• Title/Summary/Keyword: Health care for the elderly

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Roles of Visiting Nurses Defined Based on Long-Term Care Insurance Regulation for the Elderly (노인장기요양보험제도에 의한 방문간호사의 역할.업무분석)

  • Kim, Myung-Hee
    • Journal of Korean Public Health Nursing
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    • v.23 no.2
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    • pp.232-250
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    • 2009
  • Purpose: This study was designed to define the roles, tasks, and activities of home visiting nurses aimed at enhancing the quality of nursing care under the long-term care insurance regulation for the elderly introduced on July 1, 2008 in Korea. Methods: A review of domestic and foreign literature was used to formulate the proposed roles, tasks, and activities of visiting nurses, which were subsequently modified and complemented by the agreement of home visiting nurse experts and acceptance of 127 nurses. Data was collected from 04 June - 17 September 2008 and analyzed concerning frequency and percentile using SPSS ver. 15.0. Results: The established functions of home visiting nurses were direct nursing service provider, case manager, patient educator, decision maker, care coordinator, and research worker. These functions involved 27 different tasks and 167 activities. Conclusion: The roles, tasks, and activities of visiting nurses, established based upon the guidelines of the Long-term Care Insurance Act for the elderly, were verified for their applicability by nurses involved in home care delivery. These parameters will provide a useful tool in developing an assessment to enhance the quality of home-based care for the elderly in Korea.

Wound Care Needs of Hospital-based Home Care Nursing at Elderly Care Facilities (노인요양시설의 간호인력과 비간호인력간 상처관리에 대한 병원중심 가정간호 요구도 비교)

  • Kim, Duck-Hee;Lee, Joo-Young;Hwang, Moon-Sook
    • Journal of Korean Academic Society of Home Health Care Nursing
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    • v.19 no.1
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    • pp.5-10
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    • 2012
  • Background: The purpose of this study is to investigate the needs for wound care services in the elderly care institutions by analyzing hospital-based home care nursing in select facilities in Korea. Methods: A total of 92 staffs at the elderly care institutions, located throughout the country, completed self-report questionnaires between February 1 and November 31, 2009. SPSS ver. 17.0 was used for data analysis, regarding frequency and chi square. The 5% level of significance was the critical level for acceptance of the study's hypotheses. Results: Results were as follows; group A and group B were rated as 'high' and 'very high', respectively, in care of simple pressure ulcer, care of complicated pressure ulcer, stitch out, care of simple surgical wound, ostomy care, complicated ostomy care, simple dressing and complicated dressing. Conclusion: Political decisions intended to promote visits by hospital- based home care nurses to the elderly care institutions would be a prudent course.

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Factors Related to Subjective Oral Health Level of the Elderly (노인의 주관적 구강건강수준 관련 요인)

  • Jung, Su-Jin
    • Journal of Convergence for Information Technology
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    • v.11 no.6
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    • pp.171-180
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    • 2021
  • This study was conducted to investigate the effects of oral care behavior, oral health care self-efficacy, and social support on the subjective oral health level of the elderly. The data survey was conducted from September 17, 2019 to November 22, 2019 for the elderly living in Daejeon Metropolitan City and parts of Chungcheongnam-do, and the collected data were analyzed by 𝑥2-test, Pearson correlation analysis, and logistic regression analysis. As a result of the survey, subjective oral health level increased by 3.242 times when dentures were not used and 2.339 times when the number of brushings per day was 3 or more times. In addition, as the oral health care self-efficacy and social support increased 1.755 times and 1.192 times, respectively, the subjective oral health level also increased. Based on the above results, in order to improve the subjective oral health level of the elderly, opportunities for oral health education such as denture care methods and toothbrushing lessons should be expanded. In addition, there is a need to prepare policies to reinforce oral health care self-efficacy and social support.

The Physical Environment and Behavioral·Psychological Health and Quality of Life for the Elderly People with Dementia - A Follow-up Study of Empirical Research, conducted on the Context of Long-term Care Facilities for the Elderly People with Dementia, to Identify Healing Environmental Factors and to Expand the Understanding of Related Clinical Outcomes (물리적 환경과 치매거주노인의 행동·심리적 건강과 삶의 질 - 노인요양시설 치유환경 디자인 요소 도출과 연계된 중재적 의료성과의 이해확장을 위한 후속연구)

  • Choi, Young-Seon
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.29 no.4
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    • pp.7-20
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    • 2023
  • Purpose: The main purpose of this paper is to assess a body of research evidence that articulates the impact of physical and environmental factors on behavioral·psychological health and quality of life for the elderly people with dementia who reside in long-term care facilities. This follow-up study of the previous literature review aims to further identify physical and environmental factors, that improve health and quality of life for the elderly people with dementia, published in recent five years and to expand the understanding of clinical outcomes as mechanism that mediate the effect of physical environmental factors on improving behavioral·psychological health and quality of life for the elderly people with dementia. Methods: Comprehensive literature review has been conducted to identify empirical studies that link the design of dementia care facilities to health- and quality of care(QOL)-related outcomes and this follow-up review scrutinized peer-reviewed articles published in recent five years (from January 2018 to December 2022), filling the gap between the previous literature review and the current state of research. Results: The review identified a growing body of literature that articulates environment-related factors that improve behavioral·psychological health and quality of life for the elderly people with dementia living long-term care facilities. Implications: The findings of the review can be translated to design implications and design decisions to promote psychological and behavioral health and quality of life of people with dementia in long-term care facilities.

Observations on Long-Term Care Insurance Utilization and Implication for its Expansion (노인장기요양보험 이용현황과 제도확대방향의 모색)

  • Yun, Hee-Suk
    • Health Policy and Management
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    • v.20 no.3
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    • pp.104-122
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    • 2010
  • Long-term care insurance has been introduced in Korea a year ago, and we are in a stage requiring to set principles regarding the generosity of coverage and how to gradually extend the coverage. This study empirically analyzes how the long-term care insurance in Korea is operated. Special attention is given to who is the main beneficiary of the long-term care insurance introduction, and what is the factors influencing the elderly's decision to apply for or use long-term care services. Use of a detailed information of individuals' public health insurance and long-term care insurance from administration data made it possible to control for health status, socioeconomic status including family type, housing tenure, income level. Logit models were employed to analyze the effects of various socioeconomic factors on the likelihood of applying and using long-term care services. Also, this study employed a survey questioning whether to ever willing to take other option as a alternative to residential care or home-care and the level of cash benefit for which they are willing to replace the formal care with informal care. The result indicated that although the poorest elderly population groups are in the greatest need for the long-term care service, they are in difficulty using the service due to economic burden. This implies the copayment amount needs to be adjusted in order for the poor elderly group to be able to get the benefit of the long-term care service.

Residential Design Characteristics for the Elderly's Health & Life Quality through Elderly Care Home in Sweden (스웨덴 노인보호주택을 대상으로 한 노인 건강과 삶의 질을 위한 주거환경특성연구)

  • Lee Sook-Young
    • Journal of the Korean housing association
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    • v.17 no.1
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    • pp.19-27
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    • 2006
  • This research deals with the residential environment for the elderly and describes characteristics to give a positive effect on elderly's health and quality of life in Sweden. Five elderly care home recommended by a municipality staff in Stockholm are surveyed on $01\~03$ October 2003. The results of this study are as follows: 1) homelike atmosphere is regarded as a basic design concept and is applied to size, materials, scale, color, and furniture of elderly housing in Sweden, 2) regarding of the exterior features, it is similar to the ordinary house rather than institution building, 3) arrangement of spaces is planned for several small groups consisting of 6-8 residents, 4) open-space planning on public kitchen and dinning room allows residents to feel comfortable when they can hear a sound and smell a meal, 5) private flat is to provide amenities for sleeping, rest, storage, social interaction, meals, hygiene and other every activities

Accessibility of Medical Care in an Elderly Population (일부 지역사회 노인들의 의료서비스 접근성에 관한 조사 연구)

  • Cho, Kyung Soon;Lee, Hiyn Ju
    • Korean Journal of Adult Nursing
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    • v.12 no.4
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    • pp.641-653
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    • 2000
  • A quantitative descriptive survey was conducted to assess the needs of elderly people in relation to accessibility of medical care. Identifying their functional status was done and accessibility of medical care was ascertained. Using a convenient sampling method, 856 elderly aged 65 and over in Taejon-city participated. A multi-dimensional questionnaire containing sections on health status, Activities of Daily Living(ADLs) and accessibility of medical care in terms of use, time, distance, transport, cost and feeling at ease was developed by the researchers of this study to collect data. Data were collected between October and December, 1999. In general, the result of the self-reports from this study found that approximately 40% of participants had difficulties with their health status and ADLs while about 45% of the population did not access medical care. The majority of respondents stated that they had no difficulties with time distance and transport to access medical care. About two-thirds of the respondents felt that they had many or some difficulties with expenses and strategies for emergency to access medical care. Even though these findings need to be generalized, several recommendations for appropriate medical care delivery for the elderly still can be outlined from the study findings. Recommendations suggested are: To identify impediments to access medical care in emergency in elderly people and to remove those factors preventively are required. Responsible governmental involvement for solving problems of the medical care cost and additional costs in relation to separation of dispensary from medical practice for the elderly is required. More constructive and practical uses of public health community centers are recommended.

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Rural Elderly Women′s Health and Health Care Practices (농촌여성노인의 건강 및 의료서비스 이용실태 - 경기도 노인시범마을을 중심으로 -)

  • 노자경;한경혜;최은숙
    • Korean Journal of Rural Living Science
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    • v.5 no.2
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    • pp.171-184
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    • 1994
  • This study intends to provide basic informations on the rural elderly women's health status and health care practices which can be utilized for the welfare policies. Participants in this study are 133 elderly women over 60 who are lived in rural area. For the data analysis, Frequency, Correlation, Crosstabs, Oneway-Anova and LSD test are used. Physical health status is slightly lower than psychological health status and they are related to respondent's age, coresidence type, subjective economic status, subjective health status, participation in farming and health care type. Eighty-two percent of (he respondents perceived their health condition as poor and Neuralgia is the most frequent health problem. Women's health care practices are passive and somewhat restricted by age, educational status, coresidence type, necessary time to medical institution, and health status.

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Care workers' practices in oral healthcare for the elderly : mediating role of elderly oral healthcare education and behavioral needs (요양보호사의 노인 구강건강관리 실천도 연구 : 노인 구강건강관리 교육과 행위 필요도의 매개효과)

  • Sang-Eun Moon;Jin-Ju Yang;You-Jin Choi
    • Journal of Korean society of Dental Hygiene
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    • v.24 no.1
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    • pp.57-67
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    • 2024
  • Objectives: This study aimed to assess the impact of care workers' knowledge of elderly oral health, education on elderly oral healthcare and behavioral needs, awareness of elderly oral healthcare, and actual practices in elderly oral healthcare. Furthermore, it explores the mediating effects of elderly oral healthcare education and behavioral needs on the relationship between awareness and practice. Methods: Data were collected from October 11 to December 29, 2023, from 172 certified care workers employed in nursing hospitals and other workplaces. For analyzing the data, t-test, one-way ANOVA, Pearson's correlation, and hierarchical regression were conducted using SPSS Statistics 21.0. Results: Elderly oral health knowledge, education and behavioral needs, awareness, and practice were significantly higher among: those aged 51 years and older, female, primarily working in nursing hospitals, with a total career span of 10 years, higher job satisfaction, in organizations prioritizing elderly oral healthcare, and with superior education in elderly oral health. Elderly oral healthcare education and behavioral needs had partial mediating effects on the relationship between care workers' awareness and practice of elderly oral healthcare. Conclusions: The current practices and challenges in care workers' oral healthcare for the elderly will be analyzed, and recommendations and strategies for improving practices will be formulated.

A Health Management Service with Beacon-Based Identification for Preventive Elderly Care

  • Li, Jian-Wei;Chang, Yi-Chun;Xu, Min-Xiong;Huang, De-Yao
    • Journal of Information Processing Systems
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    • v.16 no.3
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    • pp.648-662
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    • 2020
  • Bluetooth low energy (BLE) beacon is an actively push-to-broadcast electronic signal and can be used for object identification. This paper uses such beacon-based identification and Internet of Things (IoT) technologies for the elder health management service system to simplify the user interfaces and steps for preventive elder care. In the proposed system, an elder's family member, caregiver, or medical worker can conveniently and quickly record daily health management information. Besides, through the statistics and analysis of the data on the back end of the system, it is helpful for the elderly to refer to the data of daily care management and future management trends. Similarly, it is also an essential reference data for system maintenance and the new preventive health care services development.