• Title/Summary/Keyword: Instrumental Factors

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Cognitive Functions, Instrumental Activities of Daily Living, Depression and Quality of Life in the Elderly with Mild Cognitive Impairment (경도인지장애 노인의 인지기능, 도구적 일상생활수행능력, 우울 및 삶의 질 관계)

  • Kim, Yeon Ok;Shim, Moon Sook
    • Journal of Korean Public Health Nursing
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    • v.29 no.2
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    • pp.219-230
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    • 2015
  • Purpose: This research study not only examine the relationship between cognitive function, IADL, depression and quality of life, but also clarifies factors impacting quality of life for the elderly. The purpose of this study is to administer health promotion programs and to improve quality of life for the elderly. Methods: Data were collected from May 20, to June 10, 2014. The participants were 157 elderly persons with mild cognitive injury (MCI), who had under 23 points on MoCa-K from three different senior welfare centers in Daejeon. The questionnaires were conducted by four university students after receiving instruction from the researcher and consisted of general characteristics, cognitive function, depression and quality of life. SPSS WIN 19.0 program was used for data analysis. Results: Cognitive function showed positive correlation with quality of life (r=175, p=.028). IADL did not show correlation with quality of life (r=-.005, p=.947). However cognitive function(r=-.344, p<.001) and depression (r=-.623, p<.001) showed negative correlation with quality of life. In addition, the factors impacting quality of life were cognitive function (${\beta}=.14$, p=.29) and depression (${\beta}=-.61$, p<.001) which accounted for 39% of quality of life. Conclusion: These findings showed that the participants had depression and their cognitive function was low. As a result, the more participants' cognitive function decreased, the more their quality of life decreased. In addition, the more their depression decreased, the more their quality of life improved.

A Study of Needs and Behavior on a Virtual Community: Focused on College Student's Internet Cafe Activities (가상 커뮤니티 이용 욕구(needs)와 행위(behavior)에 관한 연구: 대학생들의 인터넷 카페 이용을 중심으로)

  • Ku, Gyo-Tae
    • Korean journal of communication and information
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    • v.30
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    • pp.7-33
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    • 2005
  • This study examined the type of needs involved in the activities of a virtual community and the impart of gender on online participants' needs and 'perceived control behavior'. In addition, the study tried to figure out how people behave on certain factors. The survey was conducted to 230 local students who have experienced online community activities. The study results showed there were three factors related to a virtual community, 'relational need', 'entertainment need', 'instrumental need'. There was, however, no significant effect between gender and the type of needs, and between gender and 'perceived behavior control'. The results also showed that 'entertainment need' is the most important factor to predict a virtual community participation. This might not Imply the improvement of information technologies helps us return to the communities in which Individuals have a close and affectionate relationship each other.

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Factors Influencing Successful Aging in Elders (노인의 성공적 노화와 영향요인)

  • Han, Su-Jeong;Han, Jin-Sook;Moon, Young-Sook
    • Korean Journal of Adult Nursing
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    • v.21 no.4
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    • pp.423-434
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    • 2009
  • Purpose: This study was conducted to evaluate successful aging (SA) in elderly individuals and to determine the factors that influence SA. Methods: The subjects included 207 elderly individuals from D city, Korea. The data were obtained between July 1 and August 30, 2008. The participants were assured of anonymity and confidentiality. For the evaluation, Kim & Shin's SA scale, Lawton's instrumental activities of daily living (IADL) scale, Jon's self-esteem scale, Kee's geriatric depression scale short form-Korean (GDSSF-K), and Hong's productive activities scale were used. The data were analyzed using descriptive statistics, the t-test, analysis of variance (ANOVA), and Pearson correlation coefficients; multiple regression analysis was performed using the SPSS/WIN 10.0 program. Results: The maximum score for SA was 34, and the mean score was 22.62. It was found that SA was significantly correlated to IADL, self-esteem, depression, and productive activity. Depression was the most powerful predictor of SA and it accounted for 40.6% of the total variance in SA. Self-esteem, productive activity, living situation, economic status, and age together accounted for 62.1% of the total variation in SA. Conclusion: Depression, self-esteem, and productive activity were identified as variables that influence SA. On the basis of these results, we conclude that nurses should assist elderly individuals in order to facilitate SA. Moreover, individualized nursing management strategies must be developed in order to facilitate SA.

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Relations between Perceived Burden and Social Support of Stroke Patient호s Family Caregiver (뇌졸중 환자의 가족 간호자가 지각하는 부담감과 사회적 지지와의 관계 분석)

  • 홍여신;서문자;김금순;김인자;조남옥;최희정;정성희;김은만
    • Journal of Korean Academy of Nursing
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    • v.30 no.3
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    • pp.595-605
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    • 2000
  • The purpose of this study was to describe the perceived burden of the stroke patient's caregiver and related factors to analyze relationships between perceived burden and social supports. A convenient sample of 225 caregivers who take care for a stroke patient at home participated in this study. Caregiver's perceived burden was measured by the objective and subjective burden scale developed by Montgomery (1985). Related factors of burden were studied in terms of the patient's instrumental activties of daily living, cognitive function, caregiver's demographic variables and caregiver's illness intrusiveness. The results were as follows: (1) The mean of objective burden score was 4.5, and subjective burden score was 3.1. These scores show that caregivers perceive moderate level of burden. (2) Caregivers' objective burden was significantly related to caregivers's illness intrusiveness (r=.62), patient's IADL (r=-.33), and patient's cognitive function (r=-.15). The subjective burden was related to the caregiver's illness intrusiveness (r=.29), the patient's IADL (r=.24), and the caregiver's age(r=.23). (3) The percentage of stroke caregivers who perceived physical support was 49.1%. The percentage of those who perceived emotional support was 61.0%, and those who perceived financial support totaled 37.6%. (4) Caregivers who received any type of social supports perceived lower subjective burden, and caregivers who received physical or psychological support perceived lower objective burden. These results emphasized the necessity of a rehabilitation programs for stroke patients and support program for family caregivers.

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Nomogram building to predict dyslipidemia using a naïve Bayesian classifier model (순수 베이지안 분류기 모델을 사용하여 이상지질혈증을 예측하는 노모 그램 구축)

  • Kim, Min-Ho;Seo, Ju-Hyun;Lee, Jea-Young
    • The Korean Journal of Applied Statistics
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    • v.32 no.4
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    • pp.619-630
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    • 2019
  • Dyslipidemia is a representative chronic disease affecting Koreans that requires continuous management. It is also a known risk factor for cardiovascular disease such as hypertension and diabetes. However, it is difficult to diagnose vascular disease without a medical examination. This study identifies risk factors for the recognition and prevention of dyslipidemia. By integrating them, we construct a statistical instrumental nomogram that can predict the incidence rate while visualizing. Data were from the Korean National Health and Nutrition Examination Survey (KNHANES) for 2013-2016. First, a chi-squared test identified twelve risk factors of dyslipidemia. We used a naïve Bayesian classifier model to construct a nomogram for the dyslipidemia. The constructed nomogram was verified using a receiver operating characteristics curve and calibration plot. Finally, we compared the logistic nomogram previously presented with the Bayesian nomogram proposed in this study.

The Effect of Social Support on Elderly Women's Quality of Life (여성노인의 사회적 지지가 삶의 질에 미치는 영향)

  • Hong, Sung-Hee
    • Journal of Family Resource Management and Policy Review
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    • v.19 no.2
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    • pp.1-26
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    • 2015
  • The purpose of this study was to analyze the quality of life (QoL) of elderly women and the effect of social support on their QoL. The data were used 'urvey on the Elderly in 2011', which was held from 'Ministry of Health & Welfare' and 'Korea Institute for Health and Social Affairs'. Among the total 15,146 respondents, 3,880 of elderly women whose age was over 65, and who did not live together with their married children were included in the analysis. Multiple regression analysis and path analysis were used to analyze the research model. The findings were as follows. First, from the fact that the elderly women showed the highest mean in 'contact frequency with friends' among social support, it seemed that the elderly women contacted their friends more than their children in their old age. Among the support types from their children, elderly women received emotional support, physical support, instrumental support in order and irregular cash as a way of economic support. Second, from the regression results, the most critical factor that affected the QoL of elderly women was 'subjective physical condition level' and 'subjective standard of living' comes next. Third, the most important factor was 'subjective standard of living' from path analysis results, and 'subjective physical condition level' and 'total amount of annual income' in order. Also, social supports such as 'phone call contact frequency with children', 'emotional support from children', phone call contact frequency with relatives', 'phone call contact frequency with friends' positively affected the QoL of elderly women. Therefore, raising social supports from children, relatives, and friends positively contributes to improve the QoL of elderly women directly and indirectly. The results show that social supporters, which is a part of the structural aspects of social support, and types of social support, which lies in functional aspects, directly affect QoL of the elderly women and turn out to be factors that improve the QoL as mediating variables. It is concluded that the social supports can be the most important resources that make up declining personal and social resources in old age and maintain the QoL of elderly women.

A Study of Activity Participation Level and Functional Disability for The Elderly Aged Over 65 years (65세 이상 노인의 참여활동수준과 기능장애에 관한 연구)

  • Park, Kyoung-Young;Shin, Su-Jung
    • Journal of Convergence for Information Technology
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    • v.10 no.9
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    • pp.222-228
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    • 2020
  • The purpose of this study was to investigate activity participation level and functional disability based on ICF for the elderly aged over 65 years. Subjects were 100 senior citizens. We performed data collection using Korean Activity Card Sorting(KACS) and World Health Organization Disability Assessment Schedule 2.0(WHODAS 2.0). Data were analyzed using descriptive statistics, Pearson's correlation, multiple regression. As a result of the survey of activity participation levels, retained level of activity participation of instrumental activity was highest at 75.06%. Among the WHODAS 2.0 sub-domain, 'getting along with people', 'participation in society' had the most difficulties and 'self-care', 'life activities' were the lowest. An analysis of the correlation between the activity retention rate and functional disability showed that there was a significant negative correlation. Significant factors influencing functional disability were activity participation level of social activity, instrumental activity and main work(retirement). We confirmed that activity participation level was important factor on functional disability. Further, we need standardization study for generalization.

The Relations of Social Support to the Health Behaviors and Health Status in the Elderly (노인들의 사회적 지지와 건강행태 및 건강수준과의 관련성)

  • Kim, Tae-Myon;Lee, Sok-Goo;Jeon, So-Youn
    • Korean Journal of Health Education and Promotion
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    • v.23 no.3
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    • pp.99-119
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    • 2006
  • Objectives: This study intends to understand the difference within group of social support level and the effect of social support to health behaviors and health status of the elderly by selecting the old of local society as target. Methods: Data were obtained from self-administered questionnaire of 8,688 persons, older than 65 years, living in a community. We measured the sociodemographic characteristics, social support(family support, other support, quality of support), physical health state(subjective health status, number of chronic disease), physical function state(activities of daily living; ADL, instrumental activities of daily living; IADL), cognition state(mini-mental state examination-Korean; MMSE-K) and depression state(short form of geriatric depression scale; SGDS), health behaviors(smoking, drinking, exercise, eating habit). Univariate, multinominal logistic regression and covariance structure analysis were employed to analyze factors affecting on the social support of the elderly. Results: When considering the degree of social support by the sociodemographic characteristics of the older adults, the family support, other support and quality of support is better when the old is male, young, high education and self-reported living status is good and it has significance statistically. When considering the relation between social support and health status, the family support, other support and quality of support is better when the old's subjective and objective physical health status is good. The family support, other support and quality of support is better when the old's subjective health status is better. The other support and quality of support is better when the old's ADL(activities of daily living) and IADL(instrumental activities of daily living) are good. The family support, other support and quality of support is better when the old's cognitive function and depression state is better. When considering the relation between social support and health behaviors, in case of smoking and drinking, the quality of support, family support and other support is better when the old smokes and drinks rather than the old does not. In case of exercise and eating habit, the family support, other support and quality of support is better when the old exercises and eats regularly rather than the old does not. It has significance statistically. From the result of performing covariance structure analysis by structural equation modeling(SEM) with two endogenous variable(health behaviors and health status) and one exogenous variable(social support), factor loading of health status is 0.74 and factor loading of health behaviors is 0.05. The social support explains health status of 55.4% and health behaviors of 2.9%. Conclusions: This study has the meaning that it finds the difference of social support generating from inside of the group for the old residing in city and country and specifies the effect that the difference of social support influences to health status and health behaviors. From now on, in the development of health improvement strategy of the olds, it is necessary to approach from inclusive aspect while considering psychosocial factor such as social support and social economical factor as well as health status.

Family Support for the Elderly : A Study by Types of Family Members (노인에 대한 가족의지지 : 가족원 유형별 연구)

  • Hong, Soon-Hae
    • Korean Journal of Social Welfare
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    • v.39
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    • pp.322-349
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    • 1999
  • The purpose of the study is to investigate kinds of social support provided by various types of family members, relationships between types of family support and personal variables of the elderly and structural variables of the family network, and the relationships between family support and depression of the elderly. Here, family included a spouse, sons and daughters and their spouses, grandchildren, siblings and parents of an older person. Social support consisted of emotional, instrumental, financial help and social companionship. Two-hundred-eight older persons of age 60 years and over were interviewed. The main results of the study were as follows: an older person's spouse tended to provide more for emotional support, sons for financial help, daughters-in-law for instrumental support, and daughters for emotional and financial support. Some elderly were also provided for emotional support by parents and siblings. Possibility of daughters-in-laws and grandchildren as support providers was also verified. Various factors among personal and network-structural characteristics were significantly related to many types of social support provided by various types of family members. In general, while younger female elders, elders with good IADL ability or more frequent contacts with family members tended to have social support from more family members, support from daughters-in-law was provided to the elderly with less functional abilities. Various types of social support from a spouse were significantly related to depression level of the elderly. Their depression level was more related to whether or not sons and daughters-in-law exist rather than whether or not they provide social support. Practical methods to increase family support for the elderly were discussed.

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Chemical characteristics and sources of fine ambient particulate matter from the third and fourth industrial complex area of Daejeon city, Korea (대전 3, 4 공단지역의 미세분진에 대한 화학적 특성과 오염원 연구)

  • Lim, Jong-Myoung;Lee, Jin-Hong;Chung, Yong-Sam
    • Analytical Science and Technology
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    • v.20 no.1
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    • pp.33-40
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    • 2007
  • This study centered on the quantitative analysis of about 27 trace elements including toxic ones using instrumental neutron activation analysis of fine ambient particulate matter in the third and fourth industrial complex area of Daejeon city, Korea. For analytical quality control, the certified reference material (NIST, the National Institute of Standards and Technology, U.S.A., SRM 2783, air particulate on filter media) was used. The errors relative to SRM values of Sb, Mn, V, Mg, Na, K, Ti, Co, Zn, and Sm fell below 5%, while those of Cr, Fe, Ba, Th, Ce, Al, and Cu were less than 10%. From the results of the quantitative analysis, the concentration of toxic metals such as As, Mn, Se, V, and Zn were $3.26{\pm}2.72$, $9.86{\pm}4.71$, $2.18{\pm}1.25$, $4.91{\pm}2.41$, $158{\pm}78ng/m^3$, respectively. And the results of factor analysis indicated that there are no more than six factors of sources of fine ambient particulate with statistical significance in the study area.