• Title/Summary/Keyword: Geriatric

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Characteristics and Mortality Risk Factors in Geriatric Hospital Patients visiting One Region-wide Emergency Department (일 권역응급의료센터를 방문하는 요양병원 환자들의 특성 및 사망 위험요인)

  • Kim, Kyoung Wan;Jang, Soongnang
    • Research in Community and Public Health Nursing
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    • v.27 no.4
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    • pp.327-336
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    • 2016
  • Purpose: This study was to examine the clinical characteristics and mortality risk factors of geriatric hospital patients who visited one region-wide emergency department (ED). It's basically meant to develop criteria for the patient management of geriatric hospitals and to provide related information. Methods: A retrospective research study was implemented using electronic medical records. The subjects in this study included 484 geriatric hospital patients who were selected from among 15,994 patients that visited one region-wide ED between January 1, 2014, and December 31, 2015. Results: There were significant differences in death, a change for the better and no change for the better, which were results of treatment, according to the length of stay in hospital, hospitalization in a general ward, not having an operation or surgery, the presence or absence of malignant neoplasm, the insertion of foley catheter, intubation, ventilator and the insertion of central venous catheter. Conclusion: The results of this study suggest that a patient management system is necessary in geriatric hospitals and that competent healthcare workers who can properly respond to emergencies are required as well.

Geriatric Foot Problems and Related Factors in Two Provinces of Korea (일부 지역 노인 족부 건강 문제와 영향 요인)

  • Kim, Shin-Mi;Ahn, Jae-Hong;Choi, Sook-Hee;Lee, Yun-Jung
    • Journal of Korean Academy of Nursing
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    • v.40 no.2
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    • pp.161-171
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    • 2010
  • Purpose: The purpose of the study was to identify the prevalence, risk factors and clinical meanings of geriatric foot problems and to suggest implications for the future. Methods: One hundred eighty nine elderly aged 60 and over from institution as well as community were investigated for their foot conditions by means of a questionnaire including general characteristics, self care capacity, risk factors, foot problem checklist, X-ray, podoscopy and foot scan. Descriptive statistics and $\chi^2$-test was performed as appropriate utilizing SPSS version 14. Less than .05 of p-value was adopted as statistical significance level. Results: All subjects had at least one kind of foot problem and the most prevalent ones were nail problems, foot deformities in order. Prevalence of foot pain and edema was relatively low. Conclusion: Foot problem in elderly is prevalent and geriatric foot is expected to emerge as one of the most important problems in the geriatric field. Therefore strategies to deal with geriatric foot should be developed and practiced for better quality of life in later life.

Effects of Emotional Labor and Communication Competence on Geriatric Nursing-related Stress in Nurses Caring for Older Patients (노인 환자를 돌보는 간호사가 경험하는 감정노동과 의사소통능력이 노인간호 스트레스에 미치는 영향)

  • Nam, Hye Ri;Lee, Eun Ja;Heo, Ha Song
    • Korean Journal of Occupational Health Nursing
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    • v.29 no.1
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    • pp.20-28
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    • 2020
  • Purpose: The purpose of this study was to investigate the effects of emotional labor and communication competence on geriatric nursing in nurses-related stress in nurses caring for older patients. Methods: The sample consisted of 147 general hospital nurses. Data were analyzed through the SPSS/WIN 21.0 program using descriptive statistics, t-test, ANOVA, Pearson's correlation coefficients, and multiple regression. Results: The factors of emotional labor (β=.38, p<.001)and positive communication competence (β=-.20, p=.021) had the greatest influence on the level of stress related to geriatric nursing in nurses caring for older patients. The total explanatory power was 20.3%. Conclusion: It was found that emotional labor and communication competence were influencing factors in the stress related to geriatric nursing. Therefore, to improve nurses' stress related to geriatric nursing, strategies to manage the emotional labor, and to strengthen and develop positive communication competence need to be developed.

Developing a Comprehensive Geriatric Assessment Package for Successful Aging (성공노화를 위한 포괄적 노인평가 패키지 개발)

  • Kim, Seon-Ho;Oh, Doo-Nam
    • The Journal of the Korea Contents Association
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    • v.12 no.9
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    • pp.257-269
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    • 2012
  • This is a methodological study designed to develop a comprehensive geriatric assessment package for successful aging of the elderly in various health condition. Assessment items and tools were primarily selected and categorized into 9 domains through the review of existing geriatric assessment tools, which have been used in the clinic and community settings, and the investigation of related articles. We have obtained professional advice from three experts and conducted a preliminary survey (n=15). Based on findings, the final version of comprehensive geriatric assessment package were devised. It was constructed of 29 assessment items in 6 domains of basic, psychologic function, physical function, life style, subjective health state, and environment. It also contained concrete implementation guide of each tool.

A Study on the Consciousness Survey of Geriatric Hospital Workers for Fire Safety (요양병원 종사자의 소방안전 의식조사에 관한 연구)

  • Lee, Young-Sam
    • Journal of the Korea Safety Management & Science
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    • v.18 no.3
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    • pp.91-97
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    • 2016
  • Currently many geriatric hospitals have been built in Korea because younger people don't want to care their parents and have been decreasing for labor. However, the increasing geriatric hospitals make the increasing fire safety accidents. Therefore, this study is conducted by survey and face-to-face talk for analyzing fire safety problem of twelve among 15 geriatric hospitals in the north of Chung-Buk area. The result of this study is that infection and fall accident are higher than others and fire safety implement rate of safety rule followed by CEO is 71%. Monthly safety training rate is 49% and initial fire safety training not conducted is 33%. Yearly outside fire safety training rate is 97% but workers who know how to use fire evacuation facility are 61%. Furthermore, safety instruction rate of fire safety manager is much higher than supervisor's safety instruction. The cause of accident is facility (33%). In conclusion, the institution and rule improvement need for decreasing infection and falling, increasing implement level of fire safety rule and fire safety training, participation rate of supervisor for fire safety, quality of fire safety training, and investment of fire safety facility.

A Study on Healing Environmental Factors that Promote Safety, Quality of Life, and Health of Elderly Patients - Focused on Studies Published in English in the Context of Geriatric Hospitals or Elderly Care Facilities (노인환자의 안전, 삶의 질, 건강향상을 위한 치유환경요소에 관한 연구 - 노인전문병원 및 노인요양시설 배경 외국연구문헌을 중심으로)

  • Choi, Young-Seon
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.19 no.3
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    • pp.7-19
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    • 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.

A Study on Characteristics of Sensory Richness Towards Healing Environments at the Lobby of Geriatric Hospital Using Biophilic Design Approach (바이오필릭 디자인에 기반한 노인요양병원 로비공간의 다감각적 치유환경에 관한 연구)

  • Lee, Dami;Lee, Hyunsoo
    • Korean Institute of Interior Design Journal
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    • v.25 no.3
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    • pp.21-30
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    • 2016
  • For the elderly with declining sensory due to aging, various sense stimulation factors provided in indoor environment is desirable healing environment. This study aims to propose the direction of sensory healing environment by adapting the richness of natural environment in indoor place based on the biophilic design theory with implementation method of sensory richness environment. The healing environment was limited to the ward in the beginning, but it has widened its range to the whole place, and the lobby is considered quiet important to healing. Therefore, this study selected lobby space of geriatric hospital as study subject. As for the study method, we deducted the analytic matrix focusing on the property and elements of the direct and indirect experience of nature appearing in the biophilic design theory, and analyzed the field investigation of subject space. Also, this study paid attention to point where the hotel lobby leads the change of emotional environment, and conducted analysis and comparison by deciding this is what the hotel and geriatric hospital should direct to. As the result, the biophilic design factor of hotel is actively expressed by complex direction of various factors, but as for the geriatric hospital, it was rather passive and simple in expression. The adaptation ratio between hotel and geriatric hospital was almost more than twice times difference in average.

A Basic Study on the Architectural Planning of Geriatric Hospitals (노인전문병원의 건축계획을 위한 기초적 연구)

  • Yu, Young-Min
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.6 no.11
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    • pp.79-86
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    • 2000
  • According to the increase of medical demand for aged, many of geriatric hospitals have been needed. But Korea has been short of them and has not prepared the planning guidelines. This paper aimes to identify the design concept of geriatric hospitals and provides the basic data for architectural planning of these hospitals.

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A Study on the Architectural planning of Geriatric Hospitals - Focused on analyzing the spatial organization and size of major areas - (노인전문병원의 건축계획적 연구 - 주요부문별 공간구성 및 면적구성을 중심으로 -)

  • 김성한;이종협;강건희
    • Korean Institute of Interior Design Journal
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    • no.36
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    • pp.68-75
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    • 2003
  • In Korea, even though many aspects of medical care system for the elderly have been considered. Until now, most people have realized that the conceptualization range of geriatric hospital is the same as recuperation hospital. However the recent geriatric hospital includes a short term treatment like general hospitals, together with that it has a tendency to increase the propotion of rehabilitationby the Introduction of the concept of active rehabilitation treatment for returning to society. Unlike the general hospitals, geriatric hospital has got different characteristics in a managing and patient. However this is not a concrete standard of faacilities by the law of health welfare and medical. So these kinds of research will have to keep continuing. What I want to say In this study is that the prominence of information, which is based on the existing data analysis, is what forms my latest projects that engage with a wider repertoire of strategies and approaches toward architectural problem.