Research in Community and Public Health Nursing

Volume 26 (1); March 2015

Original Articles

The Effects of an Individual Cognitive Improvement Program on the Elderly with Mild Cognitive Impairments: In Hyae Park, In Hee Choi, Seo Young Kang, Youn Kyoung Kim, Chong Mi Lee; J Korean Acad Community Health Nurs. 2015;26(1):1-10. Published online March 31, 2015; DOI: https://doi.org/10.12799/jkachn.2015.26.1.1

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PURPOSE
This study was conducted to investigate changes in cognitive functions, depression and life-satisfaction for elderly participants with mild cognitive impairments participating in an individual cognitive improvement program.
METHODS
A quasi-experimental with non-equivalent control group pretest-posttest design was implemented. The participants were senior citizens over 65 years of age who had been clinically diagnosed with mild cognitive impairments in G City and J Province (experimental group: 29, control group: 27). The experimental group participated in the individual cognitive improvement program based on Korean traditional tales and games for nine weeks.
RESULTS
After the intervention, only the participants in the experimental group reported significant improvement in K-MMSE (t=-2.5, p=.016), MoCA-K (t=-2.6, p=.008), depression (t=3.51, p=.001), and life satisfaction (t=-2.75, p=.008) when compared to those in the control group.
CONCLUSION
These results indicated that the individual cognitive improvement program was effective in improving cognitive functions, depression, and life-satisfaction among the elderly with mild cognitive impairments. Therefore, the application of this individual cognitive improvement program developed in this study by visiting nurses may strengthen the cognitive functions of seniors with mild cognitive impairments.

Citations

Citations to this article as recorded by

The Effect of Cognitive Rehabilitation Program Combined with Physical Exercise on Cognitive Function, Depression, and Sleep in Chronic Stroke Patients
SoHyun Kim, SungHyoun Cho
Physical Therapy Rehabilitation Science.2022; 11(1): 32. CrossRef
Effects of Integrative Cognitive Function Improvement Program on Cognitive Function, Oral Health, and Mental Health in Older People: A Randomized Clinical Trial
Eun-Seo Jung, Yoon-Young Choi, Kyeong-Hee Lee
International Journal of Environmental Research and Public Health.2022; 19(21): 14339. CrossRef
Evaluating the Efficacy of Therapeutic Programs on Improving Cognitive Function and Depression among Older Adults Living with Dementia in Korea
Jaeeon Yoo, Sunhee Lee
International Journal of Environmental Research and Public Health.2020; 17(9): 3218. CrossRef
Effects of a Cognitive Improvement Program on Cognition, Activities of Daily Living (ADL), Depression, Life Satisfaction, and Grasping Power in Small Groups
Seo Young Kang, Chong Mi Lee
Journal of muscle and joint health.2016; 23(3): 169. CrossRef
Effects of a Computerized Cognitive Training on Cognitive Function, Depression, Self-esteem, and Activities of Daily Living among Older Adults with Mild Cognitive Impairment
Myoungsuk Kim, Kyung-Choon Lim
Korean Journal of Adult Nursing.2016; 28(6): 691. CrossRef
A Study on Occupational Reminiscence Therapy(ORT) Program for the Elderly with Mild Cognitive Impairment(MCI) in Local Community
Yu-Jin Cha
Journal of the Korea Academia-Industrial cooperation Society.2016; 17(8): 605. CrossRef
The Effects of a Functional Game (Rejuvenescent Village) for Older Koreans’ Cognitive Function, Instrumental Activities of Daily Living, Depression, and Life Satisfaction
Kyung Choon Lim, Min Ho Chun
Journal of Korean Biological Nursing Science.2016; 18(4): 296. CrossRef

The Effect of Copayment on Medical Aid Beneficiaries in Korea: Jin Joo Oh, Jeong Myung Choi, Hyun Joo Lee; J Korean Acad Community Health Nurs. 2015;26(1):11-17. Published online March 31, 2015; DOI: https://doi.org/10.12799/jkachn.2015.26.1.11

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Abstract PDF

PURPOSE
This study was to ascertain whether there are differences in health care utilization and expenditure for Type I Medical Aid Beneficiaries before and after applying Copayment.
METHODS
This study was one-group pretest posttest design study using secondary data analysis. Data for pretest group were collected from claims data of the Korea National Health Insurance Corporation and data for posttest group were collected through door to-door interviews using a structured questionnaire. A total of 1,364 subjects were sampled systematically from medical aid beneficiaries who had applied for copayment during the period from December 12, 2007 to September 25, 2008.
RESULTS
There was no negative effect of copayment on accessibility to medical services, medication adherence (p=.94), and quality of life (p=.25). Some of the subjects' health behaviors even increased preferably after applying for copayment including flu prevention (p<.001), health care examination (p=.035), and cancer screening (p=.002). However, significant suppressive effects of copayment were found on outpatient hospital visiting days (p<.001) and outpatient medical expenditure (p<.001).
CONCLUSION
Copayment does not seem to be a great influencing factor on beneficiaries'accessibility to medical services and their health behavior even though it has suppressive effects on outpatients' use of health care.

Citations

Citations to this article as recorded by

Impact of co-payment for outpatient utilization among Medical Aid beneficiaries in Korea: A 5-year time series study
Ki-Bong Yoo, Hong-Uk Ahn, Eun-Cheol Park, Tae Hyun Kim, Sun Jung Kim, Jeoung A Kwon, Sang Gyu Lee
Health Policy.2016; 120(8): 960. CrossRef

A Systematic Review of Literature on Community Health Center Exercise Programs: Suk Jung Han, Young Ran Lee, Chung Min Cho, Mee Young Im; J Korean Acad Community Health Nurs. 2015;26(1):18-30. Published online March 31, 2015; DOI: https://doi.org/10.12799/jkachn.2015.26.1.18

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Abstract PDF

PURPOSE
The purpose of this study was to investigate the research methods, types and effects of community health center exercise programs for the elderly.
METHODS
We established the PICOTS-SD (Participants, Interventions, Comparisons, Outcomes, Timing of outcome measurement, Setting, Study Design), reviewed 583 studies from electronic database of DBpia, KoreaMed, KISS, RISS, NDSL and Pubmed, and finally selected 20 studies based on the inclusion and exclusion criteria. Methodological quality was assessed with the Risk-of-Bias Assessment tool for non-randomized studies.
RESULTS
With regard to research methods, the majority of studies on community health center exercise programs for the elderly were performed after 2010 and using non-equivalent control group pretest-posttest research design. As for the types and effects of exercise programs, the exercise period ranged from 6 to 28 weeks, and the most common exercise frequency was three times a week for 60 minutes. In addition, mixed-type and group exercise programs were performed most commonly.
CONCLUSION
The results of this study provide a basis for the development of exercise programs to improve elders' health.

Citations

Citations to this article as recorded by

Effects of Changes in Physical Activity with Cognitive Decline in Korean Home-Dwelling Older Adults
Hyunjong Song, Jin-Hwa Park
Journal of Multidisciplinary Healthcare.2022; Volume 15: 333. CrossRef
A grounded theory approach toward the walking practice and health promotion of urban older adults
Dong Ha Kim, Seunghyun Yoo
Korean Journal of Health Education and Promotion.2022; 39(1): 73. CrossRef
Deriving the Components of Lifestyle-Related Occupational Therapy Intervention Program for the Elderly: Through the Delphi Technique
Yun-Chan Shin, Da-Sol Park, Eun-Hye Cho, Kyung-A Won, Dae-Sung Han, Jung-Ran Kim
Journal of Korean Society of Occupational Therapy.2020; 28(1): 45. CrossRef

The Comparison of Health Behaviors, Use of Health Services, and Health Expenditures among Diabetic Patients according to the Practice of Exercise: Ji Eun Cha, Soon Nyung Yun; J Korean Acad Community Health Nurs. 2015;26(1):31-41. Published online March 31, 2015; DOI: https://doi.org/10.12799/jkachn.2015.26.1.31

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Abstract PDF

PURPOSE
The purpose of this study was to compare the use of health services and health expenditures between non-exercise and exercise groups of diabetic patients and among three groups divided according to exercise intensity.
METHODS
Data were obtained from the Korean Health Panel Survey of 2011. The participants of this study were 864 diabetic patients who did exercise (walk, moderate exercise, or vigorous exercise) or not. Data were subsequently analyzed using the SPSS 21 Program.
RESULTS
The exercise group showed higher percentages of medication compliance, non-smokers, and regular diet than the non-exercise group. The hospitalization percentage, the number of outpatient hospital visits, and health expenditures were higher in the non-exercise group than in the exercise group. There was no difference among the three groups divided according to exercise intensity in the use of health services and health expenditures.
CONCLUSION
These results show that exercise is a way to reduce diabetic patients' use of health services and their health expenditures.

Citations

Citations to this article as recorded by

Association Between Cardiorespiratory Fitness and Healthcare Costs in Adults Using the Criterion Referenced Fitness Thresholds: The Korea Institute of Sport Science Fitness Standards Study
Seunghee Lee, Hyojin Lee, In-Hwan Oh, Hyeon-Kyoung Cheong, Mihyun Lee, Saejong Park
Exercise Science.2021; 30(4): 501. CrossRef
Effects of adults’ health behaviors and combinations thereof on health outcomes: an analysis using National Health Insurance Service of Korea cohort data
Hyun-Jung Park, Eun-Jung Kim
Epidemiology and Health.2019; 41: e2019042. CrossRef
Mediating Effects of Social Support on Depression and Suicidal Ideation in Older Korean Adults With Hypertension Who Live Alone
Eun Jeong NAM, Jong-Eun LEE
Journal of Nursing Research.2019; 27(3): e20. CrossRef

The Effect of Abuse Experience and Coping Styles on Suicidal Ideation in the Elderly: Jeong Hee Jeong, Jung Soon Kim; J Korean Acad Community Health Nurs. 2015;26(1):42-51. Published online March 31, 2015; DOI: https://doi.org/10.12799/jkachn.2015.26.1.42

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Abstract PDF

PURPOSE
The aim of this study is to determine the impact of abuse experience and coping styles on suicidal ideation in Korean elders.
METHODS
Data were collected from the 2011 Korean National Survey on the Elderly. The participants were 10,537 elders aged 65 or older who had replied to the question on suicidal ideation. Socio-demographic and health related factors, abuse experience, and coping style were included as the influence factors of suicidal ideation. Data were analyzed using x2-test and logistic stepwise regression with the SPSS/WIN 21.0 program.
RESULTS
The prevalence of abuse experience among the elders was 12.7% and that of suicidal ideation was 11.2%. Elders with abuse experience (OR=2.79, 95% CI=2.39~3.26) were more likely to have suicidal ideation but those with an active coping style (OR=0.69, 95% CI=0.57~0.84) were less likely to have suicidal ideation even with other influence factors controlled.
CONCLUSION
Abuse experience of the elderly was a major risk factor that increased suicidal ideation, and active coping style was a protective factor that reduced suicidal ideation. These findings show that careful attention to elderly abuse and education for active coping style are necessary to reduce suicidal ideation among the elderly.

Citations

Citations to this article as recorded by

Factors Associated with Suicidal Ideation in Community-dwelling Older Adults: A Gender Comparison in Old-Old Adults
Jeong Eun Yang, SeolHwa Moon
Korean Journal of Adult Nursing.2020; 32(3): 248. CrossRef
Protective factors against suicidal ideation among community-dwelling older adults with experience of spousal physical abuse: focusing on direct and indirect protections
Sukyung Yoon, Sherry Cummings, William R. Nugent, Shandra Forrest-Bank
Aging & Mental Health.2020; 24(11): 1854. CrossRef
Factors Protecting against Suicidal Ideation in South Korean Community-Dwelling Older Adults: A Systematic Literature Review
Sukyung Yoon, Sherry Cummings
Journal of Gerontological Social Work.2019; 62(3): 279. CrossRef
Factors associated with suicidal ideation: Comparisons between elderly living alone and living with others using
Myong Sun Cho
Korean Journal of Health Education and Promotion.2019; 36(2): 53. CrossRef
Predictors of Suicidal Ideation in Community-dwelling Older Men: A Comparison between Young-old and Old-old
Si Eun Lee, Gwi-Ryung Son Hong
Journal of Korean Academy of Psychiatric and Mental Health Nursing.2016; 25(3): 217. CrossRef

The Relationship between Internet Use and Health Behaviors among Adolescents: Eun Gyeong Kim; J Korean Acad Community Health Nurs. 2015;26(1):52-60. Published online March 31, 2015; DOI: https://doi.org/10.12799/jkachn.2015.26.1.52

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Abstract PDF

PURPOSE
The study was performed in order to identify the relationship between health behaviors and Internet use among adolescents.
METHODS
The study used raw data from the Korean Youth Risk Behavior Web-Based Survey that was performed in 2012. Data of a total of 74,186 students were analyzed using SPSS/WIN 18. The data were analyzed using descriptive statistics, t-test, and Pearson's correlation.
RESULTS
Internet use and health behaviors were significantly related to gender, depression, suicidal intent, parents' educational level, cohabitation with parents at home, school location, and grade. There was a significant association between Internet use and health behaviors in adolescents.
CONCLUSION
Health promotion and education programs need to consider factors found relevant in this study.

Citations

Citations to this article as recorded by

Effect of Health Behaviors Practice on Mental Health in Adolescents
Hyun Jung Yun
Journal of Health Informatics and Statistics.2022; 47(3): 199. CrossRef
Impact of Internet usage time on mental health in adolescents: Using the 14th Korea Youth Risk Behavior Web-Based Survey 2018
Yeunhee Kwak, Hyejin Kim, Jung-Won Ahn, Sergio A. Useche
PLOS ONE.2022; 17(3): e0264948. CrossRef
Effect of Body Image Distortion on Health Behaviors Practice in High School Students
Hyun Jung Yun
Stress.2020; 28(2): 98. CrossRef
Daily Smoking Girls' Tobacco Use, Health Behaviors and Family Factors : Analysis of 2015 Korean Youth Risk Behavior Web-based Survey
Youngjin Lee
Journal of Digital Convergence.2016; 14(5): 377. CrossRef

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