• Title/Summary/Keyword: Elderly problem

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A Study on the Status of Health and Medication in the Elderly (노인의 건강상태와 복약실태)

  • Cho Won Sun
    • Journal of Korean Public Health Nursing
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    • v.14 no.2
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    • pp.431-445
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    • 2000
  • In general the prevalence of old people is high and frequently have multiple diseases and symtoms requiring treatment. The nature of illness in the elderly has to be faced, and drugs do have an important part in the treatment of that illness. The purpose of this study were to describe health status and medication, and to provide some basic data for elderly's health education, especially for the right medication. Body mass index, self perceived health status, activities of daily living, disease and experience of past operation were surveyed to recognize the 249 elderly's actual health status. The degree of the elderly's understanding the way of medication, experience of side effects, experience of drug combination and incidence of drug adverse reaction along with drug combination were examined for medication. The aged $women(BMI; 10.7\pm13.3\%)$ overweighed the aged $men(BMI; 4.0\pm10.4\%)$. $69.0\%$ of them recognized their health good. Their activities of daily living were diminished following by the age group(p=0.0068) and relationship with self perceived health status were very significant(p=0.0005). They(192 elderly) suffered from multiple disease such as $osteoarthritis(49.5\%)$, $hypertension(32.0\%)$, gastric $disorder(16.1%)$, $diabetes(14.6\%)$, $osteomalacia(10.9\%)$, cardiovascular $disease(9.9\%)$, senile $cataract(5.7\%)$, skin $rash(5.2\%)$, liver $disease(4.2\%)$, kidney $disease(3.6\%)$, spinal cord $problem(3.6\%)$, respiratory $disease(2.1\%)$ $tuberculosis(1.0\%)\;etc(1.0\%).$ $28.3\%$ of them replied that they had an operation for appendictis senile cataract, peptic ulcer, spinal cord problem, pleurisy, hemorrhoid and the rest. Most of $them(87.4\%)$ knew the way very well how to use drugs, and $21.6\%$ of the replied 171 elderly experienced adverse drug reaction. Drug compliance rate were $high(83.6\%)$. In our study 56.9% of the 167 elderly took several medicine together. And $18.9\%$ of the 95 elderly who did drug combination had an experience of drug interaction. One person kept average 5.5 kinds of drugs at home among 243 elderly. They kept $digestives(79.4\%)$, $ointments(68.7\%)$, $vitamins(59.7\%)$, $analgesics(59.7\%)$, cold $medicines(45.3\%)$ antiarthritic $drugs(33.3\%)$, health $foods(27.7\%)$, antihypertensive $drugs(25.1\%)$, anti peptic ulcer $drugs(24.7\%)$, $laxatives(19.8\%)$, $antacids(16.5\%),\;antibiotics(l6.5\%)$, hypoglycemic $agents(10.3\%)$, cardiac $stimulants(7.0\%)$, $diuretics(4.5\%)$, antiarrhythmic $drugs(4.9\%)$, anti anginal $drugs(4.1\%)$, $hypnotics(3.3\%)$, $etc(38.3\%)$. With this result, we ascertain that polypharmacy in the elderly caused by multiple disease is common, which lead to drug interaction. So our task is to educate elderly how to use drugs in order to maximize their efficiency and to minimize their adverse effects.

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Elderly people's understanding level of their life style in next generation (차세대 노인의 노후생활 형태 인식에 관한 연구)

  • Kim, Hee-Chung;Chung, Yeong-Kang;Gwun, Young-Mi
    • Research in Community and Public Health Nursing
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    • v.8 no.2
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    • pp.211-224
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    • 1997
  • The purpose of this study is to find a solution to effectively nurse elderly people in the aging society of next generation by analyzing relationship among the social problem of elderly people in the future society, their preferred life style, and their understanding level of an asylum for the aged. Data for this study were collected by questioning 316 persons(257 visitors at C University hospital and 59 residents in Chun - Ra Nam Do) from December 1996 to March 1997. The results were as follows: The assumption that an individual's preferred life style at old age depends on his /her understanding level of the social problem of elderly people was verified ($X^2=9.75$, p<0.00). The assumption that one's understanding of an asylum for the aged depends on his /her understanding level of the social problem of elderly people was verified ($X^2=4.40$, p<0.05). The assumption that one's understanding of an asylum for the aged depends on his/her pre-ferred life style at old age was verified($X^2=34.51$, p<0.01). Among those who want to live together with children when they get old, the following differences in their conception were noted: Elderly people who has lost his /her wife /husband should marry again(p<0.01). Children should take care of their parents(p<0.01). Children should live with their parents(p<0.01), A desirable living style for an elderly people. An undesirable living style for an elderly people. Among those who want to live alone when they get old, the following differences were observed: It is okay for children to live separately from their parents as long as they provide financial support(p<0.01). Any child, regardless of the distinction of sex or the order of birth among siblings, can take care of his/her parents(p<0.05), It is desirable for an elderly people to live alone (p<0.01). It is undesirable for an elderly people to live in an asylum for the aged(p<0.05). It was verified that those who view an asylum for the aged in a negative way believe that children should take care of their parents. Also, it was verified that those who view an asylum for the aged in a positive way believe that children should provide financial support to their parents even though they do not live together(p<0.01). Regardless of the subjects' opinions on seriousness of the social problem of elderly people, the assumption that any child, regardless of the distinction of sex or the order of birth among siblings, can take care of his/her parents was verified(p<0.01) (p<0.05). Regardless of the subjects' view on asylum for the aged, the assumption that it is undesirable place for an elderly people to live was verified (p<0.01). The assumption that one's understanding of an asylum for the aged depends on the distinction of sex among general characteristics such as sex, age, educational background, occupation, and religion was verified(t=-2.82, p<0.01). The assumption that an individual's preferred life style at old age depends on the distinction of sex among general characteristics such as sex, age, educational background, occupation, and religion was verified(t=l.68, p<0.l).

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Benign Prostatic Hyperplasia in Community-Dwelling Elderly in Korea

  • Lee Eun-Hyun;Chun Ki-Hong;Lee Yunhwan
    • Journal of Korean Academy of Nursing
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    • v.35 no.8
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    • pp.1508-1513
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    • 2005
  • Background. This study was done to identify the prevalence of benign prostatic hyperplasia(BPH) and BPH-related symptoms among community-dwelling elderly men in Korea. In addition, quality of life and health care-seeking behavior were explored. Methods. A total of 417 elderly men were surveyed using the IPSS (International Prostatic Symptom Score) and a structured questionnaire on health care-seeking behaviors. Results. The prevalence of BPH was $19.7\%$. Of those with BPH, $80.3\%$ reported mild symptoms, $13.2\%$ moderate symptoms, and $6.5\%$ severe symptoms. The severity of BPH-related symptoms was significantly correlated with quality of life. Among those with BPH, $42.7\%$ had never consulted with anyone about their symptoms. Conclusions. BPH has emerged as a serious public health problem in elderly men. Elderly people who experience worse symptoms of BPH have a lower quality of life. Many elderly with BPH do not seek health care, mainly due to misconceptions about BPH. The provision of educational programs for BPH may significantly improve the quality of life of elderly men.

A New study on place attachment and elderly housing culture as a viewpoint of self-identity's concept (자아정체성 개념으로 본 장소애착과 노인주거문화의 새로운 고찰)

  • Park, Jung-Hun;Yoo, Jea-Woo;Chang, You-Kyoung;Son, Jun-Hyuk
    • Proceeding of Spring/Autumn Annual Conference of KHA
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    • 2011.04a
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    • pp.65-68
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    • 2011
  • The average increase in life expectancy obtained as a gift of modern science cannot hold itself responsible for extended life's happiness. It admits of no argument that the necessity of social preparation for minimizing bad health and longevity of unhappiness to aged people who are in the state of these continuous growth. Recently, because of an aging trend, targeting on elderly housing expected continuous increased demand in housing market, this study is to comprehend it's characteristic and offer implications. For the characteristic of elderly housing, firstly it needs scientific analysis of related theory and analysis of statistical data. Also this study aims to look through and suggest an alternative included the special matters of Korean society with advanced foreign country's analysis of an alternative. And judging from economic characteristics of elderly housing to be presented as an important factor, choices of housing according to economic level are anticipated to show different forms. In future, to supply elderly housing, therefore, the introduction of the concept of housing providing various opportunity of choice is necessary. If studies proceed through expanded alternative, it is judged to be able to draw more varied results in elderly housing. Also, if going along with political dimension study, it is expected to offer more specific and effective solutions of the problem of elderly housing.

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Lighting Environment Design Research for Well-Being of Elderly People (고령자의 삶의 질 향상을 위한 조명환경 디자인 연구)

  • Yi, YonSoo
    • Korean Institute of Interior Design Journal
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    • v.26 no.5
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    • pp.34-41
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    • 2017
  • It is necessary to conduct a basic research on fusion of ighting design or lighting environment to improve the health and quality of life of elderly people. The purpose of this study is to analyze the lighting situation of elderly people 's residential facilities in terms of space environment design plan and to analyze the trends in smart home, design and technology. It is to provide basic data for the prototype of lighting fixtures for elderly people living facilities considering functional, physiological and emotional characteristics. For the study, the target sites were selected and the results of the illumination survey of the target facilities were divided into two types of spaces, residential and other public spaces, and their location, lighting fixtures' type, color temperature, illuminance. The results of the survey showed that the overall physical illumination compared to the recommended illuminance for the elderly satisfied the recommended range and provided the appropriate brightness for the elderly. However, in the application layout of the lighting fixtures, a monotonous arrangement and a lighting fixtures type consisting entirely of simple square type fixtures and downlight types were applied. It would be desirable to use different types of lighting fixtures in the design for various functions, such as making the environment more comfortable. Future research will propose a prototype for the design direction of the subdivided lighting fixtures that classify the space according to functions and understand the vision problem of the elderly while aesthetically.

A Study on Relations between Health Status and Physical Therapy in Rural Area Elderly Women (일부 농촌지역 여성노인들의 건강특성과 물리치료와의 상관관계)

  • Ro, Hyo-Lyun;Kim, Sung-Joung;Gong, Won-Tae
    • The Journal of Korean Physical Therapy
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    • v.21 no.4
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    • pp.81-88
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    • 2009
  • Purpose: This study examined the health status and physical therapy in elderly women in rural areas to provide basic data on the promotion of health and physical therapy management of elderly women in rural areas. Methods: The subjects were 110 elderly women. The data was collected through individual interviews, and the tool developed for this study was a structured questionnaire based on the literature. The reliability coefficient was 0.57 ~ 0.79(Chronbach' $\alpha$). Results: Village 1 made the most of an oriental medicine clinic and a neighborhood clinic, whereas village 2 mainly used a public health center. Arthritis/ neuralgia and high blood pressure/low blood pressure were the most common complaints in the two villages; a medical institution was used once a month by more than 50% of subjects. Most rural elderly women used physical therapy, and the prevalence of arthritis/neuralgia was high. The most common problem in the two villages was poor health. The improvement in mobility was higher in the more healthy women, who also had less need for treatment at a medical institution. Conclusion: Most rural elderly women were concerned about poor health and used physical therapy. Therefore, rural medical institutions need to pay attention to the medical service and preventive activity to reduce the incidence and severity of neuromuscular syndrome in rural elderly women.

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Effects of Surface and Core Problems in Marriage on Dysfunctional Communication Behaviors in Marital Arguments : Focusing on Married Women (결혼생활의 표면적 문제와 핵심 문제가 부부싸움에서 사용하는 역기능적 의사소통 행동에 미치는 영향 : 기혼여성을 중심으로)

  • Kwon, Yoona;Kim, Deuksung
    • Journal of Families and Better Life
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    • v.31 no.4
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    • pp.1-14
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    • 2013
  • The current study examined the ability to predict Gottman's four dysfunctional communication behaviors during marital arguments based on the level of surface and core problems in marriage. Core problems were composed of three factors: caring, power, and commitment problems. A self-report questionnaire was administered to 182 married women residing in Busan. The results of multiple regression analyses revealed that a woman's degree of criticism was predicted by surface and caring problems when controlling for the other variables. The degree of contempt was predicted by a commitment problem as well as surface and caring problems. Defensiveness was determined only by a commitment problem, while stonewalling was determined only by a power problem. Overall, these results showed the importance of core problems in understanding the causes of the four dysfunctional communication behaviors - especially contempt - and suggested that additional attention should be given to a commitment problem as a contributor to the expression of contempt and defensiveness.

The Impacts of Education and Non-Labor Income on Employment Among the Elderly: An Estimation with a Panel Logit Model to Address the Problem of Endogenous Predictors (교육수준과 비근로소득이 고령자 취업에 미치는 영향: 내생성을 고려한 패널로짓 모형 추정)

  • Kim, Cheoljoo
    • 한국사회정책
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    • v.23 no.1
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    • pp.95-123
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    • 2016
  • As Korean society grows rapidly older, a systematic analysis of the determinants of labor supply behavior among the elderly becomes a prerequisite for designing more effective senior employment policies and income security regime for the elderly. Literatures review shows that a majority of previous researches have been ignoring the problem of "endogenous predictor" especially when it comes to the estimation of the effects of the two key variables, education and non-labor income, on labor supply decisions among older people. They have failed to take into consideration the unobserved heterogeneities which might affect both labor supply decisions of the elderly and their levels of education and non-labor income, which means, according to some econometric literatures, that the estimated coefficients of the two predictors can be inconsistent. The paper tries to redress the endogeneity problem by employing a panel logit model with data from the 1st. to 4th. wave of the KLoSA(Korean Longitudinal Survey of Ageing) to estimate the effects of key predictors on the probability of getting jobs among older people(ages of 60 or older). Both a random effects and a fixed effects model reaffirms that non-labor income has a negative effect on the chances of being employed. And a random effects model shows that the effect of education is also negative, as has frequently been reported by previous studies. That means the effects of education and non-labor income on elderly employment remain negative after the effect of unobserved heterogeneities is controled for and the problem of endogenous predictors is redressed through an appropriate panel data analysis. These findings mean, in turn, that when Korean baby-boomers, who had acquired an unprecedentedly higher level of education and were expected to enjoy ever-larger amount of non-labor income than their preceding generations, retires in near future, their incentives to work will become much weaker and the lack of labor-force and the burden of financing increased public pension expenditure will become more troublesome. The paper concludes with recommending some policy initiatives helpful to solve these expected problems.

Voluntary Activity of the Elderly in Cheongju (청주시 노인의 자원봉사활동 실태)

  • Cho, Myoung-Hee
    • Korean Journal of Human Ecology
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    • v.14 no.1
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    • pp.223-232
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    • 2005
  • The purpose of this study is to investigate voluntary activities of the elderly. Two hundred and eight older Cheongju residents were selected, and a questionnaire was used to collect data. The results are as follows: The number of participants in voluntary activities was relatively small. The main reasons for negative attitudes toward voluntary activities were significantly different according to sex, educational level, marital status, health status, economic level, religion, and life satisfaction. By using a cluster analysis, the elderly could be divided into four groups. Among them, a group with positive attitudes participating in volunteer activities was more likely to include males or those educated, healthy, and affluent. Based on the results of this study, it is revealed that participating in volunteer activities provides problem solutions and self development for elderly people.

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The Literature Review for Fall in the Elderly (노인의 낙상에 관한 고찰)

  • Kim, Won-Ock
    • The Korean Journal of Rehabilitation Nursing
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    • v.1 no.1
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    • pp.43-50
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    • 1998
  • The literature review for fall in the elderly has been done for the better quality of life of increasing elderly people toward 21 st century. Because 30 to 50% of over sixty five years old persons have experiences of fall, five percent of the fallen have trauma such as bone fracture requiring hospitalization and three quarter of people who die as fall are over 65 year old, fall is important health problem of them. There are very little societal interest in and research related to fall. Therefore, among recent foreign and our literatures studying literature review of frequency of fall, risk factors and assessing method for tall, and the management of fall prevention program, I would like to find research direction. Conclusivelly, we should study extensively the survey of the elderly's fall and on the basis of it. developing fall prevention program, promote the elderly's health through fall prevention.

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