• Korean Journal of Adult Nursing
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• v.22 no.3
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• pp.281-290
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• 2010

Purpose: This purpose of this study was to identify the factors related to the health related quality of life among institutionalized elders. Methods: The subjects were 247 elders institutionalized among one of the four nursing homes in Busan. Data were collected through interview with four standardized questionnaires from August to October, 2008. Questionnaires were related to health related quality of life (SmithKline Beecham's Quality of Life scale, SBQoL), quality of sleep(Pittsburgh Sleep Quality index, PSQI), activity of daily living (Katz ADL Index), and depression (Geriatric Depression Scale Short Form Korea, GDSSF-K). Data were analyzed for descriptive analysis, t-test, one-way ANOVA, Pearson's correlation coefficient, and stepwise multiple regression by using SPSS/WIN 17.0 program. Results: The mean HRQoL in the subjects was $6.62{\pm}0.91$. Percentage of the respondents reporting sleep disorders were 72.5% and 27.1% reported being vulnerable to depression. The significant predictors of the HRQoL were sleep quality, activity of daily living (ADL), level of education, and depression. The factors accounted for 28.8% of variance in the health related quality of life of institutionalized elders. Conclusion: Sleep quality, activity of daily living, and depression need to be considered as the important control factors for improving the health related quality of life in the institutionalized elders.

• Journal of Korean Academy of Nursing
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• v.39 no.5
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• pp.741-750
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• 2009

Purpose: The purpose of this study was to identify the prevalence of cognitive impairment, behavioral problems, and the state of mental health for elderly Korean people who have been institutionalized. Methods: A cross-sectional, nationwide survey was performed using an anonymous questionnaire. The participants in this study were 2,521 institutionalized elderly Korean people. A proportional stratified random sampling method was employed. Results: 1) Elders admitted to subacute hospitals and long term care (LTC) facilities showed a higher level of cognitive impairment compared to elders admitted to acute care hospitals. 2) Elders confined in LTC facilities showed a higher level of behavioral problems compared to elders in acute or subacute hospitals. 3) Elders admitted to subacute hospitals and LTC facilities showed more serious mental health problems, such as depression or suicidal ideation, compared to elders in acute care hospitals. Conclusion: The results of this study indicate that the severity of cognitive-behavioral or mental health problems do not match well with type of care setting. Therefore, health personnel working with elderly people should be provided guidance on detection and management of cognitive-behavioral and mental health problems. The necessity of a decision support system for eligibility and placement in long-term care is also discussed.

• Journal of Korean Academy of Fundamentals of Nursing
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• v.19 no.4
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• pp.416-424
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• 2012

Purpose: This study was done to identify the effects of the BeHaS exercise program consisting of exercise, education, and cognitive supports on the hand strength, depression and life satisfaction in institutionalized elderly people with CVA. Method: A quasi-experimental design with an experimental group (n=18) and a control group (n=18) was used. The elders in the experimental group participated in the program once a week for eight weeks. Data were analyzed using descriptive statistics, Chi-square and t-test with SPSS/Win 18.0. Results: Hypothesis 1 was supported as the hand strength of the elders in experimental group significantly increased compared to those in the control group. Hypothesis 2 was also supported as depression scores for elders in the experimental group significantly decreased compared to those in the control group. Hypothesis 3 was supported as life satisfaction scores for elders in the experimental group significantly increased compared to those in the control group. Conclusion: The results of this study indicate that the BeHaS exercise program can play a useful role in improving depression and life satisfaction in institutionalized elderly people with CVA.

• Journal of Korean Academy of Nursing
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• v.45 no.3
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• pp.388-396
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• 2015

Purpose: The purpose of this study was to identify the effects on cognitive function, depression, and activities of daily living of Silver- Care-Robot Program for institutionalized elders. Methods: This study was a nonequivalent control group pretest-posttest design. The participants were 42 institutionalized elders (17 in the experimental group and 25 in the control group). The Silver-Care-Robot Program was provided as an intervention which was conducted twice a week for 5 weeks. The Silver-Care-Robot Program is an integrated entertainment program to help the mental, emotional, and physical health of elderly people. Pre-test was conducted on the two groups, and, in order to examine the effects of intervention, a post-test was conducted after 5 weeks. Results: There were significant differences in cognitive function and ADL (activities of daily living) between two groups after the program. But the difference in depression in the institutionalized elders was not statistically significant between the two groups. Conclusion: The Silver-Care-Robot Program should be considered as a regular program for cognitive function and activities of daily living for institutionalized elders.

• Journal of muscle and joint health
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• v.18 no.1
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• pp.93-102
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• 2011

Purpose: The purpose of this study was to identify the effects of the BeHaS exercise program, developed by Jong Im Kim (2006), consisting of exercise, education and cognitive support on muscle strength and flexibility in elders who live in elderly facilities. Method: This study was designed using one group pretest-posttest experimental design, 19 elders, the subjects of the group participated in the BeHaS exercise program. The BeHaS exercise program was provided for 60-80 minutes per session once a week for 8 weeks. Data was collected by research assistants using structured interview and measurement tool, from January, 2011 to March, 2011. Data were analyzed using the SPSS Win 17.0, general characteristics were analyzed with real number and percentage, muscle strength and flexibility were analyzed with Mean and SDs. Results: There were significant increase pre and post test for the left shoulder flexibility (p=.000) and waist flexibility (p=.030). Conclusion: In conclusion, this study confirms that BeHaS exercise program played a useful role in partial improving flexibility in the Institutionalized Elders.

• Journal of Korean Academy of Rural Health Nursing
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• v.6 no.1
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• pp.15-22
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• 2011

Purpose: The purpose of this study was to analyze the present status of institutionalized persons and personnel of nursing homes for elders. Method: A survey questionnaire was distributed to 520 nursing homes nationwide, of which 308 nursing homes responded by completing the questionnaire. The data were collected from November 1 to November 14, 2008. The data were analyzed with descriptive statistics. Results: Most home care facilities were situated in small or medium sized cities (46.8%, 56.6% respectively). About half of the nursing homes had 50-99 institutionalized persons (43.4~42.5%). Most of the nursing homes were operated by social welfare ownership. Average number of institutionalized persons was 41.7 and operation ratio of facilities was 93.9%. For severity of problems, 30% of institutionalized persons were assessed as third grade indicating mid-point severity. The average number of personnel was 18.6. The number of full-time positions was greater than that of part-time positions. The average income for the director was 2,600,000 Korean won, for nurses, 2,000,000, for social workers, 1,940,000, for physical therapists, 1,820,000, and for care workers, 1,560,000. Conclusion: Strategies need to be developed to maximize the value of the existing workforce without impacting on the quality of care delivered.

• Research in Community and Public Health Nursing
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• v.20 no.4
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• pp.403-411
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• 2009

Purpose: The purpose of this study is to explore the effects of a group movement exercise program on psychophysiological variables in the institutionalized elderly. Methods: This research adopted the non-equivalent control group pretest-posttest design. Twenty elders were selected as an experimental group, whereas twenty-two elders were as a control group. The group movement program consisted of 35 minutes of dance and three days a week for eight weeks. Resting systolic blood pressure, diastolic blood pressure and heart rate were measured in a relaxed sitting position. The range of flexion and extension of joint was measured with a gonimeter. Life satisfaction and self-efficacy were measured by self-report. Data were analyzed through $x^2$-test, t-test and ANCOVA using SPSS/WIN program. Results: The results were as follows: Resting systolic blood pressure, diastolic blood pressure and resting heart rate decreased significantly by the group movement training. The range of flexion and extension of the shoulder and hip joints increased significantly. The scores of life satisfaction and self-efficacy increased remarkably by the group movement. Conclusion: The results suggest that group movement training can be an effective intervention to improve psychophysiological variables and the range of motion for the institutionalized elderly.

• Journal of Korean Academy of Nursing
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• v.35 no.7
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• pp.1379-1389
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• 2005

Purpose: This study was performed to evaluate and compare health conservation and its related factors of elders in assisted living facilities or nursing homes. Method: Data for health conservation was collected from 316 elders in 10 institutions in Daegu city and Kyungpook province from February 1st to February 22nd, 2005. Data was collected by a structured questionnaire that included general characteristics, general health status, health conservation, functional health status (ADL, IADL) and depression (GDS-K) scales. The collected data was analyzed by the SPSS (version 11.5) program including descriptive statistics, t-test, -test, Pearson's correlation and stepwise method regression analysis. Result: The elders in assisted living facilities revealed lower scores in health conservation, ADL and IADL than the elders in nursing homes. Predictable variables influencing health conservation of the elders in assisted living facilities were depression and MAC (Mid-Arm Circumference) that is equal to .270, and the the elders in nursing home were depression, IADL, degree of sleep, and TSF (Triceps Skin Fold) that is equal to .409. Conclusion: The development of a health conservation program and long-term health care service system for elders in assisted living facilities are needed than for the elders in nursing homes.

• Journal of Korean Academy of Rural Health Nursing
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• v.2 no.1
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• pp.5-13
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• 2007

Purpose: This study focused on the health conditions and satisfaction in day-to-day life of elders using welfare facilities where there is no charge, and thus provides basic data for development of quality services required for health enhancement and a variety of demands from these elders. Method: The participants in the study were 140 elders selected at random from facilities for elders in Taegu. The tools for the study were the Korean Health Status Measure for the Elderly (Shin, H. C., 2002), and Yoon's "Criteria of Older Adults Life Satisfaction"(1982). Results: Differences in life satisfaction were found according to general characteristics of the elders, and that a lack of caretaker professionalism and relationships with other elders, but not the program were scored lower. In the correlation between health status and life satisfaction, it was found that emotional, social function and physical pain showed correlations with life satisfaction. Conclusion: It is necessary for the enhancement of health status of these elders and improvement in life satisfaction that a variety of nursing interventions be implemented.

• Journal of Korean Academy of Nursing
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• v.44 no.1
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• pp.41-54
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• 2014

Purpose: The purpose of the study was to explore and describe the experience of adult Korean children who are caregivers for parents institutionalized with dementia. Methods: Participants were fourteen adult children caregivers of elders institutionalized with dementia. Data were collected through in-depth unstructured interviews with individual participants from August to November, 2012. Theoretical sampling was used to the point of theoretical saturation. Data were analyzed using Strauss and Corbin's Grounded Theory Method. Results: From open coding, 67 concepts, 29 sub-categories, and 14 categories were identified. Analysis revealed that the core category of the experience of adult children caring for their parents institutionalized with dementia was 'enduring the role of a prop' consisting of four phases: initial turmoil, exploration, role adjustment, and acclimation. To manage the role of a prop, participants utilized various action/interactional strategies such as overcoming the unfamiliarity, overseeing the nursing home care, and counterbalancing the caring roles. As a result, participants experienced ambivalence towards the existence of parents with dementia, changes in family relationships, altered viewpoint towards nursing homes, and restructuring of life. Conclusion: In-depth understanding of the experience will guide nurses to promote effective interventions in order to better support the Korean family caregivers of parents institutionalized with dementia.