• Title/Summary/Keyword: 노인학대

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Critical Review on Social Welfare for the Elderly in Journal of the Korean Gerontological Society (한국노년학의 복지 분야 연구동향 - 1980년(창간호)부터 2008년(28권 제2호)까지의 논문을 중심으로)

  • Kim, Mee Hye
    • 한국노년학
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    • v.28 no.4
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    • pp.733-752
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    • 2008
  • This study aims to suggest the academic roles and direction of the social welfare for the elderly in Journal of the Korean Gerontological Society. For this purpose the trends of research on the social welfare for the elderly were analyzed by means of reviewing articles published from 1980 to 2008 in Journal of the Korean Gerontological Society. Out of all published articles, 215 articles were selected on the basis of unanimity among 3 reviewers including this author. First, in 1980s there were very limited numbers of articles. It had been mainly introduced foreign and domestic institutions of social welfare for the elderly and focused on the serious issues for the elderly in aging society. Secondly, in 1990s, there were explosive increases of research in elder welfare studies. The subjects of the articles were diversified and research methods were sophisticated in this period. Thirdly, it showed that the numbers, subjects, and research methods of the articles concerning social welfare for the elderly were enriched and differentiated during 2000-2004. Lastly, the research trends have focused on the issues of successful aging, quality of life, and psychological well-being in consideration of the quality of life for the elderly up to now since 2005. But the research trends have had some limitations in showing only application of theories and models or in simply introducing the knowledge in Western countries. It is necessary to have clear academic identity which can be faithful to Korean Gerontological studies.

Perceptions of Elder Abuse among the Elderly in Urban and Rural Areas (노인학대에 대한 도시노인과 농촌노인의 인식)

  • Kim, Cheong-Seok;Sim, Jeong-Eun
    • The Korean Journal of Community Living Science
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    • v.22 no.3
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    • pp.341-349
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    • 2011
  • As elder abuse has become a social problem, it has drawn a great deal of attention from researchers and policy-planers. While there have been a number of studies addressing various issues related to elder abuse, the present study aims to explain whether and how the perception of elder abuse would differ among the elderly themselves. In particular, the study focuses on the differences between urban and rural areas. Family-centered culture is believed to have a stronger influence in rural areas compared to urban areas. This cultural tradition highlights the importancy of the family compared to the individuals. Thus, the elderly who experience abuse would take it as personal matter rather than publicizing it. In addition, the information and campaigns on preventing elder abuse are less prevalent in rural areas than in urban areas due to limited communication networks. For these reasons, the study suggests a hypothesis that the elderly in rural areas are less perceptive to elder abuse. Using 6,709 persons aged 65 and over from a nationwide survey conducted by the Korean Institute for Health and Social Affairs in 2009, the study ran regression analysis on 4 types of elder abuse including psychological, financial, physical and neglect. The results show that regardless of types of abuse, the elderly in rural areas have lower levels of perception than the elderly in urban areas do. In addition, the frequency of social activities is positively related to the perception of elderly abuse. This is also true for the different types of elder abuse. The findings suggest that social effort to prevent elder abuse consider the urban-rural differences and their sources.

Experiences of Community-dwelling Elderly Living alone or with Their Families Regarding Community Care Services: Thematic Analysis and Focus Group Interviews (지역사회 재가노인의 돌봄서비스에 대한 독거노인과 비독거노인의 경험: 초점집단면담 연구)

  • Park, Eun A;Jung, Aeri;Kim, Dasom;Hyun, Hye Sun;Shin, Sangsoo
    • Journal of Korean Academy of Rural Health Nursing
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    • v.19 no.1
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    • pp.55-65
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    • 2024
  • Purpose: This study was intended to gain an in-depth understanding of and explored the experiences and meanings of participating in care services among community-dwelling older adults. Methods: A focus group interview approach was adopted. Twenty older adults were interviewed from November to December 2021 using semi-structured interview questions. The data was analyzed using thematic analysis. Results: Three main themes and seven sub-themes emerged for the elderly people living alone. One main theme was "ambivalence of elderly care services," the second was "desperate need for care services," and the third was "positive changes and expectations experienced with care services." For the elderly people living with their families, two main themes and four sub-themes were identified. One main theme was "care services met within the family system," the second was "needs for care services outside the family system." Conclusion: We aim to provide a basis for strengthening the quality of elderly community care services in the mid- to long-term and establish a system of close linkages between necessary services by understanding the needs of elderly people who live alone or with their families.

A Study on the Risk Factors of Elder Abuse and Social Support System in Rural Area (농촌지역의 노인학대 위험요인과 사회지원체계)

  • Park, Ok-Im
    • The Korean Journal of Community Living Science
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    • v.20 no.3
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    • pp.369-384
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    • 2009
  • Research method was a case study as narrative method through in-depth interviews around 21 sufferers of elder abuse in rural area and the researcher interviewed them directly. Conclusively, the majority of sufferers of elder abuse were physically very low in the ADL(activities of daily living) and had been bereaved with no spouse. The relations of abused parents and the adult children were much disagreed and divided as unrecovered. Their economic reliance and physical reliance were much overlapped and the majority of them were low educational background and low income level. In case of the abused old people, they had severe low self respect and melancholy, so they considered severely suicide so much as invaluable as their existing value. In spite of over 80.5 years old average, the abuse action had continued for 6 months to 50 years long and the intensity of the abuse was more strengthened. The majority of abused old people refused mostly the entrance of social welfare facilities for elders and also they desired to live in present living area and their own houses.

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Perception, report, and education of elder abuse in emergency medical technicians in Korea (119 구급대원의 노인학대 인식, 신고 및 교육 경험에 관한 연구)

  • Chae, Myeong-Jeong;Yun, Jong-Geun;Kim, Bo-Young
    • The Korean Journal of Emergency Medical Services
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    • v.21 no.2
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    • pp.79-88
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    • 2017
  • Purpose: The study investigated the perception, report, and education of elder abuse in 119 emergency medical technicians (EMTs) in Korea. Methods: A self-reported questionnaire was distributed to 110 EMTs in K city, and 100 answers were collected from June 1 to 10, 2015. The study instrument was perception regarding elder abuse and education inventory developed by Kim and Kim. Data were analyzed using SPSS/WIN 18.0 version. Results: The elder abuse perception score was 3.81 on a Likert 4-point scale. Physical abuse was the most common type, followed by verbal, financial, negligence, and emotional abuse. Most EMTs recognized that is important for the prevention of elder abuse, but most of them had no experience in reporting abuse. A majority of the EMTs had attended an elder abuse program and recognized the importsnce of such program. Conclusion: This study suggests the necessity of more targeted education of elder abuse prevention combined with family counseling methods and practical approach toward awareness of elder abuse.

Effects of Thermotherapy for Life Care in the Elderly with Chronic Neck Pain (만성 목통증 노인환자의 라이프케어를 위한 온열치료의 효과 연구)

  • Lee, Jong-Min;Shin, Ho-Jin;Kim, Sung-Hyeon;Roh, Young-Chae;Jung, Kyoung-Sim;Hahm, Suk-Chan;Lee, Sung-Jae
    • Journal of Korea Entertainment Industry Association
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    • v.13 no.8
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    • pp.635-645
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    • 2019
  • Non-specific chronic neck pain (CNP) is a prevalent disorder and often accompany with pain, fatigue, reduced range of motion (ROM), and hand function. Although various types of drug are commonly used to manage the symptoms following CNP, there is a need for therapeutic exercise and alternative medicine interventions that have few side effects or are easy to apply. Present study investigated the effects of salt pack and neck exercise for life care of the elderly with non-specific CNP. Sixteen patients with non-specific CNP were recruited and randomly assigned into two groups: the intervention group (n=8) or the control group (n=8). All patients performed neck self-exercise for 30 min/day, 5 times a week for 1 week. And the subjects in the intervention group additionally received salt hot pack for 20 min per session. Visual analogue scale (VAS) and pain pressure threshold (PPT) using algometer were used to assess pain intensity (primary outcome). ROM of shoulder joint and grip strength were measured to test shoulder and hand function (secondary outcome). There were significant improvements in the intervention group (p<.05), while the subjects in the control group did not show a significant change after intervention (p>.05). Also, the intervention group show significant differences in VAS and PPT compared to the control group (p<.05). Thus, our results demonstrated that salt pack and neck exercise have a positive effect for life care in elderly patients with non-specific CNP.

A Study on Depression and Cognitive Impairment in the Elderly Lived Small City (일부 중소도시지역 노인들의 우울 및 인지기능장애에 관한 연구)

  • Yi, Seung-Ju
    • Journal of Korean Physical Therapy Science
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    • v.1 no.2
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    • pp.275-287
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    • 1994
  • For the purpose of promotion mental health in the elderly lived small city, a personal interview was conducted for 150 elderlies aged 65 years or more in the Kyungpook Andong city between 29th of August and 9th of September, 1994. The major findings were as follows; 1. The variables related depression were chronic disease, level of physical ability, smoking habits(pack/day) and school education. 2. The variables related cognitive impairment were level of physical ability, age, sex and chronic disease. It was revealed by this study, the female elderlies who had beend not educated and had chronic disease were higher depression or cognitive impairment. so the prospective research with these variables is need.

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FAMILY DYNAMICS OF INCEST PERCEIVED BY ADOLESECENTS (청소년이 지각한 근친상간의 가족역동)

  • Kim, Hun-Soo;Shin, Hwa-Sik
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.6 no.1
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    • pp.56-64
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    • 1995
  • Family is a primary unit of the major socialization processing for children. Parents among the family members are one of the most important figures from whom the child and adolescent acquire a wide variety of behavior patterns, attitudes, values and norms. An organization of family members product family structural functioning. Abnormal family structure is one of the most important reference models in the learning of antisocial patterns of behavior. Therefore incest and child sexual abuse including spouse abuse, elderly abuse, and neglect occurs in the abnormal family structural setting. In particular, incest, a specific form of sexual abuse, was once thought to be a phenomenon of great rarity, but our clinical experiences, especially over the past decade, have made us aware that incest and child sexual abuse is not rare case and on the increasing trend. Therefore, the aim of this study was to determine the family problem and dynamics of incest family, and character pattern of post-incest adolescent victim in Korea. A total of 1,838 adolescents from middle and high school(1,237) and juvenile correctional institute(601) were studied, sampled from Korean student population and adolescent delinquent population confined in juvenile correctional institutes, using proportional stratified random sampling method. The subjects' ages ranged from 12 to 21 years. Data were collected through questionnaire survey. Data analysis was done by IBM PC of Behavior Science Center at the Korea university, using SAS program. Statistical methods employed were Chi-square, principal component analysis and t-test etc. The results of this study were as follows ; 1) Of 1,071 subjects, 40(3.7%) reported incest experiences(sibling incest : 1.6% ; another type of incest : 2.1%) in their family setting. 2) The character pattern of post-incest adolescent victim was more socially maladjusted, immature, impulsive, rigid, anxious and dependent than non-incest adolescent. Also they showed some problem in academic performance and their assertiveness. 3) The other family members of incest family revealed more psychological and behavioral problem such as depression, alcoholism, psychotic disorder and criminal act than the non-incest family, even though there is no evidence of the context between them. 4) The family dynamics of incest family tended to be dysfunctional trend, as compared with non-incest family. It showed that the psychological instability of family member, parental rejection toward their children, coldness and indifference among family member and marital discordance between the parents had significant correlation with incest.

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Identification of High-risk Groups of Suicide from the Depressed Elderly using Decision Tree Analysis (의사결정나무 분석법을 이용한 우울 노인 중 자살 고위험군 규명)

  • Hong, Sehoon;Lee, Dongwon
    • Research in Community and Public Health Nursing
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    • v.30 no.2
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    • pp.130-140
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    • 2019
  • Purpose: The aim of this study is to explore levels of suicidal ideation and identify subgroups of high suicidal risk among the depressed elderly in Korea. Methods: A descriptive cross-sectional design was adopted on secondary data from the 6th (1st year) Korean national health and nutrition examination survey (KNHANES). A total of 239 depressed elders aged 60 or over who participated in the KNHANES. The prevalence of suicidal ideation and its related factors, including sociodemographic, physical, psychological characteristics and quality of life (EQ-5D index) were examined. Descriptive statistics and a decision tree analysis were performed using the SPSS/WIN 23.0 and SPSS Modeler 14.2 programs. Results: Of the depressed elderly, 28.9% had suicidal ideation. Three groups with high suicidal ideation were identified. Predictive factors included perceived stress level, household income level, quality of life and restriction of activity. In the highest risk group were those depressed elderly with moderate and low levels of stress, less than .71 of EQ-5D index and restriction of activity, and 80.0% of these participants had suicidal ideation. The accuracy of the model was 80.8%, its sensitivity 85.9%, and its specificity 68.1%. Conclusion: Multi-dimensional intervention should be designed to decrease suicide among the depressed elderly, particularly focusing on subgroups with high risk factors. This research is expected to contribute itself to the policy design and solution building in the future as it suggests policy implications in preventing the suicide of the depressed elderly.

Relationship between Latent Classes of Socioeconomic Status and Self-Esteem among Elderly Living Alone (사회경제적 지위 잠재유형이 독거노인의 자아존중감에 미치는 영향)

  • Kwag, Kyung Hwa
    • The Journal of the Korea Contents Association
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    • v.16 no.1
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    • pp.1-12
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    • 2016
  • The purpose of this study was to identify latent classes of socioeconomic status and to explore whether those of socioeconomic status influenced self-esteem among elderly living alone. From the data of 2009 National Elder Abuse Investigation, 1,333 older adults who were over 65 years and living alone were analyzed. Latent class analysis, one-way ANOVA, and hierarchical regression analysis were performed to test the purpose of this study. Results of this study found 5 latent classes of socioeconomic status, named as high education-low income group, low education-low income group, middle education-low income group, high education-high income group, and low education-high income group. Next, there were significant differences in self-esteem depending on 5 latent classes of socioeconomic status. Finally, compared to low education-low income group, high education-low income group, middle education-low income group, high education-high income group, and low education-high income group showed higher levels of self-esteem, even after adjusting for confounding factors. Findings from this study suggested fundamental characteristics and public policy for elderly living alone.