• 제목/요약/키워드: Community living elderly

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Evaluation of the Elderly Care Program for Seniors in Rural Areas (농촌노인을 위한 노-노 돌봄 교육프로그램의 평가)

  • Chae, Hye-Sean;Yoon, Soon-Duck;Kang, Ju-Hee
    • The Korean Journal of Community Living Science
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    • v.19 no.2
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    • pp.223-234
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    • 2008
  • This study aimed to develop the elderly care program for seniors in rural areas and to evaluate its efficacy through pre- and post-tests. For them, this study carried out a total of 8 sessions that includes 4 aims, such as understanding rural elderly, volunteer activities, psychological help, and aids to daily living, on 36 persons over the age of 60 years in rural areas. The data was analyzed by paired t-test to 36 elderly. The results of the study are as follows. First, looking at changes in knowledge about aging, objective evaluation of knowledge showed significant differences (t=-2.22, p<.05), but evaluation of elderly's perception-change didn't show significant differences between before and after. Second, volunteer attitude didn't show significant differences between before and after, but after the training, 75% of them answered 'yes' to question that asked whether they'd like to participate in elderly's volunteer caring activity for other elderly within the town in the future, which gave us certain expectation that the attitude towards volunteer activities might change positively in the future. Third, objective evaluation of knowledge for psychological help didn't show significant differences between before and after. But elderly's subjective perception showed significant differences (t=-2.82, p<.01). Fourth, evaluating changes in knowledge for elderly's aiding daily life, both the objective evaluation and subjective evaluation didn't show significant differences between before and after. Fifth, satisfaction of the program showed high scores over 4 points: contents, education methods, education place, education time. The most helpful topics for them were counseling (27.8%) and dementia (27.8%), followed by elderly and aging (16.7%), elderly's residential environment (13.9%), elderly's dietary life (9.3%) and volunteer activities (5.6%).

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Transition Experiences of the Elderly from Long-Term Care Hospital to Home: Focusing on the Elderly Living Alone of Community Care Project (요양병원 장기입원 노인의 재가 전환 경험: 지역사회 통합돌봄 독거노인을 중심으로)

  • Hwang, Yun Hee;Lee, Ga Eon
    • Research in Community and Public Health Nursing
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    • v.32 no.3
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    • pp.382-395
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    • 2021
  • Purpose: The purpose of this qualitative study was to explore the transition experiences of the elderly from long-term care hospitals to their homes. Methods: The participants were eight elderly medicaid beneficiaries, who had been the subjects from the community care project in Korea. The data were collected with one-on-one interviews from April to November in 2020, and analyzed by phenomenological steps. Results: The seven themes derived in this study were 'Space to escape', 'Reliable supporter opened the way to discharge', 'Comfortable life at home', 'Obstacles to independent life', 'Struggling to live alone', 'Fence for community life', and 'Energizing in daily life' Conclusion: The results revealed the positive aspects of Community Care program in Korea. However, it is suggested that active communication between hospitals and community care institutions, and improvement of home environment to live in the community before discharge should be required. And system revision is needed to adjust activity in their home and support health problems of the elderly in the early stage of discharge. The results of this study can be referred to as the foundation of transitional care for the elderly.

The Relationship between Chewing Ability and Nutritional Intake Status in the Elderly of Rural Community (농촌지역 노인의 저작능력과 영양섭취상태와의 관련성)

  • 권진희;이성국;이희경;김규종
    • Korean Journal of Community Nutrition
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    • v.3 no.4
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    • pp.583-593
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    • 1998
  • This study aims to examine the relationship between chewing ability and nutritional intake status in the rural elderly. The subjects were 150 rural-dwelling elderly persons(68 males and 82 females) aged 65 years and over in Sungju-Gun, Kyunfsangpookdo. The respondents were interviewed using the questionnaires and measurments taken from a 24-hour recall method from February to April in 1998. Fifty-nine subjects(39.3%) were classified with normal chewing ability and sixty-four subjects(42.7%) could carry out all of the 10 ADL items by themselves. In addition, the group who were able to chew had more teeth and significantly higher ADL scores than the other group(p<0.01), whereas DMF value was significantly lower(p<0.001). The subjects with normal chewing ability also had higher of intakes of energy, protein, fat, carbohydrates, dietary fiber, salt, potassium, niacin, thiamin and riboflavin than in the unable group(p<0.05). As far as daily food intakes were concerned, considerable differences were revealed in the levels of grain and products and vegetables consumed depending on chewing ability(p<0.001). The results of the stepwise and vegetables consumed depending on chewing ability daily living activities and health self-assessment(p<0.05) were the most significant factors for energy intake status.

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The Effect of an Exercise Program for Preventing Urinary Incontinence among Community-Dwelling Elderly Females Living Alone (일개 시 지역사회 거주 독거여성노인의 요실금예방 운동프로그램 중재효과)

  • Song, Mi Sook;Boo, Sunjoo
    • Journal of Korean Public Health Nursing
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    • v.30 no.2
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    • pp.247-258
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    • 2016
  • Purpose: The purpose of this study was to evaluate the effects of a comprehensive exercise program for the prevention of urinary incontinence (UI), frailty, and depression, as well as the promotion of physical function in community-dwelling elderly female living alone. Methods: A nonequivalent control group pretest-posttest design was employed. The participants were 76 vulnerable elderly female with a mild-to-moderate urinary incontinence. The exercise group completed 12 weeks of a moderate intensity, comprehensive exercise program. Descriptive statistics, independent t-tests and ANCOVA were used for data analysis with SPSS. Results: Upon the completion of the 12-week exercise program, significant improvements for UI symptoms (p=.001), timed up and go (p<.001), frailty (p=.006), and depression (p<.001) were observed, but not for hand grip strength (p=.053). Conclusion: The findings of this study indicate that the 12-week comprehensive exercise program for the prevention of urinary incontinence had positive effects on improving UI symptoms, physical function, levels of frailty and depression in elderly women living alone. More prolonged exercise programs with other types of exercise should be developed for these vulnerable elderly women, and future studies are encouraged to confirm the effect of the comprehensive exercise program in other settings.

A Study on the Nutrient Intake, Health Risk Factors, Blood Health Status in Elderly Korean Women Living Alone (일부지역 저소득층 독거노인의 영양소 섭취, 영양위험도 및 생화학 지표에 관한 조사연구)

  • Kim Hwa-Young;Kim Myune-Hwan;Hong Seong-Gil;Hwang Sung-Joo;Park Mi-Hyoun
    • Korean Journal of Community Nutrition
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    • v.10 no.2
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    • pp.216-223
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    • 2005
  • This purpose of this study was to investigate the nutrient intake, the health status as determined self-assessment checklist, biochemical indicators of elderly Korean women. We interviewed and 55 female subjects living alone in the Urban aged over 65 years. Information on their dietary intake was collected by 24-hour Recall method. Their health status was determined by a NSI checklist. Biochemical indicators were performed in whole blood and plasma of subjects. Except for protein, Fe, all of the elderly subjects belonged to over moderate nutritional risk. The average daily nutrient intake of the elderly was below the level of the recommended dietary allowances (RDA) for Koreans. A relationship between their health risk score and nutrient intake was observed negatively (not significantly). They had a risk of anemia as hemoglobin and hematocrit of subjects were under the normal value. Therefore, the reason that health risk score and health status badly was thought for lower nutrient intake.

Effects of a Customized Health Promotion Program on Depression, Cognitive Functioning, and Physical Health of Elderly Women Living Alone in Community: A Cluster Randomized Controlled Trial (맞춤형 건강증진 프로그램이 여성 독거노인의 우울과 인지기능 및 신체 건강에 미치는 효과: 무작위 집락 배정 설계)

  • Park, Ye Ri Ja;Sohng, Kyeong-Yae
    • Journal of Korean Academy of Nursing
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    • v.49 no.5
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    • pp.515-525
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    • 2019
  • Purpose: This study aimed to evaluate the effectiveness of a customized health promotion program (CHPP) on depression, cognitive functioning, and physical health of elderly women living alone in the community. Methods: A randomized comparison of pre-and post-test design was used with 62 participants assigned to either an intervention (n=32 in seven clusters) or a control group (n=30 in seven clusters) in 14 areas of a town. The final sample included 30 intervention participants who completed the CHPP for 10 weeks, and 26 control participants. The intervention group participated in the CHPP weekly; they were provided with instructions about coping with their chronic illnesses, lifestyle modification, risk management, providing emotional support to each other, and floor-seated exercise, which they were encouraged to do three times a week in their homes. Results: Significant group differences were found in depression (U=48.50, p<.001), cognitive functioning (U=2.50, p<.001), left arm flexibility (U=251.50, p=.023), right arm flexibility (U=225.00, p=.007), static balance (U=237.00, p=.012), and gait ability (U=190.50, p=.004). However, there were no significant differences in bothgrip strength and muscle mass between the two groups. Conclusion: The findings indicate that CHPP was overall effective at improving depression, cognitive functioning, and physical functioning of elderly women living alone, and could therefore be considered a positive program for community-dwelling elderly women living alone.

Effects of Intervention Using PARO on the Cognition, Emotion, Problem Behavior, and Social Interaction of Elderly People with Dementia

  • Koh, In Soon;Kang, Hee Sun
    • Research in Community and Public Health Nursing
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    • v.29 no.3
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    • pp.300-309
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    • 2018
  • Purpose: This study aims to investigate the effects of intervention using the therapeutic robot, PARO, on the cognition, emotion, problem behavior, and social interaction of elderly people with dementia. Methods: A nonequivalent control group pretest-posttest design was used. A total of 33 elderly people with dementia living in a nursing home facility participated in the study, with 17 in the experimental group and 16 in the control group. The intervention program with PARO was administered twice a week for 6 weeks, for a total of 12 sessions. Data were collected before and after intervention, using a questionnaire, direct observation, and video recording. Results: There were statistically significant differences in positive emotions and problem behaviors between the groups. The experimental group demonstrated a significant improvement in social interaction. Conclusion: PARO intervention can be utilized as an effective nursing intervention to increase positive emotions and social interaction, as well as decrease problem behaviors, in elderly people with dementia living in nursing home facilities.

The Effect of Instrumental Activities of Daily Living and Depression on the Life Satisfaction of the Elderly Living Together during the Daytime in the Rural Areas (주간공동생활을 하는 농촌 노인의 일상생활활동 수행능력과 우울이 생활만족도에 미치는 영향)

  • Kim, Jin;Bae, Jeong In;Cha, Nam Hyun
    • Research in Community and Public Health Nursing
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    • v.33 no.1
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    • pp.96-104
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    • 2022
  • Purpose: The purpose of this study is to identify the factors affecting the life satisfaction during the communal life of the elderly in rural areas. Methods: A total of 143 subjects were selected through convenient sampling. Data were collected in self-reporting questionnaires from 1 August to 30 August 2019. The data were analyzed with SPSS/WIN 23.0. Results: The Instrumental Activities of Daily Living (IADL) was significantly different according to age, education, and cohabitation. Depression was significantly different according to gender, age, education, and cohabitation. Life satisfaction was significantly different according to age, education, religion, and cohabitation. There was a positive correlation between Instrumental Activities of Daily Living and depression, except for life satisfaction. 41.0% of life satisfaction was explained by depression, religion, and IADL. Conclusion: The results of this study may be useful in understanding the life satisfaction level of elderly communal life and developing more specific programs for mental activity programs, and depression management strategies are required.

Effects of Combined Training with Respiratory Equipment on Lung Function, Balance, and Life Satisfaction of Elderly People in Community

  • Kim, Eun-Ja
    • International journal of advanced smart convergence
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    • v.11 no.4
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    • pp.216-226
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    • 2022
  • In this study, we selected and trained 9 people in the diaphragm training group and 9 people in the power-breath training group among elderly people aged 65 or older living in the community, and investigated the effect of combined training using respiratory equipment on lung function, balance, and life satisfaction. We conducted the elderly to do combined exercises, twice a week for a total of 6 weeks, that include the breathing training by diaphragm, the breathing training using Power-breath equipment, and the training using a theraband. We evaluated the changes in the lung function, the balance, and the life satisfaction before and after the intervention for our study subjects.As a result of our measurement, lung function, balance, and life satisfaction showed significant changes in the experimental group that performed the combined training using Power-breath equipment. As a result of the study, we confirmed that the elderly in the community had a positive effect on the life satisfaction by improving lung function and balance ability after conducting a combined training using respiratory equipment.