• Journal of Korean Academy of Nursing
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• v.45 no.1
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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.

• Journal of Korean Physical Therapy Science
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• v.16 no.4
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• pp.49-57
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• 2009

Background: The purpose of this study was to assess the test-retest reliability of balance measurements in older adults using balance measurement system(Good Balance). Methods: The subjects consisted of 49 female and 20 male in community-dwelling older adults. This study used a repeated-measure design. Each subject completed all the different tests once and they were then repeated with 2 minutes in between. Repeated two-ways analysis of variance(ANOVA), representing two test times and both sexes, was calculated for each of the two dependent variables. Intraclass correlation coefficients(ICCs) were used to assess the test-retest reliability. Results: 1) There was not significant difference between test and retest for mediolateral sway speed and anterioposterior sway speed under conditions of normal standing with eyes open, normal standing with eyes closed and semitandem standing with eyes open. There was not significant difference between males and females for mediolateral sway speed and anterioposterior sway speed under conditions of normal standing with eyes open, normal standing with eyes closed and semitandem standing with eyes open. There were not the interaction effects between genders and test time under three conditions. 2) The reproducibility between test and retest was excellent for anterioposterior sway speed(ICC=.77) under condition of normal standing with eyes open, and for mediolateral sway speed(ICC=.76) and anterioposterior sway speed(ICC=.84) under condition of semitandem standing with eyes open. The reproducibility between test and retest was fair to good for mediolateral sway speed(ICC=.64) under condition of normal standing with eyes open, for mediolateral sway speed(ICC=.63) and anterioposterior sway speed(ICC=.75) under condition of normal standing with eyes closed. Conclusion: Balance tests in older adults using balance measurement system(Good Balance) demonstrated acceptable levels of reliability.

• 한국노년학
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• v.40 no.3
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• pp.443-458
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• 2020

Aim: This study investigated the association between leisure activities and cognitive impairment in Korean community-dwelling older adults. Methods: Among participants of the 2017 National Survey of Older Koreans, 10,055 (male=4,277, female=5,778) were included in this cross-sectional study. To better identify the association between late-life cognition and leisure activities, individual leisure activities were categorized into 3 types including productive, consumptive, and unclassified activities. Multivariate logistic regression analysis was performed to assess the association between participation in leisure activities and cognitive impairment when controlling for possible covariates evidenced by previous studies. Results: Male participants were more likely to be cognitively impaired than female ones with significant differences in all the covariates. After controlling for confounding variables, involvement in productive leisure activities was found to be associated with cognitive function in both male and female groups, along with age, educational level, depressive symptoms, subjective hearing problems, and occupational status. Conclusion: Involvement in productive leisure activities might be associated with decreased risk of cognitive impairment in later life. Appropriate strategies to encourage older adults to participate in productive leisure activities should be established to help them maintain their cognitive function.

• Research in Community and Public Health Nursing
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• v.33 no.2
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• pp.207-216
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• 2022

Purpose: The aim of this study was to identify differences and influencing factors in the level of life satisfaction among the urban community-dwelling elderly by age group. Methods: The study was conducted utilizing the secondary data of 2017 Seoul Survey in a cross-sectional design. Of 42,688 participants in total, the data of 7,927 adults aged 65 or older were analyzed. The data were analyzed using descriptive statistics, independent t-test, chi-square test, Pearson's correlation coefficients, and multiple linear regression. Results: There were significant differences between age groups, and it was found that the old elderly groups had significantly higher life satisfaction than the oldest elderly group (t=8.37, p<.011). In common, family and community factors influencing life satisfaction in the two age groups were companion animals (old elderly: β=.03, p=.002; oldest elderly: β=.06, p=.021), social network (old elderly: β=.10, p<.001; oldest elderly: β=.08, p=.008), and social support (old elderly: β=.05, p<.001; oldest elderly: β=.08, p=.005). Conclusion: Based on these results, social welfare and nursing care services focusing on social capital and age group-specific interventions are needed to improve life satisfaction of the elderly. This study might provide the possibility and evidence for a program to improve life satisfaction for the urban community-dwelling elderly, including social capital elements.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.21 no.12
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• pp.719-730
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• 2020

This study examined the degree and relations of stroke literacy, health literacy, stroke knowledge, and self-management to identify the significant determining factors affecting stroke prevention among middle-aged and older adults with a high incidence of stroke. Data on the sociodemographic characteristics, stroke literacy, health literacy, stroke knowledge, and self-management of 198 participants were collected from December 5, 2019, to March 31, 2020, using a structured questionnaire. The data were analyzed using the SPSS/WIN 23.0 program. The determining factors affecting self-management in middle-aged and older adults were age (β=.190. p=.015), followed in order by smoking (β=-.226, p=.001), self-rated health status (β=.297, p<.001), and stroke knowledge (β=-.168, p=.014); the explanation power was approximately 20.3%. The results suggest that the self-rated health status and stroke knowledge should be considered when developing nursing interventions to improve self-management among middle-aged and older adults. Furthermore, it will be necessary to find the intervening variable between stroke knowledge and self-management for community-dwelling middle-aged and older adults in the community. Overall, these findings underscore the importance of systematic and ongoing education on stroke prevention.

• Sleep Medicine and Psychophysiology
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• v.25 no.2
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• pp.74-81
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• 2018

Objectives: Insomnia is one of the major concerns in the elderly population. Cognitive behavioral treatment for insomnia is the first line treatment option, but there are some limitations including time and cost burdens and the requirement for sufficient cognitive resources to obtain a proper treatment effect. The Brief intervention for insomnia (BII) is a treatment that focuses on behavioral aspects of insomnia in primary care practices. The purpose of this study was to evaluate the effects of BII in community-dwelling older adults. Methods: A total of 47 older adults with insomnia were enrolled from community centers between May 2016 and January 2018. They participated in the BII program for three weeks. We gathered sleep-related participant information with using the Pittsburgh sleep quality index (PSQI), the Sleep hygiene index, and a sleep diary. Clinical efficacy was evaluated by comparing total sleep time (TST), sleep latency (SL), waking after sleep onset (WASO), and sleep efficiency (SE) before and after the treatment. Results: There was significant improvement in sleep-related features after BII. Global score and sleep quality from the PSQI, freshness, and WASO from the sleep diary showed statistically significant improvement. Conclusion: We found BII showed positive clinical efficacy in community dwelling older adults, especially from the perspective of subjective sleep quality and WASO. This finding implies that BII can be effectively applied for the managment of elderly insomnia patients in a community setting.

• 한국노년학
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• v.31 no.2
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• pp.195-209
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• 2011

This study examined the prevalence of and factors associated with unmet care need among community-dwelling middle-aged and older people in Korea. Data were from the 2006 Korean Longitudinal Study on Ageing (KLoSA), a national survey of 10,254 non-institutionalized adults aged 45 or older. Having unmet care needs was defined as needing personal assistance with activities of daily living (ADL) or instrumental activities of daily living (IADL) but having no available helper. Weighted logistic regressions were fitted to examine factors associated with unmet care needs. Overall, 7.3%, 14.5%, and 41.8% of subjects among the middle-aged, younger old, and older old, respectively, reported care needs of these, 34%, 33%,and 24% had unmet needs. Factors associated with unmet needs differed among the three groups: Education and income level were negatively associated with unmet needs among the middle-aged, but living alone was the only factor positively associated with unmet needs in both the younger and older old. The prevalence of and factors associated with unmet care needs differ by life-stage. Needed are home- and community-based care and services to meet the need for personal assistance among the elderly living alone in a community.

• Korean Journal of Adult Nursing
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• v.24 no.2
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• pp.139-148
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• 2012

Purpose: A study was designed to compare heart rate variability (HVR) of older adults with postprandial hypotension (PPH) with older adults with no PPH. Methods: The samples were community-dwelling older adults (${\geq}$ 60 years old) with PPH (n=35) and without PPH (n=35). HRV was measured by 10 minutes of electrocardiography using Physiolab 400 and analyzed in time domain (SDNN) and with power spectral analysis in frequency domain (TP, LF, HF, LF/HF). Blood pressure was measured every 15 minutes before and until 120 minutes after the meal. Results: All HRV parameters were lower in the PPH group compared to those with no PPH. Specifically the measures of SDNN, TP, LF, and LF/HF of the PPH group were significantly lower (U=385.0, $p$=.008; U=361.0, $p$=.003; U=375.0, $p$=.005; U=368.0, $p$=.004, respectively). Further, the LF and LF/HF of SBP (${\geq}140$ mmHg) group and the LF/HF of DBP (${\geq}$ 90 mmHg) group were significantly lower ($x^2$=6.33, $p$=.042; $x^2$=33.10, $p$ <.001; $x^2$=11.03, $p$=.004, respectively). Conclusion: These findings indicate that the autonomic nervous functions in persons with PPH are less activated than those persons with no PPH. The findings contribute to an understanding of HRV and the association of autonomic nervous function with the mechanism of PPH.

• Journal of Preventive Medicine and Public Health
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• v.42 no.1
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• pp.35-41
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• 2009

Objectives : The changing population age structure and rapidly increasing medical costs make providing high-quality, effective medical care for the elderly a challenge. This study assessed the satisfaction with medical care in terms of comprehensiveness, general satisfaction, and accessibility among community-dwelling Korean elders. Methods : Data were obtained from a nationwide representative sample of the older adults(aged 65 years old or older) living in the community, who participated in a 2006 telephone survey conducted using random digit dialing(n=881). General satisfaction, comprehensiveness and accessibility were measured using a 10-item satisfaction survey questionnaire. Descriptive analysis was used to assess the distribution of each of three components of subjective satisfaction. Analysis of covariance(ANCOVA) was used to examine the association of each of the three components with socioeconomic variables. Results : Comprehensiveness and general satisfaction were low among older people with a high socioeconomic status. Accessibility was evaluated as low among older people of low socioeconomic status, those living in rural areas and those who were medical aid beneficiaries. Conclusions : Urgent interventions should be considered in order to improve accessibility to medical care for elders of low socioeconomic status and those living in rural communities. Given the rapid aging of the population, we need to develop a monitoring system to improve the quality of geriatric care.

• Journal of Home Health Care Nursing
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• v.15 no.1
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• pp.29-36
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• 2008

Purpose: The purpose of this study was to develop and evaluate an exercise program for elderly community-dwelling adults. The program was intended to improve joint flexibility and self-efficacy and to reduce blood pressure. Methods: A quasi-experimental, nonequivalent control group pre-post test design was used to evaluate the program. Twenty-six subjects were enrolled in the experimental group, and twenty-seven subjects were enrolled in the control group. The program was carried out between March 6 and May 4, 2006. The experimental group subjects participated in the exercise program once a week for eight weeks and received a phone call weekly to encourage self-exercise at home. Results: After program participation, the experimental group subjects showed significantly higher flexibility in the right shoulder joint and higher self-efficacy than subjects in the control group. Systolic and diastolic blood pressures were also significantly lower in the experimental group subjects. However, there were no significant differences in knee joint flexibility between the two groups after the intervention. Conclusion: The eight-week exercise program was effective in decreasing blood pressure and improving joint flexibility and self-efficacy in older adults. This study suggests that this exercise program could be utilized as an effective independent nursing intervention modality in elderly persons.