• Title/Summary/Keyword: Health care for the elderly

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A Study of the Elderly's Needs for the Development of Elder Care Programs in Rural Communities (마을공동체 중심의 노-노(老-老) 돌봄 개발과 활용을 위한 농촌노인의 욕구 조사)

  • Park, Jeong-Yun;Park, Gong-Ju;Yoon, Soon-Duck;Chae, Hye-Seon;Han, Eun-Joo
    • The Korean Journal of Community Living Science
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    • v.18 no.1
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    • pp.3-20
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    • 2007
  • The purpose of this study was diagnosed to grasp the needs for the elderly-elderly care activity in rural areas. The research was conducted in questions and case studies in 7 farming villages. The major findings of this study as follows: First, the senior citizens in rural areas were not in good health, and the illnesses were revealed to be arthritis, high blood pressure, and diabetes. At the occurrence of an illness, they complained about the discomfort in doing daily life routines and expected eir spouses or offsprings to te care of them. Elders in the rural community responded that they had difficulty and financial problems in family maintenance. Leisure activities included watching TV, playing card/board games, or spending time without any specific activities. Second, recipients of elderly-elderly care expected to receive services from a woman in her 50s $1{\sim}2$ hours, once to twice a week. Third, the service providers wanted to be elderly-elderly care takers, hoping to work once a week for $2{\sim}3$ hours. They wanted the education for the elderly-elderly care to be once a week for 3 hours, with understanding the elderly, consultation, preventing senile dementia, and health as the contents.

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Factors related to chewing discomfort in the elderly in Korea: using the 8th (2020) National Health and Nutrition Examination survey (우리나라 노인의 저작 불편감 관련 요인: 제8기(2020년) 국민건강영양조사 활용)

  • Jeong-Hee Choi
    • Journal of Korean Academy of Dental Administration
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    • v.11 no.1
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    • pp.1-7
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    • 2023
  • The purpose of this study was to identify chronic diseases and oral health care behaviors in 65-year-old individuals and to determine the factors that influence masticatory mobility. The raw data from the 8th National Health and Nutrition Examination Survey in 2020 were utilized to analyze factors associated with chewing discomfort in 1,278 elderly Koreans. Using IBM SPSS Statistics 27.0, we conducted complex sample cross-analysis to examine the difference in chewing discomfort based on general characteristics, chronic diseases, and oral health care behaviors. Additionally, we performed complex sample multiple logistic regression analysis to identify the factors associated with chewing discomfort. As a factor influencing chewing discomfort, unmet dental care was 3.33 times higher (p<0.001), and subjective oral health was 0.18 times more likely to be moderate (p<0.001) and 0.48 times more likely to be good (p<0.001) lower. In the case of arthritis, the level of chewing discomfort was high (OR=1.08, p=0.694), but there was no significant difference. As a result of the aforementioned factors, it is believed that there is a need for policies and systems to provide dental care to the elderly before their oral health deteriorates. Additionally, tailored oral health promotion programs should be implemented.

Comparison of Health Status and Mini Nutritional Assessment according to Self-esteem of Elderly in Care Hospital (요양병원 입원 노인의 자아존중감에 따른 건강상태와 간이영양상태 비교)

  • Kim, Eun-mi;Kwon, Jin
    • Journal of the East Asian Society of Dietary Life
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    • v.25 no.4
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    • pp.631-642
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    • 2015
  • The purpose of the study was to examine health status and mini nutritional assessment (MNA) according to self-esteem status of elderly in care hospital. The survey was carried out from $13^{th}$ to $31^{st}$ of September, 2014 in five care hospitals. Analysis was performed for 226 subjects. Evaluation criteria included demographics, clinical status, MNA, health-related quality of life (EQ-5D) and self-esteem. The SE I, SE II and SE III groups were divided by self-esteem scores. Data were analyzed one-way ANOVA, Duncan' multiple range test and Pearson's correlation using SPSS 15.0. Education level, religion, dental condition and medical endurance type were significantly different in all groups. Many elderly people were normal BMI ($20.94{\sim}21.67kg/m^2$). Self-esteem significantly increased in order of SE I, SE II and SE III. Mobility, usual activity and anxiety or depression were significantly different in all groups, and EQ-5D of SE II and SE III groups were significantly higher than that of SE I group. Comparison of MNA screening score in elderly patients was as follows : Score for food intake, psychological stress or acute disease, neuropsychological problems, pressure scores or skin ulcer, protein intake, mode of feeding, nutritional status and health status in SE I group were significantly lower than those of SE II and SE III groups. Mobility and drug intake of SE I group were significantly lower than those of SE III groups. Fruit and vegetable intake SE I group were significantly higher than those of SE II and SE III groups. MIS (Malnutrition Indicator Score) was significantly different among the SE I, SE II and SE III groups. We conclude that self-esteem score is positively correlated with protein intake, nutrition status, health status and MIS in elderly care hospital. To improve nutritional status of elderly in care hospitals, systematic nutrition management and self-esteem education program should be implemented.

Demonstration Project on Utilization of Telephone Consulting and Telemedicine System for Home Health Care of the Elderly (노인건강상담전화 운용과 가정간호사업 활성화를 위한 원격의료 시범사업)

  • 김정은;박현애
    • Journal of Korean Academy of Nursing
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    • v.26 no.3
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    • pp.576-590
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    • 1996
  • Advanced countries such as the USA and Japan are eagerly seeking ways to improve health and welfare of the elderly. One of the services is home health care service using the telephone. Various types of services using the telephone have been developed, improved and are being utilized ranging from the basic consulting to emergency response systems in the area of health care for the elderly. A demonstration project was launched to study the feasibility of a consulting system and telemedicine for the elderly using the public phone system in Korea. For this project, a gathering site for the elderly was selected and those who visited this place were interviewed to find out what kinds of services they wanted and what kind of system they needed to provide the required services. Based on the users' requests and the surrounding environment, a telephone consulting facility was established at the Research Institute of Nursing Science at Seoul National University and consulting personnel was recruited, trained and posted at the center. An Application program for home health care nurses to use when they visited the patients at their homes was developed. This system operates on a notebook Computer and allows nurses to communicate with a doctor at a local hospital through a modem and telecommunication line. These systems were implemented for three months and problems which developed during operation of the systems were identified and progressively modified. Through system evaluation, it was found that a consulting system using phone service will be an invaluable system for the welfare of the elderly in the future. But in order to meet the elderly's need, more services than mere consultation are needed. That is, communication with physicians and hospitals are needed. Thus, when there is any need for physicians' attention, physicians or hospitals should be contacted directly. Similarly for telemedicine, when the home health care nurse visits elderly patients she can assess the patient's problem and provide nursing care, access a physician or hospital to refer her patient to or consult directly using the telecommunication the system. The above mentioned system is a basic form of futuristic telemedicine for the elderly and those who have chronic disease problems. This kind of system will be of great value when it is used on the national information super-highways in the future. In order to get to that stage, of course, this project needs great improvement in the technical, academic, and legal aspects.

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A qualitative research on the needs for oral care according to the subjective oral health status of the elderly (노인의 주관적인 구강건강상태에 따른 구강관리 요구도에 관한 질적연구)

  • Sang-Eun Moon;Sun-Hwa Hong;Bo-Ram Lee
    • Journal of Korean society of Dental Hygiene
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    • v.23 no.4
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    • pp.311-321
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    • 2023
  • Objectives: The purpose of this study was conducted an in-depth analysis of the subjective oral status and oral care needs according and problems of the elderly. Methods: A phenomenological research method was from April 13 to 30, 2023, 15 elderly people aged 65 or older in Gwangju and Jeolla regions were surveyed. Results: He was experiencing oral changes such as difficulty chewing, dry mouth and indigestion, sensitive teeth, smell of fear and feeling sensitive when eating sweet or cold food. They were burdened by the financial difficulties of dental treatment costs, the inconvenience caused by frequent visits, and the pain experienced during treatment. Realized the need for necessity of oral care education, and their confidence was restored through dental treatment. It was necessary the image recovery of dentistry, and they wanted to maintain oral health through the expansion of treatment health insurance. Conclusions: Consequently, it is necessary to develop a practical oral health management program for the elderly based on social communication regarding of the elderly and to expand health insurance coverage.

Elderly Care System in the U-Health Environment (U-Health 환경에서의 노인 Care 시스템)

  • Ban, Tae-Hak;SHI, LEI;HUA, SONG;Chae, Jung-Sik;Jung, Hoe-Kyung
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2013.10a
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    • pp.747-749
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    • 2013
  • Aging our country is facing now is seeking qualitative and quantitative expansion of social welfare services. In particular, the rapid increase in the aging population is an urgent need to resolve the problems of inducing demand for medical care and various welfare related to the elderly, In addition, IT technology in Korea is improving daily, in particular, fields of ubiquitous have been studied actively. In this paper, U-Health Care System model technology for the elderly were studied. Existing residential and senior living environment dedicated to the Care system for the fusion of design, and content designed around the ubiquitous technology that combines the old Care system was studied. Existing community-based model that combines technology and IT systems and mobile elderly Care services in conjunction with other devices by providing an application, the existing Care and medical needs will be able to solve the problems.

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Space arrangement Analysis of Unit Care Facility in Japan - 5 Case Study in Tohoku Rural Area - (일본 유니트형 노인요양시설의 기능별 공간구성 분석 - 동북지방 농촌지역 5곳 사례를 중심으로 -)

  • Nam, Yun-Cheol
    • Journal of the Korean Institute of Rural Architecture
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    • v.20 no.3
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    • pp.37-45
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    • 2018
  • There are many advantages to unit-care welfare facilities' care services for the elderly in Japan. The field research was conducted after holding interviews with employees at five elderly welfare facilities in Japan. This research analyzes the space arrangement of unit-care welfare facilities in Japan's Tohoku rural area. The purpose of this study is to provide design data on the space arrangement of a unit-care facility for Korea. The results of research are as follows. 1. Cafes, restaurants, and stores were operated in the elderly welfare facilities, which were open to the general public as well. Therefore, local residents frequently visited. 2. The kitchen, living rooms, private bedrooms and construction of the elderly welfare facilities were similar to that of normal residential houses. 3. The event hall is conveniently located at the center of the facility. 4. It was easy to understand the health status of the elderly by having a health office in the open living room. 5. There were open spaces which are frequently used by the homebound elderly, including room rehabilitation, daycare and short term residence. The above results will be used for space planning data in Korean unit-care facilities.

Investigation & Study Analysis of Health Affairs for the Old (공공보건기관의 노인보건 업무실태 분석에 관한 조사연구 -제주도내 4개 시.군 중심으로-)

  • Hyun, In-Sook
    • Research in Community and Public Health Nursing
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    • v.10 no.1
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    • pp.44-52
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    • 1999
  • This investigation & study has been made in oder to revitalilize the health care for the elderly in public health centers. The date subject, including 88 persons in charge health services in public heal centers, were from Chejudo. These were largely female, the average age was 38.4 at the health center. Their responsibilities included home visitation, nutrition management for the early, health education, and physical therapy. The most important problem were personal management and a lack of facilities, especially in home visitation, health education, physical therapy. Systematic networks of various activities are needed to encourage not only the patient but also volunteer who will also take part in these services. The numbers of members in charge of the elderly are not only to be increased and educate with facilities and equipment but also better provided with proper facilities and equipment. This is the best way to conduct health services the elderly.

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The need for oral welfare products services among elderly facility workers (일부 노인시설 종사자의 구강복지용구 서비스 요구도에 대한 연구)

  • Choi, Yong-Keum;Kim, Sun-Mi;Kim, Eun-Jeong;Jeon, Hyun-Sun
    • Journal of Korean society of Dental Hygiene
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    • v.22 no.1
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    • pp.63-72
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    • 2022
  • Objectives: This study was conducted to prepare basic data to propose the necessity and utilization of oral welfare products in the welfare services of the long-term care insurance system, focusing on facility workers working in elderly facilities. Methods: The analysis was conducted on 144 workers working at some local elderly facilities. The questionnaire was constructed by classifying the use of oral welfare tools into 6 questions and the necessity and demand for oral welfare devices into 13 questions. Frequency analysis and technical analysis were performed for data analysis, and one-way ANOVA was performed for differences in the necessity and demand for oral welfare equipment. The statistical significance level was p<0.05. Results: As a result of examining the awareness of the necessity and demand for oral welfare equipment among workers in elderly facilities, the awareness of the necessity of including oral welfare equipment in the items of welfare equipment in the current long-term care insurance system was high at 4.15 points. As a result of analyzing the correlation between awareness of care products and the need and demand for oral welfare equipment, it was confirmed that there was a statistically significant positive correlation (p<0.01). Conclusions: In the long-term care insurance system for the elderly, oral welfare products need to be considered for welfare equipment services. The provision of oral welfare products within the long-term care insurance system for the elderly can provide opportunities and services to select various self-care tools. In addition, it is expected that it will be possible to promote changes in the long-term care insurance system for the elderly and to improve the system in a variety of positive ways.

Effects of Health Literacy and Unmet Health care Needs on Health Promotion Behavior among Elderly in the Community (지역사회 노인의 건강정보이해능력과 미충족 의료가 건강증진행위에 미치는 영향)

  • Lee, Seung Ju;Shim, Moon Sook
    • Journal of Korean Public Health Nursing
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    • v.34 no.2
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    • pp.238-250
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    • 2020
  • Purpose: The purpose of this study was to investigate the effect of health literacy and unmet health care needs on health promotion behaviors among elderly people receiving visiting health care services at community health centers. Methods: The subjects of this study were 180 elderly people over 65 years old who were receiving health care services at public health center The subjects fully understood the purpose of this study and voluntarily agreed to participate. The collected data were analyzed by frequency, percentage, mean, standard deviation, independent t-test, one-way ANOVA, Scheffé test and Hierarchical Regression Analysis using the SPSS 23.0 program. Results: Hierarchical regression analysis was used to identify factors influencing health promotion behaviors of the subjects. The results were as follows: presence of occupation (β=.26, p<.001), social activity status (β=.26, p=.001), and health literacy (β=.16, p=.023). Conclusion: Therefore, in order to improve health promotion behaviors, it is necessary for visiting nurses to administer health education and programs by considering the level of health care understanding.