익숙함을 이용한 다감각적 자극 프로그램의 효과 : 시설 입소 치매 노인

홍귀령 한국간호과학회 2011 Journal of Korean Academy of Nursing Vol.41 No.4

Purpose: The purpose of the study was to examine the effects of multisensory stimulation (MSS) using familiarity on persons with dementia (PWDs) residing in nursing homes in Korea. Methods: A nonequivalent control group with pre and posttests was used. Fifty one PWDs were included if they: 1) were over 65 yr old, 2) were diagnosed with dementia, 3) had no visual or speech impairments, 4) were able to communicate, and 5) had spent more than one month in a nursing home. The experimental group (n=25) received a 55 min MSS program twice a week for 10 weeks. The outcome variables included were cognition, activities of daily living, grip strength, depression, wandering, and aggressive behaviors. Repeated ANOVA was used for data analysis. Results: There were no significant differences in demographics or the main variables at pretest. Cognition, depression, wandering, and aggressive behaviors were significant over time between the two groups. Grip strength was only significant when accounting for interaction between group and time. Conclusion: An intervention of MSS using familiarity was marginally effective in improving cognition, depression, wandering, and aggression. Future study is suggested with a larger sample and longer treatment to retest the effects of MSS.

간호의 견지에서 본 치매대응체계 진단과 제언

홍귀령,박경옥,오은미 한국보건사회연구원 2018 保健社會硏究 Vol.38 No.1

Dementia is a combination of physical and psychological symptoms with declining cognitive health. Therefore, persons with dementia need long-term care and management, an important health policy issue which can be accomplished by the patients themselves, their family members, communities, nations as well as the whole world. Thus, the purpose of the study was to examine the current issues related to dementia care and to suggest possible strategies to solve the issues from nursing perspectives. This study reviewed issues related to nursing manpower for dementia care, educational preparation and its problems, family caregiver, and current divided systems of medical and care models. In order to improve the quality of services for dementia, we suggest the following: utilization of nurse practitioners; development of guidelines for professional dementia care; development of an up-to-date dementia care model; development of intra-disciplinary and inter-disciplinary collaboration model; and management using U-health. In conclusion, the quality of life in persons with dementia and their family members will be improved through systematically well designed long-term care policies. 치매는 인지저하와 함께 점진적으로 나타나는 신체적, 정신적 증상의 증후군으로 치매환자는 장기적인 집중 보호와 관리가 필요하며, 동반질환과 건강상태의 특성으로 인해 복잡한 간호요구를 발생 시킨다. 이에 대한 책임은 환자, 가족, 지역사회, 국가를 넘어 나아가 세계적인 차원으로 관리해야 할 중요한 보건 정책 과제이다. 따라서 본 연구는 이제 첫 발걸음을 내딛는 치매 국가 책임제가 성공적으로 정착하고 발전할 수 있도록 치매대응체계를 간호의 견지에서 진단하고 관련 과제를 풀어가기 위한 제언을 통해 치매환자와 그들 가족의 삶의 질을 증진시키는데 도움이 되고자 시도되었다. 본론에서는 장기요양서비스의 질을 결정하는 가장 중요한 요소인 치매 간호 인력과 치매 가족간호의 현황과 문제점, 그리고 재가 서비스에서 의료서비스와 요양서비스의 분리로 인한 문제점에 관해 문헌고찰을 통해 진단했다. 치매인력의 서비스 질 향상을 위한 제언으로는 전문 간호사의 활용, 표준화된 치매전문교육 내용 및 케어 가이드라인 개발, 치매간호의 새로운 모델 개발과 적용, 직역 내와 직역 간 통합서비스 개발의 필요성, U-Health를 이용한 치매노인 관리를 제언하였다. 결론으로, 장기요양보험을 비롯하여 체계화된 공적 서비스를 통해 치매노인과 치매가족의 삶의 질이 한층 더 높아질 것이다.

Familiarity, Preference, and Utilization of Ethnic Items Among Asian Americans

홍귀령 한국간호과학회 2009 Asian Nursing Research Vol.3 No.4

Purpose The purpose was to determine whether Asian Americans are still seeking familiar and preferred ethnic items and whether they are using them in daily life after they have immigrated to the United States. Methods A descriptive exploratory study design was used. A convenience sample of 224 Asian Americans was recruited from the states of Michigan and Ohio. Results It was found that (a) participants were significantly different in mean age, duration of stay in country of origin and the United States, and proficiency in English; (b) the familiarity, preference and utilization of overall ethnic items were statistically different by ethnic group; (c) overall, familiar feeling with ethnic items had the highest mean score for all ethnic items, and ethnic food was the most familiar, preferred and used item in daily life; (d) Asian Americans who sought more ethnic items had greater proficiency in English and more preference, use and familiarity with ethnic items; and (e) daily use of ethnic items was the best predictor of familiarity, followed by preference, and fluency in English. Conclusion Asian Americans have different backgrounds in terms of customs, food preferences, beliefs, lifestyles, and languages. Despite being in different age groups, having different lengths of stay in the United States, and different countries of origin, a common trait among Asian Americans was that they were consciously seeking ethnic items regardless of ethnic group. Healthcare professionals should consider providing culturally relevant care to Asian Americans to promote their overall health. Future study should focus on exploring the relationship between familiarity, preference, and attitude in health behavior among Asian Americans. Purpose The purpose was to determine whether Asian Americans are still seeking familiar and preferred ethnic items and whether they are using them in daily life after they have immigrated to the United States. Methods A descriptive exploratory study design was used. A convenience sample of 224 Asian Americans was recruited from the states of Michigan and Ohio. Results It was found that (a) participants were significantly different in mean age, duration of stay in country of origin and the United States, and proficiency in English; (b) the familiarity, preference and utilization of overall ethnic items were statistically different by ethnic group; (c) overall, familiar feeling with ethnic items had the highest mean score for all ethnic items, and ethnic food was the most familiar, preferred and used item in daily life; (d) Asian Americans who sought more ethnic items had greater proficiency in English and more preference, use and familiarity with ethnic items; and (e) daily use of ethnic items was the best predictor of familiarity, followed by preference, and fluency in English. Conclusion Asian Americans have different backgrounds in terms of customs, food preferences, beliefs, lifestyles, and languages. Despite being in different age groups, having different lengths of stay in the United States, and different countries of origin, a common trait among Asian Americans was that they were consciously seeking ethnic items regardless of ethnic group. Healthcare professionals should consider providing culturally relevant care to Asian Americans to promote their overall health. Future study should focus on exploring the relationship between familiarity, preference, and attitude in health behavior among Asian Americans.

재가노인의 일상활동 어려움, 악력, 일상생활동작이 주관적 건강에 미치는 영향

홍귀령(Hong Gwi-Ryung),이윤경(Lee Yoon Kyoung),박영선(Park Youngsun),오은미(Oh Eunmi) 대한근관절건강학회 2010 근관절건강학회지 Vol.17 No.2

재활전문병원 입원중인 뇌졸중 노인의 삶의 질 예측 요인

오은미,홍귀령 한국노인간호학회 2014 노인간호학회지 Vol.16 No.2

Purpose: The purpose of the study was to explore the predictive factors of quality of life among older adults whohad a stroke. Methods: A descriptive study was conducted from January to March 2010. Face-to-face interviewswere done with 92 older adults with a stroke and hospitalized in one of 4 rehabilitation hospitals in Seoul andGyeonggi Province, Korea. Measures included perceived health, activities of daily living (ADL), depression, andquality of life. Data were analyzed using t-test, ANOVA, Pearson's correlation and multiple regression. Results:Mean score for quality of life for these elders was 41.29. Quality of life was significantly different according to difficultyin daily life due to pain or language disorder. Quality of life was positively associated with perceived healthstate and ADL, and negatively associated with depression. With multiple regression, the main variables explained60.5% of the variance in quality of life. Depression was the strongest predictor for quality of life among older adultswith a stroke. Perceived health and difficulty in daily life due to pain were also significant predictors for quality oflife. Conclusion: Nursing interventions for this population must strive to increase perceived health status and decreasedepression and difficulty in daily life due to pain.

수술실 간호사의 수술신래 배치전환 태도와 직무만족

황병랑,홍귀령 대한간호학회 간호행정학회 2008 간호행정학회지 Vol.14 No.3

Purpose: The aim of this study was to investigate the attitude of job transfer and job satisfaction in operating rooms, and to use this data towards efficient human resource management. Method: One hundred and seven nurses in operating rooms in a general hospital in Seoul, Korea were surveyed using a questionnaire. Data was collected and analyzed using SPSS/PC program. Results: The attitude toward the job transfer was generally favorable with a mean of 3.32 out of a 5 point scale in rating the need for job transfer. Among the five domains of attitudes toward job transfer, individual development scored the highest(mean, 3.75). The mean score of job satisfaction in the study participants was rated in a 5 point scale with a mean of 3.12. Among the seven domains of job satisfaction, networking(3.37) scored the highest, followed by the perspective of professional position(3.32). Therefore, it can be said that mutual interaction and professional position are the most important factors for job satisfaction. The correlation between the attitude toward job transfer and job satisfaction showed a positive relationship with a coefficient of 0.210, implying that job satisfaction was higher when the attitude toward transfer was more favorable. Conclusion: From the attitude toward job transfer, individual development and professional improvement was favorable, implying the need for such program. Therefore, it is recommended that an official policy should be provided to achieve these goals in perioperative nursing.

한국적 익숙함을 이용한 중재프로그램이 치매노인의 인지기능, 신체기능에 미치는 효과

박영선,홍귀령 한국노인간호학회 2013 노인간호학회지 Vol.15 No.3

Purpose: To examine effects of an intervention program using Korean traditional familiarity on cognitive and physical functions among persons with dementia (PWDs) in long-term care facilities. Method: A nonequivalent control group, pre and post test design was used. Participants were 46 PWDs: 1) over 65 years old, 2) diagnosed with dementia, 3) with no visual or auditory impairments, 4) able to communicate, and 5) who had spent over one month in a nursing facility. Outcome variables included cognition (MMSE-KC), activities of daily living (Barthel Activity of Daily Living Index), and Balance in SPPB (side-by-side, semi-tandem, and tandem). The intervention was conducted twice a week for 10 weeks. Results: There were no significant differences in demographics or main variables at pretest. After the program, cognitive functions (t=2.47, p=.018), activities of daily living (t=2.89, p=.006), and balance in SPPB, side-by-side (t=2.28, p=.033) and semi-tandem (t=2.38, p=.025) of the experimental group were significantly higher than the control group. Conclusion: Results indicate that the intervention program using familiarity based on Korean tradition is effective in improving cognition and physical functions of PWDs, and should be considered as a positive program to improve cognitive and physical functions for persons with dementia in long-term care facilities.

노인 대상의 한국어판 기본신체능력 측정도구의 타당도와 신뢰도 검증

송은옥,홍귀령 한국성인간호학회 2020 성인간호학회지 Vol.32 No.1

Purpose: This study aimed to verify the validity and reliability of the Korean version of the Basic Physical CapabilityScale (BPCS-K). Methods: The BPCS was translated into Korean using forward and back translations. Data werecollected from January 16 to May 10, 2019. The study participants comprised 285 older adults, with 147 recruitedfrom an acute care setting, and 138, who had dementia, were from long-term care facilities. Data analysis includedKR-20, intraclass correlation coefficient, independent t-test, Kruskal-Wallis H test, hierarchical multiple regression,and Rasch analysis (item difficulty, infit/outfit, separation index, reliability index, and differential item functionanalysis), and were conducted using SPSS/WIN 25.0 and R programs. The criterion-related validity was examinedusing the Barthel Index. Results: The KR-20 reliability coefficient was .93 and the intraclass correlation coefficientfor 2-week test-retest reliability was .97. The BPCS-K scores were significantly different compared to the knowngroups. Moreover, controlling for age, gender, and cognitive status, the Barthel Index score was significantlyassociated with the BPCS-K scores. Rasch analysis supported good construct validity. Conclusion: The findingssuggest that the 16-item BPCS-K is an appropriate instrument to measure basic physical capability in Korean olderadults. The BPCS-K can establish individualized physical activity goals for the elderly in a variety of clinical settingsand can also serve to measure changes of physical function in physical activity interventions for older adults.

정신장애인 탄력성에 대한 개념분석

유석분,홍귀령 한국정신간호학회 2017 정신간호학회지 Vol.26 No.4

Purpose: This study was done to define and clarify the concept of resilience in people who are mentally disabled. Methods: Rodgers' evolutionary approach to concept analysis was used to identify common attributes, antecedents, and consequences of the resilience of people who have mental disabilities. A literature search of the RISS, Kiss, CINAHL, PubMed, ProQuest, Scopus and PsycArticle databases from 1980 to 2016 was conducted, using the key words of ‘psychiatric disorder resilience’, and ‘mental illness resilience.’ Thirteen relevant articles and one book were finally selected and reviewed in depth. Results: The concept analysis showed that, the attributes of resilience in people with mental disabilities were ‘flexibility’, ‘potentiality’, ‘strengthening’. The antecedents of resilience were psychiatric symptoms and perceived stigma. The consequences of resilience were understood to be recovery. Conclusion: The findings in this study indicate that it is important to provide preliminary knowledge necessary for mental health nurses to reinforce resilience in people with mental disabilities. There is also a need to develop a scale to measure resilience in this population.

알츠하이머 치매 환자를 돌보는 남성, 여성 배우자의 돌봄 경험

이진희,홍귀령 한국노인간호학회 2022 노인간호학회지 Vol.24 No.3

Purpose: The purpose of this study was to understand the meaning of caregiving experiences derived from male and female caregivers whose spouses were diagnosed with Alzheimer’s disease. Methods: The data were collected from October to December 2021 through one-on-one in-depth interviews with six male and six female spouse caregivers and analyzed based on the Colaizzi's phenomenological method. Results: In accordance with the results, three categories and six themes were respectively deduced for each group by gender. The results illustrate that the group of males tended to adapt themselves to a new role of caregiving by utilizing external resources and maintaining a positive attitude to continue their duties. The deeper the family members’ trust in them, the greater their motivation to sustain caregiving duties. Female caregivers tended to perceive caregiving as an additional duty to what they had been doing; therefore, they became mentally and physically exhausted. Nevertheless, they reduced stress through socializing with others and performing outdoor activities. Continuously interacting with their spouses also helped them continue caregiving. Conclusion: This study suggests a need for understanding a gender difference in caregiving roles and perceptions and the importance of developing a gender-specific program to support family caregivers. Future studies are warranted to develop an educational program for different roles and responsibilities that might be influenced by the caregiver’s gender and should verify the effect of the program.