• Title/Summary/Keyword: 노인간호연구

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Nonverbal Communication between Patients with Dementia and Their Nurses in an Elderly Care Institution (일개 노인요양기관에 입소한 치매노인과 간호사의 비언어적 커뮤니케이션 연구)

  • Yi, Myung-Sun
    • Korean Journal of Adult Nursing
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    • v.21 no.1
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    • pp.105-116
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    • 2009
  • Purpose: The purpose of the study was to describe nonverbal behaviors of nurses in communication with patients with dementia in an elderly care institution in Korea. Methods: Conversation analysis was utilized to analyze the data which were collected using video camera to capture non-verbal as well as verbal behaviors. A total of 66 episodes of everyday conversations were analyzed using seven nonverbal categories: affirmative head nodding; illustrative gestures; patient-directed eye gaze; smiling and/or laughing; forward leaning; affective touch; and instrumental touch. Results: Among seven categories, patient-directed eye gaze(94%) was the most frequently utilized among nurses followed by affirmative head nodding(67%) and forward leaning(67%), while smiling was the least used(32%). Affective touch was identified in 39 episodes(59%). Among them, the most frequently touched area was hand or handshaking(59%) followed by shoulder or back, arm, and face. There were wide differences among nurses in terms of using affective touch, ranging from 0% to 98%. Nonverbal behaviors were more frequently identified in effective episodes than in ineffective episodes. Conclusion: Actively utilizing effective nonverbal behaviors may help geriatric nurses in promoting communication and in establishing rapport with patients with dementia.

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A Study on the Knowledge of Nurses, Performance and Preventive Practice of Pressure Ulcer among Nurses in Long-Term Care Hospital (노인요양병원 간호사의 욕창간호지식, 욕창예방 간호수행 및 간호수행 장애요인에 관한 연구)

  • Jo, Eun-Hee;Kim, Hyun-Suk;Lee, Su-Jin
    • The Journal of the Korea Contents Association
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    • v.15 no.8
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    • pp.356-365
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    • 2015
  • This study is the descriptive research intended for identifying the reciprocal relationship between the knowledge of nursing and performance of pressure ulcer prevention that registered nurses at the aged care hospital possess. A total of 317 nurses who had been working at the aged care hospital for 4 months from March 1 2014 to June 1 2014 were chosen as research group. The data were collected by means of self-reported questionnaire and data were analyzed with descriptive statistics. The knowledge of nursing on pressure ulcer depending on general characteristics of research group had the significant difference in each item of clinical experience, education program, education time and education frequency(p<.05), In the performance of pressure ulcer prevention only the education frequency among various general characteristics showed significant differences(p=.40). The knowledge of nursing related to pressure ulcer had the low negative correlation with the performance of nursing(rho=-.137, p<.05). Among the factors disturbing nursing performance of pressure ulcer prevention the shortage of nursing staff appeared to be 57.7%. From the result of this study it was revealed that both increasing the education frequency of preventive nursing and managerial consideration concerning the shortage of nursing staff were needed more rather than the knowledgement of preventive nursing to improve the nursing performance of pressure ulcer prevention.

Senior Center Based Diabetes Self-management Program: An Action Research Approach (노인복지관 당뇨병 자기관리 프로그램의 과정과 평가: 실행연구방법)

  • Ko, Hana;Song, Misoon
    • 한국노년학
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    • v.38 no.1
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    • pp.169-185
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    • 2018
  • The purpose of this study examined the feasibility and efficacy of a senior center-based diabetes self-management program applying action research approach. The cyclical action research method was applied for this study: plan, act, evaluate, and reflect in delivering three waves of the intervention program. Three waves of a 12 weeks-length small group diabetes self-management program were offered during the period of 15 months in a senior center in Seoul. Planning of $2^{nd}$ and $3^{rd}$ wave program were based on reflection of $1^{st}$ and $2^{nd}$ program evaluation respectively. Among the 46 participants, 93.48% (N=43) completed the program. The quantitative evaluation showed statistically significant improvement in HbA1C(p<.001), fasting plasma glucose(p<.001), BMI(p=.016), waist circumference(p=.001), systolic blood pressure(p=.036), diabetes self-management behavior(p<.001) and health knowledge(p=.008). Qualitative data revealed that individual management was very helpful in empowering and adhering for own diabetes care for the participants. Participants reported high satisfaction towards the program with mean satisfaction score of 65.12. Application of the Diabetes Self-management program with action study strategy was successful in community setting for improving participants' subjective and objective outcomes. Action research method guides the practitioner to tailor the program to respond for the participants and field needs.

Effects of a Multifactorial Fall Prevention Program on Physical·Psychological Function and Home Environmental Hazards in Community Dwelling Low-income Elderly (다면적 낙상예방프로그램이 지역사회 거주 저소득층 노인의 신체·심리기능과 가정환경 위험요인에 미치는 효과)

  • Kim, So Nam
    • 한국노년학
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    • v.32 no.2
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    • pp.377-395
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    • 2012
  • This study was conducted to develop and evaluate the effectiveness of Multifactorial Fall Prevention Program (MFPP) for local low-income elderly people on physical·psychological, and home environmental hazards, and falling frequency. The selected elderly people was provided the MFPP during an eight-week period of time, once a week, 70 to 90 minutes per each section. The design of this study was non-equivalent control-group with repeated measuring by quasi-experimental study. Data were collected before treatment, 8 week after treatment and 4 week after retention from July to October, 2010. Data were analyzed with numbers, percentage, Fisher's exact test, x2-test, repeated measures ANOVA, ANCOVA and Logistic regression. There were significant differences in fall frequency, balance, fear of falling, fall efficacy, home environmental hazards between the experimental group (EG) and control group (CG). This study showed that the multifactorial fall prevention program(MFPP) was useful nursing intervention for strengthening physical·psychological and environmental functions of the low-income elderly people, as well as preventing fall.

A Study on the Sociocultural Psychological factors influencing on the Successful Aging of the elderly (노인의 성공적 노화에 영향을 미치는 사회문화·심리적 요인)

  • Cho, Young-Mun;Kang, Seung-Lang
    • Journal of Digital Convergence
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    • v.17 no.10
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    • pp.339-348
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    • 2019
  • This study was conducted to predict sociocultural psychological variables affecting successful aging of the elderly. The participants were 187 elderly people aged at least sixty who used 16 elderly welfare centers in G metropolitan city and J and S city from december 2018 to january 2019. Data analysis was done by using SPSS WIN 23.0 program, for one-way ANOVA, independent t-test, pearson correlation coefficients and multiple regression. This study showed a positive correlation between successful aging and basic psychological need, ego-integrity, cultural competence. The ego-integrity(${\beta}=.372$, p<.001), cultural competence(${\beta}=.410$, p<.001), relationship(${\beta}=.168$, p=.003) have a 71.1% explanatory power for the successful aging of the elderly. It is necessary to develop sociocultural psychological programs to promote self-integration, cultural competence, and relationship for successful aging of the elderly.

The Impact of Knowledge and Perception of CPR in the Elderly on Attitude (노인의 심폐소생술에 대한 지식 및 인식이 태도에 미치는 영향)

  • Chang-hwa Han;Hye-kyung Lee
    • Journal of the Korean Applied Science and Technology
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    • v.41 no.3
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    • pp.784-794
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    • 2024
  • The purpose of this study was to investigate the level of knowledge, perception, and attitude towards cardiopulmonary resuscitation (CPR) among the elderly, as well as factors influencing attitudes towards CPR, in order to provide basic data for the development of CPR education programs targeting the elderly. The study subjects were 234 elderly individuals, and data were collected from August 11 to December 3, 2023. The collected data were analyzed using descriptive statistics, t-tests, ANOVA, Pearson correlation coefficients, and multiple regression analysis. The results of this study showed that the average scores for knowledge of CPR among the elderly were 6.39±3.23 points, perception was 2.02±0.51 points, and attitude was 1.84±0.52 points. The factor with the greatest influence on CPR attitude was found to be perception of CPR (β=.60, p<.001). Therefore, in order to improve attitudes towards CPR among the elderly, it is necessary to develop new educational programs that can change perceptions of CPR and provide continuous education.

The Effect of Telephone Intervention on Depression of the Elderly Living Alone during the COVID-19 (코로나 19시기 독거노인의 우울에 대한 전화중재의 효과)

  • Park, Sunah
    • The Journal of the Convergence on Culture Technology
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    • v.8 no.3
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    • pp.175-182
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    • 2022
  • The purpose of this study was to examine the effect of telephone intervention on the reduction of depression after the intervention for the elderly living alone during the COVID-19 pandemic. A one-group pretest and posttest design was used to examine changes in depression level following telephone intervention a once a week for 10 weeks. The subjects of this study were older adults aged 65 registered with 3 social welfare institutions in Wonju, and a total of 114 elderly completed a questionnaire before and after the intervention. Telephone intervention was provided by 56 nursing student volunteers, and each student was in charge of 2-3 elderly people. The depression score decreased from 6.59±3.74 before the intervention to 5.01±3.34 after the intervention (t=4.959, p<.001). Study findings suggest that telephone intervention is effective as an emotional support for the elderly living alone during the COVID-19 pandemic. Further research is needed to expand the scope of various subjects and regions, including the elderly not living alone.

The Effect of Attitudes toward the geriatric of Caregivers on their Emotional Work and Burnout (요양보호사의 감정노동과 소진이 노인 돌봄 태도에 미치는 융복합적 영향요인)

  • Lee, So-Young;Hong, Ju-Young
    • Journal of Convergence for Information Technology
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    • v.9 no.7
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    • pp.41-47
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    • 2019
  • The purpose of this study examine to identify the mediating attitudes toward the geriatric patient in the relation between emotional work and burnout. Data were collected by self-report questionnaires targeting 142 caregiver in D city and G city. Data were analyzed with SPSS/PC ver. 21.0 programs. There were significantly positive correlations between toward the geriatric patient, emotional work and burnout. As a result of analyzing the main factors affecting the level of care performance for attitudes toward caring the geriatric attentiveness, health state, work type appeared to be significant explanatory variables, and this model's explanatory power was 31%. Therefore, it is necessary to apply the education program to improve the social awareness in addition to the stable work environment of the nursing care provider in order to raise the attitude of the caregiver to care for the elderly.

Effects of Social Support, Abuse on the Ego-Integrity in the Elderly (노인이 지각한 사회적 지지, 학대가 자아통합감에 미치는 영향)

  • Kim, Soon Yi;Lee, Jung In
    • 한국노년학
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    • v.29 no.1
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    • pp.231-242
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    • 2009
  • Purpose: The purpose of this study was to examine the effects of social support, abuse on the ego-integrity in the elderly. Method: This is a descriptive survey study. Data were collected from March to June, 2008 with 306 older adults living at home. The questionnaires consisted of social support, abuse, and ego-integrity. Result: The average score of the subjects for social support was 4.5, for abuse 1.16, and for ego-integrity 2.91. There were positive correlations between social support and ego-integrity. The negative correlations were shown between social support and abuse, as well as between ego-integrity and abuse. The correlations were statistically significant. The social support and abuse were a significant predictor of ego-integrity. Conclusion: A program for improving social support and preventing abuse should be developed. In addition nursing intervention should be provided based on the developed program for this population.

Factors Associated with Successful Aging of Korean Older People Living in a City (일 도시 노인의 성공적인 노화 관련 요인)

  • Shin, Younghee;Lee, Hyejung
    • 한국노년학
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    • v.29 no.4
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    • pp.1327-1340
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    • 2009
  • The purposes of the study were (1) to identify the level of successful aging of older people living in a city, (2) to identify associated factors with successful aging, and (3) to identify a risk group for successful aging using classification and regression trees (CART) analysis. One hundred eighty seven older people (>65years) participated in the cross-sectional survey. Trained interviewers collected data with a structured questionnaire on demographic information, Korean geriatric depression score, activity of daily living(ADL), instrumental activity of daily living(IADL), and Young's successful aging instrument in subject's home. A CART analysis split subjects into ten homogeneous small groups based on five determinant factors. Older people who are male, with higher education, living with family, and not receiving Medicaid showed better scores in successful aging than their counter parts. Depression was a strong primary determinant for successful aging. A risk group for successful aging of older people was identified by depression and IADL. An intervention to prevent and manage depression and to improve physical function of older people can be developed to promote successful aging of older people. It is suggested to consider an assessment of depression to develop the policies for older people welfare.