• 대한가정학회지
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• 제28권4호
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• pp.65-86
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• 1990

Living conditions of the rural elderly were assessed in terms of clothing behavior, health and nutritional status, housing and envioronmental condition, and psychological adjustment. The subjects were eighty individuals over sixty residing in the rural community of Iksan-kun, Chollabukdo. The interview method using questionnaires, direct measurement, and observation was used for this study. Data were compared with those obtained from a previous study of the elderly residing in an urban area. Clothing behavior showed that the elderly residing in the rural community were more concerned about plain and conservative design of clothes than their urban counterparts. Special protective clothes for cropdusting with agricultural chemicals had not been prepared. The following urgent needs were pointed out: development and supply of agricultural chemical protective clothing and development and education of appropriate washing and clothing care methods. The health status of the elderly was generally good, but poor eating habits were found more frequently in the rural elderly than among the urban dwellers. Several dietary nutrient intakes were insufficient. Contrasting the urban elderly with the rural group, it was found that the urban group lacked sufficient vitamin A and vitamin C and the urban women had insufficient calorie whereas the rural group was deficient in protein, vitamin A, calorie, and fat. A significant relationship was found between dietary nutrient intake and health index, food habit points, self recognized health status, meal satisfaction, and economic status. Urgent needs of the development of a nutrition education program for the elderly were pointed out. Most of elderly residing in the surveyed rural communities were living alone or with their spouse only, therefore only one room was used among the three or four available rooms. Most of the rural elderly were living either in a traditional Korean house built with differing floor levels or in a modified Korean style house. Minimal modernization had been made for kitchen facilities such as sink and gas range or for heating facilities with the briquette boiler. However, sanitary space such as lavatory and bathroom had not been remodeled. A housing welfare program for rural communities should be implemented at the national level. The comparison of psychological characteristics of the rural elderly with their city counterparts revealed that the rural elderly have a more stable psychological status and optimistic attitude than those living in a city. However, it was found that most of the elderly did not have any future plan. Community programs for the elderly including hobbies or leisure activities or education programs to generate close interpersonal relationships with their children should be developed and provided.

• 지역사회간호학회지
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• 제24권3호
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• pp.323-331
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• 2013

Purpose: The study attempted to examine whether the group art therapy using a collage medium and reminiscence therapy prevented or reversed dementia, prevented depression, and improved the quality of life of elderly women at high risk for dementia in community public health centers. Methods: As a quasi-experimental study with a non-equivalent control group, this study used a pre-post design. The subjects consisted of a random sample of women over 65 years of age who had been registered as being at high-risk for dementia at the Public Health Center of the G City, and the Dementia Support Center. Of these elders, 30 were assigned to the experimental group and 33 to the control group. The intervention was conducted twice a week for 5 weeks. $x^2$-test, t-test, Wilcoxon test were used to analyze the data. Results: After the program, cognitive function, depression, and quality of life were significantly better in the experimental group than in the control group. Conclusion: The group art therapy can be utilized in community-based nursing practices by identifying and registering those who are at high risk for dementia. The results should prove useful when designing future intervention strategies targeting elderly individuals residing in communities.

• 한국식품영양학회지
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• 제22권2호
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• pp.215-222
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• 2009

The principal objective of this study was to assess the demands and satisfactions of silver welfare professionals for elderly individuals residing in the Northern Gyeonggi-do area. To this end, a survey was conducted to investigate elderly individuals and employees related with them in terms of their recognition, interest, and involvement in a labor training program. The sources of health information the subjects received included mass media(50%) and health professionals(41%), and they tended to trust the information they received from health professionals(64%) and the mass media(26%). In the case of health professionals working at silver care facilities, the sources of health information to which they had access were: mass media (51%), health professionals(20%), internet(14%), reliable health professionals(56%), mass media(22%), and books related to health(18%). Elderly subjects' reasons for satisfaction with the facilities were as follows: access to meals(32%), elderly communities(24%), and good facilities(22%), whereas the reason subjects reported dissatisfaction with social difficulties(68%), bad facilities(20%), and programs(12%). The degrees of satisfaction of the respondents with the facility's employees were reported as follows: life manager(28%), nurse(16%), and social worker(15%), whereas the subjects reported some degree of dissatisfaction with: nurses(29%), care helpers(17%), and facilities officers(13%). The priorities of the elderly welfare-related information were: disease and health(49%), daily life support(17%), nursing(11%), welfare facilities(8%), and the principal issues they reported as being relevant to elderly individuals were: palsy(16%), arthritis(14%), diabetes (12%), hypertension(10%), dementia(6%). They reported that the most important personnel for elderly in the future would be care managers(44%) and care helpers(21%). Via this developmental program of silver health care professionals, a variety of new job opportunities may be provided in the future, and a program related to the silver service industry must be established as soon as possible.

• 한국산학기술학회논문지
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• 제16권11호
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• pp.8012-8020
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• 2015

본 연구는 노인의 사회참여활동을 종합적으로 분석하고 성공적 노화에 미치는 영향과 자아탄력성의 매개효과를 검증하는 것을 목적으로 한다. 조사대상은 고양시의 3개동에 거주하는 60세 이상의 301명의 노인이며, 구조화된 설문지를 사용하여 자료를 수집 하였으며, SPSS 18,0과 AMOS 21로 분석 하였다. 본 연구 결과는 인구사회학적 변수인 성별, 연령, 종교, 동거인, 직업유무가 사회참여활동에 영향을 나타냈고, 직업의 유무는 성공적 노화에도 영향이 있는 것으로 나타났다. 그리고 사회참여활동 하위변수인 자기개발참여활동이 성공적 노화에 유의미한 영향을 미쳤으며, 노인의 자아탄력성은 사회참여활동과 성공적 노화와의 관계에서 완전 매개효과가 있는 것으로 나타났다. 단, 자기개발참여활동과의 관계에서는 부분매개효과를 보여주었다. 이와 같은 연구 결과를 토대로 노인의 사회참여활동과 성공적 노화를 위한 실천적 방안을 제시하고 자아탄력성의 중요성을 재조명 하였다.

• 디지털융복합연구
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• 제11권11호
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• pp.499-508
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• 2013

본 연구는 빠른 속도로 증가하고 있는 농촌 노인의 성공적 노화를 위한 중재 프로그램 개발의 기초자료를 얻고자 농촌 노인들의 성공적 노화의 영향요인을 조사한 서술적 조사연구이다. 자료 수집은 2012년 9월부터 12월까지 W군에 거주하는 65세 이상 노인 208명을 편의추출하여 설문지를 통해 자료를 수집하였다. 자료분석은 SPSS 21.0 program을 사용하였으며, independent t-test, one-way ANOVA, Pearson's correlation coefficient, Multiple regression으로 분석하였다. 연구결과 농촌 노인의 성공적 노화에 영향을 주는 설명요인으로 사회적 지지, 우울, 인지기능, 생산적 활동, 일상생활활동 순서로 나타났으며, 설명력은 42.1%였다. 농촌 노인의 성공적 노화를 위해서는 지역사회와의 연계를 통한 보건의료서비스제공 및 사회적 활동 등 사회적 지지체계 구축이 가장 필요하며, 이에 따른 맞춤형 간호 중재 프로그램 개발의 필요성을 제언한다.

• 농촌의학ㆍ지역보건
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• 제31권3호
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• pp.263-273
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• 2006

연구대상자는 2000년 현재 경북 성주군에 거주하고 65세 이상노인 8,209명중 25개리에 설치되어있는 보건소, 보건지소 및 보건진료소에 인접하여 거주하고 있는 노인 2,542명 중 질병이나 기타 사유로 요양기관의 입소자 또는 장기출타, 주소불명 등을 제외한 2,421명(남자: 1,273명, 여자: 1,148명)을 대상으로 조사하였다. 본 연구 대상자의 평균연령은 남자 72.7세, 여자 72.8세였으며, 가족 구성상태는 부부만 사는 노인이 남자의 경우 66.5%, 여자의 경우 32.3% 이었고, 여자노인에서는 혼자서 생활하는 경우도 36.9%이었다. 대상자의 음주양상에서 남자의 경우 비음주자가 35.1%, 음주중단자 16.1%, 음주자 48.8%이었다. 여자의 경우 비음주자가 80.2%, 음주중단자 4.5%, 음주자 15.3%이었다. 음주중단자의 과거음주기간을 남 여별로 살펴보면 41년 이상이 남자의 경우 57.1%, 여자의 경우 23.1%로 남자가 유의하게 높았다. 따라서 65세 이상 고령인구의 건강수준 악화를 방지하기 위해서는 음주가 만성질병의 원인이라는 사실은 널리 알려져 있으므로 예방 가능한 건강 위험인자들의 조절과 생활형태가 건강에 미치는 영향 등에 대한 보건교육을 노인들에게 실시함으로써 건강증진에 도움을 줄 수 있으리라 사료된다. 노인들에 있어서 건강은 질병의 치료보다는 건강증진에 목표를 설정하여 농촌지역의 노인보건사업 및 노인건강을 유지 증진 할 수 있는 프로그램을 개발하고, 건강한 노인 중 음주자에게 질병발생에 대한 지식과 예방의 중요성에 대한 교육 및 정기건강검진 실시로 질병을 조기 발견하여 절주를 할 수 있도록 지원과 인력 개발 등의 다각적 노력이 경주되어야 할 것이다.

• 대한작업치료학회지
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• 제26권4호
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• pp.57-72
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• 2018

목적 : 본 연구의 목적은 지역사회 고령운전자의 인구사회학적 요인에 따른 자가보고식 운전능력 및 상관성을 파악하고 시각, 청각, 인지, 운동, 심리요인을 바탕으로 설정한 가설모형의 적합성을 검증하여 지역사회 고령운전자의 자가보고식 운전능력에 대한 경로모형을 제시하고자 함이었다. 연구방법 : 연구 대상은 만 65세 이상 지역사회 거주 고령운전자의 122명이었다. 대상자들의 시각과 청력, 운동기능, 인지기능, 우울 및 자가보고식 운전능력을 평가하였다. 수집된 자료는 SPSS 21.0을 사용하여 분석하고 가설모형의 검증을 위해 AMOS 22.0을 사용하여 경로분석을 시행하였다. 결과 : 연구결과 남성의 경우 여성보다 자가보고식 운전능력 점수가 높았으며 주간 운전일수 6~7일인 경우는 주 3일 이하에 비해 점수가 높았다. 면허취득 기간과 운전경력은 자가보고식 운전능력과 정적 상관성을 보였다. 경로모형의 적합성 결과 최종모형은 p값(.911)이 .05를 초과하며, TLI(1.202), NFI(.949), CFI(1.000)가 모두 .90이상이고 RMSEA(.000)는 0.1이하로 가설모형이 측정 자료에 잘 부합하는 것으로 나타났다. 또한 첫째, 우울, 청력감퇴, 악력은 고령운전자의 자가보고식 운전능력에 직접적으로 영향을 주는 요인으로 확인되었다. 둘째, 나이는 우울, 악력에 직접적인 영향을 주고, 우울과 악력을 매개하여 자가보고식 운전능력에도 간접적으로 영향을 주고 있었다. 셋째, 우울은 인지처리지연과 악력에 직접적인 영향을 주었다. 결론 : 본 연구는 지역사회 고령운전자의 자가보고식 운전능력에 영향을 주는 요인들의 직 간접적인 관계를 파악하고 자가보고식 운전능력에 영향을 미치는 다양한 요인들의 다차원적인 효과를 검증하였다는데 의의가 있었다.

• 한국보건간호학회지
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• 제16권1호
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• pp.13-29
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• 2002

The purpose of this study was to describe about elders with dementia, their families, and their living environment by visiting the households where demented elders resided. The findings will be used as a basis to develop future individualized adjustment programs for demented elders and their families living in communities. The study participants were 64 demented elders and their families who were registered to a dementia counseling center at Nam-Gu community health center located in Inchon, Korea. Data were collected for two months, from May to June 2001. The length of data collection for each home visit ranged from 1.5 to 2.5 hours. Conclusion are as follows based on these study findings: Those demented elders had more than one chronic health problem in addition to their pre-existing dementia condition. Two thirds of the demented elders were not receiving any specific treatment for dementia. They showed a moderate level of independence in basic ADL, but were mostly residing at home because of lack of ability to perform more delicate and complicate routine daily activities by themselves. In addition, the primary caregivers were not well adjusted to the care-giving activities for their demented family members due to the lack of knowledge and information about dementia. The caregivers were mostly women including daughters-in-law, woman spouses and daughters, over a half of whom perceived their physical and mental health status as poor. Their image toward the demented elders was considerably negative. while their level of knowledge on dementia was moderate. The burden for the care-giving was high, whereas their coping method was passive. As the difference in image toward elderly before and after the onset of dementia in their family member increases, the caregiver burden also increased. The main resource of social support for the caregivers was their children. The caregivers showed high level of needs for knowledge and information on dementia, and day care service was the most preferred type of service by the caregivers. There was lack of safety in the living environments for the demented elders and their families, and in the surrounding environments to prevent dementia-related symptoms. Considering that home-based family care-giving is the most culturally appropriate model of providing care for the demented elders in Korea, we need to develop and apply an individualized adjustment program for the demented elders and their families.