• Title/Summary/Keyword: Geriatric

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Effects of an Educational Program for the Reduction of Physical Restraint Use by Caregivers in Geriatric Hospitals (노인전문병원 간호제공자의 신체적 억제대 사용 감소를 위한 교육 프로그램의 효과)

  • Choi, Keum-Bong;Kim, Jin-Sun
    • Journal of Korean Academy of Nursing
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    • v.39 no.6
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    • pp.769-780
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    • 2009
  • Purpose: The purposes of this study were to develop an educational program to reduce the use of physical restraints for caregivers in geriatric hospitals and to evaluate the effects of the program on cargivers' knowledge, attitude and nursing practice related to the use of physical restraints. Methods: A quasi experimental study with a non-equivalent control group pretest-posttest design was used. Participants were recruited from two geriatric hospitals. Eighteen caregivers were assigned to the experimental group and 20 to the control group. The data were collected prior to the intervention and at 6 weeks after the intervention through the use of self-administered questionnaires. Descriptive statistics, $\chi^2$ test, Fisher's exact probability test, and Mann-Whitney U test were used to analyze the data. Results: After the intervention, knowledge about physical restraints increased significantly in experimental group compared to the control group. However, there were no statistically significant differences between the groups for attitude and nursing practice involving physical restraints. Conclusion: Findings indicate that it is necessary to apply knowledge acquired through educational programs to nursing practice to reduce the use of physical restraints. User friendly guidelines for physical restraints, administrative support of institutions, and multidisciplinary approaches are required to achieve this goal.

The Effects of Group Therapy Program on Geriatric Depression in the Elderly in Home (재가노인의 우울예방을 위한 집단프로그램의 효과)

  • Kim, Youn-Sil
    • Journal of Korean Academy of Rural Health Nursing
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    • v.5 no.2
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    • pp.84-91
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    • 2010
  • Purpose: This purpose of this study was to determine how effective a group therapy program on geriatric depression would be for elders who were living at home. Method: The study followed a quasi-experimental design and participants chosen for the study were elders living at home who had no problems with cognitive function, but excluding those elders who were diagnosed or under treatment for depression. The participants were divided into 2 groups, the experimental group of 16 and the control group of 17. Results: The Group therapy program had significant effects on decreasing depression in the elders. In the experimental group, the level of depression was significantly decreased after the group therapy (t=-3.873, p=.002). Conclusion: The results of the study indicate that group therapy programs have a positive effect on geriatric depression in elders who live at home. Therefore, the authors expect further studies will be done based on the schematized group program to verify the results of this study for elders living at home in other parts of the country.

Improvement of Web Contents Accessibility in Geriatric Hospitals (노인전문요양병원의 웹 콘텐츠 접근성 개선방안)

  • Choi, Chul-Jae;Jung, Woon-Sook;Park, Jin-Seob
    • The Journal of the Korea institute of electronic communication sciences
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    • v.10 no.8
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    • pp.959-964
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    • 2015
  • 2008 Disability Discrimination Act was enacted, Web accessibility compliance has been carried out from April 11, 2013. Therefore, all of the institutions and corporations in 2015, must fulfill the compliance of Web accessibility. In this paper, research for Web accessibility of Geriatric Hospital, to raise the improvement. We have applied the K-WAH 4.4 as accessibility evaluation tool. The results were evaluated on the basis of the Web Content Accessibility Guidelines 2.0, it was very low.

A Study on the discase pattern and current status of geriatric inpatients who are over 60 years of age through the Canonical Correlation (정준상관분석을 통한 60세 이상 노인에서 질병유형과 양상에 관한 연구 -의무기록정보를 활용하여-)

  • Kim, Yong-Ha;Kim, Kwang-Hwan
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.10 no.2
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    • pp.432-437
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    • 2009
  • This paper has investigated disease structure and pattern against 9,955 (34.6%) elderly patients aged 60 or older at 'K' University Hospital from January 1 to December 31, 2007 through canonical correlation analysis. According to this investigation, the variable with the biggest correlation coefficient has been whether or not surgery has been performed. Since the aged are weaker than the young physically and mentally in general, a surgical operation has been considered. I hope that the result of this paper would be used as basic data for establishment of systematic geriatric health program and disease statistics.

Satisfaction and demand of the New Prosthesis Treatment according to the oral health condition of the geriatric patient in Daejeon City (대전지역 노인환자의 구강보건실태에 따른 치과보철의 만족도와 요구도)

  • Jung, Jae-Kwan;Lee, Su-Ok
    • Journal of Technologic Dentistry
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    • v.31 no.3
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    • pp.59-66
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    • 2009
  • In this study 240 geriatric patients, aged 60 year and over were evaluated using a questionnaire and oral examination for their oral status, demand and satisfaction of prosthesis treatment. 1. The single main complaint was regarding from the existing removable prosthesis. When the complaints were catagorized into larger groups, complaints regarding existing prosthesis were 32% and followed by 30% in caries and endodontic problems. 2. DMFT index woman appeared the man the age when will increase more highly recording where highly and considered statistically. 3. According to the result from questionnaire, 48% of patients wearing removable prosthesis and 43% with fixed prosthesis were not satisfied with existing prosthesis. Thirty-seven percentages of patients were not satisfied with aesthetics and unable to chew food properly. 4. Thirty-nine percentage of patients were wearing removable prosthesis. More complete dentures were found on maxilla and partial dentures on mandible. 5. Seventy-seven percentage of patients requested for new prosthesis and the majority of these patients had complaints of difficulties in chewing and discomfort.

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The Development and Evaluation of an Incontinence Intervention Program for the Elderly Women at Elderly Welfare Center

  • Kim Jeungim
    • Journal of Korean Academy of Nursing
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    • v.34 no.8
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    • pp.1427-1433
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    • 2004
  • Purpose. The elderly with UI experienced urine leakage for a long time. The prevalence of UI has increased and it makes costly. Particularly, the elderly were reluctant to visit a hospital or a clinic for the reasons of modesty and poverty. To solve this problem, incontinence intervention programs should be provided at the elderly welfare center. The purpose of this research was to develop Incontinence Intervention Program for the Elderly Women (IIPE) and evaluate in its effect. Methods. The study design was quasi-experimental with pre and post-test. The study was performed for ten weeks at one elderly welfare center, Seoul, Korea. The subjects were gathered through an official announcement and informed consent was obtained. IIPE, in this study, was consisted of diagnosis, education, exercise and evaluation. The study variables were PFM exercise adherence, pelvic muscle strength, Continence self-efficacy, geriatric depression and incontinence stress. The effects of the IIPE on PFM exercise adherence, pelvic muscle strength, Continence self-efficacy, geriatric depression and incontinence stress were also evaluated. Results. The mean age of the subjects was 75.2 years. The average attendance was 6.2 times. The IIPE improved PFM exercise adherence, intra-vaginal contraction power and CSE significantly. But it was not significant in incontinence stress and geriatric depression. Other important results were that the two-finger test and urine stream interruption were more useful for elderly women with rigid vaginas in teaching and evaluating. Conclusion. The Findings suggest that IIPE is effective to the community-residing elderly. Further investigation is needed on a long-term basis with control group.

An Architectural Study on the Patient's behavior of Public Space in Geriatrics Hospital - Focused on day-room and aisle of a hospital ward - (국내 노인전문병원 병동부 공용공간의 이용 행태에 관한 연구 - 데이룸 및 복도를 중심으로)

  • Kim, Chun-Sung;Kim, Sang-Boc;Yang, Nae-Won
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.13 no.4
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    • pp.7-14
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    • 2007
  • Korea is entered to the aging society with 21C. Also it is forecast we will enter in aging society quickly. for 5 years there are some growth in facility at least 2~3 times but our society needs more. But this quantitative growth is worried about less quality. That's why we needs more research about the facility for an geriatrics hospital. The people who suffered from senile disease needs more treatment days in the ward of geriatric hospital. so we have to consider about better condition in ward of geriatrics than in general. Better environment for eldery is included not only the ward space but also the corridor and the dayroom. This study which it performed to improve their habitability is researched on public space. and this reserch deal with general feature against a public space in the ward of geriatric, and investigate 2 facility for divede the the general feature of the space. and this investigate is recorded according to behavior of patients. It can find us which factor of the space is prefered by them.

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Whether Alzheimer's Disease is Responsive to a Single Oral Dose of Donepezil and this Response is Predictive Factor in Alzheimer's Disease (일회 Donepezil 투약이 알쯔하이머병 환자에 미치는 영향 및 반응군 예측 인자로서의 가능성)

  • Kwak, Yong-Tae;Yang, Young-Soon;Noh, Yong-Woo
    • Korean Journal of Biological Psychiatry
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    • v.18 no.1
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    • pp.36-45
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    • 2011
  • Objectives : Though a proportion of Alzheimer's disease(AD) patients treated with donepezil have shown positive response on cognition, but the responders' characteristics are still uncertain. This study attempts to identify whether a single oral dose of donepezil(5mg) can change cognition and the relationship between single dose responder items and long-term responder are examined. Methods : Twenty-three AD patients for single donepezil challenge study group and eleven AD patients for controls were participated in the study. Seven days after baseline study for neuropsychological test and EEG, same studies were rechecked after donepezil medication in study group. In donepezil study groups, 12 weeks after donepezil medication, neuropsychological test and EEG were rechecked. Results : After single donepezil challenge, forward digit span, Rey-Osterrieth Complex Figure Test copy, SVLT delayed recall were significantly improved, and beta spectra power in anterior, theta spectra power in posterior field were significantly decreased. According to linear regression analysis, forward digit span after single donepezil challenge was significantly positive correlated with long-term responders. Conclusions : This study suggests that single donepezil medication can significantly change cognitive functions and EEG in AD patients. Among these responsive items, forward digit span was significantly correlated with long-term responder.

Life Satisfaction and Depression according to Living Arrangement in Elderly (거주형태가 노인의 생활만족도와 우울감에 미치는 영향)

  • Choi, Yeon-Hee
    • Korean Journal of Adult Nursing
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    • v.17 no.3
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    • pp.400-410
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    • 2005
  • Purpose: The purpose of this study is to examine the relationship between the living arrangement, life satisfaction and depression in the elderly. Method: The subjects consisted of 371 elderly who has at least one adult child classifying two groups(living with children and not living with children). The data were collected by a structured questionnaire that included general characteristics, Geriatric Leisure Activity Scale, Geriatric Life Satisfaction Scale, Geriatric Depression Scale, from March to December, 2004. The collected data were analyzed by SPSS program including descriptive statistics, ${\chi}^2-test$, t-test, Pearson Correlation Coefficient and Hierarchical Regression. Result: In hierarchical regression, the elders who live with their children showed more life satisfaction than elders who lived by themselves. However, living arrangement showed no effect on the level of depression of the elderly parents. Significant leisure activity interaction effect was found on the depression among the elderly: The elderly with no leisure activity reported lower levels of depression when they lived with their adult child. Conclusion: It is necessary to explore further the various relationship among living arrangement and life satisfaction of the elderly, their preferences and expectations regarding inter-generational obligations and living arrangements.

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A Study of the Head Nurse's Leadership and the Organizational Effectiveness as Perceived by Staff Nurses (간호사가 지각한 수간호사의 리더십과 조직유효성에 관한 연구)

  • Kim, Bok-Mi;Yoon, Sook-Hee;Choi, Eun-Ok;Lee, Yun-Mi
    • Journal of Korean Academy of Nursing Administration
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    • v.13 no.3
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    • pp.373-383
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    • 2007
  • Purpose: This descriptive study was designed to find out the relation between nurses' perceptions of leadership and organizational effectiveness. Method: The data was collected from nurses in 451, a tertiary hospital located in B city by means of structured questionnaires. The data was analysed by t-test. ANOVA, Pearson correlation coefficient. Results: The average age of the subjects was 29.1. Regarding the marital status, 68.1% were single. Regarding the nursing unit, 42.6% were working for the general surgical wards. The total period of clinical career was on average 73.7 months. Regarding the period in current ward, 51.0% were 1-less than 3 years. There was a positive correlation with transformational leadership, transactional leadership, job satisfaction, and organizational commitment, whereas the turnover intention had a negative correlation with transformational leadership and transactional leadership. Conclusion: The nurses' different perceptions of transformational leadership, transactional leadership, and organizational effectiveness have strong correlative relationships with each other. This finding suggests the importance of the head nurse's leadership in increasing organizational effectiveness.

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