Journal of Korean Gerontological Nursing最新文献_第5页

Estimation of factors associated with self-rated health among older adults living alone: A multilevel analysis of individual and regional determinants. 独居老年人自评健康相关因素的估计：个体和区域决定因素的多水平分析

Journal of Korean Gerontological Nursing Pub Date : 2025-11-01 Epub Date: 2025-11-28 DOI: 10.17079/jkgn.2025.00241

Jeesun Lee, Eunju Choi

{"title":"Estimation of factors associated with self-rated health among older adults living alone: A multilevel analysis of individual and regional determinants.","authors":"Jeesun Lee, Eunju Choi","doi":"10.17079/jkgn.2025.00241","DOIUrl":"10.17079/jkgn.2025.00241","url":null,"abstract":"Purpose: This study was designed to reveal how individual-level characteristics and local-government policy factors associated with self-rated health (SRH) among older adults living alone.Methods: Data were drawn from the 2023 Korean Community Health Survey, including 21,677 adults aged 65 years and older who reported living alone. A multilevel regression analysis was conducted using four models: a null model, an individual-level model, a regional-level model, and a full model including cross-level interactions. Fixed and random effects were estimated.Results: The null model showed an intra-class correlation coefficient of 10.9%, indicating that regional-level factors explained a significant portion of the variance in SRH. In the full model, individual-level factors such as older age, being female, lower educational attainment, lower monthly income, current smoking, and depressive symptoms were significantly associated with lower SRH. Conversely, current alcohol use and greater physical activity were associated with better SRH. At the regional level, a higher older adults welfare budget and the number of healthcare and leisure welfare facilities were positively associated with better SRH. Cross-level interactions showed that the positive effect of regional welfare budgets was attenuated among older individuals and those with higher monthly income, but was amplified for individuals with a higher degree of physical activity.Conclusion: SRH among older adults living alone is related to individual and regional factors. Regional welfare interventions are essential, but their benefits are context-sensitive and vary depending on individual characteristics like age and physical activity level. Structural, context-sensitive interventions at the community level are essential to improving health equity and well-being in this population.","PeriodicalId":52377,"journal":{"name":"Journal of Korean Gerontological Nursing","volume":"27 4","pages":"393-403"},"PeriodicalIF":0.0,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12719961/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146047307","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Factors associated with malnutrition in nursing home residents: A systematic review and meta-analysis of observational studies. 与养老院居民营养不良相关的因素：观察性研究的系统回顾和荟萃分析。

Journal of Korean Gerontological Nursing Pub Date : 2025-08-01 Epub Date: 2025-08-29 DOI: 10.17079/jkgn.2025.00017

Thi Thu Thao Nguyen, Heeok Park

{"title":"Factors associated with malnutrition in nursing home residents: A systematic review and meta-analysis of observational studies.","authors":"Thi Thu Thao Nguyen, Heeok Park","doi":"10.17079/jkgn.2025.00017","DOIUrl":"10.17079/jkgn.2025.00017","url":null,"abstract":"Purpose: We investigated factors associated with malnutrition in nursing home residents and estimated pooled effect sizes of those associations.Methods: We report this study according to the PRISMA checklist 2020. After registering the protocol, we conducted a systematic search using the keywords \"malnutrition,\" \"nursing home,\" and \"factor\" on PubMed, EMBASE, CINAHL, and Scopus and conducted a hand search of relevant sources in November 2023. We conducted the meta-analysis using R4.3.1 software.Results: We included 46 studies and entered 35 studies into the meta-analysis. Meta-analysis results showed that (1) demographic factors included being female: pooled odds ratio (pOR) 1.38 (95% confidence interval [95% CI], 1.29~1.47) and higher body mass index: pOR 0.74 (95% CI, 0.66~0.83); (2) health functional factors including dependence with activities of daily living: pOR 3.70 (95% CI, 2.97~4.60) and being immobile: pOR 2.50 (95% CI, 1.39~4.47); (3) eating and oral intake factors including: eating <50% of offered food portions: pOR 3.56 (95% CI, 2.05~6.19) and loss of appetite: pOR 3.60 (95% CI, 1.36~9.57); (4) disease-related factors including dementia: pOR 1.98 (95% CI, 1.59~2.46), depression: pOR 1.84 (95% CI, 1.18~2.85), diabetes: pOR 0.76 (95% CI, 0.58~0.99), and pressure ulcers: pOR 2.14 (95% CI, 1.54~2.97); and (5) medication-related factors such as taking polypharmacy pOR 1.75 (95% CI, 1.24~2.47) were found to have a significant association with malnutrition in nursing homes.Conclusion: These results contribute to updating knowledge about factors associated with malnutrition in nursing homes. Results supported that demographic status, health function, eating and oral intake, and disease, and medication factors significantly aligned with malnutrition. Study results contribute to improving nutritional care in nursing homes and long-term-care settings.","PeriodicalId":52377,"journal":{"name":"Journal of Korean Gerontological Nursing","volume":"27 3","pages":"238-250"},"PeriodicalIF":0.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12719960/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146054823","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Factors affecting health-related quality of life for older adults living alone in rural areas in Korea: A cross-sectional descriptive study]. [影响韩国农村独居老年人健康相关生活质量的因素：一项横断面描述性研究]。

Journal of Korean Gerontological Nursing Pub Date : 2025-08-01 Epub Date: 2025-08-29 DOI: 10.17079/jkgn.2025.00045

Chan Mi Park, Hyeon Ok Kim, Eun Jee Lee

{"title":"[Factors affecting health-related quality of life for older adults living alone in rural areas in Korea: A cross-sectional descriptive study].","authors":"Chan Mi Park, Hyeon Ok Kim, Eun Jee Lee","doi":"10.17079/jkgn.2025.00045","DOIUrl":"10.17079/jkgn.2025.00045","url":null,"abstract":"Purpose: This study aimed to investigate factors influencing the health-related quality of life (HRQOL) of older adults aged 65 years and older, living alone in rural areas in Korea.Methods: We conducted a cross-sectional survey with 136 older adults living alone in rural areas from January 26 to February 15, 2024. We collected data through interviews conducted by trained surveyors with each older adult. Data were analyzed using t-tests, one-way ANOVA, Pearson's correlation, and hierarchical logistic-regression analysis with SPSS/WIN version 27.0.Results: Factors influencing the HRQOL of older adults living alone in rural areas were depression (β=-.38, p＜.001), the number of diagnosed diseases (β=-.22, p=.001), and subjective health perception (β=.18, p=.014), with an explanatory power of 57.0%.Conclusion: Managing depression, preventing and treating diseases, and improving subjective health perceptions could enhance the HRQOL of older adults living alone in rural areas.","PeriodicalId":52377,"journal":{"name":"Journal of Korean Gerontological Nursing","volume":"27 3","pages":"328-337"},"PeriodicalIF":0.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12719965/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146047328","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Relationship between hand grip strength and lung function among older adults in Korea: Secondary analysis of the Korea National Health and Nutrition Examination Survey. 韩国老年人握力与肺功能的关系：韩国国家健康与营养检查调查的二次分析

Journal of Korean Gerontological Nursing Pub Date : 2025-08-01 Epub Date: 2025-08-29 DOI: 10.17079/jkgn.2024.00696

Inkyung Park, Minjae Lee, Kahyun Kim

{"title":"Relationship between hand grip strength and lung function among older adults in Korea: Secondary analysis of the Korea National Health and Nutrition Examination Survey.","authors":"Inkyung Park, Minjae Lee, Kahyun Kim","doi":"10.17079/jkgn.2024.00696","DOIUrl":"10.17079/jkgn.2024.00696","url":null,"abstract":"Purpose: South Korea is rapidly aging, with older adult care costs soaring and lung diseases prevalent among the older adults. The correlation between hand grip strength (HGS) and lung function is contested, demanding further research to assess its viability as a predictor of lung health in this growing demographic. In this study, we explored the relationship between HGS and lung function.Methods: In this cross-sectional study, of 32,379 participants, we selected 3,362 aged 65 years or older, after exclusions. We assessed lung function through forced vital capacity (FVC) and forced expiratory volume (FEV1) measurements, and gauged HGS using a digital dynamometer. The analysis accounted for various covariates including medical history, lifestyle factors, and socioeconomic status, using complex sample analysis in SPSS.Results: Analysis of 3,362 participants revealed that, after adjusting for relevant covariates, HGS retained a statistically significant correlation with FVC and FEV1, with regression coefficients of 0.03 and 0.02, respectively. These findings indicate that HGS may serve as a reliable indicator of respiratory health in an aging population.Conclusion: Findings showed HGS independently aligned with FVC and FEV1, requiring a significant post-adjustment for confounders. Consistent with prior studies, results suggest HGS could indicate respiratory health in older adults. Despite divergent outcomes from earlier research, a persistent link between HGS and lung function underscores its value in geriatric screenings for early lung-decline detection.","PeriodicalId":52377,"journal":{"name":"Journal of Korean Gerontological Nursing","volume":"27 3","pages":"285-294"},"PeriodicalIF":0.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12719943/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146054804","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Bridging the gaps in care for older adults: Continuity of care, person-centered care, and workforce development. 弥合老年人护理方面的差距：护理的连续性、以人为本的护理和劳动力发展。

Journal of Korean Gerontological Nursing Pub Date : 2025-08-01 Epub Date: 2025-08-29 DOI: 10.17079/jkgn.2025.00234

Eunhee Cho

引用次数: 0

[Risk factors of depression among the baby boomer generation: A cross-sectional study using the 2022 Korean Community Health Survey]. [婴儿潮一代抑郁症的风险因素：利用2022年韩国社区健康调查的横断面研究]。

Journal of Korean Gerontological Nursing Pub Date : 2025-08-01 Epub Date: 2025-08-29 DOI: 10.17079/jkgn.2024.00654

Kyoung Mi Kim, Hye Jung Jun

{"title":"[Risk factors of depression among the baby boomer generation: A cross-sectional study using the 2022 Korean Community Health Survey].","authors":"Kyoung Mi Kim, Hye Jung Jun","doi":"10.17079/jkgn.2024.00654","DOIUrl":"10.17079/jkgn.2024.00654","url":null,"abstract":"Purpose: The purpose of this study was to identify depression in the baby boomer generation and identify risk factors for depression.Methods: We selected and analyzed a total of 45,470 members of the baby boomer generation using the 2022 Korean Community Health Survey. We conducted the Rao-Scott χ 2 test to evaluate differences according to depression and used logistic regression analysis to identify related factors.Results: Of the baby boomer generation, 8.1% had depression. Sex (odds ratio [OR]=1.57, 95% confidence interval [CI]=1.39~1.78), working status (OR=0.76, 95% CI=0.69~0.85), marital status (OR=1.43, 95% CI=1.27~1.61), average monthly household income (OR=0.85, 95% CI=0.74~0.97), subjective health status (OR=1.91, 95% CI=1.64~2.22), eating breakfast (OR=0.83, 95% CI=0.72~0.96), sleep time (OR=1.17, 95% CI=1.05~1.30), unmet medical care (OR=1.68, 95% CI=1.42~2.00), stress (OR=2.69, 95% CI=2.42~3.00), life satisfaction (OR=2.30, 95% CI=1.90~2.79), and cognitive disability (OR=2.09, 95% CI=1.88~2.32) were significant risk factors for depression among members of the baby boomer generation.Conclusion: It is necessary to develop programs to manage mental health issues such as stress, which is a major factor in the experience of depression among members of the baby boomer generation, to increase life satisfaction. In addition, active attention is needed continuously to assist in the mental health of members of the baby boomer generation.","PeriodicalId":52377,"journal":{"name":"Journal of Korean Gerontological Nursing","volume":"27 3","pages":"308-317"},"PeriodicalIF":0.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12719950/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146054842","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Developing nursing competencies to support healthy aging in the era of super-aged society: A Delphi approach. 发展护理能力以支持超老龄化社会时代的健康老龄化：德尔菲法。

Journal of Korean Gerontological Nursing Pub Date : 2025-08-01 Epub Date: 2025-08-29 DOI: 10.17079/jkgn.2025.00010

Jinju Kim, Myonghwa Park, Heejung Kim

{"title":"Developing nursing competencies to support healthy aging in the era of super-aged society: A Delphi approach.","authors":"Jinju Kim, Myonghwa Park, Heejung Kim","doi":"10.17079/jkgn.2025.00010","DOIUrl":"10.17079/jkgn.2025.00010","url":null,"abstract":"Purpose: In this study, we aimed to define the specific competencies required for nurses to effectively support healthy aging, thereby enhancing the professionalism of nurses, improving the quality of nursing services related to healthy aging, and ultimately contributing to the quality of life for older adults.Methods: Through a literature review, we derived nursing competencies for healthy aging; based on the review, we verified content validity through a Delphi survey with 10 related experts. Expert Delphi survey participants judged that expert opinions were not in agreement when the content validity ratio was less than 0.62, the consensus was less than 0.75, and the convergence was in the range of 0 to 0.5.Results: Nursing competency for healthy aging consists of 9 domains, 26 key competencies, and 132 enabling competencies. Areas include \"Assessment of healthy aging,\" \"Service coordination,\" \"Prevention and management of intrinsic capacity decline,\" \"Support for caregivers and care staff,\" \"Collaboration,\" \"Communication,\" \"Leadership,\" \"Professional ethics,\" and \"Education and Research.\"Conclusion: This study provides foundational data, enhancing the professionalism and expanding the roles of nurses by specifically presenting competencies required to support healthy aging in older adults. These competencies can serve as practical and systematic guidelines to advance nursing education and competency development, enabling nurses to effectively support healthy aging in older adults.","PeriodicalId":52377,"journal":{"name":"Journal of Korean Gerontological Nursing","volume":"27 3","pages":"251-270"},"PeriodicalIF":0.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12719998/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146054864","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Development and effects of a customized integrated health management program for older adults living alone: A nonequivalent control-group pre-posttest design]. [为独居老年人定制的综合健康管理计划的发展和效果：一个非等效的对照组前-后测试设计]。

Journal of Korean Gerontological Nursing Pub Date : 2025-08-01 Epub Date: 2025-08-29 DOI: 10.17079/jkgn.2024.00689

Mooyong Cho

{"title":"[Development and effects of a customized integrated health management program for older adults living alone: A nonequivalent control-group pre-posttest design].","authors":"Mooyong Cho","doi":"10.17079/jkgn.2024.00689","DOIUrl":"10.17079/jkgn.2024.00689","url":null,"abstract":"Purpose: The purpose of this study was to develop and implement a customized integrated health-management program (CIHMP) for socially isolated older adults living alone and to evaluate its effectiveness.Methods: We used a nonequivalent control group pretest-posttest design. Participants were 49 older adults living alone (experimental group: 24, control group: 25). The experimental group participated in a CIHMP 10-week program that included the following components: greeting phone calls, individual health counseling by phone, health education, laughter therapy, pottery activities, and physical exercise. The control group continued their usual isolated daily living. We analyzed data using the independent t-test and Mann-Whitney U test with SPSS/Win version 24.0.Results: Significant differences emerged between groups in right-hand grip strength (t=-2.22, p=.031), Short Physical-Performance Battery (z=-5.57, p<.001), self-esteem (t=-3.54, p=.001), depression (z=-3.30, p=.001), and health-management self-efficacy (t=2.43, p=.019).Conclusion: Findings indicated that the CIHMP was effective in improving physical function, self-esteem, depression, and health management self-efficacy among older adults living alone. Therefore, the CIHMP may be a useful community-based intervention for this population.","PeriodicalId":52377,"journal":{"name":"Journal of Korean Gerontological Nursing","volume":"27 3","pages":"295-307"},"PeriodicalIF":0.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12719962/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146054542","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Predictors of depression among older adults in Korea: An analysis of the Korean Longitudinal Study of Aging (KLoSA)]. [韩国老年人抑郁的预测因素：韩国老龄化纵向研究（KLoSA）的分析]。

Journal of Korean Gerontological Nursing Pub Date : 2025-08-01 Epub Date: 2025-08-29 DOI: 10.17079/jkgn.2025.00094

Kyunghee Kim, Eunhee Lee

引用次数: 0

Factors influencing self-decision in withholding or withdrawal of life-sustaining treatments among older patients admitted to general hospital: A retrospective case-control study. 影响综合医院住院老年患者停止或停止生命维持治疗的自我决定的因素：一项回顾性病例对照研究

Journal of Korean Gerontological Nursing Pub Date : 2025-08-01 Epub Date: 2025-08-29 DOI: 10.17079/jkgn.2025.00115

Young Min Jeong, Hee-Ju Kim

{"title":"Factors influencing self-decision in withholding or withdrawal of life-sustaining treatments among older patients admitted to general hospital: A retrospective case-control study.","authors":"Young Min Jeong, Hee-Ju Kim","doi":"10.17079/jkgn.2025.00115","DOIUrl":"10.17079/jkgn.2025.00115","url":null,"abstract":"Purpose: This study aimed to identify factors influencing older patients' self-decision in withholding or withdrawing life-sustaining treatment (LST) during hospitalization.Methods: For this retrospective case-control study (self-decision versus family-decision groups), we used electronic medical records. The sample included 624 older patients who died after completing the LST implementation form. 249 (39.9%) patients were in the self-decision group versus 375 (60.1%) patients in the family-decision group. We performed chi-square tests, t-tests, and binary logistic regression.Results: Receiving treatment in an internal medicine department (odds ratio [OR]=12.60, 95% confidence interval [CI]=2.83~56.13), admission to a general ward (OR=2.83, 95% CI=1.33~6.02), experiencing pain (OR=2.64, 95% CI=1.68~4.13), being alert upon admission (OR=2.27, 95% CI=1.15~4.51), having a diagnosis of cancer (OR=2.01, 95% CI=1.16~3.49), and younger age (65~74 years) were significantly associated with an increased likelihood of self-decision. All factors increased the likelihood of self-decision. The self-decision group showed higher rates of withholding or withdrawing LST interventions (e.g., ventilators, dialysis, chemotherapy, extracorporeal membrane oxygenation, transfusions, and vasopressors) and received more hospice and palliative care with reduced Intensive Care Unit deaths.Conclusion: The self-decision group (i.e., those in internal medicine, with cancer, admitted to general wards, and maintaining consciousness) chose reduced futile LSTs. These findings highlight the need to develop a standardized protocol for counseling and education to facilitate informed end-of-life decisions among older inpatients.","PeriodicalId":52377,"journal":{"name":"Journal of Korean Gerontological Nursing","volume":"27 3","pages":"271-284"},"PeriodicalIF":0.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12719968/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146054832","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0