• Tuberculosis and Respiratory Diseases
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• 제75권2호
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• pp.52-58
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• 2013

Background: More than half of cases for advanced non-small-cell lung cancer (NSCLC) occur in elderly patients with a median age at diagnosis of 70 years. The aim of our study was to examine the clinical features and prognostic factors contributing to mortality in elderly patients with advanced NSCLC. Methods: Following a retrospective review of clinical data, 122 patients aged 70 years and over with a histopathological diagnosis of locally advanced (stage IIIB, n=32) and metastatic (stage IV, n=90) NSCLC between 2005 and 2011 were enrolled. Results: The median age was 76 years (interquartile range, [IQR], 72-80 years), and 85 (70%) patients were male. Fifty-seven (46%) patients had never smoked, and 17 (19%) were in a malnourished state with a body mass index (BMI) of <$18.5kg/m^2$. The initial treatments included chemotherapy (40%) and radiotherapy (7%), but 57% of the patients received supportive care only. The 1-year survival rate was 32%, and the 3-year survival rate was 4%, with a median survival duration of 6.2 months (IQR, 2.5-15.3 months). Male gender (hazard ratio [HR], 2.2; 95% confidence interval [CI], 1.3-3.9; p=0.005), low BMI (HR, 2.3; 95% CI, 1.3-3.9; p=0.004), and supportive care only (HR, 1.9; 95% CI, 1.2-2.9; p=0.007) were independent predictors of shorter survival based on a Cox proportional hazards model. Conclusion: Elderly patients with advanced NSCLC had a poor prognosis, particularly male patients, those with a low BMI, and those who received supportive care only.

• 한국산학기술학회논문지
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• 제20권7호
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• pp.182-191
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• 2019

본 연구의 목적은 고혈압 노인의 사회적 지지, 회복탄력성 및 자가간호행위의 관계를 파악하고 자가간호행위에 미치는 영향을 파악하기 위함이다. 본 연구는 C 지역에 위치한 3곳의 노인복지회관을 이용하는 고혈압 노인 183명을 대상으로 수행된 서술적 조사연구이다. 자료 수집은 설문지를 이용하였으며, 자료수집 기간은 2018년 8월 20일부터 8월 31일 까지였다. 수집된 자료는 t-test, ANOVA, Pearson's correlation coefficient, stepwise multiple regression를 이용하여 분석하였다. 연구 결과, 대상자의 사회적 지지 정도는 5점 만점에 평균 $3.79{\pm}0.78$점, 회복탄력성 정도는 5점 만점에 평균 $4.10{\pm}0.71$점, 자가간호행위 정도는 5점 만점에 $3.93{\pm}0.51$점이었다. 자가간호행위는 사회적 지지(r=.204, p<.001) 및 회복탄력성(r=.405, p<.001)과 정적 상관관계가 있었다. 자가간호행위에 유의한 영향을 미치는 요인은 회복탄력성(${\beta}=.36$, p<.001)과 운동의 규칙성(${\beta}=.17$, p=.019)으로 확인되었으며, 이들 변수들은 자가간호행위의 18.9%를 설명하였다(F=21.02, p<.001). 본 연구 결과 회복탄력성, 운동의 규칙성은 고혈압 노인의 자가간호행위에 영향을 미치는 주요한 요인임을 확인하였다. 따라서 고혈압 노인의 자가간호행위를 증진시키기 위해서는 운동을 규칙적으로 수행하도록 권고하고 회복탄력성을 증진시킬 수 있는 간호중재 개발 및 평가가 이루어져야 할 것으로 생각된다.

• 임상간호연구
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• 제15권3호
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• pp.75-84
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• 2009

Purpose: The aim of this study was to examine the effects of a music-based group reminiscence program on interpersonal relationships, self-esteem and depression in elderly people who are hospitalized. Methods: A quasi-experimental research was implemented, and a nonequivalent control group pre-posttest design was used. The participants were 52 elders who met the selection criteria and were assigned to the experimental group (26) and the control group (26). Both groups took the pre and posttest at the same time, and both groups received regular hospital care with the experimental group participating in the program for 12 sessions over six weeks. The instruments used in the study were, for interpersonal relationships, the Interpersonal Change Scale by Schlein and Guerney (1971), for self-esteem, the Self-Esteem Scale by Rosenberg (1965) and for depression, the Depression Inventory by Zung (1965). The collected data were analyzed with the SPSS 15.0 program. Results: Compared to the control group, the experimental group had significantly better interpersonal relationships and significantly higher self-esteem and less depression. Conclusion: The findings of the study suggest that a music-based group reminiscence program is effective in improving the interpersonal relationships, self-esteem and depression of hospitalized elders.

• 디지털융복합연구
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• 제14권9호
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• pp.495-504
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• 2016

본 연구는 신체억제에 대한 인식과 태도를 파악하기 위해 노인요양시설의 요양보호사를 대상으로 시도된 조사연구이다. 연구대상자는 노인요양시설에 근무하는 요양보호사 153명을 대상으로 하였다. 자료수집은 구조화된 설문지를 사용하였고 수집한 자료는 기술통계 및 t-test, ANOVA, $Scheff{\acute{e}}$ test 및 Pearson Correlation Coefficient로 분석하였다. 연구 대상자의 신체억제에 대한 인식 정도는 전체평균 2.83점(5점 만점)이었고, 대상자의 신체억제에 대한 태도 정도는 전체평균 3.56점(5점 만점)이었다. 대상자의 신체억제에 대한 인식과 태도 간에는 통계적으로 유의한 순상관관계(r=.31, p<.001)가 있는 것으로 나타났다. 본 연구결과 신체억제에 대한 인식과 태도 점수가 낮은 문항에 대한 체계적인 교육의 필요성을 확인하였다. 따라서 신체억제의 적절한 사용방법에 관한 실제적이고 효과적인 교육프로그램의 개발이 필요하며, 신체억제 적용기준과 관련된 지침개발이 필요하다. 향후 노인의 인권보호를 위해 신체억제 감소 및 폐지를 위한 노력과 관심이 요구된다.

• 지역사회간호학회지
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• 제30권1호
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• pp.99-107
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• 2019

Purpose: This study aimed to assess hand hygiene (HH) compliance among visitors at a long-term care hospital in South Korea. Methods: The study was conducted at a 502-bed long-term care hospital located in Gyeonggi-do Province. From July 1 to August 15, 2017, including more than 6 weekends and one holiday, a trained observer covertly assessed visitors' HH at all five units (360 beds in total) of the study hospital building until the completion of 1,000 HH opportunities (i.e., 200 opportunities per unit). The modified World Health Organization (WHO) HH observation form was used. Instead of professional categories and the "before clean/aseptic procedure" moment, the estimated age range for each visitor were recorded in four categories: children (<14 years old), adolescents (14~18), adults (19~64), and the elderly (${\geq}65$). The collected data were analyzed using SPSS 22.0. Results: A total of 1,000 HH opportunities were observed from 766 visitors (an average of 1.31 per visitor) and the overall HH compliance rate was 20.3%. Overall, 53.7% of the HH cases were performed with soap and water. Among the 4 HH moments, the "after body fluid exposure risk" moment showed the highest compliance rate (83.5%); 93.9% used soap and water. The most commonly exposed potential body fluid among visitors was saliva (48.1%). Conclusion: For hospital visitors in long-term care hospitals, HH education programs including HH moments need to be developed and implemented. Further studies are necessary to evaluate visitors' HH compliance in various hospital settings and find the related variables influencing visitors' HH.

• Asian Pacific Journal of Cancer Prevention
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• 제17권11호
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• pp.4867-4868
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• 2016

Prostatic adenocarcinoma is the commonest solid malignancy seen in Omani elderly males 60-80 years of age. The Gleason grade is the most widely used grading system for prostatic carcinoma and is recommended by the World Health Organization. A peer review was carried out at the Pathology Department of Sultan Qaboos University Hospital (SQUH), Oman, to assess the quality of reporting at the center. The aim of this study was to determine inter-observer variation among 7 pathologists working at a tertiary care center in Oman. A total of 47 consecutive prostatic biopsies were interdependently reviewed by seven pathologists and the results obtained were compared with each other and the original diagnosis. This peer review indicated a fair inter-observer agreement (0.482) among 7 pathologists in the department, with fair to moderate agreement when the results were compared to the reported diagnosis, comparable to the published literature. Dual and sub-specialty reporting are being instituted to improve the performance in this vital aspect of pathology.

• 대한간호학회지
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• 제45권1호
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• pp.46-53
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• 2015

Purpose: This study was conducted to examine the effect of oral care with an aroma solution on oral status and oral cavity microorganism growth in elderly patients with stroke. Methods: A non-equivalent control group, with a pretest-posttest design was used in this study. The participants were assigned to the experimental group (n=30) that received oral care with an aroma solution or the control group (n=31) that received 0.9% saline solution. To identify the effect of the experimental treatments, objective/subjective assessments of oral status and oral cavity microorganism growth were performed using the oral assessment guide, oral perception guide, and oral swab culture. Data were analyzed using Chi-square test, Fisher's exact test, and t-test with the SPSS version 21.0 program. Results: The objective oral status was significantly lower in the experimental group than in the control group (t= -3.64, p<.001). There was no significant difference between the subjective oral status of the experimental group and control groups (t= -1.24, p=.109). Oral microorganism growth was significantly lower in the experimental group than in the control group (t= -7.39, p<.001). Conclusion: These findings indicate that special mouth care using an aroma solution could be an effective oral health nursing intervention for elderly patients with stroke.

• 대한장애인치과학회지
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• 제8권1호
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• pp.1-9
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• 2012

Mobile oral exam at the facilities for the disabled in Seoul is to improve the oral health of the disabled who can hardly approach dental clinic. We analyzed 1609 oral exam records at 24 facilities (11 special-education schools, 10 living facilities, 2 mental hospitals, 1 health care facility for the elderly) in 2011. The purpose of this study is to figure out the oral health state of the disabled in facilities in Seoul and to compare with the non-disabled in National Survey 2010 and 2008. 1. Special-education school : DMFT index of age 15 is 5.4 which is higher than 3.6 (DMFT index of age 15) of National Survey in 2010. 2. Living facility : DMFT index of ages 35~44 is 8.4 which is higher than 5.2 (DMFT index of ages 35 ~44) of National Survey in 2008. DT rate is higher (31.3% vs 19.2%) and MT rate is lower (7.6% vs 15.5%). 3. Mental hospital : DMFT index of ages 35~44 is 11.3 which is higher than 5.2 (DMFT indext of age 35~44) of National Survey in 2008. DT rate is significantly higher (50.7% vs 19.2%) and FT rate is lower (35.1% vs 65.3%). 4. Health care facility for the elderly : DMFT index of ages 65~74 is 7.1 which is slightly lower than 8.7 (DMFT index of ages 65~74) of National Survey in 2008. The number of existing natural teeth is similar (16 vs 18).

• 대한간호학회지
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• 제24권3호
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• pp.484-498
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• 1994

The purpose of this study was to investigate the home care needs in a rural county as a basic study to develop a Korean home care model. A stratified cluster sampling method was used to select 1, 352 household which accounted for 8.8% of Youn Cheon County population. A Standard criterias for home care subject were delineated by five nursing professors representing five different areas of nursing specialty. The developed criteria for home care subjects were as below, 1) Patients who had been discharged from hospital during the previous week. 2) Patients with special medical devices 3) Newborns and the mothers. 4) The chronically ill with poor recovery or control of disease. 5) Subjects with poor health care behavior or ability 6) Subjects with poor social support and / or family resources. 7) Subjects with health related educational needs. Three types of questionnaires were developed to screen home care subjects, one for adults, one for infants and one for the elderly. Also different questionnaire items were developed to evaluate the control and self care ability of chronically ill subjects. After training in interview methods for 2 days, 39 interviewers visited individual households for interviews. As the results of the study showed that 14.1％ of adult subjects and 76.5% of infants and child were judged as having at least one criterion related to home care need, 15.69% of adults and 53% of elderly had at least one chronic illness. The most prevalent chronic illnesses were hypertension, skeletal-neurological disease and diabetes. The prevalence of subjects with home care needs were, those with poor health care behavior(8.89%), with health-re-lated educational needs(8.71%), with poor recovery or control of disease (3.52%), and with poor social support and inadequate family resources(3.19%). There were only 0.3%, 0.37%, 0.11% who were discharged patients, patients with medical devices, or newborns respectively. Thus, the largest home care client group were those who need direct health care and health education. Seventy five percent of the subjects responded that they were willing to use and pay for home care service if it is offered in the future. It is suggested that recently discharged patients and patients with special medical devices can be cared for by hospital based home care nurses, but other home care clients can be cared for by com-munity based home care nurses.

• 대한간호학회지
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• 제38권5호
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• pp.685-693
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• 2008

Purpose: This study was to compare and analyze sleep patterns, satisfaction of sleep, and sleep enhancement behaviors between hospitalized and non-hospitalized elderly. Methods: Subjects were 201 older adults, who were hospitalized patients or living in U-city, Gyung-gi province. Data was collected from June 10 to August 25, 2007, and was analyzed by the SAS program. Results: 1) Non-hospitalized elderly had better sleep patterns than hospitalized elderly patients. 2) There was a strong positive correlation between sleep patterns and satisfaction of sleep in both groups. 3) In hospitalized elderly, there were significant differences in sleep patterns and satisfaction of sleep by month. 4) In non-hospitalized elderly, there was a significant difference in sleep patterns by presence or absence of spouses. There was a significant difference in satisfaction of sleep by those living with others. There were significant differences in sleep enhancement behaviors by age, religion, length of time, and sponsors. Conclusion: To relieve sleep disturbances of elderly, comprehension of sleep of the aged by nursing care givers should be obtained. Also, improving environments and elder's self-esteem with religious consideration and preparation of financial conditions are needed to promote the sleep of hospitalized and non-hospitalized elderly.