• Title/Summary/Keyword: 노인 간호

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A Study on Home Nursing Care Requirement and Activities of Daily Life Among the Elderly at Home (재가노인의 가정간호요구도 및 일상생활능력에 관한 연구)

  • 조선화;김병성;김공현;박형종
    • Korean Journal of Health Education and Promotion
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    • v.11 no.2
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    • pp.125-145
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    • 1994
  • The objectives of this study were to characterize the health status, the requirement of home nursing care, and dependency of daily life of the elderly so that the result could be used to provide basic data necessary for establishing home nursing care practices. The study subjects were 249 elders over 65 years old who resided at home in low income areas of three districts in Pusan. The field survey was conducted from December 27, 1993 through January 27, 1994, with a structured questionnaire. Statistical analysis was done by X²-test and Student's T-test using SPSS/PC/sup +/ program. The result were as follows; 1. Alcohol drinking rate was 50.0% for men and 27.7% for women, and cigarette smoking rate was 77.8% for men and 27.1% for women. 92.9% of elders aged 65-75 exercised regularly as compared to 81.9% of elders aged 75 and over(p<0.05). 2. 63.9% of male and 85.9% of female elders had chronic diseases showing singnificant differences(p<0.01), and both sexes had 1.7 kinds of chronic diseases in average; musculoskeletal diseases were the most common in 25.7%, while 6.8% of the elderly had cardiovascular diseases. 3. Partially movable elderly was 6.9% for men and 6.8% for woman, showing 47.1% of causes being cerebrovascular accidents. 4. The home nursing requirement was the highest for medication(66.3%), intramuscular injection(53.8%), and measurement of blood pressure·body·temperature·pulse rate(47.0%). 5. Among Physical Activities of Daily Life, bathing(10.4%) and movement(4.0%) showed high dependency rates, and among Instrumental Activities of Daily Life, phone calling(25.3%), shopping(24.5%), going out by bus(22.5%) showed high dependency rates. 6. For five categories of home nursing showing high requirements such as physical health examination, blood pressure·temperature·pulas rate measurements, medication, and intravascular injection, the requirements were different by age groups, education, and marital status(p<0.05).

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The Effects of a Functional Game (Rejuvenescent Village) for Older Koreans' Cognitive Function, Instrumental Activities of Daily Living, Depression, and Life Satisfaction (노인용 기능성 게임(젊어지는 마을)이 인지기능, 도구적 일상생활동작, 우울, 삶의 만족도에 미치는 효과)

  • Lim, Kyung Choon;Chun, Min Ho
    • Journal of Korean Biological Nursing Science
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    • v.18 no.4
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    • pp.296-304
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    • 2016
  • Objective: The purpose of this study was to explore the effects of a senior functional game (Rejuvenescent village) on cognitive function, instrumental activities of daily living (IADL), depression, and life satisfaction in Korea. Methods: An one-group pretest-posttest design was used in this study. Data were collected twice (at the beginning and the end) from 100 elderly adults in S city who played "Rejuvenescent village" 8 times (twice per week, one hour per session) for a month. Also they completed questionnaires on their cognitive function, IADL, depression, life satisfaction, and general characteristics. The data were analyzed using SPSS 20.0 programs. Results: The mean age was 70.06(${\pm}3.77$) years, with a range of 65-80 years old. Among 100 subjects, 21% were male and 85% were young old. There were statistically significant differences in cognitive function (t=-3.32, p=.001), IADL (t=1.98, p=.049), and life satisfaction (t=-2.15, p=.034). Although there was no statistically significant difference in mean depression score (t=1.06, p=.292), categorized depression was statistically significant (${\chi}^2=62.97$, p<.001). Conclusion: The findings in this study show that the serious game (Rejuvenescent village) was effective for older Koreans' cognitive function, IADL, depression, and life satisfaction. Thus, we need to consider senior functional games to get health benefits by making elderly adults active with enjoyment.

A Wearing Conditions of Caregivers' Uniform -Focusing on Women Caregivers in Medical Welfare Facilities for the Aged- (여성간병인 유니폼 개발을 위반 착의실태조사 -노인의료복지시설 여성간병인을 대상으로-)

  • Lee, Eun-Young;Kim, Eun-Kyong
    • Journal of the Korean Society of Costume
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    • v.57 no.1 s.110
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    • pp.147-162
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    • 2007
  • The purpose of this study is to grasp the inconvenience and problems with caregivers' uniforms and preferred designs by examining the wearing conditions of these uniforms in medical welfare facilities for the aged. To attain this purpose, a questionnaire was completed by direct observation and by interviewing caregivers in specialized hospitals for the aged and those engaged in nursing and then a preliminary examination was carried out. The questionnaire was given to 228 caregivers. Following are the results of this research. It was found that the caregivers in medical welfare facilities for the aged were women in their 50s, wearing primarily a size 77 uniform. It was revealed that when the caregivers bathe patients, they usually get wet from the knees to the bottom part of their pants and many of them (61.2%) change both their tops and pants after giving a bath. The caregivers said that every part of the tops of existing uniforms, except the armpits, were a little large or too long. It turned out that the area of the armpits, the front buttons, crotch, hip area, and knees are mostly the areas that readily wear out in the uniforms. It was reported that the uncomfortable parts in the uniforms a.e the armpits, shoulders, and the front adjusting parts of the tops and the hips, thighs, and the crotches of the pants. The material for the uniforms have problems in ventilation, fluffing, absorption of sweat, and permeation of odor.

Dialog System based on Speech Recognition for the Elderly with Dementia (음성인식에 기초한 치매환자 노인을 위한 대화시스템)

  • Kim, Sung-Il;Kim, Byoung-Chul
    • Journal of the Korea Institute of Information and Communication Engineering
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    • v.6 no.6
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    • pp.923-930
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    • 2002
  • This study aims at developing dialog system to improve the quality of life of the elderly with a dementia. The proposed system mainly consists of three modules including speech recognition, automatic search of the time-sorted dialog database, and agreeable responses with the recorded voices of caregivers. For the first step, the dialog that dementia patients often utter at a nursing home is first investigated. Next, the system is organized to recognize the utterances in order to meet their requests or demands. The system is then responded with recorded voices of professional caregivers. For evaluation of the system, the comparison study was carried out when the system was introduced or not, respectively. The occupational therapists then evaluated a male subjects reaction to the system by photographing his behaviors. The evaluation results showed that the dialog system was more responsive in catering to the needs of dementia patient than professional caregivers. Moreover, the proposed system led the patient to talk more than caregivers did in mutual communication.

A Study on the Advancement of Accreditation Systems and Surveyors' Expertise for Long-term Care Facilities: Focusing on Overseas Cases (해외 사례 고찰을 통한 지자체 노인요양시설 인증 체계 및 조사원 고도화 방안)

  • Seo, Yun Jeong;Lee, Soonsung;Seo, Dong-Min;Yoon, Ju Young;Sagong, Hae;Kim, Da Eun
    • Perspectives in Nursing Science
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    • v.15 no.2
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    • pp.81-91
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    • 2018
  • Purpose: This study aimed to suggest strategies for advancing local-government-based accreditation systems and surveyor training in long-term care facilities in Korea. Methods: A comprehensive review of the literature including research papers and official reports issued by governments from the United States, Australia, and Japan was conducted to explore domestic and international policies related to long-term care facility certification and accreditation systems. Results: The USA has two types of care quality assurance systems including mandatory certification (5-star rating system) by the Centers for Medicare and Medicaid Services and voluntary accreditation by the Joint Commission on Accreditation of Healthcare Organizations. Australia operates a government-based mandatory accreditation system for all long-term care facilities through the Australian Aged Care Quality Agency. Japan, particularly the Tokyo district, operates a third-party evaluation system that involves the voluntary participation of long-term care facilities. Conclusion: This study provides several strategies to enhance accreditation processes and surveyors'expertise. For instance, motivating facilities to voluntarily participate in accreditation is necessary by 1) providing sufficient and continuous consultations and feedback about how to improve care quality, 2) differentiating accreditation domains and indicators from the national health insurance certification system, and 3) actively utilizing accreditation results and providing incentives.

Effects of Hand Massage with Nail Art on Depression, Self-esteem, and Vital signs of Elderly Women living in a Nursing Home (손마사지를 병행한 네일아트가 시설 여성 노인의 우울, 자존감 및 활력증상에 미치는 효과)

  • Kim, Joo Hyun;Hyun, Hye Jin;Kang, So Yean;Nam, Hye Ri;Shin, Mi Jin;Lee, Hyun Jung;Chae, Young Ran
    • Journal of Korean Biological Nursing Science
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    • v.18 no.3
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    • pp.169-175
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    • 2016
  • Purpose: The aim of this study was to examine the effects of hand massage with nail art on depression, self-esteem and vital signs of elderly women. Methods: The research design was one group pre and post test experimental design. Data were collected from December 7 to December 14, 2015. All participants had hand massage with nail art for 10 minutes. Depression, self-esteem and vital signs were measured before, immediately after the hand massage with nail art and one week later. Data were analyzed using descriptive statistics and repeated measures ANOVA with SPSS/Win 12.0 Program. Results: Depression (F=30.80, p<.001), self-esteem (F=60.02, p<.000), diastolic pressure (F=29.56, p<.001) and body temperature (F=13.87, p<.001) were significantly different compared to pre-study values. Systolic pressure (F=3.85, p=.059) and pulse rate (F=0.32, p=.576) had no significant difference compared to pre-study values. Conclusion: The findings of this research show that hand massage with nail art has positive effects on decreasing depression and improving self-esteem for senior women who chose nail polish colour by themselves.

Effect of favorite music therapy on anxiety and vital sign in patients undergoing gynecologic surgery using the general anesthesia (선호 음악요법이 전신마취 산부인과 수술 환자의 불안과 활력 징후에 미치는 효과)

  • Yang, Jung-Lim;Noh, Min-Young;Yang, Kyung-Hee
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.16 no.2
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    • pp.1189-1199
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    • 2015
  • This study examined the effects of favorite music therapy on the anxiety and vital signs at each point in gynecologic surgery using the general anesthesia. The research design was a non-equivalent control group non-synchronized design. The data were collected from May 1 to July 30, 2013 and the participants were 44 patients (experimental group, 21, control group, 23) received music therapy while waiting for anesthetic induction and PACU (Post Anesthesia Care Unit). Repeated measures ANOVA was performed to analyze the data by SPSS 18.0. Music therapy reduced the anxiety level at inducing the anesthetic time, and awakening time (p=.003; p=.011). The systolic blood pressure maintained stability at discharge from the PACU (p=.023), and pulse rate was stable at the awakening time (p=.016). This findings support the use of music as a nursing intervention to reduce anxiety and maintain the vital signs for gynecologic surgery patients under general anesthesia.

Influencing Factors on Health Behavior Compliance in Men Who Underwent Percutaneous Coronary Intervention: Focusing on the Elapsed Period (관상동맥중재술을 받은 남성의 건강행위 이행에 미치는 영향요인: 경과기간을 중심으로)

  • Ha, Haeng-Ju;Seo, Minjeong
    • Journal of Digital Convergence
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    • v.19 no.12
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    • pp.661-673
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    • 2021
  • This study is a descriptive study to understand the effect on the health behavior compliance of men who got coronary intervention, focusing on the elapsed period. The subjects of this study were 249 men who underwent coronary intervention at a university hospital, and the collected data were analyzed using Stepwise multiple regression. As a result of the study, the influencing factors the implementation of healthy behaviors were self-regulation(β=0.35, p<.001), risk factors among educational request(β=-0.26, p<.001), and the elapsed period(β=0.19, p<.001), marital status(β=0.15, p=.001), educational level(β=-0.12, p=.035), and the total explanatory power was 29.1%. IIn order to increase the health behavior performance of male patients who underwent coronary intervention, it is necessary to develop a program that can strengthen the autonomous motivation of subjects with high severity and elapsed time of less than 1 year and more than 1 year.

Influencing Factors of Awareness of Support for the Aged among Adolescents in Korea (청소년의 노인부양의식에 미치는 영향 요인 분석)

  • Na, Eun Young;Kim, Hyeon Suk
    • Journal of the Korean Society of School Health
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    • v.31 no.3
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    • pp.203-213
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    • 2018
  • Purpose: This study provides information for the development of educational programs for improving awareness of support to the elderly among adolescents. Methods: The 350 students of high schools located in Seoul were selected as subjects and surveyed using structured questionnaires during 11th~15th of April in 2014. The 327 subjects were used for analysis and the response rate was 93.4%. SPSS/WIN18.0 program was performed for t-test, ANOVA and regression analysis. Results: First, adolescents with parents aged over 50 compared to those with parents younger than 40 showed high level of awareness of support to the elderly. The high level of cognitive factors including image and perception towards the elderly (t=3.07, p=.01) were significant factors of awareness of support to the elderly. In experiential factors, adolescents with extensive influence of media and experiences with cohabitation with grandparents, and experiences with voluntary service activities were statistically significant with the high level of awareness of support to the elderly. Second, in regression analysis, adolescents' economic support awareness was higher with the stronger influence in the elderly-related media (${\beta}=.221$, p=.032). The emotional support awareness was higher among the eldest sons (${\beta}=.220$, p=.017) and perception (${\beta}=.352$, p=.001) to elderly (${\beta}=.221$, p=.032). Physical support awareness was higher when the positive image for the elderly (${\beta}=.223$, p=.016) and the high perception towards the elderly (${\beta}=.293$, p=.007). Conclusion: The awareness of support to the elderly should be constantly strengthened to the adolescents. Despite the rapid increase of the elderly, studies are not sufficient. Further research will be necessary.

Demand and willing to pay for oral hygiene service in long-term care insurance of elderly (노인장기요양보험 재가급여 수급자의 구강위생서비스 요구도와 비용지불의사)

  • Kim, Han-Nah;Kim, Gi-Yon;Noh, Hie-Jin;Kim, Nam-Hee
    • Journal of Korean Academy of Oral Health
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    • v.42 no.4
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    • pp.204-209
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    • 2018
  • Objectives: This study was conducted to identify the demand and willingness to pay for oral hygiene services among elderly people with long-term care insurance. Methods: Our study was a cross-sectional analysis. Subjects comprised 126 elderly individuals from long-term home-care centers. A total of 28 centers were selected through convenience sampling from among 78 centers in ${\bigcirc}{\bigcirc}$. For analysis, semi-structured questionnaires that required about 20-30 minutes to complete were used. Analysis was performed using SPSS 23.0 software. Results: The overall demand for oral hygiene services was 44.4%, and willingness to pay was 31.0%. Thirty-three people (58.9%) of elderly those who have demand for an oral hygiene service were willing to pay for the service, and 64 people (91.4%) who did not have a demand were not willing to pay for it. Among those with partial dependence on brushing, 65.6% had demand for oral hygiene services and 50.0% were willing to pay costs. Among basic livelihood beneficiaries, 69.6% were willing to pay for oral hygiene services; general subjects and relievers were less willing to pay. Conclusions: The overall demand for oral hygiene services among elderly people was 44.4%, and the willingness to pay was as low as 31.0%.