• Title/Summary/Keyword: Institution elderly

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The Effects of Multidimensional Program on Cognition, Physical Function and Depression for Institutionalized Elderly (다차원적 프로그램이 시설노인의 인지, 신체기능 및 우울에 미치는 영향)

  • So, Hee-Young;Whang, In-Ok
    • The Korean Journal of Rehabilitation Nursing
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    • v.9 no.1
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    • pp.72-80
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    • 2006
  • Purpose: This study was conducted to examine the effect of multidimensional program on cognition, physical function and depression among institutionalized elderly and the relationship between study variables and resident's characteristics and health related variables. Method: This study involved a one group pre and post test, comparison of variables over a 12 month period. To investigate this research question, data of 114 residents of a nursing home were analyzed. Results: There was statistically significant difference in MMSE-K (t=-2.63, p=.010), ADL (t=-2.85, p=.005), and depression (t=4.66, p=.000) before and after program participation. Conclusion: These results indicate that, for a year their regular involvement in a broad spectrum of multidimensional program activities can improve in cognitive, physical and emotional perspectives, but the level of IADL decreased significantly (t=-6.72, p=.000). Further testing is required with the control group, to compare with community resident elders in order to explore the effects on social skill of elderly.

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Incidence and Predictors of Falls in Institutionalized Elderly (요양시설 노인의 낙상 실태와 영향 요인)

  • Park, Ae-Ja;Lim, Nan-Young;Kim, Yoon-Shin;Lee, Yoon-Kyoung;Song, Jung-Hee
    • Journal of muscle and joint health
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    • v.18 no.1
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    • pp.50-62
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    • 2011
  • Purpose: The purpose of this study was to determine the incidence and influencing factors of falls in the institutionalized elderly. Method: A descriptive survey design was used with a convenience sampling of 430 institutionalized elderly. Data were collected using a structured questionnaire. Results: The falls rate after admission in institution was 8.4%. Types of injury after falls were mostly contusion and fracture. Interventions for fall prevention were environmental management and regular evaluation of risk factors for falls. Fall experience was significantly different according to admission periods. Type of falls was significantly different according to state of ADL. Predictors for falls were longer admission periods and dependent state in ADL. Conclusion: Falls is important health related problem in the institutionalized elderly, so effective fall prevention program is needed for their health promotion.

The Effects of Rhythmic Sensorimotor Training in Unstable Surface on Balance Ability of Elderly Women (불안정한 지지면에서의 율동적 감각-운동훈련이 여성노인의 균형능력에 미치는 영향)

  • Lee, Han-Ki;Lee, Jun-Cheol;Song, Geun-Ho
    • Journal of the Korean Society of Physical Medicine
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    • v.9 no.2
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    • pp.181-191
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    • 2014
  • PURPOSE: The purpose of this study was to investigate the effect of sensorimotor training in unstable surface on balance ability of elderly women. METHODS: Total of 40 subject were recruited from two separated institution for elderly women in Changwon and conveniently allocated into experimental and control groups. Twenty women were included into experimental group and another twenty women were into control group. Experimental group performed sensorimotor training in unstable surface and control group were only activities of daily living during eight weeks. To assess static balance ability used One leg stance test (OLST) and to assess dynamic balance ability used timed up and go test (TUGT) and Functional reach test (FRT). RESULTS: Control group did not show any difference in balance ability. However static balance ability in experimental group improved on hard or soft surface only eye open condition. Also dynamic balance ability in experimental group improved TUGT or FRT. CONCLUSION: Sensorimotor training in unstable surface improved balance ability of elderly women.

Long-term care Employment Intention of Elderly Nursing College Students (졸업 학년 간호대학생의 노인장기요양 분야 취업의도 영향요인)

  • Hwang, Rah-Il;Kim, In-A
    • Journal of the Korea Convergence Society
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    • v.10 no.6
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    • pp.401-409
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    • 2019
  • The purpose of this study is to investigate factors affecting the long - term care - related employment intention of nursing students in graduation grade. The study design was a descriptive study. As a result, the average intention of employment at the long - term care institution for the elderly was 2.8. It differed according to the experience of living with the elderly, the degree of interest in the elderly problem, long-term care benefits for the elderly in the family, and the concern of the long - term care insurance system. Therefore, in order to induce nursing college students to work in the long-term care field of elderly people, it is necessary to operate various curriculum and comparative programs that can get interested in the elderly problem. and long-term care insurance.

Factors Affecting Communication Satisfaction of Geriatric Caregiver : Focusing on the case of an urban-rural complex community (노인 돌봄서비스 제공자의 의사소통 만족도에 영향을 미치는 요인 : 도·농 복합 지역사회의 사례를 중심으로)

  • Jongmuk Oh;Juhee Park;Jongnam Hwang
    • The Journal of Korean Society for School & Community Health Education
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    • v.24 no.3
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    • pp.37-50
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    • 2023
  • Objectives: The aim of this study was to identify factors influencing communication satisfaction between geriatric caregivers and older adults in urban-rural complex communities. The ultimate goal was to design local community educational programs and policies to enhance communication satisfaction among geriatric caregivers and improve the quality of care services for older adults. Methods: To identify factors influencing communication satisfaction between elderly caregivers and older adults, a survey titled "CCEP: Assessment of Communication Status between Elderly Care Service Providers and Recipients" was conducted from February to July 2020, focusing on rural-urban complex areas. The survey was administered based on providers of elderly healthcare services. The survey targeted 131 respondents involved in providing care services for older adults. The dependent variable of this study was the communication satisfaction reported by elderly caregivers in their interactions with the elderly. The independent variables included perceptions of older adults, factors associated with communication difficulties, and communication efforts. Additionally, gender, working environment, working experience, and the proportion of face-to-face interactions with older adults during caregiving were controlled for the hierarchical multiple regression analysis. Results: The analysis revealed that communication efforts with older adults significantly influenced communication satisfaction (β=.09, p<0.01). However, perceptions of the elderly and communication hindrance factors did not have a significant impact on communication satisfaction among geriatric caregivers. Conclusion: Effective communication between geriatric caregivers and older adults is crucial for identifying and meeting the needs and demands of caregiving services, and it plays a vital role in overall caregiving service satisfaction. To enhance communication skills and satisfaction among geriatric caregivers and ensure the appropriate fulfillment of elderly care needs in the local community, the development of community-centered, specialized health communication programs and other initiatives will be necessary in the future.

Factors Affecting the Satisfaction of Elderly Care Service in the Elderly Living Alone (독거노인의 노인돌봄서비스 만족도에 영향을 미치는 요인)

  • Yoo, Yong-Shik
    • Journal of Korea Entertainment Industry Association
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    • v.14 no.1
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    • pp.179-186
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    • 2020
  • The purpose of this study is to examine the factors affecting the satisfaction of elderly care service in the elderly living alone and to provide basic data for the improvement of the satisfaction of elderly care service. The subjects of this study were 301 elderly people aged 65 or older who were receiving care services for the elderly in J city, Chungbuk province. Multiple regression analysis was conducted to examine the influencing factors. The results of this study showed that the factors affecting the satisfaction of elderly care service of the elderly living alone were the manager factor, service factor, institutional factor, and income level. This shows that the higher the life manager, service factor, and institution factor, and the elderly living alone with low income level, the higher the satisfaction of the elderly care service. Especially, the factors of life manager had the greatest effect on the satisfaction of elderly care service, followed by institutional factors and service factors. Based on these results, policy proposals are as follows: First, improvement of professionalism and treatment of life managers, second, professional and systematic service support and strengthening of social safety net, and third, improvement of appropriateness, accessibility and persistence for quality improvement of elderly care service.

Improvement Devices on the Law and Institution and Current Situation of Health and Medical Treatment for the Aged (노인보건의료의 현황과 법 제도적 개선방안)

  • Noh, Jae-Chul;Ko, Zoon-Ki
    • The Journal of the Korea Contents Association
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    • v.13 no.4
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    • pp.170-186
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    • 2013
  • As the population is getting older, medical expenses amount of the whole is keep increasing. So, the pressure of the finances, Health Insurance, Medical Care Assistance Act and etc, is getting higher. The share of healthcare-expense is increasing due to elderly illness. And it became a social problem; we analysed present state of senior healthcare in South Korea-looked into current laws and policies, and found problems. We tried to suggest improvements that drew from the current state of foreign country senior healthcare of those problems. For the result, we found the problem in relevant-law system of senior healthcare guarantee. In this study, we proposed the ways to qualitatively upgrade of medical standard that considered on elderly' features: the strengthened guarantee for healthcare, financial secure for long-term convalescence benefit, linking and functional reinforcement for elderly welfare and long-term convalescence insurance, the solution for overlapped laws about convalescence in long-term convalescence insurance and elderly welfare, a betterment of grading, and a home service consolidation. We need to secure right amount of emergency medical service budget, and effective management system for the improved level of senior severely emergency medical service. Furthermore, we suggested that South Korea needs to legislate [The Law for Senior Medical Secure] to respond to rapidly increasing senior healthcare fee.

The Effect of Horticultural Therapy on Cognitive Function, Self-esteem, Depression and ADL of Elderly with Dementia (원예요법이 치매노인의 인지기능, 자아존중감, 우울 및 일상생활수행능력에 미치는 영향)

  • Park Jeong Sook;Lee Hyun Gi;Kim Mi Eun
    • Journal of Korean Public Health Nursing
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    • v.17 no.1
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    • pp.69-82
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    • 2003
  • Purpose: The purpose of this research was to evaluate the effect of horticultural therapy on cognitive function, self-esteem, depression and activities of daily living of elderly with dementia. Method: The research design was an one group pre and post-test study design. The subjects of this study were 7 elderly with dementia in K elderly institution in Daegu. Instruments used in this research were MMSE-K(Mini-mental state Examination Korean Version) developed by Kwon & Park, SES(Self-Esteem Scale) developed by Rosenberg. SDS(Self-Rating Depression Scale) developed by Zung and BADL(Bathel Activity Daily Living) developed by Bethel. One-hour horticultural therapy was offered to the study participants weekly for 12 weeks. Results: The results showed that self-esteem was significantly increased after the horticultural therapy. However, in terms of cognitive function. depression and ADL, there was no significant change after the horticultural therapy among these elderly. Conclusion: In this research. there were no obvious change in cognitive function. depression, and ADL after the horticultural therapy among participants. Although the difference was not statistically significant. descriptive statistics showed some difference in scores on these variables after the intervention. So, it is suggested to conduct a further research with larger samples and pre and post-test design with control group.

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A Study on Social Support and the Quality of Life in the Elderly(The comparative analysis between home residents and institution residents) (노인의 사회적 지지와 삶의 질에 관한 연구 -일반가정노인과 양로원노인을 대상으로-)

  • 채수원;오경옥
    • Journal of Korean Academy of Nursing
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    • v.22 no.4
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    • pp.552-568
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    • 1992
  • Recent improvements in the standard of living, national income and medical care, and a decline in the infant death rate which have occurred related to economic growth and modernization, have led to a longer average life-span and a higher ratio of elderly people in the total population, Therefore, not only in the field of nursing science, but also in the field of many other discipline, issues concerning the elderly have been given increasing interest. A great deal of effort has been spent on increasing the quality of life for elderly people. This study was conducted to analyze the correlation between social support and quality of life. The sample consisted of III subjects residing at home and 107 subjects residing in institutions all of whom were over 65 years of age. The data collection period was from October 23, 1990 to January 26, 1991. Social support was measured using the Norbeck social Support Questionnaire developed by Norbeck, translated by Oh, Ka Sil and quality of life was measured using the QOL scale developed by No, You Ja. Data were analyzed using pereentages, t-test, Pearson Correlation Coefficient and ANOVA. The results of this study are as follows : 1. There was a statistically signifivant difference in the level of social support between the two groups (t=-8.83, p<.001), The elderly at home reported a much higher level of social support. 2. There was a statistically significant difference in the level of QOL between the two groups (t=-5.77, p<.001) . The elderly at home reported a much more positive quality of life. 3. There was a positive correlation between social support and QOL for the elderly at home ard it was statistically significant (r=.32, p<.001). 4. There was a postitive collealtion between social support and QOL for the elderly in institutions and it was also statistically significant (r=.19, p<.05). 5. The relationship between the general characteristics of the elderly at home and the variables of social support and of QOL were as follows ; 1) according to sex(t=10.57, p<.01) and the number of offspring(F=6.19, p<.01), there was a statistically significant difference in social support. 2) according to amount of Pocket money, there was a statistically significant difference in QOL(F=2.98, p<.05). 6. The relationship between the general characteristics of the elderly in institutions and the two variables were as follows ; 1) according to sex(t=6.24, p<.05), the number of offspring(F=6.16, p<.001) and religion (F=2.58, p<.05), there was a statistically significant difference in social support. 2) according to religion, there was a statistically significant difference in QOL(F=2.90, p<.05). In conclusion, it can be said that social support is an important variable related to QOL in the elderly and that social support levels are higher for the elderly residing at home. Therefore, more specific and objective approaches and efforts are needed to effectively use resources to maintain the elderly at home and to enhance social support available to the elderly in institutions and thereby increase QOL regardless of residence.

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A Study on Fluid Intake among Nursing Home Residents (시설노인의 수분섭취 실태분석 및 수분섭취 장애요인)

  • Oh, Hee-Young;Hur, Myung-Haeng;Kim, Jin-Sun
    • Journal of Korean Academy of Nursing
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    • v.36 no.6
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    • pp.959-967
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    • 2006
  • Purpose: The purposes of this study were to examine the amount of daily fluid intake among nursing home residents and to explore the caregiver's perceived barriers to elderly's fluid intake. Method: Data was collected from 111 nursing home residents and 64 caregiver's in 4 nursing homes. A random, non-consecutive three days of 24 hour fluid intake was measured and recorded. The caregiver's perceived barriers to elderly's fluid intake was assessed using a structured questionnaire. Results: The average amount of daily fluid intake was 1,035(SD=359)ml with the range of 210m1 to 2,050ml. About 52% (n=58) of the subjects had a less than adequate fluid intake. The amount of daily fluid intake was significantly associated with age, mental status, physical functioning, and the number of oral medications ordered. The most frequently mentioned caregiver's perceived barrier was elderly's concern about incontinence with increased fluid intake. Conclusion: Inadequate fluid intake among nursing home residents is prevalent. To enhance adequate hydration of nursing home residents, an institution wide nursing intervention is necessary.