• Journal of the Korea Academia-Industrial cooperation Society
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• v.15 no.7
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• pp.4184-4190
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• 2014

The present paper examined the stress and ADL (activities of daily living) index in relation to the characteristics of the elderly in nursing homes. For this study, questionnaires were given to 110 seniors in the N-district of Seoul, and S-myeon, Hoengseong-gun, Gangwon Province from May 1 to September 30, 2013. For data analysis, t-test, correlation analysis, and multiple regression analysis were performed using the SPSSWIN18.0 program. The analysis of actual proof was made at a significance level of 5 percent. The findings from the analyses were as follows: first, the relocation syndrome into nursing homes has a positive correlation with the stress of deficient family visits in the category of daily stresses; second, depression has a positive correlation with the stresses of deficient private time and space and deficient family visits in the category of daily stresses; third, weight control has a positive correlation only with the stress of deficient private time and space in the category of daily stresses, whereas a nutrition deficiency has positive correlation with the stress of deficient family visits in the category of daily stresses. These findings may serve as ground source data for establishing policies regarding the stresses in relation to the characteristics and ADL index of the elderly in nursing homes.

• Journal of Korean Academy of Nursing
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• v.45 no.1
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• pp.35-45
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• 2015

Purpose: This study was done to determine whether muscle strength training programs have an impact on improving symptoms of urinary incontinence (UI) and physical function among elderly women with UI who reside in long-term care facilities. Methods: A randomized controlled trial was conducted. Participants had to be over 65 years, score over 15 score on the mini-mental state examination, and be able to walk alone or with an assistant. Seventy residents were randomly allocated to either the training group (n=35) or control group (n=35). The program consisted of 50 minutes, twice a week for 8 weeks, and included Kegel's exercise, Thera-band training and indoor walking. Main outcomes were UI symptoms, peak vaginal pressure and physical functions measured with timed up and go test (TUG), one leg standing test (OLST), activities of daily living (ADL) and grip strength. Changes in outcome measurements were calculated from baseline to 4 weeks and to 8 weeks using repeated measures ANOVA. Results: There were significant differences in peak vaginal pressure (p<.001), TUG (p<.001), OLST (p=.012) and grip strength (p<.001) in the interaction between groups and time. Conclusion: Future studies are suggested to confirm the effect of muscle strength training in long-term care facilities where elderly women with UI reside.

• Korean Institute of Interior Design Journal
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• v.16 no.4
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• pp.54-61
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• 2007

The purpose of this study was to investigate the spatial characteristics of residential and nursing units in large skilled nursing facilities for the elderly that were located in city areas, and to discuss the way for efficient unit care. For collecting the data, the researcher visited 6 facilities to make explorations and to interview the staff concerned. Most of the research facilities had systematic residential units that each unit basically had elderly private rooms and the spaces for small group. The number of elderly residents per unit was appropriate for the limit which was suggested by Kwon(2002), but the sizes of small group spaces were smaller than the standard limit($1.62m^{2}$ per resident). The nursing units were made up of nursing station, 2-4 residential units, spaces for large group of residents, hair dressing, nurse, living assistants, bathing, storage and etc. Some of them had problem in efficiency of space use because they did not have distinct usage. In conclusion, this study suggests that each floor has one nursing unit including 40 residents maximum and each nursing unit consists of 2-3 residential units that have 20 residents maximum per unit. In each residential unit, the furniture and spaces for efficient unit-care should be arranged, such as TV, dining table, kitchenette, bathroom, and rooms for living assistants. The hall type is better for the small group so that it has a transitional characteristic leading to the public spaces. The large group space needs to have clear usage such as conducting program differentiated from small group, and various furniture such as sofa, TV, table, and etc which encourage the elderly voluntary use.

• Journal of the Korean housing association
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• v.17 no.4
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• pp.15-24
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• 2006

The purpose of this study is to unveil the characteristics of residential space organizations in dementia units. Observation, interview, and drawing analysis of the sample units were used to collect the data for new dementia unit plans. The findings revealed the lack of minimum requirement of residential spaces per person in some sample units, the necessity of consideration of group units, and the change of units based plans to each floor based plans. However, insufficient recreation rooms and the lack of caregivers' resting spaces in the sample units were uncovered. Thus, various recreation rooms such as a reading room, flower room, pottery room, bakery room, or game room should be provided in the sample units. The conclusion is that asylum oriented residential types should be changed to each floor based units having privacy and high satisfaction of residential life. The study of floor oriented residential units focusing on minimum spaces of the floor, space numbers, number of elderly persons on each floor should be studied in the near future.

• Journal of Korean Academy of Nursing
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• v.40 no.6
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• pp.903-912
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• 2010

Purpose: This study was conducted to examine whether the level of classification for long-term care service under longterm care insurance reflects resource utilization level for residents in nursing homes. Methods: From 2 long-term care facilities, the researchers selected 95 participants and identified description and time of care services provided by nurses, certified caregivers, physical therapists and social workers during a 24-hr-period. Results: Resource utilization level was: 281.04 for level 1, 301.05 for level 2 and 270.87 for level 3. Resource utilization was not correlated with level. Differences in resource utilization within the same level were similar with the coefficient of variance, 22.7-27.1%. Physical function was the most influential factor on long-term care scores (r=.88, p<.001). The level for long-term care service did not reflect differences in resource utilization level of residents on long-term care insurance. Conclusion: The results of this study indicate that present grading for long-term care service needs to be reconsidered. Further study is needed to adjust the long-term care classification system to reflect the level of resource utilization for care recipients on the long-term care insurance.

• The Journal of the Korea Contents Association
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• v.10 no.10
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• pp.226-236
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• 2010

This study attempted to identify the effect of senescent sexual attitude and desire of 352 aged people living in institutions on coping behavior. The main findings of this study are summarized as follows: Firstly, the negative sexual attitude was higher than the positive one of the aged people, the subjects of this study, and their sexual desire and coping behavior showed a low level, falling short of the median. Secondly, as for the positive sexual attitude of aged people in the institution, the point of sexual attitude of those under age 65 appeared high. As for the negative attitude, the point was higher among those over 89 in age, that of the group who graduated from elementary and middle schools was also high, showing a U-turn curve in the order of those with an academic background of high school and above and those with no academic background. Thirdly, as for sex drive, the point of sexual attitude of those under age 65 appeared high in cases where persons engaged in the institution look at the relationship between aged men and women as good and in cases where aged people in the institution see the relationship among their fellow aged people as good. As for the desire for sexual relationship, the lower their ages were, their points were higher; and in terms of academic background, the highest were those with none, followed by those who graduated from high school and above and by those who did from elementary and middle schools, showing a U-turn curve. Fourthly, as for the problem-focused coping behavior of aged people in the institution with respect to coping behavior toward the sex, the lower their ages were lower, the higher their points were, and the points were also high in cases where persons engaged in the institution look at the relationship between aged men and women as good and in cases where aged people in the institution see the relationship among their fellow aged people as good. As for the problem-evading coping measure, the points for men at age between 66 and 75 appeared high in cases where persons. Fifthly, the higher the positive sexual attitude of aged people in the institution was, the lower their negative sexual attitude was while the higher the sex drive and the desire for sexual relationship were; and they were shown to do problem-focused coping behavior and problem-evading coping behavior well. Sixthly, the more positive their sexual attitude was, the higher the sex drive and the desire for sexual relationship were, the better they were shown to do problem-focused coping behavior

• Research in Community and Public Health Nursing
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• v.29 no.2
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• pp.170-183
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• 2018

Purpose: Although innovative interventions using technologies have been introduced in long-term care settings, available evidence is still anecdotal. The purpose of this study is to investigate and synthesize the outcomes of interventions using technologies delivered to nursing home residents. Methods: Published clinical trials were identified through PubMed, CINHAL, Cochrane and PsycINFO databases and manually hand-searching. Eligible studies were articles published between 1997-2016 in English or Korean with a randomized controlled trial or quasi-experimental design in which interventions using technologies were delivered to nursing home residents. Results: A total of 20 studies were selected for this review. Types of interventions using technologies were classified into the electronic documentation technology (n=1), the clinical decision support system (n=1), the safety technology (n=1), the health and wellness technology (n=10), and the social connectedness technology (n=7). Overall resident outcomes indicated that interventions using technologies improved behavioral symptoms and psycho-social outcomes, but mixed results were shown in the aspects of physical function, cognitive function, social relationship and quality of service. Conclusion: This review demonstrates that incorporating technologies into nursing home care have positive effects on residents' psycho-social outcomes and behavioral symptoms. To disseminate the effectiveness of interventions using technologies, further research is needed to determine what mechanisms underlying such relationships exist.

• Korea journal of population studies
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• v.11 no.1
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• pp.159-184
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• 1988

Race and ethnicity are important factors which influence the elderIy's residential adjustment behaviors, although it is unclear whether this reflects influences unrelated to race and ethnlcity. Culturally, the norm of family supportoften obseved among various minority ethnic groups is likely to provide flexible family suppof for the elderIy. Economically, the life-long hardship ofminority groups is likely to force them to maintain extended family living arrangements simply to reduce expenses via economies of scale. Thecontroversy about the economic need versus the cultural prescription forextended living arrangements remains unresoIved because it fails to articulatethe meaning of family supports among many disadvantaged groups.This study aims to test previous economic and cultural arguments, byexamining ethnic differences iu the eiderIy's responsiveness to their health andeconomic problems. Two hypotheses about cultural influences on the elderly's resideutiai adjustment are examined. First, do elderly minorities receive famiiysupporis for longer periods when they are poor if economic and health status\ulcorner Second, do elderiy minorities receive family supports more often when their health status declines\ulcorner Using the Longitudinal Suvey on Aging from 1984 to 1990. this study employs Markovian multi-state life tables, and discrete and contonuous competing hazard analyses for the transition in living arrangements. The main results provide substantial evidence against the cultural resource thesis. Elderly minorities experience more frequent transition between living alone and living with relatives than white elderly persons when group differences in the extent of mortality and insititutionalization are controlled. The shorter timf of living alone among elderly monorities stems from their greater likehood of joining relatives as well as greater mortality and attrition rates than elderly whites. Coresidence of elderly whites with their relatives is more likely to occur in response to their needs for health care than of elderly whites. it implies that instability. not flezibility. characterrizes elderly minorities living arrangements.

• Journal of Convergence for Information Technology
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• v.10 no.2
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• pp.138-145
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• 2020

The purpose of this study is to identify factors influencing suicidal ideation for the elderly living alone. Utilizing the identified factors as the base data, the study aims to develop community programs for suicide prevention. This research is a secondary analysis of the 2017 national survey, 'Survey on the Elderly,' conducting logistics regression analysis on the data collected on 10,299 elderly aged 65 or older living in 17 general residential facilities as of 2017. The analysis reveals that 10.5% of the elderly living alone have contemplated suicide. The frequency of suicidal ideation was attributed to such factors as gender, age, chronic disease, depression and experiences of abuse and discrimination. To prevent suicide among the elderly, therefore, active management from both public and private sectors are needed for early detection of chronic diseases and depression.

• Korean Institute of Interior Design Journal
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• v.14 no.6 s.53
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• pp.157-167
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• 2005

The demands of nursing home for the dementia are rapidly increasing. However, there are no enough nursing homes and design guidelines for it. This study was intended to examine the needs of the staff for the nursing home design and suggest the design guidelines of the Korean nursing home for the dementia. The subjects were 15 nurses and 18 care givers who worked in D hospital for the elderly with dementia in Busan. Data were collected by the self-administered questionnaire. The findings were as follows; First, the most important design element in nursing home for the dementia which the staff mentioned was 'healing environment' and then 'function' and 'maintenance' Second, the care-givers were more satisfied with their facility design than the nurses. Third, the staff pointed out that 'the relation between individual room and nursing station', namely, short distance between them, and 'enough wandering space' had to be considered at first in design process of nursing home with dementia. Also, the comfort and intimate interior mood, fresh air and sunlight were also pointed out as the important elements in nursing home design for the dementia.