• 동서간호학연구지
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• 제18권2호
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• pp.111-119
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• 2012

Purpose: Recently, Neurofeedback training system that based on biofeedback of brain wave was introduced. This study was performed to identify the effects of the improvement of brain function by Neurofeedback training on elders(the 2nd or 3rd grade of long-term care insurance services). Methods: A quasi-experimental design using a nonequivalent control group, pre-post test was used. Total 11 elderly were enrolled in this study (experimental group 5, control group 6). The intervention was conducted 3 times a week for 30 minutes from January to June, 2012 (total 60 times). Chi-square test and Mann-Whitney U-test were used to analyze the data. Results: After the Neurofeedback intervention, attention quotient (AQ), anti-stress quotient (ASQ), emotion quotient (EQ) and brain quotient (BQ) of the experimental group were significantly better than those of the control group. Conclusion: The findings indicate that the Neurofeedback training program was effective in reducing fatigue by AQ, increasing the physical and mental stress resistance by ASQ, emotional balance by EQ and improving of total brain function by BQ. Therefore Neurofeedback training be used as an effective training intervention for the health of elderly in geriatric facility.

• 근관절건강학회지
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• 제18권1호
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• pp.28-38
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• 2011

Purpose: This paper was aimed to investigate the effect of laugher therapy on the pain, depression and sleep disturbance in elderly patients who admitted in long term care facility. Method: This study used a nonequivalent control group pretest-posttest design. A sample of 40 elderly patients (20: experimental group, 20: control group, 65 or older) were recruited. Visual analogue scale was used to measure level of pain level, Geriatric Depression Scale Short Form Korea Version (GDSSF-K) for depression. Sleep Scale for sleep. The laugher therapy was given twice a week for four weeks (8 times). Each therapy consists of preparatory, action and finishing stage. Data were analyzed by PASW 18.0. Results: The pain score in experimental group was significantly different from that in control group (t=4.17, p<.001). The level of depression in experimental group was significantly different from that in control group (Z=4.12, p<.000). The level of sleep in experimental group was not significantly different from that in control group (Z=-1.43, p<.152). Conclusion: A laugher therapy is expected to be practical used an efficient method of a nursing intervention to elderly patients in long term care facility.

• 한국산학기술학회논문지
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• 제20권9호
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• pp.459-464
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• 2019

본 연구목적은 요양보호사를 대상으로 하여 감정노동, 회복 탄력성이 노인 돌봄 태도에 미치는 요인을 파악하고, 요양보호사의 노인에 대한 긍정적인 태도 형성 및 유지를 위한 전략을 제공하고자 시행된 조사연구로 D시, K도 요양보호사 142명을 대상으로 구조화된 설문지를 이용하여 시행되었다. 결과 분석 프로그램은 SPSS/WIN 21.0 program을 이용하여 기술통계, t-test, one-way ANOVA, Pearson Correlation coefficient, Multiple regression analysis를 이용하였다. 연구결과 노인 돌봄 태도는 $3.56{\pm}0.90$점, 감정노동은 $3.23{\pm}0.74$점, 회복 탄력성은 $3.94{\pm}0.40$점이었다. 노인 돌봄 태도는 회복 탄력성(r= .294, p<.005)과 유의한 정적(+)상관을 보였고, 노인 돌봄 태도의 설명력은 15.6%로 회복 탄력성(${\beta}=.360$, p= .002), 근무 형태(${\beta}=-.282$, p= .001)가 요인으로 나타났다. 본 연구결과 요양보호사들에 관한 근무형태가 안정적일수록 자신의 직무인 노인 돌봄 태도가 증가하고 있음을 보여주고 있다. 또한, 어려운 상황을 스스로 이겨낼 수 있는 회복 탄력성에 관한 프로그램을 활용하여 이들에게 미치는 영향을 파악해 볼 필요성이 있다.

• 대한간호학회지
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• 제43권2호
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• pp.145-153
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• 2013

Purpose: The purpose of this manuscript is to discuss the need for use of evidence based practice (EBP) in LTC, the current use of evidence in long term care facilities and what we know about adoption of the use of EBP in LTC. Methods: Literature review and reporting of findings from the M-TRAIN study that was a quasi-experimental design to test the effectiveness of an intervention to increase the use of EBPs for urinary incontinence and pain in 48 LTC facilities. Results: Barriers to adopting EBPs include lack of available time, lack of access to current research literature, limited critical appraisal skills, excessive literature to review, non-receptive organizational culture, limited resources, and limited decision-making authority of staff to implement change. Strategies to promote adoption of EBP include the commitment of management; the culture of the home; leadership; staff knowledge, time, and reward; and facility size, complexity, the extent that members are involved outside the facility, NH chain membership, and high level of private pay residents. Findings from the M-TRAIN add, stability of nurse leader and congruency between the leaders perception of their leadership and the staff's perception of the leadership. Conclusion: There is clear evidence of the need and the benefits to residents of LTC and to the health care system yet adoption of EBP continues to be slow and sporadic. There is also evidence for the process of establishing best evidence and many resources to find the available EBPs. The urgent need now is finding ways to best get the EBPs implemented in LTC. There is growing evidence about best methods to do this but continued research is needed. Clearly, residents in LTC deserve the best care possible and EBPs represent an important vehicle by which to do this.

• 대한간호학회지
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• 제38권2호
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• pp.298-309
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• 2008

Purpose: The purpose of the study was to describe the experiences of do-not-resuscitate (DNR) among nurses. Methods: Data were collected by in-depth interviews with 8 nurses in 8 different hospitals. Conventional qualitative content analysis was used to analyze the data. Results: Eight major themes emerged from the analysis: DNR decision-making bypassing the patient, inefficiency in the decision-making process of DNR, negative connotation of DNR, predominance of verbal DNR over written DNR, doubts and confusion about DNR, least amount of intervention in the decision for DNR change of focus in the care of the patient after a DNR order, and care burden of patients with DNR. Decision-making of DNR occurred between physicians and family members, not the patients themselves. Often high medical expenses were involved in choosing DNR, thus if choosing DNR it was implied the family members and health professionals as well did not try their best to help the patient. Verbal DNR permission was more popular in clinical settings. Most nurses felt guilty and depressed about the dying/death of patients with DNR. Conclusion: Clearer guidelines on DNR, which reflect a family-oriented culture, need to be established to reduce confusion and to promote involvement in the decision-making process of DNR among nurses.

• 디지털융복합연구
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• 제14권12호
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• pp.503-513
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• 2016

본 연구는 노인요양병원에 입원한 환자가족들이 환자의 침대난간 사용을 어떻게 인지하고 있는지를 기술하고 탐색하기 위해 시도되었다. 수집된 자료는 심층면담을 이용하였고, Cavanagh의 내용분석(content analysis)방법으로 분석하였다. 연구결과 노인요양병원에서 침대난간 사용에 대한 환자가족의 인식은 예방적 안전, 이동의 편리함, 의례적인 간호, 감옥같은 생활, 부상위험, 침대난간의 대체 가능한 대안의 6가지 주제로 도출되었다. 관습화된 침대난간 사용의 긍정적 효과가 침대난간 사용에 대한 환자 가족들의 부정적 견해보다 중요하게 생각되고 있다는 점을 연구를 통해 알 수 있었고, 병원관계자들이 환자개인의 자유, 신체적 속박, 속박에 대한 부작용, 대안에 대한 이슈에 대해 환자와 환자가족들과 의사결정을 함께 할 것을 제안하고자 한다. 병원의 의료환경 변화로 인해, 의료행위의 효과성과 효율성, 위험관리, 그리고 근거기반실무가 강조되고 있다. 그러나 침대난간 사용이나 신체적 속박 문제는 해답을 쉽게 찾을 수 없는 주제이며 간호사들은 침대난간 사용에 있어 엄격한 사용지침에 따라 명확하게 간호행위를 수행해야 할 것이다.

• 경영과정보연구
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• 제39권2호
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• pp.61-75
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• 2020

본 연구는 요양병원 간호사를 대상으로 셀프리더십, 간호전문직관, 직무몰입과 이직의도의 정도와 관련성을 파악하며 요양병원 간호사의 이직의도에의 영향요인을 규명하기 위해 시도된 서술적 상관관계 연구이다. 요양병원에 근무하는 간호사 135명을 대상으로 자료 수집하여 SPSS/WIN 21.0 프로그램을 이용하여 stepwise multiple regression으로 분석하였다. 이직의도는 평균평점 2.87점으로 연령, 결혼상태가 통계적으로 유의한 차이를 보였으며, 셀프리더십은 3.66점으로 연령이 많을수록, 총 근무경력이 많을수록 셀프리더십이 높은 것으로 나타났다. 간호전문직관은 3.42점으로 나타났으며, 직무몰입은 3.51점으로 측정되었다. 셀프리더십, 간호전문직관, 직무몰입이 이직의도와 유의한 음의 상관관계가 있었으며, 이직의도에 대한 영향요인으로는 간호전문직관, 결혼상태, 연령이 유의한 변수였으며 설명력은 30.6%로 나타냈다. 요양병원 간호사의 이직의도를 감소시키기 위해서는 요양병원은 간호 전문성 향상을 위한 내·외적 교육에 대한 조직의 지원과 간호업무에 몰입할 수 있는 차별화된 교육 프로그램 개발이 필요하며, 독립적이고 자율적인 간호업무 수행을 위한 병원조직 관리체계에 대한 재정비도 반드시 고려되어야 할 것이다.

• 한국실내디자인학회논문집
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• 제24권3호
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• pp.165-175
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• 2015

Korean medical welfare facilities for the elderly provide the conveniences to care geriatric illness such as dementia and stroke. The medical welfare facility categorizes elderly care facilities, nursing homes, and geriatrics hospitals based on the Korean welfare of the aged act. The government makes an effort to secure feed rate and finances of medical welfare facilities. However, the qualitative improvement of facilities is inadequate. The purpose of this study is to analyze the conditions and problems of existing facilities using an environmental evaluation and to discuss the improvement direction related to the daycare centers for the elderly. The method of this study is literature review and field survey. Firstly, we analyzed the previous studies to develop the tool, evaluating the environment of day care centers for the old. Secondly, the items of environmental evaluation are deduced. Thirdly, we select the facilities to conduct field survey and analyze the results of field survey. Lastly, We discussed the problems and improvement directions through the results. It is judged that this study is an useful as the basic guideline to strengthen the minimum legal standards of day care center for the elderly due to the suggestion of insufficient environmental evaluation items.

• 대한간호학회지
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• 제39권2호
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• pp.166-176
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• 2009

Purpose: The purpose of the study was to identify functional structure and patterns of dialogue sequence in conversations between elderly patients with dementia and nurses in a long-term care facility. Methods: Conversation analysis was used to analyze the data which were collected using video-camera to capture non-verbal as well as verbal behaviors. Data collection was done during February 2005. Results: Introduction, assessment, intervention, and closing phases were identified as functional structure. Essential parts of the conversation were the assessment and intervention phases. In the assessment phase three sequential patterns of nurse-initiated dialogue and four sequential patterns of patient-initiated dialogue were identified. Also four sequential patterns were identified in nurse-initiated and three in patient-initiated dialogues in the intervention phase. In general, "ask question", "advise", and "directive" were the most frequently used utterance by nurses in nurse-initiated dialogue, indicating nurses' domination of the conversation. At the same time, "ask back", "refute", "escape", or "false promise" were used often by nurses to discourage patients from talking when patients were raising questions or demanding. Conclusion: It is important for nurses to encourage patient-initiated dialogue to counterbalance nurse-dominated conversation which results from imbalance between nurses and patients in terms of knowledge and task in healthcare institutions for elders.

• 성인간호학회지
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• 제23권2호
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• pp.111-122
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• 2011

Purpose: The aim on this study was to establish the validity, reliability and efficiency of a Pain Self-Report Scale for elderly with dementia and compare these results with an observational pain rating scale. Methods: Study subjects were 136 elderly with dementia who were residents in a nursing home, geriatric hospital, or day care center. The subject's pain was measured by five self-report scales and observational scale. DS-DAT (discomfort scale-dementia of the Alzheimer's type) was used for pain behavior observational measure. Cognitive state was assessed using the MMSE (Mini-Mental State Examination). Results: Observational rating correlated moderately with self-report (r=.225~.585, p<.05) and tended to underestimate pain intensity. Test-retest reliability was high for all five self-report scales, and the correlation between these scales was very strong (r=.735~.856, p<.05). Comprehension rate of VDS (verbal descriptor scale) was 88.3%, and NRS (numeric rating scale) 69.9%, FPS (face pain scale) 66.9%, HVAS (horizontal visual analog scale) and VVAS (vertical visual analog scale) 65.4%. Conclusion: Nurses should not apply observational scales routinely in demented patients as many of these are capable of reporting their own pain. Self-report, the highest standard of pain measurement can be reliably performed in a large proportion of demented elderly.