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Volume 25 (3); September 2014
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Original Articles
Effectiveness of Community-based Case Management for Patients with Hypertension
Soon Nyoung Yun, In Sook Lee, Jin Hyun Kim, Young Ko
J Korean Acad Community Health Nurs. 2014;25(3):159-169.   Published online September 30, 2014
DOI: https://doi.org/10.12799/jkachn.2014.25.3.159
  • 884 View
  • 1 Download
AbstractAbstract PDF
PURPOSE
The purpose of this study was to evaluate the effectiveness of case management for patients with hypertension on their health status and medical service utilization.
METHODS
This study was a secondary analysis of data collected for a larger study of chronic disease management in 2008 using the National Health Insurance Corporation database. A total of 12,944 patients who received case management for hypertension were included in this analysis. The subjects of case management were classified into subgroups, namely, over-use, under-use, and non-use groups according to the amount of medical service utilization. To compare the medical service utilization, a control group was selected randomly. The data were analyzed through descriptive statistics, McNemar test, and ANOVA.
RESULTS
All the subgroups displayed significant differences in blood pressure, self-management, social support, and their characteristics of medical service utilization. The total medical expense of the under-use and non-use groups increased after case management. However, there was no decrease in the medical expense of the over-use group.
CONCLUSION
This finding suggests that there is a need to re-examine why patients overuse medical services and to supplement specific strategies for encouraging appropriate medical service utilization, and enhancing case management efforts for the over-use group.
Medication Status and the Effects of a Medication Management Education Program for the Elderly in a Community
Young Im Park, Kang Yi Lee, Dong Oak Kim, Dong Choon Uhm, Ji Hyun Kim
J Korean Acad Community Health Nurs. 2014;25(3):170-179.   Published online September 30, 2014
DOI: https://doi.org/10.12799/jkachn.2014.25.3.170
  • 955 View
  • 13 Download
  • 5 Citations
AbstractAbstract PDF
PURPOSE
This study investigated medication status by examining the effects of a medication management education program on the knowledge of medications and medication misuse behaviors in the elderly in a local community.
METHODS
This study used a non-equivalent control group quasi-experimental design. For the study, 116 subjects were assigned to the control group and another 116 subjects were assigned to the experimental group. The medication management education program consisted of 1:1 education, practice in medication management, consultation, and discussion. Data were analyzed using the SPSS 21.0 program.
RESULTS
Statistically significant differences were found between the experimental and control groups in terms of their knowledge of medications and medication misuse behaviors.
CONCLUSION
The results indicate that the medical management education program is effective in improving the knowledge of medications and decreasing medication misuse behaviors. Therefore, this education program can be used as an intervention to improve the medication behaviors of the elderly in local communities.

Citations

Citations to this article as recorded by  
  • Development and effectiveness of an integrated medication management program centered on senior welfare centers for older adults with hypertension: A cross-sectional study
    Heuijeong Moon, Dukyoo Jung
    Journal of Korean Gerontological Nursing.2023; 25(3): 297.     CrossRef
  • Relationships between health literacy, self-efficacy, and medication adherence in older people with polypharmacy: A cross-sectional study
    Jee Young Cho, Sun Ju Chang
    Journal of Korean Gerontological Nursing.2023; 25(4): 357.     CrossRef
  • Development and Evaluation of an Antiviral Agent Medication Adherence Education Program for Patients with Chronic Hepatitis C
    Hoo Jeung Cho, Euna Park
    International Journal of Environmental Research and Public Health.2020; 17(18): 6518.     CrossRef
  • Correlation of physical, psychological, and functional factors with independent medication adherence in Korean older adults with chronic illness: Using the 2017 national survey of older Koreans
    Hae Ok Jeon
    Archives of Gerontology and Geriatrics.2020; 90: 104130.     CrossRef
  • Artificial Intelligence-based Medication Behavior Monitoring System using Smartwatch
    Suyong Jeong, Hwiwon Lee, Sangpil Yoo, Kyungjun Lee, Sungphil Heo
    The Journal of Korean Institute of Information Technology.2020; 18(8): 125.     CrossRef
Factors Affecting Suicidal Ideation of the Low-income Elderly Living Alone
Hee Chong Baek, Jin Hwa Lee
J Korean Acad Community Health Nurs. 2014;25(3):180-186.   Published online September 30, 2014
DOI: https://doi.org/10.12799/jkachn.2014.25.3.180
  • 775 View
  • 4 Download
  • 6 Citations
AbstractAbstract PDF
PURPOSE
The purpose of this research is to identify factors affecting suicidal ideation of the low-income elderly.
METHODS
The study subjects were lowest-income(basic living allowance) and lower-income elders who were registered for home visiting services at five District Health Centers in Seoul. Interview data were collected from 280 elders and analyzed. Using SPSS/WIN 21, chi2-test and t-test were conducted to analyze the relationship between the subjects' characteristics and their suicidal ideation, and logistic regression was done to identify factors affecting suicidal ideation.
RESULTS
Of the subjects, 48.6% had suicidal ideation for the last one year. Self-evaluated psychological status, quality of sleep, depression, and loneliness were affecting factors to the subjects' suicidal ideation.
CONCLUSION
Psychological and social factors are strongly related to the suicidal ideation of the elderly who are living alone in metropolitan areas. Therefore, home visiting services should supply physical, psychological and social cares continuously to the low-income elderly, especially those who live alone in metropolitan areas.

Citations

Citations to this article as recorded by  
  • Analysis of risk factors affecting suicidal ideation in South Korea by life cycle stage
    Ji-Young Hwang, Il-Su Park
    Osong Public Health and Research Perspectives.2021; 12(5): 314.     CrossRef
  • Mediating Effects of Social Support on Depression and Suicidal Ideation in Older Korean Adults With Hypertension Who Live Alone
    Eun Jeong NAM, Jong-Eun LEE
    Journal of Nursing Research.2019; 27(3): e20.     CrossRef
  • Suicidal Ideation among Older People by Different Living Arrangement: The Mediating Effect of Pleasurable Activities
    Bora Kim, Serah Lim, Wontae Hong, Heejung Kim
    Journal of Korean Academy of Psychiatric and Mental Health Nursing.2019; 28(3): 248.     CrossRef
  • Factors Influencing Suicidal Ideation by Age Group in Adults
    Eun Sook Jung, Moon Sook Shim
    Journal of Korean Public Health Nursing.2016; 30(2): 326.     CrossRef
  • Factors Affecting the Intention to Participate in Healthcare Programs among Elders Living Alone
    Mi Sook Song, Sunjoo Boo
    Journal of Korean Academy of Community Health Nursing.2016; 27(4): 319.     CrossRef
  • Factors associated with Meaning in Life among Elderly Female Community Dwellers Living Alone
    Si Eun Lee, Boon Han Kim
    Journal of Korean Academy of Community Health Nursing.2016; 27(3): 221.     CrossRef
DACUM Job Analysis on Elementary Health Teachers' Roles
Chung Ran Yi, Hae Deok Song
J Korean Acad Community Health Nurs. 2014;25(3):187-197.   Published online September 30, 2014
DOI: https://doi.org/10.12799/jkachn.2014.25.3.187
  • 972 View
  • 8 Download
  • 5 Citations
AbstractAbstract PDF
PURPOSE
The aim of this study was to identify the roles, duties and tasks of elementary health teachers. Required knowledge, skills, and worker behaviors were also examined.
METHODS
Elementary health teachers' jobs were analyzed by DACUM workshop. First, the health teachers' roles and related jobs were described, and then the jobs were divided into duties and subordinate tasks. The identified roles, duties and tasks were reviewed and refined, and then were organized in a DACUM chart. DACUM committee members discussed not only general knowledge, skills and work behaviors but also future trends and concerns.
RESULTS
The DACUM chart for elementary health teachers consisted of 8 duties and 52 tasks. Required knowledge, skills and worker behaviors were also listed.
CONCLUSION
Elementary health teachers play roles as health manager, health care provider, and teacher in school. Their roles, duties and tasks are being changed. Thus, their jobs need to be redefined legally, politically, and institutionally.

Citations

Citations to this article as recorded by  
  • School Nurses’ Perception of Job Performance Difficulties, Job Stress, Job Identity and Job Satisfaction
    Eun Kyo Cho, Hyun Jung Moon
    Research in Community and Public Health Nursing.2023; 34: 43.     CrossRef
  • School Novice Health Teachers’ Perception of Job Performance Difficulties and Job Satisfaction
    Seomoon Jang, Gyuyoung Lee
    Journal of Korean Academy of Community Health Nursing.2021; 32(4): 566.     CrossRef
  • Prioritizing Training Needs of School Health Staff: The Example of Vietnam
    Sookyung Kim, Hyeonkyeong Lee, Hyeyeon Lee, Bui Thi Thanh Loan, Le Thi Thanh Huyen, Nguyen Thi Thanh Huong
    International Journal of Environmental Research and Public Health.2020; 17(15): 5563.     CrossRef
  • Job Analysis of School Health Teachers Working at High School using DACUM Technique
    Kyung Sook Cho
    Journal of the Korean Society of School Health.2016; 29(3): 167.     CrossRef
  • Job Analysis of School Health Teachers in Korea -based on DACUM Job Analysis-
    Mee Young Im, So Young Lee
    Journal of Korean Public Health Nursing.2014; 28(3): 619.     CrossRef
A Study on Fecal Incontinence and Depression of Rural Women
Chun Mi Kim, Hung Sa Lee, Eun Man Kim
J Korean Acad Community Health Nurs. 2014;25(3):198-206.   Published online September 30, 2014
DOI: https://doi.org/10.12799/jkachn.2014.25.3.198
  • 680 View
  • 2 Download
AbstractAbstract PDF
PURPOSE
The purposes of this study were to identify the prevalence and influencing factors of fecal incontinence, and to analyze the association between fecal incontinence and depression.
METHODS
The subjects of this study were 233 women living in rural areas, and data were collected using questionnaires from February 24 to May 30, 2012. Fecal incontinence was measured with the Continence Grading Score, and depression with the Geriatric Depression Scale. Collected data were analyzed using SPSS through chi2-test, Fisher's exact test, t-test and ANOVA.
RESULTS
Of the subjects, 16.7% had fecal incontinence. The prevalence of fecal incontinence was higher in older women (chi2=23.55, p<.001), those with vaginal delivery (chi2=4.81, p=.049), those with parity of 4 or more (chi2=13.47, p=.003), and those with urinary incontinence (chi2=26.36, p<.001). The level of depression was significantly higher in older women (F=19.27, p<.001), those with low academic qualification (F=18.17, p<.001), those with urinary incontinence (F=4.15, p=.043), and those with fecal incontinence (F=14.90, p<.001).
CONCLUSION
These results suggest that there should be supports by public health care for fecal incontinence prevention and care programs in order to promote the physical and emotional health of rural women.
The Effects of Foot Reflexology on Arthralgia, Ankylosis, Depression, and Sleep in Community-dwelling Elderly Women with Osteoarthritis
Chung Soon Kim, Kwang Soo Yoo, Se Hwa Hong
J Korean Acad Community Health Nurs. 2014;25(3):207-216.   Published online September 30, 2014
DOI: https://doi.org/10.12799/jkachn.2014.25.3.207
  • 1,023 View
  • 9 Download
  • 6 Citations
AbstractAbstract PDF
PURPOSE
This study was conducted to examine the effects of foot reflexology on arthralgia, ankylosis, depression and sleep in community-dwelling elderly women with osteoarthritis.
METHODS
The research adopted a non-equivalent control group pretest-posttest design. Participants were 47 elderly women: 22 in the experimental group and 25 in the control group. The experimental group received foot reflexology twice a week for 4 weeks. The results were analyzed using chi2-test, t-test, and ANCOVA with the SPSS/WIN 21.0 program.
RESULTS
The results showed that foot reflexology was statistically significantly effective in reducing arthralgia, ankylosis, and depression and in improving the quality of sleep as evidenced by differences between two groups.
CONCLUSION
The results of this study indicated that foot reflexology is an effective nursing intervention in reducing arthralgia, ankylosis, and depression, and improving the quality of sleep. Therefore, it is necessary to develop foot reflexology as an independent nursing intervention for elderly women with osteoarthritis in community.

Citations

Citations to this article as recorded by  
  • Effects of auricular acupressure on sleep and pain in elderly people who have osteoarthritis and live in nursing homes: A randomized, single-blind, placebo-controlled trial
    Won Jin Lee, Hyojung Park
    EXPLORE.2023; 19(2): 214.     CrossRef
  • Effects of Non-Pharmacological Interventions to Improve the Sleep of Korean Elderly: A Systematic Review
    Yunhee Park, Hyun Jung Yun
    Journal of Korean Academy of Fundamentals of Nursing.2022; 29(1): 67.     CrossRef
  • The Effect of Hand Press Pellet Therapy on Arthralgia, Ankylosis, and Depression in Elderly Women with Knee Osteoarthritis
    Hyojung Park, Hyeri Yang
    The Korean Journal of Rehabilitation Nursing.2020; 23(1): 27.     CrossRef
  • Effects of Jeungmiobi-tang on the Articular Cartilage Injuries Induced by Monosodium Iodoacetate in Rats
    Jae-Cheol Hyun, Su-Hyeon Jeong
    Journal of Korean Medicine.2020; 41(3): 138.     CrossRef
  • Sleep patterns and it's influencing factors of hospitalized elderly in long-term care hospital
    Hyo-Yoel Jang, Tae-Im Kim
    Journal of the Korean Data and Information Science Society.2016; 27(3): 773.     CrossRef
  • The Effect of Laughter Therapy on Arthralgia, Ankylosis, Depression, and Sleep of Elderly Housebound Women with Osteoarthritis
    Chung Soon Kim, Sook Hi Jang, You Young Cho
    Journal of Korean Biological Nursing Science.2015; 17(2): 123.     CrossRef
The Influence of Health Literacy and Diabetes Knowledge on Diabetes Self-care Activities in Korean Low-income Elders with Diabetes
Ji Hye Jeong, Nam Hee Park, So Young Shin
J Korean Acad Community Health Nurs. 2014;25(3):217-224.   Published online September 30, 2014
DOI: https://doi.org/10.12799/jkachn.2014.25.3.217
  • 1,122 View
  • 0 Download
  • 3 Citations
AbstractAbstract PDF
PURPOSE
This study aimed to assess the levels of and relationships among health literacy, knowledge about diabetes, and self-care activities in the Korean low-income elderly with diabetes and to identify factors influencing the self-care activities of this vulnerable population.
METHODS
This study surveyed a total of 151 low-income elderly patients with diabetes registered at 16 Visiting Health Care Services in B City, Korea. Health literacy was measured with the Newest Vital Sign. Diabetes knowledge was measured with the Diabetes Knowledge Test. The Summary of Diabetes Self-care Activities Questionnaire was used to assess diabetes self-care activities. A stepwise multiple regression analysis was conducted to identify significant factors influencing diabetes self-care activities in these patients.
RESULTS
In the regression model, diabetes knowledge (beta=.322, p<.001), exercise (beta=.337, p<.001), and experiences of diabetes education (beta=.241, p=.001) were significantly associated with increased diabetes self-care activities in low-income elderly patients with diabetes when gender, education, health literacy, and subjective health state were controlled.
CONCLUSION
To improve diabetes self-care activities in the low-income elderly with diabetes, it is important to develop a customized program considering their knowledge, exercise, and diabetes education experience.

Citations

Citations to this article as recorded by  
  • The Relationship between Health Literacy of Elderly Diabetics and Adherence to Treatment, Babol, Iran, 2021
    Abdollah Goli Roshan, Seyedeh Navabeh Hosseinkhani, Reza Norouzadeh
    Qom Univ Med Sci J.2021; 14(12): 70.     CrossRef
  • The Role of Health Literacy in Diabetes Knowledge, Self-Care, and Glycemic Control: a Meta-analysis
    Laura Marciano, Anne-Linda Camerini, Peter J. Schulz
    Journal of General Internal Medicine.2019; 34(6): 1007.     CrossRef
  • Evidence-based health literacy improvements: trends on health literacy studies in Korea
    Soo Jin Kang, Mi Sook Lee
    Korean Journal of Health Education and Promotion.2015; 32(4): 93.     CrossRef

RCPHN : Research in Community and Public Health Nursing