• 한국학교ㆍ지역보건교육학회지
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• 제22권3호
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• pp.83-96
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• 2021

Background & objectives: Cognitive function decline is a main factor influencing the overall life of the elderly and places a burden of society. The aime of this study was to investigate the risk factors of cognitive function decline of elderly living alone and living with a spouse. Methods: This study used the Korean Longitudinal Study of Ageing from 2014 to 2018. 243 older adults who lived alone and 1,155 lived with a spouse with the Korean version of Mini Mental State Examination scores in normal range at the time of 2014 were included in the analysis. Logistic regression analysis was conducted to determine the difference of risk factors affecting cognitive function decline between in elderly living alone and elderly living with a spouse. Results: Cognitive function decline incidence rate of elderly living alone was 30.5% and the elderly living with a spouse showed 23.0%. According to the results of logistic regression analysis, the risk factors of cognitive function decline in the elderly living alone was age and residential area, while in the elderly living with a spouse were age, education level, social networks, and depression. Conclusions: The factors that affect the cognitive function decline of the elderly living alone and the elderly living with a spouse were different. Accordingly, other measures to prevent cognitive decline are necessary.

• 지역사회간호학회지
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• 제14권4호
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• pp.657-666
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• 2003

Purpose; This study was conducted to investigate the relationship between self-efficacy, family support and health promotion behavior of the elderly in a community. Method: The sample consisted of 208 elderly and data was collected from November 18 to December 21, 2002. The instrument of this study was a structured questionnaire including health promoting behaviors, self-efficacy, family support, general characteristics. Analysis of the data was done by use of descriptive statistics, t or F, Pearson Correlation Coefficient, Stepwise multiple regression. Results: 1. The general characteristics related to health promoting behavior were gender, family structure, education level and monthly pocket money. 2. The general characteristics related to self efficacy were gender, age, family structure, education level, religion and monthly pocket money. 3. The general characteristics did not affect family support. 4. Health promoting behavior score was the highest in the interpersonal support (2.72) and in order was nutrition(2.65), stress management(2.31), self actualization(2.30), exercise(2.05), health responsibility(1.86). 5. There was a significantly high correlation between health promoting behavior and self efficacy(r= .605, p= .000), and family support(r= .500, p= .000) and between self-efficacy and family support were correlated relatively high(r= .498, p= .000) 6. Stepwise multiple regression analysis revealed that the most powerful predictor of health promotion behavior in elderly was self-efficacy (39.6%). A combination of self-efficacy, family support, monthly pocket money, education level and present illness status explained 48.5% of the variance for health promoting behavior. In conclusion, the results of this study showed that self-efficacy and family support are very important variables in explaining the health promoting behaviors in elderly. Therefore, these variables should be considered in nursing intervention development and education, especially, self-efficacy improving programs that considered exercise and health responsibility are expected to effect the health promoting behavior in elderly.

• 한국보건간호학회지
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• 제23권1호
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• pp.17-26
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• 2009

Purpose: In this study, the effects of an alcohol education program for elderly persons with drinking problems and the effects of knowledge of the behavior associated with alcohol use by elderly individuals with drinking problems were evaluated. Method: A single-group repeated study was conducted to evaluate 19 elderly individuals with drinking problems who used the G-city Elderly Welfare Center, with more than eight points in AUDIT results. The changes in drinking knowledge and alcohol behavior following an alcohol education program were evaluated. The effectiveness of the program was analyzed by a Wilcoxon signed rank test. and the relationship between drinking knowledge and changes in alcohol behavior was measured by Spearman's rank correlation coefficient. Results: The results indicated that drinking knowledge after conducting education increased significantly(Z=-3.826, p<.001), and that this increased knowledge resulted in significant changes in alcohol behavior(Z=-3.830, p<.001). There was a significantly positive relationship between drinking knowledge and changes in alcohol behavior(r=.464, p=0.013). Conclusion: Alcohol education programs effectively educate the elderly with drinking problems regarding alcohol, which influences their alcohol behavior.

• 보건교육건강증진학회지
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• 제20권4호
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• pp.1-11
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• 2003

The main purposes of this study were to investigate the content of health behaviors and to examine factors influencing the health behaviors of the elderly. Data regarding the health behavior of 126 people over 65 years of age living in community settings were used. All subjects were interviewed using a semi-structured questionnaire. The questionnaire consisted of sociodemographic variables, health behaviors, present chronic disease, subjective health status, a scale for worthy life, a scale for self-esteem, and a scale for loneliness. Health behaviors included 27questions on diet, exercise, stress-coping, smoking, drinking, a regular medical check-up, social activities, etc. The data analysis procedure included stepwise regression using health behavior as the dependent variable, and sociodemographics, illness, and psychosocial variables as independent variables. Stepwise regression revealed that factors such as feelings of worthy life($\beta$＝-0.350, p＜0.0001), communicating with otjers or the lack there of ($\beta$＝0.183, p＜0.05), and self-esteem($\beta$＝0.196, p＜0.05) were independently and significantly associated with health behaviors. For example, individuals who showed higher levels of worthy life and who had confiding relationships with others tended to practice more health behaviors. Subjects who had a higher level of self-esteem showed the same tendency. These results suggest the necessity of a intervention that considers psychosocial aspects should be included in care of the elderly so as to promote positive health behavior.

• 한국간호교육학회지
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• 제11권2호
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• pp.142-150
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• 2005

Purpose: This paper is a basic study aiming the establishment of Health theory according to korean culture. Especially planned to reveal the types of recognition on concepts of health in korean elderly. Methods: This study is using the Q-method, to collect rightly the concepts of objects in health. Results: This analysis shows us the 4 independent types of recognition about concepts of health in korean elderly as follows. Type Ⅰ: traditional & accommodational type, They positively agree to the concepts of health immanent in Shamanism, Buddhism, Confucianism, Taoism and folk customs. Type Ⅱ: modern & depedent type, They not only interpret concepts of health scientifically and modernly, but also positively accept the concepts of health in oriental medicine. Type Ⅲ: western medical & self-leading type, They interpret concepts of health scientifically and western-medically. Type Ⅳ: naturalistic & self-reliance type. They consider positively searching for well-being as health rather than simply situation devoid of diseases. Conclusions: All 4 types we can see that the fundamental concepts of health in korean elderly are complicated not only with mere western-medical concept of health, but also with concepts of health in oriental medicine, Confucianism, Buddhism, Taoism, Shamanism which represent the oriental view of world.

• 보건교육건강증진학회지
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• 제7권2호
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• pp.78-88
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• 1990

The subject of this study is to review the practical approaches of Home Care Services. Included is a brief overview of its nature, providers of Home Care Services, recent history of Home Care Services, and the impact of the national movement toward cost containment in health care. The data used in this study are obtained from the Elderly Program of the Medical Services and other data on the Home Care Services in Japan. With the growing elderly population in Japan, it is to be expected that the medical care expenditure for this sector will continue to increase. With the aim of keeping expenditure for medical care within reasonable bounds, it is essential that this increasing expenditure on the elderly be used effectively. With the Health and Medical Services Law for the Aged was enforced, therefore, remuneration for medical treatment of the elderly and what is known as the staff placement standard at hospital for the elderly were rationalized. In addition to rationalization from the point of view of medical care supply, it is necessary to guarantee the appropriate treatment within the community and at home for those elderly who are bedridden but not in need of hospital care. For this it is required that Home Care Services, such as health services like visiting guidance by public health nurse in hospital of Health Center. So that the elderly can feel secure in receiving treatment within the community and at home, allowances for guidance on leaving hospital and for intermittent nursing and guidance thereafter are to be newly introduced. Home care Services in one aspect of comprehensive health care, it is comprised of health services provided to individuals and families in their homes. Its purposes include promoting, maintaining and restoring health, specifically maximazing independent functioning and minimizing the disabling effects of illness, including terminal illness. Services appropriate to the needs of clients and their families are planned, coordinated, and delivered by providers organized for the delivery of home health care through the use of contractual arrangement, employed staff, or a combination of the two.

• 한국치위생학회지
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• 제16권3호
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• pp.491-498
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• 2016

Objectives: The purpose of the study was to investigate the influencing factors of the perceived oral health for improvement of quality of life in Korean elderly. Methods: The subjects were 1,289 elderly over 65 years old from the sixth National Health and Nutrition Examination Survey 2013. The dependent variable was subjective oral health status. The independent variable was sociodemographic characteristics. Results: The perceived oral health of the unemployed elderly and those having chewing problems were 1.65-fold(95% CI=1.12=2.44) and 3.45-fold(95% CI=2.37-5.02), respectively than employed and chewable elderly. The perceived oral health of the former was 2.49-fold worse(95% CI=1.73-3.60) than the latter. Conclusions: The influencing factors of perceived oral health status included occupation, perceived health status and chewing problems. To improve the oral health-related quality of life in the elderly, continuous education and hands-on programs should be provided for the elderly in the long term care.

• 한국학교ㆍ지역보건교육학회지
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• 제21권2호
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• pp.59-71
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• 2020

Objectives : The purpose of this study was to investigate the change of posture balance and muscular strength before and after exercise by conducting a health gymnastics program for the elderly with chronic diseases of musculoskeletal system. Methods : The subjects of this study were 32 elderly people who had no experience participating in the musculoskeletal system linkage gymnastics program over 65 years old in a rural area in H city, Gyeonggi-do. The data were analyzed by computerized processing with SPSS 23.0. Results : The results of the study were as follows: First, the average of muscular strength before and after gymnastics according to general characteristics was significant in average according to age, presence of spouse, education level, and cohabitation type. Second, the subjects exercised for 2 days a week, and 25.59(±0.51) minutes on average. Third, the change of balance of the face (t=2.993, p=.011), shoulder (t=3.811, p=.002) and pelvic left and right (t=3.584, p=.004) was statistically significant in the posture balance. Fourth, muscular strength was statistically significant in motor function of AMS, SMS, and FMS (p<0.001). Conclusion : Therefore, after applying the health gymnastics program, the improvement of posture balance and muscular strength of the elderly became apparent, so it is necessary to disseminate this gymnastics program. The health gymnastics program is expected to positively improve the quality of life for the elderly.

• 한국학교ㆍ지역보건교육학회지
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• 제24권3호
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• pp.37-50
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• 2023

Objectives: The aim of this study was to identify factors influencing communication satisfaction between geriatric caregivers and older adults in urban-rural complex communities. The ultimate goal was to design local community educational programs and policies to enhance communication satisfaction among geriatric caregivers and improve the quality of care services for older adults. Methods: To identify factors influencing communication satisfaction between elderly caregivers and older adults, a survey titled "CCEP: Assessment of Communication Status between Elderly Care Service Providers and Recipients" was conducted from February to July 2020, focusing on rural-urban complex areas. The survey was administered based on providers of elderly healthcare services. The survey targeted 131 respondents involved in providing care services for older adults. The dependent variable of this study was the communication satisfaction reported by elderly caregivers in their interactions with the elderly. The independent variables included perceptions of older adults, factors associated with communication difficulties, and communication efforts. Additionally, gender, working environment, working experience, and the proportion of face-to-face interactions with older adults during caregiving were controlled for the hierarchical multiple regression analysis. Results: The analysis revealed that communication efforts with older adults significantly influenced communication satisfaction (β=.09, p<0.01). However, perceptions of the elderly and communication hindrance factors did not have a significant impact on communication satisfaction among geriatric caregivers. Conclusion: Effective communication between geriatric caregivers and older adults is crucial for identifying and meeting the needs and demands of caregiving services, and it plays a vital role in overall caregiving service satisfaction. To enhance communication skills and satisfaction among geriatric caregivers and ensure the appropriate fulfillment of elderly care needs in the local community, the development of community-centered, specialized health communication programs and other initiatives will be necessary in the future.

• 근관절건강학회지
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• 제20권2호
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• pp.102-111
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• 2013

Purpose: This study was conducted to examine the effects of a fall prevention education on the fall-related knowledge, prevention activity of the elderly hospitalized in internal medicine department. Methods: A nonequivalent control group pretest-posttest design was used for this study. A total of 44 patients of the elderly hospitalized in internal medicine department were randomly divided into the experimental group (n=22) and the control group (n=22). The experimental group received about an half hour, fall prevention education at the admission day, 3days and 5days after admission, while the control group received the usual care. The outcome variables were measured before and after fall prevention education. Data were analyzed with $x^2$-test and t-test by using SPSS 12. Results: The experimental group showed significant improvement in fall-related knowledge and prevention activity. Conclusion: The fall prevention education was effective in increasing fall-related knowledge and prevention activity of the elderly hospitalized in internal medicine department. For reducing fall events, it is important to educate the elderly hospitalized about fall-related knowledge and prevention activity related to fall.