요양병원 노인 입원환자의 특성 및 ADL (일상생활수행능력) 관련 요인 : 환자조사 자료 (2013-2014)를 이용하여
Characteristics and ADL (Activities of Daily Living) Associated Factors of Elderly Inpatients in Long-Term Care Hospitals : A Survey of Patients (2013-2014)
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Objectives : This study was performed to investigate the characteristics and ADL(Activities of Daily Living) associated factors of elderly inpatients in long-term care hospitals. Methods : Data were collected from the nationwide data of ‘Survey of Patients (2013-2014)’ administerd by the Ministry of Health & Welfare. The data included in this study consisted of 27,606 cases of elderly inpatients in long-term care hospitals. Results : The survey scores for the elderly inpatients were as follows: 57.6% ‘Needed much and total help’ with ADL, followed by 26.6% who ‘Needed much help’, and 15.8% who ‘needed minimal supervision’ in long-term care hospitals. The ADL score was high in the following categories: women, old age, referred visit, health insurance type, not-recovered & death, transferred, corporate hospitals, small hospital size, low number of physicians per 100 beds, and high number of nursing staff per 100 beds. The inpatients with ‘diseases of the nervous system’, ‘diseases of the circulatory system’ and ‘diseases of the genitourinary system’ were more likely to have high ADL scores. Conclusions : The results of this study suggest that long-term care hospitals should provide active and proper care for patients with high ADL scores and improve medical personnel training as well provide more medical care.
Abstract
Objectives : This study was performed to investigate the characteristics and ADL(Activities of Daily Living) associated factors of elderly inpatients in long-term care hospitals. Methods : Data were collected from the nationwide data of ‘Survey of Patients (2013-2014)’ administerd by the Ministry of Health & Welfare. The data included in this study consisted of 27,606 cases of elderly inpatients in long-term care hospitals. Results : The survey scores for the elderly inpatients were as follows: 57.6% ‘Needed much and total help’ with ADL, followed by 26.6% who ‘Needed much help’, and 15.8% who ‘needed minimal supervision’ in long-term care hospitals. The ADL score was high in the following categories: women, old age, referred visit, health insurance type, not-recovered & death, transferred, corporate hospitals, small hospital size, low number of physicians per 100 beds, and high number of nursing staff per 100 beds. The inpatients with ‘diseases of the nervous system’, ‘diseases of the circulatory system’ and ‘diseases of the genitourinary system’ were more likely to have high ADL scores. Conclusions : The results of this study suggest that long-term care hospitals should provide active and proper care for patients with high ADL scores and improve medical personnel training as well provide more medical care.
참고문헌 (24)
- Press paper, "2015 Main Statistics of National Health Insurance", Ministry of Health and Welfare, 1~16 (2016)
- Issues and Improving Strategies on Korea Healthcare Delivery System, "K.J. Yoon", Institute for Health and Social Affairs, 82~83 (2014)
- S.K. Park, "The Currency and Analysis of Hospital Foundation and Enlargement", The Forum of Medical Policy, 12(3), pp.24~30 (2014)
- Y. J. Jang, "Inpatient Characteristics by Patient Evaluation Chart in Long-term Care Hospital", pp.2015
- H. Y. Lee, "Cooperation Method of Long-term care facilities and Medical institution", The Latter 2014 Symposium of Korean Academy of Health Policy and Management, pp.196~210 (2014)
- 강정희, "요양병원 사회적 입원 실태 및 영향요인", 석사, 보건정책및병원관리학과, pp.2013
- S. H. Kim, "A Qualitative Study on the Reasons for Hospitalization of 'Social Hospitalization' Patients and Their Needs-Focused on the Patients in a Convalescent Hospital-", Department of Social Welfare, pp.2014
- Y. S. Shin, "How to Make Healthcare Resources Allocation More Efficient", The Forum oh Health and Welfare, 230(1), pp.6~16 (2015)
- Y. H. Kim, "Activities of Daily Living, Self-efficacy, Nursing Satisfaction and Adjustment of the Elderly in Long-term Care Hospital", pp.2013
- J. Y. Kim, "The Association between Family Support, ADL and Depression among the Hospitalized older patients with Chronic Diseases", pp.2015
- J. M. Kim, "Pressure Ulcers, Dependencies in Activities of Daily Living, and Depression among Elders in Nursing Homes", pp.2010
- Y. M. Kim, "Relationship among Leg Muscle Strength, Pain, Balance and Activities of Daily Living in the Hospitalized Elderly", pp.2015
- 2013 Patients Survey Report, "S.R. Do", Korea Institute for Health and Social Affairs, 27~296 (2013)
- Y. M. Kim, "A Comparative Study on the Activities of Daily Living, Cognitive Function and Depression between the Elderly Residing Institution and Home", pp.2011
- H. K. Cho, "A Study on the Effects of Activities of Daily Living, Loneliness, and Social Support on Life Satisfaction among the Elderly in Long Term Care Facilities", pp.2013
- 정하윤, "노인요양병원 간호사의 이직의도에 영향을 미치는 요인", 보건의료산업학회지, 9(3), pp.95~106 (2015), 보건의료산업학회
- 채정미, "요양병원의 구조적 특성이 입원 노인 환자의 일상생활수행능력 저하에 미치는 영향", 대한보건연구, 41(3), pp.101~110 (2015), 사단법인 대한보건협회
- 김은희, "요양병원 간호인력 확보수준에 따른 입원환자의 간호결과", 한국데이터정보과학회지, 26(3), pp.715~727 (2015), 한국데이터정보과학회[DOI]
- J.H. Park, "The Effect of Nurse Staffing on Patient Outcomes in Long-Term Care Hospitals", pp.2013
- 정하윤, "요양병원 간호사의 병원감염관리에 대한 인지도와 수행도", 보건의료산업학회지, 7(4), pp.131~141 (2013), 보건의료산업학회
- 송현종, "요양병원 기능에 대한 고찰: 외국 사례와의 비교를 중심으로", Annals of geriatric medicine and research, 16(3), pp.114~120 (2012), 대한노인병학회[DOI]
- D. H. Kim, "The Status and Improvement Plan of Long-term Care Hospital", The Former 2016 Symposium of Kore Academy of Health Policy and Management, pp.79~88 (2016)
- Press paper, "Comprehensive Nursing Care Service in Health Insurance", Ministry of Health and Welfare, 1~7 (2015)
- Introduction Plan for Korean Medical and Facility Complex, "Y.K. Lee", Korean Institute of Hospital Management, 1~6 (2011)