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요양시설 거주 치매노인의 점화방법을 이용한 칫솔질 교육 프로그램의 효과
홍(손)귀령 ( Gwi-ryung Son Hong ),우정수 ( Jung-soo Woo ) 대한구강보건학회 2016 大韓口腔保健學會誌 Vol.40 No.3
Objectives: The purpose of this study was to examine the effect of an educational program using priming on oral health, and dental plaque, and gingival bleeding indices in an elderly population with dementia (EWD) residing in nursing homes.Methods: A pretest and posttest were conducted with a nonequivalent control group. In total, 40 participants from an EWD had the following characteristics: 1) they were aged >65 years, 2) they scored <23 points on the MMSE-DS, 3) they were able to communicate, 4) they were able to hold a toothbrush and brush his or her teeth by themselves, and 5) they had no periodontal treatment for the last 3 months. Through random sampling, participants were assigned into either the experimental (n=20) or control group (n=20). The educational program consisted of twelve 30-minute sessions (twice per week for 6 weeks). The control group was demonstrated the standard tooth-brushing method by the facility during the study period. Results: There were no significant differences in demographics or main variables at pretest. The experimental group showed significant differences in the subjective oral health condition, as compared to the control group. The experimental group showed an increase in the level of tooth-brushing effort (t=―8.816, P<.001) and higher scores of self-evaluative dental health status (P<.001) as compared to the control group. The experimental group showed a reduced plaque index (t=11.179, P<.001) and gingival bleeding index (t=5.812, P<.001) compared to the control group. Additionally, the experimental group showed significant differences in changes of plaque index and gingival bleeding index between the pretest and posttest. Conclusions: An interventional program on tooth brushing with priming effectively improved dental health, plaque index, and gingival bleeding index in EWDs residing in nursing homes. Direct care providers should understand the remaining abilities of EWDs and carry out priming when providing care to them.
재가 치매노인의 길찾기(Way-finding)와 배회(Wandering)와의 관계
임영미(Lim, YoungMi),홍(손)귀령(Hong, Gwi-Ryung Son),송준아(Jun-Ah Song) 한국노년학회 2008 한국노년학 Vol.28 No.1
본 연구목적은 재가 치매노인의 길찾기 효율성과 배회행동과의 관계를 알아보기 위함이다. 본 연구의 대상자는 편의추출법에 의해 전국 7개 중소도시 및 대도시에서 가정에 거주하는 60세 이상이며 한국판 간이형 정신상태 검사도구 (K-MMSE) 점수가 24점 이하의 기준을 가진 치매노인과 만 18세 이상으로 집에서 노인을 돌보는 일차적인 가족 수발자 84명이었으며, 설문지 조사를 통해 자료를 수집하였다. 연구도구는 K-MMSE와 ADL, IADL, 그리고 연구팀에 의해 번역과 역번역이 실시된 한국판 길찾기 효율성 도구 (KWES)와 한국판 지역사회용 배회 척도 (KRAWS-CV)이었다. 자료 분석은 서술통계, t-test, ANOVA, 상관관계분석을 이용하여 치매노인의 일반적 특성, 인지기능 및 신체기능을 파악하고, 이에 따른 길찾기 효율성과 배회행동을 알아보며 두 변수간의 상관관계를 분석하였다. 치매노인의 인지기능과 신체기능을 통제한 상태에서 총 길찾기 효율성 도구점수와 총 배회 척도의 점수와의 상관관계가 통계적으로 유의하였다. 길찾기 도구의 4개 하부영역과 배회 도구의 6개 영역과의 상관관계를 분석한 결과 길찾기의 '단순목적지 길찾기'와 '포괄적 전략'의 점수가 낮을수록 배회의 '이탈행동'과 '공간적 방향상실'의 점수가 높았다. 길찾기의 '분석적 전략'은 배회 도구의 모든 하부영역과 관련성이 없는 것으로 나타났다. 결론으로, 길찾기 능력과 배회는 같은 개념이라기보다 서로 관련이 있는 개념이며, 추후 각 개념에 영향을 미치는 인자를 찾아서 한국의 실정에 맞는 재가노인을 위한 배회 예방 프로그램을 개발하여야 한다. The purpose of this study was to evaluate the relationship of wandering and way-finding, especially what particular way-finding decrements are linked to specific dimensions of wandering in a community dwelling elders with dementia in Korea. A total of 84 community dwelling elders with dementia and their family caregivers were participated. Data were collected using interview with family caregivers. Wandering was measured using Korean Revised Algase Wandering Scale - Community Version (KRAWS-CV) along with its six dimensions: Persistent Walking, Repetitive Walking, Spatial Disorientation, Eloping Behavior, Negative Outcomes, and Mealtime Impulsivity. Way-finding was measured using Korean way-finding Effectiveness Scale (KWES) with four subscales (Complex Way-finding Goals, Analytic Strategies, Global Strategies, and Simple Way-finding Goals). Correlational analysis was used to determine the relationship between KRAWS-CV subscales scores and the KWES subscales scores, controlling K-MMSE, PADL, and IADL. Overall, the KRAWS-CV and the KWES correlated at -.35 (p < .01). At the level of subscales, the all KRAWS-CV subscales were significantly correlated with all KWES subscales except AS (r = .65 to -.22). The SD had the highest correlation of any KRAWS-CV subscales with the overall KWES (r = -.66). These findings support the assertion that particular wayfinding deficits are a potential explanation for specific dimensions of wandering.
낙상 후 골절 수술 노인의 퇴원 후 낙상 두려움 영향 요인
김진영(Kim, Jin-Yeong),홍(손)귀령(Hong, Gwi-Ryung Son) 한국노인간호학회 2021 노인간호학회지 Vol.23 No.4
Purpose: The purpose of this study was to identify the factors associated with the fear of falling after discharge in older adults who had surgery for fall fractures. Method: The participants were 143 older adults aged 65 or older hospitalized at the General Hospital due to a fall fracture. Data were collected from July 2019 to June 2020 using questionnaires for activities of daily living, pain, depression, and fear of falling. Data were analyzed using descriptive statistics, t-test, one-way ANOVA, Pearson’s correlation, and multiple regression. Results: The average age of the subjects was 75.34 ± 6.89 years, and 74.1% were women. The influencing factors on the fear of falling after discharge were activities of daily living (β=.305, p=.001), age (β=.204, p=.004), the need for walking aids or assistance in walking before the fall (β=.203, p=.005), and pain (β=.150, p=.027). Total explained variance was 54.6% (F=13.174, p<.001). Conclusion: Based on the results of this study, it is necessary to actively intervene the fear of falling once older adults are hospitalized, considering the factors associated with the fear of falling after discharge in older adults who had surgery after experiencing a fall fracture and to develop an educational program to reduce the fear of falling.