Research in Community and Public Health Nursing

Original Articles

A Delphi Study for Development of Disaster Nursing Education Contents in Community Health Nursing: Chun Mi Kim, Song Yi Han, Young Ran Chin; J Korean Acad Community Health Nurs. 2021;32(4):555-565. Published online December 31, 2021; DOI: https://doi.org/10.12799/jkachn.2021.32.4.555

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Purpose
This study was conducted to develop the contents of disaster nursing education in community health nursing at universities. Methods: To validate contents, the Delphi method was used. We categorized two domains(indirect disaster management and direct disaster management) and developed 48 draft items. This study applied two round surveys and 23 experts participated in this study. The content validity was calculated using content validity ratio and coefficient of variation. Results: Indirect disaster management domain was composed of three categories including 12 items: 1) Understanding of the disaster, 2) disaster management system, and 3) response by disaster stage and recovery. Direct disaster management domain was composed of nine categories including 30 items: 1) Ethical considerations, 2) communication in disasters, 3) nursing activity by disaster stage, 4) emergency nursing in disasters, 5) patient severity classification in disasters, 6) disaster nursing for vulnerable groups, 7) disaster nursing for victims, 8) psychosocial nursing and health in disasters, and 9) cases of disaster nursing in communities. Conclusion: This Delphi study identified the contents of disaster nursing education curriculum, and confirmed the validity for disaster education program in community health nursing. Based on the results, it will be helpful for training the disaster nursing and improving the competency on disaster nursing of the nursing students.

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A study on the types of disaster awareness in nursing students: Q methodology
Mihyeon Seong, Dajung Ryu, Sohyune Sok
BMC Nursing.2023;[Epub] CrossRef

The Relationship between the Prevalence of Suicidal Ideation among Older Adults and Individual · Regional Factors: Young Ran Chin, Chun Mi Kim, Il Su Park, Song Yi Han; J Korean Acad Community Health Nurs. 2020;31(Suppl):577-590. Published online December 31, 2020; DOI: https://doi.org/10.12799/jkachn.2020.31.S.577

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Abstract PDF

Purpose
The purpose of this study was to find out the suicidal ideation rate of the elderly including individual and regional factors by sex.
Methods
This is secondary analysis study that combines the data of the 2017 Community Health Survey with the e-indicator data set of the National Statistical Office, and a descriptive correlation study. Statistical analysis used hierarchical logistic regression by SAS 9.4.
Results
The 11.5% of the elderly had suicidal ideation within the last year, and 18.4% in Chungnam is the highest. Individual characteristics include females, older people, lower education levels, no job or housewife, no spouse, less than seven hours of sleep per day on the average, low subjective health, high subjective stress, and the worse their economic conditions, the more they had suicide ideation. Considering regional characteristics, suicidal ideation tended to increase significantly as the number of hospital beds per 1,000 people and the rate of obesity was lower, the rate of stress perception was higher, and the odds value was small. When both individual and regional factors were considered, the model conformity of the suicidal ideation improved (ICC=0.0814).
Conclusion
In order to lower the suicidal rate of the elderly, it seems that both individual and community factors need to be comprehensively approached from the stage of suicidal ideation in the community.

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Identifying the suicidal ideation risk group among older adults in rural areas: Developing a predictive model using machine learning methods
Junglyun Kim, DongHyeon Gwak, Seonhee Kim, Moonhee Gang
Journal of Advanced Nursing.2023; 79(2): 641. CrossRef
Factors Related to Suicidal Ideation and Prediction of High-Risk Groups among Youngest-Old Adults in South Korea
Eungyung Kim, Jee-Seon Yi
International Journal of Environmental Research and Public Health.2022; 19(16): 10028. CrossRef

Predictors of Health-related Quality of Life among Spouses of Older Adults with Dementia in the Community-dwelling: Hye Young Jang, Song Yi Han; J Korean Acad Community Health Nurs. 2019;30(4):518-527. Published online December 31, 2019; DOI: https://doi.org/10.12799/jkachn.2019.30.4.518

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Abstract PDF

PURPOSE
The purpose of this study was to identify the factors influencing health-related quality of life among spouses of older adults with dementia based on an ecological model.
METHODS
This study used data from the 2015 Korean Community Health Survey with the subjects of 541 spouses of older adults with dementia. The data were analyzed using descriptive statistics, independent t-test, ANOVA, and hierarchical multiple regression.
RESULTS
In this study, 26.5% of quality of life was explained by employment status, physical activity, perception of stress, perception of depressive symptom, self-rated health status, self-rated oral health status, and contact with neighbors.
CONCLUSION
To develop more effective nursing intervention for improvement of quality of life, it needs to consider not only the individual system related factors but also community system related factors including contact with neighbors.

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Mental Health Status among Individuals with Spouses Residing in Long-term Care Facilities: Using Propensity Score Matching
Hyeon Sik Chu, Dasom Kim
Journal of Korean Academy of psychiatric and Mental Health Nursing.2023; 32(4): 463. CrossRef
Caring Experience of Spouse Caregivers of Persons with Alzheimer's Disease: A Qualitative Study
Jin-Hee Lee, Gwi-Ryung Son Hong
Journal of Korean Gerontological Nursing.2022; 24(3): 257. CrossRef
Effect of Perceived Stress on Health-Related Quality of Life among Primary Caregiving Spouses of Patients with Severe Dementia: The Mediating Role of Depression and Sleep Quality
Jinheum Kim, Eunjeong Cha
International Journal of Environmental Research and Public Health.2022; 19(13): 7962. CrossRef

Factors Influencing Participation in National Health Screening Program among Korean Older Adults by Cognitive Function Level: Song Yi Han, Young Ko; J Korean Acad Community Health Nurs. 2019;30(4):508-517. Published online December 31, 2019; DOI: https://doi.org/10.12799/jkachn.2019.30.4.508

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Abstract PDF: PURPOSE
The aim of this study was to identify the participation rate of the National Health Screening Program (NHSP) and its influencing factors by cognitive function level in Korean older adults.
METHODS
This study was a secondary analysis using data from the survey of the Korean Longitudinal Study of Aging in 2016. The data were analyzed using Ï‡Â² test and multiple logistic regression.
RESULTS
The participation rates of the NHSP in the mild cognitive impairment group (79.6%) and the suspected dementia group (58.0%) were lower than the normal cognitive function group (88.1%). The factors influencing NHSP varied by cognitive function level. Especially, in the suspected dementia group, higher participation rates of the NHSP were associated with living in rural areas, enrollment in private health insurance, no depressive symptoms, participation in social activities, and no living with children. Depression and participation in social activities influenced participation in NHSP in all groups.
CONCLUSION
This study suggests that interventions differentiated by cognitive function level are important for increasing the participation in the health screening.

Effects of Multifactorial and Follow-up Programs Applying a Capacity Building Strategy: Focusing on Older Adults Living in a Urban-rural Complex Area: Song Yi Han, Young Ko, Hee Ryang Kim, Ji Youn Kim; J Korean Acad Community Health Nurs. 2019;30(2):243-255. Published online June 30, 2019; DOI: https://doi.org/10.12799/jkachn.2019.30.2.243

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Abstract PDF: PURPOSE
The purpose of this study is to examine effects of a multifactorial program for preventing the frailty of older adults and effects of a follow-up program applying a capacity building strategy.
METHODS
A quasi-experimental pretest-posttest design was used for the nonequivalent control group. The follow-up group (n=75) and non-follow-up group (n=68) received the same multifactorial program comprising muscle strength exercise, cognitive training, and psychosocial programs for 12 weeks. After completion of multifactorial program, the follow-up group took follow-up programs applying the capacity building strategy for following 12 weeks. The data of physical function, cognitive function, and psychological function, and self-rated health were collected from both groups three times: before intervention, after intervention, and 12 weeks after intervention. The data were analyzed using Ï‡2 test and t-test.
RESULTS
In comparison with the non-follow-up group, the scores of Timed Up & Go Test, and physical activities energy expenditure were significantly improved in the follow-up group.
CONCLUSION
These results indicate that a multifactorial program with follow-up adapting the strategies of capacity building for the older adults group is feasible to prevent the physical frailty in community.

Assessment of Long-Term Care Service Needs in the Baby Boom Generation: Song Yi Han; J Korean Acad Community Health Nurs. 2016;27(1):21-30. Published online March 31, 2016; DOI: https://doi.org/10.12799/jkachn.2016.27.1.21

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Abstract PDF

PURPOSE
This research was conducted to identify long-term care service needs in the baby boom generation.
METHODS
Data were collected from September 3 to October 9, 2012 targeting 196 baby boomers residing in Seoul and Gyeonggi-do with the measurement of long-term care service needs having five domains. Collected data were analyzed using the SPSS 20.0 program.
RESULTS
Demand for long term care service in those who preferred nursing homes was highest as 4.40Â±0.69 in the safe environment domain. In case of those preferring home care services, demand was highest as 4.37Â±0.56 in the social interaction domain. People who preferred nursing homes had higher needs in personal health care and improvement of the service quality domains. Those who preferred home care services showed diverse needs according to their characteristics.
CONCLUSION
The baby boom generation had high needs in all the domains of long-term care services and such needs were diverse according to their characteristics. However, long-term care services had limitations that they provided standardized and uniformed services only. Therefore, health care services and improved quality services should be provided in a way of meeting the users' needs, and tailored services should be provided in consideration of the users' characteristics.

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An Analysis of the Effects of the Income Level of the Family Caregivers for the Recipients in Long-Term Care facilities on the Willingness to Pay for Use of Better Services: A cross-sectional study
Jinhee Kwon, Eun-Jeong Han, Hyun Ki Kim
Journal of Korean Gerontological Nursing.2023; 25(2): 103. CrossRef

Successful Aging and the Influencing Factors in the Korean Elderly: Focused on Family Support: Song Yi Han, Soon Nyung Yun; J Korean Acad Community Health Nurs. 2015;26(4):372-379. Published online December 31, 2015; DOI: https://doi.org/10.12799/jkachn.2015.26.4.372

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Abstract PDF

PURPOSE
This research was conducted to examine the successful aging and identify factors influencing successful aging in the Korean elderly.
METHODS
The subjects were 4,507 elders and data were collected from the 4th Korean Longitudinal Study of Ageing in 2012. The data were analyzed using frequencies, weighted percentage, chi2 test, and logistic regression.
RESULTS
The results of this study showed that 19.6% of the participants were categorized to successful aging. The domains of the absence of disease and disability and maintaining physical and mental functioning showed a high rate of achievement, while the domain of active engagement with life showed a low rate of achievement compared to others. Successful aging was influenced by gender, age, subjective economic status, subjective health status, and family support, particularly spouse's support.
CONCLUSION
Intervention programs to increase the prevalence of successful aging are required. Especially programs for strengthening spouse's support and enhancing subjective health status are required.

Citations

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Factors Influencing Cardiovascular Disease Preventive Behaviors among Rural Residents Based on a Socio-Ecological Model in South Korea: A Mixed Method Research
Bohyun Park, Juhyeon Yang, Youngsoo Kim, Gianpiero Greco
Health & Social Care in the Community.2023; 2023: 1. CrossRef
Influence of Successful Aging, Quality of Life, and Factors Related to Potential Stressors on Older Consumers’ Purchase of Private Health Insurance in South Korea: An Empirical Study Based on Proactive Coping Theory
Jimin Lee, Hyeyoon Bae, Euehun Lee
Journal of Applied Gerontology.2022; 41(1): 253. CrossRef
Factors Associated with Successful Aging among Community-Dwelling Older Adults Based on Ecological System Model
Hye-Young Jang
International Journal of Environmental Research and Public Health.2020; 17(9): 3220. CrossRef
Social networks, health-promoting behaviors, and health-related quality of life in older adults with and without arthritis
Minjoo Hong, Hyewon Shin, Jennie C. De Gagne, Kenzie Latham-Mintus
PLOS ONE.2019; 14(7): e0220180. CrossRef
Relations of Sleep Quality, Lifestyle, and Successful Aging in the Elderly Attending a Senior Welfare Center
Soomi Kim, Pilbong Kim, Seung Hee Lee, Eunyeong Lee, Jongeun Lee, Kyung Mi Kim
The Korean Journal of Rehabilitation Nursing.2018; 21(1): 43. CrossRef
The Effect of Basic Psychological Needs and Wisdom on Successful Aging in the Elderly
Min-Jeong Nam, Young-Mun Cho
Korean Journal of Adult Nursing.2018; 30(1): 70. CrossRef
Prevalence and related factors of successful aging among Chinese rural elders living in nursing homes
Menglian Wu, Yang Yang, Dan Zhang, Yaoyao Sun, Hui Xie, Jie Zhang, Jihui Jia, Yonggang Su
European Journal of Ageing.2017; 14(4): 419. CrossRef

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