• Journal of Families and Better Life
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• v.23 no.4 s.76
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• pp.67-77
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• 2005

The purpose of this study was to identify housing attributes that make residents feel 'at home' in ALFs in Southwest Virginia. For this purpose, residents' needs, experiences, and opinions of the physical environment, the social environment and the organizational environments such as policies and programs of ALFs were identified. As a multi-case study, five ALFs in Southwest Virginia were studied using constant comparative methods of data analysis. In addition to face-to-face interviews with 25 residents and 5 administrators of five ALFs, observations were conducted with personal journal. Each facility was designed to be a single-family house or multi-family dwelling in outside appearance. Most of the respondents were satisfied with their current dwelling as a 'home' in terms of homelike attributes such as 'autonomy/ privacy', personalization,' safety and security,' services and care,' independence,' social interaction/friendship,' family support,' and 'rules and regulations.' In spite of high satisfaction with the facility, however, many people did not think of their current dwelling as a real 'home'. As the biggest difference between living in their own homes and living in the ALF, people feinted out a lack of independence and social interaction. Residents of ALFs may have reordered their priorities in their current life situation so that safety, security, and caie were more important to them than fooling "at home."

• Journal of Korean Academy of Nursing
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• v.45 no.3
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• pp.459-468
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• 2015

Purpose: The purpose of this study was to investigate the effects of Wheel of Wellness counseling on wellness lifestyle, depression, and health-related quality of life in community dwelling elderly people. Methods: A parallel, randomized controlled, open label, trial was conducted. Ninety-three elderly people in a senior welfare center were randomly assigned to two groups: 1) A Wheel of Wellness counseling intervention group (n=49) and 2) a no-treatment control group (n=44). Wheel of Wellness counseling consisted of structured, individual counseling based on the Wheel of Wellness model and provided once a week for four weeks. Wellness lifestyle, depression, and health-related quality of life were assessed pre-and post-test in both groups. Results: Data from 89 participants were analyzed. For participants in the experimental group, there was a significant improvement on all of the wellness-lifestyle subtasks except realistic beliefs. Perceived wellness and depression significantly improved after the in the experimental group (n=43) compared to the control group (n=46) from pre- to post-test in the areas of sense of control (p =.033), nutrition (p =.017), exercise (p =.039), self-care (p <.001), stress management (p =.017), work (p =.011), perceived wellness (p =.019), and depression (p =.031). One participant in the intervention group discontinued the intervention due to hospitalization and three in the control group discontinued the sessions. Conclusions: Wheel of Wellness counseling was beneficial in enhancing wellness for the community-dwelling elderly people. Research into long-term effects of the intervention and health outcomes is recommended.

• Journal of the Korean Institute of Rural Architecture
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• v.14 no.2
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• pp.43-50
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• 2012

According to the aging acceleration phenomenon of the population, Korean society is progressing toward the insecurity society on the 'blessing' or 'disaster'. The purpose of this paper is to establish direction of planning about the dwelling form of collective housing for the senior citizen who lives alone in rural and fishing villages. This focus of study is closely related to the health of the elderly and dwelling form preference. The results of research are as follows. First, the dwelling type of collective housing should be developed for elderly living alone, that must be secured by community life and private life at the same time. Second, it should be supported by such a level of application with Universal Design and Barrier Free Design. Third, collective housing served to the design that the elderly care, as one of the domiciliary care is value in having fact to psychological, physical intention. Fourth, it should be developed visit care or call care for welfare system service and community service manpower on the various types.

• Proceeding of Spring/Autumn Annual Conference of KHA
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• 2006.11a
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• pp.81-85
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• 2006

The current environmental issue is how a dwelling adapts into a given climate in which the design is applied by ecology without damaging the natural environment. In another word, the main issue in the twenty first century will be how we meet the human needs to dwellings applied by the residential environment. Therefore, we have to provide a hospitable place for residents' mental and physical health through "Green Design," emerging as the critical design of urban collective dwellings. Based on these conceptions, the purpose of this study is to suggest the way of designing the urban collective dwelling applied by ecology, proffering wealthy life style to residents with the preservation of natural environment as applying an ecological concept into the design of collective dwellings that represent a contemporary housing type for urban residents. In order to design the urban collective dwelling applied by ecology, this study introduces the outdoor design in friendly surroundings, the collective construct of a delightful housing, and the organic connection between inside and outside rooms.

• Journal of the Korean Institute of Rural Architecture
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• v.10 no.1
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• pp.35-42
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• 2008

It is rare that the dwelling buildings designated as cultural assets owing to the demands of the rapid-changing times and their residences are conserved as their original shapes, though the extent varies. Meanwhile, there has been a continuous effort to preserve and take over our traditional dwelling culture. Yet, the effects were not tangible because the viewpoints are different between the conservation promoters and related residents-officials-experts and because the conservation method is not decided in advance. Thus, in conserving the traditional dwelling culture containing the history of human life, this study tries to find out the reasonable ways for conserving traditional residence based on the consciousness research of citizens on conserving and utilizing the cultural assets. Furthermore this study also tries to suggest to contemporaries - who should live side by side with the historic cultural assets - what attitude they should have. On the basis of above survey, the objective of this study is said to consist in presenting the directions - what efforts are needed - for the more active and participant conservation.

• The Journal of Korean Academic Society of Nursing Education
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• v.19 no.3
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• pp.330-340
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• 2013

Purpose: This study was performed to identify the level of Korean elderly's knowledge regarding concepts of end-of-life (EOL), Life-sustaining-treatment (LST), and advance directives (AD) which are critical aspects for establishing AD in Korean society. Methods: A questionnaire survey was done between October 2011 and February 2012. Knowledge of AD was evaluated with 3 aspects including EOL, LST, and AD utilizing a questionnaire that was developed by authors for the study. Data were collected from 268 community dwelling elderly from three cities and analyzed using descriptive statistics, t-tests, one-way analysis of variance, and a Scheffe post hoc test with SAS Ver. 9.1 program. Results: Overall, Korean elderly were poorly acquainted with AD related concepts. Significant differences in awareness of AD including understanding of EOL, the level of comprehension of LST, and knowledge about AD were revealed by gender, education level, economic state, and acquaintance with terms of AD or LST. Conclusion: To acknowledge autonomy and support quality of life for elderly and to meet the purpose of AD, attention should be given to target populations including elderly in terms of knowledge level related to AD, social marketing, and infra structure relevant to practice AD in our society.

• Journal of Korean Public Health Nursing
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• v.24 no.1
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• pp.49-60
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• 2010

Purpose: This study investigated the quality of life, mental health and subjective health status of community dwelling cancer patients. Methods: Subjects were 212 out-patients with cancer at Kangwon University Hospital. The study was conducted from July 10 to August 14, 2008. Quality of life as determined by the Euro Quality of life-5 Dimensions (EQ-5D) was measured using Korea Centers for Disease Control and Prevention(KCDC). Mental health and subjective health status were measured using KCDC. Results: EQ-5D determined degrees of difficulty were 25.5%(mobility), 25.2%(anxiety or depression), 23.6%(pain or discomfort), 20.3%(activities of daily living), and 13.7%(self care). An analysis of the association between several factors and mental health showed that the statistically significant factors were age, gender, medical coverage, and private insurance. An analysis of the association between several factors and subjective health status showed that the statistically significant factor was occupation. Conclusion: Cancer patients suffer from significant psychological distress. Programs that address mental and physical health would be beneficial.

• Journal of Korean Academy of Rural Health Nursing
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• v.10 no.1
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• pp.17-29
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• 2015

Purpose: This study was done to examine factors affecting quality of life among community-dwelling elderly women who live in rural areas. Methods: The design of this research was cross-sectional descriptive study. The participants were 92 community-dwelling women aged 65 or older. Data were collected from November 1 to 15, 2013. ADL (Kart's Index), GDS-SF (Geriatric Depression Scale Short Form) and GQOL (Geriatric Quality of Life Scale) were used to measure variables. Data were collected using self-administered questionnaires and analyzed using descriptive statistics, Spearman's coefficient and stepwise multiple regression. Results: The participants' mean age was 77.5, and 85.9% had elementary school graduation or less education, and for 64.1%, their economic status was low. Spearman's rho coefficient analysis found that QOL was significantly associated with depression (r=-.72, p<.001), perceived health (r=.58, p<.001), regular exercise (r=.47, p<.001), education level (r=.29, p=.005), and ADL (r=-.21, p=.043). Multiple regression analysis showed that 65.9% of their QOL was explained by depression (${\beta}=-.72$), perceived health (${\beta}=.24$), ADL (${\beta}=-.16$), exercise (${\beta}=.22$) and number of diseases (${\beta}=.19$). Conclusion: These results indicate that older women who live rural areas need support for ADL, and prevention of depression to improve their quality of life.

• The Journal of the Convergence on Culture Technology
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• v.4 no.2
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• pp.1-7
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• 2018

As the living environment is regarded as a key factor that affects the quality of life of the elderly, the necessity for an accurate measurement of depression for the elderly has increased. In order to diagnose accurately, it is crucial to consider variables such as the cognitive characteristics and living conditions. In this study, 301 persons over 65 years old who live in single and couple elderly households over 65 years were surveyed from 1 January 2018 to 2 February to measure the dwelling depression by applying projective images. The correlations between the dwelling depression and projective images are clarified and the reliability of the questionnaire was evaluated. The correlations between the geriatric dwelling depression index(GDDI) and the GDDI based on projective images(GDDI-I) are clarified. The accuracy of the GDDI-I is analyzed. As a result the projective image questionnaire has a correlation with the existing self-report questionnaire. It is hoped that the results will provide a basis for further researches on psychological diagnoses using the projective method.

• Journal of Korean Academy of Fundamentals of Nursing
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• v.14 no.3
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• pp.371-381
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• 2007

Purpose: This study was done to investigate the relationship of family function, self-esteem, life satisfaction, and general characteristics to loneliness in community dwelling Korean elders and identify factors affecting loneliness. Method: With a cross-sectional causal-relationship design and a convenience sample, 205 elders residing in three districts of the city of Seoul, S. Korea were recruited. Participants were assessed using the Family APGAR Score, Self-Esteem Scale, Life-Satisfaction Scale, and Revised UCLA Loneliness Scale. Results: The mean score for degree of loneliness (Mean=39.61, SD=10.09) was just below the mean for the scale (Possible range 20-80). Loneliness had significant negative correlations with family function (r= -.400, p<.001), self-esteem (r= -.399, p<.001), and life satisfaction (r= -.644, p<.001). Other general characteristics that had significant or nearly significant relationships with loneliness were perceived current financial and health status, whether doing any exercise or physical activities, degree of close relationship with family members, and length of living in current residence. Among variables, life satisfaction (Standardized ${\beta}\;=\;-.589$, p<.001) and length of living in current residence (Standardized ${\beta}\;=\;-.136$, p<.05) significantly predicted degree of loneliness. Conclusion: Findings of this study allow a comprehensive understanding of loneliness and related factors among community dwelling elders in Korea. However, further studies with a larger random sample from various living environments are necessary.