• Journal of Korean Academy of Nursing
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• v.40 no.6
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• pp.903-912
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• 2010

Purpose: This study was conducted to examine whether the level of classification for long-term care service under longterm care insurance reflects resource utilization level for residents in nursing homes. Methods: From 2 long-term care facilities, the researchers selected 95 participants and identified description and time of care services provided by nurses, certified caregivers, physical therapists and social workers during a 24-hr-period. Results: Resource utilization level was: 281.04 for level 1, 301.05 for level 2 and 270.87 for level 3. Resource utilization was not correlated with level. Differences in resource utilization within the same level were similar with the coefficient of variance, 22.7-27.1%. Physical function was the most influential factor on long-term care scores (r=.88, p<.001). The level for long-term care service did not reflect differences in resource utilization level of residents on long-term care insurance. Conclusion: The results of this study indicate that present grading for long-term care service needs to be reconsidered. Further study is needed to adjust the long-term care classification system to reflect the level of resource utilization for care recipients on the long-term care insurance.

• Journal of Korean Academy of Nursing
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• v.27 no.4
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• pp.871-879
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• 1997

인간은 사회적 접촉을 필요로 하고 타인과의 상호작용을 원하는 사회적 동물이다. 외로움은 한 개인의 사회적 관계의 망이 양적이나 질적으로 부족할 때 발생하는 불유쾌한 감정이다. 외로움은 매우 보편적인 감정이나 고통스러울 수 있으며 이러한 경험이 지속되면 정신적, 신체적 건강을 해칠 수 있을 뿐 아니라 자살을 초래하기도 한다. 특히 노인은 여러 가지 종류의 변화와 상실을 경험하기 때문에 외로움을 더 느낄 수 있다. 본 연구의 목적은 번역과 역번역 과정을 통해 Revised UCLA Loneliness Scale에 대한 한국어 UCLA 외로움 사정도구를 만들고 이 도구를 한국노인에게 적용하여 신뢰도와 타당도를 조사하는 것이다. 개정판UCLA외로움 사정 도구는 각각 3번씩의 번역과 역번역 과정을 통해 원본 영문도구와 역번역된 영문도구 사이에 의미의 차이가 없다고 판단될 때까지 만들어졌다. 번역과 역번역 과정은 미국에서 석사나 박사학위를 취득한 6명의 한국유학생들에 의해 이루어 졌으며 원본 영문도구와 역번역된 도구사이의 의미의 차이는 본 저자와 미국인 간호학 교수에 의해 사정되었다. 번역된 한국어 외로움 사정도구는 미국의 3개 주에 거주하는 203명의 한국노인들을 대상으로 신뢰도와 타당도 조사가 이루어졌다. 한국어 UCLA외로움 사정도구의 신뢰계수는 .93으로 한국어 도구의 내용이 전반적으로 동질성을 띈다는 것을 알 수 있었다. 이는 Barren등(1992)이 미국인 노인여성을 대상으로 한 연구에서 얻은 신뢰계수 .87보다 높은 것이었다. 한국어 도구의 구성타당도를 조사하기 위해 요인 분석을 실시한 결과 본 도구는 친밀한 주변인, 사회적 주변인, 및 소속감 등의 3개 요인을 가지는 것으로 분석되었다. 구성타당도에 대한 이러한 결과는 미국의 대학생들을 대상으로 한 Austin(1983)의 연구결과와 일치하는 것이었다. 각 요인에 대한 신뢰계수는 .88(제 1요인), .90(제 2요인), .84(제 3요인)로 나타났다. 전반적으로 대상자들은 한국어 도구에 대해 이해를 잘 하는 편이었으나 부정문인 4번 항목, '나는 혼자라고 느끼지 않는다'에 대해서는 응답을 할 때는 다른 항목에 비해 시간이 더 소요되거나 연구보조자에 의한 반복 설명이 필요하기도 하였다.

• Science of Emotion and Sensibility
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• v.19 no.4
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• pp.127-136
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• 2016

The main purpose of this study was to observe the relationship of denture and halitosis and to investigate the influence with oral health indexes. Also we examined the contribution factors to subjective awareness of halitosis by denture condition. A total sample of 103 elderly people were answered questionnaire and all collected survey data were processed for data analyses. Based on general characteristics, the study of the halitosis showed higher score which is older age, oral health attitude, and living together. The result showed that the use of denture, dental intelligent quotient (dental IQ) and type of denture were significantly correlated with halitosis. These results indicated that halitosis was affected by denture and oral health index. According to these findings, it is necessary to develop and apply the oral health promotion program which is include the management of halitosis especially for elderly person.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.16 no.2
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• pp.1240-1252
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• 2015

The purpose of this study was to investigate feeding difficulty and its influencing factors of elders with dementia in long-term care facilities. Participants were 158 elders with dementia residing in three nursing facilities. Data were collected from Aug. 18 to Sep. 12 in 2014. The feeding difficulty in dementia scale, Korean version-Activities of Daily Living and Mini-Mental State Exam-Korean version were used as instruments. Data were analyzed using descriptive statistics, t-test, ANOVA, Pearson correlation and stepwise multiple regression by SPSS 17.0. Mean feeding difficulty score was $0.62{\pm}0.43$(range of 0-2). The highest feeding difficulty item was "patient require close supervision while feeding". The variables influencing the feeding difficulty was ADL(${\beta}=.312$), cognitive function(${\beta}=-.172$) which explained about 20.0% of total variance. The results suggest the need of developing feeding difficulty coping strategy according to dietary behavior phase, In addition, the development and testing the educational program for caregivers to help feeding difficulty of the elders with dementia in long-term facility are recommended.

• Journal of Convergence for Information Technology
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• v.11 no.1
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• pp.62-70
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• 2021

The purpose of this study was to identify health literacy among elderly and to investigate the relationships between healthy literacy and health status. A cross-sectional study was conducted with a sample of 158 participants between July and December 2019. The linguistic and functional health literacy (using the KHLAT and NVS) and self-rated physical and mental health were assessed. Above third of elderly have difficulties reading and understanding linguistic and functional health literacy. There were significant differences in health literacy according to residence, spouse, living together, educational level, occupation, monthly income, and number of diagnosed disease. Linguistic and functional health literacy and self-rated physical and mental health are closely related. Sociodemographic and disease related factors such as residence, educational level, monthly income, and multi-morbidity need to be considered when developing educational programs to improve health literacy. It could be possible to promote health status by improving the health literacy through individualized convergent educational program.

• Journal of agricultural medicine and community health
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• v.24 no.2
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• pp.245-268
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• 1999

It is necessary that the old should have the physical and social ability to perform their daily life. This study is to grasp their degree of disability and problems and suggest their solutions. It surveyed the 87 old people over 65 years old from September 1st until September 30th, in 1997. The findings are as follows. 1) The activities of daily living(ADL) to find their degree of physical disability shows that their average performance ability is 75.9% of all the action while 24.1% of all the old people needs the others' help. As they get older and older, the aged drop off in their physical ability, which is related to a statistical sense (p<0.001). 2) The social disability shows that the aged have their great difference from 9.2% to 85.1% in their instrumental activities of daily living(IADL), intellectual ability and social role. 3) A simple analysis shows that the activities of daily living are, in a statistical sense, related to age(p<0.001), the use of elder's hall(p<0.001), the understanding degree of health(p<0.01) and so forth. 4) A simple analysis shows that the instrumental activities of daily living are, in a statistical sense, related to age(p<0.001), the degree of education(p<0.05), the life of leisure(p<0.001), the understanding degree of health and so forth. 5) A multivariate logistic regression analysis shows that the disability of daily living is related to age, the visit of elder's hall, the period of solitary living, instrumental activities of daily living is age and the visit of elder's hall, and social role is the visit of elder's hall and the decree of education, while intellectual activity has no related variables in a statistical sense.

• Korean Journal of Social Welfare
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• v.58 no.1
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• pp.291-318
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• 2006

There were many studies conducted on economical aspects of employment among the elderly in national level, however, very few studies examined social and psychological aspects of senior employment and employment preferences of the elderly persons. The purposes of this study were to examine major determinants of decision making in employment, and to explore some relationships among decision making of employment, socio-economic factors, health and psycho-social factors, and labor and economical factors among non-working elderly persons in the community. In all, two-hundred-twenty elderly persons were interviewed and one-hundred-ninety-four were analyzed in this study. The descriptive statistics, analysis of variance, correlation analysis, and logistic regression were used for the data analysis in this study. The study found that the respondent's sex, ages, education, numbers of children, physical health, ADL, self-efficacy, economical stress, numbers of years in labor, asset of real estate, family allowances, and the benefit levels of pension were major determinants of decision making in employment among non-working elderly persons. Finally, some implications were discussed for developing effective senior employment in national policy, job related services, and welfare programs of the elderly persons for the successful aging.

• Journal of Digital Convergence
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• v.11 no.10
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• pp.661-667
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• 2013

This paper aims to identify the relationship between the number of teeth of the elderly and their life happiness index. A face-to-face interview survey was conducted with elderly residents of Dong-gu, Daejeon from June 27 to July 25, 2012. A Tukey post hoc test and correlation analysis were implemented after a t-test and variance analysis. The results of analysis showed that satisfaction with life related to oral health was significant, but happiness in daily life had no significant difference. For the elderly, the quality of life related to oral health and happiness in daily life had no significant difference. Masticatory performance difference depending on usage of dentures also showed significant difference (p<0.001). The difference of masticatory performance depending on the number of teeth was analyzed by a correlation analysis. The present number of teeth, present anterior teeth and molars demonstrated a correlation. Quality in life related to oral health depending on the number of teeth correlated with the present number of teeth, present anterior teeth and present molars.

• Journal of Korean Home Economics Education Association
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• v.20 no.4
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• pp.59-75
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• 2008

This study is designed to support the development and the teaching of revised curriculum of 2007 "Technology & Home Economics" by investigating the actual condition and the necessity of education for elderly housing education. Questionnaire survey was conducted with 488 high school students in Gyeongnam in 2008. The data analyzed by descriptive statistics, t-test, One-way ANOVA, Duncan's multiple range test by using SPSS 14 program. The results showed that most of the students were dissatisfied with their middle school education of elderly housing due to the lack of interesting and practical contents. Thus, various teaching-learning methods where student can experience and experiment is needed. Also, the students demanded more of factors of elderly housing, spacing plan, elderly welfare service and less of three-generation housing and senior housing in their elderly housing education. The needs of education contents differed among students depending on variables such as sex, graduated middle school, household income, dwelling space and length of residential years. Therefore, revised 2007 curriculum of "Technology & Home Economics" should include required contents in related chapters. Because there are significant differences among textbooks about elderly housing, further attention needs to be paid to the new textbooks in order to include education contents evenly. At the same time, teachers should organize their teaching contents considering the divergence of variables. The effect of elderly housing education will be maximized if the revised curriculum consists of more experimental activities such as elderly simulation in the local community.

• 한국노년학
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• v.32 no.3
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• pp.729-745
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• 2012

The purpose of this study is to review person-centered care models and the scientific evidence for the impact of person-centered care in U.S. nursing homes, and to analyze the applicability of person-centered care for Korean long-term care system. The most commonly recognized person-centered care models were Eden Alternative, Green House, and Wellspring model. The core components of the three models were autonomy, close relationships, homelike environment, and staff empowerment. Thirty eight empirical studies including 10 model testing studies and 28 studies to examine the impact of person-centered care interventions indicated generally positive outcomes in terms of residents, family, and staff/organization level. The authors analyzed the current situation in the Korean long-term care system with respect to the specific core constructs of person-centered care, and proposed applicable models and practical suggestions in consideration of Korean context. Lastly, future considerations regarding policy and research were discussed.