• 한국융합학회논문지
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• 제12권10호
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• pp.121-128
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• 2021

본 연구는 노인의 정신 건강과 구강 건강 문제와의 관련성을 알아보고자 국민건강영양조사 제7기 3차(2018) 원시자료를 이용하여 65세 이상 노인 753명을 대상으로 조사하였다. 자료 분석은 IBM SPSS 22.0 프로그램을 이용하여 복합표본분석을 시행하였다. 씹기 불편감 문제는 스트레스 인지 와 우울증 정도가 증가함에 따라 오즈비가 증가하였다(p<0.05). 말하기 불편감 문제는 정신 건강 상담을 받은 그룹에서 오즈비가 증가하였다(p<0.05). 본 연구결과 노인의 정신 건강과 구강 건강 문제는 연관성이 있는 것으로 나타났다. 따라서 노인의 정신 건강 관리와 구강 건강 문제 향상을 위한 프로그램 개발을 통하여 삶의 질 향상이 필요하리라 사료된다.

• 한국컴퓨터정보학회논문지
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• 제25권3호
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• pp.219-227
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• 2020

우리나라의 고령화는 매우 빠르게 진행되어 곧 초고령화 사회에 진입할 것으로 예상하고 있어 노인장기요양보험제도와 관련한 노인장기요양보험법을 제정하였으나 많은 문제점이 있어 이를 해결하기 위한 수차례의 개정이 시도되었다. 장기요양보험법을 제정한 독일도 마찬가지로 노인복지 및 장기요양을 위하여 사회 제반의 인프라 구축 및 요양서비스의 질적 향상을 위하여 꾸준한 문제제기를 통하여 법을 개정하고 보다 구체화된 요양기준을 제시하고 최종적으로는 노년의 삶을 향상하려 노력하고 있다. 노인관련 법제의 체계화는 당장 노인복지 정책에 대한 변화가 생긴다거나 실생활에서 노인들이 체감하는 복지서비스가 훨씬 올라갈 것이라고는 기대하기 어려울 수 있다. 그러나 노인복지의 정책근간이 되는 법률이 규율내용의 맥락과 논리에 따라 체계적으로 정비되고 이를 바탕으로 일선 실무차원에서의 행정력이 투입된다면 보다 행정적인 혼선이 줄어들고 일반 국민들이 규범에 대해 가지는 이해도와 활용도가 높아질 것이다.

• 대한영양사협회학술지
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• 제14권1호
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• pp.23-35
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• 2008

Improved nutritional intake contributes to maintaining health and quality of life in elderly population and also reducing individual and social medical costs. Most of nutrition assistance programs for elderly, such as congregate or home-delivered meal programs, are not currently serviced in rural communities mainly due to low cost efficiency of program operation. However, the needs and necessity of such programs are presumed to be higher in rural area where the population density of elderly at nutritional risk is relatively high. Therefore, the purpose of this study was to develop a community-based meal program for the rural elderly. In 2007, four rural communities located in Jeon-Nam province were selected and the pilot meal program was applied for three months. Following are key features of the meal program model developed in this study: 1) meal production and service are operated by elderly participants to overcome the voluntary personnel shortage 2) utilization of locally-produced foods is maximized to reduce the meal cost, 3) traditional cooking methods are applied to adjust the food preference of elderly, and 4) foods are serviced on site to minimize the food safety problem possibly caused by delivery process. The pilot programs resulted in high satisfaction with the programs of participating elderly. The community-based meal program model developed in this study is expected to be used as an effective nutrition and health intervention model for the rural elderly.

• 대한지역사회영양학회지
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• 제6권1호
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• pp.76-83
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• 2001

This study was designed to determine serum osmolality and to investigate the association among serum osmolality, health-related factors and biochemical indices. Two hundred thirty seven elderly(86 male, 151 female : mean age 73.8) residing in the chungbuk area participated. Sociodemographic data and self-perceived health status were obtained by interview, and biochemical parameters were measured. The mean serum osmolaity was 301.2$\pm$10.1 mOsm/kg(range 240.8~328.9 mOsm/kg) and serum osmolality of the females(302.4 mOsm/kg) was significantly(p＜0.05) higher than that of the males(299.0 mOsm/kg). Only 11.0% of the elderly were within the accepted normal range(280~295 mOsm/kg) and the majority of the subjects were in a hyperosmolar state(60.8% : 296~307 mOsm/kg). It was observed that serum osmolality was reduced with increasing age but not statistically significant. There was no significant difference in serum osmolality according to marital status. Serum osmolality was significantly lower(p＜0.05) in the elderly with higher self-perceived health scores than the elderly with lower self-perceived health scores, however no significant difference was observed between the presence or absence of disease. Serum osmolality tended to be higher(p=0.06) in the elderly with difficulty in mobility than the elderly who have no problem in mobility. Serum osmolality tended to be higher(p=0.06) among drug users compared to that of non-users. There was a significant association between serum osmolality and serum albumin in females but not in males. Significant associations were shown between serum osmolality and serum transferrin in both sexes. However, there was no significant correlation between serum osmolality and hemoglobin or hematocrit except with hematocrit in females only. The results of this study indicated that the elderly were dehydrated and hydration state seems to influence health status and, the elderly should be encouraged to drink an adequate amount of fluids. Also, the hydration state is required to be assessed and considered for the interpretation of biochemical parameters.

• 대한간호학회지
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• 제23권4호
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• pp.649-663
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• 1993

A long life is the desire of many people. The purpose of this study was to describe the thoughts that are held by elderly people about long life as the elderly are approaching the end of life. The research was conducted using an ethnographic method to add understanding to this subject. The field work for this study was done from July, 1991 to August, 1993 in third phases in Chun Buk province. The results of the present study show the following : The thoughts of the elderly about chang su showed three important concepts : In Myoung Sae Chun(lived as life), Su Cheuk Dah Yok(long life is a disgraces, and Transcendence of life: In Myoung Sae Chun showed the thought of limitation of man’s life and realistic thought about the life through free oneself from death and life. Su Cheuk Dah Yok meant experience of physical difficulty, experience of sons and daughter’s death ahead one’s own self. Senility was the most afraid problem for the elderly. Transcendence of life showed pursuit of a continuing life through connected with sons and the family. The conditions promoting chang su were described as clear water, fresh air, adequate eating, deep sleeping, gender(female). In addition it showed that ecological and environmental conditions (heavy work, starvation, vegetable food, physical environment, respection for the elderly). These results showed that the elderly was recognized one’s own self as living being rather than adhered to the life, and will promote understanding the elderly’s desire for long life. Also, suggested to nursing practice that should maintain self-esteem and respect for the elderly, Therefore, these results can be used nursing practice for the elderly.

• 여성건강간호학회지
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• 제21권1호
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• pp.43-54
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• 2015

Purpose: This study was conducted to identify the problem of bone health and potential influencing factors of bone mineral density (BMD) for women across the life cycle of menopause. Methods: Complex sampling design data analysis was performed on the fifth Korea National Health and Nutrition Examination Survey 2010 in order to identify the problems with bone health, BMD and its influencing factors in 3,499 women who answered the menopausal status. Women's life cycle was categorized by premenopausal, postmenopausal, and elderly. Results: 35.1% of premenopausal women, 73.3% of postmenopausal women, and 96.0% of elderly women had problems with bone health that were related to low BMD. Influencing factors of BMD were residential area, alcohol drinking, and body mass index (BMI) for premenopausal women; age, residential area, education, marital status, income, and BMI for postmenopausal women; and age, education, and BMI for elderly women. Conclusion: Problems with bone health required to be considered as a major health problem in all women regardless their life cycle. Interventions to maximize BMD need to be developed by considering its influencingfactors across the women's life cycle.

• 한국사회복지학
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• 제55권
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• pp.283-307
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• 2003

우리나라 노인들의 사회복지서비스 이용은 매우 저조하고 서비스가 각기 독립적으로 제공되고 있기 때문에 중복과 누락현상이 나타나고 있음이 지적되어 왔다. 본 연구는 경기도 국민기초생활보장대상 노인들 전수를 대상으로 노인들이 어떠한 서비스기관으로부터 어떠한 사회복지서비스를 받고 있는지에 대해 살펴보고, 노인들의 사회복지서비스 이용기관수에 영향을 미치는 요인이 무엇인지 알아보고자 하였다. 연구결과 서비스중복 문제보다는 낮은 서비스이용률이 더 문제인 것으로 드러났다. 노인의 사회복지서비스 이용에 영향을 미치는 요인을 알아본 결과 비교적 욕구요인이 큰 비중을 차지하였고 그 외 귀속요인과 자원요인도 중에는 큰 영향을 미치는 변수들이 나타나, 사회복지서비스확충과 지역별 균형의 달성, 서비스 연계 활성화가 필요한 것으로 밝혀졌다.

• 대한의생명과학회지
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• 제25권3호
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• pp.218-226
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• 2019

In old age, measures to cope with the natural phenomenon of aging and various diseases of the elderly due to the deterioration of physical function are also a challenge for this society. While interest in systematic health is increasing, it is true that awareness and interest in oral-related diseases is relatively lacking. This study aims to present basic data necessary to improve the quality of life for senior citizens aged 65 or older by improving the oral dryness caused by systemic health. By research method, improve oral dryness caused by whole-body health with the elderly over 65 and promote their oral health, inducing the increase of the salivary flow rate through oral health care education, oral exercise, and salivary gland massage. First, on the DMSQ according to the general characteristics of the elderly, the recognition of the whole body and oral health status, independent sample t-test and One-way ANOVA were conducted. Second, on changes in the salivary flow rate and saliva pH according to the general characteristics of the elderly, recognition of oral and whole-body health status, and whole-body health, paired samples t-test was conducted. Studies have shown that salivary gland flow increased significantly after oral exercise and salivary gland massage, the salivary flow rate significantly increased. In all variables of the recognition of the oral health status, the salivary flow rate increased after oral exercise and salivary gland massage, and in the whole-body health, regardless of hypertension, diabetes, cardiovascular disorders, and osteoporosis, the salivary flow rate increased after oral exercise and salivary gland massage, and the salivary flow rate increased after oral exercise and salivary gland massage if the subjects responded that they did not have thyroid abnormality, anemia, abnormalities of breathing, hypotension, gastrointestinal disturbance, or kidney diseases. As a comprehensive analysis of this study, many felt oral dryness when they had a problem with the whole-body health, and many felt oral dryness when they had a problem with oral health cognition. After applying oral exercise and salivary gland massage as intervention methods in the oral health care for the elderly, the salivary flow rate significantly increased, and it is judged that the methods were very effective for controlling oral dryness. Furthermore, it is judged that the factors affecting oral health, whole-body health, and oral dryness would be identified, which would be helpful for the promotion of whole-body health and oral health. It is judged that continuous research would be needed so that measures for the application of the oral care program and system for the elderly would be prepared in the future.

• International Journal of Contents
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• 제17권4호
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• pp.79-90
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• 2021

With the deepening of population aging, pension has become an urgent problem in most countries. Community smart pension can effectively resolve the problem of traditional pension, as well as meet the personalized and multi-level needs of the elderly. To predict the pension intention of the elderly in the community more accurately, this paper uses the decision tree classification method to classify the pension data. After missing value processing, normalization, discretization and data specification, the discretized sample data set is obtained. Then, by comparing the information gain and information gain rate of sample data features, the feature ranking is determined, and the C4.5 decision tree model is established. The model performs well in accuracy, precision, recall, AUC and other indicators under the condition of 10-fold cross-validation, and the precision was 89.5%, which can provide the certain basis for government decision-making.

• 보건행정학회지
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• 제29권1호
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• pp.1-3
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• 2019

Suicide is a major problem in Korean health care and a serious social problem. In Korea, 12,463 people (24.3 per 100,000) lost their lives due to suicide in 2017. Although the government has established three National Comprehensive Plan of Suicide Prevention (2004, 2009, 2016), and National Action Plan of Suicide Prevention (2018), the suicide rate is still high. The suicide rate of the elderly is especially high. This is due to the economic vulnerability of the elderly in Korea. Therefore, in order to prevent suicide in Korea, mental health care approach and social welfare approach should be integrated. The intervention of preventing suicide of suicide attempters should include social welfare services as well as mental health program and should be based on community. There are many health problems, including prevention of suicide, which can not be solved only by the efforts of health care. Many health problems are social problems and the integrated approach is needed to solve them. In order to solve many health care problems and improve health, integrated approach of health, social science, and humanities is needed.