• The Korean Journal of Rehabilitation Nursing
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• v.11 no.2
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• pp.107-113
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• 2008

Purpose: The purpose of this study was to identify the risk factors for falls among the elderly living in community. Method: This was a descriptive study. The subjects comprised 80 elderly aged 65 years or over living in D city. The instruments used for this study was the MDS-HC V2.0. The data was analyzed by SPSS Win 14.0 using t-test, ANOVA, and Pearson correlation. Result: Among the socio-demographic characteristics, the significant differences were found in ADL by gender and marital status. Older elderly(${\geq}85$) used more medications than other elderly. The elderly were use average 4.33 medications, but 46.3% of the subjects didn't have the physician reviewed all medications. There was statistically significant correlation between number of medications and accidental falls. Conclusion: Nurses should inspect about the number of medications, drug interaction, and side effects. It would be preventive intervention for falls in elderly.

• Journal of muscle and joint health
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• v.31 no.1
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• pp.1-11
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• 2024

Purpose: This study aimed to evaluate the effects of an arthritis self-management program on elderly women living alone in the community. Methods: This study recruited 36 individuals, who participated in the program once a week for six weeks at two community centers. The program consisted of muscle strengthening and flexibility exercises, health education on muscles and joints, and joint dance for aerobic exercise. The data collected were analyzed using the paired t-test and Wilcoxon rank test. Results: After six weeks, participants showed significant improvements in pain (t=3.03, p=.005), difficulties in activities of daily living (t=2.77, p=.010), health-related quality of life (t=-2.63, p=.014), flexibility of right shoulder (z=-2.42, p=.015), and balance (right leg, t=-2.63, p=.036; left leg, z=-2.36, p=.018). Conclusion: The results showed that the arthritis self-management program effectively improved outcomes for elderly women living alone. Thus, this program could be incorporated into various programs for elderly people living alone.

• Journal of the Korean Institute of Rural Architecture
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• v.17 no.4
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• pp.9-16
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• 2015

This study examined the current conditions of the community facilities constructed by demonstration project for rural elderly that were promoted for the last two years by the ministry of agriculture, food and rural affairs. The type of community facilities are community living home, community food service facility and small bath house. And it was accomplished satisfaction survey for analyzing the effects of demonstration project focused on inhabitants and users of community facilities constructed by demonstration project. The results are as follows. First, The satisfaction index of community facilities was evaluated high level in generally. Second, Inhabitants and users of facilities were presented high level satisfaction in humanity sector, especially. Third, It should be to establish maintenance and management plan such as supporting of linkage program and operation cost for secure the sustainability. Consequently, the implementation of community facilities demonstration project to improve the living conditions of rural elderly is entirely appropriate. The results of this study were considered to promoting demonstration project for improving quality of the facilities and securing effectiveness of the project.

• The Korean Journal of Community Living Science
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• v.13 no.2
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• pp.77-86
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• 2002

The purpose of this study is to review the Home and Community Based Care Program in the United States and to examine the ways these programs help the rural elderly to maintain independent living in their own home in the community instead of moving into the nursing home. First, the overall welfare policy for the aged and service delivery systems in the United States are reviewed. Second, basic assumptions and programs of HCBC are reviewed. Third, using the informations about the elder support program in Madison, Dane County of Wisconsin as a case, various kinds and contents of specific programs are introduced. Applicability of these programs to rural Korea is discussed.

• Journal of East-West Nursing Research
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• v.23 no.2
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• pp.97-106
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• 2017

Purpose: The purpose of this study is to identify the factors influencing the happiness according to gender of the elderly living alone. Methods: This cross-sectional study used the raw data from the 2015 Community Health Survey. The subjects of this study were 14,705 elderly people aged 65 years or older, of which 2,198 were male elderly and 12,507 were female elderly. Results: The factors influencing the happiness of both male and female elderly were household income, depression, subjective stress level, subjective health level, quality of life, and lack of required medical service experience (p<.05). In addition, the male elderly were affected by the age, and the female elderly were affected by education, sleep time, walking and breakfast practice, and health screening (p<.05). Conclusions: It is necessary to develop and apply programs that can reduce the stress to increase the happiness of the elderly living alone, and efforts should be made not to cause a blind spot in terms of the health and welfare of the elderly living alone.

• Research in Community and Public Health Nursing
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• v.17 no.3
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• pp.346-353
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• 2006

Purpose: The Purpose of this study was to analyze factors influencing the dependence of the elderly. Method: This research was designed as a descriptive study. The subjects were 103 elders living in Seoul. Data were collected from December 2004 through January 2005. The instrument used in this study was the elderly dependence scale developed by the Park (2004). Collected data were analyzed using SPSS 11.0 for Windows. Descriptive statistics, independent t-test, ANOVA and multiple regression were done. Results: In the results of regression, residence, education, vision and age were extracted as factors influencing the dependence of the elderly. The regression model explained 33% of the variance. Conclusion: Considering the results above, we need studies on the dependence of the elderly using more independent variables, on the changing pattern of dependence and influencing factors by longitudinal design, and on the elderly with functional limitations or cognitive impairment.

• Journal of Korean Academy of Rural Health Nursing
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• v.19 no.1
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• pp.66-74
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• 2024

Purpose: This study evaluates the effectiveness of providing frailty prevention services by living support workers through a case of community resource connection centered on living support workers to revitalize frailty prevention programs for vulnerable elderly people. Methods: This is a research study using secondary data from a neighborhood health-sharing project among the integrated health promotion projects of one public health center in Daegu Metropolitan City. To assess frailty effects pre-assessments were conducted in August, and post-assessments were conducted in November. Frailty was measured using a 20-item frailty instrument used in home healthcare projects. Data were analyzed using the chi-square, independent t-test, and paired t-test. Results: Preliminary measurements showed that older elderly had higher frailty scores than younger elderly. However, among the elderly aged 75 or older the total frailty score decreased statistically significantly from 5.97 points to 5.30 points (t=3.03, p=.003). Conclusion: The older elderly showed greater effect of frailty prevention than the younger elderly.

• Research in Community and Public Health Nursing
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• v.21 no.4
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• pp.489-501
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• 2010

Purpose: The purpose of this study was to investigate the effects of health behavior-related characteristics, self-esteem, activities of daily living, and family support on depression in the community-dwelling elderly. Methods: The participants were 229 elders sampled from Seoul and other five provinces. A structured questionnaire was used to collect data, and data were analyzed by applying t-test, ANOVA, Pearson correlation coefficient, and stepwise multiple regression with SAS 8.12. Results: There was a negative correlation between depression, MMSE-K, self-esteem, ADL, IADL, and family support. Depression and health behavior-related characteristics showed a significant difference according to stress level and the reason of stress. Major factors that affected the elders depression were self-esteem, the amount of alcohol drinking, sleeping hours, ADL and the cognition of health status, which explained 59.4%. Conclusion: Based on the findings of this study, self-esteem and health behavior-related characteristics including alcohol drinking, sleeping hours and ADL were the influencing factors of depression in the community-dwelling elderly. Therefore, effective psychological and physical health promotion methods need to be developed and applied in nursing interventions to prevent depression in the community-dwelling elderly.

• Journal of Nutrition and Health
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• v.45 no.3
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• pp.264-273
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• 2012

This study analyzes the food frequency for the elderly regarding different family types and finds the factors for nutritional risk, offers a basic reference for providing nutritional support for them. The study referred to the dietary behavioral survey data of 3,680 elderly people (1652 male and 2028 female) from 21 regions in the northern Kyeonggi province. The data was collected through the method of one-to-one interviews and was a part of the Community Health Survey for 2008 by the Korea Centers for Disease Control and Prevention (KCDC). We classified family types as a household for elderly people living alone, a household of elderly people with a spouse, a household of the elderly with unmarried children and a household of the elderly with married children, and as for intakes of foods, the frequencies of taking fruits, vegetables, kimchi, rice with mixed cereals, meat, fish, bean tofu soymilk, milk and dairy products, as well as sweet beverages are calculated on a daily basis and skipped meals are calculated on a weekly basis. Elderly women showed lower income, lower education level, higher unemployment rates, and a higher rate of government healthcare subsidies than elderly men. Elderly women tend to live alone and with their children while elderly men tend to live with their spouse. In both males and females, the intake of fruits and vegetables were the least in the elderly living alone, while the elderly with married children ate the most. In both males and females, the household of the elderly living alone ate significantly less amounts of Kimchi than other family types. Elderly people living alone tended to have significantly less meat and fish, especially women. In the case of rice with mixed cereals, the elderly men living alone and the elderly men with unmarried children ate significantly less amounts than the elderly men living with a spouse. The elderly men living alone took significantly less milk and dairy products than the elderly men with unmarried children while the elderly women living with a spouse took significantly less milk and dairy products than the elderly women with married children. With regards to the frequency of meal-skipping, the elderly living alone had the highest frequency for skipping meals. From this result, having various foods is difficult for the elderly living alone. Furthermore, the elderly living with unmarried children demonstrated a low quality of dietary life compared to those of married children. Hence, it can be concluded that social support is important in order for the elderly to have a balanced diet.

• Korean Journal of Community Nutrition
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• v.9 no.5
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• pp.615-628
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• 2004

This study is designed to examine influences of living arrangements on psycho-social factors, health and nutritional status, dietary adequacy and meal service utility patterns of the elderly. Nutritional status was evaluated by Mini Nutritional Assessment (MNA). Three hundred and nine elderly (110 men and 199 women) who participated in meal service in the Chung-buk province were investigated. Proportion of the elderly living alone, couples only, living with spouse and family, living with family without spouse; and living with other than family were 30.7%, 25.9%, 14.2%, 24.3% and 4.9% respectively. The mean age of the elderly was 74.1 years and the elderly who are living couples only and living with spouse and family were younger than those with other living status. Living arrangements seem to be related to psycho-social factors, health and nutritional status, and dietary quality. Those who live alone and live with other than family were mostly women and they have lower socio-economic status, psycho-social, health and nutritional status and dietary patterns compared with those of the elderly who are living with spouse or family. It was found that the elderly who live a couple only and live with spouse and family had better emotional, health and nutritional index than those of the elderly who live with family without spouse, especially in case of females. Most of elderly perceived that participation of meal service programs had a positive effect on their daily life and satisfied with meals. The elderly living alone and living with other than family were more frequently using meal service but had a negative attitude about the charged meal service for better quality than the elderly with other living status. The most important reason for all the elderly to participate in meal service was to meet their friends and then to get other services. Particularly those who are living alone and living with other than family showed lack of moivation to prepare and set the meal, and for them the economic reason is also important. They also replied that the poor health and lack of other help were the most difficult problems for them to prepare meals. It would be effective to provide nutritional services that meet specific needs of the elderly according to their characteristics and living environment.