Purpose: This study investigated the relationship between health literacy and disability in activities of daily living (ADL) in older adults with multimorbidity. Methods: Using data from the Korea Health Panel Survey (KHPS), 2,153 older adults with multimorbidity were analyzed in this cross-sectional study. The x2 test was performed to determine differences in ADL disability according to demographic and health-related characteristics. In addition, multiple logistic regression analysis was performed to assess the risk of ADL disability according to the level of health literacy, and the results are presented as odds ratios (OR) and 95% confidence intervals (CI). Data were analyzed using SPSS version 23.0. Results: For the young-old group (65-74 years), compared with an adequate level of health literacy, the risk of ADL disability was 2.02 times (95% CI 1.20~3.42) higher in those with a marginal level, and 2.53 times (95% CI 1.54~4.16) higher in those with an inadequate level after adjusting for covariates. Conclusion In older adults under 75 with multimorbidity, a lower level of health literacy was associated with a higher risk of ADL disability. This highlights that health literacy is an important factor closely associated with ADL disability in older adults with multimorbidity, extending beyond the basic ability to understand and apply information.

Purpose: This study investigated the relationship between health literacy and disability in activities of daily living (ADL) in older adults with multimorbidity. Methods: Using data from the Korea Health Panel Survey (KHPS), 2,153 older adults with multimorbidity were analyzed in this cross-sectional study. The x2 test was performed to determine differences in ADL disability according to demographic and health-related characteristics. In addition, multiple logistic regression analysis was performed to assess the risk of ADL disability according to the level of health literacy, and the results are presented as odds ratios (OR) and 95% confidence intervals (CI). Data were analyzed using SPSS version 23.0. Results: For the young-old group (65-74 years), compared with an adequate level of health literacy, the risk of ADL disability was 2.02 times (95% CI 1.20~3.42) higher in those with a marginal level, and 2.53 times (95% CI 1.54~4.16) higher in those with an inadequate level after adjusting for covariates. Conclusion In older adults under 75 with multimorbidity, a lower level of health literacy was associated with a higher risk of ADL disability. This highlights that health literacy is an important factor closely associated with ADL disability in older adults with multimorbidity, extending beyond the basic ability to understand and apply information.

Purpose: This study investigated the relationship between health literacy and disability in activities of daily living (ADL) in older adults with multimorbidity. Methods: Using data from the Korea Health Panel Survey (KHPS), 2,153 older adults with multimorbidity were analyzed in this cross-sectional study. The x2 test was performed to determine differences in ADL disability according to demographic and health-related characteristics. In addition, multiple logistic regression analysis was performed to assess the risk of ADL disability according to the level of health literacy, and the results are presented as odds ratios (OR) and 95% confidence intervals (CI). Data were analyzed using SPSS version 23.0. Results: For the young-old group (65-74 years), compared with an adequate level of health literacy, the risk of ADL disability was 2.02 times (95% CI 1.20~3.42) higher in those with a marginal level, and 2.53 times (95% CI 1.54~4.16) higher in those with an inadequate level after adjusting for covariates. Conclusion In older adults under 75 with multimorbidity, a lower level of health literacy was associated with a higher risk of ADL disability. This highlights that health literacy is an important factor closely associated with ADL disability in older adults with multimorbidity, extending beyond the basic ability to understand and apply information.

Purpose: This study aimed to compare the differences in the prevalence of metabolic syndrome between menopausal women and women of childbearing age and to determine the risk of metabolic syndrome among women in each group depending on whether they eat alone. Methods: Data of 1,813 women from the seventh Korea National Health and Nutrition Examination Survey (2016) were used. The collected data were analyzed using SPSS 20.0, and complex sample frequency analysis, descriptive statistics, complex sample cross analysis, complex sample general linear regression, and complex sample logistic regression analysis were performed. Results: According to the results of the study, there was no difference in the prevalence and risk of metabolic syndrome according to the presence of companions during meals between women of childbearing age and post-menopausal women, but there was a difference in health behavior. In other words, women of childbearing age who ate alone had a lot of experience of drinking, and menopausal women who ate alone did not tend to make any efforts to control their weight and did not perform aerobic exercise. In particular, the negative health behavior of menopausal women who ate alone increased the risk of prevalence of metabolic syndrome. Conclusion The findings indicate that, for women who eat alone, interventions to prevent metabolic syndrome should be differentiated before and after menopause. Therefore, it is suggested to offer an educational program to prevent metabolic syndrome in women of childbearing age as well as provide regular assessments to diagnose metabolic syndrome and health behavior improvement programs for menopausal women.

Purpose: This study aimed to compare the differences in the prevalence of metabolic syndrome between menopausal women and women of childbearing age and to determine the risk of metabolic syndrome among women in each group depending on whether they eat alone. Methods: Data of 1,813 women from the seventh Korea National Health and Nutrition Examination Survey (2016) were used. The collected data were analyzed using SPSS 20.0, and complex sample frequency analysis, descriptive statistics, complex sample cross analysis, complex sample general linear regression, and complex sample logistic regression analysis were performed. Results: According to the results of the study, there was no difference in the prevalence and risk of metabolic syndrome according to the presence of companions during meals between women of childbearing age and post-menopausal women, but there was a difference in health behavior. In other words, women of childbearing age who ate alone had a lot of experience of drinking, and menopausal women who ate alone did not tend to make any efforts to control their weight and did not perform aerobic exercise. In particular, the negative health behavior of menopausal women who ate alone increased the risk of prevalence of metabolic syndrome. Conclusion The findings indicate that, for women who eat alone, interventions to prevent metabolic syndrome should be differentiated before and after menopause. Therefore, it is suggested to offer an educational program to prevent metabolic syndrome in women of childbearing age as well as provide regular assessments to diagnose metabolic syndrome and health behavior improvement programs for menopausal women.

PURPOSE: This study examined the relationships between nurses' exercise behavior and their anger control using a cross-sectional descriptive design. METHODS: The participants were 290 nurses in South Korea, who completed a survey questionnaire on general characteristics, the stage of exercise behavior change, and anger emotion, evaluated using state anger and anger expression method. RESULTS: Those who engaged in regular exercise behavior exhibited lower levels of state anger and higher levels of anger control than those who did not. In the prediction model, a significant association of exercise behavior with anger control was found. The levels of anger control decreased as the age, education level, and work experiences of nurses decreased. Anger control scores were significantly higher than anger suppression scores and anger expression-out scores in the hospital nurses. CONCLUSION: Engaging in regular exercise may help nurses manage anger emotions better.
Anger ; Education ; Korea ; Methods

PURPOSE: This study was conducted to derive a substantive theory on lived experiences of elderly cancer patients. METHODS: The data were collected from February to March 2018 through in-depth personal interviews with 14 elderly cancer patients. The collected data were analyzed based on Corbin and Strauss's grounded theory. RESULTS: The core category was “the journey to find balance in daily lives as a cancer patient by recovering disturbed ego integrity.” The core phenomenon was “shattered by suffering from cancer,” and the causal conditions were “physical change” and “limitations in daily life.” The contextual conditions were “decreased self-esteem,” “feelings of guilt toward the family,” and the sense of “economic burden.” The participants' action and interaction strategies were “maintaining or avoiding social relations,” “seeking meaning of the illness,” “falling into despair,” and “strengthening the willingness to battle the cancer.” The intervening conditions were “support from health care providers and family,” “dissatisfaction with health care providers,” “spiritual help from religion,” and “the improvement or worsening of health conditions.” The consequences were “having a new insight for life,” “living positively along with cancer illness,” and “the loss of willingness to live.” A summary of the series of processes includes the “crisis stage,” “reorganizing stage,” and the “ego integration stage.” CONCLUSION: This study explored the holistic process of ego integrity impairment and the recovery experience of elderly cancer patients. This study is expected to be used as a basis for the development of nursing interventions that can support patients when coping with all stages of their cancer illness trajectory.
Aged ; Delivery of Health Care ; Ego ; Grounded Theory ; Guilt ; Health Personnel ; Humans ; Nursing ; Qualitative Research

PURPOSE: This study was conducted to derive a substantive theory on lived experiences of elderly cancer patients. METHODS: The data were collected from February to March 2018 through in-depth personal interviews with 14 elderly cancer patients. The collected data were analyzed based on Corbin and Strauss's grounded theory. RESULTS: The core category was “the journey to find balance in daily lives as a cancer patient by recovering disturbed ego integrity.” The core phenomenon was “shattered by suffering from cancer,” and the causal conditions were “physical change” and “limitations in daily life.” The contextual conditions were “decreased self-esteem,”“feelings of guilt toward the family,” and the sense of “economic burden.” The participants' action and interaction strategies were “maintaining or avoiding social relations,”“seeking meaning of the illness,”“falling into despair,” and “strengthening the willingness to battle the cancer.” The intervening conditions were “support from health care providers and family,”“dissatisfaction with health care providers,”“spiritual help from religion,” and “the improvement or worsening of health conditions.” The consequences were “having a new insight for life,”“living positively along with cancer illness,” and “the loss of willingness to live.” A summary of the series of processes includes the “crisis stage,”“reorganizing stage,” and the “ego integration stage.” CONCLUSION This study explored the holistic process of ego integrity impairment and the recovery experience of elderly cancer patients. This study is expected to be used as a basis for the development of nursing interventions that can support patients when coping with all stages of their cancer illness trajectory.

PURPOSE: The aim of this study was to examine the mediating effect of empowerment in the relationship of nurse managers' authentic leadership, with nurses' organizational commitment and job satisfaction. METHODS: The participants in this study were 273 registered nurses working in five University hospitals located in Seoul and Gyeonggi Province. The measurements included the Authentic Leadership Questionnaire, Condition of Work Effectiveness Questionnaire-II, Organizational Commitment Questionnaire and Korea-Minnesota Satisfaction Questionnaire. Data were analyzed using t-test, ANOVA, Scheffe test, Pearson correlation coefficients, simple and multiple regression techniques with the SPSS 18.0 program. Mediation analysis was performed according to the Baron and Kenny method and Sobel test. RESULTS: There were significant correlations among authentic leadership, empowerment, organizational commitment and job satisfaction. Empowerment showed perfect mediating effects in the relationship between authentic leadership and organizational commitment. It had partial mediating effects in the relationship between authentic leadership and job satisfaction. CONCLUSION: In this study, nurse managers' authentic leadership had significant influences on nurses organizational commitment and job satisfaction via empowerment. Therefore, to enhance nurses' organizational commitment and job satisfaction, it is necessary to build effective strategies to enhance nurse manager's authentic leadership and to develop empowering education programs for nurses.
Adult ; Attitude of Health Personnel ; Hospitals, University ; Humans ; *Job Satisfaction ; *Leadership ; Nurse Administrators/psychology ; Nursing Staff, Hospital/*psychology ; Organizational Culture ; *Power (Psychology) ; Surveys and Questionnaires ; Young Adult

BACKGROUND AND OBJECTIVES: The mechanism responsible for lethal ventricular arrhythmia (LVA) after acute myocardial infarction (AMI) remains unclear. SUBJECTS AND METHODS: The corrected QT interval (QTc) and interval from the peak to the end of the T wave (TpTe) were measured, which indicated myocardial transmural dispersion of repolarization (TDR) in 72 patients with AMI. TpTe was also expressed as a corrected value, [TpTe/QTe]x100% and TpTe/√RR. These parameters were obtained from all the 12-leads of electrocardiography after arrival at the hospital, just before and after percutaneous coronary intervention (PCI), and at 4, 24, and 48 hours and 5 days after PCI. RESULTS: Analyzing with repeated measures analysis of variance, the TpTe, [TpTe/QTe]x100% and TpTe/√RR after AMI showed significant changes in time variance. The patients were divided into LVA (17 patients, 24%) and non-LVA group (55 patients, 76%). The [TpTe/ QTe]×100% (V₂: 25±7% vs. 22±5%, p=0.036) and TpTe/√RR (V₂: 109 ± 42 ms vs. 88 ± 22 ms, p=0.05, V₃: 108±39 ms vs. 91±27 ms, p=0.048) in V₂ and V₃ leads were prolonged in the LVA group after PCI. The [TpTe/QTe]×100% (28±9 % vs. 22±5%, p=0.025) and TpTe/√RR (129±53 ms vs. 99±41 ms, p=0.05) in V₃ lead were prolonged in the LVA group 24 hours after PCI. CONCLUSION: The mechanisms responsible for LVA after AMI may be associated with increased TDR, and PCI may have an important role in reducing LVA.
Arrhythmias, Cardiac ; Electrocardiography* ; Humans ; Myocardial Infarction* ; Percutaneous Coronary Intervention