• Title/Summary/Keyword: 건강한 노후

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Prevalence of Dysphagia and Educational Needs in Community-Dwelling Older Adults: Focusing on Chuncheon, Gangwon-do State (지역사회 거주 노인의 연하장애 유병률과 교육 요구도 조사: 강원특별자치도 춘천 지역을 중심으로)

  • Mun, Kwangtae;Lee, Yun-Hwan;Kim, Dong-Wan;Seo, Sang-Min
    • Therapeutic Science for Rehabilitation
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    • v.13 no.3
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    • pp.69-83
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    • 2024
  • Objective : This study investigated the prevalence of dysphagia in older adults in Gangwon Special Self-Governing Province and its impact on Quality of Life (QoL) and educational needs. Methods : A cross-sectional survey was conducted from August 1 to 15, 2023, with 207 cognitively normal older adults from three senior welfare centers. Data included general characteristics, Korean-version of the Eating Assessment Tool (K-EAT-10), Swallowing-QoL, and educational needs related to swallowing disorders. Dysphagia was defined by a K-EAT-10 score of 3 or higher. Participants were divided into normal and risk groups for analysis using chi-square and Independent t-test. Results : The prevalence of dysphagia risk (K-EAT-10 score of 3 or higher) was 41.5% (86 individuals). Among the 92 individuals reporting dysphagia symptoms, 64 (69.6%) were at risk. QoL was significantly lower in the risk group, especially among those living alone or with denture discomfort. The most preferred educational need was training in eating solid foods (Mean = 4.27), with higher needs in the dysphagia risk group. Conclusion : This study underscores the prevalence of dysphagia, its impact on QoL, and the need for educational programs. Emphasizing prevention, public awareness, and early detection, along with the role of dysphagia rehabilitation experts and community collaboration, is essential for supporting healthy aging.

Internal Changes and Countermeasure for Performance Improvement by Separation of Prescribing and Dispensing Practice in Health Center (의약분업(醫藥分業) 실시(實施)에 따른 보건소(保健所)의 내부변화(內部變化)와 업무개선방안(業務改善方案))

  • Jeong, Myeong-Sun;Kam, Sin;Kim, Tae-Woong
    • Journal of agricultural medicine and community health
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    • v.26 no.1
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    • pp.19-35
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    • 2001
  • This study was conducted to investigate the internal changes and the countermeasure for performance improvement by Separation of Prescribing and Dispensing Practice (SPDP) in Health Center. Data were collected from two sources: Performance report before and after SPDP of 25 Health Centers in Kyongsangbuk-do and 6 Health Centers in Daegu-City and self-administerd questionnaire survey of 221 officials at health center. The results of this study were summarized as follows: Twenty-four health centers(77.4%) of 31 health centers took convenience measures for medical treatment of citizens and convenience measures were getting map of pharmacy, improvement of health center interior, introduction of order communication system in order. After the SPDP in health centers, 19.4% of health centers increased doctors and 25.8% decreased pharmacists. 58.1% of health centers showed that number of medical treatments were decreased. 96.4%, 80.6% 80.6% 96.7% of health centers showed that number of prescriptions, total medical treatment expenses, amounts paid by the insureds and the expenses to purchase drugs, respectively, were decreased. More than fifty percent(54.2%) of health centers responded that the relative importance of health works increased compared to medical treatments after the SPDP, and number of patients decreased compared to those in before the SPDP. And there was a drastic reduction in number of prescriptions, total medical treatment expenses, amounts paid by insureds, the expenses to purchase drugs after the SPDP. Above fifty percent(57.6%) of officers at health center responded that the function of medical treatment should be reduced after the SPDP. Fields requested improvement in health centers were 'development of heath works contents'(62.4%), 'rearrangement of health center personnel'(51.6%), 'priority setting for health works'(48.4%), 'restructuring the organization'(36.2%), 'quality impro­vement for medical services'(32.1%), 'replaning the budgets'(23.1%) in order. And to better the image of health centers, health center officers replied that 'health information management'(60.7%), 'public relations for health center'(15.8%), 'kindness of health center officers'(15.3%) were necessary in order. Health center officers suggested that 'vaccination program', 'health promotion', 'maternal and children health', 'communicable disease management', 'community health planning' were relatively important works, in order, performed by health center after SPDP. In the future, medical services in health centers should be cut down with a momentum of the SPDP so that health centers might reestablish their functions and roles as public health organizations, but quality of medical services must be improved. Also health centers should pay attention to residents for improving health through 'vaccination program', 'health promotion', 'mother-children health', 'acute and chronic communicable disease management', 'community health planning', 'oral health', 'chronic degenerative disease management', etc. And there should be a differentiation of relative importance between health promotion services and medical treatment services by character of areas(metropolitan, city, county).

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The Leisure Activity and the Degree of Satisfaction for the Life by Aged persons in a Rural Area (일부(一部) 농촌노인(農村老人)의 여가활동(餘暇活動)과 생활만족도(生活滿足度)와 관련성(關聯性))

  • Kim, Jae-Soog;Park, Jong;Ryu, So-Yeon;Lee, Chul-Gab;Kim, Hak-Ryul;Kim, Yang-Ok
    • Journal of agricultural medicine and community health
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    • v.24 no.1
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    • pp.131-143
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    • 1999
  • This study was attempted to find the mutual relationship between leisure activities and life satisfaction by the aged persons in a rural area. The data was obtained by interview with questionnaire and the data from 209 persons aged over 65, residing in Dohwa-myeon and Podu-myeon, Koheung-kun, Chollanam-do were analysed. The survey was carried out from Feb. 16th to May 3rd in 1998 and the results are as follows: 1. The survey showed that the major leisure activities were TV watching followed by talking with friends, club activities, taking a walk, visiting friends' or relatives' home and breeding domestic animals. 2. The types of leisure activities were classified into 8 patterns as active self-enlightenment, passive self-enlightenment, temporal amusements, passive self-activities, cozy introspective activities, friend oriented activities, family oriented activities and religious activities. Among the above 8 patterns active self-enlightenment type contributed most to the life satisfaction. 3. The major factors affecting leisure activities were sex, age, average income, religion and educational status. And the major factors affecting life satisfaction were sex, age average income, educational status and a state of health. In conclusion the more the aged persons participated in leisure activities, the better they felt life satisfaction.

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Leisure Performance and Leisure Satisfaction by Preference Leisure Performance in the Elderly: Comparison between Young-old and Old-old (노년기 선호여가 수행여부에 따른 여가수행도 및 여가만족도의 차이분석: 전기노인과 후기노인의 비교)

  • Woo, Ye-Shin;Park, Da-Sol;Shin, Ga-In;Park, Hae-Yeon
    • 한국노년학
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    • v.39 no.2
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    • pp.199-211
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    • 2019
  • The purpose of this study is to analyze leisure satisfaction and leisure performance according to whether elderly people are performing their preferred leisure activities. For the analysis, we used sample from the 6th (2015) panal data as Korean Retirement and Income Study(KReIS). The results of this study were as follows. First, the total data of 4,197 elderly (2,212 young-old and 1,985 old-old) were analyzed. As a result, weekday and weekend leisure time of the old-old (7.64 hours / 7.81 hours) than the young-old (6.83 hour / 7.39 hour) was increased and resting activites (over 70% of watching TV and listening to the radio) accounted for more than 80% of the both elderly leisure activities. Leisure performance were higher in old-old who did not perform preferred leisure activities during weekdays. Leisure performance on weekends was higher in old-old regardless of whether they had preferred leisure time. Average of leisure performance was high in both groups and they responded leisure satisfaction was moderate. In the case of need for leisure change, young-old was higher than oid-old regardless of preference leisure performance and day of the week. However, the responses of the both groups are closed to those that do not want to change. Based on the results of this study, it should be practiced such as develomenting program and introduction of health management system considering leisure constraints to improve leisure satisfaction and continuance of leisure activities for young-old and old-old. We also emphasize the need for a systematic survey scale that takes into account the qualitative aspects of leisure activities as well as the subjective factors influencing leisure participation.

Correlation of Unmet Healthcare Needs and Employment Status for a Population over 65 Years of Age (65세 이상 인구의 고용형태와 의료요구 미충족 경험률의 관련성)

  • Kang, Jeong-Hee;Kim, Chul-Woung;Seo, Nam-Kyu
    • 한국노년학
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    • v.37 no.2
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    • pp.281-291
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    • 2017
  • The present study aimed to investigate the rate of unmet healthcare needs for elderly over the age of 65 years, as well as analyze the relevance between employment status and unmet healthcare needs due to financial reasons. With regard to the study method, a logistic regression analysis was performed to investigate the correlation between employment status and unmet healthcare needs due to financial reasons, targeting 5,528 subjects over the age of 65 years. The results showed that the rate of unmet healthcare needs was 18.9%, in which the rate of unmet healthcare needs due to financial reason was 8.1%. The rate of unmet health needs was higher for temporary workers(ORs=1.75) than for retirement workers. However, the rate of unmet healthcare needs caused by financial reasons was higher among day workers(ORs=1.92). In conclusion, in order to prevent unmet healthcare needs for senior Korean patients, it is necessary to not only improve the income security system for the elderly, but also improve the occupational form and level of income of these economically active citizens, considering the increase in average life expectancy. Moreover, it is also necessary to reinforce health insurance coverage systems for settling medical expenses.

Cognitive Function, Depression and Quality of Life according to the Demographic Characteristics and Physical Activity Type of the Elderly (노인의 사회인구학적 특성과 신체활동유형에 따른 인지기능, 우울 및 삶의 질)

  • Choi, Jae-Won;Chun, Myung-Up;Kang, Sung-Goo
    • Journal of the Korea Convergence Society
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    • v.8 no.12
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    • pp.431-444
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    • 2017
  • The purpose of this study was to examine the difference of cognitive function, depression, and quality of life according to demographic factors and exercise participation among 148 elderly over 60 years old. The cognitive function was measured by the Korean version of mini mental state exam, Digit span test, Trail making test, and the Stroop test. Also the psychological variables were showed depression and quality of life. As a results, first, depending on the degree of demographic characteristics of elderly had significant difference. Second, according to the participation of the exercise, the score was higher than the aged who did not participate in the exercise. Third, there were significant differences according to duration of exercise, period of exercise, frequency of exercise, and exercise time of the aged that who participate in exercise. Lastly, the cognitive function, depression and quality of life of the subjects were found to be correlated. In conclusion, the aged need to regularly participate in various exercise and physical activity programs to improve the quality of life by improving the cognitive function and decreasing depression of the elderly.

Elderly's Suicide Differentials and Their Factors: Focusing on 16 Metropolises and Provinces in Korea (우리나라 노인자살률의 지역적 편차와 요인에 관한 연구 - 16개 광역시·도를 중심으로)

  • Kim, Hyoung-Soo;Kim, Sin-Hayng
    • The Journal of the Korea Contents Association
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    • v.14 no.11
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    • pp.215-224
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    • 2014
  • It is hardly surprising for the current elder generation to choose extreme measure, that is to commit suicide, because of various social or health problems caused by financial difficulties and diseases, for neither individuals nor the nation had not prepared for their later lives. Therefore, the number of elder suicide is rapidly increasing, so that it is becoming a big social issue. Research in various fields related to elderly suicide has been done due to recent huge interest, but most of them focused on microscopic factors and it is likely that most are in national level or individual level, so research about elderly suicide by regional areas is insufficient. Due to the nature of Korean administration system which is operated by each local government, study on elderly suicide by regional areas is acutely required. The purpose of this study is to draw policy suggestions of preventing suicide by analyzing current state of suicide rates in terms of sex(male elder vs female elder) and age(young old vs old old) in each 16 regions for 9years(from 2003 to 2011) and then analyzing interrelationships between the suicide rates and socio-economic factors.

자동차 배출가스 규제 및 대책

  • 조병환
    • Journal of the korean Society of Automotive Engineers
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    • v.5 no.3
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    • pp.8-15
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    • 1983
  • 1960년초 이래 우리나라는 고도의 경제성장을 이룩하게 되었으며 이러한 경제성장에 따른 산업화 사회의 특징인 공업화 도시화 인구집중 현상은 우리나라에도 심각한 환경오염 문제를 야기시켜 왔다. 또한 같은 기간동안 자동차의 보유대수 역시 급격한 증가를 보여왔던바, 1962년 30,000 대에서 1982년도 자동차 등록대수는 약 640,000대로 증가하게 되었으며 대부분의 자동차가 대 도시에 집중되어 있다. 특히 전체 차량의 40%가 집중되어 있는 서울시의 경우에는 자동차 배 출가스로 인한 대기오염문제가 도시민의 건강과 재산에 많은 피해를 일으키게 되었다. 우리나 라는 선진 외국의 대도시에 비해 자동차의 1일 주행거리가 3배 내지 5배를 더 주행하고 있고 자동차 배출가스 기준의 완화, 노후차량의 증가, 도로율의 불황 및 도로조건의 불비 등은 도시 중심천의 자동차 집중현상과 함께 자동차 배출가스로 인한 대기오염 문제가 보다 더 심각하게 우려되었고, 따라서 자동차 배출가스규제 강화의 필연성이 계속해서 주장되어 왔다. 자동차로 인한 공해문제는 1940년도 후반 미국 남부 California 지방에서 광화학스모그의 발생과 함께 거 론되기 시작하였으나 본격적으로 문제가 제기된 것은 급격한 자동차 증가로 인한 도시민의 건 강피해가 발생하기 시작한 것은 1960년대이다. 처음으로 규제되기 시작한 것은 1965년 미국에서 "자동차 오염방지법"의 제정부터이며 1968년부터 자동차 배출가스에 대한 규제가 시작되었다. 한편 일본은 1973년, 유럽에서는 1975년부터 일산화탄소, 탄화수소, 질소산화물 및 매연에 대한 규제를 시작하게 되었다. 우리나라에서는 "도로운송차량법"에서 도로교통의 안전과 질서유지라는 측면에서 일부 규제하여 오다가 1977년말 "환경보전법"이 제정 공포되면서 1980년 1월 환경정의 발족과 함께 실제로 자동차 배출가스를 규제하게 되었다.발족과 함께 실제로 자동차 배출가스를 규제하게 되었다.을 SUP7H종으로 더욱 향상된 것이 실용 화되고 있다. 아래에서 이에 대한 기계적 특성을 중심으로 검토키로 한다.9%내인 0.07cm 정도였으나 1973년과 1974년의 방축년에는 조차 3개 처리구(3.4-5.18cm)에 필적되는 연평균 4.16cm로 나타났다. 5. 전체 시험구로부터으 연평균 토양유실량은 Sharpsburg 점질양토에 대한 S.C.S 한계허용치 10ton/ha/year 이내로 나타났다. 비처리구에서의 토양유실량은 평균 2.56ton/ha/year로 높게 나타난 반면 3개의 서로 다른 추리구인 비수구, 초생수로구 및 Bromegrass구에서는 각각 0.152, 0.192 및 0.290ton/ha/year로 낮은 결과를 가져왔다. 6. 평균 침전량에 대한 L.S.D. 검정 걸과 전시험구중 비처리구가 고도의 유의차를 나타낸 반면 비수구, 초생수로구 및 Bromegrass 목초구 간에는 아무런 유의차가 인정되지 않았다. 7. 농지보전 처리구인 배수구와 초생수로구는 비처리구에 비해 낮은 침두 유출량과 낮은 토양유실량을 나타내었다.구보다 14% 절감되는 것으로 나타났다.작용하는 것으로 사료된다.된다.정량 분석한 결과이다. 시편의 조성은 33.6 at% U, 66.4 at% O의 결과를 얻었다. 산화물 핵연료의 표면 관찰 및 정량 분석 시험시 시편 표면을 전도성 물질로 증착시키지 않고, Silver Paint 에 시편을 접착하는 방법으로도 만족한 시험 결과를 얻을 수 있었다.째, 회복기 중에 일어나는 입자들의 유입은 자기폭풍의 지속시간을 연장시키는 경향을 보이며 큰 자기폭풍일수록 현저했다. 주상에서 관측된 이러한 특성은 서브스톰 확장기 활동이 자기폭풍의 발달과 밀접한 관계가 있음을 시사한다.se that were all low in two aspects, named "the Nonsignificant group". And the issues were high risk perception in

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A Study of Relationship among Leisure Supports, Flow and Wellness among Active Senior of Leisure Activity Participants (액티브 시니어 여가활동 참여자의 여가지지, 여가몰입 및 웰니스 간의 관계 연구)

  • Seol, Su-Hwang;Choi, Jong-Woon;Ahn, Byoung-Wook
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.8
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    • pp.140-146
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    • 2020
  • The purpose of this study was to investigate the relationship among leisure supports, flow, and wellness of active senior leisure active participants. The subjects of the study were adults recruited from Seoul, Gyeonggi-do, and Jenla-do. For data processing, frequency, reliability, confirmatory factor, correlation, and structure equaling modeling analyses were conducted. The results were as follows. First, leisure supports of active seniors had an influence on leisure flow (p<.01). Second, leisure supports of active seniors had an influence on wellness (p<.01). Third, leisure flow of active seniors had an influence on wellness (p<.01). At this point in time as an aging society, active seniors are participating in leisure activities in a continuous pursuit of a healthy and happy old age by identifying the relationship between leisure support, leisure flow and wellness. This study suggests that our society should make an effort to participate in leisure and wellness activities.

A study on Determinant Factors of Preferred elderly Housing based on Location among Preliminary Elders (예비 고령자의 입지유형별 고령자 주택 선택요인 분석)

  • Kim, Chang-Gon;Won, You-Ho;Lee, Joo-Hyung
    • The Journal of the Korea Contents Association
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    • v.15 no.9
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    • pp.562-575
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    • 2015
  • This study aims to draw a Housing development scheme of elderly housing, including the urban, suburban and resort type according to location type, which is based on a Demanding Characteristics of preliminary elderly for elderly housing. In addition, The comprehensive implication tells that the preliminary elderly who wants the urban elderly housing type have a more personal characteristics than other types. So it should be considered according to personal characteristics. Next, when we choose the suburban elderly housing type and predict the demand for housing development, it should not only considers factors such as the Unmarried children, Health status, Current housing size and Plans for economic activity in old age but also considers factors such as the Accessibility, Convenience, Investment and Environment characteristics of elderly housing preference. Next, when we choose the resort elderly housing type which based on the fact that a few detailed parameters of current housing characteristics exist, it should be based on the current housing characteristics of preliminary elderly. In addition, it should consider a pre-investigation for elderly housing preference in order to select the housing type. Because a comprehensive preference such as the comfort, convenience, safety, investment, environmental characteristics is considered as major determinants factors.