• Title/Summary/Keyword: 노인간호연구

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Related Factors of Severity Rated by Korean Triage and Acuity Scale (KTAS) among Older Adults at the Emergency Departments (일개 지역 응급의료센터 방문 노인의 중증도 영향 요인)

  • Shin, Dong-Soo;Kim, Mi Sook
    • Journal of East-West Nursing Research
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    • v.24 no.2
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    • pp.146-153
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    • 2018
  • Purpose: This study aimed to identify characteristics and severity assessed by Korean Triage and Acuity Scale (KTAS) among 2,496 older adults aged 65 and over who visited an emergency department (ED) located in Chuncheon city. Methods: Data were collected via electronic medical records from two hospitals from January to December of 2016. Chi square test and logistic regression were applied using SPSS 22.0. Results: 53.5% of the participants were women and 17.6% of visits were done by aged 85 and older. ED visits by ambulance were 33.9%. More than two-third of older adults' ED visits were emergent status. Severity of the ED visits of older adults were rated by KTAS. Commonly reported chief complaints of the ED visits were dizziness, dyspnea, chest pain, abdominal pain, and hypoalbuminemia. Among them, dizziness, chest pain, dyspnea, and hypoalbuminemia were related factors for being-emergent condition. Conclusion: Strategies for older adults' chief complaints are needed in order to reduce unexpected ED visits.

Factors Influencing on Pressure Ulcer Incidence among Older Patients with Hip Fracture in a Hospital (고관절 골절로 입원한 노인 환자의 욕창 발생 위험요인)

  • Lee, Sun Jin;Jeong, Jae Shim;Lim, Kyung-Choon;Park, Eun Young;Kim, Hye Youn
    • Journal of Korean Biological Nursing Science
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    • v.21 no.1
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    • pp.54-61
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    • 2019
  • Purpose: This study aimed to identify the incidence and risks for pressure ulcer among older patients with hip fracture. Methods: The subject were 215 older patients suffering from hip fracture who were admitted for surgical operation from January 1, 2012 to April 30, 2016 in a university-affiliated hospital. The incidence of pressure ulcer was collected retrospectively through medical record review and the risk factors were analyzed using Cox's proportional hazard model. Results: Out of the total, 32 patients (14.9%) developed pressure ulcer with the average occurrence period being 4.72 (${\pm}3.81$) days. Stage II pressure ulcer was the most common at 72.0%. Risk factors included ambulation status before injury (p= .039), spinal anesthesia (p= .029), and stay at intensive care unit after operation (p= .009). Conclusion: Despite pressure ulcer prevention efforts, the incidence remained relatively high. Considering the identified risk factors, more efforts is needed for early detection and prevention of pressure ulcers in such patients.

Health Behavior in the Aged and Related Variables (노인건강행위와 관련요인간의 관계)

  • Seo, Gi Soon
    • 한국노년학
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    • v.28 no.4
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    • pp.1201-1212
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    • 2008
  • This study was conducted to find the relation among perceived health status, self-esteem, self-efficacy, and social support related with the health behavior in the aged, and to ascertain the factors which affect the health behavior in the aged. For this study, 271 old men and women were surveyed from June to July, 2008, who lived in Daejeon and Chungnam province, and were 65 years old and over. As a result, it was surveyed that the old having their religious beliefs were good in health behavior, and the old who had a spouse and a high level of education were good in health status. And also, old women had a higher self-efficacy than old men, and the old who had a high level of education had a higher self-efficacy than those who didn't. Among the subjects of this study, there was a significant correlation between the health behavior in the aged and perceived health status, self-esteem, and self efficacy, and one between perceived health status and self-esteem, and self efficacy. And also, there was a significant correlation between self-esteem and self efficacy. Self-esteem was confirmed as the important variable which affected the health behavior of the aged. The limitations, implications of this study and future tasks for the old were discussed.

Nurses' Knowledge, Attitude and Education Needs for Sexuality of the Elderly (간호사의 노인의 성에 대한 지식, 태도 및 성교육 요구도)

  • Yang, Jung-Lim;Jeong, Mi-Hyun
    • The Journal of the Korea Contents Association
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    • v.13 no.3
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    • pp.260-270
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    • 2013
  • The purpose of this study was to investigate nurses' sexual knowledge, attitude and sex education needs of the elderly. The participants were 235 nurses who were working at hospitals, geriatric hospitals and nursing homes at I city, K city and J city in Jeollabukdo province. A survey was conducted using self questionnaire scale from December 1, 2012 to December 10, 2012. First, the mean score of sexual knowledge was $15.91{\pm}6.43$. It was statistically significant according to marital status(p=.024), workplace(p<.001), duration of work experience(p=.006), sex education needs(p<.001), sex education acceptance(p<.001). Second, the mean score of attitude was $38.26{\pm}4.41$. It was statistically significant according to workplace(p=.033), living with the elderly(p=.009), sex education needs(p<.001) and sex education acceptance(p<.001). Third, the mean score of sex education needs was $35.97{\pm}6.28$. It was statistically significant according to age(p=.023), living with the elderly(p=.014), sex education needs(p<.001) and sex education acceptance(p<.001). Nurses' knowledge on the elderly's sexuality showed a significantly positive correlation with attitude(p<.001) and sex education needs(p<.001). This study indicated that general education on sexuality of the elderly for undergraduate nursing students and registered nurses is essential. More active nursing care on the elderly's sexuality is required when providing them with health assessment and nursing interventions.

Evaluation of Visual-Motor Integration in Elderly Patient with Diabetes Mellitus (노인 당뇨환자의 시각-운동 통합능력 평가)

  • Yun, Hyo Soon;Kim, Mi Ae;Kim, Mi Han;Suh, Soon-Rim;Kim, Hong
    • 한국노년학
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    • v.31 no.3
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    • pp.641-652
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    • 2011
  • The purpose of this study was to investigate the ability of visual-motor integration (VMI) in elderly patient with diabetes mellitus(DM). Male elderly (from 65 to 70 years old) with DM and non-DM disease were participated in this study. Participants were divided into three group (n=30 in each group): the control group, non-DM group, and DM group. Data were collected through VMI-3R questionnaires and interviews. Statistical differences among groups were determined by one-way ANOVA followed by Duncan Post-hoc test and results were expressed the mean ± S.D. or percentage (%). The present results showed that the score of both VMI 24 and VMI 50 in DM group were statistically lower than both the control and Non-DM groups. Also, the lower rate of correct and higher rate of error in VMI-3R was observed in DM group compared to both the control and Non-DM groups. The item analysis of VMI-3R revealed that the most higher rate of error was observed in item 24 in all groups. Based on these results, this study suggests that DM might aggravate the function of visual-motor integration in male elderly.

Factors influencing Health-Related Quality of Life in elderly who visited a senior center: with activity of daily living, quality of sleep and depression (복지관 이용 노인의 건강관련 삶의 질 영향요인: 일상생활 수행능력, 수면의 질 및 우울을 중심으로)

  • Kim, Eun Ha;Lee, Ji Won
    • 한국노년학
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    • v.29 no.2
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    • pp.425-440
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    • 2009
  • The purpose of this study was to understand the ability of the elderly to activity of daily living, assess their quality of sleep and level of depression at home and analyze how such relate health related quality of life. The subject was 223 senior over 65 years old who lived in B Metropolitan City. Descriptive statistics, independent t-test, one-way ANOVA, Pearson correlation and stepwise multiple regression were performed using SPSS WIN 14.0. The major findings of this study are as follow: 1) 34.1% of the respondents experienced a degree of sleep disorder and 57.8% were vulnerable to depression. 2) Activity of daily living, quality of sleep and depression were related to health related quality of life to a statistically significant degree. quality of sleep, activity of daily living positively related to health related quality of life. level of depression related to health related quality of life. Stepwise multiple regression analysis revealed the most powerful predictor of health related quality of life was depression. While age, level of education and quality of sleep were also found as significant predictor variables. Based on these results, it is necessary to perform more studies on health related quality of life and related factors according to that in various settings. Especially, to develop a program intended to improve the health related quality of life of the elderly at home, we need to consider not only physical factors but also psychological factors.

A Review on Health and Nursing Research Papers Published in the Journal of Korean Gerontological Society - From the first issue to the present (한국노년학에 게재된 건강·간호 분야 연구동향 - 한국노년학 창립 30주년에 즈음하여-)

  • Kim, Shinmi;Kim, Soon Yi;Lee, Yunjung;Choi, Jeong Sil;Lee, Miok
    • 한국노년학
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    • v.28 no.4
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    • pp.785-796
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    • 2008
  • The purpose of this study is to explore and analyze the trend of health and nursing researches published in the Journal of the Korean Gerontological Society for 30 years. Total 62 issues of the journal were reviewed and 135 articles(18.3%) were determined as health and nursing research. Among those 135 articles, studies with quantitative methodology were 110(81.5%) and ones with qualitative methodology were 10(7.4%). Less study adopt age criteria as elderly of 65 years old or older and most studies included community dwelling elderly in urban area. Among those quantitative researches survey was the most popular method(82.7%) compared to other types of studies including experimental studies. Experimental studies has been increased since the journal issued for the first time in the year of 1980, yet has occupied only minor portion in the journal until now. Qualitative studies appeared in the journal in the 90' for the first time. The findings of this review suggest that adequate amount of the studies has been published in the field of health and nursing, however more qualified researches are needed to be performed in terms of larger and more diverse subject groups, clearer and more objective criteria of elderly definition and health status, utilizing more objective and scientific instrument. Instruments of Korean culture oriented and phenomena sensitive are needed to be developed as well.

Effects of the Aroma Roll-on Inhalation Method on Stress, Pain, Depression and Blood Pressure in the Elderly in a Senior Citizen Clubs (아로마 롤온 흡입법이 경로당 이용 노인의 스트레스, 통증, 우울 및 혈압에 미치는 효과 )

  • Eun-Kyoung Han;Soo-Ah Jo;Ga-Eul Park;Ji-Eun Kim;Soo-Yeon Lee;Eun-Kyung Choi;Yeon-Ju Chae;Eun-Bin Oh;Jo-Hyeon Kim;Ha-Young Lee;Ji-Woo Yang;Yeong-Ju Jeong;Soo-Ah Park;Jin-Ah Kwon;Min-Jung Kim;Eun-Seo Choi;Ju-Eon Yang;Ga-Eun Jo;Ji-Woo Yang
    • Journal of the Korean Applied Science and Technology
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    • v.40 no.1
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    • pp.13-23
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    • 2023
  • This study is an experimental study on the single group pre-post test design for the effects of the aroma inhalation method with roll-on on stress, pain, depression and blood pressure of the elderly. 33 elderly people who met the selection criteria participated among the elderly using the senior citizen clubs located in S city, Gyeonggi-do. The data collection period was from November 14, 2022 to December 19, 2022. A questionnaire consisting of stress, pain, depression, and blood pressure was measured before and after the aroma roll-on inhalation intervention. The components of aroma essential oil included Marjoram, Geranium, Peppermint and Orange sweet that were diluted in Jojoba oil which was the carrier oil. The aroma inhalation method with roll-on was carried out 3 times day for 4 weeks. In the result of this study, the aroma inhalation method with roll-on were statistically significant differences in stress(t=2.63, p=.013), pain(t=2.46, p=.019), and systolic blood pressure(t=3.01, p=.005) of the participants. Therefore, aroma roll-on therapy is expected to be available as a useful nursing intervention method for reducing stress, relieving pain, and managing blood pressure in the elderly using the senior citizen clubs.

Attributions to Quality of Life Between Korean and Korean-American Elderly (귀속요인이 노인들의 삶의 질에 미치는 영향에 대한 비교 연구 - 한국노인과 미국이민 한국노인을 중심으로 -)

  • Kim, Kwuy Bun
    • Korean Journal of Adult Nursing
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    • v.18 no.2
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    • pp.175-182
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    • 2006
  • Purpose: The present study was designed to explore and compare attributes of the quality of life between Korean elderly and Korean-American elderly. Method: The research design was a descriptive design and questionaries were used. Studies were done using questionnaires. Data were collected from convenient sample of 163 Korean elderly and 151 Korean-American elderly recruited from senior centers and churches. Collected data were analyzed by using SPSS/WIN 10.0. Results: There were significant difference between Korean elderly and Korean-American elderly in education and income. Korean-American elderly showed higher selfesteem, self-efficacy, and quality of life than those of Korean elderly. The influencing factors on quality of life in Korean elderly were defined as self-esteem and self-efficacy. And the influencing factor on quality of life in Korean-American elderly was defined as self-efficacy. Conclusion: In conclusion, the results of this study showed that self-efficacy was a very important factor as attribution to the quality of life for both elderly group. Therefore, self-efficacy should be promoted in nursing intervention in order to enhance the quality of life for both Korean and Korean-American elderly.

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Adaptation Process to Group Home Living by Older Adults (노인요양공동생활가정 입소노인의 적응과정)

  • Yoon, Hee Sook;Sok, Sohyune
    • Journal of Korean Academy of Nursing
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    • v.46 no.6
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    • pp.858-870
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    • 2016
  • Purpose: The purpose of the study was to explore and describe the adaptation process of older people to group homes. Methods: Participants were twenty older adults aged 65 or older who were living in group homes. Data were collected from January to April, 2015. In-depth unstructured interviews were conducted with individual participants. Data were analyzed using Strauss and Corbin's grounded theory method. Results: From open coding, 100 concepts, 38 sub-categories, and 14 categories were identified. Analysis showed that the central phenomenon of the adaptation process of older people to group homes was 'gradually giving up'. Causal conditions were 'good-for-nothing body', contextual conditions were 'pushed', 'beleaguered'. Intervening conditions were 'reliable pillar: children', 'having affection (情) more than having it from family: facility workers', 'comfort - like feeling at home', 'relieved: system'. Action/interaction strategies were 'facing the unfamiliar reality', 'building relationships with other people', 'accepting reality'. Consequences were 'a good place, more than expected', 'hope for the remaining days', 'waiting for a peaceful death'. Conclusion: The results of this study provide an in-depth understanding of the experience of the adaptation process of older people to group homes. The findings from this study can be used as basic data to establish policies to increase the number of small scale facilities which can help older adults adapt easily to the facilities.