• Title/Summary/Keyword: Elderly Customized Care Services

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The relationship among the experiences of chronic diseases, dental health status, and the behaviors in the Korean elderly people (우리나라 노인의 만성질환경험과 구강건강상태 및 행태와의 관련성)

  • Han, Yeo-Jung;Hong, Sun-Hwa;Yu, Mi-Sun
    • Journal of Korean society of Dental Hygiene
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    • v.18 no.1
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    • pp.65-75
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    • 2018
  • Objectives: This study aims to contribute to the prevention of dental diseases and health care in the elderly by investigating the relationship among the experiences of chronic diseases, dental health status, and the behaviors in the Korean elderly people. Methods: A total of 2,856 elderly people aged 65 or older were selected as the final analysis subjects using data from the 6th National Health and Nutrition Examination Survey (2013-2014). Chronic diseases were defined as 'cardiocerebrovascular diseases', 'diabetes', 'chronic respiratory diseases', and 'cancer' diagnosed by the doctors. For the statistical analysis, SPSS 21.0 for Windows was used. Descriptive analysis and a Chi-square test were conducted to investigate the relationship among the experiences of chronic diseases, general characteristics, dental health status, and the behaviors in the Korean elderly. Finally, logistic regression analysis was performed to investigate the relationship among the experiences of chronic diseases, dental health status, and the behaviors. Results:The prevalence of Cardiocerebrovascular diseases was significantly higher in the 3-4 group of community periodontal index with the score of 1.36 (95% CI 1.03-1.00) than in the 0-2 group. The prevalence of Cardiocerebrovascular diseases was significantly higher in the group without dental examination during the past one year with the score of 1.29 (95% CI 1.00-1.66). The prevalence of diabetes was significantly higher in the uncomfortable speaking state group with the score 1.46 (95% CI 1.12-1.91). The prevalence of cancer was significantly higher in the partial denture needs group with the score 1.67 (95% CI 0.98-2.83). Conclusions: Regular dental examinations and dental health care for the elderly with chronic diseases showed that periodontal health and residual teeth could be maintained and managed. Therefore, continuous customized dental health services should be implemented for the elderly with chronic diseases.

Plan for Invigoration of Visiting Nursing Center in Long-Term Care Insurance for the Elderly - Through SWOT Analysis - (노인장기요양보험 내 방문간호센터 운영의 활성화 방안 - SWOT 분석을 중심으로 -)

  • Byeon, Do Hwa
    • Journal of Korean Public Health Nursing
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    • v.29 no.2
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    • pp.203-218
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    • 2015
  • Purpose: The purpose of this study is to find and suggest ways to invigorate operation of visiting nursing centers. Methods: SWOT analysis was performed based on the status of use of visiting nursing centers and opinion survey on the centers' nursing experts. Results: SO strategy was drawn to improve service satisfaction, develop standardized manuals, and improve the areas of visiting nursing services, and WO strategy was drawn to establish reliability, strengthen promotion or marketing strategy, strengthen management ability, and reinforce the governmental support of visiting nursing services. ST strategy was drawn to recover the functionality of health management, secure competitive advantage, and simplify the issuance of visiting nursing directions, and WT strategy was drawn to provide customized service, establish the cooperative system of related agencies, and adjust fees. Conclusion: For invigoration of visiting nursing centers, people must recognize the importance of the visiting nursing service and institutional standards should be established so that visiting nursing service, which is currently provided as an option according to Standard Long-Term Care Plan, can be provided on a mandatory basis.

A Study on Counseling Process and Counseling Techniques Applying Analytical Psychology (「독거노인 종합지원대책」에 나타난 제도적 지원의 문제점 및 해결방안에 관한 연구)

  • Lee, Chuck-He;Noh, Jae-Chul
    • Industry Promotion Research
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    • v.5 no.3
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    • pp.73-79
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    • 2020
  • This study aims to study the problems and solutions of institutional support for the elderly living alone, focusing on the General Support for Living Alone Elderly announced by the Ministry of Health and Welfare in 2018. Results, First, a customized support system for the elderly living alone should be introduced. In order to improve the life satisfaction of the elderly living alone, it is necessary to develop a program that meets the most basic daily life needs, and a specific plan and a support system to link services should be prepared. Second, it is necessary to increase social interest in the elderly living alone. Solving problems for the elderly living alone should be preceded by social interest in the elderly living alone. For this, it is necessary to strengthen the social network. Third, it proposes legislation and amendment for the elderly living alone. Some revisions of existing laws have limitations, and are resolved through individual laws, such as standards and definitions for various types of elderly jobs, reorganization of the delivery system including agencies dedicated to elderly jobs, workers-related regulations, and preferential purchase systems for senior products. It is desirable to do. In conclusion, welfare support for the elderly living alone should be comprehensive and comprehensive. For the welfare of the elderly living alone, personalized care services should be provided first, and social support for the elderly living alone should be promoted on the basis of increasing social interest, and laws and revisions must be actively and proactively made for the elderly living alone.

A Study on the Cognitive Rehabilitation Project of the Elderly with Moderate Memory Dementia (기억학교 경증치매노인의 인지재활사업에 관한 연구)

  • Suh, Kyung-Do;Choi, In-Kyu
    • Journal of Digital Convergence
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    • v.15 no.5
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    • pp.517-522
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    • 2017
  • The purpose of this study was to develop a cognitive rehabilitation program based on the cognitive activities of the elderly with mild dementia using the weekly care facilities in Daegu city memory and to provide useful welfare services for the elderly with mild dementia. In Korea, there is not much development of community-based integrated intervention program for demented patients who are still in the present situation. The results of this study suggest that the cognitive rehabilitation program for the elderly with mild dementia is suitable to be applied as a group in the case of community based protective editorials and may be a basis for management of mild dementia patients. It seems that there may be differences in the appropriate intervention methods and effects. Therefore, it is expected that the individualized customized strategy will maximize the effect. Therefore, more specific and individualized nursing intervention program should be concurrently developed.

The Design and Implement a Healthcare Alert App to Prevent Dementia (치매예방을 위한 헬스케어 알리미 앱 설계 및 구현)

  • Pi, SU-Young
    • Journal of Digital Convergence
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    • v.16 no.10
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    • pp.59-67
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    • 2018
  • There are not that many m-health related services limited to the elderly. Many of the elderly who are at risk of dementia are unfamiliar to smart devices, so it is required to design an user-customized App. Therefore, I design and embody a mobile voice alert integrated app, which enables voice input to increase the accessibility of the elderly, so as to prevent diseases caused by declined cognitive function such as dementia. I conducted interviews and questionnaire after having the students use the app in Lifelong Education Center in H region of Gyeongbuk, and the analysis result has showed the high satisfaction. It is expected that it will be able to play a key role for M-Health service for the elderly since it is possible to prevent dementia through the voice health care alert app. I would like to learn deep learning in the future to predict the life patterns and the possibility of dementia of the elderly.

Depression Health Literacy and Help-seeking Intention of the Aged Receiving Customized Home Visiting Health Care Services (맞춤형 방문건강관리 대상 노인의 우울 건강정보이해능력과 도움요청의도)

  • Oh, Doo-Nam;Lee, Ji Yun
    • Research in Community and Public Health Nursing
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    • v.23 no.3
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    • pp.276-285
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    • 2012
  • Purpose: The purpose of this study was to understand levels of both mental health literacy of depression and intention of help-seeking, and then to identify the relationship of them in Korean older adults. Methods: Participants in this cross-sectional survey were 395 persons over 65 years old receiving customized home visiting health care services at Chungnam province. Data were collected through interviews by visiting nurses in 2011. Results: The proportion of participants with depression was 61.8% ($6.7{\pm}3.6$). 78.2% of subjects appeared to have help-seeking intention for solving depression. The proportions of participants with ability to recognize depression was 69.1%. Although the level about knowledge and belief in self-help interventions were varied according to questionnaires, subjects understood self-help intervention of smoking accurately (86.3%) and physical activity (85.5%). Ability to recognize depression, knowledge and belief about self-help managements, and opinion of medication for treatment among health literacy variables measured in this study were related to help-seeking intention. In addition, women, visual impairment, and lower depression scores were related to help-seeking intention. Conclusion: Results demonstrate that it is necessary to improve depression health literacy to manage effectively depression of vulnerable elderly in communities. These results could be used in developing mental health literacy programs.

A Study on the Job Recognition and Educational Needs of Care Workers according to the Types of Working Place in the Urban Area (일 도시 지역 근무지 형태에 따른 요양보호사의 직무인식과 교육요구도 분석)

  • Park, Hyun Joo;Byun, Sang Hee
    • The Journal of the Convergence on Culture Technology
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    • v.7 no.4
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    • pp.491-501
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    • 2021
  • Purpose: This study is designed to provide care workers with basic data on the development of job training programs for enhancing professionalism of senior care services by identifying and analyzing job recognition and education requirements according to the type of work place. Methods: Data were collected from April to July 2019 from 177 care workers working at the Elderly Care Facilities, Elderly Housing Welfare Facilities and Rehabilitation Facilities in the B Metropolitan City. It was analyzed using the SPSS Win 21.0 Statistical Program. Results: The results of job recognition of care worker according to the type of work place shows as follows. As for health care welfare facilities for senior citizens and residential welfare facilities for the elderly was the highest level for physical change and mobile care protection belonging to basic care protection technologies. For the rehabilitation and welfare facility, human rights and prevention of abuse among senior citizens which is belonging to occupational ethics and attitudes of care workers showed the highest. Conclusion: It is required for differentiated job training to enhance capacity for care workers according to the type of work place, and it is needed to developed systematic and specific customized hands-on training to perform, not for simple knowledge.

A Convergence Study on the Factors Influencing Health-related Quality of Life in the Elderly Health Behavior (노인들의 보건행태가 건강관련 삶의 질에 미치는 영향요인에 관한 융합연구)

  • Lee, Dong-Ho
    • Journal of the Korea Convergence Society
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    • v.11 no.3
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    • pp.95-100
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    • 2020
  • The purpose of the Convergence study is to identify the factors of health-related quality of life for the elderly and provide the basic data needed to improve the quality of life for the elderly. The objects of the study were 1,367 people aged 65 or older living in Korea out of the original data for the 7th National Health and Nutrition Survey by the Korea Centers for Disease Control and Prevention (Year 2017). Multiple regression analyses was performed by using the SPSS/PC 21.0 statistical program for the purpose of the study. According to the study, mental health and then physical activity were the most influential factors in health-related quality of life. Based on these results, we found that health education is highly important to provide customized health care services and to build the correct lifestyle in order to improve the quality of health-related life. Therefore, follow-up research is needed to identify the effectiveness of developing and applying diverse programs to enhance mental health and physical activity of the elderly in the future.

The Necessary Conditions and Deterring Factors of Good Care (좋은 돌봄의 필요조건과 저해요인에 관한 연구 - 노인돌봄을 중심으로 -)

  • Seok, Jaeeun;Noh, Hyejin;Lim, Jeonggi
    • Korean Journal of Social Welfare
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    • v.67 no.3
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    • pp.203-225
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    • 2015
  • Social care service has grown much with the introduction of Long-Term Care Insurance, but it remains difficult to answer in the affirmative to the question: are we providing sufficiently good care? This study has its purpose in figuring out what conditions are necessary to realize good care in our society. The study has used focus group interview (FGI) as a way to acquire realistic knowledge on the conditions that create good care and its deterring factors. The focus group interview, which targeted long-term care workers and facility heads, was conducted three times from January through March 2014, with each session taking about 3 hours. The analysis showed that the components of good care were mutual understanding and recognition through active interaction, making a good relationship based on mutual trust and respect, professionalism of care worker with flexible judgment that provides customized services, professionalism of center manager with appropriate intermediation, and the tripartite partnership among family, elderly, and care worker. Meanwhile, the deterring factors of good care were identified as devaluation of care labor, ambiguous job description and abuse, unprofessionalism of care worker and manager, inappropriate interference and indifference of family, and the structural constraints on long-term care environment.

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Subjective Oral Health and Oral Care Behavior of Elderly People Over 65 According to the Diagnosis of Circulatory Diseases (65세 이상 노인들의 순환기계 질환 의사 진단 여부에 따른 주관적 구강건강과 구강관리 행태)

  • Park, Chung-Mu;Yoon, Hyun-Seo
    • Journal of The Korean Society of Integrative Medicine
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    • v.10 no.4
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    • pp.35-47
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    • 2022
  • Purpose : As the number of patients with systemic diseases is increasing in the old, the relevance of oral health is gaining particular research interest. To provide fundamental resources for dental services, this study examined the relationship between doctors' diagnoses of circulatory diseases and patients' awareness of oral health and oral care behaviors. Methods : SPSS 26.0 was used to assess various variables, including doctor's diagnosis of circulatory diseases, gender, age, household income quintile, participation in economic activity, marital status, subjective level of oral health awareness, mastication discomfort, speaking and chewing discomfort, dental inspection, use of oral care goods, teeth brushing during the previous day, and untreated oral conditions. Results : The circulatory diseases suffered by the subjects were as follows: 56 % high blood pressure, 36 % dyslipidemia, 6 % stroke, and 8 % myocardial infarction or angina. A higher age meant a higher diagnosis rate of high blood pressure (p<.001) and stroke (p<.001). Those with dyslipidemia showed a higher rate of receiving oral inspection (p=.040), and an untreated oral condition was more frequently observed among those not diagnosed with the disease (p=.035). The subjects who were not diagnosed with stroke showed a higher rate of oral inspection (p<.001), while those who had a prior experience of stroke suffered a higher rate of mastication discomfort (p=.020). People who had high blood pressure showed a lower rate of using oral care goods (p<.001), and those diagnosed with stroke showed a lower rate of brushing teeth the previous day. Conclusion : This study found a correlation between the diagnosis of circulatory diseases and the awareness of oral health and oral care behavior. Consequently, oral health education should be included in mental health-related education, and customized training to teach teeth brushing and the use of oral care goods should be provided to patients with circulatory diseases during dentist visits.