Purpose: Increasing numbers of Koreans have immigrated to the United States since the late 1960s. The first generation of Korean immigrants or their parents become old and institutionalized in American nursing home setting. Although the Korean elders would experience many cultural differences in the nursing home, no study to date has investigated their everyday lives on how they live through their later lives within a different cultural environment from their own. Methods: Using ethnographic methodology, the purpose of this paper was to illustrate Korean residents' experiences and daily lives in a nursing home located in an east coastal city in the U.S. Participant observation, filed notes, semi-structured interviews were utilized by means of data collection. Eighteen Korean residents were observed, and five of them and two nurses participated in informal qualitative interviews. Results: The overriding theme from the findings is "thrown in a different world." Three sub-themes include "constant struggles in making themselves understood", "dealing with culturally inappropriate nursing care," and "maintaining their own ways of life". Conclusions: The discovered themes reflect culturally isolated lives of the participants and open a venue for designing a culturally congruent nursing care for Korean elders living in the U.S. nursing homes.
Purpose: The objective of this study is to compare and analyze the wearing status of refractive error correction devices of elders who reside in a city or in a small town district. Methods: Each of opticians from a small town or a city was selected for the study of wearing status of presbyopia correction device for each residential district in units of percentage. with the analysis of the age and gender distributions of the elders, numbers of elderly members, and the kinds of presbyopia correction. Results: The wearing rate of progressive lens was reduced in reverse proportion to the increase of the age for the people of presbyopia in a twon. Pepople in 60s living in a town perferred to wearing bifocal lens, but people of 50~60s preferred to single vision lenses. However, none of people living in a city who is diagnosed as presbyopia had refractive error correction device, and no one used bifical lenses. The progressive lens was mostly used in the people of 40~50s and using rate of those lenses reduced with the age; and single vision lens had the highest rate of in the 40~50s but no one wore it in the 70s. Conclusions: Among the refractive error correction devices, the progressive lens was most widely worn by presbyopia group who is living in a town or a city. In particular, the refractive error correction devices were most preferred in 40~50s of early presbyopia. The highest preference for the progressive lens in the people with the early presbyopia indicates that the wearing rate of the progressive will be increased in future. Therefore, the opportunity of systematic education on the progressive lens should be increased.
This study conducted an interview questionnaire survey of 245 old people in some halls for the aged in the Daejeon Metropolitan City from June 1 to 31, 2008. on their attitudes toward and practice items for oral health, resulting in the following findings. 1. In terms of socio-demographic characteristics of the subjects, males females were 48.2% and 51.8% respectively, and in the educational level, no-education, elementary school graduation, middle school graduation, and high school graduation and higher were 27.8%, 33.9%, 26.5%, and 11.8%, respectively, showing the statistically significant difference (p=0.009). 2. In terms of attitudes toward oral health management by oral health care education, regarding questions of use of oral and dental hygiene products (p=0.016), experience in scaling, and whether or not they wear false teeth (p=0.018), a group having received the education rather than a group not having received it showed more positive oral health management attitudes, indicating the statistically significant difference. 3. In daily living inconvenience of acute oral health diseases according to oral health care education, acute oral diseases presents in a group with the education ($2.30{\pm}0.72$) lower than in a group without the education ($2.49{\pm}0.63$), indicating the statistically significant difference(p=0.031). 4. Factors of oral health diseases showed the significant relation with types of health insurance, subjective systemic health status, acute diseases and subjective oral health status (p<0.01), and the explanatory power or the final model was 38%. Accordingly it is thought that there is the indicated need for analyzing and grasping factors related to oral health diseases among the elderly through considering their attitudes toward and practice for oral health, and developing programs of enhancing the oral health of the elderly in order for them to change their attitudes and habits, and also reinforcing oral health care education for the elderly focused on making them perform oral health behaviors in a right way.
Journal of the Korean Institute of Rural Architecture
/
v.16
no.2
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pp.55-63
/
2014
Cities of China have been expanding rapidly during the last 10 years and the living environment of urban population developed highly making little difference with the developed nations. However, in the case of rural area, situation is totally different from the urban area. There are some cases where the quality of life in rural areas is retreating compared to the past. Agrarian cultures of the past are remained in the rural area with only older generations and no younger generations. The difference between the rural and the urban and the movement to the cities are increasing in a rapid speed. This led to the recognition of potential danger that lies on the agricultural societies which can demolish the economic development's sustainability. Therefore, in this study, basic information about the current Chinese elderly's house circumstances and to build new houses suited for the older generations will be provided. This can not only enhance the quality of the elder citizen's life, but also can be a meaningful research for the ideal construction of future Chinese agriculture.
Journal of Korean Academy of Fundamentals of Nursing
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v.9
no.1
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pp.133-143
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2002
Purpose: The purpose of this study was to describe perceived conception of health, family support and health Promoting behavior; as well as to assess factors that influence health promoting behavior. Method: Study participants were 165 elderly people over the age of 65, living in C city. The instruments were Laffery's health concept scale, the family support scale by Kang, and the health promoting behavior scale by Walker et al. Results : 1. The scores for level of health concept ranged from 28 to 112, and had a mean score of 75.16. The scores for level of family support ranged from 11 to 55, and had a mean score of 41.55. The scores for health promoting behavior ranged from 40 to 160 with mean score of 98.07. For health promoting behavior the participants revealed that the most frequent practices were in nutrition, and the least frequent, in exercise. 2 Higher levels of health conception and family support were correlated with an improving level of health promoting behavior. 3. The factor most influencing health promoting behavior in elderly people was family support. Family support accounted for 11% of the variance in health promoting behavior. A combination of health conception, education level and dwelling pattern accounted for 23% of the variance in health promoting behavior. Conclusion : Perceived health conception and family support were identified as important variables for health promoting behavior in elderly people.
Objectives : The purpose of this study was to examine the influential factors for denture-wearing elderly people's denture satisfaction and subjective oral health and the relationship between the two in an effort to provide some information on the oral health promotion of the elderly. The subjects in this study were 192 senior citizens who were residing in the city of Busan and were wearing denture. Methods : The collected data were analyzed by the statistical package SPSS 18.0. To see whether there would be any differences in subjective oral health awareness according to general characteristics and denture-related characteristics, $x^2$-test was carried out, and t-test or one-way ANOVA involving Duncan post-hoc analysis was utilized to look for any possible gaps in denture satisfaction according to those characteristics. Results : 1. Concerning oral health awareness by general characteristics, there were significant differences according to gender and the form of health insurance subscription. 2. As for subjective oral health awareness by denture-related characteristics, there were significant gaps according to denture-washing frequency. 3. Regarding denture satisfaction by general characteristics, there were significant differences in satisfaction with denture fixation according to living arrangements. 4. As to denture satisfaction by denture-related characteristics, there were significant differences in satisfaction with mastication and with fixation according to the type of denture. 5. Better subjective oral health awareness led to better satisfaction with mastication, better satisfaction with fixation and better aesthetic satisfaction. 6. In relation to subjective oral health awareness and denture satisfaction, that had a significant relationship to satisfaction with mastication and with fixation. Conclusions : The above-mentioned findings showed that the denture satisfaction of the denture-wearing senior citizens was linked to their subjective oral health awareness. Therefore it will be possible to improve denture-wearing elderly people's quality of life when oral health plans geared toward boosting their denture satisfaction are carried out.
Journal of the Korea Academia-Industrial cooperation Society
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v.17
no.8
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pp.267-272
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2016
Falling is one of the problems that threatens the health of elderly patients. This study was conducted once a week for 12 weeks, from 15th of April to 13th of June in 2016, and included 118 subjects above the age of 65 in 6 centers of J city. We evaluated the effectiveness of the fall prevention exercise program (FPEP) and analyzed its effects by making a comparison between before and after the exercise that pertains to activities of daily living, fear of falling, and quality of life. Moreover, this study confirms that there is a relationship between these three factors. The results of this study are as follows: There were statistically significant differences of activities of daily living (F=-4.75, p<..001), fear of falling (F=10.22, p<..001) and quality of life (F=-11.58, p<..001) between post-test improvements and pre-test conditions. In addition, this study confirms that there is a relationship between activities of daily living, fear of falling, and quality of life (r=.551, p<..001, r=-.477, p<..001, r=-.584, p<..001). Accordingly, we have identified that FPEP is very effective for improving activities of daily living, fear of falling, and quality of life for senior citizens.
Journal of agricultural medicine and community health
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v.33
no.3
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pp.303-315
/
2008
- Abstract - Objectives: The purpose of this study was to estimate the prevalence of depression and identify its related factors among an urban elderly. Methods: The data for this study were obtained from 333 men and 514 women, aged 65-79 years who participated in '2007 community health survey' in Donggu, Gwangju metropolitan city. Their depressive symptoms were measured by Korean version of the Center for Epidemiological Studies-Depression Scale (CES-D). Results: The mean CES-D score (mean±S.D) for all subjects was 7.68±0.31. The mean CES-D score was significantly greater in the women (9.09±0.43) than in the men (5.51±0.39) (p<0.001). The prevalence rates of possible depression (CES-D score ≥16), probable depression (CES-D score≥21), and definite depression (CES-D score≥25) were 8.1%, 5.4%, and 3.9% in men, respectively. The prevalence rates of possible depression, probable depression, and definite depression were 19.5%, 11.1%, and 7.2% in women, respectively. Existence of spouse (no/yes), education level (no/high school or higher), health security system (medical aid/national health insurance), self-reported health status (poor/good), vascular risk factors (present/absent) proved to be statistically significant related factors of depression. Conclusions: This study suggests that a systematic effort and attention to support for elderly people living alone, low educational level, medical aid, poor self-reported health status and vascular risk factors should be promoted to reduce the incidence of depression.
Journal of Korean Home Economics Education Association
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v.25
no.2
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pp.49-63
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2013
This study is conducted to activate the education of leisure activity for the old age so as to improve the qualities of the lives in the prolonged elderly lives. The method is examined to see how the level and types of leisure activities and life satisfaction for elderly. The target of the survey for this study was the 280 male and female elderly living in S city and C city. the statistics used for data analysis were reliability, frequency, percentage, mean standard deviation, t-test, one way ANOVA and correlation. The results of study were as follow; First, the result investigating the degrees of old people's participation in the pattern of leisure activities and life satisfaction showed pastime activities and family centered activities as the most participating leisure activity pattern, self developing activities and religious social service activities as the least participating one. Second, in comprehensive social demographic characteristic of the elderly participating in the leisure activities pattern, it was shown that the higher their level of lives was, the better their family atmosphere was, the healthier they were, they participated more in their leisure activities. Third, when the life satisfaction were reviewed to find what relation there were according to the pattern of leisure activities, it was shown that the more they participated in recreation and social activities, the more they participated in self developing activities, the more they participated in family centered activities, their life satisfaction was higher. and the old people who did the pastime activities showed high life satisfaction too. Considering this result, we need to develop systematic programs suited to our culture. In addition, Home Economics Education has to support the ideas and leisure experts have to be cultivated.
This study was carried out to find out general characteristics and health-related be haviors of elders aged 60 or over and factors related to their activities of daily living, and thus to contribute to their health maintenance and promotion. The subjects were 200 elders who had resided at An-Dong city and participated in this study. To collect data, the field survey was conducted from December 13 to 23, 1996 with structured questionnaires by 6 trained student interviewers. Chi-square test, t-test and Pearson's correlation were used for data analysis by use of SPSS/$PC^+$ program. The major findings were as follows; 1) In the individual characteristics of the respondents, the average age were 73.6 years old. 21.5% of the subjects were 60-69 years old, while 27.5% were 70-74 years old, 25.0% were 75-79 years old, 26.0% were 80 years old or over. 2) For the degree of the subject's perceptive health condition, the aver age 3.39 point and standard deviation 1.09. The perceptive health condition of the subjects was in the mid point range of health condition. 3) 46.6% of men and 25.8% of women practiced exercise regularly for their health maintenance and promotion. 4) For the degree of the subject's perceptive health condition, the difference by sex was not statistically significant. 5) 51.8% of men and 60.2% of women has idea for interventions to health promotion program by rehabilitation services.
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