• 한국노년학
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• 제29권1호
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• pp.231-242
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• 2009

본 연구는 노인을 대상으로 사회적 지지, 학대, 자아통합감 간의 관계를 파악하고 사회적지지, 학대가 자아통합감에 미치는 영향을 확인하기 위하여 시도되었다. 대상자는 만 65세 이상의 재가 노인 306명 이었으며 자료 수집 기간은 2008년 3월부터 6월까지였다. 연구결과 노인의 사회적 지지가 높을수록 자아 통합감이 높은 것으로, 사회적 지지가 낮을수록 학대가 심하고, 학대가 심한수록 자아통합감이 낮은 것으로 조사되었다. 또한 노인 삶의 질을 증진시키는 주요 개념인 자아통합감에 사회적 지지와 학대가 영향을 미치는 것으로 나타났다. 사회적 지지와 학대는 노인의 건강과 안녕을 위한 주요 요소이며, 노인의 발달단계 과업의 성공적인 수행을 위한 주요 요인이므로 사회적 지지를 강화하고 학대를 예방하여 자아통합감을 성취할 수 있는 통합 프로그램이 필요하다.

• 기본간호학회지
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• 제11권2호
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• pp.166-176
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• 2004

Purpose: The purpose of this study was to identify the factors that affect depression among elderly people with, and without, dementia. Method: The participants were 903 people who were 65 or older and resided in Sungnam City. Data were collected from April to July 2002 using a questionnaire. The collected data were analyzed using descriptive statistics and hierarchical multiple regression aided by SPSS/PC. Result: The variables at the final step of the regression equation accounted for 28.2% of variance in the dementia group, 21.4% in the group with suspicious dementia, and 18.9% in the normal group. The multiple regression analysis revealed that ADL and instrumental support were related significantly to depression in the dementia group. Self-rated health, IADL, social activity support, and instrumental support were significantly related to depression in the group with suspicious dementia. In the normal group, education, self-rated health, and living arrangement with family were significantly related to depression. Conclusion: Social support and health condition are important to decrease depression in elderly people with dementia.

• 대한간호학회지
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• 제38권1호
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• pp.92-100
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• 2008

Purpose: The aim of this study was to estimate the prevalence of urinary incontinence among nursing home residents and to identify the factors associated with this condition. Method: The data were collected from 618 subjects (146 males and 472 females; mean age $79.9{\pm}8.4$ yr; range 65-102 yr) of 30 nursing homes in Seoul, Gyeonggi-do and Gangwon-do in this cross-sectional study. The data were analyzed by chi-square test, t-test, and multiple logistic regression by using the SPSS/PC ver 12.0 program. Results: The prevalence of UI was 64.7% (64.6% in women; 65.1% in men). After adjustment for each of the variables considered in this study, six potential factors were strongly associated with UI: activities of daily living, comorbidity, age, cognition, specialty of the facility, and a bladder training program. Conclusion: Our finding suggests that it is necessary to develop a program for promotion of activities of daily living and to provide a bladder training program to prevent urinary incontinence among nursing home residents.

• 대한간호학회지
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• 제39권2호
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• pp.177-185
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• 2009

Purpose: The purposes of this study were to examine the relationships among activities of daily living, self-efficiency, nursing home care quality and nursing home adaptation, and to identify the influencing factors of nursing home adaptation in nursing home residents. Methods: The study employed a descriptive correlational design. The data were collected from 148 older adults without dementia by interview from six nursing homes in three cities from February 1, 2008 to February 28, 2008. Results: Levels of nursing home adaptation in older adult residents were different by type of decision maker of nursing home admission, reason of nursing home admission, type of payment and length of nursing home stay. The nursing home adaptation was significantly correlated with self-efficiency and nursing home care quality. The strongest predictor of nursing home adaptation was type of decision maker of nursing home admission followed by the self-efficiency. Conclusion: The study suggested that during the decision making period of nursing home admission, older adults should have enough time and careful considerations of their families to decide by themselves in positive ways. Nursing home staff should be able to identify reasons of nursing home admission and demands or expectations of older adults and their families.

• 성인간호학회지
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• 제18권2호
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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.

• 대한간호학회지
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• 제40권2호
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• pp.191-201
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• 2010

Purpose: The aim of this study was to compare the predictors of physical activity between urban and rural dwelling Korean older adults. Methods: This study was a cross-sectional descriptive survey. A self-report questionnaire or face to face interviews were used to collect data from 336 older adults (urban: 129, rural: 207) who visited public health centers or welfare centers in 2008. Results: About half of the participants (urban: 50.4%, rural: 47.3%) were classified as the minimally active group. Cognitive function (odds ratio [OR]=1.106, p=.004) and loneliness (OR=0.965, p=.044) were predicting factors for physical activity in rural elderly. Age (OR=0.326, p=.037), gender (OR=2.841, p=.021) and depression (OR= 0.799, p<.001) were significant factors predicting physical activity in urban elders. Conclusion: These findings provide information that is relevant in designing interventions to enhance physical activity in older adults. There is a need to develop effective mutifaceted physical activity interventions that include reducing psychological barriers such as depression, loneliness.

• 가정∙방문간호학회지
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• 제17권1호
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• pp.36-44
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• 2010

Purpose: The purpose of this study was to examine nurses' knowledge and attitude toward the elderly in medical welfare facilities for old people and identify the predictors of nurses's knowledge and attitude toward the elderly. Methods: The data were collected from 110 nurses by means of structured questionnaires. The structure survey was conducted to get the data from 83 medical welfare facilities for old people in Gwangju, Jeonnam and Jeonbuk provinces from December 15, 2006 to February 5, 2007. The collected data was analyzed with SPSS WIN 12.0, which uses descriptive statistics, t-test, ANOVA, Scheffe test and Pearson's correlation coefficient. Results: The average knowledge score was $8.13{\pm}2.65$ out of 20. The average attitude score was $87.62{\pm}13.74$ out of 140. This score was classified as a neutral range. Respondents statistically showed significant differences in their knowledge of the elderly on their co-living experience and co-living period. Respondents statistically showed significant differences in their attitude of the elderly on their age, religion, work experience, work place and significant co-living experience. Conclusion: Nurses' knowledge and attitude toward the elderly were not significantly correlated.

• 근관절건강학회지
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• 제20권1호
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• pp.31-42
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• 2013

Purpose: The purpose of this study was to develop an evidence-based dysphagia nursing care protocol for nursing home (NH) residents in Korea. Methods: The protocol was developed based on international guidelines and literatures. After testing content validity by experts, the protocol was applied to the intervention group (n=35) for 4 weeks at one NH in December, 2011, whereas the control group (n=34) received routine care. Results: The protocol was composed of one-page algorithm and detailed guidelines. Algorithm pathway was organized in 3 parts, including screening dysphagia risk, grouping by dysphagia risk level, and assigning nursing care into each group. The nursing care included positioning, oral care, meal time care, diet modification, providing exercise and maneuver, and checking dysphagia signs and symptoms. The experts verified the content validity. Protocol was revised to fit NH practice after the participant observation. Clinical validity was established upon evaluating usefulness, appropriateness, and convenience of the protocol by NH nurses. Dysphagia risk of the intervention group was significantly decreased. Conclusion: Developed protocol will improve the quality of dysphagia care in nursing homes as it can serve as a consistent and integrated standard for nursing care of residents with dysphagia.

• 대한간호학회지
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• 제46권6호
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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.

• 간호행정학회지
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• 제15권1호
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• pp.81-90
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• 2009

Purpose: The purpose of this study was to identify nurses' perceptions on the older adult's dignity, and identify the risk factors that threaten older adult dignity and nurses' experiences of ethically difficult care in nursing homes. Method: Qualitative content analysis was done using an analysis scheme developed by the investigators. The data were collected from 51 nurses in 10 different nursing homes, who have agreed this study. Using a self-completion questionnaire was developed by the authors. The questionnaire which consisted of 3 items about dignity definitions, risk factors, and experiences on ethical dilemma. Results: The scheme consisted of 14 categories and 33 subcategories of the 261 significant statements. The categories of the dignity perception analyzed were respect, social right and equality. The categories of risk factors analyzed were loss of control, abuse, physical restraint, invasion of privacy, decision limitation and staff qualification. The categories of dignity experiences were abuse, physical restraint, invasion of privacy, staff qualification and decision limitation. Conclusions: This study may suggests interpretation for compromised older adult's dignity and provides data to use in the development of the useful guidelines and educational programs for the nurses in nursing homes.