• 대한간호학회지
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• 제6권2호
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• pp.1-9
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• 1976

Presently, there is increasing demand for geriatric nursing care because of increasing preparation of elderly population due to extended age. Of particular importance in determining the effectiveness of nursing care given to the elderly is the attitude of the nurse toward the elderly patient. Knowledge of the various changes that usually occur with aging will enable the nurse to help an aged Person maximize his potential in illness and in health. The objectives of this study were : 1. To delineate the attitudes of nurses toward the geriatric nursing care. 2. To learn the influencing factors affecting the attitudes of nurses toward the geriatric nursing care. The study population defined and randomly selected is 225 nurses at one general hospital, one private hospital, two national hospitals in Seoul during the period of October l0th -20th, 1975. The questionnaire method was used. Respondents were 140 nurses. X$^2$- test and t- test were employed in analyzing the data. The questionnaire form included 54 statements which concerned the attitudes of nurses to-ward geriatric nursing care. It was divided into five areas : 1) General characteristics of study population. 2) The nurse's concepts of elderly. 3) Care of the geriatric patient. 4) Interpersonal relationship with geriatric patient. 5) Teaching of the geriatric patient. Each of the 54 statements of the questionnaire was considered to be either Positive or Negative. A Positive response was assigned the value of＋1 , and a Negative response or no response was assigned the value of O. The results of the study were as follows : 1. The Investigation of attitudes of nurses toward geriatric nursing care. a. Data indicated , respondents have negative attitudes in their. concepts of elderly (74.3%) b. Data indicated respondents have positive attitudes in care of geriatric patient (64.3%). c. Data indicated respondents have positive attitudes in interpersonal relationship with geriatric patient (85% ). 4. Data indicated respondents have positive attitudes in teaching of geriatric patient (89.3%). 2. The results of study regarding the five hypothesis were as follows : a There was significant difference in the mean scores between the attitudes of nurses toward the geriatric nursing care and level of education of the nurse. b. There was no significant difference between the attitudes of nurses toward the geriatric nursing care and clinical experience, but there was significant difference between care of the geriatric patient and clinical experience. c. There was no significant difference between the attitudes of nurses toward the geriatric nursing care and shift most frequently worked, but there was significant difference between care of the geriatric patient and shift most frequently worked. d. There was no significant difference in the mean scores between the attitudes of nurses toward the geriatric nursing care and marital status, but there was significant difference in the mean scores between interpersonal relationship, teaching of geriatric patient and marital status. e, There was no significant difference in the mean scores between the attitudes of nurses toward the geriatric nursing care and experience with elderly, but there was significant difference in the mean scores between care of geriatric patient and experience with elderly.

• 가정간호학회지
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• 제29권2호
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• pp.183-193
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• 2022

Purpose: This research aims to identify the relationship between the knowledge of delirium in elderly patients, nursing stress of delirium in elderly patients, emotional intelligence, and nursing performance of delirium in elderly patients among word nurses at a university hospital. Method: Data were collected from September 28 to October 13, 2020, by distributing questionnaires to 185 ward nurses at a university hospital located in city D. A data analysis was performed using descriptive statistics, a t-test, one-way ANOVA, and Pearson correlation coefficients, and a multiple regression analysis. Results: Nursing performance of delirium in elderly patients showed statistically significant differences according to nursing experience with these patients. Nurses' knowledge of delirium in elderly patients had a statistically significant positive correlation with emotional intelligence and nursing performance of delirium in elderly patients. Also, nurses' emotional intelligence had a statistically positive correlation with nursing performance of delirium in elderly patients. The factors that significantly affected nursing performance delirium in elderly patients were emotional intelligence and knowledge of delirium in elderly patients. The total explanatory power of the regression model was 12.5%. Conclusion: For nursing performance of delirium in elderly patients by ward nurses, it is necessary to develop a geriatric delirium nursing education program that can improve the knowledge of delirium in elderly patients. In addition, guidelines in consideration of the emotional intelligence of nurses should be included in the development of educational programs.

• 보건의료산업학회지
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• 제8권1호
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• pp.27-39
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• 2014

The purpose of this study is to compare and analyze the process of hospital visits according to the characteristics of the elderly visiting to emergency medical centers. The subject of study was 571 patients over the age of 65 who agreed to participate in the study of emergency medical centers from May 1 to 31, 2010. The frequency, percentage and ${\chi}^2$ test of collected data were conducted with SPSS WIN 12.0. As a result, the frequency of the aged with or without urgency revisiting emergency rooms due to chronic degenerative diseases was high. In addition, there were many cases that the aged living only with a spouse or remaining single. It was obscure to classify them into a urgent or non-emergent group which made it longer time to visit a hospital. It may be necessary that the care for urgent elderly patients considering the characteristics of the family environment functions to care the elderly were weakened.

• 한국병원경영학회지
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• 제28권2호
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• pp.9-20
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• 2023

Purpose: This study classified the actual functions of geriatric hospitals and examined the differences in their characteristics, in order to provide a basis for discussions on defining the functions of geriatric hospitals and how to pay for care. Methodology: This study used various administrative data such as health insurance data and long-term care insurance data. Cluster analysis was used to categorize geriatric hospitals. To examine the validity of the cluster analysis results, we conducted a discriminant analysis to calculate the accuracy of the classification. To examine cluster characteristics, we examined structure, process, and outcome indicators for each cluster. Findings: The cluster analysis identified five clusters. They were geriatric hospitals with relatively short stays for cancer patients(cluster 1; cancer patient-centered), geriatric hospitals with relatively large numbers of patients using rehabilitation services(cluster 2; rehabilitation patient-centered), geriatric hospitals with a high proportion of relatively severe elderly patients(cluster 3; severe elderly patient-centered), geriatric hospitals with a high proportion of mildly ill elderly patients with various conditions(cluster 4; mildly ill elderly patient-centered), and geriatric hospitals with a significantly higher proportion of dementia patients(cluster 5; dementia patient-centered). The largest number of geriatric hospitals were categorized in clusters 4 and 5, and the structure and process indicators for these clusters were generally lower than for the other clusters. Practical Implications: We have confirmed the existence of geriatric hospitals where the medical function, which is the original purpose of a geriatric hospital, has been weakened. It has been observed that the quality level of these geriatric hospitals is likely to be lower compared to hospitals that prioritize enhanced medical functions. Therefore, it is suggested to consider the conversion of these geriatric hospitals into long-term care facilities, and careful consideration should be given to the review of care-giver payment coverage.

• 한국화재소방학회논문지
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• 제24권3호
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• pp.9-19
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• 2010

최근 우리나라는 노인요양병원이 꾸준히 증가하고 있으며 화재등과 같은 비상 상황에서 노인의 행동 특성과 신체 상태를 고려한 종합적인 피난계획의 수립이 요구된다. 또한 시설 이용자의 대부분이 중증의 치매 및 뇌졸중을 앓고 있는 환자이기 때문에 자력으로 피난이 곤란하고 환자의 보행상태(침대, 휠체어, 각종 보조기구) 등에 따라 피난시간이 상이하여 이용자 전원을 피난시키는 것이 어렵기 때문이다. 본 논문은 성능위주의 설계 시 참고가 될 자료를 제시하기 위해 의료시설인 노인요양병원을 모델로 여러 수집된 자료들로 Simulex를 이용하여 피난시간을 측정하였다. 이 연구의 과정에서 몇 가지 문제시 되는 사항을 발견할 수 있었다.

• Nutrition Research and Practice
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• 제6권1호
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• pp.35-44
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• 2012

This study was conducted to assess improvements in nutritional status following the application of nutrition education to elderly patients in a long-term care hospital. The study was carried out from January to May 2009, during which a preliminary survey, a pretest, the application of nutrition education, and a post-test were applied in stages. The number of subjects at pretest was 81, and the number of participants included in the final analysis was 61 (18 men, 43 women), all of whom participated in both the nutrition education program and the post-test. The survey consisted of general demographic items, health behaviors, dietary behaviors, the Nutrition Screening Initiative checklist, and nutrient intake assessment (24 hour recall method). The nutrition education program lasted for four weeks. It included a basic education program, provided once a week, and mini-education program, which was offered daily during lunch times. The survey was conducted before and after the education program using the same assessment method, although some items were included only at pretest. When analyzing the changes in elderly patients after the nutritional education program, we found that, among subjective dietary behaviors, self-rated perceptions of health (P<0.001) and of depression (P<0.001) improved significantly and that dietary behavior scores also improved significantly (P<0.001), while nutritional risk levels decreased. In terms of nutrient intake, subjects' intake of energy, protein, fat, carbohydrate, calcium, phosphorus, iron, vitamin A, thiamin, riboflavin, niacin, and vitamin C all increased significantly (P<0.001). These results indicated that nutritional education is effective in improving the nutritional status of elderly patients. We hope that the results of this study can be used as preliminary data for establishing guidelines for nutrition management tailored to elderly patients in long-term care hospitals.

• 가정간호학회지
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• 제21권1호
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• pp.52-59
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• 2014

Purpose: The purpose of this study was to identify the prevalence and the predictors of depression in elderly patients admitted to hospital. Methods: A sample of 157 subjects aged 65 and over was selected from a university hospital in Korea. Data were collected through self-reported questionnaires during the period from April to August 2012. The data were analyzed using t-tests, ANOVAs, Pearson's correlation coefficients, and multiple regressions with the SPSS/Win program. Results: The prevalence of depression was 54.8%; the mean score for depression was 17.30. Depression in elderly patients had a significant correlation with age, educational level, marital status, and perceived economy level from the demographic characteristics, self-efficacy, and family support. A hierarchical multiple regression analysis revealed that a combination of self-efficacy and family support accounted for 27% of the depression in elderly patients. Conclusion: The findings of this study suggest that programs designed to effectively prevent and manage depression among elderly patients should consider variables such as self-efficacy and family support.

• 생물정신의학
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• 제25권3호
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• pp.72-78
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• 2018

Objectives The high suicide rate has risen as a main concern in South Korea. Given the complexity of the mechanism resulting in complete suicide, studies targeting various populations are needed for broader understanding of its risk factors. This study aims to analyze the factors affecting the suicidal tendency in the population of the elderly living alone in Seoul depending on basic elderly-care services. Methods A total number of 415 people participated in the study. Home-visit interviews were administered by trained interviewers. Suicidal tendency was measured by the Korean version of mini international neuropsychiatric interview (K-MINI). Health-related quality of life was measured by a brief version of the World Health Organization Quality-of-life Scale (WHOQOL-BREF). Alcohol problem was assessed by the Korean version of the alcohol use disorders identification test (AUDIT-K). Among total subjects of 415 interviewees, the actual responses of 408 people were used for the final analysis. Results The result showed that the suicide risk was high in persons isolated from social support [odds ratio (OR) = 4.49], having depression (OR = 14.85), and having low quality of life (OR = 4.39). Conclusions We found that social support, depression and health-related quality of life are associated with suicidal tendency in the elderly living alone on basic services. Our evidence will contribute to suicide prevention policy for the elderly living alone on care services.

• 기본간호학회지
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• 제17권1호
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• pp.26-34
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• 2010

Purpose: The purpose of this study was to compare long-term hospital and general hospital for delirium prevalence and precipitating factors in elderly patients. Method: The participants were 184 patients aged 65 or older from one general hospital and 4 long-term facilities. Delirium was assessed using the Confusion Assessment Method and precipitating factors for delirium were classified as demographic, physical condition, disease and drug factors associated with delirium found in a literature analysis. Results: Delirium prevalence was 5.4% and there was no significant difference according to hospital type. Most of the patients with delirium were male, dependent and dehydrated and had sleep disturbances, diseases and drugs associated with delirium and, had multi-drugs prescriptions. Non-delirious patients also had two or more delirious symptoms and several precipitating factors. Delirious patients were more dependent, urinary incontinent and had sleep-disturbances compared to the non-delirious group. The participants in the long-term hospitals were found to have frequently previous delirium history. Conclusion: Even though the prevalence rate of delirium was not high, most elderly patients, regardless of delirium, are a very high risk group and dependent ADL, sleep disturbances, and/or urinary incontinence could be used predictive factors for delirium.

• 한국응급구조학회지
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• 제14권3호
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• pp.83-93
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• 2010

Purpose: The purpose of this study is to determine potential differences in pre-hospital cases of cardiac arrest and drug Intoxication between elderly group and non-elderly group on local emergency activity sites of rescue 119 team for those cases, so that it can provide useful reference materials for a system of corresponding emergency medical services. Methods: Patients with cardiac arrest and drug intoxication in the elderly and the non-elderly group were analyzed by analyzing the Ambulance Run Report for 3 years from January 2007 to December 2009. Results: According to analysis on potential differences between elderly and the non-elderly group, it was found that there was no significant difference between elderly cases (evacuated to hospital due to cardiac arrest and drug poisoning) and non-elderly cases in year of onset (p = .247), quarter of onset (p = .813), sex (p = .235), consciousness state (p = .126), place of onset (p = .215) and number of first aid services (applied to emergency cases) respectively, but there were significant differences between elderly cases and non-elderly cases in guardian availability (p = .042), time zone of onset (p = .050), distance from the site of onset (p = .278), type of onset (p = .000), number of first aid services depending on distance of evacuation (p = .008) and effectiveness of emergency care (p = .003) on statistical basis. Conclusion: It is important to establish a system of early emergency case reports for rational emergency case management with lower mortality; shorten distance from the site of onset at each time zone of onset in emergency cases; employ more emergency team members; facilitate firsthand / secondhand medical instructions for emergency teams in specialized emergency care depending on distance of evacuation for each kind of onset (elderly group vs. non-elderly group); and improve rate of resuscitated emergency cases by extending the scope of works for emergency medical technicians into wider applications, so that it will be possible to take timely and appropriate measures for emergency settings of ever-increasing aged population in near future.