• Title/Summary/Keyword: Differences between the elderly

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Age and Gender Differences in the Relation of Chronic Diseases to Activity of Daily Living (ADL) Disability for Elderly South Koreans: Based on Representative Data

  • Kim, Il-Ho
    • Journal of Preventive Medicine and Public Health
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    • v.44 no.1
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    • pp.32-40
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    • 2011
  • Objectives: This study investigated the gender and age differential effect of major chronic diseases on activity of daily living (ADL) disability. Methods: Surveyfreq and Surveylogistic regression analyses were employed on the 2005 Korean National Health and Nutrition Examination Survey (KNHANES) with a sample of 3,609 persons aged 65 - 89. Results: After adjusting for potential covariates, stroke, among elderly men more so than women, had a 2-3 times greater odds of engendering ADL disability in the 65-69 (p < 0.05) and 70-79 age groups (p < 0.01). In comparison to elderly women, cancer, diabetes, and incontinence in elderly men was associated with a higher risk of ADL disability in the 70 - 79 age group (p < 0.05), and this association was also observed for pulmonary disease in the 80-89 age group. Among elderly women, however, a significant association between incontinence and ADL disability was identified in all three age groups. In addition, this association was found in pulmonary disease and diabetes in elderly women aged 70 - 79 years. Significant gender differences were observed in the association between stroke in the 60 - 79 age group and cancer in the 70 - 79 age group. Conclusions: Age and gender differences were observed in the effect of chronic diseases on ADL disability.

Influencing of Psychological Well-Being for the Middle Aged Adults and Elderly (중년과 노인의 심리적 안녕감 영향요인)

  • Kim, Mi Jeong;Kim, Kwuy Bun
    • Journal of East-West Nursing Research
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    • v.19 no.2
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    • pp.150-158
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    • 2013
  • Purpose: To investigate the impact of psychological well-being on psycho-social in the elderly and middle aged Adults. Methods: A sample of the 209 elderly and 181 middle aged adults. Data analysis was done by pearson correlation coefficient and multiple regression. Results: First, there were significant differences between the groups in gender, religion, education, marital status, occupation and family coresidence in homogeneity tests. Second, psychological well-being, hope, self-esteem, depression and life satisfaction were significantly correlated each other in the both groups. Third, there were significant differences in psychological well-being, hope, self-esteem and depression between two groups. For middle aged adults self-esteem was influencing most in psychologic well-being while hope affected most for the elderly. Conclusion: Based on the results of the study, it is important to improve psychological well-being to prepare successful elderly life.

Generational Differences in Attitude and Voluntary Behavior toward the Elderly (세대간 노인에 대한 태도와 행동의 차이에 관한 연구)

  • Hong, Sung-Hee;Kwak, In-Suk
    • Journal of Family Resource Management and Policy Review
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    • v.14 no.2
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    • pp.177-199
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    • 2010
  • The purpose of this study was to examine generational differences between the youth and the middle-aged in attitude and voluntary behavior toward the elderly, to analyze the socio-demographic and psychological characteristics influencing attitude and behavior toward the elderly, and to find out whether the attitude of the youth and the middle-aged toward the elderly was the decisive factor in their behavior toward them. For this study, we surveyed 252 youth (between the ages of 20 and 30) and 314 middle-aged people (between the ages of 40 and 60). The major results were as follows: First, the psychological factor had a stronger influence on the positive attitude toward the elderly than did the socio-demographic factor. The psychological factor had an especially significant impact on the attitude of the middle-aged population. Second, youths' attitude toward the elderly influenced their behavior toward them; whereas, for the middle-aged, the socio-demographic characteristic was a decisive factor. Third, the youths' area of residence was an important factor in their attitude toward the elderly; the youth in the metropolitan area had a more negative attitude than did their counterpart. Therefore, it is necessary to develop programs to improve the negative attitude toward the elderly for the youth residing in the metropolitan area. The middle-aged need more easily accessible voluntary work programs by which a positive attitude toward the elderly leads to immediate action.

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Differences in Clinical Laboratory Data between the Elderly and the Young Adults (노인군과 청장년군 간의 정상 검사치의 비교 분석)

  • Lee, Kun-A;Lee, Keun-Mi;Jung, Seung-Pil;Bae, Seong-Wook
    • Journal of Yeungnam Medical Science
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    • v.14 no.2
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    • pp.430-442
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    • 1997
  • Due to the lowering of biological functions resulted from old age, the elderly is known to have many different clinical laboratory data compared with the young adults. But, in korea, such study is lacking. This research is to find the differences between the elderly and the young adults, and also to know the sexual differences, by comparing the outcomes of the clinical. laboratory data. Along with that, it is to help clinical usage of the data in the future. The age of the elderly was between 60 and 83(average age 63.8), and that of the young. controls was between 20 and 35. In both sexes, MCV, MCH, ESR, CRP, AST, ALT, ${\gamma}$GTP, ALP, BUN, total cholesterol were significantly higher in the elderly than in the controls. And lymphocyte count(%), total bilirubin, direct bilirubin, total protein, albumin, $T_3$ were significantly lower in the elderly than in the controls(P<0.05). Hemoglobin, Hct, platelet count, $T_4$ were significantly lower only in the male elderly, and eosinophil count(%), creatinine were significantly higher only in the female elderly(P<0.05). HDL cholesterol was significantly higher only in the male elderly(P<0.01). There were no significant difference between two groups regarding WBC count, segment neutrophil count(%), monocyte count(%), TSH. Many clinical laboratory data are different between the elderly and the young adults, and some clinical laboratory data also have sexual differences.

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A Comparison between Dependent and Independent Attitude Groups Regarding Elderly Lives and Living Arrangements

  • You Byung-Sun;Hong Hyung-Ock
    • International Journal of Human Ecology
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    • v.6 no.1
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    • pp.117-129
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    • 2005
  • The purpose of this research was to study opinions on elderly housing and attitudes toward the problems related to elderly lives, which were due to dependence or independence in later life. The survey was conducted among middle-aged people in their fifties, living in Seoul. The final sample included 498 respondents. Since the statistical analysis was focused only on independent and dependent groups, total cases for the analysis were 373. The results of this study were as follows. Firstly, the group that was more independent in later life tended to be healthier, lived with a husband or wife, had no children, and had more monthly income and assets. Secondly, the group that was more independent in later life believed that they had the sole responsibility of resolving later life issues. The group that was more dependent believed that their family, not themselves, must resolve their later life problems. The independent group wanted to continue their work or enjoy leisure. Thirdly, the group that was more independent about elderly housing stated that they were responsible for it, while the other group stated that their family was. There were no significant differences between the two groups in terms of general idea, and social interest. However, the independent group answered that more development and management of elderly housing were needed. The expected living arrangement in their later lives was similar. Also, there were no differences between the two groups in living with family or the demand for service from elderly housing.

Depressive Symptoms and Related Risk Factors in Old and Oldest-old Elderly People with Arthritis (관절염 노인의 연령별 우울정도와 위험요인)

  • An, Ji-Yeon;Tak, Young-Ran
    • Journal of Korean Academy of Nursing
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    • v.39 no.1
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    • pp.72-83
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    • 2009
  • Purpose: This study was to investigate the prevalence of depressive symptoms and risk factors in elderly people (old vs oldest-old) with arthritis. Methods: The Korean Longitudinal Study of Aging (KLoSA) was used with a sample of 1,084 elderly people with arthritis aged 65 or above. Results: We found that the prevalence of depressive symptom was greater for oldest-old people (66.7%) compared to old people (56%). Significant differences between old people and oldest-old people were found for education, living with spouse, number of generation, regular exercise, body mass index (BMI), ADL limitation, self-rated health, and depression. Significant differences existed between depression and non-depression in terms of all variables except region and BMI among old people. But, among the oldest people, ADL limitation and self-rated health showed differences. The Logistic regression analysis revealed that religion, medical comorbidity, ADL limitation, self-rated health were significantly associated with depressive symptoms in old people. But, in oldest-old people, none of the variables were associated with depressive symptoms. Conclusion: The findings show that there are age differences in depression and related factors in elderly people with arthritis. Longitudinal studies, which covered depressive symptom severity and which are controlled for a large number of potential confounders, will need to complement the results of this study in the future.

Outcome of Gastric Cancer Surgery in Elderly Patients

  • Kim, Min Sung;Kim, Sungsoo
    • Journal of Gastric Cancer
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    • v.16 no.4
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    • pp.254-259
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    • 2016
  • Purpose: Owing to increased life expectancy, the number of elderly patients with gastric cancer has increased. This study aimed to identify the outcomes of gastric cancer patients aged 80 years or older through comparison of their clinicopathological characteristics, surgical outcomes, and oncologic outcomes. Materials and Methods: Between January 2006 and December 2013, the records of 478 patients who underwent surgery for gastric cancer were retrospectively evaluated. Patients were divided into two groups: patients <80 years old (n=446) and patients ${\geq}80$ years old (n=32). Results: There were no significant differences in sex, body mass index, length of hospital stay, duration of surgery, depth of invasion, nodal metastasis, histologic type, or tumor size between the two groups. However, significant differences were found for the American Society of Anesthesiologist score and the serum albumin level between the two groups. Postoperative morbidity, mortality, disease-free survival, and recurrence rate did not differ between curatively resected patients in the two groups. Conclusions: In elderly patients with gastric cancer, active treatment including radical gastrectomy is necessary.

Comparative Study on the Sleep Patterns, Satisfaction of Sleep, and Sleep Enhancement Behaviors between Hospitalized and Non-hospitalized Elderly (입원노인과 재가노인의 수면양상, 수면만족도 및 수면증진행위 비교연구)

  • Kim, Kwuy-Bun;Yun, Jung-Sook;Sok, So-Hyune R.
    • Journal of Korean Academy of Nursing
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    • v.38 no.5
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    • pp.685-693
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    • 2008
  • Purpose: This study was to compare and analyze sleep patterns, satisfaction of sleep, and sleep enhancement behaviors between hospitalized and non-hospitalized elderly. Methods: Subjects were 201 older adults, who were hospitalized patients or living in U-city, Gyung-gi province. Data was collected from June 10 to August 25, 2007, and was analyzed by the SAS program. Results: 1) Non-hospitalized elderly had better sleep patterns than hospitalized elderly patients. 2) There was a strong positive correlation between sleep patterns and satisfaction of sleep in both groups. 3) In hospitalized elderly, there were significant differences in sleep patterns and satisfaction of sleep by month. 4) In non-hospitalized elderly, there was a significant difference in sleep patterns by presence or absence of spouses. There was a significant difference in satisfaction of sleep by those living with others. There were significant differences in sleep enhancement behaviors by age, religion, length of time, and sponsors. Conclusion: To relieve sleep disturbances of elderly, comprehension of sleep of the aged by nursing care givers should be obtained. Also, improving environments and elder's self-esteem with religious consideration and preparation of financial conditions are needed to promote the sleep of hospitalized and non-hospitalized elderly.

Correlation between Uncertainty and Quality of Life of the Elderly People (노인의 불확실성과 삶의 질과의 관계)

  • Kim, Hyun-Seung;Cho, Sung-Hyoun
    • Journal of The Korean Society of Integrative Medicine
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    • v.10 no.4
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    • pp.153-163
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    • 2022
  • Purpose : The purpose of this study was to investigate the differences between uncertainty of chronic diseases and quality of life with regard to elderly people. Methods : The participants of this study were 350 elderly people, aged over 65 years. The collected data were analyzed using the SPSS Window program and the general characteristics of the participants and sub-domains of quality of life were analyzed by several frequency analyses and descriptive statistics such as mean, standard deviation, skewness, and kurtosis. Further, the differences between the sub-domains of uncertainty and sub-domains of quality of life were analyzed through independent t-test and one-way ANOVA. In order to reach conclusive results, post-test was analyzed by the Scheffe test. In addition, Pearson's correlation analysis was performed to determine the correlation between the target categories. A significance level of 𝛼=.05 was used to verify statistical significance. Results : As a result of examining "uncertainty" with respect to general characteristics, such as older age, low educational background, and chronic diseases, it was observed that the more intense these factors became, the more the level of uncertainty increased. In addition, it was also noted that except "accompanying diseases" in social domain, the participants enjoyed a high level of quality of life. The correlation was noted between domains of complexity and sociality (p<.01), domains of inconsistency and sociality (p<.01), domains of complexity and living environment (p<.01), domains of inconsistency and living environment (p<.01), and total score of uncertainty and total quality of life (p<.01). Conclusion : In this study, differences were found between "uncertainty" and "quality of life" of elderly people; the correlation between the sub-domains based on general traits was found to be negative (-). This suggests that objective evidence can be presented for the prevention of diseases by using mental health programs for the elderly in future.

Body Mass Index (BMI)-Related Factors of Community-Dwelling Elders: Comparison between Early and Late Elderly People (우리나라 지역사회 재가노인의 체질량지수 관련 요인: 전기 및 후기 노인 비교)

  • Hyun, Hye Sun;Lee, In Sook
    • Research in Community and Public Health Nursing
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    • v.24 no.1
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    • pp.62-73
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    • 2013
  • Purpose: The purpose of the study is to identify differences in BMI between early and late elderly people, and factors having influence of them. Methods: This study is an analysis of secondary data that used the raw materials from the KNHANES from 2008 to 2010. The subjects involved in the final analysis were 4,772 elders aged 65 or higher. Descriptive statistics, $x^2$-test and F-test, and CSGLM from the complex sample design were used for the data analysis with SPSS/WIN 19.0. Results: Significant differences were observed in the socio-demographic characteristics, health behaviors and diet habits between early and late elderly people. Adjusted for gender, location of residence, and living alone, the factors that affected BMI of the early elderly people included current smoking status, number of disease, difficulty in chewing, and number of meals per day while those that affected BMI of the late elderly people were current smoking status, number of disease, self-rated health, and difficulty in chewing. Conclusion: The study concludes that we should consider age-specific traits for monitoring the weight status of the elderly and providing appropriate weight management programs for the elderly.