Research in Community and Public Health Nursing

Original Articles

The Effects of Non-pharmacological Interventions on Sleep among Older Adults in Korean Long-term Care Facilities: A Systematic Review and Meta-analysis: Sun Ok Jung, Hye Young Kim, Eun Ju Choi; J Korean Acad Community Health Nurs. 2022;33(3):340-355. Published online September 30, 2022; DOI: https://doi.org/10.12799/jkachn.2022.33.3.340

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Abstract PDF: Purpose
This study aimed to examine the effects of non-pharmacological sleep intervention programs in improving sleep quality among older adults in long-term care facilities. Methods: A literature search and selection was performed on nine different databases using the guidelines of PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses). Overall, 14 studies met the inclusion criteria and were systematically reviewed. For the metaanalysis, the effect size was estimated using the random-effects model in Review Manager (RevMan) desktop version 5.4 of the Cochrane Library. Results: The meta-analysis of overall non-pharmacological interventions obtained a total effect size of 1.0 (standardized mean difference [SMD]=1.0, 95% confidence interval [CI]: 0.64~1.35), which was statistically significant (Z=5.55, p<.001). The most frequently studied non-pharmacological intervention was aroma therapy, with an effect size of 0.61 (SMD=0.61, 95% CI: 0.14~1.08), which was statistically significant (Z=2.55, p=.010). In the subgroup analysis, group-based interventions, interventions for >4 weeks, and untreated control studies were more effective. Conclusion: This study confirms that non-pharmacological interventions are effective in improving sleep quality among older adults in long-term care facilities. However, the sample size was small and the risk of bias in assessing the interventions of individual studies was unclear or high, thereby limiting the generalizability of the results. Further reviews that evaluate randomized control trials, evidence-based interventions that consider older adult participants' physical activity levels, different intervention methods and durations, and different control group intervention types are needed to obtain more conclusive evidence.

Effects of an Oral Self-care Program on the Elderly's Xerostomia and Oral Health-related Quality of Life: Ji Hyun Kim, Hye Young Kim; J Korean Acad Community Health Nurs. 2018;29(3):382-392. Published online September 30, 2018; DOI: https://doi.org/10.12799/jkachn.2018.29.3.382

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PURPOSE
The purpose of this study is to investigate effects of an oral self-care program on oral dryness and oral health related quality of life in the elderly.
METHODS
The current research design isa nonequivalent control group protest-posttest design with two groups of elders from two different senior centers in D city. Tools for the research include paper of salivary absorption (WF41-1850, Whatman, Germany), 6 items for subjective oral dryness and OHIP-14 for oral health related to quality of life. The data were analyzed to test three hypotheses by using the SPSS 22.0 program.
RESULTS
The three hypotheses were significantly accepted. The subjective oral dryness score was lower in the experimental group than in the control group (t=-2.45, p=.022). Salivary absorption was higher in the experimental group than in the control group (t=3.83, p < .001).Oral health related quality of life was better in the experimental group than in the control group (t=-2.11, p=.044).
CONCLUSION
The oral self-care program has appeared to be effective on oral dryness and an oral health related quality of life in the elderly. Therefore, it can be suggested that the oral self-care program is applicable as an intervention program motivating the elderly to maintain oral health.

Citations

Citations to this article as recorded by

Risk Factors for Depressive Symptoms among Older Adults with Mild Cognitive Impairment: An Analysis of Data from the Eighth Korean Longitudinal Study of Aging 2020
Mijung Cho
Journal of Korean Academy of Fundamentals of Nursing.2023; 30(2): 236. CrossRef
A Systematic Review of the Use of mHealth in Oral Health Education among Older Adults
Reinhard Chun Wang Chau, Khaing Myat Thu, Akhilanand Chaurasia, Richard Tai Chiu Hsung, Walter Yu-Hang Lam
Dentistry Journal.2023; 11(8): 189. CrossRef
A Systematic Review on Oral Health Care Programs for the Elderly in Korea (2009∼2020)
Hee-Jung Lim, Eun-Seo Choi, Im-Hee Jung, Do-Ah Kim, Eun-Som Lee
Journal of Dental Hygiene Science.2021; 21(4): 199. CrossRef
Effect of Oral Health Education Using a Mobile App (OHEMA) on the Oral Health and Swallowing-Related Quality of Life in Community-Based Integrated Care of the Elderly: A Randomized Clinical Trial
Ji-Yun Ki, Se-Rim Jo, Kyung-Sook Cho, Jung-Eun Park, Ja-Won Cho, Jong-Hwa Jang
International Journal of Environmental Research and Public Health.2021; 18(21): 11679. CrossRef
Effects of Oral Care Interventions on Oral Health and Oral Health-related Quality of Life among Denture-wearing Older Adults
Chanhee Lim, Haejung Lee, Gaeun Park
Korean Journal of Adult Nursing.2021; 33(1): 76. CrossRef
Effects of Oral Gargling with Aroma Solution in Psychiatric Inpatients: A Non-Randomized Controlled Trial
Yun Ah Jung, Hee Sook Kim
Journal of Korean Academy of Nursing.2020; 50(2): 200. CrossRef

Elder Abuse Perception and Caregiving Stress of the Adult Caregivers: Hee Kyoung Jang, Hye Young Kim; J Korean Acad Community Health Nurs. 2013;24(3):358-367. Published online September 30, 2013; DOI: https://doi.org/10.12799/jkachn.2013.24.3.358

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4 Citations

Abstract PDF

PURPOSE
This study was conducted to identify the relationship of the elder abuse perception with the caregiving stress of adult caregivers and to investigate influencing factors on them.
METHODS
Data were collected from 398 adults aged 30-65, and analyzed with the SPSS/WIN program.
RESULTS
In the elder abuse perception, there were differences in age, marital status, education, job, person to be taken care of, age of elderly mother, duration of caregiving, economic status and health status of elderly parents. As for the caregiving stress, there were differences in age, marital status, income, health status, relationship with the elder, person to be taken care of, economic status and health status of elder parents. Influencing factors on the elder abuse perception included caregiving stress, education, marital status, health status of elders, and economic status of parents (30%). On the caregiving stress, elder abuse perception, economic status of elders, and relationship between caregivers and elders were influencing factors (24%).
CONCLUSION
The results of this study suggest that it is needed to develop a nursing program to prevent elder abuse and to decrease caregiving stress in caregivers. In addition, it should be considered in tandem with significant influencing factors that were found in this study.

Citations

Citations to this article as recorded by

Maltraitances en contexte de proche aidance en Corée du Sud : la parole aux proches aidantes
Yoonji Oh
Gérontologie et société.2023; vol. 45 / (1): 33. CrossRef
Community nurses' perceptions of elder abuse based on an ecological system model: A descriptive study
Ji Hye Park, Chung Min Cho
Journal of Korean Gerontological Nursing.2022; 24(4): 412. CrossRef
Attitude toward Child Support, Family Network, Financial Exchange with Adult Children, and the Effects on Baby Boomer Women’s Stress and Depression
Yeobong Lee
The Korean Journal of Community Living Science.2019; 30(2): 249. CrossRef
The Effect of Caregiving Stress on Depression among Korean Married Adult Children of Korea
Yun-Jeong Kim, Jin-Ah Chung, Hyun-Su Ka
Journal of Digital Convergence.2014; 12(10): 563. CrossRef

Analysis of Time Taken for Visiting Nursing Activities by Visiting Nurses: Sook Ja Yang, Kyung Rim Shin, Ok Soo Kim, Hye Young Kim, Kyung Hee Kim, Eun Ha Kim; J Korean Acad Community Health Nurs. 2004;15(2):177-186. Published online June 30, 2004

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Abstract PDF: PURPOSE
The purpose of this study is to analyse time taken for visiting nursing activities by visiting nurses in health centers.
METHOD
A questionnaire was developed by a research team for the technological support of visiting nursing activities and visiting nurses. A total of 481 questionnaires were recovered by five visiting nurses from May to October 2003.
RESULT
A visiting nurse's total length of time for visiting activities was 532.2 minutes per day and the number of households a visiting nurse visits a day was 4.5. A visiting nurse spent 133.3 minutes for actual nursing services and 119.1 minutes for travelling. Time for actual nursing activities was more than half of the total working hours. Time for travelling was 42.9 minutes on the average when using public transportation means and 25.6 minutes when using a car.
CONCLUSION
The results of this study is expected to be used as basic data in establishing plans for the adequate supply of visiting nurses based on demands for visiting nursing services.

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