Factors Affecting Mobility in Community-dwelling Older Koreans with Chronic Illnesses

염혜아,Carol M. Baldwin,이명아,Su-Jeong Kim 한국간호과학회 2015 Asian Nursing Research Vol.9 No.1

Purpose: This descriptive study aims to describe the levels of mobility in community-dwelling older Koreans with chronic illnesses, and to examine the associations of their mobility with sleep patterns, physical activity and physical symptoms including fatigue and pain. Methods: The participants were a total of 384 community-dwelling older adults recruited from three senior centers in Seoul, Korea. Measures included mobility assessed using 6-minute walk test (6MWT), physical activity behavior, sleep profiles, fatigue and pain. Data were collected from July to December2012. Results: The mean 6MWT distance was 212.68 meters. Over 90% of the study participants (n = 373) were classified as having impaired mobility using 400 meters as the cutoff point diagnostic criteria of normal mobility in 6MWT. The 6MWT distance was 246.68 meters for participants in their 60s, 212.32 meters for those in their 70s, and 175.54 meters for those in their 80s. Significant predictors of mobility included younger age, taking mediation, regular physical activity, female gender, higher income, higher fatigueand better perception on sleep duration, which explained 18% of the total variance of mobility. Conclusions: A high-risk group for mobility limitation includes low income, sedentary older men who are at risk for increased fatigue and sleep deficit. Further research should incorporate other psychological and lifestyle factors such as depression, smoking, drinking behavior, and/or obesity into the prediction model of mobility to generate specific intervention strategies for mobility enhancement recommendations for older adults.

지면보수교육 - 노인 호스피스의 이해

염혜아 한국가톨릭호스피스협회 2023 호스피스 Vol.75 No.-

Self-Care in Elders with Dementia: A Concept Analysis

염혜아 한국간호과학회 2004 Journal of Korean Academy of Nursing Vol.34 No.7

Purpose: The purpose of this study was to analyze the concept of self-care in elders with dementia through a review of nursing literature and to provide more understanding of the definition and perspectives of the concept of self-care notion in elders with dementia. Methods: The technique developed by Walker and Avant was used as a guide in analyzing the concept of selfcare. Results: Attributes of self-care in dementia may include a single or group of actions needed for sustaining life, a personal effort to maintain functional independence while minimizing other’s assistance, an outcome behavior from the person’s interaction with inter-personal and/or contextual environment, and a functional ability that may decline in parallel to cognitive impairment. Antecedents of self-care in dementia may include at least presence of a certain degree of cognitive appraisal for the self-care needs, self-willingness for the selfcare action, spatial and visual orientation, cultural pre-conception of the self-care behavior, presence of environmental context/equipment available for self-care, and sufficient time available. The consequences may include sustaining of life, feel of satisfaction, achieving independence, extended life expectancy, increased self-confidence, decreased caregiver distress and/or burden, savings in health care costs. Discussion: Defining attributes and antecedents and consequences of self-care in dementia identified in this study provided empirical ground of a middle-range theory of self-care for a clinical population with dementia and generated possible hypotheses to be tested in future studies.

Adherence to Physical Activity Among Older Adults Using a Geographic Information System: Korean National Health and Nutrition Examinations Survey IV

염혜아,정덕유,최모나 한국간호과학회 2011 Asian Nursing Research Vol.5 No.2

Purpose The purpose of this study was to examine the adherence to physical activity (PA) among older adults in Korea using data from the Fourth Korean National Health and Nutrition Examination Survey (KNHANES IV),and to illustrate geographic variations in PA using Geographic Information Systems (GIS). Methods A secondary analysis of the KNHANES IV data from 2007 to 2008 was used for this study. Participants of the study included 2,241 older adults over the age of 65. Estimates on adherence to PA were obtained for vigorous, moderate, walking, strengthening, and stretching activities. All estimates were weighted to represent Korean population. The association between participants’ characteristics and PA was analyzed using Wald chi-square test. Maps depicting regional variations in PA were created using GIS software. Results Adherence to PA among Korean older adults who met national recommendations during the period of year 2007–2008 was about 9% in vigorous activity, 10% in moderate activity, and 48% in walking. The most common type of PA was walking. A higher level of PA was associated with male gender, younger age,high level of income and education, and living with family. Conclusion The majority of older adults did not meet the national PA recommendations, suggesting that consistent surveillance and intervention for PA in the geriatric population are needed in the future. Maps generated using GIS visually showed regional differences in PA among the study participants.

Factors Affecting Mobility in Community-dwelling Older Koreans with Chronic Illnesses

염혜아,Carol M. Baldwin,이명아,김수정 한국간호과학회 2015 Asian Nursing Research Vol.9 No.2

Purpose This descriptive study aims to describe the levels of mobility in community-dwelling older Koreans with chronic illnesses, and to examine the associations of their mobility with sleep patterns, physical activity and physical symptoms including fatigue and pain. Methods The participants were a total of 384 community-dwelling older adults recruited from three senior centers in Seoul, Korea. Measures included mobility assessed using 6-minute walk test (6MWT), physical activity behavior, sleep profiles, fatigue and pain. Data were collected from July to December 2012. Results The mean 6MWT distance was 212.68 meters. Over 90% of the study participants (n = 373) were classified as having impaired mobility using 400 meters as the cutoff point diagnostic criteria of normal mobility in 6MWT. The 6MWT distance was 246.68 meters for participants in their 60s, 212.32 meters for those in their 70s, and 175.54 meters for those in their 80s. Significant predictors of mobility included younger age, taking mediation, regular physical activity, female gender, higher income, higher fatigue and better perception on sleep duration, which explained 18% of the total variance of mobility. Conclusions A high-risk group for mobility limitation includes low income, sedentary older men who are at risk for increased fatigue and sleep deficit. Further research should incorporate other psychological and lifestyle factors such as depression, smoking, drinking behavior, and/or obesity into the prediction model of mobility to generate specific intervention strategies for mobility enhancement recommendations for older adults.

호스피스완화 간호사의 섬망 관련 지식, 자기효능감 및 간호수행도의 관계

장보정,염혜아,Jang, Bo-Jung,Yeom, Hye-Ah 한국호스피스완화의료학회 2018 한국호스피스.완화의료학회지 Vol.21 No.2

목적: 호스피스완화 간호사의 섬망에 대한 지식, 자기효능감 및 간호수행도 간의 관계를 파악하기 위함이다. 방법: 전국 19개 호스피스 완화의료 센터에 근무하는 간호사 174명을 대상으로 구조화된 설문지를 이용하였다. 결과: 첫째, 호스피스완화 간호사의 섬망에 대한 지식 정도는 45점 만점 중 평균 32.83점으로 73%의 정답률을 보였다. 섬망에 대한 지식은 4년제 대학 졸업 이하 군, 종교가 없는 군, 호스피스 경력이 59개월 미만 군에서 유의하게 낮았다. 둘째, 호스피스완화 간호사의 자기효능감 정도는 10점 만점 중 평균 7.08점이었다. 하위영역에서는 간호중재에 대한 자기효능감이 7.36점으로 가장 높았고, 간호사정에 대한 자기효능감이 6.79점으로 가장 낮았다. 자기효능감은 40세 이하, 미혼, 4년제 대학 졸업 군, 종교가 없는 군, 일반간호사 군, 임상경력이 120개월 미만 군과 호스피스 경력이 59개월 미만 군, 가족의 생애말기 돌봄 경험이 없는 군에서 유의하게 낮았다. 셋째, 호스피스 완화 간호사의 섬망에 대한 간호수행도는 4점 만점에 평균 2.95점이었다. 간호수행도는 23~29세, 미혼, 4년제 대학 졸업 군, 종교가 없는 군, 임상경력이 59개월 미만 군, 호스피스 경력이 낮은 군, 가족의 생애말기 돌봄 경험이 없는 군에서 유의하게 낮았다. 넷째, 섬망에 대한 간호수행도는 지식(r=0.28) 및 자기효능감(r=0.51)과 양의 상관관계를 보였다. 또한 지식은 자기효능감과 양의 상관관계를 나타내었다(r=0.24). 결론: 호스피스완화 간호사의 섬망에 대한 지식과 자기효능감, 간호수행도는 비교적 양호한 편으로 나타났지만 4년제 대학 졸업 이하군과 종교가 없는 군, 호스피스 경력이 5년 미만 군에서는 낮았다. 따라서 호스피스완화 간호에서 섬망 간호의 질적 향상을 위해서는 간호사의 지식 정도 및 요구를 선택적으로 반영한 양질의 섬망 교육프로그램을 개발하고 적용하여야 하며 섬망 간호 지식 및 수행도가 낮은 집단에 대한 중재전략 개발을 위한 연구가 필요할 것으로 사료된다. Purpose: The aim of this study is to examine the relationships among hospice-palliative care (HPC) nurses' knowledge of delirium, self-efficacy and nursing performance. Methods: This study was participated by 174 nurses working in the HPC unit. The nurses were asked to fill out a questionnaire that was structured to measure their knowledge of delirium, a self-efficacy in clinical performance scale (SECPS) and nursing performance. Results: The mean score for knowledge was 32.83 out of 45, with correction rate of 73%. The mean score for self-efficacy was 7.08 out of 10. The mean score of nursing performance was 2.95 out of 4. Significant correlation was observed among the variables of knowledge (r=0.28, P<0.001), self-efficacy (r=0.51, P<0.001) and nursing performance. Conclusion: Nurses with high level of knowledge of delirium showed high level of self-efficacy, and consequently better HPC nursing performance. It is necessary to develop a training program on delirium considering nurses' needs of knowledge of the condition. The effectiveness of the training program should be also examined in future.

간호사의 노인간호 스트레스, 노화인식, 노화불안이 노후준비에 미치는 영향

강수진,염혜아 한국직업건강간호학회 2021 한국직업건강간호학회지 Vol.30 No.4

한국형 부-태아 애착 척도 개발

노난이,염혜아 한국간호과학회 2016 한국간호과학회 학술대회 Vol.2016 No.10

전문소생술시 다직종간 팀워크 측정도구 개발

주은아,염혜아,안성희 한국간호과학회 2014 한국간호과학회 학술대회 Vol.2014 No.10

Development of the Korean Paternal-Fetal Attachment Scale (K-PAFAS)

노난이,염혜아 한국간호과학회 2017 Asian Nursing Research Vol.11 No.2

Purpose: This study is a methodological study aimed to develop the Korean Paternal-Fetal Attachment Scale (K-PAFAS) to measure the level of attachment between the father and the expected baby, and to examine its validity and reliability. Methods: The K-PAFAS was developed in four steps. The first step involved derivation of the initial items through review of the literature and in-depth interviews with 10 expectant fathers. The second step was the process of expert panel review, examining content validity for the initial items. In the third step, items were examined for their usability through a preliminary survey with 30 expectant fathers. As the last step, the final K-PAFAS was applied to 200 participants and examined for its psychometric profile. Results: K-PAFAS consisted of 20 items, and used a 5-point Likert scale with the total score ranging from 20 points to 100 points. A higher score indicated a higher level of attachment between the father and his unborn child. The K-PAFAS was composed of four factors. The K-PAFAS demonstrated satisfactory criterion validity, which was supported by its significant correlations with the Paternal Antenatal Attachment Scale, the Korean Dyadic Adjustment Scale, and the Center for Epidemiological StudieseDepression Scale. The Cronbach a of the K-PAFAS was .89. In test-retest reliability, the K-PAFAS showed a correlation coefficient of .91. Conclusion: The K-PAFAS demonstrated initial validity and reliability. It was short, and relatively easy for use in evaluating the degree of paternal-fetal attachment in the antenatal management stage.