• 대한간호학회지
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• 제22권4호
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• pp.552-568
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• 1992

Recent improvements in the standard of living, national income and medical care, and a decline in the infant death rate which have occurred related to economic growth and modernization, have led to a longer average life-span and a higher ratio of elderly people in the total population, Therefore, not only in the field of nursing science, but also in the field of many other discipline, issues concerning the elderly have been given increasing interest. A great deal of effort has been spent on increasing the quality of life for elderly people. This study was conducted to analyze the correlation between social support and quality of life. The sample consisted of III subjects residing at home and 107 subjects residing in institutions all of whom were over 65 years of age. The data collection period was from October 23, 1990 to January 26, 1991. Social support was measured using the Norbeck social Support Questionnaire developed by Norbeck, translated by Oh, Ka Sil and quality of life was measured using the QOL scale developed by No, You Ja. Data were analyzed using pereentages, t-test, Pearson Correlation Coefficient and ANOVA. The results of this study are as follows : 1. There was a statistically signifivant difference in the level of social support between the two groups (t＝-8.83, p＜.001), The elderly at home reported a much higher level of social support. 2. There was a statistically significant difference in the level of QOL between the two groups (t＝-5.77, p＜.001) . The elderly at home reported a much more positive quality of life. 3. There was a positive correlation between social support and QOL for the elderly at home ard it was statistically significant (r＝.32, p＜.001). 4. There was a postitive collealtion between social support and QOL for the elderly in institutions and it was also statistically significant (r＝.19, p＜.05). 5. The relationship between the general characteristics of the elderly at home and the variables of social support and of QOL were as follows ; 1) according to sex(t＝10.57, p＜.01) and the number of offspring(F＝6.19, p＜.01), there was a statistically significant difference in social support. 2) according to amount of Pocket money, there was a statistically significant difference in QOL(F＝2.98, p＜.05). 6. The relationship between the general characteristics of the elderly in institutions and the two variables were as follows ; 1) according to sex(t＝6.24, p＜.05), the number of offspring(F＝6.16, p＜.001) and religion (F＝2.58, p＜.05), there was a statistically significant difference in social support. 2) according to religion, there was a statistically significant difference in QOL(F＝2.90, p＜.05). In conclusion, it can be said that social support is an important variable related to QOL in the elderly and that social support levels are higher for the elderly residing at home. Therefore, more specific and objective approaches and efforts are needed to effectively use resources to maintain the elderly at home and to enhance social support available to the elderly in institutions and thereby increase QOL regardless of residence.

• 지역사회간호학회지
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• 제22권3호
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• pp.290-301
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• 2011

Purpose: This study is a descriptive research intended to clarify the medication status of community-dwelling elders and to identify factors affecting their medication adherence. Methods: Data were collected using questionnaires and interviews from 101 subjects who had taken prescribed drugs for at least 7 days sampled among elderly people using home care nursing at a general hospital in Seoul. Results: According to the results of this study, medication adherence measured by pill counting was 88.3% and that measured by self-reporting was 94.6%. There were statistically significant differences in medication adherence according to major disease (p=.006), the number of admissions (p=.032), the number of drugs (p=.051), the frequency of medication (p=.026), and depression (r=-.205). In addition, depression was found to be a significant variable explaining the medication adherence with explanatory power 3.8% (p=.035). Conclusion: The presence of depression affected the elderly subjects' the medication adherence. Therefore, more concern and educational approaches are required to encourage elderly people to comply correctly with medication regimens particularly for elderly patients who have a malignant or long-lasting disease or who have to take multiple drugs or maintain a daily dosing frequency.

• 지역사회간호학회지
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• 제10권1호
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• pp.106-120
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• 1999

Japan has been prepared for aging society from 1970. In 1970, the percentage of distribution of population of 65 years old and over was 7.1%. It is similar to present percentile of the elderly in Korea. Therefore, it will be needed to study about home care and home visiting nursing in Japan at present. This study was aimed to prepare the fundamental documents for home care nursing in Korea and to know the background of new health care system of Long-term Care Insurance in Japan, by studying home care and home visiting nursing in Japan. With the continuing aging of the population, especially the increase in the number of latter stage elderly, it is predicted that there will be an increase in the number of the elderly who are bedridden and suffering senile dementia. To ensure that these people will be able to continue living in the communities and homes they are accustomed to, surrounded by their families and neighbors, Japan substantially improve and expand in-home services. There were also long-term effort to reach the level of services outlined in the Gold Plan and the New Gold Plan within the decade between FY 1991 and FY 1999 in the field of health care and welfare. Under this plan, the most noticeable change was occurred in home care, home was permitted as the field of care and visiting nursing was established in law. Through this 10- Year Strategy for Promotion of Health and Welfare Services for the Aged, many problems have been improved and solved, but some problems remained such as inadequate service supply and consumption of medical insurance for the elderly. Japan will be a society composed 25% of elderly people of total population in 2020, and it will be soon faced with a shortage of welfare and medical facilities and manpower. As for equalizing the benefits and cost burdens, and other future arrangements for health care and welfare, Long-term Care insurance system was established in 1994. This system will be enforced from April 2000 and use present facilities and services. To know home care and home visiting nursing in Japan, we need to consider present conditions well and to take notice of changes and measures to cope with an aging society continuously.

• 한국실내디자인학회논문집
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• 제14권6호
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• pp.157-167
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• 2005

The demands of nursing home for the dementia are rapidly increasing. However, there are no enough nursing homes and design guidelines for it. This study was intended to examine the needs of the staff for the nursing home design and suggest the design guidelines of the Korean nursing home for the dementia. The subjects were 15 nurses and 18 care givers who worked in D hospital for the elderly with dementia in Busan. Data were collected by the self-administered questionnaire. The findings were as follows; First, the most important design element in nursing home for the dementia which the staff mentioned was 'healing environment' and then 'function' and 'maintenance' Second, the care-givers were more satisfied with their facility design than the nurses. Third, the staff pointed out that 'the relation between individual room and nursing station', namely, short distance between them, and 'enough wandering space' had to be considered at first in design process of nursing home with dementia. Also, the comfort and intimate interior mood, fresh air and sunlight were also pointed out as the important elements in nursing home design for the dementia.

• 한국보건간호학회지
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• 제11권1호
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• pp.93-102
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• 1997

The study aimed at investigating the living time as well as disability degree of the elderly based on daily living acting capability and living activity degree. The survey was conducted through the home-visit interview during half month at july, 1996 by the students of nursing department who were previously trained. The survey targeted the elderly aged 65 years or more living at home in rural area. The study tried to utilize Activity Inventory(AI) made for examing health and disease, disability degree, and living acting degree of the elderly. Among the AI's, there are Physical Activity of Daily Living(PADL), Instrumental Activity of Daily Living(IADL), maximum daily activity scope, and physical and mental activity level of the elderly. The daily living time is surveyed physiologic time(sleeping, eating and grooming), labor time(occupation, housekeeping and farming) and leisure time(reading, sport hobby-life). Results of the study show that social activity degree of the elderly is found to be lower than that PADL, LADL, and daily living scope. It seems that the elderly suffer from inability in daily life with lower social activity degree. But the labour time of the daily living time is the most amount time in the targeted 361 elderlys through random sampling. Therefore postponement of the disability of aging should be devised to encourage the labour activity of the elderly.

• 가정간호학회지
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• 제17권2호
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• pp.120-126
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• 2010

Purpose: The study sought to identify the differences in chronic diseases and physical activity in elderly women by BMI. Method: The subjects of this study were 644 elderly women 60-80-years-of-age living at home. The research instruments were physical activity levels and chronic diseases. Subjects were given a self-report questionnaire. Data were analyzed using the SPSS win program. Result: Hypertension, prevalence of diabetes mellitus and hyperlipemia were significantly different in the subjects according to body mass index, being higher in obese subjects than in non-obese subjects. Physical activity in each of the body mass index groups did not differ significantly. Conclusion: Obesity increases the risk of chronic diseases. This knowledge could help elderly women control their weight, reduce chronic diseases, and ultimately, gain better health.

• 사회복지연구
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• 제43권1호
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• pp.203-227
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• 2012

본 연구는 노인요양시설에서 생활하는 노인들이 경험하는 관계적 공격성이 우울감에 미치는 영향을 분석하고 시설적응이 미치는 매개효과를 검증했다. 이를 위해 서울 경기 지역 기초생활수급자 대상 노인전문요양시설 3곳과 노인요양시설 3곳에서 182부의 설문지를 회수해서 분석의 근거로 삼았다. 그리고 SPSS18.0 프로그램을 이용하여 빈도분석 및 상관관계분석 등을, AMOS 7.0 프로그램을 사용해 구조방정식 모형을 분석했다. 그밖에 Sobel test를 이용해 매개효과의 통계적 유의미성을 검증했다. 조사결과를 분석한 결론은 다음과 같다. 첫째, 노인요양시설에서 생활하는 노인들 사이에 나타나는 관계적 공격성과 우울감 사이에는 통계적 상관관계가 없는 것으로 나타났다. 둘째, 노인요양시설 입소노인 간의 관계적 공격성이 우울감 사이에 시설적응의 매개효과가 있다. 즉, 시설에서 관계적 공격성이 높을수록 노인들의 시설적응은 낮아지고, 시설적응이 낮을수록 노인들의 우울감이 커지는 것으로 나타났다. 이러한 결과를 바탕으로 제언을 하면 다음과 같다. 첫째, 노인요양시설에서 노인들 사이의 긍정적인 유대관계를 형성하기 위해서 새로운 입소노인들이 기존 입소노인들과 함께 공감대를 형성할 수 있는 건강프로그램, 종교프로그램 등을 개발하여 공통된 관심사를 통해 상호관계를 증진시키도록 한다. 둘째, 노인들의 시설적응을 돕기 위한 방안으로써, 개인용품을 시설에 반입하는 허용 범위를 넓히는 방법을 생각할 수 있다. 셋째, 노인들 사이에서 나타나는 괴롭힘 같은 부정적 관계가 발생하는 상황을 중재 혹은 예방 및 경감하기 위한 프로그램을 해당 시설에서 적극적으로 개발할 필요가 있다.

• 간호행정학회지
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• 제15권1호
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• pp.116-127
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• 2009

Purpose: This article aimed to identify nurses' experience of practice in nursing homes. Method: Using phenomenological approach for qualitative research, the participants were 8 nurses who were working at nursing homse in C city. The data was analyzed by using phenomenological methodology by Colaizzi. Results: Five theme clusters were derived from the data. They were: burden (independent decision making in clinical situations, tension of as a multifunctional member); lowered self-esteem (exhaustion, relative self-evaluation is low, comparing with others); conflict (negative image of elderly, communication break with elderly family, monitoring of nursing home staff); worth (slight improvement of elderly health state, trust and recognition, intimacy); and self-reflection (need for knowledge extension, effort towards enhancing virtue, perception of importance in their health management). Conclusion: The results showed that nursing home nurses experienced negative aspects of various nursing practice, suggesting the ways to solve their negative experience.

• 가정간호학회지
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• 제30권1호
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• pp.59-68
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• 2023

Purpose: We investigated the association between empathy for the elderly, the nursing work environment, person-centered care, and geriatric nursing practice among university hospital nurses and factors that affect geriatric nursing practice. Method: We administered questionnaires to 178 nurses between May 23 and June 21, 2022 at a university hospital in city D. We used descriptive statistics, the t-test, one-way analysis of variance, the scheffé test, Pearson correlation coefficients, and stepwise multiple regression analysis for data analysis. Results: We observed a statistically significant positive correlation between nurses' geriatric nursing practice and empathy for the elderly, the nursing work environment, and person-centered care. Empathy for the elderly was positively correlated with the nursing work environment and person-centered care, and the nursing work environment showed a statistically significant positive correlation with person-centered care. Empathy for the elderly and the nursing work environment significantly affected geriatric nursing practice. The overall explanatory power of the regression model was 33.4%. Conclusion: Greater awareness and implementation of various educational programs that promote empathy for the elderly are necessary to improve nursing care for the elderly population. Furthermore, adequate manpower and material support are important to improve the nursing work environment among nurses employed at university hospitals.

• International Journal of Human Ecology
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• 제7권1호
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• pp.13-23
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• 2006

The purpose of this study was to provide basic information regarding the planning of lounge and hallway areas for skilled nursing facilities for the elderly, given that residents spend much of their time in these areas. This study examined Korean elderly residents' occupancy and behavior in lounges and hallways in order to analyze how plan type, spatial composition, and equipment affect residents. To do this, observations were conducted in five facilities that were provided to the elderly at no charge. Results indicate that a central garden offers a wide hallway area that can be used not only for strolling but also for list of activities; at the same time, it can reduce the overall rate of inactivity. A shorter distance between the lounge and hallway on the opposite side is likely to help better disperse residents' throughout the facility. Hallway corners have potential for activities that may require sofas, tables, or equipment for individual activities; they could also be used for planned interaction programs or unplanned collaboration on the part of small groups of residents.