• Research in Community and Public Health Nursing
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• v.17 no.1
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• pp.5-16
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• 2006

Purpose: The purpose of this study was to show the effect of walking exercise on physiological index, physical fitness, self-esteem. depression. and life satisfaction in institutionalized elderly women aged over 70. Sample and Method: Data were collected from subjects who consented to participate in this program for eight weeks from the 2nd of July to the 27th of August 2005. The subjects were divided into two groups, 26 subjects in the experimental group who had walking exercise and 30 in the control group who did not have walking exercise. The intensity of the walking exercise allowed 50-65% of the maximum heartbeat. Results: The results of the experiment supported the hypothesis that the experimental group would have higher flexibility, left grip strength, sense of equilibrium, self-esteem and life satisfaction and lower depression than the control group. Conclusion: Walking exercise has the effect of decreasing diastolic blood pressure together with improvement in flexibility, left grip strength, sense of equilibrium, self-esteem, depression and life satisfaction for institutionalized elderly women aged over 70. According to the results presented above, walking exercise can be strongly recommended for improving the health of institutionalized elderly women.

• Journal of Korean Academy of Nursing
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• v.37 no.5
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• pp.724-735
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• 2007

Purpose: The purpose of this study was to explore and describe the experiences of the family caregivers using a nursing home for their elderly family members. Method: Participants for this study were 1 man and 9 women caregivers. Data was collected through in-depth interviews from October, 2005 to April, 2006 and analyzed using Strauss and Corbin's grounded theory methodology. Results: "Finding a way to live together" emerged as a core category and it reflected expanding consciousness allowing them to see each other in a more positive view. The basic social process of "finding a way to live together" includes 3 phases: 1) recognizing the problems, 2) finding solutions to the problems, and 3) accepting the changes in their surrounding. Lack of privacy, family troubles, extreme distress, and unavailable caregivers are reflected in the process of recognizing the problems. The process of finding solutions was making a decision, obtaining family agreement, choosing the best nursing home, and enduring the financial burden. Possible outcomes of the last phase include recovering peace of mind and continuing conflict. Conclusion: Findings from this study offer suggestions for developing a strategy to help not only the elderly but also the family caregivers.

• Journal of Korean Public Health Nursing
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• v.30 no.3
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• pp.512-525
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• 2016

Purpose: Ageing in place may improve the quality of life of frail elderly and decrease their costs of services. The purpose of this study was to examine the factors that influence the institutionalization of elderly using home care services in a Korean long-term care insurance system. Methods: This study used the data of '2009 Satisfaction survey of Korean long-term care system'. The survey proceeded to use a sampling data based on region, level of long-term care need, and insurance type among the beneficiaries between August and September 2009. The onset dates of institutionalization of 1,095 participants were ascertained from long-term care insurance claim data. This study calculated the hazard ratio through the Cox Proportional Hazard Model. Results: A total of 176 subjects who were institutionalized in nursing homes were included. There were higher risks in the group that included those who were 85 years and over, had dementia or fracture, used home-visit nursing service, and were not supported by direct family. Conclusion: The results of this study have policy implications to supplement the home care service system and postpone nursing home institutionalization of elderly.

• Journal of Korean Gerontological Nursing
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• v.20 no.3
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• pp.193-203
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• 2018

Purpose: This study was done to develop a predictive model for quality of life of elderly residents in long-term care facilities (LTCF). The study was based on Brofenbrenner's ecological system theory and a literature review. Methods: Data were collected using a convenience sample of 205 elderly residents in 2 nursing homes located in D city and 1 nursing home located in K province. The exogenous variables were individual factors, family support, and facility environmental factors. The endogenous variables were self-esteem, accommodation adaptation and quality of life of elderly residents in LTCF. Collected data were analyzed through structural equation modeling using AMOS 20.0. Results: Eleven of the twelve hypotheses were supported, but the hypothesis that facility environment factors effect self-esteem was not supported. Quality of life of elderly residents in LTCF was explained first by facility environmental factors, followed by self-esteem, individual factors, accommodation adaptation, and family support with an explanatory power of 83.0%. Conclusion: To improve the quality of life of elderly residents in LTCF, the service and environment preparation provided by facilities is important, and it is necessary to provide emotional counseling to improve the self-esteem of these elders.

• Journal of Korean Biological Nursing Science
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• v.23 no.2
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• pp.151-158
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• 2021

Purpose: The purpose of this study was to investigate sleep quality in older adults in nursing home with objective data collection. Methods: Participants included 74 older adults in nursing homes in Korea aged 65 years or above. Data were collected using a wearable device (Fitbit), salivary melatonin level and Sleep Disorder Inventory (SDI). The Pearson correlation coefficient was calculated to examine whether there was any correlation between sleep-related variables such as Total Sleep Time (TST), Rapid Eye Movement (REM) sleep, shallow sleep, deep sleep, salivary melatonin level and SDI. Results: There were distortion of sleep structure, as TST comprised short REM sleep (15.93±5.47%), long shallow sleep (74.18±8.08%) and short deep sleep (9.89±5.03%). Also, salivary melatonin levels were low (15.06±7.77 pg/mL). Moreover, we found than melatonin was significantly associated with TST (r = .251, p= .044), REM sleep (r= .294, p= .020) and deep sleep (r= .391, p= .002). But there was no correlation between SDI and other sleeprelated variables. Conclusion: These findings highlight that insufficient sleep structure is associated with the salivary melatonin level among older adults in nursing home. We suggest developing programs to promote sleep quality of older adults in nursing homes.

• Journal of the Korean Home Economics Association
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• v.38 no.11
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• pp.181-191
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• 2000

This study investigated early school adjustment of institutionalized children. Subjects were 118 primary school children in 15 child-welfare facilities in Seoul(56 first and 62 second grade children; 66 boys and 52 girls). Data were analyzed with t-test, ANOVA, and Duncan test. Measures of school adjustment included relationships with leachers, relationships with peers, attitudes on school atmosphere, and observance of school regulation. Results showed that institutionalized children had the highest scores in relationships with teachers, but lowest scores in relationships with peers. Institutionalized children who perceived economic problem as the cause of entering institution showed lower adjustment scores in relationships with peers. There was no significant difference in school adjustment depending on sex, but a significant difference in altitudes on school atmosphere depending on grade.

• Journal of The Korea Institute of Healthcare Architecture
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• v.6 no.10
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• pp.7-14
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• 2000

The aim of this study is to derive design guidelines which improve the life satisfaction of elderly residents at welfare facilities. There are many factors affecting on satisfaction with life of the institutionized elderly, but this study focuses on architectural factors. So, two factors are derived, the first factor is the behavier facilitation and the second is the social-interaction. In this study, the behavier facilitation, which was considerd by elderly's physical feature, means safety, discrimination and adaptability. The social interaction, which was considerd by elderly's psychological feature, was supported by homogeneous, approximate, privacy, territoriality, personalization, and control.

• The Journal of the Korea Contents Association
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• v.21 no.5
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• pp.808-823
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• 2021

This study was conducted to explore the experience and its meaning of the elderly residents in long-term care facilities(LTCFs). It is aimed to find the role of family and society for the qualitative care of elderly living in LTCF and to seek social welfare measures. For this purpose, qualitative research data was collected by conducting in-depth interviews and participation observations on 8 elderly residents at 4 LTCFs in Seoul, Incheon, and Gyeonggi Province. The collected data were analyzed using Giorgi's phenomenological research method. The analysis results show that 33 semantic units, 14 subcomponents, and 4 upper components. The 4 upper components showed up as 「Crumbling my existence」, 「The life thrown into an unfamiliar environment」, 「New relationship where discomfort and gratitude coexist」 and 「My life I want to find」. Among them, 「My life I want to find」 was the essence of the living experiences of elderly residents in LTCF. Through this study, it was suggested creating an environment to provide facilities access preparation program for the elderly, developing and activating various family participation programs, providing conditions of Aging in place for the elderly, and developing and activating community resource linkage programs.

• Journal of the Korean association of regional geographers
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• v.21 no.2
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• pp.242-258
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• 2015

This study discusses spatial distribution of the silver towns in the Seoul metropolitan area and investigates how the residents recognize their silver towns through in-depth interviews. Nowadays there are many elders who prefer to live in urban downtown or suburb areas which can be connected with the places of their pre-retirement lives. Therefore, the silver towns in the Seoul metropolitan area have been increasing. The facilities are mainly located in northern part of Seoul and southern part of Gyeonggi province near the network of major express roads. Location and accessibility are more important than any other factors when the elderly contemplate moving into silver town. Silver town residents are likely to have meaningful times and positive identities by communicating with friends there. The elders aged 80 years or older living in silver towns think the silver towns as their home while 'young old' people complain their limited rights of decision making and they consider additional move.

• Journal of the Korea Society of Computer and Information
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• v.27 no.3
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• pp.239-249
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• 2022

This study aims to analyze and compare the activating factors of domestic and overseas scuba diving resorts. Our delphi survey was conducted three times in 30 experts who involved in operation and management including scuba diving resort management representative and training team leader. As a result of comparing the activating factors at domestic versus overseas, it was found that common important activating factors included expansion of convenient facilities at public diving places, installation of safety and medical facilities for divers, development of first aid system including AED and oxygen ventilator, requirement of convenient facilities such as water lift and toilet in diving boat, installation of diving boat screw safety system, local boat operation guideline, regular course training program for scuba diving, employment of professional scuba diving instructor and guide, communication and promotion through various SNS portals, promotion by divers' word of mouth, involvement in regional Diving Resort Association, involvement in Korean Diving Association, communication and mutual benefit with local fishing villages, and linkage policy with local tourism industry.