• Journal of Korean Academy of Fundamentals of Nursing
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• v.21 no.1
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• pp.18-28
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• 2014

Purpose: This study was done to apply Andersen's behavioral model to identify factors that determine oral health-related quality of life in elderly persons. Methods: Participants were 257 people ages 65 years or older. Data were analyzed using frequency, percentage, mean and hierarchical multiple regression. Results: The variables in the behavioral model, predisposing factors, enabling factors and need factors, explained 31% (F=12.7, p<.001) of variance in oral health-related quality of life. The predisposing factors, enabling factors, need factors and health behavior collectively explained 35% (F=9.22, p<.001) of variance in oral health-related quality of life. Factors influencing oral health-related quality of life in older adults were ADL and IADL, self-reported oral health status, xerostomia and dental care in last 12 months. Conclusions: The analysis results showed that the need factor had the highest level of relative importance of the three factors. The model used for this study can be used to predict oral health-related quality of life.

• International Journal of Advanced Culture Technology
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• v.11 no.4
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• pp.244-254
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• 2023

The purpose of the study is to determine the relationship between leisure sports activities among the elderly, wellness awareness, perceived freedom, and subjective well-being. In order to achieve the purpose of this study, the study subjects were selected as the population aged 65 or older who lived in the Gwangju Metropolitan City area in 2022 and engaged in leisure sports activities. As for the sampling method, samples were extracted using cluster random sampling. A total of 300 people, 150 male and 150 female, were sampled. The survey tool was modified and supplemented according to this study based on the questionnaire that had been verified for reliability and validity in previous studies, and all questionnaire items were composed of a 5-point scale. The statistical analysis used for data analysis was frequency analysis, exploratory factor analysis, reliability analysis, and multiple regression analysis using SPSS Windows 21.0 Version. First, it was found that the wellness perception of the elderly partially affects the perceived sense of freedom. Second, it was found that the wellness perception of the elderly partially affects psychological happiness. Third, the elderly's perceived sense of freedom was found to affect their subjective well-being. Considering these research results, in order to effectively improve the quality of life in old age, it is important to promote physical, mental, emotional, and social relationships through nature-friendly sports activities to improve subjective life motivation, satisfaction, and happiness. It can be said that it increases the sense of well-being.

• Journal of Korean society of Dental Hygiene
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• v.19 no.5
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• pp.731-742
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• 2019

Objectives: To analyze the association between sleep duration and the number of remaining teeth in people aged 65 years or older in order to provide basic data for improving sleep quality and developing oral health programs for teeth maintenance. Methods: The raw data for the analysis were obtained from the sixth Korean National Health and Nutrition Examination Survey (KNHANES) dataset, conducted between 2013 and 2015. The 4,340 subjects included in the study underwent oral examinations and then proceeded to answer related questions. The collected data were analyzed using SPSS (ver 23.0) program via composite samples, with the calculations for mean, standard deviation, chi-square test, and logistic return analysis being performed. Results: An analysis of the effect of sleep duration on the number of remaining teeth among people aged >65 years old showed that if the confounding variables were not corrected for, the risk of having less than 9 hours of sleep was 1.40 times higher (95% CI: 1.06-1.86). However, this was not statistically significant in models that corrected for gender, age, and other confounding variables (p>0.05). Conclusions: The association between sleep duration among the elderly with their number of remaining teeth was confirmed. Therefore, measures to improve sleep quality and oral care practices to maintain the remaining teeth in people over 65 years old should be developed.

• 한국노년학
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• v.30 no.1
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• pp.93-108
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• 2010

This study conducted a secondary analysis by using original data of performed by Korea Institute for Health and Social Affairs to determine factors affecting health-related quality of life for the elderly aged over 65 years living in Korea. The survey was conducted in 2005 and it evaluated totally 34,152 cases. Among them 3074 cases investigating the elderly aged over 65 years were selected for this study and finally 2036 cases were included in it by excluding cases with no answer or a wrong answer. The results were as follows. In the illness days, the average of the whole subjects was 11.05 days and it was longer when subjects were female and older, had lower educational background and lower family income, did not have spouses and jobs and were covered by medical aid as medical security. In the years of activity restriction, the average of the total subjects was 3.48 years and it was increased when they were older, had lower educational background and lower family income, did not have spouses, lived in detached houses and were covered by medical aid as medical security. Subjective health condition of the total subjects was 2.64 points out of 5 points in average. The scores were higher when subjects were male, younger, had better educational background, spouses, jobs and more family income, lived in multi-family living houses and were covered by corporate insurance as medical security. The average of total quality of life of the subjects was 2.61 points out of 3 points and it was found to be higher when subjects were male, younger, had better educational background, spouses, jobs and more family income and were covered by corporate insurance as medical security. It was decreased with higher illness days, higher years of activity restriction and lower subjective health condition. For the effects of the factors related to quality of life, subjective health condition showed the largest influence.

• Research in Community and Public Health Nursing
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• v.12 no.2
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• pp.417-427
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• 2001

Purpose: The aim of this study is to identify the influence of visual and hearing impairment on the activities of daily living of community dwelling elderly. Methods: Data were collected by home visiting interviewers from 452 older people aged 65 years or older living in community. Resident Assessment Instrument MDS-HC(2.0version) was used for data collection. Data analysis for descriptive statistics, Chi-square test and multiple regression was made by SAS 6.2 Results: 34.7% of the subject had hearing impairment and 64.3% had visual impairment Among IADL. one half of them were dependent in ordinary house work and meal preparation. In the case of ADL. 13.9% of subjects were dependent in bathing and 8.9% in personal hygiene. There was significant difference in IADL performance by visual and hearing impairment On the other hand, ADL performance showed the significant difference. only in the case of hearing impairment. As the result of input of visual and hearing impairment in the process of regression. variances were increased from 3% to 11%. Conclusions: Large proportions of older people living in the community have visual and hearing impairment. It could be confirmed that hearing and vision were significant factors influencing on IADL performance of older people. Intervention and support policy for elderly needs to focus on improvement of visual and hearing impairment.

• The Journal of the Korea Contents Association
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• v.19 no.3
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• pp.429-440
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• 2019

The proportion of people aged 65 or older in the world's major advanced nations is increasing to a significant extent. Aging population causes various socioeconomic problems. One of the most important issues is the welfare of the elderly. Advanced foreign countries that have already experienced aging early are investing a lot of money or legal system to provide welfare services necessary for old age such as income security system for the elderly, health care service for the elderly, and long-term protection problems. The contents of the social welfare legislation including the welfare of the elderly are closely related to the society, politics, economy, and culture of each country. Both Korea and Japan are actively intervening in the social security of the nation based on the constitutional ideology. The elderly welfare Act is a time when more careful diagnosis is needed because it is in the process of establishing the basic direction based on human dignity and pursuing the most efficient way to achieve it in such an ideology and reality. Therefore, in this study, based on the Elderly Welfare Act of Japan, which is the selection country of aging, I would like to examine the implications for the Elderly Welfare Act in Korea.

• Journal of dental hygiene science
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• v.24 no.1
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• pp.1-8
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• 2024

Background: Oral frailty is defined as the functional decline of the oral function due to aging, and it is associated with frailty and chronic disease. Most of the frailty intervention is for adults aged 65 years and older. However, early intervention for preventive disorder is most important. The objective of this study was to identify the age at which oral frailty surpass the "normal" range. Methods: This cross-sectional study included 719 adults (aged 30~89 years) residing in Gangwon province in May 2023. Risk of oral frailty was assessed using criteria from The Korean Academy of Geriatric Dentistry including oral function such as swallowing and mastication, and frailty. Frailty was assessed using the Kihon Checklist. To determine when oral frailty surpass the "normal" status, statistical analysis including chi-squared tests and multiple logistic regression analysis were performed using R (ver. 4.3.1). Results: There were 388 (54.0%) individuals who had a "normal" status risk of oral frailty. The risk of oral frailty was higher in the 50~54 age group compared to the 30~34 age group (odds ratio [OR] 0.50, 95% confidence interval [CI] 0.28~0.91), after adjusting for gender, education, income, occupation, and frailty (OR 0.46, 95% CI 0.22~0.94). This means that from 50~54 years old, regardless of gender, education, income, occupation, or frailty condition, there is a distinction from the "normal" status. Conclusion: We found that intervention for oral frailty is needed starting from age 50 years. This is the stage where early indications of oral frailty become apparent. Early intervention for oral frailty can lead to a decrease in the prevalence of diseases and medical expenditure. Therefore, early intervention in middle-aged adults of oral frailty is necessary to improve the quality of life related to oral health.

• Journal of dental hygiene science
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• v.24 no.2
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• pp.115-123
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• 2024

Background: The population of Gangneung City in South Korea has shown a gradual increase in the proportion of individuals aged 65 years and older, and the most frequently reported diseases for several years have consistently been periodontal diseases, including gingivitis and periodontitis. The regional imbalance in the distribution of dental personnel and resources has emerged as a problem of inequality in the use of dental care. It has been advocated to identify areas with disadvantages in dental care and develop public dental policies based on that. This study aimed to develop a customized oral healthcare program for local seniors based on a Public-Private-Academic Partnership, and to evaluate the oral health status of older adults in Gangneung City. Methods: The participants were residents aged 60 years and above in Gangneung City. A questionnaire including general information, systemic health status, and oral health status was administered to the participants. In addition, oral healthcare and education tailored to each individual's health status were provided once or twice based on their oral health status. The collected data were analyzed using IBM SPSS Statistics 25 for descriptive statistical analysis. Results: Among the older adults in Gangneung City, 75% had at least one prosthesis and exhibited symptoms of gingivitis or periodontitis. Additionally, the modified sulcus bleeding index decreased among participants who underwent the program twice. Over 90% of the participants expressed satisfaction with the program. Conclusion: The program appeared to contribute positively to the oral health promotion among local seniors. Further oral healthcare programs should focus on seniors in rural and old urban areas to reduce disparities in oral health across regions.

• Korea Journal of Hospital Management
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• v.27 no.1
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• pp.31-42
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• 2022

Purposes: This study aims to investigate the changes in the length of stay and medical expenses by the impact of the admission decided by patients or their family. Methodology: The analysis was conducted using data from elder patients aged 65 or older who have used admission services more than once from year 6(2012) to year 12(2017) of the Korean Medical Panel Data(KOWEPS). The statistical analysis was performed through the Chi-square test, mean difference analysis, and generalized estimation equation analysis. Findings: Compared to the patients who used admission services decided by doctors, those who used admission services decided by patients or their family had a longer length of stay and a lower daily medical expense. Practical Implications: Inappropriate admission decided by patients or their family can increase the risk of hospital-acquired infections, impairing the health of elderly patients, and has a negative impact on the efficiency of health resources. Therefore, it is necessary to prevent and properly manage inappropriate admission decided by patients or their family

• Research in Community and Public Health Nursing
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• v.31 no.1
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• pp.24-33
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• 2020

Purpose: The purpose of this study was to examine the mediating effect of self-esteem and social support on the relationship between anxiety and health-related quality of life (HRQoL) in the elderly. Methods: The Korea adult psycho-social anxiety survey data were collected from August to September 2015 by the Korea Institute for Health. The subjects were 1,035 elderly people who were aged 65 or older at the time of the data survey. The data were analyzed by t-test, chi-square, Pearson correlation coefficient, and parallel redundant mediated model for PROCESS macro using SPSS 23.0. Results: They scored an average of 37.93±7.58 for anxiety, 28.59±3.45 for self-esteem, 17.25±4.11 for social support, and 0.88±0.11 for HRQoL. The direct effect of anxiety on HRQoL and the indirect effect of anxiety mediated with self-esteem and social support about HRQoL were statistically significant. Conclusion: These results indicate that in order to increase the HRQoL of the elderly, it is necessary to develop an intervention program that focuses not only on reducing anxiety but also on improving self-esteem and social support.