• Journal of the korean academy of Pediatric Dentistry
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• v.26 no.1
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• pp.162-171
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• 1999

The purpose of this study was to make a comprehensive study and to provide information about the dental caries of autistic persons, and to aid improvement of their oral health. The authors examined intraorally 114(male; 87, female; 27) autistic persons and 119(male; 68, female; 51) normal persons as control group. The obtained results were as follows: 1. Autistic persons were found to have lower dft rate than normal persons. 2. There was no significant difference in dental caries incidence between male and female autistic persons. 3. Institutionalized autistic persons were found to have lower dental caries incidence of deciduous teeth than non-institutionalized autistic persons. 4. Autistic persons whose parent's occupation is laborer were found to have higer dft index than those whose parent's occupation is private business or employee.

• 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.

• Journal of Nutrition and Health
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• v.11 no.3
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• pp.1-7
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• 1978

At present, interest in the welfare of the elderly (persons over sixty-five years of age), including their dietary status, is high. Nutrition and dietary status have been investigated for both the institutionalized and non-institutionalized (independent-living) elderly in foreign country. But the dietary status of institutionalized elderly has not been investigated. Therefore, the dietary status of institutionalized elderly has been studied and compared with that of non-institutionalized elderly in the same geographic area. Three-day dietary records were obtained from fourty-five institutionalized elderly residents (twenty-five men and twenty women) and thirty two elderly living at home (sixteen men and sixteen women) in Taegu area. All nutrient intakes of the elderly women living at home and all nutrient intakes except energy intakes of the elderly men living at home were significantly higher than those of the residents of the institutionalized facilities. (p<0.005) The values of height, weight, chest circumference, and sitting height except head circumference of female elderly living in institutionalized facilities is significantly lower than those of elderly living at home. (p<0.005) In the case of men, the values of height and chest circumference of elderly living in institutionalized facilities is significantly lower than those of elderly living at home. (p<0.05)

• Journal of Families and Better Life
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• v.20 no.2
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• pp.161-174
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• 2002

The purpose of this study was to investigate institutionalized adolescents'perception of meaningful persons and to analyze the features of their interpersonal relationships. 9 middle school students of 3 child welfare facilities were observed and participated in depth-interviews. Results indicate that there is a difference in adolescents'family image according to their experience before institutionalization. They want care-givers of institution to offer more emotional support to them. And they perceive much social support from other adolescents who're living with them. But, the findings suggest that their peer relationships have some limitations because of institutionalization itself and various restriction on their behaviors. Lastly, they want more intimate relationship with supporters in addition to financial sponsorship. In conclusion, institutionalized adolescents'interpersonal relationships are related closely to the environmental properties. Therefore, concerns should be directed toward improving the quality of social and psychological environment of institutions. And various programs should be provided to support institutionalized adolescents'social development.

• Journal of Korean Academy of Nursing
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• v.30 no.4
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• pp.825-835
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• 2000

The agitation of dementia patient is a factor which aggravates the care-givers' burdon, and it is needed to develop intervention methods. Hall and Buckwalter hypothesized that an increase in agitation behavior occur when persons experience high levels of stress. This study was conducted to explore the efficacy of hand massage in producing relaxation and decreasing agitation behaviors in persons with dementia. Hand massage was administered once a day in afternoon for 8days to 24 patients and 4days to 23 patients. There was no difference in result between the two groups. Significant differences were found in systolic blood pressure, pulse rate, emotional state from pre to post -intervention with the use of hand massage. The change of systolic blood pressure was 26% explained by ADL, MMSE-K and institutionalized period. The most significant variable was institutionalized period. The change of diastolic blood pressure was 11% explained by ADL, and it was significant. But no decrease in agitation behavior was observed and no increase in functional capacity.

• Journal of the korean academy of Pediatric Dentistry
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• v.29 no.3
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• pp.318-327
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• 2002

The purpose of this study was to make a comprehensive study and to provide information about the dental caries and plaque index of cerebral person, and to aid improvement of their oral health. The author examined intraorally 1180 deciduous teeth, 5626 permanent teeth of 264 (male:153 female:111) cerebral palsy person and 1526 deciduous teeth, 4140 permanent teeth of 220 (male:125 female:95) non cerebral palsy person as the control group. The results were as follows : 1. Cerebral palsy persons Had higher dft rate than non-cerebral palsy persons. 2. Dental caries incidence between males and females in cerebral palsy persons showed no difference, and dental caries incidence of types in cerebral palsy person showed no difference, either. 3. Mental, motor, speech handicap degrees were negatively related to DMFT rate and DMFT index, and institutionalized cerebral palsy persons and cerebral palsy persons of which parent's occupation is private business were found low DMFT rate and DMFT index. 4. Cerebral palsy persons were found to have higher plaque index than non-cerebral palsy persons, and non institutionalized cerebral palsy persons and self-supported cerebral palsy persons were found high plaque index. 5. Plaque index of male and female in cerebral palsy person showed no difference, and Plaque index of types in cerebral palsy person showed no difference, either Plaque index of handicap degrees(mental, motor, speech) showed no difference.

• Journal of International Academy of Physical Therapy Research
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• v.10 no.2
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• pp.1768-1773
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• 2019

Background: Aging reduces cognitive abilities, including visual memory (VM) and visual discrimination (VD). Since common cortical networks subserve eye movement and attention, voluntary eye movement may improve visual attention. Visual selective attention was major role for memory, and visual memory and visual attention are intimately related. Objective: To identify the improvement in VD and VM, after implementing the eye movement program consisting of saccadic eye movement (SEM) and pursuit eye movement (PEM) in the institutionalized healthy elderly. Design: Randomized controlled trial. Methods: The study involved a sample of 36 participants, and the mean age was 79.03 years (range 76~84 years). They were randomly allocated to the experimental group (n=16) and control group (n=20). Participants in the experimental group performed SEM 5 times per week for 4 weeks: twice daily at the same time in the morning and afternoon. The program was carried out for 3 minutes, and it consisted of SEM and PEM. The target's moving frequency was set at 0.5 Hz. VM and VD at the baseline and post-intervention were measured using Motor-Free Visual Perception test-4 (MFVPT-4). Results: VM significantly improved in the experimental group (p < .01), and significant differences were observed compared to the control group (p < .01). There was no significant change in VD. Conclusion: The eye movement program consisting of SEM and PEM increased VM more than VD. Therefore, eye movement program was feasible interventions for improving VM in institutionalized elderly persons.

• Korean Journal of Social Welfare
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• v.42
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• pp.340-371
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• 2000

The paradigm of care for persons with chronic mental illnesses has recently been shifted in Korea from institutionalization to community integration. Numerous changes in the service environment tend to target clients of mental health care organizations while a considerable proportion of people with similar clinical conditions have been institutionalized in various types of organizations whose auspices are other than mental health care. Under the current circumstances in which the subgroup of people, who tend to be socio-economically disadvantaged, has no viable alternative in the community to using such de facto mental health organizations, their chances of deinstitutionalization may decrease. This study thus aims at providing an increased understanding of the characteristics of the users and their service utilization, which in turn enables us to establish differentiated strategies within the current service context. In this study, a survey is conducted on the residential history of those with chronic mental illnesses both in the community and in institutions. Major characteristics of the users of de facto services are investigated along with the extent of their use of various existing mental and non-mental health services. Included is also an examination of the subjects' clinical and individual factors that may influence their use of de facto services. The study findings demonstrate relative disadvantages in deinstitutionalization in a subgroup of the population with chronic mental illnesses under the current mental health policies, and the author suggests intervening strategies specific to this population.

• Perspectives in Nursing Science
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• v.3 no.1
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• pp.35-45
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• 2006

In Korea, about 8.3% over aged 65 are suffering from Alzheimer's disease or other type of dementia. Among dementia-related behaviors, wandering is the one of strongest factors on burden and stress of caregivers. On Lee and Kwon's report with community living persons with dementia, upto 85% of caregivers reported wandering as a problem. Wandering is a frequently encountered problem in communities and long-term care facilities, but it is among least understood dementia. related behavior. Despite the prevalence of wandering, its significant adverse outcomes, and the increase in persons with dementia in Korea, no systematic research has been conducted in Korea. The purpose of this study is to review on literature related to wandering behavior among persons with dementia. The specific topics related to wandering are included: definition, the prevalence of dementia and wandering behavior, the influencing factor on wandering, outcomes of wandering behavior, and the measurement method. Wandering is defined as "aimless walking" and "Meandering, aimless or repetitive locomotion that exposes one to harm and is incongruent with boundaries, limits, or obstacles". Wandering is viewed as a problematic behavior, however, it has to be understood as need-driven compromised behavior. For example, wandering may be an expression of searching for familiar person and/or place. Recently, in Korea, there is an effort for establishing the therapeutic environment for elders who are wanderers in long-term-care facilities. Cognitive impairment of persons with dementia is found to be a consistent factor on wandering behavior through many national and international studies. The adverse outcomes of wandering are serious problem in persons with dementia as well as their caregivers. The adverse outcomes include falls, fractures, getting lost, use of restraints, or even death. In fact, wandering is one of the major reasons for a patient to be institutionalized. For measurement of wandering behavior, two methods are broadly used: observation using stop watch, and survey form. A revised instrument of the Korean version of Algase wandering scale (K_RAWS) is established the psychometric properties (Son, Song, & Lim, 2006) demonstrating valid and reliable instrument in measuring wandering behavior among persons with dementia who are residing in communities. K_RAWS has a 39 items with six subscales including persistent walking, repetitive walking, spatial disorientation, eloping behavior, negative outcome, and mealtime impulsivity. In conclusion, studies including the prevalence of wandering behavior and predictive factors on wandering should be conducted to understand wandering clearly before developing any types of intervention.

• Journal of East-West Nursing Research
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• v.5 no.1
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• pp.50-64
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• 2000

The purpose of this study was to investigate the correlation of family support, self-esteem and life-satisfaction in homeless persons and to provide basic data to help them attain a better quality of life. From Jul. 1 to Oct. 10, 2000, 235 homeless persons, registered at the noninstitutionalized homeless and institutionalized homeless in Seoul, were accepted as subjects for the study. The instruments used for this study were a Family support scale of Park, Jee Won, life-satisfaction scale of Wood, Wylie & Sheafer and Rosenberg's Self-esteem Scale. The reliability of the scales were tested by Cronbach's Alpha. The collected data Were analyzed by the SPSS program using unpaired t-test and Pearson's Correlation Coefficients. The results were as follows : 1. There Was a statistically significant difference in the level of demographic between family support groups : age(t=2.74, P=.001), education background(f=5.48, P=.001), connection of family (t=2.29, P=.05), present illness(t=2.04, P=.05). 2. There Was a statistically significant difference in the level of demographic between self-esteem groups : education background(t=3.24, P=.05), connect of family (t=3.38, P=.001), types of disease(t=2.12, P=.05), job related to income (t=2.12, P=.05). 3. There Was a statistically significant difference in the level of demographic between life-satisfaction groups : education background(t=3.39, P=.05), connect of family(t=2.10, P=.01), smoking(t=2.38, P=.01), disease(t=1.92, P=.05), emotion states(t= 6.12, P=.001). 4. There was a positive correlation between family support and self-esteem for the homeless and it was statistically significant (r=.267, p=.001). 5. There was a positive correlation between family support and life-satisfaction for the homeless and it was statistically significant(r=.299, p=.001). 6. There was a positive correlation between life-satisfaction and self-esteem for the homeless and it was statistically significant(r=.179, p=.01).