Research in Community and Public Health Nursing

Ki Wol Sung

13 Articles

Effects of a Self-Care Reinforcement Program for Socially Vulnerable Elderly Women with Metabolic Syndrome in Korea: Mi Kyung Park, Ki Wol Sung; J Korean Acad Community Health Nurs. 2019;30(3):271-280. Published online September 30, 2019; DOI: https://doi.org/10.12799/jkachn.2019.30.3.271

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PURPOSE
This study evaluates the efficacy of a Self-Care Reinforcement Program (SCRP) based on the Selection Optimization Compensation (SOC) model, in socially vulnerable elderly women with metabolic syndrome.
METHODS
This study adopts a pretest-posttest nonequivalent control group design. The participants were 64 socially vulnerable elderly Korean women with metabolic syndrome (experimental group: 31, control group: 33). Participants' body composition analysis, nutrient intake, risk factors of metabolic syndrome, depressive symptoms, and social network were measured. Data were analyzed with an independent t-test; statistical significance levels were set at p<.05. The SCRP, including metabolic syndrome education, nutritional education, exercise, and social network, was performed three times a week for 8 weeks.
RESULTS
There were statistically significant differences between the experimental and control groups in terms of systolic blood pressure, diastolic pressure, fasting blood sugar, triglycerides, sodium intake, depressive symptoms, and social networks.
CONCLUSION
The SCRP is effective and can be recommended as a community health nursing intervention for socially vulnerable elderly women with metabolic syndrome.

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Analysis of energy intakes, physical activities and metabolic syndrome according to the income level in Korean elderly people: Korean National Health and Nutrition Examination Survey 2016‒2018
Eun-Sook Sung, Sijin Lee, Youngjun Lee, Seunghee Lee, Jonghoon Park
Physical Activity and Nutrition.2022; 26(2): 028. CrossRef
Phytochemical Investigation of Marker Compounds from Indigenous Korean Salix Species and Their Antimicrobial Effects
Yoon Seo Jang, Da Eun Lee, Joo-Hyun Hong, Kyung Ah Kim, Bora Kim, Yeo Rang Cho, Moon-Jin Ra, Sang-Mi Jung, Jeong-Nam Yu, Seongpil An, Ki Hyun Kim
Plants.2022; 12(1): 104. CrossRef
Effects of the Participatory Action Research on Reducing the Risk of Metabolic Syndrome in Adult Women
Yong-Sook Eo
International Journal of Environmental Research and Public Health.2021; 18(21): 11103. CrossRef

Influences of Social Support, Self-esteem and Hope on Health Conservation of the Vulnerable Elderly with Diabetes: Ki Wol Sung, Ji Hyeon Park, Mi Kyung Park; J Korean Acad Community Health Nurs. 2017;28(4):386-396. Published online December 31, 2017; DOI: https://doi.org/10.12799/jkachn.2017.28.4.386

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Abstract PDF

PURPOSE
The purpose of this study was to investigate the influence of social support, self - esteem, hope, and health conservation of the vulnerable elderly people with diabetes.
METHODS
Participants were 100 vulnerable elderly people with diabetes living in D or K cities. Data collection was done through interviews from February to March, 2016. Social support was measured with the MOS-SSS (Medical Outcomes Study Social Support Survey), self-esteem with Self-Esteem Scale, hope with the Nowotny Hope Scale, and health conservation with the Sung's Health Conservation Scale. IBM SPSS 20.0 was used to analyze descriptive statistics, one-way ANOVA, independent t-test, Pearson correlation, and stepwise multiple regression.
RESULTS
Factors affecting the health conservation of the vulnerable elderly people were social support, hope, education level and subjective health status. These factors explained 64.9% of the health conservation.
CONCLUSION
It is necessary to construct a comprehensive nursing classification system for elderly people with diabetes in vulnerable class and to develop integrated health conservation program and nursing care as a new social support resource.

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Effectiveness of a Participatory Program for Improving the Cardiovascular and Cerebrovascular Health of Older Farmers in Rural Korea
Ki-Youn Kim, Juhye Jin, Yeon-Ha Kim
International Journal of Environmental Research and Public Health.2023; 20(4): 3210. CrossRef
Positive attributes in elderly people with different degrees of depression: a study based on network analysis
Sabrina Braga dos Santos, Wagner de Lara Machado, Liana Lisboa Fernandez, Analuiza Camozatto de Pádua, Sofia Hoffmann, Prisla Ücker Calvetti, Bruno Luis Schaab, Caroline Tozzi Reppold
Psicologia: Reflexão e Crítica.2023;[Epub] CrossRef
Diyabetik Hastalarda Sosyal Destek ile Umutsuzluk Düzeyleri Arasındaki İlişkinin İncelenmesi: Tanımlayıcı Araştırma
Neşe KARAKAŞ, Seher ÇEVİK AKTURA, Zeliha BÜYÜKBAYRAM, Bahri EVREN, Seyhan ÇITLIK SARITAŞ
Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi.2023; 12(2): 757. CrossRef

Effects of Peer Mentoring Program on the Health Conservation in Elderly Women with Osteoarthritis: Ji Ran Nam, Ki Wol Sung; J Korean Acad Community Health Nurs. 2017;28(3):227-239. Published online September 30, 2017; DOI: https://doi.org/10.12799/jkachn.2017.28.3.227

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Abstract PDF: PURPOSE
The purpose of this study was to investigate the effects of peer mentoring program on physical activity, knee joint function, self-care agency and social support, which are health conservation elements in elderly women with osteoarthritis.
METHODS
This study used a quasi-experimental research design. It is a pretest-and-post 1, post 2 test design of a non-equivalent control group. The subjects were elderly women aged over 65 who were diagnosed with osteoarthritis. A total of 60 patients (experimental group 30, control group 30) who registered with the Senior Welfare Center in City G and in Region D participated in this study. The data were collected from June 29th to September 4th, 2015. The collected data were analyzed with Ï‡Â² test, Fisher's exact test, independent t-test and repeated measurement ANOVA.
RESULTS
The experimental group showed a greater increase in physical activity, knee joint function, self-care agency and social support than the control group.
CONCLUSION
The results indicated that the peer mentoring program is effective in increasing physical activity, knee joint function, self-care agency and social support of elderly women with osteoarthritis.

The Effects of Elderly Diabetes Mellitus Patients' Self-care Behavior and Health Conservation on Cardiovascular Risk Factors: Ki Wol Sung; J Korean Acad Community Health Nurs. 2015;26(2):150-159. Published online June 30, 2015; DOI: https://doi.org/10.12799/jkachn.2015.26.2.150

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PURPOSE
This study was performed in order to identify the relationships among self-care behavior, health conservation, and cardiovascular risk factors and to examine the influence of self-care behavior and health conservation on cardiovascular risk factors among Korean elders with diabetes mellitus.
METHODS
The participants were 105 elders with diabetes mellitus using senior welfare centers and elderly leisure houses in Daegu. Data were collected through interviews during the period from April to May in 2014. Self-care behavior was measured with Kim's (1997) Self-care Behavior Scale, health conservation with Sung's (2005) Health Conservation Scale, and cardiovascular risk factors with the Arizona Heart Institute Cardiovascular Risk Factor Questionnaire. Collected data were analyzed through one-way ANOVA, independent t-test, Pearson's correlation, and stepwise multiple regression using the SPSS/WIN 19.0 program.
RESULTS
A negative correlation was found between self-care behavior and cardiovascular risk factors, and between health conservation and cardiovascular risk factors. Self-care behavior explained 6% and health conservation did 49% of variance in elderly diabetes mellitus patients' cardiovascular risk.
CONCLUSION
The results indicate that, in order to reduce cardiovascular risk factors among Korean elders with diabetes mellitus, we need nursing interventions for increasing health conservation and self-care behavior.

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Social Support, eHealth Literacy, and mHealth Use in Older Adults With Diabetes
Minjin Kim, Beomsoo Kim, Sunhee Park
CIN: Computers, Informatics, Nursing.2024; 42(2): 136. CrossRef
Cardiovascular self‐management support program for preventing cardiovascular complication behaviors and clinical outcomes in the elderly with poorly controlled type 2 diabetes mellitus in Indonesia: A pilot study
Dayan Hisni, Rukmaini Rukmaini, Saryono Saryono, Tippamas Chinnawong, Ploenpit Thaniwattananon
Japan Journal of Nursing Science.2019; 16(1): 25. CrossRef

Factors Affecting Highly Educated Elders' Diabetic Health Leader Attitude: Ki Wol Sung, Ji Ran Nam, Mi Jin Yu; J Korean Acad Community Health Nurs. 2014;25(2):119-127. Published online June 30, 2014; DOI: https://doi.org/10.12799/jkachn.2014.25.2.119

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Abstract PDF: PURPOSE
This study was done to identify the relationships among diabetic health leader attitude, diabetic knowledge, and health conservation in highly educated elders.
METHODS
The participants were 119 elders aged 65 or more who were attending the senior welfare centers in D and K City and had at least a high school degree. Data were collected from June 10 to July 7 in 2013. Data analysis included one-way ANOVA, independent t-test, Pearson's correlation, and stepwise multiple regression, done with the SPSS/WIN 19.0 program.
RESULTS
A positive correlation was found among diabetic health leader attitude, diabetic knowledge, and health conservation. Health conservation explained 26% (beta=.31) and diabetic knowledge explained 2% (beta=.18) of the variance in diabetic health leader attitude.
CONCLUSION
The results indicate that to increase diabetic health leader attitude among highly educated elders, health leader programs are needed for increasing their diabetic knowledge and health conservation.

The Effects of Regular Walking Exercise on Metabolic Syndrome, Cardiovascular Risk Factors, and Depressive Symptoms in the Elderly with Diabetic Mellitus: Ki Wol Sung, Ji Hyun Lee; J Korean Acad Community Health Nurs. 2010;21(4):409-418. Published online December 31, 2010; DOI: https://doi.org/10.12799/jkachn.2010.21.4.409

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PURPOSE
This study aimed to estimate the effects of a regular walking exercise program on metabolic syndrome, cardiovascular risk factors, and depressive symptoms among the elderly with diabetic mellitus (DM) based on the Theory of Reasoned Action (TRA).
METHODS
This study has randomized and stratified experimental design with experimental and control groups. We developed a regular walking exercise program suitable for the elderly with DM based on the guidance of AAHPERD. The experimental group participated in the regular walking exercise program, which contains walking exercise 3 times a week and 50 minutes each time for 3 months and education on controlling diet and preventing complications once a week and 20 minutes each time for 4 weeks. Post-test was conducted after 3 months to estimate metabolic syndrome, cardiovascular risk factors, and depressive symptoms.
RESULTS
The regular walking exercise program was effective for decreasing the waist size, the level of fasting blood glucose (FBG) and triglyceride (TG), cardiovascular risk factors and the severity of depressive symptoms among the elderly with DM.
CONCLUSION
The incidence of complications would be decreased by applying a regular walking exercise program.

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A Meta-Analysis of the Effects of Walking Exercise on Depression
Jonghwa Lee, Youngho Kim
The Asian Journal of Kinesiology.2023; 25(4): 12. CrossRef
노인 대사증후군에 효과적인 중재: 체계적 문헌고찰과 메타분석
서현 이, 슬 구, 유미 서, 선화 반
Public Health Weekly Report.2023; 16(48): 1633. CrossRef
An association between socioeconomic status and preventive screening for diabetic eye and kidney complications among individuals with type 2 diabetes
Changwoo Shon, Jongnam Hwang
Korean Journal of Health Education and Promotion.2023; 40(5): 27. CrossRef
Story Telling Problem Based Learning (ST-PBL): A Program for Rural Elderly with Chronic Diseases
Jeong-Hyeon Kong, Eun-Young Jung, Ji-Hye Seo, Jeong-Ja Im
Journal of Problem-Based Learning.2022; 9(1): 37. CrossRef
Effects of a Physical Exercise Program on Physiological, Psychological, and Physical Function of Older Adults in Rural Areas
Sunmi Kim, Eun-Jee Lee, Hyeon-Ok Kim
International Journal of Environmental Research and Public Health.2021; 18(16): 8487. CrossRef
The Effects of a Health Mentoring Program in Community-dwelling Vulnerable Elderly Individuals with Diabetes
Ki wol Sung, Hye Seung Kang, Ji Ran Nam, Mi Kyung Park, Ji Hyeon Park
Journal of Korean Academy of Nursing.2018; 48(2): 182. CrossRef
The Effects of Urban Forest-walking Program on Health Promotion Behavior, Physical Health, Depression, and Quality of Life: A Randomized Controlled Trial of Office-workers
Kyung-Sook Bang, In-sook Lee, Sung-Jae Kim, Min Kyung Song, Se-Eun Park
Journal of Korean Academy of Nursing.2016; 46(1): 140. CrossRef
The effects of Nordic and general walking on depression disorder patients’ depression, sleep, and body composition
Seong Doo Park, Seong Hun Yu
Journal of Physical Therapy Science.2015; 27(8): 2481. CrossRef
The Effects of Elderly Diabetes Mellitus Patients' Self-care Behavior and Health Conservation on Cardiovascular Risk Factors
Kiwol Sung
Journal of Korean Academy of Community Health Nursing.2015; 26(2): 150. CrossRef
Comparison of the effects of Korean mindfulness‐based stress reduction, walking, and patient education in diabetes mellitus
Hee Young Jung, Haejung Lee, Jina Park
Nursing & Health Sciences.2015; 17(4): 516. CrossRef
Effects of Health Characteristics on Depression of Elderly Beneficiaries of the National Basic Livelihood Scheme
Jungyi Hur, Yunjeong Yi, Keum-Jae Lee, Hee Gerl Kim
Journal of Korean Public Health Nursing.2013; 27(2): 327. CrossRef
Characteristics of Nutrient Intake According to Metabolic Syndrome in Korean Elderly - Using Data from the Korea National Health and Nutrition Examination Survey 2010 -
Mi Hyun Kim
The Korean Journal of Food And Nutrition.2013; 26(3): 515. CrossRef

Comparison of Anger Expression, Assertive Behavior, and Self-esteem between a Nursing Student Group and an Educational Student Group: Ki Wol Sung, Oh Gye Kwag, Won Hee Lee; J Korean Acad Community Health Nurs. 2010;21(1):1-11. Published online March 31, 2010; DOI: https://doi.org/10.12799/jkachn.2010.21.1.1

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PURPOSE
The purposes of this study were to compare the degree of anger expression, assertive behavior, and self-esteem between a nursing student group and an educational student group, and to identify factors affecting their self-esteem.
METHODS
This study adopted the descriptive comparative design. Data were collected by interviewing 97 nursing students and 89 educational students from three nursing schools and one educational school in Daegu, Korea from November to December, 2008.
RESULTS
Major findings of this study were as follows. 1) The educational student group had a higher self-esteem score than the nursing student group. 2) There were significant correlations among anger expression, assertive behavior, and self-esteem. 3) Self-esteem was significantly associated with Grade Point Average (GPA) and assertive behavior in the nursing student group with 17.2% variance, and with assertive behavior and anger-out in the educational student group with 24.1% variance.
CONCLUSION
These results may contribute to better understanding of hurt, anger expression, assertive behavior, and self-esteem in nursing students and educational students. Based on the results, there, it is required to develop programs that prompt students' self-esteem.

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Effect of Clinical Practice Stress and Anger Expression on Assertive Behavior in Nursing Students
Eun-Ju LEE, Gyu-Li BAEK
JOURNAL OF FISHRIES AND MARINE SCIENCES EDUCATION.2022; 34(1): 104. CrossRef
Factors affecting adjustment of first-year nursing students to college life: A descriptive correlational study
Ju Young Park, OiSaeng Hong
Nurse Education Today.2021; 102: 104911. CrossRef
College Students' Anger Expression, Positive Thinking, Gratitude, and Trait Anger according to College Majors
Won Hee Jun, Myoung-Ju Jo
Journal of East-West Nursing Research.2016; 22(2): 121. CrossRef
Evaluation of a program on self‐esteem and ego‐identity for Korean nursing students
Yun‐Jung Choi
Nursing & Health Sciences.2016; 18(3): 387. CrossRef
Development and Effects of Assertiveness Training applying Dongsasub Training for Nursing Students in Clinical Practice
Myoungsuk Kim
Journal of Korean Academy of Nursing.2016; 46(4): 490. CrossRef
Effects of Anger Expression on Self-Esteem in Dental Hygiene Students
Yang-Keum Han, Ji-Su Yu, Han-Hong Kim
Journal of dental hygiene science.2016; 16(3): 210. CrossRef
Exploration of Anger Expression Patterns of Female Nursing Students using Q Methodology
Eun-Ju LEE, Euna PARK
Journal of Fisheries and Marine Sciences Education.2015; 27(3): 682. CrossRef

Effects of Lecture on Oral Presentation on Anger Expression, Assertive Behavior, and Self-Esteem in Nursing Students: Oh Gye Kwag, Ki Wol Sung; J Korean Acad Community Health Nurs. 2009;20(3):351-360. Published online September 30, 2009

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Abstract PDF: PURPOSE
The purpose of this study was to develop a lecture on oral presentation and to evaluate changes in anger expression, assertive behavior, and self-esteem after lecture on oral presentation.
METHODS
The design was a nonequivalent control group pretest-posttest design. The participants were university students in nursing, of which 17 were assigned to the experimental group and 15 to the control group. The education was carried out for 2 hours, once a week for 14 weeks. Data was analyzed with SPSS/WIN 14 program, and included chi-square test, independent t-test, and repeated measure ANOVA.
RESULTS
Lecture on oral presentation showed significant differences in the changes of anger expression (F = 10.122, p = .003) and assertive behavior (F = 8.498, p = .007).
CONCLUSION
Findings suggest that this lecture on oral presentation was effective in changing students' anger expression and assertive behavior. Therefore this lecture on oral presentation is recommended for inclusion in education for university students in nursing.

The Effects of Holistic Education on End-of-Life Care: Ki Wol Sung, Kae Hwa Jo; J Korean Acad Community Health Nurs. 2008;19(4):684-695. Published online December 31, 2008

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Abstract PDF: PURPOSE
The purpose of this study was to evaluate changes regarding knowledge, attitude and practice toward end-of-life care in nursing university students.
METHOD
This study adopted nonequivalent control group pretest-posttest design. The subjects consisted of 35 in the experimental group and 35 in the control group. The education was performed for 2 hours a session, once a week for 16 weeks. Data was analyzed by the SPSS/WIN 14 computer program, and included chi2 test, independent t-test, and repeated measure ANOVA.
RESULTS
There were statistically significant differences in knowledge toward end-of-life care between the experimental group and the control group.
CONCLUSION
Findings suggested that holistic education on end-of-life care was effective to change students' knowledge toward end-of-life care. Therefore, holistic education is recommended as nursing education for nursing university students.

The Factors Affecting the Constipation of the Elderly at Nursing Homes: Ki Nam Lee, Ki Wol Sung; J Korean Acad Community Health Nurs. 2008;19(4):575-586. Published online December 31, 2008

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Abstract PDF: PURPOSE
The purpose of this study is to identify factors affecting the constipation of the elderly at nursing homes.
METHODS
A total of 184 elders at 7 nursing homes in P City participated. Information about constipation status (Constipation Assessment Scale), functional status (Katz' Activities of Daily Living), nutritional status (Mini-Nutritional Assessment), and depressive symptoms (Geriatric Depression Scale Short Form Korea version) were collected through interviews. Descriptive statistics, Chi-square test, and t-test were used to describe and compare the non constipation group and the constipation group. Multiple logistic regression analysis was used to determine factors affecting constipation status.
RESULTS
The prevalence of constipation was 47.5% (Men 37%, women 51%). Elders suffering from a disease (P=.021) and having low sleep satisfaction (P=.000) were more likely to be constipated than those who did not. The factors affecting the constipation of the elderly at nursing homes were gender (OR=3.558), sleep satisfaction (OR=.580), and depressive symptoms (OR=1.132).
CONCLUSION
According to the result, to reduce the constipation rate of old women at nursing homes, we have to develop guidelines that can solve problems related to constipation cause by sleep-satisfaction and depressive symptoms.

Content Analysis of Exercise Programs for the Elderly in Korean and Foreign Articles: Ki Wol Sung; J Korean Acad Community Health Nurs. 2007;18(1):56-68. Published online March 31, 2007

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Abstract PDF: PURPOSE
The present study analyzed the contents of exercise programs for the elderly in Korean and foreign articles.
METHOD
This study analyzed 27 Korean and 20 foreign exercise-related articles selected from Web DBs using keywords 'exercise', 'exercise program' and 'exercise effect'. The collected data were analyzed using SPSS 11.5 through descriptive statistics, chi2 test and Fisher's exact test.
RESULTS
In the description of population, random sampling and informed consents, foreign articles were higher than Korean articles. In research design, foreign articles randomized controlled trials (RCTs) higher than Korean articles. The contents of exercise programs in the Korean and foreign articles were aerobic, walking and stretching. On the effects of exercise programs in the Korean articles, walking showed the highest frequency in the physical strength as well as muscle strength, balance and flexibility. In the foreign articles, walking and stretching showed high frequency in physical strength.
CONCLUSION
Contents significant in exercise programs for the elderly were walking and stretching. In addition, regular exercise had a positive effect on muscle strength, flexibility and balance in the elderly.

The Effects of Aroma Foot Massage on the Anxiety, Pain and Sleep Satisfaction during Colonoscopy under Conscious Sedation: Myung Hee Kim, Ki Wol Sung; J Korean Acad Community Health Nurs. 2006;17(1):91-101. Published online March 31, 2006

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Abstract PDF: PURPOSE
This research is to know whether aroma foot massage has influence on the relief of anxiety and pain during colonoscopy under conscious sedation.
METHOD
This research was designed as a quasi-experiment of non-equivalent control group pretest-posttest. Data were collected from April 1 2005 to August 30 2005. The subjects were divided into three groups (control group, foot massage group and aroma foot massage group) with 30 persons each. Anxiety was evaluated with Visual Analogue Scale (VAS), blood pressure and pulse. Pain response was measured with VAS and non-verbal pain behavior score. Sleep satisfaction was measured with a graphic rating scale. Data were analyzed through Chi-square test, t-test and repeated measure ANOVA.
RESULTS
Systolic blood pressure, pulse, subjective anxiety and pain scores from the aroma foot massage group decreased significantly. Sleep satisfaction score of the aroma foot massage group increased significantly. Diastolic blood pressure from the aroma foot massage group did not decrease.
CONCLUSION
The results show that aroma foot massage with refined oils can increase sleep satisfaction and decrease anxiety and pain during colonoscopy under conscious sedation.

Content Analysis and Job Satisfaction of the Nurse in the Free Elderly Home and Nursing Home: Ki Wol Sung; J Korean Acad Community Health Nurs. 2005;16(3):329-340. Published online September 30, 2005

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Abstract PDF: PURPOSE
The study was performed to compare the contents of jobs and job satisfaction of resident nurses at free elderly homes with nursing homes in Korea.
METHOD
The subjects consisted of 138 resident nurses at free elderly homes and nursing homes. Data were collected from the 1st of January to the 22nd of February in 2005 using a structured questionnaire containing questions on general characteristics. contents of the nurses' daily tasks, health program. job satisfaction and pay satisfaction. Collected data were analyzed using SPSS (version 11.5) through descriptive statistics, chi2-test, t-test and ANOVA.
RESULT
For nurses at free elderly homes and nursing homes. their daily tasks consisted of health assessment. medication care and eating care. The general job satisfaction of the nurses was similar between those at free elderly homes and those at nursing homes, but working conditions and pay were significantly different according to the sub content of job satisfaction. Job satisfaction was significantly different according to marital status in resident nurses at the free elderly home, and according to the experience of living with the elderly and the experience of receiving special training or lectures in elderly nursing in resident nurses at free nursing homes.
CONCLUSION
Resident nurses at free elderly homes and nursing homes had various types of tasks, and it is necessary to differentiate tasks and payment systems for them according to their job.

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