• 가정간호학회지
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• 제26권2호
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• pp.210-218
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• 2019

Purpose: The purpose of this study was to identify the nutritional status of elderly individuals according to their household types and to investigate the predictors of their nutritional status. Methods: This study, which was a descriptive research study, involved physical measurements, surveys, and biochemical tests in 87 elderly individuals living in the community. Using SPSS/Win 24.0, logistic regression analysis was performed to identify the general characteristics, blood pressure, body mass index (BMI), mini nutritional assessment (MNA) score, and biochemical indicators in elderly individuals according to the household type. Results: Elderly individuals living with family members had higher MNA scores than those of elderly individuals living alone, while showing lower levels of systolic blood pressure and fasting blood sugar. The results of the logistic regression analysis showed that the risk factors were MNA scores (odds ratio (OR)=1.81, 95% confidence interval (CI)=1.36-2.42), systolic blood pressure (OR=0.96, 95% CI=0.92-1.00), and fasting blood glucose (OR=0.94, 95% CI=0.90-0.99). Conclusion: It was confirmed that elderly individuals living alone need differentiated nutrition intervention, since the results showed that they had lower nutritional levels and improper nutritional management than that in elderly individuals living with family members.

• 정신신체의학
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• 제27권2호
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• pp.173-180
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• 2019

연구목적 외로움은 정신 및 신체 건강과 관련이 있다고 알려져 있다. 하지만 우리나라에서 독거노인의 외로움에 영향을 주는 위험 요인에 대해서는 연구된 바가 거의 없다. 본 연구는 독거노인에서 외로움의 위험 요인을 확인하고자 하였다. 방 법 본 연구는 천안시에 거주하는 독거노인 1,091명을 대상자로 시행되었다. 훈련된 간호사외 면담과 외로움 척도, 인구사회학적 정보, 신체 건강상태(Cumulative illness rating scale, CIRS), 인지기능, 단축형 노인우울척도(SGDS-K) 등의 자가설문지를 통해 조사하였다. 통계분석은 인구학적 변인과 외로움 척도 간의 관계를 탐색하기 위해 기술적 통계분석을 시행하였으며 외로움과 관련된 위험 인자를 확인하기 위해 단변량 및 다중회귀분석을 사용하였다. 결 과 전체 대상자의 평균 외로움 척도 점수는 3.8 (SD=1.7)이었다. 가족과의 만남(standardized β=0.115, p<0.001), 종교(standardized β=0.057, p=0.028), 친교 활동(standardized β=0.088, p=0.001), SGDS-K 점수(standardized β=0.502, p<0.001)가 독거노인의 외로움에 유의한 영향을 주었다. 결 론 독거노인에게 가족관계, 종교 및 친교 활동, 우울증은 외로움의 위험요인이 될 수 있다. 독거노인의 외로움을 줄이기 위한 개입은 가족관계와 사회활동을 개선, 유지하고 우울증을 조기발견 및 치료하는데 초점을 맞추어야 할 것이다.

• 한국노년학
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• 제29권3호
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• pp.805-822
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• 2009

본 연구는 독거노인의 정신건강 수준이 어느 정도인지를 조사하고, 사회인구학적 변인들이 정신건강 수준에 어떤 차이를 가져오는지를 살펴보며, 정신건강의 영향요인을 분석하는 것이다. 이를 위해 G시에 거주하는 65세 이상의 독거노인 131명에 대해 면접조사를 실시하고, 간이정신진단검사(SCL-90-R)를 활용하여 정신건강 수준을 측정하였다. 주요 분석결과는 다음과 같다. 첫째, 본 조사대상자의 정신건강 수준은 3.53점(5점 척도)로서 상당히 심각한 수준인 것으로 나타났으며, 이는 독거노인의 정신건강 수준이 일반노인에 비해 훨씬 열악하다는 것을 보여주는 결과이다. 정신건강의 하위영역별로 우울증이 가장 심각했으며, 신체화 증상도 매우 심각한 수준인 것으로 나타났다. 공포불안, 강박증, 불안증 등의 증상도 심각한 수준이었다. 둘째, 사회인구학적 변인이 정신건강 수준에 어떤 차이를 가져오는지를 살펴보기 위한 변량분석 결과에 의하면, 성별과 교육수준이 유의한 변수로 나타났다. 셋째, 독거노인 정신건강 수준의 영향요인을 예측하기 위한 위계적 회귀분석 결과에 의하면, 본 연구에서 설정한 독립변수 13개를 모두 투입한 최종모델에서 독거노인의 정신건강 수준에 영향을 미치는 변수는 8개였으며, 설명력은 생활만족도, ADL, IADL, 복지서비스 지원, 비공식적 지지 등 사회적 지원 변수의 순서로 높게 나타났다. 본 연구에서는 위의 결과를 토대로 하여 거시적, 미시적 차원의 함의를 제시하였다.

• 한국보건간호학회지
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• 제25권1호
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• pp.95-106
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• 2011

Purpose: The purpose of this study was to investigate the relationship between social support and loneliness in elderly women living alone. Method: Between 1 October 2008 and 30 April 2009, a random sampling method was conducted to recruit 112 elderly women who were living alone. The subjects were at least 65 years of age. Data was collected using the social support questionnaire, and the translated Korean Version of the Revised University of California at Los Angeles Loneliness Scale (R-UCLA Loneliness Scale). Results: In our study, the sources of social support were the children, neighbours, brothers and sisters, in this order. We found that the loneliness of the subjects was related to age, the number of children, and financial difficulty. The level of loneliness negatively correlated with the social support provided by children, brothers and sisters, other relatives, and neighbours. Also, there was a negative correlation with the social support satisfaction. The social support satisfaction and the social support offered by neighbours and relatives were the significant predictors of loneliness. Conclusion: The sources of social support, such as neighbours and relatives, and the social support satisfaction should be considered when planning intervention by nurses or social workers to decrease the level of loneliness in elderly women living alone.

• 농촌의학ㆍ지역보건
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• 제27권1호
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• pp.65-78
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• 2002

This study was conducted to identify the social support to living alone elderly in some rural communities and the level of life satisfaction. For the purpose of this study, face-to-face interviews and questionnaire were performed with 315 old people(male 43 and female 272) aged over 65 living alone in rural communities covered by 14 community health posts within Gyeongsangbuk-do Province randomly selected. The followings are summaries of findings; The average score of support from their children was $4.29{\pm}2.73$ out of 8. Variables that showed a significant difference were religion, level of living, type of medical insurance, frequency of meeting with children, time taken from houses of children by usual means of transportation, and subjective health status. It was found that the score of support from children was high for the elderly who had a religion, a good level of living, benefit from medical insurance, a high frequency of meeting with children, or a good subjective health status, or who resided close to their children's houses. The level of the support from friends and relatives showed a significant difference depending on the subjective health status, of which the average score was $4.13{\pm}2.61$ out of 8. The average score of the level of life satisfaction was $6.83{\pm}4.24$(male $7.60{\pm}4.09$ and female $6.71{\pm}4.26$) out of 17. Male elderly showed the higher level of life satisfaction than female elderly. Variables that showed a statistically significant difference in the level of life satisfaction were religion, level of living, medical insurance, hobby, children, disease, subjective health status, and ADL. That is, the level of satisfaction with life was found to be higher for the elderly who had a religion, a good level of living, benefit from medical insurance, a hobby, children, no diseases, or a good ADL, or who thought that they are healthy. The regression analysis with support from children as a dependent variable showed that the level of support from children was higher for the elderly who had a good level of living, frequency of meeting with children, or a good subjective health status. The regression analysis with the level of support from friends or relatives was higher for old people who had a good level of living. The regression analysis with the level of life satisfaction as a dependent variable showed that the factors which related to the level of satisfaction were sex, religion, level of living, hobby, ADL, and subjective health status. That is, it was found that for male elderly who had a religion, a good level of living or a hobby, or who thought that they were healthy, the level of life satisfaction was higher.

• 한국정보통신학회논문지
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• 제24권9호
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• pp.1245-1248
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• 2020

Elderly people living alone need smart care for independent living. Recent advances in artificial intelligence have allowed for easier interaction by a computer-controlled virtual human. This technology can realize services such as medicine intake guide for the elderly living alone. In this paper, we suggest an intelligent virtual human and present our virtual human toolkit for controlling virtual humans for a senior citizen living alone. To make the virtual human motion, we suggest our authoring toolkit to map gestures, emotions, voices of virtual humans. The toolkit configured to create virtual human interactions allows the response of a suitable virtual human with facial expressions, gestures, and voice.

• 한국치위생학회지
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• 제20권6호
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• pp.889-897
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• 2020

Objectives: This study aimed to investigate whether there was a connection between oral health and memory loss in elderly individuals with no abnormalities in their daily lives and to identify factors affecting memory loss. Methods: This study aimed to identify an association between the Geriatric Oral Health Assessment Index and Subjective Memory Complaints for the elderly individuals living in the community. Results: The results of analyzing the oral health assessment according to the general characteristics of the study participants revealed that with increase in age, income (p=0.05) and oral health of the elderly living alone decreased compared to those living together in the family (p=0.05). Moreover, the lower the income (p=0.05), the higher was the memory loss for the elderly living alone than for the elderly living together with their family (p=0.05). Conclusions: The study identified a link between oral health of the elderly and subjective memory loss and observed that oral health, cohabitation, and income level were related to subjective memory loss. Therefore, oral health should be considered as a predictor of memory loss for the elderly.

• 디지털융복합연구
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• 제13권1호
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• pp.67-76
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• 2015

본 연구의 목적은 독거노인의 욕구를 지원하기 위한 ICT기반 독거노인복지서비스의 역할을 정립하는 것이다. 독거노인은 고령화가 가속됨에 따라 2010년 102만 가구로 증가 추세이며 정신적, 사회적, 경제적인 어려움 등으로 인해 사회문제로 대두되었다. 본 연구는 기존 시행된 6개 부처의 85개 노인복지서비스와 향후 제공가능 한 114개 ICT기반 복지서비스를 조사하였다. 이들 서비스를 Maslow의 욕구분류체계에 따라 유형화하고 오프라인, 온라인, 온오프라인병행 서비스로 구분하였다. 연구의 결과는 안전욕구(의료 건강), 자아실현욕구(여가 문화) 서비스에 집중되어 있고 자존욕구 서비스는 저조한 것으로 나타났다. ICT기반 노인복지서비스를 통해 환경개선, 일자리 확대, 독립적인 일상생활지원 서비스는 개선이 가능하고 심리/정서지원 서비스 등은 추가 발굴이 필요하다는 것을 알 수 있었다. 본 연구결과로 현재 제공되는 서비스의 편중은 완화하고 부재는 보완하는 등 ICT기반 수요자 중심 노인복지서비스를 통해 독거노인의 삶의 질을 향상시킬 수 있을 것이다.

• 융합정보논문지
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• 제8권5호
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• pp.11-17
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• 2018

본 연구는 독거노인의 자살영향요인에 영향을 미치는 요인을 파악하기 위해 시도 되었다. 본 연구는 K & C 지역에 거주하는 독거노인 175명을 대상으로 한 융합적 서술조사연구이며 자료는 SPSS/WIN 21.0을 이용하여 t-test, ANOVA, Pearson's correlation coefficients 산출 및 다중희귀분석을 실시하였다. 자료수집은 2017년 1월 부터 2017년 3월까지 였다. 본 연구결과는 다음과 같다. 자살생각은 사회활동(r=-.106, p<.05), 주관적 건강상태(r=-.292, p<.01), 자아존중감(r=-.069, p<.05), 자기통제감(r=-.201, p<.01)과 부적 상관관계를 보였고, 우울(r=.023, p<.01), 스트레스(r=.320 p<.05)는 자살과 양의 상관관계를 보였다. 또한 자살생각에 영향을 미치는 요인은 주관적 건강상태, 자아통제감, 사회활동 순으로 나타났고, 총 43.5%의 설명력을 나타났다. 독거노인의 자살을 예방하기 위해서는 자살요인을 파악하고 건강상태, 사회활동, 자아존중감, 자기통제감 관련하여 상담 및 프로그램을 마련해야 할 것이며 자살예방을 돕는 적극적인 간호중재의 모색이 필요하다 하겠다.

• 대한불안의학회지
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• 제11권1호
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• pp.69-74
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• 2015

Objective : Positive psychotherapy is based on the premise that positive thoughts and satisfaction with life are determinants for improving the symptoms of depressive disorder. This article highlights the effectiveness of group positive psychotherapy on the elderly living alone with depressive disorder in Korea. Methods : A total of 25 Korean elderly living alone with depressive disorder participated in group positive psychotherapy. The participants completed the Hamilton rating scale for depression (HAMD) and the Positive Thinking Questionnaire (PTQ) before and after the group positive psychotherapy. Results : The HAMD and PTQ scores of the participants after the group positive psychotherapy were higher than before the psychotherapy. A correlation between the age of patients and improvement of symptoms after group positive psychotherapy was found : the older the patients were, the better the improvements were. Conclusion : The study shows that group positive psychotherapy in the elderly living alone is effective in improving the symptoms of depressive disorder. The participant's age was found to be a factor that affects the improvement of depressive disorder symptoms.