This study aims to enhance the accuracy of severity classification by examining the usage patterns and characteristics of emergency department visits. It focuses on adult and elderly patients who visited a public hospital in Seoul. This descriptive study retrospectively reviewed the electronic medical records of patients who visited the emergency department of a public hospital between November and December 2023. The total number of participants was 1,033, with 46.4% (n=479) being elderly and 53.6% (n=554) being adults. The chief complaints of the participants were as follows: for the elderly, nervous system symptoms at 8.2% (n=85) and digestive symptoms at 7.5% (n=77) were the most common, while for adults, gastrointestinal symptoms at 11.0% (n=114) and trauma at 8.6% (n=89) were more prevalent. In the case of the elderly, patients classified as urgent accounted for the highest percentage at 23.9% (n=247), while for adults, non-emergency were more prevalent at 32.2% (n=333). The initial severity classification error rate for elderly patients in the urgent was 3.8%, indicating that the suitability of KTAS for elderly patients with high severity was low. To minimize severity classification errors and enhance KTAS accuracy, it's essential to address its current limitation of only classifying adults and children separately by developing a KTAS classification system that reflects the diverse characteristics of elderly patients.

Background: Total hip replacement (THR) is performed in patients with femur fractures and osteoarthritis. THR patients have balance problems even after surgery. There is a lack of research on vibration stimulation interventions for balance in THR patients. Objectives: To investigated the effect of vibration stimulation intervention on the balance and gait of THR patients. Design: Randomized controlled trials. Methods: 44 subjects were randomly assigned to a vibration stimulation group (VSG) and a non-vibration stimulation group (N-VSG). Seven study subjects dropped out, and 37 completed the study. Timed up and go (TUG) and Berg balance scale (BBS) were used for balance assessment, and 10-meter walk (10MW) was used for gait assessment. The intervention program was conducted three times a week for 4 weeks. Results: Significant differences within the groups in balance (BBS, TUG) and gait (10MW) between the VSG and the N-VSG. There was no difference between the two groups in any variable. Conclusion: The VSG improved the balance and gait of THR patients without any difference from the N-VSG. However, VSG showed a higher effect size than N-VSG.

The purpose of this study is to examine the feeding and nutritional status of enteral tube-fed elderly patients. Subjects included 77 elderly hospitalized patients who had received enteral nutrition more than one week before admission. Medical records on admission and actual feeding volume were used to assess anthropometric, biochemical, and nutritional status. Most patients manifested disorders of the nervous system (93.5%) and the average duration of tube feeding was 13.9 months. The average feeding volume of formula was 1,107 mL per day and the mean ratios of calorie and protein (supplied vs. required) were 81.7% and 80.9%, respectively. At admission, 57.4% of the patients were malnourished according to the institutional criteria. Patients receiving less than 80% of the required calories were in worse nutritional status compared with those receiving more than 80% of the required calories. Body mass index, percent ideal body weight, serum albumin level and blood lipid levels (total cholesterol, HDL-cholesterol, triglyceride) were significantly lower in patients receiving less than 80% of the required calories. These results indicate the high prevalence of malnutrition and the need for increased attention and nutritional care of elderly patients undergoing long-term enteral nutrition.

The purpose of this study was to identify correlations among the continence function, cognitive function, and activities of daily living(ADL) in elderly male patients with dementia in geriatric hospitals. The subjects were 64 patients aged 65 or above who were diagnosed with dementia among the hospitalized male patients in a geriatric hospital. For the subjects' cognitive function, a questionnaire developed for the Korean Mini Mental Status Examination(K-MMSE) was used. For the continence function and ADL, data were collected using a patient evaluation table. As a result, a lower level of cognitive function resulted in corresponding higher levels of dependence in all items of ADL except bathing(p<.05), and a lower level of cognitive function led to corresponding declines in the continence function(bowel control, bladder control)(p<.01). In addition, a higher level of dependence in ADL resulted in corresponding higher levels of difficulty in bowel and bladder control(p<.01). This study showed correlations among the cognitive function, ADL, and continence function of elderly men with dementia. The results of this study may be used as basic data for the management and treatment of hospitalized elderly male patients with dementia in geriatric hospitals.

The purpose of this study is to determine the correlations between problematic behaviors and activities of daily living(ADL) targeting 106 demented elderly people hospitalized in a geriatric hospital. To examine the cognitive function of the subjects, the study used Korean Mini Mental State Examination(K-MMSE). For problematic behaviors and ADL, the study collected data based on Patient Assessment Forms in the geriatric hospital. Among problematic behaviors, apathy/indifference had the highest correlation with the items of ADL. Irritability/lability, agitation/aggression, depression/ dysphoria, night-time behavior and wandering also showed to be correlated to items of ADL(p<.05). This study demonstrated that cognitive function, problematic behaviors and ADL of the demented elderly hospitalized in the geriatric hospital are correlated to each other.

본 연구는 터치형 음악게임치료가 요양병원 노인환자들의 인지기능, 우울감, 자아존중감에 어떠한 효과가 있는지 알아보기 위한 것이다. 이를 위하여 수도권 A지역에 소재한 노인전문 요양병원에 입원중인 16명의 노인환자들을 대상으로 각각 8명씩 실험집단과 통제집단을 구성한 후, 실험집단에게 10회기에 걸쳐 음악게임치료를 실시하였다. 사전-사후에 걸쳐 실험집단과 통제집단의 인지기능, 우울감, 자아존중감 수준을 측정하였다. 그 결과, 실험집단 노인환자들의 인지기능은 유의한 변화를 보이지 않았으나, 우울감 수준과 자아존중감 수준은 유의하게 변화하였다. 즉, 실험집단 노인환자들의 우울감 수준은 유의하게 감소하였고, 자아존중감 수준은 유의하게 증가한 것으로 나타나, 음악게임치료의 효과성이 확인되었다. 끝으로, 연구의 제한점과 후속연구에 대한 시사점을 논의하였다.

본 연구의 목적은 노인 환자를 대상으로 음악 게임을 활용한 치료에서 음악 게임이 어떻게 노인 환자의 우울감, 자존감의 상승에 관여했는지 알아보는 데 있다. 이를 위해 경기도 노인 전문 용양병원 양원에 입원중인 16명의 노인을 대상으로 각각 8명씩 실험집단과 통제집단을 구성한 후, 실험집단을 대상으로 음악 게임을 활용한 치료를 10회기에 걸쳐 시행하였다. 실험집단과 통제집단에게 사전-사후에 인지기능, 우울감, 자아존중감 수준을 측정하였고, 실험집단에게 10회기 동안의 게임실험 과정을 기록하고 사후 몰입도를 측정하였다. 연구 결과 게임이 제공하는 청각, 시각, 촉각 등의 감각자극과 상호소통적 활동이 노인의 우울감과 자존감 상승에 기능하였을 뿐만 아니라 손기능 향상에도 긍정적 영향을 미친 것을 알 수 있었다.

This study was to investigate the positive effects of specially designed trunk-stabilization exercise program on lower extremity balance of elderly with history of leprosy. In this participants, lower extremity functions has been undermined by the development of damage in peripheral nerves. A total of 40 elderly with history of leprosy were divided into 2 groups of equal size (): a group that participated in the exercise program, and a control group that did not exercise but did continue to engage in normal daily activities (including walking). The exercise group exercised for 60 minutes 2 days a week for 12 weeks. Static balance ability was measured by asking study participants to a one leg standing test: dynamic balancing ability was measured with a tandem walking test and a timed up-and-go test. The participants in the exercise program and the control group were tested before and after completion of the exercise program for comparison, and then divided according to their ability to feel sensory in the soles of their feet into the categories of normal sensory group: group with sensory loss in one foot: and group with sensory loss in both feet. The participants in the exercise program showed a positive, statistically significant difference in static balance compared with the control group (p<.05) as measured using the one leg standing test. Similarly, the participants in dynamic balance (p<.05) as measured using the tandem walking and timed up-and-go tests. Finally, these improvements were related to the severity of sensory loss in the soles of the feet for all study participants.

목적 : 본 연구는 노인 관절염환자를 대상으로 일상생활수행능력에 따른 방문재활서비스에 대한 요구도를 파악하 여 노인 관절염환자에 대한 방문재활치료모델개발의 기초자료로 활용하기 위한 것이다. 연구방법 : 2009년 8월 현재 대전광역시에 위치한 3개의 노인복지관과 1개의 주간보호센터에 등록된 재가 관절염 환자를 대상으로 설문을 실시하였다. 설문지는 총 150부를 배부하여 110부가 회수되었고, 회수된 설문지 중 79부 (72%)가 분석에 사용되었다. 설문지는 방문재활서비스 요구도(10문항)와 관절염상태를 평가하기 위한 한국형 WOMAC(Western Ontario and McMaster University Osteoarthritis)검사와 수정 바텔지수(Modified Barthel Index: MBI)로 구성하였다. 한국형 WOMAC과 수정바텔지수(MBI), 시각적통증검사(Visual Analogue Scale: VAS)의 상관성을 알아보기 위해 피어슨 상관분석을 실시하였고, 한국형 WOMAC의 기능 수준에 따른 일반적 사 항, 의학적 사항, 방문재활서비스 인식도, 방문재활서비스의 필요성과 이유, 방문재활서비스의 구체적 욕구에 대하 여 교차분석(3XR)을 통해 분석하였다. 유의수준 α는 .05로 하였다. 결과 : 대상자 79명의 진단명은 퇴행성관절염 환자가 61명(79.2%)이었으며, 통증이 가장 많이 발생하는 부위는 슬 관절로 나타났다. 방문재활서비스에 대한 인식도는 낮았지만 응답자의 93.7%(74명)가 필요하다고 응답하였고, 기능별로는 1등급에서는 15명(19.0%), 2등급에서는 44명(55.7%), 3등급에서는 15명(19.0%)이 방문재활서비 스가 필요하다고 하였다. 결론 : 본 연구의 결과에서 재가 노인 관절염 환자는 가정에서 제공되는 재활서비스에 대해 높은 요구도를 갖고 있 음을 알 수 있다. 향후, 재가 관절염 노인들을 위한 실증적인 방문재활서비스에 대한 연구가 지속적으로 보완되어 야 할 것이다.

The purpose of the present study was to examine the nutrient intake status of elderly dementia patients. We surveyed the dietary intake of 50 demented elderly patients receiving a regular diet, who were hospitalized in a geriatric hospital in Yongin, Gyeonggi-do. The average age of the subjects was 79.6 土6.5 for the males and 80.5 土6.3 for the females. The average heights were 169.5 土6.0 cm (males) and 154.6 土5.2 cm (females), and the average weights were 58.5 土7.4 (males) and 51.7 土8.9 kg (females). Depending on the type of dementia, the male patients showed significant differences in their intakes of vegetable protein, fiber, total iron, and non-heme iron between the Alzheimer’s disease (AD) and the vascular dementia (VD) groups, and the female patients showed significant differences in their intakes of total protein, phosphorus, zinc, and vitamin B6 between the two groups. The male patients showed significant differences in their intakes of animal-source calcium and carotene according to ability to self-feed. According to physical activity, the male patients showed significant differences in vegetable fat and vitamin A intake, and the females showed significant differences in their intakes of total protein, animal protein, fiber, ash, total calcium, vegetable-source calcium, animal-source calcium, phosphorous, total iron, non-heme iron, heme iron, sodium, vitamins B1, B2, B6, niacin, vitamin C, folate, and potassium. We found that the patients consumed excessive protein, but low amounts of calcium, vitamin B2, and folate. Also, the patients’ physical activity abilities appeared to affect their nutrient intakes.

The purpose of the study was to compare the satisfaction level on hospital meal size and actual intake rate of hospital foods between elderly and middle aged patients. Sixty one middle aged and one hundered thirty two elderly patients were surveyed on the foods served in the hospital-rice, soup, meat/fish, vegetable, kimchi and daily products. Compared to the middle aged patients, the more elderly thought the serving size of rice was too big(p<0.05), and those of soup, meat/fish and kimchi tended to be too big. There was no difference in the satisfaction level on the serving size of vegetable dish between two age groups. In actual intake rates of hospital meal there were no significant differences between the elderly and middle aged patients. However, the elderly male ate significantly(p<0.05) less amount of rice than the middle aged male and the elderly female ate significantly(p<0.01) less amount of meat/fish then the middle aged female. Satisfaction levels and actual intake rates were significantly correlated in all food items.

The purpose of this study was to analyze the satisfaction level on hospital foods in elderly and middle aged patients. The subjects were selected among the patients treated in the Inha University hospital during July of 1999. One hundred thirty five elderly patients aged over sixty(68 men, 67 women) and sixty five patients aged in forties(35 men, 30 women) were surveyed through questionnaires in terms of satisfaction level on hospital foods and the food preferences. Satisfaction on general taste, saltiness, serving temperature, appearance, texture and variety of hospital foods was not significantly different according to age. However, elderly men showed significantly higher satisfaction level than elderly women in terms of general taste of hospital foods(p<0.01). The preferences of cooking method for meat, fish, vegetable and the preferred kinds of kimchi and milk & milk products were not significantly different between the two age groups. However, elderly women significantly preferred sauted meat to broiled meat compared to elderly men(p<0.05).

본 연구팀은 2016년에 제 2형 당뇨환자 식이교육용 기능성 콘텐츠(롤리폴리 160)를 개발하였고, 이후 당뇨환자와 보건교육자의 요구를 반영하여 당뇨병 전반에 걸친 자가관리용 기능성 게임 콘텐츠로 수정･보완하였다. 이에 임상효과성을 실험하였다. 본 연구는 단일집단 전후비교 실험설계이며, G지역소재 C대학병원에 입원한 당뇨환자 49명을 대상으로 2017년 2월 27일부터 4월 21일까지 하루에 1회 이상, 총 5일 동안 ‘롤리폴리 160’을 통한 자가관리 교육을 실시하였다. 연구결과, 교육 후 대상자의 공복혈당과 식후 2시간 혈당 모두 통계적으로 유의하게 감소하였으며(p<.000), 자기효능감, 인지기능은 통계적으로 유의하게 상승하였다(p<.000).

치매는 보통 경미한 건망증으로 시작되지만 시간이 경과하면 인간을 황폐화시키는 진행성 질환으로 현재까지 원인은 70여 가지 이상으로 알려져 있다. 경증치매는 사회생활이나 직업상의 능력이 비록 상실되더라도 아직 독립적인생활은 영위할 수 있고, 적절한 개인위생을 유 지하며, 비교적 온전한 판단력을 보유하고 있는 상태이다. 이는 보호와 지원으로 독립된 생활의 가능과 진행을 늦출 수도 있기 때문에 다양 한 서비스와 치료가 필요한 시점이다. 이에 본 연구는 경증치매 노인들에게 집단 원예치료 프로그램을 적용하여 심리정서, 사회적 적응 효 과를 알아보는데 그 목적이 있다. 연구대상은 B시의 N사회종합복지관과 H요양병원을 이용하는 경증치매노인들 26명을 대상으로 두 집 단 유사 실험설계를 적용하여 2016년 9월부터 12월까지 주1회 60분씩 총 12회기에 걸쳐 실시하였다. 연구도구는 임은애(2010)에 의해 개 발된 원예치료 평가지표(HTEI: Horticultural therapy evaluation indices)의 4가지 척도 중 심리‧정서적 척도(PES: Psycho-emotional), 사회 적 척도(SS: Social scale)를 사용하였다. 자료분석은 SPSS for windows 18.0을 사용하여 통계 처리하였으며, 평균과 표준편차를 산출하였 고, 각 측정 시기별 변화를 알아보기 위해 반복측정 분산분석을 실시하였다. 연구 결과 심리·정서적, 사회적 기능의 모든 면에서 각 집단별 로 통계적 유의한 차이를 나타내었다.