Also, there were significant differences in knowledge of advance directives (t=3.43, p=.001) and attitude toward advance directives (t=2.23, p=.027) depending on whether participants perceived the meaning of advance directives. There were positive correlations (r=.38, p<.001) between knowledge of advance directives and attitudes toward advance directives in middle-aged patients with acute myocardial infarction.Conclusion: Active information-provision and promotional strategies are needed to enhance a correct understanding of advance directives for middle-aged acute myocardial infarction patients with a high probability of sudden death to recognize the need for an advance directive and reinforce a positive attitude.
{"title":"The Relationship among Death Anxiety, Knowledge and Attitudes toward Advance Directives in Middle-Aged Patients with Acute Myocardial Infarction","authors":"Mi-Young Suh, J. S. Kim","doi":"10.17079/jkgn.2021.23.3.226","DOIUrl":"https://doi.org/10.17079/jkgn.2021.23.3.226","url":null,"abstract":"Purpose: This study aimed to identify the relationship between death anxiety, knowledge, and attitudes toward advance directives in middle-aged patients with acute myocardial infarction.Methods: Data were collected through a survey of 142 middle-aged adults from August 27th to October 4th, 2019 in G city. Data analysis was performed using descriptive statistics, t-test, one-way ANOVA, Scheffé test, and Pearson correlation coefficient.Results: The average score of participants’ death anxiety and attitudes toward advance directives was 44.14± 6.71 and 43.61±3.53, respectively, and the average correct rate in knowledge of advance directives was 57.1%. Participants showed significant differences in death anxiety (F=3.75, p=.013), knowledge of advance directives (F=3.02, p=.033), and attitudes toward advance directives (t=2.31, p=.022) depending on the presence or absence of an object to discuss their health status. Also, there were significant differences in knowledge of advance directives (t=3.43, p=.001) and attitude toward advance directives (t=2.23, p=.027) depending on whether participants perceived the meaning of advance directives. There were positive correlations (r=.38, p<.001) between knowledge of advance directives and attitudes toward advance directives in middle-aged patients with acute myocardial infarction.Conclusion: Active information-provision and promotional strategies are needed to enhance a correct understanding of advance directives for middle-aged acute myocardial infarction patients with a high probability of sudden death to recognize the need for an advance directive and reinforce a positive attitude.","PeriodicalId":52377,"journal":{"name":"Journal of Korean Gerontological Nursing","volume":"30 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74767231","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 : 2021-08-31DOI: 10.17079/jkgn.2021.23.3.213
Min-Jung Ryu, Haeyun Shin, M. Bang, Suhye Kwon
Purpose: The purpose of the study was to understand and describe the experiences of urinary incontinence in older women in urban areas.Methods: Data were collected through individual in-depth interviews of 8 older women with urinary incontinence in urban areas from September 2020 to March 2021. The transcribed data were analyzed using Colaizzi's phenomenological six-step method.Results: Four theme clusters emerged: Urinary incontinence as an uninvited visitor in old age; The heavy daily pain urinary incontinence causes; Self-help efforts to cope with urinary incontinence; and A mind to hold on to the present condition so as not to deteriorate.Conclusion: This study provided an in-depth understanding of older women’s experiences with urinary incontinence in urban areas. Based on the results of this study, efforts should be made to develop and provide emotional and psychological support and prevention education programs that can adequately support older women with urinary incontinence in urban areas.
{"title":"Experience of Urinary Incontinence in Elderly Women in Urban Areas","authors":"Min-Jung Ryu, Haeyun Shin, M. Bang, Suhye Kwon","doi":"10.17079/jkgn.2021.23.3.213","DOIUrl":"https://doi.org/10.17079/jkgn.2021.23.3.213","url":null,"abstract":"Purpose: The purpose of the study was to understand and describe the experiences of urinary incontinence in older women in urban areas.Methods: Data were collected through individual in-depth interviews of 8 older women with urinary incontinence in urban areas from September 2020 to March 2021. The transcribed data were analyzed using Colaizzi's phenomenological six-step method.Results: Four theme clusters emerged: Urinary incontinence as an uninvited visitor in old age; The heavy daily pain urinary incontinence causes; Self-help efforts to cope with urinary incontinence; and A mind to hold on to the present condition so as not to deteriorate.Conclusion: This study provided an in-depth understanding of older women’s experiences with urinary incontinence in urban areas. Based on the results of this study, efforts should be made to develop and provide emotional and psychological support and prevention education programs that can adequately support older women with urinary incontinence in urban areas.","PeriodicalId":52377,"journal":{"name":"Journal of Korean Gerontological Nursing","volume":"7 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74036508","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}
京公网安备 11010802042870号
京ICP备2023020795号-1
扫码关注我们
求助内容：
应助结果提醒方式：