• Title/Summary/Keyword: Aged 65 or older

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A Study of ADL, Medications and Falls Frequency in Community-dwelling Elderly (재가노인의 일상생활활동, 투약 및 낙상에 관한 연구)

  • Jeon, Eun-Young;Kim, Sook-Young
    • The Korean Journal of Rehabilitation Nursing
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    • v.11 no.2
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    • pp.107-113
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    • 2008
  • Purpose: The purpose of this study was to identify the risk factors for falls among the elderly living in community. Method: This was a descriptive study. The subjects comprised 80 elderly aged 65 years or over living in D city. The instruments used for this study was the MDS-HC V2.0. The data was analyzed by SPSS Win 14.0 using t-test, ANOVA, and Pearson correlation. Result: Among the socio-demographic characteristics, the significant differences were found in ADL by gender and marital status. Older elderly(${\geq}85$) used more medications than other elderly. The elderly were use average 4.33 medications, but 46.3% of the subjects didn't have the physician reviewed all medications. There was statistically significant correlation between number of medications and accidental falls. Conclusion: Nurses should inspect about the number of medications, drug interaction, and side effects. It would be preventive intervention for falls in elderly.

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Relations among Knowledge, Fear and Efficacy of Fall in the Community Dwelling Elderly (재가 노인의 낙상에 대한 지식, 두려움 및 효능감의 관계)

  • Kwon, Myung-Soon
    • Research in Community and Public Health Nursing
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    • v.21 no.2
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    • pp.139-147
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    • 2010
  • Purpose: This study was to find out knowledge, fear, and efficacy of fall in the community dwelling elderly and to investigate how the factors were connected to one another. Methods: Data were collected from June to August, 2009 from 101 aged people who aged 65 or older and agreed to participate in this study sampled among elders at 8 halls of the aged in local communities. The subjects were interviewed by a co-researcher and 3 trained assistants in a way of responding to the questionnaire after being read. The data were analyzed through t-test, ANOVA, Turkey's test and Pearson correlation coefficients. Results: Knowledge of fall was affected significantly by whether the living cost was provided or not, fear of fall was affected by sex, level of education, hearing impairment and regular exercise, and efficacy of fall was affected by age, sex, marital status, level of education, hearing impairment, vertigo and regular exercise. The results also showed a negative correlation between fear of fall and efficacy of fall. Conclusion: According to this study, regular exercise can build up knowledge and efficacy of fall and diminish fear of fall. Thus it is highly recommended to include regular exercise in an effective fall-prevention program.

Drug Use in the Elderly (노인의 약물 사용 실태 조사)

  • Park, Mi-Sook
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.15 no.2
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    • pp.195-205
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    • 2008
  • Purpose: This study was conducted to identify drug use by elders. Method: There were 304 participants age 65 or older included in this study. Data were collected using a questionnaire about drug use in the past 4 weeks. The questionnaire, a modification of Uhm's (2005), Lee's (2001), and Ellor and Kurz's (1982) tools, consisted of 17 questions on general and health characteristics, 17 on drug usage and 9 on behaviors related to drug misuse. Results: 85.5% of participants reported laking at least one type of prescription or non-prescription drug. 26.0% of participants reported taking only prescription drugs, 3.9% reported taking only non-prescription drugs, and 55.6% reported taking both prescription and non-prescription drugs. 17.1% of participants reported side effects from the drugs. The mean score for behaviors related to drug misuse was 7.53. Elders taking only non-prescription drugs showed more drug misuse than elders taking only prescription drugs or both. Women used more prescription, non-prescription drugs or both than man. Elders in rural areas used more non-prescription drugs than those in urban areas. Conclusion: Even though pharmacies were separated from medical practices in 2000, most older adults continue to use and misuse prescription and non-prescription drugs.

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The influence of Social networks and Social support on Depression : for Older Women in Rural area (농촌 여성노인의 사회적 지지망과 사회적지지가 우울에 미치는 융합적인 영향)

  • Kim, Yeon-Jung
    • Journal of the Korea Convergence Society
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    • v.8 no.10
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    • pp.339-349
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    • 2017
  • The purposes of this study were to identify influence of social networks and social support on depression among older women in rural area on agricultural off-season. The sample consisted of 112 women aged 65 years or over who lived in rural areas of Chung-Nam. Some variables related to depression in older women, including depression, social network, social support were measured using reliable instruments. Pathway analysis was used to test the proposed conceptual model designed to explain the direct, indirect and total effect between social networks and social support on depression. Result, direct effect of satisfaction with kin network and instrumental support on depression was found. And indirect effect of network size with kin, satisfaction with kin network on depression was found. Based on these results, it is necessary to develop supportive system to reduce depression and to improve satisfaction with kin network and instrumental support.

The Effects of Relative Handgrip Strength on Cognitive Function: The Moderating Roles of Paid Employment Status and Social Activities (노인의 상대적 악력이 인지기능에 미치는 영향: 경제활동과 사회참여의 조절효과를 중심으로)

  • Choi, Myungjin;Kim, Giyeon
    • 한국노년학
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    • v.39 no.3
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    • pp.549-567
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    • 2019
  • The present study examined whether the relation between relative handgrip strength and cognitive function varied by paid employment status and participation of social activities among Korean older adults. A total of 3,376 Korean adults aged 65 or older were drawn from the 2016 Korean Longitudinal Study of Ageing (KLoSA). Weighted hierarchical regression analyses were conducted to examine moderating effects of paid employment status and social activities on the relation between relative handgrip strength and cognitive function. After adjusting for covariates, results show that relative handgrip strength has a positive association with cognitive function. Both paid employment status and social activities have positive associations with cognitive function and moderate the relationship between relative handgrip strength and cognitive function. These significant moderating effects show that participating in paid employment and social activities buffer against the effect of lower handgrip strength on cognitive function. Findings from the present study highlight the significant role of active aging in older adults'cognitive function. Implications are discussed in a cultural context.

The Impact of Social Capital on Depression Trajectories in Later Life (노년기 사회자본의 차이가 우울궤적에 미치는 영향)

  • Kim, Jinhyun
    • Korean Journal of Social Welfare
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    • v.67 no.3
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    • pp.181-201
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    • 2015
  • This study conducted a longitudinal analysis to identify the impact of social capital on depression trajectories in later life. For data analysis, the Korean welfare panel data(2006-2012) was utilized and 4001 older adults aged 65 and older were included in the final sample. The results showed that social trust was significantly associated with depression scores at baseline but did not predicted the rate of change in depression over time. A higher level of reciprocity significantly predicted the faster decline in depression over time. For social participation through donation or volunteer, the percentage of participation was very low and it was not significantly related to depression trajectories. Finally as the satisfaction from social relationship becomes more positive, the rate of change in depression tended to decline faster over time. The results of this study indicates that in order to prevent or delay depression in later life, we should help older adults accumulate positive social capital such as social trust and reciprocity through active social interaction.

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The Burden of Aged Parents Caring for Adult Children with Disabilities (성인이 된 장애자녀를 돌보는 노인부모의 부양부담감)

  • Suk, Min-Hyun;Kim, Eun-Hye
    • Research in Community and Public Health Nursing
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    • v.21 no.4
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    • pp.439-447
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    • 2010
  • Purpose: This study was to describe the burden of aged parents caring for adult children with disabilities and related factors. Methods: The subjects were 123 caregivers aged over 65 who were caring for 18-year-old or older children with disabilities. The research tool of this study was a structured questionnaire on family burden. Data were collected from June 3 to 25, 2010, and analyzed by Cronbach's alpha, mean, standard deviation, t-test, and ANOVA using SAS 9.2 program. Results: The major findings of this study were as follows. Elderly parents caring for adult children with disabilities perceived a moderate level of burden. The burden from concern over their children's future was highest, and economic and physical burdens were higher when the parents were younger. Burden was significantly different according to parents' characteristics such as gender, perceived health status, disease, the costs of caring for disabled children, and children's characteristics such as disability rating, health status, and ADL. Conclusion: In order to reduce the burden of elderly parents caring for adult children with disabilities, we need to improve their health status and assess comprehensive policies.

The Effect of Employment Status on the Depression of the Elderly (취업 여부가 노인의 우울에 미치는 영향)

  • Nam, Hyekyung;Yi, Yunjeong;Hur, Jungyi
    • Journal of Korean Public Health Nursing
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    • v.31 no.3
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    • pp.492-504
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    • 2017
  • Purpose: This study aims to investigate the effect of employment of elderly over 65 years on elderly depression using the "Nation Elderly Survey 2014". Methods: The subjects were 10,451 elderly aged 65 or older who were selected from 16 cities and provinces via multilevel stratified sampling method. In an effort to represent well the nation's elderly population, composite sample analysis method was used for the study, and a hierarchical logistic regression analysis was performed to identify those factors affecting the depression among the elderly population. Results: The factors affecting the depression were education level, household income, Perceived health status, smoking, drinking, physical activity, body mass index and employment status. It was found that the unemployed persons were 1.68 times more likely to be depressed than those who remain employed. Conclusion: Where the average life expectancy is getting longer and the poverty rate of elderly is high, employment activities of the elderly are of great significance in terms of ensuring economic stability as well as in lowering medical expenses through reduction of depression. Therefore, it is necessary to increase the employment rates of the elderly for economic, social and healthcare perspectives.

A Concept Mapping Study of Good Service Experience among the Elderly Residents of Long-term Care Facilities (장기요양시설노인의 좋은 서비스 경험에 관한 개념도 연구)

  • Choi, Hyoungshim
    • Korean Journal of Adult Nursing
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    • v.28 no.6
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    • pp.669-679
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    • 2016
  • Purpose: The purpose of this study was to explore the reported good service experiences from the perspective of elderly residents of long-term care facilities. Methods: Of those residents who are 65 years old or older, 14 residents whose length of stay were one month or longer and scores of the K-Mini Mental State Examination were 15 or higher were interviewed. The interview data formed the basis for the empirical statements about the reported nature of patients' experiences as residents of long-term care facilities. These data were used in concept mapping. Results: Through multidimensional scaling analysis and hierarchical cluster analysis, 62 core statements, two dimensions, and six clusters of good service experiences were derived. The two dimensions were classified as 'care centered-participation centered services' and as 'physical-emotional services.' Six cluster themes emerged as good service experiences: 'safety of care and treatment', 'responsible and supportive staff', 'comfort of living environment', 'mental well-being', and 'respect and communication'. Conclusion: The result of the study provides information about what experiences are important to older adults with cognitive impairment. The concept map can be used to develop a patient experience index for the elderly residents of long-term care facilities.

The Correlation of the Hearing Handicap Inventory for the Elderly and Berg Balance Test-Korean Version (노인의 청력장애지수와 한국판 버그균형검사의 상관관계)

  • Cho, Gyu-Hang;Hwang, Su-Jin
    • PNF and Movement
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    • v.8 no.1
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    • pp.51-58
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    • 2010
  • Presbycusis or related-age hearing loss is approximately 30 percent for people aged over 65 years. The purpose of this study was to compare the relationship between the Hearing Handicap Inventory for the Elderly and the Berg Balance Scale for predicting and screening risk of falls in people over 65 years with diagnosed presbycusis. Thirty-five subjects all lived at the nursing home in Wonju. Disability caused presbycusis was measured using the Hearing Handicap Inventory for the Elderly, and static and dynamic balance was measured using Berg Balance Scale. Data were analyzed using Spearman correlation. Statistically significant differences were noted between two clinical meausres (r=.862, p<0.001). In conclusion, the results suggest that presbycusis may be able to predict dangerous falls in older persons.

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