Research in Community and Public Health Nursing

Original Article

A Multi-component Living Lab on Health Engagement for Advancing Self-care Agency among Migrant Workers in South Korea: A mixed methods study: Youlim Kim, Hyeonkyeong Lee, Sookyung Kim, Junghee Kim; Res Community Public Health Nurs. 2023;34(4):281-293. Published online December 29, 2023; DOI: https://doi.org/10.12799/rcphn.2023.00199

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Abstract PDF Supplementary Material: Purpose
Migrant workers battle to access health services and adapt to a new culture. Self-care agency can be essential for health self-management. This study examines the effects of a health engagement program to improve self-care agency using a living lab approach among migrant workers living in South Korea.
Methods
This study used a mixed-methods design, including a non-equivalent pre-post-test control group and three focus group interviews. Participants included 42 migrant workers from nine countries recruited via flyers, posters, and internet bulletins posted by a migrant community organization. During the 12 weeks, only the intervention group participants received four workshops addressing healthy physical activity, healthy dietary habits, effective cultural adaptation, stress management, and two outdoor cultural activities. They also participated in focus group interviews after the second, third, and fourth group activities and discussed the benefits of healthy behaviors and specific ways to implement them in real life.
Results
Participants in the intervention group showed an increase in self-care agency, health literacy, and acculturation after the 12- week intervention. Themes were derived based on the lessons from living lab activities, barriers to health behavior practices, and methods to overcome these.
Conclusion
This study demonstrated that multi-component intervention using a living lab effectively increased migrants’ participation in health promotion activities by strengthening health in their self-care agency. The qualitative and living lab approach effectively obtained comprehensive results on strategies to enhance healthy behavior engagement.

Review Article

Factors Related to Diabetes Self-Care among Immigrants in the United States: A Scoping Review: Jung Eun Kim; Res Community Public Health Nurs. 2023;34(2):171-182. Published online June 30, 2023; DOI: https://doi.org/10.12799/rcphn.2023.00094

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Abstract PDF: Purpose
The purpose of this scoping review was to explore related factors in diabetes self-care among immigrants in the U.S. Diabetes is one of the fastest-growing chronic illnesses, but little is known about factors in self-care among minority immigrants in the U.S.
Methods
The Arksey and O’Malley (2005) methodological framework guided this review, which examined 16 articles, including qualitative, quantitative, and mixed-methods designs. PRISMA guidelines were used with five Databases. Search terms included: immigrants in the U.S., type 2 diabetes, self-care, and self-management.
Results
Factors related to diabetes self-care among immigrants were identified: (1) changed dietary lifestyle, (2) low economic and health insurance, (3) social support and resources, (4) low English proficiency, (5) psychological contexts, and (6) gender roles.
Conclusion
Given the culturally unique related factors in diabetes self-care among immigrants, healthcare professionals must be knowledgeable and responsive to the ethnic minority immigrants’ needs to promote effective diabetes self-care.

Original Articles

The Influence of Self-care Behaviors, Empowerment and Social Support on Glycosylated Hemoglobin in Patients with Type 2 Diabetes: Hwa Kyung Oh, Eun Ju Lee; J Korean Acad Community Health Nurs. 2017;28(2):216-225. Published online June 30, 2017; DOI: https://doi.org/10.12799/jkachn.2017.28.2.216

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Abstract PDF

PURPOSE
The purpose of the study was to analyze the effects of self-care behavior, empowerment, and social support on glycosylated hemoglobin in patients with type 2 diabetes.
METHODS
The data were collected during the period of July 1 to July 31, 2016. In total, 172 participants were recruited from outpatients who had been diagnosed with type 2 diabetes at a health care center, a health promotion center at National Health Insurance Corporation, and a tertiary hospital. Statistical data were analyzed with SPSS 20.0 using frequency analysis, t-test, ANOVA, ScheffÃ© test, Pearson's correlation coefficients, and hierarchical regression analysis.
RESULTS
The study results showed that self-care behavior (Î²=âˆ’.34, p<.001), empowerment (Î²=âˆ’.34, p<.001), and social support (Î²=âˆ’.20, p=.018) were found to be influential factors affecting glycosylated hemoglobin, with an overall descriptive power of 69%.
CONCLUSION
Self-care behavior, empowerment, and social support are considered to be important factors in blood glucose management for the patients with type 2 diabetes. Therefore, self-caring blood glucose programs and internal synchronizing education through social support and empowerment need to be improved.

Citations

Citations to this article as recorded by

Relationships Among Health Literacy, Self-Efficacy, Self-Management, and HbA1c Levels in Older Adults with Diabetes in South Korea: A Cross-Sectional Study
Geun Young Jang, Soo Jung Chang, Jun Hee Noh
Journal of Multidisciplinary Healthcare.2024; Volume 17: 409. CrossRef
Factors affecting the health status of patients with type 2 diabetes mellitus receiving insulin treatments: A multi‐mediation path analysis
Kang Sun Lee, Hye Young Kim, Heung Young Jin
Journal of Clinical Nursing.2022; 31(9-10): 1285. CrossRef
Multimodal Diabetes Empowerment for Older Adults with Diabetes
Keumok Park, Youngshin Song
International Journal of Environmental Research and Public Health.2022; 19(18): 11299. CrossRef
The Effects of Self-efficacy and Self-stigma on Self-care in People with Diabetes
Kawoun Seo
Journal of Korean Academy of Community Health Nursing.2021; 32(1): 86. CrossRef
Relationships of health literacy to self‐care behaviors in people with diabetes aged 60 and above: Empowerment as a mediator
Kyung Suk Shin, Eun‐Hyun Lee
Journal of Advanced Nursing.2018; 74(10): 2363. CrossRef

The Relationship among Subjective Health Status, Wisdom, and Self-care Agency in Korean Older Adults: Mi Jin Yu, Hee Jung Kim; J Korean Acad Community Health Nurs. 2015;26(4):355-363. Published online December 31, 2015; DOI: https://doi.org/10.12799/jkachn.2015.26.4.355

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Abstract PDF: PURPOSE
This study identified the relationships among subjective health status, wisdom, and self-care agency of Korean older adults.
METHODS
The participants were 274 older adults from Daegu, aged over 65 years. Data were collected by visiting two social welfare centers, two senior welfare centers, and nine senior centers in Daegu from January 18 to February 5, 2013. Data were analyzed through one-way ANOVA, independent t-test, Pearson's correlation, and stepwise multiple linear regression using the IBM SPSS/WIN 19.0 statistical program.
RESULTS
A significant positive correlation was found among older adults' subjective health status, wisdom, and self-care agency. Self-care agency was affected by wisdom (47%, beta=.55), the physical component summary (18%, beta=.31) and mental component summary (1%, beta=.12) of subjective health status, and the absence of disease (2%, beta=.13).
CONCLUSION
This study suggests that nursing interventions to promote self-care agency in older adults should be developed based on the characteristics of their subjective health status and wisdom.

The Effects of Tele-care Case Management Services for Medical Aid Beneficiaries: Yang Heui Ahn, Eui Sook Kim, Il Sun Ko; J Korean Acad Community Health Nurs. 2010;21(3):351-361. Published online September 30, 2010; DOI: https://doi.org/10.12799/jkachn.2010.21.3.351

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4 Citations

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PURPOSE
This study was done to analyze the effects of tele-care case management services using secondary data.
METHODS
A descriptive research design was utilized, and the participants were 134 medical aid beneficiaries who were in either the high-risk group or the preventive group. Case management services were delivered by 8 care managers. Data were analyzed using PAWS Statistics 17 through descriptive statistics and paired t-test.
RESULTS
After the case management intervention, the participants' health quality of life, self-care competency, and reasonable medical care utilization increased significantly for the high-risk group. However there were no significant changes in the preventive group.
CONCLUSION
The results showed that the tele-care case management services were effective for high-risk medical aid beneficiaries. Further studies with controls for constitutional variables and a comparison group are required to validate the robustness of the effectiveness of the case management program in the present study.

Citations

Citations to this article as recorded by

The Effect of Case Management Services for High-risk Medicaid Beneficiaries
Young Jin Ahn, Yun-Kyoung Choi
Journal of the Korea Academia-Industrial cooperation Society.2015; 16(8): 5430. CrossRef
Comparing the Needs of Case Management between Medical Aid Beneficiaries with Simple and Multiple Chronic Diseases
Yang Heui Ahn, Yeonok Suh, Ok Kyung Ham, Hee Kyung Kim
The Korean Journal of Rehabilitation Nursing.2015; 18(2): 98. CrossRef
A study on the Effectiveness of Case Management in Elderly Medicaid Beneficiaries by Geographic Location
Jeong-Hyun Cho, Soon-Ock Kim, Myeong-Kyeong Song, Eun-Shil Yim
Journal of Korean Public Health Nursing.2012; 26(2): 289. CrossRef
Validation of a Needs Assessment Tool for Case Management in Korean Medical Aid Beneficiaries
Yang Heui Ahn, Eui Sook Kim, Ok Kyung Ham, Soo Hyun Kim, Soon Ok Kim, Myung Kyung Song
Journal of Korean Academy of Nursing.2012; 42(4): 549. CrossRef

Testing for Self-care Ability Measurement in an Aged Health Center: A Delphi Technique: Myung Soon Kwon; J Korean Acad Community Health Nurs. 2006;17(4):573-582. Published online December 31, 2006

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Abstract PDF: No abstract available.

Factors Related to Self-care Behavior and the Control of Hypertension inthe Low-income Elderly: Young Soon Choi, Hyun Li Kim; J Korean Acad Community Health Nurs. 2006;17(4):441-450. Published online December 31, 2006

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Abstract PDF: No abstract available.

The Relations between Self-esteem, Self-care and Life Satisfaction in the Home-dwelling Elderly: Bong Im Kim; J Korean Acad Community Health Nurs. 2005;16(4):415-423. Published online December 31, 2005

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Abstract PDF: PURPOSE
The present study was conducted to identify the relations between self-esteem. self-care and life satisfaction in the home-dwelling elderly.
METHODS
The subjects were 106 persons aged over 65 in J city. Data were collected from April to June 2005 by a questionnaire survey. The instruments used in this study are the self-esteem scale developed by Rosenberg(1965), the self-care scale by Hwang (2000) and the life-satisfaction scale by Choi (1986). Data were analyzed through t-test, ANOVA. least significant difference, Pearson's correlation coefficient and stepwise regression analysis using SPSS-Win 10.0.
RESULTS
Self-esteem and self-care were in a positive correlation with each other (r=.464, p=.000). Self-care and life-satisfaction showed a significant correlation with each other (r=.222 p=.031), and a significant correlation was found between self-esteem and life-satisfaction (r=.506, p=.000). The most significant predictors influencing life-satisfaction were self-esteem, self-care and perceived health condition, and the three factors accounted for 47.7% of variance in life satisfaction in the home-dwelling elderly.
CONCLUSION
These results suggest that self-esteem, self-care and life-satisfaction can be important factors the quality of life of the elderly in long-term care. Therefore nurses can plan nursing interventions to promote self-esteem, self-care and life satisfaction of the home-dwelling elderly.

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