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요양병원 노인 입원환자의 특성 및 ADL (일상생활수행능력) 관련 요인 : 환자조사 자료 (2013-2014)를 이용하여

Characteristics and ADL (Activities of Daily Living) Associated Factors of Elderly Inpatients in Long-Term Care Hospitals : A Survey of Patients (2013-2014)

  • 박영희 (부산가톨릭대학교 병원경영학과)
  • 투고 : 2016.07.20
  • 심사 : 2016.09.09
  • 발행 : 2016.09.30

초록

Objectives : This study was performed to investigate the characteristics and ADL(Activities of Daily Living) associated factors of elderly inpatients in long-term care hospitals. Methods : Data were collected from the nationwide data of 'Survey of Patients (2013-2014)' administerd by the Ministry of Health & Welfare. The data included in this study consisted of 27,606 cases of elderly inpatients in long-term care hospitals. Results : The survey scores for the elderly inpatients were as follows: 57.6% 'Needed much and total help' with ADL, followed by 26.6% who 'Needed much help', and 15.8% who 'needed minimal supervision' in long-term care hospitals. The ADL score was high in the following categories: women, old age, referred visit, health insurance type, not-recovered & death, transferred, corporate hospitals, small hospital size, low number of physicians per 100 beds, and high number of nursing staff per 100 beds. The inpatients with 'diseases of the nervous system', 'diseases of the circulatory system' and 'diseases of the genitourinary system' were more likely to have high ADL scores. Conclusions : The results of this study suggest that long-term care hospitals should provide active and proper care for patients with high ADL scores and improve medical personnel training as well provide more medical care.

키워드

참고문헌

  1. Press paper(2016. 2. 29), "2015 Main Statistics of National Health Insurance", Ministry of Health and Welfare, pp.1-16.
  2. K.J. Yoon, Y.H. Oh, S.H. Lee, S.I. Ha, J.Y. Yeo, J.H. Kim, K.J. Lee(2014), Issues and Improving Strategies on Korea Healthcare Delivery System, Institute for Health and Social Affairs, pp.82-83.
  3. S.K. Park(2014), The Currency and Analysis of Hospital Foundation and Enlargement, The Forum of Medical Policy, Vol.12(3);24-30.
  4. Y.J. Jang(2015), Inpatient Characteristics by Patient Evaluation Chart in Long-term Care Hospital, Graduate School of Catholic University of Pusan, pp.4-38.
  5. H.Y. Lee(2014), Cooperation Method of Long-term care facilities and Medical institution, The Latter 2014 Symposium of Korean Academy of Health Policy and Management, pp.196-210.
  6. J.H. Kang(2013), Social Admission Status and Its Influencing Factors in Long-term Care hospitals, Graduate School of Public Health, Korea University, pp.57-58.
  7. S.H. Kim(2014), A Qualitative Study on the Reasons for Hospitalization of 'Social Hospitalization' Patients and Their Needs-Focused on the Patients in a Convalescent Hospital-, Department of Social Welfare Graduate School of Public Administration, Soonchunhyang University, pp.57-58.
  8. Y.S. Shin(2015), How to Make Healthcare Resources Allocation More Efficient, The Forum oh Health and Welfare, Vol.230(1);6-16.
  9. Y.H. Kim(2013), Activities of Daily Living, Self-efficacy, Nursing Satisfaction and Adjustment of the Elderly in Long-term Care Hospital, Graduate School of Chungnam National University, pp.57-58.
  10. J.Y. Kim(2015), The Association between Family Support, ADL and Depression among the Hospitalized older patients with Chronic Diseases, Graduate School of Chosun University, pp.13-21.
  11. J.M. Kim(2010), Pressure Ulcers, Dependencies in Activities of Daily Living, and Depression among Elders in Nursing Homes, The Graduate School of Ewha Womans University, pp.26-35.
  12. Y.M. Kim(2015), Relationship among Leg Muscle Strength, Pain, Balance and Activities of Daily Living in the Hospitalized Elderly, Graduate School of Chungnam National University, pp.24-35.
  13. S.R. Do, Y.S. Jang, Y.H Jung, J.S. Choi, Y.H. Oh, M.A. Oh, E.J. Kim, E.S. Shin, J.H. Jin, D.L. Jin(2013), 2013 Patients Survey Report, Korea Institute for Health and Social Affairs, pp.27-296.
  14. Y.M. Kim(2011), A Comparative Study on the Activities of Daily Living, Cognitive Function and Depression between the Elderly Residing Institution and Home, The Graduate School of Hanyang University, pp.23-34.
  15. H.K. Cho(2013), A Study on the Effects of Activities of Daily Living, Loneliness, and Social Support on Life Satisfaction among the Elderly in Long Term Care Facilities, The Graduate School of Konyang University, pp.24-34.
  16. H.Y. Jung, K.I. Jung(2015), Influential Factors on Turnover Intention of Nurses in Long-term Care Hospitals, The Korean Journal of Health Service Management, Vol.9(3);95-106.
  17. J.M. Chae, H.J. Song(2015), Relationship between Hospital Structure Characteristics and Decline in Activity of Daily Living among Elderly Inpatients in Long-term Care Hospitals, Korean Public Health Research, Vol.41(3);101-110.
  18. E.H. Kim, E.J. Lee(2015), Nursing Outcomes of Inpatient on Level of Nursing Staffing in Long-term care hospitals, Journal of the Korean Data & Information Science Society, Vol.26(3);715-727. https://doi.org/10.7465/jkdi.2015.26.3.715
  19. J.H. Park(2013), The Effect of Nurse Staffing on Patient Outcomes in Long-Term Care Hospitals, The Graduate School of Ewha Woman University, pp.96-88.
  20. H.Y. Jung, Y.K. Jung(2013), Recognition and Performance Level of Hospital Infection Control in Nurses of Long-term Care Hospital, The Korean Journal of Health Service Management, Vol.7(3);131-141. https://doi.org/10.12811/kshsm.2013.7.4.131
  21. H.J. Song(2012), Long-term Care Hospital Systems in Developed Countries and the Implications for Korea, Journal of Korean Geriatrics Society, Vol.16(3);114-120. https://doi.org/10.4235/jkgs.2012.16.3.114
  22. D.H. Kim(2016), The Status and Improvement Plan of Long-term Care Hospital, The Former 2016 Symposium of Kore Academy of Health Policy and Management, pp.79-88.
  23. Press paper(2015.11.5), Comprehensive Nursing Care Service in Health Insurance, Ministry of Health and Welfare, pp.1-7.
  24. Y.K. Lee, D.J. Kim, S.J. Kwon, S.K. Jang, J.A. Kang(2011), Introduction Plan for Korean Medical and Facility Complex, Korean Institute of Hospital Management, pp.1-6.

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