This study investigated differences in related factors affecting life satisfaction with the elderly in or above middle class experiencing successful ageing. In the study, the respondents were 206 elderly people whose occupation (professional career) placed them in the middle and upper class range residing in metropolitan Seoul. Major results are summarized as follows: (1) In order to test gender differences, results of t-test show that there are 13 variables with seven of those being statistically significant and the rest being insignificant. (2) Needs fulfillment and physical functioning are significant factors for Korean male elders to be satisfied with their later lives. Needs fulfillment, physical functioning, group activity, and learning activity are significant factors for Korean female elders to be satisfied with their later lives.
The effect of meal service for home-staying, urban elderly with low income on their mineral status and prevalence of clinical symptoms was evaluated. One hundred. One hundred and eighty three subjects were assigned to meal-served(served) and non-served(non-served)groups. A meal containing approximately one half of the RDA for energy, protein, calcium and iron was served as lunch every day to served group at a welfare center. Dietary, biochemical and clinical data were collected before and after 6 months of meal service and the changes of parameters were analyzed with paired t-test. served female showed significantly increased intake of calcium. The mean hemoglobin, serum iron, TIBC and serum copper of female were significantly increase with meal service. The proportion of anemic female compared to reference data on hemoglobin, hematocrit and serum iron were 45.5$\%$, 29.1$\%$ and 16.4$\%$ respectively, but were lowered to 18.2$\%$, 7.3$\%$, and 5.5$\%$ after 6 months of meal service. served male showed significant increase in MCHC, serum copper, and urinary Na. The urinary Ca/Creatinine, which is often used as an index of bone resorption, was decreased significantly in served group. The decrease in the proportion of served women suffering from edema of ankle and diarrhea was most apparent and less women reported feeling clinical symptoms of dizziness, constipation, difficulty in hearing, and coughing after meal service. The symptoms of benumbness of hands and feet and coughing was lowered most among men after meal service. Clinical symptoms of non-served elderly did not show improvement in feeling clinical symptoms except slightly decreased frequency in coughing of female and buzzing sound in the ears and diarrhea of male.
This study has been performed to investigate group differences and determining factors of burnout of the workers in elderly living facilities. In this study, 131 male and female workers composed of social workers, health practitioners, and other management workers were selected among 23 retirement and nursing facilities in Korea between 2003 and 2005. They were asked about their socioeconomic background, working environment, and their perceptions on burnout in the working places. As for main dimensions of the burnout, there were three elements such as emotional weariness, diminishing personal accomplishment, and depersonalized behaviors. Particularly in this study, the depersonalized behaviors were defined as aggressive or rude verbal and behavioral outbursts from anger. As a result of this study, the following results were found: Most workers have medium level of perception on their commitment and burnout, but there. are some risk factors; newly married young workers were less satisfied or fairly rewarded with their job and as a result, they have significantly higher level of emotional weariness but lower feeling of personal accomplishments. In addition, they occasionality practiced aggressive or rude behaviors such as yelling, threatening, and physically harassing As for the influence of determining variables, long-time workers of long established facilities were more satisfied and less burnout. In addition, there are some impacts of job category; health practitioners were more burnout than social workers. In this study, suggestions are made as follows: first, guiding and settlement programs should be developed for the newly started young married workers, particularly at early stage of their career. Second, future aspects of facility visions should be guided for the workers, so that they are relieved from stressful routines without any future plan. Third, medical workers such as physical therapists and nurses should be further monitored for main reasons of increasing their stress.
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.
Journal of agricultural medicine and community health
/
v.26
no.2
/
pp.193-203
/
2001
The purpose of this study was to identify the relationship between depression and physical health of the elderly and to provide fundamental data for programs which improve the health of this population. The subjects were 168 elderly people(55 years and older) who resided at home in Taegu. They were surveyed by interview using a closed- ended questionnaire. The survey was done from September 16 to October 16 in 2000. The instruments used in this study were general characteristics, Short form Geriatric Depression Scale(SGDS), Barthel Index, Muscular skeletal symptoms scale, Northern Illinois University's Health Self Rating Scale. The data were analyzed by using descriptive statistics, t-test, ANOVA, Pearson Correlation Coefficient, multiple regression with SPSS PC 10.0 version for Windows. The findings were as follows: 1. As compared 65-74 years elderly group, 75-84 years group was significantly higher score for depression(F=3.17, p=.026). As compared elderly group who has own spouse, the group who has no own spouse was significantly higher score for depression(t=- 2.44, p=.016). 2. The aged who have more limitation of Activities of Daily Living(ADL)(t=3.93, p=.000), pain of muscular skeletal symptoms(F=5.33, p=.002) and poor perceived health state(F=17.04, p=.000) showed the higher severity of depression than the aged who have not. 3. ADL correlated negatively with depression(r=- .293, p=.000), pain of muscular skeletal symptoms correlated positively(r=.251, p=.001), perceived health status correlated negatively(r=-.522, p=.000). 4. The combination of perceived health status and ADL explained 29.1% of the varience of depression. On the basis of the above findings the following recommendations are made; 1. Developing health programs is needed considering ADL, pain of muscular skeletal symptoms, perceived health status, demographic variables (age, spouse status) which have an significant effects on depression of the elderly. 2. In the following study, the use of the various scale is needed which reflects physical status of the elderly in home.
This research was intended to understand the degree of variety in elderly women by was of classifying the type of clothing purchase's according to the degree of anxiety when they buy clothes. Samples were 285 elderly women who are aged over 55 dwelling in Busan Meropolitan city and this research is made available by the method of the questionnaire interview. The data was analyzed using reliability ANOVA regression Scheffe Test and correlation. The results of the study were the followings 1. The most important factors in the type of clothing purchase's of elder women are the styles disparity of age is represented similarly except the styles of a Brand Loyal tat ranked highest were among the age group 60-64. 2, The factor of difference in clothing purchase's according to degree of education are Brand loyal Cautious Impulsive Ecologists and Experimenters and the style of clothes buying according to activity of leisure are Brand Loyal and conformists. The factor of difference in clothing buying according to shopping companion are Planners Experiments Conformists Impulsive and Persuasible and the item represents difference according to payer for clothing marked all style of clothes buying and similarity except Impulsive and Style-Conscious, 3, The highly correlated item in the degree of education and activity of leisure in the context of the correlated item concerning about shopping companion and payer for clothes are Experimenters impulsive and Ecologists. The colthing anxiey which is highly related is the degree of education and the activity of leisure and the anxiety in masterial colour and self-harmony and the anxiety of colthing purchase's which is highly correlated in clothing purchase's companion and payer for clothin proved the priceand the anxiety of decision-making 4. Economy-Minded Experimenters Impulsive Planners and Style-Conscious represents all of the difference in all items in clothing purchase's Conformists represents anxiety to all items except the anxiety in clothing administration, Cautious and Ecologists represents the differences only for the anxiety in clothing administration,. But Brand-Loyal and Persuasible feels no anxiety in clothing purchase. 5. The most explicable independent variable based upon the analysis of regression in anxiety of colthing purchase is Economy-Minded and the next is Conformist Experiments Planners Style-Conscious Impulsive and so on.
This study was administrated to find the effects of dietary habits and nutrient intakes on the development of cardiovascular disease in the elderly aged over 60. The 40 healthy elderlies(18 males, 22 females) and 40 hospitalized elderlies with the cardiovascular disease(23 males, 17 females) were subjected for the study. Body weight, height, BMI and blood pressure were measured. Also, health behaviors such as exercise, smoking, drinking and dietary habits, frequency of intake lipid food in the past, nutrient intake at the present were assessed by interviews and questionnaire. The results of this study are as follows. 1. Body weight and the BMI were higher in hospitalized male elderlies significantly than those of healthy male elderlies(p<0.05). But the blood pressure wasn't different between two groups. 2. The ratio of male subjects who do regular exercise was significantly higher in healthy group(p<0.01). And significant difference in the extent of stress was found between two female groups(p<0.05). 3. The amount of meal and salty taste showed significant difference between two female groups(p<0.01) but the other dietary habits such as meat preference were not different between healthy and hospitalized elderlies. 4. Compared with healthy male elderlies, hospitalized male elderlies showed significantly higher frequency of intake of fish in the past(p<0.05) and frequency of intake of lipid food such as pork and chicken was also higher in the hospitalized male elderlies, but no significant difference in nutrient intake at the present was found between healthy and hospitalized elderlies. 5. Nutrient intake of elderlies showed in the average daily intake of energy, Ca, vitamin $B_2$were lower than Korean recommended dietary allowances(CRDA). For female subjects, the cholesterol intake was positively correlated with body weight, meats and eggs intake showed positive correlation with body weight and the BMI(p<0.01).
The elderly population will increase from 5.8% in 1996 to 12.5% in 2020. The related problems of health will also become a very important issue in the future. Therefore it is important to address the problems of geriatric nursing and geriatric health. 87.6% of the aged were ill with chronic degenerative diseases in 1994. In 1995, hospital admission rates (86.8) for those aged 60 or older were higher than that (56.3) of the total age group. Such high medical utilization will increase national health costs. For the development of geriatric nursing, active nursing intervention in various settings combined with education and research should be developed. Considering the health and welfare of the aged and the present status and views in Korea, I suggest the following: First, the health needs of the elderly in the institution, must be met by a plan that fosters geriatric nurses and programmed service development. Second, health service for the residential elderly must be provided in day care centers, short stays, nursing homes and geriatric hospitals. Geriatric nursing services should be provided in home residential areas, public health centers, public health subcenters as well as having, community health practitioners in primary health care posts and home health nurses. Third, geriatric nursing curriculum must be developed adjust to situations and culture of Korea and be included in the nursing curriculum. And gerontological nurse practitioner or geriatric specialist must be fosteraged to provide the professional care for the aged. Geriatric nursing research should be also achived for geriatric nursing improvements.
Many housing alternatives and design guidelines for the elderly have been suggested along with the rapid increase of old persons. However, most of them focused on the spatial composition and fixtures. They do not address on interior style which affects on interior mood. The interior style is especially important to the elderly who spend most of their time in indoor space, such as housing unit or nursing home. On the base of these backgrounds, the purpose of this study is to examine what interior style of bedroom and living room where the elderly lives are and whether they are significantly different depending on their cognitive ages, or not. The subject were 202 old persons who lived in Busan. Their ages were more than 65 years. They were interviewed by using 3D images of bedroom and living room. Each one consisted of three interior styles; Korean traditional style, Western classical style, and modern style. The results were as followings; The interior style of bedroom and living room which the old persons lived were different depending on the elderly's cognitive ages. The younger the old persons' cognitive ages were, they lived in bedroom or living room of modern style. Also, the older their cognitive ages were, they lived in bedroom or living room of Korean traditional style. These results show that the cognitive age of the old persons affect the characteristics of interior design which they live. Also, it implies that the elderly are not one homogeneous group, but a heterogeneous one.
This study was to indicate the direction of the family life education program through understanding people's concerns in the family life education areas and their needs for the program conditions. The results of this study were, 1) Their priorities about educational subjects were human development and parent ing for the adolescent group and the adult group and the family relationships and parenting for the elderly group. 2) They wanted the program provided by Professional educators in social education institutes or a local autonomous entity. 3) They needed the program such as 1 week period, 1-2 hours per subject, places within 30min from home.
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