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The Influence of Health Behaviors and Sleep related Factors on Cognitive Function in the Elderly Hypertensive Patients (노인 고혈압 환자의 건강행태 및 수면 관련 요인이 인지기능에 미치는 영향)

  • Kim, Ahrin;Jeon, Hae Ok
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.16 no.10
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    • pp.7078-7088
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    • 2015
  • This study examined effects of health behaviors and sleep related factor on cognitive function in the elderly hypertensive patients. Data were collected through a face to face interview survey with structured questionnaire form 140 elderly with hypertension ($age{\geq}65years$) from February 5 to May 1, 2013. Research instruments included Pittsburgh Sleep Quality Index(PSQI), Epworth Sleepiness Scale(ESS) and Korean version the Mini-Mental State Examination(MMSE-K). Cognitive function was negatively related to degradation in quality of sleep(r=-.29, p<.001). Sleep duration were negatively related to body mass index(r=-.18, p=.032) and degradation in quality of sleep(r=-.59, p<.001). Sleep duration was positively related to daytime sleepiness(r=.22, p=.008). Hierarchical multiple regression showed that age, education levels and living arrangement were associated with cognitive function(F=8.56, p<.001, Adjusted $R^2=.14$). After controlling for demographic characteristics and health behaviors, degradation in quality of sleep(${\beta}=-.27$, p=.008) was identified as significant predictors of cognitive function. This final model explained 17.0% of the cognitive function in the elderly hypertensive patients(F=4.09, p<.001). Therefore, as a strategy improving cognitive function of the elderly with hypertension, therapeutic intervention should be developed to improve quality of sleep considering age, education levels and living arrangement.

A Study on the factors of longevity, ADL and IADL of the eldery people over 100 years in Gyeongnam province (경남지역 백세인의 장수요인과 일상생활수행능력(ADL) 및 도구적 생활수행능력(IADL)에 대한 연구)

  • Cho, Hyun;Lee, Ji-Hwan;Yoo, Jin-Yeong;Kwon, Young-Chae;Ji, Jae-Hoon;Sim, Eun-Kyung;Lee, Kyeong-Eun
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.13 no.1
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    • pp.185-193
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    • 2012
  • This study conducted surveys of 88 eldery people over 100 years in Gyeongnam on April to June, 2011 during 90 days. It was intended to find the factors of longevity, Activity Daily of Living (ADL), and Instrumental Activity Daily of Living (IADL). Major results of this study were as follows: The factors of longevity are getting enough sleep over than seven hours(95.5%), taking in less salty food (69.8%), optimism without even thinking about suicide (86.9%), nonsmoking habit (92%), and moderation in drink (86.4%). The most difficult part of Activity Daily of Living (ADL) is taking a bath, and that of Instrumental Activity Daily of Living (IADL) is taking a bus or subway alone. All items of ADL and IADL, female was higher than the male, but not statistically significant(p<0.05). Therefore, further study is expected to develop the supplementary policy to support the elderly people with declining to carry out physical activities. It is also expected to develop the public welfare programs and policies for the aged, allowing them to take responsibility and to participate as a member of the society.

The Effects of perceived health status, sleep, depression and pain on quality of life by Gender in Community-dwelling Older Adults (저소득층 재가노인의 지각된 건강상태, 수면, 우울, 통증이 삶의 질에 미치는 영향)

  • Chang, Koung-Oh;Park, Su-Jin;Bae, Du-Yi
    • 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.

The Effects of Oriental Herbal Tea on the Physiological Function and Behavioral Change of Elders at Geriatric Facility (한방차가 시설노인의 생리적 기능과 행동변화에 미치는 영향)

  • Kim, Soo-Kyung;Lee, Jung-Eun;Youn, Mee-Kyung;Ko, Hee-Jeong
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.15 no.3
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    • pp.1448-1457
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    • 2014
  • Geriatric illness is increasing with aged population ratio due to a prolonged average life span. Research studies with therapeutic approach using oriental herbs have been attempted, but the very few studies of oriental herbal tea as a healthy drink have done as a health care. This study was performed to identify the effects of oriental herbal tea on the physiological function and behavioral change of elders at geriatric facility. A quasi-experimental design using a nonequivalent control group, pre-post test was used. Total 38 of elderly population (20 of experimental group and 18 of control group) was recruited. 100mL of a type of oriental herbal tea developed for this study was given to each subject 3 times a day for 30 days (from May to June 2013). The health scan analyzer and questionnaire for behavioral change were used to measure dependent variables. The data was analyzed by SPSS/WIN 18.0. After drinking the oriental herbal tea, more significant improvement on blood circulation (t=-4.466, p<.001), liver function (t=-2.855, p=.007), brain function (t=-2.545, p=.015), bone density (t=-6.125, p<.001), blood sugar (t=-4.180, p=<.001) and emotional factor (t=2.389, p=.023) as the sub-variable of behavioral change were found in the experimental group than control group. This study shows that oriental herbal tea can be effective on the physiological function and emotional relief of the elders. Therefore the tea can be utilized as an effective intervention for the health of elders in geriatric facility.

Prediction of Osteoporosis using Compositive Analysis of Trabecular Patterns on Proximal Femur (대퇴 근위부의 골소주 패턴에 대한 복합적인 분석을 통한 골다공증 예측 연구)

  • Lee, Ju-Hwan;Park, Sung-Yun;Jeong, Jae-Hoon;Kim, Sung-Min
    • The KIPS Transactions:PartB
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    • v.19B no.2
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    • pp.99-106
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    • 2012
  • The purpose of this study was to determine the evaluation parameters' osteoporosis predictability in accordance with measuring regions by analyzing the correlations between bone mineral density and trabecular patterns derived from different measuring regions. Experimental subjects were a total of 40 female patients after menopause aged over 40 years, and were classified into 20 control and 20 osteoporotic groups according to the T-score. Bone mineral density was measured on femoral neck, trochanter and ward's triangle by DEXA(Dual Energy X-ray Absorptiometry). We designated ROI(Region of Interest) with $50{\times}50$ pixel size on each measuring regions, and extracted trabecular patterns by using existing image processing method. We also selected a total of eight evaluation parameters that are categorized into structural(mean gray level, area, perimeter, thickness and terminal distance), skeletonized parameters(number, length) and fractal dimension. As a result, it was observed that area, perimeter, thickness, terminal distance, number, length and fractal dimension reflected the bone mineral density with high statistical validity(p<0.003). We also confirmed that the evaluation parameters could predict the osteoporosis more efficiently.

The association between menarche experience and mental health in middle school girls (여중생의 초경경험과 정신건강의 연관성 연구)

  • Ahn, Kyung-Min;Hong, Kyung-Hee
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.14 no.11
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    • pp.5737-5744
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    • 2013
  • This study was performed to identify the association between the menarche experience and mental health in middle school girls aged 14. The subjects were selected using data from the 8th Korean Youth Risk Behavior Web-based Survey (KYRBWS-V), which included 5,991 girls in 1st grade of middle school. Data were analyzed using the PASW 18.0 program for frequency analysis, t-test, chi square and logistic regression analysis. As to results, we found 4,473 girls who had experienced menarche (mean age, 12.8 0.9 years) and 1,518 girls hadn't experienced menarche. In the logistic regression analysis between the menarche experience and mental health behaviors, the odds ratio (OR) [95% confidence interval (CI)] for perceived stress (OR=1.39, 1.20-1.62, p<0.001), perceived depression (OR=1.25, 1.10-1.42, p<0.05), suicide thinking (6OR=1.60, 1.38-1.87, <0.001), suicide planning (OR=1.66, 1.33-2.81, p<0.001) and suicide trial (OR=1.42, 1.09-1.86, p<0.05) were higher in the menarche experience group than in the menarche non-experience group. Our results indicate, a viable association between the menarche experience and mental health in the 1st grade of middle school girls, and suggests that the menarche experience is an important factor influencing adolescent girls' mental health.

The Effects of the Stress of Elderly People Living Alone in Urban Areas on the Quality of Life: With a Focus on the Mediating Effect of Social Support (도시지역 독거노인의 스트레스가 삶의 질에 미치는 영향 : 사회적 지지의 매개효과를 중심으로)

  • Gim, hyoung-gee
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.18 no.12
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    • pp.443-451
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    • 2017
  • The purpose of this research is to examine ways to improve the quality of life of elderly people living alone in urban areas by identifying their stress, social support, and quality of life as well as analyzing the relationships between these factors. In this research, a questionnaire survey was conducted for approximately two weeks including 232 elderly people aged 65 years and above who were using 10 senior welfare centers in the Seoul and Gyeonggi regions. The results of the analysis based on the collected data showed that of the stresses experienced by elderly people living alone in urban areas, the stresses of health, family, and psychological and social stresses had negative effects on social support and quality of life. Also, it was found that the social support of elderly people living alone had positive effects on the quality of life. Additionally, it was found that social support had a mediating effect in the relationship between stress and quality of life of elderly people living alone in urban areas. In other words, social support plays a buffer role in enhancing the quality of life regarding health, family, economy, and psychological and social stresses. This research has significant implications in that it was conducted on elderly people living alone, since elderly people living alone are not only under more stressful circumstances in a vulnerable environment than other seniors but also their quality of life is much lower. The implications of this research are that, from a social point of view, these elderly people living alone should no longer be neglected and that differentiated policy interventions for elderly people living alone is required.

The Effects of Children's Art Activities through Forest Experience in Relation with Nuri Curriculum on Their Environmental Sensitivity (누리연계 유아의 숲 체험 미술 활동이 환경 감수성에 미치는 효과)

  • Kang, Young-Sik
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.18 no.12
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    • pp.264-275
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    • 2017
  • Objective: This study examines the effects of children's art activities through forest experience in relation with Nuri curriculum on environmental sensitivity. Method: A survey was administered to an experimental group of 20 children as well as a control group of 20 children for statistical analysis. after 16-class art activities through forest experience were performed to children aged 4 at a daycare center for 50 days. Result: Children's art activities through forest experience in relation with Nuri curriculum had a positive effect on their environmental sensitivity. In particular, their art activities had a positive effect on their self-awareness, self-regulation, empathy and motivation in the experimental group, supporting the educational effects and benefits of developmental children's art activities through forest experience in relation with Nuri curriculum. In other words, art activities through forest experience are useful in terms of providing children with creative expression activities in art by leading to observation and exploration, as well as educational experiences that have positive attitudes toward the environment. Conclusion: As children's art activities through forest experience have a positive effect on their environmental sensitivity, more useful information on teaching-learning methods will be able to be provided to early childhood teachers in the field. Consequently, children's art activities through forest experience need to be actively introduced in the field of early childhood education as an alternative for learning nature and improving environment-friendly emotional intelligence.

Predictors of Blood Transfusion in Hepatoma Embolization (간종양 색전술 환자의 수혈 영향 요인)

  • Kim, Sang-Mi
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.18 no.12
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    • pp.384-389
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    • 2017
  • This study was conducted to investigate the patient and hospital characteristics that affect receiving and non-receiving blood transfusion for hepatoma embolization. We analyzed data describing 757 patients of the Health Insurance Review and Assessment Service's 2011 claims sample data. Chi-squared and logistic regression analysis was performed using STATA 12.0. Logistic regression analysis revealed that anemia (Odds ratio (OR)=9.544, 95% confidence interval (CI)=3.362-27.097), female (OR=2.186, Cl=l.240-3.854), age 65-74 (OR=0.506, CI=0.269-0.952), 1000 over bed (OR=0.053, CI=0.018-0.151), out-department (OR=0.211, CI=0.081-0.551), and 700-999 bed (OR=0.105, CI=0.036-0.304) were significant predictors of blood transfusion in tertiary hospitals. Additionally, anemia (OR=69.681, CI=8.545-568.246) and aged 75 or over (OR=0.112, CI=0.025-0.506) were significant predictors of blood transfusion in general hospitals. This research would expected to cost effective and preliminary data of blood transfusion quality.

Comparison of Video Lecture and Instructor-Led Lecture for the Recognition of Cardiac Arrest : Korean Youths (심정지 인지를 위한 동영상 교육과 강의식 교육의 비교 연구 : 청소년을 대상으로)

  • Jung, Eun-Kyung;Lee, Hyo-Cheol
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.19 no.9
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    • pp.139-145
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    • 2018
  • It is the first step to survive cardiac arrest for the general public to recognize cardiac arrest rapidly. The purpose of this study is to investigate the effective method of education by analyzing the degree of cardiac arrest recognition after performing the agonal breathing education in a video lecture or instructor-led lecture. The study subjects were assigned to either a video lecture or instructor-led lecture in a randomized way and were compared after the education according to the degree of recognition of cardiac arrest in the randomized controlled study. The study was conducted from October 30, 2015 to October 31, 2015. And the study subjects were 104 youths aged 15 years or older, of which 52 were selected as the experimental group and the remaining 52 as the control group. The results did not show a significant difference between these two groups when the subjects are given the video lecture where patients showed no reaction or sign of breathing(p=0.741). However, in the video lecture where there was no reaction of patients but still sign of agonal breathing, 43 people(82.7%) in the experimental group and 33 people(63.5%) in control group have successfully performed CPR and there has been a significant difference (p=0.006). Therefore, we could conclude that video lecture was more efficient than instructor-led lecture when teaching CPR.