• Title/Summary/Keyword: Alone Elderly Care

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The Effects of a Customized Integrated Health Care Program for Male Living Alone (독거남성을 위한 맞춤형 통합건강관리 프로그램의 효과)

  • Lim, Soon Hee;Jang, Yang-Min
    • Journal of Korean Academy of Rural Health Nursing
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    • v.11 no.2
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    • pp.17-28
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    • 2016
  • Purpose: This study aimed to determine the effects of a 'Customized Integrated Health Care Program' for male living alone in a single region and assist health promotion of the participants. Methods: This study was one-group pretest-posttest design. Eleven participants in the 'Happy Cooking Class for Male Living Alone' who made 100% of attendance from February 18 to September 8, 2016 were analyzed. Nonparametric paired T-test was performed to determine the differences in Blood pressure(BP), Blood sugar(BS), Cholesterol, Hemoglobin(Hb), Dementia screening test, Depression screening test of the participants in the Customized Integrated Health Care Program. Results: After applying the 'Customized Integrated Health Care Program', Hb level(z=-2.724, p=.006) and Dementia screening test(z=-1.974, p=.048) increased statistically significantly. Conclusion: As the elderly living alone increase in number, it seems that social support networks and health care programs contribute to health promotion of the participants and positively affect the rest of their life.

Elderly women's Health Care Experience at Doctorless Farm Willages (무의 농촌지역 여성노인의 건강관리 경험)

  • Kim, Young-Hee;Han, Young-Ran
    • Women's Health Nursing
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    • v.9 no.4
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    • pp.467-478
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    • 2003
  • Purpose: This study investigated elderly women's health care at doctorless farm villages based on information-about the perception and management of their health. Method: Grounded theory method as mapped out by Strauss and Corbin-was used to record and transcribe open-ended interviews. The data from these interviews were analyzed. Result: We found 18 categories and 28 sub-categories. In data analysis, the core phenomenon was named "movement in pain". Causal condition as essential prerequisites were aging symptoms, bad state of health, comfortable life to live alone, longevity, deficiency of health care resources, and sub-categories of the phenomena revealed acceptance of discomfort, enduring pain, continuity of movability. Elderly women's health-related activities included enduring as it is, movement consciously, applying resources, difficult in using health medical institutions. Family support, economic level, disease condition, support system of community were influenced to their health-related activities. Consequently, the results indicated that they wanted to accept given life, expected easy death. held out remaining life. Conclusion: This study revealed that the most important factor of elderly women's health care was "movement in pain". On the basis of this study, we needed to develop diverse nursing implementation plans for maintaining and improving' movability without pain'.

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Relationship between demographic and socioeconomic characteristics of the Korean elderly and unmet dental care needs (한국 노인의 인구·사회경제적 특성과 미 충족 치과진료와의 관련성)

  • Jung, Eun-Seo;Ahn, Geum-Sun
    • Journal of Korean society of Dental Hygiene
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    • v.18 no.6
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    • pp.911-920
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    • 2018
  • Objectives: This study investigated the relationship between demographic and socioeconomic characteristics of the Korean elderly and their unmet dental care needs, by using the 2015 data from the $6^{th}$ Korea National Health and Nutrition Examination Survey (NHANES). Methods: In total, 1,372 elderly persons aged 65 and over, who responded to the $6^{th}$ NHANES, were included in the final analysis. Logistic regression analysis was performed in order to identify any relationship between demographic and socioeconomic characteristics and unmet dental care needs. Results: The rate of unmet dental care needs was shown to be less by 0.799 times in the elderly who reside in dong than those who live in eup and myeon (OR: 0.799, 95% CI: 0.679-0.959). Unmet dental care needs were higher in participants with 'low' and 'below average' than 'above average' income, by 1.645 times (OR: 1.645, 95% CI: 1.087-2.366) and 1.172 times (OR: 1.172, 95% CI: 1.108-1.880), respectively. Elderly individuals living alone had a higher rate of unmet dental care needs than those living with their family by 1.157 times (OR: 1.157, 95% CI: 1.084-1.498). Conclusions: Demographic and socioeconomic factors influenced unmet dental care needs, causing inequality. Proper policy support to the vulnerable should be considered in order to enhance the elderly's access to dental care.

Determinants of Demand for Long-Term Care (장기요양서비스 수요의 결정요인)

  • Chung, Wankyo
    • KDI Journal of Economic Policy
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    • v.31 no.1
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    • pp.139-167
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    • 2009
  • A new public insurance for long-term care was introduced in July 2008 to provide for the rising demand for long-term care as the population is aging rapidly. The demand for long-term care is expected to rise further because more and more elderly are living alone or in households with only other elderly, such as his/her spouse, without informal care of their adult children. Even when the elderly are living together with their adult children, daughters and daughters in law, once the main informal care-givers, are not available because they choose to become economically active and work more over time. Experiences of countries such as Japan and Germany with similar public long-term care insurance scheme highlight the importance of detailed analysis on the demand for long-term care for the financial stability of the insurance scheme. Countries which had underestimated the demand for long-term care at the time of adopting the scheme went through financial instability of insurance schemes. This study analyzes the determinants of the demand for long-term care using data from the second demonstration project (April 2006~April 2007) of the long-term care insurance scheme for the elderly in Korea. Taking full advantage of detailed data on the long-term care, this paper analyzes the eligibility for the long-term care insurance scheme and its use. According to study results, even when common diseases among the elderly such as cancer, diabetes, arthritis, dementia, hypertension, etc. are controlled together with other individual and socioeconomic factors, limitations the elderly are faced with in their twelve activities of daily living significantly affect the eligibility for the Korean Long-term Care Insurance Scheme. This means that limitations in daily living activities are more critical than common diseases among the elderly are to the eligibility for the Korean Long-term Care Insurance Scheme. Bathing and toileting problems have been found to be the most important factor affecting the eligibility for the insurance scheme, followed by eating, dressing and moving around inside the house. Moreover, the choices of whether to use long-term care and which to use between home care and institutional care are found to be significantly influenced by health status and various socioeconomic factors of the elderly. In particular, those with more limitations in daily living activities and the female elderly are more likely to use long-term care and institutional care rather than home care. As for home care users, those living alone or with adult children and those with monthly household income of more than 500,000 won are more likely to use home care. Most importantly, even when the monthly household income of the elderly is controlled, the elderly recipients of the National Basic Living Security, who are not charged for long-term care, are more likely to choose home care. This implies that price as well as income is a critical factor for the decision to use long-term care. Further study on the duration of long-term care use will surely enhance the long-term care policy, when panel data is available for simultaneous analysis of the likelihood of long-term care use and its use duration.

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Outcome Assessment of a Demonstration Project on Integration of Home Visiting Health Care and Social Welfare Services (보건소 중심의 방문보건.재가복지 통합시범사업 성과)

  • Ahn Yang-Heui;Jang Sei-Jin;Choi Gyun
    • Journal of Korean Public Health Nursing
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    • v.20 no.1
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    • pp.5-15
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    • 2006
  • Purpose: The objectives of this study was to measure the outcomes of interventions on the health and social welfare of the elderly in a rural community in Korea. The project involved integrating services of one public health center with that of one social welfare agency, which were under different administrative structures. Method: A single group pretest-posttest design was used for this research. Seventy-five elderly residents living alone in a rural community participated in the study. All of them had coverage of free basic medical care and social welfare services by the government. Major activities for the intervention included: developing partnerships among community leaders/institutes; forming committees of community residents; educating care providers and volunteers; developing 8 integrated service programs and instruments; and organizing the networks. The 20-month intervention was care-managed by a public health nurse whom collaborated with social worker, and was assisted by volunteers. The t-test was utilized to analyze the outcome variables including the elder's health, social welfare and quality of life. A major limitation of this study was the lack of a control group. Results: The outcome of the intervention was shown by improved elder's health, social welfare needs, and quality of life. Integrating the services of public health centers with those of social welfare agencies is an effective way to improve the health of the elderly in the community. Conclusion: Developing community capacity with such integrated services will pay an important role in improving the health of the elderly who live alone.

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Development of Cognitive Program Using VR (VR을 활용한 인지재활 프로그램 개발)

  • Han, Jeong-won;Kang, Ji-won;Yun, Jeong-Bean
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2022.10a
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    • pp.509-510
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    • 2022
  • According to Elderly Long-term Care Insurance, MCI people can be provided cognitive program at dementia center and daycare center. However, Elderly Alone Household cannot be the proper beneficiaries in the insurance. Despite of increasing ederly alone household, consideration of daily life ability as well as easy-use cognitive program are not enough in the community. Therefore, this paper explores personal need and usability of ICT and VR cognitive program for elderly people in the community. Research results shows that elderly people are keenly interested in new technology. Especially human service and emotional bonding is very important contacting new device or technology.

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Influence of Self-Rated Health Status, Self-Efficacy and Social Support on Health Behavior in Urban Elderly People Living Alone (도시지역 독거노인의 주관적 건강상태, 자기효능감, 사회적 지지가 건강행위에 미치는 영향)

  • Lee, Yun Jeong
    • The Journal of the Convergence on Culture Technology
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    • v.4 no.2
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    • pp.81-87
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    • 2018
  • The purpose of this study was to determine influential factors for health behavior of elderly people living alone in an urban area. The subjects were 203 selected senior citizens who were living alone in a city. The findings were as follows: The subjects got a mean of 2.89 in self-rated health status, which was lower than the medium score 3. They got a mean of 2.64 in self-efficacy; 3.87 in social support and 3.14 in health behavior. These scores were higher than the medium score. The factors that affected the health behavior of the elderly people were self-efficacy, social support, self-rated health status, economic state, religion and gender. These factors had a 43% explainability of the health behavior of the urban senior citizens living alone. The findings are expected to make a contribution to the development of health care programs geared toward urban elderly people living alone.

Virtual Human Authoring ToolKit for a Senior Citizen Living Alone (독거노인용 가상 휴먼 제작 툴킷)

  • Shin, Eunji;Jo, Dongsik
    • Journal of the Korea Institute of Information and Communication Engineering
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    • v.24 no.9
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    • pp.1245-1248
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    • 2020
  • Elderly people living alone need smart care for independent living. Recent advances in artificial intelligence have allowed for easier interaction by a computer-controlled virtual human. This technology can realize services such as medicine intake guide for the elderly living alone. In this paper, we suggest an intelligent virtual human and present our virtual human toolkit for controlling virtual humans for a senior citizen living alone. To make the virtual human motion, we suggest our authoring toolkit to map gestures, emotions, voices of virtual humans. The toolkit configured to create virtual human interactions allows the response of a suitable virtual human with facial expressions, gestures, and voice.

A Study on the Organization of the Medical Service Network for the Elderly in Germany (독일 노인의료지원네트워크 구성에 관한 연구)

  • Chai, Choul-Gyun
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.16 no.3
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    • pp.19-26
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    • 2010
  • Germany became a super-aged society which has the number of people aged 65 or older reached 19 percent of population in 1997. Similarly, there is a tendency in Korea to increase the number of older people coupled with an increase in the number of households of the senior citizen who lives alone due to a rapid change of family unit. Research on geriatric in Germany is being carried out in many different ways, like medical, welfare, and social aspects because of the fact that Germany is in the middle of a super-aged society. Therefore, analysis and evaluation of elderly care facilities in Germany will be used as a fundamental resource for overall planning of elderly care and welfare facilities which are expected to grow demand dramatically.

Needs for Home Care Nursing in the Vulnerable Elderly

  • Lee, Ji-Hyun;Jeong, Youn-Hee;Park, Geum-Ja;Kwon, Sook-Hee
    • Journal of Korean Academy of Nursing
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    • v.37 no.2
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    • pp.201-207
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    • 2007
  • Purpose. The purpose of this study was to determine the subjects' health status according to the needs of visiting health and the function of the family in home care nursing. Sample and Method. The data collection period was from 07/01/04 to 10/31/04 and the subjects were 488 of those above 60 years of age staying at home or living alone who registered at a visiting health service of public health center at an urban area in Korea. This survey was carried out by visiting health nurses and participation was agreed on by the elderly people. Results. The extent of the subjects' total health status to the general characteristics had differences according to the age, sex, monthly income, perceived health status, known functional disorder, and yes-or-no for disease. At all health status domains, visiting health need care in the group I was very lower than one in II, III, or IV groups. Also the severe dysfunctional family was lower than lightly dysfunctional family and normal functional family in all health status domains. Conclusion. Nurses must provide their characteristics considered nursing intervention for the elderly who have high visiting health needs and severe dysfunctional family with vulnerable health care.