Research in Community and Public Health Nursing

Original Articles

[English] Identifying Trajectories of Health-related Quality of Life in Mid-life Transition Women: Secondary Data Analysis of Korean Longitudinal Survey of Women & Families: Mi Seon Son; J Korean Acad Community Health Nurs. 2022;33(1):74-83. Published online March 31, 2022; DOI: https://doi.org/10.12799/jkachn.2022.33.1.74

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Purpose
The purpose of this study was to identify latent classes of health-related quality of life trajectories in middle-aged women and investigate predictors for latent classes.
Methods
This study utilized data from the 2^nd, the 4^the to the 7^the Korean Longitudinal Survey of Women & Families. The subjects included 1,351 women aged 40~45 years. The data was analyzed using latent class growth analysis and logistic regression.
Results
Two trajectories were identified for health-related quality of life in middle-aged women; ‘persistently good’ and ‘increasing’ groups. Predictors for the ‘increasing’ group were lower economic status, higher depression, and lower perceived health status.
Conclusion
This study showed that characteristics of the individual, symptom status, and health perceptions were associated with health-related quality of life in middle-aged women. It is necessary to provide effective intervention for latent classes of health-related quality of life trajectories based on physical, mental, and social factors.

Citations

Citations to this article as recorded by

The moderated mediating effect of physical activity restriction in the relationship between chronic disease, depression, and quality of life in middle age
Sumi Choi, Inwha Yoo, Sohyun An, Ahyoung Cho
Journal of Affective Disorders Reports.2024; 16: 100746. CrossRef
Influence of body image on quality of life in breast cancer patients undergoing breast reconstruction: Mediating of self‐esteem
Yunhee Jang, Mihyeon Seong, Sohyune Sok
Journal of Clinical Nursing.2023; 32(17-18): 6366. CrossRef

[English] An Exploratory Study on How and Why Young and Middle-aged Adults Disclose Depressive Feelings to Others: Focusing on the Influence of Perception of Social Norms: Soon Tae An, Han Na Lee; J Korean Acad Community Health Nurs. 2021;32(1):12-23. Published online March 31, 2021; DOI: https://doi.org/10.12799/jkachn.2021.32.1.12

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Abstract PDF

Purpose
This study explored how and why young and middle-aged adults disclose depressive feelings to others. In particular, we investigated the role of social norms to see whether using mobile instant messaging (MIM) could lower the perceived barriers of emotional disclosure. Furthermore, the motivations of emotional disclosure via MIM were compared between young and middle-aged adults.
Methods
A total of 255 Koreans (128 middle-aged people, 127 young adults) participated in an online survey. Pearson’s correlation coefficients, paired t-tests, SPSS PROCESS macro, and exploratory factor analysis were used to examine the relationships among the key variables.
Results
The perceived social norms were found to be a significant deterrent in disclosing depressive feelings to others. However, there was a significant interaction effect between generations and perceived social norms. Although young adults with low social norm awareness were more likely to disclose depressive feelings via MIM, emotional disclosure among middle-aged adults increased with higher levels of perceived social norms. Also, different motivations were observed.
Conclusion
The results confirmed the significant effect of social norms as well as generational differences when using MIM as a channel of emotional disclosure.

Citations

Citations to this article as recorded by

Artificial-Intelligence-Based Mood Regulation: Digital Encouragement in the Social Media Era
Hannah Lee, Soontae An, Yujin Lee
Journal of Digital Contents Society.2024; 25(6): 1557. CrossRef
The necessity of emotion management for the general public: a comparison of diagnostic changes in two anger-related psychiatric disorders
Yoorim Hyun, Myoungsoon You
Archives of Psychiatry and Mental Health.2022; 6(1): 048. CrossRef

[English] A Study on Experiences of Health Problems and Coping in Middle-aged and Elderly Women in the Community: Focusing on Focus Group Interview Approach: Yeo Won Jeong, Kyung Im Kang, Byeong Ju Lee; J Korean Acad Community Health Nurs. 2020;31(2):119-129. Published online June 30, 2020; DOI: https://doi.org/10.12799/jkachn.2020.31.2.119

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Abstract PDF

Purpose
The aim of this qualitative study is to explore the health problems and coping experiences of middle-aged and elderly women in the community.
Methods
A total of five focus group interviews were conducted with three groups of middle-aged and two groups of elderly women. All interviews were recorded and transcribed. Data were analyzed using the content analysis method.
Results
Health problems were categorized as confusion caused by problems that are difficult to handle alone in the middle-aged group and suffering originated by confronting changes in roles and environment in the elderly group. The health problems included stress, suffering, anxiety and social withdrawal as subcategories for the middle-aged women, and the stress, sense of loss, fear, and limited social activities caused by their life events for the elderly women. Meanwhile, the contents of categories about coping were revealed as the beginning of care for the body and mind for healthy life in the middle-aged group and active practice with insight into a healthy lifestyle in the elderly group. While the middle-aged women focused on themselves, attempted changes and started to take care of themselves, the elderly women interacted with the outside world, hardened their mind, made efforts for a dignified death, and managed health by their own methods.
Conclusion
There were differences in the experiences of middle-aged and elderly women in accepting their health problems and coping. Nursing interventions reflecting these findings can help to manage and promote the health of middle-aged and elderly women based on an integrated perspective.

Citations

Citations to this article as recorded by

Research trends in the Korean Journal of Women Health Nursing from 2011 to 2021: a quantitative content analysis
Ju-Hee Nho, Sookkyoung Park
Korean Journal of Women Health Nursing.2023; 29(2): 128. CrossRef

[English] A Comparison of Characteristics between Success Group and Failure Group of 1-year Continuous Smoking Abstinence in Young Adult and Middle-aged Male Workers: with Focus on the First-year Analysis of Korean Cross-sectional Survey: Juna Lee, In Sook Lee; J Korean Acad Community Health Nurs. 2016;27(2):95-105. Published online June 30, 2016; DOI: https://doi.org/10.12799/jkachn.2016.27.2.95

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Abstract PDF

PURPOSE
This study examined the characteristics differences associated with 1-year continuous smoking abstinence in Korean young adult and middle-aged male workers.
METHODS
'Korea National Health and Nutrition Examination Survey (KNHANES)' is an ongoing surveillance system that assesses the health and nutritional status of Koreans. For a secondary analysis of cross-sectional data from KNHANES VI-1, this study selected 683 Korean male workers as a subpopulation, who were young adult or middle-aged. The subpopulation was composed of success or failure group of 1-year continuous smoking abstinence. Binomial logistic regression analysis was performed.
RESULTS
Success group was more likely to be older, live in urban areas, rate their health status as excellent or good, and have ever been diagnosed with hypertension than failure group. Additionally, Success group was less likely to have used electronic cigarettes (e-cigarettes), drink more than once a month, and have been exposed to secondhand smoking in workplace within a week.
CONCLUSION
Developing smoking cessation programs requires consideration of resources in rural areas, promoting self-efficacy, restricting e-cigarettes and drinking, and promoting a smoke-free workplace.

Citations

Citations to this article as recorded by

Association of Satisfactory Smoking Cessation Support Services and Treatment Administered with Successful Quitting of Smoking in Korea
Chanmin Lee, Ja-Mi Cho, Kyoung-Jin Kim, Eun-Jung Oh, Jinyoung Shin, Jae-Kyung Choi, Hyuk-Jung Kweon, Min-woo Jo, Yu-Jin Paek
Journal of the Korean Society for Research on Nicotine and Tobacco.2019; 10(2): 62. CrossRef

[English] A Meta Analysis on the Effects of Exercise on Bone Mineral Density among Middle-aged and Older Women: Ji Soo Yoo, Jee Won Park, Suk Jeong Lee; J Korean Acad Community Health Nurs. 2009;20(3):285-295. Published online September 30, 2009

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Abstract PDF: PURPOSE
This study was to examine the effectiveness of exercise for bone mineral density (BMD).
METHODS
Four investigators reviewed English articles from Pub Med and CINAHL, selecting randomized controlled trials on exercise programs for middle-aged and older women. Out of 25 studies identified, 14 that satisfied with the inclusion criteria were included in the meta-analysis. The quality of the studies was assessed using recognized methods and the effect size was calculated as a Hedges' g using Comprehensive Meta-analysis Version 2.0. Primary outcomes were changes in BMD at femoral neck, trochanter, and lumbar spine. Subgroup analysis included changes in BMD according to exercise style.
RESULTS
Weight bearing exercise was effective (Q = 20.1, p > .05, ES = 0.32), and resistance exercise was effective in case of comparing to pre and post intervention (Q = 4.15, p = .98, ES = 0.14). At the femoral neck, 9 study groups were homogeneous and the experimental groups demonstrated a positive effect on BMD (Q = 19.5, p > .05, ES = 0.33). In contrast, marked heterogeneity (Q = 33.3, p < 0.01) was apparent in 7 study groups evaluating trochanter.
CONCLUSION
These findings suggest that weight bearing is effective for BMD of the femoral neck, and is relevant to the non-pharmacological treatment of bone loss for middle-aged and older women.

[English] The Effects of a Combined Exercise Program and Telephone Counseling on Physiological Functions, Self-efficacy and Depression in Obese Middle-aged Women: Nam Hee Park, Chae In Han, Eun Oak Choi; J Korean Acad Community Health Nurs. 2007;18(1):69-78. Published online March 31, 2007

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Abstract PDF: PURPOSE
This study was to determine the effects of a combined exercise program and telephone counseling in obese middle-aged women. The study also attempted to measure the effects of the program on physiological functions, self-efficacy and depression.
METHOD
This research employed a nonequivalent control group pretest-posttest design. The experimental group consisted of 29 obese middle-aged women, and the control group of 30 women. The subjects in the experimental group participated in a combined exercises program and telephone counseling for 12 weeks.
RESULTS
After performing the program for 12 weeks, BMI (p=.000), percent body fat (p<.007), TC (p=.026), TG (p=.035) and depression (p=.012) in the experimental group decreased significantly compared with the control group. Self-efficacy (p=.000) in the experimental group increased significantly compared with the control group after the program.
CONCLUSION
From these findings, it was confirmed that a combined exercises program and telephone counseling for obese middle-aged women can increase self-efficacy and decrease BMI, percent body fat, total cholesterol, triglyceride and depression. Therefore, this program can be utilized for various population groups including women, and further researches are required on programs for men.

[English] Grounded Theory Approach to Middle-aged Women's Experience in Family Health Care: Jung Hee Kim, Hyun Sook Moon, Hyun Im Kang, Mi Kyung Shin; J Korean Acad Community Health Nurs. 2005;16(4):498-507. Published online December 31, 2005

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Abstract PDF: PURPOSE
The purpose of this study is to survey health requirements of middle-aged women and their families and to provide guidelines for developing nursing interventions by describing the process of family health maintenance experienced by middle-aged women and its conceptual system.
METHODS
To get saturated data, each of four researchers conducted two or three times of in-depth interview with eight middle-aged women aged between 40-64 years old and living in Seoul and Chuncheon from the 10th to the 30th of October 2004 and each interview was continued one or two hours. The Grounded theory adopted by Strauss & Corbin (1998) is a substantive theory that can explain the experiencing process of middle-aged women.
RESULTS
We found that the casual condition of family health maintaining by middle-aged women was "confidence of health belief", and "pouring by body moving" was found to be its phenomenon. A textual condition that might respond to the phenomenon was "fatal roles acceptance", and intervening conditions that promote their family health were "retracing" and "gathering health information". These intervening conditions impacted middle-aged women's confidence in family health and led them to take actions/interactions such as "being a model of health", "adapting to circumstances", "do-it-myself", "taking-care" "harmonious mind" and "the pursuit of cleanness". These actions/interactions produced results such as "being stronger", "being unmanageable" and "being fruitful".
CONCLUSIONS
Health confidence and practical health behaviors were observed in the process that the middle-aged female participants experienced unmanageable circumstances but they accepted their roles and responsibilities and recognized that they must be get stronger. The behaviors of health-together-with were divided into enthusiastic type, adaptation type and self-sacrificing type. Therefore middle-aged woman with the understanding of family health maintaining process as well as the theoretical system and practical principals needs to implement the intervention in acceptable level of family health process of preventing psychological and physical problems.

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