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REFERENCE LINKING PLATFORM OF KOREA S&T JOURNALS
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Journal of muscle and joint health
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Journal DOI :
Korean Society of Muscle and Joint Health
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Volume & Issues
Volume 22, Issue 3 - Dec 2015
Volume 22, Issue 2 - Aug 2015
Volume 22, Issue 1 - Apr 2015
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Postoperative Delirium in Elderly Patients with Osteoarthritis Surgery: Incidence and Risk Factors
Park, Eun A ; Kim, Min Young ;
Journal of muscle and joint health, volume 22, issue 2, 2015, Pages 57~66
DOI : 10.5953/JMJH.2015.22.2.57
Purpose: The purpose of this study was to evaluate the incidence of postoperative delirium in elderly patients with osteoarthritis surgery and identify risk factors for its development. Methods: This study enrolled 288 patients who underwent osteoarthritis surgery in a hospital between May and November 2014. Data were collected prospectively. The Nursing Delirium Screening Scale was used to detect delirium. Multivariable logistic regression analysis was used to identify independent risk factors for postoperative delirium. Patients were also followed for outcome. Results: Postoperative delirium developed in 42 patients (14.6%). Logistic regression analysis identified old age, low physical activity, antipsychotic agents, number of catheters, and intensive care unit admission as risk factors. Worse outcomes, including increased hospital mortality, reoperation, and discharge at care facilities, occurred in subjects who developed delirium. Conclusion: Osteoarthritis surgery in elderly patients was associated with a high incidence of postoperative delirium. The results of the this study regarding patient populations vulnerable to delirium should be taken into account so that such patients could be identified preoperatively or in the immediate postoperative period.
Health Care Providers' Perceptions of Physical Function in Older Adults with Arthroplasty from Hip Fracture
Ko, Young Ji ; Lee, JuHee ;
Journal of muscle and joint health, volume 22, issue 2, 2015, Pages 67~77
DOI : 10.5953/JMJH.2015.22.2.67
Purpose: This study was a qualitative research using focus group interviews to collect data on the health care providers' perceptions of physical function in older adults with arthroplasty from hip fracture. Methods: A total of 12 subjects participated in this study. In order to conduct focus group interviews, structured manuscript, field notes, visual recording, and debriefing notes were referred and thematic analysis was used in analysis phase. Results: The six themes were raised: 'burdensome client', 'health care providers' perception of functional decline in older adults after surgery', 'health care providers' perception of caregiver', 'medical environment perceived as affecting physical function', 'crucial components perceived as encouraging functional restoration', and 'difficulty of pain management' with 18 subthemes. Conclusion: Healthcare providers perceived functional decline of elderly after arthroplasty and identified points facilitating or disturbing physical function Moreover, various perspectives on pain management related to physical function were represented.
Influence of Workplace Bullying and Resilience on Organizational Socialization in New Graduate Nurses
Jo, Eun Ah ; Kang, Jiyeon ;
Journal of muscle and joint health, volume 22, issue 2, 2015, Pages 78~86
DOI : 10.5953/JMJH.2015.22.2.78
Purpose: The purpose of this study was to identify the impact of workplace bullying experience and resilience on the organizational socialization among new graduate nurses. Methods: This is a descriptive correlational study with 148 new graduate nurses working in the hospitals in B city of Korea. The instruments that were used for measuring main variables were the negative acts questionnaire-revised (NAQ-R), the Korean version of the Connor-Davidson resilience scale (CD-RISC), and the measurement tool for new nurses' organizational socialization. Results: The prevalence of workplace bullying was 22.3%, and the subjects reported moderate level of resilience. Significant negative correlations between workplace bullying and resilience, and organizational socialization were found. A significant positive correlation was found between resilience and organizational socialization. As a result of multiple regression analysis, resilience, workplace bullying, and a working in desired unit turned out to be variables that explained new graduate nurses' organizational socialization (adjusted
, p<.001). Conclusion: The results of this study suggested that new graduate nurses with higher resilience and less experience of workplace bullying would show higher organizational socialization. Further research is needed to identify the regulation effect of resilience in between workplace bullying and organizational socialization.
Effects of Perception of the Healthcare Accreditation, and Job Stress on Turnover Intention in Nurses
Kim, Mi Ja ; Choi, Jeong Sil ;
Journal of muscle and joint health, volume 22, issue 2, 2015, Pages 87~95
DOI : 10.5953/JMJH.2015.22.2.87
Purpose: The purpose of this study was to examine the perception of the healthcare accreditation and the level of job stress and also to identify the factors affecting turnover intention in general hospital nurses. Methods: This cross-sectional study was performed using questionnaires. Data were collected from 230 nurses who worked at one general hospital from February 20 to April 10, 2014. Data were analyzed with independent t test, ANOVA, Pearson correlation coefficient, and regression using SPSS/WIN v 21.0. Results: The scores of perception of the healthcare accreditation, job stress, and turnover intention were 3.05 out of 5, 4.30 out of 5, and 3.18 out of 5. A positive correlation was observed between turnover intention and job stress. Turnover intention was negatively correlated with perception. The factors affecting turnover intention were the perception of healthcare accreditation (35.3%), total clinical experience (12.3%) and job stress (7.4%). The total explanatory power was 55.3%. Conclusion: The perception of the Healthcare Accreditation was confirmed as a new factor affecting turnover intention in nurses. These findings can be utilized to the development of strategies for reducing job stress, and enhancing perception and resulting in both the quantitative and qualitative development of the healthcare system.
Intraoperative Caring Behavior and Anxiety as Perceived by Patients Undergoing Spinal Surgery under Local Anesthesia
Ha, Jung Suck ; Lee, Eun Nam ;
Journal of muscle and joint health, volume 22, issue 2, 2015, Pages 96~104
DOI : 10.5953/JMJH.2015.22.2.96
Purpose: The purpose of this study was to identify the relationship between intraoperative level of caring and anxiety among patients who underwent spinal surgery under local anesthesia. Methods: The study participants included 162 patients who had spinal surgery under local anesthesia at a general hospital in B metropolitan city between July 20 and September 20, 2014. To measure the caring behaviors of patients under local anesthesia, we used the Caring Behavior Measurement, and state anxiety was measured by the State Trait Anxiety Inventory. The collected data were analyzed using a SAS program. The differences in anxiety levels based on participants' characteristics were analyzed with t-test and an analysis of variance. The correlation between levels of caring and anxiety was tested with Pearson's correlation coefficient. Results: Education and caring levels showed significant relationship with the anxiety level of patients with spinal surgery under local anesthesia. Conclusion: To decrease the level of anxiety in patients undergoing spinal surgery under local anesthesia, it is necessary to educate and train operating nurses about the intra-operative caring behavior.
Effects of the New Version of the Arthritis Self-management Program in Patients with Osteoarthritis
Lee, Eun Nam ; Lee, Kyung-Sook ; Lee, Inok ; Bak, Won-Sook ; Choi, Hee Kwon ; Cho, Kyung-Sook ; Eun, Young ; Choi, Mi-Kyung ; Min, Hye Sook ; Song, Rhayun ; Shin, Gyeyoung ; Kim, Minju ; Lee, Myung Sook ; Kim, Ju Sung ; Chung, Yeo Sook ;
Journal of muscle and joint health, volume 22, issue 2, 2015, Pages 105~113
DOI : 10.5953/JMJH.2015.22.2.105
Purpose: The purpose of this study was to examine the effects of the new version of the arthritis self-management program (ASMP) developed by the Korean Society of Muscle and Joint Health. Methods: A total of 150 patients with osteoarthritis (OA) were participated in a 6-week self-arthritis management program provided once a week in 3 community health centers. Each session took 1.5 hours. This study measured present health status, frequency of fall during last 3 months, pain, difficulties in activity of daily living, exercise-related efficacy, flexibility of both arms, balance, and health-related quality of life. Results: After a 6-week program, pain, difficulties in ADL, present health status, exercise-related efficacy, health-related quality of life, flexibility of both shoulders, and balance were significantly improved. Conclusion: The results showed the possibility of the 6-week ASMP program in improving health state, physical function, and health-related quality of life in patients with OA.
A Study on Trust in Health Care Professionals among Rheumatoid Arthritis Patients
Yoo, Kyung Hee ;
Journal of muscle and joint health, volume 22, issue 2, 2015, Pages 114~120
DOI : 10.5953/JMJH.2015.22.2.114
Purpose: The purpose of this study was to identify factors associated with trust in health care professionals among patients with rheumatoid arthritis. Methods: Subjects for this study were 247 patients registered in general hospitals and the period of data collection was from February 25 to May 20, 2014. The data were analyzed with t-test and ANOVA. Results: The mean of trust in health care professionals was 3.11 in patients. There were significant differences in trust in health care professionals by age, marriage, and executing exercise of patients with rheumatoid arthritis. Conclusion: Trust in health care professionals among patients with rheumatoid arthritis was important to manage rheumatoid arthritis. To promote trust in health care professionals among patients with rheumatoid arthritis, subjects' age, marriage state and executing exercise in their daily living should be considered.
The Relationships among Freshman Nursing Students' Academic Stress, Depression, and Physical Activity
Cho, Ok-Hee ; Hwang, Kyung-Hye ; Park, Hye-Seo ;
Journal of muscle and joint health, volume 22, issue 2, 2015, Pages 121~129
DOI : 10.5953/JMJH.2015.22.2.121
Purpose: This study was conducted to understand the relationships among freshman nursing students' academic stress, depression, and physical activity. Methods: In this descriptive study, Freshman students sampled from 4 nursing colleges were surveyed using a structured questionnaire on academic stress, depression and physical activity during the period from May to June, 2015. Results: A positive correlation was observed between academic stress and depression, but no correlation was found with physical activity. Of the subjects, 24.3% had a moderate or severe level of depression. Depression and physical activity were different according to exercise. Conclusion: The results of this study show the importance of reducing academic stress and depression for freshman nursing students. Thus, it is necessary to develop and apply depression prevention education programs to reduce academic stress and depression so that freshman nursing students lead to a healthy campus life.
The Mediating Effect of Fall Risk Perception on the Relationship between Fracture Risk and Fall Prevention Behaviors in Women with Osteoporosis
Lee, Eun Nam ; Choi, Eun Jung ; Jang, Moon Jung ; Hwang, Hyun Ju ;
Journal of muscle and joint health, volume 22, issue 2, 2015, Pages 130~137
DOI : 10.5953/JMJH.2015.22.2.130
Purpose: This study aims to establish a theoretical framework for the fall prevention behavior improvement program by verifying the associations between fracture risk, fall risk perception, and fall prevention behaviors in women with osteoporosis. Methods: A survey was conducted in 122 women who were diagnosed as osteoporosis by having T-score of the femur bone density below -2.5 standard deviation from the bone density examination performed in 2 orthopedic clinics located in B metropolitan city between July 2014 and September 2014. The risk of fracture, level of fall risk perception, and fall prevention behaviors were measured. Results: Fall risk perception had a complete mediating effect on the relationship between the fracture risk and fall prevention behaviors in women with osteoporosis. Conclusion: The perception of fall risk is important to enhance fall prevention behaviors in women with osteoporosis, and the development of various education programs to improve awareness of fall risk is needed.
Suicidal Ideation in Older Adults with Osteoarthritis: Data from the Korea National Health and Nutrition Examination Survey
Na, Hyunjoo ; Bae, Sun Hyoung ; Kim, Minju ;
Journal of muscle and joint health, volume 22, issue 2, 2015, Pages 138~147
DOI : 10.5953/JMJH.2015.22.2.138
Purpose: The study was conducted to identify factors influence suicidal ideation among older adults with osteoarthritis. Methods: This study used a cross-sectional design with secondary analysis of the Korean National Health and Nutrition Examination Survey. Data for 174 men and 939 women who aged
, and were diagnosed osteoarthritis from the Korea National Health and Nutrition Examination Survey 2010~2012 were included. Suicidal idea, age, sex, education, marital status, living alone, income, body mass index, smoking and alcohol use, exercise, perceived health status, activity limitation, joint pain and stiffness, depressive mood, and perceived stress were measured. Influencing factors and odds ratios were analyzed using complex sample multivariate logistic regression. Results: In the results, 29.9% of the elderly with osteoporosis had suicidal idea. The adjusted odds ratios (ORs) of suicidal ideation were significantly higher among those over 80 years older (OR=2.88, 95% CI=1.49~5.58), those with depression (OR=4.01, 95% CI=2.66~6.04), and those with high levels of stress (OR=2.76, 95% CI=1.79~4.24). Conclusion: Therefore, older adults with osteoarthritis should be screened for depression and stress to decrease suicidal ideation and prevent suicide attempt.