Research in Community and Public Health Nursing

Original Articles

Effects of Integrated Dementia Managing Programme for the Elderly with Mild Dementia in Nursing Home: Meung Sook Ahn, Hyun Sook Jo; J Korean Acad Community Health Nurs. 2019;30(4):550-559. Published online December 31, 2019; DOI: https://doi.org/10.12799/jkachn.2019.30.4.550

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PURPOSE
The purpose of this study was to verify the effects of the integrated dementia managing programme for the elderly with mild dementia in which the physiological, cognitive, emotional, sociological and spiritual aspects have considered.
METHODS
This study employed non-equivalent control group pre-post tests with the repeated measure design. The subjects of the study were 39 elderly with mild dementia (20 in the experimental group and 19 in the control group) who have admitted to two nursing homes in B city. The data were analyzed by repeated measures ANOVA.
RESULTS
There were significant interactions between two groups and times in self-efficacy (p=.011), cognitive function (p < .001), depression (p=.005), spiritual well-being (p=.002), and quality of life (p=.037). The integrated dementia managing programme of this study showed significant positive effects on the quality of life for the elderly with mild dementia.
CONCLUSION
On considering the current trends of aging and increasing number of the elderly with dementia, this integrated programme would be highly recommended to be used in nursing homes for the elderly with mild dementia, and contribute to improving their quality of life, and saving the social and medical expenses as well.

Citations

Citations to this article as recorded by

The Effects of Spiritual Well-Being on Elderly People’s Cognitive Function: Mediating Effects of Health-Promoting Behaviors and Depression
Sun Ja Kim, Pok-Ja Oh
Korean Journal of Adult Nursing.2022; 34(5): 478. CrossRef
Development of Dementia-Care-Robot Integrated Program and Evaluation of Effectiveness : For the Elderly with Mild Dementia
Jin Hwan Oh, Hyunghwa Lee, Inhee Chun
Journal of Korea Robotics Society.2020; 15(4): 330. CrossRef

A Systematic Review of Studies Using Video-recording to Capture Interactions between Staff and Persons with Dementia in Long-term Care Facilities: Da Eun Kim, Hae Sagong, Eun Joo Kim, Ah Ram Jang, Ju Young Yoon; J Korean Acad Community Health Nurs. 2019;30(4):400-413. Published online December 31, 2019; DOI: https://doi.org/10.12799/jkachn.2019.30.4.400

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Abstract PDF

PURPOSE
The use of video-recording offers important advantages in observing and assessing the relationship between specific behaviors in health care settings. The purpose of this systematic review is to investigate and synthesize the methodological characteristics of studies using video-technology for measuring interactions with the older persons with dementia and staff in long-term care facilities.
METHODS
We searched Medline, Embase and CINHAL databases for published articles in English using a video-recording method for both staff and the residents with dementia. Quantitative research design studies (e.g., descriptive or experimental studies) were included.
RESULTS
Among 5,605 searched papers, a total of 20 studies were selected for this review. Situations of video-recording were providing personal care (n=12), mealtime (n=6), and conversation (n=3). Concepts measured by video-recording were classified into two groups: 1) Staff [care practice by staff (n=13) and communication by staff (n=11)] and 2) residents [communication by resident (n=4), activities of daily life function of resident (n=8), and behavioral and psychological symptoms of dementia (n=10)].
CONCLUSION
This review demonstrates that video technologies are actively used to evaluate the relationship between quality of care and health outcomes of the elderly with dementia in many international nursing studies. This study provides the foundation for a future research using video-recording technologies to examine the interactions and relationships between staff and the residents in Korean long-term care settings.

Citations

Citations to this article as recorded by

Person‐centred and task‐centred care: Impact on mealtime behaviours in nursing home residents with dementia
Wen Liu, Yelena Perkhounkova, Maria Hein
International Journal of Older People Nursing.2023;[Epub] CrossRef
“It’s You”: Caregiver and Clinician Perspectives on Lucidity in People Living With Dementia
Andrea Gilmore-Bykovskyi, Laura Block, Clark Benson, Jess Fehland, Meghan Botsch, Kimberly D Mueller, Nicole Werner, Mindy J Shah, Suzanne Meeks
The Gerontologist.2023; 63(1): 13. CrossRef
Video Recording Patients for Direct Care Purposes: Systematic Review and Narrative Synthesis of International Empirical Studies and UK Professional Guidance
Rachael Lear, Sophia Ellis, Tiffany Ollivierre-Harris, Susannah Long, Erik K Mayer
Journal of Medical Internet Research.2023; 25: e46478. CrossRef
Assessing behavioral and psychological symptoms of dementia: a comprehensive review of current options and future perspectives
Federico Emanuele Pozzi, Luisa Calì, Carlo Ferrarese, Ildebrando Appollonio, Lucio Tremolizzo
Frontiers in Dementia.2023;[Epub] CrossRef
Dyadic interactions and physical and social environment in dementia mealtime care: a systematic review of instruments
Wen Liu, Sohyun Kim
Annals of the New York Academy of Sciences.2021; 1505(1): 23. CrossRef

Interventions Using Technologies for Older Adults in Long-term Care Facilities: A Systematic Review: Da Eun Kim, Hyang Kim, Jung Hee Hyun, Hyo Jin Lee, Hye Hyun Sung, So Young Bae, Sung Hee Tak, Yeon Hwan Park, Ju Young Yoon; J Korean Acad Community Health Nurs. 2018;29(2):170-183. Published online June 30, 2018; DOI: https://doi.org/10.12799/jkachn.2018.29.2.170

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6 Citations

Abstract PDF

PURPOSE
Although innovative interventions using technologies have been introduced in long-term care settings, available evidence is still anecdotal. The purpose of this study is to investigate and synthesize the outcomes of interventions using technologies delivered to nursing home residents.
METHODS
Published clinical trials were identified through PubMed, CINHAL, Cochrane and PsycINFO databases and manually hand-searching. Eligible studies were articles published between 1997â€“2016 in English or Korean with a randomized controlled trial or quasi-experimental design in which interventions using technologies were delivered to nursing home residents.
RESULTS
A total of 20 studies were selected for this review. Types of interventions using technologies were classified into the electronic documentation technology (n=1), the clinical decision support system (n=1), the safety technology (n=1), the health and wellness technology (n=10), and the social connectedness technology (n=7). Overall resident outcomes indicated that interventions using technologies improved behavioral symptoms and psycho-social outcomes, but mixed results were shown in the aspects of physical function, cognitive function, social relationship and quality of service.
CONCLUSION
This review demonstrates that incorporating technologies into nursing home care have positive effects on residents' psycho-social outcomes and behavioral symptoms. To disseminate the effectiveness of interventions using technologies, further research is needed to determine what mechanisms underlying such relationships exist.

Citations

Citations to this article as recorded by

Constipation among Korean older adults in long-term care facilities: A scoping review
Yuseon Jeong, Dukyoo Jung, Eunju Choi
Journal of Korean Gerontological Nursing.2024; 26(1): 4. CrossRef
Assistive Technology for Elderly People: State of the Art Review and Future Research Agenda
Dhanya Pramod
Science & Technology Libraries.2023; 42(1): 85. CrossRef
Digital interventions to reduce social isolation and loneliness in older adults: An evidence and gap map
Vivian Welch, Elizabeth T. Ghogomu, Victoria I. Barbeau, Sierra Dowling, Rebecca Doyle, Ella Beveridge, Elisabeth Boulton, Payaam Desai, Jimmy Huang, Nour Elmestekawy, Tarannum Hussain, Arpana Wadhwani, Sabrina Boutin, Niobe Haitas, Dylan Kneale, Douglas
Campbell Systematic Reviews.2023;[Epub] CrossRef
Addressing Mental Health in Aged Care Residents
Sunil Bhar, Deborah Koder, Hemalatha Jayaram, Mark Silver, Tanya Davison
Advances in Psychiatry and Behavioral Health.2022; 2(1): 183. CrossRef
A Systemic Review of the Auditory Training Program for Hearing Impairment
Joo Hong Kim, Sang Hee Lee, Eun Young Cho
Audiology and Speech Research.2021; 17(2): 134. CrossRef
Developing Geriatric Nursing Competency Using Information and Communication Technology: Focusing on a Case of Depression Assessment
Heejung Kim, Soyun Hong, Sooyoung Kwon, Namhee Kim
Journal of Korean Gerontological Nursing.2018; 20(Suppl 1): 119. CrossRef

An Intervention Study of Self-feeding for the Elderly in Nursing Homes: Kyung Hee Lee; J Korean Acad Community Health Nurs. 2017;28(4):450-462. Published online December 31, 2017; DOI: https://doi.org/10.12799/jkachn.2017.28.4.450

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Abstract PDF

PURPOSE
This study aims to investigate the effects of an intervention of self-feeding for elderly residents who were eating with assistance or eating by himself/herself with spilling food.
METHODS
The Participants were 11 elderly people and 6 formal caregivers from 7 nursing homes in Korea. The intervention was to use the spoon and chopstick sets designed for compensating the weakened eating function. Both quantitative and qualitative data were collected through observation, structured questions, and in-depth interviews.
RESULTS
The mealtime was significantly increased by 3.2 minutes (p=.011) after the intervention. Three themes were extracted for the meaning of self-feeding expressed by the elders; fighting alone for self-feeding, pride of participating in the study, and burden for self-feeding and research participation. Caregivers expressed the meaning of the elder's self-feeding such as the regret of missed chances, facilitating rehabilitation, the increase of the eating pleasure and quality of care, and ambivalence.
CONCLUSION
Self-feeding has become an opportunity to recognize life values for the elders in nursing homes; for the caregivers, to reconsider caring of the elderly. Posture and eating utensils were also important to improve self-feeding skills.

Citations

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Structure Healthcare Standards and Criteria That Contribute to the Care of Residents in Homes for the Elderly: A Narrative Review
Victor Mathias, Ethelwynn L. Stellenberg, Mariana van der Heever
Journal of Aging and Environment.2023; : 1. CrossRef

The Effect of a Dementia Preventive Intervention based on Motivational Interviewing among the Elderly over 75 Years of Age in Nursing Homes: Hyun Mi Jo, Suk Sun Kim; J Korean Acad Community Health Nurs. 2017;28(3):260-270. Published online September 30, 2017; DOI: https://doi.org/10.12799/jkachn.2017.28.3.260

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Abstract PDF: PURPOSE
The purpose of this study was to examine the effects of the motivational interviewing (MI) dementia preventive intervention on dementia preventive behaviors, depression and cognitive function among elderly over 75 years of age in nursing homes.
METHODS
A nonequivalent control group pretest-posttest design was used. A total of 57 participants were divided into three groups; 18 in the MI dementia preventive intervention (Group A), 20 in the dementia preventive program (Group B) and 19 in the control group. Dementia preventive behaviors, depression, and cognitive function were assessed at pre, post, and 1 month after the intervention. Data were analyzed using descriptive statistics, t-test, ANOVA and repeated measure ANOVA.
RESULTS
The results reported that there were significant differences in dementia preventive behaviors and depression among Group A, B, and C. Also, there were significant differences in dementia preventive behaviors and cognitive function during time periods. There was a significant interaction between groups and times in relation to depression. Results suggested that the effects of MI dementia preventive program was persistent after 1 month following the intervention.
CONCLUSION
Further research needs to develop dementia preventive programs considering physical and mental traits of the elderly in late years staying at nursing homes.

Elderly Koreans' Perception of Nursing Homes: Se Young Kim; J Korean Acad Community Health Nurs. 2016;27(3):242-253. Published online September 30, 2016; DOI: https://doi.org/10.12799/jkachn.2016.27.3.242

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Abstract PDF

PURPOSE
This research aims to understand the perceptions of nursing homes from the perspective of the elderly, explores the themes of such perception and provides supporting evidence for developing nursing intervention that focuses on the subjects of care within nursing homes.
METHODS
This research is based on qualitative research in a phenomenological methodology. The research participants included elders aged 67~83 living at home in Jeonnam, Jeonbuk Provinces and G City. Data collection methodologies included in-depth interviews and observation of participants. The data were analyzed in the phenomenological methodology by Colaizzi.
RESULTS
As a result of the research, it was found that all significant statements about the Korean elders' perception of nursing homes fell within 3 categories with 9 major themes and 23 minor themes. The three observed categories for the Korean elders' perception on nursing homes were: 'places they do not like to be in', 'places they have to be in' and 'places that makes them feel fortunate as they have a place to go'.
CONCLUSION
This research provides foundational tools that will provide a steer for changes in nursing environment, physiological support, programs and education so that the needs of the elderly can be met more sufficiently.

Citations

Citations to this article as recorded by

Time in the State of Dementia Caregiving in South Korea: When Care Becomes (Non-)Waiting
Jieun Lee
Culture, Medicine, and Psychiatry.2023; 47(4): 898. CrossRef
Person-Centered Care Experience of Nursing Home Workers: A Qualitative Meta-Synthesis Study
Eun Young Kim, Sung Ok Chang
Journal of Korean Gerontological Nursing.2022; 24(1): 33. CrossRef

Assessment of Long-Term Care Service Needs in the Baby Boom Generation: Song Yi Han; J Korean Acad Community Health Nurs. 2016;27(1):21-30. Published online March 31, 2016; DOI: https://doi.org/10.12799/jkachn.2016.27.1.21

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PURPOSE
This research was conducted to identify long-term care service needs in the baby boom generation.
METHODS
Data were collected from September 3 to October 9, 2012 targeting 196 baby boomers residing in Seoul and Gyeonggi-do with the measurement of long-term care service needs having five domains. Collected data were analyzed using the SPSS 20.0 program.
RESULTS
Demand for long term care service in those who preferred nursing homes was highest as 4.40Â±0.69 in the safe environment domain. In case of those preferring home care services, demand was highest as 4.37Â±0.56 in the social interaction domain. People who preferred nursing homes had higher needs in personal health care and improvement of the service quality domains. Those who preferred home care services showed diverse needs according to their characteristics.
CONCLUSION
The baby boom generation had high needs in all the domains of long-term care services and such needs were diverse according to their characteristics. However, long-term care services had limitations that they provided standardized and uniformed services only. Therefore, health care services and improved quality services should be provided in a way of meeting the users' needs, and tailored services should be provided in consideration of the users' characteristics.

Citations

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An Analysis of the Effects of the Income Level of the Family Caregivers for the Recipients in Long-Term Care facilities on the Willingness to Pay for Use of Better Services: A cross-sectional study
Jinhee Kwon, Eun-Jeong Han, Hyun Ki Kim
Journal of Korean Gerontological Nursing.2023; 25(2): 103. CrossRef

Caregivers' Experience of Violence and Coping with It in Nursing Homes: Eun Young Lee, Hee Sun Kang, Kyung Hee Kim, Kyung Sook Park; J Korean Acad Community Health Nurs. 2012;23(2):134-143. Published online June 30, 2012; DOI: https://doi.org/10.12799/jkachn.2012.23.2.134

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Abstract PDF

PURPOSE
The purpose of this study is to investigate verbal, physical and sexual violence to caregivers in nursing home workplaces.
METHODS
This cross-sectional study was done from October 17 to 31, 2011 at eight randomly selected nursing homes in Seoul and one nursing home in Gyeonggi, South Korea. This study explored their responses to violence and violent situations, and then investigated on how caregivers coped with workplace violence.
RESULTS
The results of this study show that most caregivers in nursing homes experience some form of violence. Verbal violence was more frequent than physical or sexual violence. Verbal and physical violence occurred most often while they were changing the clothes of patients and sexual violence occurred most often while they were showering patients. After experiencing violence, caregivers most often dealt with the situation by informing their colleagues of what was happened.
CONCLUSION
These results suggest that institutional and administrative measures must be implemented to increase the prevention of violence against caregivers and to improve effective measures to deal with violence once it has occurred. Violence in nursing homes can be reduced through the combination of appropriate responses by caregivers and proper education of both patients and caregivers.

Citations

Citations to this article as recorded by

Relationship between Experience of Client Violence and Turnover Intention among Workers in Long-Term Care Facilities for Older Adults: Focusing on Nurses, Social Workers, and Care Workers
Seunghoon Choi, Hyeri Shin, Minah Lee, Kimyung Han
Nursing Reports.2023; 13(1): 549. CrossRef
The Experiences of Long Term Care Workers Who care for People with dementia at Home
Bongsook Yih
Journal of the Korea Academia-Industrial cooperation Society.2016; 17(2): 394. CrossRef
Influence of Job Stress, Coping Strategies on life satisfaction in long-term care workers -focused in Gyeonggi-do-
Hyemin Hwang, Juok Kim
Journal of the Korea Academia-Industrial cooperation Society.2015; 16(9): 6152. CrossRef

The Effects of Senior Simulation Programs on Elderly Care Facilities Employees' Attitudes for Elderly Care, Understanding of the Aged, Job Satisfaction, and Job Performance: Hye young Joung, Hye Jin Hyun; J Korean Acad Community Health Nurs. 2012;23(2):222-230. Published online June 30, 2012; DOI: https://doi.org/10.0000/jkachn.2012.23.2.222

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Abstract PDF: 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.

Health Needs of the Elderly in Long-term Care Facilities: Using RAI-MDS-FC: Eun Joo Bang, Soon Young Yun; J Korean Acad Community Health Nurs. 2010;21(2):263-272. Published online June 30, 2010; DOI: https://doi.org/10.12799/jkachn.2010.21.2.263

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14 Citations

Abstract PDF

PURPOSE
This study was to identify health needs of the elderly at nursing homes by long-term care grade.
METHODS
The health needs of 116 elders at two nursing homes in Seoul were measured with resident assessment protocols (RAPs), activities of daily living (ADL), and cognitive performance scale (CPS), and pain and depression were measured by resident assessment instrument (RAI).
RESULTS
With regard to RAPs, 11 out of 18 items had different distribution in the 3 groups significantly. The 1st-grade elders had a higher percentage of 9 items than the 2nd- and 3rd-grade ones but the 3rd-grade ones had the highest health needs related with activity. The 2nd-grade elders had similar health needs to the 1st-grade ones. In terms of functional level, the 1st-grade elders had the highest percentage of CPS and ADL but the 3rd-grade ones had the highest score of pain and depression out of the 3 groups. The standardized assessment instrument to identify specific health needs by the 3 groups should be developed. Therefore, care plans to meet health needs of the 3 groups will be made.
CONCLUSION
It is suggested that nursing care is required to the elderly of the 1st- and 2nd-grade and safe activity and environment to the 3rd-graded ones.

Citations

Citations to this article as recorded by

The Effects of Simulation Problem-Based Learning on the Empathy, Attitudes toward Caring for the Elderly, and Team Efficacy of Undergraduate Health Profession Students
Hae-Kyoung Son
International Journal of Environmental Research and Public Health.2021; 18(18): 9658. CrossRef
Doctors and Nurses' Perceptions of Tele-consultation in Long Term Care Institutions in South Korea
Jinhee Kwon, Jungsuk Lee, Hyemin Jang, Rahil Hwang
Journal of Korean Gerontological Nursing.2020; 22(2): 174. CrossRef
The Effects of Emotional Labor and Job Satisfaction on Organizational Commitment in Staffs by the Size of Facility
Hye-Young Jang, Eun-Ok Song, Yujin Suh
Journal of Korean Academy of Community Health Nursing.2020; 31(1): 1. CrossRef
Identifying and prioritizing topics for evidence‐based geriatric nursing practice guidelines in Korea
S. Kim, K. Kim, S. J. Kim
International Nursing Review.2018; 65(4): 550. CrossRef
Nursing Homes of the Elderly in Asia: A comparison of Korea and Japan
Myung-Hee Jung
Journal of Industrial Distribution & Business.2018; 9(10): 15. CrossRef
Effects of Empathy and Attitude in Caring for Elders by Nurses in Geriatric Nursing Practice in Long-term Care Hospitals
Young Kyoung Kim, Suhye Kwon
Journal of Korean Gerontological Nursing.2017; 19(3): 203. CrossRef
The Effect of a Dementia Preventive Intervention based on Motivational Interviewing among the Elderly over 75 Years of Age in Nursing Homes
Hyun Mi Jo, Suk-Sun Kim
Journal of Korean Academy of Community Health Nursing.2017; 28(3): 260. CrossRef
Impact of the nursing home scale on residents’ social engagement in South Korea
Ju Young Yoon, Hongsoo Kim, Young-Il Jung, Jung-Hwa Ha
International Psychogeriatrics.2016; 28(12): 1965. CrossRef
Experience of Job Stress among Nurses Working in Long-term Care Hospital: A Phenomenological Approach
Hui Jin Kim, Hye Young Kim
Korean Journal of Adult Nursing.2016; 28(5): 572. CrossRef
Experiences of Participation in Dementia Prevention Program for Older Adults in Nursing Homes
Sun Ok Lim, Hyun Mi Jo
The Korean Journal of Rehabilitation Nursing.2016; 19(2): 128. CrossRef
Influence of Sleep Quality, Depression and Fatigue on Job stress of Geriatric Hospital Workers
Eun-Hee Hwang
Journal of the Korea Academia-Industrial cooperation Society.2015; 16(8): 5413. CrossRef
Influence of Emotional Intelligence and Organizational Commitment on Geriatric Nursing Practice of Nurses in Long-term Care Hospitals
Hye-Seung Kang, Ki-Wol Sung
Journal of Korean Gerontological Nursing.2015; 17(1): 29. CrossRef
Trends in Home-visit Nursing Care by Agencies' Characteristics under the National Long-term Care Insurance System
Jung Suk Lee, Rah Il Hwang, Eun Jeong Han
Journal of Korean Academy of Community Health Nursing.2012; 23(4): 415. CrossRef
The Characteristics and Service Utilization of Home Nursing Care Beneficiaries Under the Korean Long Term Care Insurance
Jung-Suk Lee, Eun-Jeong Han, Im-Ok Kang
Journal of Korean Academy of Community Health Nursing.2011; 22(1): 33. CrossRef

Activities of Daily Living and Nursing Needs of the Elderly in Nursing Home: Kwuy Bun Kim, Hye Kyung Lee, Sohyune R Sok; J Korean Acad Community Health Nurs. 2009;20(1):1-11. Published online March 31, 2009

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Abstract PDF: PURPOSE
The study was a survey study to identify the Activities of Daily Living (ADL) and nursing needs of the elderly in the nursing home and derive the fundamental data for offering the better quality of nursing service to them.
METHODS
The subjects were the 111 elderly aged over sixty five living in the nursing home located in Seoul. Measures were the nursing needs scale and ADL scale. The data were analyzed by SAS 11.0.
RESULTS
First, with regard to the nursing needs, the general need was scored average 3.0, and the emotional d social need was 3.7, and the physical need was 3.1, and the informational need was 2.7. Second, the ADL was scored at the average of 2.7, bathing 1.9, eating 3.1. Third, In correlation between the nursing needs by area, the informational nursing needs showed the sheer correlation with the physical nursing needs, emotional.social nursing needs. The physical nursing needs showed the sheer correlation with the informational.social nursing needs, and the inverse correlation with the ADL.
CONCLUSION
It is necessary that it should improve the service to meet the emotional and social nursing needs and develop the extensive nursing programs satisfying their desires based on the general traits of the elderly.

The Factors Affecting the Constipation of the Elderly at Nursing Homes: Ki Nam Lee, Ki Wol Sung; J Korean Acad Community Health Nurs. 2008;19(4):575-586. Published online December 31, 2008

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Abstract PDF: PURPOSE
The purpose of this study is to identify factors affecting the constipation of the elderly at nursing homes.
METHODS
A total of 184 elders at 7 nursing homes in P City participated. Information about constipation status (Constipation Assessment Scale), functional status (Katz' Activities of Daily Living), nutritional status (Mini-Nutritional Assessment), and depressive symptoms (Geriatric Depression Scale Short Form Korea version) were collected through interviews. Descriptive statistics, Chi-square test, and t-test were used to describe and compare the non constipation group and the constipation group. Multiple logistic regression analysis was used to determine factors affecting constipation status.
RESULTS
The prevalence of constipation was 47.5% (Men 37%, women 51%). Elders suffering from a disease (P=.021) and having low sleep satisfaction (P=.000) were more likely to be constipated than those who did not. The factors affecting the constipation of the elderly at nursing homes were gender (OR=3.558), sleep satisfaction (OR=.580), and depressive symptoms (OR=1.132).
CONCLUSION
According to the result, to reduce the constipation rate of old women at nursing homes, we have to develop guidelines that can solve problems related to constipation cause by sleep-satisfaction and depressive symptoms.

Factors Affecting of Long Term Care Hospital Patient's Intention of Transfer to a Nursing Home: Ji Yun Lee, Eun Gyung Park; J Korean Acad Community Health Nurs. 2008;19(2):196-204. Published online June 30, 2008

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Abstract PDF: PURPOSE
To examine factors affecting long-term care hospital patients' intention of transfer to a nursing home.
METHOD
A questionnaire survey was conducted in Aug. 2007 that included 655 patients from 49 long-term care hospitals. The survey aimed to assess the patients' health status, family status, cost and intention of transfer to a nursing home. Institutional characteristics were analyzed from the nationwide database of Health Insurance Review & Assessment Service. The affecting factors were examined by employing chi-square test and logistic regression using SAS 8.2.
RESULT
Of the subjects, 32.4% had intention of transfer to a nursing home. The intention of transfer to a nursing home was affected by moderate or severe pain, living together with the primary carer, high cost uncovered by insurance, and recognition of nursing home.
CONCLUSION
For appropriate service utilization, a higher level of care is needed to satisfy patients at nursing homes and a balanced fee schedule is needed between long term care hospitals and nursing homes. It is desirable to encourage transfer to a nursing home at which nurses support patients and their families by giving information, coordination, and to make efforts to establish a reference system.

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