• Journal of the Architectural Institute of Korea Planning & Design
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• v.35 no.9
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• pp.57-64
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• 2019

Due to the rapid increase of the elderly population, promoted desire for recreational activities in old age and so emerging importance of Leisure welfare facilities for the elderly. Although Senior community centers playing an important role in old people leisure life are quantitative resources occupying majority of the Leisure welfare facilities for the elderly. there are many problems of managing programs, aging facilities, small spaces and so on. So, many facilities are used as simple meeting places of old people without solution about qualitative problem. Also, because of negative perceptions of people about Senior community center socially, desires of using Senior community center of old generation will decrease. In order to perfectly play a role of Leisure welfare facilities for the elderly, we need to review regulations about facility and program of Senior community center and suggest ways to resolve these problems. According to these necessity, Integration senior community centers appeared as a new concept. These centers compensate the physical defects through integrating small Senior community center. Through dividing function and service of senior welfare and forming networks between Senior community center and Senior welfare center, these centers set a goal of increasing quantitative and qualitative improving of leisure life of old people.

• Journal of Korean Academy of Rural Health Nursing
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• v.19 no.1
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• pp.66-74
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• 2024

Purpose: This study evaluates the effectiveness of providing frailty prevention services by living support workers through a case of community resource connection centered on living support workers to revitalize frailty prevention programs for vulnerable elderly people. Methods: This is a research study using secondary data from a neighborhood health-sharing project among the integrated health promotion projects of one public health center in Daegu Metropolitan City. To assess frailty effects pre-assessments were conducted in August, and post-assessments were conducted in November. Frailty was measured using a 20-item frailty instrument used in home healthcare projects. Data were analyzed using the chi-square, independent t-test, and paired t-test. Results: Preliminary measurements showed that older elderly had higher frailty scores than younger elderly. However, among the elderly aged 75 or older the total frailty score decreased statistically significantly from 5.97 points to 5.30 points (t=3.03, p=.003). Conclusion: The older elderly showed greater effect of frailty prevention than the younger elderly.

• Research in Community and Public Health Nursing
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• v.16 no.2
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• pp.157-166
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• 2005

Purpose: This study was to explore health experiences of the low-income elderly living alone reflected in Newman's Health as expanding consciousness theory. Method: The researcher used Newman's praxis methodology because it is good for showing the process of interaction between the researcher and the low-income elderly living alone. Results: The significant characteristics of early health experience during a participant's lifetime were demonstrated that blamed themselves, being burden of themselves hopeless of their lives. However, after a turning point in health experience. The health experience of most of the participants evolved as expanding consciousness. Conclusion: This study has provided support for Newman's theory of health. Most of the participants recognized meanings in their patterns and authentic caring relationships with the nurse as researcher, pattern recognition as a nursing practice was a meaningful transforming process in the participant-nurse partnership. This participatory approach expands the scope of sharing health experience with the elderly living alone and with caring community people.

• Journal of the Korean housing association
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• v.25 no.2
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• pp.99-107
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• 2014

This study attempts to provide implications for developing more efficient and effective community-based support system with AIP perspective for the elderly in Korea. The main purpose of this study is to analyze Japan's community-based integrated care system that respond to the concept of aging in place (AIP) and its cases. In Japan, they have offered Community-Based Service since 2005, and the advanced system which include integrated support categories and consolidated community/local resources will started in 2015 by The revision of Long-term Care Insurance policy, 2012. The result of policy analysis and case studies are as follows: 1) The suggestion for ideal support system model promoted a relationship of multiple agents include private sectors even resident and senior and specified responsibility sharing, 2) the system proposed Not only health and medical care support, living care and residence are also addressed as a comprehensive support. and 3) the amount of available community resource is different by each local government, but the effort to get the understanding of community residents and to connect with a potential community resource is also essential aspect to set effective community-based support system.

• Research in Community and Public Health Nursing
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• v.21 no.4
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• pp.489-501
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• 2010

Purpose: The purpose of this study was to investigate the effects of health behavior-related characteristics, self-esteem, activities of daily living, and family support on depression in the community-dwelling elderly. Methods: The participants were 229 elders sampled from Seoul and other five provinces. A structured questionnaire was used to collect data, and data were analyzed by applying t-test, ANOVA, Pearson correlation coefficient, and stepwise multiple regression with SAS 8.12. Results: There was a negative correlation between depression, MMSE-K, self-esteem, ADL, IADL, and family support. Depression and health behavior-related characteristics showed a significant difference according to stress level and the reason of stress. Major factors that affected the elders depression were self-esteem, the amount of alcohol drinking, sleeping hours, ADL and the cognition of health status, which explained 59.4%. Conclusion: Based on the findings of this study, self-esteem and health behavior-related characteristics including alcohol drinking, sleeping hours and ADL were the influencing factors of depression in the community-dwelling elderly. Therefore, effective psychological and physical health promotion methods need to be developed and applied in nursing interventions to prevent depression in the community-dwelling elderly.

• Research in Community and Public Health Nursing
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• v.31 no.2
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• pp.119-129
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• 2020

Purpose: The aim of this qualitative study is to explore the health problems and coping experiences of middle-aged and elderly women in the community. Methods: A total of five focus group interviews were conducted with three groups of middle-aged and two groups of elderly women. All interviews were recorded and transcribed. Data were analyzed using the content analysis method. Results: Health problems were categorized as confusion caused by problems that are difficult to handle alone in the middle-aged group and suffering originated by confronting changes in roles and environment in the elderly group. The health problems included stress, suffering, anxiety and social withdrawal as subcategories for the middle-aged women, and the stress, sense of loss, fear, and limited social activities caused by their life events for the elderly women. Meanwhile, the contents of categories about coping were revealed as the beginning of care for the body and mind for healthy life in the middle-aged group and active practice with insight into a healthy lifestyle in the elderly group. While the middle-aged women focused on themselves, attempted changes and started to take care of themselves, the elderly women interacted with the outside world, hardened their mind, made efforts for a dignified death, and managed health by their own methods. Conclusion: There were differences in the experiences of middle-aged and elderly women in accepting their health problems and coping. Nursing interventions reflecting these findings can help to manage and promote the health of middle-aged and elderly women based on an integrated perspective.

• Korean Journal of Human Ecology
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• v.24 no.6
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• pp.795-809
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• 2015

The suicide rate in South Korea has been the highest among the OECD countries for more than 10 years. In addition, the suicide rate among the rural elderly is much higher than that of the elderly in urban areas and that of younger generations. The purpose of this study was to examine the general tendencies of family ties, community consciousness and suicide ideation of the rural elderly in Korea. Also, this study aimed to verify the mediating effect of community consciousness between family ties and suicidal ideation. The data for this study came from 283 elderly people (over 65 years old) living in 11 villages in South Korea. The data was gathered from July to August 2013. Baron and Kenny's (1986) step based regression from the SPSS Win 18.0 program was used to analyze this data. This study also utilized the Sobel-test. The results of this study are as follows. First, the suicidal ideation of the respondents had a lower score than the median score. However, the magnitude of suicidal ideation was still significant. Second, this study found that family ties and community consciousness have both direct and indirect effects on the reduction of suicidal ideation. Lastly, this study examined the mediating effects of community consciousness. The findings of this study are of great significance because they reconfirmed the importance of establishing a social safety net in local communities to replace adult children who have relocated to urban areas.

• The Journal of Korean Physical Therapy
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• v.35 no.2
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• pp.37-42
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• 2023

Purpose: Compared to cities, rural areas are in a medical blind spot and face difficulties in accessing medical services due to inconvenient transportation facilities, lack of medical facilities, and the heavy burden of medical expenses. This study was carried out to identify the problems relating to the musculoskeletal system of the elderly in rural and fishing villages, which are medically vulnerable areas, and sought to present a regionally differentiated healthcare model. Methods: The study was conducted in 80 elderly people in two rural villages and two fishing villages after seeking inputs regarding medically vulnerable groups in the Gyeongnam Province. Postural balance and muscle flexibility were assessed and postural evaluation was conducted to identify musculoskeletal problems and gait stability. Strength and range of motion for each body segment were assessed for evaluating functional motion. Results: The elderly in both rural areas showed forward head posture characteristics. The strength level of the elderly in both rural areas was higher than the average, but their flexibility and balance ability were lower than the average. Conclusion: The musculoskeletal problems of the elderly in rural and fishing villages in this study did not show regional characteristics according to the area of residence. However, overall flexibility and balance ability appeared to be reduced. Therefore, a new management model connecting the region and the university is necessary in preparation for the coming era of community care.

• The Journal of the Korea Contents Association
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• v.18 no.12
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• pp.516-525
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• 2018

The purpose of this study was to investigate the effects of family cohesion and self-care agency on the quality of life in community-dwelling elderly. Using a descriptive survey design, data were collected during September 2-20, 2016 by distributing questionnaires to and retrieving them from 197 elderly participants aged 65 years or older in two senior welfare centers located in "B" metropolitan city. Results showed that family cohesion of community-dwelling elderly was significantly positively correlated with their self-care agency (r=.434, p<.001) and quality of life (r=.544, p<.001), while self-care agency was significantly positively correlated with quality of life (r=.571, p<.001). The factors that had the biggest effect on the quality of life in community-dwelling elderly were identified in the order of self-care agency (${\beta}=0.413$, p<.001) and family cohesiveness (${\beta}=0.365$, p<.001). These variables were found to have an explanatory power of 42.8% for quality of life (F=74.31, p<.001). Therefore, a strategy to improve self-care agency and family cohesion may be helpful in improving the quality of life in community-dwelling elderly.

• 한국노년학
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• v.27 no.2
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• pp.445-458
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• 2007

This study aims to find the extent to which the elderly intends to live in their community and significant factors related to their intention and to provide basic but important empirical data in approaching to various community resources for community care service for the elderly. This study analyzed the raw data titled social welfare needs of residents of Busan Metropolitan City surveyed in 2005. Within the data, 1,673 households were selected in which at least one senior citizen aged 65 and over lived together. Questionnaires from in each household were analyzed. Research findings indicate that 80% of the respondents intend to live in their home rather than in residential institutions and that the elderly without adult children(55.2%) have less intention for living in their home than the elderly without their spouse(76.4%). Their intention-related factors were the presence of adult children, recognition on community resources for the elderly and perceived number of chronic diseases, when they were presumed to be healthy. When they were presumably weak or ill, socio-economic factors such as home ownership and welfare recipience were found to be more influential factors than family-related variables. The elderly who intended to live in home rather than to live in a residential institution were less likely to use social services in community than expected. Policy and practice implications were suggested on the basis of the findings.