• Title/Summary/Keyword: Health education for elderly

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Analysis of the Characteristics of an Attendee in an Elderly Nutrition Education Program -Using the Factors of Health Promotion Model- (노인영양교육프로그램 참여자의 특성 분석-건강증진모델의 요인을 중심으로-)

  • 임경숙
    • Korean Journal of Community Nutrition
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    • v.3 no.4
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    • pp.609-621
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    • 1998
  • Although many people initially enroll in health education programs, there are many instances of erratic participation and dropouts. Inconsistent participation in intervention programs minimizes their impact on health promotion. Therefore, a theoretical understanding of factors influencing participation in these programs can potentially enhance the effectiveness of its educational strategy. This study used the Pender's Health Promotion Model to examine specific factors influencing incentives to participate in an elderly nutrition education program. The Elderly Nutrition Counseling and Education Program was conducted with 147 volunteers (76 males, 71 females), aged 60 to 87, at 5 separate community elderly centers, by public health dietitians from February to April 1997. Some participants dropped out during the program. Overall, 61 people(18 males, 43 females) finished all 7 steps over 2 months. Pre-intervention data were collected by trained dietitians. This data included individual cognitive-perceptual factors(perceived benefits of nutrition improvement, importance of health, perceived control over health by multidimensional health locus of control, self esteem, perceived health status, concern about health, depression scale and social health scale), which were known to influence the likelihood of health behavior, and modifying factors(socioeconomic variables, biological characteristics, behavioral factors, such as smoking, alcohol drinking and exercise). Male finalists had a significantly lower chance for health locus of control, and better social health status with their children and grandchildren, compared to males who dropped out. Female finalists had a significantly higher locus of control regarding food behavior, higher self-esteem, better recognized nutritional status, worse self-recognized health status and lower concern about health than those who dropped out. There was no significant difference between the attendees and dropouts in age, BMI$(kg/m^2)$, Nutritional Risk Index, depression scale and daily nutrient intake. These results suggest that elderly nutrition intervention plans should focus on the individual cognitive and perceptual factors, with interpersonal influences, to increase participation in nutrition in nutrition improvement programs.

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A Study of Marital Satisfaction According to Sex-role Attitude for the Elderly Women (여자노인의 성역할 태도와 결혼만족도에 관한 연구(I))

  • 이신숙
    • Korean Journal of Human Ecology
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    • v.1 no.2
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    • pp.48-60
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    • 1998
  • The purpose of this study was to investigate the relational between elderly women's sex-role attitude and their marital satisfaction. For this purpose, a questionnaire was surveyed 186 elderly women living in Kwangiu and Chonnam. The collected data were analyzed by using frequency, percentage, mean, standard deviation, ANOVA and stepwise regression analysis. The results of this research were as follows ; First The total points of the elderly women's sex-role attitude score was 16.4, which was represented mixed trends of traditional and modem. And the total points of the elderly women's marital satisfaction score was 31.6, which was higher than the median 30. Second, Elderly women's sex-role attitude score was meaningfully different according to education level, health state, economic state. And elderly women's marital satisfaction score was meaningfully different according to social activity, economic state, health state, education level, age. Third, As the results of regression analysis, it was shown that the highest influencing variable on their marital satisfaction was the social activity, economic state, education level. All of them explained 19% of their marital satisfaction. (Korean J Human Ecology 1(2):48-60, 1998)

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Ego Integrity, Appearance Behavior, Health, and Demographic Variables of Elderly Women (노년기 여성의 자아통합감과 인구통계적 특성, 건강 및 외모행동과의 관련 연구)

  • Lee, Eun-Sil;Ahn, Seong-Ah
    • Journal of the Korean Home Economics Association
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    • v.43 no.12 s.214
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    • pp.153-163
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    • 2005
  • The purposes of this study were to investigate the differences of appearance behavior and ego integrity of elderly women according to demographic variables, and health, and to examine how the ego integrity of elderly women was influenced by appearance behavior, health, and demographic variables. The subjects were 117 elderly women(aged 60 to 70) in Jinju, Korea who were interviewed face-to face with a survey questionnaire. The results of the study were as follows. There were significant differences in appearance adornment and ego integrity (wise living and attitude toward life) according to age. After controlling for age, there were significant differences in appearance interest, makeup, and ego integrity according to education. There was a significant difference in ego integrity (attitude toward life) according to the presence of a spouse or mate. There were significant differences in appearance interest, makeup, and ego integrity according to health. Health and education had a significant effect on satisfaction with the present living. Health, age(-), and appearance behavior had a significant effect on wise living. Health, age(-), and education had a significant effect on attitude toward life. Education and health had a significant effect on appearance behavior. The present findings indicate that health state and appearance behavior, such as appearance interest and makeup, had a significant effect on the ego integrity of elderly women. On the whole, the ego integrity of elderly women was positively correlated with the level of health state, education, and appearance behavior.

A Comparison on Self-rated Health, Health Status, and Health Promotion Behaviors between Low income and Non-low income Elderly Women (저소득 여성노인과 일반 여성노인의 주관적 건강평가, 건강상태 및 건강증진행위 비교)

  • Shin, Kyung-Rim;Kim, Jeong-Sun;Kim, Jin-Young
    • Korean Journal of Adult Nursing
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    • v.17 no.5
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    • pp.732-742
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    • 2005
  • Purpose: This study was conducted to compare self-rated health, health status, and health promotion behaviors between non-low income and low income elderly women in the urban setting. Method: The subjects of this study consisted of 668 Korean elderly women over 65years. The data was analyzed by the SAS(ver.8.02) computer program, and it included descriptive statistics, ${\chi}^2-test$, analysis of covariance, pearson correlation coefficient and multivariate logistic regression. Results: 1) The non-low income elderly women had significantly higher scores(self-rated health, health status, and health promotion behavior) than the low income elderly women. 2) In low income elderly women, age, number of children were the main effect factors of health status, and level of education, burden of medical expense were the main effect factors of health promotion behaviors. In non-low income elderly women, number of children was the main effect factors of health status, and level of education, level of pocket money were the main effect factors of health promotion behaviors. Conclusion: This study showed that the establishment of a health care system for elderly according to their social-economic level is very important for providing productive care apposite to the situation of elderly.

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A Comparative study on Health Promoting Lifestyle Patterns, Self-esteem and Self-efficacy between Korean Elderly and Korean-American Elderly (한국노인과 미국이민 한국노인의 건강증진 생활양식, 자아존중감 및 자기효능감에 관한 연구)

  • Sohng Kyeong-Yae;Cho Ok-Hee;Moon Jung-Sun;Chaung Seung-Kyo
    • Journal of Korean Public Health Nursing
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    • v.14 no.2
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    • pp.355-371
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    • 2000
  • The purpose of this study was to explore and compare health-promoting behaviors and its relationships with associated variables between Korean elderly and Korean-American elderly. Study instruments were questionnaire that consisted of socioeconomic characteristics, health-promoting lifestyle patterns. self-esteem and self-efficacy. Data were collected from convenient sample of 150 Korean elderly and 110 Korean-American elderly recruited from senior centers. Collected data were analyzed by t-test. ANOVA, and Pearson correlation coefficients. The results are followings : 1. In religion, $32.7\%$ of Korean elderly were protestant. while $32.7\%$ of Korean-American. elderly were protestant. $61.3\%$ of Korean elderly were living with their children, and only $17.3\%$ of Korean-American elderly were living with their children. 2. There was no significant difference in the mean HPLP score in two groups. but Korean elderly showed higher practices in health responsibility. exercise. and stress management than that of Korean-American elderly. The subjects showed the highest practices in nutrition(3.14. 3.01), and the lowest practices in exercise (2.14, 1.92). 3. The mean HPLP score of Korean elderly was 2.63, showing significant relationships with age. education and economic status. the score of Korean-American elderly was 2.54, showing significant relationships with education. 4. Self-esteem score of Korean elderly was 2.72 and Korean-American elderly was 2.73. there was no significant difference in two groups. The score of self-esteem of Korean-American elderly was showing significant relationships with presence of spouse. 5. Self-efficacy score of Korean elderly was 3.27 and Korean-American elderly was 3.21. there was no significant difference in two groups. The score of self-efficacy of both groups were showed significant relationships with education. 6. The HPLP of Korean and Korean-American elderly showed(r=.24. r= .49) positive correlations with self-esteem had positive correlations with self-efficacy(r=.42. r=.28). To draw concrete resolution for health promotion of Korean and Korean-American elderly. this study suggests followings for future research : 1. Nursing interventions enhancing exercise and stress management of the elderly must be provided. Especially developing and adopting feasible exercise programs for Korean-American elderly is highly needed. 2. Identifying the influences of culture on their practices of health-promoting lifestyle patterns among Korean. Korean-American and other racial elderly groups.

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A Study on the Powerlessness, Perception of Health and Cognitive Level of Elderly Home Residents (재가노인들의 무력감, 건강상태 및 인지기능에 관한 조사 연구)

  • Lee, Kang-Yi
    • The Journal of Korean Academic Society of Nursing Education
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    • v.6 no.1
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    • pp.48-63
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    • 2000
  • This study was designed and undertaken to find out the degree of powerlessness, perception of health and cognitive level of elderly home residents and to determine the factors influencing powerlessness, perception of health and cognitive level. The data were collected from October 1st to 20th, 1998. The subjects in this study were 271 elderly home residents over the age 60 living in Taejon city. The study tool for measuring powerlessness was developed by S.E. Chung(1998), the other for measuring perception of health was a self-rating scale defined by Mossey & Shapiro (1982), and the tool for measuring cognitive level was developed by Kahn, Goldfarb, Pollack and Peck(1960). Data were analysed for percentage, mean, t-test, and ANOVA using the SPSS program. The results of this study were as follows ; 1. The degree of powerlessness, perception of health and cognitive level was scored above the median. 2. The degree of the elderly' powerlessness was statistically significantly different in three demographic variables; sex, one's state of health compared to other elderly' and living expense load. 3. Perception of one's health was statistically significantly different in four demographic variables; sex, marital status, educational level and monthly money. 4. Cognitive level of the elderly was statistically significantly different in three demographic variables; age, educational level and one's health of state compared to other elderly' health. In conclusion, the factors influencing the elderly' powerlessness, perception of health and cognitive level generally were age, sex, their economic independence, marital status, and educational level. Also, this study indicates that social welfare for the elderly could be effective in reducing their powerlessness and enhancing their health of state and cognitive level.

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Analysis of considerations in oral health education for elderly diabetic patients: Focus group interview (당뇨병 노인환자의 구강보건교육 시 고려사항 분석: 포커스 그룹 인터뷰)

  • Kim, Ji-Hwa;Lee, Hyekyung;Kang, Kyung-hee
    • Journal of the Korea Convergence Society
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    • v.13 no.5
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    • pp.551-558
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    • 2022
  • The purpose of this study is to identify considerations for oral health and oral health education through group interviews with the general public and those diagnosed with diabetes among the elderly over 65 years of age. The subjects of this study were divided into two groups: 5 healthy people and 5 diabetic patients over 65 who visited the Senior Welfare Center in G city, and each group had a 60-70 minute interview. As a result of the study, four key themes were derived: 'Knowledge on the relationship between diabetes and oral disease', 'Oral health status', 'Oral health management method', and 'Considerations for oral health education'. Healthy people who participated in this study answered that the contents they thought necessary for oral health education were periodontal management method, implant, holistic oral care, and systemic health, and diabetic patients answered that diabetes, periodontal management method, and importance of practicing oral care. Based on the results of this study, it is considered that it is necessary to develop a customized oral health education program for diabetic elderly patients in the future.

Determinants of the Self-Rated Health Status of the Elderly in Healthy City Wonju, Republic of Korea (노인과 청장년의 주관적 건강에 관한 비교 연구)

  • Nam, Eun-Woo;Ikeda, Nayu;Green, Jackie;Moon, Ji-Young;Park, Myung-Bae
    • Korean Journal of Health Education and Promotion
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    • v.25 no.5
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    • pp.65-77
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    • 2008
  • Objectives: The purpose of this study was to examine factors associated with the self-rated health status of the elderly and whether these factors were different from younger adults. Methods: An interview survey was conducted on non-institutionalized adults in Wonju City, Korea. Determinants of self-rated health status were identified and compared between individuals aged 19 to 64 years and those aged 65 years and over, using an ordered logistic regression conducted separately on these two groups. Participants were 1,685 younger adults and 188 elderly people. Self-rated health status was measured along a continuous scale from 0 to 100 (0 for the worst and 100 for the best they could imagine) and then binned into 11 categories. Results: Self-rated health status of the elderly in Wonju was associated with household income, education, bereavement, adequate sleep, daily and social life being affected by poor health status, mobility, and anxiety and depression. Household income, adequate sleep, and participation in social activities were significant only in the elderly, while some factors associated with the self-rated health status of younger adults, such as rural dwelling, regular exercise, living alone, and skipping breakfast were not significant in the elderly. Conclusion: In order to improve the health of the elderly in Wonju City, it would be necessary to develop programs addressing those specific needs of the elderly and to integrate them effectively in the Healthy City projects.

Effects of health promotion education experience on present health status of elderly (건강증진 보건교육 경험이 노인의 현재 건강상태에 미치는 영향)

  • Lee, Heung Hun;Hwang, Eun Jeong
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.11
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    • pp.106-114
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    • 2019
  • This study aims to identify the effects of experiencing health promotion education on the present health status of elderly people. The subjects of this study were a total 10,532 elderly people (aged 65 years or older), and who were selected from the data of the '2017 Community Health Survey'. The health promotion education experience consisted of handwashing education/campaign, a non-smoking campaign and non-smoking education. The chronic disease control education experience consisted of education on hypertension, diabetes mellitus and arthritis. Psychiatric counseling consisted of consultations on stress, depression and suicide. The present health status consisted of the patients' ability to exercise, their self-care ability, their activities of daily living, their pain/discomfort and their anxiety/depression. The data was analyzed utilizing the chi-square test, the Mann-Whitney test and multivariate logistic regression analysis. The general characteristics of the subjects were 4,075 males (38.69%) and 6,457 females (61.31%). The average age was 73.71(±6.18) years old. The significant factors influencing the elderly peoples' present health status were age (OR=0.909, 95% CI=0.886-0.933), handwashing education/campaign (OR=2.463, 95% CI=1.703-3.563), a stop smoking campaign (OR=1.624, 95% CI=1.146-2.301) and consultation for mental problems (OR=0.533, 95% CI=0.359-0.791). In conclusion, to modify the personal habits that the elderly have had for a long time and to show the effects of education, long-term continuous education that focuses on the characteristics of the people will be effective.

The Effects of elderly's ADL, Depression and Social Participation on Suicidal Ideation (일개지역 노인의 일상생활수행능력과 우울, 사회 참여가 자살생각에 미치는 영향)

  • Jeon, Sang Nam
    • The Journal of Korean Society for School & Community Health Education
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    • v.22 no.2
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    • pp.105-118
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    • 2021
  • Objectives: This study aimed to examine the effect of Activities Daily Living(ADL)(physical health), depression(mental health), social participation(social health) on suicidal ideation among community dwelling elderly. Methods: Samples were obtained from 184 people aged over 65 years old in one county of Kyungsangbukdo. The survey samples were divided into the presence and absence group of the suicidal ideation. Data were analyzed with x2 test, t-test and logistic regression analysis. Results: First, suicidal ideation were significantly different by religion. Secondly, after adjusting for socio-economic variables, logistic regression analysis showed that only depression was associated with higher odds of suicidal ideation Conclusions: It was suggested to develop customized depression and suicide prevention program were required to reduce suicide rate of the elderly.