• Title/Summary/Keyword: 노인 학대

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Risk Factors Influencing Probability and Severity of Elder Abuse in Community-dwelling Older Adults: Applying Zero-inflated Negative Binomial Modeling of Abuse Count Data (영과잉 가산자료(Zero-inflated Count Data) 분석 방법을 이용한 지역사회 거주 노인의 노인학대 발생과 심각성에 미치는 위험요인 분석)

  • Jang, Mi Heui;Park, Chang Gi
    • Journal of Korean Academy of Nursing
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    • v.42 no.6
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    • pp.819-832
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    • 2012
  • Purpose: This study was conducted to identify risk factors that influence the probability and severity of elder abuse in community-dwelling older adults. Methods: This study was a cross-sectional descriptive study. Self-report questionnaires were used to collect data from community-dwelling Koreans, 65 and older (N=416). Logistic regression, negative binomial regression and zero-inflated negative binomial regression model for abuse count data were utilized to determine risk factors for elder abuse. Results: The rate of older adults who experienced any one category of abuse was 32.5%. By zero-inflated negative binomial regression analysis, the experience of verbal-psychological abuse was associated with marital status and family support, while the experience of physical abuse was associated with self-esteem, perceived economic stress and family support. Family support was found to be a salient risk factor of probability of abuse in both verbal-psychological and physical abuse. Self-esteem was found to be a salient risk factor of probability and severity of abuse in physical abuse alone. Conclusion: The findings suggest that tailored prevention and intervention considering both types of elder abuse and target populations might be beneficial for preventative efficiency of elder abuse.

The Nurses' Perceptions and Experiences on the Older Adult's Dignity in Nursing Homes (노인의 존엄성에 대한 노인요양시설 간호사의 인식과 경험)

  • Kim, Ki-Kyong
    • Journal of Korean Academy of Nursing Administration
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    • v.15 no.1
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    • pp.81-90
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    • 2009
  • Purpose: The purpose of this study was to identify nurses' perceptions on the older adult's dignity, and identify the risk factors that threaten older adult dignity and nurses' experiences of ethically difficult care in nursing homes. Method: Qualitative content analysis was done using an analysis scheme developed by the investigators. The data were collected from 51 nurses in 10 different nursing homes, who have agreed this study. Using a self-completion questionnaire was developed by the authors. The questionnaire which consisted of 3 items about dignity definitions, risk factors, and experiences on ethical dilemma. Results: The scheme consisted of 14 categories and 33 subcategories of the 261 significant statements. The categories of the dignity perception analyzed were respect, social right and equality. The categories of risk factors analyzed were loss of control, abuse, physical restraint, invasion of privacy, decision limitation and staff qualification. The categories of dignity experiences were abuse, physical restraint, invasion of privacy, staff qualification and decision limitation. Conclusions: This study may suggests interpretation for compromised older adult's dignity and provides data to use in the development of the useful guidelines and educational programs for the nurses in nursing homes.

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Analysis of time use by occupation domain according to the general characteristics and care need reasons of the Korean elderly with disablilities : Focused on the 2019 Time Use Survey (국내 장애노인의 일반적 특성과 돌봄 필요 사유에 따른 작업영역별 시간사용 분석 : 2019년 생활시간조사 중심으로)

  • Hong, Seojin;Cha, Tae-Hyun;Yu, Young-Bin
    • Journal of the Korea Convergence Society
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    • v.12 no.12
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    • pp.355-363
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    • 2021
  • In this study, after reclassifying the behavioral classification of '2019 Time Use Survey' according to occupation domain of OTPF-4. Time use of occupation domain was examined according to general characteristics and care need reasons were performed Independent t-test and one-way ANOVA. As a result, according to gender, IADL(P<.001), Leisure(P<.001), Social participation(P<.001) and according to marital status, ADL(P<.01), IADL(P<.001), Play(P<.05), Leisure(P<.001) and according to education level, ADL(P<.05), Education(P<.001), Social participation(P<.01) were differences. According to care need reasons, ADL(P<.01), IADL(P<.001), Rest and Sleep(P<.01), Leisure(P<.001), Social participation(P<.001) showed difference. This study will be used to identify time use by occupation domain and to plan interventions for a balanced and efficient lifestyle of korean disabled elderly.

An Exploratory Study For Developing Perceived Elderly Stigma Scale (지각된 노인 낙인 척도 개발을 위한 탐색적 연구)

  • An, Soontae;Oh, Hyun Jung;Chung, Soondool
    • 한국노년학
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    • v.37 no.2
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    • pp.309-328
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    • 2017
  • The purpose of this study is to develop a perceived elderly stigma scale for intergenerational research and practice. Although negative stereotypes on elderly population have worsened physical and psychological health of older people, there has been a lack of systematic efforts to measure and monitor stigmatic perception and behavior of younger generation on elderly people. We initially constructed a 34-item perceived elderly stigma scale, by integrating the processes of literature review and exploratory item generation. After confirming the face validity of the scale, a 31-item perceived elderly stigma scale was tested with 252 adults recruited from an online research panel. The result of an exploratory factor analysis suggests a 5-factor solution with 28 items: ability, personality, appearance, authoritarian dependancy, and family-obsession. The convergent/discriminant validity was confirmed by examining its relationships with ageism, elderly discrimination, attitude toward elderly, and respect for elderly. After a series of refinement and empirical tests, the perceived elderly stigma scale would contribute to understanding the current state of elderly discrimination in our society and to develop necessary policies and promotion strategies to eliminate intergenerational conflicts.

A Study on Elder Mistreatment I : Empirical Investigation of Perceptions of Elder Abuse and Neglect among married Peoples (노인홀대에 관한 연구I-기혼 성인남녀의 학대와 방임에 대한 인식 및 경험을 중심으로 -)

  • 송현애
    • Journal of Families and Better Life
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    • v.15 no.3
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    • pp.83-94
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    • 1997
  • This article aims to investigate the perceptions of mistreatment of elderly among the married men and women. The subjects of this study are 291 married men and women. The major finding is that the increased stress of caregiver may lead to elder abuse of neglect. According to the above finding, it may be appropriate to offer various assistance to the suspected abuser. That is, education, couseling and social support services may help alleviate the caregiving stress contributing to the mistreatment.

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A Study on Elder Mistreatment ll: Empirical Investigation of Elder Abuse and Neglect among the Elderly (노인홀대에 관한 연구 ll -노인의 학대와 방임에 대한 인식 및 경험을 중심으로-)

  • 송현애
    • Journal of the Korean Home Economics Association
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    • v.36 no.3
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    • pp.145-160
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    • 1998
  • The purpose of this study is to examine the concept and experience of the elder mistreatment among the elderly. To achieve the purpose of this study, data were collected from 160 elders with family members through questionnaires. The major finding is that the concept on elder mistreatment of the old people is found for the most part psycological abuse or neglect. And, when the degree of family support about the elderly is high, the experience of the elder mistreament appears low. Therefore, family support may be higher to prevent elder mistreatment. Also, social support in the side economical, physical or emotional services may help to bring down the elder's disability contributing to the elder mistreatment.

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A Comparison of the Effects of Barefoot Walking and Sneakers Walking on a Sandy Beach on Pain, Disability, Motor Function, Sleep Satisfaction, and Quality of Life in the Elderly with Low Back Pain (모래사장 위 맨발걷기와 운동화걷기가 허리통증이 있는 노인의 통증, 장애, 운동기능, 수면만족도, 삶의 질에 미치는 효과 비교)

  • Lee, Gain;Jeon, Jaejung;Hahm, Sukchan
    • Journal of The Korean Society of Integrative Medicine
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    • v.8 no.4
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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.

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.

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.

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.