• 한국산학기술학회논문지
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• 제17권5호
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• pp.441-451
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• 2016

본 연구는 요양병원 입원노인의 간호만족도, 자아존중감 및 우울이 적응에 미치는 영향을 규명하기 위한 서술적 조사연구이다. 대상자는 B시와 K시 소재 15개 요양병원 입원노인 116명이며, 자료수집기간은 2015년 2월14일에서 3월31일 까지였다. 수집된 자료는 t-test, ANOVA, Scheff's test, Pearson's correlation coefficients와 multiple regression으로 분석하였다. 연구결과, 대상자의 간호만족도 정도는 평균평점이 $3.92{\pm}0.60$으로 비교적 높게 나타났다. 자아존중감 정도는 평균평점이 $2.83{\pm}0.47$로 중간보다 높게 나타났으며, 우울정도는 평균평점이 $0.38{\pm}0.25$로 비교적 낮게 나타났다. 대상자의 적응정도는 평균평점이 $3.45{\pm}0.64$로 비교적 높게 나타났다. 대상자의 적응 정도는 제 특성 중종교, 배우자 유무, 지각된 경제상태, 지각된 힘든 문제에 따라 통계적으로 유의한 차이가 있었다. 간호만족도와 적응과의 관계와 자아존중감과 적응과의 관계는 각각 중간정도의 양의 상관관계가 있었고 통계적으로 유의하였다. 우울과 적응과의 관계는 강한 음의 상관관계가 있었고, 통계적으로 유의하였다. 적응을 설명하는 유의한 변수는 우울, 간호만족도, 자아존중감, 종교 순이었으며, 전체 설명력은 53.5%이었다. 따라서 요양병원 입원노인의 적응을 높이기 위해서는 우울을 감소시키고, 간호만족도와 자아존중감을 높일 수 있는 간호중재의 개발을 위한 구체적인 노력이 필요하다.

• 가정∙방문간호학회지
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• 제27권1호
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• pp.102-113
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• 2020

Purpose: To demonstrate the importance of comprehensive skin observation as an effective intervention for pressure injury prevention in elderly long-term care hospital patients. Methods: The survey was conducted with 70 nursing staff members working at two long-term care hospitals with 200 beds or less in D city. Data were collected from October 16 to October 23, 2019 and analyzed using descriptive statistics, the chi-square test, and the independent t-test with the SPSS 25.0 program. Results: Nursing care knowledge for pressure injury was similar between the two groups. Conversely, nursing care performance for pressure injury degree of the nursing staff in the hospital using skin observation records performed better than those who did not (t=6.11, p<.001). Furthermore, comprehensive skin assessments in long-term care hospitals using skin observation records showed a lower incidence rate of pressure injury than that showed using general skin assessments (t=-5.28, p=.006). Conclusions: Comprehensive skin assessment is important for pressure injury prevention in elderly long-term care hospital patients. To implement this effectively, it is necessary to devise institutional regulations, guidelines, and systematic education programs.

• 가정∙방문간호학회지
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• 제23권2호
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• pp.129-138
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• 2016

Purpose: The purpose of this study was to examine the relationships between resilience, family support, and hopelessness, as well as to identify the effects of resilience and family support on the hopelessness of elderly inpatients in general hospitals. Methods: A total of 177 elderly persons were recruited from three general hospitals. Data were analyzed using descriptive statistics, t-tests, ANOVA, Pearson;s correlation coefficient, and multiple regression analysis. Results: The score on the hopelessness of hospitalized elderly persons was $2.88{\pm}0.88$ (range: 1-5). Multiple regression analysis results showed that participants; hopelessness was significantly influenced by resilience and family support, explaining 35.4% of the total variance. Conclusion: Based on the findings of this study, there is a need for the development of a resilience and family support program, aimed at reducing hopelessness among elderly persons, in order to promote their mental health.

• 한국산학기술학회논문지
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• 제17권10호
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• pp.458-470
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• 2016

본 연구의 목적은 요양병원 입원 노인의 성공적 노화에 대해 간호사가 어떻게 인식하는지를 파악하여 서술하는 것이다. 자료 수집을 위해 2016년 포커스 그룹 면담을 이용하였다. 포커스 그룹은 3개의 요양병원에 각각 1개씩의 포커스 그룹을 구성하여 총 3개의 포커스 그룹을 운영하였으며, 전체 14명의 간호사가 대상자로 참여하였다. 모든 면담 내용은 녹음하여 참여자가 말한 그대로 필사하였으며, 자료는 질적 내용분석을 이용해 분석하였다. 연구결과 25개의 개념이 확인되었으며, 15개의 하위범주와 5개의 범주가 도출되었다. 간호사가 인식하는 요양병원 입원 노인의 성공적 노화에 대한 5개 주요 범주는 "요양병원 삶에 익숙해지기", "주어진 상황에서 긍정적으로 살아가기", "주변과 소통하고 관계 형성하기", "가족의 관심과 지지 받기", "경제력 유지하기"로 나타났다. 요양병원 입원 노인의 성공적 노화를 위해 향후 요양병원에 입원한 노인을 대상으로 성공적 노화에 관한 심층적인 질적 연구를 수행하여 본 연구 결과와 비교 분석하고, 연구 결과를 바탕으로 요양병원 장기 입원노인의 성공적 노화를 위한 프로그램 개발 및 적용이 필요하다고 본다.

• 지역사회간호학회지
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• 제13권3호
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• pp.444-455
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• 2002

Purpose: This study was performed to develop the case management program that can provide the qualitative health care service to satisfy the increasing needs for health care elderly and prevent the increase in medical cost cased by prolonged and repetitive hospitalization. Method: The survey was completed as follows. First, 290 elderly patients who would be soon discharged in 4 hospitals are participated in the survey on needs of nursing care and case management programs. Second, 70 professionals working at 5 hospitals including doctors, nurses, social workers and so on are participated in the survey on the case management team operation. Result: Level of needs to Nursing care and case management programs showed so high. Professionals suggested on the case management team operation. Finally, based on the survey and literature review, the case management program was developed. Conclusion: In this study, the specific models for the five case management services were suggested. It is thought that the service provision by the case management team based on the multi-disciplinary case management program model suggested in this study would be suggested as a constituent of the effective health care delivery system for the hospitalized elderly patients.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제14권1호
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• pp.49-58
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• 2008

Considering the rapid growth of elderly population and the increase of medical demand for aged, many of geriatric hospitals are needed in Korea. On the other hand, supplies of hospitals for acute care are considered to be excessive. So many of small and medium hospitals facing management problems have been converged to geriatric hospitals. These attempts are considered resonable for efficient utilization of health care resources in Korea. This paper aims to identify the concept of geriatric hospital and to analyze the problems and then to seek the alternatives for architectural planning on the basis of surveying the geriatric hospitals converged from hospitals for acute care.

• International Journal of Human Ecology
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• 제2권1호
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• pp.39-55
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• 2001

Concerns about paid-facilities for the elderly with dementia from middle and upper class families have been discussed lately in Korea. Small-scale, home-like group homes for the elderly with dementia were developed in Sweden in the 1980, but they have not been effectively introduced in Korea where they remain a comparatively new concept. The group home, however, would provide a good alternative to Koreans who feel guilty when they have to leave their frail parents in large-scale facilities or hospitals instead of caring for them at home. The aim of this paper is, first, to define the care of the demented elderly who come from upper and middle class families in Korea and, secondly, to discuss the need for group homes to help care for them. A survey was done by questionnaire and was answered by 577 respondents who belonged to middle and upper class families living in Korea in December 2000. Methods of analysis were frequency, mean, and Chi-square. The results of this study were as follows: 1) the traditional notion that the eldest son should be burdened with the primary responsibility for a demented parent has weakened remarkably; 2) a small-scale long-term care facility was considered the most desirable living environment for the demented elderly; 3) the facilities families needed for professional hospitals for victims of dementia, senior citizen centers, large and small-scale long-term care facilities, day-care centers, and short-stay and service housing. The study also revealed that there was low awareness of the group home. The most preferred type of structure for group homes was a single-family detached house, and the most preferred management system was small-scale that could create home-like atmosphere. Additionally the respondents wanted group homes to consist of 6-8 residents with 2-4 persons per room. The results of this study strongly suggest that policy makers should encourage the development of smallscale group homes as an alternative form of housing for the elderly with dementia.

• 동아시아식생활학회지
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• 제25권4호
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• pp.631-642
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• 2015

The purpose of the study was to examine health status and mini nutritional assessment (MNA) according to self-esteem status of elderly in care hospital. The survey was carried out from $13^{th}$ to $31^{st}$ of September, 2014 in five care hospitals. Analysis was performed for 226 subjects. Evaluation criteria included demographics, clinical status, MNA, health-related quality of life (EQ-5D) and self-esteem. The SE I, SE II and SE III groups were divided by self-esteem scores. Data were analyzed one-way ANOVA, Duncan' multiple range test and Pearson's correlation using SPSS 15.0. Education level, religion, dental condition and medical endurance type were significantly different in all groups. Many elderly people were normal BMI ($20.94{\sim}21.67kg/m^2$). Self-esteem significantly increased in order of SE I, SE II and SE III. Mobility, usual activity and anxiety or depression were significantly different in all groups, and EQ-5D of SE II and SE III groups were significantly higher than that of SE I group. Comparison of MNA screening score in elderly patients was as follows : Score for food intake, psychological stress or acute disease, neuropsychological problems, pressure scores or skin ulcer, protein intake, mode of feeding, nutritional status and health status in SE I group were significantly lower than those of SE II and SE III groups. Mobility and drug intake of SE I group were significantly lower than those of SE III groups. Fruit and vegetable intake SE I group were significantly higher than those of SE II and SE III groups. MIS (Malnutrition Indicator Score) was significantly different among the SE I, SE II and SE III groups. We conclude that self-esteem score is positively correlated with protein intake, nutrition status, health status and MIS in elderly care hospital. To improve nutritional status of elderly in care hospitals, systematic nutrition management and self-esteem education program should be implemented.

• 한국간호교육학회지
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• 제18권3호
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• pp.522-532
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• 2012

Purpose: The purposes of this study were to develop an elderly care nursing education program and evaluate its effect on knowledge, attitudes and nursing performance of nurses toward older adults. Methods: A quasi-experimental study with a non-equivalent control group pretest-posttest design was used. Participants were recruited from two geriatric hospitals. The sample consisted of an intervention group (n=29) that participated in the educational program and a control group (n=30). The data were collected prior to and 6 weeks after the intervention using self-administered questionnaires. Data analyses utilized $x^2$-test, Fisher's exact probability test, and t-test. Results: After the intervention, knowledge and nursing performance about the elderly care increased significantly in the experimental group compared to the control group. However, there was no statistically significant difference between the groups in their attitudes toward the elderly. Conclusion: Findings indicate that to provide better nursing care to the elderly, nurses need to be able to practically apply the knowledge they have acquired from the elder-care nursing education programs in hands-on situations. To achieve this, nurses should work to change their personal attitudes about the elderly. Also, evidence-based guidelines for elderly nursing care, administrative support of institutions, and multidisciplinary approaches are required.

• 한국간호교육학회지
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• 제10권1호
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• pp.64-74
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• 2004

This study was conducted to investigate what contents nurses want in the intensive major course of junior nursing college. Data were collected for four months from October 2002 to February 2003 by structured questionnaires. Subjects were 240 registered nurses in working at five hospitals and four public health centers and elementary or middle schools in the capital and its suburbs and country. The collected data were analyzed using SPSS 8.0 program. The results of this study were summarized as follows : 1. Nurses working at hospitals want the programs which involve the contents as follows : emergency nursing/CPR, infection control, critical care, caner pt. care, pain control, hospice, pulmonary disease pt. care, analysis of lab. exam, heart disease pt. care, chronic disease pt. care, DM pt. care, digestive-system disease pt. care, nervous-system disease pt. care, elderly pt. care, immune-system disease pt. care, endocrine-system disease pt. care. 2. Nurses working at public health centers want the programs which involve the contents as follows : home nursing, family nursing, management of DM, HT, degenerative disease, and chronic liver disease, elderly pt. care, health education, maternity nursing, rehabilitation nursing. 3. Nurses working at elementary or middle schools want the programs which involve the contents as follows : prevention of drug abuse or misuse, sex education and consultation, health education, consultation technique, emergency care, prevention of child obesity, prevention and management of adult disease in children, teaching method, method of school health room management.