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

PURPOSE: This study was aimed to identify the care dependency and its affecting factors of post-stroke patients. METHODS: Cross-sectional and correlational descriptive study design was used. The subjects were 106 post-stroke patients who were in or out-patients in a rehabilitation clinic at D city. Demographic, stroke related and post-stroke status variables (paralysis, arthria, verbal expression, visual disturbance, activity intolerance, nutritional status, depression and cognition) were included as affecting factors. Multiple regression was used to identify the affecting factors. Among demographic and stroke-related variables, significant variables such as age, education level, marital status, financial status, location of treatment, and total admission days were entered with post-stroke status variables. RESULTS: Care dependency was still high regardless of disease duration or type of stroke. Overall, approximately 80.5% of total variances in care dependency was explained with all variables. Among those variables, nutritional status, cognition and activity intolerance were the significant affecting factors. CONCLUSION: To reduce the care dependency of post-stroke patients, it is recommended to improve nutritional status, cognition and activity intolerance.
Cognition ; Depression ; Education ; Humans ; Marital Status ; Nutritional Status ; Outpatients ; Rehabilitation ; Stroke

PURPOSE: The purpose of this study was to investigate relationships between the symptoms of Restless Legs Syndrome (RLS), sleep disturbance and depression among middle-aged women. METHODS: The study took a descriptive approach. A self-reported questionnaire was provided to women aged between 45 and 65 living in community area. The data were analyzed via SPSS program (version 25). RESULTS: 47.8% of the respondents showed moderate to severe RLS symptoms and the severity of RLS symptoms was 10.72. Depression score was 13.12 and sleep disturbance score was 4.97. There was a significant correlation between RLS symptoms and sleep disturbance (r=.423, p < .001), and RLS symptoms had a positive impact on sleep disturbance. There was also a significant correlation between RLS symptoms and depression (r=.494, p < .001) and RLS symptoms also had a positive impact on depression. CONCLUSION: Women with RLS symptoms had more severe sleep disturbance, depression and vasomotor syndrome than those without RLS symptoms. If RLS symptoms among middle-aged women is simply diagnosed as a menopausal symptom, this misdiagnosis can lead to sleep disorder and depression. Therefore, further empirical researches should be done to estimate the prevalence of RLS symptoms and to launch a program to detect RLS at the early stage.
Depression* ; Diagnostic Errors ; Empirical Research ; Female ; Humans ; Prevalence ; Restless Legs Syndrome* ; Sleep Wake Disorders ; Surveys and Questionnaires

PURPOSE: This study was to examine the level of aging knowledge, family strengths and ageism in addition to identify the influence of ageism among nursing students. METHODS: The participants were 235 nursing students at a university. Data were collected from May 14, to June 8, 2018. Data were analyzed with t-test, One-way ANOVA, Pearson's correlation coefficient and stepwise multiple regression using the SPSS/WIN 22 program. RESULTS: Average score in ageism was 41.41±7.65, indicating the moderate to severe level of ageism. Ageism of nursing students was negatively correlated with ageing knowledge and family strengths. The significant predictors for ageism in nursing students were experience of living with grandparents (β=−.21, p=.001), family strengths (β=−.20, p=.002), ageing knowledge (β=−.15, p=.022), grade (β=.13, p=.040). CONCLUSION: Based on these results, it is necessary to develop and apply an educational program to improve the awareness of ageism among nursing students.
Ageism* ; Aging ; Grandparents ; Humans ; Nursing* ; Students, Nursing*

PURPOSE: This research is to describe and identify the difficulties of compliance to medical regimen, by implementing interviews with hemodialysis patients. METHODS: The research data was collected from July, 2017 to October, 2017. In-depth interviews were implemented using a semi-structured questionnaire. The data were analyzed by qualitative content analysis method. RESULTS: The fourteen subjects diagnosed with chronic renal failure were attended. The difficulties of adherence to medical regimen that the hemodialysis patients feel consisted of 14 themes and they were categorized into five subjects; ‘Difficulty in practicing self-care’, ‘Repetition of Negative feelings’, ‘Withdrawal of Social activity’, ‘Lack of expertise’, ‘Uncertainty about the future’. CONCLUSION: To facilitate the hemodialysis patients' adherence to medical regimen, the change of their basic life style is required. Also, tailored nursing intervention considering not only their physical characteristics but also their psychological and affective characteristics is required to increase their self-management and adaptation to the disease.
Adult* ; Compliance ; Humans ; Kidney Failure, Chronic ; Life Style ; Methods ; Nursing ; Renal Dialysis* ; Self Care

PURPOSE: This study was aimed to identify research trends related to complementary and alternative therapy (CAT) in Korea. METHODS: Data were collected from 2000 to 2018 articles in Korean database (KISS, RISS and DBPIA). 295 semantic morphemes were extracted from 123 articles by network analysis program. Co-occurrence matrixes of the morphemes were generated by weighting Jaccard-coefficient and then we did network analysis and visualization. RESULTS: Common morphemes with high centralities were ‘Complementary and alternative medicine (CAM)’, ‘CAT’, ‘Aged’, ‘Diet therapy’, ‘Herbal medicine’, ‘Acupuncture’, and ‘Oriental medicine’. Since 2000, studies on complementary and alternative therapies have been actively involved in biological and manipulative therapies, and it has been found that the main target of CAT is the elderly. CONCLUSION: Despite much attention of complementary alternative therapies, the scientific basis is insufficient. Through this study, we could find research trends in complementary alternative therapies and set the direction of future research. It is necessary to expand research on complementary replacement therapy for various diseases and age groups.
Aged ; Animals ; Cats ; Complementary Therapies ; Humans ; Integrative Medicine ; Korea* ; Musculoskeletal Manipulations ; Semantics

PURPOSE: This study was attempted in order to verify the effects of moxibustion on aged back pain and activities of daily living. METHODS: A research design is quasi-experiment with pre-post test design in nonequivalent control group. As for data collection and experimental treatment, it accidentally sampled totally 50 people with 24 people for the experimental group and 26 people for the control group who appeal for chronic back pain aged over 60 who visited 4 senior centers where are located in N city from November 7, 2012 to December 3, 2012. Experimental treatment was carried out moxibustion totally 12 times by 3 times for 4 weeks in the experimental group. Data analysis was made by using SPSS program. As an analytical technique, the experimental group and the control group were analyzed the homogeneity verification with t-test, Fisher's exact test and chi2 test and the hypothesis verification with t-test. RESULTS: The back pain level was reduced in the experimental group than the control group. The disability of daily living activities was reduced in the experimental group than in the control group. CONCLUSION: Moxibustion was considered to be likely useful therapeutic method for effects of chronic back pain and disability of daily living activities in aged.
Activities of Daily Living* ; Back Pain* ; Data Collection ; Evaluation Studies as Topic ; Moxibustion* ; Research Design ; Senior Centers ; Statistics as Topic