• Title/Summary/Keyword: elderly at nursing home

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Effect of Nurse-led Community Comprehensive Exercise Program for Elderly with Chronic Osteoarthritis (만성 골관절염 노인을 위한 지역사회 간호사 주도 복합운동 프로그램의 효과)

  • Baek, Hee Chong;Lim, WonJi
    • Journal of Korean Academic Society of Home Health Care Nursing
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    • v.26 no.1
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    • pp.102-110
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    • 2019
  • Purpose: This study aimed to investigate the effects of a nurse-led community comprehensive exercise program on the body composition, physical function, and health-related quality of life in elderly patients with osteoporosis. Method: The study was conducted with one group pretest-posttest design. A total of 57 elderly patients participated in 8 weeks of intervention. Data was analyzed with the SPSS ver. 23.0 using descriptive statistics and paired t-test. Results: At the end of the intervention, body mass index was significantly increased (t=2.93, p=.005), but right leg balance (t=2.40, p=.02) was significantly improved. In addition, the total Korean-Western Ontario and McMaster Universities Osteoarthritis Index (K-WOMAC) (t=3.48, p=.001), knee pain (t=2.61, p=.012), stiffness (t=2.53, p=.014), and physical function (t=3.51, p=.001) were significantly decreased. EuroQoL Visual Analogue Scale (EQ-VAS) scores (t=4.25, p<.001) were significantly improved. Conclusion: The nurse-led eight-week community comprehensive exercise program did not show desirable change in the body composition but was effective on the physical function and health-related quality of life for older people with osteoartritis.

Role and Task of Nurses in the Visiting Health Services at the Public Health Center: Focusing on the Elderly (노인대상 보건소 방문건강관리사업 간호사의 역할과 직무)

  • Han, Young Ran;Park, Eun A;Bang, Mi Ran;An, Na Won
    • Journal of Korean Public Health Nursing
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    • v.35 no.3
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    • pp.430-447
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    • 2021
  • Purpose: The purpose of this study was to analyze the role and tasks of nurses who were working for the elderly in the visiting health services at the public health centers. Methods: Literature reviews, two rounds of meetings with 5 experts and a two-round Delphi technique with 15 experts were performed in this study. Results: The nurses' role and job analysis revealed 5 roles, 16 duties and, 71 tasks. The nurses' roles, including discovery and registration of households/groups in visiting health service in the community, case manager, administrative management, program planning, operation and evaluation, and development of job competency. Sixteen duties included client registration and management, need assessment and plan establishment, education, consultation and support, seasonal health care, prevention and monitoring of infectious diseases, basic nursing care, chronic disease management, linkage and utilization of resources, team cooperation and coordination, home environment management, monitoring and support for intervention outcomes, evaluation, administrative management, program planning, operation and evaluation, development of professional competency and, adoption of fourth industrial revolution technology. Conclusions: Based on the results, the government should provide sufficient nursing personnel to provide universal preventive health services for the elderly and a job training program to perform these roles well.

Effects of an Integrated Cognition-Promoting Program (ICPP) on Cognitive Function, Depression, and Quality of Life on the Elderly Living at Home (통합인지증진프로그램이 재가 노인의 인지기능, 우울 및 삶의 질에 미치는 영향)

  • Lee, Ok Kyun;Suh, Gil Hee;Kim, Geun Myun
    • Journal of Korean Academic Society of Home Health Care Nursing
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    • v.27 no.1
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    • pp.53-63
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    • 2020
  • Purpose: This study aimed to investigate the effects of the ICPP on cognitive function, level of depression, and quality of life of older adults. Methods: This study follows a pretest-posttest, non-equivalent control group, quasi-experimental design. The subjects of this study were elderly people aged 65 years or older registered at comprehensive social welfare centers. A total of 42 participants took part: 21 in the control group and 21 in the experimental group. Data collection was conducted between September 18, 2017 and November 2, 2017. The ICPP was conducted for the experimental group for 6 weeks as a group program (3-4 times a week, for a total of 20 sessions). The control group underwent a simple exercise program for 6 weeks (once a week, for a total of 6 sessions). Results: The experimental group showed significant improvement in their cognitive function, level of depression, and quality of life. Conclusion: These results suggest that the ICPP helps improve cognitive function, alleviates depression, and increases quality of life, and is expected to be an effective nursing intervention for older adults.

A Comparative Study on Family Support, Self-esteem, and Health Status between the Institutionalized Elderly People and the Home-staying Ones (시설노인과 재가노인의 가족지지, 자존감 및 건강상태 비교연구)

  • Kim, Kwuy-Bun;Lee, Kyung-Ho
    • Journal of East-West Nursing Research
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    • v.5 no.1
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    • pp.36-49
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    • 2000
  • This study aims to provide the fundamental data for substantial nursing intervention in the elderly through a comparative appreciation on family support, self-esteem, and health status between the institutionalized elderly people and the home-staying ones. The subjects of this study are the institutionalized 108 elderly people of E and C Public Homes and the home-staying 109 elderly ones of O-Nho In Jeong(a kind of public recreational facilities for the aged) over the age of 65. The instruments for this research are based upon the tool(11 items, 5 points for each) for measuring family support developed by Choi, Young Hee(1984), a self-esteem scale done by Rosenberg (1965), the tools(20 items) for checking the health status of the elderly done by Lee, Young-Ja(1989). The sampling for this study has been carried on from July, 2000 until November, 2000. Questionnaire data were drawn up by personal interviews. The analyses of collected data are based on general characteristics calculated at the rate of 100 percentage to the average, t-test, ANOVA(some difference on a level with p<.05 being subsequently confirmed by DMR) for family support, self-esteem and health status, and Pearson Correlation to verify the hypothetical correlation among the subjects' family support, self-esteem and health status. The results of this study are as follows: 1. The difference between two groups in the light of family support, self-esteem and health status. (1) Family support - The rate of the family support that the institutionalized elderly people perceive turned out to be 22.13, that of the home-staying ones 30.99. (2) Self-esteem - The rate of the self-esteem that the former perceives proved to be 25.59, that of the latter 32.28. (3) Health Status - The rate of the health status that the former perceives turned out to be 39.67, that of the latter 51.60. 2. Family support, self-esteem, health status in terms of demographic characteristic (1) Family support - The group of institutionalized elderly people shows a tendency to be chiefly influenced by the death or life of the spouse and the number of the children; the group of the home staying ones to be chiefly influenced by the educational level (2) Self-esteem - The group of institutionalized elderly people shows a tendency to be chiefly influenced by educational level; the group of the home staying ones to be chiefly influenced by the amount of pocket money, the pocket money provider and the family main supporter. (3) Health Status - The group of institutionalized elderly people shows a tendency to be chiefly influenced by educational level; the group of the home staying ones to be chiefly influenced by age, the death or life of spouse, religion, and the educational level. 3. Correlation among family support, self-esteem, and health status The rate of correlation between family support and health status proved to be the highest (r=.549). After came the rate of correlation between health status and self-esteem, which turned out to be(r=.506). The last came the rate of correlation between family support and self-esteem, which proved to be(r=.406). According to this study, there is a conspicuously close correlation among family support, self-esteem, and health status for the elderly. Thus, it would be indispensable to seek out a variety of nursing intervention ways how the elderly could promote family support, self-esteem, and health status.

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The Effect of Preoperative Nutritional Status on Postoperative Outcome in Elderly Patients (노인 환자의 수술 전 영양상태가 수술 후 임상경과에 미치는 영향)

  • Kim, Min Young
    • Journal of Korean Biological Nursing Science
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    • v.21 no.4
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    • pp.292-299
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    • 2019
  • Purpose: The purpose of this study was to determine whether poor preoperative nutritional status in elderly patients exhibited a negative influence on postoperative clinical outcomes. Methods: The medical records of 645 elderly patients were examined retrospectively. The patients had undergone major surgery between January 2017 and January 2018. Their nutritional status was measured using the Nutritional Risk Screening 2002. The data were analyzed using the chi-squared test, the Mann-Whitney U test, logistic regression, linear regression, Cox proportional hazards regression, and the Kaplan-Meier analysis. Results: Preoperative malnutrition was found in 73 patients (11.3%). Poor preoperative nutritional status was significantly associated with pressure ulcers, length of hospitalization, discharge to patient care facilities rather than home, and mortality rate at three months. Conclusion: Preoperative malnutrition in elderly patients was associated with negative postoperative clinical outcomes. These results indicate that an effective nutritional program before surgery can lead to a more rapid postoperative recovery.

The Barriers and Solution of Providing Long-term Care Services at Home for the Beneficiaries with Mild Dementia: A Focus Group Interview (치매특별등급 대상자 재가요양관리의 장애요인과 해결방안 - 포커스 그룹 인터뷰 활용 -)

  • Song, Mi Sook;Lim, Kyung Sook
    • Journal of Korean Public Health Nursing
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    • v.30 no.2
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    • pp.259-273
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    • 2016
  • Purpose: The purpose of this study was to explore the barriers and solution of providing long-term care (LTC) services at home for the beneficiaries with mild dementia. Methods: The data were collected by interviewing three focus groups consisting of 10 home-visit nurses and analyzed through the analytic process by Morgan and Krueger. Results: The barriers of providing LTC services for clients were identified as follows: inadequateness of the current LTC model for elderly individuals with mild dementia and inappropriateness of the personal environment for home care. The solutions for these barriers were suggested as follows: building up a safe environment for home care and maintaining an appropriate standard utilization plan of LTC service. Conclusion: The current service model for the beneficiaries with mild dementia should be modified in order to provide comprehensive long-term care services based on their complex needs.

The Effect of Fluid Intake Enhancing Program for Institutionalized Elderly (시설노인의 수분 섭취 강화 프로그램의 효과분석)

  • Oh, Heeyoung;Lee, Eun-Hyun;Hur, Myung-Haeng;Kim, Eun-Kyung
    • 한국노년학
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    • v.27 no.2
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    • pp.357-370
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    • 2007
  • The purposes of this study were to 1) develop fluid intake enhancing program for the institutionalized elderly and 2) examine the effect of fluid intake enhancing program on amount of daily fluid consumed, urine specific gravity, and urine color. Data were collected from 39 nursing home residents in a nursing home located in urban Chung-chung providence. With a convenient sample of 39 nursing home residents, consecutive three days of 24 hour fluid intake, were measured and recorded. Urine samples were obtained and urine specific gravity, urine color were analyzed at pre-intervention, 4 weeks, and 6 weeks following the intervention. When compared to pre-intervention, the average amount of daily fluid intake was significantly increased at 4 weeks and 6 weeks following the intervention. The proportion of subjects who consumed less than Adequate Intake(AI) was 35.9% at pre-intervention and was decreased to 10.3%, 7.7%. In conclusion, inadequate fluid intake among institutionalized elderly is prevalent. From careful employment of the fluid intake enhancing program, increase in fluid consumption among institutionalized elderly can be expected.

Stress and Health Status of Primary Caregivers Caring for Demented Elderly (재가 치매노인을 돌보는 주 간호자의 스트레스와 건강상태)

  • Kim, Kyung-Min;Lee, Eun-Nam
    • The Korean Journal of Rehabilitation Nursing
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    • v.8 no.1
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    • pp.20-30
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    • 2005
  • Purpose: The purpose of this study was to investigate the stress level and health status of primary caregivers living with demented elderly. Method: The subject was 92 primary caregivers who had been taking care of demented elderly at home. The research tools were a stress questionnaire and health status questionnaire. The data were collected through direct interview with a questionnaire in the B city, from February to March 2004. The data were analyzed by t-test, ANOVA, Pearson's correlation coefficients and Scheffe test using SPSS/PC 11.0 program. Results: The primary caregivers living with demented elderly showed slightly high level of stress and moderate level of health status. Moreover, there was a significant correlation between the stress level and the mental and the physical health status. Conclusion: Based on the results, we recommend the development of an intervention program to decrease the stress level of primary caregivers living with demented elderly for improving their health status.

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Effects of Tai Chi Exercise on Physical Fitness and Quality of Life in Elderly Women (타이치 운동이 여성노인의 체력과 삶의 질에 미치는 효과)

  • Park, Jung Ah;Kim, Sook Young
    • The Korean Journal of Rehabilitation Nursing
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    • v.17 no.1
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    • pp.38-47
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    • 2014
  • Purpose: This study was performed to investigate the effects of Tai Chi exercise on physical fitness and quality of life (QOL) in elderly women. Methods: This study was designed as a quasi-experimental, nonequivalent control group pre-post test design. The subjects were elderly women over 60 years old who enrolled senior citizen centers and elderly welfare center. Thirty-three people were conveniently assigned to an experimental group (n=15) or a control group (n=18). The data were collected from September 2009 to May 2010. The experimental group was trained Tai Chi exercise for 8 weeks (one hour Tai Chi classes twice a week and once a week by themselves at home). Data were analyzed by Fisher's exact test, ${\chi}^2$-test and independent t-test. Results: The experimental group experienced significant improvements in flexibility. The experimental group experienced significant improvements in physical component summary (p=.017) and mental component summary (p=.027) of QOL. Conclusion: Tai Chi exercise can be used as a nursing intervention for improvement of physical fitness and QOL in elderly women.

A Study on Intensive Major Course of Department of Nursing in College (전문대학 간호과 전공심화과정 운영방안)

  • Park, Song-Ja;Je, Mi-Soon
    • The Journal of Korean Academic Society of Nursing Education
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    • v.10 no.1
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    • pp.64-74
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    • 2004
  • This study was conducted to investigate what contents nurses want in the intensive major course of junior nursing college. Data were collected for four months from October 2002 to February 2003 by structured questionnaires. Subjects were 240 registered nurses in working at five hospitals and four public health centers and elementary or middle schools in the capital and its suburbs and country. The collected data were analyzed using SPSS 8.0 program. The results of this study were summarized as follows : 1. Nurses working at hospitals want the programs which involve the contents as follows : emergency nursing/CPR, infection control, critical care, caner pt. care, pain control, hospice, pulmonary disease pt. care, analysis of lab. exam, heart disease pt. care, chronic disease pt. care, DM pt. care, digestive-system disease pt. care, nervous-system disease pt. care, elderly pt. care, immune-system disease pt. care, endocrine-system disease pt. care. 2. Nurses working at public health centers want the programs which involve the contents as follows : home nursing, family nursing, management of DM, HT, degenerative disease, and chronic liver disease, elderly pt. care, health education, maternity nursing, rehabilitation nursing. 3. Nurses working at elementary or middle schools want the programs which involve the contents as follows : prevention of drug abuse or misuse, sex education and consultation, health education, consultation technique, emergency care, prevention of child obesity, prevention and management of adult disease in children, teaching method, method of school health room management.

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