• Title/Summary/Keyword: Geriatric nursing

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A Comparative Study on Elderly Care Attitude and Dementia Communication Behavior beforeand after Geriatric Nursing Practice (노인간호실습 전후 간호대학생의 노인돌봄태도와 치매의사소통행위의 비교 연구)

  • Moon, Suk-Ja;Lee, Ji-Hye
    • Journal of Industrial Convergence
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    • v.19 no.5
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    • pp.61-67
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    • 2021
  • This study is a one group pretest-posttest design study to confirm the effect of geriatric nursing practice on elderly care attitude and dementia communication behavior of student nurses. The study was conducted from September to December, 2018. Data were collected through self-report questionnaires of 59 student nurses. The data were analyzed by frequencies and paired t-test using SPSS 21.0 program. As a result, elderly care attitude and dementia communication behavior were significantly increased after the geriatric nursing practice compaired to before the geriatric nursing practice. The results of this study can be used as basic data for the composition of the practice curriculum for student nurses to improve their competence as nurses in the future.

A Study on the Knowledge, Attitude and Nursing practice of the nurses-towards the Elderly in Geriatric Hospitals (노인전문병원 간호사의 노인에 대한 지식, 태도 및 간호실천)

  • Kwon, Yunhee;Lee, Haw Yean;Hwang, Seung Sook
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.14 no.11
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    • pp.5785-5791
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    • 2013
  • This study was carried out to investigate relations among knowledge, attitude, and nursing practice, and influencing factors on nursing practice of the nurses-towards the elderly in geriatric hospitals. Data were collected from March 17 to April 20, 2013 by questionnaires from 188 nurses who work at 12 geriatric hospital in D city and K city. The data were analyzed by the SPSS and AMOS programs. The subjects' knowledge score was 0.49 out of 1, attitude score of subjects 3.72 out of 7, and their nursing practice score was 3.54 out of 4. There were significant differences in nursing practice among the subjects due to age, duration of employment, current gerontological nursing education, and living with the elderly people. There were significant positive correlations among knowledge, attitude, and nursing practice. According to the research, influencing factors on nursing practice of the nurses-towards the elderly in geriatric hospitals included knowledge, attitude, and current geronological nursing education.

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

  • Kim, Jin;Kim, Se-Young;No, In Sun
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.22 no.2
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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.

A Study on Depression and Activities of Daily Living among Elderly Patients in Geriatric Hospitals (요양병원 노인 환자의 우울과 일상생활 수행능력에 관한 연구)

  • Hong, Ji-Youn;Hwang, Seon-Young
    • Korean Journal of Adult Nursing
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    • v.22 no.5
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    • pp.457-465
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    • 2010
  • Purpose: This study was conducted to examine the degrees of depression and activities of daily living (ADLs), and to identify factors that predict depression in elderly patients. Methods: The sample was149 patients (80% female; mean age 79.1) from three geriatric hospitals located in small cities and who agreed to participate in the study. Data were collected by staff nurses involved in direct patient care from October to September 2009. The level of depression was measured on a daily basis for seven days using a 13-item scale. Patients' ADLs was measured using a modified 10-item Bathel ADLs scale. Data were analyzed using SPSS/WIN 17.0. Results: Mean depression score was $10.05{\pm}4.77$ out of 26 points and about 27% was assessed as depressed with more than 13 points. Multiple regression analysis showed that low educational level, absence of spouse and fewer family visits predict depression. In addition, low ADLs and sleep disturbance predict depression. Conclusion: Nursing care providers need to be concerned about ADLs of older patients and should develop nursing activity programs to increase their in-hospital physical activities. It is also important care for older patients' sleep and encourages family visits to decrease their depression.

Development of a Korean Geriatric Suicidal Risk Scale (KGSRS) (한국형 노인자살위험 사정도구 개발)

  • Lee, Sang Ju;Kim, Jung Soon
    • Journal of Korean Academy of Nursing
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    • v.46 no.1
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    • pp.59-68
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    • 2016
  • Purpose: Increase in suicide rate for senior citizens which has become widespread in our society today. It is not a normal social phenomenon and is beyond the danger level. The contents of this study include Korean senior citizens' suicide related risk factors and warning signs, and the development of a simple Geriatric Suicide Risk Scale. Methods: This study is Methodological Research to verify reliability and validity of the Geriatric Suicide Risk Scale according to the tool development process suggested by Devellis (2012). Results: For predictive validity assessment, high suicide screening accuracy was showed with an Area under the ROC curve (AUC) of .93. For the optimal cutoff point of 11, sensitivity was 93.9%, and specificity, 75.7% which are excellence levels. Cross validity for assessment of generalization possibility showed the Area under the ROC curve (AUC) as .82 and in case of a cutoff point of 11, sensitivity was 73.7%, and specificity, 65.9%. Conclusion: When it comes to practical nursing, it is significant that the Korean Geriatric Suicide Risk Scale has high reliability and validity through adequate tool development and the tool assessment step to select degree of suicide risk of senior citizens. Also, it can be easily applied and does not take a long time to administer. Further, it can be used by health care personnel or the general public.

The Factors Related to Depression of the Elderly Patients in Geriatric hospital (요양병원 입원 노인의 우울 관련요인)

  • Kim, Myung-Hee;Kim, Yun-Kyung
    • Journal of Society of Preventive Korean Medicine
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    • v.16 no.3
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    • pp.27-35
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    • 2012
  • Objective : The study was designed to identify the factors related to depression of the elderly patients in geriatric hospital. Method : The subjects consisted of 198 old people who admitted in three geriatric hospital located in Daegu City. The Data was collected through interview with questionnaire from July 16 to August 16, 2012. Results : The general characteristics which significantly affected depression was perceived health status(F=18.158, p=.000). There was a slightly negative correlation between activity daily living & depression(r=-.378,p=.000) and strongly negative correlation between life satisfaction & depression(r=-.573, p=.000). Among the factors related to depression of the subjects, life satisfaction had highest expanatory power of 32.8%. Conclusion : The finding of this study provide useful information for constructing an intervention program and care for the elderly patients in geriatric hospital with depression.

Characteristics and Mortality Risk Factors in Geriatric Hospital Patients visiting One Region-wide Emergency Department (일 권역응급의료센터를 방문하는 요양병원 환자들의 특성 및 사망 위험요인)

  • Kim, Kyoung Wan;Jang, Soongnang
    • Research in Community and Public Health Nursing
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    • v.27 no.4
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    • pp.327-336
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    • 2016
  • Purpose: This study was to examine the clinical characteristics and mortality risk factors of geriatric hospital patients who visited one region-wide emergency department (ED). It's basically meant to develop criteria for the patient management of geriatric hospitals and to provide related information. Methods: A retrospective research study was implemented using electronic medical records. The subjects in this study included 484 geriatric hospital patients who were selected from among 15,994 patients that visited one region-wide ED between January 1, 2014, and December 31, 2015. Results: There were significant differences in death, a change for the better and no change for the better, which were results of treatment, according to the length of stay in hospital, hospitalization in a general ward, not having an operation or surgery, the presence or absence of malignant neoplasm, the insertion of foley catheter, intubation, ventilator and the insertion of central venous catheter. Conclusion: The results of this study suggest that a patient management system is necessary in geriatric hospitals and that competent healthcare workers who can properly respond to emergencies are required as well.

Study on Case-Mix in Long-Term Care Facilities for Elderly (장기요양시설 노인의 환자구성에 관한 연구)

  • Jeon, Yi-Jee;Kim, Suck-Il;Hum, Yu-Seung;Yi, Sang-Wook
    • Korea Journal of Hospital Management
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    • v.6 no.3
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    • pp.130-147
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    • 2001
  • This study is about major symptoms of elderly and medical services for elderly in long-tenn care facilities. The subject of this study was 298 patients over 00 years old staying in two geriatric hospitals and two nursing homes. The symptoms and medical services were level of patient classification from RUG(Resource Utilization Group)-III which is applied for both Medicare and Medicaid for skilled nursing facilities reimbursement system in US and designed for measuring patient characteristics and medical staff time. This classification is explained by each patient resource(staff time) utilization level which is called CMI(Case-Mix Index). In this study, the symptoms and services were compared by facility type and they were categorized by level and compared by CMI. Major findings are as follows; 1. There were more elderly who have cognitive function problems in nursing homes than patients in geriatric hospitals. There were more patients with behavioral problems in geriatric hospitals than residents in nursing homes. These results were both statistically significant. 2. The patients in geriatric hospitals received significantly more nursing rehabilitation services, rehabilitation services and extensive services than residents in nursing homes. Other hands, special care services were provided significantly more to residents in nursing homes than elderly in geriatric hospitals. 3. ADL and depression variables had higher CMI when the symptoms were heavier condition. The CMI were not matched with levels of cognitive function problems and behavioral problems. 4. The CMI matched well significantly with levels of nursing rehabilitation services, special care services, and clinically complex services provided for the patient in geriatric hospitals and only nursing rehabilitation services in nursing homes. The CMI for rehabilitation services level and extensive services had regular trends. From the result of this study, the resource utilization level and services provided for elderly in each long-term care facilities were figured out. For the further study, it needs to have more concern about RUG-ill which classification variables were just analyzed.

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Nurses' Experiences of Caring with Demented Oder Persons (간호사의 치매노인에 대한 돌봄 경험)

  • Kim, Chun-Gill;Lee, Young Hee
    • Korean Journal of Adult Nursing
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    • v.24 no.5
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    • pp.454-465
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    • 2012
  • Purpose: The aim of this study was to understand the nurses' experiences of caring for demented older persons in geriatric in care facilities. Methods: The subjects were ten nurses employed in geriatric care facilities. Open in-depth interviews were used to collect data from January, 2010 to October, 2010. The Colaizzi phenomenological method was used for data analysis. Results: The experiences of nurses' caring for patients with dementia were divided into the following six categories: 'new encounter', 'understanding of intention and satisfying', 'dilemma of caring', 'contriving of comfort', 'comprehensive coordinator', and 'being present'. There were 15 clusters of themes. The subjects stated that the best caring for the demented older persons were 'encounter, knowing, and being with them'. Conclusion: Nurses' caring could improve the quality of life for demented older patients in geriatric care facility. These results suggest that institutional, administrational strategies and schemes need to cluster around the relationship with patients who would include encounter knowing and being with them.

The Effect of Health Status on Sleep Quality and Quality of Life among Elderly patient in geriatric hospitals (요양병원 입원노인의 건강이 수면과 삶의 질에 미치는 영향)

  • Kim, Eun-Ha;Moon, Sun-Young
    • Journal of Digital Convergence
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    • v.12 no.11
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    • pp.415-426
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    • 2014
  • The purpose of this study is to analyze the effect of health status on sleep quality and quality of life among elderly patients in geriatric hospitals. A survey was held to the elderly patient of 5 geriatric hospitals in Kyunggi-do and Busan from May 8 to May 28, 2013. As result of factor analysis, the health status divided to the 7 domain: Emotional function, Strength, Daily activity, social role, Change of body, Social function and pain. Pain and Emotional function revealed the negative effect on sleep quality and Change of body and Daily activity were positive effect on quality of life. In conclusion, it is need to improve sleep quality through finding pain and emotional problem in elderly patient, and in order to upgrade nursing in geriatric hospitals, it have to develop nursing strategies considering the geriatric hospital for health screening and health promotion to take care of daily activity and change of older's body.