• Title/Summary/Keyword: Elderly with care need

Search Result 341, Processing Time 0.031 seconds

The Analysis of Self-care Knowledge, Competence, Behavior, and Quality of Life in Community Diabetes Elderly (지역사회 당뇨노인의 당뇨 자가관리 지식, 자신감, 행위 및 삶의 질 분석)

  • Lee, Song-heun
    • Journal of the Korea Academia-Industrial cooperation Society
    • /
    • v.18 no.9
    • /
    • pp.157-166
    • /
    • 2017
  • This study was conducted to identify the level of diabetes self-care knowledge, confidence, behavior and quality of life in elderly people with diabetes. The participants were 205 elderly with diabetes who visited a citizen health center located in D city. Korea. The data were collected from April, 20th to August 31th, 2015, and were analyzed by the t-test and ANOVA. The results were as follows; 1) The mean scores for diabetes self-care knowledge, confidence, behavior, and quality of life were 6.99 (2.17), 71.27 (10.21), 62.78 (1.29) and 0.86, respectively. 2) There were significant differences in the self-care behavior according to the education level, duration of diabetes mellitus and subjective health, and the quality of life differeddepending on the level of subjective health(F=35.253, p=0.000). 3) Knowledge of diabetes diet was the lowest among the various aspects of diabetes self-care knowledge. Confidence for exercise was lowest, while confidence for medication and blood sugar check was highest. However, the participants exhibited good medication behavior, whereasthey did not carry out blood glucose checks in their self-care management behavior. The most uncomfortable aspect of the quality of life was found to be pain and discomfort. Based on the results of this study, it is necessary to develop guidelines and methods for dietary education reflecting the dietary habits of Koreans, and to investigatethe reasonsfor thelow performance of theblood glucose check. In addition, customized nursing interventionstaking into consideration the characteristics of elderly with diabetes need to be developed and verified.

A Study on Discharge Service Needs for Discharge Planning Program Development to the Elderly at the Hospital (노인 입원환자의 퇴원계획 프로그램 개발을 위한 퇴원 서비스 요구도 조사)

  • Rhee Seon Ja;Shin Eun Young;Jang Sook Rang
    • Journal of Korean Public Health Nursing
    • /
    • v.15 no.2
    • /
    • pp.376-386
    • /
    • 2001
  • I. Background The problem of discharging patients from hospital have been well documented in the literature over the last 20 years. They included poor communication between hospital and community, inadequate notice of discharge, over-reliance on informal support and lack of statutory support, inattention to patients needs before leaving hospital, and wasted or duplicated visits by community nurses. Most patients discharged from hospital are able to return home with little or no support, while others will require a 'package of care' to support them back to good health. Patient with complex care needs, including the frail elderly and those with mental health problems, may require continuing care in special housing, residential, or nursing homes. With this population,effective discharge arrangement is needed and the study on this problem is urgent in Korea because the Medical Reform Project is on suspension of success. II. Results of the Study: 1. Discharge service needs assessed on 360 elderly patients who were hospitalized during the survey period at four university hospitals. Patients want to know the information on disease management after discharge. Follow-up telephone service is the most frequently checked service. 2. Multidisciplinary Discharge Planning is recommended at the hospital level to reduce the readmission and decrease the length of stay. 3. Further research is needed to validate and test the assumption of the solution which is developed in this research.

  • PDF

Analysis of the Characteristics of Ambulatory Care Sensitive Conditions in Patients Visiting the Emergency Departments: Focused on Health-care Delivery System (외래의료 민감 질환으로 응급실을 내원한 환자의 특성 분석: 의료전달체계 중심으로)

  • Huh, Young-Jin;Kim, Ji-Yeon;Lee, Myoung-Hwa;Lee, Sung-Min;Oh, Mi-Ra
    • Journal of Convergence for Information Technology
    • /
    • v.10 no.10
    • /
    • pp.253-258
    • /
    • 2020
  • This study analyzed, the characteristics of ambulatory care sensitive conditions(ACSCs) in patients visiting emergency departments(EDs) and compared characteristics according to two age groups (adults aged 19-64 years and, elderly people aged ≥65 years). By accessing data from the National Emergency Department Information System(NEDIS) from January 1 to December 31, 2018, we examined the proportions of different ED types and ACSCs, length of stay(LOS) in the ED, LOS hospital, and hospital admission rates. Regarding the types of EDs, we found that the proportion of local emergency medical centers was high(P<0.001). Regarding the rates of different ACSCs, 31.7% of adults were treated for gastroenteritis, a high proportion of the elderly people(48.2%) were diagnosed with and treated for pneumonia(P<0.001). The LOS in the ED was longer in elderly people for all diseases categories, except for congestive heart failure and diabetes(P<0.001). The LOS in the hospital was also significantly longer in elderly people for all ACSCs(P<0.05), and the admission rate was significantly higher in elderly people for all diseases, except for diabetes(P<0.01). Thus, analyzing the ED visits made by patients with ACSCs will need to strengthen the health-care policy to induce treatment centered on outpatient.

A study of images of the elderly perceived by dental hygienists and their behaviors (치과위생사들이 인지한 노인에 대한 이미지 및 행동에 관한 연구)

  • Ji, Min-Gyeong;Ahn, Kwon-Suk
    • Journal of Korean society of Dental Hygiene
    • /
    • v.8 no.3
    • /
    • pp.23-36
    • /
    • 2008
  • This study lays its purpose on providing basic material for managing dental hygiene care programs by grasping images of the elderly perceived by dental hygienists and their behaviors toward the elderly, who have an important role in improving the elderly's dental health in the aging society. For these purposes, the researcher conducted a self-administrative questionnaire survey of 370 dental hygienists working in dental clinics or offices located in the Seoul and Daejeon areas from June 2 to 21 in 2008 and collected data, statistical analysis of the $x^2$-test, t-test, one-way ANOVA, Pearson Correlation used. resulting in the following findings. 1. In perceived images of the elderly according to their general characteristics, a subject group with under 8-year career showed 85.38 points, indicating the statistically significant difference (p=0.001). 2. When we look at perceived images of the elderly and behaviors toward them according their characteristics, in images of the elderly, a subject group with positive perceptions of the elderly showed 85.51 points (p=0.000), a subject group with meaningful old person(s), 84.66 points (p=0.000), a subject group living with old person(s), 86.04 points (p=0.001), and a subject group with experience in volunteer service activities, 84.11 points (p=0.001), and in behaviors toward the elderly, a subject group with positive perceptions of the elderly and with meaningful old person(s) showed 56.46 (p=0.036) and 55.91 points respectively, indicating the statistically significant difference (p=0.040). 3. Images of the elderly and behaviors toward them showed a positive correlation, indicating that the more positive images of the elderly, the more positive behaviors toward them (r=0.317). Putting these results together, it is thought that it is time to need continuous education and efforts regarding the formation of desirable relationships with and images of the elderly and behaviors toward them, for dental hygienists who have an important role in managing and enhancing the elderly's dental health in the aging society.

  • PDF

Coping with dementia related behavior problems of the elderly and care providers (치매노인 문제행동과 간호제공자의 대처행동 관계)

  • Lim, Dong Young
    • Journal of the Korea Academia-Industrial cooperation Society
    • /
    • v.16 no.7
    • /
    • pp.4805-4815
    • /
    • 2015
  • Dementia is targeted at the elderly and dependent family members, care providers, and the types of problem behaviors of the elderly with dementia by care providers learn how to cope with the relationship was tried for. Dementia in the elderly problem behaviour is the program's descriptive statistics, t-test, ANOVA, and dementia in the elderly problem behaviors for coping with behavior and the relationship between discrete variable using correlation analysis. The findings support the family and nursing experience of senile elderly issues, acting as a provider edge actions appeared the most high, and repeat the same question or request. ', ' Making loud noises or shouting. ' and '. 'Being stubborn, not listening to the words of the caregiver.' etc. In addition, this study, which appeared in dementia in the elderly cope with behavior based on behavioral problems and discuss the ' Verbal discussion ', ' Removal of the cause for incidents ' and ' Restriction of actions ' action causes this correlation. Therefore, caring for the elderly with dementia in a nursing institution and sanction providers related to dementia in the elderly appear to be frequently problem behaviors of the problematic behavior is not much need to be able to cope with the regular education, this study to the development of behavioral problems in dementia patients by an individualized nursing intervention program for caregivers caring for dementia patients, as basic materials will be provided.

The Prevalence and Association Factors of Unmet Medical Needs by Age Group in the Elderly (노년기에 따른 미충족 의료 현황 및 관련 요인)

  • Hwang, Byung-Deog;Choi, Ryoung
    • The Korean Journal of Health Service Management
    • /
    • v.9 no.1
    • /
    • pp.81-93
    • /
    • 2015
  • This study investigated the prevalence of unmet needs for health care among Korean adults and related factors. Using data from the 2012 Korea Health Panel, 1,896 adults aged 65 and over and two age groups(Young-Old(66-74) and Old-Old($65{\leq}$)) were analyzed to identify these factors. Logistic regression analysis was used to examine the main factors associated with unmet medical needs. According to the results of this study, the factors influencing unmet medical needs with regard to economic factors were Subjective Health Status(young-old), Disability(young-old), Activity Limitation(young-old), Education Level(old) and Economic Activity(old). The factors influencing unmet medical needs were factors of attitude, information, and disease. factors were Disability(young-old), Activity Limitation(young-old), Education Level(old) and Economic Activity(old). Therefore, further research that investigates unmet needs depending on age group in the elderly would suggest helpful policy implications.

Factors Related to Death Preparedness among Community-dwelling Older Adults in Korea: Using Korean National Survey on Elderly 2014 (지역사회 노인의 죽음준비에 영향을 미치는 요인: 2014년도 노인실태조사를 중심으로)

  • Kim, Hyang;Yoon, Ju Young
    • Journal of Home Health Care Nursing
    • /
    • v.24 no.3
    • /
    • pp.264-274
    • /
    • 2017
  • Purpose: This study examined the current state of death preparedness and factors related to the death preparedness among community-dwelling older adults in Korea. Methods: A total of 6,879 older adults' data, selected from the Korean National Survey on the Elderly 2014 data, were analyzed. The criteria for selection were responding to the questionnaires directly and normal cognitive function. Stratified sampling logistic regression analysis was conducted on the compiled data. Results: It was seen that 37.3% of older adults were prepared for death; specifically, 28.6% had arranged for resting places, 10.7% had purchased burial clothes, 6.8% had subscribed to mutual aid societies, 0.7% participated in death education, and 0.6% had signed a will. The results of logistic regression indicated that the older adults who were females, older age, religious, highly educated, more satisfied with their economic status, living in rural areas, and participating in more social activities were more likely to prepare for their deaths compared to their counterparts. Conclusion: Education programs that prepare for death need to target marginalized groups in the community, such as male older adults and whose participation in social activities or satisfaction with their economic status are relatively low.

The Estimate of the Living Cost for the elderly Couple (노인부부가계를 위한 노후 월평균 생계비 산정 - 최저생계비, 표준생계비, 유락생계비의 산정 -)

  • 이선형;이연숙
    • Journal of the Korean Home Economics Association
    • /
    • v.40 no.4
    • /
    • pp.139-152
    • /
    • 2002
  • This study was performed to estimate living cost for the elderly couple living in a city in Korea. Living cost means expenditure per month for elderly couple. It was assumed that the elderly couple will need different living cost according to their circumstances. The circumstances are health status, retirement status, and the level of living they want. The subjects were the elderly couple households over the age 65 of household head. Total number of subject was 1,649 households. Used data was Annual Report surveyed by National Statistical Office on the Family Income and Expenditure. Analysis of data was done through frequency, percentage, means, median using SAS Program. The results of this study were as follows: Their standard living cost was 844,980 won by pure relative standard line and 842,300 won by quasi relative standard lines. And minimum living cost was 713,400 won by the former, by the latter was 557,600 won (3/2 of median). And abundant Living cost was 1,068,020 won by the former, by the latter 1,263,450 won. The living cost of elderly households was about 81-83%, comparing with non-elderly households. Among the item of expenditure, the proportion of housing and medical care cost was larger than any other items.

Case Analysis for the Emotional Communication Contents of New Silver Generation (뉴 실버세대의 감성 커뮤니케이션 콘텐츠 사례 분석)

  • Yun-Ji Jeong;Min-Seong Yu;Joo-Young Oh;Hyeon-Seok Hwang;Won-Whoi Hun
    • The Journal of the Institute of Internet, Broadcasting and Communication
    • /
    • v.24 no.2
    • /
    • pp.23-28
    • /
    • 2024
  • This study focuses on investigating and exploring solutions to problems related to the increase in the elderly population in modern society where aging is rapidly progressing. With the advent of an aging society the elderly population requires more attention and support. In response companies are attempting to provide elder care services using AI and robotic technology. These services can assist seniors not only with health management and daily life care but also with emotional health aspects. This paper analyzes various elder-related technologies available in the current market investigates their pros and cons and potential for development. The paper concludes that companies need to develop and provide more AI and robot-based elder care services to solve aging problems. Such services can alleviate social and emotional issues in an aging society enhancing the quality of life for seniors.

Health Status of Dependent Older People and Pattern of Care among Caregivers: A Case Study of Hong Ha Health Promoting Hospital, Lampang, Thailand

  • Wicha, Sumitra;Saovapha, Benjaporn;Sripattarangkul, Sirirat;Manop, Natchapan;Muankonkaew, Thanakrit;Srirungrueang, Supha
    • Asian Journal for Public Opinion Research
    • /
    • v.5 no.3
    • /
    • pp.228-249
    • /
    • 2018
  • In 2015, the population of elderly people in Thailand was 16% of the total population and is predicted to be over 20% by 2021 and nearly 28% by 2031. The increase of the elderly population in Thailand has also increased the proportion of dependent elderly people, and caring for them poses many challenges for both families and the government. This descriptive method research aimed to survey the health status of dependent older people in the rural community of Lampang province in northern Thailand. The participants consisted of 62 older people and 62 primary family caregivers from Hong Ha Health Promoting Hospital, Lampang, Thailand (totaling 124 people). The researchers assessed the health status of older people and their activities of daily living (ADL). In addition, researchers assessed the health status and stress of caregivers. All the participants were interviewed about their experiences with caregiving. The results showed that most of the older respondents were female with an average age of 78.15 years. Based on the ADL assessment, 50 of the 62 older persons were homebound while the rest were bedridden. The majority of older people had chronic or long-term conditions that required hospitalization from time to time. Their frequent health problems included oral disorders such as tooth decay or caries/gum disease/no teeth, reduced sight, psychological disorders, knee pain and risk of falling, low BMI, risk of malnutrition, and urinary leakage and incontinence (58.06%, 66.13%, 62.90%, 70.97%, 38.71%, 66.13%, and 37.10%, respectively). Usual care provided by the family members included personal hygiene care, food preparation and feeding, medication management, housekeeping and organizing necessary equipment, supply of needed equipment, prevention of falls, helping with travel for medical checkups and treatment, and providing companionship. Families experienced shortages of medical supplies, daily use equipment, lack of employment, inadequate income, and difficulty accessing health care services due to lack of transportation. Some caregivers experienced caregiving stress related to a lack of social interactions as well as routine caregiving activities. Families need different types of support in order to promote the well-being of older people and caregivers. This highlights the need for a community participation model for the care of older people in order to reflect sustainable long-term outcomes.