• Title/Summary/Keyword: Elderly Counseling

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Sexual Behavior and Awareness on STD in the Elderly (노인의 성행동과 성병인지도)

  • Park, Hyojung
    • Korean Journal of Adult Nursing
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    • v.25 no.1
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    • pp.83-94
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    • 2013
  • Purpose: The purpose of the study was to examine the sexual behavior and awareness of sexually transmitted diseases (STD) among the elderly. Methods: Subjects were 599 elderly living in a metropolitan area who completed a structured questionnaire. Data collection was from September 6, 2011 to January 17, 2012. The data were analyzed by using percentage and ${\chi}^2$-test. Results: Approximately 25% of the subjects reported a sexual life. Age, gender, education, family type, presence and health of spouse, health state of the subject, past occupation, dwelling pattern, and economic state made statistically significant difference in sexual behavior. Fifty five percent of the respondents reported no knowledge of STD. Factors such as age, gender, education, presence of spouse, and past occupation were statistically significant in terms of awareness of STD. Conclusion: Age, education, and presence of spouse should be factored in to understand the sexuality of the elderly as well as to develop sexuality counseling programs that provide adequate information for each individual.

The Situations and Its Challenge for Rural Elderly Welfare Program on Extension Education in North Dakota, USA (미국 노스다코타주 농촌지도사업에 있어서 노인복지 프로그램의 현황과 전망)

  • Park, Duk-Byeong
    • Journal of Agricultural Extension & Community Development
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    • v.10 no.2
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    • pp.153-166
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    • 2003
  • The objective of this study is to explore the situations and extension roles for rural elderly welfare program in North Dakota, USA. With a growing older population, aging has become an important issue for extension. Services for rural elderly available in North Dakota were adult day care, home health care, senior insurance counseling, nutrition and medication assistance programs, support groups, legal assistance, meals on wheels, nursing homes and more. With a growing older population, aging has become an important issue for extension. Extension provides programs and services for rural elderly. This study was conducted by literature review. First, many rural elderly Americans are actively engaged in volunteer work and have made substantial contributions to their communities. Second, extension educators from interdisciplinary areas should work together to develop programs. Extension programs can include intergenerational programs to help younger generations learn about the issue. Third, extension can collaborate with other agencies and groups to offer support groups. Offering educational programs is a key to empowering older people. Fourth, elderly residents may be the only increasing natural resource for volunteering in general, and for participation in community improvement in particular. Fifth, extension educators should be proactive in working with agencies to provide social access and in helping older people be actively engaged in their lives, especially in rural areas.

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Affecting Factors of Homebound Bedridden Elderly′s Depression (재가 와상 노인의 우울에 영향을 미치는 요인)

  • 김인자;김금순;서문자;조남옥
    • Journal of Korean Academy of Nursing
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    • v.32 no.5
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    • pp.665-672
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    • 2002
  • It was identified that how many homebound bedridden elderlies and their primary caregivers were depressed, and which factors affected the bedridden elderly's depression. Method: The subjects were 191 homebound bedridden elderlies and their primary caregivers. The affecting factors were classified into two categories : bedridden elderly and their primary caregiver related factors. Then bedridden elderly's factors were classified demographic and disease-related factors again. The stepwise regression was used to identify significant factors. Result: The prevalence of bedridden elderly's and caregiver's depression was 77.8% and 67.0%, respectively. And the model explained 33.3% of variance of bedridden elderly's depression. Cognitively-impaired female elderlies who had depressed caregivers were found to be more depressed. And caregivers who perceived burden were identified to be more depressed. Conclusion: It is recommended that the health professionals need to identify bedridden elderlies and caregivers at risk of depression. Especially elderlies who is in poor cognition, those who are female, and those whose caregivers were depressed might be considered carefully in all counseling or follow-up. Also the primary caregivers must be helped to access already available formal and informal support.

The Effect of the Elderly's Stress on Depression -Focused on Mediating Effect of Resilience and Moderating Effect of Social Activity- (노인의 스트레스가 우울에 미치는 영향 -자아탄력성의 매개효과와 사회활동의 조절효과를 중심으로-)

  • Jeon, Young Ja
    • Korean Journal of Human Ecology
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    • v.24 no.2
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    • pp.219-236
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    • 2015
  • The purpose of this study is to examine the effect of the elderly's stress on depression, and also to verify the mediating effect of the elderly's resilience and the moderating effect of their social activity between stress and depression. To achieve the purpose of this study, questionnaire survey was conducted. Research subjects of this study were 487 elderly people who were 60 years old and over in Gimhae area. Both the elderly participating in senior welfare center or community center and home care elderly people were included in survey. The study results are as follows: First, there were significant influence of the elderly's stress on depression. Second, the mediating effect of the elderly's resilience between stress and depression was verified. Both the direct effect of stress on depression and indirect effect of stress through resilience on depression were verified. Third, the moderating effect of the elderly's social activity between stress and depression was verified. It was found that the harmful effect of the elderly's stress on depression could be alleviated by participation in social activity. Through the study result, the elderly's resilience which is internal resource, is needed to be strengthened to alleviate depression derived from stress. Also, the elderly's active participation in social activity is needed to be encouraged to prevent the harmful effect of the elderly's stress on depression. Therefore, it is recommended that programs enhancing resilience of the elderly should be developed and the elderly should be supported to participate in social activity more actively.

Evaluation of the Elderly Care Program for Seniors in Rural Areas (농촌노인을 위한 노-노 돌봄 교육프로그램의 평가)

  • Chae, Hye-Sean;Yoon, Soon-Duck;Kang, Ju-Hee
    • The Korean Journal of Community Living Science
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    • v.19 no.2
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    • pp.223-234
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    • 2008
  • This study aimed to develop the elderly care program for seniors in rural areas and to evaluate its efficacy through pre- and post-tests. For them, this study carried out a total of 8 sessions that includes 4 aims, such as understanding rural elderly, volunteer activities, psychological help, and aids to daily living, on 36 persons over the age of 60 years in rural areas. The data was analyzed by paired t-test to 36 elderly. The results of the study are as follows. First, looking at changes in knowledge about aging, objective evaluation of knowledge showed significant differences (t=-2.22, p<.05), but evaluation of elderly's perception-change didn't show significant differences between before and after. Second, volunteer attitude didn't show significant differences between before and after, but after the training, 75% of them answered 'yes' to question that asked whether they'd like to participate in elderly's volunteer caring activity for other elderly within the town in the future, which gave us certain expectation that the attitude towards volunteer activities might change positively in the future. Third, objective evaluation of knowledge for psychological help didn't show significant differences between before and after. But elderly's subjective perception showed significant differences (t=-2.82, p<.01). Fourth, evaluating changes in knowledge for elderly's aiding daily life, both the objective evaluation and subjective evaluation didn't show significant differences between before and after. Fifth, satisfaction of the program showed high scores over 4 points: contents, education methods, education place, education time. The most helpful topics for them were counseling (27.8%) and dementia (27.8%), followed by elderly and aging (16.7%), elderly's residential environment (13.9%), elderly's dietary life (9.3%) and volunteer activities (5.6%).

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Leisure Activities, Cognitive Function and Depression in Female Elderly (여성 노인의 여가활동, 인지기능 및 우울에 관한 연구)

  • Kim, Ok Soo;Yang, Sook Ja;Kim, Jung Hee;Kim, Nam Young;Jeon, Hae Ok
    • Korean Journal of Adult Nursing
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    • v.19 no.3
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    • pp.436-446
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    • 2007
  • Purpose: The purpose of this study was to investigate cognitive function, leisure activities and depression in female elderly, to examine the relationships among those variables and to investigate leisure activities and depression according to cognitive function. Methods: The subjects were 105 female elderly visiting two senior citizen centers in Seoul, Korea. Data were collected from November to December 2006. The participants were assured of anonymity and confidentiality. All information was collected through face-to-face interviews using questionnaires. Results: 26.0% of the participants were cognitive impaired but not demented and 17.3% were demented. The level of depression was severe and 77.9% of the subjects were depressed. The subjects were not actively engaging in leisure activities. There were significant correlations between cognitive function, leisure activities and depression in female elderly. Demented or CIND subjects were more actively engaging in extra family fulfillment type leisure activities than normal subjects, Conclusion: These findings showed the need for a program for female elderly regarding leisure activities. When counseling the elderly, nurses must consider their cognitive function, leisure activities and depression.

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Predictors of Cognitive Function Decline of Elderly : Using Living Conditions and Welfare Needs of Older Korean Persons Panel Data (노인의 인지기능 저하 예측요인: 노인실태조사 패널자료를 이용하여)

  • Park, Hyun-Kyung;Song, Hyun-Jong
    • The Korean Journal of Health Service Management
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    • v.10 no.3
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    • pp.147-158
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    • 2016
  • Objectives : The aim of this study was to investigate predictors of cognitive function decline among community dwelling elderly. Methods : Data were analyzed from the Survey of Living Condition of Elderly panel study. Cognitive function was measured with the MMSE-KC at baseline and year 3. The study subjects were 5,464 community dwelling people aged 65 years or older who had no disability at baseline. Logistic regression analysis was used to predict cognitive function decline. Results : From 2008-2011, 4,417(80.8%) elderly people had no cognitive decline, and 1,074(19.2%) showed cognitive function decline measured by the MMSE-KC. After adjusting for demographics and baseline MMSE-KC score, the best predictors for cognitive function decline at 36 months were diabetes mellitus, smoking, low intensity physical activity, relationship with relatives and friends. Conclusions : Health promotion programs that are focused on the elderly are essential in preventing cognitive function decline. Promoting regular physical activity, and social relationships should be included in health promotion for elderly. When treating patients with diabetes, preventing cognitive impairment should be considered through education and counseling.

A Study on the Experiences of Total Knee Replacement in Elderly Women (여성노인의 슬관절 전치환술 경험)

  • Lee, Hyun Ok;Lee, Soon Hee
    • Journal of muscle and joint health
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    • v.21 no.3
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    • pp.206-214
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    • 2014
  • Purpose: The aim of this study was to explore the elderly women patients' experience of treatment for total knee replacement. Methods: The participants in this study are 10 elderly women age 65 and over who were discharged after total knee replacement. The data were collected from August 5, to September 20, 2012, and it has been done by in-depth interview. Data were analyzed the phenomenological method of Colaizzi. Results: In this study, four categories were extracted: 'Suffering due to intolerable pain', 'A stable mind and body', 'Retrospection about old wounds', 'A desire for a new life'. Conclusion: This study provides the useful basic data to understand the elderly women patients who have experienced total knee replacement. Nursing intervention is required for pain control after surgery in order to improve the quality of life. In addition, nursing care through individual counseling and emotional support during the recovery period is very important. Therefore, various programs should be developed for elderly women patients to help their body recovery as well as psychological support after total knee replacement surgery.

Qualitative Study on the Related Factors of the Food Security and Food Variety in Yangpyeong-gun Elderly (양평지역 노인의 식품보장 및 식품다양성에 미치는 요인에 관한 질적연구)

  • Woo Kyoun Cho;Jae Young Lee;Hee Jung Park
    • Journal of the Korean Society of Food Culture
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    • v.38 no.5
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    • pp.304-313
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    • 2023
  • This study was a qualitative investigation into the food security and food variety among the rural elderly. For the qualitative data collection, nineteen elderly people who lived in Yangpyeong-gun were interviewed individually. Food security and variety was evaluated based on accessibility and affordability. The participants seemed to have difficulty preparing their own meals and eating with their families or others. The frequency of vegetable intake was found to be high, as vegetables were available through cultivation. However, in terms of diversity, the intake of meat and milk, which are sources of protein and calcium, was found to be significantly low. This has to do with very poor physical accessibility. A lack of nutrition education was identified as the biggest reason for not following dietary therapy despite having a pre-existing disease condition. Therefore, for the elderly in Yangpyeong-gun, it is suggested that a basic nutrition policy for food supply that can increase their actual intake is more essential than education on cooking and nutrients. Moreover, periodic nutrition education or a regular counseling system for dietary therapy through local public health centers may help improve the health of the elderly.