• 제목/요약/키워드: Elderly Counseling

검색결과 166건 처리시간 0.021초

노년기 우울과 죽음불안 감소를 위한 생애회고적 이야기치료 집단프로그램의 효과 (Effects of the Life Review-Narrative Group Therapy Program on Decreasing Depression and Death Anxiety in the Elderly)

  • 여인숙;김춘경
    • 가정과삶의질연구
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    • 제24권5호
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    • pp.113-128
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    • 2006
  • This study was to verify the effectiveness of the Life Review-Narrative group therapy program on decreasing depression and death anxiety in the elderly. The program was organized according to a course of life from childhood to old age. The objectives were for the elderly to enhance self-worth, to become aware of their solitary existence, to accept aging and death, to accept the life: both past and present, and to make the most of experiences in overcoming difficulties. For the most part, the program used reminiscence and re-authoring of the narrative therapy as counseling techniques. Thirty-two elderly people(16 in the experimental group, 16 in the control group) aged 60 years and over were randomly selected from patients at the Daegu Metropolitan City General Welfare Center. Two groups were identified as equivalents for the study in the pre-test. The program for the experimental group was implemented twice a week for 90 minutes per session over a 6-week period(Sep. 8-Oct.14. 2005). The pre-test(Sep. 8 2005), the post-test(Oct. 14. 2005) and the follow-up test(Nov. 14. 2005) were implemented in order to verify the effectiveness of the programs. The instruments used in the study were the Geriatric Depression Scale Short Form(Korean Version) and the Death Anxiety Scale. The data were analyzed using t-testing and One-Factor Repeated Measures ANOVA. This study supplemented other qualitative research methods in order to verify the variation in the depression and death anxiety in the elderly. The findings of the study were as follows: Significant decrease in the depression and death anxiety were reported in the experimental group. The control group however did not show any significant changes in the depression and death anxiety rates. The result of the post hoc multiple comparisons showed that the effects of the life review-narrative group therapy program has lasted effects on decreasing of the death anxiety. Nevertheless, the effects of the life review-narrative group therapy program on decreasing depression are not lasting. The study has limitations so further research is suggested.

생애회고적 이야기치료 집단프로그램이 노인의 자아통합감 증진에 미치는 효과 (Effects of Life Review-Narrative Group Therapy Program to Increase Ego-Integrity in the Elderly)

  • 여인숙;김춘경
    • 대한가정학회지
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    • 제44권5호
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    • pp.157-169
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    • 2006
  • The purpose of this study was to verify the effectiveness of a life review-narrative group therapy program aimed at increasing ego-integrity in the elderly. The life review-narrative group therapy program was organized according to the tfe course from childhood to old age. The objectives of the program were for the elderly to enhance their self-worth, become aware of their individual self existence, accept aging and death, accept the past and present life, and to make the most of their experiences of overcoming difficulties. The counseling techniques used in the program were mainly reminiscence and re-authoring of the narrative therapy. Thirty-two elderly people aged 60 years and over (16 in each of experimental and control groups) were selected randomly from the Daegu Metropolitan City General Welfare Center for the research. The two groups were identified as equivalent for the study in a pre-test. The program of the experimental group was implemented twice a week for 90 minutes per session over a 6-week period (Sep. 8th - Oct. 14th. 2005). The pre (Sep. 8th 2005), the post (Oct. 14th. 2005) and follow-up (Nov. 14th. 2005) tests were implemented in ordo, to verify the effectiveness of the program. The instruments used in the study were the Ego-Integrity Scale. The data were analyzed using t-test, and Ore-Factor Repeated Measures ANOVA. The findings of the study were as follows. The experimental group evidenced significant effects on enhancing ego-integrity. The result of the post hoc multiple comparisons showed that the effects of the life review-narrative group therapy Program were maintained for one months. Meanwhile the control group did not show any significant change in ego-integrity. Based on these findings, the limitations of the study were discussed, and further research was suggested.

비노인군과 노인군 고혈압 환자의 고혈압 관리 (Hypertension Management of Non-Elderly and Elderly)

  • 김진학;정은숙;심문숙
    • 한국보건간호학회지
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    • 제31권2호
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    • pp.284-295
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    • 2017
  • Purpose: This study was conducted to compare the hypertension management between a non-elderly group and elderly group of hypertension patients in Community residents. The study also sought to generate strategies for increasing the hypertension management of residents using Community health center. Methods: Data on the general characteristics and hypertension management from 381 hypertension patients between non-elderly and elderly, living in P city, Gyeonggi Province and C city, Chungnam Province. South Korea, were collected based on a structured questionnaire, The data were analyzed using the SPSS 20.0 statistics program. Results: The use of a Community health center in the non-elderly and elderly groups showed a statistically significant difference in facility excellence and cheaper cost. Hypertension management was measured every day, The daily blood pressure and physician counseling was performed according to the changes in blood pressure. The management of hypertension medication in a community health center provided for hypertensive patients can be evaluated as an efficient service. Conclusion: The self-management ability of hypertension needs to be improved. In particular, especially, the elderly managed by the Community health center have good accessibility and a good alternative for the treatment cost. Therefore, it is necessary to provide support and measures to make hypertension management safer.

노인들의 건강식품 관련 문제 경험에 대한 대응 행동에 관한 연구 (A Study on the Reaction towards Damage Related to Health Foods among the Elderly)

  • 김효정;김미라
    • 동아시아식생활학회지
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    • 제18권4호
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    • pp.608-617
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    • 2008
  • This study examined the level of reaction towards damage related to health foods and the factors affecting this reaction among the elderly. Data were collected from 269 elderly individuals living in Seoul, Daejeon, Daegu, Gwangju and Busan. Frequencies, chi-square tests, and a multinomial logistic regression analysis were performed using the SPSS v. 14.0 program. When asked about their reaction towards damage related to health foods, approximately 48% of the respondents answered 'no response', 34% answered 'private response', and 18% answered 'public response'. Multinomial logistic regression analysis revealed that education level and awareness of health food price were significant factors influencing 'private response', and concerns about health foods and awareness of damage redemption were significant factors for 'public response'. These results imply that consumer education for elderly to prevent damage derived from the purchase and consumption of health foods is required.

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일 지역 독거 노인의 간호요구에 영향을 미치는 요인 (Factors Influencing Health Care Needs of Solitude Elderly)

  • 이명숙
    • 대한간호학회지
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    • 제33권6호
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    • pp.812-819
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    • 2003
  • Purpose: This study was to identify factors that influence the health care needs of that over 65 years of age in Mokpo, Korea. Method: The data was collected from June 2002 to September 2002. The subjects were 120 homebound solitude elderly(age=76.8). Subjects were interviewed with structured questionnaire in order to identify the health care needs, health variables (perceived health status, risk of malnutrition, K-IADL), psychological variables(self-esteem, depression) and demographic variables. physiological health variables (height, weight, blood pressure, pulse, blood sugar)were assessed after the interview. Result: In general perceived health status was poor, risk of malnutrition was high, number of disease was 3 disease, self-esteem was low but depression was high and health care needs were relatively high. Among the elderly education & counseling needs topped the list. In regression analysis, health care needs were significantly influenced by IADL(23%), duration of solitudes(4%), sex(3%), and education(l%). These variables explained 31% of the variances in health care needs. Conclusion: The result identified that health care needs should be a considered in IADL, female, duration of solitudes and education for the solitude elderly.

Trends and Challenges of Using Welfare Technology in Elderly Care

  • Lee, Jin Ah
    • International Journal of Contents
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    • 제14권2호
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    • pp.30-34
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    • 2018
  • There are several problems facing our society today that are caused by demographic changes, such as an increase in the ageing population. The rapid increase in the aging population leads to increases in medical costs and a higher demand for care services for the elderly. The needs and burdens associated with elderly care are growing, but the human resources and costs to meet these needs are limited. Welfare technology has been suggested as an effective way to solve the discrepancy between higher welfare needs and limited resources. This study aims to explore the current trends and challenges of using welfare technology related to elderly care through literature review. Practical ways to expand uses of welfare technology are also provided. In order to make effective and practical use of welfare technology, public awareness and education, the cooperation of related organizations, the expansion and utilization of Living Labs, and the development and adoption of welfare technology are required.

부산지역 실버서비스 및 관련 인력수요에 대한 요구도 (Silver Services Demand and Manpower Supply of the Aging Society in Busan)

  • 김정순;정인숙;김명수
    • 한국보건간호학회지
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    • 제21권2호
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    • pp.182-192
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    • 2007
  • Purpose: The objectives of this study were to define basic data for developing silver services related to goods, medical care, finance, leisure and residence. Method: In this cross-sectional study, the subjects were 792 pre-elderly and 382 elderly. The data were collected 2005 by using a structured questionnaire from Aug. 19 to Sep. 5. Data were analyzed using descriptive statistics on the SPSS version 12.0 for windows. Result: The pre-elderly had the intention to use massage chair(36.6%), homecare service(29.8%), national pension(35.9%), sports(48.5%) and personal house(59.5%) in the ares of silver goods, medical care, finance, leisure and residence, respectively. The elderly wanted sphygmomanometer(38.7%), homecare service(27.7%), pocket money from their offspring (40.5%), sports(33.5%), and personal house(74.8%). They wanted manpower in the area of reforming of living place, leisure time and education, counseling of silver goods, and management of finance. Conclusion: Based on this study findings, the pre-elderly are thoroughly established for their future than the elderly. It is important to upgrade the silver services and to prepare the manpower for the pre-elderly and the elderly in the future of the aging society.

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노인재혼에 대한 대학생의 주관성 탐구: Q방법론적 접근 (A Q-methodological Study of Students' Attitudes toward Remarriage by the Elderly)

  • 이영숙;박경란
    • 한국생활과학회지
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    • 제21권5호
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    • pp.849-862
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    • 2012
  • The purpose of this study is to classify the characteristic and conduct a typological analysis of college students' attitudes toward remarriage by the elderly, employing Q-methodology. The results are as follows: College students strongly supported the opinion that remarriage relieves the elderly of loneliness, and that familial support is crucial for the remarriage to happen. They also rejected of the idea that the elderly would feel ashamed to remarry. Students' attitudes towards the elderly's remarriage fell into three classifications: the progressively accepting type, the realistically accepting type, and the conservatively accepting type. Type 1, "progressively accepting type" enthusiastically accepts and supports the elderly's remarriage as a progressive and emotive relationship. The "realistically accepting type" holds the opinion that remarriage in later life is based on overcoming loneliness or satisfying attachment need rather than love. This typology believes that the elderly would not be equal as spouses, and would not be overly distressed by public perception. The type 3, "conservatively accepting type" believes that remarriage would be likely to strain the elderly's relationship with other family members, that it will not be the beginning of a new independent life, but are generally accepting of the idea of remarriage in later life.

도시 저소득층 만성질환노인을 위한 보건소 방문간호서비스의 경제성 분석 (Economic Evaluation of Visitng Nurse Services for the Low.;.income Elderly with Long-term Care Needs)

  • 이태화
    • 대한간호학회지
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    • 제34권1호
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    • pp.191-201
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    • 2004
  • Purpose: This study aimed to evaluate economic viability of public health center visiting nurse services for the low-income elderly with long-term care needs. Method: The sample consisted of 252 community dwelling elderly who enrolled in public health center visiting nurse services for three months or more. Data was collected on physical (ADL and IADL) and cognitive impairments of the elderly, contents and frequency of visiting nurse services, cost per visit, and costs of alternative services for long-term care. Result: The mean score of ADL and IADL levels of the elderly was 2.80.4904, which indicated these patients were mostly independent. Eighty four percent of the elderly subjects were cognitively intact. Among visiting nurse services supplied, providing assessment was 34%, followed by education and counseling 26%, medication 22%, and referral. The mean cost per visit was 17,824.1 won, which transformed into a total cost per person per year of 161,130.2 won. Comparing the cost of a visiting nurse service with those of other long-term care alternatives, the visiting nurse service was the least costly alternative, followed by an outpatient clinic, hospital based home care, and nursing home. Conclusion: Overall, the results of the study provide evidence of the economic viability of visiting nurse services for the low-income elderly among long-term care alternatives.

노인의 스트레스와 우울 간의 관계에서 식습관의 매개 효과 분석 (Analysis of Mediating Effects of Eating Habits on the Relationship between Stress and Depression in the Elderly)

  • 탁상숙;이거룡
    • 한국자연치유학회지
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    • 제11권2호
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    • pp.93-99
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    • 2022
  • 배경: 노인의 식습관에 따른 스트레스와 우울 간의 상호관계를 이해하는 것은 필요하다. 목적: 노인을 대상으로 스트레스와 우울과의 관계에서 식습관의 매개 효과를 실증적으로 검증하는 것이다. 방법: 국내의 대도시 및 중소도시에 거주하는 만 60세 이상 남녀를 대상으로 Google On-line 설문지를 배포하였으며, 총 365명의 설문지를 회수하여 분석에 활용하였다. 결과: 첫째, 노인의 스트레스는 우울에 정(+)적인 영향을 미치는 것으로 나타났다. 즉 노인의 스트레스가 상승하면 우울감 또한 상승하는 것으로 나타났다. 둘째, 노인의 식습관은 스트레스와 우울 간의 관계를 부분 매개하였다. 결론: 본 연구는 노인의 스트레스와 우울 간의 관계에서 식습관의 매개 효과를 실증적으로 검증하였으며, 우울을 감소시키는 방안으로 건강한 식습관의 필요성을 확인했다는 점에 의의가 있다. 따라서 상담 기관에서는 노인의 우울 정도를 상담할 때 매일 섭취하는 식습관을 점검할 필요가 있다. 또한, 식습관은 스트레스에 의해 영향을 받기 때문에 잘못된 식습관을 지닌 노인의 경우 개인의 스트레스 지수를 파악할 필요가 있다. 더 나아가 평소 올바른 식습관을 가질 수 있도록 기관과 지역사회에서 지속적인 영양교육을 할 필요가 있다.