• Journal of Korean Academy of Nursing
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• v.35 no.6
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• pp.1101-1112
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• 2005

Purpose: This study was done to suggest directions for developing exercise interventions for fall prevention in the elderly in Korea in the future, Method: Twenty five articles for fall prevention exercises were reviewed and analyzed. Result: $84.0\%$ of subjects were older adults age 65 and older living in the community. The most frequently performed interventions were lower limb strength and balance exercises together $43.3\%$, group exercise $70.0\%$, exercise 3 times/week $60.0\%$, 60 min per session $36.7\%$, duration of 12 weeks and 1 year $23.3\%$ each. The most frequently used outcome variables were static balance $84.0\%$, lower limb muscle strength $72.0\%$, dynamic balance $56.0\%$, and falls $56.0\%$. The effect of exercise interventions on fall prevention was inconclusive. Lower limb strength exercises with resistance were effective for increasing muscle strength. Balance exercises with various movements for balance were effective for increasing balance. Conclusion: Exercise interventions for fall prevention is recommended for older adults with risk factors of falling. The desirable type of exercise intervention is lower limb strength and balance exercise together.

• Journal of Korean Biological Nursing Science
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• v.26 no.1
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• pp.1-15
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• 2024

Purpose: This study aimed to evaluate the effectiveness of exercise in patients with hemophilia. Methods: We carried out a systematic review and meta-analysis in accordance with the Preferred Reporting Items for Systematic Review and Meta-analysis (PRISMA) guidelines. A literature search was conducted of published randomized controlled trials for exercise interventions from January 1, 2014 to March 15, 2023. To estimate the size of the effects of exercise, a meta-analysis was performed using the R package "meta." Results: Five databases were searched to obtain articles published in Korean or English. Of 1,150 articles reviewed, 13 were included in the systematic review and 9 in the meta-analysis. The risk of bias was assessed using RoB 2.0. The overall effect sizes of exercise interventions, calculated as the standardized mean difference, were -0.11 (95% confidence interval [CI] = -1.41 to -1.20) for pain, -2.13 (95% CI = -3.33 to -0.93) for joint health, 9.96 (95% CI = 7.51 to 12.28) for physical activity, and 0.59 (95% CI = -0.39 to -1.56) for quality of life. Conclusion: These findings suggest that exercise is useful for improving the joint health and physical activity of patients with hemophilia. Thus, it is necessary to develop and apply exercise interventions for patients with hemophilia to reduce their pain and improve their quality of life.

• Journal of Korean Academy of Nursing Administration
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• v.8 no.2
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• pp.207-219
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• 2002

The purposes of this research were to: a) define the changing trends of DRGs in comparison to the National Data, b) define the changing trends of Nursing Diagnoses and Nursing Interventions for the 5 most frequently occurring Diagnostic Related Groups (DRGs) across 3 years, and c) define the relationships between nursing diagnoses and nursing Interventions for the 5 most frequently occurring DRGs across the 3 years. This study was a secondary data analysis of medical and nursing data based on the United States Nursing Minimum Data Set and the Uniform Hospital Discharge Data Set retrieved from a Midwestern USA medical center. The results showed interesting comparisons with national statistics as well as practice relevant trends within the nursing data. Additionally, the results showed the possibility that nursing data can be extracted from the medical data, so they can used in the nursing productivity and cost issues etc. In conclusion, this study supports the power of minimum data sets and nursing classifications to begin to describe a more global perspective the inter-relationships and trends of nursing data within the medical diagnosis context.

• Journal of Korean Gerontological Nursing
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• v.21 no.2
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• pp.125-134
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• 2019

Purpose: The purpose of this study was to investigate factors related to use of restraints for older adults with dementia in long-term care settings. Methods: This study analyzed secondary data from the Nationwide Survey on Dementia Care in Korea (NaSDeCK). Demographic characteristics, disease characteristics, and functional characteristics were analyzed. Data were analyzed with χ² test, t-test, ANOVA, and logistic regression analysis. Results: Among participants, 8.2% experienced use of restraints. 'Strap' (78.3%) was the most commonly used restraint and 'Behavioral problem' (51.3%) was a major reason for the restraint. Persons who have low levels of daily activity and cognition deficits, higher levels of dependence, histories of falls within the past 3 months, and living in long-term hospitals have greater probability of restraint experience. Conclusion: Developing interventions for older adults who have a high risk of being restrained is essential to minimize unnecessary restraint use among older adults with dementia in long-term care settings. Further study exploring the interacting roles of organizational and staff factors related to use of physical restraints would provide more comprehensive perspectives in understanding this phenomenon.

• Women's Health Nursing
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• v.16 no.4
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• pp.381-389
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• 2010

Purpose: The purpose of this study was to analyze the concept seogueulpeum, in order to give a operational definition of middle-aged women's seogueulpeum. Methods: Walker and Avant's methods for concept analysis was used. Results: The defining attributes of seogueulpeum identified in this study were 1) time, 2) negativity, 3) vagueness, 4) passivity, 5) individuality. The antecedents of seogueulpeum were 1) a problematic condition, 2) past event, experiences for the problematic condition, and 3) interaction between the problematic condition and past event, experiences. The consequences of seogueulpeum included 1) to get worse for the problematic condition, 2) passive or active management for the problematic condition. Conclusion: Although further studies are required to refine the diverse attributes of the concept of seogueulpeum, according to this concept analysis of seogueulpeum, this study contribute to explain psychological health of middle-aged women. In addition to develop the adequate interventions decreasing seogueulpeum with aging in women is needed.

• Korean Journal of Adult Nursing
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• v.16 no.4
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• pp.531-544
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• 2004

The purpose of this study was to identify the barrier factors of health behaviors of urban and rural elderly and to compare the health behaviors and level of barriers between two groups, and finally to get the basic informations about the adequate nursing strategies to promote the health state of urban and rural elderly. The subjects of this study were 177 over the age of 65, 81 elderly lived in Seoul and 96 elderly lived in rural areas. The instruments for this study were the health behavior scale(14 items) and the barrier scale (118 items) developed by Gu et al(2003). For the data analysis, SPSS PC program was utilized for descriptive statistics, ${\chi}^2$- test, t-test, Pearson correlation. The results of this study were ; 1. The mean score of health behaviors (range 1-4) was 2.69 in urban elderly and 2.33 in rural elderly ; there was significant difference(t=5.03, P=.00). 2. There were significant differences in levels of barriers(range 1-3) between the two groups, such as calcium intake(t=-3.16, P=.00), regular exercise(t=-3.80, P=.00), exercise time(t=-5.54, P=.00), use of stress reduction method(t=-3.45, P=.00), regular check up(t=-3.89, P=.00), vaccination(t=-3.83, P=.00). Higher levels of barriers were found in rural elderly than in urban elderly. 3. Lack of habituation, lack of will power and lack of knowledge in calcium intake; lack of time, lack of habituatuion, lack of family support, lack of will power and lack of environment in exercise; lack of perceived benefit, lack of time, lack of will power and lack of knowledge in use of stress reduction method; lack of time, lack of interest, lack of habituation and lack of will power in disease prevention were significantly higher in rural elderly than in urban elderly. In the conclusion, nursing interventions should be planned based on the social environment of elderly. To promote the health state of elderly, interventions to decrease the barrier levels and to reduce the barrier factors to health behaviors should be implemented.

• Journal of Korean Academy of Nursing
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• v.44 no.6
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• pp.682-696
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• 2014

Purpose: This study was conducted to develop and test the effects of an emotional intelligence program for undergraduate nursing students. Methods: The study design was a mixed method research. Participants were 36 nursing students (intervention group: 17, control group: 19). The emotional intelligence program was provided for 4 weeks (8 sessions, 20 hours). Data were collected between August 6 and October 4, 2013. Quantitative data were analyzed using Chi-square, Fisher's exact test, t-test, repeated measure ANOVA, and paired t-test with SPSS/WIN 18.0. Qualitative data were analyzed using content analysis. Results: Quantitative results showed that emotional intelligence, communication skills, resilience, stress coping strategy, and clinical competence were significantly better in the experimental group compared to the control group. According to the qualitative results, the nursing students experienced improvement in emotional intelligence, interpersonal relationships, and empowerment, as well as a reduction in clinical practice stress after participation in the emotional intelligence program. Conclusion: Study findings indicate that the emotional intelligence program for undergraduate nursing students is effective and can be recommended as an intervention for improving the clinical competence of undergraduate students in a nursing curriculum.

• Research in Community and Public Health Nursing
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• v.12 no.3
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• pp.570-581
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• 2001

The purpose of this study was to analyze consumers' expectation. perception and satisfaction. The subjects in this study were 200 employees who were employed in a department store. They experienced nursing services from the primary care center at the department store. The results were as follows: 1. The rank of perceived significance of nursing services is tangibility, reliability, assurance, responsiveness. and empathy, respectively. 2. The rank of perceived service quality is empathy. responsiveness. assurance. reliability. and tangibility. 3. The rank of expectation and the rank of perception about nursing services are same. They are assurance, reliability, responsiveness, tangibility, and empathy respectively. 4. The regression analysis, which related the effect of perceived service quality to consumers satisfaction, had R2 value of 22.9%. From the above results, it can be concluded that the higher consumers' satisfaction can be explained by the greater perceived service quality.

• Journal of Korean Academy of Nursing
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• v.38 no.2
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• pp.332-343
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• 2008

Purpose: This study was done to investigate the practice level of 14 health behaviors between male (N=139) and female (N=175) elderly and to identify the barriers to each health behavior of elderly people in Korea. Methods: Data were collected from 314 elderly people (65yr and older) living in metropolitan, urban, and rural areas. Descriptive statistics, $x^2$-test and ordinal logistic regression were used in data analysis using the SPSS Win 15 version. Results: 1) The performances were different in some health behaviors between male and female elderly people. Male elderly showed better performances in balanced diet, regular exercise, and more than 30 min of exercise, while female elderly showed better performances in restriction of fat and cholesterol, restriction on alcohol, and smoking. There were no differences in stress management and health prevention behaviors between the two groups. 2) The common significant barriers in health behaviors of the elderly in Korea were the lack of habit and physical discomfort. However, the lack of perceived benefit was a significant barrier in male elderly. Lack of time and lack of family support were significant barriers in female elderly people in Korea. Conclusion: These results suggest that tailored strategies should be developed considering the gender difference to reduce the main barriers of each health behavior in order to improve the health status of elderly people.

• Journal of Korean Gerontological Nursing
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• v.20 no.sup1
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• pp.137-143
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• 2018

Purpose: The purpose of this study was to examine effectiveness and usefulness of Information Communication Technology (ICT) in communication between physician and visiting nurses who provide visiting nursing services under long-term care insurance. Methods: Structured questionnaires were used to measure usefulness and satisfaction of the system, both accessibility and convenience to visiting nurses (31 people) and users (182 people). Results: From the user perspective, accessibility and convenience in terms of service users were both satisfactory as shown by users' percentage. No statistically significant difference was found for satisfaction between before and after using the system. The usefulness of the system for visiting nurses was satisfactory for most the nurses. Also most nurses answered that the system is needed and is very useful. Most of the participants (both visiting nurse and service users) were satisfied with use of the ICT system. However, there was no statistically significant difference in satisfaction between the pre and post service because the service provision period was too short (three months). Conclusion: The consensus from both users and service providers is that an ICT based visiting nursing system needs to be introduced but a more user - friendly environment for system development will be needed.