• 한국노년학
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• v.38 no.4
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• pp.963-979
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• 2018

The purpose of this study was to identify frailty profiles based on physical, psychological, and social domains of functioning and to examine the associated factors showing the differences among frailty profiles. Respondents were 70 years and older(n=403) and latent class analysis was applied to determine the optimal subgroups based on Tilberg Frailty Indicators which comprised of three domains(the physical, psychological, and social domain). Also, we performed multinominal logistic regression analysis to find out factors making differences among frailty profiles. Latent class analysis(LCA) identified three distinct types: multi-frail type(27.0%), psychologically frail type(26.8%), inadequate support type(46.2%). All three types had common difficulties in dealing with daily life problems and did not receive enough help with theses difficulties. Based on the results of the LCA three-class models, people in multi-frail type accumulated problems in physical and psychological domains and had partially social domain. On the other hands, psychologically frail type showed a relatively high anxiety disorder and depression. Lastly, people in inadequate support type reported the lack of helps, but they were relatively healthy. Comparing these groups with inadequate support type, people with multi-frail had lower educational level, poor nutritional management status and were less likely to participate in labor market. People in psychologically frail type were more likely to be male, to live in big cities rather than middle and small cities, and less likely to smoke. Based on these results, our results showed the multifaceted concept of frailty among Korean elderly people and we suggested several implications for preventing frail process.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.17 no.8
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• pp.485-491
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• 2016

The purpose of this study was to identify the effects of a visiting exercise program for physical activity promotion on physical (grip strength, static balance) and psychological (depression, perceived health status) function of frail elderly patients receiving home visiting service care. Subjects included a total of 49 patients; 24 in the control group and 25 in the experimental group. The visiting exercise program was carried out 16 times for 8 weeks. The collected data were analyzed by ${\chi}^2-test$ and t-test using SPSS/WIN 21.0 program. There was a significant improvement in the left grip strength (t=2.19, p<.000), right grip strength (t=5.07, p=.032), static balance (t=3.98, p=.050), and depression (t=-8.83, p=.009) in the experimental group compared with the control group. The visiting exercise program for physical activity promotion was effective on physical and psychological functions for frail elderly patients receiving home visiting service care. Further research is needed in a longitudinal study incorporating various centers to examine the maintenance of such effects.

• Korean Journal of Social Welfare
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• v.56 no.4
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• pp.123-147
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• 2004

The purposes of this study are, 1) to explore the factors related to the family caregivers' preferences for service utilization both of the community-based welfare and health-care services, and 2) to examine the reasons why not want to use services analyzing a survey data obtained from family caregivers(n=1,000). Anderson and Newman's Behavior model was employed to examine the factors related to the preferences for service utilization. The main results are as follows. 1) Logistic regression analyses demonstrated that predisposing factor(such as age and relations with frail elderly) and enabling factor(such as economic status, secondary caregiver, informal informational support provider, etc) were significant predictor for caregivers' preference for service utilization. Contrary to an expectation, needs factor was negatively related to the preference for service. More specifically, the more they have service needs, the less they show their willingness to use community-based service both in welfare and health-care services except for care education program. 2) Caregiver identified 'family caregiving consciousness'(family should take care of frail elderly, elderly dislike be taken care of) as an important reason not want to use community services next to financial factor. These findings have several implications for policy making especially for 'public long-term care insurance' which was planned to start in 2007.

• Proceedings of the Korean Society of Applied Pharmacology
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• 1997.11a
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• pp.87-91
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• 1997

The range of disorders of old age that are thought potentially amenable to drug therapy is increasing. However, factors such as the growing costs of drug development and prescription, the novel pharmacological profile and enhanced potency of many new compounds, and the concerns that the elderly may have enhanced susceptibility to toxicity all make drug usage in the elderly patient an increasingly specialized topic. This is compounded by the high incidence of multiple disorders in frail elderly patients, and consequently the possibility of the long term use of several drugs, thus, adding the risk of drug interactions. Thus, clinical pharmacology in the elderly requires understanding of pharmacologic characteristic determinants of the physiological changes (Table 1) associated with aging in terms of pharmacokinetics and pharmacodynamics.

• Journal of Korean Biological Nursing Science
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• v.18 no.3
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• pp.185-191
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• 2016

Purpose: The purpose of this study is to understand the effect of taking calcium/vitamin D supplements and performing Taekkyeon exercises on the frailty of the elderly targeting a vulnerable senior social group. Methods: A total of 124 people aged 65 and older consisting of 60 persons in the experimental group, and 64 persons in the control group participated in this study, and this study is a non-equivalent control group pre/post-test design quasi-experimental study. This study analyzed the homogeneity between the experimental group and the control group using a chi-square test and t-test while analyzing the difference in the degree of frailty and bone density with the practice of Taekkyeon and a calcium agent using t-test and GEE. Results: The study results showed that the frailty and bone density of the experimental group significantly improved. Conclusion: Through this study, it was confirmed that calcium/vitamin D intake and Taekkyeon exercises were an effective intervention which strengthened the elderly's physical condition.

• Journal of the Korea Society of Computer and Information
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• v.20 no.11
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• pp.169-174
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• 2015

The study is to clarify the relationship among the positive and negative recognition of stress and physical and psychological abuse and neglect aiming at getting the material. They are to prevent elder abuse at the main care worker for frail and dementia elderly. The degree of fitness to the data where positive and negative recognition of main care worker was located as dependent variable. The casual model in which main care worker was located as independent variable. The degree of fitness of casual model was GFI=0.772, CFI=0.795, RESEA=0.067. Among path coefficient included in the previous model, three of figures going toward three of abuse to the elder were statistically significant.

• Journal of The Korea Institute of Healthcare Architecture
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• v.15 no.4
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• pp.33-43
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• 2009

As a result of rapid aging speed in our society, many problems related to elderly people have happened in many parts of our society. Among them, supply for elderly housing is one of the biggest problems. To solve these problems, 'long-term care insurance' has been put in operation from July 2008. By the time of the insurance operation, Ministry of Health and Welfare is increasing facilities every year according to '10-year expending plan of Care service infra' from 2002. As a result, the supply rate of elderly facilities has been raised. But the differences of facility supply rate between regions are very high in some cases. Therefore older people who need care sometimes cannot get proper care services in some areas. In that case, the frail older people have to use other care facilities of other regions. This is not a proper situation from the point of "Aging in Place". In order to prevent that case, it is necessary to set up proper 'Daily Living Spheres' and establish elderly care plan for it. Considering the points above, this study proposes the size of 'Daily Living Spheres' for the elderly, the kind and amount of elderly care facilities in it for the construction of Community Based Elderly Care System.

• Asian Pacific Journal of Cancer Prevention
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• v.15 no.7
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• pp.3157-3161
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• 2014

Background: Unlike for fit elderly metastatic colorectal cancer (mCRC) patients, general approaches to initial treatment for the frail older mCRC patients are not clear. Our aim was to evaluate the efficiency and safety of first-line single-agent treatment in one such group. Materials and Methods: We retrospectively evaluated mCRC patients aged 70 or older with an Eastern Cooperative Oncology Group performance score of 2. They had no prior treatment and underwent first-line single-agent capecitabine or other monotherapies until disease progression or unacceptable toxicity. Results: Thirty-six patients were included. Most (n:28, 77.8%) were treated with capecitabine. One patient achieved a complete response and 5 patients had a partial response for an overall response rate of 16.6%. Twelve patients (33.3%) remained stable. Median progression free survival was 5 months (confidence interval (CI), %; 3.59-6.40) and median overall survival was 10 months (95 CI%; 8.1-11.8). Grade 3-4 toxicity was found in 6 patients (16.6%). Febrile neutropenia was not observed and there were no toxicity-associated deaths. Conclusions: Capecitabine is a safe chemotherapeutic agent with moderate activity for first-line treatment of older metastatic colorectal cancer patients with limited performance status.

• Korean Institute of Interior Design Journal
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• v.21 no.2
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• pp.231-242
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• 2012

The purposes of this study were to identify the needs for ubiquitous home services in residential environment of elderly single or elderly couple households living without children and also to analyze the differences of the needs according to their demographic and housing characteristics. For this study, a literature review and field works on ubiquitous home services for older people were performed. Also, 1 to 1 interview by using the questionnaire which was developed by the researchers in this study was conducted and 270 elderly residents in Seoul and Gyeonggi-Do were responded. Seventy-one ubiquitous service items which were adopted to home electronic appliances and furniture for older people were developed for 1 to 1 interview questionnaire. The major findings of the study were as follows: the elderly residents expressed highest need for ubiquitous home service items related to safety and health issues. Among ubiquitous service items applied to gas stove, vacuum cleaner, TV, telephone, sofa and toilet, the items related to safety and health aspects were most needed. And residents' income level and health status were the two major variables to show group differences in the need of ubiquitous home services. In other words, the elderly residents who were high income and frail tended to have the highest demand for ubiquitous home services adopted to home electronic appliances and furniture.

• Physical Therapy Rehabilitation Science
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• v.11 no.1
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• pp.49-57
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• 2022

Objective: This study aims to conduct a comprehensive review of monitoring systems to monitor and manage physical function of community-dwelling elderly living alone and suggest future directions of unobtrusive monitoring. Design: Literature review Methods: The importance of health-related monitoring has been emphasized due to the aging population and novel corona virus (COVID-19) outbreak.As the population gets old and because of changes in culture, the number of single-person households among the elderly is expected to continue to increase. Elders are staying home longer and their physical function may decline rapidly,which can be a disturbing factorto successful aging.Therefore, systematic elderly management must be considered. Results: Frequently used technologies to monitor elders at home included red, green, blue (RGB) camera, accelerometer, passive infrared (PIR) sensor, wearable devices, and depth camera. Of them all, considering privacy concerns and easy-to-use features for elders, depth camera possibly can be a technology to be adapted at homes to unobtrusively monitor physical function of elderly living alone.The depth camera has been used to evaluate physical functions during rehabilitation and proven its efficiency. Conclusions: Therefore, physical monitoring system that is unobtrusive should be studied and developed in the future to monitor physical function of community-dwelling elderly living alone for the aging population.