• 대한가정학회지
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• 제44권11호
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• pp.117-131
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• 2006

The purpose of this study was to verify a Structural Equation Model that constructed the causations among the structural leisure constraints, interpersonal leisure constraints, intrapersonal leisure constraints, leisure motivation, leisure activity participation, leisure satisfaction and the quality of life from the ecological perspective. The respondents were 301 elderly people residing in 4 free institutionalized elderly homes in Seoul. The data were analyzed by confirmatory factor analysis and covariance structure analysis using USREL 8.0 ver. The major results are summarized as follows: 1) Statistically, a goodness of fit is good of structural equation model presented in the study. 2) The structural leisure constraints and the interpersonal leisure constraints are some types of leisure environment of the aged in public homes from the ecological perspective. Such constraints would inevitably lead to a direct effect on individual leisure life and leisure motivation. 3) The important valuable factor which affected the leisure satisfaction and the quality of life in the elderly was the leisure motivation.

• 재활간호학회지
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• 제9권1호
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• pp.72-80
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• 2006

Purpose: This study was conducted to examine the effect of multidimensional program on cognition, physical function and depression among institutionalized elderly and the relationship between study variables and resident's characteristics and health related variables. Method: This study involved a one group pre and post test, comparison of variables over a 12 month period. To investigate this research question, data of 114 residents of a nursing home were analyzed. Results: There was statistically significant difference in MMSE-K (t=-2.63, p=.010), ADL (t=-2.85, p=.005), and depression (t=4.66, p=.000) before and after program participation. Conclusion: These results indicate that, for a year their regular involvement in a broad spectrum of multidimensional program activities can improve in cognitive, physical and emotional perspectives, but the level of IADL decreased significantly (t=-6.72, p=.000). Further testing is required with the control group, to compare with community resident elders in order to explore the effects on social skill of elderly.

• 지역사회간호학회지
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• 제29권2호
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• pp.133-142
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• 2018

Purpose: The purpose of this study is to examine and evaluate the effects of auricular acupressure on musculoskeletal pain, depression and sleep of the elderly who are institutionalized in long-term care facilities. Methods: The research was conducted in a non-equivalent control group and non-synchronized design with data collected from October to December, 2016. The subjects were from long-term care facilities for the elderly in D city and divided into an experimental group (24 subjects) and a control group (25 subjects). Results: After the intervention, the experimental group showed significant improvement in degree of musculoskeletal pain on time ($x^2=23.89$, p<.001) and degree of depression on time and group ($x^2=37.42$, p<.001, U=122.0, p<001) and degree of sleep on time ($x^2=33.62$, p<.001). Thus, the suggested hypothesis is partially supported. Conclusion: Auricular acupressure therapy is expected to be a practical and efficient nursing intervention for the elderly institutionalized in long-term care facilities.

• Nutritional Sciences
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• 제5권1호
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• pp.26-33
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• 2002

This study was conducted to provide insight into the management and care of the elderly in nursing homes. Eighty-six elderly subjects over 65 years old (38 male, 48 female) in 3 non-fee-paying nursing homes, located in Daejeon and Chungchong areas, were studied. Subjects'dietary intakes by estimated food intake records, and self-perceived health conditions, were studied using questionnaires from July 21 to August 1, 1997. Twenty-one % of the male subjects and 42% of the female subjects were over 80 years. Their predominant past occupation was farming. While 8.3% of the female and no male residents showed a BMI (Body Mass Index) of 27 and above, about 30% of the subjects were underweight and in poor health status in seeing, joint pains, lumbago and shoulder pains. Regarding overall health status, 72.1% of the subjects considered them to be in poor health, and female and male subjects suffered more difficulties from cloudy eyes, joint pains and lumbago and shoulder pains than any other. Neuralgia was the predominant chronic complaint and followed by hypertension in both sexes. Overall, female subjects felt worse off than the male subjects in terms of their health status, that can be attributed to higher average age of the female subjects compared to the male subjects. The elderly were eating a very low fat (about 15 g : 6% of total calorie) diet with low vitamin A and E. Intakes of calories, protein and iron slightly exceeded RDA. The phosphorus intake was more than double the RDA although calcium intake was close to the RDA. From these results, it seems important to doubling the fat intake of the elderly residents in the form of vegetable fat with the object of raising of vitamin E, antioxidant vitamin, and essential fatty acids for the elderly. It is also recommended that the elderly residents should be given adequate calcium and exercise for bone health.

• 한국노년학
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• 제27권2호
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• pp.357-370
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• 2007

본 연구는 시설노인을 위한 수분 섭취 강화 프로그램을 개발하고 적용하여 그 효과를 평가하고자 수행되었다. 자료 수집은 충청지역에 위치한 일개 노인요양시설에 거주하는 39명의 노인을 대상으로 하였으며 프로그램 적용 전, 4주후, 6주후의 연속 3일 측정한 수분 섭취량의 평균, 소변색, 요비중의 평균, 요비중이 탈수 내지 임박한 탈수의 범위에 속하는 대상자의 비율을 비교하였다. 수분 섭취 강화 프로그램 적용 전 1일 평균 수분 섭취량은 프로그램 적용 4주후, 6주후에 통계적으로 유의한 증가를 나타냈다. 1일 수분 충분섭취량인 1,100mL 미만을 섭취한 대상자의 비율은 프로그램 적용 전에 비해 4주, 6주후에 감소하였다. 요비중이 임박한 탈수 혹은 탈수의 범위에 속하는 대상자 비율은 중재 전 보다 중재 4주후에 감소하였으나 6주후 증가하였고 요비중의 평균은 프로그램 적용 4주후, 6주후에 통계적으로 유의한 차이를 나타내었다. 소변색은 중재 전, 후 모두 정상범위를 나타내었다. 본 연구의 결과는 시설노인 수분 섭취 강화프로그램은 노인의 수분 섭취를 증진하는데 기여할 수 있는 가능성을 시사하며 추후 임상에서의 적용을 위하여 해결해야 할 문제점들을 논의하였다.

• 근관절건강학회지
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• 제18권1호
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• pp.83-92
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• 2011

Purpose: The purpose of this study was to identify the changes of physical function, perceptual and cognitive function, emotional function, and functional independence in the institutionalized aged according to functional group activity program (self help Tai Chi exercise plus functional task). Methods: Study subjects were 20 institutionalized aged from June to October in 2010. The subjects received functional group activity program two times a week for 15 weeks. Physical function (grip strength, coordination, lower extremity strength, balance, gait, trunk flexibility), perceptual and cognitive function, emotional function(depression, social skill), and functional independence were measured before and after the program. Results: The subjects showed significantly increased physical function (coordination, lower extremity strength, gait, trunk flexibility), perceptual and cognitive function, emotional function (depression, social skill), and functional independence. The functional group activity program may be an effective strategy for institutionalized elders to enhance their functions. Conclusion: The functional group activity program may be effective on elderly institutions which have limitation in human, material, environmental resources.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제20권4호
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• pp.39-48
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• 2014

Purpose : Balanced meal service is very important for the elderly to maintain good physical health. Good food and comfortable dining environment is also important for the elderly to prevent emotional depression. The purpose of this study is to investigate current problems of dining space in Korean elderly welfare facility. De-institutionalizing dining environment of elderly welfare facility will bring more meaningful social interactions among elderly users. Methods : Through literature research and case studies of welfare centers in the US and Japan, Elderly Dining Space Checklist was developed. Dining spaces of 11 welfare facilities in Seoul was analyzed by this checklist. It was administered by interior designers as well as facility staffs to achieve more credible results. Questionnaire for the elderly users of those dining space also prosecuted to broaden knowledge for creating improved environment. Results : Dining spaces of elderly welfare centers are lack of privacy and furnitures are not comfortable enough for the general users as well as wheelchair users. Elderly dining space users are seeking more private and comfortable spaces for the social communications. Implications : Dining environment for the elderly in Korea should develop more de-institutionalized design concepts.

• 한국콘텐츠학회논문지
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• 제16권6호
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• pp.680-694
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• 2016

본 연구는 무료양로시설에 거주하는 노인들을 대상으로 하여 의사소통 기술과 자아존중감과의 관계를 살펴보기 위하여 노인의 의사소통 기술을 자기이해, 바람직한 경청, 명확한 의사표현, 자기느낌 표현, 자기개방 등 5개 하위요소로 나누어 각 변인들과 자아존중감 간에 어떤 관계가 있는지를 파악함과 동시에 시사점을 모색코자 하였다. 연구방법은 강원도의 무료양로시설(춘천1, 원주1, 강릉1)에 거주하는 만 65세 이상 노인을 대상으로 총 123부를 본 연구의 분석 자료로 사용하였다. 연구결과 다음과 같은 결과가 나왔다. 첫째, 인구사회학적 특성에 따른 의사소통 기술수준 차이는 취미, 종교유무, 용돈, 가장 의지하는 사람에 따라 유의미한 차이를 보였다. 둘째, 인구사회학적 특성에 따른 자아존중감은 종교, 생활비 부담자, 취미 건강상태에 따라 유의한 차이가 나타났으며, 셋째 의사소통 기술이 자아존중감에 영향을 미치는 것으로 나타나 즉 노인들의 자아존중감이 높을수록 의사소통 수준도 높은 것으로 보여준다. 몇 가지 제언을 한다면 시설에 거주 노인들을 위해서는 취미생활과 종교 생활 그리고 충분한 용돈과 생활비 부담을 본인이 하게 한다면 자아존중감도 높아지고 의사소통 기술도 향상될 것으로 사료된다.

• 대한간호학회지
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• 제38권4호
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• pp.620-628
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• 2008

Purpose: The purpose was to identify the effects of a Tai Chi exercise program on physical fitness, fall related perception and health status among institutionalized elderly. Methods: A quasi-experimental research was carried out with a nonequivalent control group pretest-posttest design. There were 23 subjects in the experimental group and 24 in the control group. The data was gathered by structured questionnaires about fall related perception, and health status. Physical fitness was measured by an exercise therapist with a blind principle. Results: At the completion of the 12 weeks Tai Chi exercise program, flexibility (F=4.50, p=.00), and ability to balance (F=3.27, p=.00) had increased significantly. Fall related perception showed significant improvement in the fear of falling (F=-3.52, p=.00). Physical functioning (F=3.38, p=.00), role limitation-physical (F=2.67, p=.01), role limitation-emotional (F=2.47, p=.02). and general health (F=3.88, p=.00) in health status showed significant differences between the two groups. Conclusion: The study findings revealed Tai Chi exercise as a useful nursing intervention for elderly that enhances flexibility and balance, decreases fall related perception and also increases the health status. Further research is warranted to compare the potential effects of Tai Chi exercise and its health benefits from other types of exercise or martial arts.

• 근관절건강학회지
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• 제18권1호
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• pp.93-102
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• 2011

Purpose: The purpose of this study was to identify the effects of the BeHaS exercise program, developed by Jong Im Kim (2006), consisting of exercise, education and cognitive support on muscle strength and flexibility in elders who live in elderly facilities. Method: This study was designed using one group pretest-posttest experimental design, 19 elders, the subjects of the group participated in the BeHaS exercise program. The BeHaS exercise program was provided for 60-80 minutes per session once a week for 8 weeks. Data was collected by research assistants using structured interview and measurement tool, from January, 2011 to March, 2011. Data were analyzed using the SPSS Win 17.0, general characteristics were analyzed with real number and percentage, muscle strength and flexibility were analyzed with Mean and SDs. Results: There were significant increase pre and post test for the left shoulder flexibility (p=.000) and waist flexibility (p=.030). Conclusion: In conclusion, this study confirms that BeHaS exercise program played a useful role in partial improving flexibility in the Institutionalized Elders.