전 세계적으로 인구의 고령화에 따라 의존성 노인인 구 또한 점점 증가하고 있으며 이들을 위한 건강서비스 가 다양하게 증가하고 있으며(Mette, 2006), 우리나라 또한 노인성 질환으로 인해 일상생활 활동의 어려움을 겪는 노인들을 위한 24시간 보호를 제공하는 노인요양 시설의 수요와 공급이 급속히 증가하고 있다. 2005년에 는 노인요양시설의 입소가 필요한 시설수요노인 8만 7 천 명 중 3만 5천명(40%)이 583개의 시설에 입소한 상태이고, 2006년에는 898개의 시설에 5만 2천명이 입소하여, 부양가족과 노인자신의 시설수요도 증가와 노 인요양보험제도 도입에 따라 노인요양시설의 수는 더욱 더 급속히 증가하고 있다(보건복지부, 2005, 2007).
The aim of this study was to describe the level of activities of daily living (ADL) at 3 months in nursing home residents admitted immediately from hospital and to identify nursing home admission factors influencing level of ADL. Method: Based on previous findings, seven potential predictors were identified: ADL, pressure ulcers, urinary incontinence, malnutrition, pain, history of falls, and cognitive impairment. The study employed a retrospective correlational design. Data were extracted from the Minimum Data Set (MDS) of 38,591 older adults admitted to nursing homes from acute care hospitals and who stayed in the nursing home for at least 3 months (some of them stayed until 3 months). All analyses were carried out with the SAS program using the method of generalized estimating equations. Results: Level of ADL at admission measured by the MDS-ADL was significantly lower than it was at 3 months. Poor ADL, urinary incontinence and pressure ulcers were the most important admission factors predicting poor ADL at 3 months. Conclusion: The findings provide evidence of the need for a systematic assessment tool for nursing homes in Korea. Such a tool would allow health care providers in nursing homes to predict patterns of ADL in older adults based on the admission assessment.
I. 서 론 Ⅱ. 연구 방법 Ⅲ. 연구 결과 Ⅳ. 논 의 Ⅴ. 결론 및 제언
