• 한국노년학
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• v.30 no.3
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• pp.815-830
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• 2010

This study is a nonequivalent control group pretest-posttest study to determine the effects of a make up program on the self-esteem and anxiety of the elderly female dementia patients. This research was done between April 13th and May 1st, 2009. The subjects were 41 dementia patients in an elderly hospital in Honam Area. Twenty dementia patients in the experimental group got the make up measures during the two week experimental period and twenty one dementia patients in the contrast group didn't get any measure during the two week period. Make up measures were given to the experimental group 10 times for the two week period. This study used the self-esteemscale which was developed by Rosenberg(1965) and was translated and modified by Jeon Pyung Je(1974) into Korean. The anxiety status scale which this study used was developed by Spielberger(1970) and was translated and modified by Kim Jeong Taek(1991) into Korean. Collected data were analyzed with SPSS Win 12.0. T-test and multivariate analysis were done to test the hypothesis. This study also used a method of observation. The results of this study are following. After the two week make up measures, the experimental group had more self esteem and less anxiety status than the contrast group. The differences were statistically significant. The result of the observation also supported the research hypothesis. Based on this result, we suggest the make up program as an appropriate and useful nursing care intervention program for female dementia patients.

• 한국노년학
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• v.31 no.4
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• pp.1119-1134
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• 2011

The purpose of this study is firstly to understand socio-demographic and health characteristics and economic characteristics of elderly single households aged over 60 and secondly to examine the relations between these factors and level of life satisfaction, especially differentiated relations by income level. We used the data drawn from third KREIS (Korean Retirement and Income Study) surveyed by National Pension Research Institute. The statistical methods used for the analyses were t-test, X², multiple regression analysis. For the whole sample, the results showed that the life satisfaction is positively related to higher income, better physical and emotional health status and having a religion. When we conducted the regression on two groups, the religion and income level were no longer significant factors. On the other hand, being a woman and enjoying good health contributed to life satisfaction for lower-income group while having a job and enjoying good health played a positive role in life satisfaction for higher-income group.

• 한국노년학
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• v.31 no.3
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• pp.641-652
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• 2011

The purpose of this study was to investigate the ability of visual-motor integration (VMI) in elderly patient with diabetes mellitus(DM). Male elderly (from 65 to 70 years old) with DM and non-DM disease were participated in this study. Participants were divided into three group (n=30 in each group): the control group, non-DM group, and DM group. Data were collected through VMI-3R questionnaires and interviews. Statistical differences among groups were determined by one-way ANOVA followed by Duncan Post-hoc test and results were expressed the mean ± S.D. or percentage (%). The present results showed that the score of both VMI 24 and VMI 50 in DM group were statistically lower than both the control and Non-DM groups. Also, the lower rate of correct and higher rate of error in VMI-3R was observed in DM group compared to both the control and Non-DM groups. The item analysis of VMI-3R revealed that the most higher rate of error was observed in item 24 in all groups. Based on these results, this study suggests that DM might aggravate the function of visual-motor integration in male elderly.

• 한국노년학
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• v.29 no.1
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• pp.135-147
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• 2009

Recently, The number of hypertension is increasing with westernized diet and lack of exercise. Many researchers are trying to treat and prevent hypertension by exercise therapy. However, not only did most of studies analyze the effect and usefulness of exercise related to lowering hypertension, but also there is no analysis of the difference of fitness with regard to hypertension according to ages. It is assumed to be important research work to be continued to identify, from the public health's point of view, the difference of fitness with regard to hypertension according to ages can be a essential data for treating and preventing hypertension. Thus, this study is to identify the difference of fitness according to hypertension of adult female over 20s and emphasize the importance of fitness level to the hypertension. Also, this study is to devise valuable study by examining the difference of cardiovascular function. Subjects were 8889 of adult female over 20s. Subjects visited promotion of health center at Y Gu public health center and took comprehensive medical test including hypertension test in Seoul in Korea. It was divided into normal, prehypertension, stage I hypertension and stage II hypertension group by JNC7. The evaluation of cardiorespiratory function was by resting heart rate and lung capacity, the evaluation of fitness was by cardiorespiratory endurance, muscular endurance, muscular strength, power, agility, balance, and flexibility, and the difference of fitness was analyzed by ANCOVA revising independent variable of BMI, drinking, and smoking which affects hypertension. At result, there was significant difference between normal and hypertension group according to most ages in two variable of all cardiorespiratory function, seven fitness variable. Through this study, it was defined that hypertension group had lower cardiorespiratory function and fitness than normal group.

• 한국노년학
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• v.30 no.4
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• pp.1197-1211
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• 2010

This research was concucted to present a model of advance directives(AD) when a patient, who is in consciousness, shows a preference for an end of life care as an act of preparing for an uncertain situation that may arise in the forseeable future. The subjects of the research are 383 doctors/nurese and adults, who live in six cities and provinces, to investigate the status of AD, attitude regarding a meaningless life-prolonging treatment, and moreover, an understanding of and a preference for AD. The research was done by the well-structured questionnaire. Also, SPSS 14.0 is used to analyse the collected data, focused on frequency analysis, avearage and standard deviation, X2 test. As the results of the study, the most of the surveyed doctors/nurese knew DNR orders and AD and a few of them used DNR orders and AD practically. Also, the result shows that there is a negative conception of meaningless life-prolonging treatment among the responents, in addition, most of them agreed upon the idea of introducing AD to Korea, filling it out and making it legally effective. As a method of making AD out, the respondents wanted to use a form that mixed living will with an Power of Attorney in a document. Also, considering the appropriate time, respondents prefered when they are diagnosed with terminal illness. At the moment, the introductory model for AD, which is suitable for the Korean culture and current situation is presented based on the result of this research. In the future, other researches should deal with specific measures that can lead to a social consensus to adopt AD in Korea.

• 한국노년학
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• v.29 no.2
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• pp.477-488
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• 2009

Purpose: This study was conducted to investigate newly admitted nursing home resident's experience and adjustment problems in the early stage of institutionalization. Method: In depth interviews was done on 6 elderly residents who were newly admitted. Data from the interview were analyzed using theme analysis method. Results: Results showed that reasons for Institution admission were decreasing physical health and cognitive functioning. Residents reported that difficulties they experienced in institution life were lack of individualized care, loss of autonomy and privacy associated with the demands of group living, and loss of control over activities of daily living. Conclusion: Efforts need to be made to maintain the residents' decision-making and autonomy. Listening intentionally, offering choices, and promoting personal identity might be utilized to reduce relocation stress and enhance adaptation to nursing home living.

• 한국노년학
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• v.32 no.2
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• pp.487-499
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• 2012

The purpose of this study is to find out the degree of powerlessness factors among elderly and by examining the variables(perceived health status, ability of daily living activity, self-esteem, depression, family support, loneliness) which affect such factors. By searching for methods to improve the quality of life for the elderly, efficient nursing procedures can be developed, thereby leading to successful aging. For the study, we purposively collected 300 elderly above the age of 65, residing in the areas of Seoul, Inchon, and Daejeon. 266 samples, survived the data screening, were analyzed by reliability analysis, Spearman correlation, and a multiple regression. As the results, first, the correlated factors of the elderly's powerlessness included depression(r=.597, p<.01), loneliness (r=.423, p<.01), ability of daily living activity(r=.374, p<.01), perceived health status(r=-.304, p<.01), family support(r=-.384, p<.01), and self-esteem(r=-.420, p<.01). Second, factors influencing of powerlessness of them were to show in order of depression(β=.373), loneliness(β=.265), spouse(β=.099), family support(β=.090), monthly allowances(β=.013), these variables accounted for 45.7% of the variance of the elderly's powerlessness. Depression showed to be the most important of the powerlessness factors for the elderly. These findings suggest that nursing researchers need to consider important factors affecting the elderly's powerlessness and nursing interventions focusing on the issues need to be developed.

• 한국노년학
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• v.29 no.2
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• pp.579-591
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• 2009

The purpose of this study is what are the factors affecting decision making for selection of social welfare facility, esp., elderly care facility. The resident's selection for social welfare facility are relatively new terms in the Korean social work. To explore the factors, we employed an empirical study. The collected data was analyzed by using SEM(Structural equation modeling). As the results, the standardized regression coefficient of the hypothesis that the service quality will affect the service satisfaction is equal to 0.555(t=6.723, p<0.01) and the coefficient that the service satisfaction will affect the decision making is equal to 0.766. The absolute fitness of the SEM model shows χ² = 580.151(d.f.=317, p-value=0.000) and RMSEA=0.063, so that the model is absolutely fit. Since CFI=0.915, the model is comparatively fit. Conclusively speaking, the hypothesis that service quality affects to service satisfaction was supported. The hypothesis that service satisfaction affects to decision making was also supported. By accounting for the results of the analysis, this study verified the service quality leading to service satisfaction is an important factor for resident to select a residential facility.

• 한국노년학
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• v.25 no.2
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• pp.53-71
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• 2005

Objectives: The purposes of this study were to investigate CHPs' knowledge, attitude, and practice regarding UI, and to identify predictors of their UI related practice. Methods: A descriptive-correlational study using self-administered questionnaire was conducted. A total of 330 members of the local Korean Association of CHPs were included in this study. A mailed survey was conducted to collect data. Findings: Of CHPs surveyed, 170(51.5%) returned completed questionnaire. Educational preparation of CHPs regarding UI was limited. The mean correct score of knowledge scale was 68.96%. Overall, CHPs exhibited positive attitudes toward UI. CHPs in this study were not actively participate UI related practice. Contrary to expectation, knowledge was not significantly related to CHPs' practice regarding UI. In the final analysis, CHPs' practice regarding UI was predicted by attitude toward the care of UI clients and educational needs for UI and these two variables explained 9% of variance of UI related practice. Conclusion: The results of this study suggest the importance of attitude and educational needs in shaping UI related practice among CHPs. To facilitate UI related practice among CHPs, efforts for attitudinal change related to UI among CHPs are needed. Moreover, continuing educational program for UI management should be developed, applied and evaluated.

• 한국노년학
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• v.29 no.1
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• pp.275-289
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• 2009

The purpose of this study is to explore effective factors of elderly people's overall death anxiety and sub-dimensions of death anxiety. The subjects were 156 elderly people in S City, Gyeonggi-Do gathered by convenience sampling. This study collected data by interviewing the elderly who agreed to participate in the study and then analyzed it using SPSS 12.0 through descriptive statistics, the t-test, F-test, Sheffe-test, correlation analysis, and multiple regression. The respondents' overall death anxiety score was 2.61(±.47), and 'anxiety in the dying process'(2.94) had the highest points among sub-dimensions. Effective factors of overall level of death anxiety among the elderly were 'age' (β=-.18, p=.015), 'education' (β=-.16, p=.045), and 'economic status' (β=-.26, p=.003). In sub-dimensions, the elderly who were female, relatively young, and had low economic status showed high 'anxiety in the dying process'. As for 'anxiety over what will happen after one's death', the elderly who were relatively young, and had low economic status had high scores. Finally, on 'the loss of existence', the elderly who had poor relationships with their families had high scores.