Pub Date : 2023-05-31DOI: 10.17079/jkgn.2303.16002
Jangmi Baek, Jun-Ah Song
Purpose: This study aimed to investigate ego integrity, readiness for death, and preferences of care near the end-of-life among hospitalized older adults in long-term care hospitals and identify factors that influence end-of-life care preference. Methods: A total of 181 older adults in long-term care hospitals participated in the study, and data collection was conducted from July 20th, 2020 to September 20th, 2020. Descriptive statistics, t-test, ANOVA, Pearson’s correlations, and multiple regression were used for data analysis. Results: The older adults in hospitalized in long-term care hospitals preferred pain management even at the risk of hastened death, while the least preferred option was autonomous decision-making, including artificially prolonging human life. Regarding end-of-life care preferences, ego-integrity (β=-.18, p=.004) and death-readiness (β=-.18, p=.005) were factors that only influenced the spiritual domain and in the pain domain, it was confirmed that only the ego-integrity (β=-.16, p=.013) was affected. Conclusion: Although ego integrity and readiness for death did not affect all areas of end-of-life care preference among older adults in long-term care hospitals, they represent significant variables denoting positive acceptance of death and life satisfaction. As such, it is necessary to provide various opportunities for these factors to be considered in the overall process of aging. Furthermore, it has been confirmed that other variables can influence each subdomain of end-of-life care preference. Therefore, nurses should support hospitalized older adults in receiving end-of-life care according to their preferred domains.
{"title":"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","authors":"Jangmi Baek, Jun-Ah Song","doi":"10.17079/jkgn.2303.16002","DOIUrl":"https://doi.org/10.17079/jkgn.2303.16002","url":null,"abstract":"Purpose: This study aimed to investigate ego integrity, readiness for death, and preferences of care near the end-of-life among hospitalized older adults in long-term care hospitals and identify factors that influence end-of-life care preference. Methods: A total of 181 older adults in long-term care hospitals participated in the study, and data collection was conducted from July 20th, 2020 to September 20th, 2020. Descriptive statistics, t-test, ANOVA, Pearson’s correlations, and multiple regression were used for data analysis. Results: The older adults in hospitalized in long-term care hospitals preferred pain management even at the risk of hastened death, while the least preferred option was autonomous decision-making, including artificially prolonging human life. Regarding end-of-life care preferences, ego-integrity (β=-.18, p=.004) and death-readiness (β=-.18, p=.005) were factors that only influenced the spiritual domain and in the pain domain, it was confirmed that only the ego-integrity (β=-.16, p=.013) was affected. Conclusion: Although ego integrity and readiness for death did not affect all areas of end-of-life care preference among older adults in long-term care hospitals, they represent significant variables denoting positive acceptance of death and life satisfaction. As such, it is necessary to provide various opportunities for these factors to be considered in the overall process of aging. Furthermore, it has been confirmed that other variables can influence each subdomain of end-of-life care preference. Therefore, nurses should support hospitalized older adults in receiving end-of-life care according to their preferred domains.","PeriodicalId":52377,"journal":{"name":"Journal of Korean Gerontological Nursing","volume":"88 2-3 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78285797","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 : 2023-05-31DOI: 10.17079/jkgn.2301.26001
Jiyeon Kim, Jun-Ah Song, S. Jung, Jiyeon Kim, Sunhee Kim
Purpose: With the nationwide expansion of local dementia centers (LDCs) after the National Responsibility for Dementia System, the number of tailored dementia case management (TDCM) programs increased significantly, but qualitative improvement in TDCM is still a remaining task. The purpose of this study was to explore the current practice of the TDCM in LDCs and suggest directions for future program improvement. Methods: A focus group interview was conducted with seven hands-on workers who had experience in TDCM at the LDCs. Participants (mean age=40 years old) were nurses, social workers, and occupational therapists with an average of 9.1 years of working experience in TDCM. Data were analyzed using qualitative content analysis. Results: The results were summarized into three core themes and fourteen sub-themes. The three core themes were ‘Job Characteristics of TDCM’, ‘Barriers to the effective operation of TDCM’, and ‘Improvement plans for successful TDCM’. Conclusion: To establish the function and role of TDCM within the domestic dementia management system, we propose five areas for improvement: 1) Developing a standardized TDCM manual; 2) Quantitative and qualitative expansion of case manager working capacity; 3) Activating a multidisciplinary team approach; 4) Forming a collaborative network between related organizations and local community councils; 5) Active promotion of TDCM.
{"title":"Practice and improvement plans of the tailored dementia case management in local dementia centers: A qualitative study using focus group","authors":"Jiyeon Kim, Jun-Ah Song, S. Jung, Jiyeon Kim, Sunhee Kim","doi":"10.17079/jkgn.2301.26001","DOIUrl":"https://doi.org/10.17079/jkgn.2301.26001","url":null,"abstract":"Purpose: With the nationwide expansion of local dementia centers (LDCs) after the National Responsibility for Dementia System, the number of tailored dementia case management (TDCM) programs increased significantly, but qualitative improvement in TDCM is still a remaining task. The purpose of this study was to explore the current practice of the TDCM in LDCs and suggest directions for future program improvement. Methods: A focus group interview was conducted with seven hands-on workers who had experience in TDCM at the LDCs. Participants (mean age=40 years old) were nurses, social workers, and occupational therapists with an average of 9.1 years of working experience in TDCM. Data were analyzed using qualitative content analysis. Results: The results were summarized into three core themes and fourteen sub-themes. The three core themes were ‘Job Characteristics of TDCM’, ‘Barriers to the effective operation of TDCM’, and ‘Improvement plans for successful TDCM’. Conclusion: To establish the function and role of TDCM within the domestic dementia management system, we propose five areas for improvement: 1) Developing a standardized TDCM manual; 2) Quantitative and qualitative expansion of case manager working capacity; 3) Activating a multidisciplinary team approach; 4) Forming a collaborative network between related organizations and local community councils; 5) Active promotion of TDCM.","PeriodicalId":52377,"journal":{"name":"Journal of Korean Gerontological Nursing","volume":"24 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81822526","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 : 2023-05-31DOI: 10.17079/jkgn.2023.25.1.89.e1
Young Suk Choe, Y. Yoo
{"title":"Erratum: Moderated moderation effect of empathy and resilience on the relationship between geriatric care-related stress and geriatric nursing practice among secondary hospital nurses: A cross-sectional study","authors":"Young Suk Choe, Y. Yoo","doi":"10.17079/jkgn.2023.25.1.89.e1","DOIUrl":"https://doi.org/10.17079/jkgn.2023.25.1.89.e1","url":null,"abstract":"","PeriodicalId":52377,"journal":{"name":"Journal of Korean Gerontological Nursing","volume":"7 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81187411","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 : 2023-05-31DOI: 10.17079/jkgn.2212.20001
Jinhee Kwon, Eun-Jeong Han, Hyun Ki Kim
Purpose: The purpose of this study is to confirm how the income level of the family caregivers for recipients in long-term care (LTC) facilities are related to family caregivers’ willingness to pay out-of-pocket payments for better LTC services. Methods: This study used the 2021 survey data on cost sharing in LTC facilities, which surveyed 1,111 family caregivers of recipients. To analyze the effect of the income level of family caregivers on the willingness to pay out-of-pocket payments for better LTC services, a chi-square test, a Cochran-Mantel-Haenszel test, and a logistic regression analysis were performed. Results: We found that 39.0% of respondents were willing to pay out-of-pocket payments if better services were available to recipients. Adjusted for recipient’s and family caregivers’ variables, characteristics of out-of-pocket payment, and LTC service use, the willingness to pay in the monthly household income level of 5 million won and more was 3.28 times higher than those in the monthly household income level of less than 1 million won (95% confidence level=1.93~5.55, p<.001). As monthly household income rises, the odds ratio of willingness to pay tended to increase (p<.001). Conclusion: Family caregivers who bear the out-of-pocket payments of LTC facilities are willing to pay more for better LTC services. In addition, the higher the income level of family caregivers, the higher their willingness to pay. A full-scale review of the system reform is needed to prevent out-of-pocket payments from becoming an economic barrier to service users and to contribute to service quality improvement and financial stability.
{"title":"An Analysis of the Effects of the Income Level of the Family Caregivers for the Recipients in Long-Term Care facilities on the Willingness to Pay for Use of Better Services: A cross-sectional study","authors":"Jinhee Kwon, Eun-Jeong Han, Hyun Ki Kim","doi":"10.17079/jkgn.2212.20001","DOIUrl":"https://doi.org/10.17079/jkgn.2212.20001","url":null,"abstract":"Purpose: The purpose of this study is to confirm how the income level of the family caregivers for recipients in long-term care (LTC) facilities are related to family caregivers’ willingness to pay out-of-pocket payments for better LTC services. Methods: This study used the 2021 survey data on cost sharing in LTC facilities, which surveyed 1,111 family caregivers of recipients. To analyze the effect of the income level of family caregivers on the willingness to pay out-of-pocket payments for better LTC services, a chi-square test, a Cochran-Mantel-Haenszel test, and a logistic regression analysis were performed. Results: We found that 39.0% of respondents were willing to pay out-of-pocket payments if better services were available to recipients. Adjusted for recipient’s and family caregivers’ variables, characteristics of out-of-pocket payment, and LTC service use, the willingness to pay in the monthly household income level of 5 million won and more was 3.28 times higher than those in the monthly household income level of less than 1 million won (95% confidence level=1.93~5.55, p<.001). As monthly household income rises, the odds ratio of willingness to pay tended to increase (p<.001). Conclusion: Family caregivers who bear the out-of-pocket payments of LTC facilities are willing to pay more for better LTC services. In addition, the higher the income level of family caregivers, the higher their willingness to pay. A full-scale review of the system reform is needed to prevent out-of-pocket payments from becoming an economic barrier to service users and to contribute to service quality improvement and financial stability.","PeriodicalId":52377,"journal":{"name":"Journal of Korean Gerontological Nursing","volume":"91 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89947343","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 : 2023-05-31DOI: 10.17079/jkgn.2303.02001
Yung Hee Hwang, H. Jun
Purpose: The purpose of this study is to identify handwashing in older adults living in the community and to identify the factors affecting handwashing. Methods: A total of 73,492 older adults were selected and analyzed using the 2021 Community Health Survey. The Rao-Scott χ2 test was conducted to evaluate the differences between demographic, health status, and fear of infection with COVID-19, and health literacy according to handwashing. Results: Gender (odds ratio [OR]=2.56, p<.001), age (OR=1.61, p<.001), education (OR=0.60, p<.001), region (OR=2.35, p<.001), monthly income (OR=1.21, p=.036), subjective health status (OR=1.95, p<.001), depression experiences (OR=1.38, p=.006), fear of COVID-19 infection (OR=2.44, p<.001), and health literacy (OR=1.71, p<.001) were identified as significant influencing factors of older adult handwashing. Conclusion: Based on these research results, it is necessary to develop and implement an education program for proper handwashing for older male adults residing in rural areas and/or living in local communities with low levels of education and poor health.
{"title":"Factors influencing handwashing among community dwelling older adults, using the 2021 Community Health Survey: A secondary analysis study","authors":"Yung Hee Hwang, H. Jun","doi":"10.17079/jkgn.2303.02001","DOIUrl":"https://doi.org/10.17079/jkgn.2303.02001","url":null,"abstract":"Purpose: The purpose of this study is to identify handwashing in older adults living in the community and to identify the factors affecting handwashing. Methods: A total of 73,492 older adults were selected and analyzed using the 2021 Community Health Survey. The Rao-Scott χ2 test was conducted to evaluate the differences between demographic, health status, and fear of infection with COVID-19, and health literacy according to handwashing. Results: Gender (odds ratio [OR]=2.56, p<.001), age (OR=1.61, p<.001), education (OR=0.60, p<.001), region (OR=2.35, p<.001), monthly income (OR=1.21, p=.036), subjective health status (OR=1.95, p<.001), depression experiences (OR=1.38, p=.006), fear of COVID-19 infection (OR=2.44, p<.001), and health literacy (OR=1.71, p<.001) were identified as significant influencing factors of older adult handwashing. Conclusion: Based on these research results, it is necessary to develop and implement an education program for proper handwashing for older male adults residing in rural areas and/or living in local communities with low levels of education and poor health.","PeriodicalId":52377,"journal":{"name":"Journal of Korean Gerontological Nursing","volume":"71 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72422163","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 : 2023-05-31DOI: 10.17079/jkgn.2302.20001
Seon-Hye Heo, H. Kim
Purpose: The purpose of this study was to define and clarify the concept of the family caregivers’ perceived value of caring for older patients. Methods: The hybrid model of Schwartz-Barcott and Kim was used to perform the concept analysis of perceived value of caring. Concept analysis was conducted in three phases: the theoretical phase, fieldwork phase, and final analysis phase. Results: The perceived value of caring was found to have four dimensions and nine attributes. The providing care dimension consisted of two attributes—care behavior and care attitude—and the goals and expectation dimension included three attributes—social norms, family norms, and personal norms. The other two dimensions consisted of two attributes each: a belief in usefulness and a belief in meaning in the building beliefs dimension and life expansion and insight into the future in the suffering sublimation dimension. Finally, perceived value of caring can be defined as the personal belief that behavior or attitude of providing physical, mental, and social services to those in need of care is usefulness and important based on one’s goals and criteria, and with the personal effort of sublimating suffering that arises from care. Conclusion: Based on the study findings, it is suggested that the use of the perceived value of caring should expand in nursing phenomena.
{"title":"Family caregivers’ perceived value of caring for older patient: A hybrid model of concept analysis","authors":"Seon-Hye Heo, H. Kim","doi":"10.17079/jkgn.2302.20001","DOIUrl":"https://doi.org/10.17079/jkgn.2302.20001","url":null,"abstract":"Purpose: The purpose of this study was to define and clarify the concept of the family caregivers’ perceived value of caring for older patients. Methods: The hybrid model of Schwartz-Barcott and Kim was used to perform the concept analysis of perceived value of caring. Concept analysis was conducted in three phases: the theoretical phase, fieldwork phase, and final analysis phase. Results: The perceived value of caring was found to have four dimensions and nine attributes. The providing care dimension consisted of two attributes—care behavior and care attitude—and the goals and expectation dimension included three attributes—social norms, family norms, and personal norms. The other two dimensions consisted of two attributes each: a belief in usefulness and a belief in meaning in the building beliefs dimension and life expansion and insight into the future in the suffering sublimation dimension. Finally, perceived value of caring can be defined as the personal belief that behavior or attitude of providing physical, mental, and social services to those in need of care is usefulness and important based on one’s goals and criteria, and with the personal effort of sublimating suffering that arises from care. Conclusion: Based on the study findings, it is suggested that the use of the perceived value of caring should expand in nursing phenomena.","PeriodicalId":52377,"journal":{"name":"Journal of Korean Gerontological Nursing","volume":"58 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85873328","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 : 2023-02-28DOI: 10.17079/jkgn.2023.25.1.56
Hyun-wook Doo, S. Park
Purpose: The purpose of this study was to identify and explain the subjectivity of care workes’ perception on remaining functional ability care.Methods: This study applied the Q-methodology approach. Through a literature review and individual interviews related to the topic of the study, 37 Q-statements were finally derived from 200 Q-populations, and 40 P-samples were asked to classify the Q statements. The data were analyzed using the QUANL Program. Factor analysis was performed using the P-samples along the axis.Results: As a result, Type 1 sees the need for remaining functional ability care in the physical area, and Type 2 recognizes the need for remaining functional ability care in the cognitive and psychological areas. Type 3 negatively perceives remaining functional ability care. Type 4 sees remaining functional ability care as an inaccessible area.Conclusion: This study suggests care workers should provide remaining functional ability care and institutions should develop an educational program on the concept’s effect and enhance care workers’ roles and task types so they can develop expertise.
{"title":"The subjectivity of care workers’ perception on remaining functional ability care: A Q methodology approach","authors":"Hyun-wook Doo, S. Park","doi":"10.17079/jkgn.2023.25.1.56","DOIUrl":"https://doi.org/10.17079/jkgn.2023.25.1.56","url":null,"abstract":"Purpose: The purpose of this study was to identify and explain the subjectivity of care workes’ perception on remaining functional ability care.Methods: This study applied the Q-methodology approach. Through a literature review and individual interviews related to the topic of the study, 37 Q-statements were finally derived from 200 Q-populations, and 40 P-samples were asked to classify the Q statements. The data were analyzed using the QUANL Program. Factor analysis was performed using the P-samples along the axis.Results: As a result, Type 1 sees the need for remaining functional ability care in the physical area, and Type 2 recognizes the need for remaining functional ability care in the cognitive and psychological areas. Type 3 negatively perceives remaining functional ability care. Type 4 sees remaining functional ability care as an inaccessible area.Conclusion: This study suggests care workers should provide remaining functional ability care and institutions should develop an educational program on the concept’s effect and enhance care workers’ roles and task types so they can develop expertise.","PeriodicalId":52377,"journal":{"name":"Journal of Korean Gerontological Nursing","volume":"36 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76270751","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 : 2023-02-28DOI: 10.17079/jkgn.2023.25.1.69
J. Park
Purpose: This study aimed to identify nursing interventions captured in patients with stroke by Korean nursing students for the categorization of nursing care tailored to the characteristics of stroke patients.Methods: To identify nursing interventions, a descriptive data analysis was conducted using case scenarios written by nursing students during clinical practice in rehabilitation care settings. The case scenarios were analyzed using the standard terminology classification system, nursing interventions classification (NIC), to identify and categorize interventions for patients with stroke.Results: As the result of analysis, we identified 10 most frequent NIC interventions. The most frequent NIC intervention was vital signs monitoring (N=244, 8.6%). The 89 nursing interventions were classified into 7 domains and 24 classes of the NIC system.Conclusion: The results of this study can be used as a basis for a list of nursing interventions tailored to the characteristics of patients with stroke and furthermore calculating nursing fees through the analysis of nursing interventions for these patients.
{"title":"Identifying nursing interventions captured in patients with stroke by Korean nursing students: Nursing interventions classification study","authors":"J. Park","doi":"10.17079/jkgn.2023.25.1.69","DOIUrl":"https://doi.org/10.17079/jkgn.2023.25.1.69","url":null,"abstract":"Purpose: This study aimed to identify nursing interventions captured in patients with stroke by Korean nursing students for the categorization of nursing care tailored to the characteristics of stroke patients.Methods: To identify nursing interventions, a descriptive data analysis was conducted using case scenarios written by nursing students during clinical practice in rehabilitation care settings. The case scenarios were analyzed using the standard terminology classification system, nursing interventions classification (NIC), to identify and categorize interventions for patients with stroke.Results: As the result of analysis, we identified 10 most frequent NIC interventions. The most frequent NIC intervention was vital signs monitoring (N=244, 8.6%). The 89 nursing interventions were classified into 7 domains and 24 classes of the NIC system.Conclusion: The results of this study can be used as a basis for a list of nursing interventions tailored to the characteristics of patients with stroke and furthermore calculating nursing fees through the analysis of nursing interventions for these patients.","PeriodicalId":52377,"journal":{"name":"Journal of Korean Gerontological Nursing","volume":"2 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87643039","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 : 2023-02-28DOI: 10.17079/jkgn.2023.25.1.11
Hee-Kyung Kim, Hyun Kyoung Kim, Chulgyun Park
Purpose: The purpose of this study was to explore the health-management experiences of older women living alone during the coronavirus disease 2019 (COVID-19) pandemic through the photovoice method. The research question was as follows: “What were the physical, psychological, and social health management experiences of older women living alone during COVID-19?”Methods: Data collection was conducted by a photovoice method. We visited the homes of 8 participants aged from 80 to 89 years old in the city of Daejeon between June 23 and July 14, 2022 using purposive sampling.Results: As a result of the photovoice study, 125 photos, 15 sub-themes, and four themes were derived. The first theme was “loneliness deepened by COVID-19”, which consisted of the following sub-themes: “lack of communication due to COVID-19”, “staying in nature”, and “aggravated loneliness during COVID-19”. The second theme was “difficulty getting out of the residence”, which included the following sub-themes: “relief stress from COVID-19”, frustrated by the difficulty of going out”, “decreased orientation and going out less frequently”, and “avoiding going out for fear of falling”. The third theme was “health-care lost”, which involved the following sub-themes: “silence as giving up on life”, “asthenia due to lack of appetite”, “painful body”, “many medications and poor health”, and “treatment that doesn't help”. The last theme was “something to depend on during COVID-19”, which consisted of the following sub-themes: “gratitude to care givers”, “longing for a bereaved family”, and “precarious place of residence”.Conclusion: Older women living alone experienced aggravated vulnerability and difficulty with health management due to a lack of social support during the COVID-19 period. This study suggests the need for a social safety network and vividly reveals the necessity of caregivers’ support and policy assistance for socially vulnerable populations.
{"title":"Health-management experiences among older women living alone during the COVID-19 pandemic: A photovoice study","authors":"Hee-Kyung Kim, Hyun Kyoung Kim, Chulgyun Park","doi":"10.17079/jkgn.2023.25.1.11","DOIUrl":"https://doi.org/10.17079/jkgn.2023.25.1.11","url":null,"abstract":"Purpose: The purpose of this study was to explore the health-management experiences of older women living alone during the coronavirus disease 2019 (COVID-19) pandemic through the photovoice method. The research question was as follows: “What were the physical, psychological, and social health management experiences of older women living alone during COVID-19?”Methods: Data collection was conducted by a photovoice method. We visited the homes of 8 participants aged from 80 to 89 years old in the city of Daejeon between June 23 and July 14, 2022 using purposive sampling.Results: As a result of the photovoice study, 125 photos, 15 sub-themes, and four themes were derived. The first theme was “loneliness deepened by COVID-19”, which consisted of the following sub-themes: “lack of communication due to COVID-19”, “staying in nature”, and “aggravated loneliness during COVID-19”. The second theme was “difficulty getting out of the residence”, which included the following sub-themes: “relief stress from COVID-19”, frustrated by the difficulty of going out”, “decreased orientation and going out less frequently”, and “avoiding going out for fear of falling”. The third theme was “health-care lost”, which involved the following sub-themes: “silence as giving up on life”, “asthenia due to lack of appetite”, “painful body”, “many medications and poor health”, and “treatment that doesn't help”. The last theme was “something to depend on during COVID-19”, which consisted of the following sub-themes: “gratitude to care givers”, “longing for a bereaved family”, and “precarious place of residence”.Conclusion: Older women living alone experienced aggravated vulnerability and difficulty with health management due to a lack of social support during the COVID-19 period. This study suggests the need for a social safety network and vividly reveals the necessity of caregivers’ support and policy assistance for socially vulnerable populations.","PeriodicalId":52377,"journal":{"name":"Journal of Korean Gerontological Nursing","volume":"106 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75711918","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 : 2023-02-28DOI: 10.17079/jkgn.2023.25.1.1
H. Woo, M. Gu
Purpose: This study aimed to identify the factors affecting the self-care of older adults living alone in a community during the COVID-19 pandemic.Methods: Data were collected through a questionnaire survey of 160 older adults living alone in Seoul, Gyeong-gi, and Chung-cheong province using self-care, health conservation, psychological well-being, and self-esteem scales. Data were analyzed using the Pearson correlation coefficients, t-test, analysis of variance ANOVA, and Hierarchial stepwise multiple regression with the SPSS/Windows version 25.0 program.Results: The greatest variables affecting the self-care for older adults living alone were compliance with COVID-19 quarantine rules (β=-.04, p=.054), interactions with the neighborhood (β=-.06, p=.029), economic status (β=.10, p=.008), health conservation (β=.29, p<.001), psychological well-being (β=.18, p=.008), and self-esteem (β=.35, p<.001). The explanatory power of these variables was 70.0% (F=18.45, p<.001).Conclusion: Regarding the COVID-19 pandemic, these factors were highly mutually related to older adults living alone, so it is necessary for older adults living alone to actively participate in self-care programs using direct and indirect community resources.
{"title":"Influencing factors on self-care of older adults living alone in a community during COVID-19: A cross-sectional study","authors":"H. Woo, M. Gu","doi":"10.17079/jkgn.2023.25.1.1","DOIUrl":"https://doi.org/10.17079/jkgn.2023.25.1.1","url":null,"abstract":"Purpose: This study aimed to identify the factors affecting the self-care of older adults living alone in a community during the COVID-19 pandemic.Methods: Data were collected through a questionnaire survey of 160 older adults living alone in Seoul, Gyeong-gi, and Chung-cheong province using self-care, health conservation, psychological well-being, and self-esteem scales. Data were analyzed using the Pearson correlation coefficients, t-test, analysis of variance ANOVA, and Hierarchial stepwise multiple regression with the SPSS/Windows version 25.0 program.Results: The greatest variables affecting the self-care for older adults living alone were compliance with COVID-19 quarantine rules (β=-.04, p=.054), interactions with the neighborhood (β=-.06, p=.029), economic status (β=.10, p=.008), health conservation (β=.29, p<.001), psychological well-being (β=.18, p=.008), and self-esteem (β=.35, p<.001). The explanatory power of these variables was 70.0% (F=18.45, p<.001).Conclusion: Regarding the COVID-19 pandemic, these factors were highly mutually related to older adults living alone, so it is necessary for older adults living alone to actively participate in self-care programs using direct and indirect community resources.","PeriodicalId":52377,"journal":{"name":"Journal of Korean Gerontological Nursing","volume":"15 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87017088","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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