• Title/Summary/Keyword: Elderly Care Hospital

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Patient satisfaction of medical care in a public health center (보건소 진료서비스 이용자의 만족도에 관한 연구)

  • Moon, Young-Shin;Cho, Woo-Hyun;Kang, Im-Ok
    • Quality Improvement in Health Care
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    • v.5 no.1
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    • pp.2-14
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    • 1998
  • The aim of this study was to examine differences in the level of satisfaction with medical care at a public health center between patients receiving free-care compared to those paying out-of-pocket. SERVQUAL(Comprehensive Service Quality Measurement Scale), a pyschometrically valid measure for evaluating hospital service quality, was used to assess patient satisfaction. The study sample consisted of 279 patients who received medical care at a public health center. The interview was conducted between April 23 and May 7, 1998. The results was as follow: 1. There were more elderly people among free-care patients than out-of-pocket patients. Education and income levels were lower amongs those receiving free-care. There were, however, no differences in the distribution of gender and religion between the two groups. Patients receiving free-care tended to visit the public health center more frequently compared to those self-paying patients. 2. Overall, free-care patients showed higher satisfaction level than that of self-paying patients. except for the dimension on sympathy and shape.

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Evaluation of End-of-Life Nursing Education Consortium-Geriatric Train-the-Trainer Program in Korea

  • Kim, Boon-Han;Kim, Hyun-Sook;Yu, Su-Jeong;Choi, Sung-Eun;Jung, Yun;Kwon, So-Hi
    • Korean Journal of Adult Nursing
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    • v.24 no.4
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    • pp.390-397
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    • 2012
  • Background: Few nurses are trained in palliative care for long-term care in Korea. The End-of-Life Nursing Education Consortium (ELNEC)-Geriatric training program improves nurses' ability to promote palliative care for the elderly. Purpose: The aim of this study was to evaluate nurses' satisfaction and knowledge following the attendance at the ELNEC-Geriatric curriculum on nurses' knowledge of palliative care. Methods: Nine ELNEC-Geriatric modules were presented to 203 interdisciplinary professionals on July 1 and 3, 2010, in Seoul, South Korea. The Palliative care quiz for nursing (PCQN) was used to evaluate nurses' knowledge. Of all the participants, 128 nurses were completed the questionnaire. Of these nurses, 45.2% were staff nurses and 73.4% were hospital nurses. Results: Approximately eight nine percent of the nurses reported previous experience in caring for dying patients and attending various hospice palliative care training programs. Overall program satisfaction of the participants was 4.03 on a 5-point scale, and their mean of the total PCQN score was 12.75 out of 20 after participating in ELNEC-Geriatric course, which was a significant improvement (p=.022) from the pretest. Conclusion: The results of this study demonstrate that ELNEC-Geriatric curriculum was successfully implemented and significantly contributed to increasing the nurses' knowledge for palliative care in long-term care in Korea.

A Clinical Study of Elderly Patients with Skin Diseases (한방병원에 내원한 노장층 피부과 환자에 관한 임상적 고찰)

  • Choi, In-Hwa
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.15 no.2
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    • pp.289-301
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    • 2002
  • Background: It is axiomatic that average life span is prolonged in proportion to the advance of socio-economic improvements and medical science. Consequently, the number of elderly patients with skin diseases is increasing. Objective: This study was performed to examine the patterns of skin diseases in elderly patients that had visited Dongguk Oriental Medical hospital, Dept. of Dermatology. We also compared these patients to the young generational groups. Methods: We studied 67 elderly patients with complaints of skin diseases who had visited our hospital from March 2000 to February 2002. We analysed their skin diseases and compared them with the younger group's. Results: The results were as follows; 1. The common disease groups were eczema(32.8$\%$); pruritus(23.9$\%$); viral infections (13.4$\%$); psoriasis(9.0$\%$); fungal infections and urticaria(6.0$\%$). 2. The disorders prevalent in men were eczema(30.0$\%$); herpes zoster & pruritus(23.3$\%$); fungal infection(13.3$\%$); psoriasis (3.3$\%$); melasma(6.7$\%$). 3. The common diseases of women's group were observed in the following order; eczema(35.l$\%$); pruritus(24.3$\%$); psoriasis(13.5$\%$); urticaria(10.8$\%$); other dermatoses(8.1$\%$); herpes zoster(5.4$\%$). 4. The most frequent skin disease for those in their 50's was eczema(32.3$\%$); 60's, pruritus(36.8$\%$); 70's, eczema(50.0); and over eighties., eczema and pruritus(40.0$\%$). Conclusion: This study suggests that dermatologic problems in the elderly are very common, especially eczema, pruritus. It is a very different pattern from the younger group's. And we have to better consider more effective management and treatment for them; especially further dermatologic studies including substantial medical care. Usually Oriental medicine is good at treating chronic diseases and less harmful. So we expect it to be generally better for elderly patients than western medicine.

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A Study on Characteristics of Motorcycle Accident among Korean Elderly using Medical Record Information (의무기록 정보를 활용한 노인 오토바이 운수사고의 특성에 관한 연구)

  • Hye-Rang Kim;Moo-Sik Lee;Arma Park;Kwang-Hwan Kim
    • Journal of Digital Convergence
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    • v.21 no.2
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    • pp.17-25
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    • 2023
  • The purpose of this study was to analyze the characteristics of elderly motorcycle accidents according to data from elderly inpatients to prepare prevention measures for the elderly against injury in motorcycle accidents. Chi-squared test, independent sample t-test, and canonical correlation analysis were performed on the Korea Disease Control and Prevention Agency's National Hospital Discharge In-depth Injury Survey data from 2015 to 2019, from which the records of 1,384 elderly inpatients hospitalized because of motorcycle accidents were obtained. intracranial injury(S06) was the most common care and treatment characteristic for both age groups. The most frequent injury site was the head and neck, and the most frequent injury type was a fracture. The above findings show that prevention education and policy formulation at the national level are necessary to identify and manage the factors of elderly motorcycle accidents. This study provides basic data for developing measures and policies to prevent and reduce injuries, making it significant for public health causes.

The influnce of Self rehabilition exercise for Activities of DailyLiving of disability elder (자가 재활운동이 장애노인의 일상활동 수행능력에 미치는 영향)

  • Kim, Soo-Min
    • Journal of Korean Physical Therapy Science
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    • v.17 no.1_2
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    • pp.53-66
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    • 2010
  • Background: It's very important method of treatment to improve physical activity for Activities of Daily Living(ADL) disability elder. So, We educated them Self rehabilition exercise and they did it by themselves, Then studied the influence in ADL disability elder. Methods: The participants of this study consited of 185 ADL disability elder in 18 located in Pusan & Kyungnam of elderly care hospital. We provided them 4 weeks of rehabilitation exercise training, and 4 weeks later we collected The state of ADL. Results: The ADL disability elder Who was educated and practiced Self rehabilition exercise, showed improvement on the several items of ADL, especially in Bathing. Conclusion: Self rehabilition exercise proved that it can improve ADL for disability elder I thank the system of Self exercise program has to be progressed.

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The Effects of Nursing Hospital Nurses' Caring Efficacy and Empathy Competence on Human-Centered Care (요양병원간호사의 돌봄효능감, 공감역량이 인간중심돌봄에 미치는 영향)

  • Gyeong Hye Kang;Nam Joo Je;Min Jung Lee
    • The Journal of the Convergence on Culture Technology
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    • v.9 no.4
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    • pp.363-374
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    • 2023
  • This study is a descriptive research study to confirm the care efficacy and empathy competency of nursing hospital nurses and analyze the factors to improve person-centered care behavior, provide theoretical and practical information accordingly, and prepare basic data. The study collected data from March 20, 2023 to April 20, 2023, targeting 146 nurses at a nursing hospital for the elderly in C region located in G province, and finally analyzed a total of 144 copies. Using IBM SPSS/25, descriptive statistics t-test, ANOVA, and correlation multiple regression analysis were analyzed. As a result of analyzing the variables that affect the subject's person-centered care by hierarchical multiple regression, the higher the caring efficacy and empathy capacity, the more the person-centered care was affected, and the explanatory power was 31.5%. As a result of this study, empathy competency and care efficacy were found to have an effect on person-centered care. It is thought that various measures should be prepared to improve the care efficacy and empathy competency for the efficient nursing performance of person-centered care of nursing hospital nurses.

Effects of Oral Hygiene Improvement of the Elderly Patients by Caregiver's in Rural Long-term Care Hospital (농촌지역 노인요양병원 입원환자의 간병인을 통한 구강건강관리 효과)

  • Kim, Kyung-Won;Yoon, Hee-Jung;Kim, Mie-Ryung;Lee, Hee-Kyung;Lee, Kyeong-Soo
    • Journal of agricultural medicine and community health
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    • v.35 no.1
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    • pp.13-20
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    • 2010
  • Objectives: This study was conducted to be identify the effects oral hygiene improvement of the elderly by caregiver in a rural. Methods: It recruited Fifty three elderly patients were recruited who admitted at a long-term hospital located in Mokchon city, Chungchungnam-do province. as the intervention group. Fifty two elderly patients group were selected another one long-term care hospital in Daegu city as control group. study was conducted for seven months. long-term care hospital. for seven months from Dec. 2007 to June 2008. For three months, the caregivers provide tooth brushing and cleaning artificial teeth once a day, to intervention group. once a day for three months. Results: Before the program there was no significant difference between the control and the intervention groups in general characteristics, prevalence rates of diseases, oral sanitary condition. Dental plague score was decreased significantly(p<0.001) before and after intervention in the intervention group. Using analysis of covariance for evaluation of the effect of the intervention, a significant difference was observed between the intervention group and the control group(p<0.01). Conclusions: These results were thought to be used as important basic data to develop oral health management program for elderly patients who needed long-term care.

The convergent relationship between experience of elderly oral health care education by specialist and attitudes toward the elderly (치과위생사의 노인구강관리 전문가 교육경험에 따른 노인을 대하는 융합적 태도 관계)

  • Lee, Jung-Hwa;Lee, Yu-Hee;Yun, Jung-Won;Jang, Kyeung-Ae
    • Journal of the Korea Convergence Society
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    • v.10 no.10
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    • pp.43-50
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    • 2019
  • Dental hygienists have received specialist training and experience to identify relationships that affect the attitude towards the elderly dental hospitals, general hospitals, working in a university hospital were survey of 264 people. The relationship between the elderly oral health specialist education experience and the attitude toward the elderly was influenced by the attitude toward the elderly (r=0.160, p<0.01), the experience of the elderly oral tissue regeneration education was related to the attitude toward the elderly (r=0.178, p<0.01), and feeding and swallowing function training education was positively correlated with the attitude toward the elderly (r=0.173, p<0.01). Therefore, it is necessary to develop curriculum in the maintenance training course for the dental hygienists who are experts in oral health care for the elderly, and to develop the curriculum for elderly dental hygiene course in the school education.

Development of a Stress Scale for Elderly Patients with Coronary Artery Disease (노인 관상동맥질환자의 스트레스 측정도구 개발)

  • Choi, Yun Ok;Kim, Jeong Sun
    • Journal of Korean Academy of Nursing
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    • v.44 no.6
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    • pp.630-638
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    • 2014
  • Purpose: The purpose of this study was to develop a scale to evaluate stress in elderly patients with coronary artery diseases (CAD) and to examine validity and reliability of the scale. Methods: The development process for the preliminary scale included construction of a conceptual framework and initial items, verification of content analysis, sentence correction, and pilot study. This study was conducted using a questionnaire survey with one-to-one interviews during January and February, 2012. Participants were 240 elderly patients with CAD. Data were analyzed using item analysis, factor analysis, criterion related validity, and internal consistency. Results: The developed scale consisted of 32 items and 6 factors - aging and disease (7 items), family relations (5 items), anxiety and withdrawal (9 items), management of daily living (3 items), compliance of medical regimen (4 items), poverty and finance (4 items), and explained 68.5% of total variance. The scale had significantly positive correlation with the Korean Perceived Stress Scale (KPSS). Cronbach's alpha was .96, and Guttman split half coefficient was .91. Conclusion: Results indicate that the Stress Scale for Elderly Patients with CAD has validity and reliability, and is a suitable scale in health care settings to assess stress in elderly patients with CAD.

Preoperative Nutritional Status in Elderly Orthopedic Surgery Patients: Evaluation and Related Factors (정형외과 수술 노인의 수술 전 영양상태 평가 및 관련 요인)

  • Jang, In Sil;Kim, Min Young
    • Journal of muscle and joint health
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    • v.24 no.2
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    • pp.67-76
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    • 2017
  • Purpose: The purpose of this study was to evaluate preoperative nutritional status in elderly patients with orthopedic surgery and identify related factors for malnutrition risk. Methods: This study enrolled 337 patient's medical record who underwent orthopedic surgery in hospital between January and December 2015. Data was collected retrospectively. Nutritional status was evaluated by using the Nutritional Risk Screening 2002. Multivariable logistic regression analysis was used to identify independent related factors for malnutrition risk. Results: Malnutrition risk developed in 58 patients (17.2%). Logistic regression analysis identified low physical activity, visual impairment, depression, sleep disorder, low serum calcium level, and low serum albumin level as related factors. Conclusion: Orthopedic surgery in elderly patients was associated with high risk of preoperative malnutrition. The results of this study suggest that evaluating the nutritional status and related factors should be done with preoperative status of elderly patients. At the same time, interventions for nutritional care should be adjusted to meet the nutritional needs of individuals and decrease the risk of malnutrition.