• Title/Summary/Keyword: 입원한 노인 환자

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Factors Influencing on Pressure Ulcer Incidence among Older Patients with Hip Fracture in a Hospital (고관절 골절로 입원한 노인 환자의 욕창 발생 위험요인)

  • Lee, Sun Jin;Jeong, Jae Shim;Lim, Kyung-Choon;Park, Eun Young;Kim, Hye Youn
    • Journal of Korean Biological Nursing Science
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    • v.21 no.1
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    • pp.54-61
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    • 2019
  • Purpose: This study aimed to identify the incidence and risks for pressure ulcer among older patients with hip fracture. Methods: The subject were 215 older patients suffering from hip fracture who were admitted for surgical operation from January 1, 2012 to April 30, 2016 in a university-affiliated hospital. The incidence of pressure ulcer was collected retrospectively through medical record review and the risk factors were analyzed using Cox's proportional hazard model. Results: Out of the total, 32 patients (14.9%) developed pressure ulcer with the average occurrence period being 4.72 (${\pm}3.81$) days. Stage II pressure ulcer was the most common at 72.0%. Risk factors included ambulation status before injury (p= .039), spinal anesthesia (p= .029), and stay at intensive care unit after operation (p= .009). Conclusion: Despite pressure ulcer prevention efforts, the incidence remained relatively high. Considering the identified risk factors, more efforts is needed for early detection and prevention of pressure ulcers in such patients.

Assessment of Oral Health Impact Profile 14 for the ADL Inpatients in Geriatrics Hospital (노인요양병원 입원 ADL환자의 OHIP(Oral Health Impact Profile)14평가)

  • Kim, Jung-Sool;Lee, Byung-Ho
    • Journal of dental hygiene science
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    • v.9 no.3
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    • pp.303-310
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    • 2009
  • The purpose of this study was to evaluated for its validity and assessment of oral health impact profile 14 as a tool for evaluating of life related with oral health status for the ADL inpatients in geriatrics hospital and as a basic data for establishing geriatric oral health policies. The sample of this study consisted of 120 in ADL inpatients in geriatrics hospital in Pusan and Ulsan city, through face-to-face interviews of sample extraction method. In conclusion, the analysis results of the short OHIP14 forms have an effect on necessity of cure, filled teeth and current oral stale, spouse, intension. Through this results, OHIP14 could be used as an indicator to measure the quality of life related with oral health status for the ADL inpatients in geriatrics hospital as well as elderly general people.

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A Convergence Study on the Relationships between Self-Efficacy and Health Behavior in eldery women with chronic low back pain (만성 요통을 가진 여성 노인의 자기 효능감과 건강행위간의 관계에 대한 융합연구)

  • Park, Jum-mi;Shin, Na-yeon
    • Journal of the Korea Convergence Society
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    • v.9 no.2
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    • pp.43-50
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    • 2018
  • Purpose: The purpose of this study is to examine the relationships between self efficacy and health behavior of elderly woman with chronic low back pain. Methods: A descriptive correlational design was used and the participants were 130 eldery women patients with chronic low back pain from one general hospital in 2012. The structured questionnaire included Perceived Self Efficacy Scale, Health Behavior Assessment tool of the Korean Elders. Data analysis included t-test, ANOVA and Pearson's correlation. Results: The mean scores were $67.34{\pm}18.32$ for self efficacy, $99.70{\pm}14.46$ for health behavior. There were significant correlations between self efficacy and health behavior(r=.80). Conclusion: The findings suggest that elderly woman with chronic low back pain need nursing interventions to improve health behaviors by promoting self efficacy.

A Study on the Characteristics of the Patient Group in a Convalescent Hospital Inpatients: Based on the Medical Record Information (일개 요양병원 입원환자의 환자분류군 특성에 관한 연구 : 의무기록 정보를 바탕으로)

  • Lim, Bo-Ra;Ahn, Sang-Yoon;Kim, Kwang-Hwan
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.11
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    • pp.324-334
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    • 2019
  • This study investigates the characteristics of patients hospitalized at a convalescent hospital, by considering patient groups based on their medical record information. It further analyzes and correlates the factors, thus providing basic data required to improve the patient classification system at convalescent hospitals. The data includes total information of 213 medical records of patients discharged from a convalescent hospital in the Jeonbuk region during a period of one year, from January to December 2016. The study examines and correlates the days of hospitalization and the number of diseases, revealing a positive correlation having a correlation coefficient, thereby indicating that infliction with a greater number of diseases results in longer hospitalization. Based on these findings, the study raises the need to revise and supplement items on the patient assessment report to help determine the patient groups and identify medical efforts to be actually provided to patients. In addition, a proper care service system for each patient group based on their respective problems that are intensively managed according to the patient groups will be an essential element in the efficient management of convalescent hospitals. Furthermore, an important task addressed will be in managing the health of the elderly population at the national level.

YOLO models based Bounding-Box Ensemble Method for Patient Detection In Homecare Place Images (조호환경 내 환자 탐지를 위한 YOLO 모델 기반 바운딩 박스 앙상블 기법)

  • Park, Junhwi;Kim, Beomjun;Kim, Inki;Gwak, Jeonghwan
    • Proceedings of the Korea Information Processing Society Conference
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    • 2022.11a
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    • pp.562-564
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    • 2022
  • 조호환경이란 환자의 지속적인 추적 및 관찰이 필요한 환경으로써, 병원 입원실, 요양원 등을 의미한다. 조호환경 내 환자의 이상 증세가 발생하는 시간 및 이상 증세의 종류는 예측할 수 없기에 인력을 통한 상시 관리는 필수적이다. 또한, 환자의 이상 증세 발견 시간은 발병 시점부터의 소요 시간이 생사와 즉결되기에 빠른 발견이 매우 중요하다. 하지만, 인력을 통한 상시 관리는 많은 경제적 비용을 수반하기에 독거 노인, 빈민층 등 요양 비용을 충당하지 못하는 환자들이 수혜받는 것은 어려우며, 인력을 통해 이루어지기 때문에 이상 증세 발병 즉시 발견에 한계를 가진다. 즉, 기존까지 조호환경 내 환자 관리 방식은 경제적 비용과 이상 증세 발병 즉시 발견에 한계를 가진다는 문제점을 가진다. 따라서 본 논문은 YOLO 모델의 조호환경 내 환자 탐지 성능 비교 및 바운딩 박스 앙상블 기법을 제안한다. 이를 통해, 딥러닝 모델을 통한 환자 상시 관리가 이루어지기에 높은 경제적 비용문제를 해소할 수 있다. 또한, YOLO 모델 바운딩 박스 앙상블 기법 WBF를 통해 폐색이 짙은 조호환경 영상 데이터 내에 객체 탐지 영역 정확도 향상 방법을 연구하였다.

The Effect of Game-based Serious Contents on Self-Efficacy and Cognitive Function in Elderly Diabetic Patients (게임을 활용한 기능성 콘텐츠가 노인 당뇨환자의 자기효능감, 인지기능에 미치는 영향)

  • Ahn, Tae-Hong;Kim, Yu-Jeong;Wie, Seoung Uk
    • Journal of Korea Game Society
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    • v.17 no.4
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    • pp.149-160
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    • 2017
  • In 2016, we developed serious content for diabetes (Roly Poly 160) for diabetes, and then revised and supplemented them to serious game contents for self-care throughout diabetes, reflecting the needs of diabetes and health educators. We investigated the clinical efficacy. This study was one-group pretest-posttest design, 49 people with diabetes who were admitted to a hospital in the G region were given self-management training through 'Roly Poly 160' for 5 days, from February 27 to April 21, 2017, once a day. As a result of the study, the fasting blood glucose level and the postprandial blood glucose level of the subjects were significantly decreased (p<.000), and the self-efficacy and cognitive function were significantly increased (p<.000).

Effects of nursing intervention program on reducing acute confusion in hospitalized older adults (입원노인 환자를 위한 급성혼돈 간호중재 프로그램 효과)

  • Hwang, Hea-Jeong;Shin, Yeonghee
    • Korean Journal of Adult Nursing
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    • v.26 no.1
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    • pp.89-97
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    • 2014
  • Purpose: During hospitalization, confusion occurs in 15~20% of older adults and persists in 5~10% of them. This study was designed to investigate effects of a five-day nursing intervention program designed to reduce confusion in hospitalized older adults. Subjects were inpatients over the age of 60 years old and were admitted in a surgical care unit. Methods: Data were collected from 111 patients. Subjects divided into one of two groups, 58 patients of the control group which received the usual nursing care; and 53 patients of the intervention group which received the usual nursing care plus nursing intervention program for reducing acute confusion. The Delirium Observation Screening Scale (DOS) and the Korean Mini-Mental Screening Examination (MMSE-K) were utilized. Results: 1) Acute delirium was significantly reduced in the intervention group compared to the control group ($x^2$=4.22, p=.034) as well as the duration of the delirious state was significantly shortened (F=56.62, p<.001). Cognitive function of the intervention group was improved (F=21.14, p<.001). Conclusion: The nursing intervention program reduced the incidence and duration of acute delirium of the elderly inpatients, as well as it helps them keep better cognitive function than the control group.

Influence of Fall Risk, Fear of Falling, and Social Support on Fall Prevention Behaviors among Older Inpatients (입원한 노인환자의 낙상위험도, 낙상두려움 및 사회적 지지가 낙상예방행위에 미치는 영향)

  • Yu, Ga Ram;Yang, Nam Young
    • Journal of Korean Academic Society of Home Health Care Nursing
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    • v.30 no.1
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    • pp.96-104
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    • 2023
  • Purpose: This study aimed to investigate the influence of fall risk, fear of falling, and social support on older inpatients' fall prevention behaviors. Methods: The participants were 105 older inpatients. Data were analyzed using descriptive statistics, independent t-test, One-way ANOVA, Pearson's correlation coefficients, and multiple regression analysis using the SPSS program. Results: The mean fall risk, fear of falling, social support, and all prevention behaviors were 58.05±28.27, 2.47±0.67, 3.58±0.63, and 2.93±0.48, respectively. There were significant differences in fall prevention behaviors by sex, and fall related to education experience. Fall prevention behaviors were associated with fall risk, and fear of falling. The factors influencing the fall prevention behaviors of the older inpatients were sex, fall related to educational experience, fall risk, and fear of falling. It was found that 21% could explain fall prevention behaviors. Conclusion: The results indicate a need to develop a fall prevention education program, including intervention, to reduce the fear of falling among older inpatients.

Convergence study of Comparison of prognosis between Adult and Elderly patients with Traumatic Acute Subdural Hematoma: Retrospective survey research (성인과 노인에서 외상성 급성 경막하 혈종의 예후 비교에 대한 융합적 연구: 후향적 조사 연구)

  • Lee, Seung-Woo;Woo, Sang-Jun;Kim, Eun-A
    • Journal of the Korea Convergence Society
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    • v.11 no.6
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    • pp.411-422
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    • 2020
  • Purpose: The purpose of this study is to compare the prognosis of traumatic acute subdural hematoma between adults and the elderly to provide appropriate nursing according to age. Methods: A retrospective medical records research study was conducted on 239 patients(adults 104, elderly 135) at Gwangju C university hospital. For data analysis, χ2 test, independent sample t-test, one-way ANOVA were used. Results: There was no difference between GCS at discharge(t=-0.03, p=.978) and GOS at discharge(t=0.17, p=.863). But there were differences in gender(χ2=4.19, p=.041), history(χ2=20.78, p<.001), GCS at admission(t=-2.22, p=.028), pupil reflection at admission(t=8.04, p=.005), pH(t=-3.30, p=.001), serum blood glucose(t=-0.85, p=.040), complications(χ2=6.450, p=.011) between adults and elderly. Conculsion: When nursing patients with traumatic acute subdural hematoma, it is thought that patients assessment and nursing care considering the clinical characteristics according to age can be provided. Future research needs to develop educational materials for medical staff.