• 디지털융복합연구
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• 제11권9호
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• pp.221-228
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• 2013

본 연구는 노인의 알코올 사용, 우울과 자존감이 자살생각에 미치는 영향을 알아보기 위한 서술적 조사연구이다. 연구대상은 전라북도 지역 3개 복지관을 이용하는 65세 이상의 재가노인 245명이었다. 연구도구는 한국판 알코올 사용 장애 선별검사(AUDIT-K), 한국판 노인우울척도 단축형(GDSSF-K), 자존감척도(Self-esteem Scale) 및 자살생각척도(Scale for Suicidal Ideation)를 사용하였다. 수집된 자료는 SPSS WIN 19.0 프로그램을 이용하여 기술통계, Pearson's correlation, independent t-test, one-way ANOVA와 다중회귀분석을 이용하여 분석하였다. 연구결과 우울은 노인의 자살생각에 영향을 미치는 가장 중요한 요인으로 확인되었으며, 자존감이 낮을수록, 종교가 없는 경우, 주관적 건강상태가 나쁜 경우 자살생각이 높게 나타났다. 따라서 지역사회 노인의 우울을 감소시키고 자존감을 향상시키며, 종교적 활동을 돕고 건강상태를 증진함으로써 노인의 자살생각을 낮추고 더 나아가 자살예방에 기여할 수 있을 것으로 사료된다.

• Annals of Geriatric Medicine and Research
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• 제21권1호
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• pp.17-23
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• 2017

Background: In at-risk older adults, gait speed is an important factor associated with quality of life and falling risk. In this study, we assessed whether therapeutic exercise could improve gait speed. Methods: We conducted a meta-analysis to evaluate the 'best' therapeutic exercise method by analyzing each exercise in terms of intensity, type, and several gait speed indices. For the analysis, we gathered 122 papers through a database search and selected 9 (n=627) that were appropriate for the meta-analysis. Results: In 8 of the 9 included papers, gait speed improved with therapeutic exercise. Usual gait speed (n=246) improved more than maximal gait speed (n=574). A resistance program was more effective than a nonresistance program for improving maximal, but not usual, gait speed. We also found that the effects of therapeutic exercise were greater in noncommunity than in community-dwelling elderly people. Conclusion: In conclusion, therapeutic exercise was effective in improving gait speed.

• Annals of Geriatric Medicine and Research
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• 제22권4호
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• pp.167-175
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• 2018

Sarcopenia, a common clinical syndrome in older adults, is defined as decreased muscle mass, strength, and physical performance. Since sarcopenia is associated with the incidence of functional decline, falls, and even mortality in older adults, researchers and health care providers have been keen to accumulate clinical evidence to advocate the screening and prevention of sarcopenia progression in older adults. The factors that may accelerate the loss of muscle mass and function include chronic diseases, inactivity, and deficiency in appropriate nutritional support. Among these, nutritional support is considered an initial step to delay the progression of muscle wasting and improve physical performance in community-dwelling older adults. However, a nationwide study suggested that most Korean older adults do not consume sufficient dietary protein to maintain their muscle mass. Furthermore, considering age-associated anabolic resistance to dietary protein, higher protein intake should be emphasized in older adults than in younger people. To develop a dietary protein recommendation for older adults in Korea, we reviewed the relevant literature, including interventional studies from Korea. From these, we recommend that older adults consume at least 1.2 g of protein per kg of body weight per day (g/kg/day) to delay the progression of muscle wasting. The amount we recommend (1.2 g/kg/day) is 31.4% higher than the previously suggested recommended daily allowance (i.e., 0.91 g/kg/day) for the general population of Korea. Also, evidence to date suggests that the combination of exercise and nutritional support may enhance the beneficial effects of protein intake in older adults in Korea. We found that the current studies are insufficient to build population-based guidelines for older adults, and we call for further researches in Korea.

• 대한간호학회지
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• 제47권1호
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• pp.86-97
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• 2017

Purpose: The purpose of this study was to develop and test the psychometric properties of the newly developed instrument, Meaning in Life, for elderly Korean people. Methods: Ten older adults participated in the qualitative research used to develop the initial items. Participants for the psychometric testing were 371 community-dwelling older adults. Validity and reliability analyses included content, construct, and criterion-related validities, internal consistency, and test-retest reliability. Results: The Meaning in Life Scale consisted of 12 items with three distinct factors; value of life, source of life, and will to live, which explained 86.7% of the total variance. A three-factor structure was validated by confirmatory factor analysis. Criterion-related validity was supported by comparison with the Purpose in Life Test (r=.74). Reliabilities were secured with test-retest reliability of Intra-class Correlation Coefficient (ICC) .85 and the Cronbach's alpha coefficient .90. Conclusion: The results of this study indicate that this instrument is useful to measure meaning in life in Korean elders.

• 보건교육건강증진학회지
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• 제19권3호
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• pp.1-11
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• 2002

Purpose: This study was done to describe the correlation among the older Korean American adults's health-promoting behavior, life satisfaction and self-esteem. Method: The subjects consisted of 183 community-dwelling Korean immigrant elderly living in the state of Washington, USA. The instruments for this study were Health Promoting Lifestyle Profile(47 items), Life Satisfaction Scale(20 items) and Self-Esteem Scale(l0 items). Frequency, percentage, t-test, ANOVA, Duncan test and Pearson's correlation coefficient with SAS program were used to analyze the data. Result: 1) The average item score for the health-promoting behavior was 3.51; the highest score on the subscale was nutrition(M=3.63) with the lowest being exercise(M=3.07). 2) The average item score for the life satisfaction was 3.11. 3) The average item score for the self-esteem was 3.12. 4) Health-promoting behavior was significantly different according to educational level and participation in society circles. 5) Life satisfaction was significantly different according to age, religion and participation in society circles. 6) Self-esteem was significantly different according to age, marital status, religion and participation in society circles. 7) Health-promoting behavior was positively related to life satisfaction and self-esteem. The life satisfaction was positively related to self-esteem. Conclusion: It follows from this study that there is a very correlation among the older Korean American adults's health-promoting behavior, life satisfaction and self-esteem. Therefore health promoting programs that increase life satisfaction and self-esteem should be developed to promote a healthy lifestyle of the older Korean American adults.

• 근관절건강학회지
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• 제29권3호
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• pp.205-217
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• 2022

Purpose: This study aimed to investigate the factors affecting the subjective health status (SHS) of low-income older adults living alone. Methods: This is a cross-sectional correlational study using secondary data analysis. Sociodemographic and health-related characteristics were included in this analysis. The health-related characteristics were categorized into three domains: physical, characterized by the number of chronic diseases and fall-related factors, timed up and go, and grip strength; psychological, in terms of depression and loneliness; and social, in terms of social support. Data were analyzed using descriptive analysis, t-test, ANOVA, Pearson's correlation coefficient, and multiple linear regression analysis. Results: The mean SHS score was 2.46 out of five. Several factors influenced the SHS of low-income older adults living alone, including sex, age, level of education, monthly income, and the three domains. Four significant predictive factors of SHS in low-income older adults living alone were identified (42.5%): the number of chronic diseases, fear of falling, depression, and social support. Conclusion: SHS is a critical factor for older adults living alone on a low-income. Hence, evaluating SHS and developing interventions to improve it periodically is necessay. Such interventions should consider chronic disease management, screening and mediation for depression and fear of falling, and strengthening their social support systems.

• 재활치료과학
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• 제12권4호
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• pp.81-96
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• 2023

목적 : 본 연구는 지역사회 노인의 사회적 관계망과 건강증진행동을 파악하고 사회적 관계망의 구조적, 기능적 측면이 건강증진행동에 어떠한 영향을 미치는지 알아보고자 하였다. 연구방법 : 본 연구는 지역사회에 거주하는 65세 이상 노인 226명을 대상으로 사회적 관계망의 구조적, 기능적 측면과 라이프스타일 영역별 건강증진행동을 조사하였다. 사회적 관계망은 비동거 가족, 친인척, 친구, 이웃의 4가지 관계망을 대상으로, 구조적 특성인 관계망 크기와 접촉빈도, 기능적 특성인 사회적 지지를 조사하였다. 일반적 특성에 따른 건강증진행동 정도를 비교하기 위해 독립표본 T검정과 일원배치 분산분석을 실시하였다. 사회적 관계망과 건강증진행동과의 관계를 확인하기 위해 피어슨 상관분석을 실시하였고, 사회적 관계망이 건강증진행동에 미치는 영향을 확인하기 위해 위계적 회귀분석을 실시하였다. 결과 : 사회적 관계망 크기는 친구 관계망에서 가장 높았고 이웃 관계망에서 가장 낮았으며, 접촉빈도와 사회적 지지는 비동거 가족 관계망에서 가장 높았고 이웃 관계망에서 가장 낮았다. 건강증진행동은 일상생활활동 영역에서 가장 높았으며, 생산적·사회적 활동 영역에서 가장 낮았다. 일반적 특성 중 성별, 주관적 경제상태, 주관적 건강상태, 우울수준에 따른 건강증진행동은 유의한 차이를 보였다. 사회적 관계망의 구조적, 기능적 측면의 모든 하위요인들은 건강증진행동과 유의한 정적 상관관계를 보였다. 위계적 회귀분석 결과 이웃의 사회적 지지가 노인의 건강증진행동에 유의한 영향을 미치는 변인으로 나타났고, 일반적 특성 중 성별, 우울도 영향요인으로 나타났으며 이 모델은 37%의 설명력을 보였다. 결론 : 지역사회 노인의 건강증진행동 촉진을 위해서는 이웃의 사회적 지지를 중심으로 사회적 관계망을 고려한 건강증진 프로그램의 개발 및 관련 정책이 요구된다.

• 문화기술의 융합
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• 제6권4호
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• pp.231-244
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• 2020

본 연구는 관상동맥중재술을 받은 지역사회 거주 노인의 건강행위 이행에 영향을 미치는 심리사회적 요인을 분석하기 위해 수행된 서술적 조사연구이다. 경상남도 J시 G대학교병원에서 관상동맥중재술을 받고 외래를 내원한 환자 126명을 대상으로 2018년 7월 15일부터 10월 2일까지 구조화된 설문지를 사용하여 자료수집 후 SPSS/WIN 21.0으로 통계 분석하였다. 분석결과 대상자 특성에 따른 건강행위 이행은 배우자 유무, 교육수준, 주관적 건강상태, 주관적 삶 만족도에 따라 차이가 있었으며, 의료인 지지, 회복탄력성에서는 정적 상관관계가 있었고, 지각된 스트레스, 지각된 스트레스의 하위영역인 가족관계, 불안과 위축, 빈곤과 재정, 우울과는 부적 상관관계가 있었다. 다중회귀분석 결과 회복탄력성, 지각된 스트레스의 하위영역인 빈곤과 재정, 교육수준, 주관적 삶 만족도가 관상동맥중재술을 받은 노인의 건강행위 이행을 27.9% 설명하는 것으로 나타났다. 이러한 결과를 기반으로 관상동맥중재술을 받은 지역사회 거주 노인의 건강행위 이행을 향상시키기 위한 간호중재 프로그램 개발과 적용이 필요하다.

• 한국직업건강간호학회지
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• 제26권1호
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• pp.10-18
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• 2017

Purpose: This study identified the prevalence of depressive symptoms and explored correlates of depressive symptoms among Korean women care-workers caring older adults living in community. Methods: A total of 465 participants were recruited for the study. Depressive symptoms was measured by the CES-D10 and distress was assessed using a single question given 5 Likert scale. Results: The prevalence of depressive symptoms and distress among care-workers were 32.5% and 32.0% respectively. Work environment safety, violence exposure experience, work-family conflict, weekly care work time, and poor health status were significantly associated with depressive symptoms. Only violence exposure experience and poor health status were associated with distress. Conclusion: Our findings suggest more attention on mental health of care-workers and their risky work condition such as violence.

• 대한간호학회지
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• 제45권1호
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• pp.84-96
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• 2015

Purpose: This study was done to investigate the motivational, physical and affective benefits of exergaming in community dwelling older adult women. Methods: The research design was a nonequivalent control group pre-test and post-test design. Sixty-one older adult women over the age of 65 were recruited from 6 community senior centers to participate in the 8 week exercise intervention or control group. Six centers were divided into one of three groups: exergame, qigong exercise, or control. The exergame and the qigong exercise group received 16 sessions, scheduled twice a week, with each session lasting 50 minutes. Test measures were completed before and after the 8 week intervention period for all participants. Measures included: Grip strength, chair stand, 6 m walking, balance, geriatric depression scale, vitality and intrinsic motivation. Results: There were significant improvements in the exergame and qigong exercise group for grip strength, chair stand, 6m walking, balance, vitality and intrinsic motivation at the end the 8-week program compared with the control group. Conclusion: The exergame could be an effective alternative for older adult women to group exercise classes.