• Title/Summary/Keyword: Experiences related to the elderly

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Socio-psychological Process of Families with Institutionalized Dementia Elderly (치매노인 시설의탁 가족의 사회심리적 과정)

  • Joung, Eun-Ok;Hyun, Mi-Young;Seo, Yun-Jin;Ahn, Ok-Hee
    • Research in Community and Public Health Nursing
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    • v.15 no.1
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    • pp.122-131
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    • 2004
  • Purpose: The purpose of the study is to explore the socio-psychological coping process and experiences of families before and after institutionalization by applying the Corbin and Strauss ground research method. Method: Data collection from 9 participants with elderly institutionalized dementia with approval from directors of the institute was done by in depth interviews during a seven month period from May, 2003 to December, 2003. Data analysis was done by repeated reading of the transcribed interviews, and 344 concepts and 39 subcategories were generated. Results: Family members of the dementia elderly experienced various degrees of exhaustion, physically, mentally, and socially. The degree of their exhaustion was related to the severity of the family member's symptoms, and length of the dementia. Coping strategies were effected by economic status, social support from blood related families or neighbors, depth of their relationship with elderly institutionalized dementia. They were even affected by the elderly family members institutionalization. Conclusion: After institutionalization participants felt some guilt from not assuming their responsibilities as children. On the other hand they regained privacy, freedom, security, and comfort, so that their life returned to normal. They even felt more comfort because their elderly were living in a safer environment, and received a better quality of care. Participants had better composure, so that they could even take care of neighbors in need. They hope that there is more governmental involvement in terms of subsidy and numbers of institutes. Findings of the study will be a ground for the development of a coping program for families with elderly institutionalized dementia. Further studies are recommended to explore types of family, and to develop programs for the families to help them interact with each other.

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Prevalence and Associated Factors of Falls in the Elderly Community (지역사회 재가 노인의 낙상에 영향을 미치는 요인)

  • Paek, Kyung-Won;Song, Hyun-Jong;Jung, Yoon-Seok;Moon, Hae-Won;Cho, Joon-Pil
    • Journal of Preventive Medicine and Public Health
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    • v.34 no.1
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    • pp.47-54
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    • 2001
  • Objectives : To analyze factors associated with elderly falls in a community dwelling, a comparatively important, but somewhat neglected, health mailer. Methods : Data came from personal interview surveys using a questionnaire of 552 people aged 65 or older living in a community. Socioeconomic, and health related characteristics were investigated as independent variables and experiences of falling in the previous year as the dependent variable. Results : 118(21.4%) of the elderly subjects experienced a fall in the previous year. 24 subjects experienced more than two falls, accounting for 20.3% of the elderly fall victims studied. Factors affecting the falls were families living together, level of daily activity, heart disease, and aconuresis;, therefore an elderly person who lives alone, lives independently, has heart disease, or suffers urinary incontinence had a demonstrated increased chance of failing. Conclusion : Groups at risk for luting included elderly persons living alone, living independently, suffering heart disease, or experiencing urinary incontinence. When an elderly fall prevention program is developed and implemented, these results should be considered.

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Consumer Impairment and Its Improvement on Longterm Care Insurance Service : Focused on the Current Conditions and the Analysis of Counseling Cases in Korea and Japan (노인장기요양보험 서비스에 관한 소비자피해와 개선방안 : 한일 서비스이용현황 및 상담사례 분석을 중심으로)

  • Lee, Hyun-Jin
    • Journal of Families and Better Life
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    • v.28 no.1
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    • pp.51-67
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    • 2010
  • This study looked into the current conditions in Korean and Japanese care management for the elderly, cases of consumer counseling in these countries, and the supporting institutions for Japanese users regarding the use of care management for the elderly. The number of recipients of care management for the elderly in both Korea and Japan is growing every year, and more Japanese users receive various services compared to Korean users. The results of an analysis on consumer counseling regarding the use of Korean and Japanese care management revealed, two types of complaints: counseling for the improvement of the institution and complaints related to the procurement of service. Regarding the insurance system, the complaints were mostly related to affirmation of a rating and the burden incurred by cost-sharing. Regarding the use of service, such key impairment cases were related to in-service medical accidents, illegal acts including caregiver contract violations and forced retirement, careless service by workers, and human rights violations of the elderly. Japan has developed governmental and, related-administrative and business services as well as a local governmental system to redress customer impairment issues as this pertains to service for better quality care management. In addition, they have enlarged the locally closed service, provided exact information about the services offered, and improved service appraisal techniques. The Japanese cases will serve as a good reference to improve the Korean system. In particular, the construction of a system that reduces customer losses and the availability of more counseling information are urgently required to improve the system in terms of customer experiences when they seek care management.

A Study of Impact of Social Activities and Religion/Spirituality on Depression and Life Satisfaction among the Korean Elderly (사회활동과 종교 및 영성이 한국노인들의 우울증과 삶의 만족에 미치는 영향)

  • Kang, Sun-Kyung;Kim, Hun-Jin
    • Korea journal of population studies
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    • v.34 no.2
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    • pp.163-190
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    • 2011
  • This study assessed the manner in which social activities, religious experiences, and spiritual practices related to depression and life satisfaction among 217 Korean elderly individuals, aged 65 to 80. The Social Activities Scale and Brief Multidimensional Measure of Religiosity/Spirituality were employed to assess social activities and six domains of religiosity/spirituality: daily spiritual experiences, values, forgiveness, private religious practice, religious/spiritual coping, and religious support. In addition, depression was assessed with the Geriatric Depression Scale, and life satisfaction with the Satisfaction with Life Scale. After controlling for demographic variables, lower depression scores were predicted by higher levels of religious and spiritual coping, social activities, higher income, and ower daily spiritual experiences. In addition, identifying as female, advanced old age, and lower social activities predicted lower life satisfaction in this study. The implications of this study's findings on social work practice are also discussed, along with some future research directions.

Determinants of Caregivers' Conflict Experience in Elderly Care Institutions (요양기관 간병인의 갈등 경험에 영향을 미치는 요인)

  • Lee, Ji-Eun;Jin, Ki-Nam;Seo, Young-Joon
    • Korea Journal of Hospital Management
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    • v.14 no.3
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    • pp.66-82
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    • 2009
  • The purpose of this study is to investigate the determinants of caregiver's conflict experience in elderly care institutions. This study focused on the three key independent variable groups(e.g., socio-demographic, job-related, and individual personality). The sample used in this study are 311 caregivers who are randomly selected from 21 elderly care institutions in Korea. Data were collected with a structured questionnaire by mail from Oct. 15 to Nov. 30 in 2007. The collected data were analyzed using logistic regression. The major findings of the study are as follows: 1) Nearly 40% percent of the respondents reported that they had experienced conflicts with elderly patients. The conflict with other caregivers ranked as second(20.6%), followed by patients' families(18.6%) and hospital employees(15.1%). 2) The personality, especially uniqueness caused conflict with patients or other caregivers. The professional identity reduced conflict with patients. The negative work experiences caused conflict with patients or family. The service attitude reduced conflict with family. The service-centered culture reduced conflict with hospital employees. Those who lived with the elderly showed lower level of conflict with family or hospital employees.

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A study of elderly private security guards about their victimization experience in the workplace and their perception of occupational stress (노인경비원의 폭력피해 경험과 직무스트레스에 대한 연구)

  • Hong, Kook-Pyo;Oh, Kyu-Chul;Lee, Chang-Bae
    • Korean Security Journal
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    • no.36
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    • pp.469-492
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    • 2013
  • While the average age of population increases, so as the number elderly workers employed in the private security in Korea. However, not many studies have examined the issues related to elderly security guards so far, especially regarding the experience of workplace violence victimization even though they are quite vulnerable. The current study surveyed elderly private security guards across the nation in an attempt to ask about their workplace violence victimization experience, including both physical and verbal ones. The researchers investigated if victimization experiences affect the elderly security guards' perception of occupational stress. The result indicated that the respondents experienced verbal violence more than physical violence, and perpetrators were usually customers, not their supervisor or coworkers. In addition, those who experienced verbal violence in the workplace, perceived a higher level of occupational stress. The experience of physical violence did not make a significant impact. Policies are discussed in order to decrease workplace violence towards elderly security guards.

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A Study on Experiences of Older Adults' Getting Back to Life and Rediscovering a 'Will to Live' Following Suicide Attempts (자살시도 노인의 일상으로의 복귀와 '다시 살아보자'의 경험에 관한 연구)

  • Kim, Yu Jin
    • Korean Journal of Social Welfare
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    • v.65 no.1
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    • pp.127-146
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    • 2013
  • The elderly suicide has become a social problem, and the need for academic and practice-based knowledge for preventing elderly suicide has been addressed. Unlike previous literature focusing on identifying risk factors, this study aimed to address protective ones which help to overcome suicidal behavior among older adults. The purpose of this qualitative study was to understand how older adults get over being suicidal and get back to life, and to identify what helps them during the process. Both in-depth interviews with 35 elderly with suicide attempts and field notes were analyzed through thematic analysis. The older adults described a pathway to rediscovering a 'will to live' that was related to a 'mind's incline' and included two kinds of protective factors. Based on the findings, it addresses the implication for the elderly suicide prevention utilizing protective factors.

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The Study of Silver Generation Smart Service Customer Experience: The Effect of Fun and Challenge (실버세대 스마트 서비스 사용경험 연구: 흥미와 도전감 효과)

  • Jiyoung Kim
    • The Journal of the Convergence on Culture Technology
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    • v.9 no.2
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    • pp.459-466
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    • 2023
  • This study aims to provide implications by exploring the experiences of elderly customers using smart wearable devices. The proportion of the elderly among all customers is increasing day by day, and they are gradually trying to use smart devices more actively and improve the quality of life. It is known that the elderly have difficulty using smart devices compared to the younger generation, but this study aims to identify psychological mechanisms in the use process to help the elderly users use related devices more conveniently and joyfully and to actively apply them to service and product development. In particular, theoretical and practical implications were provided by investigating the causal relationship between variables that play a major role in the process of using smart devices, such as convenience, fun, and challenge.

Korean Caregiver's Perceived Benefits and Costs of the Coresidence with the Elderly Parents - focused on Rural and Urban Difference - (부양의식, 형제자매 지원과 노부모 동거에 대한 혜택-비용 지각 - 도시와 농촌 비교를 중심으로 -)

  • 한경혜;이정화
    • Journal of the Korean Home Economics Association
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    • v.39 no.11
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    • pp.129-144
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    • 2001
  • In spite of rapid sociocultural changes and an increase in the number of nuclear families in recent years, quite many families in Korea still have taken the extended family form where daughter-in-law provides care for the elderly parents. Even though the nature of the inter-generational relationship in Korea is reciprocal in many regards, most of the studies looked at the burden or costs of coresidence with the elderly parents while relatively little attention has been given to the positive side of the coresidence. This study is an attempt to fill this gap in the area. The purpose of this study is to examine not only the costs but also benefits of the coresidence with the elderly parents. We also explore whether there is a rural-urban differences in costs and benefits of coresidence and related factors. For the purpose, data were gathered from 876 daughters-in-law of three generational family both in rural and urban area, using structured questionnaire. The statistical methods used for data analysis were descriptive statistics, cross tables, and regression analysis with SPSS/PC+ program. The major findings of this study were as follows: Marital and economic status of the elderly parents, age, job status and filial responsibility attitude of caregiver, sibling support, and coresidence duration were the significant variables predicting the level of perceived benefits. Marital status of elderly parents, income, job status, educational level, and filial responsibility altitude of caregiver, residence region affected the level of perceived costs. Rural-urban differences are found in many aspects of coresidence experiences and related factors. Rural caregivers receive higher level of the sibling support, have more traditional final responsibility altitude and perceived less costs and more benefit than urban caregivers. There also are differences in the factors influencing the level of perceived costs and benefits between rural and urban area. Level of sibling support and final responsibility attitude have significant impact on both the perceived costs and benefits. But there are differences in terms of that perceived costs and benefits of urban caregivers are affected by job status of caregivers while those of rural caregivers are affected by educational level of caregivers and marital status of elderly. The results confirm that Korean caregivers experience both positive and negative aspects of coresidence and shows that the nature of the inter-generational relationships differ between rural and urban Korea.

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Characteristics of End of Life Sustaining Treatment and Attitudes towards Advance Directives among Geriatric Patients (임종기 연명치료 중단관련 특성과 사전의료의향서에 대한 노인환자의 태도)

  • Jung, Seungyun;Lee, Haejung;Lee, Sunghwa
    • Journal of East-West Nursing Research
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    • v.20 no.2
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    • pp.103-111
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    • 2014
  • Purpose: The purpose of this study was to identify the characteristics of life-sustaining treatment and attitudes towards advance directives among geriatric patients. Methods: The elderly participants (N=146) were recruited from a university hospital from October 30, 2012 to March 31, 2013. A questionnaire for collecting data of participants' characteristics, their experiences related to life-sustaining treatment, and attitudes towards advance directives was used. The data were analyzed using SPSS WIN 17. Results: Most participants (84.9%) were in favor of advance directives. Although most of participants wanted to receive CPR for sudden cardiac arrest (78.8%) and pain control medication (74.0%), most preferred to refuse life-sustaining treatments such as tracheostomy (96.6%) or ventilator (87.0%). Participants who had a family or acquaintances with CPR experiences (U=852.00 p=.038), had discussed with their family and acquaintances regarding end-of-life sustaining treatment (t=2.91, p=.004), or made decisions about refusing the life sustaining treatments (t=3.19, p=.002) preferred to have advance directives than those who did not. Conclusion: The findings of this study suggested the potential benefits of educational programs about advance directives for the end-of-life for geriatric patients to make decisions for life-sustaining treatments in advance.