http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
노인 장기입원환자와 보호자의 우울, 불안 정도에 따른 간호요구도에 관한 연구
이선자,채은희,장숙랑 서울대학교 보건대학원 2001 서울大學校 保健環境硏究所論叢 Vol.11 No.1
Objective: The purpose of this study is to investigate the Nursing need, Information need, physical need and Emotional need to Anxiety and Depression of the Elderly inpatient at the hospital. Methods: The author had interviews with 90 elderly patients and 181 care-givers from April to July in 2001 year using questionnaire. Statistical analysis of this study used the tool of frequency rates, ANOVA, Pearson correlation and multiple regression using SPSS 10.0 for windows. Results: Total nursing need and physical need of the care-givers are affected by their anxiety but in the patient did not show the difference of each nursing needs to their anxiety. Physical need showed the significancy to the patients depression, Especially these also showed the significancy to the economic states. ADL of the patient show very significant correlation in anxiety & depression, but cognitive function showed very significant correlation in depression. IADL also significant correlation in the male patients. Total nursing need, information need, physical need, and emotional need showed correlation with ADL, IADL, cognitive function respectively expect the relation of Information need and cognitive function. According to multiple regression, in all patients, total nursing need showed significancy in IADL, but among the male care-givers showed significancy in ADL, female showed significancy in the anxiety. Conclusion: This study emphasizes the assessment of the mental health status before assessing the nursing needs for the elderly patients. Among the elderly patients, if the assessment of the anxiety, and depression are made, nursing need, and care plan can be provided appropriately for the patients. Therefore mental health, and physical health status of the patients will be increased and protected.
춘천지역 노인 안 보건사업 운영연구 : 1997-1999년도 사업
이선자,정문호,김신자,이미자 서울大學校 保健大學院 2001 보건학논집 Vol.38 No.1
This study was conducted during the year of 1977-1999 at the three Myun of chunchoen Rural Area in Kangwon Province. The study subjects were the elderly aged 60 years and over in total 786: men were 286 (36.4%) women were 500 (63.6%). Eye health care services rendered 18 times during the study period. The family type were divided into : live alone 95 (14.3%), live with married partner 277 (41.6%), live with adult married child 232 (34.8%). Eye diseases detected : cataract were 402 (26.3%), refractive error were 254 (16.6%), pterygium 200 (13.1%), conjunctivitis 181 (11.9%), degenerative disease of retina 82 (5.4%) and other disease were 224 (14.7%), hyperopia were 88 (57.1%) hyperopia/astigmatism 27 (17.5%), myopia/astigmatism 15 (9.7%). The eye care treatment offered to the aged were; continuous follow up care 474 (37.8), drug treatment 386 (31.5%) glass185 (15.1%) operation 181 (14.8%).
노인의료보장 및 건강관리를 위한 장$cdot$단기 대책
이선자,이윤숙,Rhee Seonja,Lee Yoon Sook 한국보건간호학회 1991 韓國保健看護學會誌 Vol.5 No.1
The ageing problem of the population has been emerging in Korea since 1970's so that it is expecting the elderly 65 years and over among the total population from $4.5\%$ in 1988 to be $6.3\%$ in year 2000. This study was conducted to provide secure policy development in coming years for the aged on medical and health care aspects based on the examining current status of the aged problems and health care policies and systems. The study divided into four parts; The first part examined the medical insurance program and public assistance program of the health services in relation to the aged. The second part emphasized on reduction of medical care cost for the aged. The third part studied the regular health check-up program and health education for the aged. The fourth part examined the chronic disease management programs for the aged and strategies of the health care service quality improvement and specialized programs. The following recommendations made as the results of the study. 1. At present, the medical insurance program and public assistance program for the medically indigent is not appropriate to the elderly because it is a part of general medical insurance program so that Health Security Law for the Aged is proposed. 2. Medical cost will be increased due to the high occupancy rate of hospital beds and long stay of the elderly so that it is recommended to develop an early discharge program, home health care program, Health hospice and an althernative programs. 3. At present, a regular health check-ups for the elderly is not included in medical insurance program so that it is recommended to be included in the insurance program and at the same time health education program thoroughly developed for the aged. 4. To make proper medical and nursing services on chronic diseases for the elderly, it is recommended manpower development, specialized clinics or hospitals, nursing homes and an equivalent long term care facilitices should be established on the community based and a research institutions also to be related to supper the care programs.