• Title/Summary/Keyword: Geriatric people

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Knowledge, Attitude, and Behavior Status on Oral Health Care of Geriatric Care Workers in Long-Term Care Facilities (장기요양시설 요양보호사의 구강건강관리에 대한 지식, 태도, 행동)

  • Jeon, Hyun-Sun;Han, Sun-Young;Chung, Won-Gyun;Choi, Jong-Hoon
    • Journal of dental hygiene science
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    • v.15 no.5
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    • pp.569-576
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    • 2015
  • The aim of this study was to assess the oral health knowledge, attitude and behavior among geriatric care workers in long-term care facilities. A self-administered questionnaire was obtained from 212 geriatric care workers attending a professional education program of 2014 dementia pilot project. The questionnaire consisted of 4 parts of the training experience (2 items), knowledge (16 items), attitude (13 items), and behavior (4 items) on oral health care. Collected data were analyzed by frequency analysis, independent t-test, and one-way ANOVA using SPSS Statistics ver. 20.0. The percentage of educational experience on oral care was 27.9% and most respondents answered that they have received the education about denture cleaning (98.3%) and brushing method (91.4%). The average knowledge score was $10.88{\pm}1.70$, and respondents showed high-level agreement in 8 of the 10 items in attitude questions. They revealed difficulties in providing oral care to the elderly people because of their lack of knowledge. The deficiencies of knowledge about oral care would have a decisive effect on not only oral and general health, but also quality of life of the elderly people. Therefore, it is required to develop professional oral care training programs for geriatric care workers and support systems should be legalized.

A study on oral health perception and oral health-related quality of life of the elderly patients in a geriatric hospital (요양병원 입원 노인환자의 구강건강인식도와 구강건강관련 삶의 질에 관한 연구)

  • Kim, Ga-Hyun;Kwon, Yong-Sun
    • Journal of Korean society of Dental Hygiene
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    • v.16 no.3
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    • pp.363-371
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    • 2016
  • Objectives: The purpose of the study was to investigate the relationship between oral health perception and oral health-related quality of life-14(OHIP-14) in a geriatric hospital. Methods: A self-reported questionnaire was completed by 230 elderly people in a long-term care institution. The questionnaire was consisted of items on general characteristics, oral health perception and OHIP-14. Except incomplete answers, 226 data were analyzed statistically with one-way ANOVA, t-test, Pearson's correlation coefficient and post hoc Tukey test and ANOVA when significance was set at 0.05. Results: The OHIP-14 showed a negative linear relationship(p<0.01) of r=-0.272 with the oral health perception. Among the subgroups of the OHIP-14, quantitative linear relationship(p<0.01) was shown in functional limitation(r=0.822), physical pain(r=0.825), psychological discomfort(r=0.568), physical disability(r=0.895), psychological disability(r=0.652), social disability(r=0.804) and handicap(r=0.818). Conclusions: In order to improve the oral health perception and OHIP-14 in a geriatric hospital, it is necessary to develop continuously a variety of oral health education and systematic oral health promotion program.

ORAL STATUS OF GERIATRIC PATIENTS, AND THEIR DEMAND AND SATISFACTION IN PROSTHODONTIC TREATMENT (노인환자의 구강상태, 치료요구도와 만족도)

  • Chung Moon-Kyu;Lee Chul-Young;Chang Hyuk-Jin
    • The Journal of Korean Academy of Prosthodontics
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    • v.39 no.4
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    • pp.323-335
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    • 2001
  • 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 prosthodontic treatment. The followings are the findings : 1. The single main complaint was regarding from the existing removable prosthesis, When the complaints were categorized into larger groups, complaints regarding existing prosthesis were 32% and followed by 30% in caries and endodontic problems. 2. Approximately half of the geriatric patients had 21 or more remaining dentition. This number however diminished with increase in age of the surveyed patient. 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. Seventy-seven percentages of patients requested for new prosthesis and the majority of these patients had complaints of difficulties in chewing and discomfort. 5. Thirty-nine percentages of patients were wearing removable prosthesis. More complete dentures were found on maxilla and partial dentures on mandible.

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Development and Clinical Use of Assessment Indicators for Improving Medication Adherence of Elderly Residents in Nursing Home (노인요양원 입소자의 복약순응도 향상을 위한 평가지표의 개발 및 임상활용)

  • Park, Duck-Soon;Kang, Minku;Bang, Joon Seok
    • Korean Journal of Clinical Pharmacy
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    • v.26 no.1
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    • pp.13-23
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    • 2016
  • Background: South Korea is rapidly being an aging-society and the demand of long-term care insurance services for elderly patients is rising. In addition, because the elderly taking multiple medicines, the adherence is lowered and the adverse events are easily occurred. Therefore, many are interested in introducing the geriatric pharmacy specialist to manage this situation. Purpose: By applying a similar program such as the geriatric pharmacy specialist working in nursing home, we conducted this study to evaluate the potential contribution to both the health insurance services and financial savings for the elderly patients. Methods: We conducted a trial in an elderly nursing home to collaborate between doctor and pharmacist making a checklist for improving medication adherence and establish a consultation system. Also we applied a smart phone application in the pharmaceutical care processes. Results: Thereby completing the drug therapy related checklist apply to nursing facilities in South Korea. And we got a performance that improves medication adherence when used in the clinical practice settings. Conclusion: By introducing a training program of pharmacy care managers and geriatric professionals such as the United States and Japan, we revealed the elderly nursing home residents and vulnerable elderly people living alone were improved the medication adherence and it will contributed to the health and quality of life of the patients.

Knowledge, Attitude and Prevention Activities related to fall among of Geriatric Hospital Nurse (노인전문병원 간호사의 낙상에 관한 지식 및 태도, 낙상 예방활동에 관한 연구)

  • Yoo, Kwang Soo
    • Journal of Korean Public Health Nursing
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    • v.31 no.3
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    • pp.436-450
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    • 2017
  • Purpose: The purpose of this study is designed to identity the extent of geriatric hospital nurse's knowledge attitude and fall prevention activities toward falls, thereby identifying the relationship between them. Methods: Knowledge of the falls targeting 350 people who work in the nurse elderly hospital, located at J city, attitudes about fall prevention activity data were collected for nurses working in the geriatric hospital. The collected data were analyzed with descriptive statistics, t-test, one-way ANOVA, Scheff's test, correlation coefficients. Results: Attitude and prevention activities of fall showed that there is a correlation. Showed that age was a significant effect on falls prevention activities age 45 years and olde and attitude. The higher the fall prevention activities were found to be low. Conclusion: In relationship between knowledge, attitudes and prevention activities regarding falls, knowledge about falls had no correlation with attitude and prevention activities and a correlation was found between attitudes and prevention activity regarding falls. Accordingly, it is required to implement training program to improve nurse's attitude to falls, and repetitive fall prevention training and education is expected to contribute to increasing the practice of fall prevention activity.

A Study on the Change of Area Resulted of Welfare Facilities on the High-Care degree Elderly in Japan - Focused on the Geriatric Health Services Facility and Special Nursing Home for the elderly - (일본 요개호노인 거주시설의 면적변화에 관한 연구 - 개호노인보건시설과 개호노인복지시설을 중심으로 -)

  • Park, Yeongchol;Park, Jaeseung
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.16 no.2
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    • pp.55-64
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    • 2010
  • The Japanese elderly welfare policy has focused on facility policy for the aged and preventive care service for healthy elderly people. This paper has conducted a comparative analysis on Geriatric Gealth Services Facility and Special Nursing Home for the Elderly. For this, each service function has been divided into six categories; daily life / nursing and caring / medical service / management / supply / miscellaneous. Then the change in real structure by category has been analyzed through a plan analysis on case facilities. In the Geriatric Health Services Facility, the biggest change was observed in 'livelihood' among six categories. In the Special Nursing Home for the Elderly, 'the nursing and care parts' and 'medical service part' are decreased since 1999. At that time, the facilities started to be individualized and divided into a unit. To pursue home-like care instead of unit care, there was a change in construction planning to help the aged with dementia live a self-sufficient life.

The eleven reasons why dentist should study the geriatric dentistry (임상가를 위한 특집1 - 노년치의학을 배워야 하는 11가지 이유)

  • Choi, Yong-Geun
    • The Journal of the Korean dental association
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    • v.49 no.10
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    • pp.584-598
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    • 2011
  • The age structure has been experiencing substantial change due to the decreased birth rate as well as the increased life expectancy. Gorge Magnus, an English economist, casts warnings of population ageing which has the potential of huge socioeconomic impact human society has never experienced before. The prediction that proportion of elderly people in need of oral health care will increase substantially is a new challenge to dentists in the future. The old paradigm that the aged person is just the person who was born earlier and needs the same conventional oral health care should be shifted to the new one. Elderly people tend to express their political interest related with health care system by actively participating in the national elections. The need to sustain economic status for the extended life span makes them seek eagerly esthetic health care to maintain sound social function. Most of them are under multiple chronic diseases and take related medicines. In addition, many studies report about mental change as well as physical change among the aged people. Since the prevalence of dental diseases among the aged is higher than other chronic devastating diseases, the aged seeking oral health care will increase. The aged who has different physical and psychological status as well as chronic disease and related medicine will show unexpected response to the conventional oral health care. In addition, the impact of tooth loss is substantial physically, mentally and emotionally. Dentist should prepare different approaches for the elderly dental patient.

Factors Related to Depression among Older People Living in Homes for the Aged of the Western Part of Thailand

  • Karuncharernpanit, Sirikul;Limrat, Wanutchaporn;Makaroon, Wanisa;Khumnate, Woramon;Chayvijit, Wannisa;Sukomol, Vimolmas;Shooshuenmanakid, Suthita;Tubson, Sunisa;Santiwarangkul, Ananya
    • Asian Journal for Public Opinion Research
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    • v.4 no.1
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    • pp.38-50
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    • 2016
  • Introduction: Geriatric depression is one of the significant mental health issues for older people. This descriptive study aimed to investigate the correlation between selected factors and depression among older people, living in homes for the aged in the western part of Thailand. Methods: 107 older people, living in two homes for the aged of the western part of Thailand were recruited to the study, using cluster sampling. Three questionnaires, including the Barthel Index Activity of Daily living (BADL), the Thai Geriatric Depression Scale (TGDS), and personal characteristics, perceived health status, chronic diseases, family relationship, and recent grief and loss experience were used. The quality of all questionnaires, especially the reliability of BADL, TGDS, and selected factors (e.g., health factors) were 0.95, 0.93, and 0.72 respectively. After finishing data collection, percentages, medians, and Spearman's rank correlation and Mann-Whitney U were used to analyze the data. Results and discussion: The results revealed that nearly half (41.1%) of older people suffered from depression. Furthermore, income, perceived health status, and Barthel ADL index were significantly negatively associated with depression at p<0.01; whereas, the number of chronic diseases was significantly positively associated with depression at p<0.05. Conclusion: results on the correlation may guide the practice in the future. For example, the officers or health care providers in homes for the aged should encourage older people to be independent, improve their perceived health status, increase health promoting behaviors to prevent or delay chronic illnesses, or increase older people incomes by promoting the appropriate occupation.

Relevance between Geriatric Oral health Assessment (GOHAI) and Falls : Using KLoSA 2018 7th Data (노인구강건강평가지수(GOHAI)와 낙상 경험의 관련성: 고령화연구패널조사(KLoSA) 2018년도 제7차 자료를 이용하여)

  • Kim, SeYeon;Kim, Jae Hyun
    • Korea Journal of Hospital Management
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    • v.26 no.4
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    • pp.51-58
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    • 2021
  • Purpose: This study is based on the results of previous studies that falls, which is a frequent social problem, causes physical, mental and social health problems in the elderly. In order to identify risk factors for falls in the elderly, this study derives a relationship with oral health and proposes the necessity of oral health care as part of countermeasures to prevent falls in the elderly. Methodology: The final 6,936 people were analysed using the 2018 Korean Longitudinal Study of Ageing(KLoSA) survey data, and the analysis was conducted using the multiple logistic and multiple regression analysis to investigate the relationship between Geriatric Oral Health Assessment Index (GOHAI) and falls experience. Findings: As a result of the analysis in this study, the number of falls experiences and whether or not falls were higher in the elderly female group than in the male group. The likelihood of falls experience has been statistically reduced as Geriatric Oral Health Assessment Index increases by one unit.(OR : 0.991) The number of falls has also been statistically reduced as Geriatric Oral Health Assessment Index increase by one unit.(B : -0.001) Practical Implications: The results of this study, which showed that higher Geriatric Oral Health Assessment Index was lower risk of falls, explained by the connection that oral health may affect nutritional intake, which leads to sarcopenia and physical loss, which in turn increases the risk of falls. As a way to solve the fall problem, efforts should be made to improve the oral health of the elderly, and furthermore, the importance of nutrition management thorugh oral health care of the elderly is increasd.

Projection of Long-Term care Insurance Beneficiary and Financing (노인장기요양보험 대상자 확대에 따른 재정추계 분석)

  • Choi, In-duck;Lee, Ho-yong
    • 한국노년학
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    • v.31 no.4
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    • pp.1047-1065
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    • 2011
  • The main purpose of this study is to provide the sustainability and continuous development of Long-term care Insurance in projecting changes of the Long-term care Insurance beneficiary population and Cost. We conducted a transformed cohort-component projection method that are employed for the beneficiary population projection and applied the previous experiences in Japan and German. A transformed cohort-component method means that we also projected the increasing beneficiary of long-term care insurance for using the data of geriatric disease in NHIC and estimated the cost of insurance's financial resources. First of all, beneficiary increase and strategy of extending to level 4 are categorized 2 and the expense account projection are categorized 2. If it is thought experience of Japan and German, The Level 4 extend of insuree is projected 2012 or 2013. With the results of this study, we proposed that extended level 4 insuree include the 40%~90% of geriatric disease in elderly people. The number of beneficiaries in 2011 is expected to reach to about 342,896 and in 2015 is 415,905 on scenario 1. Scenario 2(40%of geriatric disease in elderly people), the number of beneficiaries in 2011 is 342,896 and in 2015 is 483,453. Scenario 3(90%of geriatric disease in elderly people), the number of beneficiaries in 2012 is 545,068 and in 2015 is 565,565. The cost of beneficiaries insurance benefit of scenario 1 are projected from 3,000billion in 2012 to 3,500billion won in 2015. Scenario 2 are projected from 3,100billion in 2012 to 4,000billion won 2015. Finally, The cost of Level 4 extending are need minimum 300billion to maximum 1,400billion won.