• 지역사회간호학회지
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• 제22권1호
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• pp.75-85
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• 2011

Purpose: The purpose of this study was to describe the status of the functional health literacy of the elderly living in a rural community and to identify the influencing factors on the functional health literacy. Methods: Subjects(n=238) aged over 60 years were selected for data collection. Functional health literacy was measured by Korean Health Literacy, which consisted of 15 items including eight numeracy and seven comprehension items. Descriptive statistics, t-test, ANOVA with Scheffe test, and stepwise multiple regression were used to analyze the data. Results: The mean score of total functional health literacy was $6.66{\pm}3.31$, numeracy was $3.52{\pm}1.76$, and comprehension was $3.41{\pm}2.10$. Of the subjects, 39.1% showed a low score below the median split. In the results of stepwise multiple regression, the factors affecting functional health literacy were basic literacy, age, number of chronic diseases, self-reported health status, and gender. These factors accounted for 33.0% of functional health literacy. Conclusion: These results suggest that interventions for improving functional health literacy are necessary to enhance elders' ability of self-care management. In addition, it is needed to take into account the individual characteristics of the subjects depending on their gender, age, and health status.

• Journal of Community Nutrition
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• 제2권2호
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• pp.135-140
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• 2000

The objectives of this study were to determine whether older Americans would provide valid energy intake information using a 24-hr recall method and to determine which characteristics were predictive of under-report of energy intake. We conducted 24-hour recalls on 83 male and 105 female community-dwelling older adults(66-87y) in the USA to assess energy(EI) and nutrient intakes. Basal metabolic rate(BMR) was calculated from age-and gender-specific equations of Schofield. Under-reporting was defined a priori as EI : BMR<0.9. Subjects volunteered demographic information, underwent depression and cognition exams, and completed a Level II Nutrition Risk Screen. Differences between under- and adequate-reporters were assessed using t-tests for characteristics and macro-nutrient profile. Stepwise regression analyses were used to predict under-reporting status. Under-reporting of EI occurred in 34% of the sample. Neither geriatric depression scale(GDS) score, nor self-reported weight loss were related to under-reporting. On average, under-reporters had higher body mass indices. The most significant variables for the main effect to predict the ratio of energy intake to estimated basal metabolic rate(EI : BMRest) were BMI and age. Using a standard cut-off of 76% of the recommended dietary allowances for Americans, under-reporters were consistently more likely to be classified as having inadequate nutrient, as well as energy, intakes. (J Community 2(2) 135∼140, 2000)

• 보건교육건강증진학회지
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• 제30권1호
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• pp.27-39
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• 2013

Objectives: The purpose of the study was to test a model of physical activity of elderly living in Korea, determine significant factors contributing the physical activity, and examine significant paths in the model. Methods: A cross-sectional study was conducted using a convenience sample of 207 elderly men and women, aged 60 and older, residing in Busan Metropolitan City. Data were collected from July to August 2009 and analyzed using Predictive Analytics Software (PASW) and Analysis of a Moment Structures (AMOS). Results: The fitness of the modified model was confirmed to be appropriate (${\chi}^2$ = 55.61, ${\chi}^2$/df = 1.32, p = .078, RMSEA = .04, GFI = .96, AGFI = .91, NFI = .90, NNFI = .94, CFI = .97, PNFI = .48). The elder's age, previous exercise behavior, and self-efficacy were significant in explaining the variance in their physical activity. We found that (a) perceived health status, perceived benefits, perceived barriers, and social support directly affected self-efficacy; (b) previous exercise behavior and perceived health status directly affected perceived benefits; (c) previous exercise behavior directly affected perceived barriers; and (d) and education level, extent of pocket money, and economic level directly affected social support. Conclusions: The younger the age, the more previous exercise experience, and the higher the self-efficacy, the more S. Korean elders demonstrated improved physical activity.

• 한국치위생학회지
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• 제11권6호
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• pp.833-841
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• 2011

Objectives : The purpose of this study was investigation of quality and quantity of nutritional intake related oral health status among Korean elders. Methods : The nutrient intake and the dietary quality was evaluated on the basis of the Dietary Reference Intakes For Koreans(KDRIs). Chi-square test for Complex Samples was used to determine the relationship between oral health and inadequate nutrient intake in Korean elders. The complex samples general linear model was used to test difference of average value difference of nutrient intake percentage compared to dietary reference intake(DRI), energy intake rate from three major nutrients, average mean adequacy ratio(MAR) and index of nutritional quality(INQ) related oral health status. Age, sex and total energy intake was compensated for this analysis. PASW 18 was used for statistical analysis. Results : We could found the difference of the nutrient intake and the dietary quality related oral health status among Korean elders. Especially, Nutrient intake percentage and component ratio of protein among energy intake rate from three major nutrient was lower as oral health status became worse. The percentage of subjects with nutritional intakes under showed highest level in worst oral health status. As oral health status became worse, average mean adequacy ratio(MAR) was lower and the number of nutrient of which index of nutritional quality(INQ) was under 1 was more. Conclusions : From the result above, this study clearly shows the level of oral health affecting the inequalities of eating and the food for the people. And the various propose of oral health policies is needed for vulnerable groups who needs solution to solve the problem of inequality of food distribution where intensive distribution of nutrition problem occurred. Sufficient, safe, and a variety of healthy food intake is a fundamental right of our people. And also, to apply this policy in reality, institutional arrangements and organizations, and specific performing system will be needed.

• 한국융합학회논문지
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• 제11권10호
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• pp.115-123
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• 2020

본 연구는 노인의 신체건강 및 정신건강을 위한 경로당 융복합프로그램이 농촌 노인의 우울, 수면의 질, 삶의 질에 미치는 효과를 파악하기 위함이다. 연구 대상자는 O군 소재 4개 경로당을 이용하는 65세 이상 노인 48명(실험군 29명, 대조군 19명)이며, 자료수집 기간은 2019년 7월부터 8월까지였다. 실험군은 주 1회 60분씩 총 6회기의 경로당 융복합프로그램에 참여하였고, 대조군은 사전조사와 사후조사 후 각각 1회 30분씩 총 2회의 정신건강교육을 제공하였다. 수집된 자료는 SPSS 26.0을 사용하여 서술통계, χ²-test, t-test로 분석하였다. 연구결과, 실험군은 경로당 융복합 프로그램 참여 후 대조군에 비해 우울(t=-2.40, p=.020)과 수면의 질(t=2.19, p=.033)에서 유의하게 향상되었고, 삶의 질(.t=0.47, p=.635)은 유의한 차이가 없었다. 이를 통해 경로당 융복합프로그램이 농촌 노인의 중재 프로그램으로 긍정적임을 확인하였다. 따라서 농촌 노인의 수면의 질 향상과 우울 감소를 위해 본 프로그램은 유용하게 활용될 것으로 사료된다.

• 한국지역사회생활과학회지
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• 제17권3호
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• pp.159-174
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• 2006

The purpose of this study is to provide information searching for health promotion, nutrition improvement, and health care of the impaired elderly by ADL(Activity of Daily Living) and IADL(Instrumental Activity of Daily Living). The subjects were divided into the Assistant Needed Group and No Assistant Needed Group for living in line with the responses of ADL(10 items like dressing, washing, move etc.) and IADL(10 items like housekeeping, using transportation, shopping, Phone call etc.). Survey was made for health behavior, health risk habit, dietary management status and diet intake by 24 hr-recall and questionnaire method. 242 subjects were collected in 12 cities or Gun districts in Gyeonggi Province, S. Korea. Survey was carried out by regional home extension workers using interview method. Statistical analyses were made using SAS (Version 8.1). Chi-Square Tests and General Linear Models. The subjects of impaired ADL elderly was 26.5% and it composed 30% of the total male and 22.2% of the total female. The demographic status of the impaired ADL elderly showed no difference from that of the normal elders, elementary school educated (73.4%), with spouse (43.8%) or with adult children(37.5%), using monthly living cost of 500-1,000 thousand won(35.9%). Mean age was 74.05 years compared to 72.25 years of normal elders. However, there was no significant difference from the normal and impaired ADL group, regular exercise(60.0%), with walking (90.0%), no-smoke(54.7%) and no-drink(48.4%). Kind of disease was not different from the one in impaired and normal group, with cardiovascular disease(32.3%), with diabetes mellitus(8.1%), joint lumbago neuralgia(32.3%) and osteoporosis(9.7%). Gastrointestinal complaints of the impaired ADL group were nausea(57.8%), chronic indigestion (23.4%), constipation (14,0%) and vomiting(3.7%). Sleeping time required for the impaired was longer than that for the normal group by 10hours(4.7%) or 8-10hours(20.3%), which consisted 1.7% and 16.6% respectively. Nutrient intake of the impaired ADL group was low compared to normal range elders: Energy(1260kca1), Protein(52.75g). There was gender difference in nutrient intake; the male impaired group showed no significant difference from the normal group but it was significantly lower in female impaired group. These results suggest that low quality of life and low economic status of the impaired ADL elderly require congregate meal in village hall to cover the lack of side dishe variety. And nutrition education program including community assistance would be required for the impaired ADL elderly together with the sufficient food and exercise practice. By operating nutrition education program, the impaired ADL elderly would maintain more enhanced quality of life and ameliorate the ADL capability.

• 성인간호학회지
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• 제13권1호
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• pp.40-52
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• 2001

The ratio of the elderly population is rapidly growing due to socio-economic development and better medical services. As the average life-span of the Korean elderly becomes longer, the proportion of the elderly is increasing. Therefore, the elderly need to sustain a high quality of life. However, all these factors, such as sensory loss, decreased endurance, mobility limitation, and a loss of independence, act to diminish the quality of life among the elderly. It is necessary for elders to adapt themselves to aging, to maintain their physical functions and especially, it is important to keep their independence in activity of daily living and self care. Therefore, this study was designed to identify the degree of activity in daily living and exercise of a self-care agency and to investigate the relationship between activity of daily living and self-care agency. Also, this research aimed to contribute to nursing interventions that maintain and promote quality of life of the elderly and to enable themselves to live independently. The subject of this study were 160 elders, over age 65, who were sampled in C city. Data were collected by observation and questionnaires from May,1999 to December, 1999. The measurement tools were Barthel Index(1979), Lawton & Brody(1969) for activity of daily living and Kearney & Fleischer(1979) for self-care agency. Data were analyzed by SAS PC+ package and included descriptive analysis, t-test, ANOVA, Pearson correlation coefficient, and Cronbach's alpha. The conclusions of this study are summarized as follows; 1. The mean of ADL and IADL was 96.09 and 16.38, respectively. The score described activity of daily living among the elders in C province as moderate. Particularly, in the items of IADL, the item of medication was the highest score. 2. The mean for exercise of self-care agency was 76.48, a moderate degree. 3. The degree of ADL and IADL according to demographic characteristics was significantly different statistically in pocket money, the presence of disease, perceived health status and in occupation, pocket money, family type, the presence of disease, and perceived health status, respectively. 4. The dagree of selt-care agency according to demographic characteristics was significantly different statistically in gender, education level, economic status, and pocket money. 5. There was a significant positive correlation between activity in daily living and self-care agency. Based on these results, further research is suggested to discover the variables influencing the activity of daily living and self-care agency to develop nursing strategies for improving self-care and activity of daily living among the elderly.

• 디지털융복합연구
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• 제14권3호
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• pp.1-12
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• 2016

현재 정보소외계층 대상에 대한 정의는 2000년대 초반 정부가 정보격차실태조사를 처음 시작했던 당시의 기준을 그대로 사용하고 있다. 본 연구의 목표는 정보격차조사의 정보소외계층 대상을 검토하고 재 정의 하고자 하는 것이다. 이러한 목표를 위해 본 연구에서는 정보격차조사의 대상 중 특히 문제의 소지가 많은 대상인 장애인, 저소득층, 장노년층을 중심으로 각각의 현황을 분석하고 정보소외계층 대상으로서 이들 집단에 대한 정의를 재검토하였다. 분석 결과 정보격차 조사 대상 장애인을 현재의 지체, 뇌병변, 청각/언어, 시각장애인만으로 한정하지 말고, 개정된 장애인복지법에 의거하여 15가지 장애유형을 재검토 해야 한다. 저소득층의 경우 정보격차해소 대책의 대상으로서 저소득층의 기준도 기초생활수급자에 한정하고 있다. 그러나 차상위계층을 정보소외계층으로 포함시키는 검토가 필요하다. 장노년층의 경우 현재 노인연령기준이 사회통념에 맞추어 상향조정하는 것을 고려해 보아야 할 것이다. 따라서 장년층은 제외하고 65세이상의 노인층에 대해서만 정보소외계층에 포함시켜 정보격차조사를 수행하는 것도 고려해 볼 만하다.

• 기본간호학회지
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• 제15권3호
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• pp.284-290
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• 2008

Purpose: This study was done to identify factors that influence self-rated health in elderly women. Method: The research design for this study was a descriptive survey design using a convenience sampling method. Data collection was done using a self-questionnaire with 201 women participating in the study. Frequencies, percentages, means, standard deviations, Pearson's correlation coefficients and stepwise multiple regression with the SPSS 10.0 program were used to analyze the data. Results: The age of the women ranged from 65 to 89 and mean was 72.9. The main factors that affected self-rated health were depression, sleep, family APGAR, economic level, social activities and number of illnesses. These variables accounted for 44% of self-rated health. Conclusion: The findings of this study provide useful information for constructing intervention programs for elderly women.

• 지역사회간호학회지
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• 제17권3호
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• pp.346-353
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• 2006

Purpose: The Purpose of this study was to analyze factors influencing the dependence of the elderly. Method: This research was designed as a descriptive study. The subjects were 103 elders living in Seoul. Data were collected from December 2004 through January 2005. The instrument used in this study was the elderly dependence scale developed by the Park (2004). Collected data were analyzed using SPSS 11.0 for Windows. Descriptive statistics, independent t-test, ANOVA and multiple regression were done. Results: In the results of regression, residence, education, vision and age were extracted as factors influencing the dependence of the elderly. The regression model explained 33% of the variance. Conclusion: Considering the results above, we need studies on the dependence of the elderly using more independent variables, on the changing pattern of dependence and influencing factors by longitudinal design, and on the elderly with functional limitations or cognitive impairment.