• Title/Summary/Keyword: A Nursing Home for the Elderly

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A Study on the Functional Health Status of Living-alone Elderly (독거노인의 건강기능상태에 관한 연구 -광주광역시를 중심으로-)

  • Kim Mee Young
    • Journal of Korean Public Health Nursing
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    • v.11 no.2
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    • pp.94-105
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    • 1997
  • The degree of nursing service requirement can be determined by functional health status and a predictive explanation for the status on the living-alone elderly is essential to plan home-care nursing intervention. The purpose of this study is to explore the functional health status of living-alone elderly. Especially the main purpose is to contrast the differences of the status between the residential living-alone elderly and institutional living-alone elderly. This study was conducted through the interview by the students of nurse college who were previously trained during the months of Oct. and Nov. 1996. Sample participants located in Tong-Gu and Seo-Gu of Kwangju City. To contrast the functional health status. this study tried to utilize the Activity Inventory(AI). Among the AI's this study adopted the Physical Activity of Daily Living(PADL) and Instrumental Activity of Daily Living(IADL). Results of the study show that the home-care nursing intervention for the living-alone elderly is urgent more for the residential than for the institutional. It seems that the residential living-alone elderly suffer from inability in Physical Activity of Daily Living. As the residential elderly who have some physical lacks prefer the institution. it is recommended to support physical lacks for the institutional. And more mental-emotional support is recommended for the residential living-alone elderly. The degree of the residential's IADL is higher than that of the institutional. It seems that it was caused by the reason that the residential's needs for the minimum level of life is greater than that of the institutional. So the polypharmacy in elderly nursing-home residents must be considered as sigificant.

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Nursing Students' Knowledge, Attitudes, and Educational Needs Regarding Sexuality in the Elderly (일부지역 간호대학생의 노인에 대한 성지식과 태도 및 교육요구도)

  • Han, Hye-Ja;Lee, In-Sook
    • Journal of Home Health Care Nursing
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    • v.23 no.1
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    • pp.71-79
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    • 2016
  • Purpose: This study was investigated the knowledge, attitudes, and educational needs of nursing students regarding the sexuality of elderly individuals. Methods: This was a descriptive study. Data were collected from April $1^{st}$ to $22^{nd}$, 2016. One hundred ninety-three nursing students in Daejeon city and Chungcheongnam-do were surveyed. Data were analyzed using SPSS 21.0. Results: Mean scores on the knowledge, attitudes, and educational needs measures were 15.74/29, 28.45/40, and 36.67/50 respectively. There were significantly differences in major variables according to needs for sexual education of the elderly. There were also significant differences in knowledge and educational needs depending on students' age and year in school. Higher levels of knowledge of sexuality were significantly correlated with more positive attitudes and higher educational needs. Positive attitudes were also correlated with higher educational needs. Conclusion: Nursing students showed a low level of knowledge and poor attitudes towards sexuality in the elderly. This suggests that there is a need for education on the sexuality of the elderly in the nursing curriculum. This education would guide nursing students to obtain correct knowledge and positive attitudes so that they would be able to provide effective and appropriate sexuality care for elderly patients.

The Relations between Self-esteem, Self-care and Life Satisfaction in the Home-dwelling Elderly (재가노인의 자아존중감, 자가간호와 생활만족도간의 관계)

  • Kim, Bong-Im
    • Research in Community and Public Health Nursing
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    • v.16 no.4
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    • pp.415-423
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    • 2005
  • Purpose: The present study was conducted to identify the relations between self-esteem. self-care and life satisfaction in the home-dwelling elderly. Methods: The subjects were 106 persons aged over 65 in J city. Data were collected from April to June 2005 by a questionnaire survey. The instruments used in this study are the self-esteem scale developed by Rosenberg(1965), the self-care scale by Hwang (2000) and the life-satisfaction scale by Choi (1986). Data were analyzed through t-test, ANOVA. least significant difference, Pearson's correlation coefficient and stepwise regression analysis using SPSS-Win 10.0. Results: Self-esteem and self-care were in a positive correlation with each other (r=.464, p=.000). Self-care and life-satisfaction showed a significant correlation with each other (r=.222 p=.031), and a significant correlation was found between self-esteem and life-satisfaction (r=.506, p=.000). The most significant predictors influencing life-satisfaction were self-esteem, self-care and perceived health condition, and the three factors accounted for 47.7% of variance in life satisfaction in the home-dwelling elderly. Conclusion: These results suggest that self-esteem, self-care and life-satisfaction can be important factors the quality of life of the elderly in long-term care. Therefore nurses can plan nursing interventions to promote self-esteem, self-care and life satisfaction of the home-dwelling elderly.

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Factors Influencing the Nursing Performance of Delirium in Elderly Patients among Ward Nurses at a University Hospital (대학병원 병동간호사의 노인섬망 간호수행에 영향을 미치는 요인)

  • Park, Sung Suk;Song, Min Sun
    • Journal of Home Health Care Nursing
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    • v.29 no.2
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    • pp.183-193
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    • 2022
  • Purpose: This research aims to identify the relationship between the knowledge of delirium in elderly patients, nursing stress of delirium in elderly patients, emotional intelligence, and nursing performance of delirium in elderly patients among word nurses at a university hospital. Method: Data were collected from September 28 to October 13, 2020, by distributing questionnaires to 185 ward nurses at a university hospital located in city D. A data analysis was performed using descriptive statistics, a t-test, one-way ANOVA, and Pearson correlation coefficients, and a multiple regression analysis. Results: Nursing performance of delirium in elderly patients showed statistically significant differences according to nursing experience with these patients. Nurses' knowledge of delirium in elderly patients had a statistically significant positive correlation with emotional intelligence and nursing performance of delirium in elderly patients. Also, nurses' emotional intelligence had a statistically positive correlation with nursing performance of delirium in elderly patients. The factors that significantly affected nursing performance delirium in elderly patients were emotional intelligence and knowledge of delirium in elderly patients. The total explanatory power of the regression model was 12.5%. Conclusion: For nursing performance of delirium in elderly patients by ward nurses, it is necessary to develop a geriatric delirium nursing education program that can improve the knowledge of delirium in elderly patients. In addition, guidelines in consideration of the emotional intelligence of nurses should be included in the development of educational programs.

Thrown in a Different World: The Later Lives of Korean Elderly in an American Nursing Home

  • Suh, Eunyoung E.;Park, Yeon Hwan
    • Korean Journal of Adult Nursing
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    • v.19 no.2
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    • pp.329-337
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    • 2007
  • Purpose: Increasing numbers of Koreans have immigrated to the United States since the late 1960s. The first generation of Korean immigrants or their parents become old and institutionalized in American nursing home setting. Although the Korean elders would experience many cultural differences in the nursing home, no study to date has investigated their everyday lives on how they live through their later lives within a different cultural environment from their own. Methods: Using ethnographic methodology, the purpose of this paper was to illustrate Korean residents' experiences and daily lives in a nursing home located in an east coastal city in the U.S. Participant observation, filed notes, semi-structured interviews were utilized by means of data collection. Eighteen Korean residents were observed, and five of them and two nurses participated in informal qualitative interviews. Results: The overriding theme from the findings is "thrown in a different world." Three sub-themes include "constant struggles in making themselves understood", "dealing with culturally inappropriate nursing care," and "maintaining their own ways of life". Conclusions: The discovered themes reflect culturally isolated lives of the participants and open a venue for designing a culturally congruent nursing care for Korean elders living in the U.S. nursing homes.

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Medication Status and Adherence of the Elderly under Home Care Nursing (가정간호 노인대상자의 처방약물복용 실태 및 복용 이행도 영향요인)

  • Kim, Young-Hee;Lee, Mi-Kyoung;Lee, Sung-Ja;Cho, Myung-Sook;Hwang, Moon-Sook
    • Research in Community and Public Health Nursing
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    • v.22 no.3
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    • pp.290-301
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    • 2011
  • Purpose: This study is a descriptive research intended to clarify the medication status of community-dwelling elders and to identify factors affecting their medication adherence. Methods: Data were collected using questionnaires and interviews from 101 subjects who had taken prescribed drugs for at least 7 days sampled among elderly people using home care nursing at a general hospital in Seoul. Results: According to the results of this study, medication adherence measured by pill counting was 88.3% and that measured by self-reporting was 94.6%. There were statistically significant differences in medication adherence according to major disease (p=.006), the number of admissions (p=.032), the number of drugs (p=.051), the frequency of medication (p=.026), and depression (r=-.205). In addition, depression was found to be a significant variable explaining the medication adherence with explanatory power 3.8% (p=.035). Conclusion: The presence of depression affected the elderly subjects' the medication adherence. Therefore, more concern and educational approaches are required to encourage elderly people to comply correctly with medication regimens particularly for elderly patients who have a malignant or long-lasting disease or who have to take multiple drugs or maintain a daily dosing frequency.

A Survey on the Characteristics of Living Environment on Nursing Homes for the Elderly in Korea (한국 노인요양시설 거주환경의 특성에 대한 연구)

  • Byun, Hea-Ryung;Kim, Dae-Nyun;Yoon, Young-Sun;Moon, Jae-Ho;Kim, Sun-Tae;Chung, Mi-Ryum
    • Proceeding of Spring/Autumn Annual Conference of KHA
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    • 2006.11a
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    • pp.139-143
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    • 2006
  • The purpose of this study is to analyze the characteristic of living environment on nursing homes and to examine the current status and problems of the nursing homes by looking into the differences in the spatial uniqueness of living environment in relation to the characteristics of the nursing home. This study utilized a mail survey during July 29 - August 31, 2006 that included a structured questionnaire. The questionnaire largely dealt with the general feature of the facility and the elderly who live there, and the spatial feature of the facility. The study limited its survey to those facilities that were registered to the Ministry of Health and Welfare, which opened after 1995 and that had the capacity of more than 30 people. As a result, the questionnaire was sent to the directors of 344 facilities who were in charge of the nursing home operation and planning. 182 facilities returned the questionnaire and the study used'182 questionnaires for data analysis. The study used the SPSS 12 program to draws the frequency, percentage of the answers and utilized the cross-tab, t-test, ANOVA to analyze the differences.

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Correlational study of IADL, Self-Esteem, Empowerment of Elderly People Living at Home (재가노인의 일상생활기능, 자아존중감과 임파워먼트간의 관계)

  • Moon Myeong-Ja
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.12 no.3
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    • pp.382-388
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    • 2005
  • Purpose: The purpose of this study was investigate the relationship between IADL, self-esteem and empowerment of elderly home residents. Method: The data were collected from Aug. 1 st to September 30, 2004. The participants were 274 elderly people who lived at home. Data were collected using structured questionnaire and analysed using the SPSS program. Result: Mean scores for IADL, self-esteem and empowerment were 3.74, 3.22, 3.36 respectively. IADL and self-esteem showed a significantly positive correlation to empowerment. Conclusion: This results indicate that the elderly people need more self-esteem and empowerment. Therefor it is important to develop effective strategies to enhance empowerment in elderly people.

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The Elderly Spouses' Experiences of Providing Care for their Bedridden Patient at Home (재가 와상 환자를 돌보는 노인배우자의 경험)

  • Cho, Yeon Sil;Sohn, Sue Kyung
    • Korean Journal of Adult Nursing
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    • v.29 no.1
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    • pp.63-75
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    • 2017
  • Purpose: This study was to explore and describe the reported experiences of elderly spouses who care their bedridden spouse in the home. Methods: The participants of this study were 14 male and female elderly spouses who live in B metropolitan city and have provided care for more than six months. Data were collected from July 3 to November 6, 2014. Data analysis was done simultaneously with data collection, using the analytical methods of Strauss and Corbin for Grounded theory. Results: The core category was identified as 'going together bearing a heavy burden of care in old age.' In this study, the caring process of elderly spouses can be explained in terms of three stages such as 'a period of trial and error,' 'a period of mastering a role,' and 'a period of role transcendence'. Conclusion: The results of this study can provide an intervention framework to reduce the heavy burden of caring for an elderly spouse.

Meaning of a Meal among Nursing Home Elderly and Staff (요양시설 노인과 요양보호사에 있어 식사의 의미)

  • Lee, Kyung Hee
    • 한국노년학
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    • v.36 no.4
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    • pp.1157-1176
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    • 2016
  • The purpose of this study was to understand meaning of a meal among Nursing home elderly and staff. The meaning of a mean was explained to participants through observation and in-depth interviews based on Ethnomethodologic method. The meaning of a meal expressed by the Elderly was applied as personal philosophy on diversity and Caregiver also had become a management work on convenient logic. Elderly has been recognized has as hope of health recovery in important elements such as the air life indispensable to life. In contrast, Caregiver was following their will to live formally without any sense of the meaning of life. they are just extending their life. Meaning of Nursing-home elderly was lighthearted. They eat salt with snack to have massive power and escape from the daily life. However, Caregivers have other control measure. From the above result, In the standard operation of the meal, the manual of the laws of the instructions regarding long-term care insurance for the Aged, must reflect the elderly continued proposed the need to have diversity for the education about understanding and acceptance of the elderly.