Research in Community and Public Health Nursing

Original Articles

[English] Priorities of Family Caregivers in Preserving Functional Abilities of Individuals with Alzheimer's Disease Living at Home: A Best-Worst Scaling Approach: Eunhye Cho, Youngran Yang, Hyun Kyung Kim, Hye Young Kim; Res Community Public Health Nurs. 2024;35(2):156-167. Published online June 28, 2024; DOI: https://doi.org/10.12799/rcphn.2024.00556

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Abstract PDF Supplementary Material: Purpose
The decline in cognitive abilities among individuals with Alzheimer’s disease significantly impacts their Activities of Daily Living (ADLs), creating challenges and stress for their caregivers. This study aimed to investigate the priorities of family caregivers of community-dwelling individuals with Alzheimer's disease concerning the preservation of their loved ones' ADLs.
Methods
We employed a cross-sectional design with a best-worst scaling approach (BWS), and developed a BWS questionnaire utilizing the 10 daily living items from the Disability Assessment for Alzheimer’s Disease scale. This questionnaire was administered to 132 caregivers of individuals with Alzheimer's disease. Data analysis was conducted using SPSS WIN 21.0 and the R statistical program.
Results
The results revealed that "using the toilet without accidents" emerged as the top-ranked ADL that family caregivers preferred to preserve for the longest duration among individuals with Alzheimer's disease living at home. In contrast, "Managing money appropriately" was identified as a daily living activity considered relatively less critical to preserve. The study further indicated a preference among caregivers for preserving physical ADLs over instrumental ADLs.
Conclusion
This research provides clinical evidence shedding light on the priorities of family caregivers in preserving the functional abilities of individuals with Alzheimer's disease within the community.

[English] The Effect of Instrumental Activities of Daily Living and Depression on the Life Satisfaction of the Elderly Living Together during the Daytime in the Rural Areas: Jin Kim, Jeong In Bae, Nam Hyun Cha; J Korean Acad Community Health Nurs. 2022;33(1):96-104. Published online March 31, 2022; DOI: https://doi.org/10.12799/jkachn.2022.33.1.96

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Purpose
The purpose of this study is to identify the factors affecting the life satisfaction during the communal life of the elderly in rural areas.
Methods
A total of 143 subjects were selected through convenient sampling. Data were collected in self-reporting questionnaires from 1 August to 30 August 2019. The data were analyzed with SPSS/WIN 23.0.
Results
The Instrumental Activities of Daily Living (IADL) was significantly different according to age, education, and cohabitation. Depression was significantly different according to gender, age, education, and cohabitation. Life satisfaction was significantly different according to age, education, religion, and cohabitation. There was a positive correlation between Instrumental Activities of Daily Living and depression, except for life satisfaction. 41.0% of life satisfaction was explained by depression, religion, and IADL.
Conclusion
The results of this study may be useful in understanding the life satisfaction level of elderly communal life and developing more specific programs for mental activity programs, and depression management strategies are required.

Citations

Citations to this article as recorded by

RETRACTED: Social influences on the psychological well-being of elderly individuals
Mohammad Shahadat Hossen, Siti Fatimah Binti Salleh
Journal of Humanities and Applied Social Sciences.2025; 7(4): 315. CrossRef
Bidirectional association between ADL disability and depressive symptoms among older adults: longitudinal evidence from CHARLS
Wenjing Yan, Lina Wang, Chao Li, Yihan Meng, Qi Guo, Hongjuan Li
Scientific Reports.2025;[Epub] CrossRef
The mediating effect of life satisfaction between daily living abilities and depressive symptoms in the Chinese older people: evidence from CHARLS 2020
Mingsheng Liao, Xuesi Zhang, Zhiquan Xie, Limei Li, Liqin Zou
Frontiers in Public Health.2024;[Epub] CrossRef
Dual Mediating Effect of Electronic Device Utilization and Life Satisfaction on the Relationship between Instrumental Activities of Daily Living and Depression in Older Adults
Hwa-Soo Koong, Mihye Lim, Kawoun Seo
International Journal of Environmental Research and Public Health.2022; 19(17): 10617. CrossRef

[English] Impediment in Activity of Daily Living and Social Support for Rural Elderly Farmers Undergoing Nerve Block due to Low Back Pain: In Young Choi, Moon Sook Hwang; J Korean Acad Community Health Nurs. 2019;30(2):206-216. Published online June 30, 2019; DOI: https://doi.org/10.12799/jkachn.2019.30.2.206

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Abstract PDF

PURPOSE
This study is to investigate the low back pain, social support, impediment in daily living activities and to identify factors affecting impediment in elderly farmer' daily living activities.
METHODS
The participants were 128 elderly farmers who had received nerve block. Data were collected using a structured questionnaire from February to March, 2018. They were analyzed using t-test, ANOVA, pearson's correlation coefficient, and linear multiple regression.
RESULTS
The score of low back pain was 6.27Â±1.69 (10 points), that of social support 2.92Â±0.76 (1~5 points), and that of impediment in activity of daily living 2.01Â±0.82 (0~5 points). Factors affecting impediment in activity of daily living were found to include age (p=.017), daily hours of farm work (p<.001), fear for the nerve block (p<.001), low back pain (p<.001), and social support (p<.001); the explanatory power of these variables was 58.8%.
CONCLUSION
This study has found the controllable factors affecting impediment in activity of daily living among the rural elderly engaging in farm work include low back pain, social support, and daily farming hours. Therefore, to reduce impediment in activity of daily living among them, it is necessary to develop nursing interventions that can improve impediment in activity of daily living through reduction of daily farming hours using local resources. It is also desirable to improve their health status by reducing low back pain, and develop and apply social supports with health education programs that fit the local resources and the needs of the rural elderly.

Citations

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Factors Related to Long-term Hospital Length of Stay and Opinions on Discharge-related Community-based Medical and Welfare Service on Elderly Patients with Chronic Diseases in Korean Veterans Hospitals
Young Mi Yoon, Jin Hee Park, Moon Sook Hwang
Journal of Korean Academy of Community Health Nursing.2022; 33(4): 357. CrossRef

[English] Factors Associated with the Changes in Activities of Daily Living in Older Adults with Stroke: A Comparison of Home Care and Institutional Care: Woon Sook Jung, Eun Shil Yim; J Korean Acad Community Health Nurs. 2016;27(4):388-398. Published online December 31, 2016; DOI: https://doi.org/10.12799/jkachn.2016.27.4.388

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Abstract PDF

PURPOSE
To compare the changes in activities of daily living (ADLs) in older adults with stroke in different modalities of long term care (LTC) services, which include home care and institutional care.
METHODS
This is a comparative study using secondary data from the Korean national LTC insurance. Home care (HC) services users (n=3,494) and institutional care (IC) users (n=1,428) were extracted and compared in terms of ADLs and changes in ADLs to investigate the effects of HC and IC services in LTC.
RESULTS
All of the ADLs and LTC services benefit levels for 2 years had improved in both HC and IC services. The ADLs of older adults with stroke who received HC improved, while those who received IC experienced deterioration. The LTC services benefit levels of the HC and IC groups were significantly different after 2 years.
CONCLUSION
The study has found that HC services may lead ADLs better for older adults with stroke. We recommend LTC policy makers to further develop HC and IC service programs to deliver quality LTC services.

Citations

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Examination of the Educational Needs of Home Visit Nurses: A Cross-Sectional Descriptive Study
Kyuri Lee, Dukyoo Jung
International Journal of Environmental Research and Public Health.2021; 18(5): 2319. CrossRef
Profile of Long-Term Care Recipients Receiving Home and Community-Based Services and the Factors That Influence Utilization in Taiwan
Chia-Mei Shih, Yu-Hua Wang, Li-Fan Liu, Jung-Hua Wu
International Journal of Environmental Research and Public Health.2020; 17(8): 2649. CrossRef

[English] The Effects of Health Behavior-related Characteristics, Self-esteem, Activities of Daily Living, and Family Support on Depression in the Community-dwelling Elderly: So Young Lee; J Korean Acad Community Health Nurs. 2010;21(4):489-501. Published online December 31, 2010; DOI: https://doi.org/10.12799/jkachn.2010.21.4.489

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Abstract PDF

PURPOSE
The purpose of this study was to investigate the effects of health behavior-related characteristics, self-esteem, activities of daily living, and family support on depression in the community-dwelling elderly.
METHODS
The participants were 229 elders sampled from Seoul and other five provinces. A structured questionnaire was used to collect data, and data were analyzed by applying t-test, ANOVA, Pearson correlation coefficient, and stepwise multiple regression with SAS 8.12.
RESULTS
There was a negative correlation between depression, MMSE-K, self-esteem, ADL, IADL, and family support. Depression and health behavior-related characteristics showed a significant difference according to stress level and the reason of stress. Major factors that affected the elders' depression were self-esteem, the amount of alcohol drinking, sleeping hours, ADL and the cognition of health status, which explained 59.4%.
CONCLUSION
Based on the findings of this study, self-esteem and health behavior-related characteristics including alcohol drinking, sleeping hours and ADL were the influencing factors of depression in the community-dwelling elderly. Therefore, effective psychological and physical health promotion methods need to be developed and applied in nursing interventions to prevent depression in the community-dwelling elderly.

Citations

Citations to this article as recorded by

Factors related to Depression of Rural Elders
Ji-Ae Son, Soon-Rim Suh, Mihan Kim
Journal of Korean Gerontological Nursing.2015; 17(1): 56. CrossRef
Effects of Cognitive Function and Depression on Anxiety in Elderly People-Convergent approach
Jeong-Sook Lee, Sun-Young Lee
Journal of Digital Convergence.2015; 13(8): 401. CrossRef
Prevalence of Depression and its Risk Factors among Aged at Social Service Centers in One Urban Community
Hye-Ryoung Kim
The Korean Journal of Rehabilitation Nursing.2013; 16(2): 79. CrossRef
Gender Difference in Risk Factors for Depression in Community-dwelling Elders
Chul-Gyu Kim, Seungmi Park
Journal of Korean Academy of Nursing.2012; 42(1): 136. CrossRef
Effects of an Empowerment Program on Self-esteem and Depression for Low-income Elderly Women Living Alone
Sang-Hwa Lee, Seong-Sook Jun
Journal of Korean Academy of Psychiatric and Mental Health Nursing.2012; 21(4): 311. CrossRef

[English] The Effects of Hand Acupuncture & Moxibustion Therapy on Elders' Shoulder Pain, ADL/IADL and Sleep Disorders: Young Ock Lee, Chung Nam Kim; J Korean Acad Community Health Nurs. 2010;21(2):229-241. Published online June 30, 2010; DOI: https://doi.org/10.12799/jkachn.2010.21.2.229

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Abstract PDF

PURPOSE
The purpose of this study was to evaluate the effects of hand acupuncture.moxibustion therapy on elders' shoulder pain, ADL/IADL and sleep disorder.
METHODS
This is quasi-experimental with none equivalent control group pretest posttest design. The subjects were randomly assigned to one of Experimental Group A (Ceramic Seoammoxa therapy) (n=20), Experimental Group B (Seoampellet therapy) (n=18), Experimental Group C (Ceramic Seoammoxa and Seoampellet therapy) (n=20), and a control group (n=20). The intervention was applied 3 times per week for 6 weeks. NRS, Song's ADL/IADL scale, Oh, Shin and Kim's sleep disorders scale were used.
RESULTS
Hypothesis "Both shoulder pain and the level of sleep disorders of the experimental group A, B and C would be lower than the control group" was supported (p<.001). Hypothesis "ADL/IADL of the experimental group A, B and C would be higher than the control group" was supported (p<.001). In 3 weeks after the experiment, the experimental group A, B and C showed significant difference in change of ADL/IADL (p=.013). In 6 weeks after the experiment, the experimental group A, B and C showed significant difference in change of ADL/IADL (p<.001) and sleep disorders (p<.001).
CONCLUSION
Consequently, the hand acupuncture.moxibustion was an effective therapy in relieving shoulder pain and sleep disorders and improving ADL/IADL among elders.

Citations

Citations to this article as recorded by

Effects of hand-press pellet on pain and daily life of elders with chronic lower back pain: randomized controlled trial
Hyojung Park, Hyejin Lee
BMC Complementary Medicine and Therapies.2024;[Epub] CrossRef
Effets positifs de la manupuncture sur la douleur périopératoire
Céline Pouhin, Sandrine Boccard, François Volot, Agnès Geantot, Damien Muti Desgrouas, Gines Linares, Iris Papavasileiou, Marc Bonelli
Oxymag.2022; 35(183): 15. CrossRef
Effects of Hand Acupressure on Sleep Quality and Pruritus in Patients on Hemodialysis
Yeo Ju Kim, Hyojung Park
Korean Journal of Adult Nursing.2020; 32(6): 610. CrossRef
Effects of Hand Moxibustion and Hand Press Pellet on Low Back Pain, Range of Joint Movement, and Depression
Yeoun Ok Kim, Soon Ock Choi, Jee Won Kim
Journal of Korean Academy of Community Health Nursing.2019; 30(3): 336. CrossRef

[English] A Study on Activities of Daily Living and Perceived Health Status of Disabled Persons at Home in Rural Areas: Hyeon Ok Kim, Kyoung Hwa Joung; J Korean Acad Community Health Nurs. 2007;18(2):252-265. Published online June 30, 2007

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Abstract PDF: PURPOSE
This study was attempted to provide basic data required to develop community-base rehabilitation program for disabled persons at home by investigating their characteristics, ADL, and perceived health status.
METHOD
The subjects were 146 disabled persons at home in rural areas. Data were collected from January 22 to January 31, 2004. Data were analyzed using frequencies, percentages, means, standard deviations, minimums, maximums, chi2-test, Fisher's exact test, t-test, one-way ANOVA, Scheffe test, Contingency coefficient, Pearson's correlation, Stepwise multiple regression.
RESULTS
The average score of ADL was 5.51+/-1.92: sphincter control (5.85+/-2.10), communication (5.66+/-2.02), transfers (5.67+/-2.21), self care (5.44+/-2.05), social cognition (5.33+/-2.08), and locomotion (4.85+/-2.32). This means that the respondents were in the state of dependence. The main items requiring others' help were 'bathing' (57.7%) and 'going up and down stairs' (51.1%). ADL was significantly different according to age, gender, occupation, medical fee payer, type, severity and duration of disability, BMI, and alcohol drinking. Among the respondents, 82.8% perceived that their health status was bad. Main factors influencing the perceived health status of disability were age and ADL(R2=.343).
CONCLUSION
Perception of health status among the disabled is related to their characteristics and ADL, so it is necessary to develop community-base rehabilitation programs in order to improve ADL and the perception of health status.

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