Pub Date : 2022-05-31DOI: 10.7739/jkafn.2022.29.2.191
Miseon Son
Purpose: This study aimed to identify latent classes of ego-resiliency trajectories in adolescents and investigate predictors of latent classes based on the ecological systems theory. Methods: This study used data from the first, second, and fourth to seventh waves of the Korean Children and Youth Panel Survey 2010. The subjects included 1,793 adolescents. The data were analyzed using latent class growth analysis in Mplus 8.3 and multinomial logistic regression in SPSS 26.0. Results: The trajectories of ego-resiliency in adolescents were classified into four groups; increasing, decreasing, persistently moderate, and persistently poor. The predictors of the ‘increasing’ group were male gender, higher self-esteem, lower depression, lower parental behavior, and higher perceived community. The predictors of the ‘decreasing’ group were higher self-esteem, higher scores for relationships with friends and teachers, and higher perceived community. The predictors of the ‘persistently poor’ group were lower self-esteem, higher depression, lower annual income, lower scores for relationships with friends, and lower perceived community. Conclusion: We identified predictors for a persistently poor ego-resiliency trajectory. We suggest providing effective interventions for latent classes of ego-resiliency in adolescents based on the ecological environments.
{"title":"Identifying Trajectories of Ego-resiliency in Adolescents: An Analysis of Data from the Korean Children and Youth Panel Survey 2010","authors":"Miseon Son","doi":"10.7739/jkafn.2022.29.2.191","DOIUrl":"https://doi.org/10.7739/jkafn.2022.29.2.191","url":null,"abstract":"Purpose: This study aimed to identify latent classes of ego-resiliency trajectories in adolescents and investigate predictors of latent classes based on the ecological systems theory. Methods: This study used data from the first, second, and fourth to seventh waves of the Korean Children and Youth Panel Survey 2010. The subjects included 1,793 adolescents. The data were analyzed using latent class growth analysis in Mplus 8.3 and multinomial logistic regression in SPSS 26.0. Results: The trajectories of ego-resiliency in adolescents were classified into four groups; increasing, decreasing, persistently moderate, and persistently poor. The predictors of the ‘increasing’ group were male gender, higher self-esteem, lower depression, lower parental behavior, and higher perceived community. The predictors of the ‘decreasing’ group were higher self-esteem, higher scores for relationships with friends and teachers, and higher perceived community. The predictors of the ‘persistently poor’ group were lower self-esteem, higher depression, lower annual income, lower scores for relationships with friends, and lower perceived community. Conclusion: We identified predictors for a persistently poor ego-resiliency trajectory. We suggest providing effective interventions for latent classes of ego-resiliency in adolescents based on the ecological environments.","PeriodicalId":53419,"journal":{"name":"Journal of the Korean Academy of Fundamentals of Nursing","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49623243","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 : 2022-05-31DOI: 10.7739/jkafn.2022.29.2.258
Su-Jin Seo, Juyeon Nho
Purpose: This study aimed to identify the factors influencing the health-related quality of life (HRQoL) of older adults with unmet healthcare needs. Methods: Data from the 2018 Korean National Health and Nutrition Examination Survey were used. From a pool of 7992 participants, a final sample of 153 participants was analyzed using complex descriptive statistics, independent t-test, and multiple regression analysis. Results: In general, young age, being married, employment, higher income, no hypertension, health insurance coverage as an employee, and living with someone were associated with higher the HRQoL. The following factors were significantly associated with lower HRQoL scores: activity restriction (B=-0.15, p<.001), poor perceived health status (B=-0.14, p<.001), and higher depressive symptom score (B=-0.01, p=.002). The explanatory power was approximately 58%, and the model was deemed suitable (Wald F=16.86, p<.001). Conclusion: This study provides insights into the influence of various characteristics of older adults with unmet healthcare needs on their HRQoL. Healthcare providers should develop strategies to reduce these unmet healthcare needs.
{"title":"Factors Affecting the Health-related Quality of Life of Older Adults with Unmet Healthcare Needs Based on the 2018 Korean National Health and Nutrition Examination Survey: A Cross-Sectional Study","authors":"Su-Jin Seo, Juyeon Nho","doi":"10.7739/jkafn.2022.29.2.258","DOIUrl":"https://doi.org/10.7739/jkafn.2022.29.2.258","url":null,"abstract":"Purpose: This study aimed to identify the factors influencing the health-related quality of life (HRQoL) of older adults with unmet healthcare needs. Methods: Data from the 2018 Korean National Health and Nutrition Examination Survey were used. From a pool of 7992 participants, a final sample of 153 participants was analyzed using complex descriptive statistics, independent t-test, and multiple regression analysis. Results: In general, young age, being married, employment, higher income, no hypertension, health insurance coverage as an employee, and living with someone were associated with higher the HRQoL. The following factors were significantly associated with lower HRQoL scores: activity restriction (B=-0.15, p<.001), poor perceived health status (B=-0.14, p<.001), and higher depressive symptom score (B=-0.01, p=.002). The explanatory power was approximately 58%, and the model was deemed suitable (Wald F=16.86, p<.001). Conclusion: This study provides insights into the influence of various characteristics of older adults with unmet healthcare needs on their HRQoL. Healthcare providers should develop strategies to reduce these unmet healthcare needs.","PeriodicalId":53419,"journal":{"name":"Journal of the Korean Academy of Fundamentals of Nursing","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43288397","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 : 2022-05-31DOI: 10.7739/jkafn.2022.29.2.170
H. Cho, H. Park
Purpose: The purpose of this study was to examine the relationship of communication competence and communication style with nurse-parent partnership among pediatric nurses. Methods: This study had a descriptive, correlational design. Data were collected from 169 pediatric nurses in B metropolitan city and Y city, from January 2018 to February 2018. A structured questionnaire was administered. Data were analyzed using descriptive statistics, the t-test, one-way analysis of variance, the Scheffé test, the Kruskal-Wallis test, and multiple regression analysis with SPSS version 23.0. Results: Nurse-parent partnership was correlated with communication competence (r=.59, p<.001), an informative communication style (r=.65, p<.001), an affective communication style (r=.68, p<.001), and an authoritative communication style (r=-.30, p<.001). The factors influencing nurse-parent partnership among the study subjects were an affective communication style, an informative communication style, communication competence, and the nurses’ current position. The overall explanatory power of this model was 61.0%, and the most influential factor was an affective communication style. Conclusion: Nurse-parent partnership showed significant correlations with communication competence and affective and informative communication styles. The study may serve as a basic resource for promoting nurse-parent partnership, which increases the effectiveness of treatment for children in pediatric wards and will ultimately help improve the quality of child care.
{"title":"Influence of Communication Competence and Communication Style on the Nurse-Parent Partnership in Pediatric Nurses","authors":"H. Cho, H. Park","doi":"10.7739/jkafn.2022.29.2.170","DOIUrl":"https://doi.org/10.7739/jkafn.2022.29.2.170","url":null,"abstract":"Purpose: The purpose of this study was to examine the relationship of communication competence and communication style with nurse-parent partnership among pediatric nurses. Methods: This study had a descriptive, correlational design. Data were collected from 169 pediatric nurses in B metropolitan city and Y city, from January 2018 to February 2018. A structured questionnaire was administered. Data were analyzed using descriptive statistics, the t-test, one-way analysis of variance, the Scheffé test, the Kruskal-Wallis test, and multiple regression analysis with SPSS version 23.0. Results: Nurse-parent partnership was correlated with communication competence (r=.59, p<.001), an informative communication style (r=.65, p<.001), an affective communication style (r=.68, p<.001), and an authoritative communication style (r=-.30, p<.001). The factors influencing nurse-parent partnership among the study subjects were an affective communication style, an informative communication style, communication competence, and the nurses’ current position. The overall explanatory power of this model was 61.0%, and the most influential factor was an affective communication style. Conclusion: Nurse-parent partnership showed significant correlations with communication competence and affective and informative communication styles. The study may serve as a basic resource for promoting nurse-parent partnership, which increases the effectiveness of treatment for children in pediatric wards and will ultimately help improve the quality of child care.","PeriodicalId":53419,"journal":{"name":"Journal of the Korean Academy of Fundamentals of Nursing","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48462207","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 : 2022-05-31DOI: 10.7739/jkafn.2022.29.2.131
S. Lim, K. Lee
Purpose: This study aimed to verify the validity and reliability of the Korean version of the Health Care Empowerment Questionnaire (K-HCEQ) after translating it into Korean. Methods: Items were verified after translating the HCEQ into Korean, followed by back-translation and evaluation of content validity. The questionnaire survey was administered to 200 community-dwelling individuals aged≥65 years. Construct validity and criterion validity were evaluated, and Cronbach’s a was used to assess the reliability of the scale. Results: The final instrument consisted of three sub-factors and 10 items, as shown by confirmatory factor analysis. Moreover, the criterion-related validity showed a correlation coefficient of .50 (p<.001), confirming the validity of the developed instrument. Cronbach’s a for all items was .94, and Cronbach’s a of the sub-factors ranged between .88 and .93. Conclusion: The Korean version of the HCEQ for the elderly is an objective indicator that can be used to evaluate the effectiveness of health education programs aimed at older adults, thereby improving their health care empowerment.
{"title":"Reliability and Validity of the Korean Version of the Health Care Empowerment Questionnaire (K-HCEQ)","authors":"S. Lim, K. Lee","doi":"10.7739/jkafn.2022.29.2.131","DOIUrl":"https://doi.org/10.7739/jkafn.2022.29.2.131","url":null,"abstract":"Purpose: This study aimed to verify the validity and reliability of the Korean version of the Health Care Empowerment Questionnaire (K-HCEQ) after translating it into Korean. Methods: Items were verified after translating the HCEQ into Korean, followed by back-translation and evaluation of content validity. The questionnaire survey was administered to 200 community-dwelling individuals aged≥65 years. Construct validity and criterion validity were evaluated, and Cronbach’s a was used to assess the reliability of the scale. Results: The final instrument consisted of three sub-factors and 10 items, as shown by confirmatory factor analysis. Moreover, the criterion-related validity showed a correlation coefficient of .50 (p<.001), confirming the validity of the developed instrument. Cronbach’s a for all items was .94, and Cronbach’s a of the sub-factors ranged between .88 and .93. Conclusion: The Korean version of the HCEQ for the elderly is an objective indicator that can be used to evaluate the effectiveness of health education programs aimed at older adults, thereby improving their health care empowerment.","PeriodicalId":53419,"journal":{"name":"Journal of the Korean Academy of Fundamentals of Nursing","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42622071","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 : 2022-05-31DOI: 10.7739/jkafn.2022.29.2.181
Kyung-Jin Jeon, Min-Jeong Park
Purpose: The purpose of this study was to analyze the influence of emotional labor, positive psychological capital, and rewards on the retention intention among coronavirus diseases 19 (COVID-19) ward nurses in regional public hospitals. Methods: The subjects were nurses who directly participated in nursing while wearing protective gear (level D or higher) in a COVID-19 ward. Data were collected from March 15 to March 29, 2021, and a total of 187 questionnaires were analyzed. The data were analyzed with descriptive statistics, independent t-test, one-way analysis of variance, Pearson’s correlation coefficient, and multiple regression using SPSS for Windows version 27.0. Results: The mean scores of emotional labor, positive psychological capital, and retention intention were 3.48, 3.74, 3.22, and 5.75. The factors influencing retention intension were positive psychological capital (β=.28, p<.001), and the explanatory power for retention intention was 20.0%. Conclusion: These results indicate that in order to increase retention intention, it is necessary to foster nurses with high positive psychological capital who can make good use of positive emotions, and additional research is needed to clarify the factors influencing nurses’s retention intention to remain in the organization.
目的：分析情感劳动、积极心理资本和奖励对地区公立医院19例冠状病毒病（新冠肺炎）病房护士保留意愿的影响。方法：受试者为新冠肺炎病房内直接参加护理、穿戴防护装备（D级及以上）的护士。数据收集于2021年3月15日至3月29日，共分析了187份问卷。数据采用描述性统计、独立t检验、单向方差分析、Pearson相关系数和多元回归分析，使用SPSS for Windows 27.0版进行分析。结果：情绪劳动、积极心理资本和保留意愿的平均得分分别为3.48、3.74、3.22和5.75。影响保留意愿的因素是积极心理资本（β=0.28，p<.001），对保留意愿的解释力为20.0%，需要进一步的研究来阐明影响护士留在组织中的保留意愿的因素。
{"title":"The Influence of Emotional Labor, Positive Psychological, Capital, and Rewards on the Retention Intention among Coronavirus Disease 2019 Ward Nurses in Regional Public Hospitals","authors":"Kyung-Jin Jeon, Min-Jeong Park","doi":"10.7739/jkafn.2022.29.2.181","DOIUrl":"https://doi.org/10.7739/jkafn.2022.29.2.181","url":null,"abstract":"Purpose: The purpose of this study was to analyze the influence of emotional labor, positive psychological capital, and rewards on the retention intention among coronavirus diseases 19 (COVID-19) ward nurses in regional public hospitals. Methods: The subjects were nurses who directly participated in nursing while wearing protective gear (level D or higher) in a COVID-19 ward. Data were collected from March 15 to March 29, 2021, and a total of 187 questionnaires were analyzed. The data were analyzed with descriptive statistics, independent t-test, one-way analysis of variance, Pearson’s correlation coefficient, and multiple regression using SPSS for Windows version 27.0. Results: The mean scores of emotional labor, positive psychological capital, and retention intention were 3.48, 3.74, 3.22, and 5.75. The factors influencing retention intension were positive psychological capital (β=.28, p<.001), and the explanatory power for retention intention was 20.0%. Conclusion: These results indicate that in order to increase retention intention, it is necessary to foster nurses with high positive psychological capital who can make good use of positive emotions, and additional research is needed to clarify the factors influencing nurses’s retention intention to remain in the organization.","PeriodicalId":53419,"journal":{"name":"Journal of the Korean Academy of Fundamentals of Nursing","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41797629","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 : 2022-05-31DOI: 10.7739/jkafn.2022.29.2.237
Ga-Hyun Kim, Hyunju Lee
Purpose: The purpose of this study was to measure the influence of job stress, critical thinking disposition, and clinical decision-making ability on clinical nurses’ medication safety competence. Methods: A descriptive survey was conducted among 140 nurses with more than 6 months of work experience in 4 general hospitals in Busan metropolitan city. Data were collected from August 15 to October 30, 2021 and analyzed using the independent t-test, one-way ANOVA, Pearson’s correlation coefficients, and stepwise multiple regression. Results: Medication safety competence had significant correlations with job stress (r=.20, p=.021), critical thinking disposition (r=.63, p<.001), and clinical decision-making ability (r=.54, p<.001). Multiple regression analysis for medication safety competence revealed that the most powerful predictor was critical thinking disposition. Job stress and critical thinking disposition explained approximately 45% of the variance in medication safety competence. Conclusion: This study confirms the need to make systematic efforts in clinical settings to improve nurses’ medication safety competence, and seeks ways to do so. To enhance clinical nurses’ medication safety competence in the future, programs that manage job stress and improve critical thinking disposition within the nursing department in particular and the hospital in general should be developed and implemented.
{"title":"Factors Influencing Clinical Nurses’ Medication Safety Competence","authors":"Ga-Hyun Kim, Hyunju Lee","doi":"10.7739/jkafn.2022.29.2.237","DOIUrl":"https://doi.org/10.7739/jkafn.2022.29.2.237","url":null,"abstract":"Purpose: The purpose of this study was to measure the influence of job stress, critical thinking disposition, and clinical decision-making ability on clinical nurses’ medication safety competence. Methods: A descriptive survey was conducted among 140 nurses with more than 6 months of work experience in 4 general hospitals in Busan metropolitan city. Data were collected from August 15 to October 30, 2021 and analyzed using the independent t-test, one-way ANOVA, Pearson’s correlation coefficients, and stepwise multiple regression. Results: Medication safety competence had significant correlations with job stress (r=.20, p=.021), critical thinking disposition (r=.63, p<.001), and clinical decision-making ability (r=.54, p<.001). Multiple regression analysis for medication safety competence revealed that the most powerful predictor was critical thinking disposition. Job stress and critical thinking disposition explained approximately 45% of the variance in medication safety competence. Conclusion: This study confirms the need to make systematic efforts in clinical settings to improve nurses’ medication safety competence, and seeks ways to do so. To enhance clinical nurses’ medication safety competence in the future, programs that manage job stress and improve critical thinking disposition within the nursing department in particular and the hospital in general should be developed and implemented.","PeriodicalId":53419,"journal":{"name":"Journal of the Korean Academy of Fundamentals of Nursing","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48032695","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 : 2022-05-31DOI: 10.7739/jkafn.2022.29.2.159
Ji Yeon Bae, S. Bae
Purpose: This study was conducted to identify the influence of critical thinking disposition and communication ability on patient safety competence among clinical nurses. Methods: A cross-sectional descriptive study was conducted using a self-reported questionnaire. In total, 139 nurses were recruited from a tertiary care hospital and general hospital in Gyeonggi Province. Data were collected from March 5, 2019 to March 29, 2019 and analyzed using descriptive statistics, independent t-test, one-way analysis of variance, the Scheffé test, Pearson’ correlation coefficients, and hierarchical multiple regression with SPSS version 25.0. Results: The item mean score for patient safety competence was 3.83±0.40 (range, 1~5). Clinical nurses who were female, older, had higher education, and had more clinical experiences showed higher patient safety competence. Hierarchical multiple regression analysis showed that healthy skepticism and objectivity (as subscales of clinical thinking disposition) and communication ability explained 28% and 3% of variance in patient safety competence; the model predicted approximately 38% of the variance in patient safety competence (F=6.69, p<.001). Conclusion: Clinical nurses’ patient safety competence was associated with healthy skepticism and objectivity, among the subscales of clinical thinking disposition, and communication ability. These were also found to be the major factors that influenced patient safety competence. Thus, it is necessary to develop educational programs to improve clinical nurses’ critical thinking disposition and communication skills.
{"title":"The Effect of Clinical Nurses' Critical Thinking Disposition and Communication Ability on Patient Safety Competency","authors":"Ji Yeon Bae, S. Bae","doi":"10.7739/jkafn.2022.29.2.159","DOIUrl":"https://doi.org/10.7739/jkafn.2022.29.2.159","url":null,"abstract":"Purpose: This study was conducted to identify the influence of critical thinking disposition and communication ability on patient safety competence among clinical nurses. Methods: A cross-sectional descriptive study was conducted using a self-reported questionnaire. In total, 139 nurses were recruited from a tertiary care hospital and general hospital in Gyeonggi Province. Data were collected from March 5, 2019 to March 29, 2019 and analyzed using descriptive statistics, independent t-test, one-way analysis of variance, the Scheffé test, Pearson’ correlation coefficients, and hierarchical multiple regression with SPSS version 25.0. Results: The item mean score for patient safety competence was 3.83±0.40 (range, 1~5). Clinical nurses who were female, older, had higher education, and had more clinical experiences showed higher patient safety competence. Hierarchical multiple regression analysis showed that healthy skepticism and objectivity (as subscales of clinical thinking disposition) and communication ability explained 28% and 3% of variance in patient safety competence; the model predicted approximately 38% of the variance in patient safety competence (F=6.69, p<.001). Conclusion: Clinical nurses’ patient safety competence was associated with healthy skepticism and objectivity, among the subscales of clinical thinking disposition, and communication ability. These were also found to be the major factors that influenced patient safety competence. Thus, it is necessary to develop educational programs to improve clinical nurses’ critical thinking disposition and communication skills.","PeriodicalId":53419,"journal":{"name":"Journal of the Korean Academy of Fundamentals of Nursing","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48208950","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 : 2022-05-31DOI: 10.7739/jkafn.2022.29.2.141
Un Hi Do, Mina Park, S. H. Kim, K. Moon
Purpose: The aim of this study was to identify factors affecting pressure ulcers among cognitive impairment inpatients with long term care facilities. Methods: In this secondary data analysis of the two long-term care facilities, 162 patients with mild or more cognitive impairment were analyzed. Patients with a pressure ulcer of stage 2 or higher that developed after the first day of hospitalization were defined as the pressure ulcer group, while the other patients comprised the non-pressure ulcer group. Demographic characteristics were compared between the two groups. Initially, a univariate analysis was conducted. Subsequently, risk factors were identified through logistic regression analysis using the variables that exhibited statistically significant differences in the univariate analysis. Results: Thirty-three patients had hospital-acquired pressure ulcers. Age (odds ratio [OR]=0.92, 95% confidence interval [CI]=0.87~0.98), albumin levels (OR=0.25, 95% CI=0.08~0.77), Charlson comorbidity index (OR=1.57, 95% CI=1.14~2.18), and Mini-Mental State Examination for Koreans score (OR=0.90, 95% CI=0.81~0.99) were identified as risk factors for pressure ulcer occurrence. Conclusion: Our data analysis supports independent associations between certain clinical characteristics and pressure ulcer occurrence in long-term care facility patients with cognitive impairment. To reduce the risk of pressure ulcers in long-term care facilities, health professionals should implement appropriate prevention measures.
{"title":"Factors Affecting Pressure Ulcer among Inpatients in Long Term Care Facilities: Adults with Cognitive Impairment","authors":"Un Hi Do, Mina Park, S. H. Kim, K. Moon","doi":"10.7739/jkafn.2022.29.2.141","DOIUrl":"https://doi.org/10.7739/jkafn.2022.29.2.141","url":null,"abstract":"Purpose: The aim of this study was to identify factors affecting pressure ulcers among cognitive impairment inpatients with long term care facilities. Methods: In this secondary data analysis of the two long-term care facilities, 162 patients with mild or more cognitive impairment were analyzed. Patients with a pressure ulcer of stage 2 or higher that developed after the first day of hospitalization were defined as the pressure ulcer group, while the other patients comprised the non-pressure ulcer group. Demographic characteristics were compared between the two groups. Initially, a univariate analysis was conducted. Subsequently, risk factors were identified through logistic regression analysis using the variables that exhibited statistically significant differences in the univariate analysis. Results: Thirty-three patients had hospital-acquired pressure ulcers. Age (odds ratio [OR]=0.92, 95% confidence interval [CI]=0.87~0.98), albumin levels (OR=0.25, 95% CI=0.08~0.77), Charlson comorbidity index (OR=1.57, 95% CI=1.14~2.18), and Mini-Mental State Examination for Koreans score (OR=0.90, 95% CI=0.81~0.99) were identified as risk factors for pressure ulcer occurrence. Conclusion: Our data analysis supports independent associations between certain clinical characteristics and pressure ulcer occurrence in long-term care facility patients with cognitive impairment. To reduce the risk of pressure ulcers in long-term care facilities, health professionals should implement appropriate prevention measures.","PeriodicalId":53419,"journal":{"name":"Journal of the Korean Academy of Fundamentals of Nursing","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45797165","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 : 2022-05-31DOI: 10.7739/jkafn.2022.29.2.248
Song Hee Yoon, Ju Young Park
Purpose: The purpose of this study was to identify the sequential mediating effects of social support and self-efficacy in the relationship between focusing manner and quality of life in patients with chronic pain. Methods: The participants were 192 patients with chronic pain who visited a university hospital in D city from August 25, 2020 to October 27, 2020. The collected data were analyzed using SPSS for Windows version 26.0, and mediating effects were evaluated using the PROCESS macro model 6. Results: Social support(B=0.31; 95% CI=0.15~0.51) and self-efficacy(B=0.18; 95% CI=0.07~0.30) had mediating effects on the relationship between focusing manner and quality of life. Focusing manner did not directly affect quality of life; instead, social support and self-efficacy had sequential mediating effects on the relationship between focusing manner and quality of life(B=0.05; 95% CI=0.02~0.11). Conclusion: The findings of this study indicate that social support and self-efficacy are important factors related to quality of life in patients with chronic pain. It is also expected that enhancing social support and self-efficacy can further improve quality of life among chronic pain patients.
目的：本研究的目的是确定社会支持和自我效能在慢性疼痛患者专注方式和生活质量之间关系的顺序中介作用。方法：参与者为192名慢性疼痛患者，他们于2020年8月25日至2020年10月27日在D市一所大学医院就诊。使用SPSS for Windows 26.0版对收集的数据进行分析，并使用PROCESS宏模型6评估中介效应。结果：社会支持（B=0.31；95%CI=0.15~0.51）和自我效能感（B=0.18；95%CI=0.07~0.30）对专注方式与生活质量的关系具有中介作用。专注方式不直接影响生活质量；相反，社会支持和自我效能对专注方式与生活质量之间的关系具有顺序中介作用（B=0.05；95%CI=0.02~0.11）。结论：本研究结果表明，社会支持与自我效能是影响慢性疼痛患者生活质量的重要因素。人们还期望，加强社会支持和自我效能感可以进一步提高慢性疼痛患者的生活质量。
{"title":"The Effect of Focusing Manner on Quality of Life in Patients with Chronic Pain: The Sequential Mediating Effects of Social Support and Self-efficacy","authors":"Song Hee Yoon, Ju Young Park","doi":"10.7739/jkafn.2022.29.2.248","DOIUrl":"https://doi.org/10.7739/jkafn.2022.29.2.248","url":null,"abstract":"Purpose: The purpose of this study was to identify the sequential mediating effects of social support and self-efficacy in the relationship between focusing manner and quality of life in patients with chronic pain. Methods: The participants were 192 patients with chronic pain who visited a university hospital in D city from August 25, 2020 to October 27, 2020. The collected data were analyzed using SPSS for Windows version 26.0, and mediating effects were evaluated using the PROCESS macro model 6. Results: Social support(B=0.31; 95% CI=0.15~0.51) and self-efficacy(B=0.18; 95% CI=0.07~0.30) had mediating effects on the relationship between focusing manner and quality of life. Focusing manner did not directly affect quality of life; instead, social support and self-efficacy had sequential mediating effects on the relationship between focusing manner and quality of life(B=0.05; 95% CI=0.02~0.11). Conclusion: The findings of this study indicate that social support and self-efficacy are important factors related to quality of life in patients with chronic pain. It is also expected that enhancing social support and self-efficacy can further improve quality of life among chronic pain patients.","PeriodicalId":53419,"journal":{"name":"Journal of the Korean Academy of Fundamentals of Nursing","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46153556","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 : 2022-05-31DOI: 10.7739/jkafn.2022.29.2.150
Hee-Joo Oh, Suk-Sun Kim
Purpose: The purpose of this study was to examine the effects of parenting stress, sleep quality, self-compassion, and family relationship on mothers’ postpartum depression. Methods: The participants were 141 postpartum mothers within 6 months of childbirth who completed self-report questionnaires consisting of the Parenting Stress Index-Short Form, Pittsburgh Sleep Quality Index, Self-Compassion Scale, and Family Relationship Assessment Scale. Data were analyzed using descriptive statistics, the independent t-test, one-way analysis of variance, Pearson correlation coefficient and multiple regression using IBM SPSS/WIN 27.0. Results: Postpartum depression was positively associated with parenting stress and sleep quality, but negatively related to self-compassion and family relationship. Multiple regression analysis showed that parenting stress, sleep quality, self-compassion and family relationship were significant factors with an explanation power of approximately 59% of the variance in postpartum depression. Conclusion: The findings suggest that it is necessary to develop nursing interventions to enhance family relationships and reduce parenting stress to prevent postpartum depression.
{"title":"Effects of Parenting Stress, Sleep Quality, Self-Compassion and Family Relationship on Mothers’ Postpartum Depression","authors":"Hee-Joo Oh, Suk-Sun Kim","doi":"10.7739/jkafn.2022.29.2.150","DOIUrl":"https://doi.org/10.7739/jkafn.2022.29.2.150","url":null,"abstract":"Purpose: The purpose of this study was to examine the effects of parenting stress, sleep quality, self-compassion, and family relationship on mothers’ postpartum depression. Methods: The participants were 141 postpartum mothers within 6 months of childbirth who completed self-report questionnaires consisting of the Parenting Stress Index-Short Form, Pittsburgh Sleep Quality Index, Self-Compassion Scale, and Family Relationship Assessment Scale. Data were analyzed using descriptive statistics, the independent t-test, one-way analysis of variance, Pearson correlation coefficient and multiple regression using IBM SPSS/WIN 27.0. Results: Postpartum depression was positively associated with parenting stress and sleep quality, but negatively related to self-compassion and family relationship. Multiple regression analysis showed that parenting stress, sleep quality, self-compassion and family relationship were significant factors with an explanation power of approximately 59% of the variance in postpartum depression. Conclusion: The findings suggest that it is necessary to develop nursing interventions to enhance family relationships and reduce parenting stress to prevent postpartum depression.","PeriodicalId":53419,"journal":{"name":"Journal of the Korean Academy of Fundamentals of Nursing","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44346612","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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