• Journal of Korean Academy of Nursing
• /
• v.44 no.6
• /
• pp.608-616
• /
• 2014

Purpose: The purpose of this study was to examine the relationship between self-efficacy, social support, sense of community and health-related quality of life (HRQoL), including the direct and indirect effects of the variables on HRQoL. Methods: A cross-sectional survey was conducted with a convenience sample of 249 middle-aged and elderly residents living in a rural community in A-County, K Province. The structured questionnaire included 4 scales from the Euro Quality of life-5 Dimensions (mobility, self-care, usual activities, pain/discomfort, anxiety/depression), and measures of General Self-Efficacy, Social Support, and Sense of Community. Data were analyzed using SPSS WIN 20.0 and AMOS 21.0 program. Results: The mean HRQoL score for the participants was $0.87{\pm}0.13$. Self-efficacy (${\beta}$=.13, p=.039) and age (${\beta}$= -.38, p<.001) were significantly associated with HRQoL, explaining 21% of the variance. In the path analysis, self-efficacy showed a significant direct effect on HRQoL (${\beta}$=.14, p=.040) and significantly mediating relationships between both social support (${\beta}$=.05, p=.030) and sense of community (${\beta}$=.02, p=.025) and HRQoL. Conclusion: Although self-efficacy was found to be the main predictor for HRQoL, the findings imply that social environmental factors such as social support and sense of community need to be considered when developing interventions to increase HRQoL in middle-aged and elderly residents in rural communities.

• Proceedings of the KSR Conference
• /
• 2011.05a
• /
• pp.483-495
• /
• 2011

In modern society, the range of time and space in life is continually expanding due to increase of income and diversification of life. In order to respond to these changes and to satisfy needs and to secure the mobility of citizens, the construction of transport infrastructure and public transport services should be provided continually. In particular, to ensure mobility during late-night hours, providing metropolitan public transport services is urgently needed. Due to expansion of life zone, tension of time and space of metropolitan transportation is essential to construct transport infrastructure in preparation for entry into 24-hour community. This study was based on analysis of travel resource and survey data conducted by passengers of express trains, conventional trains, and metropolitan bus. This study is to investigate use characteristics of passengers and characteristics and problems of Gyeongin-line. Moreover, this study's purpose is to suggest plans in order to improve express train operation and extend hours of the midnight express. It is also important to vitalize public transportation.

• Journal of the Korean Data and Information Science Society
• /
• v.22 no.3
• /
• pp.555-563
• /
• 2011

Osteoarthritis (OA) and rheumatoid arthritis (RA) are most popular types of arthritis in Korea. This study compared health-related quality of life (HRQoL) of homedwelling people with OA and RA in Korea. Data were drawn from the Korean nationwide representative survey. Subjects were 3,352 people with arthritis over 19 years of age (2,953 OA respondents and 399 RA respondents). Good HRQoL in OA respondents was dierentiated with limitation of mobility, perceived health status, age, economic status, presence of arthralgia, gender, medical coverage, and educational level. Good HRQoL in RA respondents was dierentiated with limitation of mobility, perceived health status, economic status, educational status, and presence of arthralgia. In conclusion, HRQoL and predictors of good HRQoL among people with arthritis diers for OA or RA. These results can be of use in development of health programs and clinical interventions for community-dwelling people with arthritis.

• The Journal of Korean Physical Therapy
• /
• v.32 no.3
• /
• pp.185-190
• /
• 2020

Purpose: Gait and cognitive impairment in stroke patients exacerbate fall risk and mobility difficulties during multi-task walking. Virtual reality can provide interesting and challenging training in a community setting. This study evaluated the effect of community-based virtual reality gait training (VRGT) using a 360-degree image on the gait ability of chronic stroke patients. Methods: Forty-five chronic stroke patients who were admitted to a rehabilitation hospital participated in this study. Patients meeting the selection criteria were randomly divided into a VRGT group (n=23) and a control group (n=22). Both these groups received general rehabilitation. The VRGT group was evaluated using a 360-degree image that was recorded for 50 minutes a day, 5 days per week for a total of 6 weeks after their training. The control group received general treadmill training for the same amount of time as that of the VRGT group. The improvement in the spatiotemporal parameters of gait was evaluated using a gait analyzer system before and after training. Results: The spatiotemporal gait parameters showed significant improvements in both groups compare with the baseline measurements (p<0.05), and the VRGT group showed more improvement than the control group (p<0.05). Conclusion: Community-based VRGT has been shown to improve the walking ability of chronic stroke patients and is expected to be used in rehabilitation of stroke patients in the future.

• Proceeding of Spring/Autumn Annual Conference of KHA
• /
• 2003.11a
• /
• pp.307-312
• /
• 2003

The purpose of this study was to find out the moving motivation of senior cohousing inhabitants in Scandinavian countries, which experienced change of typical nuclear family structure and higher vocational activity rates of women, earlier than East Asian countries. Cohousing schemes were evolved as an alternative housing to reduce housework for working women, and to reduce loneliness of elderly people by promoting active mutual relationship among inhabitants in the community. This paper described why the elderly moved to senior cohousing in Sweden and Denmark. The project was carried out by social survey. 935 postal questionnaires were sent from April to May 2002 to 28 senior cohousing communities throughout Denmark and Sweden. Of those, 536 replies (57.3%) were collected and analyzed by SPSS program. 19 moving motivations were discussed connected with the variables such as characteristics of residents, community-initiative, and dwelling size. As a result ideology of senior cohousing, wanting to be free from housing management and physical attraction of the building could be interpreted as main reasons to make inhabitants move to senior cohousing community. The important variables affecting moving motivation were found out as living situation and community-initiative. This findings could be used for some information to architects, designers and decision makers who intend to develope senior cohousing projects in the near future in Korea as well as Scandinavian countries.

• Physical Therapy Korea
• /
• v.13 no.4
• /
• pp.16-22
• /
• 2006

Falling is a serious problem associated with aging. Unintentional injury, which most often results from falling, is one of the leading causes of death in elderly people. The purpose of this study is to investigate the risk factors of falls and to compare characteristics of people who fall with that of non-fallers among the rural community-dwelling elderly of Korea. A sample of 201 people, living in the community, aged 60 years and over was taken from the members of a center for seniors located in Jecheon city. The mean age of the participants was 70.5 years of age. The participants are comprised of 151 women and 50 men. Eighty four of the 201 participants (41.8%) fell during the previous year. Twenty two of the fallers (26.2%) fell down more than two times. It was found that fallers had poorer eyesight, multiple chronic diseases and a more difficult time walking than non-fallers. In the logistic regression analysis of falls, only the difficulty of walking one kilometer (OR=2.4) and chronic diseases (OR=2.5) have shown an increased risk of falls. The risk of recurrent falls is, in addition, influenced by the difficulty of walking one kilometer. The result of our study shows that the impairment of mobility was the strongest risk factor of recurrent falling.

• Physical Therapy Rehabilitation Science
• /
• v.6 no.4
• /
• pp.176-181
• /
• 2017

Objective: The timed up and go (TUG) test is method used to determine the functional mobility of persons with stroke. Its reliability, validity, reaction rate, fall prediction, and psychological characteristics concerning ambulation ability have been validated. However, the relationship between TUG performance and community ambulation ability is unclear. The purpose of this study was to investigate whether the TUG performance time could indicate community ambulation levels (CAL) differentially in persons with chronic stroke. Design: Cross-sectional study. Methods: Eighty-seven stroke patients had participated in this study. Based on the self-reporting survey results on the difficulties experienced when walking outdoors, the subjects were divided into the independent community ambulation (ICA) group (n=35) and the dependent community ambulation group (n=52). Based on the area under the curve (AUC), the discrimination validity of the TUG performance time was calculated for classifying CAL. The Binomial Logistic Regression Model was utilized to produce the likelihood ratio of selected TUG cut-off values for the distinguishing of community ambulation ability. Results: The selected TUG cut-off values and the area under the curve were <14.87 seconds (AUC=0.871, 95% confidence interval=0.797-0.945), representing a mid-level accuracy. Concerning the likelihood ratio of the selected TUG cut-off value, it was found that the group with TUG performance times shorter than 14.87 seconds showed a 2.889 times higher probability of ICA than those with a TUG score of 14.87 seconds or longer (p<0.05). Conclusions: The TUG can be viewed as an assessment tool that is capable of classifying CAL.

• Journal of the Korean Regional Science Association
• /
• v.8 no.1
• /
• pp.51-66
• /
• 1992

This paper analyzes: (1) the effects of the population growth in the regions in which the campuses are located (2) the economic effects (3) the social and cultural effects 94) the linkage effects between university and regional community. It is found that the campuses have various effects on the regional community through the human capitals, economic and cultural factors, and educational program. In particular local campuses have substantial impacts on regional economy. Two local campuses have been found to have more regional income effects than manufacturing and service industries do. Thus, it is necessary that the growth of linkage mechanism with universities and induced consumption expenditure by universities should be constructed in the region having local campuses. In order to increase these effects on regional development, much attention should be given to the regional development aspect from university authorities, students, professors, and residents. Also from the national policy point associated with material-moving policy and capital mobility policy in relation to the universities should be estabilished.

• Proceedings of the Korean Information Science Society Conference
• /
• 2007.10d
• /
• pp.556-559
• /
• 2007

Due to its ease of deployment, low cost, self-configuring and self-healing capabilities, Wireless Mesh Networks (WMNs) have emerged as a key technology to be used in a wide scale applications in personal, local, campus, and metropolitan areas. Security and more specifically privacy is an important issue in this type of multi-hop WMN which has given a little attention in the research community. We focus on privacy compromise of a mesh client in a community mesh network that may lead an attacker to reveal mesh clients identity. his other profiles and gain information about mobility. In this paper. we have presented an authentication mechanism with the aid of blind signature that ensures a mesh client to anonymously authenticate itself with a nearby mesh router and thereby preserve identity privacy We have also presented the security and performance analysis of the proposed scheme.

• Journal of Preventive Medicine and Public Health
• /
• v.32 no.3
• /
• pp.325-332
• /
• 1999

Objectives: The aim of this study is to identify major factors associated with physical functioning among the Korean elderly. Methods: Data come from a survey of a nationally representative sample of 2,058 older people aged 60 years or elder living in the community. A hierarchical functioning scale was constructed, using upper and lower body mobility, IADLs, and ADLs. Socioeconomic characteristics, chronic conditions, measures of health status, health service use, and social support were analyzed to explore their influence on functioning. Polytomous logistic regression analysis was conducted to identify major contributing factors to different levels of functioning. Results: Persons of older age, female, with chronic diseases (heart disease, stroke, fracture/dislocation) were consistently more likely to show a higher degree of functional limitation. There were variations, however, among other factors; e.g., those with arthritis were more likely to be only mildly impaired, but not moderately or severely impaired. Conclusions: Older Korean adults living in the community with impaired functioning constitute persons with diverse characteristics. Policy and program activities need to address specific needs of older people in different functioning states.