Research in Community and Public Health Nursing

Hee Jung Kim

4 Articles

Factors influencing on the Quality of Life in Older Adults after Total Knee Replacement: The Relevance to Pain, Range of Motion, Depression, Social Support and Sense of Coherence: Mi Jin Yu, Hee Jung Kim; J Korean Acad Community Health Nurs. 2017;28(4):494-503. Published online December 31, 2017; DOI: https://doi.org/10.12799/jkachn.2017.28.4.494

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PURPOSE
This study is to grasp factors influencing the quality of life in older adults after total knee replacement.
METHODS
This study was conducted with 165 older adults who had TKR at four orthopedic hospitals in D city. Data were analyzed using one-way ANOVA, independent t-test, Pearson's correlation, and stepwise multiple linear regression with SPSS 19.0 software.
RESULTS
Pain and depression were negatively correlated with range of motion, social support, while sense of coherence was positively correlated with quality of life. Sense of coherence (43%, Î²=.40), pain (8%, Î²=âˆ’.30), and depression (3%, Î²=âˆ’.20) on the Physical Component Summary in the quality of life have significant explanatory power of 54%. Sense of coherence (49%, Î²=.44), social support (6%, Î²=.25), and depression (3%, Î²=âˆ’.22) on the Mental Component Summary in the quality of life have significant explanatory power of 58%.
CONCLUSION
This study suggests developing a program to improve the quality of life in older adults who had TKR, considering factors such as sense of coherence.

Citations

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A Structural Equation Model of Health-Related Quality of Life among Older Women Following Bilateral Total Knee Replacement
Hyun Ok Lee, Jae Soon Yoo
Journal of Korean Academy of Nursing.2020; 50(4): 554. CrossRef
Development and Evaluation of Progressive Lower-extremity Exercise Program for Patients with Total Knee Replacement Arthroplasty
Young-Ok Kang, Rhayun Song
Korean Journal of Adult Nursing.2020; 32(6): 653. CrossRef

The Relationship among Subjective Health Status, Wisdom, and Self-care Agency in Korean Older Adults: Mi Jin Yu, Hee Jung Kim; J Korean Acad Community Health Nurs. 2015;26(4):355-363. Published online December 31, 2015; DOI: https://doi.org/10.12799/jkachn.2015.26.4.355

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Abstract PDF: PURPOSE
This study identified the relationships among subjective health status, wisdom, and self-care agency of Korean older adults.
METHODS
The participants were 274 older adults from Daegu, aged over 65 years. Data were collected by visiting two social welfare centers, two senior welfare centers, and nine senior centers in Daegu from January 18 to February 5, 2013. Data were analyzed through one-way ANOVA, independent t-test, Pearson's correlation, and stepwise multiple linear regression using the IBM SPSS/WIN 19.0 statistical program.
RESULTS
A significant positive correlation was found among older adults' subjective health status, wisdom, and self-care agency. Self-care agency was affected by wisdom (47%, beta=.55), the physical component summary (18%, beta=.31) and mental component summary (1%, beta=.12) of subjective health status, and the absence of disease (2%, beta=.13).
CONCLUSION
This study suggests that nursing interventions to promote self-care agency in older adults should be developed based on the characteristics of their subjective health status and wisdom.

Study of the Positive and Negative Caregiving Experiences in the family members who care for the psychiatric mentally ill relatives: Kwang Ok Lee, Hee Jung Kim; J Korean Acad Community Health Nurs. 1999;10(2):435-454. Published online December 31, 1999

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Abstract PDF: The caregiving experiences of 100 family menbers of outpatients with schizophrenia and schizoaffective disorders were investigated for the presence of positive(positive family-patient relationship. patient' contribution to the family) and negative caregiving experience(objective and subjective burden) and their predictors. This study attempts to make the analysis of caregiving experience more useful by expanding the focus to incoporate these positive aspects of the experience of family caregiver. Objective burden consists of two elements: "disruption of family life", "care"(amount of caregiving related to activity of daily living). Subjective burden is defined as emotional reactions to the care giving and it comprised of 6 emotional subdimensions such as "stigma", "grief". "worry", "pity", "fear", "despair" Also we investigate the severity of patients' disturbing behaviors into two categories, positive and negative disturbing behaviors and patient' contribution to the family as a predictors of positive and negative caregiving experiences. This study use Pearson's correlation coefficient, Hierardhical regressions in the SAS Program. The results are as follows: 1. Respondents reported moderate level of objective burden "disruption of family life" (mean=2.48, range=1-4), and "care" (mean=2.54, range=1-4), and slightly high level of total subjective burden(mean=2.19, range=1-4). Mean scores for the measure of the severity of behavioral disturbance indicated that the caregiver experienced negative disturbing behaviors around almost "somtimes"(mean=2.28, range=1-4), and positive disturbing behaviors "almost not frequent"(mean=2.78. range=1-4). So they reported that they perceived patient's negative disturbing behaviors more than positive disturbing behaviors. Mean scores for the measure of the patient' contributions (mean = 1.99. range = 1-4) indicated that caregivers experienced these contributions a little. It means that there should be a positive aspect of possibilities of patient' family roles that can be developed in the daily life. Mean scores for the measure of the positive family-patient relationship indicated that caregivers experienced moderate level of positive family-patient relationship(mean=2.52, range = 1-4). 2. Hierardhical regression analysis 1) Hierardhical regression of 'disruption of family life' showed that the interaction between positive disturbing behaviors and patient' contributions (B=.20. p=.022) and caregiver's educational level(B=.06. p=.000) were 'significant and Hierardhical regression of 'care' showed that 'negative disturbing behaviors'(B=.35. p=.007). 'patient' contributions'(B=.28, p=.019). 'family income'(B=-.l1. p=.096) were significant. 2) Hierardhical regression of 'total subjective burden', 'stigma', 'grief', "worry", "pity". "fear", "dispair" showed that "positive disturbing behaviors"(B=.51. p=.000). "negative disturbing behaviors" (B=.17, p=.026), "caregiver's educational level"(B=.03. p=.036), "family income"(B=.08. p=.041) were significant predictors of "total subjective burden": "positive disturbing behaviors"(B=.32. p=.066). "negative disturbing behaviors"(B=.24, p=.096) "durations of illness"(B=.03. p=.079) were significant predictors of "stigma" "negative disturbing behaviors"(B=.28. p=.005). "patient sex"(B=-.32. p=.022). "positive disturbing behaviors"(B=.28. p=.020), "patient age"(B=.02. p=.010), "caregiver age"(B=-01, p=.002) were significant predictors of "grief" "negative disturbing behaviors"(B=.28, p=.005). "patient sex"(B=-.32. p=.039), "caregiver age"(B=-.02, p=.023). "caregiver's educational level"(B=.04, p=.044) were significant predictors of "worry" "patient sex"(B=-.46. p=.005). "negative disturbing behaviors"(B=.28. p=.018), "caregiver age"(B=-.01, p=.037) were significant predictors of "pity" "positive disturbing behaviors"(B=.83. p=.000). "patient" contributions" (B=.22, p=.017). "family income"(B=.09. p=.65) were significant predictors of "fear" "positive disturbing behaviors"(B=.49, p=.001). "negative disturbing behaviors"(B=.24. p=.057) "patient sex"(B=-.4l, p=.017), "family income"(B=.14, p=.047) were significant predictors of "dispair". 3) Hierardhical regression of "positive relationship" showed that "patient contributions"(B=.32, p=.000). "negative disturbing behaviors"(B=.24, p=.005), "patient sex"(B=-.23, p=.036).

A comparative study on the 4-year college and 3-year college nursing curriculum: Kwang Ok Lee, Young Lan Han, Hee Jung Kim; J Korean Acad Community Health Nurs. 1996;7(2):361-383. Published online December 31, 1996

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Abstract PDF: This study analyze and find problems in the 4-year and 3-year college nursing curriculum through comparison and analysis of each college curriculum according to the Nursing Education Standards Criteria from the Korean Nurse Association, 1994. Analyzed areas and results are as follows : 1. Nursing education philosophy To analyze Nursing Education philosophy, we reviewed the categaries of Person, Health, Nursing, Environment. In of 4-year colleges, 50% of them were presenting definitions of Person that were the same as the Nursing Education Standards. But in the definitions of Environment and Health, they presented limited contents. In the 3-year college, we could not find any statement of Nursing Education Philosophy similar to Nursing Education Standards. 2. Nursing education purpose In 4-year colleges, they stated aboict only 3 aspects and others werelacking in correspondance with Nursing Education Standards. In 3-year colleges, some aspects were sincere, but when they were compared to the standards they were very limited. 3. Nursing education curriculum As we analyzed 4-year and 3-year college nursing curriculum, We found that 3-year colleges use curriculum from 4-year colleges in a modified and condensed form. Thus, it is considered that 3-year colleges have considerable burdens because they have to teach all the credits within 3-years that is normally taught in the 4-year college. Therefore, we can suppose that 3-year colleges have more problems in the quality. And, the majority of 4-year and 3-year college curriculums don't include recent concepts such as health promotion, prevention, and rehabilitation.

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