• 성인간호학회지
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• 제22권6호
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• pp.561-569
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• 2010

Purpose: The purpose of this study was to identify the factors related to depression of elderly patients in geriatric hospitals. Methods: The subjects were 195 elderly patients who met the inclusion criteria of scores more than 18 on the K-MMSE score and no reported mental disease. The data were collected from February 20 to March 20, 2009. The research instruments utilized in this study were depression (GDSSF-K), activities of daily living and self esteem (RSES), social support, life satisfaction. Data were analyzed Pearson correlation and Multiple Stepwise Regression using SPSS 15.0. Results: Depression score were negatively correlation with ADL, social support, life satisfaction and self-esteem. Among the factors studied related to depression, life satisfaction had highest explanatory power of 36.5% and it was followed by physical health status and activity of daily living. These explained 43.7% of the depression. Conclusion: The mean GDSSF-K 8.94, which indicates the higher than middle levels of depression. The findings suggest that it is important to develop educational programs to increase life satisfaction, physical health status and activity of daily living. Nursing interventions, including volunteer activities, health promotion program, and sports program could be useful in enhancing these factors.

• 한국인구학
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• 제34권2호
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• pp.163-190
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• 2011

본 연구는 65세에서 80세 사이의 연령대에 있는 서울/경기지역 노인복지센터에 참여하는 217명의 한국 노인들을 대상으로 이들의 사회활동, 종교적 경험, 영성 수행 등이 노인 우울증 및 삶의 만족에 미치는 영향을 탐구하기 위하여 수행되었다. 종교 및 영성에 관련된 변수는 일상적 영성 경험, 가치관, 관용, 개인의 종교 활동, 종교 및 영적 수양, 종교적 지지 등 여섯 가지 영역으로 나뉘어 측정되었다. 사회활동과 종교 및 영성을 측정하기 위하여 사회활동척도 (Social Activities Scale)와 종교/영성 다중체계 척도 (Brief Multidimensional Measure of Religiosity/Spirituality)를 사용하였으며, 우울증 측정을 위해서는 노인우울척도(Geriatric Depression Scale)를 적용하는 동시에 삶의 만족도 측정은 삶의 만족척도 (satisfaction with Life Scale)를 사용하였다. 인구학적 변인들을 통제한 후 분석한 연구결과, 높은 수준의 종교 및 영적 수양, 사회활동, 높은 소득수준, 낮은 수준의 일상적 영성 경험이 노인들의 우울증 발생에 낮게 영향을 미치는 것으로 나타났다. 반면 여성일수록, 고령일수록, 사회활동이 낮을수록 삶의 만족도는 낮은 것으로 나타났다. 이러한 연구결과를 바탕으로 추후 연구에 대한 제언 및 사회복지 실천에 대한 함의를 논하였다.

• 한국산학기술학회논문지
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• 제16권8호
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• pp.5413-5421
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• 2015

본 연구는 노인요양병원 근무자의 수면의 질, 우울과 피로가 직무스트레스에 미치는 영향을 파악하기 위한 서술적 인과관계 연구이다. 대상자는 2개 지역 6개 노인요양병원 근무자 175명이며, 구조화된 설문지를 이용하여 2015년 3월에 자료를 수집하였다. 수집된 자료는 SPSS/WIN 21.0 프로그램을 이용하여 분석하였다. 분석 결과 노인요양병원 근무자의 직무스트레스와 수면의 질, 우울 정도는 병원 임상간호사와 비슷한 수준이었으나, 입원 환자 특성상 신체적 피로 정도가 높았다. 또한 연구대상자의 직무스트레스는 수면의 질(r=-.364, p<.001)과 음의 상관관계가 있었고, 우울(r=.376, p<.001) 및 피로(r=.646, p<.001)와 양의 상관관계가 있었다. 직무스트레스에 가장 큰 영향을 미치는 요인은 피로(${\beta}=.581$, p<.001)로 나타났다. 따라서 노인요양병원 근무자의 직무스트레스 완화를 위한 직무 환경의 개선뿐만 아니라 피로를 감소시킬 수 있는 다양한 중재방안의 모색과 시행이 필요하다.

• 대한물리치료과학회지
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• 제25권3호
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• pp.1-8
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• 2018

Background: The purpose of this study is to provide basic data on physical therapy intervention by comparing the physical ability and fall efficacy and depression of elderly and hospitalized elderly. Method: This study was carried out with 22 hospitalized elderly who can live in Y-Hospital and 22 elderly people in Busan. We measured body mas index, time up & go test, function reach test, 10m walking test, bracket lifting test, fall efficacy and geriatric depression scale. The data collection period was from November to December 2017. The collected data was analyzed using SPSS Win 18.00 program. Results: There was a significant difference between the elderly and hospitalized elderly form physical ability and depression(p<.05). But Fall efficacy was no significant difference(p>.05). 10m walking with TUG, heel with fall efficacy showed quantitative correlation and 10m walking with fall efficacy, depression with fall efficacy, heel with TUG, 10m walking showed amulet correlation. There was a statistically significant difference. Conclusion: Elderly showed better results in physical ability and depression than hospitalized patients.

• 대한간호학회지
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• 제34권8호
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• pp.1427-1433
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• 2004

Purpose. The elderly with UI experienced urine leakage for a long time. The prevalence of UI has increased and it makes costly. Particularly, the elderly were reluctant to visit a hospital or a clinic for the reasons of modesty and poverty. To solve this problem, incontinence intervention programs should be provided at the elderly welfare center. The purpose of this research was to develop Incontinence Intervention Program for the Elderly Women (IIPE) and evaluate in its effect. Methods. The study design was quasi-experimental with pre and post-test. The study was performed for ten weeks at one elderly welfare center, Seoul, Korea. The subjects were gathered through an official announcement and informed consent was obtained. IIPE, in this study, was consisted of diagnosis, education, exercise and evaluation. The study variables were PFM exercise adherence, pelvic muscle strength, Continence self-efficacy, geriatric depression and incontinence stress. The effects of the IIPE on PFM exercise adherence, pelvic muscle strength, Continence self-efficacy, geriatric depression and incontinence stress were also evaluated. Results. The mean age of the subjects was 75.2 years. The average attendance was 6.2 times. The IIPE improved PFM exercise adherence, intra-vaginal contraction power and CSE significantly. But it was not significant in incontinence stress and geriatric depression. Other important results were that the two-finger test and urine stream interruption were more useful for elderly women with rigid vaginas in teaching and evaluating. Conclusion. The Findings suggest that IIPE is effective to the community-residing elderly. Further investigation is needed on a long-term basis with control group.

• 한국농촌간호학회지
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• 제10권1호
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• pp.17-29
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• 2015

Purpose: This study was done to examine factors affecting quality of life among community-dwelling elderly women who live in rural areas. Methods: The design of this research was cross-sectional descriptive study. The participants were 92 community-dwelling women aged 65 or older. Data were collected from November 1 to 15, 2013. ADL (Kart's Index), GDS-SF (Geriatric Depression Scale Short Form) and GQOL (Geriatric Quality of Life Scale) were used to measure variables. Data were collected using self-administered questionnaires and analyzed using descriptive statistics, Spearman's coefficient and stepwise multiple regression. Results: The participants' mean age was 77.5, and 85.9% had elementary school graduation or less education, and for 64.1%, their economic status was low. Spearman's rho coefficient analysis found that QOL was significantly associated with depression (r=-.72, p<.001), perceived health (r=.58, p<.001), regular exercise (r=.47, p<.001), education level (r=.29, p=.005), and ADL (r=-.21, p=.043). Multiple regression analysis showed that 65.9% of their QOL was explained by depression (${\beta}=-.72$), perceived health (${\beta}=.24$), ADL (${\beta}=-.16$), exercise (${\beta}=.22$) and number of diseases (${\beta}=.19$). Conclusion: These results indicate that older women who live rural areas need support for ADL, and prevention of depression to improve their quality of life.

• 가정간호학회지
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• 제17권2호
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• pp.127-134
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• 2010

Purpose: This study was done to identify the effects of stress management program on perceived stress, geriatric depression, and somatic symptom in elderly Korean subjects. Methods: A pre-post test design with a nonequivalent control group was used. Fifty elderly Korean subjects with mild depression were recruited from the registerants at four public senior citizen centers within S-gu in Seoul. They were randomly allotted to the experimental group(n=25) and control group(n=25). The intervention was performed for one hour each week at each center for 5 weeks. The effects were measured by Perceived Stress Scale, Geriatric Depression Scale-Korean, and Patient Health Questionnaire-15. Results: Perceived stress and depression were significantly reduced in experimental group. The somatic symptom was not significantly different in the experimental group. Conclusion: The stress management program may have merit in improving mental health of elderly Koreans, although this conclusion is equivocal pending further well-controlled studies that include mediation techniques such as conversion therapy and health gymnastics.

• 국제물리치료학회지
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• 제1권1호
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• pp.5-9
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• 2010

The purpose of this study is to investigate the effects of group exercise program on depression in the elders with dementia. Subjects of this research were selected from the patients of Hyoja hospital(Yongin, Korea). They were elders with dementia having minor to moderate degrees of cognitive function. Twenty-four subjects were randomly assigned into two groups, each with 12 people; exercise group and the control group. The control group only performed general physiotherapy, while the exercise group performed exercise program and general physiotherapy for 8 weeks. Depression of the exercise group and the control group were measured at baseline before the study, at 4 weeks, and at 8 weeks after the study. Depression was measured by Geriatric Depression Scale Short Form Korea Version(GDSSF-K). Firstly, when comparing the levels of depression within the same group, depression was significantly lower in the exercise group, after the group exercise program. However, depression of the control group did not show significant changes before or after the study. Secondly, when comparing the levels of depression of the control group and the exercise group, differences between the levels measured before the study and 8 weeks after the study, was a statistically significant decrease of depression. Thirdly, effects of group exercise program according to the applied period were analyzed showing 8 weeks of group exercise to be more beneficial than 4 weeks. People who performed continuous group exercise program showed decrease in depression compared to the absence of group exercise program. This can infer beneficial effects of group exercise program. Group exercise program had desirable influence on decreasing the level of depression.

• 한국산학기술학회논문지
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• 제19권12호
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• pp.758-764
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• 2018

본 연구는 작업 중심 회상치료가 경도 치매 노인 환자의 인지기능과 우울 그리고 그들의 삶의 질에 미치는 영향을 알아보고자 실시되었다. 경도 치매 노인 환자 31명을 대상으로, 총 8주 동안 주 1회, 각 회기 당 40분의 작업 중심 회상치료를 실시하였다. 평가도구는 대상자의 인지기능 평가를 위해서 한국형 몬트리올 인지평가(Montreal Cognitive Assessment Korean Version:MoCA-K), 우울정도 측정을 위해 단축형 한국판 노인우울척도검사(Short Form of Geriatric Depression Scale-Korean Version:SGDS-K), 그리고 대상자들의 삶의 질 측정을 위해 치매노인 대상 삶의 질 척도(Geriatric Quality of Life-Dementia:GQOL-D)를 사용하였다. 연구결과 작업 중심 회상치료 실시 전에 비하여 경도 치매 노인 환자의 MoCA-K 점수는 중재 전 $14.62{\pm}5.07$에서 중재 후 $16.88{\pm}4.55$로, SGDS-K 점수는 중재 전 $7.28{\pm}4.28$에서 중재 후 $6.10{\pm}4.09$로, 마지막으로 GQOL-D 점수는 중재 전 $26.05{\pm}5.45$에서 중재 후 $28.55{\pm}5.74$로 변화하여 측정된 모든 항목에서 통계적으로 유의미한 긍정적 변화를 확인할 수 있었다. 본 연구 결과를 토대로 작업 중심 회상훈련이 경도 치매 노인 환자들의 인지기능, 우울 그리고 삶의 질에 긍정적 영향을 미칠 수 있다는 가능성을 확인할 수 있었다.

• 국제물리치료학회지
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• 제4권2호
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• pp.545-551
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• 2013

The purpose of this study is to determine the correlations between problematic behaviors and activities of daily living(ADL) targeting 106 demented elderly people hospitalized in a geriatric hospital. To examine the cognitive function of the subjects, the study used Korean Mini Mental State Examination(K-MMSE). For problematic behaviors and ADL, the study collected data based on Patient Assessment Forms in the geriatric hospital. Among problematic behaviors, apathy/indifference had the highest correlation with the items of ADL. Irritability/lability, agitation/aggression, depression/ dysphoria, night-time behavior and wandering also showed to be correlated to items of ADL(p<.05). This study demonstrated that cognitive function, problematic behaviors and ADL of the demented elderly hospitalized in the geriatric hospital are correlated to each other.