• 대한간호학회지
• /
• 제34권2호
• /
• pp.372-378
• /
• 2004

Purpose: The purpose of this study was to measure the functional status of stroke patients cared for in different long-term care settings. Method: We assessed all stroke patients in two home health care agencies, four nursing homes and one geriatric hospital in Korea (n=171) using the Resident Assessment Instrument (RAI), which comprises Activity of Daily Living (ADL), urine incontinence, bowel incontinence, a Cognitive Performance Scale (CPS),and being understood and understanding others. Data was collected by face-to-face surveys with patients. Results: The mean ADL score, urine incontinence score, bowel incontinence score, CPS, and being understood score and understanding others score were lowest for the patients receiving home health care, and highest for the patients in nursing homes. Low scores described poor and high scores good functional status. The results showed significant differences in physical and cognitive function scores between the three groups of patients. Conclusion: This study suggests that there may be large differences between the patients in these three types of long-term care settings. These findings can be used to help develop and implement efficient long-term care programs.

• 한국병원경영학회지
• /
• 제21권3호
• /
• pp.65-70
• /
• 2016

The Long-Term Care Hospital (LTCH) accreditation system was initiated in 2013 in the form of mandatory accreditation system in order to improve patient safety and the quality of medical service at LTCHs. By June 2016, the accredited LTCHs were 76.2%. This research was conducted to review the implementation process in the first cycle and to promote development of the second cycle of LTCH accreditation system. There are some changes which reinforced the accreditation standards, accreditation survey, and public access to accreditation results in order to strengthen patient safety in the first cycle LTCH accreditation system. LTCHs which participated in the accreditation system achieved certain outcomes in respect to patient safety and employee satisfaction. However, there are several urgent problems in placement criteria of night duty health care providers, reinforcement plans in the accreditation system, and incentives for accredited hospitals. In order to solve these problems, the most important thing is to clearly recognize the fact that the healthcare accreditation system is not the means for control and regulate hospitals but a system to induce hospitals to continue to strive for improvements in patient safety and medical service quality. In addition, it is required that LTCHs, accrediting agency and the Ministry of Health and Welfare compromise and cooperate to seek solutions every time issues related to the accreditation system arise.

• Journal of Acupuncture Research
• /
• 제34권3호
• /
• pp.49-58
• /
• 2017

Objectives : The purpose of this study is to provide data to guide dementia health-care policy in Korea and to establish the position of Korean medical specialists in long-term care hospitals by analyzing the data of dementia inpatients. We analyzed the actual condition of dementia patients in care hospital and the effect of Western-Korean cooperative medicine on the progress of dementia. Methods : From January 1, 2016 to December 31, 2016, inpatients who were diagnosed with dementia at Mungyeong municipal long-term care hospital and admitted for more than 3 months were enrolled. Their medical records and simple tests were analyzed retrospectively. Results : We examined the detailed diagnosis, including both main and sub diagnosis, and Alzheimer disease dementia, at 97%, was the most common. At the time of admission, Korean Version of the Mini-Mental State Exam (K-MMSE) analysis showed that severe dementia affected 52%, and most were rated as Geriatric Depression Scale (GDS) 6. Based on the admission date, the results of a simplified test applied to the dementia patients every 6 months showed an maintain in the K-MMSE and GDS scores in 83%. Conclusion : The results of this study show that the rate of progression of dementia is somewhat lower in inpatients with moderate to severe Alzheimer's who have received Western-Korean cooperative treatment. However, due to institutional limitations, long-term inpatients such as those with dementia do not receive active traditional Korean medical treatment; hence, it is necessary to improve the national institution of traditional Korean medicine in long-term care hospitals.

• 동서간호학연구지
• /
• 제26권1호
• /
• pp.28-38
• /
• 2020

Purpose: The aim of this study was to provide information on the extent and variations of elderly residents' nursing care needs, and provision of nursing care across long term care facilities. Methods: A nationwide survey was conducted on nurse managers from 1,041 long term care facilities, by e-mail or fax, from August 16 to September 30 in 2017. A self-reported questionnaire consisting of 5 domains was used to collect data. Results: Facilities with more than 30 residents were more likely to need skilled nursing services and to obtain the nursing staff such as a registered nurse and a nurse's aide. Awareness and satisfaction of hospital-based home nursing care was high in all facilities. In addition, there are some differences in nurse managers' perceptions of the level of healthcare resources and required action by facility size. Nurse managers of senior congregate housings were more likely to have considerable difficulty in dealing with healthcare needs of residents and recognizing the healthcare resource shortage. A majority of nurse managers agreed on the need to employ a registered nurse. Conclusion: This study confirmed that it is essential to increase nurse staffing level and to reform the long term care insurance for enhancing the accessibility of healthcare services, especially for the residents in small long term care facilities. There is also a need to provide diverse education and training opportunities for nursing staff working in long term care facilities.

• 디지털융복합연구
• /
• 제18권1호
• /
• pp.187-198
• /
• 2020

본 연구의 목적은 일개 지역 요양병원 간병인의 일반적 특성, 감염관리 특성, 감염예방지식과 감염관리환경을 확인하고 감염관리 수행도에 미치는 요인을 확인하는데 있다. 연구대상자는 일개 지역 8개 요양병원의 간병인 197명이며, 자료수집은 자가기입 설문지를 이용하였으며, 2018년 8월에 진행되었다. 자료분석은 SPSS WIin 20.0을 이용하여 t-test, ANOVA, pearson's correlation coefficient, hierarchial multiple stepwise로 분석하였다. 연구결과 감염 예방지식은 감염관리수행도와 유의한 상관관계(p<.001)가 있었다. 요양병원 간병인의 감염관리수행도 영향요인은 70세 이상(t=2.50, p=.013), 8시간 근무(t=-2.62, p=.010), 1등급(t=2.48, p=.014), 감염예방지식(t=2.96 p=.003)이었으며, 제 변수들은 요양병원 간병인 감염관리수행도의 12.9%를 설명(F=6.70, p<.001)하였다. 본 연구결과는 요양병원 간병인의 감염관리수행도 영향요인을 확인함으로써 추후 간병인의 감염관리수행도 향상을 위한 교육프로그램 개발과 요양병원의 감염관리 수준을 향상시키는데 기초자료가 될 수 있다.

• 한국병원경영학회지
• /
• 제13권2호
• /
• pp.64-85
• /
• 2008

This study purports to investigate the determinant of job satisfaction among workers working at Long-term care hospitals. The independent variables contain three groups of determinants: organizational characteristics variables(job autonomy, job variety, distributive justice, role conflict, supervisor support, job suitability, job significance, job security, organizational support, job growth, promotional opportunity), environmental variables(job opportunity), and psychological variables (met expectation, job efficacy, positive affectivity, and negative affectivity). The sample used in this study consisted of 250 workers from 4 Long-term care hospitals nationwide. Data were collected with self-administered questionnaires and analyzed using multiple regression analysis. The results of the study are as follows: 1) the following variables, listed in order of size, have significant effects on job satisfaction: negative affectivity(-), job significance(+), job growth(+), age(+), positive affectivity(+), organizational support(+), job opportunity(-). 2) the variance of job satisfaction explained by the variables used in the study are 53.8%. When demographic variables added to Model I, job satisfaction explained by variables are 55.4%. 3) the results of this study indicate that three variables of negative affectivity, job significance, job growth are especially important for improving the level of job satisfaction among workers at Long-term care hospitals.

• 가정∙방문간호학회지
• /
• 제31권1호
• /
• pp.56-65
• /
• 2024

Purpose: This study aimed to explore the association between demographic characteristics, hospitalization-related characteristics, and the severity of long-term hospitalization in a high-level general hospital, and to analyze the factors influencing decisions of all patients. Methods: General and clinical characteristics of the participants were analyzed using frequency, percentage, mean, and standard deviation. Differences in these characteristics, contingent upon whether a power source was requested, were analyzed using independent t-Test and Chi-squared tests. Logistic regression analysis was used to identify the factors related to the presence or absence of power requests. Results: The factors impacting the decision to refer a dependent variable include medical treatment (neurosurgery) (B=2.118, SE=0.960, p-value=.027, OR=8.314, 95% CI=1.267-54.551), infection isolation (CRE) (B=1.336, SE=0.666, p-value=.045, OR=3.804, 95% CI=1.032-14.021), and the utilization of tertiary antibiotics (B=3.076, SE=1.362, p-value= .024, OR=21.663, 95% CI=1.502-312.530). Conclusion: This study found a significant association between medical treatment (neurosurgery), infection isolation (CRE), and the use of tertiary antibiotics as dependent variables. These findings indicate that continuous monitoring can contribute to a reduction in long-term financial burdens.

• 한국병원경영학회지
• /
• 제12권2호
• /
• pp.25-42
• /
• 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.

• 산업융합연구
• /
• 제20권11호
• /
• pp.149-155
• /
• 2022

본 연구는 종합병원과 요양병원 간호사의 환자 안전 문화 인식의 정도를 비교하기 위하여 수행한 서술적 조사연구이다. 연구대상자는 3개 시에 위치한 종합병원 2곳과 요양병원 4곳에서 6개월 이상 근무 중인 일반간호사 150명이었으며, 자료는 2021년 10월부터 12월까지 수집되었다. 환자 안전 문화는 이순교가 개발한 환자 안전 문화 측정 도구를 사용하였다. 자료는 교차분석, 이원배치 분산분석과 t-test를 SPSS 20.0 프로그램을 이용하여 분석하였다. 연구 결과 간호사의 연령(F=44.17, p= .000), 총 임상 경력(F=62.86, p=.000), 현 근무부서 임상 경력(F=26.27, p=.000)이 많을수록 환자 안전 문화 인식이 높았으며, 요양병원 간호사의 환자 안전 문화 인식 하위영역 중 리더십(t=2.07, p=.040)과 환자 안전 우선순위(t=2.18, p=.031) 영역이 종합병원 간호사에 비해 높은 것으로 확인되었다. 연구 결과를 바탕으로 병원 및 요양병원에서 환자 안전 문화 수준을 높이기 위한 프로그램 개발이 활발히 이루어지기를 기대한다.

• 근관절건강학회지
• /
• 제26권3호
• /
• pp.270-280
• /
• 2019

Purpose: The purpose of this study was to identify the levels of knowledge and performance confidence of, and educational needs on ostomy care among nurses in long-term care hospitals. Methods: The participants were 97 nurses from D and C cities. Data were collected from September 6~26, 2019, with self-reported questionnaires including general characteristics, knowledge and performance confidence of, and educational needs on ostomy care. Data were analyzed by using descriptive statistics, t-tests, ANOVAs, Pearson correlation coefficients, and multiple regression analysis. Results: The correct rate of knowledge of ostomy care was 60.1%. In addition, performance confidence of ostomy care was low, while educational needs on ostomy care were high. The knowledge of ostomy care was identified as a factor influencing in educational needs on ostomy care (β=-0.69, p<.001). It explained 42.0% of the variation in educational needs on ostomy care. Conclusion: There are nursing needs about ostomy care for older cancer patients in long-term care hospitals. Thus educational programs of ostomy care that are suitable to apply to the long-term care hospitals are necessary to develop for enhancing nursing capacity.