노인치위생학 교육과정 개선에 대한 요구도 분석

김여주 ( Yeo-ju Kim ),장종화 ( Jong-hwa Jang ),조자원 ( Ja-won Cho ) 한국치위생학회(구 한국치위생교육학회) 2020 한국치위생학회지 Vol.20 No.6

Objectives: This study aimed to analyze the educational needs for geriatric dental hygiene and provide basic data for developing standard curricula for geriatric hygiene. Methods: To investigate the educational needs for geriatric dental hygiene, 212 students from dental hygiene departments and 205 dental hygienists engaged in clinical practice were enrolled. Results: Among the educational needs for geriatric dental hygiene, Geriatric oral health issues category was the highest with 4.06 points for students and 4.05 points for dental hygienists. Students who completed a geriatric dental hygiene course had higher scores for the following sub-domains compared to those who did not: need for geriatric dental hygiene-related theoretical education (p=0.002), needs for practice education with elderly people (p=0.001), and confidence in performing oral healthcare for elderly people after graduation (p< 0.001). Meanwhile, clinical dental hygienists who not completed geriatric-related courses had higher scores for, need for geriatric dental hygiene-related theoretical education, need for practice education with elderly people, and confidence in performing oral healthcare for elderly people. but, there was no significant difference (p >0.05). Conclusions: The results of this study showed that students and dental hygienists had high educational needs for geriatric dental hygiene. In particular, there was a high demand for education related to Geriatric oral health issues as well as Geriatric dental hygiene care and skills

요양보호사의 직무스트레스와 직무만족 간의 관계

임정도(Jung-Do Lim) 한국콘텐츠학회 2011 한국콘텐츠학회논문지 Vol.11 No.1

본 연구는 노인장기요양보험법에 의해 부산지역에서 노인요양과 관련된 기관에서 노인요양 업무를 수행하고 있는 요양보호사 355명을 대상으로 하였다. 분석방법은 소속기관에 따른 요양보호사의 직무스트레스, 스트레스 대처경험과 대처노력, 그리고 직무만족의 차이를 살펴보기 위하여 t-test를 실시하였으며, 소속기관에 따라 요양보호사의 직무만족에 영향을 미치는 요인들을 분석하기 위하여 회귀분석을 실시하였다. 본 연구의 분석 결과를 요약하면 다음과 같다. 첫째, 요양보호사의 직무스트레스는 요양병원 요양보호사가 요양시설 요양보호사 보다 적게 받고 있는 것으로 소속기관에 따라 유의한 차이가 있었으며, 요양보호사의 직무만족도는 요양시설에 요양보호사가 요양병원 요양보호사보다 높은 것으로 소속기관에 따라 유의한 차이가 있었다. 둘째, 요양보호사의 스트레스 대처경험과 대처노력은 소속기관에 따라 유의한 차이가 있었다. 셋째, 요양보호사의 직무만족 영향요인은, 요양병원 요양보호사의 경우 고용형태ㆍ업무 스트레스ㆍ환자와의 스트레스 요인이었으며, 요양시설 요양보호사의 경우는 평균임금ㆍ고용형태ㆍ관리환자 수ㆍ업무 스트레스ㆍ근무조건 스트레스ㆍ환자와의 스트레스이었다. 그러나 소속기관 관계없이 공통적인 영향요인은 고용형태가 정규직인 경우, 업무 스트레스가 낮을수록, 환자와의 스트레스가 높을수록 직무만족이 높다는 것이었다. The research on the analysis of relationship between job stress and job satisfaction has been conducted targeting 355 Geriatric Care Helpers who are caring for the elderly people in the geriatric care centers in the area of Busan by the Act of Long-term Care Insurance for the Geriatric. As the method for the analysis t-test was conducted to investigate their job stress, counter-stress experience and effort, and job satisfaction. Also regression analysis was conducted to analyse the factors having effect on the job satisfaction of geriatric care helpers. The results of analysis can be summarized as following. First, job stress of geriatric care helpers at hospitals has shown significant difference from that at geriatric care centers, while job satisfaction of geriatric care helpers at care centers has shown some difference from that at hospitals. Second, measurement experience and effort of job stress was shown to some difference according to each institution. Third, the effect factors on geriatric care helpers were employment type, job stress, stress with patients in the case of hospitals, while those on geriatric care helpers were average wage, employment type, the number of charging patients, job stress, job requirement stress, and stress with patients. However, regardless of the type of employed institution, job satisfaction was shown high in case of full time job, low job stress, and high stress with patients.

국내 노인치위생학 교육과정 현황분석

김여주 ( Yeo-ju Kim ),장종화 ( Jong-hwa Jang ),조자원 ( Ja-won Cho ) 한국치위생학회(구 한국치위생교육학회) 2020 한국치위생학회지 Vol.20 No.6

Objectives: This study aimed to analyze the current status and educational contents of the geriatric-related curriculum in dental hygiene departments at colleges across the country. Methods: To analyze the current status of geriatric curriculum, it was investigated by searching the websites of colleges across the country where dental hygiene (curriculum) department was available. Furthermore, a literature review of domestic and foreign textbooks related to geriatric dental hygiene was conducted to analyze the contents of geriatric dental hygiene curriculum. Results: Among colleges that offer dental hygiene (curriculum) department, 8 four-year and 12 three-year colleges (24.4%) offered geriatric dental hygiene courses. A comparison of the contents of the textbooks titled “Geriatric dental hygiene” published by Goonja, Daehan Narae, and Komoonsa showed that basic contents such as the characteristics, health problems, and oral health problems of elderly -people were described in the same context. However, there was a difference in the volume and importance of the concerned contents also. Conclusions: Universities and related organizations which offer dental hygiene curriculum should continue to conduct studies for the development of geriatric hygiene curricula. Moreover, heightened efforts are needed to ensure that geriatric dental hygiene education is more systematically offered.

노인증후군과 임상적용

유형준 대한의사협회 2014 대한의사협회지 Vol.57 No.9

A decline in organ function, accompanying risk factors, and diseases altogether make disease presentation-diagnosismanagementobscure. Geriatric clinical situations are rarely simple. Geriatric syndromes are clinical conditionsthat are highly prevalent in aged persons, have multifactorial pathophysiology, and associated with considerablemorbidity and poor quality of life. Geriatric syndromes are associated with increased risk of activities of daily livings)loss and death rate. There are 3 approaches to Geriatric syndrome management, such as traditional approach bydiagnosis and treatment, geriatric approach by risk factor assessment and reduction, and ‘mom. approach through3 domains. In older patients, complicated associations of multiple contributors generally cause a single symptom,which is accompanied and accumulated by multiple impairments. The management of geriatric syndromes includesthe treatment of multiple contributors, the treatment of one geriatric symptom or sign, the management of multipleoutcomes, and prevention. I'd like to name this approach as ‘mom. approach after the acronym of multiplecontributors, one phenotype, and multiple outcomes. The understanding of geriatric syndromes will be an importantstepping stone in clinical practice of geriatrics.

미국의 노인전문약사 제도에 대한 체계적 고찰: 인증, 교육 및 성과

남혜연,조은 대한약학회 2014 약학회지 Vol.58 No.2

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 out-comes 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 exam-ination. 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 com-pletion. 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.

Influence of Emotional Labor, Empathy Competence and Communication Competence on Nursing Stress of the Aged with Cancer

Eun Ae Hong,Hwasoon Kim,Young Whee Lee,Ji Young Lim 한국간호과학회 2021 한국간호과학회 학술대회 Vol.2021 No.10

Aim(s): The purpose of this study was to investigate the levels of emotional labor, empathy competence, communication competence and geriatric nursing stress experienced by nurses caring for elderly patients in cancer hospitals, and to identify how emotional labor, empathy competence and communication competence affect geriatric nursing stress levels. Method(s): The subjects were 155 nurses with more than 6 months of experience at a cancer hospital located in Gyeonggi-do, and the data was collected using a questionnaire. The collected data were analyzed with descriptive statistics, independent t-test and one-way ANOVA, Scheffe"s test, Pearson correlation coefficient, and multiple regression analysis. Result(s): The mean scores of geriatric nursing stress and emotional labor were 2.89±0.39 and 3.64±0.41 respectively. Empathy competence was 3.71±0.41 and communication competence was 3.60 ±0.43 on average. Geriatric nursing stress was significantly different by education (F=3.18, p=.026), marital status (t=2.65, p=.009), clinical experience (F=4.61, p=.004), and difficulties of the aged nursing (t=3.54, p=<.001). In multiple regression analysis, elderly nursing work (β=0.31, p=<.001), clinical experience (β=0.22, p=.004), and emotional labor (β=0.19, p=.016) were significantly affected geriatric nursing stress and those variables explained 15.1 percent of the variance (F=10.11, p=<.001). Conclusion(s): In conclusion, the emotional labor of nurses was identified as a major factor influencing the geriatric nursing stress. Therefore, it is needed that various efforts, including the development of policy alternatives and programs at the hospital level, are needed to reduce the emotional labor experienced by nurses in the field in order to reduce the stress level of nursing care for the geriatric.

Why Geriatric Medicine Is Important for Korea: Lessons Learned in the United States

원장원,김선영,Daniel Swagerty 대한의학회 2018 Journal of Korean medical science Vol.33 No.26

With the rapid increase in the number of Korean older adults, developing and integrating quality, expert older adult care in the Korean health care system will be essential and a tremendous benefit to these older adult patients, their families, and Korean society. While the awareness of geriatric medicine as a specialty for physicians caring exclusively for older adults has improved greatly in recent decades among Korean health care providers and older adult patients, there is still great opportunity to improve training opportunities for all medical students, primary care physicians, and specialty Geriatrics. Korea must also formally establish uniform geriatric medicine fellowships and certification. However, a number of barriers such as insufficient expertise, low incentives, and competitive geriatric societies exist to implement widespread, quality geriatric medicine in the Korean health care system.

노인요양시설 요양보호사의 구강관리 및 노인구강위생관리에 따른 구강보건지식 수준

김경민 ( Kyung Min Kim ),박영남 ( Young Nam Park ),이민경 ( Min Kyung Lee ),이정화 ( Jung Hwa Lee ),윤현서 ( Hyun Seo Yoon ),진혜정 ( Hye Jung Jin ),김혜진 ( Hye Jin Kim ) 한국치위생학회(구 한국치위생교육학회) 2014 한국치위생학회지 Vol.14 No.5

Objectives : This research was conducted to investigate geriatric care workers`` oral care, and the oral care conditions of residents of elder care facilities in relation to workers`` knowledge of oral care. Methods : A survey was conducted from November 2011 to February 2012 with geriatric-care workers in elder care facilities located in Busan and other areas of Gyeongsangnam-do. Results : With regard to their oral self-care practices, 52.5% of the geriatric workers brushed their teeth from top to bottom and 58.1% brushed their teeth 3 times a day. Further, 52.0% did not use any oral care products, while 36.5% used Mouthrinese. The workers who brushed their teeth in their own ways or from top to bottom had significantly higher oral care knowledge scores than those who brushed from left to right (p< .05). Concerning oral hygiene care for residents, 72.6% of the geriatric workers recommended that elders visit dentists for oral care, 96.6% helped elders oral wash their teeth every day, and 54.7% used oral care products for the elders. The workers who did not recommend visits to dental clinics scored slightly higher than those who did (p< .05). Additionally, those who did not help elders oral wash their teeth scored significantly higher than those who did (p< .05). Except for oral wash to recuperated old man and recommendation of visiting the dentist, relation between oral care and knowledge about oral health and oral hygiene care is plus mutual relation. Conclusions : To manage the accuracy and quality of oral care work performed by geriatric care workers in elder care facilities, enhancing standard training and education on oral care is necessary. Providing systematic, regular education on such knowledge and practices would also be essential.

Development and Effect of a Geriatric Nursing Convergence Education Program for Nursing Students

고지운,양윤경,정미영,차선경 한국융합학회 2020 한국융합학회논문지 Vol.11 No.5

This study was conducted to understand the effects on the attitude toward the elderly, willingness to geriatric nursing practice, and global competencies by developing a geriatric-nursing convergence education program. This program that combines the theory of elderly care and practical education and applies it to nursing students. This is a nonequivalent control group pretest–posttest design. The study participants consisted of 19 in a control group and 17 in an experimental group. They were the second-year of the nursing students in A city, Chungcheongnam-do. This program, including character building, elderly care competence, global competence, and community contribution, was held for 80 hours from August 28, 2017 to December 8, 2017. The experimental group compared to the control group, attitude toward the elderly (Z =-.46, p =.66), willingness to geriatric nursing practice (Z =-.64, p =.53), global competence (Z =-1.08, p =.29) showed no statistically significant difference. As a result of this study, it is suggested to develop and implement a convergence education program that nursing students can form positive attitudes toward the elderly and interact directly with the elderly.

응급실에서의 노인 환자를 대상으로 한 만족도 조사

정준영 대한응급의학회 2002 대한응급의학회지 Vol.13 No.4

Purpose: To access geriatric patients' satisfaction with care in emergency center and identify factors associated with global satisfaction Methods: Between January 1, 2002 and June 30, 2002, we performed prospective study of 1446 patients over 65 years old age. global satisfaction survey asked patients on Likert sacle(1=excellent, 5=poor). each factor dichotomized into yes versus others, except, Time parameter, and care decisions. In time parameter, dichotomized into "too long" versus others and care decisions dichotomized "no" versus others. Result: Totally patients number of over 65 years were 2,123 and received 1,446 cases of complete survey. Only 2% of patients answered "excellent" and 604 cases of "very good". Patients answered that they were significantly well heared by doctors(82.0%, p=0.020) and by nurses(98.1%, p=0.001). 1,425 cases(98.5%) answered waiting time were too long. Conclusion: To improve satisfaction in geriatric patient, physician should be more attentive to geriatrics' concerns and questions. especially reduced long waiting time.