• Journal of the Korean Regional Science Association
• /
• v.36 no.4
• /
• pp.3-23
• /
• 2020

This study aims to conceptualize the settlement inclusivity for overcoming social exclusion and the decline in quality of life of older people and to examine its effects on their mental health. The concept of the settlement inclusivity for older people focuses on the immediate environment around the place where they live. We proposed two domains for the conceptual framework; social domain that provides opportunities for community cohesion; spatial domain that provides security of residential area and access to basic services within walking distance. The social domain was represented by participation and interdependence, while the spatial domain by security and accessibility in the settlement inclusivity. Zero-inflated negative binomial regression model was constructed with 2017 National Survey of Older Koreans data to analyze the factors influencing depressive symptoms of older adults. The empirical results demonstrate that increased level of neighborhood network and social participation is associated with a decrease in the number of depressive symptoms. In addition, higher satisfaction in neighborhood environment and good accessibility to public transport/stores are associated with fewer depressive symptoms. Finally, housing condition and home ownership have a moderating effect on the relationship between social network/participation and depressive symptoms level, whereas they have no direct effects on depressive symptoms. This study demonstrates multi-dimensionally and mutually significant associations between settlement inclusivity and depressive symptoms for older people providing implications for urban planning and policies to improve mental well-being of older population.

• Research in Community and Public Health Nursing
• /
• v.20 no.4
• /
• pp.403-411
• /
• 2009

Purpose: The purpose of this study is to explore the effects of a group movement exercise program on psychophysiological variables in the institutionalized elderly. Methods: This research adopted the non-equivalent control group pretest-posttest design. Twenty elders were selected as an experimental group, whereas twenty-two elders were as a control group. The group movement program consisted of 35 minutes of dance and three days a week for eight weeks. Resting systolic blood pressure, diastolic blood pressure and heart rate were measured in a relaxed sitting position. The range of flexion and extension of joint was measured with a gonimeter. Life satisfaction and self-efficacy were measured by self-report. Data were analyzed through $x^2$-test, t-test and ANCOVA using SPSS/WIN program. Results: The results were as follows: Resting systolic blood pressure, diastolic blood pressure and resting heart rate decreased significantly by the group movement training. The range of flexion and extension of the shoulder and hip joints increased significantly. The scores of life satisfaction and self-efficacy increased remarkably by the group movement. Conclusion: The results suggest that group movement training can be an effective intervention to improve psychophysiological variables and the range of motion for the institutionalized elderly.

• Research in Community and Public Health Nursing
• /
• v.18 no.3
• /
• pp.410-419
• /
• 2007

Purpose: This study is a descriptive survey to find out musculoskeletal symptoms in care workers working at medical welfare facilities for elders and factors affecting such symptoms. Methods: Data were collected from 115 care workers selected through convenient sampling from 6 medical welfare facilities in Seoul and Gyeonggi-do during the period from May 15th to May 19th. 2006. The Korean version of Job Content Questionnaire (JCQ) were used. Result: Of the subjects, 81.7% complained of musculoskeletal symptoms in two or more parts of their body. The frequency of body parts with musculoskeletal symptoms was high in order of shoulder, leg/foot, waist, neck/hand/wrist/finger and arm/elbow. The average job insecurity instability in the age group of 50-59 was 9.19, the average degree of regular exercise was 59.68. and the average job demand in those diagnosed with musculoskeletal diseases was 47.06, and the average job demand in those wounded during exercise or by an accident was 47.78, and all these were statistically significant. The heavier physical load in their work was, the higher their complaint of musculoskeletal symptoms was. In the lower social support group, the degree of complaint on musculoskeletal symptoms was remarkably high. Conclusion: The physical load of their duty and social support worked as the factors affecting musculoskeletal symptoms in care workers.

• The Journal of Korean Society for Neurotherapy
• /
• v.22 no.3
• /
• pp.37-42
• /
• 2018

Purpose. The purpose of this study was to determine the relationship between sleep quality and cognitive function, depression, and institutionalized elderly activity. The goal is to improve the quality of life through early intervention in the sleeping problems of the elderly hospitalized in the nursing home. Method Twentythree patients who were diagnosed with CDR (clinical dementia grade) 0.5 ~ 2 stages by a psychiatrist from September 3 to 30, 2017 were measured for sleep status, depression, cognitive function and activities of daily living at the same time once a day. The collected data were analyzed using SPSS (v.21, IBM, USA) program. Results The correlation between sleep status and cognitive function, depression, and activities of daily living was not statistically significant, and there was a moderate correlation between cognitive function and depression. Conclusion The results of this study suggest that the development and application of a program that activates the cognitive function that is institutionalized with a positive correlation between cognitive function and depression will be effective in decreasing depression in the elderly patients hospitalized in the nursing home.

• Journal of The Korean Digital Architecture Interior Association
• /
• v.1 no.1
• /
• pp.59-66
• /
• 2001

The purpose of this study is to improve productivity of architectural space planning(A.S.P,) by computer system and to optimize ASP. A searching algorithm is the best way to slave optimized A.S.P. Because architectural design is too many various site situations and client's demands to specify the general solving methods. This method seek the best design case in all possibility and to be modeled as this; Seongbukgu's case that is city structure former times negative by in facilities utilization of the near street limit. But, case of Gangnamgu and Songpagu is thought that environment and utilization etc. of area life of old people are affinity with quality of life environment of old people when see that is using various area facilities using electric railway and a bus etc. actively. It is looked by the other that individual's special quality uses area facilities according to life partner's existence and nonexistence and family composition and existence and nonexistence of profession and distinction of sex. Show difference of external behavior according to public garden and market and supermarket and welfare facilities etc.'s location in dwelling environment of area and relation about facilities of area has been formed and old people and dwelling environment of area can know that is that do interaction. Environment that access about facilities may have to be easy, and can live that communicating closely with area's inhabitantses may have to consist so that old people may can run various external life.. Notions of the evaluated value is an profit(+) and expense(-) that decide design intention. To adapt real planning, 1. A raster type space cell has logical site informations. 2. To be evaluate various factor. 3. To reflect operator's design mind, they should add an extra weight on evaluated value.

• The Korean Journal of Community Living Science
• /
• v.18 no.3
• /
• pp.369-378
• /
• 2007

This study purposed to examine elderly welfare facilities by type, to analyze their local variations, and ultimately to contribute to the expansion of elderly welfare infrastructure. The results are expected to help inspect elderly welfare infrastructure for providing the aged with social services before the execution of 'the insurance for elderly long term care' and establish welfare facilities by area in the future. For these purposes, we used the national data "The Current State of Elderly Welfare Facilities in 2007" produced by the Ministry of Health and Welfare. We digitized elderly welfare facilities in 163 cities and counties by type and analyzed them by area. We also examined the differences in the local distribution of representative elderly welfare facilities such as elderly welfare centers, home based facilities (home helper centers), asylums for the aged and elderly care facilities in 16 cities and provinces. Furthermore, we analyzed differences and problems in their local distribution urban areas, mixed areas of urban and rural communities, and rural areas. In addition, we studied the current state of institutionalized care and home based care, which are two major directions of current elderly welfare policies, based on the local distribution of facilities and analyzed differences in the trends according to area. According to these results, the urban had more home based care facilities than the rural. However, the rural had more institutionalized care facilities than urban. Also, each local self-governing body showed unique characteristics. Therefore, these results suggest that we need to establish elderly welfare policies based on the distribution of facility types by area.

• The Korean Journal of Community Living Science
• /
• v.17 no.4
• /
• pp.97-112
• /
• 2006

For 387 married women in their 20s to 50s, we inquired about the differences in whether they intended on moving into a welfare facility, depending on their views on supporting the elderly and the burden of supporting elderly parents, and tried to find out factors that would affect their decision to move into a welfare facility. With those objectives in mind, we conducted a survey targeting married women in their 20s to 50s who live in Seoul, Daejun or a city or county in Choongnam-do, and carried out frequency analysis, intersection analysis, one-way ANOVA and judge analysis. Our findings from those analyses are summarized as follows. First, when considering married women's characteristics and examining their intention of moving into a welfare facility for the elderly, there was a meaningful difference in their intention depending on age, academic background, occupation, and area of residence. Second, our analysis of the differences in their intention of moving in, based on married women's view on supporting the elderly and the burden of supporting elderly parents, indicates that due to these responsibilities, the greatest number of married women expressed their intention of moving in if a convenient facility for the elderly and service were provided. However, the analysis for the intention of moving in depending on savings for old age, did not exhibit any meaningful difference. Third, from the examination of determining factors for married women's intention of moving into a welfare facility for the elderly, based on age, academic background, occupation, residential area, responsibility for supporting an elderly family member and savings for old age, it was found that the burden of support was the only meaningful effective factor.

• Journal of the Korean Dietetic Association
• /
• v.27 no.4
• /
• pp.232-247
• /
• 2021

This study attempted to examine the nutrition knowledge of caregivers for the elderly and the diet-related medical treatment and dietary assistance given by them. Thus, this research is a descriptive study focusing on the current nutritional knowledge of caregivers and the dietary assistance given by them. The survey included a questionnaire (nutritional knowledge level of digestive system diseases, diabetes, cardiovascular risk, brain disease, bone disease, and meal assistance performance status) for caregivers working in nursing homes for the elderly. Self-administered questionnaires were completed by 235 caregivers between February and March 2020. The results were analyzed using the SPSS 25.0, and the significance test of each question was verified by the Friedman test and the Chi-square independence test. The number of elderly people who needed meal assistance from caregivers was 4.4 more than the average. The most common types of meal assistance were partial assistance (59.20%) and the task of when to stop eating for the elderly (58.71%). Besides, the higher nutritional knowledge level of the caregivers, the more the time spent on services related to meal assistance (P<0.001), and the higher the meal assistance level. The disease state of the elderly was considered the most relevant (P<0.001). Caregivers with high levels of knowledge and offering significant meal assistance were found to have received nutrition education (P<0.001). Up to 80% of the respondents needed nutrition education, and most of them answered that they needed education on appropriate management methods for the specific disease state of the elderly (P<0.01). Accordingly, providing nutrition education for caregivers for the elderly should be a means to improve their ability to offer meal assistance.

• Korean Journal of Social Welfare
• /
• v.61 no.2
• /
• pp.61-84
• /
• 2009

There has been a continuous debate on decentralization of welfare. The proponents of decentralization argue that it will enhance the autonomy of local governments and the efficiency in the provision of service. However, the opponents argue that it will lead to the welfare reduction and the increased inequality among localities. This study attempts to deal with the question, focusing on the evaluation of decentralization reform of Roh Government. The main results are as follows: After the decentralization, local governments has undergone hardships in financing the welfare service, while there is no clear evidence that the local autonomy has enhanced. In respect of fiscal role-sharing, local duties has significantly increased because of the insufficient grants-in-aid for decentralization and inappropriate formula in assessing the grants. In respect of functional role-sharing, the decreased role of central government made it difficult for local governments to provide enough residential institution for the elderly and the disabled. To improve the decentralization reform, deliberate reclassification is needed to decide which item should be transferred to localities. Regarding the characteristic of the projects, social services could be transferred in the long run, while central government should take more responsibilities for the income guarantee and protection for the disadvantaged.

• Journal of the Korean Institute of Landscape Architecture
• /
• v.47 no.5
• /
• pp.28-40
• /
• 2019

In order to resolve the imbalances in the supply of living SOCs according to socio-economic status, location, and population groups, the discussions on inclusive city policies are expanding. The purpose of this study is to propose an Index of Park Derivation (IPD) as an alternative indicator for the promotion of an inclusive urban park policy that can be applied in the 7 major metropolitan cities to select a region with a relatively high park needs. The main research results are as follows. First, the concept of an inclusive urban park policy is defined as "a policy to supply to manage high-quality park services with priority given to areas with low socio-economic and environmental status, such as a large amount of elderly, children, low-income families, areas vulnerable to disasters, such as heat and fine dust, and population groups." Second, we developed the index of park derivation (IPD), which is a combination of 17 variables including park service level, demographic characteristics, economic and educational level, health level, and environmental vulnerability. The variables that constitute the index of park deprivation (IPD) can be applied to SOC policies outside the parks, such as sports facilities, daycare centers, kindergartens, and public libraries. Third, applying index of park deprivation (IPD) to 1,148 Eup/Myeon/dong areas of the 7 metropolitan cities resulted in areas with relatively high park service needs. This study implies that the central and the local government suggest an alternative index to promote an inclusive urban park policy based on statistical and geographical information and data that can be easily accessed and utilized.