• 기본간호학회지
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• 제19권4호
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• pp.463-473
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• 2012

Purpose: The main purpose of this study was to identify factors affecting medication adherence and to develop an explanatory model for medication adherence in elders with chronic disease. Method: Empirical data were collected from 312 older adults with chronic disease and the data collect period was from August 8 to 31, 2011, and were analyzed using SPSS for Windows 19.0 program and confirmatory factor analysis with the structural equation model (SEM) procedure performed with AMOS 19.0 program. Results: Results of this study showed that perceived self-efficacy was the strongest factor influencing medication adherence, and it affected also outcome expectations positively but impediments were negatively influenced by self-efficacy. Outcome expectations and impediments subsequently acted on medication adherence with the same relationship as self-efficacy. In additional results, self-efficacy and medication adherence were further significantly affected by the factors; social support, medication knowledge, and depression. Conclusion: These results show that nursing interventions to promote medication adherence in this population should focus on self-efficacy promotion including social support, education for delivery of medication knowledge, and reduction in depression.

• 기본간호학회지
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• 제16권2호
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• pp.223-231
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• 2009

Purpose: The purpose of this study was to identify the effects on cognitive function, mood, problematic behaviors and response to interaction with robot pet by elderly people with dementia. Method: A methodological triangulation design with quantitative and qualitative methods was used. The participants were 9 elderly people with dementia. The intervention was conducted twice a week for 4 weeks, Qualitative data were collected by interviews and video-taping for analysis of the responses of participants, Results: 1) Cognitive function, mood and problematic behaviors did not show any significantly differences after the program. 2) Analysis of the responses showed increases in verbal communication and positive action. Conclusion: The robot pet program had positive effects such as increasing communication and interaction. Therefore, this program could be considered as an effective program for emotional support for elderly people with dementia. However further repetitive study is need to validate the result.

• 기본간호학회지
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• 제16권2호
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• pp.214-222
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• 2009

Purpose: The purpose of this study was to evaluate the effects of a walking-support program on the pulmonary ventilatory functions of elderly people who had undergone upper-abdominal surgery. Method: The study was a quasi-experimental research design. There were 26 partcipants who were admitted for upper-abdominal surgery to P University Hospital in B city. Walking exercise education was provided individually to the experimental group the day before their operation and 20 minutes a day for five days after the surgery using the 'Walking Exercise Guide Document'. Pulmonary ventilatory function was with FVC (Forced Vital Capacity), PEF (Peak Expiratory Flow), FEVI (Forced Expiratory Volume in 1 Second), FER (Forced Expiratory Ratio), Oxygen Saturation, and VAS (Visual Analog Scale). Results: The objective indexes of pulmonary ventilatory function were not significantly different between the two groups, but the subjective index was significantly different. Conclusion: With the above results, the walking support program could be an effective nursing intervention for improving pulmonary ventilatory function of surgical patients.

• 기본간호학회지
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• 제17권1호
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• pp.109-118
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• 2010

Purpose: This study was designed to examine the relationship between nurses' characteristics and perception of seriousness of elder abuse. Method: A cross-sectional survey design was used to describe the perception of elder abuse by 301 nurses. Data were collected by convenience sampling. The research instruments utilized in this study were 12 scenarios adapted by Yoo & Kim from the 13 senarios to measure the perception of elder abuse developed by Moon and Williams (1993), a seven item questionnaires related to elder abuse law, and a Semantic Differential Scaling to measure attitudes toward elderly people. Data were analyzed with descriptive statistics, t-test, ANOVA and Pearson's correlation. Results: The mean score for perceptions of elder abuse was 3.07. Among the types of abuse, sexual abuse was perceived as the most severe type of abuse followed by physical abuse, neglect, financial abuse, and emotional abuse in that order. Education, job position, experience of gerontological nursing course, and education on elder abuse, exposure to elder abuse information, and attitudes toward elders were significantly related to the perception of seriousness on elder abuse. Conclusions: The results of this study suggest that provision of elder abuse education is needed for nurses, to enable them to identify elder abuse and address their legal and professional responsibilities.

• 성인간호학회지
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• 제24권4호
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• pp.380-389
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• 2012

Purpose: This study was conducted to describe the risk of dysphagia and to evaluate the effects of a singing intervention for women elderly in community. Methods: One-group pre test-post test design was used. The subjects were 29 women over the age of sixty and residing in a local area. A singing intervention consisted of breathing, vowel production and singing. The one hour intervention occurred once a week for eight weeks. The variables of dysphagia risk, a swallowing test, and nutritional status were measured. Analysis was done by paired t-test. Results: There was a significant decrease in the score of dysphagia risk (p<.001). There were significant increases in the swallowing test scores [modified water swallowing test (p=.032), food test (p=.001)]. There were no significant differences in nutritional status (triceps skin fold thickness, mid arm muscle circumference). Conclusion: The findings support that a singing intervention can be helpful in reducing the risk of dysphagia may improve deglutition for the women elderly. These results suggest that this study may contribute to the use of a singing intervention for women elders with dysphagia risk.

• 성인간호학회지
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• 제19권4호
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• pp.535-546
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• 2007

Purpose: This study was conducted to evaluate life satisfaction(LS) and to assess the factors that influence LS in senior center elderly people. Methods: The subjects were 253 elders who visited the Y city Senior Welfare Center between July 2006 and August 2006. Data were collected using structured questionnaires. The instruments were composed of Kang's Family Support Scale, Depression Scale by Sheikh & Yesavage, Laffery's Health Concept Scale, and LS scale by Choi. T-test, ANOVA, Duncan test, Pearson coefficients correlation and stepwise multiple regression were used to analyze the data using the SPSS Win 12.0 program. Results: The LS level showed a maximum score of 38 with a mean score of 23.23. The mean scores for depression, health perception and family support were 5.52(maximum score, 15), 77.46(maximum score, 112), 43.45(maximum score, 55) respectively. The LS were significantly correlated with health perception, depression and family support. Depression was the most powerful predictor of and it accounted for 42.0% of the total variance in LS. A combination of significance of eudaimonistic health perception and satisfaction with pocket money accounted for 47.2% in LS. Conclusion: Depression and health perception were identified as affecting variables for the LS. Based upon these results, nurses should help the aged to enhance their LS.

• 보건교육건강증진학회지
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• 제22권4호
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• pp.179-202
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• 2005

Purpose: The purpose of this study was to develop the health promotion program for rural elderly through PRECEDE process. Method: The health promotion program was developed based on the preliminary diagnosis. The data collection was performed from March 10th to April 9th, 2003. The subjects were selected at Mari Myun, Geochang Gun, in Korea. The preliminary diagnosis was examined with the 115 elders. Data was analyzed by descriptive statistics and Cronbach's n test with SPSS/Win 10.0 program. Results: The health promotion program was developed based on diagnostic result using PRECEDE model. The developed program was corrected and revised with the advices from 6 experts. The final program included health responsibility(cancer prevention and early detection, hygienic, false teeth management no smoking and moderation in drink, and chronic disease prevention and management), physical activity(6 kinds of exercise), nutrition(low sodium diet calcium intake, and right eating habit), spiritual growth(spiritual demand and death preparation teaching), interpersonal relations(relationship with couple, children, grandchildren, neighborhood), and stress management(sports dance, foot massage, positive thought, and song class). Conclusion: I propose that it is necessary to identity the effect of health promotion program for rural elderly. And strategy development that can spread the health promotion program elderly is needed.

• 보건교육건강증진학회지
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• 제24권3호
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• pp.51-60
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• 2007

Objectives: This study was to investigate the level of xerostomia and depression in the elderly people and to determine the relationship between xerostomia and depression. Methods: The subjects were 238 subjects(86.5%), who were 65 years or older with mean age of 73.6 years. Data was collected using a self administrated questionnaire from September 14 to September 23, 2005. Perception of xerostomia was measured by questionnaire, and depression was measured using the 20-items CES-D. The data were analysed with t-test, one-way ANOVA, pearson correlation coefficient and multiple regression using the SPSS 12.0 Windows. Results: Regarding xerostomia, the subjects was a mean of 7.87 out of a maximum 12 points. The level of depression in the group of people 65 years or older was 21.51 out of a maximum 60 points. Xerostomia was positive related depression in this study. Perceived oral health and xerostomia had a significant impact on depression. Conclusion: Based on the findings, the perception of xerostomia is strongly associated with depression. These results suggest that oral health promotion should be considered various psychological factors related xerostomia in elders.

• 한국농촌간호학회지
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• 제15권1호
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• pp.9-15
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• 2020

Purpose: The purpose of this study was to examine the effectiveness of smartphone use to enhance self-efficacy and decrease loneliness in elders through communication using the SNS Program Methods: Participants in this study were assigned to the experimental group (25) or control group (25). Data were collected from June 3 to July 12, 2019. For this study, the communication Program through SNS was run once for a total of 12 sessions. All data were analyzed using SPSS version 18.0 program, 𝑥² test, t-test, Repeated Measure ANOVA and Fisher's exact test. Results: It was found that H1 was supported (z=-4.12, p=.005) as "the experimental group participating in the communication Program through SNS had greater self-efficacy than the control group". H2 was supported as "the experimental group participating in the communication Program through SNS had less loneliness than the control group", (z=3.20, p<.001). Conclusion: This basic information may be used as an intervention on communication Program through SNS. Findings suggest the necessity of improving self-efficacy and reduction of loneliness through an intervention communication Program through SNS.

• 한국간호교육학회지
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• 제13권2호
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• pp.301-309
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• 2007

Purpose: This study focused on identifying health promoting behaviors of institutionalized elderly and the factors affecting these behaviors. Method: Data was collected from 107 elders in 6 institutions in Chungnam province from March to November, 2007. Data was collected by a structured questionnaire that included general characteristics, depression, social support, activities of daily living, self-efficacy, and health promoting behavior scales. The collected data was analyzed by the SPSS Windows 14.0 program including t-test, ANOVA, Pearson's correlation and multiple regression analysis. Result: There were significant differences in health promoting behaviors according to marital status, religion, perceived economic status and health status. Depression, social support, ADL and self-efficacy had significant correlations with health promoting behaviors. Powerful predictors of health promoting behaviors were depression, social support, ADL and self efficacy. Conclusion: According to these results, a nursing intervention to enhance health promoting behaviors is needed for elderly living in an institution in order to reduce depression and to increase social support, ADL and self efficacy.