• Korean Journal of Psychosomatic Medicine
• /
• v.25 no.2
• /
• pp.200-209
• /
• 2017

Objectives : The aim of this study was to analyze the relationship between depressive symptoms and sociodemographic factors associated with geriatric depression and insomnia and to examine the effects of these factors on depression. Methods : The severities of insomnia and depression in elderly aged 60 and older lived in Gwangmyeong city were evaluated and the related sociodemographic factors were investigated. From April 20, 2016 to December 1, 2016, Gwangmyeong city Mental Health Sevices consignment by department of psychiatry of a university-affiliated general hospital conducted surveys and interviews for total 837 elderly peoples lived in Gwangmyeong city by visiting welfare center and wards located in the city. Structured interviews were conducted using Insomnia Severity Index(ISI) and Short form-Geriatric Depression Scale(S-GDS) to examine the relationship between sociodemographic factors and the severities of insomnia and depression. Results : There were significant differences in S-GDS mean scores and age(below 70 years old, 70s, 80s, above 90 years old), type of health care(health insurance, medical aid), type of residency(own, not own) and marital status(single, married, divorced or widowed).There was a significant difference in education level, especially between not educated(and/or) elementary graduates and college graduate(F=3.227, p=0.012). Also, there were significant differences in age, type of health care, type of residency, number of household on divided S-GDS score above and below 10 scores(p<0.05). Insomnia measured by ISI was not significantly associated with sociodemographic factors(p>0.05), but was significantly associated with depressive symptoms(p<0.05). These findings suggest more severe insomnia symptom indicated the higher probability of depression and elderly with depressive symptoms had more severe insomnia. Conclusions : Geriatric depression has significant relationships with age, type of health care, type of residency, marital status, education and number of households. In addition, insomnia which is main symptom of depression in elderly, has important role in predicting the severity and diagnosis of depression.

• Journal of Home Health Care Nursing
• /
• v.12 no.2
• /
• pp.1-15
• /
• 2005

Purpose: This study was conducted to assess the fall risk factors. Method: The subjects were 87 persons who were older than 65 years living at 28 nursing home in Seoul and Gyunggi province. Subjects were interviewed using RAFS II for intrinsic factor and the environmental factor were assessed using a structured questionnaire from Oct. to Dec. in 2004. The data were analyzed by SPSS(ver. 12.0) programs, using descriptive statistics, $x^2$-test, and t-test. Result: The 37.9% of the subjects experienced the fall, and its average number is $1.94\pm1.75$. The Women's experience of the fall was higher than that of the men, but it was no significant difference with gender. There was no significant difference with the age and duration of living. The mean of the intrinsic risk factor was 13.38 in total score 39 points marks on the RAFS II scales. The intrinsic risk factor score of the fallen group 15.71 was significantly higher than the non-fallen group 12.10. The variables of recent fall experience(t=4.72, p=0.000) and urinary dysfunction(t=2.64, p=0.010) was significantly higher than the non-fallen group. The highest variable of the intrinsic factor was the age and the variables of drug intake, balance, chronic disease, recent fall experience, urinary dysfunction were followed in order. The mean of the environmental risk factor was 0.24 points. No significant differences were shown in environmental risk factor between the fallen and the non-fallen groups. To the fallen group, the place of entrance was the highest risky environmental factor. To see in area dimension, the floor surfaces was the highest risky environmental factor and equipment and illumination factor was the following risky elements in order. In the total score of environmental risk factors based on the ares, the fallen group was 0.26 and the non-fallen group was 0.24, but there were no significant differences between the groups. Conclusion: This results suggested that visual protection strategy, set up the safety device in the place of entrance and inner stairway, bathroom and nonskid mat in the nursing home would be contribute to the prevention of the fall for the elderly.

• Journal of the Korean Regional Science Association
• /
• v.36 no.2
• /
• pp.37-49
• /
• 2020

Currently, the average aging rate has reached 14.8% in our country, despite the residents are aging or over the average aging rate has reached 31.8% with a population of less than 100,000. Various convenience facilities are concentrated in the town center, causing inconvenience to use. The main purpose of this study is to analyze the accessability of living convenience facilities in this area. This study builds on the population aging of the research target area and distribution of living facilities for the elderly based on MDIS data of the regional survey of the National Agriculture, Forestry and Fishing Survey of the National Statistical Office, and QGIS was used to visualize the status of the elderly, distribution of convenience facilities for the elderly, hot spot maps, and distance analysis, and also technical statistical analysis was conducted. As a result of the analysis, it was confirmed that the distribution and distance of living convenience facilities for the elderly in the area where the elderly lived a lot was located in a location that caused severe inconvenience to the use of the elderly. This suggests the necessity of the change facilities type and spatial reorganization by raising the need for space policy changes on the spatial distribution of elderly convenience facilities, reflecting the serious aging of small towns such as the study area.

• Korea journal of population studies
• /
• v.22 no.2
• /
• pp.73-96
• /
• 1999

본 연구의 목적은 1980년대 중반부터 약 10여년 동안 현저한 출생시 성비불균형을 경험한 대구지역의 경산부들을 대상으로 아들을 낳기 위한 노력에 미치는 요인들을 밝히는데 있다. 1998년 4월부터 6월까지의 3개월동안 대구지역의 6개 종합병원에 내원한 임산부들 가운데 출산 경험이 있는 경산부를 대상으로 실시한 설문조사자료를 사용하였으며 경산부의 아들 낳기 노력에 영향을 미치는 요인들을 규명하기 위하여 로지스틱 회귀분석을 도입하였다. 연구결과에 따르면 대구지역의 경산부들은 여성에 대한 성차별을 많이 느끼고 있을 뿐만 아니라 아들 선호의식 역시 상당히 높은 것으로 나타났다. 연구대상자들의 24.7%는 임신 전 아들을 낳기 위한 노력은 한 경험이 있다고 응답하였으며 12.2%는 태아의 선별적 인공유산을 통하여 아들을 낳기 위한 노력을 시도한 경험이 있는 것으로 밝혀졌다. 로지스틱 회귀분석 결과에 따르면 여성에 대한 성차별, 아들선호의식, 자녀 가운데 아들이 없는 경우, 인공임신중절수술 및 연령 등의 요인들이 조사대상자들의 아들을 낳기 위한 노력에 통계적으로 유의미한 영향을 미치는 것으로 밝혀졌다. 이러한 결과로 미루어 보아 대구지역의 출생시 성비가 다른 지역보다 높은 이유는 아들을 선호하고 여성을 차별하는 의식의 기반이 되었던 과거 농경 중심사회의 오랜 전통이 상대적으로 많이 남아있는 보수적인 성향의 결과라 할 수 있다. 뿐만 아니라 이러한 성향이 소자녀관으로 변화된 현대에 있어도 아들 하나는 꼭 낳아야겠다는 강한 집념이 현대 의료기기의 발달 및 보급과 의료인들의 영리추구와 이해관계가 부합됨으로써 생겨난 결과로 볼 수 있다. 시설입소의 인종간 차이를 통제할 때 소수인종노인이 백인노인보다 쉽게 자녀동거에서 단독거주로 이행하는데 이는 소수인종에서 가족부양체계가 불안정함을 의미한다. 또한 빈곤시에 소수인종 노인은 백인노인에 비하여 쉽게 자녀와 떨어져 살게 된다. 이러한 결과는 소수인종 노인에 대한 가족의 지원은 그 가족의 경제적 제약속에서 매우 안정적이지 못함을 시사한다. 못함을 시사한다.로 판단된다.(가솔린, 등유, 경유)로 회수 가능하였다..01 (n=10), 4세포기배는 1.05$\pm$0.09 (n=10)를 나타냄으로써 수정란의 단계마다 $E_2$의 반응 결과가 차이가 남을 알 수 있었다. 4. $E_2$농도 곡선에서 PMSG 처리 후 $E_2$의 혈중농도는 계속적인 상승을 보이다가 배란시기에 최고치를 나타내었으며, 배란 후 다시 감소하여 8세포기에서는 급격한 감소현상이 나타났다. 이후 다시 상실기를 거쳐 배반포기 임신기간동안 $E_2$의 농도가 상승하였다. 5. $E_2$처리 후 세포내 $Ca^{2+}$ 농도변화의 결과로, $E_2$를 처리하지 않은 난자들의 세포내 $Ca^{2+}$ 농도는 836.4$\pm$131.2 (n=10), $E_2$를 처리한 난자들은 1736.4$\pm$192.0 (n=10)로써 유의한 (P<0.05) 차이를 보였다. 이상의 결과로부터 $E_2$처리에 의한 세포내

• Journal of the Korea Academia-Industrial cooperation Society
• /
• v.17 no.8
• /
• pp.485-491
• /
• 2016

The purpose of this study was to identify the effects of a visiting exercise program for physical activity promotion on physical (grip strength, static balance) and psychological (depression, perceived health status) function of frail elderly patients receiving home visiting service care. Subjects included a total of 49 patients; 24 in the control group and 25 in the experimental group. The visiting exercise program was carried out 16 times for 8 weeks. The collected data were analyzed by ${\chi}^2-test$ and t-test using SPSS/WIN 21.0 program. There was a significant improvement in the left grip strength (t=2.19, p<.000), right grip strength (t=5.07, p=.032), static balance (t=3.98, p=.050), and depression (t=-8.83, p=.009) in the experimental group compared with the control group. The visiting exercise program for physical activity promotion was effective on physical and psychological functions for frail elderly patients receiving home visiting service care. Further research is needed in a longitudinal study incorporating various centers to examine the maintenance of such effects.

• Journal of the Korean Home Economics Association
• /
• v.44 no.11
• /
• pp.117-131
• /
• 2006

The purpose of this study was to verify a Structural Equation Model that constructed the causations among the structural leisure constraints, interpersonal leisure constraints, intrapersonal leisure constraints, leisure motivation, leisure activity participation, leisure satisfaction and the quality of life from the ecological perspective. The respondents were 301 elderly people residing in 4 free institutionalized elderly homes in Seoul. The data were analyzed by confirmatory factor analysis and covariance structure analysis using USREL 8.0 ver. The major results are summarized as follows: 1) Statistically, a goodness of fit is good of structural equation model presented in the study. 2) The structural leisure constraints and the interpersonal leisure constraints are some types of leisure environment of the aged in public homes from the ecological perspective. Such constraints would inevitably lead to a direct effect on individual leisure life and leisure motivation. 3) The important valuable factor which affected the leisure satisfaction and the quality of life in the elderly was the leisure motivation.

• Journal of the East Asian Society of Dietary Life
• /
• v.7 no.4
• /
• pp.445-459
• /
• 1997

The purpose of this study was to investigate of the dietary life, nutritional status and health condition in 100 elderly living in nursing homes in Pusan area. The quality of meals served in nursing homes base on nutrient contents and the state of preferared foods was evaluated by the questionaire and the nutritional status and health condition of subjects were estimated by the analysis of serum components. The results of this study are summarized as follows: 1 Almost all subjects were aged over 70 years and poor-educated. Mean height and weight of subjects were lower than Korean average standard but Body Mass Index(BMI) of those were normal and body fat contents of females were especially high. 2. Protein, vitamin A, vitamin C and Ca intake of subjects were lower than Korean RDA. Subjects preferred pan-broiled for meats and fishes, muchim for vegetables fruits as food between meals. 3. There were no smoking and drinking in almost all subjects. All subjects have taken nutritional supplements, mainly mineral supplements. Prevalence of disease in subjects were in the following order : cardiovascular, stomach, neuralgia in males. The frequency of neuralgia in females was highest. 4. Serum levels of HDL-cholesterol, total cholesterol, triglyceride, total protein, albumin, globulin, Ca and Mg were lower than those of normal ranges. Therefore, it Is necessary to improve nutritional status of the elderly in nursing homes with by increasing the various side dishes and to develop the standard menu for those.

• Journal of the Korean housing association
• /
• v.14 no.2
• /
• pp.121-132
• /
• 2003

This study has been performed to explore main reasons for staying in paid elderly residential care facilities among the residents. In this study, five males and seven females aged 65 to 82 were asked about main reasons for staying in the facilities. The answers of the qualitative interview were drawn as follows; first, some residents had suddenly decided to move into the facility due to critical life events such as bereavement, serious illness, or supporting problems. Second, some residents had taken a long period of considerations on whether staying home or in the facilities, because their health and family supports gradually diminished over the long life span. On the other hand, a few of them voluntarily chose to stay at the facilities, because they recognized supervised group activities, nutritionally well-planned meals, and health care as major inconveniences. In this study, suggestions were made as follows: first, guiding and settlement programs should be developed for the residents of the sudden events, particularly at early stage of admission. Second, intensive nursing care units should be in separation from healthy independent groups, so that the residents are relieved from stressful contacts with extremely ill patients in the residential area.

• Journal of the Korean Society of Physical Medicine
• /
• v.6 no.1
• /
• pp.93-101
• /
• 2011

Purpose : The purpose of this study was to investigate the effects of maximum muscle activation of lower extremity of facility dwelled elderly Hansen's disease after isometric trunk exercise for 12weeks. Methods:18 elderly Hansen's disease who isometric trunk exercise for 12weeks were recruited for this study. They were instructed to perform maximum muscle activation of lower extremity after exercise. and the subjects were divided into normal sensory group, sensory loss in left foot group, sensory loss in right foot group and sensory loss in both feet group, according to the sensory condition ability on their soles. Results : After exercise, Hamstring muscle increased significantly (p<.05), and activation of the rectus femoris muscle decreased with a significance (p<05). In terms of Post-hoc test for examining the difference in MVIC according to sensory condition, there was significant difference in the normal sensory group, sensory loss in right and left foot group of left hamstring muscle before the exercise(p=.01) and the normal sensory group, sensory loss in both feet group of right hamstring muscle before the exercise(p=.04). Conclusion : These results indicate that the maximum muscle activation was changed after isometric trunk exercise. it could be improved maximum muscle activation of lower extremity muscle after the exercise although there was sensory loss.

• Journal of Korean Academy of Nursing
• /
• v.42 no.4
• /
• pp.466-476
• /
• 2012

Purpose: The purpose of this study was to explore characteristics of eating behavior according to level of functional status of elders with dementia (EWD), and to examine feeding time, change in food intake and body mass index (BMI) according to eating behavior. Methods: Participants were 149 EWD residing in long-term care facilities located in Seoul or Gyeonggi province and evaluated using the Mini-Mental State Exam-Korean version, Korean version-Activities of Daily Living, and Eating Behavior Scale (EBS). Feeding time, change in food intake, and BMI were also measured. Data were analyzed using SPSS 17.0, specifically descriptive statistics, ANOVA, and Chi-square test. Results: Participants' mean EBS score was $10.43{\pm}6.01$ and half of them (54.4%) needed moderate or total assistance while eating. The EBS score was significantly lower for elders with severe dementia compared to those with mild or moderate dementia; and elders with severe ADL dependence compared to those with mild or moderate ADL dependence. Lower EBS scores were related to longer feeding time, a greater the rate of participants with decreased food intake and 'underweight' BMI. Conclusion: Nursing intervention programs which are designed for EWD are needed to maintain functional eating skills and prevent negative consequences in this population.