간호·간병통합서비스 병동 입원 환자가 인식한 환자중심간호와 간호서비스 만족도가 병원 재이용 의도에 미치는 영향

강영옥(Kang, Young Ok),김명숙(Kim, Myung Sook),장경숙(Jang, Kyong Sook) 한국노인간호학회 2020 노인간호학회지 Vol.22 No.1

Purpose: This study was done to identify perceived patient-centered care and nursing service satisfaction in order to predict hospital revisit intention among inpatients who received comprehensive nursing service. Methods: Participants were 190 inpatients admitted to the comprehensive nursing service unit of one university hospital in D city. Data were collected with structured questionnaires from April 2 to July 2, 2018, and analyzed using descriptive statistics, t-test, one way ANOVA, Pearson correlation and stepwise multiple regression with SPSS/ WIN 23.0. Results: Scores for patient-centered nursing awareness averaged 4.11, for nursing service satisfaction, 4.49 and for hospital revisit intention 4.65 on a five-point Likert scale. Patient-centered nursing awareness, nursing service satisfaction, and reasons for using comprehensive nursing service explained 36.4% of variance in hospital revisit intention(F=37.10, p<.001). Nursing service satisfaction(β=.41, p<.001) followed by patient-centered nursing awareness(β=.23, p=.001), and reasons for using comprehensive nursing service(β=.15, p=.015) were the significant factors that predicted intention to revisit hospital. Conclusion: Findings show that nursing service satisfaction and patient-centered nursing awareness are crucial to increasing patients’ intention to revisit the hospital. It is important to develop various educational programs and conduct systematic education to strengthen patient-centered nursing to improve the nursing service satisfaction on comprehensive nursing service units.

일 간호대학생의 노인에 대한 태도

이숙희 한국노인간호학회 2014 노인간호학회지 Vol.16 No.1

Purpose: The purpose of this study was to investigate the attitudes of nursing students toward elderly people. Methods: The study participants were 286 nursing students from a nursing college who consented to participatein this study. A form containing demographic characteristics of participants and Kogan's Attitudes toward OldPeople Scale (KAOPS) were used to gather the required data. The data were analyzed using descriptive statistics,t-test and ANOVA. Results: Nursing students in this study reported neutral attitudes (121.52±12.63) comparedto positive attitudes of Western nursing students in previous studies. Nine out of 17 negative items had highermean scores than positive items. Statistically significant differences were found associated with experience feelingof living with elderly people and care for elderly people. Conclusion: The results of this study suggest that nursingeducation should be directed at changing nursing students' attitudes toward older people. Experience of exposureto well-older people may be helpful to promote nursing students' positive attitudes toward elderly people. There is a need to further test the validity and reliability of the KAOPS for use with various populations in Korea.

동기면담이 심부전 환자의 질병관련 지식, 우울, 자가간호 및 삶의 질에 미치는 효과

김성민,이해정 한국노인간호학회 2013 노인간호학회지 Vol.15 No.2

Purpose: The purpose of this study was to investigate the impact of motivational interviewing on disease-related knowledge, depression, self-care behavior, and health-related quality of life in patients with heart failure. Methods: Twenty outpatients with heart failure being seen at one of three hospitals in southern areas of South Korea were randomly assigned to the experimental group (n=9) or control group (n=11). The experimental group received 10-20 minute telephone interviews, twice a week for four weeks. Data were collected from May 1 to October 31, 2012. Results: Participants in the experimental group showed significant increases in levels of disease-related knowledge and self-care behaviors, especially in the area of regular exercise. Conclusion: The findings of this study suggest the possibility of motivational interviewing to elicit behavior changes in patients with heart failure. Considering the high refusal and drop-out rates of the study participants, developing more systematic approaches for patient recruitment and retention strategies are required. Repeated studies with bigger sample size would strengthen the generalizability of the study findings.

장기요양시설 거주 노인 대상 한국어판 코넬 치매 우울척도(K-CSDD) 검증

이영신,이예선,홍귀령 한국노인간호학회 2015 노인간호학회지 Vol.17 No.3

Purpose: The purpose of this study was to translate and test reliability and validity of The Korean version of The Cornell Scale for Depression in Dementia (K-CSDD) used for assessing depression among impaired cognitive older adults. Methods: Original CSDD was translated into Korean and Linguistic contents were verified through back-translation procedures. The participants were 97 older adults reside in long-term care facilities. The participants were assessed using the Korean version of Mini-mental Status Examination (MMSE-K), The Korean version of the Hamilton Depression Rating Scale (K-HDRS), The short form of the Geriatric Depression Scale-Korean (SGDS-K), and K-CSDD. Results: In the reliability test, Cronbach’s ⍺ coefficient and test-retest reliabilities were .78 and .48, respectively. In concurrent validity of the K-CSDD, there were significant correlations between the K-CSDD and K-HDRS (r=.78, p<.01). Factor analysis resulted in six factors accounting for 68.8% of the common variance. ROC curve analysis identified a cut-off score of 5 for the K-CSDD, where the sensitivity was 80.4% and the specificity was 89.0%. Conclusion: This study shows that K-CSDD is the reliable and valid scale for healthcare professionals to assess depression in cognitive impaired older adults in Korea.

국민기초생활수급 여성독거노인의 삶의 질 연구

백선숙,김경숙,최정현 한국노인간호학회 2010 노인간호학회지 Vol.12 No.3

Purpose: This study was conducted to identify the characteristics of older women living alone, and to verify variables related to quality of life and factors contributing to quality of life among these women who are enrolled in the national basic livelihood security program. Methods: Data were collected in 3 cities from 107 vulnerable elderly women who lived alone. Structural surveys with face to face interviews were used to collect the data. Data were analyzed using t-test, ANOVA and stepwise multiple regression analysis with the SPSS/WIN 14.0. Results:The factors contributing to quality of life among older women living alone were health perception, income satisfaction, and health promotion behavior. Conclusion: The results indicate that income satisfaction through economic support and health promotion behavior are needed in order to increase the quality of life of these women. Thus, health promotion programs and policy for adequate economic support are also needed.

노인 관상동맥질환자의 질병 관련 지식, 우울, 가족지지가 건강행위에 미치는 영향

문지미,신소영 한국노인간호학회 2019 노인간호학회지 Vol.21 No.3

Purpose: The purpose of this study was to identify the degrees and relationships of disease-related knowledge, depression, family support and health behaviors of older patients with coronary artery disease, and the factors influencing their health behaviors. Methods: The subjects included 139 older patients with coronary artery disease who visited the outpatient clinic at one general hospital located in metropolitan city B. Data collection was performed from December, 2018 to February, 2019, using a structured self-reported questionnaire. Descriptive statistics, t-test, one-way ANOVA, Pearson correlation coefficients, and multiple linear regression were used to analyze the data. Results: Disease-related knowledge (r=-.17, p=.050) and depression (r=-.32, p<.001) had significant negative correlations with health behaviors. While, a significant positive correlation was noted between family support and health behaviors (r=.67, p<.001). In the final multiple regression analysis, medication intake status (β=-.17, p=.009), depression (β=-.15, p=.017) and family support (β=.61, p<.001) significantly influenced health behaviors of the subjects. The explanatory power of the subjects’ medication intake status, disease-related knowledge, depression and family support on health behaviors was 49.0% (F=33.97, p<.001). Conclusion: Developing an effective program to improving medication status, depression, and family support is recommended for the enhancement of their health behaviors and ultimately for their recovery and well-being.

요양병원 간호사의 의료기관인증제에 대한 인식, 직무 스트레스 및 소진탄력성

최선화,김덕희 한국노인간호학회 2017 노인간호학회지 Vol.19 No.2

Purpose: Accreditation has become obligatory for long-term care hospitals and the process can affect 'job stress' and 'burnout resilience' among nurses in these hospitals. The purpose of this study was to examine how these factors are related among nurses in long-term care hospitals. Methods: Participants were 88 nurses working in J province long-term care hospitals which had received accreditation within the past one year. A structured questionnaire was used for data collection which was analyzed using SPSS/WIN 18.0 Window Program for descriptive statistics, t-test, one way-ANOVA, and Pearson correlation coefficients. Results: Mean scores were for 'Recognition of healthcare accreditation', 3.41±0.50 of a possible 5, for 'job stress', 3.10±0.47 and for 'burnout resilience', 3.46±0.48. 'Recognition of healthcare accreditation' showed a significant negative correlation with 'job stress' and a significant positive correlation with 'burnout resilience' among nurses. 'Job stress' had a significant negative correlation with 'burnout resilience' of nurses. Conclusion: These findings suggest that 'burnout resilience' can play an important role in decreasing 'job stress' and promoting 'recognition of healthcare accreditation'. Developing systematic training programs and institutional support systems are necessary so that nurses face less job stress and develop more burnout resilience and can better recognize the importance of healthcare accreditation.

요양병원 간호사의 근거기반 신체억제대 지침 이행에 영향을 미치는 요인

박명화,박미화 한국노인간호학회 2016 노인간호학회지 Vol.18 No.3

Purpose: The purposes of this study were to identify nurses' attitude toward use of physical restraints, competence and organizational culture of evidence based practice (EBP) and implementation of evidence based restraint use in long-term care hospitals and to explore associated factors. Methods: This study was a cross-sectional descriptive study in which self-administered questionnaires were collected from 210 nurses from 21 long-term care hospitals. Data were analyzed using descriptive statistics, t-test, ANOVA, and standard multiple regression. Results: Nursing staff showed moderate level in their attitudes toward restraints use, competence and organizational culture of EBP. Standard multiple regression analysis showed that the significant factors affecting implementation of evidence based restraint use were organizational culture of EBP, nurses' competence and their work position. These factors explained 34.0% of variance. Conclusion: The findings from this study suggest that organizational culture toward EBP and nursing staff competence are the important attributes which need to be enhanced by systematic support at the organizational level and educational programs at the individual level.

암 병원 간호사의 노인에 대한 지식, 태도와 노인 간호 교육 요구도

이수아(Lee, Su Ah),이영휘(Lee, Young Whee) 한국노인간호학회 2021 노인간호학회지 Vol.23 No.4

Purpose: The purpose of this study was to investigate the knowledge, attitudes, and educational needs for gerontological nursing in cancer hospital nurses. Methods: Participants included 208 nurses who have been working in the general wards for more than 6 months. Data collection was conducted through self-reported questionnaires. The Knowledge Scale and Educational Needs for Gerontological Nursing Scale were used for data collection. Also, a Korean version of the Attitudes Toward Older Adults Scale developed by Lim was used. Data were analyzed using descriptive statistics, t-test, ANOVA and Duncan test for multiple comparisons. Results: The average score of the nurses’ knowledge on nursing care for older adults was 21.09 out of 30 points, and their attitudes toward older adults scored 4.29 out of 7 points, which was within a neutral range. The average score of the needs for gerontological nursing education was 4.10 out of 5. In the knowledge level assessment, the drug intervention area showed the lowest score. In terms of the education needs, geriatric clinical symptoms such as a sore and delirium, and the drug intervention, including dose and toxicity, showed the highest score. Conclusion: Based on the above results, providing education is necessary for cancer hospital nurses so their knowledge on and positive attitudes toward older adults can improve.

노인 수술 환자의 간호 ․ 간병통합서비스 이용 현황 관련 요인

손다솜,김희정 한국노인간호학회 2020 노인간호학회지 Vol.22 No.4

Purpose: The aims of this study were to compare patient characteristics and healthcare utilization of the comprehensive nursing service (CNS) and general ward groups among elderly patients after surgery and to identify the factors associated with CNS use. Methods: This secondary data analysis was conducted using the 2016 inpatient claims data of the Health Insurance Review and Assessment Service-National Inpatients Sample (HIRA-NIS). Elderly CNS patients were defined as those with at least one hospitalization record based on a CNS code. Independent t-tests, chi-squared tests, and hierarchical logistic regression analyses were performed by employing the Anderson behavioral model. Results: A total of 81,840 elderly patients with a history of surgery (6,374 in the CNS group vs. 75,466 in the general ward group) were identified using the 2016 HIRA-NIS data. The average number of hospital days was greater (14.25 vs. 13.07) and the average cost per hospitalization was higher (Korean won 4,567,915 vs. 3,374,410) for the CNS group. Factors associated with the utilization of CNS included age, gender, department type, major diagnosis, admission route, intensive care unit entrance, medical assistance type, and healthcare institution type, location, and the number of doctors and nurses per 50 beds (all p<.001). Conclusion: Based on our study findings, it is necessary to meet patients’ needs by focusing on dominant users and consider institutional characteristics that reflect the target group to apply the CNS policy more effectively.