• Title/Summary/Keyword: Hospitalized elderly

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A Report of Elderly Gravida Suffered from Traffic Accidents during Pregnancy (임신 중 교통사고로 내원한 고령 임산부의 치료경과 보고)

  • Park, Eun-Ji;Yoo, Jeong-Eun
    • Journal of Haehwa Medicine
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    • v.25 no.1
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    • pp.165-171
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    • 2016
  • Objectives : The objective of this study is to report a treated case with elderly gravida who suffered from two-times of traffic accidents during pregnancy. Methods : The patient, 39-year-old, was hospitalized to care pain and symptoms caused by traffic accidents during pregnancy. The patient was treated with herbal medicine, acupuncture, moxibustion, cupping therapy and physical treatment during the admission period. We investigated the clinical management of Korean obstetrics and gynecology in an elderly gravida during pregnancy. Results & Conclusions : Despite of hard conditions such as elderly gravida and two-times of traffic accidents, pregnancy was well maintained through medical treatment. It is suggested that medical treatment of Korean medicine is effective to manage pregnancy of symptoms after accident.

Epidemiologic Analysis of the Trauma Patients Visiting an Urban Specialized-emergency Medical Center (수도권지역 일개 전문 응급의료센터로 내원한 외상환자의 연령군별 특성)

  • Cho, Gyu Chong;Mun, Lee Sang;Kang, Hui Dong;Sohn, You Dong;Oh, Bum Jin;Kim, Won;Lim, Kyoung Soo
    • Journal of Trauma and Injury
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    • v.18 no.2
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    • pp.94-100
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    • 2005
  • Background: Although trauma has been the major cause of death in korea, there are few reports describing the epidemiologic characteristics of trauma victims according to age-group. Thus, this study aimed to describe the epidemiologic characteristics of trauma victims visiting an urban emergency medical center in Korea. Method: This study was conducted with all trauma victims who visited the emergency departments of Asan Medical Center from April 11, 2005 to May 10, 2005. After the subjects were divided into three groups such as child (${\leq}14$ years old), adult(15-64 years old) and elderly(${\geq}65$ years old), the prehospital courses, injury mechanisms, injury severities and clinical results were compared. Result: Among total 5,927 patients who visited the emergency medical center, 896(15.1%) patients were trauma victims. Although child under the age of 15 comprised 28.7% of the total trauma victims, less severe injuries(injury severity score < 9) accounted for 97.7% of the cases. The hospitalization rate for injury among child was 21.5%. however, although elderly aged 65 comprised only 5.9% of the total trauma victims, more severe injuries(injury severity score ${\geq}9$) accounted for 30.2% of the cases. The hospitalization rate for injury among elderly was 56.4%. Conclusion: Patterns of injury and clinical results by age-group were considerably different. less severe and non-hospitalized injuries were more common in child than other age-groups. while severe and hospitalized injuries were common in elderly.

A Study on the Nutrient Intakes of Hospitalized Elderly Dementia Patients Receiving a Regular Diet

  • Lee, Jin;Na, Mi-Hee;Kim, Woo-Kyoung
    • Food Quality and Culture
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    • v.1 no.1
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    • pp.46-57
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    • 2007
  • The purpose of the present study was to examine the nutrient intake status of elderly dementia patients. We surveyed the dietary intake of 50 demented elderly patients receiving a regular diet, who were hospitalized in a geriatric hospital in Yongin, Gyeonggi-do. The average age of the subjects was $79.6{\pm}6.5$ for the males and $80.5{\pm}6.3$ for the females. The average heights were $169.5{\pm}6.0\;cm$ (males) and $154.6{\pm}5.2\;cm$ (females), and the average weights were $58.5{\pm}7.4$ (males) and $51.7{\pm}8.9\;kg$ (females). Depending on the type of dementia, the male patients showed significant differences in their intakes of vegetable protein, fiber, total iron, and non-heme iron between the Alzheimer's disease (AD) and the vascular dementia (VD) groups, and the female patients showed significant differences in their intakes of total protein, phosphorus, zinc, and vitamin $B_6$ between the two groups. The male patients showed significant differences in their intakes of animal-source calcium and carotene according to ability to self-feed. According to physical activity, the male patients showed significant differences in vegetable fat and vitamin A intake, and the females showed significant differences in their intakes of total protein, animal protein, fiber, ash, total calcium, vegetable-source calcium, animal-source calcium, phosphorous, total iron, non-heme iron, heme iron, sodium, vitamins $B_1$, $B_2$, $B_6$, niacin, vitamin C, folate, and potassium. We found that the patients consumed excessive protein, but low amounts of calcium, vitamin $B_2$, and folate. Also, the patients' physical activity abilities appeared to affect their nutrient intakes.

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The Influence of Physical Therapy on the Changes in Clinical Dementia Rating Scale in Long-stay Elderly Patients

  • Kim, Ji Sung
    • Journal of International Academy of Physical Therapy Research
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    • v.5 no.1
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    • pp.696-700
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    • 2014
  • This study was carried out to identify the influence of continuous physical therapy on long-stay elderly patients. This study classified 92 patients who had been hospitalized for one year into experimental group who continued to perform physical therapy and control group who did not conduct physical therapy and these two groups were classified into 0.5 point-questionable group, 1 point-mild dementia group, and 2 point-moderate dementia group based on the Clinical Dementia Rating Scale(CDR) when they were hospitalized in order to analyze the changes at the early stage of hospitalization and after one year has passed. As a result, it was appeared that both in CDR 0.5-point subgroup of questionable group and in CDR 1-point subgroup of mild dementia group, CDR was statistically significantly reduced in the experimental group whose physical therapy was continuously performed than in the control group whose physical therapy was not performed(p<.05) and that there was no significant difference in changes in the CDR between experimental group and control group in CDR 2-point group, which is a moderate dementia group.

Correlations between SPPB, FRT, and TUG in Hospitalized Frail People - The Timed Up and Go test, the Functional Reaching Test, and the Short physical performance battery - (노인요양병원 입원환자의 TUG, FRT와 SPPB와의 상관관계 연구)

  • Park, Rae-Joon;Son, Ho-Hee;Cho, Jeung-Sun;Oh, Hyen-Ju;Lee, Hyeon-Hee;Lee, Moon-Hwan;Kim, Seong-Gil
    • The Journal of Korean Physical Therapy
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    • v.23 no.2
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    • pp.17-21
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    • 2011
  • Purpose: The purpose of this study was to determine the correlations, if any, between SPPB (Short physical performance battery), FRT (Functional reach test), and TUG (Timed up and go test) in hospitalized frail people. Methods: Seventy frail elderly patients (male/female: 16/54) participated in this study. All subjects could walk with or without an assisting device and they had no mental problems. Subjects were scored on physical functioning using the SPPB, FRT, and TUG. The data were analyzed using Pearson Correlation Coefficients. Results: There was a statistically significant difference between (a) SPPB and (b) FRT (p<0.01) and TUG (p<0.01). SPPB and FRT scores showed a positive correlation (r = 0.38) and SPPB and TUG scores showed a negative correlation (r = -0.56). Conclusion: SPPB, FRT, TUG scores are correlated with each other. From these results, we conclude that the SPPB is a useful method for predicting walking, balance, and physical function in frail elderly people.

The Effects of Resilience and Family Support on the Hopelessness of Elderly Inpatients in General Hospitals (종합병원 입원노인의 회복력과 가족지지가 무망감에 미치는 영향)

  • Cho, Jeong Eui;Ha, Yeong Mi
    • Journal of Korean Academic Society of Home Health Care Nursing
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    • v.23 no.2
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    • pp.129-138
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    • 2016
  • Purpose: The purpose of this study was to examine the relationships between resilience, family support, and hopelessness, as well as to identify the effects of resilience and family support on the hopelessness of elderly inpatients in general hospitals. Methods: A total of 177 elderly persons were recruited from three general hospitals. Data were analyzed using descriptive statistics, t-tests, ANOVA, Pearson;s correlation coefficient, and multiple regression analysis. Results: The score on the hopelessness of hospitalized elderly persons was $2.88{\pm}0.88$ (range: 1-5). Multiple regression analysis results showed that participants; hopelessness was significantly influenced by resilience and family support, explaining 35.4% of the total variance. Conclusion: Based on the findings of this study, there is a need for the development of a resilience and family support program, aimed at reducing hopelessness among elderly persons, in order to promote their mental health.

The Influence of Attitude, Experience and Empathy on the Nursing Care of the Elderly Who Have No Caregiver (돌봄 제공자가 없는 노인에 대한 태도, 경험, 공감이 간호실천에 미치는 영향)

  • Seo, Nam-Sook;Moon, Ji-Seon;Hong, So-Hyoung;Park, Yang-Hee
    • The Korean Journal of Health Service Management
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    • v.10 no.2
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    • pp.179-191
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    • 2016
  • Objectives : The purpose of this study was to identify the factors influencing nursing care behavior for hospitalized elderly patients who have no family caregiver. Methods : Participants were 170 nurses working in general hospitals in G city. Data were collected from November to December, 2015 and analyzed by exploratory factor analysis, t-test, ANOVA, Pearson's correlation coefficient, and multiple regression with the SPSS/WIN 20.0 program. Results : There were significant correlations among experience, empathy, and nursing care behavior. Experience and empathy were significant factors influencing nursing care behavior and explained 29.4% of the variance in the score; in particular, empathy had a positive effect on nursing care behavior. Conclusions : The results show that theempathy of nurses' is the most important factor in caring for elderly patients who have no family caregiver. Nurse education programs should be developed that increase the empathy of nurses to improve the quality of nursing care for the elderly.

The Effects of Visual Information on Anxiety and Uncertainty in Elderly Patients after the Total Knee Arthroplasty (시각적 정보제공이 슬관절 전치환술 노인 환자의 수술 후 불안과 불확실성에 미치는 효과)

  • Ryu, Kyung;Cho, Sook-Hee
    • Journal of muscle and joint health
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    • v.22 no.1
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    • pp.48-56
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    • 2015
  • Purpose: The purpose of this study was to verify the effects of visual information on nursing management to elderly total knee arthroplasty (TKA) patients. Methods: A quasi-experimental study with a non-equivalent control group pretest-posttest design was used in this study. Participants of this study were 60 elderly patients with TKA admitted to one hospital: the control group (30) between July and September, 2013, and the experimental group (30) between April and July, 2013. Anxiety and uncertainty were determined at baseline and at 3 days after TKA in both groups. Results: Two days after the visual information, the experimental group showed a significant decrease in anxiety and uncertainty compared with the control group. Conclusion: The results of this study show that providing visual information was effective in decreasing postoperative patient anxiety and uncertainty in elderly TKA patients. Therefore, when an elderly patient is hospitalized for TKA, positive and systematic provision of visual information may provide a positive effect by reducing postoperative patient anxiety and uncertainty.

Feeding and Nutritional Status of Elderly Patients receiving Enteral Tube Feeding (경관급식 노인 환자의 영양공급실태와 영양상태 평가)

  • Yoon, Hwa-Young;Kim, Hye-Kyeong
    • The Korean Journal of Food And Nutrition
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    • v.31 no.1
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    • pp.52-61
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    • 2018
  • The purpose of this study is to examine the feeding and nutritional status of enteral tube-fed elderly patients. Subjects included 77 elderly hospitalized patients who had received enteral nutrition more than one week before admission. Medical records on admission and actual feeding volume were used to assess anthropometric, biochemical, and nutritional status. Most patients manifested disorders of the nervous system (93.5%) and the average duration of tube feeding was 13.9 months. The average feeding volume of formula was 1,107 mL per day and the mean ratios of calorie and protein (supplied vs. required) were 81.7% and 80.9%, respectively. At admission, 57.4% of the patients were malnourished according to the institutional criteria. Patients receiving less than 80% of the required calories were in worse nutritional status compared with those receiving more than 80% of the required calories. Body mass index, percent ideal body weight, serum albumin level and blood lipid levels (total cholesterol, HDL-cholesterol, triglyceride) were significantly lower in patients receiving less than 80% of the required calories. These results indicate the high prevalence of malnutrition and the need for increased attention and nutritional care of elderly patients undergoing long-term enteral nutrition.

The Effect of Inpatient Elderly Patients' with Chronic Diseases on Fall Experience (입원 노인환자의 만성질환 보유가 낙상경험에 미치는 영향)

  • Park, Ju Hyee;Suh, Won Sik
    • Korea Journal of Hospital Management
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    • v.26 no.4
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    • pp.29-37
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    • 2021
  • Purpose: The purpose of this study is to identify the characteristics and factors affecting falls among elderly inpatients with chronic diseases based on the data from the discharge damage depth survey of the Korea Disease Control and Prevention Agency(KDCA) from 2014 to 2018. Method: The study selected elderly inpatients aged over 65 who were hospitalized(n=1,173). Their data were analyzed after being assigned to either a fall group(KSCD, W00-W19) or a non-fall group. Frequency analysis, cross-tabulation analysis, and binary logistic regression analysis were conducted, using SPSS 28. Results: According to the analysis on category of fall and non-fall group were statistically significant difference in age and having chronic diseases. Based on the binary logistic regression analysis of factors affecting falls, The risk of falls was 1.058 times higher with age, and E11-E14 and I63 as main diagnostic codes, the risk of falls was 2.049 times and 2.437 times higher. Conclusion: It is necessary to develop customized educational manuals and muscle exercise programs considering the characteristics of chronic diseases and to create a safe hospital room environment, and this result is expected to be used as basic data for fall prevention education and manual development for elderly inpatients with chronic diseases.