• Title/Summary/Keyword: elderly at nursing home

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Factors Influencing the Nursing Performance of Delirium in Elderly Patients among Ward Nurses at a University Hospital (대학병원 병동간호사의 노인섬망 간호수행에 영향을 미치는 요인)

  • Park, Sung Suk;Song, Min Sun
    • Journal of Korean Academic Society of Home Health Care Nursing
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    • v.29 no.2
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    • pp.183-193
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    • 2022
  • Purpose: This research aims to identify the relationship between the knowledge of delirium in elderly patients, nursing stress of delirium in elderly patients, emotional intelligence, and nursing performance of delirium in elderly patients among word nurses at a university hospital. Method: Data were collected from September 28 to October 13, 2020, by distributing questionnaires to 185 ward nurses at a university hospital located in city D. A data analysis was performed using descriptive statistics, a t-test, one-way ANOVA, and Pearson correlation coefficients, and a multiple regression analysis. Results: Nursing performance of delirium in elderly patients showed statistically significant differences according to nursing experience with these patients. Nurses' knowledge of delirium in elderly patients had a statistically significant positive correlation with emotional intelligence and nursing performance of delirium in elderly patients. Also, nurses' emotional intelligence had a statistically positive correlation with nursing performance of delirium in elderly patients. The factors that significantly affected nursing performance delirium in elderly patients were emotional intelligence and knowledge of delirium in elderly patients. The total explanatory power of the regression model was 12.5%. Conclusion: For nursing performance of delirium in elderly patients by ward nurses, it is necessary to develop a geriatric delirium nursing education program that can improve the knowledge of delirium in elderly patients. In addition, guidelines in consideration of the emotional intelligence of nurses should be included in the development of educational programs.

Incidence of Medical Services and Needs for Hospital-based Home Care Nursing in Elder Care Institutions (노인요양시설 내 의료서비스 발생빈도와 병원중심 가정간호 요구도 조사)

  • Kim, Jae-Seung;Lee, Joo-Young;Song, Chong-Rye;Lee, Mi-Gyeong;Hwang, Moon-Sook
    • Journal of Korean Academic Society of Home Health Care Nursing
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    • v.16 no.1
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    • pp.49-58
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    • 2009
  • Purpose: This study aimed to clarify the needs for hospital-based home care nursing medical services in elder care institutions by analyzing the details and frequency of medical services provided by, and the needs for, hospital based home care nursing in select institutions in Korea. Methods: Seventy-seven staffs at elderly care institutions located throughout the country completed self-report questionnaires between February 1 and May 31, 2009. SPSS ver. 14.0 was used for data analysis regarding frequency and percentage, mean and standard deviation. Results: Forty-eight hospital-based home care nursing medical services in eight domains were identified as being needed in elderly care institutions. The most commonly used medical services were providing instruction in oral drug administration, checking drug beneficial/adverse effects, and administering blood glucose test, while the most needed medical services requiring hospital based home care nursing were complex pressure ulcer care, followed by diabetic foot ulcer management and nutrient injection. Conclusion: The present results should provide fundamental data for better healthcare services with hospital based home care nursing at elderly care institutions as part of a 'win-win' strategy through which medical expenses are reduced, insurance costs are kept stable, and safe and high-quality medical services are provided for residents of elder care institutions. Political decisions intended to promote visits by hospital based home care nurses to elder care institutions would be a prudent course.

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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.

Influence of Frailty, Nutritional Status, Positive Thinking and Family Function on Health Conservation of the Elderly at Home (재가노인의 노쇠, 영양상태, 긍정적 사고 및 가족기능이 건강보존에 미치는 영향)

  • Chang, Hae Kyung
    • Korean Journal of Adult Nursing
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    • v.27 no.1
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    • pp.52-62
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    • 2015
  • Purpose: The purpose of this study was to examine the relationships between frailty, nutritional status, positive thinking, family function, and health conservation and to identify the factors influencing health conservation of the elderly at home. Methods: The research design was a descriptive survey using a convenience sampling. Data were collected from 142 elders using self-reported questionnaires. Data were analyzed using the SPSS/WIN 20.0 program for descriptive statistics, Pearson's correlation coefficients, and multiple linear regression. Results: The average health conservation score was 98.85. There were significant correlations between frailty, nutritional status, positive thinking, family function and health conservation. As a result of the multiple linear regression analysis, positive thinking, perceived health status, spouse and frailty accounted for 69% of the variance in health conservation of the elderly at home. Conclusion: These influencing factors on health conservation can be taken into account in the development of nursing intervention programs for improving health conservation of the elderly at home.

Effect of Foot Massage on Sleep, Vital Sign and Fatigue in the Elderly who live in their Home (발마사지가 노인의 수면, 활력징후, 피로에 미치는 영향)

  • Won Jong-Soon
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.9 no.3
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    • pp.513-523
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    • 2002
  • Purpose : This study aimed to investigate the effect of foot massage on sleep, vital signs and fatigue in the elderly who live in their Home. Method: Data were collected from 20 elderly who live in the Seoul-Kyunggi province area by convenience sampling and analyzed the change of sleep and sleep satisfaction, vital signs(pulse, respiration, systolic and diastolic blood pressure) and general fatigue between pre and post foot massage using Paired t- test at 0.05 of significance level. Result: There were very significant difference in the sleep and fatigue between pre and post foot massage. Conclusion: Foot massage can improve the sleep and decrease fatigue, therefore we recommend to use foot massage as a effective sleep related nursing intervention in the elderly who live in their home.

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A Case Study on Care Workers' Experiences of Coping with Falls among Community-Dwelling Elders (재가노인 방문요양보호사의 낙상관련 대처 경험에 관한 연구)

  • Lim, Sun-Young;Park, Hye-Sun;Ma, Ryewon
    • Journal of The Korean Society of Integrative Medicine
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    • v.9 no.3
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    • pp.99-110
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    • 2021
  • Purpose: The purpose of this study was to understand the experience and meaning of falls among care workers caring for the elderly. Methods: The participants comprised 10 care workers in Seoul and Gyeonggi Province, South Korea. The data collection period was from September to November 2020, and the data were obtained through individual in-depth interviews. The collected data were analyzed using the content analysis method of qualitative research. The main interview questions were as follows: First, in the event of a fall, "can you tell us about your experience and how you dealt with the fall?; second, "can you tell us about your role and the role of family members or the center that manages falls that occur outside of nursing visits.", third, "can you tell us about the difficulties in managing falls based on your experience?", and fourth, "how are falls that occur during nursing visits managed?" Results: As a result of analyzing the experiences of nursing care workers of falls while caring for elders in their homes, five main themes were derived. These were understanding the characteristics of the elderly at home, understanding possible emergency situations, providing caring services, minimizing physical harm, and delivering clear information. Conclusion: A significant finding of this study was that care workers who visit and provide care to elders at home confirmed the need for standard guidelines on appropriate responses in the event of a fall at home and the importance of managing emergencies arising from falls among elders at home. These results highlight the need for the development of emergency response education programs, such as programs on fall care among nurses and care workers who provide care to the elderly, and for enhanced understanding of the fall risk of elders who live at home.

Factors Influencing Depression in low-income Elderly living at home based on ICF model (ICF 모델에 근거한 저소득 재가노인의 우울에 영향을 미치는 요인에 대한 연구)

  • Han, Suk Jung;Kim, Hyo Sun
    • Journal of Korean Public Health Nursing
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    • v.28 no.2
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    • pp.333-346
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    • 2014
  • Purpose: This study was conducted in order to identify factors that influence depression for low-income elderly who live at home from the International Classification of Functioning model (ICF). Methods: The subjects were 205 elderly people living at home in two public health centers located in metropolitan cities. Subjects were divided according to their depression scores, which were measured using the GDS-short form, including normal, risk, and depression groups. Each variable was consistent with factors of the ICF model, including health condition, individual factors, environmental factors, body function, activities, and participation. Data were collected using structured questionnaires. ANOVA, $x^2$, Pearson's correlation coefficient, and Multinomial logistic regression with IBM SPSS 21.0 were used for analysis of the data. Results: Statistically significant differences were observed among normal, risk, and depression groups regarding personal factors. Gender, education level, numbers of diseases, perceived health, life satisfaction, and social support were identified as the variables that had a significant impact on depression of low-income elderly living at home. Conclusion: Results of this study indicate that there is a need for construction and implementation of strategies that strengthen life satisfaction and social support in order to lower depression of low-income elderly.

A Study on the Application of Universal Design Principles to Nursing Homes - Focused on the 12 Nursing Homes in Busan - (노인요양시설의 유니버설 디자인 적용성 평가 연구 - 부산지역 12개 시설을 중심으로 -)

  • Park, Jin-Kyoung;Oh, Chan-Ohk
    • Korean Institute of Interior Design Journal
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    • v.20 no.1
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    • pp.3-13
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    • 2011
  • The Korean society is recently becoming the aging society at an unprecedentedly rapid speed. Following the increase of the older population, their needs for special care is also rocketing. However, due to the increase of working women, nuclear-families, and old persons living alone, new facilities for the elderly such as nursing home are urgently needed. Thus, many nursing homes for the elderly are also rapidly providing. It is needed to examine if such nursing homes are properly designed for the dependent elderly to live. This study was carried out by the field observation using a checking sheet with measuring and taking photograph. The subjects were 12 nursing homes which gave positive responses for walking through their facilities. The items for observing and measuring were made based on the regulation on improving the facilities for the disabled, the elderly, and the pregnant. Whether each item fits the regulation or not was examined. The 9 areas in each nursing home were examined : entrance, hallway and corridor, stair, elevator, ramp, bed room, shower and locker room, bathroom, and rest room. It was founded that many accessible-related items were met. However, many supportive-related items such as ones for the visual disabled, and many supportive-related and accessible-related ones for bathroom, shower room, and restroom were unmet. In the process of this research, it was founded that the tool for evaluating the design of nursing home in terms of universal design should be developed.

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.

A Study on the Empowerment, Health Behavior and Life Satisfaction in the Elderly Home Residents according to Living Situations (재가노인의 동거유형에 따른 임파워먼트, 건강행위, 생활만족의 차이에 관한 연구)

  • Moon, Myeong-Ja
    • Journal of muscle and joint health
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    • v.13 no.2
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    • pp.94-107
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    • 2006
  • Purpose: The purpose of this study was investigate the empowerment, health behavior and life satisfaction in elderly home residents according to living situations. Method: Data were collected from September to October, 2005. The participants were 240 elderly people who lived at home. Date were collected using structured questionnaire and analysed using t-test, ANOVA, Sheffe test. Result: Empowerment in elderly home residents according to living situations was significantly different(F=3.35, p=.006). Health behavior in elderly home residents according to living situations was not different significantly(F=.88, p=.492). However, questionnaire of "only the elderly couple lives" showed the highest health behavior score as an average 3.05$({\pm}.24)$. Life satisfaction in elderly home residents according to living situations was not different significantly(F=1.67, p=.143). There was a positive correlation between empowerment, health behaviors and life satisfaction. Conclusion: Considering that the single home which only the elderly people reside is the one of general family patterns of the aged people, the elderly people shall acknowledge the difference of values between a family pattern which takes a serious view of family or sons/daughters and a family pattern which reflects a weak supporting consciousness by a nuclear family. Based on above facts, Nurses should develope the nursing strategies to promote life satisfaction in the elderly.

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