Journal of Korean Public Health Nursing (한국보건간호학회지)

Korean Society of public Health Nursing (한국보건간호학회)
권호 표지
DOI QR코드

DOI QR Code

Development of a Respiratory Infection Prevention Program for the Rural Elderly in the Post COVID-19 Era: A Study Using Delphi Method of Community Health Practitioners

포스트 코로나 시기 농촌 거주 노인의 호흡기감염 예방 프로그램 개발: 보건진료 전담공무원 대상 델파이 기법

  • Received : 2022.11.06
  • Accepted : 2022.12.21
  • Published : 2022.12.31
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: The purpose of this study was to develop a respiratory infection prevention program for the rural elderly in the post-coronavirus disease 2019 (COVID-19) era. Methods: The Delphi method was used to validate the contents of the program. Two rounds of Delphi surveys and one individual interview were conducted on four subjects and 16 categories with nine experts. Content validity was calculated using the content validity ratio (CVR) and coefficient of variation (CV). Results: This study verified the content validity of the existing program components, such as respiratory infection prevention characteristics, cough etiquette, correct hand washing, oral hygiene, correct tooth brushing, and exercise by walking. The study comprised 28 categories covering seven subjects, including the provision of knowledge and information about COVID-19, environmental management for respiratory infection prevention, and exercise training for immunity enhancement. Conclusion: This Delphi study examined the respiratory infection prevention program that was redesigned for the post-COVID-19 era and confirmed the validity of the educational contents. The findings of this study suggest that the program can be used practically for the prevention of respiratory infection among the rural elderly.

Keywords

Acknowledgement

이 연구는 정부(한국과학기술통신부)의 재원으로 한국연구재단(NRF-2020R1F1A1070606)의 지원을 받아 수행된 연구 사업임.

References

  1. Bandura, A. (1997). Self-efficacy: The exercise of control. New York: Macmillan. https://doi.org/10.1891/0889-8391.13.2.158
  2. Bains, V. K., & Bains, R. (2020). Is oral hygiene as important as hand hygiene during COVID-19 pandemic? Asian Journal of Oral Health and Allied Sciences, 10(5), 1-5. https://doi.org/10.25259/AJOHAS_8_2020
  3. Batsis, J. A., Daniel, K., Eckstrom, E., Goldlist, K., Kusz, H., Lane, D., Loewenthal, J. Coll, P. P., & Friedman, S. M. (2021). Promoting healthy aging during COVID-19. Journal of the American Geriatrics Society, 69(3), 572-580. https://doi.org/10.1111/jgs.17035
  4. Central Defense Response Headquarters [CDRH] (2022). Guidelines for detailed daily quarantine rules(6th-2nd). Retrieved November 25, 2022 from https://ncov.kdca.go.kr/duBoardList.do?brdId=2&brdGubun=21
  5. Ha, J. H., & Lee, H. J.. (2022). The COVID-19 correspondence work experience of community health practitioners. Journal of Korean Academy of Community Health Nursing, 33(2), 139-152. https://doi.org/10.12799/jkachn.2022.33.2.139
  6. Hsu, C. C., & Sandford, B. A. (2007). The delphi technique: Making sense of consensus. Practical Assessment, Research & Evaluation, 12(10):1-8. https://doi.org/10.7275/pdz9-th90
  7. Jefferson, T., Rivetti, D., Rivetti, A., Rudin, M., Di Pietrantonj, C., & Demicheli, V. (2005). Efficacy and effectiveness of influenza vaccines in elderly people: A systematic review. The Lancet, 366(9492), 1165-1174. https://doi.org/10.1016/S0140-6736(05)67339-4
  8. Kaewchana, S., Simmerman, M., Somrongthong, R., Suntarattiwong, P., Lertmaharit, S., & Chotipitayasunondh, T. (2012). Effect of intensive hand washing education on hand washing behaviors in Thai households with an influenza-positive child in urban Thailand. Asia Pacific Journal of Public Health, 24(4), 577-585. https://doi.org/10.1177/1010539510393728
  9. Kang, E., Kim, S. J., Shon, C., & Koh, K. (2022). Social distancing by socioeconomic characteristics during the early phase of COVID-19 pandemic. The Journal of the Korea Contents Association, 22(1), 581-590. https://doi.org/10.5392/JKCA.2022.22.01.581
  10. Kim, J. S., Choi, J. H., & Kwon, M. S. (2020). Developing and evaluating an educational program for respiratory infection prevention among rural elderly residents in South Korea. International Journal of Environmental Research and Public Health, 17(9), 3057.  https://doi.org/10.3390/ijerph17093057
  11. Kim, K. B., & Kwak, Y. S. (2021). Analysis of physical status on COVID-19: Based on impacts of physical activity. Journal of Life Science, 31(6), 603-608. https://doi.org/10.5352/JLS.2021.31.6.603
  12. Kim, W. J. (2009). Elderly vaccination. The Korean Journal of Medicine, 76(2), 310-316.
  13. Kim, Y., Ha, B., Kim, S. W., Chang, H. H., Kwon, K. T., Bae, S., & Hwang, S. (2022). Post-acute COVID-19 syndrome in patients after 12 months from COVID-19 infection in Korea. BMC infectious diseases, 22(1), 1-12. https://doi.org/10.1186/s12879-022-07062-6
  14. Kim, Y. H., Kim, Y. Y., Yeom, H. S., Jang, J. H., Hwang, I. S., Park, K. S., Park, Y. J., Lee, S. W., Kwon, D. H. (2021). Coronavirus Disease-19 (COVID-19) one-year outbreak major cluster infection report as of January 19, 2021, in the Republic of Korea. Public Health Weekly Report, 14(9), 472-481.
  15. Korea Disease Control and Prevention Agency. (2021). Research trends related to influenza death in Korea. Public Health Weekly Report, 14(18), 1150-1161. Retrieved December 5, 2022, from https://www.kdca.go.kr/board/board.es?mid=a20602010000&bid=0034&list_no=713163&act=view 10000&bid=0034&list_no=713163&act=view
  16. Kwon, M. S. (2019). Respiratory infection prevention education program -Based on social cognitive theory-. Chuncheon: XML Archive. https://doi.org/10.5082/ripep.2019.11.20
  17. Lawshe, C. H. (1975). A quantitative approach to content validity. Personnel Psychology, 28(4), 563-575. https://doi.org/10.1111/j.1744-6570.1975.tb01393.x
  18. Lee, E. O., Im, N. Y., Park, H., Lee, I. S., Kim, J. I., Bae, J. Y., & Lee, S. M. (2009). Nursing research and statistical analysis. Paju: Soomoonsa.
  19. Lee, J. S. (2006). Delphi method. Seoul: KyoyookBook Press.
  20. Lee, M. H., & Park, Y. H. (2021). The effectiveness of the information-motivation-behavioral skills model-based intervention on preventive behaviors against respiratory infection among community-dwelling older adults. Patient Education and Counseling, 104(8), 2028-2036. https://doi.org/10.1016/j.pec.2021.01.016
  21. Nicolle, L. E. (2014). Infection prevention issues in long-term care. Current Opinion in Infectious Diseases, 27(4), 363-369. https://doi.org/10.1097/QCO.0000000000000071
  22. Park, J. Y. (2021). Massive expansion of non-face-to-face education triggered by COVID-19. The Korean Society of Mechanical Engineers, 9(1), 1-5. http://dx.doi.org/10.3795/KSME-C.2021.9.1.001
  23. Park, Y. H., Lee, S. H., Yi, Y. M., Lee, C. Y., & Lee, M. H. (2018). Compliance with respiratory infection preventive behaviors and its related factors in older adults using a senior center. Journal of Korean Academy of Community Health Nursing, 29(3), 322-334. https://doi.org/10.12799/jkachn.2018.29.3.322
  24. Qualls, N., Levitt, A., Kanade, N., Wright-Jegede, N., Dopson, S., Biggerstaff, M., Reed, C., Uzicanin, A. (2017). Community mitigation guidelines to prevent pandemic influenza-United States, 2017. Morbidity and Mortality Weekly Report. Recommendations and reports, 66(1), 1-34. https://doi.org/10.15585/mmwr.rr6601a1
  25. Riley, J., Huntley, J. M., Miller, J. A., Slaichert, A. L., & Brown, G. D. (2022). Mask effectiveness for preventing secondary cases of COVID-19,  Johnson County, Iowa, USA. Emerging Infectious Diseases, 28(1), 69-75. https://doi.org/10.3201/eid2801.211591
  26. Rowe, G., & Wright, G. (2001). Expert opinions in forecasting: The role of the Delphi technique. In Armstrong, J. S. (Eds.), Principles of Forecasting: A Handbook for Researchers and Practitioners (pp. 125-144). Boston, MA: Springer. https://doi.org/10.1007/978-0-306-47630-3_7
  27. Rowe, G., Wright, G., & Bolger, F. (1991). Delphi: A reevaluation of research and theory. Technological Forecasting and Social Change, 39(3), 235-251. https://doi.org/10.1016/0040-1625(91)90039-I
  28. Statistics Korea (2021). Mortality trend by cause of death. Retrieved December 5, 2022, from https://www.kostat.go.kr/portal/korea/kor_nw/1/6/2/index.board?bmode=read&aSeq=420715&pageNo=1&rowNum=10&amSeq=&sTarget=title&sTxt=
  29. Statistics Korea (2022). 2021 Census of agriculture, forestry and fisheries. Retrieved December 5, 2022, from https://kostat.go.kr/portal/korea/kor_nw/1/8/6/index.board?bmode=read&bSeq=&aSeq=417699&pageNo=1&rowNum=10&navCount=10&currPg=&searchInfo=&sTarget=title&sTxt=
  30. Sudre, C. H., Murray, B., Varsavsky, T., Graham, M. S., Penfold, R. S., Bowyer, R. C., Pujol, J. C., Klaser, K., Antonelli, M., Canas, L. S., Molteni, E., Modat, M., Cardoso, J., May, A., Ganesh, S., Davies, R., Nguyen, L. H., Drew, D. A., Astley, C. M., Joshi, A. D., Merino, J., Tsereteli, N., Fall, T., Gomez, M. F., Duncan, E. L., Menni, C., Williams, F. K., Franks, P. W., Chan, A. T., Wolf, J., Ourselin, S., Spector, T., & Steves, C. J. (2021). Attributes and predictors of long COVID. Nature medicine, 27(4), 626-631. https://doi.org/10.1038/s41591-021-01292-y