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Effects of a Stim up Mat Walking Exercise Program on Balance, Gait Function and Joint Motion Range of the Frail Elderly
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Gyeong Ran Kim, Mi Sook Song
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J Korean Acad Community Health Nurs. 2019;30(1):47-56. Published online March 31, 2019
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DOI: https://doi.org/10.12799/jkachn.2019.30.1.47
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- PURPOSE
This study was performed to evaluate effects of a stim-up matt walking exercise program on balance and gait of the frail elderly.
METHODS
A total of 37 elderly people recruited from S city were randomly assigned to the experimental group (n=22) and control group (n=15). The stim-up matt walking exercise program was offered twice a week for 8 weeks. Data were analyzed by SPSS 21.0.
RESULTS
The dynamic balance ability Timed Up and Go test of the experimental group was significantly faster than that of the control group (t=21.72, p<.001). The static balance ability open-eye standing test (t=44.15, p<.001) and close-eye standing test (t=9.01, p=.005) also showed increase in effects of the experimental group. In the walking ability, gait cycle (t=2.48, p=.018), cadence (t=−2.21, p=.034) and gait speed (t=−2.78, p=.009), positive effects were on. However, no statistically significant differences were found in stride length and double support. At the ankle joint range left ankle plantar flexion (t=3.92, p<.001) and left ankle dorsal flexion (t=4.51, p<.001) were higher in the experimental group than in the control group, and also right ankle plantar flexion (t=2.79, p=.008) and right ankle dorsal flexion (t=2.92, p=.006) increased in the experimental group.
CONCLUSION
The significance of this study is that the stim-up matt walking exercise program for the frail elderly proves to be useful for improving balance and walking.
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Citations
Citations to this article as recorded by  - Differences in the Gait Pattern and Muscle Activity of the Lower Extremities during Forward and Backward Walking on Sand
Chae-Won Kwon, Seong Ho Yun, Jung-Won Kwon
The Journal of Korean Physical Therapy.2022; 34(1): 45. CrossRef
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Factors Affecting the Intention to Participate in Healthcare Programs among Elders Living Alone
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Mi Sook Song, Sun Joo Boo
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J Korean Acad Community Health Nurs. 2016;27(4):319-326. Published online December 31, 2016
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DOI: https://doi.org/10.12799/jkachn.2016.27.4.319
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696
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- PURPOSE
The aim of this study is to identify factors affecting elders' intention to participate in healthcare programs.
METHODS
This secondary data analysis used data of 390 elderly people who lived alone and were enrolled in the Visiting Health Care Center of H-city. In 2014, questionnaires were used to collect data about demographics, social activity, depression, frailty, and intention to participate in healthcare programs. The data were analyzed by descriptive statistics and multivariate logistic regressions.
RESULTS
Among the participants, 51.8% intended to participate in the offered healthcare programs. The strongest factor affecting the intention was gender. Women were 4.85 times more likely to participate in the programs than men. The women's intention was associated positively with increased levels of frailty. The men tended to participate in the program as they got older and as the level of frailty and the number of chronic diseases increased.
CONCLUSION
Gender-specific public healthcare programs for vulnerable elders living alone should be developed to maximize their participation in the programs and to promote good health. The healthcare programs must be tailored to the levels of the patients' physical functions.
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Citations
Citations to this article as recorded by - Effect of a Comprehensive Health Care Program on Blood Pressure, Blood Glucose, Body Composition, and Depression in Older Adults Living Alone: A Quasi-Experimental Pretest–Posttest Study
Eun Jeong Hwang, In Ok Sim
International Journal of Environmental Research and Public Health.2019; 17(1): 220. CrossRef - Factors related to the difference in the incidence of caries between children in fluoridated and non-fluoridated areas
Sang-Jun Han, Yong-Bong Kwon, Se-Yeon Kim, Ji-Soo Kim, Jung-Ha Lee, Jin-Bom Kim
Journal of Korean Academy of Oral Health.2018; 42(4): 136. CrossRef - Associations of Community Water Fluoridation with Caries Prevalence and Oral Health Inequality in Children
Han-Na Kim, Jeong-Hee Kim, Se-Yeon Kim, Jin-Bom Kim
International Journal of Environmental Research and Public Health.2017; 14(6): 631. CrossRef - Logistic regression analysis of factors affecting the survival of central incisors in Korean adults
Jong-bae Kim, Sung-Suk Chung, Hae-Jin Lee, Young-Sam Kim, Jae-Gyu Jeon, Kee-Wan Chang
Journal of Korean Academy of Oral Health.2014; 38(4): 263. CrossRef - Logistic regression analysis of factors affecting survival of permanent second molars in Korean adults
Gwang-Seok Kim, Hae-Jin Lee, Young-Sam Kim, Jae-Gyu Jeon, Kee-Wan Chang
Journal of Korean Academy of Oral Health.2013; 37(4): 232. CrossRef
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The Attitude, Use and Adverse Effects of Complementary and Alternative Medicine (CAM) Therapies among Vulnerable, Community Dwelling Old Adults
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Young Im Park, Mi Sook Song, Ok Hee Ahn, Soon Ok Yang, In Sook Lee, Hye Sun Hyun
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J Korean Acad Community Health Nurs. 2014;25(1):1-11. Published online March 31, 2014
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DOI: https://doi.org/10.12799/jkachn.2014.25.1.1
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776
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- PURPOSE
The purpose of this study is to obtain information of use of complementary and alternative medicines (CAMs) and any reported adverse effects of them on vulnerable elders in a community.
METHODS
1,837 elderly subjects aged 65 or higher with health problems were selected from those who were enrolled in a public health care center and received visiting health management services. A proportional stratified sampling method was used. Data collection was completed by face to face interviews using a structured questionnaire. The descriptive statistics and chi2-test were used to analyze the data.
RESULTS
The prevalence of CAM use last year was 57.5%, and 10.4% of the subjects reported adverse effects of the therapies. The mean score of the subjects' attitudes towards CAM was 4.1+/-3.44 (range 1~10). The major sources of advice and exposure to CAM therapies were most likely to be from family and friends (72.5%). The primary reason for choosing CAM was to manage symptoms and relieve pain (86.6%).
CONCLUSION
These findings suggest the need to develop nursing strategies for reducing and preventing adverse effects of CAM use by promoting awareness of using safe and appropriate CAM therapies.
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Citations
Citations to this article as recorded by - The Effect of Hand Press Pellet Therapy on Arthralgia, Ankylosis, and Depression in Elderly Women with Knee Osteoarthritis
Hyojung Park, Hyeri Yang
The Korean Journal of Rehabilitation Nursing.2020; 23(1): 27. CrossRef - Illness uncertainty and complementary and alternative medicine use in patients undergoing hemodialysis
Hae Ok Jeon, Bo Hye Kim, Oksoo Kim
Nursing & Health Sciences.2019; 21(3): 375. CrossRef - The Perception and Utilization patterns of Complementary and Alternative Medicines in Patients with Fibromyalgia Syndrome
Kyoung Ran Kong, Eun Nam Lee, Won Tae Jeong
Journal of muscle and joint health.2016; 23(3): 187. CrossRef - Health Status and the Use of Complementary and Alternative Therapies in the Community Dwelling Pre-elderly and Elderly
Myung-Sill Chung, Kyung-Choon Lim
The Korean Journal of Rehabilitation Nursing.2015; 18(1): 46. CrossRef
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A Study on the Establishment of Clinical Nurse Specialist
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Young Soon Byun, Young Im Kim, Mi Sook Song
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J Korean Acad Community Health Nurs. 1994;5(2):130-146. Published online December 31, 1994
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- Our medical care system is trying to diversify in order to meet the client's needs, and to adjust to a medical environment which is changing very rapidly. Because current nursing theory and practice focus on holistic care, health care management, education, and research, contrary to the traditional emphasis on only assisting a physician, more autonomy and specialization for the implementation of nursing are required. Considering these trends and actual needs, the category of clinical nurse specialist should be established as soon as possible.
In order to develop strategies for implementing this new professional specialty, the authors conducted a field survey and literature review of the current system in Korea.
As a result, various obstacles and constraints were discovered as follows : 1) There are few accredited educational programs for the training of CNS's.
2) Several hospitals already have staff designated as clinical nurse specialist (CNS) even though the term CNS is not yet standardized or adopted in nationwide.
3) The role of the CNS is not clearly understood by the medical societies, or even nursing societies. A nurse who works in specific nursing areas such as central supply, kidney dialysis, intensive care, coronary care, etc. for a long time, considers herself/himself a CNS.
Based upon the above findings, the following alternatives are recommended.
1) The role of the CNS should be defined according to specified functions and authority : professional autonomy ; counselling and educating patients and their familes, nurses, and even other medical personnel ; research on improvement of nursing ; and management of the nursing environment including medical resources, information, and cases.
2) the qualification of CNS should be attained only by a nurse who has an RN license and clinical experience of more than 3 years in a specific nursing field: passes a qualifying examination; and contributes to the professional development of peers, colleagues, and others. A master's degree should only be optional, because of the insufficient of graduate programs which are well designed for the CNS.
3) The CNS should initially be a head nurse rather than line staff in order to deal with as wide an experience base as possible.
4) The nursing specialty could be divided into two areas such as a clinical field and a community field. The clinical field could then be categorized by the Styles' classification such as diseases and pathogenics, systems, ages, acuity, skills/techniques, and function/role ; the community field could be classified according to work site.
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