• 성인간호학회지
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• 제19권3호
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• pp.379-388
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• 2007

Purpose: The purposes of this study were to compare the motivation for health behavior, health behaviors practices, and ADL of institutionalized elderly women with those of non-institutionalized elderly women. Methods: A cross-sectional descriptive survey was conducted in convenience samples of 144 aged women(80 institutionalized and 64 non-institutionalized) using structured questionnaires. Descriptive statistics, $x^2$-test, and ANCOVA were used for data analysis with SPSS program. Results: The institutionalized elderly reported significantly higher motivation than the non-institutionalized elderly. In subcategories of motivation, self-efficacy of the institutionalized elderly was significantly lower than that of the non-institutionalized elderly. The non-institutionalized elderly reported significantly lower perceived benefits and significantly higher perceived barriers than institutionalized elderly. The institutionalized elderly reported significantly lower health behaviors in exercise and nutrition than the non-institutionalized elderly. Among health behaviors of the non-institutionalized elderly women, stress management marked the lowest score. Conclusion: To enhance motivation of institutionalized elderly women, interventions for building self-efficacy are needed. To promote the health behavior of the non-institutionalized elderly, stress management programs are needed. All elderly women need exercise.

• Journal of Nutrition and Health
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• 제11권3호
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• pp.1-7
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• 1978

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)

• 대한치과보철학회지
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• 제46권5호
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• pp.455-469
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• 2008

문제제기: 노인요양시설은 치과진료영역 가운데 가장 취약한 상태에 놓여 있고 신체적, 정신적 장애로 인해 주관적 치료요구도를 파악할 수 없는 상태지만 이에 대한 기초적인 실태조사가 전무한 상태이다. 목적: 본 연구는 노인요양시설에서 노인환자들의 치아우식증에 의한 구강실태를 조사하고, 기능치아와 보철물로 이루어진 교합단위를 분석하여 그에 따른 치과치료수요도를 분석하는데 목적이 있으며 향후 적절한 진료방향을 수립하는데 기여하고자 한다. 연구재료 및 방법: 노인요양시설에서 758명의 노인환자와 D치과의원에 내원한 212명의 65세 이상인 노인을 대상으로 2000년 국민구강건강실태조사에서 작성된 치아우식검진지침에 입각하여 구강실태조사를 시행하였다. 결과: 노인요양시설의 노인에게서 고령으로 갈수록 대조군에 비해 악화되고 있는 구강상태를 알 수 있었고 매우 높은 치료수요를 파악할 수 있었다. 고찰: 노인환자의 구강건강관리를 위해서는 무엇보다도 이들을 보살피는 간병인과 간호 인력들이 가지고 있는 구강건강의 중요성에 대한 인식을 바꾸기 위한 노력이 절실히 필요한 상황이다. 이제는 무치악 환자에게 시행되고 있는 일회성 의치사업 일변도의 복지정책방향을 보건복지부와 일선 지방자치단체에서 사후관리를 원칙으로 한 전문가에 의한 무치악 환자의 의치사업으로 강화해야 하며 유치악의 노인환자들에 대한 정기적인 치과검진을 시행하고 이동진료 및 왕진시스템이 보완된 구강건강관리 및 보존, 수복진료 형태로의 전환을 고려할 시점이라 생각된다.

• 대한치과의사협회지
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• 제53권10호
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• pp.688-695
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• 2015

Purpose: The institutionalized elderly have placed the most vulnerable state, and the report about the oral health status of the institutionalized elderly was scarce. The aims of the current study were to investigate the oral health status of institutionalized elderly. Materials and methods: The survey of the oral health status was carried out on 487 institutionalized elderly from 4 longterm care facilities of Seoul metropolitan city, Gyunggi province, and Gangwon province in Korea. Results: The prevalence of dental caries, root caries, and dental calculus of the institutionalized elderly was 19.2%, 15.3%, and 23.7%, respectively. The percentage of edentulism among the institutionalized elderly was 26.2%. Those who had poor oral hygiene and tongue coating were 43.9% and 90.5%, respectively. The percentages wearing complete and removable partial denture on maxilla were 12.8% and 3.3%, respectively. The percentages wearing complete and removable partial denture on mandible were 7.8% and 5.6%, respectively. The percentages of institutionalized elderly needing complete and removable partial denture on maxilla were 29.7% and 27.2%, respectively. The percentages of institutionalized elderly needing complete and removable partial denture on mandible were 24.5% and 30.9%, respectively. Conclusion: The oral health stuatus of institutionalized elderly was poor. For the oral health promotion of elderly in longterm care facilities, it is essential to educate nurses and caregivers about the importance of the oral health and oral hygiene method.

• 성인간호학회지
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• 제17권3호
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• pp.389-399
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• 2005

Purpose: This study aims to explore general perception types about the life of institutionalized elderly and thus to provide the basic data for nursing intervention for them. Method: This study used a Q methodology. A Q sample was developed through a review of related literature and descriptions of ordinary people about the life of institutionalized elderly. Thirty-eight statements made up the finalized Q sample. Results: The results revealed three different types of the general people's perception about the life of institutionalized elderly. Type 1 is an optimistic group which expects modernized institutions. This group focuses on social relationships enjoying a variety of cultural life. Type 2 is a positive group which pursues independence. They are open-minded about the use of the institution and are not ashamed of the life in the institution. Type 3 is a conservative group which disapproves institutionalization. The members of this group strongly disapprove the institution itself and have negative views on institutionalization. These three types share certain common features while having distinctive characteristics showing individual views and traits about the life of the institutionalized elderly. Conclusion: This study will provide us the basic data to understand institutionalized elderly and to develop nursing intervention for them.

• 보건의료산업학회지
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• 제8권3호
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• pp.157-168
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• 2014

The purpose of this study was to examine the effects of the Mindfulness Meditation program on sleep, depression and quality of life in the institutionalized elderly women. The study was a nonequivalent control group pretest-posttest design. The data was collected from March 7 to April 25 of 2014. Participants in the study were 56 elderly women, 30 institutionalized elderly for the experimental group and 26 institutionalized elderly for the control group. The experimental group received the Mindfulness Meditation program for 90 minutes/session/week for 8 weeks. Data were analyzed using x2-test and t-test for subject homogeneity verification, and paired t-test to examine the hypotheses. Mindfulness Meditation program experimental group showed significant differences in sleep score(t=-4.406, p=<.001), quality of life score(t=-8.799, p=<.001). However no significant differences were found between 2 groups for the scores on depression. According to the results the Mindfulness Meditation program was useful for improving on sleep and quality of life in the institutionalized elderly women.

• 동서간호학연구지
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• 제17권1호
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• pp.57-65
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• 2011

Purpose: The purpose of this study was to determine actual state and risk of constipation in the institutionalized elderly. Methods: A descriptive design was used with convenience sampling of 365 institutionalized elderly. Data were collected using a structured questionnaire. Results: 1) The constipation rate was 29.3%, the elderly had irregular bowel habit was 73.7%. 2) The 25.2% of the elderly was administrated laxatives. 3) High risk of constipation was 1.1%, moderate risk was 15.1%, and mild risk was 44.2% respectively 4) Risk of constipation showed significantly differences according to age, admission periods and daily fluid intake. 5) State of mobility, long-term care classification, gender, digestants and type of diet were explained 63% of risk of constipation. Conclusion: The institutionalized elderly showed a tendency toward high risk of constipation. So, effective management and application of nonpharmacologic therapy for constipation in the institutionalized elderly was needed.

• 여성건강간호학회지
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• 제15권4호
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• pp.372-380
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• 2009

Purpose: The purpose of this study was to examine the effects of aroma hand massage on Sleep, depression and quality of life in the institutionalized elderly women. Methods: This study was a nonequivalent control group pretest-posttest design. The data was collected from June 23 to August 10 of 2009. Fifty - Six elderly women were divided into two groups, 27 institutionalized elderly women for the experimental group and 29 institutionalized elderly women for the control group. As for experimental treatment, the experimental group went through aroma hand massage with blended oil-a mixture of Lavender, Bergamot, Chamomile Roman in the ratio of 1 : 1 : 1, which was diluted 2.0% with jojoba carrier oil 20mL-on each hand for 5 minutes, three times a week during two weeks. Control group went non-treatment. Results: The aroma hand massage experimental group showed more significant differences in the charge of sleep score (t=3.83, p=.00) and depression (t=-3.54, p=.00). Conclusion: Aroma hand massage had a positive effect on sleep and depression in Institutionalized elderly women.

• 한국간호교육학회지
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• 제10권2호
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• pp.252-261
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• 2004

Purpose: This study attempts to develop the basic data of Constipation reduction program for institutionalized elderly by surveying the constipation and the ADL (Activities of Daily Living) of them. Method: Data are collected by nurses caring for four hundreds five institutionalized elderly during May through July in 2004. Questionnaire contains a bowel assessment, constipation control intervention, and ADL. Result: The constipation rate was found to be 43%. The 82.5% of the study sample was treated with laxatives, and a 59.9% of the sample was practicing enema. The average score of the ADL was 38.32(range: 0 - 100). According to surveying on the ADL in relation to the function of the constipation, ADL is found to be higher in the non-constipation group than the constipation group (t=-2.786, p=.006). Conclusions: The institutionalized elderly tended to have a high rate of constipation. The elderly having constipation was almost dependent on laxatives and enema for relaxing constipation. The high rate of constipation was related to the low performance of the ADL.

• 성인간호학회지
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• 제21권1호
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• pp.34-42
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• 2009

Purpose: The purpose of this study was to identify the quality of sleep and its influencing factors on the institutionalized elderly. Methods: The respondents were 145 institutionalized elderly in Daegu and a structured questionnaire was used for data collection, which was conducted from February 10 to 28, 2007. The questionnaire was the Yi(2004) quality of sleep scale. All the information was collected through face-to-face interviews, using the questionnaire. The data were analyzed by SPSS/WIN 12.0. Results: The results of this research were as follows: First, the mean for the quality of sleep in the institutionalized elderly was 83.92. Second, in the subscales of the quality of sleep scale, the mean for daytime dysfunction was 40.35; for restoration after sleep it was 10.43; for difficulty in falling asleep it was 11.00; for difficulty in getting up it was 8.88; for satisfaction with sleep it was 8.62; for difficulty in maintaining sleep it was 4.75. Third, the factors influencing the quality of sleep were economic status, perceived health status, and pain. Conclusion: Based upon the findings above, this study provides useful information that could assist in improving the quality of sleep among institutionalized elderly, and indicates that nursing intervention is needed.