• Title/Summary/Keyword: Geriatric

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Effect of Senior Simulation on Geriatric Unit Nurses' Attitude and Job Satisfaction toward the Elderly (노인유사체험이 노인병동 간호사의 노인에 대한 태도와 업무만족에 미치는 영향)

  • Choi, Soowon;Park, Myonghwa
    • 한국노년학
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    • v.29 no.2
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    • pp.513-527
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    • 2009
  • The purpose of this study was to verify the effect of senior simulation on geriatric unit nurses' attitude and job satisfaction toward the elderly with one group pretest-posttest design. The subjects of this study were the 30 nurses who are working in geriatric units in a general hospital in Daegu, Korea and who were well informed about the purpose of this study and allowed to join the study. The data were collected from August 23 to September 6, 2006. The experimental procedure was to do activities for daily living for 45 minutes wearing senior simulation suit. Self administered questionnaires were used to ask the nurses' attitude toward the elderly and job satisfaction in their work before, right after, and one week after senior simulation. According to the results of this study, there were significant changes in the geriatric nurses' attitude toward the elderly and job satisfaction after aging simulation implying that senior simulation is an effective intervention to facilitate nurses to do quality care for the elderly with sympathetic understanding and attitude. Senior simulation needs to be applied to geriatric education for the nursing students and health care providers who are involved in care for the elderly.

Study on Senior Depression Tendency by Gender using Geriatric Depression Scale (노인 우울 척도를 이용한 성별 우울 성향 연구)

  • Choung, Hye-myoung
    • Proceedings of the Korean Society of Computer Information Conference
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    • 2015.07a
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    • pp.311-312
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    • 2015
  • 본 논문에서는 노인 대상자들이 신체적, 정신적으로 노령화 되어감에 따라 신체적으로는 내분비계 및 비뇨생식기계통의 기능 저하에 따라 남성 호르몬인 테스토스테론 및 여성 호르몬인 프로게스테론과 에스트로겐의 생산의 차이로 인하여 나타나는 정신적인 우울의 차이점을 알아보고자 141명의 노인을 대상으로 노인우울척도를 실시한 결과 중증도 우울이 여성 노인에게서 남성 노인의 2배 이상 나타나는 것으로 확인 되었다.

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Structure Model for Job Satisfaction and Service Quality of Staff of Geriatric Hospital (요양병원 직원들의 직무만족도, 서비스 질에 대한 구조모형)

  • Shim, Gyu-Beom
    • Journal of Digital Convergence
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    • v.12 no.4
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    • pp.357-366
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    • 2014
  • This study has been implemented to explore the method to improve job satisfaction and service quality of its staff by figuring out the effect of job satisfaction of geriatric hospital staff on service quality. For this reason, we conducted a questionnaire survey on April 2 to May 22, 2013 to target 300 people ten geriatric hospital workers in Busan Metropolitan City area, was utilized to study the final total of 276 parts. Firstly, It was found that work satisfaction, wage satisfaction and colleague satisfaction have an effect on job satisfaction, and Secondly, satisfaction and fellow satisfaction of business, were analyzed to affect, but had no effect conservative satisfaction Thirdly, for the effect of job satisfaction on the service quality, it was found that job satisfaction has an effect on service quality. Therefore, it can be concluded that service quality for patients can be improved only if job satisfaction of staff is improved, and by reducing stress caused by overwork of staff and boosting their morale through reasonable wage and compensation.

High-Sensitivity C-Reactive Protein and Risks of All-Cause and Cause-Specific Mortality in a Japanese Population

  • Nisa, Hoirun;Hirata, Akie;Kohno, Michiko;Kiyohara, Chikako;Ohnaka, Keizo
    • Asian Pacific Journal of Cancer Prevention
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    • v.17 no.5
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    • pp.2643-2648
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    • 2016
  • Background: High-sensitivity C-reactive protein (hsCRP) levels are lower in Japanese compared with Western subjects. Since it is uncertain whether hsCRP is a potent predictor of mortality at low CRP concentrations, the present study examined associations with all-cause and cause-specific mortality in a large population of Japanese. Materials and Methods: Subjects were 4,737 men and 6,343 women aged 49-76 years participating in the baseline survey of an ongoing cohort study of lifestyle-related diseases between February 2004 and July 2006. Hazard ratios for all-cause and cause-specific mortality associated with hsCRP levels were estimated using Cox proportional hazards regression. Results: A total of 436 all-cause deaths occurred during a median follow-up of 8 years. The main cause of death was cancer. In men, hsCRP levels were positively associated with the risk of all-cause mortality as well as deaths from cancer and cardiovascular disease (CVD). All-cause mortality hazards for the 2nd (0.34-0.84 mg/L) and the 3rd (${\geq}0.85mg/L$) tertiles of hsCRP were 1.27 (95% confidence interval [CI], 0.93-1.73) and 1.75 (1.30-2.37), respectively (p for trend=0.001). In women, increased risk of all-cause and cause-specific mortality associated with elevated hsCRP levels was observed, but the associations were not statistically significant. Conclusions: HsCRP may be an independent predictor of all-cause, cancer and CVD mortality in apparently healthy Japanese men, but not women. The differential effect of hsCRP in predicting mortality risk by sex warrants further investigation.

Development and validation of the Korean Nursing Delirium Scale (한국어판 간호 섬망 선별 도구 개발 및 검증)

  • Kim, Kyoung-Nam;Kim, Cheol-Ho;Kim, Kwang-Il;Yoo, Hyun-Jung;Park, Si-Young;Park, Yeon-Hwan
    • Journal of Korean Academy of Nursing
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    • v.42 no.3
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    • pp.414-423
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    • 2012
  • Purpose: The aims of this study were to develop and test the validity of the Korean Nursing Delirium Scale (Nu-DESC) for older patients in hospital. Methods: The Korean Nu-DESC was developed based on the Nu-DESC (Gaudreau, 2005), and revised according to nursing records related to signs and symptoms of older patients with delirium (n=361) and the results of a pilot study (n=42) in one general hospital. To test the validity of the Korean Nu-DESC, 75 older patients whom nurses suspected of delirium from 731 older patients from 12 nursing units were assessed by bedside nurses using the Korean Nu-DESC. A Receiver Operating Characteristic Curve of the Korean Nu-DESC was constructed with an accompanying Area Under the Curve (AUC). Results: Specific examples such as irritable, kidding, sleeping tendency, which were observed by bedside nurses in Korea, were identified in the five features of signs and symptoms of delirium in the instrument. The Korean Nu-DESC was psycho-metrically valid and had a sensitivity and specificity of .81-.76 and .97-.73, respectively. The AUC were .89, .74. Conclusion: Results of this study indicate that the Korean Nu-DESC is well-suited for widespread clinical use in busy inpatients settings and shows promise as a research instrument.

Nurses' Spirituality and Attitude toward Terminal Care in Geriatric Hospital (노인요양병원 간호사의 영성과 임종간호태도)

  • Lee, Keum-Jae;Park, Yeon-Suk
    • Journal of Digital Convergence
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    • v.13 no.12
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    • pp.347-357
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    • 2015
  • The purpose of this study was to identify the relationship between nurses' spirituality and attitude toward terminal and to provide basic data for enhancement of the quality of terminal care in geriatric hospitals. Data analysis was done with SPSS/WIN 18.0 program and included t-test, ANOVA, scheffe test, Pearson's Correlation Coefficient. Results: The subjects' spirituality was significantly correlated with attitude toward terminal care in geriatric hospital. Conclusion: This study suggests the need for nursing education program and development of a variety of intervention strategies to help them to achieve a positive attitude toward terminal care in terms of geriatric hospital by familiarizing themselves with the concept of spirituality.

Nutritional Status of Hospitalized Geriatric Patients Using by the Mini Nutritional Assessment (MNA를 이용한 노인 환자의 영양 상태 판정)

  • Chung Su-Hyun;Sohn Cheong-Min
    • Korean Journal of Community Nutrition
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    • v.10 no.5
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    • pp.645-653
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    • 2005
  • The prevalence of undernutrition in hospital populations is known to be high. The presence of malnutrition is associated with depression, infections, sarcopaenia, falls, fractures, reduced autonomy and increased mortality. This study specifically examined the prevalence of malnutrition in patients aged 65 or older at the time of admission as determined by the Mini Nutritional Assessment (MNA) which has been a frequently used nutritional risk screening tools in detecting undernutrition in old people. This study was done for one hundred eight hospitalized geriatric patients in Seoul National University Bundang Hospital, Seoul, Korea. On admission baseline history, anthropometrics measurements, laboratory data and nutritional status by MNA were assessed. Length of hospital stay was obtained by reviewing medical charts. We used one-way analysis of variance to compare the differences in variables. Spearman's rank correlation coefficients were calculated for associations between MNA and variables. On admission, $22.3\%$ of patients were malnourished and $40.7\%$ were at risk of malnutrition according to the MNA. Percent of ideal body weight, anthropometrics data, albumin, and hemoglobin were lower in the malnourished patients (p<0.05). The malnourished patients stayed in the hospital 7.3 days longer, as compared with well nourished patients (p<0.05). Percent of ideal body weight, albumin, hemoglobin and total cholesterol were correlated inversely with nutritional status according to MNA (p<0.05). MNA can be used for nutritional assessment in Korean old people, because MNA significantly correlated with other nutritional assessment parameters, such as, anthropometric and laboratory data in hospitalized geriatric patients. The high prevalence of malnutrition in the elderly was observed and the presence of malnutrition on admission predicted a significant increase in the length of hospital stay in this study. Therefore further studies are needed to determine whether nutritional interventions in old people with low MNA scores can improve clinical outcomes during the hospital course.

Factors Influencing Turnover Intention of Nurses after Evaluation for Certification at Geriatric Hospitals: Focused on Job Stress and Burnout (요양병원 인증제 평가를 경험한 간호사들의 직무 스트레스 및 소진이 이직의도에 미치는 영향)

  • Choi, Eun Joung;Park, Ji Won;Cho, Mi Lim
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.3
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    • pp.438-449
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    • 2016
  • This study investigates the factors influencing nurses' turnover intentions after evaluation for certification at geriatric hospitals. Focus is centered on job stress and burnout. The study was approved by the KUIRB. Data were collected from April 1 to August 31, 2015, and analyzed using SPSS WIN 18.0 software. The participants were 205 nurses recruited from 15 long-term care hospitals in metropolitan city B in province G. The average scores for job stress, burnout, and turnover intention were 3.83, 2.92, and 3.12, respectively (range: 1-5). Nurses' turnover intention had positive relationships with job stress (r=.356, p<.001) and burnout (r=.729, p<.001). The major factor influencing turnover intention was burnout (${\beta}=.729$), which explained 53% of the intention. In conclusion, intervention programs should be developed to reduce burnout, the key influencing factor, for decreasing nurses' turnover intention.