Research in Community and Public Health Nursing

Original Articles

[English] Effects of a School-Based Health Education for Cardiovascular Disease Prevention Among High School Girls: Minah Kang, Jina Choo; Res Community Public Health Nurs. 2024;35(4):363-374. Published online December 30, 2024; DOI: https://doi.org/10.12799/rcphn.2024.00647

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Abstract PDF: Purpose
We aimed to evaluate effects of a school-based health education for cardiovascular disease (CVD) prevention among high school girls.
Methods
Non-randomized cluster trial was conducted by recruiting two female high schools located in Seoul and allocating one school as a cluster to an experimental group and the other school as the other cluster to a control group. Participants were 169 first-year female high school students in two clusters. Of the participants, 84 were recruited in the experimental group and 85 in the control group. An intervention was an eight-week "School-based Health Education for CVD prevention". The experimental group received the intervention, while the control group received a CVD prevention handout. Measures were knowledge, self-efficacy, and health behaviors for CVD prevention. The pre-test and post-test were conducted.
Results
The experimental group participating in "School-Based Health Education for CVD Prevention" had significantly higher changes in knowledge, self-efficacy scores to prevent CVD, and health behaviors than the control group over eight weeks.
Conclusions
The "School-based Health Education for CVD Prevention" program may improve high school students' knowledge and self-efficacy as determinants of health behaviors as well as health behaviors to prevent cardiovascular disease.

[English] Knowledge of Healthcare Workers Towards NIPAH Virus: A Cross-Sectional Study: Hadi Al Sulayyim, Manea Alsaleem, Ali Sherjab, Saleh Aldoghman, Husain Alyami, Abdulaziz Al Yami, Mohammad Almeshal, Mohammad Altheban, Dahen Alsinan, Obaid Altheban, Fares Al-Mansour; Res Community Public Health Nurs. 2024;35(3):264-271. Published online September 30, 2024; DOI: https://doi.org/10.12799/rcphn.2024.00619

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Purpose
To evaluate the healthcare workers’ (HCWs) knowledge towards Nipah virus and identify the associated variables with good knowledge.
Methods
A cross-sectional design was conducted in Najran, Kingdom of Saudi Arabia (KSA) to evaluate the knowledge of HCWs towards Nipah virus. A validated questionnaire was employed to collect the data of HCWs. It consisted of two parts: Socio-demographic characteristics of the participants and questions related to the knowledge towards Nipah virus. Percentages and median (Q1, Q3) were used to present the data and were compared by Mann–Whitney and Kruskal Wallis. The associated variables with good knowledge were identified by logistic regression.
Results
The study included 247 participants. The median (Q1, Q3) knowledge score was 45% (10%, 60%), reflecting poor knowledge. About 62% of the HCWs stated that the symptoms of Nipah virus infection could be acute respiratory distress, convulsions, and coma. Only 36.8% reported no available vaccine to prevent Nipah virus infection, and more than 50% identified the virus’s main reservoir (fruit bat) as the possibility of transmission from animal to human. Roughly 57% of them reported that the virus can be transmitted among people through droplets. Less than 40% stated the Nipah virus can cause AIDS. The significantly associated variable with good knowledge was only nationality.
Conclusion
The present study showed a poor knowledge of HCWs. Good knowledge was associated with nationality. Therefore, the implementation of education and training programmes are highly recommended throughout conducting prospective and interventional studies.

Citations

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Assessment of the general population knowledge about the emergence of Nipah virus outbreak in Bangladesh: A nationwide cross-sectional study
Mobin Ibne Mokbul, Shuvajit Saha, Samiha Nahar Tuli, Fatema Binte Nur, A.M. Khairul Islam, Tariful Islam, Shirsho Shreyan, Alok Bijoy Bhadra, Golam Dastageer Prince, Irfath Sharmin Eva, Mustari Nailah Tabassum, Ferdous Wahid, Md Irfan Bin Kayes, Nazim Has
Journal of Virus Eradication.2025; 11(1): 100585. CrossRef

[English] Factors Influencing the Self-management Behaviors of the Elderly with Hypertension in the Local Community: Jeong Ju Hong; J Korean Acad Community Health Nurs. 2021;32(3):303-311. Published online September 30, 2021; DOI: https://doi.org/10.12799/jkachn.2021.32.3.303

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Abstract PDF

Purpose
This study investigated the health literacy level of, the hypertension knowledge of, the self-management behaviors of, and the factors influencing self-management behaviors of the hypertensive elderly population residing in the urban and rural areas.
Methods
Data were collected from November to December 2017 by the trained research staff. For two months, a total of 160 subjects in urban and rural areas who had been taking antihypertensive medications consented to participate in the project. 157 participants completed the survey. Results: The health literacy score of the hypertensive elderly subjects was at 48.38±8.13, the hypertension knowledge score at 8.90±2.01 points, and the self-management behaviors score at 52.96±8.08. The factor that influenced the self-management behaviors of the hypertensive elderly subjects the most was the health literacy, followed by the residential area, and the hypertension knowledge.
Conclusion
The research findings suggest that a health promotion program for the hypertensive elderly population should be designed in consideration of the health literacy, the area of residence and the hypertension knowledge of the elderly.

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Development of Virtual Reality-Based Home-Visiting Healthcare Education Content
Young-Sun Ha, Yong-Kyung Park, Hye-Sun Byun, Moon-Ji Choi
Journal of Digital Contents Society.2025; 26(1): 1. CrossRef
A Cross-Sectional Study of Physical Fitness and Risk of Hypertension in Korean Adults Aged 20–59
Bogja Jeoung, Jiyoun Kim
Healthcare.2023; 11(14): 2057. CrossRef

[English] The Influence of Knowledge and Health Beliefs about Gestational Diabetes on Breastfeeding Intention of Women with Gestational Diabetes: Seung Mi Park, Deulle Min, Ji Yeon Park; J Korean Acad Community Health Nurs. 2020;31(4):427-435. Published online December 31, 2020; DOI: https://doi.org/10.12799/jkachn.2020.31.4.427

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Abstract PDF

Purpose
The purpose of this study was to assess the knowledge and health beliefs about gestational diabetes and to identify the influence on breastfeeding intention of women those who have been diagnosed with gestational diabetes.
Methods
A cross-sectional descriptive study was designed. A questionnaire survey was conducted on 270 women who were pregnant and currently diagnosed with gestational diabetes. Data collection was conducted at Internet cafes and breastfeeding clinics where pregnant women were able to participate actively. The data collection period was from November 5 to November 27, 2019 and analyzed using descriptive statistics, independent t-test, x 2 test and multiple logistic regression.
Results
The average age of the participants was 34.21±3.73 years. There were 221 women who had breastfeeding intention, and 49 women who did not intend to breastfeed. The higher the perceived susceptibility (OR=2.49, p=.032), benefits (OR=2.62 p=.009), and the self-efficacy, the higher the intention to perform breastfeeding (OR=2.97, p=.004). On the other hand, the higher the perceived severity, the lower the intention to perform breastfeeding (OR=0.35, p=.007). Conclusion: Health beliefs such as perceived susceptibility, perceived benefits, self-efficacy and perceived severity have been shown to affect the breastfeeding intention. Based on these results, we suggest developing a breastfeeding promotion intervention program that improves self-efficacy in gestational diabetics.

Citations

Citations to this article as recorded by

Development and Effectiveness Evaluation of Comprehensive Mobile-Based, Breastfeeding Promotion Program for Mothers with Gestational Diabetes
Eunju Kwak, Seungmi Park
Journal of Korean Academy of Nursing.2024; 54(2): 224. CrossRef
A study on research trends for gestational diabetes mellitus and breastfeeding: Focusing on text network analysis and topic modeling
Junglim Lee, Youngji Kim, Eunju Kwak, Seungmi Park
The Journal of Korean Academic Society of Nursing Education.2021; 27(2): 175. CrossRef
A comparative study of cumulative stress patterns within 14 days postpartum in healthy mothers and those with gestational diabetes
Seungmi Park, Soo-Young Yu, Eunju Kwak, Deulle Min
Medicine.2021; 100(41): e27472. CrossRef
Factors Associated with the Need for Breastfeeding Information Among Women with Gestational Diabetes Mellitus: A Cross-sectional Study
Seungmi Park, In Sun Jang, Deulle Min
Asian Nursing Research.2021; 15(3): 210. CrossRef

[English] Factors Influencing for Intention to Perform Cardiopulmonary Resuscitation in Elementary and Secondary School Teachers: Kyoung Sun Song, Kyung Yeon Park; J Korean Acad Community Health Nurs. 2020;31(3):384-394. Published online September 30, 2020; DOI: https://doi.org/10.12799/jkachn.2020.31.3.384

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Abstract PDF

Purpose
The study aimed to investigate elementary and secondary school teacher’s knowledge, attitude, and self-efficacy regarding cardiopulmonary resuscitation (CPR), and explore which factors affect their intention to perform CPR.
Methods
A descriptive correlational study design was utilized. Data were collected using self-reported questionnaire from 147 teachers. Statistical analysis was conducted using descriptive statistics, t-test, x 2 test, F-test, Pearson correlation coefficients, and logistic regression with the SPSS/WIN 21.0 program.
Results
The average of knowledge, attitude and self-efficacy on CPR was 11.11±1.88 out of 15, 42.81±5.22 out of 55, and 86.19±17.74 out of 120 in order. CPR performance intention had significantly positive correlations with knowledge, attitude, and self-efficacy on CPR. In logistic regression, factors significantly affecting intention to perform CPR were the total number of training sessions on CPR (OR=12.15, 95% CI: 2.83~52.20), attitude on CPR (OR=9.26, 95% CI: 1.61~53.34), and self-efficacy on CPR (OR=1.72, 95% CI: 1.04~2.84), which accounted for 42.7% of the variance.
Conclusion
In order to increase the intention to perform CPR among teachers in elementary and secondary schools, it is necessary for an educational program to be developed to improve positive attitudes and self-efficacy on CPR.

Citations

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Correlation between personal characteristics and intention to perform bystander Cardiopulmonary Resuscitation
Ikhda Ulya, Ika Setyo Rini, Melati Gusti Dwi Febriani, Azizah Khusnadani Putri, Kumboyono Kumboyono, Dina Dewi Sartika Lestari Ismail, Ayut Merdikawati
Healthcare in Low-resource Settings.2024;[Epub] CrossRef
Effects of immersive virtual reality cardiopulmonary resuscitation training on prospective kindergarten teachers' learning achievements, attitudes and self‐efficacy
Ze‐Min Liu, Xianli Fan, Yujiao Liu, Xin‐dong Ye
British Journal of Educational Technology.2022; 53(6): 2050. CrossRef

[English] Factors Influencing Fear of Dementia among Middle-Aged and Older Adults: Bo Ram Kim, Hee Kyung Chang; J Korean Acad Community Health Nurs. 2020;31(2):156-165. Published online June 30, 2020; DOI: https://doi.org/10.12799/jkachn.2020.31.2.156

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6 Citations

Abstract PDF

Purpose
This study was performed to identify the factors influencing the fear of dementia in middle-aged and older adults.
Methods
Data on the characteristics, dementia knowledge, dementia attitude, dementia health beliefs, and fear of dementia of 156 participants were collected from January 20 to March 22, 2018, using a structured questionnaire. The data were analyzed with the SPSS/WIN 21.0 program for descriptive statistics, using an independent t-test, one-way analysis of variance, Pearson’s correlation coefficient, and stepwise multiple regression.
Results
Significant factors associated with fear of dementia among middle-aged and older adults were subjective life satisfaction (F=3.72, p=.006) and regular exercise (t=6.05, p=.015). Fear of dementia has positive correlations with dementia attitude, perceived susceptibility, perceived severity, and perceived barrier. The determining factors affecting fear of dementia in middle-aged and older adults were perceived severity (β=.46, p<.001), followed by a perceived barrier (β=.20, p=.004) and perceived susceptibility (β=.17, p=.023), and the explanation power was about 47.8%.
Conclusion
The results suggest that perceived severity, perceived barrier, and perceived susceptibility be considered in developing the nursing interventions to increase perceived severity, perceived susceptibility, and to decrease perceived barrier to dementia by evaluating dementia health beliefs to manage the fear of dementia among middle-aged and older adults.

Citations

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Expanding the health belief model on dementia knowledge, fear, and preventive behaviors among older adults in Korea: a cross-sectional descriptive study
Jeong Eui Yun, Suyoung Choi
Journal of Korean Biological Nursing Science.2025; 27(1): 60. CrossRef
Factors influencing dementia preventive behaviors of older adults at high risk of dementia: Application of extended health belief model
So Hee Jung, Mee Ock Gu
Research in Community and Public Health Nursing.2024; 35: 22. CrossRef
Factors associated dementia preventive behavior of older adults in a local community: Application of the information-motivation-behavioral skills model: A cross-sectional study
Eun Hye Ha, Mi Yang Jeon
Journal of Korean Gerontological Nursing.2023; 25(1): 34. CrossRef
Illness Experiences of People with Young-onset Dementia
Suyoun Ahn, Yeojin Yi
Journal of Korean Academy of psychiatric and Mental Health Nursing.2023; 32(1): 67. CrossRef
Quality of life in bladder cancer: systematic review and meta-analysis
Sima Rafiei, Golnaz Kheradkhah, Grigorios Kotronoulas, Maryam Doustmehraban, Farnoosh Shafiei, Maryam Masoumi, Elaheh Parnian, Elmira Nosrati Sanjabad, Ahmad Ghashghaee
BMJ Supportive & Palliative Care.2023; 13(e3): e707. CrossRef
Changes in surface content and crystal structure after fluoride gel or hydroxyapatite paste application on stripped enamel
Sang-Cheol Kim, Hyun-Sil Hong, Young-Cheol Hwang
The Korean Journal of Orthodontics.2008; 38(6): 407. CrossRef

[English] Factors Affecting the Social Distance toward Older Adults of Nursing Students: Ji Yeon Ha, Ju Young Park; J Korean Acad Community Health Nurs. 2019;30(4):539-549. Published online December 31, 2019; DOI: https://doi.org/10.12799/jkachn.2019.30.4.539

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Abstract PDF: PURPOSE
The aim of this study was to identify the factors related to the social distance toward older adults in nursing college students.
METHODS
The participants comprised 137 students in a nursing college. Data were collected using self-report questionnaires in March 2019. The measurement instruments included social distance scales, the Fact on Aging Quiz (FAQ I), a 20-item semantic differential scale (to assess attitudes), and the perceived elderly stigma scale. The data were analyzed using descriptive statistics, independent t-tests, one-way analysis of variance (ANOVA), Pearson's correlation coefficient, and a multiple regression analysis.
RESULTS
The total score for social distance toward older adults was 3.98Â±0.54 out of a maximum of 5. Social distance had a statistically significant relationship with knowledge (r=.20, p=.022), attitudes toward older adults (r=âˆ’.31, p < .001), and elderly stigma (r=âˆ’.27 p=.008). The factors affecting social distance were education in geriatrics (Î²=.33, p=.004), grade (Î²=-.29, p=.014), attitudes (Î²=âˆ’.21, p=.018), academic major satisfaction (Î²=.19, p=.028), and knowledge (Î²=.15, p=.048); the explanatory power of the model was 34%.
CONCLUSION
There is a need for departmental efforts that nursing students acquire correct knowledge about the life and health of the elderly with the aging process and develop positive attitudes toward older adults through various experiences in gerontological nursing practicum and community senior-college student link programs.

[English] Factors Influencing the Practice of Respiratory Infection Prevention for the Elderly in Rural Areas: Myung Soon Kwon, Jeong Soon Yu; J Korean Acad Community Health Nurs. 2019;30(4):460-470. Published online December 31, 2019; DOI: https://doi.org/10.12799/jkachn.2019.30.4.460

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Abstract PDF

PURPOSE
This study was to identify the factors influencing the practice of respiratory infection prevention (RIP) for the elderly residing in rural areas.
METHODS
The data were collected from 188 residents aged 65 years or older residing in the jurisdictions of four public health clinics in rural areas of C city, using a structured questionnaire for the period from December 1, 2018 to February 28, 2019. The collected data were analyzed with independent t-test, one-way ANOVA, Pearson's correlation coefficients, and hierarchical multiple regression analysis using SPSS/WIN 25.0 program.
RESULTS
The score on knowledge of RIP was 8.82Â±1.36, while it was 4.53Â±0.47 for attitude, 3.78Â±0.66 for practice, and 3.78Â±0.69 for social capital. It was observed that the factors influencing the practice of RIP were attitude of RIP (Î²=.38, p < .001), social capital (Î²=.29, p < .001), family type (Î²=âˆ’.19, p=.002), and subjective health status (Î²=.15, p=.035), while the explanatory power of the model was 47%.
CONCLUSION
Consequently, to enhance the practice of RIP for the elderly residing in rural areas, it is necessary to develop programs considering social and environmental characteristics of rural areas based on their attitude of RIP, social capital, family type and subjective health status.

Citations

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Impact of educational interventions on the prevention of influenza: A systematic review
Mohammad Javad Nasiri, Bardia Danaei, Niloofar Deravi, Alireza Salimi Chirani, Amir Hashem Shahidi Bonjar, Zohreh Khoshgoftar, Forouzan Karimi
Frontiers in Public Health.2022;[Epub] CrossRef
Respiratory Infections Prevention in Rural Older Adults: An Interventional Study
Hassanat Ramadan Abdel-Aziz, Nashwa Saber Atia
Clinical Nursing Research.2022; 31(8): 1445. CrossRef
A Systematic Review for Effective Preventive Public Education of Respiratory Infection
Woojae Han, Jeong-Soon Yu, Sihun Park, Myung-Soon Kwon
International Journal of Environmental Research and Public Health.2021; 18(8): 3927. CrossRef
Developing and Evaluating an Educational Program for Respiratory Infection Prevention among Rural Elderly Residents in South Korea
Jin Soon Kim, Ji Hye Choi, Myung Soon Kwon
International Journal of Environmental Research and Public Health.2020; 17(9): 3057. CrossRef

[English] Nursing Students' Environmental Consciousness and Medical Waste Related Knowledge and Attitudes: Jae Hyun Ha, Hyun Ju Lee; J Korean Acad Community Health Nurs. 2019;30(2):174-182. Published online June 30, 2019; DOI: https://doi.org/10.12799/jkachn.2019.30.2.174

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Abstract PDF

PURPOSE
The purpose of this study is to find out how much influence nursing students' environmental consciousness and knowledge of medical waste have on their attitudes toward medical waste.
METHODS
The subjects were 211 nursing students recruited from 2 universities. Data were collected with a structured self-report questionnaire comprising measures of environmental consciousness, and knowledge of and attitude toward medical waste. Data analysis was conducted with the SPSS/WIN 25.0 program.
RESULTS
A total of 211 copies of the questionnaire were used for the final analysis, except for 9 untrusted responses out of 220 that included missing values. Those subjects' environmental consciousness who received environmental education in middle and high schools was higher (t=3.15, p=.002). The higher their grades, the better their knowledge of medical waste (F=3.40, p=.035). Those subjectsâ€™ knowledge of medical waste who received medical waste education was relatively high (t=3.14, p=.002). Those subjects with clinical practice experience had more sensitive attitudes toward medical waste (t=2.06, p=.041). Those subjects' attitudes toward Medical waste who received medical waste education at the universities were relatively high (t=2.04, p=.043). The subjects' environmental consciousness was positively correlated with their attitudes toward medical waste (r=.44, p<.001). The most influential factor in their attitudes toward medical waste is their environmental attitudes and medical waste education.
CONCLUSION
The higher the nursing students' environmental consciousness, the higher their attitudes toward medical waste. It is necessary to provide environment and medical waste education for nursing students in order to strengthen their environmental consciousness and attitude toward medical waste.

Citations

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Knowledge, Attitude, and Practice of Medical Waste Management in Medium-sized Hospital among Health Care Workers
Mi-Young Kim, Sang-Ha Kim, Young-Kwon Kim, Young-Bin Yu, Sunghyun Kim
Biomedical Science Letters.2024; 30(3): 143. CrossRef

[English] Development and Validation of an Instrument to Measure Nursing Information Literacy Competency: Mean Jung Jo, Yeong Mi Ha; J Korean Acad Community Health Nurs. 2019;30(1):25-37. Published online March 31, 2019; DOI: https://doi.org/10.12799/jkachn.2019.30.1.25

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Abstract PDF

PURPOSE
The purpose of this study was to develop an instrument for measuring nursing information literacy competency, and then to examine the validity and reliability of the instrument.
METHODS
The developmental process of the instrument includes construction of a conceptual framework, generation of initial items, verification of content validity, preliminary study, extraction of final items, and psychometric testing. Its content validity was verified by three experts from nursing and nursing informatics. Its construct, convergent, and discriminant validity was examined in confirmatory factor analysis. Finally, its criterion validity was measured with Pearson's correlation. The tool's reliability was examined by Cronbach's Î±. The participants include 382 nurses from four hospitals and one university hospital.
RESULTS
Twenty seven items in total were selected for the final scale, and the results of the confirmatory factor analysis were supported with acceptable model fit, which were named competency for identifying problem, potential sources for information, searching fine information, evaluating information, acquising and managing of information, using information ethically, and integrating new information. The convergent, discriminant and criterion validities were also supported. The Cronbach's Î± coefficient was .93.
CONCLUSION
The instrument is valid and reliable to comprehensively assess nurses' information literacy competency, and to provide a basic direction for developing nursing information literacy program.

Citations

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The Impact of Technostress, Nursing Informatics Competency and Knowledge‐Sharing Behaviour on Nursing Work Performance Among Tertiary Hospital Nurses
Gyuli Baek, Young Ji Lee, Eunju Lee
Journal of Advanced Nursing.2025; 81(8): 4734. CrossRef
The Impact of Nursing Information Literacy and Nursing Informatics Competency on Attitudes Toward Evidence-Based Practice
Rola H. Mudallal, Hanan M. Al-Modallal, Nahid F. Al Hassan
CIN: Computers, Informatics, Nursing.2025;[Epub] CrossRef
Undergraduates’ perceptions of information, media and data literacy: Proposing an integrative assessment instrument
Maria Pinto, David Caballero Mariscal, Rosaura Fernández-Pascual
Journal of Librarianship and Information Science.2025;[Epub] CrossRef
Development and effects of a nursing information literacy competency education program for undergraduate nursing students
Mean Jung Jo, Mee Ock Gu
The Journal of Korean Academic Society of Nursing Education.2021; 27(2): 210. CrossRef

[English] Comparison between Korean and Japanese Nursing Students in Their Disaster Preparedness: Suk Jung Han, Chung Min Cho, Young Ran Lee, Kaori Nagasaka, Mie Izummune, Sang Bok Lee, Ji Young Chun; J Korean Acad Community Health Nurs. 2018;29(4):499-509. Published online December 31, 2018; DOI: https://doi.org/10.12799/jkachn.2018.29.4.499

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Abstract PDF

PURPOSE
The purpose of this study is to identify differences in disaster awareness, disaster preparedness, and nursing knowledge and practices between Korean and Japanese nursing students.
METHODS
The study subjects were 4th grade nursing students who completed their nursing education in Korea or in Japan. 359 students from Korea and 135 students from Japan participated in this study. Data were analyzed using IBM SPSS 21.0. The Ï‡2 test and the t-test were used to analyze the homogeneity of subjects' general characteristics and disaster-related characteristics. The comparison between the Korean and Japanese nursing students in disaster awareness, disaster preparedness, and nursing knowledge and practices were conducted using ANCOVA.
RESULTS
The Korean nursing students' disaster awareness, disaster preparedness, and nursing knowledge and practice were different from their Japanese counterparts'. The Korean nursing students recognized that the system of disaster management in Korea was insufficient and the negligence of management was one of the causes of the disaster. They wanted to participate in activities for disaster preparedness education and management.
CONCLUSION
A disaster nursing curriculum dealing with disaster awareness, disaster preparedness, and nursing knowledge and practices, should be developed, implemented, and evaluated particularly for Korean nursing students.

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Relationship Between Nursing Students’ Awareness of Disaster, Preparedness for Disaster, Willingness to Participate in Disaster Response, and Disaster Nursing Competency
Ji-Suk Kang, Hyejin Lee, Ji Min Seo
Disaster Medicine and Public Health Preparedness.2023;[Epub] CrossRef
Influence of social responsibility and pandemic awareness of nursing students on COVID-19 preventive behaviours: a cross-sectional online survey in South Korea
Minji Kim, Hyeonkyeong Lee
BMJ Open.2022; 12(12): e061767. CrossRef

[English] Co-occurrence Network Analysis of Keywords in Geriatric Frailty: Young Ji Kim, Soong Nang Jang, Jung Lim Lee; J Korean Acad Community Health Nurs. 2018;29(4):429-439. Published online December 31, 2018; DOI: https://doi.org/10.12799/jkachn.2018.29.4.429

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Abstract PDF

PURPOSE
The aim of this study is to identify core keyword of frailty research in the past 35 years to understand the structure of knowledge of frailty.
METHODS
10,367 frailty articles published between 1981 and April 2016 were retrieved from Web of Science. Keywords from these articles were extracted using Bibexcel and social network analysis was conducted with the occurrence network using NetMiner program.
RESULTS
The top five keywords with a high frequency of occurrence include â€˜disabilityâ€™, â€˜nursing homeâ€™, â€˜sarcopeniaâ€™, â€˜exerciseâ€™, and â€˜dementiaâ€™. Keywords were classified by subheadings of MeSH and the majority of them were included under the healthcare and physical dimensions. The degree centralities of the keywords were arranged in the order of â€˜long term careâ€™ (0.55), â€˜gaitâ€™ (0.42), â€˜physical activityâ€™ (0.42), â€˜quality of lifeâ€™ (0.42), and â€˜physical performanceâ€™ (0.38). The betweenness centralities of the keywords were listed in the order of depressionâ€™ (0.32), â€˜quality of lifeâ€™ (0.28), â€˜home careâ€™ (0.28), â€˜geriatric assessmentâ€™ (0.28), and â€˜fallâ€™ (0.27). The cluster analysis shows that the frailty research field is divided into seven clusters: aging, sarcopenia, inflammation, mortality, frailty index, older people, and physical activity.
CONCLUSION
After reviewing previous research in the 35 years, it has been found that only physical frailty and frailty related to medicine have been emphasized. Further research in psychological, cognitive, social, and environmental frailty is needed to understand frailty in a multifaceted and integrative manner.

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A content analysis of research on technology use for teaching mathematics to students with disabilities: word networks and topic modeling
Mikyung Shin, Min Wook Ok, Sam Choo, Gahangir Hossain, Diane P. Bryant, Eunyoung Kang
International Journal of STEM Education.2023;[Epub] CrossRef
Artificial intelligence in customer relationship management: literature review and future research directions
Cristina Ledro, Anna Nosella, Andrea Vinelli
Journal of Business & Industrial Marketing.2022; 37(13): 48. CrossRef
Mining the sociome for Health Informatics: Analysis of therapeutic lifestyle adherence of diabetic patients in Twitter
Gael Pérez-Rodríguez, Martín Pérez-Pérez, Florentino Fdez-Riverola, Anália Lourenço
Future Generation Computer Systems.2020; 110: 214. CrossRef

[English] The Relationships between Knowledge on Advance Directive, Attitudes towards the Withdrawal of Life-sustaining Treatment and Quality of Life in Hemodialysis Patients: Sun Ae Joung, Kyung Yeon Park; J Korean Acad Community Health Nurs. 2017;28(3):291-301. Published online September 30, 2017; DOI: https://doi.org/10.12799/jkachn.2017.28.3.291

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Abstract PDF

PURPOSE
This study aims to investigate the relationships between knowledge on advance directive, attitudes towards the withdrawal of life-sustaining treatment and quality of life among hemodialysis patients.
METHODS
A descriptive correlational study was conducted with 103 hemodialysis patients. Data were collected using a structured questionnaire from May to September of 2016, and analysed by using descriptive statistics, t-test, ANOVA and Pearson correlation coefficient.
RESULTS
The participants' knowledge level on advance directive was 5.47Â±2.08 out of 9, the attitudes towards the withdrawal of life-sustaining treatment was 3.22Â±0.49 out of 5, and the quality of life was 3.35Â±0.92 out of 6. The knowledge on advance directive was positively correlated with attitudes towards the withdrawal of life-sustaining treatment (r=.21, p=.037) and quality of life (r=.21, p=.036).
CONCLUSION
According to the results of this study, the level of knowledge on advance directive is preferred to improve the quality of life of hemodialysis patients. It is needed to support and maintain ongoing education opportunities in order to improve the level of knowledge on advance directive among patients undergoing hemodialysis.

Citations

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Effects of the healing beats application on anxiety, stress, and well-being in hemodialysis patients in Korea: a randomized controlled trial
Se-Na Yu, Myung-Haeng Hur
Journal of Korean Biological Nursing Science.2025; 27(1): 12. CrossRef
Factors that Influence Attitudes toward Advance Directives among Hemodialysis Patients
Minhee Cho, Hyunjoo Na
Journal of Hospice and Palliative Care.2024; 27(1): 11. CrossRef
Factors Influencing Advanced Directives Among Hemodialysis Patients
Eunseong SON, Minjeong SEO
Korean Journal of Medical Ethics.2022; 25(3): 243. CrossRef
Relationship between Ineffective Attitudes and General Health in Patients with Chronic Renal Disease Undergoing Hemodialysis in a Hospital in Gorgan, Iran
Firoozeh Derakhshanpour, Zanireh Salimi, Farzaneh Shekhnejad, Najmeh Shahini, Mohammadzaman Kamkar
Journal of Clinical and Basic Research.2021; 5(1): 22. CrossRef
Advance care planning in Asian culture
Shao-Yi Cheng, Cheng-Pei Lin, Helen Yue-lai Chan, Diah Martina, Masanori Mori, Sun-Hyun Kim, Raymond Ng
Japanese Journal of Clinical Oncology.2020; 50(9): 976. CrossRef
Influence of Older Person's Ego Integrity and Knowledge of Advance Directives on their Attitude toward Withdrawal from Life-sustaining Treatment
Eun Yi Yeom, Kum Sook Seo
Journal of Korean Gerontological Nursing.2019; 21(3): 173. CrossRef
Factors Influencing Withdrawal of Life-Sustaining Treatment in Tertiary General Hospital Workers -Knowledge and Attitude of Organ Donation and Transplantation, Awareness of Death, Knowledge and Perception of Hospice Palliative Care-
Nam Joo Je, Jeong Seok Hwa
The Korean Journal of Hospice and Palliative Care.2018; 21(3): 92. CrossRef

[English] Development and Evaluation of a Joint Health Self-management Program for the Elderly with Knee Osteoarthritis in Communities: Applying the IMB Model: Young il Kim, Jeong Sook Park; J Korean Acad Community Health Nurs. 2017;28(1):55-68. Published online March 31, 2017; DOI: https://doi.org/10.12799/jkachn.2017.28.1.55

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14 Citations

Abstract PDF

PURPOSE
The purpose of this study is to develop and evaluate a joint health self-management program for knee osteoarthritis elders in communities.
METHODS
This program was developed based on the IMB (information-motivationbehavioral skills) model. The program methods include education, setting and achieving goals, sharing experiences, telephone counseling, and self-monitoring. The topics of the program include joint assessment, exercise, massage, joint protection, medication, depression management, diet, and healthcare approach. The research was conducted following the principles of the nonequivalent control group pretest-posttest design. Participants were 26 subjects in the experimental group, and 27 subjects in the control group. The experimental group participated in the self-management program, and the control group received general education.
RESULTS
Both post-test scores of personal motivation, social motivation, behavior skill, self-management behavior, joint pain, joint stiffness, physical function disability, right knee extension, left knee extension, and depression were significantly different between the experimental group and the control group.
CONCLUSION
The results of the study can be used to develop and standardize a systematic joint health self-management program. Further research is highly recommended to develop a strategy to continuously facilitate self-management of osteoarthritis patients' procedures.

Citations

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[English] Effects of Health Literacy and Knowledge on Diabetic Self-care in the Elderly with DM Living Alone: Nan Hui Kim, Young Ran Yang, Myung Ha Lee; J Korean Acad Community Health Nurs. 2016;27(4):370-379. Published online December 31, 2016; DOI: https://doi.org/10.12799/jkachn.2016.27.4.370

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17 Citations

Abstract PDF

PURPOSE
The aim of this study was to evaluate the level of self-care adherence in the elderly with diabetes mellitus (DM) who have lived alone, and to investigate the association between health literacy, diabetic knowledge and self-care adherence.
METHODS
Descriptive research using the cross-sectional approach was conducted. Data was collected by using a convenience sampling of 201 participants who aged sixty-five years old or more and have lived alone. Statistical analysis was conducted by using an independent t-test, one-way ANOVA, ScheffÃ© test, Pearson correlation coefficient and stepwise multiple regression analysis.
RESULTS
Mean scores of health literacy, diabetic knowledge and adherence of self-care were 4.41Â±3.54 points out of a possible 12, 6.22Â±2.55 points out of a possible 15, 58.56Â±17.28 points out of a possible 112, respectively. Adherence of self-care showed a statistical association with health literacy (r=.26, p<.001) and diabetic knowledge (r=.30, p<.001). Statistically significant factors in the regression model were monthly income, diabetic knowledge and exercise.
CONCLUSION
The level of self-care adherence in the elderly with diabetes living alone was relatively low. Diabetic knowledge was an important factor to improve the level of self-care adherence for the elderly with diabetes living alone.

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