• Title/Summary/Keyword: Differences between the elderly

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Associations Between Classification of the Geriatric Screening for Care-10 and the Morse Fall Scale (노인환자 스크리닝 결과와 낙상위험도 간의 관계)

  • Kim, Yoon-Sook;Lee, Jong-Min;Choi, Jae-Kyung;Shin, Jin-Yeong;Han, Seol-Heui
    • Quality Improvement in Health Care
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    • v.23 no.2
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    • pp.69-78
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    • 2017
  • Background: The purpose of this study was to examine associations between classification of the Geriatric Screening for Care-10 (GSC-10) and the Morse Fall Scale (MFS) among elderly inpatients. Methods: Among elderly inpatients aged over 65 admitted to hospital (from November 1, 2016 to July 31, 2017), the data for 5,780 patients (who were evaluated using the Morse Fall Scale and the Geriatric Screening for Care-10) were analyzed using x2-tests and t-tests to examine differences between the GSC-10 and MFS, according to general characteristics of elderly inpatients (i.e., gender) using IBM SPSS Statistics 24. Results: : Scores for the GSC-10 were significantly higher in women than men for depression (p<.001), delirium (p=.048), functional decline (p<.001), incontinence (p<.001), and pain (p<.001). Statistically significant differences in all domains of the GSC-10 for elderly hospitalized patients were found for the classification of fall risk. Conclusion: The findings of this study, as supported by the GSC-10, indicate that the most common problems experienced by the elderly are related to the risk of falling. In order to reduce the incidence of falls in elderly inpatients, customized fall prevention based on the GSC-10 results is necessary.

Effects of Mindfulness Meditation Program on Sleep, Depression and Quality of Life in the Institutionalized Elderly Women (마음챙김명상 프로그램이 시설 여성노인의 수면, 우울 및 삶의 질에 미치는 효과)

  • Kim, Kyoung-Nam;Son, Hye-Gyeong;Park, Hyun-Joo
    • The Korean Journal of Health Service Management
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    • v.8 no.3
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    • pp.157-168
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    • 2014
  • The purpose of this study was to examine the effects of the Mindfulness Meditation program on sleep, depression and quality of life in the institutionalized elderly women. The study was a nonequivalent control group pretest-posttest design. The data was collected from March 7 to April 25 of 2014. Participants in the study were 56 elderly women, 30 institutionalized elderly for the experimental group and 26 institutionalized elderly for the control group. The experimental group received the Mindfulness Meditation program for 90 minutes/session/week for 8 weeks. Data were analyzed using x2-test and t-test for subject homogeneity verification, and paired t-test to examine the hypotheses. Mindfulness Meditation program experimental group showed significant differences in sleep score(t=-4.406, p=<.001), quality of life score(t=-8.799, p=<.001). However no significant differences were found between 2 groups for the scores on depression. According to the results the Mindfulness Meditation program was useful for improving on sleep and quality of life in the institutionalized elderly women.

Effects of Muscle Fatigue through Maximum Contraction during Flexion and Extension of Knee Before and After Isometric Trunk Exercise on Elderly Hansen's Disease (한센노인의 체간운동이 슬관절 굽힘·폄 동작의 최대수축 시 근피로도에 미치는 영향)

  • Jung, Soon-Mi
    • Korean Journal of Applied Biomechanics
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    • v.21 no.1
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    • pp.115-121
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    • 2011
  • This study was to investigate the change of muscle fatigue through maximum contraction during flexion and extension of knee joint before and after the isometric trunk exercise was implemented on elderly Hansen's disease. 18 subjects exercised for 60 minutes twice a week for 12 weeks. The subjects were divided into normal sensory group, group with sensory loss in left sole, group with sensory loss in right sole, and group with sensory loss in both soles, according to the sensory condition on their soles. We obtained following results. Muscle fatigue in normal sensory group, there were significant differences in left right hamstring, left rectus femoris(p<.05), in group with sensory loss in left sole, there were significant differences in left right hamstring(p<.05), in group with sensory loss in right sole, there were significant differences in left right hamstring, right rectus femoris and group with sensory loss in both sole, there were significant differences in right hamstring(p<.05). The differences of muscle fatigue according to the sensory condition on their soles, there were significant differences in left hamstring between normal sensory group and group with sensory loss in both sole(p<.05).

Elderly Sleep Pattern and Disturbing Factors Before and After Hospitalization (노인환자의 입원 전ㆍ후 수면양상과 수면장애요인에 관한 연구)

  • 김미영;조성희;이상미;정수정;박경숙
    • Journal of Korean Academy of Nursing
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    • v.29 no.1
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    • pp.61-71
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    • 1999
  • Sleep is a necessity for survival. Disruption of sleep leads to numerous adverse physiological and psychological consequences. These could be particularly undesirable for older patients, who are subject to many additional factors. But there is limited research related to hospitalized elderly in Korea. The purpose of the study is to explore sleep patterns and disturbing factors of before and after hospitalization, in order to present basic information regarding elderly sleep to develop nursing intervention. The sample consisted of 32 elderly men and women between the ages of n and 87 years. Data collection was done from September to November 1997. Measures of sleep patterns and related factors were obtained from self-reported sleep questionnaires. Analysis of data was done by use of t-test, paired t-test, ANOVA, and Pearson Correlation Coefficient. The results of this study were summarized as follows : 1. In comparision between before and after admission of their sleep pattern, “sleep onset” tends to be delayed and nocturnal sleep time was significantly reduced. So, hospitalized elderly reported less total sleep time than before admission. 2. Regarding the sleep disturbing factors, medication(hypnotics ; 37.5%), physiological factor (snoring ; 59.4%) environmental factor (pillow ; 78.1%), emotional factor(anxiety related to disease ; 37.5%), and illness factor(fatigue ; 34.7%) were reported. 3. Significant differences in gender were found. Men had more disturbances in sleep than women owing to difficulty in falling a sleep and lack of nocturnal sleep. Women consumed more sleep inducing drugs. Significant increase was reported in napping during the day with increasing age. 4. Significant differences between good sleepers and poor sleepers were found for the following variables : nocturnal sleep time, total sleep time, bed time, sleep onset latency time, sleep latency time after nocturnal awakening, time spent in bed upon arousal, environmental factors, and emotional factors. In conclusion, it was found that the quantity and quality of sleep were significantly altered in hospitalized elderly, but adequate strategies for better sleep were not practiced. Further research is needed to develop Intervention strategies to promote sleep and to prevent sleep problems.

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Laparoscopy-Assisted Distal Gastrectomy for Early Gastric Cancer in the Elderly

  • Kim, Eun Ji;Seo, Kyung Won;Yoon, Ki Young
    • Journal of Gastric Cancer
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    • v.12 no.4
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    • pp.232-236
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    • 2012
  • Purpose: With an increase in life expectancy, more elderly patients are presenting with gastric cancer. As a result it is yet be resolved whether laparoscopy assisted distal gastrectomy is a suitable treatment for elderly patients with early gastric cancer. This study retrospectively compared surgical outcomes of laparoscopy assisted distal gastrectomy between elderly and nonelderly patients with gastric cancer. Materials and Methods: The study group was comprised of 316 patients who underwent laparoscopy assisted distal gastrectomy between April 2005 and December 2010. Of these patients, 93 patients whose ages were 65 years or more were compared with 223 patients who were younger. Results: There were no differences in the short term outcome or minor complication rate between the elderly patients and the nonelderly patients. The hospital stay was significantly longer and the major complication rate was significantly higher for the elderly patients compared with nonelderly patients. Conclusions: Laparoscopy assisted distal gastrectomy for early gastric cancer in the elderly patients had comparable operation time and blood loss with the nonelderly group. However, the safety and advantage of laparoscopy assisted distal gastrectomy in the elderly patients need to be further studied in higher volume trials.

Nursing Homes of the Elderly in Asia: A comparison of Korea and Japan

  • Jung, Myung-Hee
    • The Journal of Industrial Distribution & Business
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    • v.9 no.10
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    • pp.15-19
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    • 2018
  • Purpose - The purpose of this paper was to examine the views of nursing homes for the elderly in Korea and Japan. Research design, data, and Methodology - This study aims to review the past researches on the social welfare and nursing homes for the elderly in Korea and Japan. A comprehensive view is offered with comparisons on the differences between the two countries regarding the dramatic increase of the elderly population. Results - It could be seen that with the significant increase of the elderly populations, it is getting more difficult for families to take care of their elders. Thus, nursing homes offer an alternative to busy family members in the current times. Improvements are much needed in the nursing homes for the health of the elderly. Conclusions - In order to offer better quality of life for the elderly in the nursing homes, more measures need to be taken to engage the elderly into activities. The depression that can be experienced when the elderly move to the nursing homes might be alleviated with new social circles and activities in the nursing homes, as well as human interactions with the staff.

Clinicopathologic Characteristics and the Prognosis of Gastric Cancer Patients at Both Extremes of Age (양극 연령층 위암 환자의 임상병리학적 특성 및 예후)

  • Song, Rack-Jong;Kim, Sun-Pil;Min, Young-Don
    • Journal of Gastric Cancer
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    • v.7 no.2
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    • pp.67-73
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    • 2007
  • Purpose: There have been several comparative studies that have focused on elderly groups of patients with gastric cancer. However, new criteria are needed for this elderly group because of the longer life span of Korean people. The diagnosis of gastric cancer has sometimes been missed in the young age group. The perioperative risk is high in the elderly age group because of their combined diseases. This study was designed to determine the differences of the clinicopathologic features and the prognosis between young and elderly patients with gastric cancer. Materials and Methods: Eighty patients were divided in two groups and these patients were selected for making comparison between young and elderly groups of patients with gastric cancer. The young age group consisted of 31 patients who were aged 35 years old or less. The elderly age group was made up of 49 patients who were aged 75 years old or above. Results: For the clinicopathologic features, the young age group was characterized by a high incidence of the poorly differentiated type of adenocarcinoma and the diffuse type too, according to the Lauren classification. On the other hand, the elderly group was characterized by a high incidence of poorly to moderate differentiated adenocarcinoma and also the intestinal type according to the Lauren classification. The other clinical differences were unremarkable. Additionally, there was no survival advantage in the young age group compared to the elderly group. Conclusion: There were no clinicopathologic and prognostic differences between both extreme age groups. So, active surgical treatment is recommended even for the elderly patients group.

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Differences of Characteristics of Life and Psycho-social Factors in Elderly Women Participating in Leisure Activity (여성노인의 여가활동 참여유형에 따른 생활특성 및 사회심리적 요인의 차이)

  • CHUN, Kyung-Hee;PARK, Euna
    • Journal of Fisheries and Marine Sciences Education
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    • v.28 no.2
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    • pp.428-438
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    • 2016
  • The purpose of this study was to identify the differences of characteristics of life and psycho-social factors between elderly women participating in a senior's college(SC) and an exercise prescription(EP) service from social services. Data were collected using in-depth interview and questionnaire from 39 in a SC and 76 EP. SC group were associated with higher level of cognitive function and life satisfaction than EP group. These findings suggest that differentiated programs and multidisciplinary convergence services to improve mental and physical health of elderly women.

Consumption Patterns of the Elderly Couple and Elderly Single (노인부부가계와 노인독신가계의 소비패턴 비교)

  • 여윤경
    • Journal of Families and Better Life
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    • v.21 no.5
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    • pp.1-12
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    • 2003
  • Determinants of consumption patterns of elderly couple and elderly single were investigated using the 1996 National Survey of Family Income and Expenditure by National Statistical Office. There were large differences in consumption patterns between the elderly couple and single in terms of monthly expenditures and average budget shares of individual consumption items. Consumption functions of individual items were estimated using double-log function. Major determinants of consumption functions were income, overspending behavior, educational level of householder, and net worth for both groups, householder's job status and city residence mainly for elderly couple, and age of householder mainly for elderly single. In addition, income elasticity of elderly households was larger than net worth elasticity for all consumption items.

Drug Consumption and Nutritional Status of the Elderly in Chung-buk Area -III. Psychological Effect on Drug Consumption and Nutritional Status- (충북지역 노인들의 약물복용 및 영양상태 -III. 심리적요인이 약물복용 및 영양상태에 미치는영향 -)

  • 박동연;한경희;김기남
    • Korean Journal of Community Nutrition
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    • v.3 no.2
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    • pp.245-260
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    • 1998
  • The influences of depression and health anxieth on the elderly's drug use and nutritional status were evaluated by interviews with questionaire from August to October in 1996. One hundred and thirty-one male and 231 female elderly in Chung-buk area were the sample for this study. Men's depression score was 22.3 and 25.2 for women, respectively out of 27. Women showed a significantly higher score for depression and health anxiety than men. Gender, age, marital status, number of family, education, income, medical insurance, and mobility and region significantly affected the health anxiety score. The higher depression score the elderly had, the more frequently they took drugs. Conversely. the higher depression score the elderly had, the less frequently they took nutritional supplements. For women, the higher depression score the elderly had, the more they smoked. More depressed elderly showed a significantly smaller BMI compared to the less depressed ones. A negative correlationship existed between the depression score and the elderly's nutrient intakes, especially energy intake which showed a significant negative correlation. There were no significant differences between health anxiety score and nutrient intakes of men. Women who had a higher health anxiety score consumed more energy significantly. The depression score did not affect the elderly's blood biochemical indices. Women who had a low health anxiety score showed a significantly higher HDL-C level.

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