Fear of Falling in Older Adults: Comprehensive Review

정덕유 한국간호과학회 2008 Asian Nursing Research Vol.2 No.4

Fear of falling has been reported in a high percentage of community-dwelling elderly who both do and don’t have a history of falling. The aims of this review are to: (a) elucidate the definition of fear of falling; (b) clarify measurements of fear of falling based on its definition; and (c) describe the risk factors for fear of falling. Despite the importance of the percentage and the consequences of fear of falling, its definition is still vague and warrants clarification. Based on a literature review, major fear of falling measurements involve the evaluation of fear of falling and use of a fall efficacy scale. Using a correct definition of fear of falling, nurses working close with older adults need to identify the different definitions of fear of falling and fall efficacy scale. In addition, nurses who work closely with older adults should encourage them to increase or maintain modifiable factors by maximizing their basic health status and enhancing their physical activity to decrease fear of falling. [Asian Nursing Research 2008;2(4):214–222] Fear of falling has been reported in a high percentage of community-dwelling elderly who both do and don’t have a history of falling. The aims of this review are to: (a) elucidate the definition of fear of falling; (b) clarify measurements of fear of falling based on its definition; and (c) describe the risk factors for fear of falling. Despite the importance of the percentage and the consequences of fear of falling, its definition is still vague and warrants clarification. Based on a literature review, major fear of falling measurements involve the evaluation of fear of falling and use of a fall efficacy scale. Using a correct definition of fear of falling, nurses working close with older adults need to identify the different definitions of fear of falling and fall efficacy scale. In addition, nurses who work closely with older adults should encourage them to increase or maintain modifiable factors by maximizing their basic health status and enhancing their physical activity to decrease fear of falling. [Asian Nursing Research 2008;2(4):214–222]

The effect of a combined exercise program using an iPad among Korean female older adults

정덕유 한국성인간호학회 2013 성인간호학회 학술대회 Vol.2013 No.12

한국판 비판적 사고 성향(CCTDI) 척도의 신뢰도와 타당도 조사 연구

정덕유,신경림,신수진,황은희,박선영,김건희 한국성인간호학회 2009 성인간호학회 학술대회 Vol.2009 No.12

BMI and Breast Cancer in Korean Women: A Meta-Analysis

정덕유,이선미 한국간호과학회 2009 Asian Nursing Research Vol.3 No.1

Introduction The number of breast cancer women has increased dramatically in Korea. The cause is perceived to stem from adaptation to a westernized life style which increases body mass index (BMI). However, there are no meta-analysis data available that could help in understanding the relationship between Korean females’ BMI and breast cancer occurrence. Method All the published articles that investigated the relationship of Korean women’s BMI with breast cancer prevalence between 1950 and 2007 were included in this study, based on a screen of the computerized databases that search for these articles (MEDLINE, RISS4U and KMBase). The commercial software Comprehensive Meta Analysis was used for the analysis. Results The high BMI score group presented a higher prevalence of breast cancer on both a fixed-effects model [odds ratio (OR) = 1.282; 95% confidence interval (CI) = 1.209, 1.361] and a random-effects model(OR = 1.388; 95% CI = 1.129, 1.706). In addition, a high BMI score on pre- and postmenopausal groups was found to have a significantly higher prevalence of breast cancer on both a fixed-effects model (OR = 1.467; 95% CI = 1.268, 1.698, OR = 1.614; 95% CI = 1.360, 1.917, pre- and postmenopausal, respectively) and a random-effects model (OR = 1.387; 95% CI = 1.134, 1.696, OR = 1.681; 95% CI = 1.149, 2.461, pre- and postmenopausal, respectively). Conclusion This meta-analysis of Korean women showed that a high BMI was related to a higher incidence rate of breast cancer. This study used a subgroup analysis of pre- and postmenopausal groups; the high BMI subset in both the pre- and postmenopausal groups was shown to have a higher incidence rate of breast cancer. Introduction The number of breast cancer women has increased dramatically in Korea. The cause is perceived to stem from adaptation to a westernized life style which increases body mass index (BMI). However, there are no meta-analysis data available that could help in understanding the relationship between Korean females’ BMI and breast cancer occurrence. Method All the published articles that investigated the relationship of Korean women’s BMI with breast cancer prevalence between 1950 and 2007 were included in this study, based on a screen of the computerized databases that search for these articles (MEDLINE, RISS4U and KMBase). The commercial software Comprehensive Meta Analysis was used for the analysis. Results The high BMI score group presented a higher prevalence of breast cancer on both a fixed-effects model [odds ratio (OR) = 1.282; 95% confidence interval (CI) = 1.209, 1.361] and a random-effects model(OR = 1.388; 95% CI = 1.129, 1.706). In addition, a high BMI score on pre- and postmenopausal groups was found to have a significantly higher prevalence of breast cancer on both a fixed-effects model (OR = 1.467; 95% CI = 1.268, 1.698, OR = 1.614; 95% CI = 1.360, 1.917, pre- and postmenopausal, respectively) and a random-effects model (OR = 1.387; 95% CI = 1.134, 1.696, OR = 1.681; 95% CI = 1.149, 2.461, pre- and postmenopausal, respectively). Conclusion This meta-analysis of Korean women showed that a high BMI was related to a higher incidence rate of breast cancer. This study used a subgroup analysis of pre- and postmenopausal groups; the high BMI subset in both the pre- and postmenopausal groups was shown to have a higher incidence rate of breast cancer.

The role and prospects of gerontological nurses

정덕유 한국노인간호학회 2023 노인간호학회지 Vol.25 No.4

포괄간호서비스를 제공하는 간호사의 간호업무와 직무 스트레스, 직무만족에 관한 연구

정덕유,이민경 한국간호과학회 간호행정학회 2015 간호행정학회지 Vol.21 No.3

Purpose: Purpose of the study was to investigate task performance, importance, knowledge, and level of job stress and job satisfaction of nurses working in a hospital with no family or family paid auxiliary caregivers. Methods: Participants were 119 nurses working in hospitals with no guardians. The questionnaire contained 488 items: general characteristics, performance, importance, knowledge of nursing tasks, job stress and job satisfaction. Data were analyzed using descriptive statistics and Pearson correlation coefficients with SPSS WIN 21.0. Results: Most frequently performed nursing tasks were patient nursing management and information management. Nursing tasks perceived as most important were medication and transfusion and nursing tasks with the highest knowledge were also medication and transfusion. Nursing task (subcategory) most frequently performed was oral medication. Nursing task (subcategory) perceived as most important was mental status observation and nursing task (subcategory) with the highest knowledge was vital sign check. Nurses’ job stress was significantly associated with job satisfaction. The mean scores for nurses’ job stress and job satisfaction were low. Conclusion: The results indicate that nurses working in hospitals with no guardians perform daily living assistance services more often than previously, and nurses need to be prepared to do these tasks. 연구 목적: 입원환자의 간병 문제를 해결하고자 정부는 포괄간호서비스를 통해 간병서비스의 제도화를 추진하여 추후 전국으로 확대 할 예정이다. 그러나 포괄간호서비스를 제공하는 간호사의 간호업무가 명확히 분류, 명시되지 않아 혼란을 일으키고 있다. 이에 본 연구는 포괄간호서비스를 제공하는 간호사의 간호업무 수행도, 중요도, 지식정도를 확인하여 간호업무의 실태를 파악하고 간호사의 직무스트레스와 직무만족의 관계를 확인하기 위해 시행되었다. 연구 방법: 연구대상자는 포괄간호서비스병원 1차 시범사업에 참여중인 5개 의료기관의 보호자 없는 병실에 근무하는 간호사 119명이었다. 일반적 특성, 간호업무별 수행도, 중요도, 지식정도, 직무스트레스 및 직무만족으로 구성된 총 486문항의 구조화된 설문지를 이용하여 자료를 수집하였다. 수집된 자료는 SPSS WIN 21.0 프로그램을 이용하여 간호업무 수행도, 중요도, 지식정도와 연구대상자의 직무스트레스, 직무만족은 평균과 표준편차를 구하였고 간호업무와 직무스트레스, 직무만족의 관계는 Pearson correlation coefficient로 분석하였다. 연구 결과: 연구대상자의 12개 간호업무영역(대분류) 수행도는 ‘환자간호관리 및 정보관리’, 중요도는 ‘투약 및 수혈’, 지식정도는 ‘투약 및 수혈’이 가장 높았고 간호업무영역별 149개 간호업무(소분류) 수행도는 ‘경구약 투약’, 중요도는 ‘의식상태 관찰’, 지식정도는 ‘활력징후 측정’이 가장 높았다. 대상자의 직무스트레스는 평균 49.42±8.67점, 직무만족은 문항 평균 점수 2.78±0.793점으로 직무스트레스와 직무만족은 서로 유의한 부적상관관계를 보였다(r=-.60, p<.001). 대상자가 수행하는 간호업무 중 직무만족과 유의한 양의 상관관계를 보이는 업무는 ‘마약 및 독극물 구분 점검’(r=.30, p<.001), ‘배액양상 및 배액관 기능 관찰’(r=.25, p=.006), 음의 상관관계를 보이는 업무는 ‘보행기 사용 시 보조’(r=-.28, p=.002), ‘침상 홑이불 부분 교환’(r=-.22, p=.017) 이었다. 직무스트레스와 유의한 양의 상관관계를 보이는 간호업무는 ‘가습기 적용’(r=.29, p=.001), ‘보행기 사용 시 보조’(r=.29, p=.002), 음의 상관관계를 보이는 업무는 ‘자살예방을 위한 관찰’(r=-.39, p<.001), ‘마약 및 독극물 구분 점검’(r=-.32, p<.001), ‘배액양상 및 배액기능 관찰’(r=-.30, p=.001), ‘각종 감시기를 통한 관찰’(r=-.28, p=.002) 이었다. 결론: 연구대상자의 간호업무 중 일상생활 보조업무의 수행이 증가하였으며 대상자의 직무스트레스와 직무만족은 낮고 서로 유의한 상관관계가 있다. 또 일상생활보조업무 수행은 직무스트레스와는 양의 상관관계가 있으며 직무만족과는 음의 상관관계가 있다.

노인의 낙상, 낙상에 대한 두려움, 우울, 지각된 건강상태에 관한 연구

정덕유(Jung Dukyoo),신경림(Shin Kyung-Rim),강윤희(Kang Younhee),강지숙(Kang Ji-Sook),김건희(Kim Kon-Hee) 한국성인간호학회 2008 성인간호학회지 Vol.20 No.1

요양시설 와상 치매 노인을 위한 운동 프로그램 개발 및 효과

정덕유(Duk Yoo Jung),이경옥(Kyung Ock Yi),김혜진(Hye Jin Kim) 한국여성체육학회 2013 한국여성체육학회지 Vol.27 No.3

The purpose of this study was to examine the effects of exercise on the range of motion, defecation, pain, quality of life, and depression among the dementia bedridden elderly adults dwelled in long term care facilities. Study participants were 8 older adults whose care givers were agreed with the study participation. Twelve weeks tailored exercise program was applied to the subjects by trained under graduate physical activity students and all indicators including range of motion, defecation, pain, quality of life, and depression were tested in the pre and post test. Collected data were analyzed by SPSS 20.0 version using Wilcoxon signed rank test. The results were as follow; left shoulder (z=-1.960, p=.050) and right hip joint (z=-2.201, p=.028) passive range of motion were significantly enhanced. Quality of life were significantly increased (z=-2.371, p=.018) between pre and post test. Tailored exercise program were effective way for dementia bedridden patients to increase range of motion and quality of life. Applying exercise was necessary for bed-ridden dementia older adults to maintain their left physical fitness and quality of life.

한국판 기능유지간호에 대한 간호사의 자기효능감 및 결과기대감 측정도구의 타당도와 신뢰도

정덕유(Dukyoo Jung),변진이(Jinyee Byun),이민경(Minkyung Lee),김혜진(Hyejin Kim) 한국콘텐츠학회 2015 한국콘텐츠학회논문지 Vol.15 No.9

본 연구는 요양시설 직접돌봄제공자의 기능유지간호에 대한 자기효능감 및 결과기대감 도구를 번역한 한국판 기능유지간호에 대한 자기효능감 및 결과기대감 도구의 타당도 및 신뢰도 분석을 통해 문화적인 차이가 있는 원 도구를 한국의 노인 요양시설에 근무하는 간호사에게 적용할 수 있는지 검증하는데 그 목적이 있다. 본 연구의 대상자는 전국 69개의 요양시설에 근무하는 간호사 187명으로 자료수집은 구조화된 설문지를 이용하였다. 수집된 자료는 SPSS/WIN 21.0과 AMOS 22.0을 이용하여 분석하였으며 구성타당도 검정은 확인적 요인분석으로 시행하였고, 준거타당도 검증을 위해 기능유지간호에 대한 자기효능감 및 결과기대감과 기능유지간호에 대한 지식, 직무만족과의 상관관계를 이용하였다. 연구결과 확인적 요인분석을 통해 구성타당도가 입증되었고, 준거타당도가 검증되었다. 또한, 신뢰도 분석을 통해 도구의 신뢰도가 확인되었다. 본 연구를 통해 번역된 한국어판 기능유지간호에 대한 자기효능감 및 결과기대감 도구가 국내에서 사용할 수 있는 도구임이 검증되었고, 추후 시설 입소노인의 기능유지간호를 위한 초석이 될 것으로 사료된다. The purpose of this study is to measure the validity and reliability of the Korean version of the self-efficacy for restorative care activity (K-SERCA) scale and the outcome expectations for restorative care activity (K-OERCA) scale. Psychometric testing was given to 187 nurses who have worked in 69 long-term care facilities in South Korea via post service and personal visit. Data were collected via structured-questionnaire and analyzed using SPSS/WIN 21.0 and AMOS 22.0. Content, construct validity using confirmatory factor analysis (CFA), criterion validity and internal consistency reliability were conducted. The K-SERCA scale had factor loading of the 10 items ranged from .74 to .87, and was validated by confirmatory factor analysis (CFI=.96, NFI=.94, RMSEA=.10). The K-SERCA scale was also a significantly positive correlation with ‘Job satisfaction’ (r=.32, p<.001). There was a reliable internal consistency with a Cronbach’s α =.94. The K-OERCA scale had factor loading of the 9 items ranging from .38 to .95, and was validated by confirmatory factor analysis (CFI=.98, NFI=.96, RMSEA=.09). The K-OERCA scale was also a positive correlation with ‘Knowledge (r=.26, p<.001)’, and ‘Job satisfaction (r=.30, p<.001)’. There was a reliable internal consistency with a Cronbach’s α =.89. The results demonstrate that the K-SERCA and K-OERCA scales had satisfactory validity and reliability to measure self-efficacy and outcome expectations for restorative care activities among nurses who have worked in long-term care facilities in South Korea.

장기요양시설 치매노인의 식사어려움에 대한 주제범위 문헌고찰: 국내 연구를 중심으로

정덕유(Jung, Dukyoo),이규리(Lee, Kyuri),최은주(Choi, Eunju) 기본간호학회 2021 기본간호학회지 Vol.28 No.4

Purpose: This study synthesized the literature on eating difficulties among older adults with dementia in long-term care facilities. Methods: A scoping review, using the framework proposed by Arksey & O’Malley (2005) and supplemented by Levac et al. (2010), was conducted. Literature was searched from RISS, KISS, DBpia, PubMed, and CINAHL. Two reviewers independently selected studies and extracted their characteristics, using pre-tested forms to determine final inclusion. In total, 1283 articles were identified, and 13 articles were used for the final analysis. Results: The Eating Behavior Scale and the Edinburgh Feeding Evaluation in Dementia scale were the most widely utilized measurement tools. The most common factors related to eating behavior in older adults with dementia were cognitive and physical functions in the individual domain, the caregiver’s attitude toward eating in the inter-individual domain, and meal type in the environmental domain. Conclusion: Measurement tools reflecting the eating behavior of older adults with dementia must be developed to obtain a comprehensive understanding of this issue and create effective interventions for the specific context of long-term care facilities in Korea. The results of this study are intended to serve as a basis to develop meal support programs for older adults with dementia.