• Title/Summary/Keyword: 노인의 지역사회 인식

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A Task-Centered Approach for the Elderly in the Community : Case Management (과제중심모델의 적용에 관한 연구 : 재가노인을 위한 사례관리)

  • Huh, Nam-Soon
    • Korean Journal of Social Welfare
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    • v.35
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    • pp.399-426
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    • 1998
  • This article describers the field testing of the task-centered case management model for practice with the elderly clients in the community. Six social workers in three community center applied task centered. model to 12 elderly in community. The model tested in the field trial led to positive results. The results of task completion and problem change indicate that including elderly clients in all steps from identifying problems to suggesting and implementing tasks are important. Target problems and tasks which clients indicate gained high accomplishment. Task-centered interventions provided an intensive period of service that helped clients work on immediate problems. Moreover, they helped clients actively participate in decision making processes and in problem solving activities. Although the task centered approach is a short tenn intervention, the analysis of the field trial suggests that it can be integrated with an approach that is a long tenn in nature through re contract for different problems or unresolved problems. Several suggestion can be made to apply task-centered model for elderly in Korea. First, since one social worker handles over 60 cases, this approach can be used more effectively for new case or the elderly who needs intensive help. Second, preparing and sharing contract with client should be encouraged to help both client and social workers. Also until the social workers are familiar with this approach, there should be an intensive supervision to monitor their activities. Third, it is important to make task planner for Social workers who is working with elderly in community. Task planner is the guide line books to show steps to solve similar problems. Fourth, more efforts should be made to make resource directory in the community as well as in Korea. Fifth, case managers who handle family problems and other personal conflicts should be more trained to be confident to deal with these problems.

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Challenge of the Aging Society and Familial Support for the Elderly (노인부모부양에 관한 기혼자녀세대의 인식: 초점집단토론(FGD) 자료분석을 중심으로)

  • Cho, Sung-Nam
    • Korea journal of population studies
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    • v.29 no.3
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    • pp.139-157
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    • 2006
  • This study presents limitations of the old family supported system for the elderly being surfaced in the face of the changing life style of the people in today's industrialized, urban Korean society. The qualitative data used for this study are collected from the focus group discussions(FGD). The FGD data numbered a total of 43 participants who were divided into 8 different groups, each consisting of 5-6 respondents sorted out by sex and age as well as by their current cohabitation with their parents or having such experience in the past. The study paid special attention focusing on the values and the expectations regarding the elderly support and the family relationship. A critical reexamination of the old family support system for the elderly at this particular juncture is also a step forward necessary for the eventual formulation of policy measures by the state and the society to produce a new viable support system for the elderly in the future.

The Relationship between Socioeconomic Status and Health Inequality in Later Life: The Mediation Effects of Psycho-social Mechanisms (노인의 사회경제적 지위에 의한 건강불평등: 심리사회적 기제들의 매개효과 분석)

  • Chang, Sujie;Kim, Soo Young
    • 한국노년학
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    • v.36 no.3
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    • pp.611-632
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    • 2016
  • Solutions for elderly health issues need to be found that take into account not only a medical perspective, but also interactions with social conditions such as socioeconomic status. With this in mind, this study aims to understand how socioeconomic status leads to health inequalities for the elderly. Specifically, this study investigates the mediating effects of socioeconomic status(income and education levels), health activities as an intermediary of the three dimensions of physical health(medical health, functional health, subjective health), accessibility of medical facilities, social participation, and social network. To test the research model, a secondary data analysis was conducted on the 2014 National Survey of Senior Citizens. The participants of the study were 10,451 elderly men and women aged 65 and above. To test the mediated model, hierarchical multiple regression analysis was conducted following the procedures suggested by Baron and Kenny(1986). In addition, a Sobel test was conducted to test the mediated model's significance. According to the analysis, the effects of income and educational levels on the health of the elderly were not the same. Additionally, different results were found depending on health dimensions. However, the overall direction of the results showed that the socioeconomic status of the elderly creates health disparities, and health behaviors, accessibility of medical facilities, social participation, and social network had significant mediation effects between socioeconomic status and physical health. Study findings especially worth noting are as follows: education was shown to have a stronger effect on health than income; effects of social integration factors such as social participation were highlighted; and significant mediating effects on the accessibility of medical facilities remained even after taking residential area into account. Results of this study shed light on health inequality mechanisms due to socioeconomic conditions and the need to find alternatives to alleviate these problems.

Good death recognized by the elderly (노인이 인식하는 좋은 죽음)

  • Lee, Myoung-Suk;Kim, Yun-Jeong
    • The Journal of the Korea Contents Association
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    • v.13 no.6
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    • pp.283-299
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    • 2013
  • This study has been performed to identify meanings of good deaths among 350 old people aged 65 from September, 2010 until February, 2011. In this study, the subjects were asked about good meanings of death based on qualitative study of free format, and their statements were categorized into similar content areas. The results show that first, the subjects felt that the good death is a dignity death not weighing burdens to others, memorized as a good life, until th end of my life, a death receiving at home, comfortable death, a death like a sleep, with out pain, not long, a prepared process, a death after doing my best, receiving after doing my best, death after offering benevolence to others, within my beliefs, and finally a good death is after seeing good life of my descendent. These 16 free answers were also categorized into 6 meaningful areas such as considering others, at my home, comfortable scene, prepared, and death after living my wanted time.

The Relationships between Rural Elderly's Suicide Literacy, Suicide Stigma and Coping Advice for Suicide Prevention: The Moderated Mediation Effect of Social Expectations for Experiencing Negative Emotions (일개 농촌 지역 노인의 자살 리터러시 수준과 자살 낙인 인식 및 자살 위기대처 능력의 관계: 부정적 정서 경험에 대한 사회적 기대의 조절된 매개 효과)

  • An, Soontae;Lee, Hannah;Cho, Jeonghee
    • Research in Community and Public Health Nursing
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    • v.33 no.2
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    • pp.164-174
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    • 2022
  • Purpose: The purpose of this study is to examine the effects of the rural elderly suicide literacy level upon suicide stigma and coping advice with suicidal crises (recommending professional help for a suicidal person). In particular, this study investigates the role of cultural norms (perceived social expectations for the experience of negative emotions) on suicide stigma and coping ability. Methods: A survey was conducted addressing elderly people (N=119) living in rural areas. Regression analysis using SPSS PROCESS macro was used to examine the relationships among the key variables. Results: Participants with higher suicide literacy showed lower suicide stigma, and this perception had a significant effect on enhancing their coping advice with suicidal crises. Also, perceived social expectations significantly influenced the relationship between suicide stigma and coping advice. With lower levels of social expectations, the mediating effect of suicide stigma on the relationship between suicide literacy and recommending professional help did not exist whereas the indirect effect was significant when it pertained to high levels of social expectations. Conclusion: This result signifies that suicide stigma serves as a barrier deterring Koreans from reaching out for professional help regarding their mental health. Moreover, these findings underscore the importance of cultural psychological factors such as perceived social expectations in terms of developing suicide prevention strategies.

The Mediating Effect of Dementia Recognition on the Number of Chronic Diseases and Dementia Prevention Behaviors of Elders in Rural Communities (농촌 지역사회노인의 만성질병수와 치매예방행위에 미치는 치매인식의 매개효과)

  • Park, Pilnam
    • Journal of Korean Academy of Rural Health Nursing
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    • v.15 no.2
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    • pp.41-48
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    • 2020
  • Purpose: This study was a descriptive study to identify the factors affecting the dementia prevention behavior of elders in rural communities. Methods: The participants in this study were 125 elders aged 60 or older who lived in Eup or Myeon areas of P city. For data analysis, SPSS/WIN 22.0 was used to perform descriptive statistics, t-test, ANOVA, Pearson correlation, and linear multiple regression and mediated effects. Results: Scores for dementia recognition, dementia attitude and dementia prevention behavior averaged 5.6±2.50 points in the 0~11 range, 38.8±4.59 in 14~56 and 20.2±3.59 in 10~30 respectively. Dementia recognition (a), dementia attitude (b), dementia prevention behavior (c) and the number of chronic diseases of the elders (d) were positively or negatively correlated with each other (rab=.29, p<.01; rbc=.26, p<.01; rac=.36, p<.01; rad=-.29, p<.01; rcd=.19, p<.05). Factors affecting dementia prevention behavior were dementia recognition, dementia attitude, and degree of dementia interest. When the number of chronic diseases affects dementia prevention behavior, dementia recognition has a mediating effect. Conclusion: In order to prevent dementia among elders in rural areas, appropriate management of chronic diseases and provision of appropriate dementia-related education and information to enhance dementia recognition should be provided.

Influence of elderly drinkers' subjective health perception on the change in the trajectory of depression (음주노인의 주관적 건강인식이 우울 변화 궤적에 미치는 영향)

  • Park, Gyu-Hee;Heo, Won Gu
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.10
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    • pp.509-519
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    • 2016
  • This study intends to examine how the subjective health perception of drinkers influences the depression trajectory change by using longitudinal data for elderly drinkers. This study has set up a balanced panel by combining the results from "Aging study panel research" conducted in the year 2006 (1st), 2008 (2nd), 2010 (3rd), 2012 (4th). A total of 543 elderly drinkers, who have responded to each research have been selected as targets for the final analysis. In the analyses, descriptive statistics and Latent Growth Modeling were conducted to examine the causal relationship between the observed and latent variables. The results are as follows: First, it was found that there was a negative correlation-with statistical significance-between the initial value of subjective health perception and the initial status of depression symptom. Second, there was a positive correlation between the initial value of subjective health perception and the changes of depression symptom. This indicates that elderly drinkers with high health perception usually have high degree of depression change; however, this does not mean it was statistically significant. Third, there was a statistically significant correlation between subjective health perception change and depression symptom change. It was found that the depression change level would be low if the subjective health perception change level was high. Thus, we can assume that the depression symptoms of elderly drinker c would slow down if the subjective health perception level increases.

A Study on the Factors Influencing the Job Performance of the Senior Job Placement Project Coordinators (노인일자리사업 실무자의 직무성과에 영향을 미치는 요인에 관한 연구)

  • Park, Kyung-soon;Park, Yeong-ran
    • 한국노년학
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    • v.30 no.4
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    • pp.1059-1075
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    • 2010
  • This study aims to explore how the individual characteristics of the senior job placement project coordinators and the organizational structure in which they work affect their job performance. A survey of 251 coordinators who were working in the senior job placement project agencies were retrieved and used for empirical analysis using the SPSS Win.12 program. The result shows that a sense of self efficacy, the individual traits(understanding of the senior job placement project, attitude towards the elderly) and the organizational structure(the level of formalization of agency) were statistically significant predictors of the level of job performance. The results of this study show that the coordinators who were more confident about themselves, who had more understanding about the senior job placement project, who had more positive attitude towards the social activities of the elderly, and who were working in agencies with higher level of formalization had a higher level of job performance than their counterparts. Therefore, more policy and program considerations should be taken into account in empowering the coordinators, and in providing them with standardized organizational process. This in turn will ultimately enable them to better serve the elderly who participate in the senior job placement projects.

The Mediation Effects of Choice on Relationship between Information Literacy and Quality of Elderly Care Service Users: Based on the "SERVPERF model" (노인돌봄종합서비스 이용자의 정보가용성과 품질 관계에 대한 선택의 매개효과: 'SERVPERF 모형'에 근거하여)

  • Cho, Han-Ra;Yeo, Yeong Hun
    • 한국노년학
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    • v.37 no.2
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    • pp.385-398
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    • 2017
  • This study aims to identify the service quality perceived by Elderly Care Service users on the basis of 'SERVPERF model' targeting the service users, and verify the mediation effects of the choice which affects the relationship between information literacy and quality. For this, 208 elderly care comprehensive service users in Jeollabuk-do were analyzed as the targets using a structural equation. The results of this study are as follows. First, service users perceived the quality level to be very high. Second, user's information literacy has a significant effect on quality perception. Third, the effect of user 's information literacy on quality was partially mediated by choice. These results suggest that there is a need to provide enough information and opportunities for users to make choices in order to maintain a high quality of service.

The Effect of Eating with Others on Depression among Community-dwelling Older Adults by Family Arrangement (가구 유형별 동반식사가 노인의 우울에 미치는 영향)

  • Lee, Hyojin;Yoon, Ju Young
    • 한국노년학
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    • v.39 no.3
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    • pp.415-427
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    • 2019
  • This study examined the effects of eating with others on depressive symptoms among the community-dwelling older adults by family arrangement, using the Korea National Health and Nutrition Examination Survey 7th (2016). A total of 1,233 older adults aged over 65 was included in this analysis. Eating status (alone / with others) and family arrangement (living alone / living with family) were dichotomized based on the original questionnaire. Among 955 older adults who live with family members, 855 persons (89.5%) eat together and 100 persons (10.5%) eat alone. Among 278 older adults who live alone, 86 persons (30.9%) eat together and 69 persons (69.1%) eat alone. Regression analysis controlling for demographic and health related factors, eating with others was significantly related to lower levels of depressive symptoms in the group of older adults who live with family members (β = -1.663, p <.001), while there is no statistical significance (β = -0.856, p = .148) in the counterpart. Therefore, various types of community-based programs need to be developed to encourage older adults to eat with other in their ordinary lives. It is also recommended that the community has to offer consistent care and support for the elderly particularly who live alone.