Journal Detail Information

1

Cite

Share

Body Esteem, Stress, and Health Promoting Behavior among Korean Adults in a Community.

Minhee HONG ; Youngrye PARK ; Eun Young CHEN ; Jeong Woo YUN ; Mi Hwa OH

Korean Journal of Rehabilitation Nursing.2017;20(1):61-68. doi:10.7587/kjrehn.2017.61

PURPOSE: The purpose of this study was to examine the relationship between body esteem, stress, and health promoting behaviors among Korean adults in a community and to identify factors that influence health promoting behaviors. METHODS: This study was conducted using a questionnaire which included item for body esteem, stress and health promotion behaviors. Data were collected from 257 adults living in Jeollabuk-do in Korea from November to December, 2015. The collected data were analyzed through descriptive statistics, Pearson's correlation coefficient, and stepwise multiple regression using the SPSS/WIN 21.0 program. RESULTS: The mean score of body esteem was 2.73±0.43, stress was 1.89±0.68, and health promoting behaviors was 2.22±0.45. There was a significant positive correlation between body esteem and health promotion behaviors (r=.47, p<.001), whereas there was a significant negative correlation between stress and health promotion behaviors (r=-.47, p<.001). In stepwise multiple regression analysis, body esteem, religion, education explained approximately 30.1% of health promoting behaviors (F=37.73, p<.001). CONCLUSION: The results in this study indicate that body esteem is the most important factor in health promoting behaviors among Korean adults. Thus, body esteem contents should be included in developing programs for adults to enhance their health promoting behaviors.
Adult* ; Education ; Health Promotion ; Humans ; Jeollabuk-do ; Korea

2

Cite

Share

Conflict Management Style, Communication Competence, and Collaboration among Hospital Nurses and Physicians.

Im Sun LEE ; Chang Hee KIM

Korean Journal of Rehabilitation Nursing.2017;20(1):69-78. doi:10.7587/kjrehn.2017.69

PURPOSE: This study aimed to identify the relationship among conflict management style, communication competence and nurse-physician collaboration in hospital nurses and physicians. METHODS: This is a descriptive study. Using a questionnaire, data were collected from 230 nurses and 107 physicians at a university hospital in D city. With SPSS/WIN 22.0 program, data were analyzed by t-test, ANOVA, Scheffé test, and Pearson's correlation coefficient. RESULTS: Physicians scored the highest for communication competence in nurse-physician relationship and the lowest in medical decision making, while nurses scored the highest in patient information sharing and the lowest in nurse-physician relationship. Physicians with problem solving tendency scored higher in communication competence than those with avoiding tendency. Among the nurses, those with avoiding tendency scored the lowest. For both physicians and nurses, communication competence showed a significant negative correlation with avoidance. For nurses there was also a significant positive correlation with compromising tendency. Finally, there was a significant correlation between nurse-physician collaboration and communication competence in both groups. CONCLUSION: This study demonstrates that nurse-physician collaboration and communication competence are correlated with conflict management style. We suggest educational programs at more hospitals in various locations to improve nurse-physician collaboration reflecting conflict management style.
Clinical Decision-Making ; Cooperative Behavior* ; Humans ; Information Dissemination ; Mental Competency* ; Problem Solving

3

Cite

Share

The Effects of Life Style Modification on Constipation of the Older Adults at a Geriatric Hospital.

Ho Suk KANG ; Inja KIM

Korean Journal of Rehabilitation Nursing.2017;20(1):52-60. doi:10.7587/kjrehn.2017.52

PURPOSE: This study aimed to evaluate the effects of lifestyle modifications on the constipation relief, the time required to see the effects, and the effective lifestyles for constipation in older adults admitted to a geriatric hospital. METHODS: Nonequivalent control group pre-post test design was used. The subjects consisted of 25 elderly in the control group and 23 in the experimental group. Constipation was measured with symptoms of constipation, number of bowel movement and use of laxatives. Life style modification consisted of drinking water before breakfast, having a breakfast, scheduled toileting after breakfast and walking everyday for 3 weeks. RESULTS: Symptoms of constipation (t=2.23, p=.030) and number of bowel movement per week (t=-2.55, p=.014) were significantly different between two groups after 3 weeks. Drinking water, scheduled toileting and walking might contribute to the results. CONCLUSION: Lifestyle modification was effective on constipation in older adults admitted to a geriatric hospital. However, the effects were produced after 3 weeks. Nevertheless, it is recommended that nurses continuously encourage older adults for drinking water, regular trying for bowel movement and walking to relieve constipation, since the lifestyle modification does not need any special education and skill.
Adult* ; Aged ; Breakfast ; Constipation* ; Drinking Water ; Education, Special ; Evaluation Studies as Topic ; Humans ; Laxatives ; Life Style* ; Walking

4

Cite

Share

Improvement and Backsliding after Chronic-disease Self-management Education in Japan: One-year Cohort Study.

Min Jeong PARK

Korean Journal of Rehabilitation Nursing.2017;20(1):42-51. doi:10.7587/kjrehn.2017.42

PURPOSE: In people who have chronic diseases, disabilities, and rehabilitation needs, self-management education can improve health and health-related behavior, and it can reduce the utilization of healthcare services. The purpose of this research was to assess the long-term effects of chronic-disease self-management education in Japan. METHODS: This study included 184 adults living with various chronic medical conditions who participated in the Chronic Disease Self-Management Program (CDSMP) in Japan. Data were collected before the program began, and then collected 3 more times over 1 year. RESULTS: Healthcare-service utilization was low at baseline, and it did not change. Self-evaluated health status, health-related distress, coping with symptoms, communication with doctors, and self-efficacy to manage symptoms all improved after the program. However, there was backsliding in all of the outcomes that had improved. CONCLUSION: Some benefits of this program can last for at least 1 year, but interventions to prevent attenuation may be needed. For economic evaluations, research should focus on populations with higher baseline levels healthcare-service utilization, including use of rehabilitation services. Also, more attention should be focused on the longer-term decay or persistence of the program's benefits, particularly regarding on preventing and reducing disabilities and with regard to rehabilitation needs.
Adult ; Chronic Disease ; Cohort Studies* ; Cost-Benefit Analysis ; Delivery of Health Care ; Education* ; Humans ; Japan* ; Patient Education as Topic ; Rehabilitation ; Self Care*

5

Cite

Share

The Influence of Cognitive Function, Pain, and Body Image on the Activities of Daily Living in Patients with Brain Injury.

Mi Reyung KIM ; Yeonok SUH

Korean Journal of Rehabilitation Nursing.2017;20(1):33-41. doi:10.7587/kjrehn.2017.33

PURPOSE: This study is a descriptive study to analyze the relationship between the cognitive function, body image and pain, and the influencing factors on the daily life performance of brain injured patients. METHODS: The study subjects were 119 inpatients with brain injury who gave informed consent. The activities of daily living (ADLs), cognitive function, pain and body image were measured by Modified Barthel Index (K-MBI), K-MMSE (Mini-Mental State Examination), Visual Analog Scale (VAS), Semantic Differential Method (SDM), respectively. RESULTS: ADLs was significantly associated with body image, cognitive function, and pain. Multiple regression analysis showed that paralysis, consciousness, cognitive function, and pain were significant factors influencing ADLs. Overall, approximately 48% of total variability in the ADLs could be explained by the 4 variables (R²=.477, p<.001). CONCLUSION: To improve ADLs of brain injury patients, a deeper understanding of paralysis, consciousness, cognitive function, and pain of patients is required and active nursing invention should be conducted.
Activities of Daily Living* ; Body Image* ; Brain Injuries* ; Brain* ; Cognition* ; Consciousness ; Humans ; Informed Consent ; Inpatients ; Inventions ; Methods ; Nursing ; Paralysis ; Semantic Differential ; Visual Analog Scale

6

Cite

Share

Effects of a Fall Prevention Program on Physical Fitness, Fall Efficacy and Fall Prevention Behavior among Community-dwelling Older Adults.

Hee Eun JO ; Myung Ja KIM

Korean Journal of Rehabilitation Nursing.2017;20(1):22-32. doi:10.7587/kjrehn.2017.22

PURPOSE: This research was conducted to determine the effects of fall prevention exercise and education on physical fitness, fall efficacy, and fall prevention behavior among community-dwelling older adults. METHODS: This study applied nonequivalent control group pretest-posttest design. Data were collected from January 8th to March 4th, 2015. There were 24 subjects in the experimental group and 21 in the control group from two different senior citizen center in B city. The fall prevention program consisted of exercise, education, and telephone coaching was developed using self-efficacy theory: ‘Performance accomplishment’, ‘Vicarious experience’, ‘Verbal persuasion’, ‘Emotional arousal’. Then, it was conducted once a week for 8 weeks. Data were analyzed with χ² test and t-test using the SPSS program. RESULTS: The findings indicated that fall prevention program conducted on older adults is good for improving their muscular strength in lower extremities (t=6.25, p<.001), physical balance (t=2.66, p=.014), physical flexibility (t=2.88, p<.001) and fall prevention behavior (t=6.19, p<.001). CONCLUSION: The fall prevention program can be used for community-dwelling older adults as a nursing intervention that enables older adults to enhance their self-care continuously. It is necessary to conduct a follow-up study to see if a self-help meeting could improve self-efficacy.
Adult* ; Education ; Follow-Up Studies ; Humans ; Lower Extremity ; Nursing ; Physical Fitness* ; Pliability ; Self Care ; Telephone

7

Cite

Share

Development of Health Assessment Tool for Middle-aged Adults in Long-term Care Settings.

Yoon Jin PARK ; Nam Cho KIM

Korean Journal of Rehabilitation Nursing.2017;20(1):1-11. doi:10.7587/kjrehn.2017.1

PURPOSE: This was a methodological study to develop a valid and reliable health assessment tool for middle-aged adults in long-term care settings (HATMAL). METHODS: At the first stage of this study, initial 56-items HATMAL were derived via literature review, survey for needs assessment, and focus group interviews with experts. At the second stage, 54 items HATMAL were finalized via content validity test with 5 experts and a pilot study with 30 nurses. At the third stage, validity and reliability tests were conducted with 100 middle-aged patients in a long-term care hospital. Data were analyzed by factor analysis using SPSS 18.0 program. RESULTS: Exploratory factor analysis resulted in 3 factors; functional assessment, symptom assessment, and comfort assessment. These 3 factors explained 83.8% of total variance and construct validity was confirmed. Test-retest reliability was .67 for appetite changes, .76 for regulating for behavior problems, and 1.0 for other items. CONCLUSION: Results indicate that HATMAL is valid and reliable to assess the health for middle-aged patients in long-term care settings. This study would contribute to provide more effective personalized treatment and care for middle-aged patients in long-term care settings considering their own characteristics.
Adult* ; Appetite ; Focus Groups ; Humans ; Long-Term Care* ; Methods ; Middle Aged ; Needs Assessment ; Pilot Projects ; Reproducibility of Results ; Symptom Assessment

8

Cite

Share

The Effects of a Horticultural Program based on Cox's Interaction Model on Ability for Daily Life and Depression in Older Patients with Mild Dementia.

Mi Jin YOON ; Kyung Mi SUNG

Korean Journal of Rehabilitation Nursing.2017;20(1):12-21. doi:10.7587/kjrehn.2017.12

PURPOSE: This study attempts to examine the effects of a horticultural program on activities of daily living (ADL) and depression among older patients with mild dementia. METHODS: This study adopted a quasi-experimental design-based nonequivalent control group pretest and posttest design, enrolling 30 older patients with mild dementia. The Korean Form of Geriatric Depression Scale was utilized, while the data was collected from the experimental group for 60 minutes, twice weekly for 6 weeks in 12 sessions. ADL and depression were assessed for both the experimental and the control group. Overall functions were assessed only for the experimental group. RESULTS: The experimental group showed improvement in physical function, cognitive function, as well as psychological, emotional function and social function following each session (p<.001). The horticulture program was effective in both ADL (Z²=5.65, p<.001) and depression (t=-5.24, p<.001). CONCLUSION: In this study, the horticultural therapy based on the Cox's interaction model had positive effects for older patients with mild dementia. Therefore, horticultural therapy may be commendably applied to older patients with mild dementia as a nursing intervention.
Activities of Daily Living ; Cognition ; Dementia* ; Depression* ; Horticultural Therapy ; Humans ; Nursing

9

Cite

Share

Influencing Factors on Osteopenia and Osteoporosis in Korean Aged 50 Years and Above.

Eun Young JEON ; Sook Young KIM

Korean Journal of Rehabilitation Nursing.2016;19(2):148-155. doi:10.7587/kjrehn.2016.19.2.148

PURPOSE: The purpose of this study was to identify the influencing factors on osteopenia and osteoporosis in Korean aged 50 years and above. METHODS: Data from the Fifth Korean National Health and Nutrition Examination Survey (KNHANES V-1, 2010) were obtained and 2,773 subjects who got bone density test and were classified “normal, osteopenia or osteoporosis” were selected. Data were analyzed χ² test, ANOVA, Scheffé test and logistic regression using the SAS 9.4. RESULTS: Gender, age, days of flexibility exercise, vitamin D in blood and weight were found to be influencing factors for osteoporosis in Korean aged 50 years and above. Gender. age and smoking were found to be influencing factors for osteopenia in Korean aged 50 years and above. CONCLUSION: This study suggested that nursing intervention should include exercise promotion, intake vitamin D, smoking cessation and weight control program in order to reduce the prevalence of osteoporosis and osteopenia.
Bone Density ; Bone Diseases, Metabolic* ; Logistic Models ; Nursing ; Nutrition Surveys ; Osteoporosis* ; Pliability ; Prevalence ; Smoke ; Smoking ; Smoking Cessation ; Vitamin D

10

Cite

Share

Comparison of Motivation for Rehabilitation, Family Support and Adherence to Rehabilitation between Depressive and Non-depressive Stroke Patients.

An Suk PARK ; Eun KO ; Hee Sun KANG

Korean Journal of Rehabilitation Nursing.2016;19(2):138-147. doi:10.7587/kjrehn.2016.19.2.138

PURPOSE: The purpose of this study was to compare motivation for rehabilitation, family support and adherence to rehabilitation and identify factors predicting adherence to rehabilitation between depressive and non-depressive stroke patients. METHODS: Stroke patients admitted to rehabilitation hospitals (n=159) participated in the study. Data were collected through self-reported questionnaires including general characteristics, depression, motivation for rehabilitation, family support and adherence to rehabilitation. The data were analyzed by descriptive statistics, t-test, χ² test, Pearson correlation coefficients and logistic regression using the SPSS/WIN 21.0 program. RESULTS: 62.9% of the subjects were identified as depressive patients. Motivation for rehabilitation (F=48.18, p=.020) and adherence to rehabilitation (F=9.68, p=.002) in depressive stroke patients were significantly lower than non-depressive stroke patients. Family support also in depressive group was lower than non-depressive group but there was no statistical significance (F=2.35, p=.127). Motivation for rehabilitation (OR=11.46), family support (OR=1.05) and onset period (less than 2 year)(OR=3.61) predicted the good adherence to rehabilitation in depressive stroke patients. CONCLUSION: The results of this study indicate that health professionals need to identify factors affecting adherence to rehabilitation and provide a nursing intervention considering the depression especially when caring for stroke patients.
Depression ; Health Occupations ; Humans ; Logistic Models ; Motivation* ; Nursing ; Rehabilitation* ; Stroke*

DISPLAY OPTIONS

Cite

Share

Cite

Share

Cite

Share

Cite

Share

Cite

Share

Cite

Share

Cite

Share

Cite

Share

Cite

Share

Cite

Share