• Title/Summary/Keyword: geriatric assessment

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The Relationship between Oral Health Education Experience, Oral Health Knowledge Level, Oral Health Education Request Level, and the Geriatric Oral Health Assessment Index(GOHAI) of Some Elderly (일부 노인의 구강보건교육경험과 구강보건지식수준, 구강보건교육요구도 및 노인구강건강평가지수(GOHAI)의 관련성)

  • Min, Hee-Hong;Jung, Su-Jin
    • Journal of Convergence for Information Technology
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    • v.12 no.1
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    • pp.109-118
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    • 2022
  • This study was conducted to emphasize the importance of oral health education by identifying the relationship between the oral health knowledge level, the oral health education request level, and Geriatric Oral Health Assessment Index(GOHAI) of the elderly. The survey was conducted on 191 elderly people aged 65 and over living in Chungbuk from January 6, 2020 to February 7, 2020, and for data analysis, χ2-test, t-test, Pearson correlation analysis, logistic regression analysis were performed. As a result, it was found that the quality of life as measured by GOHAI increased when they had oral health education experience, had a high level of oral health knowledge and oral health education request level, and had regular oral examinations. Based on the above results, in order to improve the quality of life related to oral health of the elderly, it is necessary to prepare policies to increase the participation rate by developing and continuously expanding opportunities for oral health education in various ways.

A study on Oral Health Assessment Index (GOHAI) and life satisfaction of the state of oral health project of the elderly in Jeonbuk Korea (전북 일부 지역 노인구강보건사업 실태와 노인구강건강평가지수 및 삶의 만족도에 관한 연구)

  • Park, Chung-Soon;Han, Ye-Seul
    • Journal of Korean society of Dental Hygiene
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    • v.17 no.4
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    • pp.555-564
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    • 2017
  • Objectives: The purpose of the study is to investigate the oral health assessment and satisfaction according to recognition and beneficiary oral health projects for oral health promotion of the elderly. Methods: The subjects were elderly over 65 years old in Jeonbuk province. The study instrument was structured questionnaire including general characteristics, oral care condition, recognition of project, satisfaction of project, geriatric oral health assessment index, life satisfaction. For data analysis, the study used independent t-test, one way ANOVA and Pearson correlation analysis. Results: The subjects of this study were well aware of the perceived health status of oral health projects. Satisfaction scaling project was the highest in the satisfaction of the received projects. People who recognized the oral health project had a high oral health assessment index. People who benefit from oral health project showed higher satisfaction in life. Conclusions: As for the elderly's perception on oral health care, they showed higher oral health assessment index and life satisfaction.

Development and Application of a Nursing Assessment Tool for Senior Center Nurses (노인복지관 간호사를 위한 간호사정조사도구 개발 및 적용)

  • Ko, Ha Na;Song, Misoon
    • Perspectives in Nursing Science
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    • v.13 no.2
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    • pp.96-109
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    • 2016
  • Purpose: The purposes of this study were to develop a nursing assessment tool for senior center nurses, and to test its feasibility and content validity. Methods: The study utilized a psychometric test design. Preliminary items were developed based on geriatric health needs and Gordon's 11 domains of functioning health. Initially, the tool was evaluated for content validity and feasibility. Then, it was administered among 195 older adults in a senior center by a gerontological nurse practitioner. Data were analyzed to describe the nursing problems of the senior center older adults. Results: The final version of the nursing assessment tool consisted of 27 items. The internal consistency, measured with the Cronbach's ${\alpha}$, was .74. The result of the assessment showed that senior center older adults had high nursing needs in the area of management of chronic diseases (hypertension, diabetes, and lipids), dental care, community relations, safety, elder abuse, health behaviors (such as drinking), mental health (depression, suicide, and cognitive function), and health consultations. Conclusion: The new tool was feasible for use with senior center participants, and it was evaluated as having high content validity by senior center nurses.

Geriatric Dwelling Depression Measurement Based on Projective Image Analysis Modeling

  • Lee, Yewon;Park, Chongwook;Woo, Sungju
    • International Journal of Advanced Culture Technology
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    • v.6 no.4
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    • pp.323-330
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    • 2018
  • The growth of the older population is expected to further increase social problems associated with population aging, such as isolation, poverty, and depression. The emerging issues associated with the older population are also expected to provide further momentum on studies about the dwelling environment as factors that ensure the health of older people as well as improve their quality of life. Therefore, approaches for explaining the issues of the older age group should be diversified using a variety of factors and appropriate analytic tools. Studies on measuring depression have principally focused on assessing an objective self-report questionnaire, usually in a highly structured, textual form which may not reflect the cognitive impairment of older adults. The aim of this study was to define and measure dwelling depression among older adults in Korea. There are two specific hypotheses in this study as follows: (a) there will be statistically significant relationships with dwelling dissatisfaction and depression, and (b) dwelling depression tools containing text and images will be, respectively, assessment tools that have a good construct with content validity and reliability. In the first experiment, to define and measure dwelling depression, 301 people over 65 years old living in single and two-person households were surveyed using a text-based dwelling depression questionnaires from September 1-30, 2017. In the second experiment, to examine whether the projective image questionnaire could serve as a suitable replacement for the text-based questionnaires, the same participants were surveyed from January 22 to February 2, 2018. The results show that depression has a close correlation with dwelling dissatisfaction. In addition, the geriatric dwelling depression index (GDDI) based on the projective image was refined. Additionally, the projective image questionnaire has a close correlation with the text-based questionnaire. Finally, through ROC curve analysis, it was found that the projective image questionnaire can accurately predict a depression group. To this end, this preliminary study examined the validity of the projective image questionnaire in older adults to make this instrument feasible for older populations and to contribute to a profound understanding of geriatric depression due to the living environment. We hope they will provide a basis for further research on psychological diagnoses using projective images.

Comparison of the Characteristics according to Injury Severity Score between Elderly and Non-elderly with Trauma (노인과 비노인 외상환자의 손상중증도에 따른 특성 비교)

  • Kim, Hyunju;Kim, Younkyoung
    • Journal of Korean Public Health Nursing
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    • v.32 no.2
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    • pp.304-318
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    • 2018
  • Purpose: This study examined the characteristic of the Injury Severity Score (ISS) of Korean geriatric patients with a traumatic injury in a nationally representative sample to determine the optimal cutoff of ISS of mortality according to age. Methods: The subjects were 3,018 non-elderly patients and 1,584 elderly patients with an ISS and Korean Triage and Acuity Scale (KTAS) in 2016 from the data of the Health Insurance Review and Assessment Service. The traumatic characteristics of the elderly and non-elderly were compared by stratifying the ISS. Receiver Operating Characteristic (ROC) curve analysis was used to find the optimal cutoff of ISS of mortality according to age. Results: The elderly were more prone to severe trauma than the non-elderly were. The distribution of KTAS grades was lower, even though the severity of ISS was as high as that of the non-elderly. The optimal cutoff score of the ISS for mortality in the ROC curve was lower in elderly over 65 years than in the other age group. Conclusion: The elderly are more prone to severe trauma and death than non-elderly, even though their ISS is low. Therefore, a strategy to prevent elderly from experiencing serious trauma and managing their geriatric trauma actively is needed.

A Case Study on Characteristics of Environmental Design for Nursing Home in Japan - Focused on 5 Facilities in Tokyo - (일본 도심형 노인전문요양시설의 환경디자인 특성에 관한 사례연구 - 대동경소재 5개 시설을 중심으로 -)

  • 윤영선;변혜령
    • Korean Institute of Interior Design Journal
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    • v.13 no.5
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    • pp.143-153
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    • 2004
  • This research aimed to assess nursing homes for the elderly with geriatric diseases in Japan, and to prepare the knowledge basis to develop nursing home for the elderly with geriatric diseases in Korea. For this, researcher visited 5 facilities in Tokyo from October 3 to October 9 in 2002, collected data by observations, interviews, and visual materials by taking photographs. Visual materials were analyzed according to the environmental assessment matrix consisted of supportiveness, flexibility, efficiency in perception, accessibility, safety, amenity, and social Interaction that were assorted and were given a name by these researchers in the process of this research. Among the characteristics of environmental design of the analysis cases, 992 items picked out from 722 visual materials were used in the analysis. The data were analyzed using the frequency and percentage with SPSS 11 program. The analysis results were the fellowing. The characteristics of recent nursing home design in Japan tended to focus on supportiveness, amenity, and efficiency in perception but to leave much desired in flexibility and safety. In each space, space to support outdoor activities tended to focus on efficiency in perception, space to support living activities tended to focus on amenities, space to support treatment and living tended to focus on supportiveness, space to support administration and operation tended to focus on supportiveness, and space to support movement tended to focus on amenities.

The Correlation between the Balance, Cognition, Motor Recovery and Activity of Daily Living in Stroke Patie (뇌졸중 환자의 균형, 인지, 기능회복, 일상생활 평가도구의 상관성)

  • Cho, Ki-Hun;Kim, Chan-Mun
    • Journal of Korean Physical Therapy Science
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    • v.18 no.1
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    • pp.61-67
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    • 2011
  • Background: The purpose of the present study was to determine correlations between the Berg Balance Scale (BBS), Modified Barthel Index(MBI), Mini-Mental State Examination(MMSE) and Fugl-Meyer motor function Assessment(FMA) in persons with strokes. Methods: We recruited 77 stroke patients from the Seoul Bukbu Geriatric Hospital in Seoul, Korea. Balance was measured by BBS. Activity of Daily Living was assessed using MBI. Cognitive function was examined using MMSE. Motor Recovery was measured using FMA. Data was analyzed using Pearson' correlation. Resurts: There were a statistically significant correlation between BBS and MBI, BBS and MMES, BBS and FMA upper extremity, BBS and FMA lower extremity. There were a statistically significant correlation between MBI and MMSE, MBI and FMA upper extremity, MBI and FMA lower extremity. There were a statistically significant correlated between FMA upper extremity and FMA lower extremity. Conclusions: This study will help rehabilitation program for stroke patients and will be the reference data for selection of therapy and evaluation method.

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Co-occurrence Network Analysis of Keywords in Geriatric Frailty

  • Kim, Youngji;Jang, Soong-nang;Lee, Jung Lim
    • Research in Community and Public Health Nursing
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    • v.29 no.4
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    • pp.429-439
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    • 2018
  • Purpose: The aim of this study is to identify core keyword of frailty research in the past 35 years to understand the structure of knowledge of frailty. Methods: 10,367 frailty articles published between 1981 and April 2016 were retrieved from Web of Science. Keywords from these articles were extracted using Bibexcel and social network analysis was conducted with the occurrence network using NetMiner program. Results: The top five keywords with a high frequency of occurrence include 'disability', 'nursing home', 'sarcopenia', 'exercise', and 'dementia'. Keywords were classified by subheadings of MeSH and the majority of them were included under the healthcare and physical dimensions. The degree centralities of the keywords were arranged in the order of 'long term care' (0.55), 'gait' (0.42), 'physical activity' (0.42), 'quality of life' (0.42), and 'physical performance' (0.38). The betweenness centralities of the keywords were listed in the order of depression' (0.32), 'quality of life' (0.28), 'home care' (0.28), 'geriatric assessment' (0.28), and 'fall' (0.27). The cluster analysis shows that the frailty research field is divided into seven clusters: aging, sarcopenia, inflammation, mortality, frailty index, older people, and physical activity. Conclusion: After reviewing previous research in the 35 years, it has been found that only physical frailty and frailty related to medicine have been emphasized. Further research in psychological, cognitive, social, and environmental frailty is needed to understand frailty in a multifaceted and integrative manner.

Relationship between the State of Decision Making Recognition Technology for Daily Living and Activities of Daily Living(ADL) of Inpatients in Geriatric Hospital on the Patient Core Card (환자평가표에 의한 요양병원 입원 노인들의 일상생활사 의사결정 인식기술 상태와 일상생활수행능력 간의 관계)

  • Lim, Jung-Do;Lee, Sung-Ho
    • The Journal of the Korea Contents Association
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    • v.14 no.11
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    • pp.328-336
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    • 2014
  • This work has performed to find what activities of daily living are required for the intensive interests when inpatient elderly more than 3 months has been supported and convalescent care, where the inpatient elderly were judged by the inpatient assessment report in the time of December, 2013. According to the estimation with logistic function of the relationship between the state of decision making recognition technology and the Activities of Daily Living(ADL), the intensive cares for the elderly are required in the parameters of 'Having meal' and 'transferring sitting' when they are severed and convalescently cared as the degree of functional independence for ADL are severly proceeded. In addition, the senescence and disease the activities except 'Having meal' and 'transferring sitting' seem to be influenced by the decline of body function more than the state of decision making recognition technology for daily living.

The Analysis of Geriatric Nutritional Risk Index (GNRI) for Nutritional Assessment and Health Care in Elderly Women (여자노인의 영양상태 평가 및 건강관리를 위한 Nutritional Risk Index (NRI) 비교 분석)

  • Yang, Eun-Ju
    • Journal of Nutrition and Health
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    • v.42 no.3
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    • pp.234-245
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    • 2009
  • Nutritional assessment for the elderly can identify health status and morbidity. However, development of Nutritional Risk Index (NRI) remains limited for elderly because of difficulties in understanding physiological mechanism of elderly. This study was performed to analyze and develop Nutritional Risk Index for Korean elderly Women (Geriatric Nutritional Risk Index, GNRI). Based on literature review, factors for NRI were identified and indices were assessed by a cross-sectional survey. The survey involved Korean elderly women (${\geq}$60, n = 94) in Gwangju area, and sociodemographics, lifestyle characteristics, health conditions, dietary intakes based on 24h- recall, anthropometric measures (wt, ht, BMI, waist, hip, WHR, body protein, body fat, abdominal fat, and triceps skinfold thickness), and clinical biochemistry parameters (systolic blood pressure, diastolic blood pressure, cholesterol, HDL-cholesterol, triglyceride, total protein, albumin, prealbumin, hemoglobin, hematocrit, fasting blood glucose, HbAlc, ferritin, Zn, Ca, Na, K, Vit E, Vit $B_{12}$, folate, C-reactive protein) were examined relation to nutritional risk index. Based on literature review and data analyses, three NRIs were categorized (NRI I, NRI II, NRI III) and used for further analysis. NRI I was related to having metabolic syndrome, NRI II was related to serum albumin and body weight, and NRI III was related to food habit and health concerns. Abdominal fat (%) of elderly was correlated with each NRIs. NRI II was correlated with nutritional deficiency and higher tendency of inflammatory response, and NRI III was correlated with nutritional status which tend to be lower on aging (protein, folate, Vit $B_{12}$). NRI can serve as a useful tools in assessing health risk and nutritional status. Some modification of items in NRI and validity study are need to apply to Korean elderly.