한국 노인에서 건강 관련 삶의 질 도구(HINT-8)의 타당도

김선하,김미옥 한국노인간호학회 2022 노인간호학회지 Vol.24 No.3

Purpose: This study evaluated the validity of the 8-item Health-Related Quality of Life (HINT-8) instrument for older adults in Korea. Methods: This study used data from the 2019 Korean National Health and Nutrition Examination Survey. Health-related quality of life distribution and the ceiling effect were investigated using the HINT-8 and EuroQol-five-dimensions three-level version (EQ-5D-3L) for 1,519 people aged 65 or older in Korea. To examine the known-group validity, the difference between the HINT-8 and EQ-5D-3L utility indexes according to general and disease-related characteristics was analyzed. To examine the convergence validity, the correlations between each domain and the HINT-8 and EQ-5D-3L indexes were evaluated. Results: The HINT-8 (3.6%) and EQ-5D-3L (51.3%) answered that there were no problems across all items. The HINT-8’s ceiling effect was much lower than that of the EQ-5D-3L. The utility index of quality of life in older adults was .76 in the HINT-8 and .88 in the EQ-5D-3L. For each variable category, both the HINT-8 and EQ-5D-3L indexes showed a statistically significant difference. In other words, the quality-of-life index was lower for women, those of higher age, a lower education level, lower income level, hospitalization or outpatient visits, or high stress level. The correlation between the similar domains of the HINT-8 and EQ-5D-3L was higher than that of the other domains. The correlation coefficient between the HINT-8 and EQ-5D-3L indexes was .60 (p<.001). Conclusion: The HINT-8 showed adequate validity to measure health-related quality of life for Korean older adults.

고령자 대상 의사-의료인간 ICT활용 협진 모델개발 및 실증에 관한 연구: 장기요양서비스 중 재가노인대상 방문간호서비스를 중심으로

차선미,홍석원,유근주,최솔지 한국노인간호학회 2018 노인간호학회지 Vol.S No.-

Purpose: The purpose of this study was to examine effectiveness and usefulness of Information Communication Technology(ICT) in communication between physician and visiting nurses who provide visiting nursing services under long-term care insurance. Methods: Structured questionnaires were used to measure usefulness and satisfaction of the system, both accessibility and convenience to visiting nurses(31 people) and users(182 people). Results: From the user perspective, accessibility and convenience in terms of service users were both satisfactory as shown by users' percentage. No statistically significant difference was found for satisfaction between before and after using the system. The usefulness of the system for visiting nurses was satisfactory for most the nurses. Also most nurses answered that the system is needed and is very useful. Most of the participants(both visiting nurse and service users) were satisfied with use of the ICT system. However, there was no statistically significant difference in satisfaction between the pre and post service because the service provision period was too short(three months). Conclusion: The consensus from both users and service providers is that an ICT based visiting nursing system needs to be introduced but a more user - friendly environment for system development will be needed.

섬망 돌봄 교육 프로그램 적용이 수술 후 노인을 돌보는 한국계 중국 간병인의 섬망 돌봄 지식 및 수행에 미치는 효과

이지연,신주현 한국노인간호학회 2017 노인간호학회지 Vol.19 No.3

Purpose: Knowledge and performance of delirium care is important for caregivers of older people and in particular older postsurgical patients. The purpose of this study was to examine the effects of a delirium care education program for Korean-Chinese caregivers. Methods: A nonequivalent control group pretest-posttest design was used. Participants were 55 Korean-Chinese caregivers caring for elderly patients with delirium (27 in the experimental group and 28 in the control group) from one hospital in Seoul. The delirium care education program, which consisted of discussion on the experience of caring for patients with delirium, lecture, and quiz, was given individually. Effects were evaluated through pre-and post-tests that included measurement of knowledge and performance of delirium care. Results: After the delirium care education knowledge of delirium care significantly increased in the experimental group compared to the control group. There was no significant improvement in either group in the performance of delirium care after delirium care education. Conclusion: The findings of this study provide evidence for the potential utility of the delirium care education program for Korean-Chinese caregivers. This program could allow caregivers to provide quality care, and ultimately contribute to achieving excellence in delirium patient care.

시각적 자극과 연하체조가 장기요양시설 뇌졸중 노인의 연하기능에 미치는 효과

한미순,김화순,이영휘,김수현 한국노인간호학회 2013 노인간호학회지 Vol.15 No.3

Purpose: This study was done to investigate effects on swallowing function following visual stimulation and swallowing promotion exercises before meals for elders with swallowing difficulties following stroke. Methods: Participants for this nonequivalent control pre-post test design were 72 elders with stroke. Convenience sampling method was used to assign participants to experimental (36) and control (36) groups. The intervention was provided for about 15 minutes at every lunch and dinner time for 4 weeks. Outcome variables were Gugging Swallowing Screen (GUSS) score, body weight, total caloric intake, self-efficacy for swallowing, and coughing episodes during meal times. Results: Fifty-one participants were women (72.9%) and 74.3% were stroke only patients. Patients in the experimental group took less time to finish their meals and a higher percent had solid chopped food compared to the control group. Differences were statistically significant. In ANCOVA analysis using GUSS score as a covariate, the only significant improvement after the intervention was self-efficacy for swallowing. Conclusion: Visual stimulation and swallowing promotion exercises could lead to improvement in self-efficacy for swallowing even if they did not decrease coughing episodes during meal time.

요양병원 간호사의 간호역량 예측요인

임정혜,김미정,이외선 한국노인간호학회 2022 노인간호학회지 Vol.24 No.3

Purpose: This study aimed to identify the predictors of nursing competency of nurses in long-term care hospitals. Methods: The subjects of this study were 119 nurses working at long-term care hospitals in Gyeongsangnam-do and Gyeongsangbuk-do. Data were collected from September to December 2021 and analyzed using descriptive statistics, t-test, one-way analysis of variance, Pearson's correlation, and hierarchical regression by SPSS/WIN 21.0. Results: The most potent predictors of nursing competency of nurses in long-term care hospitals were meta-cognition (β=.34, p=.002), clinical experience (β=-.32, p=.001), and emotional intelligence (β=.24, p=.025), which explained 40.0% of the variance. Conclusion: The results suggest that strategies for improving nursing competency of nurses in long-term care hospitals should focus on meta-cognition and emotional intelligence improvement, and a differentiated education program according to clinical experience is needed.

가족상담지원 프로그램 참여를 통한 가족부양자의 긍정적인 돌봄 경험

한은정,박명화,정지혜 한국노인간호학회 2022 노인간호학회지 Vol.24 No.1

Purpose: This study aimed to investigate the long-term effects of a family counseling program on the family caregivers of long-term care (LTC) recipients after a one-year follow-up. Methods: This work was designed as a descriptive qualitative study using focus group interviews to explore the caregiving experience of the family caregivers. Results: The long-term effects of the counseling programs were categorized into five themes: (1) improved caregiving competence, (2) positively-changed caregiving experience, (3) increased social connection, (4) delayed LTC institutionalization, and (5) expecting for continued support Conclusion: The family counseling program was proved to be effective in the long term through this study. The program should be maintained to sustain the positive effects of the counseling program and also respond to the expectations of the participants.

노인장기요양 재가수급자 대상 방문간호 원격협진에 대한 실증 연구

이정석(Lee, Jungsuk),이희승(Lee, Hee Seung),박영우(Park, Yeongwoo),황라일(Hwang, Rahil) 한국노인간호학회 2021 노인간호학회지 Vol.23 No.3

Purpose: The National Health Insurance Service implemented a tele-consultation pilot project for in-home care using Information and Communication Technologies (ICTs). This study aims to investigate nurses’, doctors’, and families’ perceptions on the project. Methods: Using the pilot project database and perception survey data, this study provides a description of the satisfaction, re-participation motivation, and experiences of nurses, doctors, and families. Results: Tele-consultation for home-visit nursing was used to monitor health conditions and problems, such as pain and blood pressure, or health counseling for home-care beneficiaries. The beneficiaries families showed higher levels of satisfaction than the service providers. Nurses and doctors had relatively positive perceptions about the usefulness of sharing information about beneficiaries, timeliness of providing nursing care, and convenience of communication. Meanwhile, nurses and doctors had negative perceptions of the sufficiency and accuracy of information obtained from tele-consultation, implying the necessity of adopting more advanced ICTs. Conclusion: This study suggests what must be considered when designing a tele-consultation service model in long-term care settings, especially in the home-visit nursing care setting. Innovative approaches using ICTs should be taken to improve home-visit nursing care quality in the era of super-aging and COVID-19.

장기요양시설에서 치매 노인을 돌보는 간호사의 도덕적 고뇌에 대한 경험

김춘길(Kim, Chun-Gil),이영희(Lee, Young Hee) 한국노인간호학회 2020 노인간호학회지 Vol.22 No.3

Purpose: This study aimed to understand nurses experiences of moral distress when caring for elderly dementia patients who reside in long-term care centers. Methods: Colaizzi’s phenomenological approach was used for this study. The participants included eight nurses. Semi-structured in-depth interviews were used to collect data from February to August 2019. Results: Three categories emerged from the analysis. The nurses reported experiences of moral distress when caring for older adults with dementia. Theses experiences included “worrying about sincere care”, “a sense of guilt about task-oriented care”, “a feeling of helplessness because they cannot advocate care”. Seven theme clusters and 17 themes emerged in this study. The participants stated feeling conflicted about the meaning of care when they know secondary problemes will occur, but inevitably choose the next-best care option. The nurses could not provide proper care to their patients due to their overburdened workloads. The participants experienced a sense of guilt for caring only about the task at hand, without empathy. They felt helpless because that could not represent human rights and felt the gap between principle and reality as a nurse. Conclusion: These results suggest nurses’ moral distress must be considered to improve elderly dementia care. It is ethically and morally necessary for education programs to focus on caring for elderly dementia patients, and these findings can guide the program’s content and direction.

임상간호사의 노인 환자 안전관리 경험

조현미(Cho Hyunmee),권수혜(Kwon Suhye),이연향(Lee Younhyang),김윤정(Kim Yunjeong),강정미(Kang Jungmi) 한국노인간호학회 2020 노인간호학회지 Vol.22 No.2

Purpose: This phenomenological study was done to identify clinical nurses experiences of safety management with older patients. Methods: Data were analyzed using Colaizzi s phenomenological six step method. Data collected from July 27 to December 1, 2017, were from face-to-face in-depth interviews with seven nurses who had worked at one general hospital for more than five years. Data collection was done until data saturation was reached. Results: This study results were comprised of four categories and nine clusters of themes. The four categories were: “Increasing burden in the management of older patients”, “Unsettling feelings of fear and guilt from unexpected safety accidents”, “Shift to active coping”, and “Expectations regarding improvement of safety management for older patients” Conclusion: The results of this study show that for clinical nurses to provide safety management for older patients, it is necessary to have a sufficient number of nursing staff, to understand the unique characteristics of elders, and to establish facilities that older patients can use safely and conveniently. In addition, this study is significant for the nursing community as it provides an improved understanding of safety management for older patients from the nurses point of view and thereby, suggests that there is a need for education and improvement in the work capability to provide care to elders. Furthermore, the study results are also politically significant as evidence to establish standards for expanding the number of nursing staff and safety management infrastructure.

전기 여성노인의 관계성과 운동참여 간의 관계에서 주관적 건강상태의 매개효과

서영미,최원희 한국노인간호학회 2019 노인간호학회지 Vol.21 No.3

Purpose: In this study the mediating effects of subjective health status on the relationship between relatedness and participation in exercise in younger elderly women were examined. Methods: This study was a cross-sectional survey using structured questionnaires including questions on general characteristics, relatedness, subjective health status and participation in exercise. From September to October 2018, 122 women were recruited from two general welfare facilities for elders in J city. The data were analyzed using descriptive statistics, independent t-test, ANOVA, Point-biserial correlation, Pearson correlation coefficient and multiple regression using Baron and Kenny steps for mediation. Results: The mean score for relatedness was 3.37±0.75 (range of scale 1~5) and the mean score for subjective health status was 3.10±0.97 (range of scale 1~5). The participation rate in exercise was 68.9%. There were significant positive correlations among relatedness, subjective health status and participation in exercise. Subjective health status had a partial mediating effect (β=.28, p=.001) in the relationship between relatedness and participation in exercise (Sobel test: Z=3.07, p=.002). Conclusion: Based on these results, development of interventions to improve the subjective health status of elderly women are necessary in order to encourage them to participate in exercise.