• 대한통합의학회지
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• 제8권4호
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• pp.29-38
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• 2020

Purpose : The purpose of this research was to investigate the effects of barefoot walking on the sandy beach on pain intensity, disability, motor function, sleep satisfaction, and quality of life in the elderly with low back pain (LBP). Methods : A single-blinded randomized controlled trial was conducted involving 32 elderly with LBP who underwent sand walking barefoot (intervention, n=16) or with sneakers (control, n = 16). Both walking methods were carried out for 30 minutes per day, three times a week for four weeks. Pain intensity and disability were assessed using the visual analog scale and Oswestry disability index, respectively. Balance and gait were evaluated using the Berg balance scale and timed up and go test, respectively. Sleep satisfaction was quantified with the Verran and Snyder-Halpern sleep scale. Finally, quality of life was assessed through the WHO quality of life scale's abbreviated Korean version. Results : Compared with the control group, the intervention group showed significant differences in pain intensity (p=.005), disability due to LBP (p=.002), static balance ability (p=.003), dynamic balance ability (p=.002), and sleep satisfaction (p=.017). There was no significant difference in the quality of life between the two groups. Conclusion : Barefoot walking on a sandy beach is significantly effective in improving pain, disability due to LBP, balance ability, and sleep satisfaction in the elderly with LBP. Further studies with larger sample sizes and longer intervention periods must to be conducted to generalize using barefoot walking in LBP management.

• 대한통합의학회지
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• 제8권4호
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• pp.67-77
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• 2020

Purpose : Recently, Korea has entered an aging society due to the steadily increasing proportion of the elderly population. Additionally, elderly suicidal rate in Korea is the highest among OECD member countries. Because old age is a time when all functions are weakened physically, mentally, and socially, negative experiences, including depression and poor quality of life in the elderly, may lead to suicidal intentions. This study attempts to understand the relationship between depression and quality of life experienced by the elderly and their suicidal intentions. Methods : The survey was conducted from January 2 to March 31, 2019 by administering a questionnaire targeting people aged ≥ 65 years, who were registered at public health centers located in U-city, Gyeonggi-do. In total, 1,015 copies of data were used for the final analysis. The collected data were analyzed using the SPSS/WIN 23.0 program. The χ2 test was performed to investigate the relationship between the demographic characteristics and the suicidal intentions of the elderly subjects. The t-test was performed to determine the relationship between suicidal intentions, depression, and quality of life in elderly subjects. Results : The study results revealed that 168 people (16.6 %) had thought of suicide and 3.2 % had actually tried to commit suicide. The reasons for suicidal thoughts were family problems in 60 (5.6 %), economic problems in 49 (4.6 %), and physical illness in 44 (4.1 %). Those with suicidal intentions had higher levels of depression (t=11.712, p<.001) and higher quality of life scores (t=-9.565, p<.001). Conclusion : Based on these results, it is proposed that a suicide prevention policy and program that can improve the elderly's depression and quality of life is necessary.

• 대한통합의학회지
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• 제9권2호
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• pp.173-181
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• 2021

Purpose : The purpose of this study was to identify the clinical effect, assessment, method, and recent trend of the programs by systematically reviewed community-based programs for the elderly's quality of life conducted in the last ten years, and to present comprehensive basic data for occupational therapists who want to apply community-based programs improving quality of life. Methods : This study identified 811 studies from among those registered in the RISS, KISS, DBpia, NDSL, and KCI databases from January to September 2020, using "elderly," "community elderly," "65 aged," "quality of life," "occupational therapy," "occupational therapy program," "intervention," and "intervention program" as keywords. From these results, 11 documents were selected. Results : It was found that studies of occupational therapy programs for the quality of life of the elderly have been continuously conducted since 2010, and most of them were non-random control studies. The quality of life evaluation tool used most frequently was SF-36, and WHOQOL-BREF and SF-8 were also used. The selected programs were classified as were exercise programs and complex programs. For most of the exercise programs, interventions were carried out for 12 weeks, three times a week for 30~60 minutes. In the case of the complex programs, the duration of interventions was nine weeks, and the frequency and time per session varied. All of the exercise programs showed significant effects. Among the complex programs, two studies showed significant effects, but the remaining one study did not. Conclusion : Through this study, the types and effects of occupational therapy programs for the quality of life of the elderly were examined. Hereafter, studies of the development and to verify the effects of these programs should be actively carried out.

• 미래기술융합논문지
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• 제1권2호
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• pp.49-55
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• 2022

여성복지는 단순히 전반적인 사회복지의 틀속에 머무르기 보다는 여성중심적이고 독립적인 복지시행노선을 표방할 필요가 있다. 상당수의 기존의 여성복지 프로그램들은 가부장적인 전제하에서 다분히 여성보호적인 경향을 보여 왔다. 그러나 앞으로의 여성복지는 여성들로 하여금 가족이라는 한정된 틀을 벗어나 한 개인으로써 삶의 질을 높힐 수 있도록 도와주는 방향으로 나아가야 할 것이다. 여성에게 의존하는 가족을 보호하는 것에 대한 보상을 제공하는 것도 여성복지의 중요한 측면이라고 하겠다. 즉 아동이나, 장애인, 노인을 돌보야 하기 때문에 노동 참여의 기회를 잃어 버린 여성에게 그 대가를 정부에서 경제적으로 직접 간접 보상해 주는 방안도 연구되어야 할 것이다. 그밖에 사회교육을 통하여 재생산활동에 남성의 참여를 유도하여 가족에 대한 여성의 의무를 완화시킴으로써 복지를 증진시킬 수 있을 것으로 기대된다

• 대한통합의학회지
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• 제10권4호
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• pp.153-163
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• 2022

Purpose : The purpose of this study was to investigate the differences between uncertainty of chronic diseases and quality of life with regard to elderly people. Methods : The participants of this study were 350 elderly people, aged over 65 years. The collected data were analyzed using the SPSS Window program and the general characteristics of the participants and sub-domains of quality of life were analyzed by several frequency analyses and descriptive statistics such as mean, standard deviation, skewness, and kurtosis. Further, the differences between the sub-domains of uncertainty and sub-domains of quality of life were analyzed through independent t-test and one-way ANOVA. In order to reach conclusive results, post-test was analyzed by the Scheffe test. In addition, Pearson's correlation analysis was performed to determine the correlation between the target categories. A significance level of 𝛼=.05 was used to verify statistical significance. Results : As a result of examining "uncertainty" with respect to general characteristics, such as older age, low educational background, and chronic diseases, it was observed that the more intense these factors became, the more the level of uncertainty increased. In addition, it was also noted that except "accompanying diseases" in social domain, the participants enjoyed a high level of quality of life. The correlation was noted between domains of complexity and sociality (p<.01), domains of inconsistency and sociality (p<.01), domains of complexity and living environment (p<.01), domains of inconsistency and living environment (p<.01), and total score of uncertainty and total quality of life (p<.01). Conclusion : In this study, differences were found between "uncertainty" and "quality of life" of elderly people; the correlation between the sub-domains based on general traits was found to be negative (-). This suggests that objective evidence can be presented for the prevention of diseases by using mental health programs for the elderly in future.

• 대한통합의학회지
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• 제10권3호
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• pp.209-219
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• 2022

Purpose : The purpose of this study was two-fold: to investigate the effects of uncertainty and depression on the quality of life (QoL) of elderly people with chronic diseases and to provide basic data on the physical, emotional, and psychological factors affecting their QoL in the field of physical therapy. Methods : A questionnaire covering uncertainty, depression, and QoL was distributed among 320 elderly people. Pearson's correlation analysis was performed to examine the correlation between uncertainty (ambiguity, complexity, inconsistency, and unpredictability), depression, and QoL (physical, psychological, social, and living environment domains) of the respondents; furthermore, multiple regression analysis was performed to identify the factors affecting the QoL of the respondents with a chronic disease. Results : The sub-factors of uncertainty and QoL-"complexity and social domain" (r=-.295, p<.001), "complexity and living environment domain" (r=-.302, p<.001), and "inconsistency and living environment domain" (r=-.360, p<.001)-showed a negative (-) correlation, as did depression and the sub-factors of QoL-"depression and physical domain" (r=-.782, p<.001), "depression and psychological domain" (r=-.876, p<.001), "depression and social domain" (r=-.668, p<.001), and "depression and living environment domain" (r=-.731, p<.001). The factors affecting QoL were complexity (𝛽=-.122, p<.001), inconsistency (𝛽=-.102, p=.002), unpredictability (𝛽=.112, p<.001), and depression (𝛽=-.850, p<.001). The relative influence of the independent variables was in the order of depression, complexity, unpredictability, and inconsistency, and the explanatory power was 77.1 % (F=215.853, p<.001). Conclusion : It is important to help the elderly with chronic diseases reduce the negative impact on their quality of life by helping them gain support from their families and medical professionals and by increasing their understanding through communication so that they can transition from negative emotions to positive emotions of opportunity.

• 대한치위생과학회지
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• 제5권2호
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• pp.73-83
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• 2022

Background: This study was aimed at reducing depression and improving the quality of life and oral health of the elderly Koreans by elucidating the effect of depression on their life quality and oral health. Methods: Original data from the 8th National Health and Nutrition Survey (2019) were analyzed and implemented. The elderly (age≥65years) Koreans were enrolled. The oral health status was determined using the Decayed, Missing, Filled Teeth (DMFT) index and subjective self-report. The quality of life was quantified as the sum of score of each item in the Euro Qol-5 dimension (EQ-5D) and Health-related Quality of Life Instrument with 8 Items (HINT-8). The t-test, one-way analysis of variance, correlation analysis, and multiple regression analysis were performed to statistically compare the quality of life, oral health status, and oral health status according to the depression status. Results: EQ-5D and HINT-8 scores differed significantly with the history of depression, current depression, stress perception, depression for 2 weeks, and annual suicidal intention (p≤0.05). The DMFT index score differed significantly with the depression diagnosis and depression for 2 weeks (p≤0.05). EQ-5D, HINT-8, and DMFT index differed significantly with all oral health behavior variables (p≤ 0.05). Conclusions: The results of this study could serve as a basis to formulate oral health programs for the elderly to reduce depression and improve the quality of life.

• 대한통합의학회지
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• 제11권3호
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• pp.35-47
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• 2023

Purpose : As the population aging deepens, the number of elderly people with arthritis is also continuously increasing. Accordingly, this study intended to identify the factors influencing the health-related quality of life (HINT-8) of the elderly with arthritis according to household type and provide baseline data for developing a measure to enhance the life quality of the elderly with arthritis. Methods : The factors influencing the health-related quality of life (HINT-8) of the elderly with arthritis were identified based on the raw data from the Korea national health and nutrition examination survey conducted in 2021. Data were analyzed with SPSS Statistics ver 25.0 for windows (IBM Corp), and the significance level (α) was set to .05. Statistical analysis was performed with t-test, ANOVA, multiple regression analysis, and post-hoc analysis with Duncan test. Results : The factors that influenced the health-related quality of life (HINT-8) of single-households were medical aid (β=-.17, p=.045), restriction of activity (β=-.17, p=.023), self-rated health status (β=.29, p<.001), and anxiety scale (β=-.36, p<.001). The factors that influenced the health-related quality of life (HINT-8) of multi-households were an age of 75 or over (β=-.14, p=.011), living in rural (β=-.14, p=.003), the outpatient department treatment experience (β=-.09, p=.047), self-rated health status (β=.26, p<.001), anxiety scale (β=-.29, p<.001), and stress (β=-.22, p<.001). Conclusion : Factors affecting the health-related quality of life (HINT-8) of the elderly with arthritis were found to be different between single-person households and multi-person household. Therefore, it is necessary to prepare measures to improve the quality of life of the elderly with arthritis by considering the factors influencing the health-related quality of life (HINT-8) of the elderly with arthritis according to the household type identified in this study.

• 문화기술의 융합
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• 제9권1호
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• pp.513-523
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• 2023

경제적 사유 및 자기계발 등을 이유로 부업을 택하는 근로자들이 점점 늘어나며 전체 경제활동인구의 1% 이상이 된 상황에서 국가 전체의 근로환경 및 개인의 삶의 질에 밀접한 영향을 줄 수 있는 부업 종사 근로자의 건강과 관련된 연구는 부족한 실정이다. 이에 제6차 근로환경조사를 원시자료로 활용하여 부업 종사자의 주관적 건강 상태에 영향을 미치는 요인들을 노동력 구조, 물리적 환경, 정서적 환경의 세 측면에서 살펴보았다. 그 결과 주업의 종사자 지위에 따라 주관적 건강 상태에 유의미한 차이가 있음을 알 수 있으며, 주업 근무 만족감을 높여주는 것과 더불어물리적으로는 장기간 지속되는 반복 업무를 하지 않고, 정서적으로는 차별 경험을 제공하지 않는 것이 근로자의 주관적 건강 상태에 있어 중요함이 통계적으로 검증되었다.

• 대한통합의학회지
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• 제11권4호
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• pp.199-211
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• 2023

Purpose : Rapid population aging in South Korea is emerging as serious social problems, and interest in the health-related quality of life of the elderly is also increasing. Therefore, this study attempted to provide basic data to develop measures to improve the health-related quality of life of the elderly by identifying the impact of the elderly's dietary lifestyle on the health-related quality of life. Methods : Utilizing raw data from the Korea national health and nutrition examination survey spanning from 2011 to 2020, this study focused on individuals aged 65 and above. After excluding cases with missing data, 12,731 individuals were included in the final analysis. Various statistical methods including frequency analysis, t-tests, ANOVA, Scheffé test and hierarchical regression analysis were performed using SPSS 25.0 for windows. The statistical significance level (α) was set at .05. Results : The main results of this study were as follows. Firstly, dietary lifestyle exhibited variations depending on gender, age, education level, individual income, basic livelihood type, household type, self-rated health status, and chewing difficulty (p<.001). Secondly, there were disparities in health-related quality of life (as measured by the EQ-5D index) based on gender, age, education level, residence, individual income, basic livelihood security, self-rated health status, and chewing difficulty (p<.001). Thirdly, the EQ-5D index showed that elderly individuals' dietary lifestyle adversely impacted their health-related quality of life (F=353.74, p<.001). Conclusion : Therefore, it is necessary to prepare policies to improve the health-related quality of life by maintaining a proper diet for the elderly, and customized support and management is required taking into account the elderly's gender, age, education level, individual income, basic livelihood security, household type, self-rated health status, chewing difficulty etc.