• Title/Summary/Keyword: Health services for the aged

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Clinical Nutrition Management Status in Convalescent Hospitals Before and After Healthcare Accreditation Process (요양병원인증제 전·후의 요양병원 임상영양관리 현황 비교)

  • Lee, Changhee;Lee, Soo-Kyung
    • Journal of the Korean Dietetic Association
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    • v.20 no.3
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    • pp.199-211
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    • 2014
  • The increasing elderly population has created an urgent need for well-managed convalescent hospitals, which should provide appropriate clinical nutrition services. The new accreditation policy requiring participation of all convalescent hospitals since 2013 may promote improvement of clinical nutrition services. This study examined whether or not the accreditation policy has increased practice level and dietitians' perception of the importance of clinical nutrition management. Of the 177 convalescent hospitals accredited by January 30, 2014, dietitians from 73 hospitals (41.2%) completed the survey questionnaire. The pre-tested questionnaire surveyed general characteristics of the hospital and dietitians, current status of clinical nutrition management, and changes in the perception and practice levels of various aspects of food and clinical nutrition management. In average, dietitians with more than 5 years of work experience (68.1%) provided food and clinical nutrition services (71.2%). After accreditation, dietitians' perception of the importance and practice level of clinical nutrition service increased (P<0.001). Level of perception, however, was significantly (P<0.001) higher than practice level before and after accreditation. During perception and practice level of initial nutrition assessment, a compulsory accreditation item, notably and significantly (P<0.001) improved after accreditation. The significant difference between perception and practice level disappeared after accreditation. In conclusion, the accreditation process had positive effects on clinical nutrition management in terms of dietitians' perception and practice levels. Making more accreditation items compulsory and providing motivation and professional education to dietitians in convalescent hospitals could lead to additional improvements.

A Study on the Emergency Support System for Disabled and Aged People (장애인.노약자를 위한 응급상황지원시스템 설계)

  • Nam, Doo-Hee;Lim, Kwan-Su
    • The Journal of The Korea Institute of Intelligent Transport Systems
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    • v.7 no.5
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    • pp.170-179
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    • 2008
  • The disabled and elderly people have a wide variety of functional impairments. By disability and elderly user group definition identification of users needs and specification of emergency support system were studied. Existing technologies including location navigation and information exchange devise and communication systems were analyzed to design proper integrated system for emergency situations. There are two types of services considered in the project: assisted living services(ALS) including health and emergency needs and assisted mobility services(AMS) with transportation needs. To develop emergency support system, functional identification and requirements was studied through the analysis of existing emergency system and organization. The 4-step emergency management scheme was developed to preactive emergency service which include emergency detection identification, response and follow-up steps.

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Effect of the use of social services by the elderly with disabilities on life satisfaction: Focusing on the moderating effect of less support. (장애 노인의 사회서비스 이용이 삶의 만족도에 미치는 영향: 사회적 지지의 조절효과)

  • Lim, Jung mi;Kim, Ji young
    • Journal of Digital Convergence
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    • v.20 no.5
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    • pp.11-21
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    • 2022
  • The purpose of this study is to analyze the moderating effect of social support on the effect of the use of social services by the elderly with disabilities on life satisfaction.To this end, the 15th data of the Korean Welfare Panel 2020 were used to verify the characteristics, correlation, and multiple regression analysis of variables related to life satisfaction. The SPSS WIN 25.0 program was used. The survey subjects extracted 684 elderly people with disabilities aged 65 or older, and the use of welfare services was divided into income Service, health Service, home welfare Service, and social participation Service, and the analysis results are as follows. First, it was found that the experience of using welfare services for the elderly with disabilities had a positive (+) effect on life satisfaction. Second, social support showed a moderating effect on the effect of using welfare services for the elderly with disabilities on life satisfaction. Through these results, the necessity of practical intervention measures and development of various programs in social welfare policies that can improve the quality of welfare services for the elderly with disabilities and increase life satisfaction through various social support was suggested.

The Role of Secondary Home Economics Education to Prepare the Elderly for an Independent Life in an Aged Society (고령 사회에서 자립적인 노후생활 준비교육을 위한 중등 가정교육의 역할)

  • Cho, Byung Eun;Lee, Jong Hui
    • Human Ecology Research
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    • v.51 no.6
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    • pp.591-602
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    • 2013
  • This paper aims to explore the role of the home economics subject in helping high school students preparing for an independent aged life and to develop problem based teaching plans toward this goal. Contents related to the elderly in the high school home economics and technology 2007 and 2009 revised curricula were analyzed, and elderly-related contents in other subject areas (the 2009 revised curricula of ethics, public health, and social studies) were also comparatively analyzed to determine the identity of the home economics subject in relation to preparation for independent aging. Based on these analysis, five subjects and teaching plans were presented: the aging society and population changes, the characteristics of the elderly, individual preparation for aging, care of the elderly, and welfare services for the elderly. The ultimate objectives of the lessons were, through critical reasoning, to inquire into the causes of current problems the elderly face so that teenagers can understand aging societies and the elderly and to seek reasonable alternatives for teenagers as they prepare for successful and independent aging, increasing their problem-solving abilities in choosing the best course of action by considering the ripple effect of consequences of each of those alternatives. Suggestions on what direction elderly-related education should take in the future, and what roles teachers should take are also provided.

Comparison of sociodemographic characteristics, depression, quality of life, and unmet medical need between elders with and without limitation of activity by aging or dementia : Using seventh Korea national health and nutrition examination survey (노령 또는 치매로 활동제한이 있는 노인과 활동제한이 없는 노인의 사회인 구학적 특성, 우울, 삶의 질, 미충족 의료의 비교 : 제 7차 국민건강영양조사(2016) 원시자료를 이용하여)

  • Kang, So-La;Moon, Jong-Hoon
    • Journal of Society of Occupational Therapy for the Aged and Dementia
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    • v.12 no.2
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    • pp.1-11
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    • 2018
  • Objective : The aim of this study was to compare the sociodemographic characteristics, depression, quality of life, and unmet medical need in elders with and without limitation of activity by aging or dementia. Method : The data were used for raw data of seventh national health and nutrition examination survey (2016). We compared sociodemographic characteristics, depression, quality of life, and unmet medical needs between elders with limitation of activity by aging or dementia (n = 32) and elders without limitation of activity (n = 1201). Result : Elders with limitation of activity were significantly older than elders without limitation of activity (p<.001), income was lower (p<.05) and married status had more bereavement (p<.001). The elders with limitation of activity had higher depression (p<.001) and lower quality of life (p<.001) than elders without limitation of activity. Unmet medical need was greater than elders without limitation of activity (p<.001). Conclusion : Elders with limitation of activity showed that they did not receive enough medical services than elders without limitation of activity. These results suggest that the welfare system for the health care of population with aging or dementia needs to be improved.

Factors Associated with Attending the National Cancer Screening Program for Liver Cancer in Korea

  • Noh, Dai-Keun;Choi, Kui-Son;Jun, Jae-Kwan;Lee, Hoo-Yeon;Park, Eun-Cheol
    • Asian Pacific Journal of Cancer Prevention
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    • v.13 no.2
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    • pp.731-736
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    • 2012
  • Background and Aims: The National Cancer Screening Program (NCSP) for liver cancer was initiated in 2003 in Korea. The objective of this study was to evaluate the participation rate of the program and to provide preliminary information on its results based on data collected by the NCSP in 2009. Methods: The target population of the NCSP for liver cancer in 2009 was comprised of 373,590 adults aged ${\geq}40$ years at high risk for liver cancer. Participation rates and positivity rates were assessed in this population. Multivariate logistic regression analysis was performed to determine the factors associated with participation in the NCSP for liver cancer. Results: The overall participation rate was 37.9% and 1,126 participants were positive at screening. The highest participation rates were observed in women, those in their 60s, National Health Insurance beneficiaries, and individuals positive for hepatitis B surface antigen. Positivity rates for men, those in their 70s, Medical Aid Program recipients and individuals with liver cirrhosis were the highest in the respective categories of gender, age, health insurance type, and risk factor for liver cancer. Conclusions: The participation rates of the NCSP for liver cancer are still low, despite the fact that the program targets a high-risk group much smaller than the general population. Efforts to facilitate participation and to reduce disparities in liver cancer screening among Korean men and women are needed. These results provide essential data for evidence-based strategies for liver cancer control in Korea.

Analysis of Convergence Factors of Preschool children's Parenting and Health Characteristics on Economic Participation (미취학 아동 어머니의 양육특성과 건강 특성이 경제활동 참가에 미치는 융합적 요인 분석)

  • Kim, Seong Min;Song, Hye-young
    • Journal of the Korea Convergence Society
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    • v.12 no.9
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    • pp.285-293
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    • 2021
  • This study is a second analysis of the 7th Korean Longitudinal Survey of Women and Families. And, it is a descriptive survey research for comparing parental and health characteristics of 2 groups of workers and non-workers. For this, it has used crossover analysis and logistic regression analysis with the subjects of mothers of preschoolers - of 697 females in total, aged between 19 and 64. Based on the result of the logistic regression analysis, we have discovered a few factors inducing the females to participate in more economic activities. The factors are as follows : baby sitters available, the more number of child care centers, the more helps of baby sitting from the females' parents and in-law parents and physical activities less than 3 times a week. In contrast, however, the more preschoolers they have, the less likely they are to take an active part in the economy. Against the backdrop, the government should develop social service systems to encourage various child care services and to foster 'child raising mothers-friendly' environments not only in families but in workplaces. All this is to improve the health characteristics of preschoolers' mothers in a more healthy way' and to strike a balance between work and family.

COVID-19 and changes in Korean consumers' dietary attitudes and behaviors

  • Rha, Jong-Youn;Lee, Bohan;Nam, Youngwon;Yoon, Jihyun
    • Nutrition Research and Practice
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    • v.15 no.sup1
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    • pp.94-109
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    • 2021
  • BACKGROUND/OBJECTIVES: The coronavirus disease 2019 (COVID-19) outbreak has dramatically changed nearly every aspect of our lives. Although Dietary lifestyle includes attitudes and behaviors to meet their most basic needs, but few studies have examined the pattern of changes in dietary lifestyle driven by COVID-19. This study explores changes in dietary attitudes and behaviors among Korean consumers after COVID-19. SUBJECTS/METHODS: An online survey was conducted with 549 Korean adults aged 20 and older to identify general demographics and changes in dietary attitudes and behaviors. Data were collected from Oct 12 to Oct 18, 2020. Frequency, percentage, and mean values were calculated and a K-means cluster analysis was performed to categorize consumers based on the 5S of dietary attitudes (i.e., savor-oriented, safety-oriented, sustainability-oriented, saving-oriented, and socializing-oriented). RESULTS: Findings indicate consumers considered safety, health, and freshness to be most important when choosing groceries and prepared meal such as home meal replacement and delivery food. Among the types of services, a large proportion of consumers increased their delivery and take-out services. Regarding retail channels, the increase in the use of online retailers was remarkable compared to offline retailers. Finally, consumers were classified into four segments based on changes in dietary attitudes: "most influenced," "seeking safety and sustainability," "abstaining from savor and socializing," and "least influenced." Each type of consumer exhibited statistically significant differences by sex, age, household composition, presence of disease, and perceived risk of COVID-19. CONCLUSIONS: This exploratory study provides initial insights for future research by identifying various aspects of dietary attitudes and behaviors among Korean consumers after COVID-19.

Effects of Nutrition Education at a Community Health Center on Overweight and Obese Middle-aged Women in Jeonbuk Area-Focused on Personalized Daily Energy Requirement and Food Exchange Units (전북 일부 지역 과체중 및 비만 중년 여성 대상 보건소 영양교육 효과 -개인별 하루필요에너지 및 식품군 단위수 교육을 중심으로-)

  • Kim, Se-Yeon;Kim, Sook-Bae
    • Korean Journal of Community Nutrition
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    • v.22 no.4
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    • pp.307-322
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    • 2017
  • Objectives: This study examined the effects of nutrition education focused on personalized daily energy requirement and food units using Food Exchange System on anthropometric, biochemical characteristics, nutrition knowledge, dietary attitude and nutrient intakes for overweight and obese in a public health center. Methods: The subjects were 60 overweight/obese women based on BMI (educated 30 vs. non-educated 30, 50~64 years). Educated group was provided individual and/or group lessons (40 min/lesson/week, 5 week), 'Introduction: obese & health', '6 nutrients and 6 food groups', 'My obesity & daily needed energy', 'Meal planning for personalized daily energy and food units using Food Exchange Systems', and 'Smart food choices'. After education, we examined the differences in anthropometric/biochemical characteristics, nutrition knowledge, dietary attitude and nutrient intakes between educated group and non-educated group. Results: After nutrition education, in the educated group, there were improvements on anthropometric/biochemical characteristics, nutrition knowledge, dietary attitude and nutrient intakes in the educated group compared to the non-educated group. We observed a decrease in the mean weight, total cholesterol (TC) and the incidence of overweight/obesity and hypercholesterolemia and an increase in the mean lean body mass. The scores of nutrition knowledge, 'Function of carbohydrate, protein, vitamin, mineral' and 'Food Sources of fat, vitamin, mineral' were increased. The scores of dietary attitudes, 'Taking a joyful meal, a leisurely meal, a balanced meal, a meal with sufficient vegetables, a meal with diversity, a meal with spicy foods, a meal with overeating' were increased. The intakes of energy, carbohydrate, fat, protein, vitamin A, thiamin, Zn and cholesterol were decreased. The scores of INQ, protein, vitamin A, vitamin C, thiamin, riboflavin, vitamin B6, folate, Ca, P, Fe, Zn were increased. Conclusions: The nutrition education focused on personalized daily energy requirement and food exchange unit using Food Exchange System for overweight and obese may improve food behavior, dietary intakes and symptoms of overweight and obese, even in a community health center.

Association between unmet needs for dental treatment and the DMFT index among Korean adults (한국 성인의 미충족 치과 치료와 DMFT index와의 관련성)

  • Chung, Sun-Young;Cho, Ja-Won;Jung, Yun-Sook;Kim, Hye-Young;Kim, Ji-Young;Choi, Youn-Hee;Song, Keun-Bae
    • Journal of Korean Academy of Oral Health
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    • v.41 no.4
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    • pp.267-273
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    • 2017
  • Objectives: Unmet needs for dental treatment are one of the potential contributing factors to poor oral health because oral health problems worsen if left untreated. This study aimed to demonstrate the prevalence of and the causes for unmet dental needs, and to evaluate the association between unmet needs for dental treatment and oral health status. Methods: Data on 3,883 subjects aged ${\geq}18years$ from the Korean National Oral Health Survey 2006 were analyzed. Information regarding unmet needs for dental treatment was obtained using standardized questionnaires. Eight trained dentists examined decayed, missing, or filled teeth (DMFT). Multiple regression models were built to assess the association between unmet needs for dental treatment and the DMFT scores. Results: The prevalence of perceived unmet needs for dental treatment was 34.7% among the adult Korean population. Economic constraints were the main cause (38.6%) for unmet dental needs. The average DMFT scores were higher in the subjects with unmet needs for dental treatment than in those without. In individuals with unmet needs for dental treatment within the past 1 year, the number of decayed teeth after adjusting for confounders was likely to be greater by 0.58 and that of missing teeth by 0.27 compared to that in their counterparts with no unmet dental needs in the past 1 year. Conclusions: Perceived unmet needs for dental treatment were significantly associated with poor oral health status among the adult Korean population. Further studies are needed to clarify the direct and indirect effects of unmet needs for dental treatment on an individual's oral health status by investigating critical variables of the causal pathways among perceived dental needs, dental care utilization, and oral health status.