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

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The Effect of Application Parameter of Pulsed Direct Current on Wound Healing of Patients with Pressure Ulcer

  • Kim, Ga Yeong;Lee, Sang Bin;Moon, Ok Kon;Kim, Ji Sung;Choi, Jung Hyun;Wang, Jung San;Park, Joo Hyun;Kim, Hong Rae;Lee, Ju Hwan;Min, Kyung Ok
    • Journal of International Academy of Physical Therapy Research
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    • v.5 no.2
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    • pp.752-756
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    • 2014
  • This study investigated the effects of changes to the pulsation factor of pulsed direct currents on wound healing. Patients with a pressure ulcer at a care hospital for the elderly were randomly divided into three groups: Group 1 involved the application of $100{\mu}s$ in pulse duration, 10 ms in pulse period, 100 pps in a pulsation factor, 15 mA in pulse amplitude, and polarity red+ by using pulsed direct currents; Group 2 involved a change of pulse period to 8 ms; and Group 3 received general wound management. Although there were no statistically significant differences in the changing stages of pressure ulcers among the groups, all the groups dropped in numerical stages. In the two groups to which pulsed direct currents were applied, there was a statistically significant reduction in the stages of pressure ulcers from the initial assessment to the 12-week assessment (p<.05). Even though there were no statistically significant differences in changes to the area of pressure ulcers among the groups, a statistically significant decrease was found in pulsed direct current group 2 whose pulse period was shortened (p<.05). There was no difference in the healing rate of pressure ulcers among the groups, but it made a numerical increase in pulsed direct current group 1 and group 2 and a numerical decrease in group 3. There were no significant differences in the characteristics of those who had a full recovery among the groups. Those findings indicate that pulsed direct currents have positive effects on the wound healing of patients with a pressure ulcer and that a treatment with pulsed direct currents whose pulsation factor is raised by reducing the pulse duration is especially effective.

Active Senior Contents Trend Analysis using LDA Topic Modeling (LDA 토픽 모델링을 이용한 액티브 시니어 콘텐츠 트렌드 분석)

  • Lee, Dongwoo;Kim, Yoosin;Shin, Eunjung
    • Journal of Internet Computing and Services
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    • v.22 no.5
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    • pp.35-45
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    • 2021
  • The purpose of this study is to understand the characteristics and trends of active senior. As the baby boom generation become the age of the elderly, they are more active than senior. These seniors are called active seniors, a new consumer group. Many countries and companies are also interested in providing relevant policies and services, but there is lack of researches on active senior trends. This study collects the 8,740 posts related to active seniors on social media from January 1st, 2018 to June 31st, 2021, and conducted keyword frequency analysis, TF-IDF analysis and LDA topic modeling. Through LDA topic modeling, topics are classified into 10 categories: lifestyle, benefits, shopping, government business, government education, health, society and economy, care industry, silver housing, leisure. The results of this study can be utilized as fundamental data to help understand the academic and industrial aspects of active senior.

The Effects of Bilateral Chewing Exercise on Occlusion Force and Masseter Muscle Thickness in Community-Dwelling Elderly (양측저작 운동이 지역사회 거주 노인의 교합력과 깨물근에 미치는 효과)

  • Hong, Jun-Yong;Jung, Young-Jin;Kim, Min-Ji;Hwang, Se-Hyun;Park, Ji-Su;Lee, Gi-Hyoun;Kim, Tae-Hoon;Jung, Nam-Hae;Yoon, Tae-Hyung
    • The Journal of Korean society of community based occupational therapy
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    • v.10 no.1
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    • pp.31-38
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    • 2020
  • Objective : The purpose of this study is to investigate the effects of bilateral chewing exercise applied for 6 weeks on occlusion force and masseter muscle thickness in the elderly living in the community. Methods : This study recruited 25 community residents. All participants performed bilateral chewing exercise using equipment developed for the purpose of oral chewing exercise. The chewing exercise was divided into isometric and isotonic type and applied for about 20 minutes a day, five times a week for six weeks. For the evaluation, the masseter muscle thickness and the maximum occlusion force were measured three times at three week intervals using a portable ultrasound instrument and an occlusion force gauge. Results : As a result of the change in masseter muscle thickness, baseline, 3 weeks later, and 6 weeks later referred to 7.51±0.43, 7.63±0.44, and 7.83±0.46, respectively (F=3.819, p<.05). The post hoc test resulted in a significance between baseline and 6 weeks later (p=0.023). Similarly, as a result of the change in occlusion force, baseline, 3 weeks later, and 6 weeks later referred to 265±9.22, 268±9.57, and 271.59±10.16, respectively (F=3.031, p<.05). The post hoc test resulted in a significance between baseline and 6 weeks later (p=0.048). Conclusion : This study confirmed that bilateral chewing exercise was effective for increasing masseter muscle thickness and occlusion force in the elderly. Therefore, bilateral chewing exercise can be applied as a therapeutic exercise method for improving oral function.

Validity and Reliability of Korean version of Professional Quality of Life Scale-Short Form(ProQOL-K-SF) for Staff of Long-term Care Insurance for Elderly (한국어판 전문직 삶의 질 측정도구-간편형(ProQOL-K-SF)의 타당도와 신뢰도: 장기요양요원을 중심으로)

  • Choi, Hyoung-Shim
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.19 no.11
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    • pp.672-681
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    • 2018
  • This study was conducted to test the validity and reliability of the Korean version of the Professional Quality of Life Scale-Short Form (ProQOL-K-SF). Survey data were collected from 191 staff involved in long-term care insurance who worked for National Health Insurance Services. Construct validity using exploratory factor analysis and the internal consistency reliability were determined using SPSS/WIN (21.0). Factor analysis of the ProQOL-K-SF demonstrated that it has a two-factor structure (compassion satisfaction and compassion fatigues) and 13 items that support construct validity. Factor loadings of the compassion satisfaction ranged from 0.70-0.86, factor loading of the compassion fatigues ranged from 0.71-0.82 and the total variance was 60%. The ProQOL-K showed interanal consistency based on Cronbach's ${\alpha}$, with a total scale and two sub scale values of 0.76-0.90. Compassion fatigue and compassion satisfaction of 30 items of the ProQOL-K were positively correlated with those of 13 items of the ProQOL-K-SF. The results support that the ProQOL-K has satisfactory construct validity and is a reliable measure of professional quality of life in Korea.

Study on Clinical Dental Hygiene in Korea Based on Analysis of Clinical Dental Hygiene Curriculum of Fones School in the United States (미국 폰즈스쿨의 임상치위생학 교육과정 분석을 통한 국내 임상치위생학 교육과정에 관한 고찰)

  • Choi, Yong-Keum;Lim, Keun-Ok;Han, Yang-Keum;Bae, Soo-Myoung;Shin, Bo-Mi;Ahn, Se-Youn;Jeon, Hyun-Sun;Kim, Jin;Jang, Sun-Ok;Kim, Hye-Jin;Park, Ji-Eun;Lim, Hee Jung;Jang, Yun-Jung;Jung, Jin-Ah;Lee, Hyo-Jin
    • Journal of dental hygiene science
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    • v.17 no.2
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    • pp.123-133
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    • 2017
  • The aim of this study was to analyze in depth the standardized Clinical dental hygiene curriculum of the Fones School in the United States. We investigated the clinical dental hygiene curriculum in 2015~2016 including title, credit, hours, contents, goals, competencies, and evaluation. We obtained the course syllabus and data related to each subject, for each grade, from the professors and students at the university. The goals and competencies, of the clinical dental hygiene program, which were based on the goals of the Fones School and the mission of the University of Bridgeport, were developed in accordance with the dental hygienist practice standards proposed by the American Dental Hygienists Association. The curriculum consisted of theory to teach proper dental hygiene care procedures and incorporated practical exercises that modeled an actual clinical setting. The students had to document the procedures performed for each client/patient and improve their clinical competency through discussion with the professors. Dental hygiene care should be provided for children, adolescents, adults, elderly, and patients, which includes patients with moderate or severe periodontal status. Students were evaluated by a paper test or case study presentation and their clinical evaluation was based on their clinical competency. In particular, professors evaluated students on a rotational basis, so they could evaluate the level of achievement of clinical competency of all students and find ways to improve any weaknesses. Therefore, the current study suggested that clinical dental hygiene program in Korea could be improved if based on the curriculum of Fones School in the United States.

The Experiences of the Newly Admitted Elderly Residents in Nursing Home (노인요양시설 거주노인의 입소초기 경험)

  • Goh, Jinkyung;Hwang, Inok;Oh, Heeyoung
    • 한국노년학
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    • v.29 no.2
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    • pp.477-488
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    • 2009
  • Purpose: This study was conducted to investigate newly admitted nursing home resident's experience and adjustment problems in the early stage of institutionalization. Method: In depth interviews was done on 6 elderly residents who were newly admitted. Data from the interview were analyzed using theme analysis method. Results: Results showed that reasons for Institution admission were decreasing physical health and cognitive functioning. Residents reported that difficulties they experienced in institution life were lack of individualized care, loss of autonomy and privacy associated with the demands of group living, and loss of control over activities of daily living. Conclusion: Efforts need to be made to maintain the residents' decision-making and autonomy. Listening intentionally, offering choices, and promoting personal identity might be utilized to reduce relocation stress and enhance adaptation to nursing home living.

Consumption Values on the Intention to Re-use on Geriatric Hospitals (노인요양병원 재이용 의사에 영향을 미치는 소비가치 요인)

  • Kwon, Jin
    • The Journal of the Korea Contents Association
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    • v.13 no.12
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    • pp.921-930
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    • 2013
  • Objective: After introduction of the Elderly Long Term Care Insurance, number of geriatric hospitals increased greatly. However, few studies were conducted on the satisfaction of the patients of the geriatric hospitals especially on the intention to reuse geriatric hospitals. Methods: The current study modified Sheth's consumption value model, useful for the development of an effective marketing strategy for geriatric hospitals, and tested it in Korean circumstances. The survey was conducted at two municipal hospitals and three private hospitals in Seoul and Gyeonggi Province between August 1 and September 30 of 2012. Data were collected from 472 inpatients who are 60 years or older. The structured research tool was developed and distributed. Factor analysis and hierarchical logistic regression analysis were conducted using SPSS(version 14.0) Results: The result of the research suggested that the satisfaction on rehabilitation services, which is a functional value, among the consumption values was the strongest factor on the intention to reuse geriatric hospitals. Impression of high-end luxury, reliability of care, and outside locus of control on health followed. Conclusion: It is recommended that geriatric hospitals ought to improve rehabilitation programs, facilities, and equipments and enhance kindness of staff to encourage intention to reuse geriatric hospitals.

Research on the Actual Condition of Working Conditions in the Small and Medium Clinics (중소 병.의원 근무환경 실태조사)

  • Cheol, Kweon-Dae;Mi, Jang-Myeong;Hei, Jang-Yun;Mo, Chung-Kyung;Sin, Kwak-Choong
    • Journal of radiological science and technology
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    • v.28 no.1
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    • pp.55-65
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    • 2005
  • Research of actual condition of working conditions in the small and clinics, in the Seoul metropolitan city and Kyeonggido province. With the health care environmental change such as a rapid increase of the elderly people, rapid increase of health promotion needs, it is necessary to analyse and identity of the actual condition of working conditions for present and new radiological technologist. Research of general characteristics for the present radiological technologist. To research of the status employment, business scope, pay, working conditions, radiation safety management, equipment, and category association. Defining the problems of related working conditions, radiation safety management for the comprehensive methods to promote the rights the radiological technologist. A proposal for establishment legislature and system of the actual condition in the hospital for radiological technologist. Estimation for the demand and supply numbers of present radiological technologist and improvement of employment relations. Improved and refined scope business and duty regulation related to radiological technologist. Application for the establishment and development of promotion rights to utilize as basic data in a legislative and system frame of reference to implement the radiological technologist.

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A Study on the Design Plan of UX for the Smart Healthcare for the Aged Society - Focused on IOT Technology (고령사회 스마트 헬스케어를 위한 UX 디자인방안 - 사물인터넷 기술을 중심으로)

  • Kim, Seung-Min
    • The Journal of the Korea Contents Association
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    • v.18 no.11
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    • pp.462-474
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    • 2018
  • The development of bio-sensing technology made it easy to collect various biometric information that was only available in large medical devices. The miniaturization of sensors makes it simple to carry out various health checkups that It did in person to the hospital by improving the portability of diagnostic devices. It is able to combine sensors into portable devices such as Smartphones, apply advanced Internet of Things (IOT) technology, and create new form factors for medical devices such as ultra-small modules that can be inserted or attached to their bodies. The results can be checked immediately through portable information devices such as smart phones. Although commercialization is still slow in Korea, new technologies are being applied in various ways in countries such as the United States that have granted remote medical services. Medical demand, supply and cost in South Korea are growing ahead of a super-aged society. Under these circumstances, attention is focusing on whether smart healthcare, a new concept, can complement the existing medical system. This study identifies the technology trends associated with smart health care and categorizes various healthcare products in the UX design aspects. In addition, the UX design approach and guidelines for applying smart healthcare technologies to the elderly, the intended users, are presented. This research will provide a reference to a new social issue, the UX-design approach to solving the problems of the aged society.

An Analysis of Infrastructure and Provision of Forest Welfare Service in Nursing Homes for the Elderly (노인요양시설의 산림복지서비스 인프라 및 제공 실태)

  • Lee, Insook;Kim, Sungjae;Bang, Kyung-Sook;Yi, Yunjeong;Kim, Miju;Moon, Hyojeong;Yeon, Poung Sik;Ha, Ei-Yan;Chin, Young Ran
    • The Journal of the Korean Institute of Forest Recreation
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    • v.22 no.4
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    • pp.59-69
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    • 2018
  • This is a cross-sectional study that suggests ways to activate forest welfare services (FWS) by investigating the infrastructure, service status, and perception on FWS in Korea. In August 2016, a structured email survey was conducted in nation widely. The respondents were mostly directors and general secretary (75.0%). The considerable number (16.3%) of nursing homes (NH) use some floors of the complex buildings that would be difficult to have FWS infrastructure and about 30% of those without forests near the facilities. The directors of NH recognize that FWS has positive effects on the elderly. However, FWS is not an requisite of the longterm care insurance benefit, and so costly and effort-intensive that FWS has not been activated so far. In order to activate FWS in NHs, it is necessary to develop and disseminate the guidelines on FWS that anyone can easily followed. In addition, when the National Health Insurance Corporation evaluates NHs, they should evaluate not only whether there is a wandering or walking space, but also whether it has forest healing factors such as forests. It is also necessary to create a barrier-free environment both inside and outside of NHs, increasing accessibility to the toilet in gardens, paving a passage for wheelchairs and lifts in forests near NHs. Through these efforts, it is expected that FWS will be activated to provide physical, mental rest and comfort, appropriate cognitive stimulation to the NH residents at the end of life.