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장기요양시설 노인의 기능상태에 따른 간호서비스 필요도 예측

Predictors of Nursing Service Need for Nursing Homes Residents

  • 발행 : 2009.02.28

초록

Purpose: The purposes of this study were to explore the functional status of elderly residents and to analyze time use, and finally identify factors to predict nursing care needs in relation to functional status and health related variables. Methods: In this study a descriptive-correlational design was used. Functional status of participants was obtained through interviews, and nursing care time was examined using a 1 min time-motion study with a standardized instrument developed by Korea Long-Term Care Planning Committee (2005). Results: The mean total functional score was 65 (range 28-125) and mean total nursing care time was 144.15 min per day. There were significant positive relationships between total nursing care time, marital status, back pain, dementia, and vision impairment. Multiple regression analyses showed that a liner combination of number of illnesses, types of primary disease, ADL, IADL, cognitive function, nursing demand, and rehabilitation demand explained 42.8% of variance of total nursing time. ADL (${\beta}$=-.533) was the most significant predictor of nursing service need. Conclusion: Identifying factors that result in variations of service need has implications for adequate nursing service, estimation of optimum nurse to patient ratio, quality of care and patient safety.

키워드

참고문헌

  1. Banaszak-Holl, J., Fendrick, A. M., Foster, N. L., Herzog, A. R., Kabeto, M. U., Kent, D. M., et al. (2004). Predicting nursing home admission: Estimates from a 7-year follow-up of a nationally representative sample of older Americans. Alzheimer Disease and Associated Disorders, 18, 83-89 https://doi.org/10.1097/01.wad.0000126619.80941.91
  2. Bjorkgren, M. A., Fries, B. E., Hakkinen, U., & Brommels, M. (2004). Case-mix adjustment and efficiency measurement. Scandinavian Journal of Public Health, 32, 464-471 https://doi.org/10.1080/14034940410028235
  3. Capenter, G. I., Ikegami, N., Ljunggren, G., Carrillo, E., & Fries, B. E. (1997). RUG-III and resource allocation: Comparing the relationship of direct care time with patient characteristics in five countries. Age and Aging, 26, 61-65
  4. Carpenter, I., Perry, M., Challis, D., & Hope, K. (2003). Identification of registered nursing care of residents in English nursing homes using the Minimum Data Set Resident Assessment Instrument (MDS/RAI) and Resource Utilisation Groups version III (RUG-III). Age and Ageing, 32, 686 https://doi.org/10.1093/ageing/afg126
  5. Chang, H. S. (2000). Analysis of hospital services for elderly inpatients. Journal of Korea Society of Quality Assurance in Health Care, 7, 18-31
  6. Gibson, M. J., & Verma, S. (2006). Just Getting By: Unmet Need for Personal Assistance Services Among Persons 50 or Older with Disabilities. Washington, DC: AARP Public Policy Institute
  7. Harrington, C. (2005). Nurse staffing in nursing homes in the United States: Part II. Journal of Gerontological Nursing, 31(3), 9-15
  8. Harrington, C., Zimmerman, D., Karon, S. L., Robinson, J., & Beutel, P. (2000). Nursing home staffing and its relationship to deficiencies. Journal of Gerontology, 55, 278-287 https://doi.org/10.1093/geronb/55.5.S278
  9. Jung, K. H., Suk, J. E., Sunwoo, D., Kim, C. W., Lee, T. W., Lee, T. J., et al. (2005). Development of targeting and fee systems for longterm care. Seoul: Korea Institute for Health and Social Affairs
  10. Kim, C. W., Lee, G. O., Lee, Y. W., Won, J. W., Yeon, B. K., Lee, T. W., et al. (2004). Development of an evaluation tool for long-term care system. Seoul: Korea Institute for Health and Social Affairs
  11. Kim, E. K. (2003). Care time of elderly in long-term care facilities. Journal of Korean Academy of Nursing Administration, 9, 353-364
  12. Kim, E. Y. (2002). Economic evaluation of long term care service. Unpublished doctoral dissertation, Seoul National University, Seoul
  13. Kim, H. C. (2008). A study on possible variations of senior care facilities after the enforcement of long-term senior care insurance act. Unpublished master's thesis, Kyunghee University, Seoul
  14. Korea Institute of Health & Welfare. (2005). National long-term care survey for elderly living status and welfare needs. Seoul National Ministry of Health & Welfare
  15. Korea National Statistical Office. (2007). Census of population in Korea on 2007 year. Seoul: Author
  16. Kovner, C. T., Mezey, M., & Harrington, C. (2002). Who cares for older adults? Workforce implications of an aging society. Health Affairs, 21, 78-89
  17. Lee, J. (2005). The relationship of functional status and resource utilization among elderly patients-Focused on care times among elderly patients in geriatric hospitals-. Unpublished master's thesis, Yonsei University, Seoul
  18. Lee, J. J. (1999). Application of RUG-III for long-term care elderly patients. Unpublished doctoral dissertation, Yonsei University, Seoul
  19. Lee, S. H. (2006). The determinants of nursing home quality indicators:A multilevel analysis. Journal of Korean Academy of Nursing Administration, 12, 473-481
  20. Lee, S. H., Kim, S. R., Kim, S. M., Kim, E. K., Park, S. K., & Oh, J. H. (2001). A study on supply strategy of long-term care facility and special beds. Seoul: Korea Health Industry Development Institute
  21. Long-Term Care System Information. (2008). National Long-Term Care Agency. Retrieved October 23, 2008, from http://www. longtermcare.or.kr/portal/site/nydev/MENUITEM
  22. Ministry of Health & Welfare. (2005). Evaluation of long-term care facilities. Unpublished manuscript
  23. National Long-Term Care Planning Committee. (2005). Development of targeting and cost systems for long-term care. Seoul: Korea Institute of Health and Social Affairs
  24. Nordberg, G., Wimo, A., Jonsson, L., Kareholt, I., Sjolund, B.M., Lagergren, M., et al. (2007). Time use and costs of institutionalised elderly persons with or without dementia: Results from the Nordanstig cohort in the Kungsholmen Project -A population based study in Sweden. International Journal of Geriatric Psychiatry, 22, 639-648 https://doi.org/10.1002/gps.1724
  25. Phillips, C. D., & Hawes, C. (2005). Care provision in housing with supportive services: The importance of care type, individual characteristics, and care site. Journal of Applied Gerontology, 24, 55-67 https://doi.org/10.1177/0733464804271453
  26. Sung, K. W., Shin, I. H., Lee, K. H., & Kwan, K. H. (2005). Content analysis of the nurses working in the free elderly home and nursing home. Journal of Korean Gerontological Nursing, 7, 7-19
  27. Sunwoo, D., Jung, K. H., Oh, Y. H., Cho, A. J., & Suk, J. E. (2001). Survey need of long-term care and politic strategy. Seoul: Korea Institute for Health and Social Affairs
  28. Sunwoo, D., Suk, J. E., Kim, C. W., Lee, T. W., Jung, H. S., Lee, M. J., et al. (2006). Korea long-term care demonstration project evaluation. Seoul:Korea Institute for Health and Social Affairs
  29. Tabachnick, B. G., & Fidell, L. S. (1989). Using multivariate statistics. New York, NY: Harper Collins Publishers, Inc
  30. US Congressional Budget Office. (1997). Long-term care for the elderly and the disabled: Budget issue paper. Washington, DC: US Government Printing Office
  31. Wolinsky, F. D., & Johnson, R. J. (1991). The use of health services by older adults. Journal of Gerontology, 46, 345-357 https://doi.org/10.1093/geronj/46.6.S345
  32. Woo, J., Ho, C., Yu, M., & Lau, I. (2000). An estimate of long-term care needs and identification of risk factors for institutionalization among Hong Kong Chinese aged 70 years and over. Journal of Gerontoloy, 55, 64-69 https://doi.org/10.1093/gerona/55.2.M64

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  2. 요양기관별 한국노인의 기능상태와 장기요양등급 비교 vol.21, pp.4, 2010, https://doi.org/10.12799/jkachn.2010.21.4.386
  3. 치매, 중풍 노인의 장기요양서비스 이용현황과 이용수준 관련 요인 vol.23, pp.1, 2009, https://doi.org/10.4332/kjhpa.2013.23.1.090
  4. Nursing home adjustment scale: a psychometric study of an English version vol.24, pp.4, 2015, https://doi.org/10.1007/s11136-014-0836-z
  5. Impact of the nursing home scale on residents’ social engagement in South Korea vol.28, pp.12, 2009, https://doi.org/10.1017/s1041610216001198
  6. Nursing Homes of the Elderly in Asia: A comparison of Korea and Japan vol.9, pp.10, 2009, https://doi.org/10.13106/ijidb.2018.vol9.no10.15
  7. Ego-Integrity Management of Residents in Nursing Homes: A Concept Analysis based on the Method by Walker and Avant vol.20, pp.2, 2009, https://doi.org/10.17079/jkgn.2018.20.2.97