• Research in Community and Public Health Nursing
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• 제18권1호
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• pp.32-41
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• 2007

Purpose: The purpose of this study was to describe how the rural elderly cope with experiences in multiple chronic diseases. Method: Data were collected through participant observation and in-depth interview using ethnography. The participants were 9 women and 2 men who aged over 65, were living in rural community, and had experienced two or more chronic diseases. Results: According to the results of this study, those who had experienced multiple chronic diseases went through the stages of 'recognizing of revealed symptoms', 'discovering of disease', 'overcoming', 'neglecting', 'discovering another disease', 'being frustrated' and 'living with suffering'. Conclusion: The results of this study are expected to be utilized as basic materials to develop a nursing intervention program for effective management of chronic diseases.

• The Korean Journal of Community Living Science
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• 제22권4호
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• pp.557-572
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• 2011

This study examines the effect of adult-children support network on the psychological well-being of the single and couple elderly households in rural areas. Adult-children support networks include both structural and functional characteristics. For the purpose of this research, 476 participants, who are older than 60 years old, living in rural areas, were selected. The results of this study are summarized as follows: the average degree of psychological well-being of the rural elderly was high. Emotional support from adult children was higher than economic or instrumental support. In the case of the single elderly households, adult children's economic support was the strongest variable affecting the psychological well-being. In the case of the couple elderly households, adult children's emotional support had the greater effect on psychological well-being. On the basis of this analysis, policy implications regarding the single and couple elderly households in rural areas were discussed.

• The Korean Journal of Community Living Science
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• 제21권2호
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• pp.201-210
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• 2010

Over the past few decades, the proportion of elderly people in Korea has been rapidly increasing. In particular, rural areas are experiencing aging of communities more rapidly compared to urban areas. However, public policy for the elderly does not respond to the needs of rural elderly. To distribute health care resources equitably, it is necessary to gather reliable information on the health status of the elderly. The purpose of this study is to explore factors affecting Korean elderly people's ADL functional status. The data sources are from 2004 Elderly Living Condition Survey. The Analysis sample consists of 3,278 cases. Analysis results show that there is a significant residential variability in education, monthly stipend, living arrangement, subjective health status, regular food in-take, and regular exercise. Logistic regression analysis results also show that 'cognitive ability'(exp(B)=6.603), 'subjective health status'(exp(B)=4.576), 'age'(exp(B)=2.610), and 'living arrangement'(exp(B)=.589) are factors affecting ADLs. Namely, when a respondent's cognitive ability is limited, subjective health status is poor, or if their age is over 75, the probability of having a limited ADL has been 6.6 times, 4.6 times, and 2.6 times higher than otherwise. Among these variables, cognitive ability was the best explanation. In contrast, respondents who live with a spouse or adult children have a lower probability of having limited ADL compared with those who live alone. Considering that the most critical criteria in determining eligibility for social welfare services is ADLs, the development of appropriate ADL assessment tools is in an urgent need. Without the accurate assessment on ADLs, particularly on rural as well as the urban elderly, it seems to be hard to achieve effectiveness in the health care policy for the elderly.

• Research in Community and Public Health Nursing
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• 제21권2호
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• pp.169-177
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• 2010

Purpose: The purposes of this study were to examine the relations among depression, life satisfaction and health promoting behavior, and to find factors related with health promoting behavior. Methods: The subjects were 198 elderly people of over 65 living in K City and S City. Data were collected through a structured questionnaire and analyzed by SPSS/WIN 13.0. Results: Health promoting behavior was significantly different according to religion, education level, living with family, previous job, pocket money, subjectively economic level, and leisure activities. Depression was significantly different according to education level, living with family, pocket money, economic level, and leisure activities. And life satisfaction was significantly different according to religion, living with family, and pocket money. The variables that affected the degree of health promoting behavior were depression, life satisfaction and living with family, and they represented 29.7% of health promoting behavior. Conclusion: The health promoting behavior of the subjects was better than average and, at the same time, the lower depression in the health promoting behavior was the higher life satisfaction was. Therefore, in order to decrease depression and to increase life satisfaction, the development of advanced health promoting programs will be helpful to lead health life for the elderly people.

• Journal of the Korean housing association
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• 제14권3호
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• pp.67-76
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• 2003

This study was to investigate the needs for the community in the elderly institution and the related factors. The raw data, collected in 2000, from the Study for the Silver Industry in Ulsan were used for the analysis. The sample consisted of 292 elderly aged 65 and over living in Ulsan, and the purpose was accomplished using frequencies, percentages, and chi-squared test with cross-tabulations. The results indicated that the elderly tends to have negative responses to the discriminations by health conditions and sharing the public spaces with neighbors. However it was more likely that the elderly wants to have separate public spaces and facilities by gender. They prefer private residential units rather than public spaces for the meals, baths, and receptions. It was also found that gender, with or without spouse, education level, and economic condition of the elderly have significant effects on the needs for the community in the elderly housing.

• Journal of the Korean Applied Science and Technology
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• 제39권3호
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• pp.377-385
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• 2022

The purpose of this study was to investigate the effects of knowledge of dementia and attitude of dementia on preventive behavior of dementia in the elderly living alone. The subjects of this study were 101 elderly living alone in the community and data collection was from January 2 to 16, 2020. Data was analyzed using the SPSS/WIN 24.0 program by descriptive statistics, Pearson's correlation, multiple regression analysis. There was a positive correlation between preventive behavior of dementia(r=.42, p<.001). Exercise(β=-.26, p=003), subjective health status(β=.26, p=.003) and knowledge of dementia(β=.37, p<.001) were found to be factors influencing preventive behavior of dementia among the elderly living alone in the community. The results of this study suggest that it is necessary to develop some programs that include factors such as exercise, subjective health status and knowledge of dementia for preventive behavior of dementia.

• 한국노년학
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• 제36권3호
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• pp.525-540
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• 2016

The purpose of this study was to investigate what kind of experiences the deaf elderly would have in the course of life. It also aimed to promote the understanding of their living difficulties and culture among people with normal hearing and provide basic data to help them live with others as members of the community. Phenomenological qualitative research was conducted as part of the methodology. The subjects include seven deaf old people. Based on the results of in-depth interview and analysis, the life experiences of the deaf elderly were categorized into "unforgettable wounds," "life in the community," "life with the family," "marriage of the deaf elderly", and "living by adjusting to reality." First, the subcategories of "unforgettable wounds" include "receiving no treatment for fever," "damage by the Korean War," "alienation from the family," and "people's cold eyes." It turned out that the deaf elderly had led a life, suffering from the heart wounds that they could not forget. Second, the subcategories of "life in the community" include "inconvenience in life," "disadvantages in life," and "severed life." The deaf elderly were not only subjected to inconvenience and disadvantages in life, but also suffered loneliness, being cut off from the community. Third, the subcategories of "life with the family" include "not communicating with children," "being abandoned again," "being used by the family," "being lonely even with the family," and "wishing to live independently from the family." The deaf elderly were not supported by their families and were abandoned or used by them, leading a solitary life. Fourth, the subcategories of "marriage of the deaf elderly" include"send as a surrogate mother," "frequent remarriage and divorce," "lean on as a married couple." Deaf elderly form their own culture of the marriage and lean on each other. Finally, the subcategories of "living by adjusting to reality" include "getting help from neighbors," "behaving oneself right in life," "learning Hangul," "living by working," "living freely," "living by missing," and "controlling the impulse to end life," "resorting to religion." The deaf elderly made the most alienated and vulnerable group with no access to benefits due to their limitations as a linguistic and social minority, but they made efforts to form their own culture and adjust to reality for themselves. Based on those findings, the study made the following proposals: first, there is a need for practical approaches to heal the ineffaceable wounds in the hearts of deaf elderly. Second, there is a need for policies to help them experience no inconvenience and disadvantages as members of community and communicate with people with normal hearing. Third, there should be practical approaches to enable them to get recognition and support from their families and share love with them. Finally, there should be practical policy approaches to help people with normal hearing understand the culture of deaf elderly and assist the deaf elderly to receive supports from the community and live with others within the community.

• Journal of Korean Academy of Rural Health Nursing
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• 제16권1호
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• pp.1-10
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• 2021

Purpose: This study was aimed to compare health promotion behaviors and safety consciousness for elderly women living alone in rural areas and elderly women in group homes, and then provide information for the development of safety awareness programs for elderly. Methods: The participants were 120 elderly women living alone in rural areas aged 65 or older and 120 elderly women living in group homes. The data collection was conducted during November 2020, and the collected data used the SPSS/WIN 25.0 program to verify frequency, percentage, average, standard deviation, and independent t test. Results: There were significant differences of health promotion behaviors between elderly women living alone and elderly women in group homes (t=15.77, p<.001). In addition, there were significant differences of safety consciousness between elderly women living alone and elderly women in group homes (t=21.42, p<.001). Conclusion: Since the safety consciousness and health promotion behaviors of the elderly in group homes are significantly higher than that of the elderly living alone, various programs should be developed to improve the safety consciousness and health promotion behaviors in the elderly living alone. Based on local government' acts, continuous support and attention is needed that elderly women in group homes can maintain a healthy life.

• Research in Community and Public Health Nursing
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• 제8권1호
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• pp.61-73
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• 1997

The purpose of this study was to identify the degree of perceived powerlessness and the factors which influence the powerlessness of the elderly. Data were collected by self-reported structured questionnare from 210 subjects living in Kwang-Ju and Che-Ju cities on 5th to 17th February 1996. Data were analyzed using statistical package SAS. The findings were as follows : 1. The mean scores of the degree of perceived powerlessness of the subjects were 58.90 out of 85. The elderly people in Kwang-Ju city perceived more powerlessness than elderly people of Che-Ju city. 2. The factors which influence the powerlessness of the elderly were age, gender, education level, living standard, spouse, former and present job, health condition, family support, social and recreational activities. From the results of this study, to alleviate the powerlessness of the elderly, with the efforts of health maintenance and promotion various community based social activities and support system should be developed for the elderly.

• Research in Community and Public Health Nursing
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• 제30권2호
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• pp.206-216
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• 2019

Purpose: This study is to investigate the low back pain, social support, impediment in daily living activities and to identify factors affecting impediment in elderly farmer' daily living activities. Methods: The participants were 128 elderly farmers who had received nerve block. Data were collected using a structured questionnaire from February to March, 2018. They were analyzed using t-test, ANOVA, pearson's correlation coefficient, and linear multiple regression. Results: The score of low back pain was $6.27{\pm}1.69$ (10 points), that of social support $2.92{\pm}0.76$ (1~5 points), and that of impediment in activity of daily living $2.01{\pm}0.82$ (0~5 points). Factors affecting impediment in activity of daily living were found to include age (p=.017), daily hours of farm work (p<.001), fear for the nerve block (p<.001), low back pain (p<.001), and social support (p<.001); the explanatory power of these variables was 58.8%. Conclusion: This study has found the controllable factors affecting impediment in activity of daily living among the rural elderly engaging in farm work include low back pain, social support, and daily farming hours. Therefore, to reduce impediment in activity of daily living among them, it is necessary to develop nursing interventions that can improve impediment in activity of daily living through reduction of daily farming hours using local resources. It is also desirable to improve their health status by reducing low back pain, and develop and apply social supports with health education programs that fit the local resources and the needs of the rural elderly.