PURPOSE: This study aimed to explain what are the experiences of patients with renal disease who are just begun hemodialysis in the end-stage. METHODS: The data were collected from February to December in 2017 through individual in-depth interviews using open-ended questions. For data analysis, a phenomenological method suggested by Colaizzi was applied. A total of 8 hemodialysis patients with end-stage renal disease (ESRD) participated in this study. RESULTS: According to the analysis, five theme clusters emerged: ‘I go into darkness’, ‘Being disappearing from others’, ‘Baby bird living with love’, ‘Dawn in darkness’ and ‘A life longing for the absolute’. CONCLUSION: Patients undergoing hemodialysis experienced fear and anxiety at the beginning of hemodialysis. Therefore, counseling and social supports were needed for patients with ESRD in their early stage of hemodialysis. In addition, a multidisciplinary education program should be implemented in the future research. It may help to overcome for the patients who are experiencing complicated health problems in their early stage of hemodialysis treatment.
Anxiety ; Birds ; Counseling ; Education ; Humans ; Kidney Failure, Chronic* ; Methods ; Qualitative Research ; Renal Dialysis* ; Statistics as Topic

PURPOSE: The purpose of this study was to investigate the influencing factors on the happiness of community-dwelling older adults in Korea. METHODS: A convenience sample of older adults (N=191) who did not enrolled in any specific exercise programs participated in this cross-sectional correlational study. The data were collected from July to August, 2017. Participants were asked to respond to fill questionnaires including depression, physical activity, and happiness. Physical activity was classified according to physical activity scores(inactivity, minimally activity, health enhancing physical activity). Data were analyzed with descriptive statistics, independent t-test, χ² test, one-way analysis of variance (ANOVA) and hierarchical multiple regression with SPSS (ver. 24.0). RESULTS: The influencing factors on happiness were depression (β=−.64, p < .001), physical activities (minimally activity=1; β=−.15, p=.014), and religion (have=1; β=.10, p=.029). Hierarchical multiple regression analysis showed that the determinant variables accounted for 58% of the variation in the happiness (F=53.37, p < .001). CONCLUSION: These findings indicate that depression, physical activity and subjective health status influence the happiness of older adults who did not involved in any exercise program. Effective healthcare programs for managing depression and increasing the level of physical activity could increase the level of happiness among older adults.
Adult* ; Delivery of Health Care ; Depression ; Diagnostic Self Evaluation ; Happiness* ; Humans ; Korea* ; Motor Activity

PURPOSE: The purpose of this study was to investigate the status of infection control in long-term care facilities in Korea and educational needs of nurses in charge of infection control. METHODS: This was a descriptive study. A self-reported questionnaire was provided to the nurses in charge of infection control in 250 hospitals with long-term care. 209 nurses answered to the questionnaire. Data were collected from September 30 to November 7, 2016. Data were analyzed using SPSS/WIN 18.0, and the educational needs were analyzed by applying the Borich Needs Assessment Model. RESULTS: Only 17.4% of the hospitals had infection control departments, and only 1.0% of the hospitals had nurses who were fully-in-charge of infection control. Regarding the educational needs on infection control, level of knowledge was statistically significantly lower in all 50 items compared to the importance. Specifically, educational demand on air and water quality management, construction and infection control, indicator management, and infectious disease management were also high. CONCLUSION: The results of this study showed that organization and manpower were needed for effective infection control of long-term care facilities in Korea. In addition, it was deemed necessary to develop and applicate infection control education programs as reflected on the scores obtained in the educational needs on infection control.
Communicable Diseases ; Education ; Infection Control* ; Korea* ; Long-Term Care* ; Needs Assessment ; Water Quality

PURPOSE: This study was to investigate the performance of safety care activities among nurses in small-medium sized general hospitals and to identify factors associated with the safety care activities. METHODS: In this cross-sectional descriptive study, 455 nurses were recruited from small-medium sized general hospitals. Data were collected with the ‘Questionnaire on Patient Safety Care Activities’ by web based survey. Descriptive statistics, independent t-test and One-way ANOVA with Duncan test for multiple comparison were used for data analysis. RESULTS: The mean score of patient safety care activity was 4.52 out of a total of 5 points. The total score of patient safety care activities according to the characteristics of the subjects was significantly higher than those of patients who had more than 15 years of clinical nursing career (F=7.06, p < .001) and there was a significant difference according to experience of healthcare accreditation (t=−2.10, p=.036). CONCLUSION: In order to raise the level of patient safety care activity among nurses in small-medium sized general hospitals, it is important to retain experienced nurses. Practical training and regular educations on patient safety care activities are required for nurses in small-medium sized general hospitals.
Accreditation ; Delivery of Health Care ; Hospitals, General* ; Humans ; Nursing ; Patient Safety* ; Statistics as Topic

PURPOSE: The purpose of this study was to investigate the relationship of sleep quality, lifestyle and successful aging in the elderly. METHODS: The subjects of this study were 125 elderly people, aged 65 years and older, who attended a senior welfare center in Cheongju city, Korea. They completed a structured self-reported questionnaire comprising measures of quality of sleep, lifestyle, and successful aging. Data were analyzed using t-test, ANOVA, Scheffé's test, Pearson's correlation coefficient, and hierarchical linear multiple regression analysis with SPSS/WIN 20.0. RESULTS: Lifestyle showed a positive correlation with the quality of sleep, and successful aging showed a significant positive correlation with quality of sleep and lifestyle. Pin money (β=.32), quality of sleep (β=.20) and lifestyle (β=.55) were strong influential factors in successful aging. Hierarchical multiple regression analysis showed the determinant variables account for 35.9% of the variation in successful aging (F=35.11, p < .001). CONCLUSION: Successful aging depends on controllable factors such as the willingness to change the lifestyle of choosing one's life and how one copes with applying appropriate sleep hygiene. These results suggest that improvement of the quality of sleep and lifestyle will be helpful to the successful aging process.
Aged* ; Aging* ; Chungcheongbuk-do ; Humans ; Hygiene ; Korea ; Life Style*

PURPOSE: The purpose of this study was to identify the factors related to coronary artery disease in Korean adults. METHODS: This study analyzed cross-sectional data collected from 11,103 Korean adults aged 40 years and older who participated in Korean National Health and Nutrition Survey VI (2013~2015). Data were analyzed with descriptive statistics, Rao-Scott χ² test and logistic regression with IBM SPSS v.23. Logistic regression examined whether variables in 3 domains - socio-demographic, lifestyle and health related factors were associated with coronary artery disease. RESULTS: The prevalence of coronary artery disease was 3.16% of the population. Coronary artery disease was associated with older age, spouse, smoking, stress, obesity, poorer self reported health, hypertension, dyslipidemia, and diabetes mellitus. CONCLUSION: This study suggested that comprehensive nursing intervention should include associated variables in order to reduce the prevalence of coronary artery disease.
Adult* ; Coronary Artery Disease* ; Coronary Vessels* ; Diabetes Mellitus ; Dyslipidemias ; Humans ; Hypertension ; Life Style ; Logistic Models ; Nursing ; Nutrition Surveys* ; Obesity ; Prevalence ; Self Report ; Smoke ; Smoking ; Spouses

PURPOSE: The purpose of this study was to investigate osteoporosis prevalence and factors influencing health-related quality of life (HRQoL) among older Korean women with osteoporosis. METHODS: The study design was a retrospective study using secondary data analysis. Data for 1,355 women aged 65 and older from the Korea National Health and Nutrition Examination Survey (KNHANES) 2015 to 2016 were included. Linear regression analysis was conducted for influential factors on HRQoL, measured by the Euro Quality of Life-5D (EQ-5D). RESULTS: The prevalence of osteoporosis was 41.3% in older Korean women. The EQ-5D index score was lower in older women with osteoporosis (0.83) than those without osteoporosis (0.86). Lower HRQoL in older Korean women with osteoporosis was associated with lower household income, perceived health status as bad, comorbidity, activity restriction, and stress. CONCLUSION: The findings indicate that the prevalence of osteoporosis was high in older Korean women. In addition, healthcare professionals need to consider individual conditions such as economic status, perceived health status, other chronic diseases, activity restriction and level of stress for improvement of HRQoL in older Korean women with osteoporosis.
Chronic Disease ; Comorbidity ; Delivery of Health Care ; Family Characteristics ; Female ; Humans ; Korea* ; Linear Models ; Nutrition Surveys* ; Osteoporosis* ; Prevalence ; Quality of Life* ; Retrospective Studies ; Statistics as Topic

PURPOSE: This study was done to identify the moderating effect of spiritual well-being between somatic symptoms and quality of life in adults. METHODS: This study was conducted using a questionnaire which included item for somatic symptoms, spiritual well-being, and quality of life. Data were collected from 226 adults living in Korea from April to May, 2018. Using the IBM SPSS 21.0 statistics program, the collected data were analyzed through descriptive statistics and hierarchical multiple regression analysis. RESULTS: The mean cores (men/women) of somatic symptoms, spiritual well-being, and quality of life were 1.48±0.32 (1.44±0.34 / 1.50±0.31), 2.80±0.55 (2.68±0.53 / 2.86±0.55), and 2.49±0.49 (2.50±0.56/2.49±0.45), respectively. Somatic symptoms and spiritual well-being explained approximately 46% of quality of life. Moderating effect of spiritual well-being was statistically non-significant in adults, but significant in men. CONCLUSION: It is necessary to consider spiritual well-being variables as a strategy for improving the quality of life of men. Also, it is suggested a qualitative study to understand in depth the subjective spiritual well-being.
Adult* ; Humans ; Korea ; Male ; Quality of Life* ; Spirituality

PURPOSE: This study aimed to identify glycemic control status and factors influencing glycemic control by gender in workers with diabetes mellitus. METHODS: Using data from the Korean National Health and Nutrition Examination Survey (KNHANES) from 2013 to 2016, 763 workers with Type II diabetes mellitus who were≥30 years of age were included. Data were analyzed by χ² test and multiple logistic regression using SPSS/WIN 23.0 program. RESULTS: Glycemic control rates were lower in patients who had diabetes mellitus for 10~20 years than in those who had diabetes mellitus for 5 years or less, and this factor affected glycemic control in both men and women. In men, the odds ratio of good glycemic control was higher in insulin treatment, no hyperlipidemia, eat breakfast more than 3 times/week, eating out 3~4 times/week than other group. In women, the odds ratio of good glycemic control was higher in women who were not married and did not drink alcohol than other group. CONCLUSION: Factors influencing glycemic control differed in men and women. Therefore, it is necessary to provide individualized education by gender for patients with diabetes mellitus in hospitals and to prepare a detailed management plan for diabetes mellitus in work places and throughout society.
Blood Glucose ; Breakfast ; Diabetes Mellitus* ; Eating ; Education ; Female ; Humans ; Hyperlipidemias ; Insulin ; Logistic Models ; Male ; Nutrition Surveys ; Odds Ratio ; Workplace

PURPOSE: This study was to explore the level of core nursing activities performed by long-term care hospital nurses and to investigate the frequency and educational needs of major nursing activities. METHODS: A cross-sectional descriptive research design was used. The subjects were 155 nurses working at seven long-term care hospitals in Korea. Data were collected in 2018 from September 15 to October 16 using a structured questionnaire. Data were analyzed using the SPSS program. RESULTS: The mean age of nurses was 45.19±10.99 years and the mean career of long-term care hospital was 49.84±40.52 months. Monitoring activity was shown as the highest score in the performance level and frequency, whereas infection control received the highest score in educational needs. A scatter plot revealed that physical examination, respiratory care, wound care, communication and education showed overall high scores in the performance level, frequency, and educational needs. Emergency care and infection control were the activities that were performed less frequently but had high performance level and educational needs. CONCLUSION: It is important to establish rules for requisite and delegable activities considering the performance level and frequency of nursing activities in long-term care hospitals in order to improve the quality of patient care.
Education ; Emergency Medical Services ; Infection Control ; Korea ; Long-Term Care* ; Nursing* ; Patient Care ; Physical Examination ; Research Design ; Wounds and Injuries