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Health Needs of the Elderly in Long-term Care Facilities: Using RAI-MDS-FC.

Journal of Korean Academy of Community Health Nursing.2010;21(2):263-272. doi:10.12799/jkachn.2010.21.2.263

PURPOSE: This study was to identify health needs of the elderly at nursing homes by long-term care grade. METHODS: The health needs of 116 elders at two nursing homes in Seoul were measured with resident assessment protocols (RAPs), activities of daily living (ADL), and cognitive performance scale (CPS), and pain and depression were measured by resident assessment instrument (RAI). RESULTS: With regard to RAPs, 11 out of 18 items had different distribution in the 3 groups significantly. The 1st-grade elders had a higher percentage of 9 items than the 2nd- and 3rd-grade ones but the 3rd-grade ones had the highest health needs related with activity. The 2nd-grade elders had similar health needs to the 1st-grade ones. In terms of functional level, the 1st-grade elders had the highest percentage of CPS and ADL but the 3rd-grade ones had the highest score of pain and depression out of the 3 groups. The standardized assessment instrument to identify specific health needs by the 3 groups should be developed. Therefore, care plans to meet health needs of the 3 groups will be made. CONCLUSION: It is suggested that nursing care is required to the elderly of the 1st- and 2nd-grade and safe activity and environment to the 3rd-graded ones.
Activities of Daily Living ; Aged* ; Depression ; Health Services Needs and Demand ; Humans ; Long-Term Care* ; Nursing Care ; Nursing Homes ; Seoul

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The Effects of Aerobic Exercise Therapy on Physical Functions in the Elderly.

Sook Hee JUNG ; Kyung Hee CHUNG

Journal of Korean Academy of Community Health Nursing.2010;21(2):252-262. doi:10.12799/jkachn.2010.21.2.252

PURPOSE: Designed to examine the effects of aerobic exercise therapy on elders' physical functions. METHODS: Selected from an elderly welfare center in an agricultural district located in N City. Thirty seven elders were selected in the experimental group and 38 in the control group, and all the subjects aged over 65. Collected data were statistically analyzed by SPSS/PC 12.0 Win. Detailed data analysis methods were Chi-square, Fisher's exact test, Kolmogorov-Smirnov test, t-test, Mann-Whitney u-test, paired t-test, and Wilcoxon's rank sum test. RESULTS: The first hypothesis "The experimental group who had the aerobic exercise therapy will have greater development in lower leg muscular strength compared to the control group" was supported (t=8.95, p<.001). The second hypothesis "Aerobic exercise therapy participants will show greater development in lower leg endurance" was supported (t=6.12, p<.001). The third hypothesis "Aerobic exercise therapy participants will show greater development in flexibility" was supported (U=49.00, p<.001). The forth hypothesis "Aerobic exercise therapy participants will show greater development in balance" was supported (U=322.00, p<.001). CONCLUSION: The aerobic exercise therapy showed positive effects on physical functions of the elderly in a rural area.
Aged* ; Exercise Therapy ; Exercise* ; Humans ; Leg ; Statistics as Topic

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Study on Factors Related to of Clonorchiasis Infection among the Inhabitants in the Nakdong Riverside Area.

Seong Ho HWANG ; Jae Yong PARK ; Chang Hyun HAN ; Yeon Yi SONG ; Kyung Soon PARK

Journal of Korean Academy of Community Health Nursing.2010;21(2):242-251. doi:10.12799/jkachn.2010.21.2.242

PURPOSE: This study investigated the factors of C. sinensis infection among the residents in vicinity of the Nakdong River and the infection status of fishes in the stream with C. sinensis maetacercaria. METHODS: Selected five regions of the Nakdong River and collected freshwater fishes from the stream to examine their metacercarial infections; and studied the status and causes of C. sinensis infection in 552 residents living within 5 kilometers from the river. RESULTS: Among the 552 residents studied, 13.8% were infected with C. sinensis, and among 379 freshwater fishes of 20 species collected from the five regions, 41 fishes of 8 species were infected with C. sinensis metacercaria. CONCLUSION: In order to prevent human C. sinensis infection and transition to chronic liver ions, we need to develop and apply good programs such as continuous health education, personal hygiene improvement, active medical treatment for those infected with C. sinensis, and residents' voluntarily stop of eating freshwater fishes in the raw state.
Clonorchiasis* ; Clonorchis sinensis ; Eating ; Fishes ; Fresh Water ; Health Education ; Humans ; Hygiene ; Ions ; Liver ; Rivers

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The Effects of Hand Acupuncture & Moxibustion Therapy on Elders' Shoulder Pain, ADL/IADL and Sleep Disorders.

Young Ock LEE ; Chungnam KIM

Journal of Korean Academy of Community Health Nursing.2010;21(2):229-241. doi:10.12799/jkachn.2010.21.2.229

PURPOSE: The purpose of this study was to evaluate the effects of hand acupuncture.moxibustion therapy on elders' shoulder pain, ADL/IADL and sleep disorder. METHODS: This is quasi-experimental with none equivalent control group pretest posttest design. The subjects were randomly assigned to one of Experimental Group A (Ceramic Seoammoxa therapy) (n=20), Experimental Group B (Seoampellet therapy) (n=18), Experimental Group C (Ceramic Seoammoxa and Seoampellet therapy) (n=20), and a control group (n=20). The intervention was applied 3 times per week for 6 weeks. NRS, Song's ADL/IADL scale, Oh, Shin and Kim's sleep disorders scale were used. RESULTS: Hypothesis "Both shoulder pain and the level of sleep disorders of the experimental group A, B and C would be lower than the control group" was supported (p<.001). Hypothesis "ADL/IADL of the experimental group A, B and C would be higher than the control group" was supported (p<.001). In 3 weeks after the experiment, the experimental group A, B and C showed significant difference in change of ADL/IADL (p=.013). In 6 weeks after the experiment, the experimental group A, B and C showed significant difference in change of ADL/IADL (p<.001) and sleep disorders (p<.001). CONCLUSION: Consequently, the hand acupuncture.moxibustion was an effective therapy in relieving shoulder pain and sleep disorders and improving ADL/IADL among elders.
Activities of Daily Living ; Acupuncture* ; Hand* ; Moxibustion* ; Shoulder Pain* ; Shoulder* ; Sleep Wake Disorders*

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The Effects of a Safety Management Program on Safety Accident-related Knowledge, Attitude and Behavior of Elementary School Students in Korea.

Kyung Min PARK ; Kyoung Mi JEON ; Min Young KIM ; Eun Suk LEE ; Sang Min KWON

Journal of Korean Academy of Community Health Nursing.2010;21(2):220-228. doi:10.12799/jkachn.2010.21.2.220

PURPOSE: The purpose of this research was to determine the effects of a safety management program on safety accident-related knowledge, attitude and behavior of elementary school students in Korea. METHODS: This study adopted nonequivalent control group pretest-posttest design. The number of subjects was 34 in the experimental group and 31 in the control group. The safety management program was performed for approximately 50 minutes each session, once a week for 8 weeks. Data were collected from March 14th to June 23th, 2006, and analyzed by chi2 test and independent t-test with SPSS WIN 16.0. RESULTS: There were statistically significant differences in safety-related knowledge (t=3.010, p=.006) and behavior (t=18.833, p=.001) between the experimental group and the control group. The score of attitude was different between the experimental group and the control group but the difference was not statistically significant. CONCLUSION: The safety management program used in this study was appropriate for elemental school students and affected safety-related knowledge and behavior of elementary school students. Therefore safety education should be provided systematically for elementary schools over the whole country.
Accident Prevention ; Education ; Humans ; Korea* ; Safety Management*

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Factors Affecting On Caregiving Self-efficacy among Dementia Caregivers.

Eun Sook CHOI ; Kyung Sook KIM

Journal of Korean Academy of Community Health Nursing.2010;21(2):210-219. doi:10.12799/jkachn.2010.21.2.210

PURPOSE: The study evaluated the determinants of caregiving self-efficacy among dementia caregivers. METHODS: Data were collected through a structured questionnaire survey from dementia sufferers and caregivers by nurses or social workers caring for dementia sufferers at health centers during July to September 2007. Multiple stepwise regression analysis using SAS Version 9.1 was performed to examine the determinants of caregiving self-efficacy. RESULTS: Factors affecting caregiving self-efficacy were behavioral and psychological symptoms of dementia (BPSD), activities of daily living (ADL), and age of dementia sufferer. CONCLUSION: To increase dementia caregivers' self-efficacy, there is a need to reduce difficulties of dementia caregivers in caring BPSD and increasing the ADL level of dementia sufferers by providing guidelines of care and intervention programs for BPSD and ADL management.
Activities of Daily Living ; Caregivers* ; Dementia* ; Humans ; Self Efficacy ; Social Workers ; Surveys and Questionnaires

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The Effects of a Fall Prevention Program on the Low-Income Elderly at Risk of Falls.

Il Seon HYEON ; Myonghwa PARK ; Kyong Min PARK ; Chung Nam KIM

Journal of Korean Academy of Community Health Nursing.2010;21(2):200-209. doi:10.12799/jkachn.2010.21.2.200

PURPOSE: This study was conducted to determine the effects of a fall prevention program on knowledge, efficacy, and prevention behavior of falls among the low-income elderly. METHODS: This study used a nonequivalent control group pre and post test quasi-experimental research design. The study was conducted from August to October, 2008 with 20 subjects in the experimental group and 22 in the control group who were registered at the public health center of S District in D City. RESULTS: Hypothesis 1 "The experimental group that participated in the fall prevention program will show a higher degree of knowledge about falls than the control group" was supported. Hypothesis 2 "The experimental group will have a higher degree of self-efficacy of falls than the control group" was not supported. Hypothesis 3 "The experimental group will report fall prevention behavior more frequently than the control group" was supported. CONCLUSION: It was verified that the fall prevention program in this study was an effective intervention to improve knowledge about falls and fall prevention behaviors among the low-income elderly. The results can be used as part of an intervention to prevent falls for the vulnerable elderly such as the low-income elderly.
Accidental Falls ; Aged* ; Humans ; Public Health ; Research Design ; Self Efficacy

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Nursing Students' Experience in Community Health Center Practice.

Hyun Joo PARK ; In Sun JANG

Journal of Korean Academy of Community Health Nursing.2010;21(2):188-199. doi:10.12799/jkachn.2010.21.2.188

PURPOSE: The objective of this study was to understand the meaning of experience on community health centers (post) practice of nursing students. METHODS: This is qualitative research using focus groups. Data were collected through in-depth interviews performed from November 10 to December 11, 2009. The focus group interviews were conducted to 22 nursing students on their subjective experiences. The data were analyzed by the Colaizzi's method, in which the meaningful statements were extracted. RESULTS: Seven theme-clusters were identified from fourteen themes and thirty-one sub-themes. The seven theme-clusters were 1) widening of experiences; 2) feeling of warm heart; 3) feeling of satisfaction; 4) feeling of being unfulfilled; 5) difficulties; 6) new awareness; and 7) good memories. CONCLUSION: Through a variety of relationships and self-regulation in community health centers (post) practice, the nursing students may have the feeling of worthiness, new awareness of community nursing, and visions for the future to rebuild.
Community Health Centers* ; Focus Groups ; Heart ; Humans ; Nursing* ; Qualitative Research ; Students, Nursing ; Self-Control

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The Effects of a Walking Leader Program on Walking Knowledge and Self-efficacy.

Chang Hyun LEE ; Young Im KIM ; Souk Young KIM

Journal of Korean Academy of Community Health Nursing.2010;21(2):178-187. doi:10.12799/jkachn.2010.21.2.178

PURPOSE: The purpose of this study was to analyze the effects of a walking leader program on changes in walking knowledge and self-efficacy. METHODS: The subjects were 276 participants who participated in the nationwide walking leader program 9 times from May to September in 2008. Data were collected before and after the program by an organized questionnaire. RESULTS: 1) Knowledge related to walking exercise increased significantly to 4.14 point from 2.90 point after the program (t=-20.70, p<.001). 2) Self-efficacy related to walking exercise increased significantly to 4.08 point from 3.40 point after the program (t=13.93, p<.001). 3) Significant factors that affected knowledge and self efficacy before the program were regular exercise and subjective health status. The history of chronic disease and smoking were significantly affecting factors to knowledge and self-efficacy after the program. CONCLUSION: The walking leader program promoted the participants' walking knowledge and self-efficacy. It is necessary to develop more specific programs tailored to socio-demographic characteristics of participants and to make efforts to increase participants with active public information.
Chronic Disease ; Self Efficacy ; Smoke ; Smoking ; Walking* ; Surveys and Questionnaires

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Relations among Depression, Life Satisfaction and Health Promoting Behavior in the Elderly.

Ji Hye SEO ; Hyun Sook RYU

Journal of Korean Academy of Community Health Nursing.2010;21(2):169-177. doi:10.12799/jkachn.2010.21.2.169

PURPOSE: The purposes of this study were to examine the relations among depression, life satisfaction and health promoting behavior, and to find factors related with health promoting behavior. METHODS: The subjects were 198 elderly people of over 65 living in K City and S City. Data were collected through a structured questionnaire and analyzed by SPSS/WIN 13.0. RESULTS: Health promoting behavior was significantly different according to religion, education level, living with family, previous job, pocket money, subjectively economic level, and leisure activities. Depression was significantly different according to education level, living with family, pocket money, economic level, and leisure activities. And life satisfaction was significantly different according to religion, living with family, and pocket money. The variables that affected the degree of health promoting behavior were depression, life satisfaction and living with family, and they represented 29.7% of health promoting behavior. CONCLUSION: The health promoting behavior of the subjects was better than average and, at the same time, the lower depression in the health promoting behavior was the higher life satisfaction was. Therefore, in order to decrease depression and to increase life satisfaction, the development of advanced health promoting programs will be helpful to lead health life for the elderly people.
Aged* ; Depression* ; Education ; Health Promotion ; Humans ; Leisure Activities ; Personal Satisfaction ; Surveys and Questionnaires

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