• Journal of Korean Biological Nursing Science
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• v.14 no.2
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• pp.139-146
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• 2012

Purpose: This study was done to evaluate the effects of a fluid intake intervention on increasing fluid intake and ameliorating dehydration status in elders admitted to long-term care hospitals. Methods: A nonequivalent control group, pretest and posttest design was used. The experimental group of 39 participants received the 4-week intervention while the control group of 38 participants received routine care. Outcome variables were daily fluid intake and physiological indexes such as blood urea nitrogen and creatinine ratio (BUN/Cr), urine specific gravity (USG), and urine color. Results: After the intervention to increase fluid intake, there were statistically significant increases in daily fluid intake, normal BUN/Cr, and USG in the experimental group. However, a statistically significant improvement in normal urine color was not found for either group. Conclusion: The findings of this study demonstrated that the fluid intake intervention improved hydration status of the experimental group participants. Consequently, it was confirmed that the intervention is considered to be effective in preventing dehydration which occurs frequently in older adults in long-term care facilities and, thus this intervention may contribute to preventing various health issues resulting from dehydration.

• Journal of Korea Multimedia Society
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• v.19 no.3
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• pp.612-619
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• 2016

Applying evolved IT technology to increase the satisfaction of the consumer is a typical feature of the rapidly transformed service industry. Smart devices have taken a place as the mainstream of major media, moreover, IT service strategies utilizing smart devices have been constantly developed. Location recognition method of users has been proposed as one of the significant features to the IT service industry. The long-term care home services can be one example of user location recognition methods that real time computerization of service record utilize an attached tag to home of pensioners with RFID reader or an NFC function of mobile when a home carer provides service. And, the Homecare Electronics Management System (HEMS) and the various location recognition methods will be discussed to improve effectiveness of services. In this paper, we propose a home applicable electronic management system which insurer, home care service facilities, home cares, pensioners and guardians which enables to simultaneously check service records based on the improved system by use of iBeacon.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.17 no.3
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• pp.480-488
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• 2016

This study examined the levels of ADL and IADL among elderly people who were institutionalized in long-term care facilities and determined their association with socio-demographic characteristics, health status, and health related behaviors. Interviews were performed, during the period from June 1 to July 31, 2015, to 205 elderlies received from long-term care service. As a results, the total mean score was $16.67{\pm}2.11$ for ADL (range: 6~8) and $15.13{\pm}3.79$ for IADL (range: 7~21). The selected factors associated with ADL were with or without a spouse, frequency of going out, subjective health status, and mastication ability. The factors associated with ADL were selected, such as gender, with or without a spouse, frequency of going out, subjective health status, disability of body, and amnesia. In conclusion, the level of ADL and IADL in the elderly people selected from long-term care insurance were influenced by the socio-demographic characteristics, health status and health-related behaviors.

• The Korean Journal of Community Living Science
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• v.18 no.3
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• pp.369-378
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• 2007

This study purposed to examine elderly welfare facilities by type, to analyze their local variations, and ultimately to contribute to the expansion of elderly welfare infrastructure. The results are expected to help inspect elderly welfare infrastructure for providing the aged with social services before the execution of 'the insurance for elderly long term care' and establish welfare facilities by area in the future. For these purposes, we used the national data "The Current State of Elderly Welfare Facilities in 2007" produced by the Ministry of Health and Welfare. We digitized elderly welfare facilities in 163 cities and counties by type and analyzed them by area. We also examined the differences in the local distribution of representative elderly welfare facilities such as elderly welfare centers, home based facilities (home helper centers), asylums for the aged and elderly care facilities in 16 cities and provinces. Furthermore, we analyzed differences and problems in their local distribution urban areas, mixed areas of urban and rural communities, and rural areas. In addition, we studied the current state of institutionalized care and home based care, which are two major directions of current elderly welfare policies, based on the local distribution of facilities and analyzed differences in the trends according to area. According to these results, the urban had more home based care facilities than the rural. However, the rural had more institutionalized care facilities than urban. Also, each local self-governing body showed unique characteristics. Therefore, these results suggest that we need to establish elderly welfare policies based on the distribution of facility types by area.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.18 no.10
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• pp.336-343
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• 2017

In this study, we analyze the relationship between long-term care workers' emotional labor, professional quality of life, and service quality. The subjects of this study were 211 long-term care workers working in long-term care facilities. Self-administered questionnaires were used. In the research model, emotional labor(surface behavior, internal behavior) was verified using independent variables, with professional quality of life (compassion satisfaction, compassion fatigue) as the parameters and service quality as the dependent variables. The results of this study are as follows. First, the fit of the model was good. Second, the direct effects of emotional labor on service quality were not significant. However, there was a positive correlation between internal behavior and service quality, and a negative correlation between surface behavior and service quality. Third, professional quality of life(empathy satisfaction) was the most influential variable in terms of service quality. The results of this study demonstrate the necessity to payclinical and academic attention to long-term care workers' emotional labor and quality of life.

• Journal of Korean Academy of Nursing
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• v.39 no.5
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• pp.741-750
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• 2009

Purpose: The purpose of this study was to identify the prevalence of cognitive impairment, behavioral problems, and the state of mental health for elderly Korean people who have been institutionalized. Methods: A cross-sectional, nationwide survey was performed using an anonymous questionnaire. The participants in this study were 2,521 institutionalized elderly Korean people. A proportional stratified random sampling method was employed. Results: 1) Elders admitted to subacute hospitals and long term care (LTC) facilities showed a higher level of cognitive impairment compared to elders admitted to acute care hospitals. 2) Elders confined in LTC facilities showed a higher level of behavioral problems compared to elders in acute or subacute hospitals. 3) Elders admitted to subacute hospitals and LTC facilities showed more serious mental health problems, such as depression or suicidal ideation, compared to elders in acute care hospitals. Conclusion: The results of this study indicate that the severity of cognitive-behavioral or mental health problems do not match well with type of care setting. Therefore, health personnel working with elderly people should be provided guidance on detection and management of cognitive-behavioral and mental health problems. The necessity of a decision support system for eligibility and placement in long-term care is also discussed.

• 한국노년학
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• v.36 no.3
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• pp.673-691
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• 2016

As the provision of long-term care policy takes root and with a gradual increase in elderly population, the use of elderly care service has become a growing norm. More than ever, there exists an urgent need for a paradigm shift in the building of an institutional basis for the improvement of care service, from the prevalent practice of 'need based service' toward the concept of 'human rights based service'. A great focus is being shed on care-workers, at the 'front line' of advocating human rights, as their human rights advocacy behaviour is seen as a key variable in providing high quality care service for elders. This study aims to examine how care-workers' individual human rights awareness levels, and the influence of their respective organizations, as an environmental factor, affect their human rights advocacy behaviour. The study includes a comprehensive analysis of the interactions between the regulatory effect of environmental factors (service orientation?) on an organizational level, human rights awareness (individual level) and the service environment (organizational). The analysis sample consisted of 782 registered non-profit corporation of long-term care facilities all over the country in 2014. The findings of the thesis suggest that human rights awareness at individual levels has a significant influence on human rights advocacy behavior. The interaction of human resources management in service orientations was also found to influence human rights advocacy on a significant level. Both human rights awareness at individual level and service orientations at organizational level were thus determined as key variables for improving the human rights awareness of care worker in long-term care facilities in Korea.

• The Journal of the Korea Contents Association
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• v.21 no.5
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• pp.808-823
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• 2021

This study was conducted to explore the experience and its meaning of the elderly residents in long-term care facilities(LTCFs). It is aimed to find the role of family and society for the qualitative care of elderly living in LTCF and to seek social welfare measures. For this purpose, qualitative research data was collected by conducting in-depth interviews and participation observations on 8 elderly residents at 4 LTCFs in Seoul, Incheon, and Gyeonggi Province. The collected data were analyzed using Giorgi's phenomenological research method. The analysis results show that 33 semantic units, 14 subcomponents, and 4 upper components. The 4 upper components showed up as 「Crumbling my existence」, 「The life thrown into an unfamiliar environment」, 「New relationship where discomfort and gratitude coexist」 and 「My life I want to find」. Among them, 「My life I want to find」 was the essence of the living experiences of elderly residents in LTCF. Through this study, it was suggested creating an environment to provide facilities access preparation program for the elderly, developing and activating various family participation programs, providing conditions of Aging in place for the elderly, and developing and activating community resource linkage programs.

• Journal of the Korean Institute of Rural Architecture
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• v.12 no.4
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• pp.29-36
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• 2010

The purpose of this study is to have detailed data of the distribution, locations, and the amount of people in the waiting line of the nursing home. Also, we studied the accessibility to the facilities by using Web GIS to analyze the transit time it takes from the nursing home to health center and hospitals. We can provide the basic data that could contribute when future plans for the nursing homes' locations, health and medical policy are made. The results are as follows. 1. The nursing homes are stiffly concentrated in regions of Seoul and Gyeongi-do where large number of the elderly covered by long-term care insurance and the waiting line was very long for the elderlies to enter the nursing homes. In these cities of Ulsan and Jeju where number of the elderly covered by long-term care insurance is relatively small, there were less facilities. 2. The nursing homes located in urban areas had higher occupancy rate and higher number of people in the waiting line. 3. The average time taken by driving from the nursing homes and health center was 10 minutes and there was not a noticeable difference between the cities. Driving from the nursing homes to hospitals in rural areas took 22 minutes which is 2.5 times of the time taken for urban areas. Daegu-si and Incheon-si had relatively short distance from the nursing homes and the hospitals while Jeju-do had the furthest. For rural areas, it is needed for health center to be equipped with a wider medical coverage, have closely connected with hospitals to minimize the differences they have from ones in rural areas. It is also needed to have ambulances equipped for tele-medical examination and treatment system.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.21 no.3
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• pp.147-155
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• 2020

The purpose of this study was to compare the risk factors of pressure sores and preventive intervention strategies and to provide basic data for the management of pressure sores prevention for long-term care facilities. It was a mixed method study using a systematic literature review and focus group interviews for analysis. A PRISMA flow diagram was prepared in accordance with the research selection process for the systemic literature review. The studies were retrieved from domestic and international studies from 2010 to June, 2019. A total of 8 studies were selected according to the selection criteria. The studies were searched electronically using a search engine with the key words of 'pressure ulcers', 'bedsore', 'decubitus ulcers', 'intervention', 'prevention', 'elderly', and 'long term'. Focus group interviews were conducted through a semi-structured questionnaire for nurses who had worked for more than three years in long-care facilities. The study results suggest that position change and pressure reduction device reduced the incidence of pressure sores and were important for prevention. The use of standardized care protocols is necessary. Multidisciplinary cooperation was an important issue.