• Korean Journal of Clinical Pharmacy
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• v.21 no.3
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• pp.243-248
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• 2011

낙상은 노인의 건강을 위협하는 가장 심각한 문제 중의 하나이며, 조기사망, 신체손상, 운동장애, 심리학적 기능장애를 유발하는 원인이기도 하다. 본 연구의 목적은 국내 노인전문 요양병원 입원 환자들의 의약품 사용이 낙상에 미치는 영향을 평가하는데 있다. 후향적으로 원내 의무기록 정보를 이용하여 환자-대조군 연구를 수행하였고, 2008년 1월부터 2010년 12월까지 3년 기간에 입원한 65세 이상을 대상으로 하였다. 입원기간 중 낙상을 경험한 34명의 노인환자들을 환자군으로 선택하였으며 낙상을 경험하지 않은 68명의 노인환자들을 무작위 추출하여 1:2의 환자군:대조군비율로 연구 대상 환자들을 선정하였다. 환자군이 복용한 의약품을 대조군이 복용한 의약품과 비교하였으며 각 계열별 의약품과 낙상위험도 관계를 평가하였다. 두 그룹간의 인구통계학적 특성은 유사하였고 연령, 성별, 복용 의약품수, 고혈압 유무, 혈중 크레아티닌 수치, 혈중 나트륨 수치, 혈압 또는 심박수에 유의한 차이는 없었다. 항히스타민제와 본 연구에서 유일하게 기타 수면보조제로 분류된 졸피뎀이 유의하게 낙상위험도를 증가시켰다.

• The Journal of Korean Physical Therapy
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• v.14 no.3
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• pp.433-449
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• 2002

노인에 있어 낙상 (falls)의 결과는 신체 기능상의 상실을 가져 올 뿐 아니 라 종종 사망에 이르게 하는 원인이 되기도 하여 중대한 건강상의 문제로 다루어지고 있다. 정상적인 노화과정은 감각(sensory)과 운동 (motor)계의 감퇴 그리고 주의력의 쇠퇴와 연관되어 있는데, 노인들은 이러한 감각(sensory)과 운동(motor)계 (system)의 손상으로 여러 가지 자세(posture)와 보행 (walking)등을 수행하는데 어려움을 겪는다. 또한 노화와 관련된 변화들은 자세를 조절 (postural control) 하는데 있어서 주의력 (attention capacity)을 감소시킨다. 이러한 조건 하에서 노인들은 이중과업 (dual task)을 수행하는데 젊은 사랑들보다도 더 많은 어려움을 느끼며 이는 곧바로 낙상 (falls)의 가능성을 증가시키는 중요한 원인이 되고 있다. 이러한 점들을 고려할 때 낙상(falls)을 방지하기 위한 훈련 프로그램 (training program)은 단순한 신체운동(physical exercise) 보다는 자세조절 (postural control)시의 인지시스템 (cognitive system)이 포함된 중추 통합 기전(central integrative mechanisms)을 최적화 (optimize) 시킬 수 있는 방향으로 구성되어야 한다.

• Journal of the Korean Home Economics Association
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• v.41 no.3
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• pp.165-180
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• 2003

The number of the functionally disabled elderly has been increasing in Korea and their families should have been in charge of supporting and taking care of them. This study was designed to grope for devices which were helpful to improve the psychological welfare of the functionally disabled elderly in the present situation. The results of this study were as follows: First, considering the level of psychological welfare of the functionally disabled elderly, the depression degree of the subjects was 52.9 which was higher than the middle point, 50. And the degree of family support the functionally disabled elderly were aware of, it also was high ; the score was 34.6 compared to the middle point, 33. On the other hand, the degree of public support that the functionally disabled elderly received was 2.01 which was lower than the middle point, 4.5. Second, the level of the depression of the functionally disabled elderly followed by background variables, the degree of agreement with family support, and public support represented significant differences among group according to religion, the type of previous occupation, the ownership of house, the type of residence, the presence of spouse, education level, and the source of income. Third, the relative influence toward the depression of the functionally disabled elderly was shown in the order of importance as follows: family support, the degree of functional disability, the ownership of house, public support, the presence of spouse, the source of income, the number of daughters, the degree of functional disablity.

• Therapeutic Science for Rehabilitation
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• v.12 no.3
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• pp.61-77
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• 2023

Objective : This study analyzed the correlation between cognitive function and oral health-related quality of life (OHQoL). Methods : Demographic and clinical characteristics were extracted and utilized for subjects aged 45 years or older who participated in the 8th Korean Longitudinal Study on Aging in 2020. The dependent variable was the Geriatric Oral Health Assessment Index, and the independent variable was the level of cognitive function classified by the Mini-Mental State Examination scores. The analysis method used inverse probability of treatment weighting (IPTW). Then, the association between cognitive function and OHQoL was analyzed by multiple regression analysis. Results : Among the participants, 4,367 (71.40%) had normal cognition, 1,155 (18.89%) had moderate cognitive impairment, and 594 (9.71%) had severe cognitive impairment. As a result of analysis by applying IPTW, there was a negative correlation between the cognitive function group and OHQoL (normal vs. moderate: β = -2.534, p < .0001; normal vs. severe: β = -2.452, p < .0001). Conclusion : After propensity score matching, mild cognitive impairment showed a more negative association than severe cognitive impairment. Therefore, patients with cognitive impairment require oral health management education to improve OHQoL regardless of the level of cognitive impairment.

• The Journal of the Korea Contents Association
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• v.20 no.10
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• pp.458-469
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• 2020

Geriatric depression is associated with pathological changes in the brain and increases the risk of cognitive impairment or dementia. However, high cognitive reserve, such as high education, can delay or minimize clinical manifestations of pathologies involving the brain, so the effect of geriatric depression on cognitive impairment or dementia may vary depending on the education level. In this study, the author analyzed data from the Korean Longitudinal Study of Aging (KLoSA) to examine whether the effect of geriatric depression on cognitive function differed depending on education level. Among the 10,254 subjects registered in the KLoSA, the 4,905 subjects who met the inclusion criteria were analyzed by stepwise regression analysis. The results were as follows: first, depressive symptoms predicted low cognitive function after 12 years; second, the negative effect of depressive symptoms on cognitive function after 12 years was higher in the old adult group than in the young adult group; and third, the effect of age was significant only in the low-educated group. These results suggest that depressive symptoms in low-educated old adults may increase the risk of development of dementia in the long term.

• Journal of Digital Convergence
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• v.17 no.2
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• pp.283-292
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• 2019

The loss of semantic knowledge and impairments in semantic associations by semantic category is gaining increasing attention, as indicators of early-stage cognitive decline. As such, we assigned semantic association task (SAT) to normal elderly (NE) and those with subjective memory impairment (SMI) or mild cognitive impairment (MCI) to examine their performance by semantic subcategories and the differences in error patterns. We found a significant difference in the number of correct response and reaction time under the SAT categories among the three groups, with the highest performance observed in 'function' and the lowest performance in 'superordinate' and 'part/whole'. Moreover, the error frequency was the lowest in NE, followed by those with SMI and MCI, with the latter two groups showing a significant increase in no-response. Our findings demonstrate the varying extent and process of impairments in the semantic network by category over different stages of cognitive decline. Thus, we proposed SAT performance as an indicator to detect and follow-up on cognitive decline in elderly with cognitive disorder.

• 재활복지
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• v.22 no.4
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• pp.103-121
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• 2018

For knowing the effects of aging on conversational skills in daily communication, this paper studied for the conversational turn-taking skills, working memory and naming ability on healthy elderly adults over 65 ages. 85 elderly adults participated in this study, which divided into four groups by ages. Speech samples were collected in natural conversation. Memorization of numbers, mental calculation, repetition of words were administered for working memory test. K-BNT was used for the naming ability. One-way ANOVA analysis was used for the comparison of conversational turn-taking skills among four groups. We analyzed the correlation between conversational skills, working memory and naming ability. The results were as follows: first, there were a significant difference in conversational turn-taking skills by age, but not by gender. There was a significant difference in 'Turn-Taking Frequency' and 'Total Utterance Frequency' among four groups. The same results were shown in the scores of females within three groups(exclude groups over 85D)(p<.01). Second, there was a significant correlation between 'rates of maintenance' and 'naming ability'. In addition, it was found that the naming test predicted 'rates of maintenance' skills. The results of this study suggest that word-retrieval ability will be helpful to enhance functional communication skills in aging old adults.

• Journal of the Korean Applied Science and Technology
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• v.40 no.2
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• pp.290-300
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• 2023

This study was understood the risk mechanism of falls in the elderly and reviewed previous research data to see if the principle of Pilates rehabilitation exercise could have a positive effect on balance ability and postural stabilization in the elderly, and the purpose of this study is to present literature-based data on the fall prevention effect of rehabilitation Pilates exercise. First, the rehabilitation Pilates exercise makes it available for strengthening the center of the body to stabilize the spine and pelvis and stimulates the nerve root, thereby having an effect on the balance and the joint stabilization. Second, a proprioceptive sensory impairment and a musculoskeletal degenerative disease due to aging increase the loss of balance ability and the instability in posture maintenance, thereby coming to raise the risk of a fall damage caused by the difficulty in performing motor functions and by the gait disturbance. Third, the rehabilitation Pilates exercise leads to improving the core muscle strength in older adults, resulting in being capable of expecting the betterment in the balance and the reaction time motor function. And there is a positive impact on the improvement in body imbalance and on the stability in movement involved in the fall prevention, resulting in being able to suggest the possibility of likely contributing to a reduction in a fall risk rate. In conclusion, the rehabilitation Pilates as the elderly exercise program showed effects on the improvement in the body's muscular strength, on the upgrade in a sense of balance, and on the stabilization of core. Thus, it was considered to diminish the risk factors for a fall damage caused by musculoskeletal degeneration and to be capable of preventing a serious disorder of activity due to a chronic senile disease.

• Proceedings of the Korean Society of Computer Information Conference
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• 2019.07a
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• pp.145-146
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• 2019

본 논문에서는 파킨슨병이 우리 사회에서 증가하고 있고 노인들 만이 아니라 젊은 사람들에게도 나타날 수 있기 때문에 환자들을 위해 근 기능 및 인지능력을 향상 시키는게 목표이다. 파킨슨병은 현재까지 원인이 알려지지 않았지만 도파민 세포가 손상되는 것으로 알려져 있기 때문에 아직은 약물치료와 식이요법 치료를 통해 질환의 증상을 중지시키거나 느리게 할 수 없다. 파킨슨병의 증강 중 가장 중심이 되는 근 기능 문제와 인지능력을 동시에 향상 시킬 수 있는 기대를 할 수 있으며 이것을 통해 다른 증상들도 느려 질 수 있도록 하는 기대를 할 수 있다. 프로그램을 통한 근 기능 능력이나 인지능력을 동시에 향상하고 대상자 개개인의 능력에 맞게 운동을 할 수 있는 프로그램을 개발하는데 목적이 있는 연구이다.

• Korean Journal of Social Welfare
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• v.61 no.1
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• pp.359-382
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• 2009

Little research has been done to understand the dynamics of well-being among the oldest old, although Korea experiences a rapid increase of this population group. This study explored the effects of demographic characteristics, physical condition, stressful life events and worries on life satisfaction of aged 85 and over. The moderating effects of psychosocial resources in buffering the negative effects of the life events and worries on life satisfaction of this group were also examined. The survey data collected from 213 community residing aged 85 and over was used for analyses. Major findings are as follows. First, most frequent stressors of the oldest old were health related problems. Second, greater worries, higher income status, lower level of physical impairment, co-residence with adult children were significantly related to higher life satisfaction of the oldest old. Third, emotional support from adult children as well as self-esteem of the older persons had buffering effects on the relationship between worries and life satisfaction. According to the results, implications for practice and services to increase life satisfaction of the oldest old were discussed.