• 융합정보논문지
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• 제7권3호
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• pp.55-64
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• 2017

본 연구는 여성독거노인을 위한 치매예방 통합프로그램의 개발 및 효과를 확인하기 위한 비동등성 대조군 전-후 설계의 유사 실험연구이다. 연구 대상은 J군 여성독거노인 56명(실험군 28명, 대조군 28명)을 대상으로 실험군은 12주 동안 집단학습과 개별학습의 치매예방통합프로그램을 제공받았다. 치매예방 통합교육프로그램은 교수체계설계의 주요 개발단계인 ADDIE모형에 근거하여 개발하였다. 연구결과, 실험군은 대조군에 비해 인지기능이 향상되었고, 우울이 완화 되었으며, 삶의 질도 향상되었다. 이에 본 프로그램은 자가 실천이 가능한 치매예방 통합프로그램으로 사료되며 향후 이 프로그램을 수정 보완하여 지역사회에 확대하여 대상자들이 지속적으로 자가 실천할 수 있는 간호중재 전략 모색이 필요하다고 생각된다.

• 대한지역사회영양학회지
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• 제6권3호
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• pp.527-541
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• 2001

This study was conducted to provide basic information on the nutritional status and health status of the rural elderly. The food intake, food habits and others health related factors were surveryed by interview method. The subjects was 200 people(71 male, 129 female) aged over 65 year in the Han-an area. The obtained results as follows; Their average age is 73.5$\pm$5.6. Mean height and weight of elderly men were 163 cm and 58.1 kg. respectively and 148.7 cm and 50.0 kg for women. The regularity appetite and frequency of eating snacks and eating out were higher in men than in women. The favorite snacks for men were alcohol fruit coffee and for women was fruit, candy, cookies and coffee. The daily alcohol drinking and smoking ration were 50.0%, 60.6% for men, respectively and 14.0%, 24.8 % for women. The nutritional intake ratio to RDA of men was significantly higher than women. Especially, the intakes of energy, Ca, Vit.A, Vit B$_1$, Vit B$_2$ niacin were extremely low in women. The frequency of alcohol intake was related to nutrient intake of women . There was a negative correlation between age. smoking rate and the nutritional intake. The pocket money, weight height appetite, and frequency of snacks showed a positive relation to nutritional intake. In conclusion the study shows that gender did influence food intake in the elderly, Food intake of women was extremely in deficit, because the most elderly rural women live alone. For successful aging. a program for rural elderly is needed on the govermment level, i.e actions to provide minimum economic life, food delivery and psychological/ physical health care through regional pubilc health centers.

• 지역사회간호학회지
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• 제27권4호
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• pp.319-326
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• 2016

Purpose: The aim of this study is to identify factors affecting elders' intention to participate in healthcare programs. Methods: This secondary data analysis used data of 390 elderly people who lived alone and were enrolled in the Visiting Health Care Center of H-city. In 2014, questionnaires were used to collect data about demographics, social activity, depression, frailty, and intention to participate in healthcare programs. The data were analyzed by descriptive statistics and multivariate logistic regressions. Results: Among the participants, 51.8% intended to participate in the offered healthcare programs. The strongest factor affecting the intention was gender. Women were 4.85 times more likely to participate in the programs than men. The women's intention was associated positively with increased levels of frailty. The men tended to participate in the program as they got older and as the level of frailty and the number of chronic diseases increased. Conclusion: Gender-specific public healthcare programs for vulnerable elders living alone should be developed to maximize their participation in the programs and to promote good health. The healthcare programs must be tailored to the levels of the patients' physical functions.

• 식품보건융합연구
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• 제8권2호
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• pp.7-13
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• 2022

The purpose of this study was to compare the nutrient intake of elderly according to their cohabitation status and determine its effects on the prevalence of anemia. Data from the KNHANES were used for this study, including raw data on socioeconomic characteristics, nutrient intake, health status, and clinical laboratory findings. Study subjects aged 60 to 80 years were retrieved and analyzed. As a result, the prevalence of anemia was 12.0% (men, 11.6%; women, 12.3%). The prevalence rate increased with age, and odds ratio [OR] of anemia among those aged 75 to 80 years was 4.16 times higher in men (OR=4.16, 95% confidence interval [CI]=2.48-6.97) and 2.77 times higher in women (OR=2.77, 95% CI=1.86-4.14) compared to 60~64 years old. Socioeconomic factors (area of residence, education level, household income), including cohabitation Status (living alone VS living with other family members), and health behaviors (high-risk drinking, smoking, aerobic exercise) did not significantly effect on anemia. In addition, other than protein intake for men, nutrient intake did not have a significant effect on the prevalence rate of anemia. Hypertension, diabetes, and cancer significantly increased the risk of anemia. In Korea, the influencing factors of elderly anemia change over time, so periodic follow-up studies are needed.

• 한국식품영양학회지
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• 제27권5호
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• pp.940-955
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• 2014

The purpose of this study was to compare the degree nutrient intake, health status and other characteristics of females aged 65 years and over in a longevity area according to family arrangement. For analysis, 585 female elderly were recruited from the Kugoksoondam area (Kurye, Goksung, Soonchang and Damyang counties), known as the longevity-belt region in Jeonla province, Korea. The subjects were categorized into three groups according to family arrangement (living alone, living with spouse only and living with family). Demographic characteristics were collected, as well as information on physical measurements, blood tests for biochemical indicators, health status and health-related life style, dietary behavior, favorite food groups, consumption frequency of food groups, nutrient intake and mini nutrition assessment. In the group living with their spouse only, the highest education, physical activity, diverse food intake, frequency of eating meats and fish, energy and nutrients intake, and score on the mininutrient status assessment (MNA) were found to be significantly favorable factors. Taken together, these results demonstrated that the group living with their spouse only had relatively superior nutrient intake and the quality of diet. In contrast, the group living alone showed the lowest self-rated economic status, diversity of food intake, and physical activity, with the highest frequency of drinking, smoking and regular exercise for almost everyday compared with the other groups. On the other hand, those living with family demonstrated the lowest intake of supplements or functional foods, and levels of hemoglobin hematocrit MCH, but the highest HBA1c and blood sugar. Therefore, the group living with family was assumed to be at risk of anemia and diabetes. These results could be useful to plan effective strategies to increase the health-life expectancy of Korean elderly people living in rural areas, according to family arrangement.

• 대한간호학회지
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• 제13권2호
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• pp.44-57
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• 1983

The explosion of the aging population is changing the social environment of today's older people. Traditionally in Korea, a large percentage(over 90%) of elderly parents have lived with their married first son. But today, the number of elderly who live with their married sons has decreased(65.6%) The number of those who live in a different situation such as with their married daughter, unmarried offspring, with a spouse or alone has increased (34.4%) We can expect that the number of the elderly who have to live in institution will increase. The objective of this investigation was to determine differences in the number of health Complaints of older people according to their living situation with a view to planning more effective health care. The sample consisted of 231 persons over 65 years of age, 60 living in an Old Age Home ana 171 living in their own home in Kwangju. Data were gathered from July 9 to 26, 1983 by nursing students using a Questionnaire which was a modified form of the Cornell Medical Index. The data were categorized according to the subjects, living, sex, educational level, previous occupation, hobbies and sexual activity. The date were analyzed for statistical significant differences using F and X²tests. findings included the following: 1. There was a higher number of health complaints from persons who live in the institution than those living at home, but the difference was not significant. 2. The highest number of health Complaints were from persons who live alone, followed by those living with their daughters, and then by those living in the institution. Persons who live with their sons had the least Complaints. The difference in the number of Complaints accord-ing to with whom they were living was significant. 3. Women had signincantly more Complaints than men. Persons who were not living with their spouses had significantly more complaints than those living with their spouses.4. The higher eductional level the persons had, the less health Complaints they had. The number of Complaints accoraing to educational level was significantly different. 5. The highest number of health complaints were from persons who had involved in Commerce and industry, followed by those in Agriculture. Persons who were civil servant had the least 6. There were more complains from persons who had no hobby than those with hobbies. The complaints. The difference was significant. difference was significant. 7. Persons who said they were sexually inactive had significantly more complaints than those who said they were sexually active. As age increased, sexual activity significantly decreased. Those who lived with their spouse were significantly more sexually active. 8. The highest number of Somatic Complaints were eye fatigue, followed by nocturnal frequency, lumbago, cramps in extremities, vertigo, stiffness in Shoulder, tinnitus, common cold and constipation. The order of Psychic Complaints from higher to lower were anger. sensitivity, anxiety, depression and loneliness. 9. This group of Elderly persons said they valued Health the most, followed by Harmony, Religion, Money and Honor.

• Journal of Gynecologic Oncology
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• 제29권6호
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• pp.97.1-97.12
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• 2018

Objective: Women with cervical cancer (CC) found to have positive surgical margins, positive lymph nodes, and/or parametrial invasion receive a survival benefit from postoperative chemoradiotherapy (CRT) vs. radiation therapy (RT) alone. However, older women may not benefit to the same extent, as they are at increased risk of death from non-oncologic causes as well as toxicities from oncologic treatments. This study sought to evaluate whether there was a survival benefit of CRT over RT in elderly patients with cervical cancer. Methods: The National Cancer Database was queried for patients ${\geq}70$ years old with newly diagnosed IA2, IB, or IIA CC and positive margins, parametrial invasion, and/or positive nodes on surgical resection. Statistics included logistic regression, Kaplan-Meier overall survival (OS), and Cox proportional hazards modeling analyses. Results: Altogether, 166 patients met inclusion criteria; 62 (37%) underwent postoperative RT and 104 (63%) underwent postoperative CRT. Younger patients and those living in areas of higher income were less likely to receive CRT, while parametrial invasion and nodal involvement were associated with an increased likelihood (p<0.05 for all). There were no OS differences by treatment type. Subgroup analysis by number of risk factors, as well as each of the 3 risk factors separately, also did not reveal any OS differences between cohorts. Conclusion: In the largest such study to date, older women with postoperative risk factor(s) receiving RT alone experienced similar survival as those undergoing CRT. Although causation is not implied, careful patient selection is paramount to balance treatment-related toxicity risks with theoretical outcome benefits.

• 대한지역사회영양학회지
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• 제6권5호
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• pp.773-788
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• 2001

The purpose of this study was to investigate the difference in nutrient intake according to the level of self-perception of health status, aging status and life satisfaction of the rural elderly. The factors for the study were surveyed by interview method. The subjects were 270 people(71 male, 129 female) aged over 65 years(73.5 $\pm$ 5.6ys) in the Ham-an area. The obtained results as follows : By evaluation of self-perception of health status, 57.5% of subjects answered they are in a bad health condition. The 91.5% of subjects had diseases(rheumatitis & arthritis 31.4%, cardiovascular disease 20.2%, gastric disease 10.2%). The women had more diseases than the men(p < 0.01). The subjects took medical treatment in private hospital(40.5%) and public health centers(35.0%). The men showed better level of aging status(p < 0.001) and life satisfaction index(p < 0.01) than the worsen. Living with spouse influenced the aging status(p < 0.05) and the more pocket money influenced life satisfaction(p < 0.05) and aging status(p < 0.05). The elderly who eat regularly 3 times a day(p < 0.05) and have a good appetite(p < 0.001) appeared to have positive effect on the self perception of health status and aging status. An increasing level of the self-perception of health status and regular exercise worked to improve aging status(p < 0.001). The habits of smoking and alcohol drinking, however had no effect on any index. The self-perception of health status affected the nutrient intake, but only in female elderly. The aging status and the life satisfaction index related overall positively to the intake of nutrients. In conclusion, the study shows that gender did influence nutrient intake in the elderly. The women who live alone rated lowest in social resources and health condition therefore their nutrient intake was also extremely in deficit. For successful aging, a program for rural elderly is needed, i.e. actions to provide minimum economic life, food delivery and psychological/physical health care through regional public health centers.

• 산경연구논집
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• 제8권3호
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• pp.23-36
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• 2017

Purpose - In this study, dating in the elderlys' life gave satisfaction: for elderly men, dating gave them self esteem, and in women they were satisfied with the realities. This study investigated the effect of dating in the elderly on their happiness. Research design, data, and methodology - These days, the elderly population rapidly increased to produce a social issue and studies of such in welfare policy for the elderly are limited. The elderly has lost roles in the society because aged people give up human reason and love in accordance with the traditional expectations of them. Subjects in this study were related with investigating the elderly's dating life, loneliness and happiness. Results - The date life of the elderly had significant influence upon psychological loneliness. Hypothesis was adopted and results showed the degree of elderly's dating life had a significant influence upon psychological loneliness (.230**) to account for 13.2% of psychological loneliness. Needs of dating elderly had influence upon psychological loneliness. Conclusions - Psychological loneliness was mediated with dating in the elderly for opportunity and happiness. Hypothesis was that the dating had influence upon happiness. As a result, date opportunity, degree, needs and friendliness had no significant influence upon happiness.

• 한국산학기술학회논문지
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• 제11권12호
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• pp.4833-4842
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• 2010

본 연구는 치매노인을 돌보는 가족구성원의 일반적인 특성에 따른 스트레스 차이를 파악하고 스트레스에 영향을 미치는 관련요인을 분석하여 치매노인을 돌보는 가족구성원의 스트레스를 줄이는데 도움을 주고자 시도되었다. 조사대상은 서울 및 경기지역의 치매노인을 돌보는 가족구성원 72명이었다. 치매노인을 돌보는 가족구성원의 성, 연령, 거주지, 결혼상태, 동거가족수, 자녀수, 종교유무, 교육수준, 직업유무, 가계월수입, 치매노인과의 관계, 치매노인 수발년수, 치매노인수발로 인한 증상유무에 따른 스트레스를 t-test, ANOVA, Scheffe test 및 다중회귀분석으로 검정하였다. 연구결과 치매노인을 돌보는 가족구성원의 스트레스가 높은 경우는 동거가족수가 1인인 치매노인과 단둘이 사는 경우, 교육수준이 초등학교 졸업 이하인 경우, 한 달 월수입이 200만원 이하인 경우, 치매노인을 돌보면서 증상이 생긴 경우이었다. 본 연구에서 치매노인을 돌보는 가족구성원의 스트레스와 관련이 있는 변수는 여자, 나이가 60-69세인 경우, 동거가족수가 1명으로 치매노인과 단둘이 사는 경우, 교육수준이 초등학교 졸업 이하인 경우, 한 달 월수입이 100-299만원인 경우, 며느리와 아들인 경우이었다. 본 연구에서는 특히 치매노인과 단둘이 사는 경우, 교육수준이 낮은 경우, 가계 월 수입이 적은 경우가 치매노인을 돌보는 가족구성원의 스트레스에 차이를 나타내는 변수이면서 관련요인이 되는 주요변수임을 제시하였다. 따라서 치매노인을 홀로 돌보는 가정, 교육수준이 낮은 가정, 가계 월 수입이 적은 가정에 대한 지원이 치매노인을 돌보는 가족구성원의 스트레스 줄이는데 기여할 것으로 추정된다.