• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제21권2호
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• pp.7-15
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• 2015

Purpose: The purpose of this study is analyze linkage and spatial and structural characteristics of outpatient department and diagnosis/treatment area of geriatric hospitals based on quantitative analysis, according to function and corridor types. Methods: To examine structural characteristics and correlation of outpatient department and diagnosis/treatment area of six geriatric hospitals according to the corridor type, were systemized according to the function and corridor type and made into a j-graph, and an index was created by using space syntax to understand spatial characteristics. Results: 1) Different functional spaces are connected by a corridor, which, therefore, can be an axis of the connectivity and linkage of functional spaces and an important element in a clear hierarchy. 2) Treatment areas were disconnected from different functional spaces and, therefore, the accessibility was low. Many hospitals had an arrangement plan for treatment and diagnosis areas, and recent hospitals have segmented treatment areas within the rehabilitation space, which resulted in deeper space. 3) In terms of the level of integration, more integrated reception area meant shallower spatial depth, and deeper space for treatment and diagnosis areas. Implications: Spatial relation of outpatient department of geriatric hospitals was analyzed based on characteristics of the elderly.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제29권3호
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• pp.7-15
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• 2023

Purpose: This study was conducted with the aim of presenting spatial planning directions for evacuation spaces based on an analysis of the performance of horizontal evacuation during the early stages of fire incidents in a geriatric hospital. Methods: Based on a review of previous studies, the research model was designed by establishing occupancy conditions, evacuation, and fire scenarios. The analysis model was developed by considering vulnerable areas in terms of evacuation movement and analyzing the results of evacuation performance. Furthermore, the study analyzed the improvement in evacuation performance by arranging refuge areas. Results: The results of the study are as follows. Firstly, vulnerability spots were identified in terms of evacuation performance by schematizing Required Safe Egress Time, Available Safe Egress Time, and their differences. Secondly, the Required Safe Egress Time in the adjacent public spaces along the escape routes of occupants was found to be higher compared to the Available Safe Egress Time. Thirdly, the results of the correlation analysis between the difference in Available Safe Egress Time and Required Safe Egress Time during the early stages of a fire, as well as their constituent factors, demonstrated that user congestion is a more significant factor in compromising evacuation safety than the physical changes in the fire condition. Fourthly, the analysis of evacuation time was conducted by designating refuge areas where occupants can evacuate within a sufficient timeframe. This led to a decrease in the Required Safe Egress Time. Implications: This study is expected to be used as data on the direction of evacuation space planning to improve the evacuation performance of Geriatric Hospital.

• Nutrition Research and Practice
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• 제9권6호
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• pp.637-643
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• 2015

BACKGROUND/OBJECTIVES: Malnutrition in the elderly is a serious problem, prevalent in both hospitals and care homes. Due to the absence of a gold standard for malnutrition, herein we evaluate the efficacy of five nutritional screening tools developed or used for the elderly. SUBJECTS/METHODS: Elected medical records of 141 elderly patients (86 men and 55 women, aged $73.5{\pm}5.2years$) hospitalized at a geriatric care hospital were analyzed. Nutritional screening was performed using the following tools: Mini Nutrition Assessment (MNA), Mini Nutrition Assessment-Short Form (MNA-SF), Geriatric Nutritional Risk Index (GNRI), Malnutrition Universal Screening Tool (MUST) and Nutritional Risk Screening 2002 (NRS 2002). A combined index for malnutrition was also calculated as a reference tool. Each patient evaluated as malnourished to any degree or at risk of malnutrition according to at least four out of five of the aforementioned tools was categorized as malnourished in the combined index classification. RESULTS: According to the combined index, 44.0% of the patients were at risk of malnutrition to some degree. While the nutritional risk and/or malnutrition varied greatly depending on the tool applied, ranging from 36.2% (MUST) to 72.3% (MNA-SF). MUST showed good validity (sensitivity 80.6%, specificity 98.7%) and almost perfect agreement (k = 0.81) with the combined index. In contrast, MNA-SF showed poor validity (sensitivity 100%, specificity 49.4%) and only moderate agreement (k = 0.46) with the combined index. CONCLUSIONS: MNA-SF was found to overestimate the nutritional risk in the elderly. MUST appeared to be the most valid and useful screening tool to predict malnutrition in the elderly at a geriatric care hospital.

• 한국식생활문화학회지
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• 제32권6호
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• pp.534-548
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• 2017

Elderly with dementia in geriatric hospitals (EDGH) are highly dependent on hospital meals. This study evaluated the foodservices satisfaction and food preference of the EDGH. The survey was conducted on 104 elderly with dementia (21 males and 83 females) in 4 geriatric hospitals in Seoul and Incheon in November, 2016. Data were collected from interviews using a questionnaire that consisted of 6 questions for foodservice satisfaction and 24 questions (10 categories) for food preference. The data were analyzed using SPSS ver. 20.0. The satisfaction with taste, saltiness, texture, and variety in foodservices was good, but the satisfaction with the amount was not, and the reason for leaving food was its large serving size. The subjects preferred soft boiled rice, noodles, porridges, meats, fish, seafood, vegetables, and fruits. Among them, they preferred more janchiguksu, red bean porridge, beef, croaker, oyster, spinach, and banana. Regarding the cooking methods, they preferred soup, grill, and boiling, but not frying. The also preferred Chinese cabbage kimchi, but they did not prefer hard kkakdugi. They did not prefer milk because of diarrhea, but they preferred yogurt. Therefore, to provide a satisfying meal for EDGH, it is necessary to develop a friendly diet considering their food preferences.

• 한국산학기술학회논문지
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• 제16권8호
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• pp.5413-5421
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• 2015

본 연구는 노인요양병원 근무자의 수면의 질, 우울과 피로가 직무스트레스에 미치는 영향을 파악하기 위한 서술적 인과관계 연구이다. 대상자는 2개 지역 6개 노인요양병원 근무자 175명이며, 구조화된 설문지를 이용하여 2015년 3월에 자료를 수집하였다. 수집된 자료는 SPSS/WIN 21.0 프로그램을 이용하여 분석하였다. 분석 결과 노인요양병원 근무자의 직무스트레스와 수면의 질, 우울 정도는 병원 임상간호사와 비슷한 수준이었으나, 입원 환자 특성상 신체적 피로 정도가 높았다. 또한 연구대상자의 직무스트레스는 수면의 질(r=-.364, p<.001)과 음의 상관관계가 있었고, 우울(r=.376, p<.001) 및 피로(r=.646, p<.001)와 양의 상관관계가 있었다. 직무스트레스에 가장 큰 영향을 미치는 요인은 피로(${\beta}=.581$, p<.001)로 나타났다. 따라서 노인요양병원 근무자의 직무스트레스 완화를 위한 직무 환경의 개선뿐만 아니라 피로를 감소시킬 수 있는 다양한 중재방안의 모색과 시행이 필요하다.

• 보건교육건강증진학회지
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• 제9권1호
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• pp.79-87
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• 1992

The objective of the present study is to review of the system, type of care and utility of the Geriatric Health Care Facility(GHCF) in Japan. Geriatric Health Care Facilities in Japan were started with subsidies from the Ministry of Health and Welfare in 1987 to encourage return of the elderly from hospitals to their homes rather than other destinations such as nursing homes or hospitals. Concerning to the type of care, there is the difference between GHCF and other geriatric care facilities(i.e., geriatric hospital and nursing home). GHCF provides both medical and nursing care. The following services are available for the GHCF's user's. As institutional care services, rehabilitation training, ADL exercise, nursing care and management of medicine, are available. For the out-patients, supplying meals, taking a bath, and rehabilitation services, are also available. The medical treatment fee at the facilities is about US $ 1,500 per month. Expenses for meals, daily necessities, shall be borne by the recipient, Those expenses are about US $ 360 per month. In anticipation of the coming of the aging society, the Goverment must be formulated consecutively several vital policies of measures, especially GHCF, for the elderly in the future few years.

• 디지털융복합연구
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• 제13권12호
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• pp.347-357
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• 2015

본 연구는 노인요양병원 간호사 306명을 대상으로 영성과 임종간호태도간의 관계를 파악하여, 노인요양병원에서 임종간호의 질을 향상시키기 위한 기초자료를 제공하고자 시도된 서술적 상관관계 조사연구이다. 자료수집은 2013년 9월 3일부터 9월 30일까지 하였으며, 자료는 SPSS/WIN 18.0 프로그램을 이용하여 기술통계, t-test, ANOVA, scheffe test, Pearson's Correlation Coefficent을 사용하여 분석하였다. 분석결과, 영성의 차이는 종교, 종교중요성 인식, 임종간호교육경험, 직무만족, 삶의 만족에서 통계적으로 유의하였다. 임종간호태도 차이는 학력, 중교중요성 인식, 임종환자간호경험, 임종간호교육경험, 직무만족, 삶의 만족에서 통계적으로 유의하였다. 영성과 임종간호태도는 유의한 양의 상관관계를 나타내어 영성정도가 높을수록 임종간호태도는 긍정적으로 나타났다. 임종간호태도를 긍정적으로 향상시키기 위해서는 영성을 강화할 수 있는 교육프로그램을 개발할 필요가 있다.

• Journal of Korean Neurosurgical Society
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• 제54권4호
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• pp.323-328
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• 2013

Objective : The purpose of this study was to examine the efficacy and perioperative complications associated with lumbar spinal fusion surgery, focusing on geriatric patients in the Republic of Korea. Methods : We retrospectively investigated 485 patients with degenerative spinal diseases who had lumbar spinal fusion surgeries between March 2006 and December 2010 at our institution. Age, sex, comorbidity, American Society of Anesthesiologists (ASA) class, fusion segments, perioperative complications, and outcomes were analyzed in this study. Risk factors for complications and their association with age were analyzed. Results : In this study, 81 patients presented complications (16.7%). The rate of perioperative complications was significantly higher in patients 70 years or older than in other age groups (univariate analysis, p=0.015; multivariate analysis, p=0.024). The perioperative complications were not significantly associated with the other factors tested (sex, comorbidity, ASA class, and fusion segments). Post-operative outcomes of lumbar spinal fusion surgeries for the patients were determined on the basis of MacNab's criteria (average follow up period : 19.7 months), and 412 patients (85.0%) were classified as having "excellent" or "good" results. Conclusion : Increasing age was an important risk factor for perioperative complications in patients undergoing lumbar spinal fusion surgery, whereas other factors were not significant. However, patients' satisfaction or return to daily activities when compared with younger patients did not show much difference. We recommend good clinical judgment as well as careful selection of geriatric patients for lumbar spinal fusion surgery.

• 한국직업건강간호학회지
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• 제29권1호
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• pp.20-28
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• 2020

Purpose: The purpose of this study was to investigate the effects of emotional labor and communication competence on geriatric nursing in nurses-related stress in nurses caring for older patients. Methods: The sample consisted of 147 general hospital nurses. Data were analyzed through the SPSS/WIN 21.0 program using descriptive statistics, t-test, ANOVA, Pearson's correlation coefficients, and multiple regression. Results: The factors of emotional labor (β=.38, p<.001)and positive communication competence (β=-.20, p=.021) had the greatest influence on the level of stress related to geriatric nursing in nurses caring for older patients. The total explanatory power was 20.3%. Conclusion: It was found that emotional labor and communication competence were influencing factors in the stress related to geriatric nursing. Therefore, to improve nurses' stress related to geriatric nursing, strategies to manage the emotional labor, and to strengthen and develop positive communication competence need to be developed.

• 대한두경부종양학회지
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• 제33권2호
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• pp.1-8
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• 2017

Cancer is the disease of aging and Korea is one of the fastest aging country in the world. Older patients have decreased organ function and stress tolerance, therefore are at high risk of functional decline and developing complication from cancer and cancer treatment. Before beginning cancer treatment, it is important to assess patients' life expectancy, whether the patient is likely to die of cancer or of other comorbidity, and also the risks with cancer treatment. In order to estimate patient's physiologic age, it is recommended to perform geriatric assessment and implement appropriate geriatric intervention together with meticulous supportive care, when planning cancer treatment for older patients. In a resource limited country such as Korea, two step approach of applying screening tool followed by geriatric assessment can be more efficient. Geriatric assessment is used to predict toxicity from cancer treatment such as surgery, radiotherapy, and chemotherapy, predict survival, and also to aid treatment decision. Number of randomized trials are ongoing to compare usual care versus oncogeriatric care, and with these results we expect to improve outcome of older patients with cancer.