본 연구의 목적은 노인요양시설에 거주하고 있는 노 인들의 건강상태와 의료기관 이용실태를 조사하고, 노인들 의 의료기관 이용에 영향을 미치는 요인을 파악하고자 하 며, 구체적인 연구목적은 다음과 같다. Ÿ 노인요양시설에 거주하고 있는 대상자의 인구사회학 적 특성과 건강관련 특성을 파악한다. Ÿ 노인요양시설에거주하고있는대상자들의최근1년간 의료기관 이용 실태를 파악한다. Ÿ 노인요양시설에 거주하고 있는 대상자의 인구사회학 적 특성과 건강관련 특성에 따른 의료기관 이용실태를 파악한다. Ÿ 노인요양시설에 거주하고 있는 대상자들의 의료기관 이용에 영향을 미치는 요인을 파악한다.
Purpose: The purpose of this study was to investigate the health-related characteristics of older adults who reside in nursing homes and to identify the factors that are predictive for health care utilization. Methods: A descriptive study was done using chart reviews. Demographic data, health-related data, and health service utilization data of all older adults (n=254) who had been living in nursing homes in Seoul during 2008 (January 1 and December 31, 2008) were examined. Multiple linear regression and logistic regression were used to analyze the data. Results: The significant predictors of outpatient visits by elderly residents living in nursing home were gender, length of residency in the nursing home, number of current medications, psychiatric medications and use of catheters. The predictive factors for hospitalization were gender and the number of current medications. Conclusion: Polypharmacy is a significant factor increasing health service utilization in elderly residents of nursing homes. Gerontological nurse practitioners who can monitor the risk of polypharmacy and provide specialized nursing interventions with advanced knowledge are needed in nursing homes.
서론 연구방법 연구결과 논의 결론 및 제언 REFERENCES
