• 대한간호학회지
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• 제46권6호
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• pp.848-857
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• 2016

Purpose: This study aimed to investigate factors affecting frailty by age groups among vulnerable elders in Korea. Methods: In this secondary analysis, data were collected from records for 22,868 elders registered in the Visiting Health Management program of Public Health Centers in 2012. Health behaviors, clinically diagnosed disease, frailty, depression and cognitive condition were assessed. Data were analyzed using stepwise regression to determine the associated factors of frailty by age group. Results: Alcohol consumption, physical activity, number of diseases, DM, CVA, arthritis, urinary incontinence, depression and cognitive condition were found to be factors significantly associated with frailty among the elders aged 65~74 (F=135.66, p <.001). Alcohol consumption, physical activity, CVA, arthritis, urinary incontinence, depression and cognitive condition were found to be factors associated with frailty in the elders aged 75~84 (F=245.40, p <.001). Physical activity, CVA, arthritis, depression and cognitive condition were factors associated with frailty in the elders over 85 years of age (F=96.48, p <.001). Conclusion: The findings show that frailty of elders and associated factors were different by age group, and common factors affecting frailty were physical activity, CVA, arthritis, depression and cognitive condition. Thus, these factors should be considered in the development of intervention program for care and prevention of frailty and program should be modified according to age group.

• 한국치위생학회지
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• 제5권2호
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• pp.263-278
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• 2005

This study investigated the current oral health conditions of the elderly at home and welfare facilities in their age over 65 years around some rural areas in Gangwon province, which would expect the fewer medical benefits even with lower interest than urban areas, despite of relatively high ratio of elder populations, so that it could prepare a basic document necessary to determine certain planned quantification for the benefit of elder's oral healthcare. As of the end of December 2004 both 50 elders at home and 50 elders at welfare facilities were randomly sampled in their age over 65 years in Samcheok city. As a result of this study, it was found that the elders at welfare facilities scored 15 pts. in DMFT index level typical of oral health conditions, which was higher than the elders at home. In addition, the elders at welfare facilities scored 26.0% in the coexistence of immobile bridge and partial denture higher than the elders at home with regard to the presence of intraoral prosthetic appliance. The results of analyzing the difference in the one-year dental visiting experience of respondents hereof showed that the elders at home were relatively more in ratio(62.0%) than those at welfare facilities, while many of the former group(38.0%) had relatively more handicap in masticatory movement than the latter one with regard to the conditions of dental prosthesis in use. Besides, many of the elders at facilities(30% or more) felt subjective symptoms of periodontal disease including bleeding or swelling, which indicates higher ratio than the elders at home. Finally, the elders at home used to brush their teeth at more frequency on a daily basis than those at facilities, while the latter group suffered general body disease more than the former group. Summing up, it is concluded that a formulated oral healthcare system will become more needed in near future than now for the benefit of the elderly living in welfare facilities, while nationwide policy-level supports would be urgent for them in the aspect of national welfare.

• 대한간호학회지
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• 제33권8호
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• pp.1093-1110
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• 2003

Purpose. The number of elders in institutions has increased as family supporting systems have changed in Korea. The purpose of this study were to understand the life satisfaction among elders in institutions and to identify the factors influencing on life satisfaction. Methods. The instruments used were Yun(1982)'s scale modified Memorial University of Newfoundland Scale for Happiness(MUNSH) in life satisfaction, ADL and IADL in activity level, Self-rating Depression Scale(SDS) in depression and Norbeck Social Support Questionnaire(NSSQ) scale in social support. Also, Perceived health status was measured by Visual Graphic Rating Scale. The subject of this study is 107 cognitively intact and ambulatory elders in 7 institutions in Daegu city and Kyungpook province. The data have been collected from May 1 to June 30, 2001. For the analysis of collected data, frequency analysis, mean, standard deviation, Pearson's correlation and stepwise multiple regression analysis were used for statistical analysis by SPSS win(version 9.0) program. Results. Life satisfaction for the elders in institutions showed negative correlation with SDS, and positive correlation with activity level. The regression form of the stepwise multiple regression analysis to investigate the influencing factors of life satisfaction for the elders in institutions was expressed by y =90.988-0. 733x1-0.188x2-0.069x3-0.565x4 (xl: SDS x2: Social support x3: Activity level x4: Monthly pocket Money) and 57.9% of varience in life satisfaction was explained by the model. Conclusion. The factors influencing on life satisfaction among the elders in institutions were SDS, social support, activity level and monthly pocket money. According to the results of this study, depression, social support and activity level are considered the prime causal factors for life satisfaction.

• 대한간호학회지
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• 제39권5호
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• pp.741-750
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• 2009

Purpose: The purpose of this study was to identify the prevalence of cognitive impairment, behavioral problems, and the state of mental health for elderly Korean people who have been institutionalized. Methods: A cross-sectional, nationwide survey was performed using an anonymous questionnaire. The participants in this study were 2,521 institutionalized elderly Korean people. A proportional stratified random sampling method was employed. Results: 1) Elders admitted to subacute hospitals and long term care (LTC) facilities showed a higher level of cognitive impairment compared to elders admitted to acute care hospitals. 2) Elders confined in LTC facilities showed a higher level of behavioral problems compared to elders in acute or subacute hospitals. 3) Elders admitted to subacute hospitals and LTC facilities showed more serious mental health problems, such as depression or suicidal ideation, compared to elders in acute care hospitals. Conclusion: The results of this study indicate that the severity of cognitive-behavioral or mental health problems do not match well with type of care setting. Therefore, health personnel working with elderly people should be provided guidance on detection and management of cognitive-behavioral and mental health problems. The necessity of a decision support system for eligibility and placement in long-term care is also discussed.

• 지역사회간호학회지
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• 제25권1호
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• pp.54-64
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• 2014

Purpose: This study is to measure oral health literacy levels and to identify oral health literacy related factors in elders. Methods: The research design for this study was a descriptive survey design using convenience samples. Data collection was done by using a self-report questionnaire with 321 elders from three welfare centers for the aged and two senior centers located in three cities. Data were analyzed by using percentage, mean, standard deviation, t-test, ANOVA, Scheff$\acute{e}$, Pearson's Correlation Analysis and hierarchical multiple regression with the SPSS Win 18.0 Program. Results: The oral health literacy scores of male elders were higher than those of female elders (t=9.73, p=.002). In hierarchical multiple regression analysis, education levels, smoking and oral health statuses were significant predictors and accounted for 29.8% of the male elders' oral health literacy. For female elders, education levels, health statuses and oral health statuses were significant predictors and accounted for 47.7%. Conclusion: These results suggest that interventions for improving oral health literacy are necessary to enhance elders' ability of self-care management. Also, these results could be used in developing oral health literacy programs.

• 한국콘텐츠학회논문지
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• 제13권12호
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• pp.840-850
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• 2013

노인병원 간호사의 노인에 대한 태도에 영향을 미치는 요인을 파악하기 위해 경기도, 충청도, 인천지역에 소재한 14개 노인병원에 근무하는 간호사 291명이 응답한 자료를 분석하였다. 자료분석에는 피어슨상관계수, t 검정, 분산분석, 회귀분석을 적용하였다. 대상자의 노인에 대한 태도는 중립적 수준이었고 노인에 대하여 다정하고 좋으며, 친절하다 등의 긍정적인 모습과 보수적이며, 아프고, 의존적이다 등의 부정적인 모습을 모두 가지고 있었다. 본 연구에서 사용한 대인관계반응성 공감척도의 요인 중에서 공감적 관심만이 노인에 대한 태도 차이를 보였다. 대상자 특성과 공감적 관심으로 이루어진 노인에 대한 태도모형은 10.7%의 설명력을 보였으며, 공감적 관심이 높은 경우 노인에 대한 태도 점수가 긍정적 방향으로 나타났다. 대상자의 특성 중에서는 노인관련 자원봉사 유무만이 유의한 예측변수였다. 추후 간호사들의 공감적 관심 수준을 향상시킬 수 있는 방안을 개발하여 적용하는 것이 요구되며 공감을 측정하는 도구에 대한 검토와 반복연구가 필요하다.

• Perspectives in Nursing Science
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• 제12권1호
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• pp.50-59
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• 2015

Purpose: The purpose of this study was to investigate the influencing factors on the quality of life of elders. Methods: Data were collected from August 25, September 1, 2014, and participants were 300 elders who were using senior welfare centers. Descriptive statistics, t-test, one-way ANOVA, Pearson correlation coefficient, and stepwise multiple regression were used for data analysis. Results: Elders who were more painful, highly perceived health status, self-esteem and social support, and lower depression showed relatively higher quality of life. Also, there were strong correlations between quality of life and depression (r=-.737) /perceived health status (r=.709). Factors predicted quality of life of elders were perceived health status (${\beta}=.349$), depression (${\beta}=-.267$), social support (${\beta}=.172$), self-esteem (${\beta}=.170$), pain (${\beta}=-.130$), income (${\beta}=.113$), and level of education (${\beta}=.064$). These 7 factors explained 78.2% of the variance in quality of life of elders (F=154.49, p<.001). Conclusion: Therefore, in order to improve the quality of life of elders, a systematic approach is necessary through multilateral cooperation among comprehensive sectors.

• 기본간호학회지
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• 제11권1호
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• pp.92-100
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• 2004

Purpose: This study was to provide basic data for comprehensive nursing care for elderly people and to compare the spiritual well-being and perceived health status between elderly people who have above average income and those who have low income. Method: The data were collected from 80 elders with above average income and 81 with low income through face-to-face interviews. An elder was defined as a person over 60 years of age. The data were analyzed using t-test, ANOVA, ANCOVA, Pearson correlation coefficients and Scheffe test. Result: The mean score for spiritual well being for elders with above average income was 2.90 of a total possible score of 4 and for elders with low income, 2.49 and the difference was significant. The mean score for perceived health status for elders with above average income was 8.93 of a total possible score of 14 and for elders with low income, 7.47 and the difference was also significant. There was a statistically positive correlation between existential well-being and perceived health status for the total sample of elderly people and for the elders with low income. Conclusion: Spiritual nursing care should be included in comprehensive health care programs for elderly people in Korea. Especially, it is important to develop nursing interventions for elders with low income that will increase their spiritual well-being and help them to develop positive thinking towards perceived health status.

• 한국사회복지학
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• 제59권2호
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• pp.355-379
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• 2007

본 연구는 노인의 자살생각에 영향을 미칠 수 있는 무망감과 우울증에 대한 사회적 지지와 자아통제감의 효과에 관심을 가지고 접근하였다. 또한 노인자살의 변경 가능한 요인인 자살생각과 무망감 및 우울 변인의 관련성과 사회적 지지와 자아통제감 변인의 독립적 영향력을 분석의 초점에 두었다. 자료는 K도 3곳의 노인복지관 프로그램에 참여하는 65세 이상 320명에 대한 설문조사를 통하여 최종적으로 297부를 통계분석 하였다. 자료 분석결과, 노인의 자살관련 요인으로 가정된 자살생각과 무망감 및 우울은 공통적으로 학력, 결혼상태, 소득, 만성질환 수에 따른 차이를 나타내었다. 사회적 지지는 우울과 상호작용하여 자살생각을 조절할 수 있었지만, 사회적 지지와 무망감, 자아통제감과 무망감 및 우울은 자살생각에 대한 상호작용효과는 나타나지 않았다. 인구사회학적 변수를 통제한 상황에서도 사회적 지지와 자아통제감은 자살생각에 독립적인 영향력을 나타내었으며, 무망감과 우울도 자살생각과 정적 관련성을 가진다는 것을 확인할 수 있었다. 연구결과를 토대로 노인자살을 예방할 수 있는 실천 방안들이 논의되었다.

• 대한간호학회지
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• 제44권1호
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• pp.13-20
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• 2014

Purpose: This study was done to examine the effects of 4% hypertonic saline solution mouthwash and tooth brushing education on the oral health of elders living in long term care facilities. Methods: In this quasi-experimental study, the participants were assigned to a 2% experimental group (n=20), a 4% experimental group (n=20), and a control group (n=20). Data were analyzed using ANOVA, repeated measures ANOVA, Fisher exact test, Chi-square test, Kruskal-Wallis test and multiple response analysis with the SAS program. Results: Regular tooth brushing and use of 4% hypertonic saline solution mouthwash by elders provided better oral health by decreasing xerostomia, oral tongue plaque, halitosis, and the number of oral bacteria. Conclusion: The results indicate that regular tooth brushing with continuous 4% hypertonic saline solution mouth washing education promotes oral health for elders in long term care facilities, thus the dental care described in this study is recommended for elders in long term facilities.