• 한국노년학
• /
• v.37 no.2
• /
• pp.445-459
• /
• 2017

The purpose of this study is to provide a systematic review of the nonpharmacological interventions of ADL improvement for dementia published in foreign journals for the past 10 years, and to provide general information on nonpharmacological interventions and effective intervention methods to dementia expert in clinical practice. We searched published studies in the Medline Complete, PubMed Central, and Scopus databases from January 2007 to November 2016. The main keywords used "Dementia AND (ADL OR Activities of daily living) AND Nonpharmacological interventions" and total of 9 studies were selected for analysis from 974 searched articles. The level of evidence were belonged to 3 each studies in I~III level. The mostly provided nonpharmacological interventions were exercise, the study field was variety of areas including rehabilitation(occupational therapy, physical therapy), nursing, and psychology. The Barthel Index(BI) was most frequently used assessment tools to evaluate basic activities of daily living, Cognition was most dependent variables measured with the ADL. Through this study, we provided evidence for the understanding of nonpharmacological interventions of ADL improvement for dementia. In the future, based on this study, helpful intervention needed for ADL training.

• 한국노년학
• /
• v.30 no.1
• /
• pp.93-108
• /
• 2010

This study conducted a secondary analysis by using original data of performed by Korea Institute for Health and Social Affairs to determine factors affecting health-related quality of life for the elderly aged over 65 years living in Korea. The survey was conducted in 2005 and it evaluated totally 34,152 cases. Among them 3074 cases investigating the elderly aged over 65 years were selected for this study and finally 2036 cases were included in it by excluding cases with no answer or a wrong answer. The results were as follows. In the illness days, the average of the whole subjects was 11.05 days and it was longer when subjects were female and older, had lower educational background and lower family income, did not have spouses and jobs and were covered by medical aid as medical security. In the years of activity restriction, the average of the total subjects was 3.48 years and it was increased when they were older, had lower educational background and lower family income, did not have spouses, lived in detached houses and were covered by medical aid as medical security. Subjective health condition of the total subjects was 2.64 points out of 5 points in average. The scores were higher when subjects were male, younger, had better educational background, spouses, jobs and more family income, lived in multi-family living houses and were covered by corporate insurance as medical security. The average of total quality of life of the subjects was 2.61 points out of 3 points and it was found to be higher when subjects were male, younger, had better educational background, spouses, jobs and more family income and were covered by corporate insurance as medical security. It was decreased with higher illness days, higher years of activity restriction and lower subjective health condition. For the effects of the factors related to quality of life, subjective health condition showed the largest influence.

• Journal of the Korea Academia-Industrial cooperation Society
• /
• v.22 no.3
• /
• pp.190-198
• /
• 2021

The purpose of this study is to identify characteristics of well-aging related research conducted in Korea and to analyze the concept definition to present the direction for future well-aging research in Korea. As a research method, an integrated literature review suggested by Whittemore & Knafl was conducted. Study results found research conducted in Korea consisted of 2 literature reviews, case studies, qualitative studies, 3 survey studies, and 2 experimental studies. In addition, there were 3 studies performed prior to 2017 and 8 studies after that included 2 dissertations and 9 dissertations in academic journals. The definition of well aging consisted of physical, emotional, social, economic, and self-realization aspects. Based on the results of this study, it is necessary to provide education and programs according to life cycles to prepare well aging, and in the future, well-aging studies should be conducted in various academic fields.

• Journal of Korean Home Economics Education Association
• /
• v.34 no.1
• /
• pp.113-129
• /
• 2022

This study evaluated the dietary habits and dietary quality of the Korean elderly according to muscle strength status. This study was conducted on the elderly aged over 65 years who participated in the 2014-2018 Korea National Health and Nutrition Examination Survey. Subjects were classified into the normal muscle strength group(n=2,000) and the low muscle strength group(n=1,273) according to the handgrip strength. There was a significant difference in general characteristics, diet habits, and health behavior according to the muscle strength status. The normal muscle strength group had a higher total score of KHEI and a subtotal score of 「adequacy」 items. But there was not significant difference in the 「moderation」 items. For the 「balance of energy intake」 items, the normal muscle strength group had a higher subtotal score than the low muscle strength group only in among women. The prevalence of low muscle strength decreased in the highest quartile of the adjusted KHEI total score(p for trend=0.08). As a result of this study, it was found that KHEI was significantly associated with muscle strength. This study result can be used to provide dietary guidelines for the improvement of muscle strength in the elderly based on each item of KHEI and sex.

• Journal of Digital Convergence
• /
• v.19 no.11
• /
• pp.31-38
• /
• 2021

The use of professional retirement personnel who have largely left their economic activities due to the retirement of baby boomers is a modern task and is emerging as a social issue. This study aims to explo re the perception of professional retirees' overseas volunteer experience as NGOs and seek ways to utilize pro fessional retirement personnel. This study is a qualitative study using photo-voice, and the participants in the study are retirees of retirement age from professions with experience in NGO overseas service. Data were collected through group activities and individual interviews, and data were analyzed using participatory analysis and subject analysis. The perception derived from the study was that NGO overseas service is the best job to be safe and raise the national status, and that information on this is wanted to be provided in retirement education. In conclusion, retirement education for the expansion of NGO overseas service was conducted not only in public enterprises but also in general workplaces to discuss ways to prepare before retirement, and the operation of the Retired NGO Overseas Volunteer Information Service Center was suggested. This study is meaningful in presenting basic data for preparing alternatives to social welfare policies in old age after retirement through the recognition of the experience of professional retirees in overseas NGO service

• Industry Promotion Research
• /
• v.8 no.3
• /
• pp.69-78
• /
• 2023

Based on the perception that integrated retirement preparation in various areas is needed in preparation for increased old age, this study aims to identify the status and characteristics of retirement preparation of middle-aged people and reveal the relationship with successful aging. In addition, it aims to find out the mediating effect of social support in the relationship between retirement preparation and successful aging for the middle-aged. To confirm this, 1,037 men and women aged 50 to 64 who responded to the third, fourth, and fifth additional surveys of the Korean Retirement & Income Study (KReIS) conducted by the National Pension Research Institute were analyzed. When the preparation of middle-aged people for retirement affects successful aging, bootstrapping with IBM SPSS 26 Process Macro Model 4 was conducted to verify the mediating effect of social support. As a result of verifying the significance of independent variables on the parameters, preparation for retirement was positively (+) significant. In other words, it was verified that the higher the preparation for retirement, the higher the social support. Furthermore, it was discovered that social support, an independent variable, had a significant impact on successful aging, and social support, an independent variable, had a significant impact on successful aging. The results of this study suggest the need for social support for successful aging through the preparation of middle-aged people for retirement. It is intended to derive policy implications for preparing for retirement and provide them as basic data to increase the level of successful aging.

• 한국노년학
• /
• v.30 no.4
• /
• pp.1197-1211
• /
• 2010

This research was concucted to present a model of advance directives(AD) when a patient, who is in consciousness, shows a preference for an end of life care as an act of preparing for an uncertain situation that may arise in the forseeable future. The subjects of the research are 383 doctors/nurese and adults, who live in six cities and provinces, to investigate the status of AD, attitude regarding a meaningless life-prolonging treatment, and moreover, an understanding of and a preference for AD. The research was done by the well-structured questionnaire. Also, SPSS 14.0 is used to analyse the collected data, focused on frequency analysis, avearage and standard deviation, X2 test. As the results of the study, the most of the surveyed doctors/nurese knew DNR orders and AD and a few of them used DNR orders and AD practically. Also, the result shows that there is a negative conception of meaningless life-prolonging treatment among the responents, in addition, most of them agreed upon the idea of introducing AD to Korea, filling it out and making it legally effective. As a method of making AD out, the respondents wanted to use a form that mixed living will with an Power of Attorney in a document. Also, considering the appropriate time, respondents prefered when they are diagnosed with terminal illness. At the moment, the introductory model for AD, which is suitable for the Korean culture and current situation is presented based on the result of this research. In the future, other researches should deal with specific measures that can lead to a social consensus to adopt AD in Korea.

• 한국노년학
• /
• v.31 no.2
• /
• pp.371-380
• /
• 2011

This study was to address changes on hospital-based home care utilization after long-term care insurance(LTCI) was launched. National electronic data information(EDI) on hospital-based home care from Health Insurance Review Agency in 2007.7~2008.6(prior to LTCI) and in 2009(posterior to LTCI) was analyzed. After the launch of long-term care insurance, 40 hospital-based home health care agencies(HHCA) were diminished and regions not having any HHCA were increased from 53% to 59%. Hospital-based home care utilization was decreased in the elderly(clients 13.4%, visits 20.9%) as well as non-elderly(clients 3.5%, visits 3.9%). It is presumed that diminished HHCAs result in decreased accessibility to hospital-based home health care for non-elderly. The clients, visits, and reimbursed cost per agency were not changed. It is presumed that small agencies were closed already. The total reimbursed cost per agency in 2009 was 121,850,000 won. Results suggest that the government has to give support to open more HHCA to increase the accessibility for non-elderly. Also, hospital-based home care services utilization has to be monitoring regularly.

• 한국노년학
• /
• v.30 no.4
• /
• pp.1311-1327
• /
• 2010

This study was conducted to identify the relationship between depression and subjective/objective health status, and to examine predicting factors on depression in the elderly in Korea. This study was a secondary analysis using the data of Korea National Health and Nutrition Examination Survey(VI-1) 2007. A total of 939 data from the subjects ≥60 years who completed health-related survey were used for analysis. Data were analyzed using SAS (version 9.1) PC program. Depression was identified in the 20.3% of the older subjects. Multiple logistic regression analysis showed that women (OR=2.04), senior high school graduation (OR=0.27) and lowermiddle household income (OR=2.83) were significant associating factors(p<0.05). After adjustment for socio-demographic factors, hypertension (OR=1.93) and asthma (OR=3.32) as objective health status, and stress (OR=7.27), limited activity in daily living due to fracture or joint injury (OR=6.59) and poor self-rate health (OR=1.64) as subjective health status were found as factors predicting depression in the elderly(p<0.05). According to the type of health status, the subjects who had chronic disease or perceived poor physical health were 5.94 times more likely to have disposition to depression than the subjects who had no chronic disease or perceived good physical health (p=0.001). These findings suggest that preventive education and intervention focus on preventing and managing chronic diseases such as hypertension, asthma, fracture and joint injury should be needed to decrease depression in the elderly.

• 한국노년학
• /
• v.29 no.2
• /
• pp.377-394
• /
• 2009

Using the Socio-cultural Stress and Coping model, this study proposed a path model to explore how cultural values affect the physical health of Korean American caregivers through caregiver burden, receipt of informal social support and utilization of formal care services. For physical health outcomes, three physical health indicators were employed: self-reported global physical health, self-reported blood pressure, and salivary cortisol. The path model was analyzed by using a sample of 87 Korean caregivers living in Los Angeles County and Orange County, California, USA. The major findings of this study included the following: 1) Stronger belief in cultural values was associated with more frequent utilization of formal care services, leading to lower levels of systolic boold pressure; 2) Cultural values did not affect the physical health of Korean American caregivers through caregiver burden. The demonstration of positive effects of cultural values on the physical health of Korean America caregivers through social support utilization call attention to the need of further research on the understudied group providing family care to frail older family members.