No abstract available.
Aged* ; Humans ; Nursing Homes* ; Nursing*

No abstract available.
Nursing Homes* ; Nursing* ; Nutritional Status*

PURPOSE: This study was designed to identify effects of self-esteem and health status on adaptation of elderly residents in facilities. METHODS: The sample consisted of 151 elderly residents. The data collected from January to April 2010 were analyzed using descriptive statistics, t-test, ANOVA, Pearson correlation coefficients and stepwise multiple regression. Using instruments were self-esteem scale (SES) (Rosenberg, 1965), Korean health status measure for the elderly (KoHSME) (Shin et al, 2002), and nursing home adaptation scale (Lee, 2007). RESULTS: The mean scores of self-esteem (2.90+/-0.71), health status (2.15+/-0.53) and adaptation (2.98+/-0.44) of elderly residents in facilities were above the average. Self-esteem was significantly varied according to religion, economic status and living expenses. Health status was significantly different according to age, disease and motivation of getting into the facilities. Adaptation was significantly different according to religion, satisfaction of facilities and decision maker of getting into the facilities. Significant correlations were found between self-esteem, health status and adaptation. Self-esteem and health status were influencing factors of adaptation (22.6%). CONCLUSION: These findings indicate that perceived self-esteem and health status may be requirements for promoting adaptation of elderly residents in facilities. These results could be utilized in the development of supportive programs for elderly adaptation.
Aged ; Humans ; Motivation ; Nursing Homes

Concurrent medical problem is common in dementia patients and critical to their care. Despite its importance, there was no bedside global rating scale for the seriousness of medical comorbidity. Lykestos et al. newly developed a reliable bedside scale, the General Medical Health Rating(GMHR). The objective of this study was to standardize the GMHR in form of Korean version(KGMHR). The study population consisted of 35 dementia patients in nursing home. Rating was performed by 1 physician and 2 nurses. Forty percent(14/35) of patients had one or more unstable medical illnesses. KGMHR ratings no more than 3 were 71.5%(25/35) of patients. The value of interrater reliability coefficient alpha was 0.9121. Correlations between KGMHR ratings and number of unstable medi-cal illnesses were high(r=-0.487, p<0.01). KGMHR ratings were also correlated with number of medications being taken for comorbid conditions(r=-0.542, p<0.01). In conclusion, KGMHR is a very reliable and simple rating scale for medical comorbidity in dementia patients. So the KGMHR could be a useful tool for evaluation of comorbidity in dementia patients. To verify the prognostic value of KGMHR, further large sized long-term study are needed.
Comorbidity ; Dementia* ; Humans ; Nursing Homes

No abstract available.
Long-Term Care* ; Nursing Homes* ; Nursing* ; Telemedicine*

Several measures for vaccine effectiveness have been proposed which go beyond the direct effectiveness measurement which measures the benefit of vaccination to the recipient. In this study, a Micropopulation, Monte-Carlo model of nursing home outbreaks was used to evaluate the different vaccine measures. Simulation sets at five different vaccination levels: 0%. :5%. 50%, 75% and 100% vaccinated were run. Each simulation set was a 1000 outbreaks at a medium influenza level of .08 and an underlying vaccine efficacy of .5. The indirect measures show clearly how the population benefits as the percentage of vaccination increases. The average vaccine effectiveness measure, which compares the vaccinated attack rate with what would have been expected had no vaccine been given, showed a vaccine effectiveness of .540 at 25% vaccination; .759 at 50% vaccination: .866 at 75% vaccination; and .925 at 100% vaccination. These experiments show the usefu1ness of simulation models in presenting interrelated complex information in an understandable format.
Disease Outbreaks ; Influenza, Human ; Nursing Homes ; Vaccination

PURPOSE: This study was conducted to identify the differences by the stages of change in exercise behaviors of caregivers based on Transtheoretical Model. METHODS: The subjects were consisted of randomly chosen 105 caregivers working in a nursing home. The collected data were analyzed with descriptive statistics, chi-square test, ANOVA and Duncan test using IBM SPSS Statistics 19. RESULTS: The results showed that in the stages of exercise behaviors, there were most participants in contemplation stage with 24.7%, followed by 22.8% in preparation, 21.9% maintenance, 19.0% action and 11.4% pre-contemplation. As for the process of change by the stages of change in exercise behaviors, it showed statistically significant differences in behavioral strategies (F=7.641, p<.001). In decisional balance, pros (F=0.66, p=.620) showed statistical significance, with higher pros in all stages except pre-contemplation. Self-efficacy was also statistically significant (F=6.25, p<.001), especially in the maintenance stage. CONCLUSION: This study suggested that in order to encourage caregivers to exercise, a strategic intervention to reinforce the process of change, recognition of positive decision-making and promotion of self-efficacy in exercise behaviors should be developed.
Caregivers ; Humans ; Musculoskeletal Diseases ; Nursing Homes

PURPOSE: The purpose of this study was to evaluate effects of a cinema therapy-based group reminiscence program on depression and ego integrity of elderly people in a nursing home. METHODS: A nonequivalent control group pretest posttest design was conducted. The participants were 45 elderly people from one nursing home, 23 in the experimental group, and 22 in the control group. They were recruited from a nursing home in G city. The cinema therapy program was provided for 90 minutes once a week for 10 sessions. Data were collected from June to August, 2013. Data were analyzed using the SPSS/WIN 20.0. RESULTS: After the intervention, the group who participated in the showed increased self-integrity (t=4.29, p<.001) and decreased depression (t=5.01, p<.001) compared to the control group. CONCLUSION: The findings of this study suggest that the group reminiscence program using the cinema as in this study is effective in increasing ego integrity and decreasing depression of elderly people in nursing homes.
Aged ; Depression* ; Ego* ; Humans ; Nursing Homes*

PURPOSE: This research is to understand the effects of senior simulation on employees of elderly care facilities and utilize it in their job training. METHODS: This research is a nonequivalence control group pre-to-post quasiexperiment research. 18 employees who have experienced senior simulation are set as test group and 18 other employees who have not experienced senior simulation are set as control group. RESULTS: The hypothesis that 'the test group which has experienced senior simulation will show a positive change in their attitude on elderly care, compared to the control group' and 'the test group which has experienced senior simulation will show a positive change in understanding of elders, compared to the control group' was supported. The hypothesis that 'the test group which has experienced senior simulation will show a positive change in job satisfaction and performance of duties, compared to the control group' was dismissed. CONCLUSION: The senior simulation seems to contribute to elderly care facilities employees' change in their viewpoints of elders and broaden their understanding of them. The senior simulation was meaningful to provide basic help with implementing job training programs.
Aged ; Humans ; Job Satisfaction ; Nursing Homes

PURPOSE: This study was done to identify the types of pain identification made by nurses caring for patients with dementia in nursing homes. METHOD: To collect the Q-population, 12 nurses working in nursing homes were interviewed. From the collected data, 69 statements were derived and eight patterns of pain identification were categorized. Thirty statements were derived as the Q-sample. Thirty nurses were sampled as the P-sample. The 30 Q-cards with Q-statements were Q-sorted by the P-sample. The results of the Q-sorting were coded and analyzed using the PC QUANL program. RESULTS: Five types of pain identification were identified by nurses for patients with dementia living in nursing homes; Type 1 was named "estimating based on verbal expressions". Type 2 was named "reasoning through physical symptoms". Type 3 was named "confirming pain based on nonverbal expressions being consistent with conditions of physical function". Type 4 was named "empathizing with vocal expressions". Type 5 was named "confirming by comparison with objective pain indicators one by one". CONCLUSIONS: The results of this study indicate that comprehensive understanding of pain identification by nurses could help improve the assessment of pain in patients with dementia.
Dementia ; Humans ; Nursing Homes ; Q-Sort