• 가정∙방문간호학회지
• /
• 제24권2호
• /
• pp.181-188
• /
• 2017

Purpose: The aim of this study was to compare between performance and requirements of visiting nursing care in long-term care insurance using the OMAHA system. Methods: The subjects were 72 nurses who had worked in a visiting nursing care center in long-term care insurance. Data were collected from December 5, 2016 to January 31, 2017 using self-recorded questionnaires. The collected data were analyzed using descriptive statistics and paired t-tests. Results: Four dimensions of the OMAHA system showed statistically significant differences between performance and requirements of visiting nursing care in long-term care insurance. The requirements of visiting nursing care were higher than was performance on all 40 items of the OMAHA system. The greatest difference was in environmental domain and then the psychosocial domain. Conclusion: Based on the results, we found that the environmental and psychosocial domains were the largest gap areas. Therefore, with the reality of elderly people living alone and the increase in elderly couples, active intervention connected with the community is needed in residential areas. Further, we suggest that the OMAHA system can be utilized as an integrated conceptual framework for developing and enhancing visiting nursing care in long-term care insurance.

• 가정∙방문간호학회지
• /
• 제21권1호
• /
• pp.5-13
• /
• 2014

Purpose: This study aimed to identify on the factors that influence vitality, by surveying the level of vitality, perceptive health condition, depression, family support, leisure activities, and religious activities of the elderly people using the welfare facilities for the aged. Methods: The subjects were 200 elderly people using welfare facilities for the aged such as senior welfare center or silver hall in Y city. Data was collected from December 1, 2012 to January 31, 2013, using a self-report structured questionnaire. Data was analyzed using the SPSS 20.0 for Windows, and analyses such as frequencies (percentage), means(standard deviation), t-test, Pearson's correlation coefficient, and Multiple Linear Regression, were conducted. Results: The participants exhibited a mean vitality score of $3.36{\pm}0.65$ out of 5. Means for the other measures were as follows: perceptive health condition, $3.32{\pm}0.65$; depression, $3.25{\pm}0.84$; family support, $3.64{\pm}0.64$; leisure activities, $2.97{\pm}0.65$; and religious activities, $3.05{\pm}0.92$ points. These factors explained 73.2% of the total variance. Conclusion: Further research is needed on vitality of the elderly people using care facilities for the aged. Moreover, I suggest that vitality and depression are examined as psychological aspects in the operational elements of elderly care facilities.

• 농촌지도와개발
• /
• 제16권2호
• /
• pp.337-362
• /
• 2009

The purposes of this study are to review the community-based care programs for the elderly among NPOs, focused on the Regional Council on the Social Welfare and Elderly Club, in Japan and to examine the way these programs help the community elderly to live independently in their own home in the community. First, the community welfare policy for the aged and service delivery organizations in Japan are reviewed. Second, using the informations about the elderly support programs carried out by the Regional Council on the Social Welfare and Elderly Club, various kinds and processes of specific programs developed to meet the local characteristics are introduced. Applicability of these programs to rural Korea is discussed.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
• /
• 제14권3호
• /
• pp.13-21
• /
• 2008

The purpose of this study is to suggest optimum size of residents' bedrooms in nursing homes. Bedroom is an essential part of nursing homes because nursing home residents spend most of their times in bedrooms and occupy the largest part of facility area. Therefore it is necessary to set an adequate standard related to resident room area in nursing facilities, which have a great effect on planning longterm care facilities for the elderly. The body dimensions of elderly people and care givers have been collected from the previous study. Based on the body dimensions data, the behaviors of elderly as well as care givers have been analysed. The minimum areas-exclusive of toilets, closets, vestibules and so on - have been proposed from the results of the behavior analysis.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
• /
• 제13권4호
• /
• pp.15-23
• /
• 2007

Increase of aging population and demands for care and support systems, needs and demands for a variety of care services and housing facilities have increased. With the emergence of gerontechnology, tangible and intangible technologies and innovations have been explored and developed in many countries. Since housing environment is very important to define well-being and quality of life of the elderly, technology applications in the living environment are considered as important means. The purpose of this study is to enumerate and investigate technologies for the elderly to assist daily living and help care providers, and to explore technology applications in the built environments. This study also investigate how intelligent technologies are installed in the built environment and physical consideration for a variety of approaches. The content analysis was conducted to investigate technology developments for the elderly based on web materials and publication materials. The seven examples were chosen since they are seeking technologies especially for the elderly or aging-in place. General goals for the diffusion of intelligent homes expecially for the elderly are to be easy to install and remove, unobtrusive, redundant cueing, easy to use, and robust. The results of this study suggest application considerations for the technologies of the built environment for the elderly.

• 성인간호학회지
• /
• 제21권3호
• /
• pp.339-348
• /
• 2009

Purpose: We aimed to describe and compare the cognitive function, anxiety, and quality of life for the demented elderly in day care centers or nursing homes. Methods: We selected 44 subjects from day care centers and 63 subjects from nursing homes by performing convenience sampling. The Korean version of Mini Mental Status Examination was used for measuring cognitive status; Rating Anxiety in Dementia, for assessing anxiety; Korean Version of Quality of Life-Alzheimer's Disease, for assessing the quality of life. The data were collected from May to June 2008 and analyzed by SPSS/WIN 14.0. Results: 1) The cognitive function of the subjects in the day care center was higher than that of the subjects in the nursing home. Anxiety in the subjects in the nursing home was higher than that in the subjects in the day care center. 2) The cognitive function and quality of life of the subjects in the day care center showed statistically significant correlation, 3) The anxiety and quality of life of the subjects in the nursing home showed statistically significant correlation. Conclusions: Nursing interventions that improve the quality of life of the demented elderly should be considered and applied according to the degree of cognitive function and anxiety.

• 가정∙방문간호학회지
• /
• 제14권2호
• /
• pp.83-90
• /
• 2007

Purpose: The purpose of this study was to investigate about the image of aging and attitudes toward the elderly. Method: The instruments in this study were used questionnaires developed by Han and Won. The subjects were 75 nurses and 74 nursing students. The data was collected from May. second to 30th, 2006. Data was analyzed with descriptive statistics, t-test, one-way ANOVA and Pearson correlation coefficients using SPSS Win program. Results: The level of the image of aging was relatively positive between nurses and nursing students. The level of attitudes toward the elderly showed relatively high either. Their image of aging and attitudes toward the elderly were significantly correlated. Conclusion: Based on the results of this study, it is necessary to develop education programs and curriculum in nursing school to increase the positive image of aging and attitudes toward the elderly.

• 가정∙방문간호학회지
• /
• 제25권1호
• /
• pp.25-36
• /
• 2018

Purpose: The purpose of this study was to review the literature to explore the relationship between body mass index (BMI) and bone mineral density (BMD) in elderly using an integrative review. Methods: The keywords 'osteoporosis,' 'body mass index,' and 'bone mineral density' were used to search peer-reviewed publications through four databases. Among 1,389 searched articles, eight articles were selected after excluding those that did not meet the inclusion criteria. Results: Seven articles stated that BMI was positively associated with BMD among elderly. In the elderly, the prevalence of osteoporosis was 25-55.7% in women, and 11-13% in men. Conclusion: This study found that high BMI may be helpful to increase BMD among elderly although the mechanism was not clear. It is necessary to identify BMD and fractures in elderly according to body composition in future research.

• Journal of Nutrition and Health
• /
• 제46권6호
• /
• pp.589-596
• /
• 2013

As the importance of elderly's dietary life have increased, low-income elderly's meal should be taken care by social policies. Nevertheless, there is a lack of systematic management in home-delivery meal service. This study aims to investigate the elderly's experience on home-delivered meal service, especially identifying the symbolic meaning of home-delivered meal service on elderly's dietary life. Using an in-depth interview, qualitative data was collected from five elderly participants who received home-delivered meals. Data was analyzed based on Colaizzi's 6 steps method, deriving 148 significant statements, 18 formulated meanings, and 5 themes: , , , , and . Elderly participants regarded the home delivered meal as not only a decent meal but also felt appreciated. The home-delivered meals were found to be their only meal all day; thus, they considered these meals as a means of survival. Home-delivered meals are considered as a lack of consideration for the elderly's physical condition, including their tastes, portion size, and cooking method. Also, these elderly seemed to lose their appetite due to aging and it caused the enjoyment of eating. The elderly have kept silence never expressing any opinions regarding the home delivered meals because they were offered for free. The results suggested that the home-delivered meal service should be developed with the multilateral evaluation methods to reflect the elderly's needs to improve the quality of the home-delivered meal service.

• 가정∙방문간호학회지
• /
• 제22권2호
• /
• pp.216-227
• /
• 2015

Purpose: This study aimed at understanding terminal care provided in nursing homes. Method: An interview survey with staff in charge of terminal care was conducted in 97 nursing homes using questionnaires. The questionnaire was reviewed by 3 experts and pretested at 5 facilities. Data were analyzed using descriptive statistics, chi-square test, and Fisher's exact test. Result: Dyspnea was the most prevalent symptom predicting death. The most prevalent services were vital sign check for physical care, providing services by talking despite an unconscious state for psychosocial care, and respecting the faith of the elder for spiritual care. Employment of a registered nurse showed a significant difference in tube feeding (p=.035), analgesic administration (p=.022), informing the elder of end-of-life state (p=.020), helping an elderly person say good-byes through a visit with friends and acquaintances (p=.023), and helping express feelings related to death (p=.002). Lack of service was noticed for elderly resident, family, and staff after death of an elder. Problems related to terminal care were indifference of family members, difficulty in obtaining medical prescription, difficulty in predicting death, and so forth. Conclusion: Terminal care must be improved by making specific guidelines and it must become a part of nursing home evaluation.