• Title/Summary/Keyword: 노인상담

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Development and Effects of a Motivational Interviewing Self-management Program for Elderly Patients with Diabetes Mellitus (노인 당뇨병 환자를 위한 동기강화상담 당뇨병 자기관리 프로그램의 개발 및 효과)

  • Kang, Hye-Yeon;Gu, Mee Ock
    • Journal of Korean Academy of Nursing
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    • v.45 no.4
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    • pp.533-543
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    • 2015
  • Purpose: This study was conducted to develop and test the effects of a motivational interviewing self-management program for use with elderly patients with diabetes mellitus. Methods: A non-equivalent control group pretest-posttest design was used. The participants were 42 elderly diabetic patients (experimental group: 21, control group: 21). The motivational interviewing self-management program for elders with diabetes mellitus developed in this study consisted of a 12-week program in total (8 weeks for group motivational interviewing and education and 4 weeks for individual motivational interviewing on the phone). Data were collected between February 13 and May 3, 2013 and were analyzed using t-test, paired t-test, and repeated measure ANOVA with SPSS/WIN 18.0. Results: For the experimental group, significant improvement was found for self-efficacy, self-care behavior, glycemic control and quality of life (daily life satisfaction, influence of disease) as compared to the control group. Conclusion: The study findings indicate that the motivational interviewing self-management program is effective and can be recommended as a nursing intervention for elderly patients with diabetes mellitus.

Age Differences in Safety Perception: A Comparison of Babyboomer, Pre-elderly, and the Elderly (연령별 안전에 대한 인식 차이: 베이비부머, 예비노인, 현재노인의 비교)

  • Chung, Soon-Dool;Oh, Eun-Chan;Kim, Go-Eun
    • Journal of the Korean Society of Hazard Mitigation
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    • v.11 no.3
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    • pp.75-81
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    • 2011
  • The purpose of this study is to observe the age differences in safety perception among babyboomer, pre-elderly, and the elderly and to seek for countermeasures to overcome the risk. The data used for this study were from the 2008 Social Survey conducted by Administration on Statistics, Korea. The data were divided into three different age groups such as babyboomer, pre-elderly, and the elderly. Results showed that overall safety level of the society, safety perception of others and oneself, current social safety level compared to 10 years ago, social safety level after 10years, awareness of safety among different social fields, and the rank among the list of factors that lead to social insecurity appeared to differ according to the three different age groups. The awareness of safety for the elderly group was not higher than babyboomer and pre-elderly groups. Age differences in safety perception reflected the times and experiences the same age cohort went through. Countermeasures for security should be developed by considering the characteristics of the generations and different age groups.

Development and Effect Verification of Well-being Enhancement Program for the Korean Female Elderly Living Alone (한국여성 독거노인을 위한 웰빙 증진 프로그램 개발 및 효과분석)

  • Kyung-Hyun Suh
    • Korean Journal of Culture and Social Issue
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    • v.21 no.4
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    • pp.595-615
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    • 2015
  • This study aims to develop well-being enhancement program for the female elderly living alone, and examine its effects. The program was structured by exploring the meaning of life and happiness with focused on self-disclosure, dealing with regret and resentment, forgiveness, gratitude, and resilience. At first, pilot program was applied to 6 female elderly living alone for predicting the effects and modified the program. For verification of the program effect, 11 female elderly living alone were assigned to developed well-being enhancement program, also 11 female elderly living alone were assigned to comparison group who participate in activity-focused program, and 12 female elderly living alone were assigned to control group. Results indicated that regret for interpersonal relations and resentment of the female elderly living alone who participate in well-being enhancement program were reduced after participating the program, while their self-disclosure increased. The female elderly living alone who participate in well-being enhancement program showed lowered level of anxiety, loneliness, and awareness of aging, which were factors of well-bing in senescence. Moreover, their level of negative emotion was decreased, and life satisfaction, positive emotion, and happiness were increased after participating the program. But, all of those enhancement were not found in control group as well as comparison group. These results suggest that well-being enhancement program for the female elderly living alone developed in this study could be utilized in various settings.

A Study on Typology and the Casual factors of Elderly-abuse (노인학대 유형화 및 유형결정요인 연구)

  • Lee, Yun-Kyung;Kim, Mee-Hye
    • 한국노년학
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    • v.28 no.4
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    • pp.1165-1178
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    • 2008
  • The objectives of this study are developing the new types of elderly abuse and finding the variables affecting the new elderly abuse type. And This is at suggesting the intervention strategies preventing the elderly abuse. The 350 cases of elderly abuse reported in Elder Protection Agency was analysed. Data is analyzed by using statistical techniques including cluster analysis and logit-regression. New type of elderly abuse is "violent elderly abuse" and "avoiding elderly abuse". Violent elderly abuse is very connected with directly violence speech and behavior and avoiding elderly abuse is connected with neglect and abandonment, self-neglect. The elderly's instrumental activity of daily living and education, the offender's sex and education and living together type of the elderly - the offender, and the offender's care burden are the casual factors of the new type of elderly abuse. Based on the results, the various service programmes for the abused elderly is developed and implemented.

A Study of Social Program Space Layout in the Elderly Welfare Facility - Case study of 22 elderly welfare facilities in the Honam Province - (노인복지시설의 이용서비스공간의 면적구성에 관한 연구 - 호남지역의 노인복지회관 22개소를 중심으로 -)

  • Yoo, Eun-Young
    • Archives of design research
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    • v.20 no.1 s.69
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    • pp.101-110
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    • 2007
  • Since elderly welfare centers were designated as leisure facilities for elders by the Welfare of the Age Act enacted in 1981, they have been built in cities and provinces, but services provided by the facilities have not been diverse. Furthermore, thanks to the full enforcement of the local autonomy system, the number of elderly welfare centers is increasing rapidly. In the Honam area, 36 elderly welfare centers were in operation in 2005, but most of them do not reflect the characteristics of the aged population and the corresponding locality. Neither are there service programs nor detailed plans for spatial structure or layout for such sonics programs. Therefore, this study classified program spaces and analyzed space locations in elderly welfare centers in the Honam area, and investigated the spatial layout of each facility including counseling spaces, medical and rehabilitative spaces, social education spaces, welfare spaces and management spaces. The ultimate purpose of this study is, based on the results of the analysis and investigation, to present basic materials necessary for designing the spatial structure of elderly welfare centers that satisfies various services in consideration of the local characteristics of the Honam area.

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Comparative, Integrated Study on emotional support, physical support, Socio-economic Factors related with Suicidal Ideation of 75 or older Seniors: Using the 2017 National Survey of Elderly (후기노인의 정서적, 신체적, 사회경제적 요인과 자살생각과의 비교융합연구: 2017년도 노인실태조사 자료를 활용하여)

  • Kim, Young-Ran;Park, Chang-Soo;Nam, Ho-Jin
    • Journal of the Korea Convergence Society
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    • v.10 no.7
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    • pp.63-70
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    • 2019
  • This study examined the effect of emotional factors, physical factors and socioeconomic factors on suicidal ideation of 75 or older seniors and sought to identify what kinds of factors should be satisfied to prevent their suicide. Using "2017 National Survey of the Elderly", the study conducted survey among 75 or older 3,023 males and 1,295 females. It used multivariate logistic regression analysis to identify the factors affecting suicidal ideation. As a result, the study found that ties with their offspring, the number of chronic diseases, being abused or not, depression and living with or without espouse had significant effects on their suicidal ideation and abuse was the largest factor. Therefore, in order to reduce suicide rate of 75 or older seniors, more active attention should be rendered to their physical, socioeconomic and emotional health problems, and measures to reduce elderly abuse should be sought. In particular, institutional improvement and revitalization of elderly counseling institutions are needed to reduce elder abuse

A Study of Current Status and Activities of the Community Health Practitioners in Rural Areas in Korea (한국의 농촌지역에서의 보건진료원 현황 및 활동분석연구)

  • Kim, Jin-Soon
    • Journal of agricultural medicine and community health
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    • v.25 no.2
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    • pp.343-352
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    • 2000
  • 한국의 농촌 보건의료 문제를 해결 하기위하여 일차보건의료가 도입되었으며 일차보건의료에서 핵심적인 역할을 수행하고 있는 보건진료원의 활동을 분석하였다. 분석 목적은 보건진료원의 일반현황과 보건진료원 활동에 대한 구체적인 분석을 통하여 활동개선 방안을 제시하는데있다. 분석방법은 사회조사 방법을 적용하였으며 조사는 1998년 7월과 11월기간에 구조화된 설문지를 보건진료원 전원에게 송부하여 스스로 작성하게 하였다. 1880명의 보건진료원을 대상으로 설문지를 배포하였으며, 1663명의 응답자가 작성한 설문지가 최종분석되었으므로 분석율은 88.5%였다. 분석결과 보건진료원의 일반현황으로 광역사의 보건진료원 평균 연령은 39.7세이며 시지역 보건진료원의 연령이 군지역보다 높았으며 통계적으로도 유의한 차이가 있었다. 총근무기간도 시지역의 보건진료원의 12.4년-13.6년으로 농촌지역보다 걸었으며 통계적으로도 유의한 차이가 있었다. 보건진료원의 평균 관할 인구수는 901명이었다. 보건진료소 관할지역의 노인인구 및 만성질환자의 분포가 매우 높았다. 보건진료소로부터 민간의료기관이 위치한 거리는 시지역 (7.1-11.3km) 보다 농촌지역이 12.1km로서 지리적 접근성이 시지역보다 낫은 것으로 나타났다. 활동건수분석결과 월평균 가정방문수는 평균 47.8건, 일평균 내소자수는 14.1건 및 일평균 전화상담은 5.2건으로 나타났다. 연령별 활동수준은 40세이상이 4세 이하보다 월평균 가정방문수와 일평균 내소자수가 많았으며 통계적요로도 유의한 차이가 있었다. 경력이 많을수록 일평균가정 방문수 및 전화상담 건수가 많았으며 통계적으로 유의한 차이가 있었다. 근무조건에 대한 만족도는 80%정도로 높았다. 연구결과 보건진료원의 활동지역내 노인인구 및 만성질환자의 비율이 높고 민간의료기관의 지리적 접근성도 낮고, 관할인구규모가 적어서 인구규모를 늘리고 노인 및 만성질환자 건강관리 프로그램의 개발이 더욱 요구되며 농촌지역주민의 건강관리자로서 보건진료원의 활동을 강화할 필요가 있다.

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Survey on Education Needs for Gerontological Nursing using Nursing Diagnosis classification in hospital nurses (간호진단 분류를 이용한 노인환자 간호 교육 요구도 조사: 병동 간호사를 대상으로)

  • Song, Juhyun;Kim, Sisook
    • Journal of the Korea Convergence Society
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    • v.13 no.2
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    • pp.341-348
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    • 2022
  • The study was aimed to identify the educational needs for gerontological nursing using the nursing diagnosis classification of hospital nurses. A cross-sectional survey was conducted on 245 nurses who had experience caring for older patients within 1-year at two nurse web cafes. As a result of the study, 43 nursing diagnoses were classified into 6 areas: acute care, daily life care, education and counseling, environment and resource management, health promotion, and geriatric disease management. Nursing educational needs differed according to the age, sex, marital status, education level, size of the hospital, and working experience of the nurse. In order to effectively perform nursing care for the elderly and geriatric patients, it may be necessary to investigate the needs of continuous education and develop a detailed education program.

The Influence of Elderly Stress upon Life Satisfaction - Focused on mediating effects of leisure activities participation - (노인의 스트레스가 생활만족도에 미치는 영향 - 여가활동 참여의 매개효과를 중심으로 -)

  • Kim, Eun-Hye
    • Industry Promotion Research
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    • v.9 no.1
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    • pp.133-148
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    • 2024
  • The purpose of this study was to verify the influence of stress upon life satisfaction and the mediating effects of leisure activities participation in terms of this relationship. The results of this study are as follows. First, out of the elderly stress, the family stress, economic stress and health issues stress had a significant negative effect on life satisfaction. Second, out of the elderly stress, the family stress, economic stress and health issues stress had a significant negative effect on leisure activities participation. Third, the leisure activities participation had a meaningful positive impact on life satisfaction. Lastly, the leisure activities participation appeared to have a significant mediation effect in the influential relationship between elderly stress and life satisfaction. Through the results of this study, the leisure activities participation was indicated to mediate the influential relationship between elderly stress and life satisfaction, thereby having been able to be confirmed significance as alternative resource. Hence, the elderly's leisure activities participation alleviates a negative impact on stress, thereby seeming to be likely capable of being used as an intervention measure to improve elderly people's life satisfaction.

A Study on the Effectiveness of Social Work Intervention for the Family Caregivers of Older Persons with Stroke (뇌졸중 기능손상 노인의 가족수발자에 대한 사회복지실천 개입의 효과에 관한 연구)

  • Lee, In-Jeong
    • Korean Journal of Social Welfare
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    • v.53
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    • pp.231-255
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    • 2003
  • The purpose of this study was to determine the effectiveness of social work intervention for the family caregivers of the older persons with stroke. Twelve caregivers were assigned to either a treatment group or a control group. The treatment group intervention consisted of 8 weekly, 2-hour sessions which included education, peer and professional support, individual counselling. Wilcoxon test of the pretest and posttest scores of the two groups showed that those in the treatment program experienced significant decrease in caregiving burden and loneliness compared with caregivers who received no intervention. They also experienced increase in self-esteem, self-efficacy in dealing with caregiving tasks, satisfaction with a relationship with the care-receiver, emotional support. Most of these intervention effects were maintained in the 3-month follow-up measurement except loneliness and the caregiver-carereceiver relationship. Caregivers in the treatment group showed overall satisfaction with the program and willingness to continue to attend in the interventions. Based on these findings, implications for social work practice including self-help groups, psychotherapy for the caregivers, expanding social work intervention for the family caregivers of the older persons were discussed.

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