2021, Vol.11, No.2

Global Health and Nursing 2023 KCI Impact Factor : 0.85

pISSN : 2233-5560 / eISSN : 2671-5554
https://journal.kci.go.kr/rins

Purpose: This systematic literature review was conducted to organize and analyze the factors associated with health-related quality of life (HRQOL) for adults and vulnerable elderly in earthquake-hit areas. Methods: Based on the guidelines of Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) and National Evidence-based Healthcare Collaborating Agency (NECA), a literature search was conducted in nine electronic databases, gray literature, and other sources. Methodological quality was assessed using Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) by two researchers independently. Factors associated with HRQOL were extracted and categorized into sub-domains of the theory of HRQOL developed by Wilson and Cleary (1995). Results: Of the 432 studies screened, 30 meeting the criteria were analyzed-24 on adults and six on the elderly. Extracted factors associated with HRQOL were as follow; age, sex, living condition, injury, depression, and physical illness, etc. were associated with HRQOL for both adults and aged. Social right, social activity decline, adaptation, and resilience were associated with HRQOL for adults, while activities of daily living were associated with HRQOL for the elderly. The extracted factors were categorized into individual characteristics, environmental characteristics, physiological factors, symptoms, and functional status. Conclusion: In this review, factors associated with HRQOL for adults and the elderly in earthquake-hit areas were extracted and summarized. Community healthcare providers and community leaders could use these as evidence to formulate disaster management interventions and policies for vulnerable populations.

Purpose: This study aimed to investigate the relationships between family members’ perception of nurses communication styles and family satisfaction. Methods: This study adopted a descriptive correlational design. Participants were 118 family members of intensive care unit (ICU) patients. The following data were collected using questionnaires: general characteristics of participant, nurses’ communication styles, and satisfaction of critically ill patients’ family members. Results: The mean±standard deviation scores for informative, affiliative, and authoritative communication styles were 4.33±0.65, 4.06±0.73, and 1.73±0.80, respectively. There were no significant differences as per critically ill patients’ characteristics. However, family members’ satisfaction differed significantly by age. Family satisfaction sub-dimension scores on satisfaction with decision-making (F=3.36, p=.021) and care (F=3.33, p=.022) were significantly higher among family members under 40 than those between 40 and 49 years. Correlation coefficients among major variables were statistically significant (r=-.25 to r=.81), particularly those of nurses’ informative and affiliative communication styles with family satisfaction were higher than moderate. Conclusion: Thus, these results indicate that nurses in ICU should communicate using informative and affiliative styles to improve the satisfaction among family members of critically ill patients. For this purpose, all medical staff, especially, nurses and physicians should be provided with appropriate communication styles practice and continuous education on interaction with family members of ICU patients.

Purpose: This study analyzed the associations between spouses’ stress related to the hospitalization of high-risk pregnant (HRP) women and paternal-fetal attachment (PFA). Methods: We recruited 113 spouses of HRP women who had been hospitalized in the maternal-fetal intensive care unit in two tertiary hospitals. Data were collected from May 10 to December 23, 2019 using a 35-item questionnaire, which measured the spouses’ stress related to the hospitalization of their HRP wife, and the Korean version of the PFA scale. Results: Spouses’ stress related to the hospitalization of HRP women showed a score of 1.92±0.42 out of 4, and “emotional problems” had the highest score among the subcategories. PFA showed a score of 4.31±0.52 out of 5, and “parental behavioral change” had the lowest score among the subcategories. A significant negative correlation was found between spouses’ stress related to the hospitalization of their HRP wife and PFA. Among the subcategories of spouses’ stress, communication and support resources (r=-.39, p<.001), hospital environment (r=-.33, p<.001), emotional problems (r=-.27, p= .004), and family life and financial problems (r=-.21, p=.026) showed significantly negative correlations, while illness, prognosis, and the treatment showed no correlations. Conclusion: To reduce spouses’ stress related to the hospitalization of HRP women, they should be guided on carrying out direct interactive activities with the fetus from conception and throughout the pregnancy to strengthen PFA. Furthermore, regarding illness, prognosis, and treatment, accurate and detailed explanations should be provided to the spouses by the medical staff.