Research in Community and Public Health Nursing

Review Articles

[English] Factors associated with Hypertensive Retinopathy among People with Hypertension: A Systematic Review: Ihn Sook Jeong, Chan Mi Kang, Eun Joo Lee, Seol Bin Kim, Young Kyung Seo, Young Shin Son, Kun Hyung Kim; Received October 21, 2024 Accepted January 26, 2025 Published online March 17, 2025; DOI: https://doi.org/10.12799/rcphn.2024.00857 [Accepted]

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Abstract: Purpose
The associated factors for hypertensive retinopathy (HTR) are rarely investigated. This study aimed to identify the associated factors for HTR using a systematic review.
Methods
The review included cross-sectional, case-controlled, and cohort studies on HTR risk factors published in Korean and English with full texts available from PubMed, Embase, CINAHL, Web of Science, and Korean databases. Methodological quality was assessed using the Joanna Briggs Institute (JBI) checklist.
Results
Eleven studies were finally selected, and three studies including patients with hypertension without diabetes mellitus, older age, male sex, alcohol consumption, the duration of hypertension, hyperglycemia, dyslipidemia, microalbuminuria, high creatinine levels, chronic kidney disease, and cardiovascular changes were identified as factors associated with HTR. Conversely, in the remaining eight studies, younger age, non-smoking status, and renal function indicators (albuminuria, high creatinine levels, chronic kidney disease, and uric acid) were identified as associated factors.
Conclusions
Regardless of the inclusion of patients with diabetes mellitus, impaired kidney functions were determined as significant factors associated with retinopathy in patients with HTR. However, considering a limited number of evidence and lack of evidence to confirm causality, we recommend further research on renal function and HTR.

[English] A Systematic Review of Questionnaire Measuring eHealth Literacy: Jung-Won Ahn, Mi Young Kim; Res Community Public Health Nurs. 2024;35(3):297-312. Published online September 30, 2024; DOI: https://doi.org/10.12799/rcphn.2024.00752

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Abstract PDF: Purpose
This review aims to summarize the characteristics of currently used questionnaires measuring eHealth literacy and assess the quality of their psychometric properties in self-reported assessments within community settings.
Methods
The systematic analysis was conducted using the COnsensus-based Standards for the selection of health Measurement INstruments checklist to evaluate the methodological quality of studies on measurement properties.
Results
A total of 21 studies, including 19 questionnaires, were reviewed. The findings indicated that the quality of psychometric assessments for eHealth literacy was generally rated as 'good,' with most studies addressing multiple aspects of reliability and validity. Internal reliability, content validity, hypothesis testing, and responsiveness were particularly well-supported, each receiving over 10 sufficient ratings. However, there was limited evidence regarding measurement errors, test-retest reliability, criterion validity, and analyses of floor and ceiling effects.
Conclusion
This study contributes to the enhancement of eHealth literacy measurement tool selection and improves the reporting of their validity and reliability, thereby increasing the credibility of future research.

Original Articles

[English] Maternal Health Effects of Internet-Based Education Interventions during the Postpartum Period: A Systematic Review: Jung Mi Chae, Hyun Kyoung Kim; J Korean Acad Community Health Nurs. 2021;32(1):116-129. Published online March 31, 2021; DOI: https://doi.org/10.12799/jkachn.2021.32.1.116

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Abstract PDF

Purpose
This study aimed to investigate the maternal health effects of internet-based education interventions on parturients during the postpartum period through a systematic review of randomized controlled trials.
Methods
An electronic literature search of the Cochrane Library, CINAHL, EMBASE, Eric, PsycINFO, PubMed, RISS, and KISS databases was performed, using the combination of keywords such as ‘parenthood education’, ‘*natal education’, ‘*birth intervention’, ‘internet-based intervention’, ‘randomized controlled trial’. The inclusion criteria were peerreviewed papers in English regarding randomized controlled trials of internet-based postnatal education interventions. Educational interventions were delivered through any web, mobile, eHealth, mHealth, virtual reality, short message service, or social networking service platform. Quality appraisal was performed using the Risk of Bias 2 (RoB 2) for randomized controlled trials. Nine articles were yielded, and the intervention effects were analyzed.
Results
Internetbased education interventions during the postpartum period affect maternal self-efficacy, postpartum depression, and successive breastfeeding; however, they do not affect maternal satisfaction and parenting confidence.
Conclusion
This study demonstrated that internet-based education interventions affect maternal health status in terms of psychological, emotional, and physical wellness. Therefore, maternal health care professionals can utilize remote education using the internet or mobile-based interventions during the postpartum period.

Citations

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Determinants of Access to Health Information on the Internet by Indonesian Women (2017 IDHS Analysis)
Andi Bungawati, Saharudin Saharudin, Hasanudin Hasanudin, Kadar Ramadhan, Taqwin Taqwin, Nasrul Nasrul, Fahmi Hafid
Open Access Macedonian Journal of Medical Sciences.2022; 10(G): 417. CrossRef
The effects of environmental prenatal program on environmental health perception and behavior using internet-based intervention in South Korea: A non-randomized controlled study
Hyun Kyoung Kim, Geum Hee Jeong, Hye Young Min, George Vousden
PLOS ONE.2022; 17(11): e0277501. CrossRef

[English] Effects of a Group-based Parenting Support Program for Infant and Toddler Parents: A Systematic Review of Randomized Controlled Trials: Sun Hwa Park, Seong Hi Park, Kyung Ja June; J Korean Acad Community Health Nurs. 2019;30(3):377-389. Published online September 30, 2019; DOI: https://doi.org/10.12799/jkachn.2019.30.3.377

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4 Citations

Abstract PDF

PURPOSE
Group-based interventions help the members of the parent group work together to share their parenting stress, provide opportunities for them to support each other emotionally and informatively, and allow them to achieve what they want to accomplish. The purpose of this study is to investigate and synthesize the outcome of a parenting support program for infant and toddler parents.
METHODS
Published randomized control trials were identified through Ovid-Medline, Embase and CINAHL DB. Eligible studies include articles published between 2008 and 2018 in English in the randomized controlled trial design in which parenting support programs were implemented for infant and toddler parents group.
RESULTS
A total of 11 studies was selected for this review. These programs reported large level of effect size for parenting, and middle level effect size for parent's psycho-social outcomes and child development. There were many programs conducted for parents with infants between 13 and 24 months, and the frequency of programs provided for 2 hours a week was high with 9 to 12 sessions. Most programs were facilitated by trained professionals including nurses and social workers except two programs led by lay persons.
CONCLUSION
This review demonstrates that group-based parenting support programs have positive effects on parenting, parent's psychosocial health and infant development. To disseminate the effective group-based parenting support programs, further research is needed to confirm the long term effect and develop nurse's role as a group facilitator.

Citations

Citations to this article as recorded by

Home visit-based baby tailored support program for infants
Hyeji Shin, Yoonjung Kim, Jeonghyun Choi
Journal of Pediatric Nursing.2025; 80: 1. CrossRef
Research trends over 10 years (2010-2021) in infant and toddler rearing behavior by family caregivers in South Korea: text network and topic modeling
In-Hye Song, Kyung-Ah Kang
Child Health Nursing Research.2023; 29(3): 182. CrossRef
Development and Evaluation of the Parenting Support Group Program for Mothers with Infants
Sun Hwa Park, Kyung Ja June
Journal of Korean Academy of Community Health Nursing.2021; 32(1): 40. CrossRef
Effects of Nurse-Led Intervention Programs Based on Goal Attainment Theory: A Systematic Review and Meta-Analysis
Bom-Mi Park
Healthcare.2021; 9(6): 699. CrossRef

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