http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
김윤숙(Yoon Sook Kim),한설희(Seol Heui Han),이종민(Jong Min Lee),최재경(Jae Kyung Choi),박재민(Jae Min Park),이건세(Kun Sei Lee),황정해(Jeong Hae Hwang) 대한임상노인의학회 2016 대한임상노인의학회지 Vol.17 No.1
The 48/6 Model of Care is a senior integrated care system that conducts screening and assessment for inpatients using six key areas, and establishes and mediates individualized multidisciplinary care plans within 48 hours of admission. The six key areas are bowel and bladder management, cognitive functioning, functional mobility, medication management, nutrition and hydration, and pain management, which have interrelated impact on the health of many seniors. These six key areas are not only assessed at the time of admission, but also during hospitalization, at time of discharge, and after discharge. The patients are continuously observed and cared for after their discharge into the community. One possible solution to resolve the social and economic burden of senior health problems is to provide treatment and preventive guidelines for early identification of senior health problems using screening and assessment tools such as the 48/6 Model of Care, which is systematic and easily applicable to the medical institution including the community.
김윤숙(Yoon Sook Kim),한설희(Seol Heui Han),이종민(Jong Min Lee),신정은(Grace Jung Eun Shin),최재경(Jae Kyung Choi),박재민(Jae Min Park) 대한임상노인의학회 2017 대한임상노인의학회지 Vol.18 No.1
Senior friendly hospital, which is a new paradigm of elderly medical service, is a future-oriented elderly medical management system that can improve the quality of life, health and safety by offering a safe medical treatment system to optimize the participation for self-oriented health management and to respect individuals’ decision making, when it comes to therapeutic intervention. Seeing some cases of a few advanced countries which has already implemented senior friendly hospital system, not only is it an evidence-based medical system, which focuses on applying the general system and culture of the acute phase hospital, but also it has experienced the physical environmental change. Its therapeutic excellence for the elderly has been demonstrated by emphasizing the strengthening of ability through education and training of participating employees. Therefore, in order to establish the senior friendly hospital voluntarily, and recognize the significance of elderly medical service in the medical institution in Korea, active consideration of introducing the senior friendly hospital accreditation system under the support of Ministry of Health and Welfare is necessary, as in the case of Taiwan.
김윤숙,이종민,최재경,신진영,한설희,Kim, Yoon-Sook,Lee, Jong-Min,Choi, Jae-Kyung,Shin, Jin-Yeong,Han, Seol-Heui 한국의료질향상학회 2017 한국의료질향상학회지 Vol.23 No.2
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.
이준노(Jun Ro Lee),이춘수(Chunsoo Lee),최준배(Junbae Choi),강효신(Hyo Shin Kang),임신원(Shin Won Lim),나덕렬(Duk L. Na),김성윤(Seong Yoon Kim),이재홍(Jae-Hong Lee),한설희(Seol-Heui Han),최성혜(Seong Hye Choi),김상윤(Sang Yun Kim),김도관 대한노인정신의학회 2017 노인정신의학 Vol.21 No.2
Objective:We aimed to find the sex differences of the way how educational attainment influence on cognitive function in patients with Alzheimer’s disease (AD). Methods:We recruited 424 patients with AD from a large hospital-based multi-center cohort. We evaluated cognitive subdomains using the Seoul Neuropsychological Screening Battery-Dementia version. We employed multiple linear regression analysis to compare the score of cognitive subdomains between the groups with high versus low educational attainment based on the high school graduate. Interaction between educational attainment and sex was also included in the analysis. Results:High and low educational attainment group had 33.0% and 67.0% of patients in the study population. In the multiple regression analysis, score of all cognitive subdomains were significantly higher in the high educational attainment group. The score of attention was also significantly affected by interaction between educational attainment and sex. This result may be helpful to develop cognitive intervention therapy. Conclusion:In the female patients with AD, educational attainment showed higher influence on the attention score.
김진영(Jinyoung Kim),김상하(Sangha Kim),명우재(Woojae Myung),강효신(Hyo Shin Kang),나덕렬(Duk L. Na),김성윤(Seong Yoon Kim),이재홍(Jae-Hong Lee),한설희(Seol-Heui Han),최성혜(Seong Hye Choi),김상윤(Sang Yun Kim),김도관(Doh Kwan Kim) 대한노인정신의학회 2014 노인정신의학 Vol.18 No.2
Objective:Patients with mild cognitive impairment (MCI) are at high risk for dementia. Excessive alcohol consumption is known to adversely affect cognitive function. This study aimed to investigate the relationship between alcohol consumption and the risk for dementia in a cohort of MCI patients. Methods:Participants (n=416) with (MCI) who met Petersen’s criteria were recruited from a nationwide, prospective cohort study of dementia and were followed for a median of 17.52 months (range 5.4-63.48). Alcohol consumption was evaluated at baseline. Results:One hundred twenty seven individuals (30.5%) developed incident dementia (115 Alzheimer disease) during follow-up. Patients with current alcohol consumption at baseline had a higher rate of progression to Alzheimer’s dementia than those without current alcohol consumption (hazard ratio 1.61 ; 95% confidence interval 1.03 to 2.53). Conclusion:Alcohol consumption may increase the risk of progression to Alzheimer’s dementia in patients with MCI.
김윤숙(Yoon Sook Kim),신진영(Jin Young Shin),김경진(Kyoung Jin Kim),이종민(Jong Min Lee),이건세(Kun Sei Lee),최재경(Jae Kyung Choi),한설희(Seol Heui Han) 대한임상노인의학회 2018 대한임상노인의학회지 Vol.19 No.1
Background: After successful care transition, it is crucial to improve health care, health promotion, and quality of life of the elderly. In addition, successful care transition reduces readmission rate of the elderly, improves health recovery, and prevents functional decline after discharge. However, Republic of Korea does not have a care transition system for continuous management after discharge. We developed a clinical practice guideline to ensure that healthcare providers in hospitals can safely and successfully perform care transitions. Methods: The clinical practice guideline for care transition was first developed by the Konkuk University Medical Center, using a 23-step adaptation method. Evidence levels and recommendation ratings were established in accordance with SIGN 2011 (The Scottish Intercollegiate Guidelines Network). Results: The final four recommendations were derived from expert advice: assessing during admission and before discharge; establishing care transition planning through an interprofessional team; educating the patient, his or her family, and the healthcare provider; and establishing organization-wide systems for communicating client information during care transitions. Conclusion: The use of this guideline by healthcare providers helps elderly patients maintain continuity of care when moving from one place to another.
경도인지장애에서 추체외로 증상과 영역별 인지기능 저하 :A Clinical Research Center for Dementia of South Korea (CREDOS) Study
박진홍(Jin Hong Park),명우재(Woojae Myung),최준배(Junbae Choi),김상하(Sangha Kim),강효신(Hyo Shin Kang),나덕렬(Duk L. Na),김성윤(Seong Yoon Kim),이재홍(Jae-Hong Lee),한설희(Seol-Heui Han),최성혜(Seong Hye Choi),김상윤(SangYun Kim),김도 대한노인정신의학회 2015 노인정신의학 Vol.19 No.2
Objective:This study investigated the association between extrapyramidal signs (EPS) and five cognitive sub-domains in a large number of patients with mild cognitive impairment (MCI). Methods:Our analyses considered 1,943 patients with MCI drawn from the nationwide Clinical Research of Dementia of South Korea study. EPS were defined as presence in patients with at least 1 of 11 operationally specified features. We assessed five cognitive sub-domains : attention, language, visuospatial function, memory, and frontal/executive function using the Seoul Neuro-psychological Screening Battery-Dementia version. The associations of EPS with each cognitive sub-domain were analyzed with a multiple linear regression model after controlling for confounding factors : sex, age, education years, diabetes, hypertension, sever-ity of global function, depressive symptoms, and white matter hyperintensities (WMH). Results:138 MCI patients (7.1%) had EPS. This group had more global cognitive deterioration and severe WMH. MCI pa-tients with EPS showed lower performance compared to those without EPS in 3 cognitive sub-domains: attention (p=0.05), vi-suospatial function (p=0.02), and frontal/executive function (p<0.0001). The language sub-domain and the memory sub-domain did not differ between the EPS positive and the EPS negative groups. Conclusion:EPS in MCI are associated with greater cognitive impairment in specific functional sub-domains rather than with global greater cognitive deterioration.
알츠하이머 치매 환자에서의 추체외로 증상과 영역별 인지기능의 연관성
최준배(Junbae Choi),명우재(Woojae Myung),송지혜(Jihye Song),김상하(Sang Ha Kim),윤혜연(Hyeyeon Yoon),강효신(Hyo Shin Kang),나덕렬(Duk L. Na),김성윤(Seong Yoon Kim),이재홍(Jae-Hong Lee),한설희(Seol-Heui Han),최성혜(Seong Hye Choi),김상윤 대한노인정신의학회 2013 노인정신의학 Vol.17 No.1
Objectives:We aimed to investigate the prevalence of Extrapyramidal signs (EPS) and the associations between EPS and cognitive subdomains in patients with Alzheimer disease (AD). Methods:We recruited 1,324 patients with AD from the Clinical Research of Dementia of South Korea (CREDOS), a hospital based cohort study with fifty-six participating hospitals. We estimated cognitive subdomain using the Seoul Neuropsychological Screening Battery-Dementia version (SNSB-D). Dementia severity was measured by Clinical Dementia Rating Sum of Boxes (CDR- SB) and Korean version of Mini-Mental Status Examination (K-MMSE). The EPS group was defined by the presence of at least one EPS based on a focused neurologic examination. Results:The prevalence of patients with EPS was 11%. These had higher CDR-SB scores than non-EPS group. After controlling for demographic, radiological, and dementia severity (CDR-SB) factors, EPS group showed lower cognitive ability in the subdomains for visuospatial and frontal-executive function than non-EPS group. The patients with EPS were showed significantly higher scores in the subdomain for memory function. Conclusion:The presence of EPSs in patients with AD was associated with lower visuospatial, frontal-executive function and higher memory function.