Pub Date : 2023-02-28DOI: 10.17079/jkgn.2023.25.1.89
Young Suk Choe, Y. Yoo
Purpose: This study aimed to investigate whether empathy and resilience moderate the relationship between geriatric care-related stress and geriatric nursing practice among secondary hospital nurses.Methods: Data were collected from three secondary hospitals in J province from July 20, 2022, to August 10, 2022. Nurses with at least three months of employment were convenience sampled, and a structured questionnaire was used. A total of 218 questionnaires were included in the analysis. The collected data were analyzed using the IBM SPSS Statistics 24.0 software.Results: Geriatric nursing practice was significantly positively correlated with geriatric care-related stress, empathy, and resilience. Empathy moderated the effects of geriatric care-related stress on geriatric nursing practice, and this moderating effect was re-moderated by resilience (moderated moderation effect). In other words, nurses with high resilience and empathy tended to show stronger geriatric nursing practice even with elevated geriatric care-related stress. Conversely, nurses with high resilience and low empathy tended to show weaker geriatric nursing practice with increasing geriatric care-related stress.Conclusion: These results highlight the need for multilateral efforts to reduce nurses’ stress related to geriatric care and enhance their empathy and resilience, ultimately promoting geriatric nursing practice. This study has important implications for nursing practice. Specifically, it is the first to confirm a moderated moderation effect of empathy and resilience on the relationship between geriatric care-related stress and geriatric nursing practice among nurses. Subsequent studies should identify whether other factors moderate the relationship between geriatric care-related stress and geriatric nursing practice.
{"title":"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","DOIUrl":"https://doi.org/10.17079/jkgn.2023.25.1.89","url":null,"abstract":"Purpose: This study aimed to investigate whether empathy and resilience moderate the relationship between geriatric care-related stress and geriatric nursing practice among secondary hospital nurses.Methods: Data were collected from three secondary hospitals in J province from July 20, 2022, to August 10, 2022. Nurses with at least three months of employment were convenience sampled, and a structured questionnaire was used. A total of 218 questionnaires were included in the analysis. The collected data were analyzed using the IBM SPSS Statistics 24.0 software.Results: Geriatric nursing practice was significantly positively correlated with geriatric care-related stress, empathy, and resilience. Empathy moderated the effects of geriatric care-related stress on geriatric nursing practice, and this moderating effect was re-moderated by resilience (moderated moderation effect). In other words, nurses with high resilience and empathy tended to show stronger geriatric nursing practice even with elevated geriatric care-related stress. Conversely, nurses with high resilience and low empathy tended to show weaker geriatric nursing practice with increasing geriatric care-related stress.Conclusion: These results highlight the need for multilateral efforts to reduce nurses’ stress related to geriatric care and enhance their empathy and resilience, ultimately promoting geriatric nursing practice. This study has important implications for nursing practice. Specifically, it is the first to confirm a moderated moderation effect of empathy and resilience on the relationship between geriatric care-related stress and geriatric nursing practice among nurses. Subsequent studies should identify whether other factors moderate the relationship between geriatric care-related stress and geriatric nursing practice.","PeriodicalId":52377,"journal":{"name":"Journal of Korean Gerontological Nursing","volume":"78 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74222624","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.2023.25.1.76
Eun Sil Lee, M. Y. Kim
Purpose: This study aimed to investigate the effect of perceived chronic illness management support, health literacy, and social support on the care burden of families caring for older people with multiple chronic conditions at home.Methods: Families of longterm-care-certified older adults living in Seoul, Korea, were included in this descriptive investigative study. Data were collected from May 25 to June 25, 2022. The families of 195 older patients with multiple chronic diseases completed a questionnaire. Descriptive statistics, independent t-tests, one-way analysis of variance, and multiple regression analysis were used for statistical analyses.Results: The mean score of the care burden was 38.27±14.58. The coefficients of determination of the care burden were family support (β=-.29, p<.001), understanding of health information (β=-.28 p=.035), problem solving/contextual (β=-.19, p=.023), subjective health status (β=.15, p=.045), and male (β=.15, p=.045). Their explanatory power was approximately 25%.Conclusion: The use of an integrated chronic disease management program to reduce the burden of caring for older people with multiple chronic diseases at home, which can promote the understanding of health information and help solve health problems, and family support programs is necessary.
{"title":"Effect of perceived chronic illness management support, health literacy, and social support on the care burden of families caring for older people with multiple chronic conditions at home: A cross-sectional study","authors":"Eun Sil Lee, M. Y. Kim","doi":"10.17079/jkgn.2023.25.1.76","DOIUrl":"https://doi.org/10.17079/jkgn.2023.25.1.76","url":null,"abstract":"Purpose: This study aimed to investigate the effect of perceived chronic illness management support, health literacy, and social support on the care burden of families caring for older people with multiple chronic conditions at home.Methods: Families of longterm-care-certified older adults living in Seoul, Korea, were included in this descriptive investigative study. Data were collected from May 25 to June 25, 2022. The families of 195 older patients with multiple chronic diseases completed a questionnaire. Descriptive statistics, independent t-tests, one-way analysis of variance, and multiple regression analysis were used for statistical analyses.Results: The mean score of the care burden was 38.27±14.58. The coefficients of determination of the care burden were family support (β=-.29, p<.001), understanding of health information (β=-.28 p=.035), problem solving/contextual (β=-.19, p=.023), subjective health status (β=.15, p=.045), and male (β=.15, p=.045). Their explanatory power was approximately 25%.Conclusion: The use of an integrated chronic disease management program to reduce the burden of caring for older people with multiple chronic diseases at home, which can promote the understanding of health information and help solve health problems, and family support programs is necessary.","PeriodicalId":52377,"journal":{"name":"Journal of Korean Gerontological Nursing","volume":"26 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78364872","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.2023.25.1.34
E. Ha, M. Jeon
Purpose: The purpose of this study was to identify the factors associated the dementia preventive behavior of older adults living in the community by adding fear of dementia to the information-motivation-behavioral skills model.Method: The data was collected from October 10~31, 2019 by using structured questionnaires for 202 older people aged over 65 living in the community. The data was analyzed independent t-test, one-way ANOVA, Scheffé test, Pearson's correlation coefficient, multiple regression and Bootstrapping by using SPSS/WIN 24.0.Results: As a result of the analysis, it was shown that factors associated dementia preventive behavior were age, social support, self- efficacy, and fear of dementia, which explained 20.9% dementia preventive behavior (F=13.01, p<.001). The verification result of the mediating effects of self-efficacy and dementia fear by using Bootstrapping method in the relationship between dementia knowledge, dementia attitude, social support and dementia prevention behavior based on the information-motivation-behavioral skills model showed that indirect effects.Conclusion: When an effective dementia preventive behavior program is developed and provided for improving social support and self-efficacy and for reducing fear of dementia based on the results, it will contribute to the improvement of dementia prevention behavior for older adults.
{"title":"Factors associated dementia preventive behavior of older adults in a local community: Application of the information-motivation-behavioral skills model: A cross-sectional study","authors":"E. Ha, M. Jeon","doi":"10.17079/jkgn.2023.25.1.34","DOIUrl":"https://doi.org/10.17079/jkgn.2023.25.1.34","url":null,"abstract":"Purpose: The purpose of this study was to identify the factors associated the dementia preventive behavior of older adults living in the community by adding fear of dementia to the information-motivation-behavioral skills model.Method: The data was collected from October 10~31, 2019 by using structured questionnaires for 202 older people aged over 65 living in the community. The data was analyzed independent t-test, one-way ANOVA, Scheffé test, Pearson's correlation coefficient, multiple regression and Bootstrapping by using SPSS/WIN 24.0.Results: As a result of the analysis, it was shown that factors associated dementia preventive behavior were age, social support, self- efficacy, and fear of dementia, which explained 20.9% dementia preventive behavior (F=13.01, p<.001). The verification result of the mediating effects of self-efficacy and dementia fear by using Bootstrapping method in the relationship between dementia knowledge, dementia attitude, social support and dementia prevention behavior based on the information-motivation-behavioral skills model showed that indirect effects.Conclusion: When an effective dementia preventive behavior program is developed and provided for improving social support and self-efficacy and for reducing fear of dementia based on the results, it will contribute to the improvement of dementia prevention behavior for older adults.","PeriodicalId":52377,"journal":{"name":"Journal of Korean Gerontological Nursing","volume":"69 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72932937","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.2023.25.1.23
Junghee Kim, Jin-Hee Kwon, Jung-Suk Lee, Hyeon-Cheol Jeong
Purpose: This study aimed to investigate the status of closed-circuit television (CCTV) installation and operation in long-term care facilities and to compare the differences in stakeholders' perceptions of CCTV mandatory installation.Methods: The participants included 743 heads of facilities, 802 care workers, and 864 family caregivers. The questionnaire included CCTV installation and operation status and perceptions on CCTV installation in long-term care facilities. For the data analysis, descriptive statistics and chi-squared tests were performed through SAS Enterprise Guide 7.1.Results: For the mandatory installation of CCTV in long-term care facilities, 96.5% of family caregivers, 83.2% of care workers, and 65.0% of heads of facilities agreed (x2=273.71, p<.001). There was no difference in opinion among the stakeholders that a living room and program room should have CCTV installed. All stakeholders agreed that the items to punish CCTV information leakage should be included in the guidelines for installation and operation of CCTV in long-term care facilities. In addition, more than 90% agreed on the preparation of confidentiality obligation for viewing CCTV in all groups. However, there were differences in opinions among stakeholders on composing the guidelines in accordance with the Child Care Act and restricting CCTV installation to the outside of bedrooms.Conclusion: This study confirms that there was a difference in stakeholders’ perceptions of mandatory CCTV installation in long-term care facilities. To increase the effectiveness of mandatory CCTV installation in long-term care facilities, it is necessary to strengthen education on human rights and safety for older adults and improve care workers’ working environment.
{"title":"Comparison of stakeholder's perceptions of mandatory CCTV installation in long-term care facilities: A descriptive study","authors":"Junghee Kim, Jin-Hee Kwon, Jung-Suk Lee, Hyeon-Cheol Jeong","doi":"10.17079/jkgn.2023.25.1.23","DOIUrl":"https://doi.org/10.17079/jkgn.2023.25.1.23","url":null,"abstract":"Purpose: This study aimed to investigate the status of closed-circuit television (CCTV) installation and operation in long-term care facilities and to compare the differences in stakeholders' perceptions of CCTV mandatory installation.Methods: The participants included 743 heads of facilities, 802 care workers, and 864 family caregivers. The questionnaire included CCTV installation and operation status and perceptions on CCTV installation in long-term care facilities. For the data analysis, descriptive statistics and chi-squared tests were performed through SAS Enterprise Guide 7.1.Results: For the mandatory installation of CCTV in long-term care facilities, 96.5% of family caregivers, 83.2% of care workers, and 65.0% of heads of facilities agreed (x2=273.71, p<.001). There was no difference in opinion among the stakeholders that a living room and program room should have CCTV installed. All stakeholders agreed that the items to punish CCTV information leakage should be included in the guidelines for installation and operation of CCTV in long-term care facilities. In addition, more than 90% agreed on the preparation of confidentiality obligation for viewing CCTV in all groups. However, there were differences in opinions among stakeholders on composing the guidelines in accordance with the Child Care Act and restricting CCTV installation to the outside of bedrooms.Conclusion: This study confirms that there was a difference in stakeholders’ perceptions of mandatory CCTV installation in long-term care facilities. To increase the effectiveness of mandatory CCTV installation in long-term care facilities, it is necessary to strengthen education on human rights and safety for older adults and improve care workers’ working environment.","PeriodicalId":52377,"journal":{"name":"Journal of Korean Gerontological Nursing","volume":"24 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89742239","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.2023.25.1.44
M. Song, Yeong Woo Park, Eun-Jeong Han
Purpose: This study aimed to identify high-risk groups for Long-Term Care Insurance (LTCI) in older people not approved for LTCI and to examine the characteristics of each high-risk group.Methods: This study was a retrospective study using the National Health Insurance Service database and included 7,724,101 older A decision- tree model was used to predict the high-risk groups for LTCI. The dependent variable was defined as LTCI eligibility. As independent variables, 78 variables consisting of personal factors, environmental factors, health status, and physical and cognitive abilities were used.Results: The prediction model to identify high-risk groups for LTCI was developed as the decision-tree model consisting of 19 end nodes with 10 risk factors. Eleven groups were identified as high-risk groups. The results showed the model could predict about 72% of the older people at high risk for LTCI needs using the NHIS database without the assessment of LTCI eligibility.Conclusion: The findings might be useful for the development of evidence-based preventative services and can contribute to preemptively discovering those who need preventive services in older adults.
{"title":"The identification of high-risk groups for long-term care insurance: A retrospective study using national health insurance service database","authors":"M. Song, Yeong Woo Park, Eun-Jeong Han","doi":"10.17079/jkgn.2023.25.1.44","DOIUrl":"https://doi.org/10.17079/jkgn.2023.25.1.44","url":null,"abstract":"Purpose: This study aimed to identify high-risk groups for Long-Term Care Insurance (LTCI) in older people not approved for LTCI and to examine the characteristics of each high-risk group.Methods: This study was a retrospective study using the National Health Insurance Service database and included 7,724,101 older A decision- tree model was used to predict the high-risk groups for LTCI. The dependent variable was defined as LTCI eligibility. As independent variables, 78 variables consisting of personal factors, environmental factors, health status, and physical and cognitive abilities were used.Results: The prediction model to identify high-risk groups for LTCI was developed as the decision-tree model consisting of 19 end nodes with 10 risk factors. Eleven groups were identified as high-risk groups. The results showed the model could predict about 72% of the older people at high risk for LTCI needs using the NHIS database without the assessment of LTCI eligibility.Conclusion: The findings might be useful for the development of evidence-based preventative services and can contribute to preemptively discovering those who need preventive services in older adults.","PeriodicalId":52377,"journal":{"name":"Journal of Korean Gerontological Nursing","volume":"38 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90052806","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 : 2022-11-30DOI: 10.17079/jkgn.2022.24.4.355
H. Kang, Sujin Shin
Purpose: This study aimed to examine tertiary hospital nurses’ ageism, nursing practice environment and geriatric nursing performance and discover factors influencing geriatric nursing performance. Methods: The research was conducted for 117 nurses working at tertiary hospitals located at Seoul, and data were collected from March 14 to March 31, 2022. The collected data were analyzed with descriptive statistics, t-test, ANOVA, Pearson’s correlation coefficients, and multiple regression using the IBM SPSS 26.0 program. Results: Nursing practice environment was positively correlated with geriatric nursing performance (r=.25, p=.007). The factors influencing geriatric nursing performance were nursing practice environment (β=.25, p=.009) and experience living with the elderly (β=.23, p=.013), and as for the present units, internal medicine (β=.27, p=.009) and integrated nursing·care service (β=.21, p=.042) wards compared with a surgery ward showed an explanatory power of 19.0%. Conclusion: Factors affecting geriatric nursing performance include the current unit where nurses work, nursing practice environment, and experience living with older adults. Based on the research findings, preparing measures for enhancing the quality of geriatric nursing performance is necessary.
{"title":"The effects of tertiary hospital nurses' ageism and nursing practice environment on geriatric nursing performance","authors":"H. Kang, Sujin Shin","doi":"10.17079/jkgn.2022.24.4.355","DOIUrl":"https://doi.org/10.17079/jkgn.2022.24.4.355","url":null,"abstract":"Purpose: This study aimed to examine tertiary hospital nurses’ ageism, nursing practice environment and geriatric nursing performance and discover factors influencing geriatric nursing performance. Methods: The research was conducted for 117 nurses working at tertiary hospitals located at Seoul, and data were collected from March 14 to March 31, 2022. The collected data were analyzed with descriptive statistics, t-test, ANOVA, Pearson’s correlation coefficients, and multiple regression using the IBM SPSS 26.0 program. Results: Nursing practice environment was positively correlated with geriatric nursing performance (r=.25, p=.007). The factors influencing geriatric nursing performance were nursing practice environment (β=.25, p=.009) and experience living with the elderly (β=.23, p=.013), and as for the present units, internal medicine (β=.27, p=.009) and integrated nursing·care service (β=.21, p=.042) wards compared with a surgery ward showed an explanatory power of 19.0%. Conclusion: Factors affecting geriatric nursing performance include the current unit where nurses work, nursing practice environment, and experience living with older adults. Based on the research findings, preparing measures for enhancing the quality of geriatric nursing performance is necessary.","PeriodicalId":52377,"journal":{"name":"Journal of Korean Gerontological Nursing","volume":"9 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85575883","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 : 2022-11-30DOI: 10.17079/jkgn.2022.24.4.441
E. Seo, H. Kim
Purpose: The purpose of this study was to describe and understand the meaning and essence of care experienced by long-term-care-hospital nurses during the COVID-19 pandemic. Methods: This study is a phenomenological study by Colaizzi (1978) to understand and identify the meaning and essence of long-term-care-hospital nurses' experiences after the COVID-19 outbreak. Data collection was conducted from April to June 2021 for 10 nurses working at a long-term-care hospital. Interviews were conducted face-to-face or non-face-to-face. The face-to-face interviews were conducted in a space following COVID-19-mandated quarantine rules. Results: Seven theme clusters and 24 themes emerged: chaos experienced during the early stage of the pandemic, lack of a standardized care protocol hindering care delivery in long-term-care hospitals, sympathizing with the sorrows of patients and their families, taking the burdensome task of COVID-19 infection control as a nurse, COVID-19 vaccine-related anxiety, anger at the reality of long-term-care hospitals and the stigmatizing society, and hope for recovery from the disaster caused by COVID-19. Conclusion: This study will be helpful in establishing long-term-care policies and systems that will help improve the ability of long-term-care hospitals to cope with a pandemic in the post-COVID-19 era.
{"title":"Patient care experiences of long-term care hospitals nurses during the COVID-19 pandemic: A phenomenological study","authors":"E. Seo, H. Kim","doi":"10.17079/jkgn.2022.24.4.441","DOIUrl":"https://doi.org/10.17079/jkgn.2022.24.4.441","url":null,"abstract":"Purpose: The purpose of this study was to describe and understand the meaning and essence of care experienced by long-term-care-hospital nurses during the COVID-19 pandemic. Methods: This study is a phenomenological study by Colaizzi (1978) to understand and identify the meaning and essence of long-term-care-hospital nurses' experiences after the COVID-19 outbreak. Data collection was conducted from April to June 2021 for 10 nurses working at a long-term-care hospital. Interviews were conducted face-to-face or non-face-to-face. The face-to-face interviews were conducted in a space following COVID-19-mandated quarantine rules. Results: Seven theme clusters and 24 themes emerged: chaos experienced during the early stage of the pandemic, lack of a standardized care protocol hindering care delivery in long-term-care hospitals, sympathizing with the sorrows of patients and their families, taking the burdensome task of COVID-19 infection control as a nurse, COVID-19 vaccine-related anxiety, anger at the reality of long-term-care hospitals and the stigmatizing society, and hope for recovery from the disaster caused by COVID-19. Conclusion: This study will be helpful in establishing long-term-care policies and systems that will help improve the ability of long-term-care hospitals to cope with a pandemic in the post-COVID-19 era.","PeriodicalId":52377,"journal":{"name":"Journal of Korean Gerontological Nursing","volume":"103 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90753300","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 : 2022-11-30DOI: 10.17079/jkgn.2022.24.4.366
Myeunghee Han
Purpose: This study aimed to construct a model to predict whether the elderly population over 65 years of age will experience falls according to multi-drug therapy and related factors. Methods: Decision tree analysis was used to analyze data from the 2020 national survey of the living condition and welfare needs of older Koreans. Results: The fall experience rate was 23.7%, which was the highest in the case of diet management due to disease while taking multi-drug therapy. In contrast, those who did not receive multi-drug therapy had good subjective health rates, and those who did not have arthritis showed the lowest fall experience rate (5.5%). Conclusion: The elderly population has a high prevalence of chronic diseases, and the number of people using multi-drug therapy is increasing accordingly. For this reason, healthcare providers should carefully prescribe medication for older adults. In addition, it is necessary to develop and apply a customized fall management program that reflects the demographic and health-related factors, which include diet, disease types, and health levels, with multi-drug therapy.
{"title":"A model for predicting fall experience in the elderly population over 65 years old: Decision tree analysis","authors":"Myeunghee Han","doi":"10.17079/jkgn.2022.24.4.366","DOIUrl":"https://doi.org/10.17079/jkgn.2022.24.4.366","url":null,"abstract":"Purpose: This study aimed to construct a model to predict whether the elderly population over 65 years of age will experience falls according to multi-drug therapy and related factors. Methods: Decision tree analysis was used to analyze data from the 2020 national survey of the living condition and welfare needs of older Koreans. Results: The fall experience rate was 23.7%, which was the highest in the case of diet management due to disease while taking multi-drug therapy. In contrast, those who did not receive multi-drug therapy had good subjective health rates, and those who did not have arthritis showed the lowest fall experience rate (5.5%). Conclusion: The elderly population has a high prevalence of chronic diseases, and the number of people using multi-drug therapy is increasing accordingly. For this reason, healthcare providers should carefully prescribe medication for older adults. In addition, it is necessary to develop and apply a customized fall management program that reflects the demographic and health-related factors, which include diet, disease types, and health levels, with multi-drug therapy.","PeriodicalId":52377,"journal":{"name":"Journal of Korean Gerontological Nursing","volume":"9 2 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83483082","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 : 2022-11-30DOI: 10.17079/jkgn.2022.24.4.424
Y. Hwang, Hyeyoun Jun, H. Park
Purpose: The purpose of this study was to identify the intention to use life-sustaining treatment for older adults living in a local community, and the factors that influence the intention to use life-sustaining treatment. Methods: A total of 9,555 older adults were selected and analyzed using 2020 National Survey of Older Koreans data. A Rao-Scott test was conducted to evaluate the differences in sociodemographics, health status, death preparation education experience, and life satisfaction according to intention to use life-sustaining treatment. Results: Economic status (odds ratio [OR]=1.38, 95% confidence interval [CI]=1.00~1.90), social support (OR=4.78, 95% CI=1.16~19.74), and life satisfaction (OR=1.53, 95% CI=1.12~2.09) were identified as significant influencing factors in the older adults’ life-sustaining treatment intentions. In other words, when satisfaction with economic conditions is moderate or low, when there is social support, and when life satisfaction is moderate, life-sustaining treatment intention was high. Conclusion: Education programs for life-sustaining treatment should be provided for older adults living in this community.
{"title":"Factors influencing intention to use life-sustaining treatment of community-dwelling older adults using the 2020 national survey of older Koreans: Secondary analysis research","authors":"Y. Hwang, Hyeyoun Jun, H. Park","doi":"10.17079/jkgn.2022.24.4.424","DOIUrl":"https://doi.org/10.17079/jkgn.2022.24.4.424","url":null,"abstract":"Purpose: The purpose of this study was to identify the intention to use life-sustaining treatment for older adults living in a local community, and the factors that influence the intention to use life-sustaining treatment. Methods: A total of 9,555 older adults were selected and analyzed using 2020 National Survey of Older Koreans data. A Rao-Scott test was conducted to evaluate the differences in sociodemographics, health status, death preparation education experience, and life satisfaction according to intention to use life-sustaining treatment. Results: Economic status (odds ratio [OR]=1.38, 95% confidence interval [CI]=1.00~1.90), social support (OR=4.78, 95% CI=1.16~19.74), and life satisfaction (OR=1.53, 95% CI=1.12~2.09) were identified as significant influencing factors in the older adults’ life-sustaining treatment intentions. In other words, when satisfaction with economic conditions is moderate or low, when there is social support, and when life satisfaction is moderate, life-sustaining treatment intention was high. Conclusion: Education programs for life-sustaining treatment should be provided for older adults living in this community.","PeriodicalId":52377,"journal":{"name":"Journal of Korean Gerontological Nursing","volume":"3 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91280494","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 : 2022-11-30DOI: 10.17079/jkgn.2022.24.4.389
Hyeok-Gyu Park, Myoungjin Kwon
Purpose: The purpose of this study was to identify factors related to self-management of older patients with diabetes. Methods: The subjects of the study were 255 older patients with diabetes registered at the public health center in C-do O-gun. Data were analyzed with IBM SPSS ver. 24.0. Results: The self-management had significant positive correlations with diabetes knowledge (r=.29, p<.001) and self-efficacy (r=.62, p<.001), and had a significant negative correlation with depression (r=-.47, p<.001). A hierarchical multiple regression was conducted to analyze the factors effecting self-management. In the Model II, subjects with religion (β=.10, p=.033), subjects of higher than middle school graduate (β=.12, p=.036), subjects with one comorbidity (β=.16, p=.034), diabetes knowledge (β=.12, p=.017), self-efficacy (β=.49, p<.001), and depression (β=-.27, p<.001) had significant effects on self-management, and the explanatory power increased to 48.7% (F=22.88, p<.001). Conclusion: To improve the self-management of older patients with diabetes, not only sufficient diabetes knowledge should be provided through systematic education, but also development of the self-management program that improves self-efficacy and includes psychological support for the prevention and mitigation of depression is required.
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