• 한국농촌간호학회지
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• 제12권1호
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• pp.13-27
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• 2017

Purpose: The purpose of this study is to identify health-related factors, especially for the elderly who are subject to visiting health care at vulnerable populations. Methods: Tools were Guide to Community Integrated Health Promotion Project 2016, Visit Health Care Health Interview Survey, measures of physical function, motor skills, composite mobility, BMI, and subjective fitness levels. Depression was measured with the Short Results: Older elders living alone were more vulnerable than those with living others. Elders with less education showed greater weakness but the difference was not significant. Average scores for frailty were 2.21 (healthy group), 7.66 (high-risk group) and 15.69 (frail group). Scores based on weakness level differed significantly with the exception of nutrition. Nine out of 10 elders in disadvantaged areas were in the frail group or at high risk. Conclusion: Results support the goal to maintain/improve physical/mental functions through individual management of high-risk/frail older adults at risk of becoming infirm. It is imperative to implement a public health care delivery system to ensure programs are operated effectively and personalized.

• 한국실내디자인학회논문집
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• 제12호
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• pp.25-32
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• 1997

The fast growth of the elderly population and nuclear families have been creating substantial needs for residential facilities of aged people in Korea. In this study, reviews on housing preference and physical constraints have been performed based on previous researches. In this study, the results of the analyses propose developmental strategies for the elderly housing in Korea as follows: 1)Housing preference and other psychological trends of Korean elderly are rooted in changeable condition of the emotion and lack of knowledge. Therefore, the housing preference of the Korean elderly should not be considered a fixed reflection ; rather, it should be regarded as a continuously adjusted trends according to later experience and emotional status after residing in the elderly care facilities. 2)Design of elderly housing should be guided within two principles of easy access and high usability. The principles also require maximazation of social interactions among frail elderly residents on age-segregated structure. 3) The experiment among 201 frail elderly shows that each shower stall should accommodate 5-by-5 feet square for wheelchair u-turn, and 48 inch height for kitchen topsink. Finally, the experiment shows that ramp slope of the ederly housing should be within 1/16 and 1/20.

• Perspectives in Nursing Science
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• 제3권1호
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• pp.47-60
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• 2006

BACKGROUND: Social, legal, and economic factors have changed the delivery of care to elderly who are frail and/or chronically ill. Increasing number of the elderly are now treated in the community, while living with or in close proximity to their family. It is evident that families play a major role of support for elderly persons in our society. This paper provides a review and analysis of studies that have investigated informal caregiving issues encompassing physical, psychological, emotional, and social domains. RESULTS OF THE REVIEW: Family caregiving often interfered with workplace and other responsibilities, creating physical, emotional, and financial stress for caregivers. Relatively high volumes of research addressed caregiving issues in the families of Alzheimer patients and in the areas of emotional and psychological impact of caregiving. Few studies explicitly investigated the role of informal caregivers in the management of other chronic conditions such as stroke or depression or physical consequences of long-term caregiving. While most studies were focused on negative aspects of caregiving, a few studies found it rewarding. Often the burden, stress, and socio-economic effects on the family caregiving for an elderly person were not sufficiently appreciated. CONCLUSIONS: Positive outcomes for both the caregiver and the care recipient are more likely to occur when effective levels of collaboration exist between health professionals and caregivers. As a first step, a better understanding of the caregiving experience such as caregiver characteristics, care recipient characteristics, and social stigma is important for nurses to minimize the burden of care so that appropriate interventions can be developed. In addition, further studies are needed to examine the role and needs of informal caregivers in the care of increasing number of frail and/or chronic ill elderly treated in the community.

• 한국치위생학회지
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• 제20권3호
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• pp.347-357
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• 2020

Objectives: The purpose of the study was to investigate the relationship between frailty and oral health among some elderly community residents. Methods: A self-reported questionnaire was completed by 240 elderly in the Gwangju-Jeonnam area from October 1, 2019, to November 30, 2019, based on convenience sampling. The questionnaire consisted of general characteristics of the subjects, frailty level (Kihon checklist), and Geriatric Oral Health Assessment Index. Results: There were 66 (27.5%) frail elderly, and the GOHAI group with a score less than 45 constituted 187 (77.9%), which was higher than the group with a score of 45 or higher. The distribution of the frail elderly was indicated to be higher in the people with older age (p<0.05), lower educational level (p<0.01), current economic inactivity (p<0.05), living alone (p<0.01), more chronic diseases (p<0.01), and GOHAI score below 45 (p<0.01). Compared to those with a good oral health-related quality of life, those with a poor quality of life showed a 3.03 times higher risk of frailty (95% CI=1.291-7.107)(p<0.05). Conclusions: By recognizing the need for oral health care of the elderly through these results and by identifying the relationship between frailty and oral health, it is possible to consider oral health as a predictor of frailty.

• 한국산학기술학회논문지
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• 제21권12호
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• pp.742-751
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• 2020

본 연구는 지역사회 거주 허약 노인을 대상으로 우울, 주관적 건강상태, 건강증진행위 정도를 알아보고, 건강증진 행위에 영향을 미치는 요인을 확인하기 위해 시도되었다. 연구대상은 D지역 재가 방문 서비스를 받는 대상자 중 65세 이상의 허약 노인 164명이었으며, 2020년 1월부터 2월 21일까지 설문조사를 실시하였다. 분석방법은 SPSS/WIN 23.0 프로그램을 이용하여 연구대상자의 일반적 특징 분석, independent t-test, one-way ANOVA분석, Scheffe test 사후 검정, 상관관계 분석, 단계적 다중회귀분석(stepwise multiple regression)을 실시하였다. 연구결과는 다음과 같다. 우울은 10.67점, 주관적 건강상태는 6.71점, 건강증진행위는 2.59점으로 나타났고, 건강증진 하위영역별 점수는 영양이 2.83점으로 가장 높았고, 스트레스 관리가 2.06점으로 가장 낮았다. 건강증진행위에 대한 우울은 유의한 음의 상관관계가 있었으며, 주관적 건강상태는 양의 상관관계가 있었다. 대상자의 건강증진행위에 영향을 주는 요인은 연령, 교육수준, 우울로 나타났고 이 변인들은 건강증진행위를 73.6% 설명하였다. 본 연구를 통해 우울이 허약 노인의 건강증진행위에 영향을 미치는 요인임을 규명함으로써 허약 노인이 장애 노인으로 진행되는 것을 예방하기 위해 우울 중재가 포함된 다양한 프로그램 통한 허약 노인의 건강증진행위를 지속시키는 것이 중요할 것이다.

• International Journal of Advanced Culture Technology
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• 제11권3호
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• pp.131-141
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• 2023

This study aimed to identify the determinants of physical frailty among the old-old adults in rural Korean communities. A total of 191 individuals aged 75 and older were included in the study, with the majority being female. Participants were classified into healthy (n=47), pre-frail (n=54), and frail (n=90) groups. Significant differences were found across these groups in terms of age, gender, education level, depression, and nutritional status. Multiple logistic regression analysis revealed that age (OR=1.16), depression (OR=0.21), malnourishment (OR=10.85), and short physical performance ability (OR=0.70) were significant predictors of physical frailty. These findings underscore the multifaceted nature of physical frailty among old-old adults in urban-rural complex communities and highlight the need for comprehensive and integrated interventions. Such interventions should consider not only physical factors but also broader health conditions and socio-demographic influences impacting the elderly. Further research is needed to develop and evaluate interventions that address these determinants and promote health equity among the elderly population in urban-rural complex communities

• The Journal of Korean Physical Therapy
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• 제23권2호
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• pp.17-21
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• 2011

Purpose: The purpose of this study was to determine the correlations, if any, between SPPB (Short physical performance battery), FRT (Functional reach test), and TUG (Timed up and go test) in hospitalized frail people. Methods: Seventy frail elderly patients (male/female: 16/54) participated in this study. All subjects could walk with or without an assisting device and they had no mental problems. Subjects were scored on physical functioning using the SPPB, FRT, and TUG. The data were analyzed using Pearson Correlation Coefficients. Results: There was a statistically significant difference between (a) SPPB and (b) FRT (p<0.01) and TUG (p<0.01). SPPB and FRT scores showed a positive correlation (r = 0.38) and SPPB and TUG scores showed a negative correlation (r = -0.56). Conclusion: SPPB, FRT, TUG scores are correlated with each other. From these results, we conclude that the SPPB is a useful method for predicting walking, balance, and physical function in frail elderly people.

• 지역사회간호학회지
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• 제27권4호
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• pp.380-387
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• 2016

Purpose: The purpose of this study was to examine the mediating and moderating effects of fall-related efficacy and social support on the relationship between frailty and health-related quality of life among rural community-dwelling elderly. Methods: A cross-sectional survey was conducted with a convenient sampling method, and data of 438 elderly residents living in a rural community was used. The structured questionnaire included items from the Euro Quality of life-5 Dimensions (mobility, self-care, usual activities, pain/discomfort, anxiety/ depression), fall-related efficacy and social support. Results: Analysis of the mediating effect of fall-related efficacy and social support showed that there was significant mediating influence of fall-related efficacy on the relationship between frailty and health-related quality of life. There were no moderating effects of fall-related efficacy and social support. Conclusion: The findings suggest that fall-related efficacy may play a role in reducing the effect of frailty on health-related quality of life and underscore the need to consider ways of enhancing fall-related efficacy in interventions for rural community-dwelling frail elderly.

• 지역사회간호학회지
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• 제26권4호
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• pp.405-414
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• 2015

Purpose: The purposes of this study were to examine the effects of home visit healthcare using a complex program on community-dwelling frail elders' physical strength, frailty, and depression and to compare the effects among three regions. Methods: This study was conducted as a quasi-experimental study using one-group pretest-posttest design. A total of 86 subjects were sampled from three regions (metropolis, small city, and rural area). The program was applied for 14 weeks. This program consisted of disease management by a visiting nurse, exercise with a visiting nurse, self exercise, telephone monitoring, health education, counseling, providing handbook, and incentive. Physical strength was measured by balance, upper-limb, and lower-limb muscle strength. Frailty was measured by the Korean Frail Scale and depression was measured by the Geriatric Depression Scale. Paired t-test and ANCOVA were used to analyze the effects. Results: Physical strength, frailty, and depression were significantly improved after applying the complex program. There were not differences among the regions. Conclusion: Home visit healthcare using a complex program was effective in improving frail elders' physical strength, frailty, and depression. There were not differences among the regions. Therefore, home visit healthcare using a complex program needs to be expanded to other regions.

• 한국운동역학회지
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• 제17권2호
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• pp.1-9
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• 2007

Walking is not only an essential component of the human mobility, but also is a good exercise. Inability to walk freely can reduce an individual's quality of life and independence substantially. Being a relatively low impact activity, walking is particularly good for the elderly and research has shown that regular walking in the elderly reduces the chance of fall-related injuries and mental diseases as well. In spite of the documented benefits of regular walking, it is still difficult to walk without the aid of assistive devices for the frail elderly who have lower extremity problems. Assistive walking devices(AWD), such as crutches, canes, hiking-poles, T-Poles and walkers, are often prescribed to the elderly to make their walking be safe and efficient. Many researchers have demonstrated the effects of AWDs such as reducing lower extremity loading, improved dynamic/gait stability, yet, no study has been done for gait pattern when the elderly gait with AWDs. Therefore, the purpose of this study was to examine whether T-Poles, one of the AWDs, change the elderly gait pattern. Eight community-dwelling female elderly participated in this study. Laboratory kinematics during walking with T-Poles(PW) and with out T-Poles(NPW) was assessed. PW showed significant increase in step width, stride length, gait velocity and decrease in swing time. No significances were found in lower body joint angles but meaningful trend and pattern were found. Maybe the reason was due to the participants. Our participants were healthy enough so that the effect of T-Poles was minimum. PW also showed typical gait phases which are no single support phase during a gait cycle. It indicates that walking with T-Poles may guarantee safe and confident walking to the frail elderly.