Dual caregiving burden for older parents and grandchildren in middle-aged and older adults: A concept analysis

유리호,문창선,박인경,이민재,최고은 한국노인간호학회 2023 노인간호학회지 Vol.25 No.4

Purpose: This study aimed to clearly identify and define the nature of the concept of dual caregiving burden for grandchildren and older parents of middle-aged and older adults. Methods: By employing Walker and Avant’s concept analysis procedure, this study clarified dual caregiving attributes in the middle-old-aged group. Literature reviews were conducted through April 2023 using several databases. Out of an initial 55 articles, seven met the criteria focusing on dual caregiving for the target age group. Results: Based on the literature review, the dual caregiving burden for the middle-old-aged was characterized by (1) an overconcentration of caregiving in the middle-old-aged generations, (2) absence of alternatives for caregiving outside of the middle generation, (3) ambiguity within the scope of caregiving roles, and (4) insufficient compensation for caregiving for two generations. Conclusion: This study paves the way for the development of tools to appraise dual caregiving burden and nursing interventions to mitigate it accordingly. Future research will enhance support for middle-old-aged generations vis-à-vis their caregiving roles.

한국 성인의 연령대별 건강식생활 실천과 이상지질혈증과의 관련성 연구: 심혈관계 질환을 진단 받지 않은 성인을 중심으로

유리호(Leeho Yoo),백다인(Dain Baik),이미지(Miji Lee) 한국산학기술학회 2023 한국산학기술학회논문지 Vol.24 No.10

이상지질혈증은 건강한 식생활을 유지함으로써 관리할 수 있다. 이에 본 연구는 보건복지부의 국민건강증진 종합계획(Health Plan 2030)에서 제시한 건강식생활 실천이 이상지질혈증에 미치는 독립적인 효과를 확인하기 위하여 2020년 국민건강영양조사 자료를 분석하였다. 본 연구에서는 이상지질혈증 약을 복용하지 않고 이상지질혈증 등 관련 질환으로 진단받지 않은 성인 3,610명을 대상으로 복합표본 통계분석을 수행하였다. 지표는 빈도와 평균으로 제시하였으며, Rao-Scott chi-square를 이용해 차이를 검정하였다. 또한 건강식생활과 이상지질혈증의 연관성을 다중 로지스틱 회귀분석으로 분석하였으며 오즈비와 95% 신뢰구간을 산출하였다. 본 연구 결과 모든 성인 연령군(청년, 중년, 노년)에서 건강식생활 실천군이 50% 이상을 차지하였으며, 성별에 따른 실천의 차이를 보였다. 중년 집단에서는 걷기 실천 유무, 노년 집단에서는 흡연 여부에 따라 건강식생활 실천에 유의한 차이가 있었다. 그러나 이상지질혈증 약 복용 및 심뇌혈관질환 진단자를 제외한 성인 집단에서 건강식생활 실천이 이상지질혈증 위험도에 독립적인 영향을 미치지 않았다. 따라서 본 연구에서 사용된 건강식생활 실천 지표는 이상지질혈증의 진단 지표인 지질 지표에 영향을 미치지 않는 것으로 확인되었다. 이에 이상지질혈증 예방을 위해 지질 지표에 유의한 영향을 미치는 새로운 건강식생활 실천 지표를 개발해야 할 필요가 있으며 이상지질혈증에 영향을 미치는 다른 요인들과 함께 복합적인 영향을 확인하는 후속 연구를 제언한다. This study analyzed data from the Korea National Health and Nutrition Examination Survey (KNHANES) 2020 to verify the independent effects of consuming a healthy diet on dyslipidemia. In this study, a complex sample statistical analysis was performed on 3,610 adults who neither took medication for dyslipidemia nor had been diagnosed with related diseases. Indicators were presented as frequencies and averages, and differences were tested using the Chi-square test with the Rao-Scott correction. The association between a healthy diet and dyslipidemia was analyzed using multiple logistic regression, calculating odds ratios (OR), and 95% confidence intervals (CI). The results showed that more than 50% of all adults consumed a healthy diet, with differences observed between gender. Among the middle-aged group, there were significant differences in the consumption of a healthy diet based on walking habits, and in the older adults group, based on smoking status. However, among adults-excluding those taking dyslipidemia medication or those diagnosed with cardiovascular diseases-a healthy diet did not independently influence the risk of dyslipidemia. This suggests the need to develop new healthy diet indicators that significantly impact lipid markers for preventing dyslipidemia. Further studies are recommended to verify the combined effects of these indicators alongside other factors influencing dyslipidemia.

간호대학생의 가상 시뮬레이션 및 하이브리드 시뮬레이션 노인간호실습 교육 경험: 혼합연구방법

이혜순,조미정,유리호,최은주,정덕유 한국노인간호학회 2022 노인간호학회지 Vol.24 No.2

Purpose: This study aimed to examine the experiences of nursing students who took a clinical practicum in geriatric nursing through virtual and hybrid simulation. Methods: The study employed a mixed-method design. Participants in quantitative research were 94 nursing students (Virtual simulation group: 45, Hybrid simulation group: 49). Qualitative research was conducted with 4 focus groups (7 students per group). Quantitative data were analyzed using x2 and t-test with SPSS/WIN 23.0. Qualitative data were analyzed using content analysis. Results: The hybrid simulation group had significantly more interest in gerontological nursing (t=10.45, p=.002), sharing opinions (t=6.93, p=.010), and recognition of one's own strengths and weaknesses (t=15.90, p<.001) than the virtual simulation group. The two simulation training experiences were shown in five themes: (1) space and relationship, (2) role differences as learners, (3) higher-order thinking skills, (4) embodied knowledge by acquisition, and (5) differences in perspectives on patients. Overall, the learning attitude according to the hybrid simulation was reported to be higher than that of the virtual simulation. Conclusion: This study is meaningful in that it suggests an effective method for nursing practice for older adults by comparing the experience of virtual simulation and hybrid simulation methods in clinical practice of gerontological nursing.

기관내관을 적용중인 국내 중환자실 성인 입원환자의 구강간호에 대한 주제범위 문헌고찰

임정은,정덕유,유리호,Lim, Jungeun,Jung, Dukyoo,Yoo, Leeho 한국중환자간호학회 2024 중환자간호학회지 Vol.17 No.1

Purpose : This scoping review was designed to identify gaps in knowledge and guide future directions for clinical nursing practices and research on oral hygiene care for endotracheally intubated patients in Korean intensive care units. Methods : We conducted a scoping review using the methodological framework proposed by Arksey and O'Malley. PubMed, CINAHL, RISS, Science On, and DBpia databases were searched. Two reviewers independently selected the studies and extracted data. A total of 445 studies were identified, of which 17 were included in the final analysis. Results : No research has been conducted from 2021 to the present. A total of 12 instruments were utilized in 13 studies to assess the effectiveness of oral hygiene care. All studies investigating the effectiveness of oral hygiene care have consistently documented that chlorhexidine has the most significant effect. The frequency and time of oral hygiene care were each examined in one study. Conclusion : A research study is necessary to develop a measurement tool for assessing the effectiveness of oral hygiene care suitable for endotracheal intubated patients in intensive care units. Interventional studies should be conducted to determine the effects of chlorhexidine and the appropriate frequency and time of oral hygiene care. Thereafter, revision of domestic evidence-based clinical practice guidelines by integrating these results will be necessary.

중년층의 비처방약품 오남용 실태 연구

고미현,김민주,김유진,김정호,박예진,유리호,이민영,이송연,조윤진,황선주 이화여자대학교 간호과학대학 2014 이화간호학회지 Vol.- No.48

Purpose: The purpose of this study was to grasp the status of abusing Over The Counter Drug (OTC Drug) among the middle-aged. Methods: The participants of this study consisted of 175 middle-aged people in Seoul and Gyeoggi-do. Data were collected using a questionnaire, and the study was conducted from September 10 to October 10, 2013. The data were analyzed by t-test, chi-square test, one-way ANOVA and Turkey. Results : As a result, 97 participants(55.4%) out of 175 participants of this study had taken over the counter drug within the past one year. Their average score of abusive behavior of OTC drug was 6.96±3.01 out of 16. There was significant abusive behavior of OTC drug relative to the difference in family monthly income.(F=3.455, p=0.20) and there was significant difference depending on the information source of the OTC Drug.(F=2.56, p=.044) Conclusions : In conclusion, nurses should educate middle-aged people so that they can use over the counter drug more safely and accurately based on these results. In addition, these results will be useful in further studies regarding middle-aged people’s drug abuse according to the preceding data.