• 대한영양사협회학술지
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• 제18권4호
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• pp.356-371
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• 2012

This study was carried out to investigate the job performance, perception of job importance, and job satisfaction in dietitians working in geriatric hospitals in Busan. A survey was conducted from April 28 to June 30, 2011, and the data were analyzed using the SPSS program. The age of over 41 group showed higher job performance in terms of sanitation and safety management than the age of under 25 group but showed lower job performance in terms of nutrition management than the age of 31~40 group. The subjects who worked for shorter than 2 years at their present jobs showed the lower job performance in terms of menu management and accounting management than the other groups, whereas those who worked in 'over 200 bed' hospitals showed the higher job performance in terms of sanitation and safety management than the others. The subjects who worked for longer than 6 years showed the higher job satisfaction in terms of communication and working environment than the others. Job performance showed a significant positive correlation with perception of job importance, whereas it showed no significant correlation with job satisfaction. More work experience correlated with a higher monthly income, and younger workers showed higher job performance. Younger age and more work experience at a present job correlated with a higher perception of job importance. More work experience at a present job, higher monthly income, and shorter work experience were correlated with higher job satisfaction. These results suggest that it would be effective to adopt training programs for appropriate nutrition service and provide continuous education programs for professional development.

• 지역사회간호학회지
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• 제9권1호
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• pp.89-103
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• 1998

The elderly population will increase from 5.8% in 1996 to 12.5% in 2020. The related problems of health will also become a very important issue in the future. Therefore it is important to address the problems of geriatric nursing and geriatric health. 87.6% of the aged were ill with chronic degenerative diseases in 1994. In 1995, hospital admission rates (86.8) for those aged 60 or older were higher than that (56.3) of the total age group. Such high medical utilization will increase national health costs. For the development of geriatric nursing, active nursing intervention in various settings combined with education and research should be developed. Considering the health and welfare of the aged and the present status and views in Korea, I suggest the following: First, the health needs of the elderly in the institution, must be met by a plan that fosters geriatric nurses and programmed service development. Second, health service for the residential elderly must be provided in day care centers, short stays, nursing homes and geriatric hospitals. Geriatric nursing services should be provided in home residential areas, public health centers, public health subcenters as well as having, community health practitioners in primary health care posts and home health nurses. Third, geriatric nursing curriculum must be developed adjust to situations and culture of Korea and be included in the nursing curriculum. And gerontological nurse practitioner or geriatric specialist must be fosteraged to provide the professional care for the aged. Geriatric nursing research should be also achived for geriatric nursing improvements.

• 한국산학기술학회논문지
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• 제18권6호
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• pp.449-458
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• 2017

본 연구는 요양병원 간호사의 임종간호스트레스, 간호근무환경과 소진 정도를 파악하고, 소진과의 관련요인을 분석하기 위한 서술적 상관관계 연구로, 2016년 10월 1일부터 10월 31일까지 B광역시에 있는 8곳의 요양병원 간호사 195명을 대상으로 임종간호스트레스, 간호근무환경, 소진에 관하여 구조화된 설문지로 자료를 수집하였고, SPSS win 21.0 프로그램을 이용하여 분석하였다. 간호사가 경험하는 대상자의 임종간호스트레스는 평균평점 $3.84{\pm}0.56$이며, 간호근무환경은 평균평점 $3.25{\pm}0.60$이며, 소진 정도는 평균평점 $2.93{\pm}0.52$로 나타났다. 대상자의 임종간호스트레스와 소진과는 상관관계를 보였고 (r=.206, p=.004), 간호근무환경과 소진의 상관관계는 역 상관관계를 보였으며 (r=-.431, p<.001), 소진에 가장 중요한 유의한 변수는 간호직 만족도 (${\beta}=-.302$)이었으며, 간호근무환경 (${\beta}=-.294$), 나이 (${\beta}=.286$), 근무형태 (${\beta}=-.17$), 임종간호스트레스 (${\beta}=.164$)순으로 나타났다. 전체 설명력은 41.2%였다. 따라서 요양병원 간호사의 소진을 최소화하기 위하여 간호사로서의 자긍심과 책임감을 가질 수 있는 지지적인 근무환경 조성 및 인센티브 제공, 효율적인 업무분담과 임종간호교육 프로그램 개발 및 스트레스를 완화할 수 있도록 행정적 차원이 필요하다고 사료된다.

• 한국임상보건과학회지
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• 제4권2호
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• pp.593-602
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• 2016

Purpose. The purpose of this study was to investigate knowledge, stress and nursing performance about care for delirium in geriatric hospital nurses. Methods. For this study, data were collected from 242 nurses employed at geriatric hospitals with the capacity of more than 100 beds which were located in A, P and Y cites. Frequency analysis, t-test and one-way ANOVA were utilized to analyze the data and Scheffe test was used to conduct post-hoc tests. Results. Nurses showed significant differences in the level of Knowledge, as well as terminal care performance by marital status, nursing experience. A significant relationship was found between knowledge, stress and Delirium care performance. Conclusion. This study found nurses perform delirium care with a high level of stress but with insuffiecient understanding, and thus, showed great needs for related training. Such findings can be useful to develop educational programs to improve knowledge on delirium and plans to reduce stress from delirium for geriatric hospital nurses.

• 보건의료산업학회지
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• 제10권1호
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• pp.53-66
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• 2016

Objectives : The aim of this study was to identify the effects of nursing performance and innovative behavior on the self-leadership of geriatric hospital nurses. Methods : The participants in this study were 206 nurses working in geriatric hospitals in Busan, Ulsan and Yangsan City. Data were collected from October to November, 2015. A structured questionnaire was used for the data collection, and the data were analyzed with the SPSS/WIN program. Results : Nursing performance and innovative behavior positively correlated with self-leadership. The most significant predictors of self-leadership were nursing performance and innovative behavior. Conclusions : These findings suggest that nursing performance and innovative behavior were linked to self-leadership. The results of this study can be used to help develop self-leadership programs.

• 한국콘텐츠학회논문지
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• 제13권12호
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• pp.900-909
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• 2013

본 연구의 목적은 요양병원에 입원한 알츠하이머 치매환자의 재원기간에 영향을 미치는 요인을 분석하는 것이다. 분석 자료는 건강보험심사평가원의 2009년 환자표본데이터를 사용하여 추출하였고, 요양병원에 입원한 65세 이상의 노인이면서 알츠하이머 치매로 입원한 178개 병원의 총 538명을 분석에 이용되었다. 요인은 환자 측 변수와 요양병원의 구조특성변수이며, 환자특성변수는 성별, 연령, 중증도를 사용하였고, 중증도는 요양병원 수가처치 코드를 이용하여 5개의 그룹(의료고도, 의료중도, 문제행동군, 인지장애군, 의료경도)으로 분류하였다. 구조특성변수는 병상수, 의사수, 간호사수, 그리고 CT 보유수를 연구모형에 포함하여 분석하였다. 다중회귀분석결과에서 병원의 구조변수는 환자의 재원기간에 통계학적으로 유의한 영향은 없었다. 환자변수 중에서 중증도의 경우 의료고도와 문제행동군에서 통계학적으로 유의한 영향을 미치는 것으로 나타났으나 모두 음의 관계를 갖는 것으로 나타났다. 이는 중증도가 높은 의료고도에서 레퍼런스 그룹인 의료중도에 대해 양의 관계를 가질 것이라는 예상과는 상반된 결과였다. 이러한 결과는 알츠하이머 치매환자의 특성과 병원의 구조적특성이 환자의 재원일수 변이에 큰 영향을 미치지 않는다는 가능성을 시사하고 있다. 요양병원은 일반 급성기 병원과는 다른 환자의 질병 특성을 지니고 있고, 수가 지불체계에 대해서도 다른 특성을 가진다. 특히 최근 대두되는 '사회적 입원' 문제와 같이 환자의 사회경제적인 요인에 의한 변이가 대두되는 시점에서, 재원기간에 영향을 미칠 수 있는 사회경제적인 요인에 대한 연구가 지속적으로 필요할 것으로 보인다.

• 대한간호학회지
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• 제6권2호
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• pp.1-9
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• 1976

Presently, there is increasing demand for geriatric nursing care because of increasing preparation of elderly population due to extended age. Of particular importance in determining the effectiveness of nursing care given to the elderly is the attitude of the nurse toward the elderly patient. Knowledge of the various changes that usually occur with aging will enable the nurse to help an aged Person maximize his potential in illness and in health. The objectives of this study were : 1. To delineate the attitudes of nurses toward the geriatric nursing care. 2. To learn the influencing factors affecting the attitudes of nurses toward the geriatric nursing care. The study population defined and randomly selected is 225 nurses at one general hospital, one private hospital, two national hospitals in Seoul during the period of October l0th -20th, 1975. The questionnaire method was used. Respondents were 140 nurses. X$^2$- test and t- test were employed in analyzing the data. The questionnaire form included 54 statements which concerned the attitudes of nurses to-ward geriatric nursing care. It was divided into five areas : 1) General characteristics of study population. 2) The nurse's concepts of elderly. 3) Care of the geriatric patient. 4) Interpersonal relationship with geriatric patient. 5) Teaching of the geriatric patient. Each of the 54 statements of the questionnaire was considered to be either Positive or Negative. A Positive response was assigned the value of＋1 , and a Negative response or no response was assigned the value of O. The results of the study were as follows : 1. The Investigation of attitudes of nurses toward geriatric nursing care. a. Data indicated , respondents have negative attitudes in their. concepts of elderly (74.3%) b. Data indicated respondents have positive attitudes in care of geriatric patient (64.3%). c. Data indicated respondents have positive attitudes in interpersonal relationship with geriatric patient (85% ). 4. Data indicated respondents have positive attitudes in teaching of geriatric patient (89.3%). 2. The results of study regarding the five hypothesis were as follows : a There was significant difference in the mean scores between the attitudes of nurses toward the geriatric nursing care and level of education of the nurse. b. There was no significant difference between the attitudes of nurses toward the geriatric nursing care and clinical experience, but there was significant difference between care of the geriatric patient and clinical experience. c. There was no significant difference between the attitudes of nurses toward the geriatric nursing care and shift most frequently worked, but there was significant difference between care of the geriatric patient and shift most frequently worked. d. There was no significant difference in the mean scores between the attitudes of nurses toward the geriatric nursing care and marital status, but there was significant difference in the mean scores between interpersonal relationship, teaching of geriatric patient and marital status. e, There was no significant difference in the mean scores between the attitudes of nurses toward the geriatric nursing care and experience with elderly, but there was significant difference in the mean scores between care of geriatric patient and experience with elderly.

• 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.

• 한국보건간호학회지
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• 제28권3호
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• pp.605-618
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• 2014

Purpose: The purpose of this study was to examine the effect of a swallowing rehabilitation program for elderly on the stage of dysphagia, nutritional status, and swallowing-quality of life. Methods: The research design was Pretest-Posttest Nonequivalent Groups Design. The subjects of this study consisted of 85 elderly patients hospitalized at geriatric hospitals between August 23rd and October 25th in 2012. Eighty five research subjects were assigned to experimental (42 patients) and control (43 patients) groups. The rehabilitation program was provided to the experimental group 5 days per week for 8 weeks. The effects were evaluated by measurement of Mid-upper Arm Muscle Circumference (MAMC), Total Lymphocyte Counts, albumin, Total Cholesterol, and Swallowing Quality of Life (SWAL-QOL). The collected data were analyzed with x2-test and independent t-test using PASW WIN 18.0. Results: Changes in the stage of dysphagia were not significant (p>.05). In nutrition status, the degree of MAMC points in the experimental group was significantly increased compared with that in the control group (t=2.36, p=.021). In swallowing quality of life, the score of SWAL-QOL in the experimental group was significantly increased, particularly burden (t=3.34, p=.002), frequency (t=2.68, p=.011), fear (t=2.44, p=.019), mental health (t=2.47, p=.018), and sleep (t=2.08, p=.044). Conclusion: Based on the results, this swallowing rehabilitation program for elderly would be helpful in promoting their nutritional status and swallowing-QOL in geriatric hospitals.

• 약학회지
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• 제58권2호
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• pp.129-140
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• 2014

Background: As elderly population has been increasing, pharmacists need to possess special knowledge and skills to provide enhanced pharmaceutical care for senior patients. Purpose: This study aims to systematically review on (1) the certified geriatric pharmacists (CGP) system, (2) the curriculum related to geriatric pharmacy education, and (3) the CGP's performance in terms of clinical, economic and humanistic outcomes in the U.S. Method: The information related to CGP system and curriculum was obtained through the official websites of 'American Society of Consultant Pharmacists', 'Commission for Certification in Geriatric Pharmacy' and the selected pharmacy school samples. Articles about on the outcomes of pharmacist-provided cognitive services including Medication Therapy Management were searched through PubMed. Results: To gain the CGP credential, pharmacists need 2-year experience as pharmacist in advance and take the CGP examination. This certification must be renewed every 5 year. Most pharmacy schools provide geriatric-related curriculum through didactic or pharmacy practice classes for pharmacy students and certificate or dual degree in gerontology are given on completion. Most previous outcomes research reported that pharmacists have played a role in yielding favorable results regarding clinical, economic and humanistic outcomes for nursing facilities, hospitals and community pharmacy settings. Conclusion: Considering the organized CGP certification system and concrete educational courses established the basis for pharmacists to exert their ability for senior patients of the U.S., it is suggested to build a geriatric pharmacist credential model for pharmacists to provide the increasing elderly patients with the requisite safe and effective pharmacy care in Korea.