• Journal of Korean Academy of Nursing
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• v.32 no.5
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• pp.665-672
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• 2002

It was identified that how many homebound bedridden elderlies and their primary caregivers were depressed, and which factors affected the bedridden elderly's depression. Method: The subjects were 191 homebound bedridden elderlies and their primary caregivers. The affecting factors were classified into two categories : bedridden elderly and their primary caregiver related factors. Then bedridden elderly's factors were classified demographic and disease-related factors again. The stepwise regression was used to identify significant factors. Result: The prevalence of bedridden elderly's and caregiver's depression was 77.8% and 67.0%, respectively. And the model explained 33.3% of variance of bedridden elderly's depression. Cognitively-impaired female elderlies who had depressed caregivers were found to be more depressed. And caregivers who perceived burden were identified to be more depressed. Conclusion: It is recommended that the health professionals need to identify bedridden elderlies and caregivers at risk of depression. Especially elderlies who is in poor cognition, those who are female, and those whose caregivers were depressed might be considered carefully in all counseling or follow-up. Also the primary caregivers must be helped to access already available formal and informal support.

• Journal of agricultural medicine and community health
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• v.28 no.2
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• pp.49-59
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• 2003

Objectives: This study was intended to provide basic data available for the establishment of comprehensive and systematic public medical service for older persons about their concurrent pathology and time span for their bedridden state, and thereby, the medical service, and individual cares they have received. Methods: The study subjects included 207 elderly residents of men and women aged over 65, who were in the bedridden state at home at the time of investigation in September of 2002 at 11 'Myon' in Kongju city, Chungchongnamdo Province. They were asked to respond to the questionnaires by using interviews at their homes. Results: Of the elderly population studied, the overall rate of bedridden states was 1.61%(1.46% in men and 1.71% in women) and there was an increasing tendency with age in both sexes. The causes for bedridden states indicated that hypertension and atherosclerosis accounted for 43.6 % of them in men, and lumbago neuralgia spinal disease 40.3% in women as the most frequent cause, respectively. The mean years of bedridden states were greater in men(4.81${\pm}$2.89) than women(4.98${\pm}$2.89). By age groups, both sexes showed an increasing tendency of time span with age. The items of care required for the bedridden showed that bathing was the most frequent and it was followed by toileting, dressing and feeding in a decreasing order of frequency. The number of care per one patient was 3.4 in men and 3.5 in women with the increased tendency with decreasing age Ain both sexes. Conclusions: Though the proportion of bed-ridden patients increased according to the increasing age, there are substantial limitations in reducing the prevalence of chronic diseases. Therefore, it is required to establish the appropriate measures, such as various resources of health care services for dealing with the steadily increasing rate of bed-ridden patients.

• 제어로봇시스템학회:학술대회논문집
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• 2001.10a
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• pp.96.4-96
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• 2001

A remote controlled robotic system using the Internet is proposed in this paper. The robotic system can for example act as a substitute for a child who is staying in a hospital. Using the proposed robotic system, the bedridden child can easily look around the inside of his/her classroom, and can talk to other people. The proposed robotic system will encourage a bedridden child to maintain his/her study habits. The robotic system has a CCD camera, a speaker, a microphone, and a PC display on the robot main body. An operator also has a CCD camera, a microphone, and a PC display on the operator desk. The two personal computers are connected using the Internet ...

• 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.

• The Journal of Korea Robotics Society
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• v.18 no.4
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• pp.403-408
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• 2023

In this paper, we introduce the results of the development of a care robot for the safe lifting and transportation of bedridden patients with difficulty moving by themselves, especially, in medical facilities. The purpose of the developed patient transfer robot is to improve the convenience of care givers and enhance the safety and comfort of care recipients by facilitating patient lifting and patient transfer tasks by applying robot technology. In order to implement the lifting function, a hoist was designed and developed, and a sway control and rollover warning system were included in the hoist module as product differentiators. In addition, in terms of implementing the transfer function, an omnidirectional movement mechanism to improve operability in confined spaces and an active safety system to prevent collisions were developed. The function of the developed patient transfer robot was verified through performance evaluation by an authorized testing agency.

• Journal of the Ergonomics Society of Korea
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• v.31 no.2
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• pp.389-396
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• 2012

Objective: The aim of this study is to design an auto showering system regarding bed type for old people or bedridden patients. Background: The rapid growth concerning the aging population leads to an increase in elderly bedridden patients living in senior care centers and hospitals where care givers have difficulty bathing older people with limited mobility. Method: In this study, a showering equipment for experiment was based on anthropometric and researching existing products. The nozzle position was optimized by showering tests and simulations using showering equipment. Results: The problems regarding the existing products were analyzed and the nozzle position was optimized through showering tests. The number, position, and spraying angle of the nozzle were optimized through showering simulations. The automatic showering system concerning bed type was designed by considering their results. Conclusion: When designing an automatic showering system, the most important design element involves determining the position of nozzle and angle of water injection and the number of nozzles. The system was developed by applying the results through user centered-research. Application: The user centered-research for developing products was applied directly in order to develop automatic baths, showering products etc. Furthermore, it was also available to be applied towards senior friendly products.

• Journal of Information Technology Applications and Management
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• v.31 no.2
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• pp.1-13
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• 2024

The purpose of this study is to identify the quality of life (QOL) and factors influencing the QOL in middle-aged and elderly cancer patients. Among the 2019 data of the Korea Health Panel, data from 498 adults over the age of 40 who were diagnosed with cancer by doctors were analyzed. As a result of the study, the mean QOL of middle-aged cancer patients was 0.90 (±0.09) and that of elderly cancer patients was 0.86 (±0.12). The QOL of middle-aged cancer patients was significantly higher than that of elderly cancer patients. Factors influencing the QOL of middle-aged cancer patients were subjective health status, anxiety, suicidal ideation, and bedridden status. Factors influencing the QOL of elderly cancer patients were subjective health status, bedridden status, economic activity, education level, regular physical activity, stress, and age. In order to improve the QOL of middle-aged and elderly cancer patients, along with interest in the QOL of middle-aged and elderly cancer patients, it is necessary to develop an age-specific intervention program, such as reducing anxiety and suicidal ideation for middle-aged cancer patients, and improving regular physical activity and reducing stress for elderly cancer patients.

• Journal of Korean Neurosurgical Society
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• v.48 no.3
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• pp.251-258
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• 2010

Objective : Despite rapid evolution of shunt devices, the complication rates remain high. The most common causes are turning from obstruction, infection, and overdrainage into mainly underdrainage. We investigated the incidence of complications in a consecutive series of hydrocephalic patients. Methods : From January 2002 to December 2009, 111 patients underwent ventriculoperitoneal (VP) shunting at our hospital. We documented shunt failures and complications according to valve type, primary disease, and number of revisions. Results : Overall shunt survival time was 268 weeks. Mean survival time of gravity-assisted valve (GAV) was 222 weeks versus 286 weeks for other shunts. Survival time of programmable valves (264 weeks) was longer than that of pressure-controlled valves (186 weeks). The most common cause for shunt revision was underdrainage (13 valves). The revision rate due to underdrainage in patients with GAV (7 of 10 patients) was higher than that for other valve types. Of 7 patients requiring revision for GAV underdrainage, 6 patients were bedridden. The overall infection rate was 3.6%, which was lower than reported series. Seven patients demonstrating overdrainage had cranial defects when operations were performed (41%), and overdrainage was improved in 5 patients after cranioplasty. Conclusion : Although none of the differences was statistically significant, some of the observations were especially notable. If a candidate for VP shunting is bedridden, GAV may not be indicated because it could lead to underdrainage. Careful procedure and perioperative management can reduce infection rate. Cranioplasty performed prior to VP shunting may be beneficial.

• Tuberculosis and Respiratory Diseases
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• v.69 no.1
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• pp.52-55
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• 2010

Pulmonary tuberculosis has intermediate prevalence in Korea. It is known that tuberculosis infection predominantly involves the upper lobes, based on the fact that multiplication of Mycobacterium tuberculosis is favored in areas with decreased pulmonary blood flow, impaired lymphatic drainage, and high oxygen tension. We report this case of a 40-year-old man who was brought to our hospital with hemoptysis and dyspnea. Prior to admission, the patient had been in a bedridden state for 15 years due to an injury of the cervical spine 4~5. A 3-Dimensional computed tomography showed predominantly longitudinal distribution of centrilobular nodules along the anterior chest wall, in the left lung. MTB-PCR and AFB culture of bronchial washing fluid revealed pulmonary tuberculosis. This case shows that long-standing supine posture and decreased motion of the anterior chest wall may change the distribution of preferential infection site of Mycobacterium tuberculosis in the lung, resulting in a ventral predominance of tuberculosis infection in the quadriplegic patient.

• Journal of Korean Physical Therapy Science
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• v.30 no.4
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• pp.9-16
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• 2023

Background: Bedridden patients and disabled persons need help from a guardian or caregiver even in performing simple activities of daily living. In particular, for body transfer of them, the use of a transfer lift has been recommended. However, the devices currently in use have limitations in terms of support according to the individual's characteristics. This study aimed to develop a transfer lift device utilizing the patients' body-fitting sling equipped with an air tube inside the sling. In addition, we have conducted usability tests to examine the safety, effectiveness, and satisfaction with this device. Design: This study conducted usability tests with 10 healthy adults. Methods: Customized sling lifts are generally floor-based devices that consisted of a sling that holds the patient's body and a lift that moves the sling to the desired position. One characteristic feature of the device is an air tube, which is used on the sling to allow the patient's body can be adjusted. A usability test was performed in terms of the operators, who operated the device to transfer the patients. Ten operators tried the device and tested its usability. Results: The mean of 10 question for Questions was 4.18. Conclusion: The device can be useful in the advance- ment and commercialization of customized sling lifts, to ensure the safe and efficient transfer of persons with disabilities.