• Title/Summary/Keyword: Elderly care

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Structure of Nurse Labor Market and Determinants of Hospital Nurse Staffing Levels (간호사 노동시장의 구조분석 및 병원 간호사 확보수준의 결정요인)

  • Park, Bohyun;Seo, Sukyung;Lee, Taejin
    • Journal of Korean Academy of Nursing
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    • v.43 no.1
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    • pp.39-49
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    • 2013
  • Purpose: To analyze the structure of Korean nurse labor market and examine its effect on hospital nurse staffing. Methods: Secondary data were obtained from Statistics Korea, Education Statistics, and Health Insurance Review & Assessment Service and Patient Survey. Intensity of monopsony in the nurse labor market was measured by Herfindahl Hirshman Index (HHI). Hospital nurse staffing level was divided into high and low. While controlling for confounding factors such as inpatient days and severity mix of patients, effects of characteristics of nurse labor markets on nurse staffing levels were examined using multi-level logistic regressions. Results: For characteristics of nurse labor markets, metropolitan areas had high intensity of monopsony, while the capital area had competitive labor market and the unemployed nurse rate was higher than other areas. Among hospital characteristics, bed occupancy rate was significantly associated with nurse staffing levels. Among characteristics of nurse labor markets, the effect of HHI was indeterminable. Conclusion: The Korean nurse labor market has different structure between the capital and other metropolitan areas. But the effect of the structure of nurse labor market on nurse staffing levels is indeterminable. Characteristics such as occupancy rate and number of beds are significantly associated with nurse staffing levels. Further study in support of the effect of nurse labor market is needed.

Activities of Daily Living and Health-Related Quality of Life (HRQoL) of Centenarians in Busan (부산지역 백세인의 일상활동 수행능력과 건강관련 삶의 질)

  • Park, Hyoung-Sook;Kim, Dong-Hee;Kim, Yun-Jin;Son, Yong-Jin;Lee, Jeong-Gyu;Lim, Jie-Hyang
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.16 no.3
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    • pp.316-324
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    • 2009
  • Purpose: The aim of the study was to identify the relationships among age, activities of daily living and health-related quality of life (HRQoL) for centenarians in Busan. Methods: Forty-nine centenarians (2 males and 47 females) participated in the study, done from April to July, 2006. Pace-to-face interviews were used to collect data. Activities of daily living were measured using K-ADL, K-IADL and health-related quality of life, using the Short Form Health Survey (SF-36). Results: Over 50% of the centenarians reported independence for six-items but not for bathing. With regard to type of dependency, 77.6% were independent in transferring, 71.4%, in using the toilet, 67.3%, in feeding and in continence and 57.1% in dressing but just 24.5% were independent in bathing. Age was significantly associated with K-IADL (r= -.303, p= .03). The centenarians were more impaired in physical health components compared to mental health components for health-related quality of life. Conclusion: These results may contribute to a better understanding of activities of daily living and health-related quality of life of centenarians. The findings are relevant to health professionals, in particular professionals who are developing wellness programs to optimize health-related quality of life and functional status for the extremely old age population.

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Embedded-based Power Monitoring Security Module Design (임베디드 전력 모니터링 보안 모듈 설계)

  • Yoon, Chan-Ho;Kim, Gwang-Jun;Jang, Chang-Soo
    • The Journal of the Korea institute of electronic communication sciences
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    • v.8 no.10
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    • pp.1485-1490
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    • 2013
  • The demonstration project of the electrical grid for Smart grid is progressed, the smart digital appliances AV technology, Smart home energy management technology charging the management function of complex energy for the automation management of air conditioning and heating, humidity and air, the health care technology charging the design of housing for the elderly and disabled and the measurement of individual bio information, and the Smart home security technology dealing with the biometric security and motion sensors, etc. have been studied. The power monitoring terminal which uses a variety of wired and wireless networks and protocol is the target additionally to be considered in addition to the security vulnerabilities that was occurred in the existing terminal. In this research paper, the author analyzes the cryptographic techniques corresponding to the smart meter occurred by the problems that are exposed on the outside which are vulnerable to physical attacks, and intends to propose the design of the security systems for the Smart meter terminal being able to maximize the efficiency of the terminal.

Migration Preparation and Adaptation to Rural Area of Returning Farmers after Retirement (은퇴 후 귀농인의 농촌 이주준비 및 농촌 적응과정 실태에 관한 연구)

  • Park, Gong-Ju;Kim, Yang-Hee;Park, Jeong-Yun
    • Journal of the Korean Home Economics Association
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    • v.45 no.1
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    • pp.9-21
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    • 2007
  • This research investigated the retired elderly who had moved to rural areas. The propose of the study was to examine the point at which there must be a difference in the patterns of a return to farming and determine the actual condition of their preparations for migration. This study had surveyed 408 seniors who wereare over 50 years old and had moved to rural areas after their retirement and analyzed the data by the SPSS PC 11.0 program. The results were as follows. First, the relevancy of U-turn, J-turn, and I-turn types that were affected by social demography was found to be dependent on their education levels and family patterns. Second, the actual conditions of the process of preparation by the types of a return to the farming were different according to the motivation and preparation fund. Nevertheless, the most important factor was the influence of their spouses. Third, the actual conditions of the process of adaptation by the patterns of a return to the farming showed no difference between the degree of efforts of the social supportand elevation of the friendship among the neighbors. The recognition of rural life problems were more acquainted towards the area of farming life. Among the 6 problem areas, leisure, health care, and economic problems were highly considered.

Postanesthetic Cerebral Infarction Following Neck Dissection -A case report - (경부청소술 마취 후 발생한 뇌경색 -증례 보고-)

  • Park, Chang-Joe;Lee, Jong-Ho;Kim, Myung-Jin;Kim, Hyun-Jeong;Yum, Kwang-Won
    • Journal of The Korean Dental Society of Anesthesiology
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    • v.3 no.1 s.4
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    • pp.34-37
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    • 2003
  • Postoperative stroke is uncommon even in elderly patients, who have a higher incidence of all types of postoperative complications. The mechanism of postoperative stroke is not certain, but can be explained by intravascular clottings originated from thrombus or embolus or by intracranial hemorrhage. In a 66-year-old male patient with current hypertension medication, who underwent both neck dissection for malignancy metastasis under general anesthesia, the left hemiparesis and delayed emergency were found postoperatively. After transferred to intensive care unit, he got the thrombolytic therapy and then the therapies to decrease the swelling of the brain on the diagnosis of cerebral infarction in the vascular distribution of the middle cerebral artery. A brain MRI definitely showed the midline deviation to the left of the right brain hemisphere due to the progressing edematous changes. As he got worse, the emergency neurosurgical operation was proposed but rejected by his family. He died at postoperative 3 days. In this hypertensive patient. perioperative stroke could be originated from the surgical stimuli on major vessels, which were inevitable in neck dissection during the operation. We report this case of the postoperative stroke, which could be highly possible to be associated with extensive head and neck surgery.

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The association between oral health and suicide attempts in Korean elderly : The 7th Korea National Health and Nutrition Examination Survey (7th KNHANES, 2016-2018) (노인의 구강건강과 자살시도와의 관련성 분석 : 제 7기(2016-2018년) 국민건강영양조사를 바탕으로)

  • Jung, Eun-Seo;Lee, Kyeong-Hee
    • Journal of Korean society of Dental Hygiene
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    • v.20 no.3
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    • pp.335-346
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    • 2020
  • Objectives: This study investigated the association between oral health and suicide attempts in adults aged 65 years or older using the 7th Korea National Health and Examination Survey (KHANES, 2016-2018). Methods: Of the total 24,269 participants of the 7th KHANES (2016-2018), 1,488 adults aged 65 years or older who had an oral health examination were selected. Variations in suicide attempts with demographic characteristics and perceived oral health status were analyzed using the χ2 test, and the association between oral health and suicide attempts was analyzed using the logistic regression model. Results: The suicide attempt rate was higher among older adults with chewing (p<0.01) and speaking (p<0.05) difficulties. The odds ratio for a suicide attempt was 1.05 times higher among those with tooth loss (p<0.05). Conclusions: Our results showed that older adults with tooth loss had an increased risk of suicide. Thus, it is important to prevent tooth loss, in the first place, through proper oral health management. If tooth loss occurs, appropriate treatment should be prioritized to facilitate functional recovery. Finally, national support is required for older adults with limited access to dental care.

The Effect of the Facility Satisfaction, Anxiety, Self-esteem, Stress, and Depression of the Elderly in Care Facilities on Their Life Satisfaction (지적장애인의 스트레스 및 행동지수가 삶의 만족도에 미치는 영향)

  • Kim, Jong-Pil;Cho, Sung-Je
    • The Journal of Korea Institute of Information, Electronics, and Communication Technology
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    • v.8 no.2
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    • pp.133-139
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    • 2015
  • The purpose of the study is to analyze the effect of stress and the behavioral index factor of the people with intellectual disabilities living in residential facilities on their life satisfaction. A questionnaire survey was conducted between March 5 and September 22, 2014 among a sample of 200 people with intellectual disabilities living in the residential facility in Daejeon Metropolitan City. Surveyed data were analyzed by t-test, one-way ANOVA, confirmatory factor analysis, and structural equation models using SPSS WIN 18.0 and Amos 21.0 program, and verified at 5% significance level. Results from the study are as follows. First, no link was found between stress and their life satisfaction. Second, no correlation was identified between the behavioral index factor and their satisfaction with the facility. Third, concerning the physical symptoms it was indicated that their satisfaction level with the facility bears a positive relationship with their overall life satisfaction. These findings would provide a solid base from which policy makers can develop the policies to improve the satisfaction of people with intellectual disabilities living in residential facilities and reduce stress in their daily life.

The Adult Guardianship and Medical Issue According to the Amendments of Civil Code (성년후견과 의료 -개정 민법 제947조의 2를 중심으로-)

  • Park, Ho-Kyun
    • The Korean Society of Law and Medicine
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    • v.13 no.1
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    • pp.125-153
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    • 2012
  • The adult guardianship system has been introduced through amendments of Korean Civil Code for the first time in the March 2011(Act No. 10429, 7. 1. 2013. enforcement). The adult guardianship system has the main purposes to provide a lot of help vulnerable adults and elderly, and protect them on the welfare related with property act, treatment, care, etc. There could be a controversy about whether the protection Legal Guardian's consent(formerly known as the Mental Health Act) or permission of the Family Court(revised Civil Code) are required to, or the Mental Health Act should be revised, when mental patient will be hospitalized forcibly. The author proposes that mental patient with Adult guardians should be determined by Legal Guardian's consent and approval of the Family Court, but mental patient without Adult guardians could be determined by Legal Guardian's consent. The issue of Withdrawing of life-sustaining treatment could be occurred due to the aging society and the development of modern medicine, and this has provided difficult, various problems to mankind in Legal, ethical, and social welfare aspects. The need of Death with dignity law or Natural death law has been reduced for a revision of the Civil Code. Therefore, on the issue of Withdrawing of life-sustaining treatment, in the future, intervention of the court is necessary in accordance with the revised Civil Code Section, and Organ Transplantation Act and the brain death criteria may serve as an important criterion.

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Integration of Application Program for Dementia Diagnosis using Biometric Sensor and Oxygen Chamber (치매의 진단, 예방 및 완화를 위한 스마트폰용 게임 애플리케이션 개발)

  • Yun, Seong-Min;Choi, Hyo Sun;Cho, Myeon-Gyun
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.15 no.5
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    • pp.2953-2961
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    • 2014
  • Dementia once occurred is known to be mostly irreversible but can be treated only if it is detected early; especially vascular Dementia. Thus, in this paper we have developed Dementia diagnosis and care application through inter-working between biometric sensors and smart phone. With developing serious game for the demented elderly, we proposed ons-stop solution for Dementia; smart-phone application with diagnosis, prevention and mitigation of Dementia. Since the proposed game for mitigating Dementia requires sense of space and balance using both arms instead of operating simple arrow button, a treatment effect for Dementia will be doubled. If we tried to forestall, ease and cure Dementia with the proposed application. the social losses from Dementia would be minimized as a result.

Effect on Aged Care Facility Workers' Acceptance Attitude Toward Sex in the Elderly Depending on Their Sexual Awareness (노인복지시설 종사자의 노인에 대한 성인식이 성수용 태도에 미치는 영향)

  • Jung, Jung-Hee
    • The Journal of the Korea Contents Association
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    • v.15 no.10
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    • pp.184-192
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    • 2015
  • This study's purpose is to look into whether there is a difference in acceptance attitude toward sex according to the level of sexual awareness and to investigate how the level of sexual awareness affects acceptance attitude toward sex aimed at workers in welfare facilities for the aged. Furthermore, the study seeks ways to practice and intervene in sex-related service for the aged. The analysis revealed that there were significant differences in acceptance attitude toward sex according to the level of sexual awareness of facility workers. In other words, high level of sexual awareness group was more open to acceptance attitude toward sex than other groups. Moreover, it was demonstrated that sexual awareness affects acceptance attitude toward sex and also it was revealed that the more liberal the level of sexual awareness, the more open the acceptance attitude toward sex. Through discussion based on the study results, intervention plan was proposed for social welfare practice and development of sex education program for welfare facility workers.