• 지역사회간호학회지
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• 제27권3호
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• pp.231-241
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• 2016

Purpose: This study was conducted to examine effects of sarcopenic obesity on metabolic syndrome in Korean elders. Methods: This study is based on the analysis of the Korea National Health and Nutrition Examination Survey (KNHANES) with 1,155 subjects (524 men, and 631 women) aged 60 or older, from 2008 to 2011. Sarcopenia was defined as an appendicular skeletal muscle (ASM), divided by weight (%) of <1 SD (standard deviation) below the sex-specific mean for young adults. Obesity was defined as a total body fat percent (men${\geq}$25%, women${\geq}$35%). Results: The prevalence of SO (sarcopenic obesity) was 13.3% among men and 22.5% among women. Both sexes showed a higher total body fat percent, and the SMI (skeletal muscle index) was the lowest in the SO group. Metabolic syndrome was highly prevalent in the SO group (52.5% men, 60.4% women). The SO group showed a higher risk for metabolic syndrome (odds ratio men 6.57 [95% CI 5.19~7.27], women 3.89 [95% CI 2.41~6.29]) than the obese group (men 3.14 [95% CI 1.76~4.14], women 2.54 [95% CI 1.38~4.65]). Conclusion: SO is a major risk factor for metabolic syndrome in Korean elders. Therefore, a nursing program should be given to the Korean elderly SO group to prevent metabolic syndrome.

• 대한물리치료과학회지
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• 제24권1호
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• pp.38-48
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• 2017

Background: This study was carried out to find out general characteristics and health-related behaviors of elders aged 65 or over and factors related to their activities of daily living, and thus to contribute to their health maintenance and promotion. The subjects were 200 elders who had resided at Cheju city, with males and females was scaled 1 : 3. Methods: To collect data for study, the field survey was conducted from March 20 to October 31, 2016 with questionaire. Results: This study are as follows; 65.0% of the subjects were 65-75 years old, while 35.0% were 75years old or over, 20.5% of them were illterate, 46.5% could read and write Korean, graduated from elementary school, and 11.5% middle school or higher level. 28.5% of subjects perceived their current health status, 46.0% of men and 38.0% of women as fair, In general elderly men perceived their health status better than elderly women. Among the subjects, 62.0% of men and 57.0% of women reported that they experienced one or more illnesses during the last year. 76.0% of men and 33.0% of women were current smokers. 55.0% of current smokers. 55.0% of current make smokers smoked 11-12 cigarettes per day and 53.2% of current female smokers smoked less than 10 cigarettes per day. 76.0% of men and 37.3% of women drank alchol currently. 56.0% of men and 34.7% of women practiced regular exercise for their health maintenance and promotion. In general, 38.5% of subjects needed other's assistance for doing one or more Activites such as doing heavy home work, Walking up and down stairs or walking half a mile. Common disease of the subjects were hypertention, depenerative arthritis and diabetes mellitus in order. Conclusion: This study ADL activity are significant effect.

• 한국사회복지학
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• 제59권1호
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• pp.5-25
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• 2007

본 연구에서는 노인으로만 구성된 가구를 대상으로 선행 연구에서 다루지 않은 설명변수를 투입하고, 패널분석(panel data model)을 활용하여 노인의 특성별로 이들의 빈곤에 영향을 미치는 요인에 대해 살펴보았다. 분석 결과 노인 빈곤에 영향을 미치는 요인들은 연령, 학력, 혼인상태, 자산, 거주지역 등과 함께 과거의 직업력이 중요한 요인임이 확인되었으며, 노인 빈곤에 영향을 미치는 요인들은 노인의 특성별로 다른 결과를 가져왔다. 이러한 분석 결과는 노후의 상황만을 고려한 노인의 탈빈곤정책은 사후적이라는 문제를 제기한다. 따라서 잠재적으로 노인 빈곤층이 될 수 있는 현재의 근로빈곤층에 대한 정책의 중요성과, 현재 보험방식으로 이루어지고 있는 공적연금제도의 전환을 위한 노력을 시사한다.

• 치위생과학회지
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• 제19권3호
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• pp.181-189
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• 2019

Background: Edentulism is associated with socioeconomic status, rural residence, and chronic disease, but no studies have investigated edentulism and residence factors together. All information that drives a better understanding of the factors related to edentulism plays an important role in the planning and delivery of appropriate dental services for the elderly by national and oral health professionals. This study was designed to investigate the prevalence of edentulism in adults aged over 60 years in Korea and to examine whether there are differences in dentate status between people living in urban and rural areas after controlling for sociodemographic and other related factors. Methods: The data for this study were collected from 2013 to 2015 as part of the Korea National Health and Nutrition Examination Survey VI, those individuals aged over 60 years and who had complete datasets were included (5,071). The number of teeth and residence status were categorized into two groups: edentate and dentate (1 or more); urban and rural. Multiple multivariate logistic regression analyses were sequentially applied to assess the association between dentate status and residence status after adjusting for potential confounders. Results: Rural areas, lower household income, and lower education levels were associated with a higher edentate rate. The number of teeth was lower in rural areas than in urban areas. After adjusting for various factors, statistically significant associations were present for women, low household income, low education level, poor perceived health status, and alcohol consumption in participants. Conclusion: Elders living in rural areas had poorer oral health than elders living in urban areas. The government will need to provide effective systems for promoting oral health for elders living in rural areas.

• 대한간호학회지
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• 제38권1호
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• pp.29-38
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• 2008

Purpose: This study investigated various factors relatied to wandering behavior of Korean elders with dementia (KED). Methods: A sample of 160 ambulatory residents with dementia from 14 long term care facilities was used to examine demographic, individual, cognitive, physical health, and environmental characteristics by comparing wanderers (N=108) to nonwanders (N=52). Subjects were evaluated by Korean versions of the Mini-mental State Exam (K-MMSE), the Physical and Instrumental Activities of Daily Living (K-PIADL), and the Revised Algase Wandering Scale Nursing Home version (KRAWS-NH) along its six dimensions. Demographic and environmental data were also obtained. Independent sample t-tests, Chi-square test, Fisher's Exact tests, and ANCOVAs were used to examine differences between wanderers and nonwanders. Results: Wanderers were significantly (p<.05) older and had more limitations in K-PADL and K-IADL. The degree of overall wandering and certain features of wandering were significantly different (p<.05) by total number of residents in the facility, type of bedroom (i.e., "Ondol"), and color of bedroom and living-room walls (i.e., sky blue). Conclusions: Findings of this study may be useful in understanding wandering behavior of KEDs and thus developing more culturally specific management strategies.

• 지역사회간호학회지
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• 제26권2호
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• pp.150-159
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• 2015

Purpose: This study was performed in order to identify the relationships among self-care behavior, health conservation, and cardiovascular risk factors and to examine the influence of self-care behavior and health conservation on cardiovascular risk factors among Korean elders with diabetes mellitus. Methods: The participants were 105 elders with diabetes mellitus using senior welfare centers and elderly leisure houses in Daegu. Data were collected through interviews during the period from April to May in 2014. Self-care behavior was measured with Kim's (1997) Self-care Behavior Scale, health conservation with Sung's (2005) Health Conservation Scale, and cardiovascular risk factors with the Arizona Heart Institute Cardiovascular Risk Factor Questionnaire. Collected data were analyzed through one-way ANOVA, independent t-test, Pearson's correlation, and stepwise multiple regression using the SPSS/WIN 19.0 program. Results: A negative correlation was found between self-care behavior and cardiovascular risk factors, and between health conservation and cardiovascular risk factors. Self-care behavior explained 6% and health conservation did 49% of variance in elderly diabetes mellitus patients' cardiovascular risk. Conclusion: The results indicate that, in order to reduce cardiovascular risk factors among Korean elders with diabetes mellitus, we need nursing interventions for increasing health conservation and self-care behavior.

• 지역사회간호학회지
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• 제27권3호
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• pp.242-253
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• 2016

Purpose: This research aims to understand the perceptions of nursing homes from the perspective of the elderly, explores the themes of such perception and provides supporting evidence for developing nursing intervention that focuses on the subjects of care within nursing homes. Methods: This research is based on qualitative research in a phenomenological methodology. The research participants included elders aged 67~83 living at home in Jeonnam, Jeonbuk Provinces and G City. Data collection methodologies included in-depth interviews and observation of participants. The data were analyzed in the phenomenological methodology by Colaizzi. Results: As a result of the research, it was found that all significant statements about the Korean elders' perception of nursing homes fell within 3 categories with 9 major themes and 23 minor themes. The three observed categories for the Korean elders' perception on nursing homes were: 'places they do not like to be in', 'places they have to be in' and 'places that makes them feel fortunate as they have a place to go'. Conclusion: This research provides foundational tools that will provide a steer for changes in nursing environment, physiological support, programs and education so that the needs of the elderly can be met more sufficiently.

• 지역사회간호학회지
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• 제21권3호
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• pp.293-302
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• 2010

Purpose: This study was to survey yangsaeng in Korean elders. Methods: A total of 250 subjects aged between 60 and 88 were selected through convenient sampling. Data were collected with a self-reported questionnaire from April 1 to 30, 2009. Collected data were analyzed with SPSS/WIN 15.0. Results: Differences in yangsaeng according to general characteristics were as follows. Total yangsaeng and all of yangsaeng categories except seasonal yangsaeng were significantly different according to self-perceived health. Diet yangsaeng was significantly different according to cohabitation, house ownership and self-perceived health. Activity and rest yangsaeng was significantly different according to age, gender, job, successful aging and self-perceived health. Exercise yangsaeng was significantly different according to gender and self-perceived health. Seasonal yangsaeng was significantly different according to successful aging and self-perceived health. Sleep yangsaeng was significantly different according to age, gender, job and self-perceived health. Sex life yangsaeng was significantly different according to all of the variables except religion and successful aging. There was a positive correlation between yangsaeng and the variables. Conclusion: The findings of this study may be useful in understanding the health status of community-dwelling elders and developing more specific health promotion programs.

• 기본간호학회지
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• 제10권2호
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• pp.244-253
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• 2003

Purpose: This study was done for the purpose of testing the effects of hand moxibustion on pain in the knee joint, range of motion of the knee, and discomfort during ADL in elderly persons with knee joint pain. Method: Nonequivalent control group pre-post test research design was used. The participants were 35 elders who had knee joint pain. Sixteen were assigned to the experimental group and 19 to the control group. The instruments used for this study were the CRS (Graphic rating scale) for knee joint pain, goniometer for knee joint ROM, and modified ADL questionnaire developed by Lee. Analysis of data was done by percents, means and standard deviation, $x^2$-test, t-test, and ANCOVA using SPSS WIN 10.0. Result: The pain score for the right knee joint after hand moxibustion was significantly different between the experimental group and the control group after hand moxibustion (p=.035). The pain score for the left knee joint was not significantly different between the experimental group and the control group after hand moxibustion (p=.075). Right and left knee ROM scores were significantly different between the experimental group and the control group after hand moxibustion (Right p=.000, Left p=.034). Discomfort of ADL score was not significantly different between the experimental group and the control group after hand moxibustion (p=.053). Conclusion: In summary, knee joint pain in elders after hand moxibustion decreased and knee ROM in elders after hand moxibustion increased. So it would be useful for nurses to provide hand moxibustion as an alternative therapy to elders with knee joint pain in the community and thus reduce joint pain and increase knee ROM.

• 대한간호학회지
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• 제45권3호
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• pp.388-396
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• 2015

Purpose: The purpose of this study was to identify the effects on cognitive function, depression, and activities of daily living of Silver- Care-Robot Program for institutionalized elders. Methods: This study was a nonequivalent control group pretest-posttest design. The participants were 42 institutionalized elders (17 in the experimental group and 25 in the control group). The Silver-Care-Robot Program was provided as an intervention which was conducted twice a week for 5 weeks. The Silver-Care-Robot Program is an integrated entertainment program to help the mental, emotional, and physical health of elderly people. Pre-test was conducted on the two groups, and, in order to examine the effects of intervention, a post-test was conducted after 5 weeks. Results: There were significant differences in cognitive function and ADL (activities of daily living) between two groups after the program. But the difference in depression in the institutionalized elders was not statistically significant between the two groups. Conclusion: The Silver-Care-Robot Program should be considered as a regular program for cognitive function and activities of daily living for institutionalized elders.