• The Korean Journal of Community Living Science
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• v.25 no.2
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• pp.163-173
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• 2014

This study investigates the dietary risk factors in elderly individuals in rural Korea by focusing on the development of service programs that can improve their health. The sample included 1,000 free-living elderly individuals aged 65 and over in rural Korea. A three-stage stratified random sampling method based on 2010 Korean census data was employed. Data on the dietary status and the need for assistance in meal management were collected through face-to-face interviews. The dietary status was evaluated based on the Nutrition Screening Initiative (NSI) checklist, and the outcomes for three groups classified base on their family type were examined. According to NSI scores, more than 70% of the subjects faced some nutritional risk. The activities most requiring assistance in meal management included preparing meals (18.3%) and purchasing food items (11.7%). More than half of the subjects reported that having meals at community senior centers at least once a week. The results indicate that those subjects from single-individual households were most likely to face some nutritional risk and require, assistance in purchasing food items and preparing meals. In addition, these subjects were least likely to be satisfied with their health and dietary management. To improve the dietary status of elderly individuals in rural Korea, any service programs should facilitate their daily activities by focusing on improving their diet, particularly that of those from low-income, single-individual households.

• The Journal of the Korea Contents Association
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• v.13 no.6
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• pp.300-308
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• 2013

The purpose of this study was to explore the level of anger and social support and to identify factors affecting anger in elderly women. This was a cross-sectional descriptive survey. A convenience sample of 155 elderly women was recruited from two senior welfare centers and three nursing homes in J city. Data were collected from June 15 to July 15, 2010 through interviews using a structured questionnaire. Data were analyzed with descriptive statistics, independent t-test, one-way ANOVA, Pearson's correlation coefficient, and multiple linear regression using the SPSS WIN 18.0 program. The level of social support and anger was 3.73 and 2.72 out of 5, respectively. Anger was statistically significantly different according to type of residence (B=0.21, t=2.42, ${\rho}$=.017), psychiatric medication (B=0.66, t=4.93, ${\rho}$ <.001), physical medication (B=0.41, t=4.22, ${\rho}$ <.001), and evaluation support (B=-0.15, t=-3.00, ${\rho}$=.004), and these accounted 33.0% of anger. Providing proper information and developing social support program would be useful for managing anger of elderly women.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.20 no.7
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• pp.182-191
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• 2019

The purpose of this study was to identify correlation among social support, recovery resilience, and self-care behavior among the elderly with hypertension, as well as to clarify factors that affect self-care behavior. This was a descriptive study conducted with 183 hypertensive seniors over age 65 from three different senior welfare centers in C region. Data of this study were collected from Aug 20-31, 2018. T-test, ANOVA, Pearson's coefficient, and stepwise multiple regression were used for analysis. As a result, the mean score of social support was $3.79{\pm}0.78$ out of 5, recovery resilience was $4.10{\pm}0.71$ out of 5, and self-care behavior was $3.93{\pm}0.51$ out of 5. Self-care behavior had a statistically significant positive correlation with social support(r=.204, p<.001) and recovery resilience(r=.405, p<.001). Factors influencing Self-care behavior were recovery resilience(${\beta}=.36$, p<.001) and regularity of exercise(${\beta}=.17$, p=.019). These factors explained 18.9% of self-care behavior(F=21.02, p<.001). The study results indicate that recovery resilience and regularity of exercise are critical factors affecting self-care behavior among the elderly with of hypertension. Therefore, to promote self-care behavior among the hypertensive seniors, regular exercise must be advised and the development and evaluation of nursing interventions that can improve recovery resilience may be necessary.

• Perspectives in Nursing Science
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• v.7 no.1
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• pp.10-22
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• 2010

Purpose: Through a thorough examination of the CCSC (Community Comprehensive Support Center) system in Japan, this study suggests a scheme to provide community-based preventive health care services for the elderly in Korea. Methods: The study inquired into the applicability of the Japanese model by reviewing the data related to the CCSC project, aided by both in-depth interviews with staff in the field and consultations with specialists. Results: Rearrangement of the Visiting Health Management Project system is needed to manage the collective or individual visiting care management for frailty prevention of the elderly in communities. The delegated service system for preventive care in the community, including direct management by one of the public health centers, also needs to be reviewed and the application of stricter standards for the selection of the agency or corporation to run the delegated service is necessary. Long-Term Care Insurance, along with national and local grants, is to be considered as a financial resource for the community-based preventive health care model for the elderly. By making active use of education rooms at district offices, senior citizen centers in neighborhoods for the elderly with easy access can be created. The project needs to raise active supports from communities, develop programs which can be absorbed into particular local cultures, and promote the understanding of the preventive project in local communities. The preventive program should focus on first solving the problems of depression, seclusion, and lack of mobility of the elderly. Second, the program should instruct physical self-management for exercise-nutrition-dental maintenance, and third, the program should strengthen the cognitive abilities of the elderly. In addition, it is necessary to systematize and implement counter-plans of the family and community to protect the elderly who has mental and cognitive problems. Finally, by establishing a network of public health welfare resources based upon research on a community level, assessment and planning for the health of the elderly should be one with their family, and comprehensive consultation and recommendations should be provided to the family. Conclusion: Taking into consideration the experience Japan has had with respect to a similar project, it is appropriate to develop and implement a service system which would combine the Visiting Health Management Project system which has already been established and a preventive health care model for the elderly on a community level.

• International Journal of Highway Engineering
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• v.14 no.1
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• pp.63-72
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• 2012

While the number of crashes and fatalities has decreased for the last few decades, the proportion of elderly-involved crashes has continuously increased from 19.5% in 2001 to 29.6% in 2008. This paper aims to evaluate the effectiveness of traffic safety education to seniors, which has been conducted for the purpose of providing more systematic knowledge such as safety regulations and making the elderly more aware of the risks of crashes, and eventually to reduce elderly-involved crashes. First, we investigated the levels of traffic safety knowledge of the elder people who attend senior community centers and social welfare centers in Seoul and provided traffic safety education. Then, the effectiveness of traffic safety education was evaluated by using the before-and-after analysis. We set up two different groups to improve the reliability of evaluation: one for control group and the other for comparison group. The results showed that the average scores of the control group after education were significantly improved at the 95% significance level compared to the average scores before education, whereas the comparison group did not show a significant differences in the average scores before and after education except for two questions. This indicates that the levels of traffic safety knowledge of the control group have been improved through education and therefore, the safety education seem to be effective to some extent.

• Journal of agricultural medicine and community health
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• v.40 no.3
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• pp.126-136
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• 2015

Objectives: This study was performed to investigate the effects of a health education program for the aged on knowledge about the warning signs and symptoms of acute myocardial infarction and stroke. Methods: Data from 337 elderly people (159 participated and 178 non-participated) at senior centers in Jeju-si were collected by 1 to 1 interview from January to March 2012, one year after the education program provided. Two stages of study were performed: Cross-sectional, case-control study on the level of knowledge about the warning signs and symptoms; and multivariate logistic regression to fine out predictors of optimal awareness. Results: No significant discrepancy of knowledge level between case and control group was found. The knowledge level as high as a surge was shown in both groups one year later. A surge of knowledge had been shown after the education provided in one month. The factors affecting the optimal level of knowledge were education (Odds ratio 3.01; Confidence Interval 1.72-5.26; P-value <0.001) and 7 days of watching TV news per week (2.97; 1.68-5.23; P<0.001). However, participation in the health education was not significant (1.60; 0.98-2.61; P=0.059). Conclusions: The effects of a targeted program in high-risk groups for cardio-cerebrovascular disease are only guaranteed in the enhancement by a population-based mass-media education campaign.

• The Journal of Industrial Distribution & Business
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• v.11 no.7
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• pp.29-40
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• 2020

Purpose: In modern society, many urban problems are occurring, such as aging, hollowing out old city centers and polarization within cities. In this study, we intend to apply big data and machine learning methodologies to predict depression symptoms in the elderly population early on, thus contributing to solving the problem of elderly depression. Research design, data and methodology: Machine learning techniques used random forest and analyzed the correlation between CES-D10 and other variables, which are widely used worldwide, to estimate important variables. Dependent variables were set up as two variables that distinguish normal/depression from moderate/severe depression, and a total of 106 independent variables were included, including subjective health conditions, cognitive abilities, and daily life quality surveys, as well as the objective characteristics of the elderly as well as the subjective health, health, employment, household background, income, consumption, assets, subjective expectations, and quality of life surveys. Results: Studies have shown that satisfaction with residential areas and quality of life and cognitive ability scores have important effects in classifying elderly depression, satisfaction with living quality and economic conditions, and number of outpatient care in living areas and clinics have been important variables. In addition, the results of a random forest performance evaluation, the accuracy of classification model that classify whether elderly depression or not was 86.3%, the sensitivity 79.5%, and the specificity 93.3%. And the accuracy of classification model the degree of elderly depression was 86.1%, sensitivity 93.9% and specificity 74.7%. Conclusions: In this study, the important variables of the estimated predictive model were identified using the random forest technique and the study was conducted with a focus on the predictive performance itself. Although there are limitations in research, such as the lack of clear criteria for the classification of depression levels and the failure to reflect variables other than KLoSA data, it is expected that if additional variables are secured in the future and high-performance predictive models are estimated and utilized through various machine learning techniques, it will be able to consider ways to improve the quality of life of senior citizens through early detection of depression and thus help them make public policy decisions.

• Therapeutic Science for Rehabilitation
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• v.13 no.1
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• pp.99-114
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• 2024

Objective : This study aimed to develop an information and communication technology (ICT)-based, non-face-to-face lifestyle program for older adults and assess its applicability. Methods : The program was developed on the basis of the ADDIE model which comprises 5 stages: analysis, design, development, implementation, and evaluation. In this study, a step-by-step identification was performed in 8 stages. Results : The results of the program analysis showed a significant decrease in depressive symptoms and loneliness scores, and an increased quality of life scores. Conclusion : The findings suggest that the ICT-based non-face-to-face lifestyle program developed in this study can motivate older adults to better understand their lifestyles for successful aging, while helping senior citizen centers resume stagnant projects.

• Journal of Korean Academic Society of Home Health Care Nursing
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• v.6
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• pp.46-58
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• 1999

The purpose of this research was to find out the state of the nursing performance of the home care nurses in Seoul in order to provide the data for the practical work guide. The data were collected from fifty home care nurses working in 22 institutions located in Seoul. The research tool used for this research was modified and tested by Song Jong-Rye(1999) which was originally modified the standard tool of American Nurses Association (1998) and was partly supplement and adjusted for this research. The reliability of this tool was Cronbach's $\alpha$=.0982. The collected data were statistically processed using SAS for t-test, ANOVA. $Scheff\'{e}$ test. Among the surveyees, 50% have been working as a home care nurse more than three years and 74.0% of them were married. And 52% have B.S degree with certification of home care nurse from the certification program for Home Care Nurses affiliated at nursing schools. Half of the home care nursing organizations were based on the general hospitals, and most(78%) of the responsible senior personnels of those organizations were nurses. The following results are drawn from this research. 1) The level of nursing performance by the task sectors General performance level of home care nurses was relatively high in grade of 3.06 from total 4.00. Among the task sectors. the ethical field scored the highest points, and the next were nursing intervention, professional training, and data gathering, and the research sector scored the lowest point. 2) The level of nursing performance by general features of home care nurses Statistically relevant correlation between performance according to the duration of working experience as a nurse(p=0.8951) and performance according to the duration of working as home care nurse(p=0.2263) did not emerge. Also, performance by marriage status(p=0.2218), education(p=0.5733), and taking the certification program for home card nurse(p =0.1560) has no statistically meaningful correlation. 3) The level of nursing performance by the type of home care nursing organizations There exists a significant difference(p=0.002) between performances by the types of organizations. Most of the responsible senior personnels of the home care nursing organization were nurses. The level of nursing performance of the home care nursing organization under nurse management was relatively higher than that of home care nursing organizations led by medical doctors or non-medical professional, but this was not proved as statistically meaningful(p =0.3617). 4) The level of nursing performance by task sectors according to the characteristic of home care nursing service organization There exists a significant difference between nursing performances by task sectors according to the characteristics of home care nursing organization(p=0.002). In case of model research center of one College of Nursing, the nursing performance in the sectors of organization, theory, and data gathering were lower than that of in hospital based home care nursing service. And in case of local home care centers, performances in sectors of organization, theory, data gathering, nursing intervention. professional training, and research sectors were significantly low. Based on the obtained results, overall performance of home care nurses can be appraised as relatively good. Especially, performances in sectors of the nursing intervention, nursing plan. and data gathering including the in direct nursing were recorded high scores. From this, it can be concluded that high quality of nursing is relatively practicing for home patients at these days. Since the high quality of nursing for patients was directly related to the level of nursing performances of home care nurses, it is required to improve practical performance level of them by making constant evaluation and running continual education program and supplementing curriculum for the sectors with low scores.