• Title/Summary/Keyword: Functional Status

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The status nursing care delivery system and the influencing factors on quality of nursing care (간호전달체계 현황 및 간호서비스의 질에 영향을 미치는 요인)

  • Kim, Ji-Yeun;Park, Bo-Hyun;Ko, Yu-Kyung
    • Korea Journal of Hospital Management
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    • v.21 no.2
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    • pp.24-36
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    • 2016
  • The aims of this study is to investigate the status of nursing care delivery systems and nurse staffing levels and to analyze differences in the quality of nursing care by the type of nursing care delivery system. This research was based on data from 723 nurses working in 55 medical and surgical units in 26 general hospitals. Descriptive statistics on nurse staffing levels and the nursing care delivery system, and multi-level logistic regression were used to estimate the determinants of quality of nursing care. The number of patients per nurse is 17.74 patients in functional nursing care and 15.56 patients in total nursing care. In comparison to hospitals adopting total nursing care, hospitals with functional nursing care had greater patients. The nurses rated units using total nursing care as significantly better quality of nursing care than the units with functional nursing care. Total nursing care or modified total nursing care, rather than functional nursing care, could lead to improvement in the quality of care(total nursing care OR=3.895, modified total nursing care OR=2.475). Patient-centered approaches under proper circumstances can be successfully implemented and the positive effects demonstrated.

The Heterogeneous Trajectories of Functional Disability in Older Adults and Their Predictors (노년기 기능장애의 이질적 발달궤적과 예측요인)

  • Lee, Hyunjoo
    • 한국노년학
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    • v.37 no.1
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    • pp.15-32
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    • 2017
  • The current study aims to identify the heterogeneous changes of functional disabilities in old age rather than to identify an average longitudinal pattern and to explore the effect of health status and social status as risk factors in functional disability trajectories. The sample consisted of a representative sample of community dwellers aged 65 and older from the Korean Longitudinal Study of Ageing (2006 - 2012) was the focus of the study. Latent Class Growth Analysis was used to identify the functional disability trajectory groups. Variables regarding health status and social status changes by class were identified using multinomial logistic regression. The results showed various change patterns in functional disability, which include independent (78%), stable high (4.4%), steeply increasing (7.1%), slightly increasing (5.5%), and moderate to low (4.7%). Aggravation in depressive symptoms and cognitive functions as well as decline in social participations and social engagements were significant predictors of membership in increasing group of functional disability. The findings provide important initial empirical information to target clinical practice and have implications in the importance of conducting research on groups with different characteristics.

A Study on the Nutritional Habit, Nutritional Knowledge, Functional Health Status of the Aged People in the Hall for the Aged in Sungnam Area (경로당 노인의 식습관 및 영양지식과 신체건강기능수준에 관한 연구)

  • Kang, Nam-E;Chu, Su-Kyung;Yoo, Jang-Hak;Yi, Seung-Hoon
    • Journal of the Korean Society of Food Culture
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    • v.24 no.6
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    • pp.778-783
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    • 2009
  • The purpose of this study was to determine the basic materials needed for nutrition and health programs for aged people. In order to set up these programs, the nutritional habit, nutritional knowledge and functional health status (mobility, functional assessment, and falls efficacy) of the aged were measured, and their relationships were determined. Data was collected on 57 aged individuals that participated in the 'Exercise Program for the Aged' conducted by the National Health Insurance Corporation. These 57 subjects were interviewed and tested by direct measurement prior to conducting the program. The data was analyzed using the SPSS 13.0 Package. According to the results, the nutritional habit ranged from 24-50 out of 50, and the average was 37.2, which was above the middle level. The average nutritional knowledge was of 4.02 out of 5, which was considered reasonably high. Especially, more than half of these subjects were uneducated, but they had a high interest in nutrition. The average mobility was determined to be 9.2 seconds and the falls efficacy was 64.2 out of 100. In addition, subjects answered that they had a fear of falling due to low confidence, which indicates that safety education for the prevention of falls should be provided to aged individuals in the future. The results showed that notable counter-relations between nutritional habit and functional health status existed.

Construction of Model for Health-related Quality of Life of Liver Cirrhosis Patients (간경변증 환자의 건강관련 삶의 질 모형구축)

  • Kim, Ji Suk;Hong, Hae Sook
    • Journal of Korean Biological Nursing Science
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    • v.16 no.4
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    • pp.292-299
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    • 2014
  • Purpose: This is a study on the structural model that aims to build a path model of multivariates affecting the quality of health-related living for liver cirrhosis patients and specify causal relations affecting the quality of health-related living for liver cirrhosis patients. Methods: The research was conducted on 244 patients diagnosed with liver cirrhosis and the data were collected from July 2013 to January 2014. The collected data were analyzed using IBM SPSS 19.0 and AMOS 21.0 statistical programs. Results: All the fit indexes of the path model properly met the assessment criteria. Anxiety, depression, functional status, and perceived health directly affected the quality of health-related living for liver cirrhosis patients and anxiety, depression, and functional status directly affected perceived health. Social support, anxiety, and depression directly affected the functional status. Conclusion: It is necessary to segment the severity of liver cirrhosis in testing its direct and indirect effects on the quality of health-related living for patients with the condition.

Functional Status and Health Care Utilization among Elders with Hip Fracture Surgery from a Fall (낙상후 대퇴골절 수술 노인의 신체기능, 의료이용 및 낙상의 두려움)

  • Oh, Hee-Young;Im, Young-Mi
    • Korean Journal of Adult Nursing
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    • v.15 no.3
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    • pp.432-440
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    • 2003
  • Purpose: The purposes of this study were to examine 1) functional status at 2 months after hip fracture surgery 2) health care utilization after a fall episode and 3) fear of falling experienced during first 2 months after a fall episode. Method: With a convenient sample of 99 elderly from six university or general hospitals with hip fracture from a fall, data were collected at 2-3 days before discharge and at 2 months after hip fracture surgery. Result: 1) At 2 months after hip fracture from a fall, significant proportion (25.3%) of elderly was not able to walk indoors. 2) Average length of hospital stay was 27.6 days with a range of 8 to 86 days. About 51% subjects received physical therapy during hospital stay, and only 6.1% subjects received physical therapy following discharge from the hospital. 3) Significant proportion (72.7%) had fear of falling after the fall episode. About 51% reported that they restricted their activities because they had fear of falling. Conclusion: Fall is a dreaded event which result in loss of independence and restriction of activity. Development and application of fall prevention program is critical especially for those with risk factors of fall.

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Surgical Results of Intramedullary Spinal Cord Ependymomas in Adults : Retrospective Analysis of 51 Cases

  • Son, Young-Je;Chung, Chun-Kee;Kim, Hyun-Jib
    • Journal of Korean Neurosurgical Society
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    • v.40 no.3
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    • pp.164-168
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    • 2006
  • Objective : The goal of treatment for spinal cord ependymoma is complete removal without postoperative neurological deficit. The authors analyzed the surgical results and factors influencing the postoperative prognosis. Methods : Fifty-one cases of primary spinal cord ependymoma, surgically treated between 1979 and 2003, were retrospectively analyzed. The mean follow-up period was 44 months. Results : Gross total removal was achieved in 42 patients and incomplete removal in nine. The proportion of complete surgical removals was influenced by tumor location and histology. Disease progression was observed in five cases [9.8%], the mean progression free interval after surgical removal was 48 months and the 5-year progression free rate was 68%. Disease progression was found in none of the 42 cases who underwent complete removal, and in 5 of 9 cases who hadincomplete removal group [P<0.001]. Statistically significant disease-progression factors by multivariate analysis were the surgical extent of removal [P=0.012]. preoperative functional status [P=0.032] the presence of intratumoral cysts [P=0.007] and postoperative radiation therapy [P=0042]. Of those patients who underwent incomplete removal, radiation therapy was found to significantly improve the clinical result [P=0042]. Conclusion : In the surgical treatment of spinal cord ependymoma, preoperative functional status, the presence of intratumoral cysts, the extent of removal, and postoperative radiation therapy were found to be significant prognostic factors of postoperative outcome.

Effects of remedial massage therapy on the pain, grip strength and functional status scale in carpal tunnel syndrome (정형의학적 마사지가 수근관 증후군 환자의 통증, 악력, 기능적 평가의 등급에 미치는 영향)

  • Ma, Sang-Yeol;Gong, Won-Tae;Kang, Young-Suk
    • Journal of the Korean Data and Information Science Society
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    • v.20 no.1
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    • pp.97-107
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    • 2009
  • This study is to examine effects of orthopedic remedial massage therapy on the pain, grip strength and functional status scale in carpal tunnel syndrome. We selected 30 cases of carpal tunnel sydrome, which were evenly divided into two groups: experimental group and control group. We applied the same infrared and ultrasound therapy to both groups. The experimental group had additional treatment of orthopedic remedial massage therapy. For each subject, the pain, grip strength and functional status scale were measured before and after treatment, While both groups showed significant improvements after treatment, more significant effects were found in the experimental group.

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Variations in the functions of Pitta Dosha as per gender and Prakriti

  • Agrawal, Sonam;Gehlot, Sangeeta
    • CELLMED
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    • v.7 no.4
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    • pp.18.1-18.8
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    • 2017
  • The Tridosha theory, which is the cornerstone of Ayurvedic physiology governs all the functions of human body and mind. Tridosha are responsible in determining one's Prakriti and their functional status may vary in both gender of different Prakriti. No research work is available to assess the functions of Dosha by objective parameters. Therefore, this study was planned to find out the variation in functional status of different types of Pitta, using certain objective parameters, in 201 young healthy volunteers of both gender belonging to different Prakriti. Serum level of triglycerides, cholesterol, total protein and glucose level were estimated for Pachaka Pitta and hemoglobin concentration for Ranjaka Pitta, visual acuity for Alochaka Pitta, memory and reaction time for Sadhaka Pitta and RGB value for Bhrajaka Pitta were measured. Except the functioning of Bhrajaka Pitta, variation in functional status of all type of Pitta was not the same in different Prakriti of both gender. However these findings were not significant which may have occurred due to small sample size and homogenous population. Thus we propose the consideration of sex differences while planning and evaluating the studies that are based on Prakriti.

Patterns and Related Factors of Fatigue during Radiotherapy in Patients with Breast Cancer (유방암 환자에서 방사선 치료 경과에 따른 피로 양상 및 관련 변수에 대한 연구)

  • Park, Jin-Hee
    • Korean Journal of Adult Nursing
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    • v.15 no.1
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    • pp.33-44
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    • 2003
  • Purpose: The purpose of this study was to identify the patterns and related factors of fatigue in patients with breast cancer undergoing radiotherapy. Method: 31 women with breast cancer receiving radiotherapy were recruited from the out-patient radiologic clinic of the university hospital in Seoul, Korea over a period of 3 months. Data was collected prospectively concerning three points for $5\frac{1}{2}\;-\;6\frac{1}{2}$ weeks : before radiotherapy(T1), 2 weeks after starting radiotherapy(T2) and the completion of radiotherapy(T3). Data were analysed by repeated measure ANOVA, Pearson correlaton, and multiple regression. Result: 1. Score of fatigue increased significantly over the course of radiotherapy. 2. Score of symptom distress and emotional distress increased and functional status scores decreased significantly over time. 3. Fatigue was positively related with symptom distress and emotional distress and negatively related with functional status over the course of radiotherapy. 4. At T2, emotional distress explained 24.7% of the variation in fatigue. At T3, symptom distress(41.9%) and emotional distress(7.2%) explained the variance in fatigue. Conclusion: The results of this study provided evidence that fatigue increased over the course of radiotherapy and symptom distress and emotional distress were influencing factors of fatigue in this group. The results of this study suggest that comprehensive intervention strategy for fatigue should be developed to maintain quality of life during and following radiotherapy considering these factors.

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Development and Evaluation of Community-based Respite Program for Family Caregivers of Elders with Dementia (치매노인 가족수발자를 위한 지역사회기반 휴식프로그램 개발 및 적용효과)

  • Cheon, Suk-Hee;Chang, Sung-Ok;Kong, Gye-Soon;Song, Mi-Ryeong
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.18 no.3
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    • pp.337-347
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    • 2011
  • Purpose: Purposes of this study were to develop a community-based respite program for family caregivers and to test the effects of the program. Methods: Focus group interviews were performed to extract meaning of respite care for family caregivers (13 participants) and a survey was done to identify respite needs of family caregivers (157 participants). The community-based respite program for family caregivers was developed based on results of the focus group interview and survey. The program was used with 41 participants (19 experimental and 22 control). Independent t-test and Mann-Whitney U-test were used to test differences between control and experimental groups for respite needs, burden of caregivers, subjective wellbeing, social support, fatigue and functional status of elders with dementia. Results: There were statistical differences in caregiver burden, subjective wellbeing, and social support after the program, but, none for respite needs, fatigue and functional status of elders with dementia. Conclusion: The results indicate that a respite program can be useful to decrease burden of caregivers and increase subjective wellbeing and perceived social support of family caregivers in community settings. Further intervention research is needed to increase the functional status of elders with dementia and decrease fatigue in caregivers.