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1.
Int J Aging Hum Dev ; : 91415019896225, 2020 Jan 07.
Artigo em Inglês | MEDLINE | ID: mdl-31910644

RESUMO

This study investigated whether there are gender-based differences in the process wherein family functions influence stress through various health behaviors in midlife adults. A cross-sectional study was done using a convenience sample of 250 middle-aged Koreans. Data on the family APGAR index, four health behaviors (i.e., seeking health information, physical activity, healthy diet, and social interaction), and stress were collected by a self-administered survey and analyzed using hierarchical multiple linear regression analyses and a PROCESS macro for SPSS. The study results showed that an indirect effect of family function on stress through health behaviors was significant in women, whereas such a relationship was not shown in men. This study found that the process wherein family function is linked with stress through health behaviors differs by gender. Developing gender-specific interventions is essential to decrease stress in midlife adults.

2.
Appl Nurs Res ; 41: 21-28, 2018 06.
Artigo em Inglês | MEDLINE | ID: mdl-29853209

RESUMO

Both men and women may experience multifaceted symptoms that are part of natural aging throughout the climacteric period. This study compared the prevalence and severity of climacteric symptoms between genders and identified the underlying clusters of climacteric symptoms and associated factors in midlife men and women. A cross-sectional study was done with 254 middle-aged Korean men (n = 129, M = 50.4) and women (n = 125, M = 49.5). Data were collected by self-administered surveys and analyzed using t-tests, chi-square tests, exploratory factor analysis, and regression analysis. Significant gender differences in overall climacteric symptoms were not detected except for muscle weakness, weight gain, and hot flashes. Climacteric symptoms were clustered as physical, vasomotor-genital, psychological, and metabolic dimensions, with the physical dimension being the most explanatory cluster. A significant gender effect was found only in the metabolic dimension after adjusting for the relevant covariates, and regular eating was significantly associated with all symptom clusters. This study offers evidence that most climacteric symptoms are shared by both men and women and emphasizes the importance of healthier lifestyles in the climacteric transition period. The findings highlight the critical need for integrated assessments of the multifactorial symptoms and of modifying poor lifestyles in both genders throughout the climacteric transition period.


Assuntos
Andropausa , Grupo com Ancestrais do Continente Asiático/psicologia , Climatério/psicologia , Menopausa/psicologia , Fatores Sexuais , Adulto , Estudos Transversais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , República da Coreia , Inquéritos e Questionários
3.
J Clin Nurs ; 25(11-12): 1683-92, 2016 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-26898819

RESUMO

AIMS AND OBJECTIVES: To examine the factors affecting the burden and satisfaction of family caregivers, focusing on the beneficial impacts of home care service use. BACKGROUND: Long-term care for older patients is a multifaceted process that brings both burden and satisfaction to family caregivers. It is expected that home care services offered by the Korean long-term care insurance may contribute to decreasing the burden of family caregivers and enhancing their satisfaction by assisting with practical caregiving tasks. DESIGN: A cross-sectional study. METHODS: A convenience sample of 157 family caregivers was recruited from five home care service agencies in South Korea. Information about the caregivers, caregiving history, older care recipients and use of home care services was assessed. The effects of home care service use on caregiving burden and satisfaction were tested using hierarchical multiple regression analyses after adjusting for the characteristics of the caregivers, caregiving history and older care recipients. RESULTS: There was no significant influence of home care service use on reducing caregiving burden or on increasing caregivers' satisfaction. Although several factors were associated with caregiving burden and satisfaction, family functioning was the most unique factor to significantly affect both caregiving burden and satisfaction. CONCLUSIONS: Home care services might not automatically have a positive impact on caregivers' burden and satisfaction, but maintaining healthy family functioning is an important issue for family caregivers. The findings highlight the important need to reconsider ways to provide home care services and to develop nursing interventions to reinforce supportive family functioning. RELEVANCE TO CLINICAL PRACTICE: Practical strategies for providing home care services should be developed through a concrete assessment of the family dynamics and the needs of family caregivers. Health professionals should play a pivotal role in performing the assessment and in developing interventions to strengthen supportive family functioning.


Assuntos
Cuidadores/psicologia , Serviços de Assistência Domiciliar/estatística & dados numéricos , Satisfação Pessoal , Qualidade de Vida/psicologia , Adaptação Psicológica , Adulto , Idoso , Estudos Transversais , Relações Familiares , Feminino , Humanos , Assistência de Longa Duração/estatística & dados numéricos , Masculino , Pessoa de Meia-Idade , Assistência ao Paciente/métodos , República da Coreia
4.
J Clin Nurs ; 23(9-10): 1365-73, 2014 May.
Artigo em Inglês | MEDLINE | ID: mdl-24252095

RESUMO

AIMS AND OBJECTIVES: To examine the impact of ageing-related stereotypic beliefs on self-efficacy and health-promoting behaviours and to test the mediating effect of self-efficacy on the relationship between ageing-related stereotypic beliefs and health-promoting behaviours in older Korean people. BACKGROUND: Despite the growing attention given to ageing-related beliefs that can lead to better health outcomes in old age, little is known about the associations between ageing-related stereotypic beliefs, self-efficacy and health-promoting behaviours. DESIGN: A cross-sectional, descriptive study. METHODS: A total of 123 community-dwelling older women were recruited from three cities in south-east Korea. Direct and indirect effects of ageing-related stereotypic beliefs on self-efficacy and health-promoting behaviours were examined using path analyses. RESULTS: Ageing-related stereotypic beliefs significantly predicted self-efficacy and health-promoting behaviours. A significant indirect effect of ageing-related stereotypic beliefs on health-promoting behaviours through self-efficacy was detected, indicating that self-efficacy mediated the detrimental impact of ageing-related stereotypic beliefs on health-promoting behaviours. CONCLUSIONS: Ageing-related stereotypic beliefs function as a factor lowering self-efficacy as well as decreasing health-promoting behaviours. Self-efficacy mediates the influence of ageing-related stereotypic beliefs on health-promoting behaviours, indicating that ageing-related stereotypic beliefs decrease self-efficacy which, in turn, could lead to fewer health-promoting behaviours. The findings demonstrate the significance of ageing-related stereotypic beliefs and self-efficacy in guiding the health-promoting behaviours of older people. RELEVANCE TO CLINICAL PRACTICE: Healthcare providers should play an active role in understanding ageing-related stereotypic beliefs and decreasing the perceptual barriers to health-promoting behaviours of older people. The development of nursing interventions to improve positive attitudes towards old age and self-efficacy is essential for enhancing health-promoting behaviours.


Assuntos
Envelhecimento/psicologia , Comportamentos Relacionados com a Saúde , Autoeficácia , Comportamento Estereotipado , Idoso , Idoso de 80 Anos ou mais , Grupo com Ancestrais do Continente Asiático , Estudos Transversais , Feminino , Serviços de Saúde para Idosos , Humanos , Papel do Profissional de Enfermagem , Casas de Saúde , República da Coreia , Serviços de Saúde da Mulher
5.
Geriatr Nurs ; 34(4): 307-13, 2013.
Artigo em Inglês | MEDLINE | ID: mdl-23726760

RESUMO

The purposes of this study were to examine differences in symptoms, aging-stereotyped beliefs about management of symptoms, and health-promoting behaviors depending on a diagnosis of osteoarthritis and to investigate the associations between symptoms, aging-stereotyped beliefs, and health-promoting behaviors in 171 older Korean women. Compared to older women without osteoarthritis, those with osteoarthritis reported significantly more symptoms, a higher level of aging-stereotyped beliefs, and a lower level of health-promoting behaviors. Regardless of osteoarthritis, older women suffered from multiple symptoms, and musculoskeletal symptoms were the most frequently reported symptoms. Aging-stereotyped beliefs had a negative influence on health-promoting behaviors, whether or not older women were diagnosed with osteoarthritis. Findings of this study suggest that a broader assessment of multiple symptoms, specifically including musculoskeletal symptoms, is needed in order to enhance their management of symptoms. Health care providers should consider age stereotypes with regard to experience and management of symptoms in order to improve self-care behaviors of older people, and development of nursing intervention strategies in order to modify stereotypes and misconceptions about aging and to facilitate positive attitudes about old age is warranted.


Assuntos
Promoção da Saúde , Osteoartrite/fisiopatologia , Comportamento Estereotipado , Adulto , Idoso , Feminino , Humanos , Pessoa de Meia-Idade
6.
Oncol Nurs Forum ; 40(3): E108-18, 2013 May 01.
Artigo em Inglês | MEDLINE | ID: mdl-23615144

RESUMO

PURPOSE/OBJECTIVES: To describe relationships among perceived barriers to symptom management and quality of life and to test the mediating role of perceived communication difficulties on the relationships between other perceived barriers to symptom management and quality of life in older adult breast cancer survivors. DESIGN: Cross-sectional descriptive-correlational design using baseline data from a randomized, controlled trial that tested the efficacy and durability of the individualized representational intervention in reducing symptom distress and improving quality of life in older adult breast cancer survivors. SETTING: The community, an oncology clinic, and a state tumor registry. SAMPLE: 190 older adult breast cancer survivors (X age = 70.4 years) who were an average of 3.3 years after breast cancer diagnosis. METHODS: Path analysis using Mplus, version 5.1. MAIN RESEARCH VARIABLES: Negative beliefs about symptom management (Symptom Management Beliefs Questionnaire [SMBQ]), perceived negative attitudes from healthcare providers (Communication Attitudes [CommA]), perceived communication difficulties (CommD), and quality of life. FINDINGS: Significant direct effects of SMBQ and CommA on CommD were found after controlling for age, number of health problems, and number of symptoms. CommD was a significant mediator of the effects of CommA on quality of life after controlling for the covariates. SMBQ had significant total effects on quality of life after adjusting for the covariates but was not mediated by CommD. CONCLUSIONS: Patient-provider communication is an important factor in the quality of life of older adult breast cancer survivors. IMPLICATIONS FOR NURSING: Developing and testing nursing interventions focusing on enhancing both positive beliefs about symptom management and effective communication in old age is suggested. KNOWLEDGE TRANSLATION: Older adults and healthcare providers must overcome stereotyped beliefs about aging that may affect self-care and health outcomes for this population. Older adults must be allowed to express their views and emotions about aging.


Assuntos
Atitude Frente a Saúde , Neoplasias da Mama/enfermagem , Neoplasias da Mama/psicologia , Enfermagem Oncológica/métodos , Qualidade de Vida/psicologia , Apoio Social , Idoso , Idoso de 80 Anos ou mais , Envelhecimento/psicologia , Estudos Transversais , Emoções , Feminino , Humanos , Autocuidado/métodos , Autocuidado/psicologia , Sobreviventes/psicologia
7.
Asian Nurs Res (Korean Soc Nurs Sci) ; 7(3): 104-11, 2013 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-25030247

RESUMO

PURPOSE: Assessment of aging-stereotyped and erroneous beliefs in managing symptoms is an essential task to enhance self-care and health outcomes of the older population. The purpose of this study was to examine the psychometric properties of the Korean version of the Symptom Management Beliefs Questionnaire (K-SMBQ) to measure ageist beliefs in managing symptoms of older people. METHODS: A convenience sample of 211 community-dwelling older women was used. The 12-item K-SMBQ was finalized after translation, synthesis, back-translation, content validity, and pilot testing. The psychometric properties of the K-SMBQ scale were examined by exploratory and confirmatory factor analyses, convergent validity, hypothesized relationship testing, and known-groups method, as well as internal consistency and test-retest reliability. RESULTS: Three factors (i.e., Aging-Stereotypes, Pessimistic Expectations, and Good Patient's Attitudes) were extracted by exploratory factor analysis and the good fit of the three-factor structure was demonstrated by confirmatory factor analysis. Construct validity was supported by significant correlations with conceptually and theoretically relevant concepts as well as by distinguishable features between three older age groups. The internal consistency was supported by Cronbach's alpha coefficient, item-total scale correlations, and inter-item correlations; thus, adequate test-retest reliability was demonstrated. CONCLUSION: This study verified the psychometric properties of the K-SMBQ and provided evidence on the cultural relevance for the concept of ageist beliefs regarding symptom management in older Korean people. The development of nursing interventions to promote self-care of older people should be based on the consideration of negatively stereotyped and erroneous beliefs about health in old age.

8.
Cancer Nurs ; 32(4): 309-16, 2009.
Artigo em Inglês | MEDLINE | ID: mdl-19444083

RESUMO

Negative attitudes of both older adults and healthcare providers about aging can be barriers to self-care in old age. The aims of this study were to (1) examine the extent to which older breast cancer survivors experience barriers to symptom management and (2) explore whether barriers influence quality of life. Three possible barriers to symptom management were examined: negative beliefs about managing symptoms, perceived negative attitudes of healthcare providers, and difficulties in communicating about symptoms. This study was a secondary analysis of pooled baseline data from 61 older (age >64 years) women who participated in 2 pilot studies that tested a symptom management intervention for older breast cancer survivors. The most frequent barrier reported was difficulties in communicating about symptoms with healthcare providers. Each of the barriers affected psychosocial, but not physical, quality of life. Barriers to symptom management may lead to poorer self-care of symptoms that can result in lower levels of psychosocial quality of life. Healthcare providers need to encourage older cancer survivors to report symptoms and worries related to their cancer diagnosis and should be cautious in expressing attitudes that could reinforce older adults' negative perceptions about aging.


Assuntos
Atitude Frente a Saúde , Neoplasias da Mama/psicologia , Qualidade de Vida/psicologia , Autocuidado/psicologia , Sobreviventes/psicologia , Adaptação Psicológica , Idoso , Atitude do Pessoal de Saúde , Neoplasias da Mama/complicações , Barreiras de Comunicação , Feminino , Necessidades e Demandas de Serviços de Saúde , Humanos , Pessoa de Meia-Idade , Meio-Oeste dos Estados Unidos , Negativismo , Pesquisa Metodológica em Enfermagem , Análise de Regressão , Autoeficácia , Estereotipagem , Inquéritos e Questionários
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