This study is investigate the eating behavior between the elderly living at home and the elderly at nursing home in Inchon City. This survey was carried out by questionaires. The result are summarized as the followings: 1. Both the elderly living at home and the elderly at nursing home are not smoking and drinking. They are in good health. 2. The elderly living at home and the elderly at nursing home have diseases like neuralgia, hypertension, diabetes etc. 3. Both the elderly living at home and the elderly at nursing home have methods of health care of a regular eating and a good sleeping. The elderly at nursing home have a regular medical examination but the elderly living at home do not. 4. Health giving drugs are depression of blood pressure, a medicine for the stomach and bowels, an anodyne. And health giving sports are walking and jogging. 5. The elderly living at home and the elderly at nursing home are significant relationship on knowledge of nutrition. 6. The elderly living at home and the elderly at nursing home prefer to taste sweet, boiling, korean foods. 7. elderly living at home have meats once a week and the elderly at nursing home have twice a week. Both the elderly living at home and the elderly at nursing home have fish, fruits, vegetables twice a week. The elderly at nursing home have milks twice a week. 8. The frequency of snack intake is higher the elderly at nursing home than the elderly living at home. 9. The elderly living at home and the elderly at nursing home are satisfied their dietary life.
This study was attempted to show basic data for search of nursing intervention about sleep improving in home and institute elderly peoples. Research design was cross-sectional survey method for comparison of sleep patterns and another variables between home and institute elderly peoples. Subjects were sampled by purpose as home and institute elderly peoples at age of 65 or older in Seoul or nearly. The survey questionnaire was used by modification of sleep questionnaire which Kim, O, Song & Bak(1997) developed. Data were collected between December, 1999 and April, 2000. And data were analyzed by SPSS PC+ for purpose of research. Results are as follows: 1. Home and institute elderly peoples, all were change of sleep patterns and sleep pattern was showed early sleeping down. But institute elderly peoples slept earlier than home elderly peoples. 2. As rest of morning, difficulty of falling asleep and disturbance of re-asleep, subjective thinking and feeling were showed more negative thing home elderly peoples than institute elderly peoples. As frequency of falling asleep within 5 min in 1 week, frequency of falling asleep over 30 min in 1 week and frequency of awakening in a day, objective frequency were showed more insomnia institute elderly peoples than home elderly peoples. Home elderly peoples didn't nap most and institute elderly peoples napped on very short time. 3. Regarding sleep-disturbing factors, physical factor was popularly joint-disturbance in all, home and institute elderly peoples. Environmental factor was popularly noise, particularly institute elderly peoples. Emotional factor wasn't all. 4. Practiced strategies for better sleep was popularly TV/Radio in home elderly peoples and were popularly regular sleep and religious action in institute elderly peoples. From the results of this study, home elderly peoples need nursing intervention of improving self-satisfaction on sleep and institute elderly peoples need nursing intervention of decreasing falling asleep-disturbing and decreasing frequency of awakening in sleep.
The purpose of this study was to investigate relations of decision-making power of the elderly to home management and life satisfaction by applying a social behavior theory and exchange theory and to find out the device which improve the elderly life satisfaction at the home management view. For these research tasks the data was collected through the questionaire and interview those respondents were 273 woman elderly living with one of their married children in Seoul. It was analyzed by various statistical methods such as Frequency Percentile ANOVA F-test t-test Pearson's Corrdlation Analysis Multiple Regression Analysis. The results of this study are as follows: 1) Decision-making power of the elderly to home management had significant differences according to all of th variables except for religion job status of the elderly and education income of the children. 2) Decision-making power of the elderly to home management had the significant differences according to the variable such as income of the elderly solidarity between the elderly and their adult children age of the elderly The most influencial factor was income of the elderly. 3) Elderly life satisfaction had significant differenced according to all of the variables except for age job status of the elderly and education income of the children inmate children 4) In the result of analyzing the elderly life satisfaction the most influencial factor was decision-making power to home management and the explanary power to home management and the explanary power of those variables for the elderly life satisfaction was 56.2%.
Purpose: The purpose of this study was to identify the ADL and IADL of elderly in home. Method: This was a descriptive study. Data were collected from convenient samples of 76 elderly in home using ADL and IADL scales among MDS-HC V2.0 instrument from October to November. The data were analyzed using SPSS/Win 12.0 with frequency, t-test, and ANOVA at a significant level of=.05. Result: The elderly in home had performance with difficulty at bathing, locomotion outside of home, and transfer. On the other hand, the elderly in home had performance with easy at mobility in bed, dressing lower body and eating. Relation to the IADL the elderly in home had performance with difficulty at transportation, shopping, and managing finance. Conclusion; Based on the results, it is necessary to develop of a nursing intervention program and rehabilitation plan for the bathing and locomotion of the elderly in home.
As the importance of elderly's dietary life have increased, low-income elderly's meal should be taken care by social policies. Nevertheless, there is a lack of systematic management in home-delivery meal service. This study aims to investigate the elderly's experience on home-delivered meal service, especially identifying the symbolic meaning of home-delivered meal service on elderly's dietary life. Using an in-depth interview, qualitative data was collected from five elderly participants who received home-delivered meals. Data was analyzed based on Colaizzi's 6 steps method, deriving 148 significant statements, 18 formulated meanings, and 5 themes: , , , , and . Elderly participants regarded the home delivered meal as not only a decent meal but also felt appreciated. The home-delivered meals were found to be their only meal all day; thus, they considered these meals as a means of survival. Home-delivered meals are considered as a lack of consideration for the elderly's physical condition, including their tastes, portion size, and cooking method. Also, these elderly seemed to lose their appetite due to aging and it caused the enjoyment of eating. The elderly have kept silence never expressing any opinions regarding the home delivered meals because they were offered for free. The results suggested that the home-delivered meal service should be developed with the multilateral evaluation methods to reflect the elderly's needs to improve the quality of the home-delivered meal service.
The purpose of this study was to propose ubiquitous housing environment based on older residents' needs for ubiquitous(UT) home services. For this purpose, at the previous study which was the first stage of this study, UT home services by each elderly household based on spouse, income level, and health status were identified and this study finally proposed UT home services by each elderly household type according to residents' level of needs for UT home services. One to one interview with a structured survey questionnaire and illustration was implemented and 204 older residents who were composed of one of six elderly household types were responded. Among 6 types of elderly households, type 2 and 6 were the groups which had higher needs for various kinds of UT home services. Economic status and their health status were the key factors to determine their needs for UT home services. Type 4 and 7 were the groups to express their lower needs for UT home services due to their lower income level and good health condition. Ultimately, two floor plans for type 4 and 5 elderly households were developed to show applicable UT home services in each room of the house.
There are three main purposes in this study. First, we project the number of elderly dementia population in the future based on the projection of the elderly population in the Kyungpook area. Second, the demands of home-based care service and facility-based care for the elderly dementia are estimated. Thirdly, some policy implications for the improvement of welfare services for the elderly dementia are addressed. The findings of this study are as follows. Considering the size of the elderly dementia population, facilities for the elderly dementia are extremely insufficient and most of the elderly dementia patients rely heavily on home-based care. Although we expect that there will be a rapid increase in the number of the elderly dementia in the next two decades, the social welfare services for them in the future are very unreliable. Home nursing for the demented elderly needs to be recognized by law and financed by the government. In this context, we address some issues regarding the rapid growth of the elderly dementia population in the future and social welfare services for them as well. Finally we suggest some policy implications regarding this matter.
The purpose of this study is to measure the home helpers' knowledge about facts on aging and attitude toward the elderly in Korea, and to find out the variables that may influence their attitude. Four hundred and thirty eight home helpers working in a home help agency were given the questionnaire containing the Kyung San Facts on Aging Quiz to measure the level of knowledge about aging and Yoon (1988)'s scale to find the direction of attitude toward the elderly. The results of this study are analyzed as follows: (1) The home helpers' level of knowledge about aging was 59.1%, which was lower than nurses' level (65.0%) and social workers' level (65.3%). And the paid home helpers' level of knowledge about aging was 61.2%, which was significantly different from the unpaid home helpers' level (57.0%). (2) Using 5 points scale, mean of home helpers' attitude toward the elderly was 2.56 (51.2%), which was different from nurses' attitude (40.6%) and social workers' attitude (62.0%). And the paid home helpers' attitude toward the elderly's action (29.9%) was significantly different from the unpaid home helpers' attitude (32.6%). (3) Using multiple regression analysis, the home helpers' levels of knowledge about aging was the most significant predictor to explain the home helpers' attitude toward the elderly. The other variables that are also statistically significant predictors of the home helpers' attitude were sex, voluntary experience for the elderly, age, city size, and personal experience with the elderly. Especially the significant predictors to explain the paid home helpers' attitude were their levels of knowledge about aging and city size. On the other hand, the significant predictors to explain the unpaid home helpers' attitude were sex and age. Based on the research results, implications for practice and future research are discussed, and education methods for making home helpers' attitude toward the elderly more positive are also suggested.
At present, interest in the welfare of the elderly (persons over sixty-five years of age), including their dietary status, is high. Nutrition and dietary status have been investigated for both the institutionalized and non-institutionalized (independent-living) elderly in foreign country. But the dietary status of institutionalized elderly has not been investigated. Therefore, the dietary status of institutionalized elderly has been studied and compared with that of non-institutionalized elderly in the same geographic area. Three-day dietary records were obtained from fourty-five institutionalized elderly residents (twenty-five men and twenty women) and thirty two elderly living at home (sixteen men and sixteen women) in Taegu area. All nutrient intakes of the elderly women living at home and all nutrient intakes except energy intakes of the elderly men living at home were significantly higher than those of the residents of the institutionalized facilities. (p<0.005) The values of height, weight, chest circumference, and sitting height except head circumference of female elderly living in institutionalized facilities is significantly lower than those of elderly living at home. (p<0.005) In the case of men, the values of height and chest circumference of elderly living in institutionalized facilities is significantly lower than those of elderly living at home. (p<0.05)
Journal of Korean Academy of Nursing Administration
/
v.4
no.2
/
pp.351-361
/
1998
The purpose of this study was to explore whether there is a point within the range of physical impairment after which the cost of home care exceeds the cost of nursing home care among the elderly who require long-term care. The provision of long-term care for the elderly is a major health policy issue, in part due to the aging of the American population and dramatic increase in health care costs. The framework for this study was guided by Pollak's(1973)model of costs of alternative care settings for the elderly. This study used a retrospective, descriptive correlational design. Physical impairment was measured by the modified Index of Activities of Daily Living(Katz et al. 1963). Cost of care was measured by the average cost per patient per day. The sample for this study included 67 patients receiving long-term care at home from the Long-term Home Health Care Programs (LTHHCPs) and 67 patients receiving long-term care in nursing homes. Data were collected on patient characteristics. including activities of daily living and cognitive impairment. and on the number of physician visits. emergency room visits. and hospitalization from the patient records. For each patient. Medicaid cost data for home care services/or nursing home services were collected from the financial department of each home care agency or nursing home. The living costs and informal care costs were estimated for home care patients. The results indicated that the home care sample and the nursing home sample were similar in terms of gender. ethnic background. and marital status. The elderly patients in the home care sample were: however. younger and less physically impaired than those in the nursing home sample. The hypotheses of this study were supported: For elderly persons with physical impairment scores below 12(possible range of 0 to 14), cost of care was lower in home care than in the nursing home care setting. However, for elderly persons with physical impairment scores above 12. the cost of care was higher in home care than in the nursing home care setting. Thus. in this sample for elderly patients with extreme physical impairment, the cost of home care exceeded the cost of nursing home care.
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