• Title/Summary/Keyword: 노인우울증

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A Study on the Development of Environment Color Checklists for Senior Center Based on Characteristics of the elders (재가노인의 특성을 고려한 경로당 환경색채 체크리스트 개발)

  • Choi, Yerim;Park, Heykyung
    • Korea Science and Art Forum
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    • v.34
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    • pp.327-337
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    • 2018
  • Korea is rapidly becoming an aging society as much as it takes the first place among OECD countries, and as the life expectancy of Korea gradually increases, the proportion of the elders in society increases. Accordingly, the happiness of the elders is contributed to the overall social atmosphere and happiness, however, the lower quality of life of the elders due to physical, psychological and social changes can be developed into social problems such as depression and rising suicide rate. As a result, there is a social interest in improving the quality of life and satisfaction of the elders, and the senior citizen center is receiving renewed attention as a form of welfare facility that can play a pivotal role in the social activities of the elders. In recent years, efforts to improve the environment of the senior citizen center have been made due to the growing role of it, however, there is a controversy over whether the quality of the indoor environment is user-friendly or not due to the limitations of material resources and human resources. It is considered that the quality of the color environment should be improved in the senior citizen center in the way that the color environment is not only an indoor environmental factor which gives high psychological and mental effects to users but also a way to improve the environmental satisfaction at the lowest cost. Previous studies on the facilities related to the elders have been actively carried out, but they were very sporadic and there was very little information about the color environment in the related laws or in the guideline presented by cities. It is necessary to integrate guidelines that are scattered within a comprehensive range without any specific target in order to grasp the current status of the color environment and to properly evaluate it. In addition, considering that the senior citizen center is an important leisure facility for the elders that functions in a residential area with a nationwide network, the results of this study are expected to contribute to the environmental improvement of existing senior citizen center which will be activated in the future by enabling the improvement of psychological satisfaction of the elders.

Sleep Habits and Sleep Disorders among the Elderly Between 65-84 years Who are Living in a Part of Pusan (부산광역시 일지역 65-84세 노인 인구에서의 수면습관 및 수면장애에 대한 조사)

  • Yang, Chang-Kook;Yoo, Seung-Yoon;Joo, Young-Hee;Hahn, Hong-Moo
    • Sleep Medicine and Psychophysiology
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    • v.4 no.1
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    • pp.66-76
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    • 1997
  • Objectives : The purpose of this study is to analyse sleep habits and sleep disorders in the elderly population ased 65-84 years. Methods : Epidemiological survey was performed at home by means of semi structured interviews in the city of Pusan, Korea. Subjects were randomly selected. The questionnaire consisted of 128 items including demographic findings, sleep habits, sleep disorders, somatic illnesses, and psychological distresses. Results : (1) The mean retiring time was 10.28 h (SD 1.30 h) and the mean wake-up time was 5.24 h (SD 1.33 h). The mean duration of sleep was 5.63 h (SD 1.80 h). The mean sleep onset time was 44.51 min. The mean frequency of daytime napping was 2.49 (SD 3.23). The subjects reported they woke up an average of 2.05 (SD 1.59) times per night. All of the above results were not related to age or gender. However, the mean frequency of difficulty in initiating/maintaining sleep was 2.2 times for men and 3.2 times for women (p<0.05). (2) The prevalence of insomnia was 57.7% and was not related to age or gender. Difficulty in initiating sleep was the most commonly reported insomnia complaint(52.4%). Early morning awakening was reported by 50.0% of patients and difficulty in maintaining sleep was reported by 45.1% of them. Worrying in bed and physical pain were strong contributing factor to insomnia. Conclusions : The results of our study showed several characteristics of sleep habits in the elderly. Sleep disorder in old age is not inevitable or trivial. Since sleep disturbance in older adults is common and distressing, it has implications for general health and well-being. Active concern and therapeutic intervention for the sleep habits and sleep disorders in the elderly are needed.

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Effect of Mechanical Thermal Massage Inducing Gradual Spinal Segmentation on the Improvement of Pain (단계적 척추 분절운동을 유도하는 기계식 온열 마사지가 통증 개선에 미치는 영향)

  • Hyeun-Woo, Choi;Do-Hyun, Ahn;Kyung-Mi, Jung;Na-Young, Kim;Ji-Eun, Lee;Jong-Min, Lee
    • Journal of the Korean Society of Radiology
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    • v.16 no.7
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    • pp.879-887
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    • 2022
  • In this study, we tried to confirm whether the mechanical sequential elevation method of the body pressure measuring bed actually induces segmental motion for each part of the spine. To this end, a lateral X-ray examination was performed, and it was confirmed that the sequential pressure device induces a step-wise segmentation of the spine by mechanically lifting each part of the spine vertically. Then, pain, walking ability, and depression scale were measured and analyzed in subjects who were aware of back pain. VAS(p<0.05) and ODI(p<0.05) for 10 days tended to decrease in average after bed use. In the gait ability test(p<0.05), as the number of times of bed use increased, the moving time in the test decreased and the moving distance increased. In addition, GSDDF(p<0.05) decreased after bed use. As a result, it was confirmed that the spinal segmentation caused by the heat and acupressure provided by the bed affected gait and depression as well as pain relief.

Nutritional Status and Health Risks of Low Income Elderly Women in Gwangju Area (광주지역 저소득층 여자노인의 영양상태와 건강위험요인에 관한 연구)

  • Yang, Eun-Ju;Bang, Hee-Myung
    • Journal of Nutrition and Health
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    • v.41 no.1
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    • pp.65-76
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    • 2008
  • This study was performed to identify association between nutritional status and health risks of the elderly. This was a cross-sectional study involving low income elderly women in Gwangju, Korea (${\geq}$65y, n = 92). Socio-demographics, life style characteristics, health conditions, dietary intakes based on 24h-recall method, anthropometric measures, and clinical biochemistry parameters were examined. Anthropometric and clinical parameters included wt, ht, waist, hip, body protein, body fat, abdominal fat, total cholesterol, HDL-cholesterol, triglyceride, total protein, albumin, hemoglobin, hematocrit, fasting blood glucose, ferritin, IL-2, IL-6, TNF-${\alpha}$, CRP, TAS, TBARS, systolic blood pressure, and diastolic blood pressure. The subjects were divided into three groups based on age (65-74y, 75-84y, 85y${\leq}$) and were divided into two groups according to the sum of the Nutrition Screening Initiative (NSI) checklist score (adequate nutritional status, NSI score ${\leq}$3; at risk of malnutrition, NSI score >3). Mean and frequency of variables were estimated. Analysis of Variance, Tukey test, Chi-square test, and Multiple linear regression analyses were performed. Mean BMI and body fat were 25.1 $kg/m^2$ and 40.0%, respectively. However, for over 80% of subjects, the intakes of energy, fiber, thiamin, riboflavin, niacin, folate, Ca, K, and Zn were less than the Korean DRI (EAR or AI). The subjects who had lower NSI score tended to have better health status, eat meals frequently, have less depression, and exercise regularly. The subjects who had higher NSI score tended to have tooth problems, to eat alone most of time, and to be physically unable to cook or feed. Serum IL-6 and TNF-${\alpha}$ were significantly related with nutritional status which suggested higher tendency of inflammatory response. Serum IL-2, TAS, and glucose were significantly correlated with body fat (%) or abdominal fat (%). These results suggest that improving the nutritional status, increasing regular exercise, maintaining normal weight are beneficial to health care of low income elderly women.

Effect of Community-Based 'Goal-Achieving Program' in Patient with Late-Life Depression : Preliminary Study (노인성 우울증 환자에서 지역사회 기반 '목표달성 프로그램'의 효용성 : 예비 연구)

  • Kang, Gyu Ha;Chang, Ki Jung;Lim, Hyun Kook;Han, Jin joo;Lee, Eun Hee;Roh, Hyun Woong;Noh, Jai Sung;Chung, Young Ki;Lim, Ki Young;Hong, Chang Hyung;Son, Sang Joon
    • Journal of Korean geriatric psychiatry
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    • v.21 no.1
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    • pp.35-40
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    • 2017
  • Objective : This study aimed to investigate the effect of community-based Goal-Achieving program in geriatric depressive symptoms preliminarily. Methods : We obtained data from elderly Korean subjects with major depressive disorder (n=51) aged 60 years or older at baseline, taking case management from community mental health center. Subjects were randomly assigned to intervention group (n=24) and control group (n=27). We investigated depressive symptoms through Short Form Geriatric Depression Scale-Korean version (SGDS-K) at baseline and every month for 3 months to all subjects. We tested interaction between group and time in SGDS-K score to evaluate the effect of program. And post hoc test examined between group differences of SGDS-K at each time points. Results : In quadratic linear mixed effects model analysis, interaction between group and time was statistically significant (Total SGDS-K score : coefficient=0.29, p<0.001 ; SGDS-K dysphoria subscale : 0.18, p<0.001 ; SGDS-K hopelessness subscale : 0.05, p=0.089 ; SGDS-K cognitive impairment subscale : 0.06, p=0.003). And significant between group difference was shown in post hoc test at time points of third month (SGDS-K score of control group : SGDS-K score of intervention group=$10.74{\pm}3.482$ : $7.25{\pm}4.475$, p=0.0184). Conclusion : These results may suggest that 'Community-based the Goal-Achieving program' has efficacy in reducing geriatric depressive symptoms.

Health and nutritional status of Korean adults according to age and household food security: Using the data from 2010~2012 Korea National Health and Nutrition Examination Survey (한국 성인의 식품안정성에 따른 연령별 건강 및 영양섭취상태 : 2010~2012년 국민 건강영양조사 자료를 활용하여)

  • Park, Geun Ah;Kim, Sung Hee;Kim, Seok Joong;Yang, Yoon Jung
    • Journal of Nutrition and Health
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    • v.50 no.6
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    • pp.603-614
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    • 2017
  • Purpose: This study was performed to identify the health and nutritional status of Korean adults according to food security by age group. Methods: The subjects were 20~79 year old adults (n = 16,595) who participated in the fifth Korea National Health and Nutrition Examination Survey (2010~2012). Subjects were divided into three groups based on food security such as secure, mildly insecure, and moderately/severely insecure groups. Dietary intake was estimated by 24-hour dietary recall. As for mental health status, the data on mental stress, sleep hours, depression symptoms, and suicide ideation were used. Results: Korean adults who were exposed to high food insecurity typically had low income levels, lived alone, and were recipients of basic welfare. In the 20~39y group, people with higher food insecurity had lower concentrations of hemoglobin and higher iron-binding capacity. In the 40~59y group, people with higher food insecurity had lower HDL-cholesterol. In the 60~79y group, people with higher food insecurity had higher total cholesterol levels, more stress, more experiences of depression symptoms, and were more suicidal. Mean intakes of energy, protein, calcium, phosphorus, potassium, vitamin A, carotene, vitamin $B_1$, vitamin $B_2$, niacin, and vitamin C were lower in the food insecure groups. Amounts of vegetables, fruits, and seasoning intakes tended to be lower in people with higher food insecurity. The effects of food security on nutrition intake were greater in the 40~59y and 60~79y groups than the 20-39y group. Conclusion: Food insecurity was related to certain health indicators such as anemia and cholesterol levels and affected mental health. The effects of food insecurity on health and nutritional status were different by age group.

Prevalence and Correlates of Depression among the Elderly in an Urban Community (일부 도시 지역사회 노인의 우울증 유병률 및 관련 요인)

  • Lee, Young-Hoon;Shin, Min-Ho;Kweon, Sun-Seok;Choi, Sung-Woo;Rhee, Jung-Ae;Choi, Jun-Su
    • Journal of agricultural medicine and community health
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    • v.33 no.3
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    • pp.303-315
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    • 2008
  • - Abstract - Objectives: The purpose of this study was to estimate the prevalence of depression and identify its related factors among an urban elderly. Methods: The data for this study were obtained from 333 men and 514 women, aged 65-79 years who participated in '2007 community health survey' in Donggu, Gwangju metropolitan city. Their depressive symptoms were measured by Korean version of the Center for Epidemiological Studies-Depression Scale (CES-D). Results: The mean CES-D score (mean±S.D) for all subjects was 7.68±0.31. The mean CES-D score was significantly greater in the women (9.09±0.43) than in the men (5.51±0.39) (p<0.001). The prevalence rates of possible depression (CES-D score ≥16), probable depression (CES-D score≥21), and definite depression (CES-D score≥25) were 8.1%, 5.4%, and 3.9% in men, respectively. The prevalence rates of possible depression, probable depression, and definite depression were 19.5%, 11.1%, and 7.2% in women, respectively. Existence of spouse (no/yes), education level (no/high school or higher), health security system (medical aid/national health insurance), self-reported health status (poor/good), vascular risk factors (present/absent) proved to be statistically significant related factors of depression. Conclusions: This study suggests that a systematic effort and attention to support for elderly people living alone, low educational level, medical aid, poor self-reported health status and vascular risk factors should be promoted to reduce the incidence of depression.

An Approach to Develop a Speech Recognition Speaker Using Chatbot for Senior Users (시니어 사용자를 위한 챗봇활용 음성인식 스피커 개발 방법)

  • Noh, Gunho;Lee, Kyoung Yong;Moon, Mikyeong
    • Journal of IKEEE
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    • v.22 no.2
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    • pp.330-338
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    • 2018
  • As population aging progresses, there is a growing demand for IT technology that can relieve the psychological anxiety of the elderly living alone, recognize the dangerous situation, and check the family members' affection. In this paper, we describe the development of a speech recognition speaker that enable senior users to give simple interactive commands by voice and monitor the status of the user. The speaker analyzes the user's voice, grasps the conversation contents through the chatbot, connects the desired service to the user, and provides the result again by voice. By using this speaker, senior users can feel relaxed by natural conversation, and can monitor the status of danger more easily.

Depression and Related Risk Factors in the Elderly with a Focused on Health Habits, Mental Health, Chronic Diseases, and Nutrient Intake Status: Data from the 2014 Korea National Health and Nutrition Examination Survey (우리나라 노인의 우울증과 관련 요인 - 생활습관, 정신건강, 만성질환 및 영양상태 중심으로 - : 2014 국민건강영양조사 자료)

  • Lee, Hye-Sang
    • Journal of the Korean Dietetic Association
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    • v.24 no.2
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    • pp.169-180
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    • 2018
  • Depression is a major health problem that can lead to mortality. This study was conducted to assess the risk factors associated with depression in a group aged over 65 years by analyzing nationally representative Korean survey data. A total of 1,209 subjects were analyzed among the participants of the 2014 Korean National Health and Nutrition Examination Survey. Statistical methods for a complex sample were applied by using SPSS program(windows ver. 24.0). Depression assessments were carried out by using the 9-item depression module of the Patient Health Questionnaire-9 (PHQ-9). Depression ($PHQ-9{\geq}5$) was more frequently found in females (33.2%) compared to males (16.1%). However, there was no evidence suggesting that characteristics such as residence area, income level and age, except for educational level, were related with depression. The results of the logistic regression analysis showed that i) health habits such as smoking (OR: 2.26) and lack of aerobic physical activity (OR: 1.62), ii) mental health status such as bad self-rating of health status (OR: 4.30), more stress (OR: 8.31), and bad health-related quality of life (by EQ_5D, OR: 3.41), iii) chronic diseases such as obesity (OR: 0.66), hypercholesterolemia (OR: 1.57), anemia (OR: 1.91), and iv) low intake of energy (OR: 1.84) and calcium (OR: 1.71) were significantly associated with depression. This study suggests that certain characteristics of health habits, mental health status, chronic diseases and nutrient intake may be associated with depression. Prospective research on long-term control is needed to establish causal connections among those factors with depression.

A Study for Psychological Effects which Make-up Behavior Has on Women (화장행위가 갖는 심리학적 효과에 관한 연구)

  • Kim Myung-lee;Kim Ju-duck
    • Journal of the Society of Cosmetic Scientists of Korea
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    • v.31 no.1 s.49
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    • pp.127-134
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    • 2005
  • This study is to identify the psychological effect of make-up, to examine women's tendency toward make-up and to figure out relationships between their psychological properties and its functions. This study has verified that makeup has a positive effect on their interpersonal relationships, psychological reaction and self- confidence as well as it meets their fundamental aesthetic needs. And further studies about psychological reason why they wear makeup need to be made. Makeup has an effect on their looks and it has a psychological effect of being able to decorate and move their mind. finally, it is anticipated that the study for psychological approach to makeup could contribute on the study for positive makeup treatment.