Pub Date : 2022-02-28DOI: 10.17079/jkgn.2022.24.1.85
Eun-Jeong Han, Myonghwa Park, Jihye Jung
Purpose: This study aimed to investigate the long-term effects of a family counseling program on the family caregivers of long-term care (LTC) recipients after one-year follow-up.Methods: This work was designed as a descriptive qualitative study using focus group interviews to explore the caregiving experience of the family caregivers.Results: The long-term effects of the counseling programs were categorized into five themes: (1) improved caregiving competence, (2) positively-changed caregiving experience, (3) increased social connection, (4) delayed LTC institutionalization, and (5) expecting for continued support.Conclusion: The family counseling program was proved to be effective in the long term through this study. The program should be maintained to sustain the positive effects of the counseling program and also respond to the expectations of the participants.
{"title":"Positive Changes in Caregiving Experiences of Family Caregivers for Long-Term Care Recipients after a Family Counseling Support Program","authors":"Eun-Jeong Han, Myonghwa Park, Jihye Jung","doi":"10.17079/jkgn.2022.24.1.85","DOIUrl":"https://doi.org/10.17079/jkgn.2022.24.1.85","url":null,"abstract":"Purpose: This study aimed to investigate the long-term effects of a family counseling program on the family caregivers of long-term care (LTC) recipients after one-year follow-up.Methods: This work was designed as a descriptive qualitative study using focus group interviews to explore the caregiving experience of the family caregivers.Results: The long-term effects of the counseling programs were categorized into five themes: (1) improved caregiving competence, (2) positively-changed caregiving experience, (3) increased social connection, (4) delayed LTC institutionalization, and (5) expecting for continued support.Conclusion: The family counseling program was proved to be effective in the long term through this study. The program should be maintained to sustain the positive effects of the counseling program and also respond to the expectations of the participants.","PeriodicalId":52377,"journal":{"name":"Journal of Korean Gerontological Nursing","volume":"124 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87958341","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 : 2022-02-28DOI: 10.17079/jkgn.2022.24.1.65
Jeong-ha Park, Hee-Ju Kim
Purpose: This systematic review aimed (a) to review the characteristics (types, elements, materials, who provided, where, modes of delivery, and intensity) of the fall prevention interventions adopted in studies of the Korean older adults (b) to review their effects by intervention characteristics and measures.Methods: The data were searched from RISS, Pubmed, CHINAL, EMBASE with key words of ‘aged’, ‘Korean’, ‘accidental falls’. The Joanna Briggs Institute was used to assess methodological quality. Data were extracted for sample nature, the type, element, material, delivery, and intensity of the intervention, measures, and findings.Results: A total of fifty nine studies were selected for this review. Most studies were conducted with only female older adults (66.1%) and small sample (less than 30 subjects) ( 93.2%). Exercise was the most frequently evaluated intervention type, with a small number of studies including education. Face-to-face (group) was the most frequently evaluated intervention delivery mode; only a small number of studies evaluated non face-to-face intervention. 12 weeks, 3 times a week, and 60 minutes per session were the most frequently evaluated intervention intensity. An exercise intervention was effective in balance and muscle strength. Fall prevention interventions face-to-face (group), delivered at least for 8 weeks, 3 times a week, and 40 minutes per day may be more effective.Conclusion: This review showed the current status of fall prevention intervention for the Korean older adults. As the literature indicated the exercise can be useful intervention but there need additional evidence from rigorously designed study to determine the effective form of intervention.
{"title":"Characteristics and Effects of Fall Prevention Interventions among the Korean Older Adults: A Systematic Review","authors":"Jeong-ha Park, Hee-Ju Kim","doi":"10.17079/jkgn.2022.24.1.65","DOIUrl":"https://doi.org/10.17079/jkgn.2022.24.1.65","url":null,"abstract":"Purpose: This systematic review aimed (a) to review the characteristics (types, elements, materials, who provided, where, modes of delivery, and intensity) of the fall prevention interventions adopted in studies of the Korean older adults (b) to review their effects by intervention characteristics and measures.Methods: The data were searched from RISS, Pubmed, CHINAL, EMBASE with key words of ‘aged’, ‘Korean’, ‘accidental falls’. The Joanna Briggs Institute was used to assess methodological quality. Data were extracted for sample nature, the type, element, material, delivery, and intensity of the intervention, measures, and findings.Results: A total of fifty nine studies were selected for this review. Most studies were conducted with only female older adults (66.1%) and small sample (less than 30 subjects) ( 93.2%). Exercise was the most frequently evaluated intervention type, with a small number of studies including education. Face-to-face (group) was the most frequently evaluated intervention delivery mode; only a small number of studies evaluated non face-to-face intervention. 12 weeks, 3 times a week, and 60 minutes per session were the most frequently evaluated intervention intensity. An exercise intervention was effective in balance and muscle strength. Fall prevention interventions face-to-face (group), delivered at least for 8 weeks, 3 times a week, and 40 minutes per day may be more effective.Conclusion: This review showed the current status of fall prevention intervention for the Korean older adults. As the literature indicated the exercise can be useful intervention but there need additional evidence from rigorously designed study to determine the effective form of intervention.","PeriodicalId":52377,"journal":{"name":"Journal of Korean Gerontological Nursing","volume":"340 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85455418","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 : 2022-02-28DOI: 10.17079/jkgn.2022.24.1.33
Eun Young Kim, S. Chang
Purpose: To systematically review the qualitative research related to the person-centered care experience of nursing home workers, and synthesize the results to integrate understanding.Methods: Noblit and Hare’s meta-ethnography method was applied. Seven databases were used to search the literature: PubMed, Web of Science, EMBASE, CINAHL, RISS, National Assembly Library, and Korea Citation Index (KCI).Results: Eight qualitative studies were included for the review. Three themes were synthesized: “Comprehensive understanding of nursing home residents”, “Narrowing the psychological distance with residents”, and “Moving towards the provision of tailored care”.Conclusion: Through this study, it was possible to improve the understanding of person-centered care experienced by nursing home workers. The results of this study suggest a direction for the development of person-centered care in elderly care facilities, and provide evidence for further research.
目的:系统回顾与养老院工作人员以人为本的护理体验相关的质性研究，并综合研究结果以整合认识。方法:采用Noblit和Hare的元人种学方法。使用PubMed、Web of Science、EMBASE、CINAHL、RISS、National Assembly Library、Korea Citation Index (KCI)等7个数据库进行文献检索。结果:纳入了8项定性研究。综合三个主题:“全面了解敬老院居民”、“拉近与居民的心理距离”、“迈向量身定制护理”。结论:通过本研究，可以提高养老院工作人员对以人为本的护理的认识。本研究结果为养老机构以人为本护理的发展提供了方向，并为后续研究提供了依据。
{"title":"Person-Centered Care Experience of Nursing Home Workers: A Qualitative Meta-Synthesis Study","authors":"Eun Young Kim, S. Chang","doi":"10.17079/jkgn.2022.24.1.33","DOIUrl":"https://doi.org/10.17079/jkgn.2022.24.1.33","url":null,"abstract":"Purpose: To systematically review the qualitative research related to the person-centered care experience of nursing home workers, and synthesize the results to integrate understanding.Methods: Noblit and Hare’s meta-ethnography method was applied. Seven databases were used to search the literature: PubMed, Web of Science, EMBASE, CINAHL, RISS, National Assembly Library, and Korea Citation Index (KCI).Results: Eight qualitative studies were included for the review. Three themes were synthesized: “Comprehensive understanding of nursing home residents”, “Narrowing the psychological distance with residents”, and “Moving towards the provision of tailored care”.Conclusion: Through this study, it was possible to improve the understanding of person-centered care experienced by nursing home workers. The results of this study suggest a direction for the development of person-centered care in elderly care facilities, and provide evidence for further research.","PeriodicalId":52377,"journal":{"name":"Journal of Korean Gerontological Nursing","volume":"49 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83182158","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 : 2022-02-28DOI: 10.17079/jkgn.2022.24.1.55
Hyeyoun Jun, Y. Jeong
Purpose: The purpose of this study was to examine the correlations among perceived health status, stress, daily life changes, physical distancing, depression, and to determine associated fctors of depression fo older adults in COVID-19.Methods: This study was conducted on 42,448 persons aged 65 years and above who participated in the 2020 Community Health Survey Data analysis was done with SAS 9.4.Results: The factors related to depression of community-dwelling older adults were gender (β=.04, p<.001), age (β=.07, p<.001), education (β=-.04, p<.001), monthly household income (β=-.02, p<.001), depressive symptoms (β=.27, p<.001), unmet healthcare needs (β=-.08, p<.001), households (β=.02, p<.001), perceived health status (β=.21, p<.001), stress (β=-.26, p<.001), daily life changes (β=-.03, p<.001), and physical distancing (β=-.02, p<.001). The descriptive power of this regression model was 31%.Conclusion: Treatment and education for diseases and depression should be provided to community-dwelling older adults to prevent and manage their depression. In particular, nursing interventions are needed to improve depression in the older adults. Health care programs such as reducing stress and maintaining daily activities while maintaining good health should also be provided.
{"title":"Factors Contributing to Depression in Community-Dwelling Older Adult during COVID-19: Using Data from the 2020 Community Health Survey","authors":"Hyeyoun Jun, Y. Jeong","doi":"10.17079/jkgn.2022.24.1.55","DOIUrl":"https://doi.org/10.17079/jkgn.2022.24.1.55","url":null,"abstract":"Purpose: The purpose of this study was to examine the correlations among perceived health status, stress, daily life changes, physical distancing, depression, and to determine associated fctors of depression fo older adults in COVID-19.Methods: This study was conducted on 42,448 persons aged 65 years and above who participated in the 2020 Community Health Survey Data analysis was done with SAS 9.4.Results: The factors related to depression of community-dwelling older adults were gender (β=.04, p<.001), age (β=.07, p<.001), education (β=-.04, p<.001), monthly household income (β=-.02, p<.001), depressive symptoms (β=.27, p<.001), unmet healthcare needs (β=-.08, p<.001), households (β=.02, p<.001), perceived health status (β=.21, p<.001), stress (β=-.26, p<.001), daily life changes (β=-.03, p<.001), and physical distancing (β=-.02, p<.001). The descriptive power of this regression model was 31%.Conclusion: Treatment and education for diseases and depression should be provided to community-dwelling older adults to prevent and manage their depression. In particular, nursing interventions are needed to improve depression in the older adults. Health care programs such as reducing stress and maintaining daily activities while maintaining good health should also be provided.","PeriodicalId":52377,"journal":{"name":"Journal of Korean Gerontological Nursing","volume":"36 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75302945","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.2021.23.4.384
Su Ah Lee, Y. W. Lee
Purpose: The purpose of this study was to investigate the knowledge, attitudes, and educational needs for gerontological nursing in cancer hospital nurses.Methods: Participants included 208 nurses who had been working in the general wards for more than 6 months. Data collection was conducted through self-reported questionnaires. The Knowledge Scale and Educational Needs for Gerontological Nursing Scale were used for data collection. Also, a Korean version of the Attitudes Toward Older Adults Scale developed by Lim was used. Data were analyzed using descriptive statistics, t-test, ANOVA and Duncan test for multiple comparisons.Results: The average score of the nurses’ knowledge on nursing care for older adults was 21.09 out of 30 points, and their attitudes toward older adults scored 4.29 out of 7 points, which was within a neutral range. The average score of the needs for gerontological nursing education was 4.10 out of 5. In the knowledge level assessment, the drug intervention area showed the lowest score. In terms of the educational needs, geriatric clinical symptoms such as a sore and delirium, and the drug intervention, including dose and toxicity, showed the highest score.Conclusion: Based on the above results, providing education is necessary for cancer hospital nurses so their knowledge on and positive attitudes toward older adults can improve.
{"title":"A Study of Knowledge, Attitudes, and Educational Needs for Gerontological Nursing in Cancer Hospital Nurses","authors":"Su Ah Lee, Y. W. Lee","doi":"10.17079/jkgn.2021.23.4.384","DOIUrl":"https://doi.org/10.17079/jkgn.2021.23.4.384","url":null,"abstract":"Purpose: The purpose of this study was to investigate the knowledge, attitudes, and educational needs for gerontological nursing in cancer hospital nurses.Methods: Participants included 208 nurses who had been working in the general wards for more than 6 months. Data collection was conducted through self-reported questionnaires. The Knowledge Scale and Educational Needs for Gerontological Nursing Scale were used for data collection. Also, a Korean version of the Attitudes Toward Older Adults Scale developed by Lim was used. Data were analyzed using descriptive statistics, t-test, ANOVA and Duncan test for multiple comparisons.Results: The average score of the nurses’ knowledge on nursing care for older adults was 21.09 out of 30 points, and their attitudes toward older adults scored 4.29 out of 7 points, which was within a neutral range. The average score of the needs for gerontological nursing education was 4.10 out of 5. In the knowledge level assessment, the drug intervention area showed the lowest score. In terms of the educational needs, geriatric clinical symptoms such as a sore and delirium, and the drug intervention, including dose and toxicity, showed the highest score.Conclusion: Based on the above results, providing education is necessary for cancer hospital nurses so their knowledge on and positive attitudes toward older adults can improve.","PeriodicalId":52377,"journal":{"name":"Journal of Korean Gerontological Nursing","volume":"56 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78849311","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.2021.23.4.406
Jiyeon Kim, Jun-Ah Song
Purpose: This paper aimed to clarify the meaning of personhood communication with persons with dementia, by identifying its attributes.Methods: Walker and Avant’s concept analysis method was employed. A literature review was performed using salient medical and health databases such as PubMed, Embase, and CINAHL between 1988 to June 2020. The literature review employed keywords such as “personhood”, “communication”, and “dementia”.Results: Personhood communication with persons with dementia is defined as providing social interaction based on their residual capacities, with adjustments being made in light of their remaining communication abilities, attentiveness to their emotions and respect for their individuality being shown, and decision-making rights being maintained.Conclusion: At the core of personhood communication is respect for persons with dementia and the goal of enabling them to be valid members of society. Further research is needed on the development of educational programs that impart the attributes of personhood communication with persons with dementia.
{"title":"Personhood Communication with Persons with Dementia: Concept Analysis","authors":"Jiyeon Kim, Jun-Ah Song","doi":"10.17079/jkgn.2021.23.4.406","DOIUrl":"https://doi.org/10.17079/jkgn.2021.23.4.406","url":null,"abstract":"Purpose: This paper aimed to clarify the meaning of personhood communication with persons with dementia, by identifying its attributes.Methods: Walker and Avant’s concept analysis method was employed. A literature review was performed using salient medical and health databases such as PubMed, Embase, and CINAHL between 1988 to June 2020. The literature review employed keywords such as “personhood”, “communication”, and “dementia”.Results: Personhood communication with persons with dementia is defined as providing social interaction based on their residual capacities, with adjustments being made in light of their remaining communication abilities, attentiveness to their emotions and respect for their individuality being shown, and decision-making rights being maintained.Conclusion: At the core of personhood communication is respect for persons with dementia and the goal of enabling them to be valid members of society. Further research is needed on the development of educational programs that impart the attributes of personhood communication with persons with dementia.","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":"91356482","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.2021.23.4.333
Kyeongae Shin
Purpose: This study examined the effect of marital communication on cancer coping, health promoting behavior, and subjective happiness in elderly cancer patients.Methods: The participants were 88 older patients with cancer living with a spouse for at least one year. Data collected through a questionnaire covering general characteristics, marital communications, cancer coping, health promoting behavior, and subjective happiness were analyzed using descriptive statistics, Pearson’s correlation, and a simple linear regression test using the SPSS 26.0.Results: Marital communications showed a positive correlation with cancer coping (r=.54, p<.001), health promoting behavior (r=.47, p<.001), and subjective happiness (r=.46, p<.001). Positive marital communications had the greatest influence on cancer coping (β=.54, p<.001).Conclusion: The findings suggest that developing nursing interventions that can enhance marital communications between older patients with cancer and their spouses could improve their quality of living.
{"title":"Influence of Marital Communication on Cancer Coping, Health Promoting Behavior, and Subjective Happiness in Elderly Cancer Patients","authors":"Kyeongae Shin","doi":"10.17079/jkgn.2021.23.4.333","DOIUrl":"https://doi.org/10.17079/jkgn.2021.23.4.333","url":null,"abstract":"Purpose: This study examined the effect of marital communication on cancer coping, health promoting behavior, and subjective happiness in elderly cancer patients.Methods: The participants were 88 older patients with cancer living with a spouse for at least one year. Data collected through a questionnaire covering general characteristics, marital communications, cancer coping, health promoting behavior, and subjective happiness were analyzed using descriptive statistics, Pearson’s correlation, and a simple linear regression test using the SPSS 26.0.Results: Marital communications showed a positive correlation with cancer coping (r=.54, p<.001), health promoting behavior (r=.47, p<.001), and subjective happiness (r=.46, p<.001). Positive marital communications had the greatest influence on cancer coping (β=.54, p<.001).Conclusion: The findings suggest that developing nursing interventions that can enhance marital communications between older patients with cancer and their spouses could improve their quality of living.","PeriodicalId":52377,"journal":{"name":"Journal of Korean Gerontological Nursing","volume":"88 2 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87699689","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.2021.23.4.342
Hayoung Park, O. Kim
Purpose: The aim of this study was to investigate hearing handicaps, instrumental activities of daily living, and hearing-handicap-related quality of life among community-dwelling older adults and identify factors that influence hearing-handicap-related quality of life.Methods: A total of 129 older adults aged 65 and over participated in the study, and data collection was conducted from December 20th, 2020 to March 20th, 2021. Descriptive statistics, t-test, ANOVA, Pearson’s correlations, and multiple linear regression were used for data analysis.Results: Self-reported hearing handicaps positively associated with instrumental activities of daily living (r=.82, p<.001), and negatively associated with hearing-handicap-related quality of life (r=-.80, p<.001). Instrumental activities of daily living negatively associated with hearing-handicap-related quality of life (r=-.71, p<.001). Hearing handicaps influenced hearing-handicap-related quality of life (β=-.70, p<.001). A regression model explained 66% of the variance in hearing-handicap-related quality of life.Conclusion: Hearing handicaps affect hearing-handicap-related quality of life of older adults living in the community. Therefore, nursing interventions to prevent hearing handicaps are required to improve hearing-handicap-related quality of life of older adults.
{"title":"The Effects of Hearing Handicaps and Instrumental Activities of Daily Living on Hearing-Handicap-Related Quality of Life in Community-Dwelling Older Adults","authors":"Hayoung Park, O. Kim","doi":"10.17079/jkgn.2021.23.4.342","DOIUrl":"https://doi.org/10.17079/jkgn.2021.23.4.342","url":null,"abstract":"Purpose: The aim of this study was to investigate hearing handicaps, instrumental activities of daily living, and hearing-handicap-related quality of life among community-dwelling older adults and identify factors that influence hearing-handicap-related quality of life.Methods: A total of 129 older adults aged 65 and over participated in the study, and data collection was conducted from December 20th, 2020 to March 20th, 2021. Descriptive statistics, t-test, ANOVA, Pearson’s correlations, and multiple linear regression were used for data analysis.Results: Self-reported hearing handicaps positively associated with instrumental activities of daily living (r=.82, p<.001), and negatively associated with hearing-handicap-related quality of life (r=-.80, p<.001). Instrumental activities of daily living negatively associated with hearing-handicap-related quality of life (r=-.71, p<.001). Hearing handicaps influenced hearing-handicap-related quality of life (β=-.70, p<.001). A regression model explained 66% of the variance in hearing-handicap-related quality of life.Conclusion: Hearing handicaps affect hearing-handicap-related quality of life of older adults living in the community. Therefore, nursing interventions to prevent hearing handicaps are required to improve hearing-handicap-related quality of life of older adults.","PeriodicalId":52377,"journal":{"name":"Journal of Korean Gerontological Nursing","volume":"7 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73270669","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.2021.23.4.373
Jiyoon Han, Eunok Park
Purpose: This study aimed to identify the status of drug use and analyze the effects of drug use on falls among older people.Methods: The data were collected from 285 community-dwelling older persons through interviewing with questionnaires and checking participants’ medication prescriptions and the drugs using the Korea Pharmaceutical Information Center’s (KPIC) website. The medications were classified into anatomical and therapeutic divisions based on the medications’ ingredients provided by the KPIC. x2 test, ANOVA, t-test, and logistic regressions were applied to analyze the data.Results: The finding showed that 81.4% of the older adults were taking medications. Older people taking antihyperlipidemic drugs were at 1.79 times higher risk for experiencing a fall (95% CI=1.01~3.16, p=.046), and hypnotic sedative and sleeping pills increased their fall risks 11.06 times (95% CI=1.27~96.07, p=.029) compared to those not taking the medications. Nonsteroidal antiinflammatory agents showed a 2.74 odds ratio (95% CI=1.23~5.73, p=.013) and narcotic analgesics increased the fall experience risk 8.56 times (95% CI=1.02~71.88, p=.048). Those with chronic diseases experienced falls 3.04 times more than those without chronic diseases.Conclusion: The study findings showed medications might be one of the important influencing factors on fall risks among older adults. Raising awareness of fall risks associated with medicines through health education and medication reviews by health professionals should be considered a strategy for preventing older adults' falls.
{"title":"Medications and Falls Experiences among Older People","authors":"Jiyoon Han, Eunok Park","doi":"10.17079/jkgn.2021.23.4.373","DOIUrl":"https://doi.org/10.17079/jkgn.2021.23.4.373","url":null,"abstract":"Purpose: This study aimed to identify the status of drug use and analyze the effects of drug use on falls among older people.Methods: The data were collected from 285 community-dwelling older persons through interviewing with questionnaires and checking participants’ medication prescriptions and the drugs using the Korea Pharmaceutical Information Center’s (KPIC) website. The medications were classified into anatomical and therapeutic divisions based on the medications’ ingredients provided by the KPIC. x2 test, ANOVA, t-test, and logistic regressions were applied to analyze the data.Results: The finding showed that 81.4% of the older adults were taking medications. Older people taking antihyperlipidemic drugs were at 1.79 times higher risk for experiencing a fall (95% CI=1.01~3.16, p=.046), and hypnotic sedative and sleeping pills increased their fall risks 11.06 times (95% CI=1.27~96.07, p=.029) compared to those not taking the medications. Nonsteroidal antiinflammatory agents showed a 2.74 odds ratio (95% CI=1.23~5.73, p=.013) and narcotic analgesics increased the fall experience risk 8.56 times (95% CI=1.02~71.88, p=.048). Those with chronic diseases experienced falls 3.04 times more than those without chronic diseases.Conclusion: The study findings showed medications might be one of the important influencing factors on fall risks among older adults. Raising awareness of fall risks associated with medicines through health education and medication reviews by health professionals should be considered a strategy for preventing older adults' falls.","PeriodicalId":52377,"journal":{"name":"Journal of Korean Gerontological Nursing","volume":"97 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85517791","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.2021.23.4.323
Miok Ha, Seung-Ju Kang
Purpose: This longitudinal study aimed to investigate which types of perceived social support are associated with changes in subjective health over time among Korean older adults. We further explored whether these associations vary by older adults' gender.Methods: The current study examined 3,650 older adults drawn from additional survey data of the 6th and 7th waves of the Korean Retirement and Income Study (KReIS). Data were analyzed using hierarchical linear regression analyses.Results: Higher perceived instrumental and emotional supports significantly associated with less decline in subjective health over 2 years. Gender only moderated the association between emotional support and changes in subjective health. That is, higher emotional support associated with less decline in subjective health among older women, but not among older men.Conclusion: These findings suggest that instrumental support is the strongest predictor of older adults' changes in health over time, indicating the need for public supports for those who lack instrumental support from their social ties. Health promotion programs for older women should aim to enhance their perceived emotional support to protect them from faster declines in subjective health over time.
{"title":"Effects of Different Types of Perceived Social Support on Changes in Subjective Health among Older Adults: A Focus on Gender Differences","authors":"Miok Ha, Seung-Ju Kang","doi":"10.17079/jkgn.2021.23.4.323","DOIUrl":"https://doi.org/10.17079/jkgn.2021.23.4.323","url":null,"abstract":"Purpose: This longitudinal study aimed to investigate which types of perceived social support are associated with changes in subjective health over time among Korean older adults. We further explored whether these associations vary by older adults' gender.Methods: The current study examined 3,650 older adults drawn from additional survey data of the 6th and 7th waves of the Korean Retirement and Income Study (KReIS). Data were analyzed using hierarchical linear regression analyses.Results: Higher perceived instrumental and emotional supports significantly associated with less decline in subjective health over 2 years. Gender only moderated the association between emotional support and changes in subjective health. That is, higher emotional support associated with less decline in subjective health among older women, but not among older men.Conclusion: These findings suggest that instrumental support is the strongest predictor of older adults' changes in health over time, indicating the need for public supports for those who lack instrumental support from their social ties. Health promotion programs for older women should aim to enhance their perceived emotional support to protect them from faster declines in subjective health over time.","PeriodicalId":52377,"journal":{"name":"Journal of Korean Gerontological Nursing","volume":"5 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91144042","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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