• 가정∙방문간호학회지
• /
• 제12권1권
• /
• pp.117-135
• /
• 2005

Purpose: Expecting a new system of nursing security for elderly in operation in 2007, a substantial expansion of nursing facilities for elderly and quality management of those facilities are imperative now. Therefore. specific quality management measures or schemes which could be used for the operation of small-scale nursing homes are in urgent need. The purpose of this study was to develop a Quality Management Index(QMI) to guide Nursing Home management. Method: This study developed a QMI for small-scale nursing homes, which focused on quality management in structural dimensions such as environment, staffs, local community network, atmosphere, and quality management in process dimensions such as nursing, communication, resident satisfaction. The QMI developed in this study is based on extensive review of literature and the actual experiences of nursing home operation. It consists of 7 dimensions, 39 components and 148 indexes, which have been verified by three times validity tests of experts group. Then the QMI was used to evaluate the quality management levels of nursing homes in Korea. Result: In sum, after analyzing all nursing homes in Korea operated by nurses, this study found that there were significant differences of quality management level among facilities in several dimensions such as environment, staffs, local community connections, communication. In dimensions such as nursing, atmosphere, resident satisfaction, however, little differences of quality management level among facilities were reported. It is considered that this result has to do with several factors like the size of facilities, operation expenses, operation forms, the disposition of professional human resources, and philosophy and management policy of the owners. As far as generalization is concerned, however, it needs to be noted here that the sample size for this study is not statistically big enough to generalize the results. Conclusion: Having Developed a QMI for small-scale nursing home with 7 dimensions, 39 components and 148 indexes, this study is expected to be used in developing more elaborated quality evaluation tools for nursing homes, and also function as a practical guide of quality management for those who are opening and managing nursing homes. I hope this quality index could lead to further development of a standardized quality management index, and eventually contribute to quality improvement of nursing homes.

• 지역사회간호학회지
• /
• 제24권1호
• /
• pp.99-109
• /
• 2013

Purpose: The purpose of this study is to identify levels of quality of health-related life (EQ-5D) and its related factors among vulnerable elders receiving home visiting health care services in some rural areas. Methods: The subjects of this study were vulnerable elders aged 65 or higher receiving visiting health care benefits by a public health center in a county. Results: Levels of health-related EQ-5D were high when the subjects were males, their ADL and IADL were high. The EQ-5D of the vulnerable elders and social supports had a positive correlation, while their IADL and depression had a negative correlation with the EQ-5D. We can see that the EQ-5D related factors are variables that have significance influence on gender, subjective health status, BMI, IADL, depression levels, and social support. Conclusion: To improve the EQ-5D of the vulnerable elderly, it needs maintenance of independent IADL levels, social supporting systems using small meeting of the elderly in community. It is necessary to maintain independent IADL levels, enhance social supporting systems including small group gatherings for elders living alone by means of places like community halls, and develop specific intervention programs for the prevention and management of depressive elders.

• Journal of Preventive Medicine and Public Health
• /
• 제31권2호
• /
• pp.293-309
• /
• 1998

The purpose of this study is to compare the level of health-related quality of life and relating factor between institutional elderly and community living elderly. The subjects were 390 from Sanatorium or Nursing home and 467 from the community in Kwangju. The results are followed : 1) A comparison of ADL between two groups, institutional elderly and community living elderly, resulted in that community elderly were more significantly independent in the areas of bathing and transfer than institutional elderly. 2) A comparison of IADL between two groups resulted in that : Community elderly were more independent in the areas of using telephone and transportation, food preparation, house keeping, and doing laundry. Institutional elderly were more independent in the area of handling finances. 3) In the case of poor health-related quality of life, institutional elderly showed 2.4 times in the dimension of physical fitness, 1.8 times in daily activity, 2 times in social activity, 2 times in pain, 26.7 times in social support, and 0.4 times in subjective quality of life higher than community elderly There was no significant differences in the rest of dimensions. 4) In institutional elderly, the analysis of variables related to the health-related quality of life resulted in that; The relating factors were sex, education, and chronic illness in the dimension of physical function. Direct contact with family or significant others in the dimension of social activity. Chronic illness in the dimension of pain and perceived health status. Direct or indirect contact with family or significant others over the phone or through letters in the dimension of social support. 5) The analysis of variables related to the health-related quality of life showed that community elderly has more relating variables in each area than institutional elderly. The relating factors were age, sex, and chronic illness in the dimension of physical function. Education and chronic illness in the dimension of emotional status. Age and chronic illness in the dimension of daily activity and social activity Education and chronic illness in the dimension of pain and perceived health status. Sex, education, family size in the dimension of social support. Education and chronic illness in the dimension of subjective quality-of-life. Throughout general daily activity, community elderly showed more satisfactory results than institutional elderly, but in the subjective area of health-related quality of life, such as subjective quality of life, institutional elderly group showed more positive results. And community elderly had more relating factors than institutional elderly. For the health care of the elderly that focused on quality of life, new approaches considering the characteristics of both group, institutional and community living elderly, are needed.

• 가정과삶의질연구
• /
• 제32권6호
• /
• pp.125-138
• /
• 2014

The purpose of this study is to examine the effects a music group therapy program has on cognitive function and life satisfaction. We targeted the elderly who are receiving service at a daycare center. This study monitored seventeen elderly subjects who were available for language communication, walking, and defecation function even if the subject had a slight mind-body function disorder based on using the service of the daycare facilities. The subjects visited each of the welfare centers one week prior to the Korean classical music group therapy program. We conducted a pre-test of MMSE-K(Mini-Mental State Examination, Korean version) modified by Park and Gwon(1989). We also supplemented the MMSE developed by Folstein(1975) and LSI-A(Life Satisfaction Index) for the elderly developed by Neugarten, Havighurst and Tobin(1961). We conducted the Korean classical music group therapy program for 15 sessions at 50 minutes each for 1~2 times a week from July 9 to September 13, 2013 at the daycare center for OO senior welfare center. The welfare center belongs to the experimental group, excluding the OO general welfare center, which is the control group. Finally, we carried out the post-test of the MMSE-K and LSI-A in the same manner as the pre-test. We carried out the post-test on July 17, 2013, 4 days after concluding the Korean classical music group therapy program. A t-test was used in order to analyze the differences in cognitive function and life satisfaction according to each group. We used SPSS/WIN 18.0 program. This study has significance by proving that the use of Korean classical music is conducive in the improvement of cognitive function and life satisfaction of the elderly at the daycare facilities. Also, we presented the actual contents of the study to the clinical field.

• 가정과삶의질연구
• /
• 제29권5호
• /
• pp.153-163
• /
• 2011

This study was to investigate the effects of percussion program on depression and self-esteem for the elderly lived in residential care. 12 older adults participated in the 40-min. percussion program for 4 weeks(10 sessions). The percussion program consisted of three steps; 1) introduction for creating rapport and relationship, 2) process for mood induction and increasing interaction, and ending for increasing self-achievement and confirming the changed mood. Korean Geriatric Depression Scale (KGDS) and Self-Esteem Scale (SES) were administered before the first session and after the completion of the program. Results showed statistical significance (p<.05) in KGDS (p=.020) and SES (p=.025). Findings imply that percussion program can induce positive changes in depression and self-esteem for elderly in the residential care, and more depressed elderly group may have better outcome in percussion playing. Future studies should consider various levels of depression among elderly, and design the program to be more sensitive to the level of functioning.

• 대한물리치료과학회지
• /
• 제20권1호
• /
• pp.89-98
• /
• 2013

Purpose : The purpose of this study was to investigate the effect of the aquatic exercise program on lower muscle strength, balance and gait activity on 12 weeks aquatic exercise program in the elderly women. Methods : The Subjects in this study were 20 aged 70s who were long-term residents admitted to elderly nursing home of S, Gyeongsangnam province. They performed aquatic exercise programs 60-minute sessions, 3 times a week for 12 weeks. The physical evaluation was used for measuring lower muscle strength, balance activity was used for measuring balance testing, and gait activity was used for measuring gait velocity and maximal step length evaluation. All data were analyzed by paired t-Test by SPSS(version18.0). P-values of <.05 were considered significant. Results : Lower extremity muscle strength, static dynamic balance and gait activity were significantly increased both in the exercise group and between groups. Conclusion : This study suggests that aquatic exercise program has an effect on lower extremity muscle strength, balance and gait activity of the elderly women. Therefore, it is considered as a safe and helpful self-support activity for the elderly people.

• 한국가정과교육학회지
• /
• 제34권1호
• /
• pp.1-16
• /
• 2022

본 연구는 스마트폰이나 인터넷으로 쉽게 접할 수 있고 파급력이 높은 카드뉴스 형태로 노인기 우유 섭취 교육을 위한 교육자료를 개발하는 것에 목적을 두었다. 카드뉴스는 체계적인 단계를 밟아 개발함으로써 노인기의 식습관, 생활환경, 영양·건강문제, 우유 섭취 시 애로사항 및 개선 방향 등을 고려한 결과물을 생성하고자 하였다. 정보 요구도 분석은 편의추출법으로 선정한 공주시 남녀 노인 10명(만 78.10±6.66세)을 대상으로 포커스 그룹 인터뷰를 실시하는 방식에 의해 이루어졌다. 주제별로 노인기에 알고 싶어하는 몇가지 정보를 선별하여 콘텐츠 시안을 작성함으로써 효과적인 커뮤니케이션이 될 수 있도록 하였다. 카드뉴스 시안 개발은 연구자가 작성한 콘텐츠 시안을 경험이 풍부한 전문가가 노인이 이해하기 쉬운 텍스트로 바꾸고 주제와 어울리는 이미지 등을 전문프로그램을 사용해 제시하는 방식으로 이루어졌다. 카드뉴스 시안이 나왔을 때 텍스트 내용이 바른지, 메시지 전달력이 높은지, 보기 편한지 등에 대해 연구자가 검토·수정한 후 전문가 자문을 받았다. 또한 카드뉴스 시안을 편의추출법으로 선정한 공주시 남녀 노인 50명(만 70.44±5.16세)에게 보여준 후 5점 척도로 구성한 설문지로 만족도를 조사하였다. 이 결과 문항별 평균이 5점 만점 중 4점 이상이어서 만족도가 높았다. 전문가 자문과 만족도 조사 결과를 반영하여 최종 수정한 후 12 페이지 분량으로 카드뉴스를 완성하였다. 이상에서 노인기에 쉽게 바른 정보를 접할 수 있는 온라인용 카드뉴스 형식의 우유 교육자료를 체계적인 과정을 밟아 개발하였고 이는 노인기의 우유 섭취 증대와 영양·건강 향상에 기여할 것으로 여겨진다.

• Human Ecology Research
• /
• 제51권3호
• /
• pp.275-284
• /
• 2013

The purpose of this study is to provide useful insights into community-level support services for family caregivers in Korea by comparing them with the services in the United States. Similar to most developed countries, life expectancy has led to rapid population aging in Korea over the last several decades. However, despite increased social needs of long-term care for the elderly, many elderly Koreans are still dependent on their family for the long-term care. Yet, existing support programs for family caregivers are very limited. As a result, family caregivers often suffer from a lack of financial resources and emotional support. In this study, we comprehensively review the extensive literature, including relevant studies and documents of community-level support services for family caregivers of the elderly at home in Korea and the United States. One of the most important differences is that compared to Korea, diverse services based on the law of NFCSP to support the family caregivers, such as counseling, organization of support group, and educating have been available in the United States since 2000. Additionally, the legal definition of family caregivers in the United State is broader than that in Korea, where family caregivers are limited to those who are related by blood or marriage. Therefore, more caregivers are eligible for support programs and benefit from the programs in the United States. The findings of the study suggest that policy makers in Korea should legislate for diverse and comprehensive services for family caregivers. Further, it is necessary to define legal terms for family caregivers more broadly to extend beneficiaries of the programs.

• The Journal of Korean Physical Therapy
• /
• 제20권2호
• /
• pp.1-10
• /
• 2008

Purpose: This study examines the effects of elastic band of resistance exercise for balance control of the elderly. Methods: Thirty of eighty participants in experiment subjects who demonstrated balance-impairment through the use of primary screening tests including the one leg standing test (OLST), functional reach test (FRT) and timed up and go (TUG) were selected as subjects. Fifteen subjects that underwent muscle-strengthening exercise using an elastic band were selected as the exercise group and fifteen subjects were selected as a control group. Subjects undertook a home-based exercise program three times per week for 9 weeks. Muscle strength, functional assessment and a balance test were quantitatively measured before and after the exercise regimen. Results: After muscle strengthening exercises, changes in maximal voluntary isometric contraction (MVIC) showed a significant increase in all of the lower extremity muscles of the exercise group subjects. There were statistically significant differences between the exercise and control groups for changes in the OLST, FRT and TUG, which are functional assessments of balance ability, and changes of the unit path length and circumference area, measurement items of quantitative analysis. In addition, from examining correlations between MVIC, balance ability, it was found that an increase of muscle strength in the hip joint group of muscles among the lower extremity muscles had greater improvement in correlation with balance ability in this elderly population. Conclusion: Resistance exercise using elastic bands had significant effects on muscle strengthening in elderly subjects, with a resultant increase of lower extremity muscle strength with significant improvement of balance ability.

• 한국주거학회:학술대회논문집
• /
• 한국주거학회 2008년 추계학술발표대회 논문집
• /
• pp.92-95
• /
• 2008

As society ages increasingly, maintaining an independent lifestyle at home becomes an important issue for older people. The elderly themselves demand an independent lifestyle despite their health status and living arrangements. The purpose of this study is to provide basic guidelines for the elderly housing through the analysis of seniors' housing behavior. The total of 438 residents take part in the questionnaire survey research through the quota sampling method grouped by age (60-64 group, 65-69 group, 70-74 group, over 75 group). The results are as follows. (1) Seniors' subjective physical and functional status is not differed one age group from the others, but it is differed by the sex. (2) Seniors spend more than three hours on watching TV. The male spend more time on information search, while the female on the house chores. (3) The older use the bedroom more than the younger. Living rooms are more frequently used among the young old and the residents live in the apartment houses. (4) More than half senior use a sofa in the living room, a table in the dining room, and a bed in the bedroom. The young old and the apartment residents use such furniture more than the other groups.