Research in Community and Public Health Nursing

Original Articles

Needs assessment of community health practitioners for community care competency of older adults: Na Bee Yoon, Hyeon Kyeong Lee, Haesun Lee, Sang Woo Park; Res Community Public Health Nurs. 2023;34(1):32-42. Published online March 31, 2023; DOI: https://doi.org/10.12799/rcphn.2022.00360

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Abstract PDF: Purpose
To identify needs and priorities of community care competency for older adults among community health practitioners. Methods: Data were collected from a convenient sample of 326 community health practitioners using an online questionnaire, which included items on community care competencies and personal characteristics. Items were developed through literature review, consultation meeting, content validity verification, and preliminary investigation. The data were analyzed using the t-test, one-way ANOVA, and Scheffe’s test with SPSS 25.0. The analysis of needs and priorities was conducted by using the Borich needs assessment and the Locus for focus model. Results: Three competencies have been identified as high-priority needs; ‘Linkages with resources’, ‘Education to others’, ‘Leadership and management’. Conclusion: The findings of this study indicate the need to develop an educational program for community health practitioners to strengthen community care competencies. The programs will need to be provided, especially for young community health practitioners, to ensure that they are well equipped to care for community-dwelling older adults living in rural areas.

Validation of Types of Body Pain Areas and Related Factors in the Korean Aged Using Latent Class Analysis: Sang Ye Shin, Eun Suk Lee; Res Community Public Health Nurs. 2023;34(1):22-31. Published online March 31, 2023; DOI: https://doi.org/10.12799/rcphn.2022.00290

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Abstract PDF: Purpose
The purpose of this study is to find a nursing intervention plan by classifying the body pain areas of the Korean aged and analyzing related factors. Methods: This study performed the latent class analysis, cross-analysis, and one-way ANOVA using the SPSS 25, M-plus 7.0 program on 4,388 older adults aged 65 or over using the data from the 2020 Aging Research Panel. Results: As a result of the Latent Class Analysis, participants divided into four groups. Group 1 was the 'shoulder and low back pain group' with high shoulder and back pain, group 2 was the 'upper body pain group' with severe pain in the arms, wrists and fingers and chest, group 3 was the 'lower pain focused group' with high pain in the legs and knees, and finally, group 4 was the 'general low pain group' with low pain overall. The result of the study shows that the group that did not exercise regularly, the female group, and the low socioeconomic status group have more pain in general. The upper body central pain group showed a low level of life satisfaction. Conclusion: This study discusses various nursing interventions for the prevention of chronic pain, especially for the aged female group who has diverse body pain areas, the aged with low socioeconomic status, and the aged who do not exercise.

Factors Associated with Fear of Falling by Fall Experience in the Community-dwelling Elderly: Yeong Mi Seo, Eun Sook Lee; Res Community Public Health Nurs. 2023;34(1):12-21. Published online March 31, 2023; DOI: https://doi.org/10.12799/rcphn.2022.00199

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Abstract PDF: Purpose
This study aimed to identify factors associated with fear of falling(FOF) by fall experience in the community-dwelling elderly. Methods: Multivariate logistic regression with complex samples was used to analyze the data of 74,475 elders aged 65 and over from the Community Health Survey in 2019. Results: Factors associated with FOF included gender, age, education level, smoking, high-risk drinking, physical activity, stress, depression, cognitive impairment, subjective health status, hypertension, and diabetes mellitus in the non-fall group. In the single fall group, the associated factors were gender, age, physical activity, stress, depression, cognitive impairment, and subjective health status. Related factors in the recurrent fall group included gender, age, physical activity, cognitive impairment, and subjective health status. Conclusion: The study’s findings suggest that it is necessary to develop different strategies to prevent FOF by understanding the contributing factors of FOF in each group of fall experience.

Factors Affecting the Social Distance toward Older Adults of Nursing Students: Ji Yeon Ha, Ju Young Park; J Korean Acad Community Health Nurs. 2019;30(4):539-549. Published online December 31, 2019; DOI: https://doi.org/10.12799/jkachn.2019.30.4.539

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Abstract PDF: PURPOSE
The aim of this study was to identify the factors related to the social distance toward older adults in nursing college students.
METHODS
The participants comprised 137 students in a nursing college. Data were collected using self-report questionnaires in March 2019. The measurement instruments included social distance scales, the Fact on Aging Quiz (FAQ I), a 20-item semantic differential scale (to assess attitudes), and the perceived elderly stigma scale. The data were analyzed using descriptive statistics, independent t-tests, one-way analysis of variance (ANOVA), Pearson's correlation coefficient, and a multiple regression analysis.
RESULTS
The total score for social distance toward older adults was 3.98Â±0.54 out of a maximum of 5. Social distance had a statistically significant relationship with knowledge (r=.20, p=.022), attitudes toward older adults (r=âˆ’.31, p < .001), and elderly stigma (r=âˆ’.27 p=.008). The factors affecting social distance were education in geriatrics (Î²=.33, p=.004), grade (Î²=-.29, p=.014), attitudes (Î²=âˆ’.21, p=.018), academic major satisfaction (Î²=.19, p=.028), and knowledge (Î²=.15, p=.048); the explanatory power of the model was 34%.
CONCLUSION
There is a need for departmental efforts that nursing students acquire correct knowledge about the life and health of the elderly with the aging process and develop positive attitudes toward older adults through various experiences in gerontological nursing practicum and community senior-college student link programs.

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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3 Citations

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.

Citations

Citations to this article as recorded by

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 the Practice of Respiratory Infection Prevention for the Elderly in Rural Areas: Myung Soon Kwon, Jeong Soon Yu; J Korean Acad Community Health Nurs. 2019;30(4):460-470. Published online December 31, 2019; DOI: https://doi.org/10.12799/jkachn.2019.30.4.460

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4 Citations

Abstract PDF

PURPOSE
This study was to identify the factors influencing the practice of respiratory infection prevention (RIP) for the elderly residing in rural areas.
METHODS
The data were collected from 188 residents aged 65 years or older residing in the jurisdictions of four public health clinics in rural areas of C city, using a structured questionnaire for the period from December 1, 2018 to February 28, 2019. The collected data were analyzed with independent t-test, one-way ANOVA, Pearson's correlation coefficients, and hierarchical multiple regression analysis using SPSS/WIN 25.0 program.
RESULTS
The score on knowledge of RIP was 8.82Â±1.36, while it was 4.53Â±0.47 for attitude, 3.78Â±0.66 for practice, and 3.78Â±0.69 for social capital. It was observed that the factors influencing the practice of RIP were attitude of RIP (Î²=.38, p < .001), social capital (Î²=.29, p < .001), family type (Î²=âˆ’.19, p=.002), and subjective health status (Î²=.15, p=.035), while the explanatory power of the model was 47%.
CONCLUSION
Consequently, to enhance the practice of RIP for the elderly residing in rural areas, it is necessary to develop programs considering social and environmental characteristics of rural areas based on their attitude of RIP, social capital, family type and subjective health status.

Citations

Citations to this article as recorded by

Impact of educational interventions on the prevention of influenza: A systematic review
Mohammad Javad Nasiri, Bardia Danaei, Niloofar Deravi, Alireza Salimi Chirani, Amir Hashem Shahidi Bonjar, Zohreh Khoshgoftar, Forouzan Karimi
Frontiers in Public Health.2022;[Epub] CrossRef
Respiratory Infections Prevention in Rural Older Adults: An Interventional Study
Hassanat Ramadan Abdel-Aziz, Nashwa Saber Atia
Clinical Nursing Research.2022; 31(8): 1445. CrossRef
A Systematic Review for Effective Preventive Public Education of Respiratory Infection
Woojae Han, Jeong-Soon Yu, Sihun Park, Myung-Soon Kwon
International Journal of Environmental Research and Public Health.2021; 18(8): 3927. CrossRef
Developing and Evaluating an Educational Program for Respiratory Infection Prevention among Rural Elderly Residents in South Korea
Jin Soon Kim, Ji Hye Choi, Myung Soon Kwon
International Journal of Environmental Research and Public Health.2020; 17(9): 3057. CrossRef

Factors Influencing Activities-specific Balance Confidence in Community-dwelling Old Adults: Hee Ryang Kim, Young Ko; J Korean Acad Community Health Nurs. 2018;29(4):520-529. Published online December 31, 2018; DOI: https://doi.org/10.12799/jkachn.2018.29.4.520

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2 Citations

Abstract PDF

PURPOSE
The purpose of this study is to identify factors influencing activities-specific balance confidence in community-dwelling older adults.
METHODS
This is secondary analysis of data from an intervention study for improving cognitive function. The data were collected from March 2 to September 30, 2017 at a senior center. Data of 131 older adults were included for this secondary analysis, and were analyzed by using t-test, ANOVA, and multiple regression.
RESULTS
The mean score of activities-specific balance confidence is 65.08 out of a possible range of 0â€“100. The significant factors affecting activities-specific balance confidence among old adults include â€˜more than 85 years oldâ€™, â€˜waist circumferenceâ€™, â€˜depressive symptomsâ€™, â€˜activity restriction due to fear of fallingâ€™, and â€˜self-rated healthâ€™ which explained 52.8% of the variance.
CONCLUSION
The study results indicate that psychologic factors as well as physical condition should be considered for interventions to increase activities-specific balance confidence.

Citations

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Effects of Virtual Reality Program on Glycated Hemoglobin, Static and Dynamic Balancing Ability, and Falls Efficacy for Diabetic Patients: A Systematic Review and Meta-Analysis
Yi-Rang Yim, Myung-Haeng Hur
Journal of Korean Academy of Fundamentals of Nursing.2023; 30(2): 155. 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

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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7 Citations

Abstract PDF

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

Smartphone‐based combined oral and whole‐body exercise programme aimed at improving oral functions: A randomized clinical trial
Eun Seo Jung, Yoon Young Choi, Kyeong Hee Lee
International Journal of Dental Hygiene.2024; 22(4): 905. CrossRef
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

Effects of a Health Promotion Empowerment Program Using a Resident Volunteer as a Lay Health Leader on Frail Elders' Health and Empowerment: Jeong Sook Park, Yun Jung Oh; J Korean Acad Community Health Nurs. 2018;29(3):335-348. Published online September 30, 2018; DOI: https://doi.org/10.12799/jkachn.2018.29.3.335

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1 Citations

Abstract PDF

PURPOSE
This study has been conducted to develop and examine a health promotion empowerment program using a lay health leader for frail elderly.
METHODS
The research was organized in a nonequivalent control group pre-post test design. Data collection was performed from August 18 to October 8, 2015. The subjects included 76 frail elders aged over 65 registered in home visiting services (Experimental group=39, Control group=37). A health promotion empowerment program using a resident volunteer as a lay health leader was run for 8 weeks. Health factors (health promotion behavior, perceived health status and frailty) and empowerment factors (empowerment, social participation) were assessed. The data were analyzed by using the SPSS/WIN 18.0 program.
RESULTS
After the program, health promotion behavior, perceived health status and social participation increased in the experimental group more significantly than in the control group, but frailty decreased in the experimental group greater than in the control group.
CONCLUSION
The health promotion empowerment program using a resident volunteer as a lay health leader was effective. Therefore, the health promotion empowerment program needs to be expanded to other frail elders. Also, a health leader should be recommended as a public health resource and systematically managed.

Citations

Citations to this article as recorded by

Development and evaluation of the information and communication technology-based Loneliness Alleviation Program for community-dwelling older adults: A pilot study and randomized controlled trial
Jung Ae-Ri, Lee Kowoon, Park Eun-A
Geriatric Nursing.2023; 53: 204. CrossRef

Effects of the Elderly's Health Statuses, Health Behavior, and Social Relations on Their Health-related Quality of Life: Focusing on Family Types: Young Bum Kim, Seung Hee Lee; J Korean Acad Community Health Nurs. 2018;29(3):310-321. Published online September 30, 2018; DOI: https://doi.org/10.12799/jkachn.2018.29.3.310

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17 Citations

Abstract PDF

PURPOSE
The purpose of this study is to identify the effects of the elderly's health statuses, health behavior, and social relations on their health-related quality of life (HRQoL) according to their family types.
METHODS
The subjects of this study were 1000 elderly persons (298 living alone, 420 living with their spouses, and 282 living with their family)living in C city in Gangwon Province. Data were collected through structured questionnaires from July 20 to September 30, 2015. The SPSS/WIN program was used for data analysis.
RESULTS
The HRQoL of the elderly living alone was much lower than the other groups. The most influential factors on the HRQoL include self-rated health and depressive symptoms in all three groups. Social activities and skipping meals were associated with the HRQoL of the elderly living alone and living with their spouses, while marital status, number of chronic disease, and instrumental activities of daily living were associated with the HRQoL of the elderly living with their family.
CONCLUSION
Nurses should take into account family types when designing interventions for improving the HRQoL of the elderly.

Citations

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Predictors of life satisfaction among older men living alone: Analysis of the 2020 National Survey of Older Koreans: A cross-sectional study
Young-Ran Hwang, Gwi-Ryung Son Hong
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The Association Between Physical Activity Levels and Health-related Quality of Life in Korean Elderly: The Eighth Korea National Health and Nutrition Examination Survey
Sung-Tae Park
The Asian Journal of Kinesiology.2024; 26(4): 3. CrossRef
Work intensity, burnout and quality of work life in the hotel industry: The moderating role of psychological detachment
Hannah Vivian Osei, Felicity Asiedu-Appiah, Rhoda Owusu Ansah
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Factors associated with levels of health-related quality of life in elderly women: secondary data analysis of the Korea National Health and Nutrition Examination Survey 2019
Miseon Son
Korean Journal of Women Health Nursing.2022; 28(3): 187. CrossRef
Factors Influencing Depression in Older Adults According to Family Structure (Older Adults Living with Adult Children, a Spouse, or Alone): Data from the 2020 National Older Koreans Data
Kyoungsun Yun, Yu-Jin Lee
Journal of Korean Gerontological Nursing.2022; 24(1): 1. CrossRef
Factors Associated with Poor Self-Rated Health among Older Women Living Alone
Eunha Kim, Hye Young Choi
International Journal of Environmental Research and Public Health.2022; 19(18): 11182. CrossRef
A Study on the Characteristics of Health Risk Behavior in Older Adults with Chronic Joint Pain Using Association Analysis
Seyeon Park, Jieun Shin
Journal of Korean Gerontological Nursing.2021; 23(2): 107. CrossRef
Quarantine Hotels: Integration between Hospitality and Healthcare Services to Promote Health Behavior and Quality of Life
Ahmed Abdulaziz Alshiha
American Journal of Health Behavior.2021; 45(6): 1059. CrossRef
Factors influencing the perceived health status of older adults living alone based on the Korean National Health and Nutrition Examination Survey (2016-2018)
Mi-So Shim, Youngin Kim, Minkyung Park, Gwang Suk Kim
Archives of Gerontology and Geriatrics.2021; 96: 104433. CrossRef
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Işıl KALAYCI, Metin ÖZKUL, Meyrem TUNA UYSAL
Mehmet Akif Ersoy Üniversitesi İktisadi ve İdari Bilimler Fakültesi Dergisi.2021; 8(1): 146. CrossRef
Demographics as determinants for predicting quality of life among senior citizens in the Philippines
Madonna S Palmes, Sheilla M Trajera, Gregory S Ching
International Journal of Research Studies in Management.2021;[Epub] CrossRef
Analysis of the Types and Affecting Factors of Older People's Health-related Quality of Life, Using Latent Class Analysis
Sun-Hee Jang, Dong-Moon Yeum
Journal of Korean Academy of Community Health Nursing.2020; 31(2): 212. CrossRef
Factors Influencing Health-Related Quality of Life in the Korean Seniors with Lower Education Level: Focusing on Physical Activity Types
Hye Young Choi, Guna Lee
Korean Journal of Adult Nursing.2020; 32(3): 292. CrossRef
Multilevel Analysis of Factors Associated with Perceived Good Health and Multimorbidity among Older Adults: Using the 2017 Community Health Survey
Sunjoo Boo, Young Ran Han, Hye Young Choi
Journal of Korean Academy of Community Health Nursing.2020; 31(Suppl): 549. CrossRef
Effects of BeHaS Program on Health Behavior, Physiologic Index and Self-Esteem of the Elderly Living Alone with Metabolic Syndrome Based on Community Based Participatory Research
Jong Im Kim, Sun Ae Kim, Keumok Park, Jiyoung Kim, Lina Lee, Si Wan Choi, Bon Jeong Ku
Journal of Korean Academy of Nursing.2020; 50(4): 571. CrossRef
The Mediating Effects of Subjective Health Status on the Relationship between Relatedness and Participation in Exercise by Younger Elderly Women
Yeong-Mi Seo, Won-Hee Choi
Journal of Korean Gerontological Nursing.2019; 21(3): 183. 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
Journal of Korean Academy of Community Health Nursing.2019; 30(4): 518. CrossRef

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