• Journal of Korean Academy of Nursing
• /
• v.30 no.2
• /
• pp.437-451
• /
• 2000

The purpose of this study was to estimate the forecast of bed demand for institutional long-term care for the elderly persons in Taegu Metropolitan City. The study subject was the total 1,877 elderly persons over age 65 living in Taegu. Among them 1,441 elderly persons were sampled from community and 436 were from the elderly admitted 5 general hospitals. Data collection was carried out by interview from 25 August to 25 December 1997. The measuring instrument of this study was the modified tool of CARE, MAI, PCTC, and ADL which were examined for validity and reliability. In order to forecast bed demand of Nursing Home, this study revised prediction techniques suggested by Robin. The results were as follows : 1. OLDi of Taegu City were 122,202 by the year 1998 and number of Low-Income Elderly Persons were 3,210. 2. The Level I : Senior Citizen Home $ADEMi=\frac{AQi * ASTAYi}{365 * AOCUi}$. AQi = OLDi * LADLi * NASi * ALONi * LIADLi * AUTILi. Predicted number of bed demand for Home Based. Elderly Persons were 4,210 and Low-Income Elderly Persons were 1,081 and Total Elderly Persons were 5,291 by the year 1998, 6,343 by the year 2000 and 8,351 by the 2005. 3. The Level II : Nursing Home $BDEMi=\frac{(BQ1i+BQ2i) * BSTAYi}{365 * BOCUi}$. BQ1i = OLDi * HADLi * ALONi * HIADLi BQ2i = OLDi * HADLi * FAMi * OBEDi Predicted number of demand for Total Elderly Persons were 668 by the year 1998, 802 by the year 2000 and 1,055 by the 2005. 4. The Level III : Nursing Home $CDEMi=\frac{COLDi * HDISi * CUTILi * CSTAYi}{365 * COCUi}+OQi/10$ Predicted number of demand for Total Elderly Persons were 1,899 by the year 1998, 2,311 by the year 2000 and 3,003 by the 2005. 5. Predicted number of bed demand of long-term care facilities in the year 1998 according to Levels were 4.3% among elderly persons in Taegu by Level I, 0.5% by Level II and 1.5% by Level III. Number of elderly persons in current long-term care facilities were 458 in LevelI I,284 in Level II. 6. Deficit number of bed demand of long-term care facilities were 4,833 in Level I, 384 in Level II, 1,899 in Level III for the elderly persons in Taegu Metropolitan City.

• The Journal of Korean Physical Therapy
• /
• v.32 no.4
• /
• pp.266-271
• /
• 2020

Purpose: A survey was conducted to investigate the role, priority, and awareness of physical therapists in the community care system for the elderly. Methods: Nine hundred ninety-three physical therapists were invited to an online survey from 1st to 30th June 2020. Results: While the awareness of physical therapists for the community care system for the elderly was found to be low, the role priority and performance ability were found to be high. Fall training scored the highest for the job duties of physical therapists, and functional training scored the highest for the performance ability of physical therapists. For the role priority by the education status regarding the community care system, the participants who received the education program showed higher scores in the performance ability than those who did not. For the role priority and performance ability according to the education levels, higher education levels resulted in higher scores in both outcomes. Regarding the clinical experience, low scores were found in the participants with less than five years of experience. Conclusion: Physical therapy establishes itself as an essential area of expertise in the community care system for the elderly. Therefore, these results can be utilized in developing a model for Korean community care for the elderly.

• The Korean Journal of Community Living Science
• /
• v.19 no.2
• /
• pp.297-308
• /
• 2008

Previous research on elderly care in rural areas has focused on inter-generational support, ignoring the possibility of elderly care among community members in the rural areas of Korea. This study attempts to explore the roles and potentials of community-based elderly care in rural areas where nearby family or formal services are unavailable. For this purpose, data was collected from the elderly in three Korean rural villages using qualitative case study methods. Each village was studied as a separate case study and in-depth interviews with the elderly in each village were conducted. All interviews were tape-recorded and transcribed verbatim for the analysis. The data was analyzed using the Reflective Qualitative Analytic Technique. Results showed that rural elderly in all three villages had lunch, talked, and played together; almost everyday in the winter. However, the nature of care among rural elderly varied depending on the characteristics of the rural community (the traditional rural, the rural mixed with the urban, and the neighboring rural with the urban). Specifically, the use of mutual aids (providing food, repairing housing, and checking personal safety by telephone or visit, etc.) was most consistent at the traditional rural village. Because both the rural village mixed with the urban and the neighboring rural village with urban have better access to many aids and programs from formal institutions, mutual aids among community members decreased compared with the traditional rural village. However, regular group activities such as sports, dancing or debate help to provide pleasure and integrate the community. These results suggest that community relationships as a substitution for social support provide by family or formal services can be utilized in rural areas.

• Journal of The Korea Institute of Healthcare Architecture
• /
• v.15 no.1
• /
• pp.23-32
• /
• 2009

Among welfare facilities for the elderly, necessity for the elderly welfare with diverse advantages is rising in the Small-scale Elderly Care Facilities. The government is expecting great demand in the future. However, current the Facilities lack construction plans that consider characteristics of the elderly. Accordingly, 14 case facilities located in JeollaNamdo and Gwangju were selected to comprehensively analyze the circulation of seniors at care facilities by computing spatial depth and visible area variables. As a result of this study, average spatial depth of bathroom, resting room, physical therapy room and dining hall that seniors frequently get in contact with was found to be deep, but visible area appropriate for the function of space was not available. It showed that the circulation for the elderly was deep spatially and long physically, and the spatial rank along circulation which is perceived visually by the admitted the elderly was clear, thus, providing them abundant visual experience supported by high openness as they move from private space to public space. The obtained visibility, however, was observed not to be matched with the function of each space. Since the Small-scale Elderly Care Facilities require various spaces within small surface area, actual functions of each space must be taken into consideration with hierarchical space organization to obtain an environment that stimulates senses such as vision and hearing. In addition, since the circulation of seniors using facilities must consider aging characteristics and delicate care on spatial depth and physical distances, in-depth studies on planning of the circulation in care facilities are deemed necessary.

• Journal of The Korea Institute of Healthcare Architecture
• /
• v.19 no.3
• /
• pp.7-19
• /
• 2013

Purpose: The main objective of this paper is, first, to assess a body of research evidence that articulates the impact of environmental and design factors on safety, quality of life, and health of the elderly who reside in geriatric hospitals or other elderly care facilities and, second, to draw out design implications that can be incorporated into design process and design decisions to help create healing environments for the elderly. Methods: Extensive literature review has been conducted to identify rigorous empirical studies that link the design of elderly care facilities to health-related outcomes and scrutinized peer-reviewed articles published in many different fields including architecture, psychology, nursing to gerontology. Results: The review found a growing body of rigorous studies that identified physical environmental and design factors that improve safety, quality of life, and health of the elderly in geriatric hospitals or other elderly care facilities. Implications: The findings of the review can be translated to design decisions to promote safety, quality of life, and health of the elderly in geriatric hospitals or other elderly care facilities.

• Korean Journal of Culture and Social Issue
• /
• v.23 no.3
• /
• pp.409-449
• /
• 2017

The main purpose of this research is to investigate the qualitative nature of Korean adolescents and their parent's perception of elderly parents care. In addition, this research exams the quantitative differences between the two generations in term of their elderly parents care self-efficacy and attitude towards caring for their elderly parents. Further, an examination of the parental influence upon their children's elderly parents care self-efficacy and attitude towards caring for their elderly parents. There were 2,460 participants in this study, with 820 adolescents, and 820 fathers and 820 mothers. The results of the study were as follows: First, in terms the participants perceptions of "the most difficult aspect of caring for elderly parents", the most representative response for adolescents was financial difficulties, while for parents differences in opinions. When it came to "the best aspect of caring for elderly parents" the most representative response for adolescents was harmonious family, while for parents good for children's upbringing. When it came to "actual acts (behavior) of elderly parents care" the most representative response for adolescents was living together with their elderly parents, while for parents looking after their elderly parents. When it came to "the best method of caring for their elderly parents" the most representative response for both adolescents and parents was providing a peace-of-mind for their elderly parents, followed by the second most frequent response of adolescents living together with their elderly parents, and for parents talking with their elderly parents. When it came to "how one feels when not caring for their elderly parents" the most representative response for both groups was a feeling of indebtedness. Second, for the quantitative analyses of the differences between the two generations, the parents showed a lower level of elderly parents care self-efficacy and a higher level of negative attitude towards caring for their elderly parents, when compared to the adolescents. Third, for the parental influence upon the adolescents' elderly parents care self-efficacy and attitude towards caring for their elderly parents, the only significant influence found was the mothers' elderly parents care self-efficacy.

• Korean Journal of Adult Nursing
• /
• v.29 no.1
• /
• pp.63-75
• /
• 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 Korean Academic Society of Nursing Education
• /
• v.18 no.3
• /
• pp.522-532
• /
• 2012

Purpose: The purposes of this study were to develop an elderly care nursing education program and evaluate its effect on knowledge, attitudes and nursing performance of nurses toward older adults. Methods: A quasi-experimental study with a non-equivalent control group pretest-posttest design was used. Participants were recruited from two geriatric hospitals. The sample consisted of an intervention group (n=29) that participated in the educational program and a control group (n=30). The data were collected prior to and 6 weeks after the intervention using self-administered questionnaires. Data analyses utilized $x^2$-test, Fisher's exact probability test, and t-test. Results: After the intervention, knowledge and nursing performance about the elderly care increased significantly in the experimental group compared to the control group. However, there was no statistically significant difference between the groups in their attitudes toward the elderly. Conclusion: Findings indicate that to provide better nursing care to the elderly, nurses need to be able to practically apply the knowledge they have acquired from the elder-care nursing education programs in hands-on situations. To achieve this, nurses should work to change their personal attitudes about the elderly. Also, evidence-based guidelines for elderly nursing care, administrative support of institutions, and multidisciplinary approaches are required.

• Architectural research
• /
• v.9 no.1
• /
• pp.9-18
• /
• 2007

The objective of this research study was twofold; 1) to explore and identify health supportive design factors in Swedish elderly care homes and 2) to understand their usefulness and suggest implication in Korean elderly care settings. A descriptive and explorative method was applied using a combination of field studies and semi-structured interviews. Three study trips were carried out during Sept. $14^{th}$ and Oct. $12^{th}$ 2005; two facilities situated in Stockholm suburbs and one in the south of Sweden. According to this research, the valuable factors to support health and well-being for the elderly are as follows; 1) Community integration: These elderly care homes are generally places close to a residential area center or a city center. Services are often shared between residents and community members at large, consequently there is a flow of "visitors" of all ages connecting with the facility on a daily basis. 2) Homelike environment: A noteworthy aspect of Swedish elderly care homes is keeping the facility appearance as homelike as possible. The associations with home may be explored through the appearance and configuration of both the exterior and interior of the building. These homes seemed to be designed with a conscious aim to create a homelike setting. 3) Small scale approach: Clustering of resident rooms is one method through which the small scale approach can be achieved in larger facilities. With unit clusters, the facility can foster opportunities for social interactions among resident. 4) Accessibility to garden and nature: The courtyard is a well developed concept in planning elderly care homes in Sweden. They are generally safe and easily accessible to the residents. Studying Swedish models may provide practical knowledge of how the physical setting may improve resident's health in Korean elderly care homes.

• 한국노년학
• /
• v.29 no.3
• /
• pp.1123-1140
• /
• 2009

The purpose of this study is to explore the process for the elderly with palsy to solve conflicts with the elderly with dementia in day care center through the narrative therapy group work. For this, the researcher enacted the Narrative therapy group work on the 12 elderly with palsy for seven sessions, and analysed these data through qualitative case study method. The results of this study are as follows. First, the elderly with palsy became to recognize the elderly with dementia as 'the people suffering from dementia' rather than 'the problem', and tried to care them rather than to blame. Second, they became to recognize themselves as 'component people' rather than 'the victim'. Third, they grew intimate and collaborated with themselves. Fourth, they participated actively in day care center. It was discussed connection between these changes and narrative therapy skills, such as to separate problem from people, to respect client as expert for one's problem, to seek unique outcome. The recommendation is suggested that it is important to enlarge choice to participate for long-term care service consumer and to apply narrative therapy on the elderly.