• Title/Summary/Keyword: long term assessment

Search Result 1,135, Processing Time 0.029 seconds

Validity and Reliability of the Korean Version of the Pain Assessment Checklist for Seniors with Limited Ability to Communicate (치매노인의 통증사정을 위한 한국어판 PACSLAC의 신뢰도, 타당도 및 유용성 평가)

  • Kim, Eun-Kyung;Kim, Se Young;Eom, Mi Ran;Kim, Hyun Sook;Lee, Eunpyo
    • Journal of Korean Academy of Nursing
    • /
    • v.44 no.4
    • /
    • pp.398-406
    • /
    • 2014
  • Purpose: This study was done to develop and test the validity and reliability of the Korean version of the Pain Assessment Checklist for Seniors with Limited Ability to Communicate (PACSLAC-K) in assessing pain of elders with dementia living in long-term care facilities. Methods: The PACSLAC-K was developed through forward-backward translation techniques. Survey data were collected from 307 elders with dementia living in 5 long-term care facilities in Korea. Data were analyzed using descriptive statistics, Pearson correlation, Spearman's rho, paired t-test, ROC (receiver operation characteristic) curve with the SPSS/WIN (20.0) program. Results: The PACSLAC-K showed high internal consistency (.90), interrater reliability (.86), intrarater reliability (.93), and high concurrent validity (.74) in paired t-test with PAINAD. Discriminant validity also showed a significant difference compared with no pain. The PACSLAC-K showed a sensitivity of .93, specificity of .88, and Area Under the Curve of .95 in the ROC curve. Conclusion: The findings of this study demonstrate that PACSLAC-K is useful in assessing pain for elders with dementia living in long-term care facilities.

Assessment of Basic Physical Activity for Elderly Women in Long-Term Care Facilities (요양시설 거주 여성노인의 기초신체활동 측정 평가)

  • Kang, Hye-Kyung
    • The Journal of the Korea Contents Association
    • /
    • v.14 no.7
    • /
    • pp.346-355
    • /
    • 2014
  • This study was to investigate basic level of physical activity test that reflects activity of daily living(ADL) for institutionalized elderly women. The subjects were 105 elderly women over than 65 years living in long-term care facilities located in Daejeon and Chungnam. The measured eight items related to ADL were tested and the data was analyzed by descriptive statistics, one-way ANOVA, factors analysis and correlation. The results were statistically significant differences. Among eight test items, two factors(muscle strength and mobility) were extracted by principal component factor analysis(PCA). The two factors are appropriate domains for assessment of basic physical activity of institutionalized elderly women. By using Pearson's correlation, between two factors and age, the first principal component scores were significantly decreased with age increasing. Degradation of ADL must be prevented for institutionalized elderly women through maintain muscle strength and mobility.

Factors Impacting the Physical Function of Older Adults in Korean Long-Term Care Hospitals

  • Lee, Ji-Yun;Kim, Eun-Young;Cho, Eun-Hee
    • Journal of Korean Academy of Nursing
    • /
    • v.41 no.6
    • /
    • pp.780-787
    • /
    • 2011
  • Purpose: This study was conducted to examine activities of daily living (ADL) of older adults admitted to Korean long-term care hospitals (LTCHs), and to explore the patient and organizational factors that have an impact on the ADL of this population. Methods: A secondary analysis of the Korean minimum data set (K-MDS) of patients (N=14,369) and of the profiles of LTCHs (N=358) from the Health Insurance Review and Assessment Service was done between January and July 2008. The outcome variable was ADL score 6 months after baseline assessment. Multi-level linear regression was employed to explore the patient and organizational factors that affected ADL scores. Results: Of the patients, 45.4% had a baseline ADL score of between 31 and 40, with a score of 40 indicating that the patient was entirely dependent for all items. None of the organizational characteristics were significantly associated with effects on the ADLs of older adults who had been in a LTHC for at least 6 months. However, patient characteristics, such as age, baseline ADL, frequency of physical therapy, urinary incontinence, fecal incontinence, pressure ulcers, and having a tube or catheter, were significantly associated with ADL 6 months after baseline. Conclusion: In order to maintain and improve the ADL of older adults in LTCHs, we should develop strategies to prevent urinary and fecal incontinence, pressure ulcers, unnecessary tubes or catheters, providing adequate physical therapy. Additional studies should include more detailed information regarding nursing staff, including RN hours for direct care, education level and turnover.

Long-term Surveillance Comparing Satisfaction between the Early Experience of Nuss Procedure vs. Ravitch Procedure

  • Kang, Chang Hyun;Park, Samina;Park, In Kyu;Kim, Young Tae;Kim, Joo Hyun
    • Journal of Chest Surgery
    • /
    • v.45 no.5
    • /
    • pp.308-315
    • /
    • 2012
  • Background: Long-term surveillance comparing satisfaction between the early experience of Nuss procedure vs. Ravitch procedure. Materials and Methods: A total of 100 patients that underwent surgical correction of a pectus excavatum between 2001 and 2004 and were followed for ${\geq}2$ years were included. Surveillance on the degree of satisfaction was performed using five-levels of the Likert scale and self-assessment scoring. Results: Nuss or Ravitch surgery was performed in 63 and 37 patients, respectively. The Nuss procedure required a shorter operation time and shorter hospital stay than the Ravitch procedure (p<0.001). The surveillance demonstrated that 17.6% of the Nuss group and 35.7% of the Ravitch group were not satisfied with the outcome of the surgery (p=0.072). The most common causes of dissatisfaction were redepression in the Nuss group (n=5) and incomplete correction in the Ravitch group (n=7). The multivariate analysis showed that reoperation and a high postoperative pectus index were significant risk factors for a low satisfaction score. Conclusion: The Nuss procedure had several advantages over the Ravitch procedure in the immediate postoperative period. However, the long-term satisfaction was determined by a complete correction without recurrence or need for re-intervention rather than by the operation type.

A Case Study on the Risk Management for the Long-term Preservation Business Activities Related to Electronic Records (전자기록 장기보존 위험관리 사례)

  • Yim, Jin-Hee
    • The Korean Journal of Archival Studies
    • /
    • no.39
    • /
    • pp.3-43
    • /
    • 2014
  • This paper showed results of the risk management project in detail which was conducted by National Archives of Korea(NAK) in 2010. In the project NAK examined its long-term preservation business of electronic records using DRAMBORA(Digital Repository Audit Method Based on Risk Assessment). NAK has defined 44 different risk elements related to its business activities, assessed and classified them into several grades according to the severity calculated by risk probability score and risk potential impact score, and developed precise management plans for two of the most serious risks. This paper introduced the management plan for one of them. The risk was numbered with NR04 and described by 'Loss of integrity of records information'. This paper explained mitigation strategies, contingency organization, disaster control responsibilities, and personal mission cards for the NR04. This paper planned to give comprehensive understandings to Records Management Organizations about the risk management approaches as an effective way for business management through the case study.

Improvement in Long-term Behavior Estimation of Prestressed Composite Girders for Various Construction Sequences using Parametric Study (변수해석을 통한 프리스트레스트 합성거더의 시공단계별 장기거동 평가법 개선방안)

  • Bae, Doobyong;Oh, Chang Kook
    • Journal of Korean Society of Steel Construction
    • /
    • v.25 no.4
    • /
    • pp.369-377
    • /
    • 2013
  • The age-adjusted effective modulus method has been known to provide more precise assessment than the traditional Yassumi method for long-term behavior estimation of prestressed composite girders. The age-adjusted effective modulus method, however, involves complicated calculation, thereby making the Yassumi method more prevalent in actual design. This study presents rational approaches to revise creep coefficients for the Yassumi method by using parametric study results obtained from the age-adjusted effective modulus method.

The Characteristics and Service Utilization of Home Nursing Care Beneficiaries Under the Korean Long Term Care Insurance (장기요양방문간호 이용자의 특성 및 이용실태)

  • Lee, Jung-Suk;Han, Eun-Jeong;Kang, Im-Ok
    • Research in Community and Public Health Nursing
    • /
    • v.22 no.1
    • /
    • pp.33-44
    • /
    • 2011
  • Purpose: This study examined the characteristics and service utilization of home nursing care beneficiaries under the Korean Long-Term Care Insurance (LTCI). Methods: We used assessment data and claim data of National Health Insurance Corporation from July to August 2008. Data were composed of subjects who were the beneficiaries of home nursing care. Results; A total of 634 subjects were analyzed. Of the subjects, 57.1% were 75 years and over. The average score of nursing care need was only 0.71 and the percentage of those whose nursing care need score was zero was 58.0%. More than half of the subjects had partially dependent musculoskeletal conditions, and 75.5% had two or more comorbidities. A third of them usedonly home nursing care, and another third used both home nursing care and general home care at the same time. Those who needed sore care used the largest home nursing care benefits. Conclusion: Home nursing care of LTCI performs community-based healthcare services under LTCI. Throughout the past two years, however, it has not been active. Understanding the characteristics of its users is important in order to develop effective strategies for activating home nursing care.

A Study on Parameter Estimation for SWAT Calibration Considering Streamflow of Long-term Drought Periods (장기 가뭄기간의 유출량을 고려한 SWAT 보정 매개변수 추정 연구)

  • Kim, Da Rae;Kim, Seong Joon
    • Journal of The Korean Society of Agricultural Engineers
    • /
    • v.59 no.2
    • /
    • pp.19-27
    • /
    • 2017
  • Recently, the hydrological model Soil Water Assessment Tool (SWAT) has been applied in many watersheds in South Korea. This study estimated parameters in SWAT for calibrating streamflow in long-term drought periods. Therefore, we focused on the continuous severe drought periods 2014~2015, and understand the model calibrated parameters. The SWAT was applied to a $366.5km^2$ Gongdo watershed by using 14 years (2002~2015) daily observed streamflow (Q) including two years extreme drought period of 2014~2015. The 9 parameters of CN2, CANMX, ESCO, SOL_K, SLSOIL, LAT_TIME, GW_DELAY, GWQMN, ALPHA_BF were selected for model calibration. The SWAT result by focusing on 5 normal years (2002~2006) calibration showed the 14 years average Nash-Sutcliffe model efficiency (NSE) for Q and 1/Q with 0.78 and 0.58 respectively. On the other hand, the 14 years average NSEs of Q and 1/Q by focusing on 2 drought years (2014~2015) calibration were 0.86 and 0.76 respectively. Thus, we could infer that the SWAT calibration trial by focusing on drought periods data can be a good approach to calibrate both high flow and low flow by controlling the 9 drought affected parameters.

Prediction of Reservoir Water Level using CAT (CAT을 이용한 저수지 수위 예측)

  • Jang, Cheol-Hee;Kim, Hyeon-Jun;Kim, Jin-Taek
    • Journal of The Korean Society of Agricultural Engineers
    • /
    • v.54 no.1
    • /
    • pp.27-38
    • /
    • 2012
  • This study is to analyse the hydrological behavior of agricultural reservoir using CAT (Catchment hydrologic cycle Assessment Tool). The CAT is a water cycle analysis model in order to quantitatively assess the characteristics of the short/long-term changes in watershed. It supports the effective design of water cycle improvement facilities by supplementing the strengths and weaknesses of existing conceptual parameter-based lumped hydrologic models and physical parameter-based distributed hydrologic models. The CAT especially supports the analysis of runoff processes in paddy fields and reservoirs. To evaluate the impact of agricultural reservoir operation and irrigation water supply on long-term rainfall-runoff process, the CAT was applied to Idong experimental catchment, operated for research on the rural catchment characteristics and accumulated long term data by hydrological observation equipments since 2000. From the results of the main control points, Idong, Yongdeok and Misan reservoirs, the daily water levels of those points are consistent well with observed water levels, and the Nash-Sutcliffe model efficiencies were 0.32~0.89 (2001~2007) and correlation coefficients were 0.73~0.98.