• Korean Journal of Adult Nursing
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• v.16 no.3
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• pp.470-479
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• 2004

Purpose: The purpose of this study was to identify an influence of self-esteem and familysupport on powerlessness of hospitalized elderly patients with chronic disease. Method: The subjects were 151 hospitalized elderly patients, age over 60, with chronic disease and admitted for at least 1 week. The data were collected by individual interview using a structured questionnaire during the period from July 10th to August l0th, 2003 from three general hospitals in Busan. The data were analyzed by descriptive statistics, t-test, ANOVA, Pearson's correlation, hierarchical multiple regression. Result: The level of self-esteem, family support, and powerlessness was 38.00, 38.26, and 38.38, respectively. There was a significant positive correlation between self-esteem and family support and a negative correlation between self-esteem and powerlessness and between family support and powerlessness. Self-esteem and family support were each significant predictor of powerlessness. Conclusion: This study showed the hospitalized elderly patients need greater family-support and higher self-esteem to relieve the level of powerlessness. I suggest to study for replication in a larger sample size and considering the lengths of hospitalization for generalization of this study and to develop individual intervention programs for increasing family support and self esteem and testify their effects on the relief of powerlessness of the elderly.

• Journal of Korean Academy of Fundamentals of Nursing
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• v.3 no.2
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• pp.247-258
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• 1996

This study explored the variables to influence the stress of the family caregivers providing care for the hospitalized elderly The subjects for this study were 104 family caregivers selected from the caregivers in the in patient departments of two major medical centers in Jeonju city. Data were collected from December 18th to 27th, 1995 using a Liker Scale Questionaire and interview. Data analyses included percentage, mean, standard deviation, t and F-test. Results were following : 1. The mean of this sample is 21.48, and the standard deviation is ${\pm}5.64$ in the perceived stress. The major variables to influence on the stress of caregivere for the hospitalized elderly were the stay (16-24hrs/day) in hospital(F=7.99, p=0.006), no other helpers(t=-2.56, P=.012), percieving severely on illness(F=3.90, P=.0232) perceiving moderately on physical health status(F=6.20, P=.0029). 2. Regarding the perceived social support of the family caregivers, the higher support the group perceived the lower stress(F=3.54, P=.0326).

• Journal of Korean Academy of Fundamentals of Nursing
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• v.14 no.1
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• pp.83-91
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• 2007

Purpose: This study was done to examine the differences in the fluid volume deficit according to levels of depression and BMI. The results of this study will provide fundamental information for developing nursing interventions for hydration management. Method: The participants were 51 hospitalized elderly people in K province. Data were collected from September 4 to 30, in 2006. A structured questionnaire was used for the data collection. Frequencies, Percentages, Means, Standard Deviation, t-test, Mann-Whitney U test, and Kruskal-Wallis test were used with the SPSS Program to analyze the data. Results: There were significant differences in the fluid volume deficit between elders in the depressed and normal groups. Participants who had a BMI of less than $21kg/m^2$ had the highest fluid volume deficit. Conclusion: Water is an essential part of the human body although it is least studied in elderly people. Health care providers need to increase awareness of the importance of hydration status among hospitalized elderly people with chronic illnesses.

• Journal of Korean Biological Nursing Science
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• v.16 no.3
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• pp.244-250
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• 2014

Purpose: The purpose of this study was to investigate medication and related factors including: gender, age, duration of hospitalization, MMSE, and ADL in elderly who were hospitalized in long-term care facilities. Methods: A total of 282 elderly people who were hospitalized for more than a month were asked to fill in a structured questionnaire which was used to collect data regarding their gender, age, duration of hospitalization, MMSE, ADL, and medication. Results: The average number of drugs per patient was 7.50. Subjects taking 6-7 medications were the highest ranking (23.7%). According to multiple regression analysis, the most significant factor relating to the number of drugs prescribed for each subject were the ages of the subjects (p=.007). Conclusion: We found that the number of prescribed drugs taken by those who were hospitalized were related to age. A tailored strategy is needed to decrease the number of drugs according to age and to control the medicines prescribed to the elderly who are hospitalized in long-term care facilities.

• Journal of the Korean Home Economics Association
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• v.40 no.5
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• pp.1-14
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• 2002

This study was administrated to find the effects of dietary habits and nutrient intakes on the development of cardiovascular disease in the elderly aged over 60. The 40 healthy elderlies(18 males, 22 females) and 40 hospitalized elderlies with the cardiovascular disease(23 males, 17 females) were subjected for the study. Body weight, height, BMI and blood pressure were measured. Also, health behaviors such as exercise, smoking, drinking and dietary habits, frequency of intake lipid food in the past, nutrient intake at the present were assessed by interviews and questionnaire. The results of this study are as follows. 1. Body weight and the BMI were higher in hospitalized male elderlies significantly than those of healthy male elderlies(p<0.05). But the blood pressure wasn't different between two groups. 2. The ratio of male subjects who do regular exercise was significantly higher in healthy group(p<0.01). And significant difference in the extent of stress was found between two female groups(p<0.05). 3. The amount of meal and salty taste showed significant difference between two female groups(p<0.01) but the other dietary habits such as meat preference were not different between healthy and hospitalized elderlies. 4. Compared with healthy male elderlies, hospitalized male elderlies showed significantly higher frequency of intake of fish in the past(p<0.05) and frequency of intake of lipid food such as pork and chicken was also higher in the hospitalized male elderlies, but no significant difference in nutrient intake at the present was found between healthy and hospitalized elderlies. 5. Nutrient intake of elderlies showed in the average daily intake of energy, Ca, vitamin $B_2$were lower than Korean recommended dietary allowances(CRDA). For female subjects, the cholesterol intake was positively correlated with body weight, meats and eggs intake showed positive correlation with body weight and the BMI(p<0.01).

• Korean Journal of Adult Nursing
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• v.22 no.6
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• pp.676-686
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• 2010

Purpose: This study has aimed to examine the relationship among self-esteem, Activities of Daily Living (ADL) and depression reported by hospitalized elderly patients with chronic diseases. Methods: A descriptive correlation study by means of a self-report questionnaire or face-to-face interview was used to collect data from 119 elderly patients who were hospitalized in a General Hospital from January 5 to February 25, 2010. Their levels of depression was measured using Short-Form Geriatric Depression Scale, self esteem using Jeon's, and activities of daily living using K-ADL. Results: 80.7% of the subjects experienced depression. Depression correlates with self-esteem (r=-.67) and ADL (r=.45). The influencing factors on depression were self-esteem, ADL, subjective health status, and family support satisfaction ($R^2=.57$), while self esteem in itself explained 45% of variance in depression. Conclusion: These findings indicate the importance of early detection of depression, which starts from the admission of patients and the continuing evaluation/management in daily life after discharge to ensure their well-being and quality of life. The development of program empowering self esteem, ADL and subjective health status with adequate family support during hospitalization and in daily life is indispensible.

• Korea Journal of Hospital Management
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• v.12 no.2
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• pp.25-42
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• 2007

To identify characteristics of elderly inpatients who had long term hospitalization in a general hospital, this study categorized into two groups who were hospitalized for less than 30 days and a group hospitalized for more than 30 days. To compare the groups the independent variables were the sociodemographical characteristics, the medical care utility characteristics, and the disease characteristics and finally analyzed factors affecting the hospitalization period. The data of 18,727 inpatients who were older than 65 years of age by the year 2005 were used and the data were analyzed using SPSS for Windows 12.0. With the results, it is necessary to provide intensive and positive management to elderly inpatients who belong to the more than 30 days group and also necessary to share roles and functions of hospital by medical network with local hospitals and clinics in order to manage long-term elderly inpatients and offer continuous post-management to discharged patients by encouraging them to use a long-term care center or by implementing an early discharge program. This study should provide many studies on how to manage the period of hospitalization efficiently on long-stay elderly inpatients in the future.

• Korean Journal of Adult Nursing
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• v.13 no.4
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• pp.601-609
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• 2001

Purpose: The purpose of this study was to identify the degree of perceived powerlessness in hospitalized elderly patients of the medical and surgical unit. Method: The instrument for this study was the Powerlessness Behavioral Assessment Tool(Miller, 1983). The reliability of the instruments was .85. The data was analyzed by descriptive statistics, t-test, and ANOVA. Results: The results were as follows ; 1. The mean score of powerlessness was $35.02(SD={\pm}9.24)$ in a range of 19 to 64, and the mean of powerlessness was total 1.84. Among 4 subscales, the highest score was in the area of verbal response (M=1.98), and the lowest score for powerlessness was in the area of daily activities(M=1.74). In all items, 'verbal expression of fatalism' showed the highest score(M=2.78), and 'verbal expressions of giving up' showed the lowest score(M=1.38). 2. There were significant differences in the level of powerlessness according to hospitalization experience(t=-3.03, p=0.006), medical treatment experience(t=.291, p=.004). Especially, there was significant difference according to the hospitalization experience of the hospital in all sub- scales. Conclusion: Based on these conclusions, nursing education for patient's diseases and treatment can be used for proper nursing intervention in reducing the level of powerlessness of hospitalized elderly.

• Journal of Korean Clinical Nursing Research
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• v.15 no.3
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• pp.75-84
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• 2009

Purpose: The aim of this study was to examine the effects of a music-based group reminiscence program on interpersonal relationships, self-esteem and depression in elderly people who are hospitalized. Methods: A quasi-experimental research was implemented, and a nonequivalent control group pre-posttest design was used. The participants were 52 elders who met the selection criteria and were assigned to the experimental group (26) and the control group (26). Both groups took the pre and posttest at the same time, and both groups received regular hospital care with the experimental group participating in the program for 12 sessions over six weeks. The instruments used in the study were, for interpersonal relationships, the Interpersonal Change Scale by Schlein and Guerney (1971), for self-esteem, the Self-Esteem Scale by Rosenberg (1965) and for depression, the Depression Inventory by Zung (1965). The collected data were analyzed with the SPSS 15.0 program. Results: Compared to the control group, the experimental group had significantly better interpersonal relationships and significantly higher self-esteem and less depression. Conclusion: The findings of the study suggest that a music-based group reminiscence program is effective in improving the interpersonal relationships, self-esteem and depression of hospitalized elders.

• Journal of International Academy of Physical Therapy Research
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• v.4 no.2
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• pp.545-551
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• 2013

The purpose of this study is to determine the correlations between problematic behaviors and activities of daily living(ADL) targeting 106 demented elderly people hospitalized in a geriatric hospital. To examine the cognitive function of the subjects, the study used Korean Mini Mental State Examination(K-MMSE). For problematic behaviors and ADL, the study collected data based on Patient Assessment Forms in the geriatric hospital. Among problematic behaviors, apathy/indifference had the highest correlation with the items of ADL. Irritability/lability, agitation/aggression, depression/ dysphoria, night-time behavior and wandering also showed to be correlated to items of ADL(p<.05). This study demonstrated that cognitive function, problematic behaviors and ADL of the demented elderly hospitalized in the geriatric hospital are correlated to each other.