• Journal of Korean Society of Health-System Pharmacists
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• v.35 no.4
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• pp.418-429
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• 2018

Background : To improve medication adherence in elderly patients, the role of pharmacists in teambased services has been highlighted in the literature. However, not much is known about the role and the service elements involved in comprehensive geriatric programs in South Korea. This study was designed to describe the current status of medication adherence in geriatric patients based on the comprehensive geriatric assessment program and analyze the predictive factors for medication adherence in a tertiary teaching hospital. Methods : A retrospective cohort study was performed using electronic medical records of 247 patients from March 1st, 2015 to August 31st, 2015. Medication adherence and the types of non-adherence were also collected. Predictive factors for adherence were evaluated by including factors related to demographics, medications, illness, and patterns of medical usage. Results : The mean age of the study population was 81.2 years (range 65~98 years) and they were taking 9.7 drugs on an average (SD 5.0 drugs). The overall rate of non-adherence was 34%. About 48% of the patients had any forms of assistance in the medication administration. The most common type of non-adherence was "self-adjustment". The multivariate analyses revealed that age (adjusted odds ratio, 0.87 [95% CI, 0.80-0.96]; p 0.05) and the number of inappropriate medications (adjusted odds ratio, 0.59 [95% CI, 0.40-0.89]; p 0.05) were strong predictors for non-adherence. Conclusions : These results indicate that strategic considerations of the predictors of non-adherence should be improved in medication counseling services targeting elderly patients.

• The Journal of the Convergence on Culture Technology
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• v.9 no.6
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• pp.355-363
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• 2023

The purpose of this study was attempted to confirm the relationship between medical workers' knowledge of the elderly, burn out, job satisfaction and awareness of elder abuse. The study was conducted on 371 doctors, nurses, and nurse's aides working at eight health centers, 15 nursing hospitals, and 30 university hospital institutions. Looking at the relationships between variables, this study found that knowledge of the elderly was a significant positive correlation with awareness of elder abuse(r=.14, p<.01), and burn out was a significant negetive correlation with job satisfaction(r=-.55, p<.01) and awareness of elder abuse(r=-.10, p<.05). Job satisfaction was a significant positive correlation with awareness of elder abuse(r=.13, p<.01). Awareness of elder abuse was a significant positive correlation with knowledge of the elderly(r=.14, p<.01) and was a significant negetive correlation with burn out(r=-.10, p<.05). As a result of this study, it is expected that Hospital workers can have a positive perception and attitude toward the elderly by reducing their burnout and improving their job satisfaction.

• Proceedings of the Korean Society for Emotion and Sensibility Conference
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• 2009.05a
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• pp.191-194
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• 2009

유엔의 통계에 의하면, 2020 년에 전세계 60 세이상의 인구는 10 억까지 달성하고, 2050 년, 전세계에 20 억 가까운 노인 인구가 생존하게 됩니다. 끊임없이 증가되는 세계의 노령화 문제 때문에, 혼자 생활하는 독거 노인은 끊임없이 증가하고, 동시에 노인들의 순환기질환 관련 위험성은 증대하고 있다. 따라서 본 디자인연구는 이러한 노인들의 문제를 해결하기 위해 외형은 손목 시계와 같이 손목에 차는 형태로 연구되었으며, 심장과 혈압 항상 검사 측정하는 기능이 있어서, 그 수치가 안전을 위협하고 있을 때, 119 나 친척들 또는 담당의사에게 전화로 응급처리를 요청하게 되고, GPRS 는 스스로 작동, 병원에 응급조치와 함께 가장 짧은 시간에 도착할 수 있도록 것을 한다. 동시에 제품에는 환자의 진료카드가 있어 담당의사가 아니라도 진료를 할 수 있도록 하는 기능을 가진 기기에 대하여 연구하였다. 이러한 기기가 노인들에게 사용되기 위해서는 노인의 특성을 고려한 특징적인 연구가 필요하며, 노인의 감성에 맞는 기기의 특성을 파악 적용하는 문제를 연구하였다.

• Journal of Korean Clinical Nursing Research
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• v.28 no.2
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• pp.137-145
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• 2022

Purpose: This retrospective chart review study was conducted to examine the frequency of delirium and to identify the risk factors of delirium in elderly surgical patients. Methods: The subjects of this study were 394 patients aged 65 years or older who underwent surgery. The diagnosis of delirium was based on the nursing assessment records with scores from the day of surgery to the 4th day after surgery. The collected data were analyzed by binary logistic regression analysis. Results: The incidence of delirium was 4.3%, and delirium occurred most frequently on the first day of surgery and lasted for 2.16 days on average. Of delirium patients, 76.5% underwent gastrointestinal surgery, and the most common delirium pattern was disorientation. In terms of the characteristics of the subjects, the occurrence of delirium was statistically different by age (𝝌²=10.79, p=.005), systemic-specific disease (𝝌²=9.63, p=.047), use of delirium-inducing drug(benzodiazepine) before surgery (𝝌²=15.90, p<.001), walking ability before surgery (𝝌²=7.65, p=.006), history of delirium (𝝌²=35.92, p<.001), and emergency surgery (𝝌²=16.40, p<.001). As risk factors of delirium, gastrointestinal surgery was found to increase the risk of delirium by 12.57 times (95% CI=2.45~64.46, p=.002), and the use of benzodiazepines before surgery was shown to increase delirium by 10.07 times (95% CI=2.21~45.87, p=.003). Conclusion: It is necessary for nurses to actively evaluate delirium using screening tools for early detection and prevention of delirium in elderly surgical patients with delirium risk factors.

• Journal of The Korea Institute of Healthcare Architecture
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• v.6 no.11
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• pp.79-86
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• 2000

According to the increase of medical demand for aged, many of geriatric hospitals have been needed. But Korea has been short of them and has not prepared the planning guidelines. This paper aimes to identify the design concept of geriatric hospitals and provides the basic data for architectural planning of these hospitals.

• The Journal of the Convergence on Culture Technology
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• v.7 no.2
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• pp.117-127
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• 2021

The purpose of this study was to identify nurses' communication style and the extent of their health literacy and to discern the impact of nurses' communication and health literacy on self-care behaviors, as perceived by elderly diabetic patients in comprehensive nursing-care service wards. This study provides basic data for establishing an efficient nursing-care service-system environment through high-quality self-management. The measurement and improvement of an accurate health literacy level of elderly diabetic patients is an important intervention method to increase the self-care behavior of patients. Therefore, by developing a distinguished nursing intervention plan, early treatment of diabetic patients and quality of care may be possible.

• Journal of the Korea Convergence Society
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• v.13 no.2
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• pp.341-348
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• 2022

The study was aimed to identify the educational needs for gerontological nursing using the nursing diagnosis classification of hospital nurses. A cross-sectional survey was conducted on 245 nurses who had experience caring for older patients within 1-year at two nurse web cafes. As a result of the study, 43 nursing diagnoses were classified into 6 areas: acute care, daily life care, education and counseling, environment and resource management, health promotion, and geriatric disease management. Nursing educational needs differed according to the age, sex, marital status, education level, size of the hospital, and working experience of the nurse. In order to effectively perform nursing care for the elderly and geriatric patients, it may be necessary to investigate the needs of continuous education and develop a detailed education program.

• Journal of The Korea Institute of Healthcare Architecture
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• v.14 no.1
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• pp.49-58
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• 2008

Considering the rapid growth of elderly population and the increase of medical demand for aged, many of geriatric hospitals are needed in Korea. On the other hand, supplies of hospitals for acute care are considered to be excessive. So many of small and medium hospitals facing management problems have been converged to geriatric hospitals. These attempts are considered resonable for efficient utilization of health care resources in Korea. This paper aims to identify the concept of geriatric hospital and to analyze the problems and then to seek the alternatives for architectural planning on the basis of surveying the geriatric hospitals converged from hospitals for acute care.

• Korean Institute of Interior Design Journal
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• no.29
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• pp.137-144
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• 2001

The purpose of this study was to suggest the design guidelines for healthcare facilities for the elderly. D healthcare facility for the elderly in Busan was case studied. Subjects were 34 elderly patients, 35 families, and 36 nurses who were in this facility. The elderly Patients and their families were interviewed and the nurses were answered through self-administered questionnaires. Generally, the users of this facility were positively responded to the building and interior design of this facility. Also, the elderly patients and the families were mere satisfied with the design of this healthcare facility than the nurses. All users responded the functional aspects and the whole interior design of this healthcare facility positively and the environmental psychological aspects negatively Also, the nurses responded this facility's ambient environments negatively and the patients and the families positively. The elderly patients and their families wanted to share the inpatient room with 3-6 persons because of their economical conditions and social contacts. Almost half of them preferred to sit down on the floor Also, they tended to prefer to light interior color, wall papers, and the familiar and home-like environments.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.20 no.9
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• pp.167-174
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• 2019

The propose od this study was to examine the extent of using physical restraint on elderly patients (over 65 years old) and who were patients in long-term care hospitals. The data was collected, from March 3 2018 to March 29 2018, from the electronic nursing records by using a recording tool, and clinical observation was also used for assessing the use of physical restraint and the related factors. Descriptive statistics, Pearson correlation coefficients and logistic regression were then performed. The usage rate for physical restraints in long-term care hospital was 83.7%, and the most common type of physical restraint was side rails. The use of physical restraints showed a positive correlation with the fall risk scores and a negative correlation with the MMSE. Logistic regression analysis showed that the Fall Risk Score (OR=1.02, 95% CI=1.01~1.03), MMSE (OR=0.94, CI=0.88~0.99) and the use of medical devices (OR=0.80, 95% CI=0.65~0.98) were related with using physical restraints. Therefore, it was confirmed that physical restraint was used in cases of a high risk of falling, severe cognitive impairment and the use of complex and fragile medical devices to treat the patient. Clinical nursing practice should be changed so that treatment alternatives can be applied for elderly patients rather than using too many physical restraints.