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Cognitive Impairment, Behavioral Problems, and Mental Health in Institutionalized Korean Elders -An Eligibility Issue for Care Settings-
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Hyun-Sil Kim, Young-Mi Jung, Hung-Sa Lee
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J Korean Acad Nurs 2009;39(5):741-750. Published online October 31, 2009
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DOI: https://doi.org/10.4040/jkan.2009.39.5.741
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 Abstract
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Purpose
The purpose of this study was to identify the prevalence of cognitive impairment, behavioral problems, and the state of mental health for elderly Korean people who have been institutionalized.
Methods
A cross-sectional, nation-wide survey was performed using an anonymous questionnaire. The participants in this study were 2,521 institutionalized elderly Korean people. A proportional stratified random sampling method was employed.
Results
1) Elders admitted to subacute hospitals and long term care (LTC) facilities showed a higher level of cognitive impairment compared to elders admitted to acute care hospitals. 2) Elders confined in LTC facilities showed a higher level of behavioral problems compared to elders in acute or subacute hospitals. 3) Elders admitted to subacute hospitals and LTC facilities showed more serious mental health problems, such as depression or suicidal ideation, compared to elders in acute care hospitals.
Conclusion
The results of this study indicate that the severity of cognitive-behavioral or mental health problems do not match well with type of care setting. Therefore, health personnel working with elderly people should be provided guidance on detection and management of cognitive-behavioral and mental health problems. The necessity of a decision support system for eligibility and placement in long-term care is also discussed.
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Citations
Citations to this article as recorded by  - Longitudinal trends in schizophrenia among older adults: a 12-year analysis of prevalence and healthcare utilization in South Korea
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Schizophrenia.2025;[Epub] CrossRef - Prevalence of Suicidal Behaviors in Residents of Long-Term Care Facilities: A Systematic Review and Meta-Analysis
Syeda Beenish Bareeqa, Syeda Sana Samar, Yasir Masood, Mustafa M. Husain
OMEGA - Journal of Death and Dying.2023;[Epub] CrossRef - Estudo das publicações científicas (2002-2017) sobre ideação suicida, tentativas de suicídio e autonegligência de idosos internados em Instituições de Longa Permanência
Maria Cecília de Souza Minayo, Ana Elisa Bastos Figueiredo, Raimunda Matilde do Nascimento Mangas
Ciência & Saúde Coletiva.2019; 24(4): 1393. CrossRef - Life experiences of elderly people with suicide ideation at the long‐term care hospitals in South Korea
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International Journal of Nursing Practice.2017;[Epub] CrossRef - Predictive Factors associated with Death of Elderly in Nursing Homes
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Health Policy and Management.2013; 23(1): 90. CrossRef - Development and Evaluation of a Dysphagia Assessment Tool and an Intervention Program for the Elderly in the Long-Term Care Facilities
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Journal of the Korea Academia-Industrial cooperation Society.2012; 13(2): 685. CrossRef - Cognitive Function and Activity of Daily Living of Older Adults Using Long-term Care Service
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Korean Journal of Health Policy and Administration.2012; 22(4): 522. CrossRef
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