• 제목/요약/키워드: Korean Elders

검색결과 723건 처리시간 0.026초

재가 치매노인 가족을 위한 배회관리 지침 개발 (Development of a Wandering Management Guideline for Family Caregivers of Community-dwelling Elders with Dementia)

  • 천홍진;송준아
    • 한국노년학
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    • 제36권4호
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    • pp.1089-1108
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    • 2016
  • 본 연구의 목적은 재가 치매노인 가족이 치매노인의 배회를 효과적으로 관리하기 위한 지침을 개발하고 평가하는데 있다. 연구의 절차는 총 3단계로 구성되어 있으며 첫째, 배회관리 지침 개발 준비 단계에서는 치매노인을 돌보는 가족 10인을 대상으로 포커스 그룹 및 개별 인터뷰를 시행하여 치매노인의 배회 관련 경험을 분석하였다. 둘째, 지침 개발 단계에서는 문헌 고찰을 통해 예비 항목을 작성하고 전문가 8인의 내용타당도 검증과정을 거쳐 최종안을 완성하였다. 셋째, 지침의 평가 단계에서는 치매노인 가족 13인을 대상으로 지침에 대해 교육하고 제공된 배회관리 지침 소책자를 이용하여 일주일 간 적용하도록 한 후 배회 관련 지식, 지침 적용정도, 사용자 만족도를 설문지를 통해 평가하였다. 본 연구에서 최종적으로 개발된 지침은 '배회의 정의', '배회의 원인', '배회 가능성이 높은 경우', '배회 예방', '실종 예방', '배회 발생 시 대처 방법', '실종 발생 시 대처 방법'의 7가지 주제, 총 86항목으로 구성되었다. 배회관리 지침 사용 교육 전 후 가족의 배회 관련 지식 점수가 유의하게 향상하였고(p=0.014), 지침 적용 정도 9문항의 평균은 2.69~3.46(range: 1~4)점이었으며 사용자 만족도의 7개 항목 평균은 2.85~3.38(range: 1~4)점이었다. 본 연구에서 개발된 배회관리 지침은 국내 지역사회거주 치매노인의 배회 특성과 가족의 요구를 반영하여 개발되었으며, 개발된 지침을 가족들에게 시범 적용하고 평가를 시도하였다는 점에서 의의가 있다. 본 배회관리 지침은 가족들이 치매노인의 배회에 대해 보다 잘 이해하고 대처하며 배회로 인한 부정적 결과를 예방하는데 도움이 될 것으로 사료된다.

텍스트 마이닝 분석을 통한 노인학대 관련 연구 동향 분석 : 2004년~2021년까지 발행된 국내 학술논문을 중심으로 (Analysis of Research Trends in Elder Abuse Using Text Mining : Academic Papers from 2004 to 2021.)

  • 윤기혁
    • 사물인터넷융복합논문지
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    • 제8권4호
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    • pp.25-40
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    • 2022
  • 본 연구는 초고령화사회 진입을 목전에 두고 있는 우리나라에서 지속적으로 증가하고 있는 노인학대 학술 연구 동향을 파악하기 위해서 텍스트 마이닝 기법을 활용하였다. 분석 자료는 노인보호전문기관이 설립된 2004년부터 2021년까지 18년간 국내 전문학술지에 게재된 노인학대 관련 학술논문의 제목, 주제어, 초록을 텍스트로 전환하고, 분석 시기는 3개 구간으로 세분화 하여 논문의 패턴 및 전체 데이터 속에 의미를 파악하였다. 연구 결과를 요약하면 다음과 같다. 첫째, 본 연구에서 총 249편의 논문이 선정되었고(1구간은 81편, 2구간 64편, 3구간은 104편이 논문이 각각 선정). 연 평균 13.8편으로 2014년 이후 꾸준히 증가 후 2020년부터 연 평균이하로 감소하고 있다. 둘째 노인학대 텍스트 마이닝 결과 i) 상위 주요 키워드인 단어 빈도분석 결과 모든 구간(2004년~2021년)에 공통적으로 나타난 키워드는 노인학대, 노인, 영향, 요인, 인식, 가족, 사회, 방안, 경험, 학대피해노인, 학대예방, 우울 등이다. ii) TF-IDF 분석 결과 모든 구간에 공통적으로 출현한 키워드는 영향, 인식, 사회, 방안, 학대예방, 경험, 우울 등으로 나타났고, iii) 연결중심성 분석 결과 전 구간에 공통적으로 출현한 키워드는 노인학대, 노인, 영향, 요인, 특성, 인식, 가족, 방안, 사회, 학대예방, 경험 등이다. 셋째, CONCOR 분석 결과 1구간은 5개의 군집으로, 2구간은 7개의 군집으로, 3구간은 6개의 군집으로 각각 나타났다. 상기의 분석 결과 등을 바탕으로 노인학대 학술 연구의 동향을 살펴보았고, 이를 바탕으로 향후 노인학대 학술 연구를 위한 다양한 제언을 제시하였다.

고령자의 신체특성을 반영한 전시시설 환경디자인 체크리스트 적용현황 비교분석 -한국과 일본을 중심으로- (Comparative Analysis of Environment Design Checklist at Exhibition Facilities Based on Physical Characteristics of the Elder - Focused on Korea and Japan-)

  • 오지영;박혜경
    • 한국과학예술포럼
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    • 제24권
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    • pp.277-287
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    • 2016
  • 본 연구는 증가하는 전시시설 고령관람자들의 신체 특성을 반영한 환경디자인 체크리스트를 이용하여 한국과 일본 전시시설의 적용현황을 비교분석하는 것을 목적으로 한다. 한국과 일본을 대표하는 국·공립 박물관 8곳 (역사계 4곳, 미술계 4곳)을 선정하고 전시 시설을 직접 방문하여 체크리스트 적용 현황을 파악하였다. 전시시설의 공간범위는 진입공간, 전시공간, 교육활동공간, 공공서비스공간, 이동공간으로 구분되며 고령자의 신체특성은 감각영역(시각, 청각, 촉각, 후각, 미각), 운동영역(골격, 근력, 체력)으로 구분된다. 체크리스트에 근거하여 설치, 부분설치, 미설치로 구분하여 해당점수를 부여하여 평균값으로 분석하였다. 연구결과는 다음과 같다. 첫 번째, 한국과 일본 전시시설 모두 평균값 이상의 비슷한 수준으로 나타나 전반적으로 고령자의 신체특성을 반영한 환경디자인이 시설 내에 적용되고 있는 것으로 나타났다. 두 번째, 평가 점수가 낮게 나타난 전시공간과 교육활동공간은 대부분 권장항목으로 구성되어 있었고 대부분 부분설치 또는 미설치로 나타나 이에 대한 대비가 필요할 것으로 사료된다. 세 번째, 고령자의 신체특성 중 감각영역(청각)에 해당하는 항목의 설치가 특히 미비한 것으로 나타났고 음성안내, 긴급호출벨, 보청설비 등 추가 시설이 보완이 이루어져야 할 것으로 판단된다. 네 번째, 전시시설의 건립시기, 리모델링 시기에 따라 체크리스트 평가점수가 다르게 나타나며, 역사계와 미술계 전시시설의 특성에 따라서도 점수가 다소 차이를 보이는 것으로 나타났다.

한국인의 MCP-1 유전자 다형성과 유전형에 따른 심혈관계질환 위험인자와의 연관성 (Association of MCP-1 polymorphism with cardiovascular disease risk factors in Korean elderly)

  • 박희정
    • Journal of Nutrition and Health
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    • 제46권6호
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    • pp.511-520
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    • 2013
  • Monocyte chemoattractant protein-1 (MCP-1) plays an important role in cardiovascular disease (CVD). Genetic polymorphism in the regulatory regions of MCP-1 could affect MCP-1 expression. The purpose of the study was to explore the possible association of MCP-1 -2518 A/G genetic polymorphism and CVD risk factors in the elderly Korean population. Dietary, anthropometric, and biochemical factors were assessed in 168 subjects. The frequency of A/A, G/A, and G/G genotypes was 14.2%, 45.8%, and 40.0%, respectively. The blood level of MCP-1 was significantly higher in subjects with A/A genotype. The MCP-1 level was significantly higher in A/A genotype with hypercholesterolemia than in other genotypes. Meat intake and percent energy from lipids were significantly positively correlated with the MCP-1 level, especially, stronger in A/A genotype. In the stepwise discriminant analysis, TNF-${\alpha}$ level, meat intake, HDL-C were associated with MCP-1 in all subjects (model $R^2=24%$). TNF-${\alpha}$ level, sugar intake, cholesterol intake, and meat intake affected MCP-1 in A/A genotype (model $R^2=82%$), but not in G/A or G/G. In conclusion, subjects possessing A/A genotype exhibited higher levels of MCP-1 than other genotypes in Korean elders. Further, meat, sugar, and cholesterol intakes affected the MCP-1 level. Therefore, the decrement of meat, sugar, and cholesterol intakes helps to normalize the MCP-1 level and can decrease CVD risk in A/A genotype.

노인 당뇨환자에서 혈당조절에 따른 식사의 질과 당뇨자가관리상태 (Dietary Quality and Self-Management Status according to the Glycemic Control in the Elderly with Type 2 Diabetes)

  • 박수진;우미혜;조여원
    • 한국식품영양학회지
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    • 제21권4호
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    • pp.530-535
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    • 2008
  • Evidence for the effects of different health behaviors, including diet, in elderly diabetes is currently limited. The aim of this study was to compare the quality of diet and health behaviors in Korean elderly T2DM patients, using a glycemic control. T2DM elders(>65 yr, n=48) were recruited and categorized by the concentration of glycated-hemoglobin HbA1c; subjects with HbA1c<7% were the good control(GC) group, and subjects with $HbA1c{\geq}8%$ constituted the poor control(PC) group. General characteristics, self-management behavior questionnaires, and 3-d diet records were all collected and assessed. No significant differences in general characteristics between GC and PC were detected, with the exception of a higher level of education in GC(p<0.05). A twofold longer duration of diabetes was observed in PC as compared to GC(p<0.01). The GC group did exercise for a longer time(p<0.001), and had an earlier beginning of diabetes self-management education (DSME) by healthcare practitioners using a team teach as compared with the PC group(p<0.05). The total dietary quality index(p<0.001) and individual index for carbohydrate(p<0.001) or vegetables and fruit(p<0.05) were better in GC than in PC. Therefore, the earlier DSME including intensive exercise and balanced diet selection should be expected to improve glycemic control in diabetic Korean elders.

노인의 인지감퇴에 미치는 아포지단백 E4와 교육수준의 상호작용 (Interaction of Apolipoprotein E ${\varepsilon}4$ and Education on Cognitive Decline in Korean Elders)

  • 김재민;신일선;김성완;양수진;박상욱;신희영;윤진상
    • 생물정신의학
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    • 제15권1호
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    • pp.29-34
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    • 2008
  • Objectives : This study aimed to test potential modifying effects of education on the association between apolipoprotein E ${\varepsilon}4$ (Apo E4) and cognitive decline. Methods : A community cohort(N=683) aged 65 or over completed the Korean version of Mini-Mental State Examination(MMSE-K) at baseline and two years later(1999-2001). Apo E polymorphisms were genotyped, and classified into that with or without Apo E4. Educational levels were categorized into people with or without education. Covariates included demographic(age, gender), life style(smoking, alcohol drinking), clinical (depression, sleep disorder, vascular risk factors) characteristics. Results : The association between Apo E4 and cognitive decline was significant only in the old persons with no education. The interaction term between education and Apo E4 on cognitive decline was significant(p=0.040). Conclusion : Elders with no education might be more vulnerable to the impact of Apo E4 on cognitive decline, which suggests gene-environment interaction.

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한국 노인의 당뇨병과 소년기 굶주림 경험 (Impact of Hunger Experiences in Childhood or Adolescence on Diabetes among Korean Elders)

  • 정최경희;강민아;조성일;강영호;하은희;천희란;장숙랑
    • 보건교육건강증진학회지
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    • 제27권1호
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    • pp.81-89
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    • 2010
  • Objectives: To investigate the relationship between experience of hunger in childhood or adolescence and diabetes mellitus in old age. Methods: Stratified national samples of 421 men and 554 women aged 60-89 in South Korea were analyzed. Diabetes diagnosed by a doctor was used as the dependent variable. Experience of hunger in childhood was assessed with the question, "In your childhood, have you ever gone hungry with skipping a meal?" and "In your childhood, have you ever eaten porridge or some bran cake as main dish instead of rice because of lack of food?" Odds ratios (ORs) and 95% confidence interval (CI) were calculated by multiple logistic regressions. Results: ORs of diabetes by experience of hunger in childhood were 1.64(95% CI 0.95-2.83) for men and 1.58(95% CI 1.01-2.47) for women. Significant association of experience of hunger in childhood with prevalence of diabetes persisted in men after adjustment for adulthood and old age socioeconomic position indicators and other risk factors(OR 1.88(95% CI 1.04-3.41)). The effect of experience of hunger in 10-19 years was more prominent than that in less than 10 years in both gender. Conclusion: Experience of hunger in childhood or adolescence may increase the risk of diabetes in Korean elders.

취약계층 노인의 우울예방을 위한 지역사회기반의 통합프로그램 개발 및 효과검증 (A Community-Based Integrated Preventive Program of Depression and Its Effectiveness in Caring for Vulnerable Elderly)

  • 안양희
    • 지역사회간호학회지
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    • 제14권2호
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    • pp.287-298
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    • 2003
  • The purpose of the study was to develop an integrated prevention program to strengthen elders self-care capability and to examine its effectiveness on their psychological condition. This study used one group pre- and post-test design. Subjects were 85 elderly residents (over 65 years of age) who lived alone, and received free basic medical care and social welfare services in a rural community in Korea. Subject eligibility criteria for this study were to an elders who 1) is not currently taking any anti-depressant medication 2) is able to communicate, and 3) agrees to participate in this study. The integrated program was composed of horticulture, reminiscence, and friendship activities. Twelve sessions were provided for 12 weeks in community-based partnerships to achieve better outcomes. The intervention was case-managed by a public health nurse and aided by six volunteers. The main outcome variable was depression, which was assessed by using 15 items selected from the Geriatric Depression Scale-short form Korean version. Socio-demographic characteristics, functional status, and satisfaction with social support were used as covariates. Results showed that there was a significant intervention effect at post-intervention time point compared to pre-intervention time point(E.S. 0.94). Multiple linear regression analysis showed significant interaction effects between intervention and satisfaction with social support. These findings must be interpreted within the context that an effects of an integrated program could be more synergistically increased when social support factor is considered in the program. A community-based integrated prevention program of depression is effective for vulnerable rural elderly. It is suggested that randomized controlled trials within community setting for better methodological strength as well as multi-level outcomes on community need to be conducted in future.

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고령친화용품 표준화를 위한 분류 (Classification for a Standardization System for the Elderly's Necessities)

  • 김이순;권자연;신순식;문인혁;황이철;김경철
    • 동의생리병리학회지
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    • 제20권2호
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    • pp.328-332
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    • 2006
  • This study aims to provide definitions and standardization for necessities that elderly people can use conveniently and properly in their daily lives and classify necessities for different purposes. First, standard terminologies were defined by reviewing the literature and the relevant laws related to daily necessities for the elders. Secondly, a concept for necessities for the elders was also defined through consultation with experts. Lastly, the elderly's necessities were selected and classified. The elderly's necessities are defined as aids that ordinary elderly people in normal aging process need for the purpose of the convenience of life and aids they wear or use to maintain or improve their health. In this study, the elderly's necessities are divided into three categories: necessities of health, necessities of Oriental medical aids and necessities of daily living. Each category is further classified as follows: Necessities of health include aids for personal medical treatment, aids for personal care and protection and aids for recreation. Necessities of Oriental medical aids include aids for personal medical treatment, aids for personal care and protection and others. Necessities of daily living include aids for personal care and protection, aids for personal mobility, aids for housekeeping, furnishings, aids for communication, information and signalling, aids for handling products and goods and aids for recreation. The classification of the elderly's necessities in this study can be used as basic information for further studies of demand for necessities for the elderly. The results will lay the foundation for a standardization system for the elderly's necessities and the development of silver industry.

서예 및 운동 프로그램이 노인의 자아존중감, 스트레스, 삶의 질 및 신체적 건강에 미치는 효과 (The Effects of a Calligraphy and Exercise Program on Korean Elders' Self-esteem, Stress, Quality of Life and Physical Health)

  • 은영;우선혜;김은심;김향숙
    • 지역사회간호학회지
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    • 제19권1호
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    • pp.76-87
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    • 2008
  • Purpose: This study was conduct to develop a calligraphy and exercise program and examine its effects on the self-esteem, stress, qualify of life and physical health of the elderly in a community health post in Korea. Method: The subjects consisted of 43 elders (experimental group: 20, control group: 23) who were attending the program of a community health post. The experimental group participated in the calligraphy and exercise program for 12 weeks (3 times a week, 120 minutes a session). Data were collected before and after the program. Results: 1) The experimental group showed significant improvement in self-esteem and quality of life and significant reduction in stress compared to the control group. 2) The experimental group and the control group were not significantly different in muscle strength and flexibility. Conclusion: These results suggest that the calligraphy and exercise program for old adults can improve their psychological health and quality of life.

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