• Title/Summary/Keyword: Frail elderly people

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The Type of Elder Care Arrangements and its Consequences for Mental Health Among Physically Frail Elderly (부양형태에 따른 신체취약 노인들의 정신건강)

  • 최혜경
    • Journal of the Korean Home Economics Association
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    • v.39 no.1
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    • pp.81-90
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    • 2001
  • This study focuses on the type of elder care arrangements and its consequences for mental health among physically frail elderly. Based on data from 410 frail older people, this study reveals the following results: (1) Frail elderly in family caregiving situation shows better mental health in terms of depression and psychological well-being than those in self-care or public institutional situation, (2) but this positive effect of family caregiving on mental health, especially depression, among older people is partly explained by the differences in income and marital status among older people in different caregiving situations, (3) the factors which are significantly related to mental health of older people are income in family caregiving situation, and education in both self-care situation and institutional situation. The results of the study emphasize the importance of family resources in family caregiving situation and of personal resources in self7are or institutional situation.

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Analysis of the Effects of Muscle Strength Exercise on Physical Function and Quality of Life in the Frail Elderly (근력강화운동을 통한 허약노인의 신체적 기능 및 삶의 질 향상에 대한 분석)

  • SunWoo, Duk;Lee, Sue-Hyung;Park, Ji-Sun;Bae, Sang-Soo;Cho, Yoo-Hyang;Kim, Chun-Bae;Koh, Kwang-Wook;Kim, Yeon-A
    • Korean Journal of Health Education and Promotion
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    • v.25 no.1
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    • pp.39-53
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    • 2008
  • Objectives: The purpose of this study was to investigate the effects of muscle strength exercise on physical function and quality of life in the frail elderly. Methods: Subjects were 401 frail elderly people selected by the screening tool developed by Japan department of Health, Labor and welfare. The program was carried out for twice a week for 12 weeks. Data were analyzed with paired t-test and t-test using STATA program. Results: 1) Muscle strength exercise for the frail elderly showed statistically significant effects on improving grip strength, single leg stand, TUG(Time up to go) and quality of life. 2) The grip strength and single leg stand indicators showed statistically significant effects between the over 75 years old and the under 75 years old. However, TUG and quality of life indicators didn't show statistically significant effects between the over 75 years old and the under 75 years old. Conclusions: The muscle strength exercise for the frail elderly people was very effective on improving grip strength, single leg stand, TUG and quality of life and especially, it was more effective in the over 75 years old than in the under 75 years old.

Educational needs for the development of a simulation module of home visiting care for the frail elderly (시뮬레이션 기반 허약노인 방문간호 교육 요구도)

  • Ahn, Junhee;Yang, Youngran
    • The Journal of Korean Academic Society of Nursing Education
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    • v.27 no.1
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    • pp.68-79
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    • 2021
  • Purpose: This study aimed to identify the educational needs of nurses and nursing students for the development of a simulation module of home visiting care for frail, elderly people. Methods: Focus group interviews were conducted with 15 home visiting nurses working in public health centers and 14 nursing students who experienced home visiting from September 10 to October 10, 2018. Results: Bloom's taxonomy of learning objectives, namely, cognitive, affective, and psychomotor domains was used as a framework for data analysis. The defined educational needs for each domain were as follows: "understanding frail, elderly people" for the cognitive domain; "intervention for mental health" and "building a therapeutic relationship" for the affective domain; and "nursing skills", "health education for healthy lifestyles", "referral to the community resource connection", "protection for visiting nurses" for the psychomotor domain. Conclusion: Based on the findings of this study, a simulation module of home visiting care for frail, elderly people can be developed and used for nursing students and nurses to strengthen the capacity for home visiting care.

The Effect of Horse-Riding Exercise on the Balance Ability in the Frail Woman Elderly People (승마 운동이 여성 노인의 균형능력에 미치는 영향)

  • Lee, Chaewoo;Lee, Insil;Kim, Hyeonsu
    • Journal of The Korean Society of Integrative Medicine
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    • v.1 no.2
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    • pp.59-66
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    • 2013
  • Purpose : The purpose of this study was to investigate the effect of horse riding exercise for the prevention of falls in the frail woman elderly people. Method : 30 subjects in H-equestrian and N-equestrian were randomly divided two group, aero-step exercise group and horse-riding exercise group. Each group carried out 40 minutes exercise three times a week for 8 weeks. TUG were measured for dynamic balance ability, and sway path of COP movement during standing were measured for evaluation of static balance ability in balance performance monitor(BPM). Result : The results were as follows, the dynamic balance scales of TUG between aero-step exercise and horse-riding exercise groups in post-test, were significantly different in measures(p<.05). And there were significant in two group after exercise(p<.05). The static balance scales of sway path between aero-step exercise and horse-riding exercise groups in post-test, were significantly different in measures(p<.05). And there were significant in two group after exercise(p<.05). Conclusion : These finding revealed that horse-riding exercise was effective on dynamic and static balance abiility of elderly people so that these exercise can be new altematives for the prevention of falls in the frail woman elderly people.

The Effects of a Video Strength Exercise on Grip Strength, Balance, TUG in the Frail Elderly Women (동영상을 이용한 근력 강화 운동이 허약 여성노인의 악력, 균형, 이동능력에 미치는 영향)

  • Lee, Sa-Gyeom;Park, Sung-Kyu
    • Journal of the Korean Society of Physical Medicine
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    • v.8 no.1
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    • pp.91-98
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    • 2013
  • PURPOSE: The purpose of this study was to investigate characteristics of the effects of a video strength exercise on grip strength, balance, timed up and go in the frail elderly women. METHODS: Subjects were thirty frail elderly people selected by the screening tool and they were divided into exercise group and control group. The video strength exercise was carried out for three time a week for 12 weeks. Data was analyzed with independent t-test between exercise and control group and paired t-test between before and after. RESULTS: There were not significant differences between exercise and control group. However, there were significant effects between before and after in exercise group. The grip strength and one-leg stand with eyes open were significant improved and timed up and go was significant decreases. CONCLUSION: These results indicate that the video strength exercise for the frail elderly was very effective on improving grip strength and one-leg stand and timed up and go.

A Study on the Hierarchical Space Organization of Elderly Care Facilities (노인 요양시설의 위계적 공간구성에 관한 연구)

  • Kwon, Soon-Jung
    • Korean Institute of Interior Design Journal
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    • no.34
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    • pp.96-105
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    • 2002
  • Elderly care services are health, mental health, social health, and residential services provided to temporarily or chronically disabled older persons over an extended period of time with a goal of enabling them to function as independently as possible. And elderly care facilities such as nursing homes are places in which elderly care services have to be delivered effectively. It is, therefore, desirable to compose the space of elderly care facilities to meet the mental and physical abilities of frail elder people. This study has proposed the hierarchical space organization of elderly care facilities with an aim to fulfill the goals of them. Frail older people in hierarchically designed homes are anticipated to use the inner and outer spaces of care facilities as independently as possible in accordance with their physical and mental abilities.

Effects of elderly people's Frail prevention program on subjective health status, depression, physical fitness and quality of life for in Senior Center Participation of the Elderly (노인 허약 예방프로그램이 경로당 이용 노인의 주관적 건강상태, 우울, 체력 및 삶의 질에 미치는 효과)

  • Chang, Koung-Oh
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.18 no.5
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    • pp.47-58
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    • 2017
  • This study examined the effects of elderly people's frail prevention program performed in a senior center located in J-si. The most interesting were the effects on the subjective health status, depression, physical fitness, and quality of life for the senior center participation of the elderly. The nonequivalent control group pre-post-test design was employed. A total of 43 people living in J-si were assigned to either the experimental group (n=22) or control group (n=21). The experimental group was provided with the 8-weeks frail elderly prevention program from September 1 to October 16 in 2015. The data were analyzed with SPSS/WIN 21.0 using descriptive statistics, $x^2-test$, Fisher's exact test, and t-test. The results indicated a significant difference between the experimental group and control group with respect to the scores of the subjective health status (t=-0.35, p=.024), depression (t=2.76, p=.035), physical fitness, including right grip strength (t=-3.10, p=.004) and flexibility of the waist (t=-2.13, p=.039), and the quality of life (t=4.36, p<.001). In conclusion, an elderly people's frail prevention program has a significant effect on the change in subjective health status, depression physical fitness, quality of life, and self-care behavior for senior center participation.

The Effect of Subjective Xerostomia and Salivary pH in Salivary Glands Stimulated by Laughter Therapy in Frail Elderly Women (웃음치료를 통한 침샘자극이 허약노인의 구강건조와 타액 pH에 미치는 효과)

  • Lim, Sun Young;Lee, Kyem Ju;Kim, Su Jin
    • Research in Community and Public Health Nursing
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    • v.27 no.1
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    • pp.72-80
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    • 2016
  • Purpose: The purpose of this study was to identify the effect of subjective xerostomia and salivary pH in salivary glands stimulated by laughter therapy in frail elderly women. Methods: The research used a one-group pretest-posttest design. Data were collected from July 2, 2015 to September 30, 2015. A sample of 41 frail female elderly patients was recruited at A Nursing Home in K City, Korea. We measured xerostomia and salivary pH using a questionnaire and BCP test paper (pH 5.6~7.2). Laughter therapy was given once a week for four weeks (3 items). Data were analyzed through descriptive statistics, independent t-test, ANOVA, paired t-test and Cronbach's using the SPSS 18.0 program. Results: There were significant differences in salivary pH according to oral health (t=-2.06, p<.05). There were significant differences in xerostomia (t=4.41, p<.001) and salivary pH (t=-7.94, p<.001) after salivary glands stimulated by laughter therapy. Conclusion: Salivary glands stimulated by laughter therapy improved xerostomia and salivary pH of the frail elderly. Therefore, salivary glands stimulated by laughter therapy may be useful in promoting and maintaining oral health among the frail elderly in the rapidly increasing population of old people.

Correlations between SPPB, FRT, and TUG in Hospitalized Frail People - The Timed Up and Go test, the Functional Reaching Test, and the Short physical performance battery - (노인요양병원 입원환자의 TUG, FRT와 SPPB와의 상관관계 연구)

  • Park, Rae-Joon;Son, Ho-Hee;Cho, Jeung-Sun;Oh, Hyen-Ju;Lee, Hyeon-Hee;Lee, Moon-Hwan;Kim, Seong-Gil
    • The Journal of Korean Physical Therapy
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    • v.23 no.2
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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.

Effects of a Stim up Mat Walking Exercise Program on Balance, Gait Function and Joint Motion Range of the Frail Elderly (스팀업(Stim UP)매트 걷기운동 프로그램이 허약노인의 균형능력과 보행기능 및 관절 가동범위에 미치는 효과)

  • Kim, Gyeong Ran;Song, Mi Sook
    • Research in Community and Public Health Nursing
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    • v.30 no.1
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    • pp.47-56
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    • 2019
  • Purpose: This study was performed to evaluate effects of a stim-up matt walking exercise program on balance and gait of the frail elderly. Methods: A total of 37 elderly people recruited from S city were randomly assigned to the experimental group (n=22) and control group (n=15). The stim-up matt walking exercise program was offered twice a week for 8 weeks. Data were analyzed by SPSS 21.0. Results: The dynamic balance ability Timed Up and Go test of the experimental group was significantly faster than that of the control group (t=21.72, p<.001). The static balance ability open-eye standing test (t=44.15, p<.001) and close-eye standing test (t=9.01, p=.005) also showed increase in effects of the experimental group. In the walking ability, gait cycle (t=2.48, p=.018), cadence (t=-2.21, p=.034) and gait speed (t=-2.78, p=.009), positive effects were on. However, no statistically significant differences were found in stride length and double support. At the ankle joint range left ankle plantar flexion (t=3.92, p<.001) and left ankle dorsal flexion (t=4.51, p<.001) were higher in the experimental group than in the control group, and also right ankle plantar flexion (t=2.79, p=.008) and right ankle dorsal flexion (t=2.92, p=.006) increased in the experimental group. Conclusion: The significance of this study is that the stim-up matt walking exercise program for the frail elderly proves to be useful for improving balance and walking.