• 한국산학기술학회논문지
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• 제15권8호
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• pp.5303-5309
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• 2014

노령화 사회의 진입에 따라 건강에 대한 관심이 높아지고 있다. 특히, 만성질환을 가지고 있는 노인의 투약 관리는 생명과 직접적인 연관성을 보이기 때문에 중요하게 여겨진다. 본 연구는 노령 환자를 위한 NFC 기반의 복약 관리 시스템을 제안한다. 제안하는 방법은 NFC기반 복약 캡 및 스마트폰 응용프로그램 개발을 통하여 고령환자의 올바른 복약 지도 및 알람을 통한 약품 미복용 및 오복용 방지를 통한 건강관리가 가능할 것으로 판단된다.

• 한국산학기술학회논문지
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• 제20권6호
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• pp.332-341
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• 2019

본 연구는 전기노인과 후기노인의 수면의 질을 조사하고 수면의 질에 영향을 미치는 요인을 비교하기 위한 서술적 조사연구이다. 연구 대상은 편의표출법을 적용하여 G도에 거주하는 재가 노인을 대상자로 200명을 선정하였다. 구조화된 설문지를 이용하여 사회 인구학적 특성, 생활습관 및 건강관련 특성, 우울, 그리고 수면의 질을 조사하였다. 자료분석은 IBM SPSS WIN/21.0을 이용하여 ${\chi}^2-test$, t-test, ANOVA(Scheffe's test), Pearson's Correlation coefficient, Multiple Regression을 이용하여 분석하였다. 연구결과는 다음과 같았다. 수면의 질은 전기노인에 비해 후기노인이 통계적으로 유의하게 나빴다. 상관관계를 분석한 결과, 전기노인에서는 우울(r=-.22, p=.038)만이 수면의 질과 유의한 부적 상관관계가 나타났다. 후기노인에서는 우울(r=-.19, p=.045)과 주관적 건강상태(r=-.29, p=.002)가 수면의 질과 유의한 부적 상관관계가 있었다. 수면의 질에 영향을 미치는 요인을 분석한 결과, 전기노인에서는 직업, 만성질병 그리고 경제수준으로 나타났고, 후기노인에서는 만성질병, 주관적 건강상태 그리고 흡연이 유의하게 나타났다. 본 연구 결과는 노인의 수면 건강을 향상시킬 수 있는 연령별 맞춤형 전략 수립에 기초자료로 활용될 수 있을 것이다.

• 지역사회간호학회지
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• 제21권4호
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• pp.481-488
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• 2010

Purpose: The purposes of this study were to examine the relations among anxiety, knowledge, health locus of control and preventive behavior, and to find factors related with preventive behavior. Methods: The subjects were 269 elderly people of over 65 living in C City. Data were collected through a structured questionnaire and analyzed by SPSS. Results: Health promoting behavior was significantly different according to chronic disease, contact with H1N1 patient and perceived health status. The variables that affected the level of preventive behavior were anxiety, knowledge, internal locus of control, external locus of control, chance locus of control and perceived health status. Conclusion: According to this study, promoting preventive behavior for H1N1 on the elderly builds up anxiety, knowledge, and health locus of control.

• International journal of advanced smart convergence
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• 제10권4호
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• pp.206-214
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• 2021

The purpose of this study is to identify the level of polypharmacy use, drug knowledge, and drug misuse behavior in the elderly, and to understand the correlation between them and their effect on drug misuse behavior. The study design was a descriptive survey study, and the participants of the study were 215 elderly people from the local community center. The research tool used drug knowledge, drug misuse behavior, and the data collection period was from February 8 to 19, 2021. The data analysis were descriptive statistics, t-test, one-way ANOVA, Pearson's correlation coefficient, and regression analysis. As a result of the study, a significant correlation variable for the drug knowledge of the elderly showed a significant correlation with prescription and non-prescription, r=.145 (p<0.05), and r=.-. 136, which showed a negative significant correlation (p<0.05). As for the significant correlation variable in the drug misuse behavior of the elderly, when prescription and non-prescription were combined, there was a significant correlation with r=.256 (p<0.01), and when not using drugs, r=.-.225 was negative. showed a significant correlation (p<0.01). In terms of the effect on drug misuse behavior, chronic disease =.145, prescription and non-prescription use = .233, which had a positive effect, and non-prescription = -.328, indicating a negative and significant effect. The provision of education on the safe use of drugs by the elderly should first be provided in the community. In addition, we need systematic education and social support for the transmission of correct knowledge on multi-drug use by the elderly and for health management.

• 한국지역사회생활과학회지
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• 제17권1호
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• pp.123-139
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• 2006

The purpose of this study is to search how to promote health and improve nutrition and health care of the elderly people in rural area. Behaviors for health promotion and habits against health risk were surveyed. Dietary management was analyzed for surveyed nutrient intake by 24 hr -recall method. 242 subjects were collected in 12 cities or counties in Gyeonggi Province and 20 elderly people (10 male and 10 female) were selected out of 1 village in each district. Questionnaire for health behavior and dietary management was carried out by trained interviewers. Statistical analyses were made by SAS (version 8.1) and Chi-square tests and General Linear Models were used. Characteristics of the elderly people were 61-74 year-olds (68.2%), elementary school educated (78.4%), with spouse (51.7%), monthly living cost of 500-1,000 thousand won(43.4%), and monthly pocket money of 50-100 or 100-200 thousand won(33.5%, 26.5%). 41.4% of the subjects checked up medical examination regularly. The alcohol drinking status was significantly different according to gender: high no-drink rate of female (52.5%) and low no-drink rate of male (25.6%). Kinds of disease were different according to gender: higher proportion of cardiovascular disease(46.3%) and diabetes mellitus(8.1 %) in male and joint lumbago neuralgia(44.4%) and osteoporosis(8.6%) in female. Gastrointestinal complaints were nausea (69.0%) and chronic indigestion (17.8%). Constipation (12.0%) and vomiting (4.3%) were more frequent in female. Dietary management was good (3 meals per day: 93.4%., dining with family: 72.4%, regular mealtime: 72.4%, and 3-4 times of snacks per week: 44.9%) except side dish taking of 3-4 kinds only. However, almost one-third of the female elderly ate alone (30.6%) which was well compared with one-fifth of the male (19.7%). And food and nutrients intake were not significantly different according to gender except that male elderly's intake of energy and protein was lower than that of female's. The surveyed subjects had no difficulties in Activities of Daily Living (ADL), but some female elderly had some difficulties with Instrumental Activities of Daily Living (IADL) like working at home, using transport, and going shopping. These results suggest that low quality of life linked with low economic status of the rural elderly and that congregate meal at village hall would be required for the female elderly eating alone. For the undernourished male elderly, it would be needed to provide snacks and to establish nutrition and health surveillance system.

• 한국노년학
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• 제41권2호
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• pp.271-284
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• 2021

이 연구는 한국형 커뮤니티 케어의 기초가 되는 서울시 찾아가는 동주민센터 방문건강관리 사업을 중심으로, 만성질환 유병상태에 따른 노인 방문건강관리 서비스 만족도 영향요인을 도출하고, 향후 효과적인 커뮤니티 케어 모형 개발을 위한 기초자료로 활용되고자 수행되었다. 이 연구는 찾아가는 동주민센터 3단계('17년 7월 ~ '18년 6월) 및 4단계('18년 7월 ~ '19년 6월)에 참여한 만 65세, 만 70세 노인을 모집단으로 하여, 자치구별 비례할당 방식으로 추출한 2,200명(3단계 24개구 1,100명, 4단계 25개구 1,100명)을 대상으로 가구방문 면접 조사를 실시하였다. 이후 불성실 응답 180건을 제외한 2,020명을 최종 분석대상에 포함하였다. 만성질환 유병상태를 기준으로 하위집단을 나누었고, 방문건강관리 서비스 만족도 영향요인을 도출하기 위하여 로지스틱 회귀분석을 실시하였다. 연구결과, 만성질환이 없는 노인들은 건강교육 및 상담 서비스를, 만성질환을 1개 가지고 있는 단일 만성질환 노인은 지역사회자원 연계서비스를, 만성질환을 2개 이상 가지고 있는 복합 만성질환 노인은 자신의 건강상태평가 및 지역사회자원 연계서비스를 제공받은 경우 서비스 만족도가 통계적으로 유의하게 높아지는 것을 확인하였다. 한편, 만성질환 유병상태와 상관없이 노인이 인식하고 있는 서비스 제공시간은 방문건강관리 서비스 만족도를 높이는 요인이었으며, 설명 이해도는 단일, 복합 만성질환자 모두에게 만족도를 높이는 요인이었다. 지역사회를 중심으로 한 방문건강관리 서비스는 현재 추진되고 있는 커뮤니티 케어의 핵심 요소이므로 향후 커뮤니티 케어의 지속성과 효과성을 증대하기 위하여, 노인의 만성질환 유병상태에 따른 지역사회 중심의 맞춤형 건강관리서비스가 제공되어야 하겠다. 다만, 보다 효과적인 서비스 제공을 위하여, 첫째, 국민건강보험공단이 보유하고 있는 대상자의 건강정보를 지자체로 공유하는 연계시스템 구축과 둘째, 방문건강관리 서비스의 질향상을 위한 방문간호사 역량강화 교육이 병행될 필요가 있다. 이 연구의 결과와 제언이 향후 커뮤니티케어의 성공적 정착을 위한 기초자료로 활용되기를 기대한다.

• 한국주거학회논문집
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• 제18권5호
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• pp.11-22
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• 2007

The purpose of this study is to propose prototypical plans for a dwelling unit applying the concepts of 'open housing' and 'aging in place' for senior citizens living in cities focusing on specific life patterns with chronic disease. Especially, a unit was designed for diabetes patients because diabetes, a representative disease of elderly people, often accompanies complications such as arthritis and Alzheimer disease. A unit design suitable for the convenient life of the elderly people with diabetes will provide a guideline for the similar unit designs of the senior citizens with other diseases. In this study, three types of unit plan are proposed. A-type plan is for type-1 diabetes patients, B-type alt.1 for the independent seniors of type-2 diabetes patients, and B-type alt.2 for the dependant seniors of type-2 diabetes patients. And a support design for a unit plan with the exclusive area of $60\;m^2$ is proposed. The same support design is used for all three unit types. Although the locations of bathroom and storage room are fixed and the location of the kitchen is changeable only in wet-zone. In conclusion, senior residents with diabetes can choose one of three unit types before occupation and the chosen unit type can be renovated by replacing infill systems as the health condition or life style changes.

• 인간식물환경학회지
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• 제22권5호
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• pp.425-434
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• 2019

This study was conducted to investigate psychological and physiological changes of elderly affected by agro-healing activities. To meet the purpose, we conducted an agro-healing program with 20 elderly participants (average age 77.6±5.84 men and women) and once a week in total seven sessions. The Korean version of the Brief Encounter Psychosocial Instrument (BEPSI-K), Korean version of the Short Form of Geriatric Depression Scale (SGDS-K), participants' satisfaction with the program, Salivettes system method, and blood pressure were measured to find out the effects of agro-healing activities. BEPSI-K decreased by 5% in the high stress group although it was not statistically significant. The result of program satisfaction showed that 75% of the participants are satisfied with these activities. We investigated how many and what kind of chronic diseases the participants have had before they joined the program. As a result, hypertension was most common(35.6%), followed by hyperlipidemia, diabetes, arthritis, lumbago, osteoporosis, and heart disease. Systolic blood pressure after the activities decreased significantly from 144.75mmHg (stage 1 hypertension), to 132.90mmHg(prehypertension stage). As a result of analyzing the correlations between general matters such as age, education level, average income of the participants, psychological scale and number of diseases, it was found that participants' satisfaction had a negative correlation with depression. In conclusion, agro-healing is very useful in relieving stress or lowering blood pressure for the elderly whose most common disease is hypertension. Agro-healing activities are proved to have positive uses in reducing the problems of the modern society with severe issues of the aging population.

• 대한통합의학회지
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• 제12권1호
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• pp.161-169
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• 2024

Purpose : This study investigated the correlation between social support and older people's quality of life. Methods : We conducted a questionnaire survey with 350 older participants and analyzed 320 completed surveys. The collected data were analyzed using SPSS 25.0 for Windows. The general characteristics of the participants and quality of life subdomains were analyzed using descriptive statistics and frequency analyses. Furthermore, the differences between the subdomains of social support and quality of life were analyzed using independent t-tests and a one-way ANOVA. Post-hoc tests were performed using the Scheffé test. A significance level of α=.05 was used to verify statistical significance. Results : Upon examining the sub-domain level of social support and considering general characteristics, it was found that older age correlates with increased dependency among patients with associated diseases (p<.05). Similarly, an investigation into participants' quality of life at the subdomain level, considering general characteristics, revealed higher correspondence to lower quality of life (p<.05). Differences emerged between social support and quality of life among older individuals, with a negative correlation observed between the two (p<.05). Conclusion : This study suggests the importance of actively supporting older people with chronic diseases who experience emotional and psychological instability. It advocates for promoting the use of various services, including visiting medical services, convalescent care, and assistance, to meet their needs effectively.

• 보건행정학회지
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• 제27권2호
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• pp.177-185
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• 2017

Background: The mental problems of the elderly are at issue as a serious social phenomenon. The purpose of this study is to identify risk factors affecting the mood disorders of the elderly. Methods: The subjects were 1,779,236 aged ${\geq}65$ and participated in health screening. Dependent variable was mood disorders. Independent variables were consisted of community level (regional deprivation index and healthcare resources) and individual level (sex, age, insurance type, disability, smoking, alcohol, physical activity, body mass index, and healthcare utilization). Multilevel logistic regression was performed. Results: At the individual level, women, employed insured, severely disabled people, heavy alcohol drinkers, high-intensity physical activity, body mass index, and patients who had chronic disease and severe disease were significantly associated with mood disorders. As the age has increased, it has let increase of mood disorders. At the community level, as the regional deprivation index has increased by 1, mood disorders has been increased by 1.005 times. The intra-class coefficient was 7.04%. Conclusion: We found individual and community level factors are associated with mood disorders. Systematic approach is essential to reduce mood disorders.