• 제목/요약/키워드: Geriatric inpatients

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노인요양병원 입원환자들의 삼킴기능이 삶의 질과 일상생활동작에 미치는 영향 (The Influences of Swallowing Function on Swallowing-Quality of Life and Activity of Daily Living of Inpatients in Geriatric Hospital)

  • 백지영;오근배
    • 보건의료산업학회지
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    • 제7권1호
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    • pp.167-177
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    • 2013
  • This study was to evaluate the influences of swallowing function on quality of life and activity of daily living of inpatients in geriatric hospital. The subjects were consisted of elderly patients over the age of 65, 50 people in geriatric hospital of gwangju and jeonnam area. The results are as follows: First, swallowing function score of the subjects is $29.90{\pm}5.27$, SWAL-QOL score is $158.12{\pm}33.36$, ADL score is $80.40{\pm}22.91$. Second, swallowing function, SWAL-QOL details and ADL details of each other showed a statistically significant correlation. Third, the items of swallowing function affecting on quality of life are 'oral cavity in residue', 'to eat solid food', and 'phlegm obstructs the throat'. In conclusion, this study showed that swallowing function of inpatients in geriatric hospital is closely associated with the quality of life and the activity of daily living. Therefore, future development of programs for the improvement of swallowing function is required in order to improve the quality of life of inpatients in geriatric hospital.

요양병원 노인 입원환자의 스트레스가 우울에 미치는 영향: 자아존중감의 매개효과 분석 (The Effects of the Stress on Depression of Elderly Inpatients in Geriatric Hospital : Mediating Effects of Self-Esteem)

  • 권진;고민석
    • 디지털융복합연구
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    • 제15권12호
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    • pp.423-433
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    • 2017
  • 본 연구는 요양병원 노인 입원환자의 스트레스, 우울, 자아존중감과의 관련요인을 파악하고, 스트레스가 우울에 미치는 영향과 자아존중감의 매개효과를 분석하는데 목적이 있다. 이를 위해 서울 경기지역의 요양병원 노인 입원환자 218명을 대상으로 2017년 9월 4일부터 22일까지 설문조사를 실시하고, SPSS 23.0을 이용하여 분석하였다. 연구결과, 요양병원 노인 입원환자의 스트레스, 우울, 자아존중감은 다양한 인구사회학적 특성과 병원이용특성에 따라 통계적으로 유의한 차이를 보였다. 또한 스트레스는 우울에 유의한 정(+)의 영향을 미쳤으며(${\beta}=.297$, p=.000), 스트레스와 우울 간의 관계에서 자아존중감은 통계적으로 유의한 부분 매개효과가 있음을 확인하였다(Sobel Z=2.034). 따라서 요양병원 노인 입원환자의 우울을 예방하기 위해서는 노인 입원환자의 스트레스 관리와 더불어 자아존중감 향상 프로그램 등의 개발과 제공이 필요하다.

회상을 활용한 집단미술치료가 노인성질환 입원환자의 우울에 미치는 효과 (An Effect of Group Art Therapy by Way of Reminiscence on the Depression of the Elderly Inpatients with Geriatric Illness)

  • 김효정;최선남
    • 가정과삶의질연구
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    • 제28권1호
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    • pp.99-118
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    • 2010
  • This thesis is to inquire into the effect of group art therapy by way of reminiscence on the depression of the elderly inpatients with geriatric illness. The subjects are 20 inpatients whose age is over sixty in the Elderly Nursing Hospital located in K county. Among them, 10 inpatients are arranged as the experimental group, and the rest 10 inpatients, as control group. The research period is from February 28, 2009 to August 21, 2009. For the experimental group, the group art therapy by way of reminiscence is carried out during 21 sessions once a week for 60 minutes per session. For both the experimental group and the control group, pre and post test is carried out, and then after four weeks, the further test is carried out. The measurement tools are KGDS(Korean Form of Geriatric Depression Scale) and KHTP. The data are analyzed by SPSS(for Windows) and SAS(ver. 9.1.2), by which one-way ANOVA, two-way ANOVA, and Scheffe test are carried out. The results are as follows. First, the average of the whole elderly depression levels is shown significantly in the post test and the further test between the two groups. The art therapy group is more effective on the reduction of depression of the elderly inpatients with geriatric illness than control group. Second, it is shown that there is significant difference between the two groups in the the elderly depression by KHTP. The art therapy group is more effective in the improvement of the reduction of the elderly depression in view of KHTP. In conclusion, the group art therapy is an efficient intervention which enables to reduce the depression of the elderly inpatients with geriatric illness.

노인 뇌졸중 입원환자의 역학적 연구 (Epidemiologic Study of Geriatric Cerebrovascular Accident Inpatients)

  • 김수일;이미영
    • 한국전문물리치료학회지
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    • 제12권2호
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    • pp.98-104
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    • 2005
  • This study was done to research the general information, causes of stroke, risk factors, complications during admission of geriatric CVA inpatients. We retrospectively studied 208 above 65 years old geriatric CVA inpatients treated in Ajou university hospital from 1994 to 2003 by medical record. These were divided into two groups by following years. We were gathered information about sex, onset age, cause of stroke, number of stroke, complications, housing, family, insurance, smoking, alcohol. Most of incidence of the stroke was noted in the group of young old age (65~74 years old) and old age (75~84 years old). The occurrence rate of male stroke (38.5%) was less than of female stroke (61.5%) and the ratio of male to female was 1:1.6. The occurrence rate of ischemic stroke (72.6%) was higher than of hemorrhagic stroke. The occurrence rate of ischemic stroke increased more and more at the late stage. The most common risk factors for stroke was hypertension and complications during hospitalization were neurogenic bowl and bladder. These results of epidemiologic study may help above 65 years old geriatric CVA early treatment and prevention, rehabilitation and use basic data for multiple prospective study using stroke registry.

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노인환자 스크리닝 결과와 낙상위험도 간의 관계 (Associations Between Classification of the Geriatric Screening for Care-10 and the Morse Fall Scale)

  • 김윤숙;이종민;최재경;신진영;한설희
    • 한국의료질향상학회지
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    • 제23권2호
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    • pp.69-78
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    • 2017
  • Background: The purpose of this study was to examine associations between classification of the Geriatric Screening for Care-10 (GSC-10) and the Morse Fall Scale (MFS) among elderly inpatients. Methods: Among elderly inpatients aged over 65 admitted to hospital (from November 1, 2016 to July 31, 2017), the data for 5,780 patients (who were evaluated using the Morse Fall Scale and the Geriatric Screening for Care-10) were analyzed using x2-tests and t-tests to examine differences between the GSC-10 and MFS, according to general characteristics of elderly inpatients (i.e., gender) using IBM SPSS Statistics 24. Results: : Scores for the GSC-10 were significantly higher in women than men for depression (p<.001), delirium (p=.048), functional decline (p<.001), incontinence (p<.001), and pain (p<.001). Statistically significant differences in all domains of the GSC-10 for elderly hospitalized patients were found for the classification of fall risk. Conclusion: The findings of this study, as supported by the GSC-10, indicate that the most common problems experienced by the elderly are related to the risk of falling. In order to reduce the incidence of falls in elderly inpatients, customized fall prevention based on the GSC-10 results is necessary.

노인전문병원의 병동부문 공간구성에 관한 연구 (A study on the Spacial Composition for Ward in Geriatric Hospital)

  • 윤성중;이특구
    • 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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    • 제7권2호
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    • pp.59-69
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    • 2001
  • The purpose of this study is to provide a basic data for architectural planning on the wards and special quality of physical remedy spaces of geriatrics hospital. This research, to analyse dependency degree of inpatients in geriatric hospital, shows relativeness between remedy space and wards, and to show behavior of each patients reaction to there space. Result of interviewed inpatients who were sorted by age, sex, dependency degree, and days in hospital, suitable space programming is to need for physical and mental state. On the bases of survey and analysis, the basic data for planning and design the hospital for the elderly with dementia has been proposed.

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아로마 에센셜 오일을 이용한 외요도구 간호가 여성노인 환자의 외요도구 상태에 미치는 효과 (Effects of Meatal Care with Essential Oil on the Meatal Status of Elderly Women Patients)

  • 김진;김세영;노인선
    • 기본간호학회지
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    • 제22권2호
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    • pp.139-148
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    • 2015
  • Purpose: This study was done to examine the effects of meatal care with essential oil on meatal E-coli and pH of inpatients in geriatric hospital. Methods: The participants were 40 patients admitted to J geriatric hospital in G city, Korea. Twenty patients were assigned to the experimental group and 20 to the control group. Participants in the experimental group received meatal care with essential oil (application of essential oil mixture consisting of lavender, tea tree, and frankincense). The control group received meatal care with saline. The meatal care was performed twice daily for one week in both groups. The scores for meatal odor, meatal pH and bacterial count for E-coli were measured before and after the treatment. Results: The score for meatal odor were significantly lower in the experimental group compared to the control group. The meatal pH and bacterial count for E-coli significantly decreased in the experimental group compared to the control group. Conclusion: Findings indicate that meatal care with essential oil is an effective nursing intervention to reduce meatal odor, meatal pH and bacterial count for E-coli for elderly women inpatients in geriatric hospitals.

정준상관분석을 통한 60세 이상 노인에서 질병유형과 양상에 관한 연구 -의무기록정보를 활용하여- (A Study on the discase pattern and current status of geriatric inpatients who are over 60 years of age through the Canonical Correlation)

  • 김용하;김광환
    • 한국산학기술학회논문지
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    • 제10권2호
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    • pp.432-437
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    • 2009
  • 2007년 1월 1일부터 2007년 12월 31일까지 1년 동안 국내 K대학병원의 60세 이상 노인환자 9,955(34.6%)명을 대상으로 정준상관분석을 통한 질병구조와 양상을 파악하였다. 분석결과 설명력이 가장 큰 변수는 수술유무이었으며, 일반적으로 노인은 젊은 계층에 비하여 신체적으로나 정신적으로 허약하기 때문에 수술에 대한 판단을 고려하는 것을 알 수 있었다. 이상과 같은 연구를 토대로 체계적인 노인건강 프로그램 구축과 질병통계 기초 자료로 활용되기를 기대한다.

An Analysis of the Changes in Bone Mineral Density in Long-Stay Patients of a Geriatric Hospital in Relation to Physical Therapy

  • Lee, Sang-Min;Kim, Soon-Hee;Kim, Ji-Sung;Wang, Joong-San;Kim, Sung-Won;Kim, Nyeon-Jun;Lee, Sook-Hee;Min, Kyoung-Ok
    • 국제물리치료학회지
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    • 제2권2호
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    • pp.267-273
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    • 2011
  • The purpose of this study is to examine the changes in bone mineral density in long-stay patients of a geriatric hospital in relation to physical therapy, thereby providing basic data for preventing the onset or deterioration of osteoporosis in inpatients of geriatric hospitals or relevant facilities. The subjects of this study were 133 elderly patients who had been in H geriatric hospital in Yongin-si for more than four years. Their bone mineral density T-scores at admission and those after four years were measured to compare and analyze the changes in bone mineral density in relation to physical therapy. According to the results, the decrease in T-score for the group without physical therapy was greater by .40 than that for the group with physical therapy, indicating a statistically significant difference between the two groups(p<.01). Accordingly, physical therapy proved to be effective in preventing bone mineral density loss and maintaining the current density.

요양병원 치매노인의 장기입원 관련 요인 (Factors Associated with the Long-Stay Admissions in Geriatric Hospitals - Focused on Dementia's Inpatients -)

  • 이윤진;이상규;유창훈;김봄결;김태현
    • 한국병원경영학회지
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    • 제25권3호
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    • pp.29-37
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    • 2020
  • Purposes: The purpose of this study was to identify the factors related to the long-stay hospitalization of dementia patients aged 65 years or older who had received inpatient care at geriatric hospitals according to the minute facility characteristics and patient features. Methodology: This study was conducted on 317,353 cases of 1,512 geriatric hospitals using the Health Insurance Review and Assessment Service dataset. The data collected were processed using the SAS Enterprise Guide 4.3 for descriptive statistics, the chi-square test, and the binary logistic regression analysis. Findings: As a result of the study, in the facility characteristics of geriatric hospitals, the long-stay hospitalization of the aged with dementia were found to be related to the type of facility establishment, the number of hospital beds, the number of medical specialists, the number of nursing personnel, and the number of geriatric hospitals by region and province. In the personal features of patients, the long-stay hospitalization was found to be associated with the gender, age, insurance, and the patient classification groups. Practical Implication: Considering the results of this study, it seems that securing the sufficient medical personnel in a geriatric facility, providing the good quality medical services, and preparing the appropriate discharge plan can reduce the unnecessary long-stay hospitalization and spend the medical expenses for the older patients.