Research in Community and Public Health Nursing

Volume 33 (1); March 2022

Original Articles

The Effects of ICT Enhanced Home-visit Nursing in Long-Term Care Insurance on Health-related Quality of Life among Community-Dwelling Older Adults: Keun Joo Yoo, Jin Hee Shin, Eun Hee Cho, Seok Won Hong; J Korean Acad Community Health Nurs. 2022;33(1):1-12. Published online March 31, 2022; DOI: https://doi.org/10.12799/jkachn.2022.33.1.1

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Purpose
This secondary data analysis study evaluated the effects of ICT enhanced home-visit nursing in long-term care insurance on health-related quality of life among community-dwelling older adults.
Methods
This study included data of 131 older adults who had experienced a pilot service for ICT enhanced home-visit nursing. ICT enhanced home-visit nursing refers to a method of sharing health records and teleconference between a visiting nurse and a doctor during the home-visit nursing services to community-dwelling older adults. Health-related quality of life and influencing factors were analyzed by t-tests, logistic regression analysis using the Stata 17/SE program.
Results
After a pilot service for ICT enhanced home-visit nursing, their health-related quality of life increased. The teleconferencing method had a significant effect on the increase in health-related quality of life.
Conclusion
The findings indicate a pilot service for ICT enhanced home-visit nursing can be applied to the domestic community-based healthcare service model in terms of health management. In the future, the advanced service model of a pilot service for ICT enhanced home-visit nursing in which subjects conduct detailed for each health problem, and a well-designed evaluation system should be developed.

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Community Health Nursing During the COVID-19 Pandemic in Korea: Consequences, Challenges, and Directions
Eunjoo Kim, Ju Young Yoon, Hyori Kim
Journal of Community Health Nursing.2023; 40(2): 79. CrossRef

Job Analysis of Visiting Nurses in the Process of Change Using FGI and DACUM: Ji Eun Kim, In Sook Lee, Jin A Choo, Song Whi Noh, Han Na Park, So Hyeon Gweon, Kyung Hee Lee, Kyoung Ok Kim; J Korean Acad Community Health Nurs. 2022;33(1):13-31. Published online March 31, 2022; DOI: https://doi.org/10.12799/jkachn.2022.33.1.13

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Abstract PDF

Purpose
This study conducted a job analysis of visiting nurses in the process of change.
Methods
Participants were the visiting nurses working for the Seoul Metropolitan city. On the basis of the Public Health Intervention Wheel model, two times of the focus group interview (FGI) with seven visiting nurses and one time of the Developing a Curriculum (DACUM) with 34 visiting nurses were performed. A questionnaire survey of 380 visiting nurses was conducted to examine the frequency, importance and difficulty levels of the tasks created by using the FGI and DACUM.
Results
Visiting nurses’ job was derived as the theme of present versus transitional roles. The present role was categorized as ‘providing individual- and group-focused services’ and ‘conducting organization management’, while the transitional role was categorized as ‘providing district-focused services’ and ‘responding to new health issues’. The job generated 13 duties, 28 tasks, and 73task elements. The tasks showed the levels of frequency (3.65 scores), importance (4.27 scores), and difficulty (3.81 scores). All the tasks were determined as important, exceeding the average 4.00 scores. The group- and district-focused services of the tasks were recognized as more difficult but less frequent tasks.
Conclusion
The visiting nurses exert both present and transitional roles. The transitional roles identified in the present study should be recognized as an extended role of visiting nurses in accordance with the current changing healthcare needs in South Korea. Finally, the educational curriculum for visiting nurses that reflects the transitional roles from the present study is needed.

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Community Health Nursing During the COVID-19 Pandemic in Korea: Consequences, Challenges, and Directions
Eunjoo Kim, Ju Young Yoon, Hyori Kim
Journal of Community Health Nursing.2023; 40(2): 79. CrossRef

The Effect of Mother’s Self-esteem, Acculturation Stress and Children’s Perceived Parenting Attitude on Self-esteem of Multicultural Adolescents: An Application of the Family Stress Model: Hun Ha Cho, Jung Mi Kang, Yu Jin Jung; J Korean Acad Community Health Nurs. 2022;33(1):32-42. Published online March 31, 2022; DOI: https://doi.org/10.12799/jkachn.2022.33.1.32

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Abstract PDF: Purpose
This study was conducted to develop a predictive model for self-esteem of adolescents in multicultural families. The study was based on the theory of family stress model and literature review.
Methods
This study used some of the data from the 1st year (2011) to the 6th year (2016) of the ‘Multicultural Adolescents Panel Study (MAPS)'. Data analysis was conducted for 1,208 children and 1,208 mothers from the data of the 4th MAPS (2014), which was the first year of the middle school students. The collected data were analyzed using SPSS-WIN Version 20.0 and AMOS Version 20.0.
Results
The factors that have influence on the self-esteem of multicultural adolescents are mother’s parenting attitude and mother’s self-esteem. The explanatory power of these variables was 14%.
Conclusion
To increase the self-esteem of multicultural adolescents, a program that can positively change the self-esteem and parenting attitudes of multicultural mothers should be developed, and various social supports should be provided for multicultural mothers.

The Mediating Effects of Health Concern and Depression in the Relation between Self-quarantined People’s COVID-19 Stress and Fatigue: Sun Hwa Shin, Eun Hye Lee; J Korean Acad Community Health Nurs. 2022;33(1):43-52. Published online March 31, 2022; DOI: https://doi.org/10.12799/jkachn.2022.33.1.43

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Abstract PDF: Purpose
This study was to investigate the mediating effects of health concern and depression on the stress and fatigue of COVID-19 self-quarantine.
Methods
This was a cross-sectional study. A total of 227 people with COVID-19 self-quarantine experience were recruited during May 2021. Participants were invited to complete self-reported questionnaires that measure stress, health concern, depression, fatigue and demographic information. The data obtained were analyzed using multiple regression and dual mediation model applying the PROCESS macro with 95% bias-corrected bootstrap confidence interval.
Results
This study analyzed the direct effects of COVID-19 stress on the health concern, depression and fatigue. And COVID-19 stress had indirect effects on their fatigue via health concern and depression. Both health concern and depression had dual mediating effects in the influence of COVID-19 stress on fatigue. In the relationship between COVID-19 stress and fatigue, the mediating effect of depression was significant.
Conclusion
Fatigue due to prolonged COVID-19 can be alleviated by managing stress and mediating health concern and depression, and so therefore active nursing intervention is required.

The Effects of Digital Literacy and Health Empowerment on Elders' Communication with Doctors: Focusing on Moderating Effect of Health Beliefs: Soon Tae An, Yu Jin Lim, Soon Dool Chung; J Korean Acad Community Health Nurs. 2022;33(1):53-62. Published online March 31, 2022; DOI: https://doi.org/10.12799/jkachn.2022.33.1.53

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Abstract PDF

Purpose
This study explored the effects of the elderly group's digital literacy and health empowerment on communication with doctors, considering moderating effect of health beliefs about chronic diseases.
Methods
A one-on-one interview survey was conducted with 500 older adults in South Korea. The main variables were digital literacy, health empowerment, communication with doctors, and health belief of chronic diseases.
Results
The interaction effect between health empowerment and susceptibility, and health empowerment and perceived barrier were significant.
Conclusion
Communication with doctors greatly increased when the elders had high levels of health empowerment and low levels of susceptibility. Also, communication with doctors greatly increased when the elders had high levels of health empowerment and low levels of perceived barriers.

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Digital literacy among Korean older adults: A scoping review of quantitative studies
Hun Kang, Jiwon Baek, Sang Hui Chu, JiYeon Choi
DIGITAL HEALTH.2023;[Epub] CrossRef

Predictors of the Fear of Falling among Elderly Women with Mild Cognitive Impairment: Jeong On Moon, Se Hoon Hong; J Korean Acad Community Health Nurs. 2022;33(1):63-73. Published online March 31, 2022; DOI: https://doi.org/10.12799/jkachn.2022.33.1.63

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Abstract PDF: Purpose
The purpose of this study was to identify the predictors influencing fear of falling in community-dwelling elderly women with mild cognitive impairment (MCI).
Methods
A secondary data analysis was performed using data of 65 years or older elderly women with MCI participating in the 7th Korea Longitudinal Study of Ageing of the Korea Employment Information Service. The study subjects included 368 elderly women with MCI. For data analysis, descriptive statistics and logistic regression with complex samples were performed using IBM SPSS ver. 23.0.
Results
89.9% of the elderly women with MCI had fear of falling. There were significant factors such as religion (OR=8.85, 95% CI: 3.39~23.15), restriction of activity (OR=6.84, 95% CI: 2.14~21.90), depression (OR=0.75, 95% CI: 0.62~0.90), and MMSE (OR=1.30, 95% CI: 1.03~1.63), predicting fear of falling in community-dwelling elderly women with MCI.
Conclusion
Differentiated strategies should be developed for elderly women with MCI to decrease fear of falling and prevent falls with understanding of contributing factors. This study will provide fundamental information on programming and a policy proposal related to fear of falling for elderly women with MCI.

Identifying Trajectories of Health-related Quality of Life in Mid-life Transition Women: Secondary Data Analysis of Korean Longitudinal Survey of Women & Families: Mi Seon Son; J Korean Acad Community Health Nurs. 2022;33(1):74-83. Published online March 31, 2022; DOI: https://doi.org/10.12799/jkachn.2022.33.1.74

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Abstract PDF

Purpose
The purpose of this study was to identify latent classes of health-related quality of life trajectories in middle-aged women and investigate predictors for latent classes.
Methods
This study utilized data from the 2^nd, the 4^the to the 7^the Korean Longitudinal Survey of Women & Families. The subjects included 1,351 women aged 40~45 years. The data was analyzed using latent class growth analysis and logistic regression.
Results
Two trajectories were identified for health-related quality of life in middle-aged women; ‘persistently good’ and ‘increasing’ groups. Predictors for the ‘increasing’ group were lower economic status, higher depression, and lower perceived health status.
Conclusion
This study showed that characteristics of the individual, symptom status, and health perceptions were associated with health-related quality of life in middle-aged women. It is necessary to provide effective intervention for latent classes of health-related quality of life trajectories based on physical, mental, and social factors.

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The moderated mediating effect of physical activity restriction in the relationship between chronic disease, depression, and quality of life in middle age
Sumi Choi, Inwha Yoo, Sohyun An, Ahyoung Cho
Journal of Affective Disorders Reports.2024; 16: 100746. CrossRef
Influence of body image on quality of life in breast cancer patients undergoing breast reconstruction: Mediating of self‐esteem
Yunhee Jang, Mihyeon Seong, Sohyune Sok
Journal of Clinical Nursing.2023; 32(17-18): 6366. CrossRef

A Study on the Gongjungwisaeng Kanhohak, the First Korean Textbook for Public Health Nursing: Kyung Ja June, Ggod Me Yi; J Korean Acad Community Health Nurs. 2022;33(1):84-95. Published online March 31, 2022; DOI: https://doi.org/10.12799/jkachn.2022.33.1.84

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Purpose
The purpose of this study is to extend the knowledge about the textbook, Public Health Nursing Textbook (in Korean, Gongjungwisaeng Kanhohak) which is published in 1933 by the Nurses' Association of Korea.
Methods
Public Health Nursing Textbook was investigated from the cover page to the last page and compared with two original books and other nursing books published in modern Korea.
Results
Public Health Nursing Textbook was the forth published Korean nursing textbook and the first published Korean public health nursing textbook. Rosenberger, a missionary nurse from USA, Lee Keumjeon, Korean public health nurse who studied in Canada, and other Koreans were in charge of translation, etc. It is a user‐friendly book written mainly in Korean (Hangul) with Chinese characters and included the English table of contents, preface and back cover. Most of its contents were extracted and translated from two original books, one is Public Health Nursing by Mary Gardner and the other is Personal Hygiene Applied by Jesse Williams. It is worth noting that the book not only introduced the public health nurses’s activities across the country, but also focused on the information necessary for common health problems at that time.
Conclusion
From the Public Hygiene and Nursing, it can be seen that public health nurses had been independently educated since Imperial Japan’s colonial period, and public health nursing was growing as a independent field in Korea.

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A study on the Textbook on Nursing published in Korea in 1918
Ggodme Yi, SuJeong Yu, Chan Sook Park
The Journal of Korean Academic Society of Nursing Education.2023; 29(4): 415. CrossRef

The Effect of Instrumental Activities of Daily Living and Depression on the Life Satisfaction of the Elderly Living Together during the Daytime in the Rural Areas: Jin Kim, Jeong In Bae, Nam Hyun Cha; J Korean Acad Community Health Nurs. 2022;33(1):96-104. Published online March 31, 2022; DOI: https://doi.org/10.12799/jkachn.2022.33.1.96

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Abstract PDF

Purpose
The purpose of this study is to identify the factors affecting the life satisfaction during the communal life of the elderly in rural areas.
Methods
A total of 143 subjects were selected through convenient sampling. Data were collected in self-reporting questionnaires from 1 August to 30 August 2019. The data were analyzed with SPSS/WIN 23.0.
Results
The Instrumental Activities of Daily Living (IADL) was significantly different according to age, education, and cohabitation. Depression was significantly different according to gender, age, education, and cohabitation. Life satisfaction was significantly different according to age, education, religion, and cohabitation. There was a positive correlation between Instrumental Activities of Daily Living and depression, except for life satisfaction. 41.0% of life satisfaction was explained by depression, religion, and IADL.
Conclusion
The results of this study may be useful in understanding the life satisfaction level of elderly communal life and developing more specific programs for mental activity programs, and depression management strategies are required.

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Dual Mediating Effect of Electronic Device Utilization and Life Satisfaction on the Relationship between Instrumental Activities of Daily Living and Depression in Older Adults
Hwa-Soo Koong, Mihye Lim, Kawoun Seo
International Journal of Environmental Research and Public Health.2022; 19(17): 10617. CrossRef

The Effect of Depression on Quality of Life in Patients with Parkinson's Disease: Mediating Effect of Family Function: Eun Sook Bae, Hye Seung Kang; J Korean Acad Community Health Nurs. 2022;33(1):105-113. Published online March 31, 2022; DOI: https://doi.org/10.12799/jkachn.2022.33.1.105

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Abstract PDF

Purpose
The purpose of this study is to explore the roles and function of family in mediating the relationship between depression and quality of life of patients with Parkinson’s disease (PD). Most studies have found that depression is particularly common in patients with PD and further associated with poor quality of life. Family function, as a mediator, is based on a strength orientation perspective that emphasizes not only their responsibilities and risks but also recuperative powers and growth potential.
Methods
Overall 157 adults with idiopathic Parkinson’s disease were enrolled in this study via outpatient clinic and completed a set of assessment to measure depression using BDI, family APGAR questionnaire, and patients’ quality of life using PDQ-8. Hierarchical multiple regression analysis was conducted to examine the mediating role of family APGAR score in the relationship between BDI and PDQ-8.
Results
Patients' depression, gait disturbance, duration of illness, and family function were statistically significant on quality of life. These factors accounted for 60% of the variance in quality of life. Family function has a partial mediating effect on the relationship between depression and quality of life.
Conclusion
Findings from the study suggest that although PD patients' depression impacts their quality of life, by having strong family function, the extent to which depression impacts the quality of life can be favorably mitigated. Additionally, these outcomes have important implications for future model development regarding PD patients.

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Factors Influencing Suicidal Ideation in Middle Aged Adults: Focused on Gender Differences
Jaerin Kim, Kuem Sun Han
Journal of Korean Academy of psychiatric and Mental Health Nursing.2023; 32(1): 45. CrossRef

Development and Evaluation of a Self-management Mobile App for Adults with Osteoarthritis: Ju Young Park, Jung Tae Son; J Korean Acad Community Health Nurs. 2022;33(1):114-127. Published online March 31, 2022; DOI: https://doi.org/10.12799/jkachn.2022.33.1.114

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Abstract PDF

Purpose
This study aimed to develop a self-management mobile app for adults with osteoarthritis based on a selfdetermination theory to use it as a nursing intervention tool, and to evaluate the effects of the developed mobile app on adults' basic psychological needs, indexes of osteoarthritis, self-management and quality of life.
Methods
The 56 participants were randomly assigned to either the experimental group (n=28) or the control group (n=28). The participants of the experimental group used a self-management mobile app for 12 weeks after the pretest, and two posttests were taken at the end of every 6 weeks. The data were analyzed using IBM SPSS/WIN 25.0 for Chi-square test, Fisher's exact test, independent t-test, and repeated measures ANOVA.
Results
Basic psychological needs, indexes of osteoarthritis, self-management, and quality of life score of the experimental group were significantly higher than those of the control group.
Conclusion
Our findings suggest that mobile app intervention can support improvements in psychological needs, symptoms of osteoarthritis and quality of life in adults with osteoarthritis. It is recommended that the developed mobile app be used as a nursing intervention tool for adults with osteoarthritis in the community.

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Development and effectiveness of a mobile-based autonomy support program for the prevention of metabolic syndrome in middle-aged women
Miseon Seo, Eun-Young Jun, Hyunjin Oh
Frontiers in Public Health.2024;[Epub] CrossRef

Factors Influencing the Wellness of Call Center Employees: Yeon Ju Kim, Gwang Suk Kim, You Lim Kim; J Korean Acad Community Health Nurs. 2022;33(1):128-138. Published online March 31, 2022; DOI: https://doi.org/10.12799/jkachn.2022.33.1.128

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Abstract PDF: Purpose
This study aimed to identify the factors influencing the wellness of call center employees.
Methods
From December 2018 to October 2019, a cross-sectional study was conducted with 155 workers recruited from the call centers in Seoul, South Korea. Data were collected using self-administered questionnaires. The questionnaires were used to measure the following scales: Korean occupational stress scale, emotional labor scale, work-life balance scale and wellness scale. Using the SPSS 26.0 program, the descriptive statistics, independent t-test, ANOVA, correlation analysis, and multiple regression analysis were conducted.
Results
The mean score of the wellness level of call center employees was 3.05 out of a maximum of 5.00. More wellness level of call center employees was associated with gender, psychiatric diagnosis, and call characteristics. A multiple regression analysis indicated that the total scores on the wellness scale were predicted by call characteristics, occupational stress and work-life balance, with an explanatory power of 42.2%.
Conclusion
Study findings show that it is necessary to promote wellness in call center workers with differentiated strategies according to call characteristics, occupational stress and work-life balance. This implies that it is necessary to understand the call characteristics and patterns of workers and to provide an innovative wellness program tailored to individual characteristics for an effective management of the emotional labor and occupational stress.

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