• Journal of Korean Academy of Nursing
• /
• v.44 no.1
• /
• pp.13-20
• /
• 2014

Purpose: This study was done to examine the effects of 4% hypertonic saline solution mouthwash and tooth brushing education on the oral health of elders living in long term care facilities. Methods: In this quasi-experimental study, the participants were assigned to a 2% experimental group (n=20), a 4% experimental group (n=20), and a control group (n=20). Data were analyzed using ANOVA, repeated measures ANOVA, Fisher exact test, Chi-square test, Kruskal-Wallis test and multiple response analysis with the SAS program. Results: Regular tooth brushing and use of 4% hypertonic saline solution mouthwash by elders provided better oral health by decreasing xerostomia, oral tongue plaque, halitosis, and the number of oral bacteria. Conclusion: The results indicate that regular tooth brushing with continuous 4% hypertonic saline solution mouth washing education promotes oral health for elders in long term care facilities, thus the dental care described in this study is recommended for elders in long term facilities.

• The Korean Journal of Health Service Management
• /
• v.8 no.1
• /
• pp.51-64
• /
• 2014

The purpose of this study was to investigate the relationship among staffing, occupancy rate, upward level change of long-term care need, and evaluation grade of facility. Data were obtained from National Health Insurance Corporation Database. Occupancy rate and evaluation grade were highest in National/public operating facilities, while they were worst in individual operating facilities. The percents of A or B grade in evaluation grade (by newly enforced law) is highest in National/public operating facilities. Multiple regression analysis showed that upward level change of care needs was very weakly associated with the number of doctors. Evaluation grade showed a weak and significant association with occupancy ratey(by old-version law)(r=.20, p<.01), upward level change of care need in group home(r=.23, p<.01) Staffing in facility did not show significantly consistent association with upward level change of care needs, evaluation grade, and occupancy rate.

• Korean Journal of Adult Nursing
• /
• v.25 no.4
• /
• pp.409-421
• /
• 2013

Purpose: This qualitative study was designed to explore and describe the nursing staff reported experiences of managing the medical needs of nursing home residents in South Korea. Methods: Using a focus group interview method, qualitative data were collected from March to May 2012. Twenty five registered nurses and nurse aids working in nursing homes were recruited through a convenient sampling method. Participants participated in one of four focus group interviews lasted up to two hours in which their day-to-day experiences of taking care of the medical needs of the elderly residents. All interviews were recorded and transcribed in verbatim, and analyzed according to the qualitative thematic analysis method using MAXQDA software. Results: The overriding theme was 'experiencing differences between the requirements of the regulatory system and the actual reality of the work place.' The findings of differences between what were true and what is required was based in four subcategories. The nursing home residents had far more medical needs than what were reported. Another finding was that the family members were seen as non-supportive and negligent towards the residents. Conclusion: The findings of the study support the need for changes in the regulatory system. The regulatory limitations of current system with a shortage of resources pushed the participants to experience discrepancies between the required regulation and the reality. Additional research could contribute more exemplars to support changes.

• Journal of Korean society of Dental Hygiene
• /
• v.7 no.1
• /
• pp.1-13
• /
• 2007

In Korea, respect for the aged and filial devotion is treated as basic ethics for human life, and family takes care of the aged person mainly. Nowadays, family support on the aged person is prioritized than the others. However, number of aged person is growing, and family, which is used to protect the aged, becomes nuclear through industrialization. In addition, social advancement of female induces weakened supporting function of family, and all these issues generate the problem of protection for the aged as significant social problems. Author conducted oral inspection and questionnaire for the aged in some welfare facilities in Gyeongnam location from December 2005 to February 2006 to improve quality of life and oral hygiene of the aged. Through gathered data, the actual condition of oral hygiene management on the aged person in welfare facility was evaluated as fundamental data for project development on oral hygiene of aged person. Through the analysis of inspected data, the following conclusions are derived. 1. Management status of oral hygiene is mostly not good, and toothbrushing per day is 'one time' for the most cases. 2. In free-of-charge facility, monthly allowance is 'under 50 thousand won' for the most cases. 3. Time for visiting oral treatment facility is on 'when toothache is occurred' for the most cases. For treatment content, 'prosthetic dentistry' takes 36.8% in charged facility, and 'tooth extraction' is 27.0% for free-of-charge facility. 4. Average DMFT index of the aged in charged facility is 16.81, and free-of-charge facility is 21.71. 5. Average number of functional teeth in charged facility is 15.22, and free-of-charge facility shows 7.29. 6. Average number of remained teeth in charged facility is 15.71, and the umbe in free-of-charge facility is 9.04. 7. Average number of extractable teeth in charged facility is 0.48, and for free-of-charge facility, the number goes up to 1.70.

• Korean Journal of Health Education and Promotion
• /
• v.31 no.2
• /
• pp.15-26
• /
• 2014

Objectives: This study investigates the drinking state of the homeless, including the factors that influence this state, and the related services that the homeless require. Methods: A total of 163 adults residing in homeless shelters in Incheon, were recruited from November 15 to December 28, 2013. The Korean version of the Alcohol Use Disorders Identification Test was used. The data collected were analyzed using descriptive statistics, ANOVA, chi-square, and logistic regression. All analyses were conducted using SPSS 18. Results: Among the respondents, 59.5% engaged in normal drinking, 17.2% engaged in problem drinking and 23.3% suffered from high risk drinking. Alcohol Problems of homeless were found to increase along with total drinking periods. And high risk drinker were more likely to have 3.2 times of loneliness, 6.5 times of insomnia, and the reason for homeless is alcohol problem 14.0 times higher. Conclusions: Alcohol problems among the homeless are chronic and difficult to solve through temporary measures and short-term interventions. Therefore, the development of appropriate services and policies for the homeless is important. The results of the study can be used as a basis for the development of management measures tailored to the distinctive needs of the homeless.

• Journal of The Korea Institute of Healthcare Architecture
• /
• v.14 no.1
• /
• pp.31-38
• /
• 2008

Nursing Homes are different from other medical facilities, because they have a living space. And most of residents in a nursing home have dementia, therefore nursing homes are in control of outdoor activities for resident's safety and most of residents live in the living room at the daytime. The purpose of this study is analysis of spacial behaviors of residents in the living room, and reflection of the analysis into the architectural plan of nursing homes.There are two activities, individual activity and social interchange activity, in a living room and the role of a living room is semi-private space that includes both of them. Most numerous activities are watching TV and take a eat. Activities are different in accordance with the position at the living room. Individual activity and social interchange activity is same ratio in the middle and the ratio of social interchange activities are more than individuals in outside of living room. but alcove use of private.The types of living rooms are distinguished by combination of functions of livingroom, activity-room, and diningroom. The activity of use of residents have been shown different phases following the types of livingroom. The type of combination has been seen high rate of use and private activities and social communications are expressed evenly. The type of mixing has been seen low rae of use, but two activities, the above, are equal. The type of separation has been seen not only low rate of use, but also there has been only private activities.

• Korean Journal of Social Welfare
• /
• v.63 no.3
• /
• pp.55-82
• /
• 2011

This study aims to explore the issues of residential care services for children and youth with disabilities using mixed methods research. In Korea, welfare policies for people with disabilities tend to focus on adults with disabilities. As a result, children and youth with disabilities often receive less attention in welfare policies, which is especially true of children and youth with disabilities at residential facilities, who have confronted more serious situations than children and youth with disabilities living together with their families. Thus, the goal of this study explores the issues of residential care services for children and youth with disabilities, and suggests alternatives grounded in the research results. This study used a mixed methodology; in particular the embedded design that is designed by Creswell and Clark(2007). In qualitative research, representative professionals who work at residential facilities were selected using the recommendations of professional groups, and were interviewed using focus group interview methods. In quantitative research, this study investigated the thoughts of professionals on the issues of residential care services for children and youth with disabilities, using questions that were developed through qualitative research results. This study is significant in that it explored the issues of residential care services for children and youth with disabilities, focusing on field experiences, for the first time in Korea, and suggested political alternatives for the future.

• Journal of the Korea Academia-Industrial cooperation Society
• /
• v.20 no.11
• /
• pp.335-347
• /
• 2019

This study was undertaken to investigate the relationship between social support and depression of the elderly in care facilities. We enrolled 328 elderly people aged 65 years or older, admitted to 15 care facilities located in D metropolitan city. Data were collected through personal interviews conducted by interviewers who visited each care facility, from March 1 to May 31, 2018. Our results indicate a significantly higher distribution of depression in the group having lower social support; the score of depression was determined to be in a significant positive correlation with social support. Considering logistic regression, the adjusted odds ratio in the depressed group increased significantly by 2.7 times in the high group (Q3), 5.4 times in the middle group (Q2) and 10.1 times in the low group (Q1), which had the very high group of social support score. Multiple regression analysis revealed that the factors influencing depression include religion status, relationship with children, subjective health status, physical disabilities, smoking status, breakfast status, and social support, and the explanation power of the injected variables is 41.1%. Taken together, our findings indicate that the level of depression amongst the elderly in care facilities is significantly related to the social support available.

• Journal of the Korea Academia-Industrial cooperation Society
• /
• v.19 no.4
• /
• pp.301-310
• /
• 2018

This study was conducted to investigate the relationship between physical function (ADL, IADL) and mental function (depression, cognitive dysfunction) and quality of life in the elderly. The subjects of this study were 524 elderly people aged 65 or older who were admitted to 15 care facilities located in D metropolitan city. Data were collected through a personal interview conducted by interviewers that visited each care facility from November 2015 to January 2016. T-tests and ANOVA were used to compare the quality of life score for each independent variable, while multiple regression was used to determine the explanatory power of independent variables that affected quality of life. Quality of life was significantly lower among those of older age, lower educational level, living alone, with lower relationships with children, lower subjective health status, disability, lower ability for mastication, without regular eating habits, without regular exercise, and without regular health checkups. In addition, quality of life was significantly lower in the ADL and IADL, as well as among those with a higher depression level and lower cognitive impairment scores than their respective counterparts. The results of this study suggest that the quality of life among elderly that have been admitted to care facilities is significantly related to physical and mental functions as well as demographic characteristics, health status and health related behavioral characteristics.

• Journal of the Korea Academia-Industrial cooperation Society
• /
• v.18 no.8
• /
• pp.210-220
• /
• 2017

This study investigated the effect of social support (MOS-SSS), and physical (ADL, IADL) and mental (CES-D, MMSE-K) function on the quality of life (WHOQOL- BREF) among the elderly at care facilities. The survey respondents were 524 elderly aged 65 and older living in 15 care facilities located in D city. Data were collected through a personal interview conducted by interviewers who visited each care facility from November 2015 to January 2016. As a result, the quality of life was significantly lower in the elderly group with lower social support, with dysfunction in ADL and IADL than in the normal range group, with depression and cognitive impairment group than in the normal range group. The quality of life had a significant positive correlation with social support, ADL, IADL and cognitive impairment, but a significant negative correlation with depression. According to the results of covariance structure analysis, physical function had a greater impact on the quality of life than mental function or social support. Lower quality of life was associated with lower physical and mental function and lower social support. Therefore, concrete measures need to be devised to enhance physical function in order to improve the quality of life among the elderly in care facilities.