• Title/Summary/Keyword: 만성질환노인

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Development of medication adherence scale for the elderly with chronic disease (만성질환 노인의 약물이행 측정도구 개발)

  • Kang, Sook;Kim, Jeong sun
    • 한국노년학
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    • v.41 no.1
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    • pp.149-168
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    • 2021
  • This study was to develop the Medication Adherence Scale in Elderly (MAS-E) with chronic disease and verify its reliability and validity. The MAS-E was developed in 5 steps: Configuration of conceptual frame by content analysis, preliminary items, pilot study, reliability and validity test, and development of final MAS-E with chronic disease. The questionnaires were collected from 345 adults with one-to-one interviews. Verification of its reliability and validity was divided into two phases. Reliability was tested using Cronbach's alpha, split-halves reliability, and test-retest. For validity tests, item analysis, factor analysis, total score-factor score correlation analysis, and criterion related validity were used. The developed scale consisted of 18 items and 4 factors - remember of taking medication (2 items), expectations for drug effects (5 items), practice taking medication according to instructions (8 items), communicating with health professionals (3 items), and explained 69.7% of total variance. The scale had significantly positive correlation (r = .72, p <.001) with the Morisky Medication Adherence Scale (MMAS-8). Cronbach's alpha was .91, Guttman split half coefficient was .80, and test-retest reliability was .912. Finding suggest that the MAS-E is a suitable scale to assess the status of medication adherence in elderly with chronic disease.

Risk Factors Associated with Cataract and Macular degeneration by in Korean aged 60 years and over (한국인 60세 이상 노년층의 황반변성과 백내장의 위험요인 -국민건강보험공단 노인코호트 자료를 활용하여-)

  • Pak, Hae-Yong;Lee, Eun-Hee;Pak, Yun-Suk
    • Journal of the Korea Convergence Society
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    • v.8 no.10
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    • pp.273-279
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    • 2017
  • Purpose: This study was conducted to identify factors associated with cataract and age-related macular degeneration in elders. Methods: In total, 341,588 men(44.18%,) and women(61.887%), aged over 60, were recruited from Korean National Health Insurance Service-Senior(2002-2013). We also analysed the factors which determine the prevalence of contract (ICD-10: H25) and age-related macular degeneration(ICD-10: H353) using Cox proportional hazard regression model Results: The subjects who were women, in older age, the group of higher income level, with hypertension, with heart disease, and with diabetes, the prevalence of both contract and age-related macular were increased(p<0.0001). Conclusion: The prevalence of contract and age-related macular degeneration were higher in old age of Korean who has chronic diseases such as hypertension, heart disease, and diabetes. The management of chronic diseases are essentially required in elderly for more healthy eye in aged society.

Effects of the Health Status of the Elderly on the Satisfaction of Life -Focused on the mediated effect of family support and gender differences- (노인의 건강상태가 삶의 만족도에 미치는 영향 - 가족 지지의 매개효과와 성별 차이 중심으로 -)

  • Kim, Seok-Keun;Kim, Kwang-Ho
    • The Journal of the Korea Contents Association
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    • v.21 no.4
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    • pp.565-575
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    • 2021
  • The purpose of this study is to investigate the mediated effect of family support and gender differences in the effects of the health status of the elderly on the satisfaction of life The research method is to analyze the data of 4,698 the elderly through SPSS V22.0 in the 12th edition of the Korea Welfare Panel(2017). First, First, subjective health status in health status has a positive effect on life satisfaction, and chronic disease has a negative effect. Second, in the health status and life satisfaction relationship of the elderly, the family support was found to have a positive mediating effect, and in the chronic disease and life satisfaction relationship, the family support had a negative mediating effect. Third, the effect of health status on life satisfaction has been shown to have a more positive effect on men than women, more negative effects on men than women in the effect of chronic diseases on life satisfaction, and more positive effects on men than women in the effect of family support.

Factors Affecting the Morbidity Related to Respiratory Dieseases in Urban Korea (한국 도시의 만성호흡기 질환 이환율에 영향을 주는 요인)

  • Han, Sung-Hyun;Park, Jae-Sung;Seo, Seung-Hee;Yoon, Jee-Eun;Jee, Sun-Ha
    • Korea journal of population studies
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    • v.28 no.2
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    • pp.205-217
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    • 2005
  • Purpose: To evaluate the factors affecting hospital utilization for respiratory diseases by ecological study design and GIS tool. To raise the social concern for respiratory disease by the result. Methods: Hospital admission data supported by national health insurance cooperation were transformed to spread sheet data format and combined with air monitoring dataset. Air pollution data were collected from the annual report of air monitoring published by Korea Ministry of Environment. Socioeconomic statistics including population density, age distribution, forest ratio etc.. were filed using Korea National Statistical Office database. Multiple linear regression analysis was performed to evaluate the factors affecting hospital utilization for respiratory diseases. Analytical unit was 52 cities. Results: The factors affecting hospital utilization for respiratory diseases were the proportion of population 60 years and over, seaside city, $O_3$ level, smoking rate. Conclusions: However, outdoor pollutants monitoring data and smoking rate have weakness in reflecting individual exposure. Further research is required to propose more illustrative means to evaluate causal relationship between air pollution and respiratory health effect factors.

Factors Associated with Successful Aging of Korean Older People Living in a City (일 도시 노인의 성공적인 노화 관련 요인)

  • Shin, Younghee;Lee, Hyejung
    • 한국노년학
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    • v.29 no.4
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    • pp.1327-1340
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    • 2009
  • The purposes of the study were (1) to identify the level of successful aging of older people living in a city, (2) to identify associated factors with successful aging, and (3) to identify a risk group for successful aging using classification and regression trees (CART) analysis. One hundred eighty seven older people (>65years) participated in the cross-sectional survey. Trained interviewers collected data with a structured questionnaire on demographic information, Korean geriatric depression score, activity of daily living(ADL), instrumental activity of daily living(IADL), and Young's successful aging instrument in subject's home. A CART analysis split subjects into ten homogeneous small groups based on five determinant factors. Older people who are male, with higher education, living with family, and not receiving Medicaid showed better scores in successful aging than their counter parts. Depression was a strong primary determinant for successful aging. A risk group for successful aging of older people was identified by depression and IADL. An intervention to prevent and manage depression and to improve physical function of older people can be developed to promote successful aging of older people. It is suggested to consider an assessment of depression to develop the policies for older people welfare.

The Effects of Depression of the Single Seniors with Chronic Diseases on Drinking: An Analysis of the Moderating Effect of Social Relationship Satisfaction (만성질환을 가진 독거노인의 우울이 음주에 미치는 영향: 사회적 관계만족도의 조절효과)

  • Kim, Nyeon-Hee
    • The Journal of the Korea Contents Association
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    • v.21 no.2
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    • pp.699-706
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    • 2021
  • This study aims to investigate the relationship between depression, drinking and social relationship satisfaction. The study also examines the moderating effect of social relationship satisfaction between depression and drinking. For these purposes, 217 single seniors with chronic diseases, excluding missing values, were finally analyzed from the 13th Korea Welfare Panel Study(KWPS). Correlation analysis, moderating analysis performed using SPSS(21.0 version). The findings of the study were as follows. First, it was identified that family relationship satisfaction among social relationship satisfaction significantly moderating the relationship between depression and drinking. Second, it was no identified that satisfaction with satisfaction with social acquaintance among social relationship satisfaction significantly moderating the relationship between depression and drinking. Based on the study results, this research suggested the practice and policy implications to increase family relationship satisfaction, especially to the single seniors with chronic diseases as well as to decrease their drinking.

Factors Affecting Subjective Well-being and Depression of the Elderly with Chronic Disease (만성질환을 가진 노인의 주관적 행복감과 우울에 영향을 미치는 요인)

  • Chung, Su Kyoung
    • Journal of Industrial Convergence
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    • v.20 no.9
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    • pp.91-98
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    • 2022
  • This study was conducted to investigate the effect on subjective well-being and depression of the elderly with chronic diseases. Using data from the 15th Korea Welfare Panel in 2020, 3,910 people who responded that they had chronic diseases over the age of 65 were analyzed with stepwise regressions. As a result, the factors affecting the subjective well-being of the elderly with chronic diseases were in the order of satisfaction with leisure life, subjective health status, satisfaction with children relationship, satisfaction with family income, satisfaction with spouse. The explanatory power of this model was 32.0% (F=351.44 p<.001). And also, factors affecting depression were in order of subjective health status, satisfaction with spouse, satisfaction with social relationship, satisfaction with children relationship, satisfaction with leisure life, and satisfaction with family income. The explanatory power of this model was 21.4% (F=178.59, p<.001). Therefore, policy systems to support leisure life of the elderly with chronic disease and measures to induce participation in programs using community resources are needed. And health management programs and institutional support to improve subjective health status are also needed. In addition, it is expected that economic support at the national policy level and various program execution strategies and support personnel will be secured at the community level.

성인병 뉴스 제301호

  • The Korea Association of Chronic Disease
    • The Korean Chronic Disease News
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    • no.301
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    • pp.1-22
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    • 2006
  • 서울 성북구 보건소 황원숙 소장/보건복지부 장관에 유시민 의원/허리근육 많을수록“척추건강하다”/‘삶의 질 향상, 인간 중심 살기 좋은 성북’구현/인간성장호르몬 미FDA에 허가 신청/녹십자, 미국과 공동 함암제 임상시험/노인층의 건강증진을 위한 대책 방안/운동.흡연.절주.식이 등 4가지 조절하면 조기사망이나 질병의 60%는 예방 가능/

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