• Journal of Korean Academy of Rural Health Nursing
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• v.15 no.1
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• pp.16-29
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• 2020

Purpose: The purpose of this study was to determine the effect on depression and self-esteem in elders taking part in the Magma healing program. Methods: This study was a single group pre-post quasi-experimental design. The participants were elders over 60 who had complained of depression more than once within the last 3 months, and who were living in the jurisdiction of a health clinic in the 3-area of Chungnam. Data from 14 elders who participated in the Magma healing program were analyzed using nonparametric paired t-test with SPSS 25.0. Results: The study results showed that the Magma healing program had statistically significant results in reducing depression (z=-2.91, p=.004) and improving self-esteem (z=-2.91, p=.004) in elders. Conclusion: The Magma healing program has been proven to be a very useful program to reduce depression in elders and promote self-esteem, thereby integrating their lives and leading to successful aging.

• Journal of Korean Public Health Nursing
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• v.27 no.2
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• pp.372-383
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• 2013

Purpose: The purpose of this study was to investigate the current state and trends of factors influencing the quality of life in low- income elders living at home. Methods: To carry out this study we established the patient, intervention, comparison, outcomes (PICO) strategy, reviewed 241 published documents from both national and international electronic databases, and finally selected 9 references based on inclusion and exclusion criteria alone. The quality of selected references was assessed using 15 questions. Two reviewers independently examined titles and abstracts and assessed whether each met the predefined inclusion and exclusion criteria. Results: The following factors were significantly associated with quality of life in low- income elders: (1) demographic factors such as number of children, income, and age; (2) health - related factors such as joint exercise capacity, activities of daily living/instrumental activities of daily living, health perception, health promotion behavior, and depression; and (3) socio environmental factors such as family support, community-based service program, leisure activity, and the number of neighborhoods involved. Conclusion: The results of our study provide a definite basis for the development of a policy strategy to improve the quality of life in elders with low income and we hence strongly recommend that any strategy to improve the quality of life in low-income elders be based on the results of our study.

• Korean Journal of Adult Nursing
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• v.18 no.3
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• pp.405-415
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• 2006

Purpose: The purpose of this study were to identify the essential component and meaning structure of the experience of 'Sockalee' among abused elders. Method: This study was done using a phenomenological analytic method by Giorgi. The participants in this study were six elders who had the previous experience of 'Sockalee' as abused elders. The data were collected by interviewing the participants from May to September, 2003. Generally, three interviews for one person were performed and each interview lasted for one and half hours. Results: The meanings of 'Sockalee' of abused elders were categorized with seven components. Those are (1) Unsolved family conflicts. (2) Being powerless. (3) Being pushed out. (4) Egocentric situation-recognition. (5) Strengthening egocentric situation-recognition (6) Attempts for re-powerfulness. (7) Release from abuse. (8) Situation recognition with others' position considered. Conclusion: Therefore, the nursing intervention must be focused on the above concerns to accomplish the successful solution for the abused elderly problems, especially approaching from the standpoint of the whole human.

• Journal of Korean Academy of Nursing
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• v.41 no.1
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• pp.72-79
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• 2011

Purpose: The study was done to identify factors influencing Yangsaeng in elders. Methods: Data were collected by questionnaires from 907 elders in D metropolitan city. Measures were Yangsaeng, perceived health status, self-efficacy, and self esteem. Data were analyzed using frequencies, means and standard deviation, t-test, one-way ANOVA, Pearson correlation coefficients, and stepwise multiple regression with SPSS/WIN 13.0 version. Results: The mean score for Yangsaeng the participants was 3.56, out of a possible 5. There were significant differences in Yangsaeng according to age, education level, monthly income, marital status, family structure, and periodic health examination. Yangsaeng correlated positively with perceived health status, self-efficacy and self-esteem. According to the research, factors influencing Yangseng in elders were self-esteem, perceived health status, self-efficacy, family structure, and marital status. Conclusion: The positive correlation between Yangsaeng and health promotion behavior and perceived health status, self-efficacy, and self-esteem identified in this study can have an impact on strategies to improve the health of Korean elders. Therefore, the results can be used as a reference for future studies.

• Journal of Korean Academy of Nursing
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• v.43 no.2
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• pp.267-275
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• 2013

Purpose: The purpose of this study was to examine the effect of a medication self-management education program on medication awareness, communication with health care provider, medication misuse behavior, and blood pressure in elders with hypertension. Methods: The research design for this study was a non-equivalent control group quasi-experimental design. Participants were 23 elders for the control group, and 26 elders for the experimental group. The experimental group participated in the medication self-management education program which included the following, verbal education, 1:1 consultation, practice in medication self-management, and discussion over 5 sessions. Data were analyzed using the SPSS 18.0 program. Results: There were statistically significant differences between the experimental and control group for medication awareness, medication misuse behavior, and communication with health care providers. However, no significant difference was found between the two groups for blood pressure. Conclusion: The results indicate that the education program is effective in improving medication awareness and communication with health care providers and in decreasing medication misuse behavior. Therefore, it is recommended that this education program be used as an effective intervention for improving medication self-management for elders with hypertension.

• Research in Community and Public Health Nursing
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• v.24 no.1
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• pp.1-10
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• 2013

Purpose: This study was conducted to examine the degree of senile macular degeneration in elders aged 65 or older and identify factors associated with senile macular degeneration in elders within communities. Methods: Participants in this cross-sectional descriptive study were 388 elders without cataract, glaucoma, and diabetic retinopathy. Data were collected through face to face interviews using a questionnaire in an urban area from June 2010 to December 2011. To detect senile macular degeneration, the participants' self-tests were carried out with Amsler grid testing. Stepwise multivariate logistic regression was performed to evaluate the effects of health behavior and knowledge about eye health on senile macular degeneration. Results: The proportion of participants with senile macular degeneration was 11.6%. Factors that significantly increased the risk of senile macular degeneration included eye discomfort and history of ophthalmic examination (p<.05). Factors that significantly decreased the risk of senile macular degeneration included regular change of magnifiers, non-use of magnifiers, and knowledge about preventive effects of non-smoking and antioxidant vitamin intake on senile macular degeneration (p<.05). Conclusion: This study showed that programs for preventing senile macular degeneration were necessary for elders within communities and the results of this study can be used for developing those programs.

• Journal of Korean Academy of Rural Health Nursing
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• v.6 no.1
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• pp.5-14
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• 2011

Purpose: The primary goal of this study was to develop a case management with exercise program for community dwelling elders who live alone, and examine the effects of the program. Method: The design of this research was a one group pre-post test study. The participations were 85 elders diagnosed with hypertension and diabetes mellitus and who lived alone as residents of D city. The case management with exercise program included exercise and counseling as the intervention and was provided for 12 weeks. Data were collected before and after the intervention which lasted from September 3 to November 26, 2009. Collected data were analyzed using descriptive statistics, and paired t-test. Results: There were significant differences in blood pressure (t=-5.24, p<.001, t=-1.94, p= .040), fasting blood sugar (t=-4.41, p<.001), ADL (t=-5.43, p=.022) and cognitive function (t=7.41, p=.008) between pre- and post intervention. Conclusion: These results indicate that the case management program is an important intervention for health promotion for community-dwelling elders, and exercise improves functional status of older persons with diseases. Therefore, now is the time to develop new supportive community-based programs for elders who live alone. However, it is also necessary to do further longitudinal studies to confirm the results of this study.

• Journal of Korean Academy of Fundamentals of Nursing
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• v.17 no.3
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• pp.400-408
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• 2010

Purpose: The purpose of this study was to identify the predictors of quality of life for elders in Korea. Method: The participants were 348 older persons selected by convenience sampling in Y city. Data were collected from September 22 to October 23, 2008 when 348 elders completed a questionnaire which included the Leisure Attitude Scale by Raghep and Beard (1982), Leisure Competence Questionnaire by Witt and Ellis (1987) and the Quality of Life Questionnaire by Mckenna (2001). Cronbach alphas scores for Korean translation of the questionnaires were .85, .90 and .79 respectively. The collected data were analyzed using the SPSS Win 14.0 statistics program. Results: The scores for quality of life showed significant positive correlations with the scores for leisure attitude (r=.603, p<.001) and leisure competence (r=.703, p<.001). Leisure competence, leisure attitude, and education were significant predictors and accounted for 54.4% of the variance in quality of life in the elders. Conclusion: The findings suggest that high leisure competence and positive leisure attitude with learning opportunities will be helpful to promote a better quality of life for elders.

• Journal of Korean Academy of Fundamentals of Nursing
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• v.18 no.3
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• pp.317-327
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• 2011

Purpose: The purpose of this study was to contribute data toward prevention from advancing dementia and also prevention of deterioration in cognitive impairment by constructing an optimal prediction model and verifying factors influencing cognitive impairment in elders with dementia who reside at home. Methods: The participants in this study were 351 elders who were registered at dementia day care centers in 11 regions of Metropolitan Incheon. Collected data were analyzed using SPSS Statistics 17.0 and SAS 9.1. Bootstrap method using the Clementine program 12.0 was applied to build an optimum prediction model. Results: Gender and education (general characteristics), alcohol, urinary/fecal incontinence, exercise, weight, and ADL (state of health), and depression (psychological state) were found to have an affect on cognitive impairment in these elders. Conclusion: Study results indicate nine key factors that affect cognitive impairment of elders with dementia who reside at home and that could be useful in prevention and management nursing plans. These factors could also be used to expand the role of nurses who are working in community day care centers, and can be applied in the development and provision of various programs to aid retention and improve cognitive function as well as preventing deterioration of cognition.

• The Journal of Korean Academic Society of Nursing Education
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• v.25 no.1
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• pp.136-147
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• 2019

Purpose: This study aimed to explore influencing factors on care burden among family caregivers for elders with dementia living at home. Methods: Participants in this study were 211 family caregivers who were taking care of elders registered at a support center for dementia located in S-gu, Seoul. Data were collected using a structured questionnaire. Data were analyzed with descriptive statistics, t-test, ANOVA, Pearson correlation coefficients, and multiple regression in SPSS WIN 23.0. Results: The care burden of family caregivers was mild to moderate ($40.31{\pm}21.50$) in this study. The factors influencing care burden among family caregivers for elders with dementia were the age, behavioral problems, and dependency in instrumental activities of daily living of demented elderly, in addition to the perceived health status and resting hours of family caregivers. Overall, these factors explained 46.5% of the total variability in care burden in this sample (F=13.01, p<.001). Conclusion: Findings from this study suggest that the characteristics of demented elderly and family caregivers can influence care burden differently. Individually tailored strategies based on the various caregiving contexts need to be developed to reduce the level of care burden among family caregivers for elders with dementia.