• Proceedings of the KSCN Conference
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• 2003.05a
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• pp.147-147
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• 2003

우리나라의 경우 경제발전과 더불어 국민소득이 향상되면서 노인들의 수명은 늘어났으나 저소득층 노인들은 균형 잡힌 식사에 대한 무지, 경제적 빈곤, 소외감 등으로 인해 건강ㆍ영양상태가 불량한 것으로 조사되었다. 1994년에 시행된 조사에서 저소득층 남자 노인의 16-18%, 여자 노인의 20-25%가 빈혈로 판정되었으며 고중성지방혈증을 보인 노인이 12%였던 반면 저 콜레스테롤 혈증인 노인도 남자 10.2%, 여자 9.1%로 나타났다. (중략)

• 한국노년학
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• v.32 no.2
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• pp.377-395
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• 2012

This study was conducted to develop and evaluate the effectiveness of Multifactorial Fall Prevention Program (MFPP) for local low-income elderly people on physical·psychological, and home environmental hazards, and falling frequency. The selected elderly people was provided the MFPP during an eight-week period of time, once a week, 70 to 90 minutes per each section. The design of this study was non-equivalent control-group with repeated measuring by quasi-experimental study. Data were collected before treatment, 8 week after treatment and 4 week after retention from July to October, 2010. Data were analyzed with numbers, percentage, Fisher's exact test, x²-test, repeated measures ANOVA, ANCOVA and Logistic regression. There were significant differences in fall frequency, balance, fear of falling, fall efficacy, home environmental hazards between the experimental group (EG) and control group (CG). This study showed that the multifactorial fall prevention program(MFPP) was useful nursing intervention for strengthening physical·psychological and environmental functions of the low-income elderly people, as well as preventing fall.

• Journal of agricultural medicine and community health
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• v.37 no.1
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• pp.12-22
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• 2012

Objectives: This study aimed to compare the nutritional risk, health status and depression levels of young-old (65-74 years) and old-old (75-84 years) women on low-income. Methods: A total of 624 elderly women, each over 65 years of age, participated in this study under the auspices of a community social center. Data were collected from June to August 2011 by means of personal interviews which employed questionnaires. The research tools used in this study were the nutritional risk measuring Mini Nutritional Assesment (MNA) by Kim (2000), perceived health status developed by Lawton et al. (1982), Elderly Depression Criterion developed by Sheikh & Yesavage (1985). The collected data were analyzed using the SPSS WIN 12.0 Program. Results: Nutritional risk, perceived health status and depression levels showed a significant difference between young-old and old-old. There was a positive correlation between nutritional risk and depression and a negative correlation between nutritional risk and perceived health status. A 38.2% variance in depression levels of young-old and a 29.7% variance in depression levels of old-old were explained by perceived health status, nutritional risk and the number of people living together. Conclusion: The findings demonstrate variances in depression levels among low - income women differing in age. As a result, the outcomes of this study ought to be employed in the development of future programs aimed at promoting the health of elderly women.

• Proceedings of the SOHE Conference
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• 2003.10a
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• pp.93-93
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• 2003

저소득층 노인 대상의 급식서비스 영양효과를 분석하기 위한 기초연구로써 광주광역시 북구 지역 저소득층 노인 100명을 대상으로 2002년 11월 20일~12월 15일까지 실태조사를 통해 건강ㆍ영양문제를 도출하고 급식서비스 제공에 따른 영양효과를 분석한 결과는 다음과 같다. 수혜를 받은 대상자의 평균 연령은 72.44세, 신장은 158.50cm, 체중은 52.29kg 이었고 이로부터 구한 평균 체질량지수는 20.86kg/$m^2$이었다. 평균 영양소 섭취량은 열량 1,389,67㎉, 단백질 53.50g, 지질 26.20g, 탄수화물 234.41g, 섬유질 5.56g, 칼슘 481.15mg, 인 882,76mg, 철분 8.59mg, 나트륨 4,208.98mg, 칼륨 2,069.77mg, Retinol 408,69RE, Thiamin 0.84mg, Riboflavin 0,73mg, 나이아신 11.04NE, Ascorbic acid 80.63mg, 콜레스테롤 157.63mg 이었고, 연령이 증가할수록 영양제 섭취 비율이 증가하였다.

• Research in Community and Public Health Nursing
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• v.14 no.1
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• pp.157-166
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• 2003

Purpose: This study was to investigate the needs for developing a health promotion program for the elderly, and to compare the health promoting behaviors and perceived health status between high and low income elderly. Method: The data were collected from 80 high) income elderly and 84 low income elderly through face to face interviews. The instruments used in) this study were the Health Promoting Lifestyle Profile II (HPLP II) and Perceived Health Status. Results: 1) The total score of the HPLP for the elderly was 2.29. In the subscales, the highest degree of performance' nutrition', following 'stress management', 'spiritual growth' and 'health responsibility' and the lowest degree of performance was 'physical activity'. 2) The high income level elderly had significantly higher total HPLP scores than the low income level elderly. The biggest difference was found in 'physical activity' between high) and low) income elderly. 3) The mean score of perceived health status was 8.21. The high) income elderly had significantly higher perceived health status than the low income elderly. Conclusion: The above findings indicate that it is necessary to develop a health promotion program with reinforced physical activity, health responsibility for the elderly in Korea. In particular physical activity need to be increased for the low income elderly. The low income elderly need to have positive thinking for perceived health status.

• Proceedings of the Korean Nutrition Society Conference
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• 2001.05a
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• pp.156.2-156
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• 2001

• Research in Community and Public Health Nursing
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• v.12 no.3
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• pp.589-599
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• 2001

The purpose of this study was to analyze the relation amongst health status, health care costs. health service utilization among the low income elderly who were 60 years of age or older, earning a half of the average Korean family income. The cross-sectional descriptive survey research we conducted used families randomly sampled nationwide. The data were collected from July 12 to August 7, 1999 and the total sample was 1.259 household members (421 households). These were the major findings. 1. As for the health status. 72.4% of respondents fell ill in the last 1 month; 54% of respondents had chronic disease. 2. As for the health care cost. the cost of hospitalization and the medical treatment were 1.069,000 won and 226.000won. respectively. 59.3% of respondents experienced a burden from the monthly health care expenses. 3. As for the health service utilization for the last 3months. 28.5% of respondents didn't utilize the health service. In addition, 22.2% of respondents gave up a medical treatment because of economic situation (88.8%). 4. The statistically significant determinants of health service utilization are old age, female, living with a spouse, unemployed state, medicare, and more days sick. 5. It is shown conclusively that equity and efficacy of the health care policy are to be considered for lower income older adult.

• Proceedings of the KSCN Conference
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• 2003.11a
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• pp.1078-1079
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• 2003

우리나라 급식서비스프로그램에서는 도시저소득층 재가노인을 대상으로 사회복지관등을 통하여 몇 개의 지정된 장소에서 1일 1끼니(점심정도)의 집단급식서비스(congregate site service)를 제공하고 있다. 도시저소득층노인들의 경우 영양소 섭취상태가 매우 저조한 것으로 나타나 이러한 급식서비스는 노인들의 영양상태에 많은 영향을 끼칠 것으로 생각된다. 따라서 본 연구에서는 서울 수서지역에 거주하는 노인 273명(남: 61명, 여: 212명)중 적어도 최근 1년 동안 일주일에 5회 이상의 식사에 참여한 군을 급식춘(N=137)으로 하고 나머지를 비급식군(N=136)으로 하여 영양상태를 비교하였다. 급식군은 비급식군에 비해 독거노인의 비율이 유의하게 높았으며 교육수준이 낮고 식품비 사용액수가 적었다. 24시간 회상법으로 조사한 결과 급식군은 비급식군에 비해 동물성단백질(p < 0.001), 동물성지방(p < 0.01), 동물성칼슘(p <0.01), 동물성 철분(P <0.001), 아연(p <0.01), 비타민B$_2$ (p < 0.001), 비타민B$_{6}$ (p < 0.01), 콜레스테롤(p <0.001)섭취량이 유의하게 많은 것으로 나타났으며 MAR도 유의하게 높았으나(P <0.01) 급식, 비급식군의 MAR이 각각 0.59, 0.53으로 모두 식사의 질이 낮았다. 급식군은 점심 급식을 통하여 하루 총섭취량 중 에너지는 39.7%, 당질33.7%, 단백질 43.8%, 지방 52.0%, 칼슘 35.2%, 철분은 36.9%, 비타민E 55.7%를 섭취하고 있어 하루 총섭취량의 33-56%를 급식에 의존하고 있었다. 반면에 비급식군은 하루 총섭취량 중 18-31%의 영양소를 점심으로 섭취하고 있어 대조를 보였다. 급식군은 비급식군에 비해 키가 유의하게 작은 것(p<0.001)외에는 다른 신체 계측치에서는 유의차가 없었다. 급식군은 혈중 철분지표 중에서 유의하게 낮은 MCH(P < 0.05)와 유의하게 높은 TIBC를 보였으나(p <0.05) hemoglobin 수치에 의한 빈혈비율(여 < 12.0d/㎗, 남 < 13.5g/㎗)은 급식, 비급식군 각각 20.2%, 23.8%로서 유의한 차이가 없었으며 12문항을 사용하여 조사한 우울점수에서도 군 간의 유의한 차이가 없었다. 이상으로 보아 급식군은 비급식군에 비해 사회 경제적 수준이 낮으나 점심급식을 통하여 하루 필요영양소의 1/3-1/2를 섭취함으로써 비급식군에 비해 영양소섭취량이 높거나 비슷한 섭취량을 유지하고 있었으며 신체계측치와 빈혈비율 등에서 급식군에 비해 유의한 차이를 보이지 않았다. 그러나 급식과 비급식군 모두에서 MAR이 낮아 아직도 대부분의 섭취영양소가 권장량의 75%미만으로 나타나 저소득층노인에게서 급식의 확대와 함께 급식의 질을 좀 더 높일 수 있도록 정부와 자치단체에서 의 각별한 관심과 지원이 절실히 필요하다고 생각된다.

• Proceedings of the Korean Society of Food and Cookery Science Conference
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• 2004.10a
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• pp.104-104
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• 2004

• Journal of the Korea Academia-Industrial cooperation Society
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• v.15 no.3
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• pp.1566-1575
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• 2014

In this study, we have investigated the effect of perceived health status, sleep, depression and pain on quality of life by Gender in Community-dwelling Older Adults. A cross-sectional descriptive study was conducted with a survey of elderly aged 65 years or older that registered in the health care center located in J city from december 20, 2012 to february 15. Data were analyzed with descriptive statistics, t-test, ANOVA. Pearson correlation coefficients and multiple regression analysis using the SPSS Win 18.0 program. The result of perceived health status on average $9.89{\pm}2.21$ points, sleep $39.72{\pm}8.79$ points, depression, $7.13{\pm}7.54$ points, pain $5.37{\pm}1.90$ points and quality of life, the average was $7.61{\pm}2.25$ points. Perceived health status of low-income that perceived health status, sleep, and pain. explained 44.6% of variance in their quality of life. Based on the findings of the study, low-income elderly in home in order to improve the quality of life of the systematic development of intervention programs for health care and nursing needs to be applied.