• 한국실내디자인학회논문집
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• 제36호
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• pp.68-75
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• 2003

In Korea, even though many aspects of medical care system for the elderly have been considered. Until now, most people have realized that the conceptualization range of geriatric hospital is the same as recuperation hospital. However the recent geriatric hospital includes a short term treatment like general hospitals, together with that it has a tendency to increase the propotion of rehabilitationby the Introduction of the concept of active rehabilitation treatment for returning to society. Unlike the general hospitals, geriatric hospital has got different characteristics in a managing and patient. However this is not a concrete standard of faacilities by the law of health welfare and medical. So these kinds of research will have to keep continuing. What I want to say In this study is that the prominence of information, which is based on the existing data analysis, is what forms my latest projects that engage with a wider repertoire of strategies and approaches toward architectural problem.

• 한국병원경영학회지
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• 제21권3호
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• pp.22-36
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• 2016

This study aims to analyze the effects of job satisfaction on turnover intention among the nurses in geriatric hospitals. In terms of study methods, this study developed structured questionnaires, and distributed them to nurses working in 11 geriatric hospitals in metropolitan area. A total of 418 questionnaires (response rate: 87.0%) were used for final analysis. We conducted multiple regression analyses to analyze the influence of job satisfaction on turnover intention, adjusting for the characteristics of the research subjects. The results of this study are as follows. First, both job satisfaction and turnover intention were statistically significantly related to individual and hospital characteristics. Second, turnover intention was lower in older age group, and higher in smaller hospitals. As job satisfaction increases, turnover intention decreases. Third, the results of the regression analysis adjusting for subject's characteristics and job satisfaction's sub-categories show that the turnover intention is lower in nurses who are older, day worker, and work in bigger hospitals. Fourth, the result of subgroup analysis by hospital volume show that both of two groups are influenced by hospital ownership and satisfaction about compensation. In addition, professionalism had a significant effect on decreasing turnover intention in smaller hospitals. However, there was no statistically significant relationship between job satisfaction's sub-categories and turnover intention in larger hospitals. The results of this study confirms that job satisfaction lowers turnover intention among nurses in geriatric hospitals. It is suggested that the administrators of those hospitals continue to monitor critical factors associated with job satisfaction, and thus, reduce turnover intention, which helps improve quality of services.

• 병원약사회지
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• 제35권4호
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• pp.418-429
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• 2018

Background : To improve medication adherence in elderly patients, the role of pharmacists in teambased services has been highlighted in the literature. However, not much is known about the role and the service elements involved in comprehensive geriatric programs in South Korea. This study was designed to describe the current status of medication adherence in geriatric patients based on the comprehensive geriatric assessment program and analyze the predictive factors for medication adherence in a tertiary teaching hospital. Methods : A retrospective cohort study was performed using electronic medical records of 247 patients from March 1st, 2015 to August 31st, 2015. Medication adherence and the types of non-adherence were also collected. Predictive factors for adherence were evaluated by including factors related to demographics, medications, illness, and patterns of medical usage. Results : The mean age of the study population was 81.2 years (range 65~98 years) and they were taking 9.7 drugs on an average (SD 5.0 drugs). The overall rate of non-adherence was 34%. About 48% of the patients had any forms of assistance in the medication administration. The most common type of non-adherence was "self-adjustment". The multivariate analyses revealed that age (adjusted odds ratio, 0.87 [95% CI, 0.80-0.96]; p 0.05) and the number of inappropriate medications (adjusted odds ratio, 0.59 [95% CI, 0.40-0.89]; p 0.05) were strong predictors for non-adherence. Conclusions : These results indicate that strategic considerations of the predictors of non-adherence should be improved in medication counseling services targeting elderly patients.

• 대한임상검사과학회지
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• 제51권1호
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• pp.105-113
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• 2019

본 연구의 목적은 노인성 우울, 노인성 스트레스와 인지기능과의 연관성을 확인하는 것이다. 구체적으로 치매를 유발 원인에 따라 알츠하이머성 치매와 혈관성 치매의 두 그룹으로 분류하고 각 그룹의 인지장애 및 노인성 우울, 노인성 스트레스의 정도와 특성의 차이를 확인하고 상호간의 연관성을 비교하고자 한다. 인지기능의 변수는 한국형 간이정신상태검사, 치매임상평가척도, 이마엽 기능검사, 한국형 도구적 일상생활능력 평가를 사용하였고, 노인성 우울변수는 노인우울척도(GDS), 노인성 스트레스변수는 노인스트레스척도(GSS)를 사용하였다. 통계적 방법은 알츠하이머성 치매환자 80명, 혈관성 치매환자 80명, 통제를 위한 정상군 80명을 설정하여 기술 통계량, Kruskall-Wallis, 상관분석, 다중회귀분석으로 통계적으로 유의한 차이 및 연관성을 확인하였다. 알츠하이머성 치매군에서는 GDS, GSS와 대체적으로 인지기능 변수들과의 상관관계는 확인하였다. 특히 GDS는 남성에서만 인지기능 변수들과 상관관계가 있고, 인지기능 변수들과의 인과관계도 확인되었다. 또한 GSS와 GDS와의 인과관계를 확인하여 GSS가 GDS의 원인이 된다는 유의성을 확인하였다. 결론적으로 GDS는 알츠하이머성 치매군에서 인지기능 변수와의 상관관계와 직접적인 인과관계를 확인하였고, GSS는 직접적인 상관관계보다 GDS를 유발하여 인지기능 장애와의 간접적인 인과관계를 확인할 수 있었다.

• 한국콘텐츠학회논문지
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• 제18권7호
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• pp.127-137
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• 2018

본 연구는 일 병원 간호사의 노인돌봄태도와 노인간호실천과의 관계를 확인하고 간호사의 노인간호실천에 영향을 미치는 요인들을 파악하기 위해 시도된 조사연구로, 2017년 10월 1일부터 10월 30일까지 B 광역시 소재 B 종합병원에 근무하는 간호사 228명을 대상으로 구조화된 설문지를 이용하여 시행되었다. 수집된 자료는 IBM SPSS statistics 20.0 program을 이용하여 기술통계, 상관관계, 다중회귀분석을 이용하였다. 연구결과 대상자의 노인돌봄태도는 3.39점, 노인간호실천은 3.21점이었으며, 노인돌봄태도와 노인간호실천은 유의한 정적 상관관계가 있었다. 대상자의 노인간호실천에 영향을 미치는 요인은 노인돌봄태도, 임상경력, 노인관련 교육 경험이 노인에 대한 태도에 영향 여부, 현 근무부서, 평소 가까이 지내는 노인 유무로 파악되었으며, 이들 요인에 의한 노인간호실천 설명력은 30.4% 이었다. 따라서 본 연구결과를 토대로 추후 병원간호사에게 긍정적인 노인돌봄태도를 증진시키기 위한 프로그램과 임상실무에 맞는 노인간호실천 증진 프로그램의 개발 및 적용이 필요하다.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제17권3호
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• pp.17-26
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• 2011

Nowadays, Korean society is quickly transforming into an aging society. There are lots of problems resulting from old aged society. First of all, in the case of medical service, it is an urgent task to find out what is the most proper care for the elderly in order to reduce medical expenses. It can be said that the geriatric hospital has to be designed to give adequate medical service to the elderly. However, it is hard to find out what the differences is between the general hospital and the geriatric hospital. Especially, the plan of the patient room has to reflect thoughtful consideration relating to characteristics of the elderly due to the fact that there is a close connection between the patient room and residence. Therefore this study aims to suggest the guideline and the plan of the patient room for the elderly.

• 보건의료산업학회지
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• 제10권1호
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• pp.53-66
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• 2016

Objectives : The aim of this study was to identify the effects of nursing performance and innovative behavior on the self-leadership of geriatric hospital nurses. Methods : The participants in this study were 206 nurses working in geriatric hospitals in Busan, Ulsan and Yangsan City. Data were collected from October to November, 2015. A structured questionnaire was used for the data collection, and the data were analyzed with the SPSS/WIN program. Results : Nursing performance and innovative behavior positively correlated with self-leadership. The most significant predictors of self-leadership were nursing performance and innovative behavior. Conclusions : These findings suggest that nursing performance and innovative behavior were linked to self-leadership. The results of this study can be used to help develop self-leadership programs.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제20권4호
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• pp.7-16
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• 2014

Purpose : The purpose of this study was to examine the nurses' needs for the spatial composition of geriatric hospital. Methods : The survey method was used for collecting the data. The subjects were 110 nurses who worked at 6 geriatric hospitals in Busan. They answered the questionnaire by the self-administered method. The questionnaire consisted of items which asked the spatial composition of patient room, bathroom, dining space, resting space, care-givers' room, and garden. Results : 1) The patient room using a bed on ondol floor would be useful. Also, it would be desirable that most patient rooms consisted of 4 or 6 persons per patient room and the others were 1 or 2 persons per room. 2) The bathroom for only patients and the shower room for their families or care-givers are needed in the geriatric hospital. 3) The dining room for patients in each floor would be useful to old patients. In addition to that, the cafeteria for their families or care-givers are needed. 4) The resting space for patients and their families, for the staff, and for care-givers are needed. 5) The personal locker and refrigerator are necessary fixtures in care-givers' room. Also, table, sofa, sink, and shower booth are also needed. 6) On the base of activities of care-givers, the space for preserving, washing, and heating foods are needed. Also, the storage space for personal items and the fitting space are needed. Implications : The results of this study would be the fundamental data for space planning of the geriatric hospital.

• 한국임상보건과학회지
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• 제4권2호
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• pp.593-602
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• 2016

Purpose. The purpose of this study was to investigate knowledge, stress and nursing performance about care for delirium in geriatric hospital nurses. Methods. For this study, data were collected from 242 nurses employed at geriatric hospitals with the capacity of more than 100 beds which were located in A, P and Y cites. Frequency analysis, t-test and one-way ANOVA were utilized to analyze the data and Scheffe test was used to conduct post-hoc tests. Results. Nurses showed significant differences in the level of Knowledge, as well as terminal care performance by marital status, nursing experience. A significant relationship was found between knowledge, stress and Delirium care performance. Conclusion. This study found nurses perform delirium care with a high level of stress but with insuffiecient understanding, and thus, showed great needs for related training. Such findings can be useful to develop educational programs to improve knowledge on delirium and plans to reduce stress from delirium for geriatric hospital nurses.

• 한국융합학회논문지
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• 제11권9호
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• pp.351-358
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• 2020

본 연구는 노인요양병원 근무자의 감사성향이 직무만족 및 삶의 만족에 미치는 영향과 감사일기 경험의 조절효과를 규명하는데 목적이 있다. 연구설문지는 감사일기와 관련된 캠페인을 추진하고 있는 4개의 노인요양병원 근무자를 대상으로 총 485부를 선정하였다. 자료처리는 SPSS 26.0을 이용하여 단순, 위계적 회귀분석을 실시하였다. 연구결과 노인요양병원 근무자들의 감사성향은 감사일기와 통계적으로 유의한 상관관계를 보였고 감사성향은 직무만족과 삶의 만족에 통계적으로 유의한 영향을 나타냈다(p<.01). 그러나 감사성향이 직무만족과 삶의 만족에 미치는 영향과 감사일기 경험의 조절효과는 통계적으로 유의하지 않았다. 본 연구의 의의는 노인요양병원 근무자의 감사성향이 직무만족과 삶의 만족에 미치는 영향과 감사일기 경험의 조절효과를 규명하여 근무자의 직무만족과 삶의 만족을 위한 프로그램 개발과 노인요양병원 인력관리의 기초자료를 제공하고자 한다.