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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.
이윤희(Yun Hee Lee),홍(손)귀령(Gwi-Ryung Hong(Son)) 한국노인간호학회 2023 노인간호학회지 Vol.25 No.2
Purpose: This study aimed to identify the risk factors of cognitive decline in older adults living alone in local communities and to find cognitive nursing methods by the area of residence. Methods: The participants were 164 people living alone for 12 years. The data were analyzed using a generalized estimating equations method. Results: The following factors were identified as statistically significant predictors that increased cognitive decline in older adults living alone: 1) rural areas: age (odds ratio [OR]=1.02, 95% confidence interval [CI]=1.01~1.02), low education (OR=1.53, 95% CI=1.13~2.07), number of diseases (OR=1.07, 95% CI=1.01~1.14), 2) urban areas: women (OR=1.27, 95% CI=1.09~1.49), age (OR=1.02, 95% CI=1.01~1.03), low education (OR=1.26, 95% CI=1.14~1.40), body mass index (OR=0.98, 95% CI=0.96~0.99), instrumental activities of daily living (OR=1.02, 95% CI=1.00~1.04), depressive symptom (OR=1.14, 95% CI=1.03~1.25). Conclusion: The older adults who lived alone had different risk factors for cognitive decline depending on their areas of residence. Preventive management for cognitive decline should be presented according to the areas of residence among older adults living alone.
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.
남성노인의 자살사고 예측요인: 전기노인과 후기노인 비교
이시은 ( Lee Si Eun ),홍(손)귀령 ( Hong Gwi-ryung Son ) 한국간호과학회 정신간호학회(구 대한간호학회정신간호학회) 2016 정신간호학회지 Vol.25 No.3
Purpose: This study was done to examine the prevalence of suicidal ideation and predictors of suicidal ideation in community- dwelling older men, comparing young-old (65 to 74) and old-old (75 and over). Methods: The 2014 National Elderly Survey was used with a sample of 2,790 elderly men. Multivariable logistic regression analysis was used to identify the predictive factors for suicidal ideation in elderly men. Results: The proportions of participants with suicidal ideation were significantly different between young-old and old-old men (x2=4.46, p=.035). The multivariable logistic regression analyses revealed that being a recipient of basic livelihood security, experiencing discrimination, conflicting with children, and being depressed were significantly associated with suicidal ideation in young-old men. In old-old men, living arrangements, conflicting with children, and being depressed were significantly associated with suicidal ideation. Conclusion: Results indicate that the development of suicide prevention programs requires different approaches young-old and old-old men.
황영란(Hwang, Young-Ran),홍(손)귀령(Hong, Gwi-Ryung Son) 한국노인간호학회 2021 노인간호학회지 Vol.23 No.2
Purpose: This phenomenological study was conducted to understand the meaning and essence of the bereavement experience in older men living alone. Methods: The data were collected from November 2020 to February 2021 through face-to-face in-depth interviews with nine older men who experienced spousal bereavement. Data were analyzed using Colaizzi s phenomenological 7-step method. Results: Results of this study comprised three categories with eight theme clusters. The three categories were “Facing unprepared death”, “Taking on multiple roles”, and “Surviving as a being”. Participants experienced a negative impact on their daily lives and physical and psychological health since their spousal loss. Participants’ long-lasting health issues included troubles in family relationships, loneliness, controlling sexual desires and preparing meals, but they tended not to seek help due to cultural characteristics because they were reluctant to reveal their feelings and difficulties to others, which can lead to secondary problems. Conclusion: Social and spiritual support from healthcare professionals is essential for promoting a positive coping and adaptation process after spousal loss. To provide effective nursing interventions, nurses must consider the spouse’s culture when caring for dying people and develop holistic nursing intervention strategies, including communication skills and comprehensive assessment, to explore their unexpressed health problems. Further investigation regarding bereavement experiences in different population groups and building a support system is necessary for the bereaved in the healthcare system.