• Title/Summary/Keyword: Nursing Home for the Elderly

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A Study on the Improvement Direction through the Present Status of Nursing Home - Focus on the Nursing Home in Chungcheongbuk-do - (노인요양시설의 건축현황 및 개선방향에 관한 연구 - 충청북도 노인요양시설을 중심으로 -)

  • Lee, Wan-Geon
    • Korean Institute of Interior Design Journal
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    • v.19 no.3
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    • pp.242-250
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    • 2010
  • Recently, the long-term care insurance for the elderly was carried out according to the elderly is increased rapidly and the formation of sympathy that a nation and society try commonly to share health and welfare promotion of the elderly. The purpose of this study is to analyze the present status of nursing home after that the long-term care insurance is enforced in chungcheongbuk-do and to utilize as basic data. The study limited its survey to those facilities that refer to the Ministry of Health and Welfare data, that had the capacity of more than 50 people. The result are as followings. Firstly, most of the nursing home were located on the outskirts of the city. But it must be constructed in the city center if the recent deinstitutionalization trend is reflected. Secondly, notwithstanding the provisions of the Elderly Welfare Law, if the Livability and amenity are considered, the plan of a single or a twin room is needed. The ondol(溫突) system bedroom for the safety of the elderly had to be planned and for the color planning of a bedroom, a heating, the furniture, the form of a door, corridors, etc. should be partly improved. The fastener in which it is appropriate for the main exit, a stair, an elevator, the lighting device, and etc. is needed and the installation of a wandering path for the dementia patient and etc. is required. Thirdly, most of the dining room arranged on the first floor but it is not nearly used and it used for employee or the other use. Therefore, we have to consider the system in which it can deliver the meal to a bedroom. If the smell of the elderly and etc. is considered, the sufficient height of the floor should be reflected for the ventilation equipment. Lastly, The improvement of the existing law are required.

Home Care Support and Support Requirements According to Health Condition in the Poor Elderly People Living Alone (일 지역 취약가구 독거노인의 건강상태에 따른 가정지원과 도움요구)

  • Park, Ji-Won;Kim, Yong-Soon;Kim, Ki-Sook
    • Journal of Home Health Care Nursing
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    • v.16 no.2
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    • pp.89-97
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    • 2009
  • Purpose: To identify the health condition, home care support, support requirement of poor and elderly people living alone. Method: Data was collected through self-administered questionnaires and analyzed by descriptive statistics, t-test, ANOVA and correlation. Survey involved 269 conveniently selected who have a social support in H city. Result: Perceived health condition of subjects was bad to moderate (mean score: 2.22). There were significant home care support differences according to gender, religion, education level and dwelling pattern. Support requirement was influences only by the dwelling pattern. Perceived health condition showed a positive correlation with home care support of friends and neighbors, and a negative correlation with support requirement (medical, material, economic emotional support). Conclusion: These findings are expected to make a positive contribution to create an ideal intervention for public visiting nurses and social workers to improve the quality of life in poor and elderly people who live alone.

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A Study of Factors That Influence the Promotion of Healthy Behavior in the Elderly According to Types of Residency (노인의 거주유형별 건강증진 행위 영향요인 비교)

  • Jeon Eun-Young;Kim Kwuy-Bun
    • Journal of Korean Academy of Nursing
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    • v.36 no.3
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    • pp.475-483
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    • 2006
  • Purpose: The goal of this study was to investigate the factors influencing health promoting behaviors in elderly individuals according to types of residency. Method: This was a descriptive study. The subjects were comprised of 243 elderly aged 65 years or over living in 3 large cities. The instruments used for this study were a health promoting lifestyle, perceived health status, geriatric depression short form scale-Korea, social support scale, and self-efficacy. The data was analyzed using SPSS Win 12.0. Result: Powerful predictors of a health promoting lifestyle were depression, self-efficacy, and perceived health status for the elderly living at home. In the cases of the elderly living in institutions, a powerful predictor of a health promoting lifestyle was identified as social support. Conclusion: For the operation of long-term care insurance, a service for home care programs is needed for the elderly living at home in order to reduce depression and to increase self-efficacy and perceived health status. In addition, social support provided by health-care professionals should be developed to promote a healthy lifestyle for the elderly living in institutional environments.

A Study on the Functional Health Status of Living-alone Elderly (독거노인의 건강기능상태에 관한 연구 -광주광역시를 중심으로-)

  • Kim Mee Young
    • Journal of Korean Public Health Nursing
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    • v.11 no.2
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    • pp.94-105
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    • 1997
  • The degree of nursing service requirement can be determined by functional health status and a predictive explanation for the status on the living-alone elderly is essential to plan home-care nursing intervention. The purpose of this study is to explore the functional health status of living-alone elderly. Especially the main purpose is to contrast the differences of the status between the residential living-alone elderly and institutional living-alone elderly. This study was conducted through the interview by the students of nurse college who were previously trained during the months of Oct. and Nov. 1996. Sample participants located in Tong-Gu and Seo-Gu of Kwangju City. To contrast the functional health status. this study tried to utilize the Activity Inventory(AI). Among the AI's this study adopted the Physical Activity of Daily Living(PADL) and Instrumental Activity of Daily Living(IADL). Results of the study show that the home-care nursing intervention for the living-alone elderly is urgent more for the residential than for the institutional. It seems that the residential living-alone elderly suffer from inability in Physical Activity of Daily Living. As the residential elderly who have some physical lacks prefer the institution. it is recommended to support physical lacks for the institutional. And more mental-emotional support is recommended for the residential living-alone elderly. The degree of the residential's IADL is higher than that of the institutional. It seems that it was caused by the reason that the residential's needs for the minimum level of life is greater than that of the institutional. So the polypharmacy in elderly nursing-home residents must be considered as sigificant.

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The Effect of Health Promotion Program for Frail Elderly Residents on Health Promoting Behavior and Health Status (허약노인을 위한 건강증진 프로그램이 허약노인의 건강증진행위와 건강상태에 미치는 효과)

  • Kwon, Sang Min;Park, Jeong Sook
    • Korean Journal of Adult Nursing
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    • v.25 no.2
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    • pp.194-206
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    • 2013
  • Purpose: The purpose of this study was to develop a health promotion program for frail elderly nursing home residents, and to analyze the effects of the program. Methods: The research was a nonequivalent control group pretest-posttest design. Data collection was performed from February 26, 2012, to April 26, 2012. The subjects were 28 residents for the experimental group, who were selected at A nursing home, D city, in Korea and 27 residents for the control group, who were selected at B nursing home. Data were analyzed using descriptive statistics, ${\chi}^2$-test, independent t-test, ANCOVA and Cronbach's ${\alpha}$ with SPSS/Win 17.0 program. Results: There was a significant improvement in health promoting behaviors (F=64.26, p<.001), Lt. Grip strength (F=39.76, p<.001), Rt. Grip strength (F=38.06, p<.001), Static balance (F=3.98, p=.050), TUG (F=18.60, p<.001), oral status (F=26.75, p<.001), depression (F=18.79, p<.001), and subjective health status (F=10.75, p<.002) in the treatment group compared to the comparison group. Conclusion: The health promotion program improved the health promoting behavior, physical fitness, oral status, depression, and subjective health status of the frail elderly nursing home residents. Therefore, health promotion programs for frail elderly nursing home residents could be helpful.

Comparative Study on the Facilities for the Elderle Care (노인케어시설의 정책개발을 위한 국제비교연구)

  • 김기훈
    • Health Policy and Management
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    • v.8 no.1
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    • pp.203-230
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    • 1998
  • This purposes of this study is to develope policies on the facilities for the elderly care in Korea. Methodology of this study adopts comparative analysis on the facilities for the elderly care in 6 countries which have experienced various problems on the elderly. These 6 countries are Japan, Sweden, America, Australian, England and Germany. Major issues for comparative analysis are the standard of care facilities, residence condition, finance of facilities establishment and expense, operating system, management, and the law and administrative structure about the facilities for the elderly care. The elderly people need various kinds of welfare services such as medical care facilities, nursing home facilities, home care facilities etc.. Thus the public policies for the aging population nations are compose of income maintenance program, health and medical care services and social welfare services. The policies of facilities for elderly care are very important since these policies include the characteristics of income maintenance, me\ulcorner미 care program and welfare program. This study willsupply basic data for the development of facilities for the elderly care in Korea, especially conceming the system and institutional device of the facilities.

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Nursing Students' Knowledge, Attitudes, and Educational Needs Regarding Sexuality in the Elderly (일부지역 간호대학생의 노인에 대한 성지식과 태도 및 교육요구도)

  • Han, Hye-Ja;Lee, In-Sook
    • Journal of Home Health Care Nursing
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    • v.23 no.1
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    • pp.71-79
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    • 2016
  • Purpose: This study was investigated the knowledge, attitudes, and educational needs of nursing students regarding the sexuality of elderly individuals. Methods: This was a descriptive study. Data were collected from April $1^{st}$ to $22^{nd}$, 2016. One hundred ninety-three nursing students in Daejeon city and Chungcheongnam-do were surveyed. Data were analyzed using SPSS 21.0. Results: Mean scores on the knowledge, attitudes, and educational needs measures were 15.74/29, 28.45/40, and 36.67/50 respectively. There were significantly differences in major variables according to needs for sexual education of the elderly. There were also significant differences in knowledge and educational needs depending on students' age and year in school. Higher levels of knowledge of sexuality were significantly correlated with more positive attitudes and higher educational needs. Positive attitudes were also correlated with higher educational needs. Conclusion: Nursing students showed a low level of knowledge and poor attitudes towards sexuality in the elderly. This suggests that there is a need for education on the sexuality of the elderly in the nursing curriculum. This education would guide nursing students to obtain correct knowledge and positive attitudes so that they would be able to provide effective and appropriate sexuality care for elderly patients.

Correlational study of IADL, Self-Esteem, Empowerment of Elderly People Living at Home (재가노인의 일상생활기능, 자아존중감과 임파워먼트간의 관계)

  • Moon Myeong-Ja
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.12 no.3
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    • pp.382-388
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    • 2005
  • Purpose: The purpose of this study was investigate the relationship between IADL, self-esteem and empowerment of elderly home residents. Method: The data were collected from Aug. 1 st to September 30, 2004. The participants were 274 elderly people who lived at home. Data were collected using structured questionnaire and analysed using the SPSS program. Result: Mean scores for IADL, self-esteem and empowerment were 3.74, 3.22, 3.36 respectively. IADL and self-esteem showed a significantly positive correlation to empowerment. Conclusion: This results indicate that the elderly people need more self-esteem and empowerment. Therefor it is important to develop effective strategies to enhance empowerment in elderly people.

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The Relations between Self-esteem, Self-care and Life Satisfaction in the Home-dwelling Elderly (재가노인의 자아존중감, 자가간호와 생활만족도간의 관계)

  • Kim, Bong-Im
    • Research in Community and Public Health Nursing
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    • v.16 no.4
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    • pp.415-423
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    • 2005
  • Purpose: The present study was conducted to identify the relations between self-esteem. self-care and life satisfaction in the home-dwelling elderly. Methods: The subjects were 106 persons aged over 65 in J city. Data were collected from April to June 2005 by a questionnaire survey. The instruments used in this study are the self-esteem scale developed by Rosenberg(1965), the self-care scale by Hwang (2000) and the life-satisfaction scale by Choi (1986). Data were analyzed through t-test, ANOVA. least significant difference, Pearson's correlation coefficient and stepwise regression analysis using SPSS-Win 10.0. Results: Self-esteem and self-care were in a positive correlation with each other (r=.464, p=.000). Self-care and life-satisfaction showed a significant correlation with each other (r=.222 p=.031), and a significant correlation was found between self-esteem and life-satisfaction (r=.506, p=.000). The most significant predictors influencing life-satisfaction were self-esteem, self-care and perceived health condition, and the three factors accounted for 47.7% of variance in life satisfaction in the home-dwelling elderly. Conclusion: These results suggest that self-esteem, self-care and life-satisfaction can be important factors the quality of life of the elderly in long-term care. Therefore nurses can plan nursing interventions to promote self-esteem, self-care and life satisfaction of the home-dwelling elderly.

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Effects of Intervention Using PARO on the Cognition, Emotion, Problem Behavior, and Social Interaction of Elderly People with Dementia

  • Koh, In Soon;Kang, Hee Sun
    • Research in Community and Public Health Nursing
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    • v.29 no.3
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    • pp.300-309
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    • 2018
  • Purpose: This study aims to investigate the effects of intervention using the therapeutic robot, PARO, on the cognition, emotion, problem behavior, and social interaction of elderly people with dementia. Methods: A nonequivalent control group pretest-posttest design was used. A total of 33 elderly people with dementia living in a nursing home facility participated in the study, with 17 in the experimental group and 16 in the control group. The intervention program with PARO was administered twice a week for 6 weeks, for a total of 12 sessions. Data were collected before and after intervention, using a questionnaire, direct observation, and video recording. Results: There were statistically significant differences in positive emotions and problem behaviors between the groups. The experimental group demonstrated a significant improvement in social interaction. Conclusion: PARO intervention can be utilized as an effective nursing intervention to increase positive emotions and social interaction, as well as decrease problem behaviors, in elderly people with dementia living in nursing home facilities.