• 한국보건간호학회지
• /
• 제25권1호
• /
• pp.95-106
• /
• 2011

Purpose: The purpose of this study was to investigate the relationship between social support and loneliness in elderly women living alone. Method: Between 1 October 2008 and 30 April 2009, a random sampling method was conducted to recruit 112 elderly women who were living alone. The subjects were at least 65 years of age. Data was collected using the social support questionnaire, and the translated Korean Version of the Revised University of California at Los Angeles Loneliness Scale (R-UCLA Loneliness Scale). Results: In our study, the sources of social support were the children, neighbours, brothers and sisters, in this order. We found that the loneliness of the subjects was related to age, the number of children, and financial difficulty. The level of loneliness negatively correlated with the social support provided by children, brothers and sisters, other relatives, and neighbours. Also, there was a negative correlation with the social support satisfaction. The social support satisfaction and the social support offered by neighbours and relatives were the significant predictors of loneliness. Conclusion: The sources of social support, such as neighbours and relatives, and the social support satisfaction should be considered when planning intervention by nurses or social workers to decrease the level of loneliness in elderly women living alone.

• 한국노년학
• /
• 제39권4호
• /
• pp.741-762
• /
• 2019

본 연구는 지역사회에 거주하는 노인 1인 가구의 노인영양지수(Nutrition Quotient for Elderly, NQ-E)를 파악하고, 영양 수준에 영향을 미치는 생활실태 특성을 규명함으로써 노인 1인 가구가 지역사회 내에서 건강한 노후를 영위할 수 있는 개입 방안을 고찰하고자 실시되었다. 조사 대상은 전국에 만 65세 이상 1인 단독가구 노인 1,970명을 편의표집방법으로 조사하였으며, 사회복지기관 25곳과의 조사 협조체계를 구축하고 독거노인생활관리사 385명이 설문조사 요원으로 참여하였다. 조사 결과 노인영양지수(NQ-E)는 평균 51.14점으로 '하' 등급'을 나타냈으며, 다중회귀분석의 설명력은 20.1%로 나타났다. 유의미한 변인으로는 여성인 경우, 연령이 낮을수록, 동부에 거주하는 경우, 주관적 건강상태가 좋은 경우, 복약 수가 적을수록, 비흡연자인 경우, 과음주가 아닌 경우, 경제상태 만족도가 좋은 경우, 식비 비중이 30% 이상인 경우, 무학이 아닌 경우, 가족 및 이웃과의 교류가 많을수록 노인영양지수(NQ-E)를 높이는 예측변인이 됨을 알 수 있었다. 본 연구결과를 근거로 향후 노인 1인 가구의 영양관리 및 향상을 위한 포괄적인 대책이 모색되어야 할 것이다.

• 한국식품영양학회지
• /
• 제20권4호
• /
• pp.467-475
• /
• 2007

The nutritional status and chronic disease occurrence of the elderly living in local areas is affected by certain factors, including low energy intakes, low food diversity, poor nutritional quality and living alone. Moreover, elderly people who live alone may have low incomes and be socially isolated. Thus, we have provided them adjustable and balanced menus using standard recipes. In this study, we investigated aspects of nutritional status and living conditions in the elderly status, in relation to food, activities of daily living(ADL), nutrition risk index, average intake of calories and nutrients, the mini dietary assessment index score, depression score, menu satisfaction, menu demand, satisfaction with menu offerings. The result indicated significant nutritional improvements by providing menus to the elders and suggest that by providing adjustable and balanced menus using standard recipes, the nutritional status of isolated elders can be changed and improved.

• 한국가족관계학회지
• /
• 제21권3호
• /
• pp.49-72
• /
• 2016

Objectives: The purpose of this study is to develop a cognitive behavioral therapy program for ego-integrity of depressed elderly women living alone, and to verify its effectiveness. Method: The subjects of this study were composed of elderly women(age 65 and older) living alone who had basic literacy skills, 24 or higher in mental state examination(MMSE-K), and 6 or higher in elderly depression(GDS). 29 women were randomly assigned into an experimental group(cognitive behavioral therapy), a comparison group(reminiscence therapy) and a control group. The experimental group and the comparison group retrospectively participated in a 90-minute therapy session twice a week for a total of 12 weeks. The effectiveness of the program was assessed through a pretest, posttest, and 2-month follow-up test. The data collected were analyzed with SPSS 22.0 statistical program. Results: The main findings of this study are as follows. First, at posttest ego-integrity and self-esteem marked higher scores in both of the experimental group and the comparison group than in the control group, but the experimental group marked comparatively higher scores than the comparison group. For dysfunctional attitude, only the experimental group showed lower scores compared to the comparison group and the control group. Second, at posttest depression marked lower scores in the experimental group compared to the comparison group and the control group. Third, at posttest problem-solving and support-seeking coping strategies marked higher scores in the experimental group compared to the comparison group and the control group. Fourth, the significant improvements remained at 2-month follow-up test. Conclusions: Cognitive behavioral therapy resulted in improvements of the ego-integrity and related symptoms of depressed elderly women living alone at posttest and 2-month follow-up test respectively.

• Journal of Community Nutrition
• /
• 제5권3호
• /
• pp.160-172
• /
• 2003

This study was performed to investigate the dietary characteristics and related factors of the elderly female living alone. The subjects were 70 single living elderly female residing in Bucheon city and receiving benefits from the government based social welfare programs. Seventy nine percent of the subjects had self reported monthly income less than 200,000 (won) and forty one percent of the subjects were paying more than 100,000 (won) for food expense. The number of side dishes for a meal was two or three (35.71 ％) or one or two (31.40％)； fifty seven percent of the subjects ate reheated left-over for lunch and 70.0％ for dinner. The proportion of the single living elderly at high nutrition risk ($\geq$ 6 as evaluated with Nutrition Risk Index Score) was 77.1 ％. Cereals and their products contributed most to the macronutrients like energy, protein and carbohydrates and vitamin B. In contrast vegetables and their products contributed most to the fiber, minerals (Ca and Fe) and vitamins (vitamin A, vitamin B and vitamin C). The mean total score of depression was 8.59${\pm}$2.69 (full score: 12) meaning that the extent of depression was serious.

• 가정∙방문간호학회지
• /
• 제26권2호
• /
• pp.210-218
• /
• 2019

Purpose: The purpose of this study was to identify the nutritional status of elderly individuals according to their household types and to investigate the predictors of their nutritional status. Methods: This study, which was a descriptive research study, involved physical measurements, surveys, and biochemical tests in 87 elderly individuals living in the community. Using SPSS/Win 24.0, logistic regression analysis was performed to identify the general characteristics, blood pressure, body mass index (BMI), mini nutritional assessment (MNA) score, and biochemical indicators in elderly individuals according to the household type. Results: Elderly individuals living with family members had higher MNA scores than those of elderly individuals living alone, while showing lower levels of systolic blood pressure and fasting blood sugar. The results of the logistic regression analysis showed that the risk factors were MNA scores (odds ratio (OR)=1.81, 95% confidence interval (CI)=1.36-2.42), systolic blood pressure (OR=0.96, 95% CI=0.92-1.00), and fasting blood glucose (OR=0.94, 95% CI=0.90-0.99). Conclusion: It was confirmed that elderly individuals living alone need differentiated nutrition intervention, since the results showed that they had lower nutritional levels and improper nutritional management than that in elderly individuals living with family members.

• 대한지역사회작업치료학회지
• /
• 제3권2호
• /
• pp.1-12
• /
• 2013

목적 : 본 연구는 대전광역시에 거주하는 독거노인과 가족동거 노인들을 대상으로 시간관리능력과 일상생활 활동을 비교하고, 집단 간의 관계를 파악함으로써 노인의 건강관리 방안을 찾는 기초자료를 제공하고자한다. 연구방법 : 연구대상은 65세 이상의 독거노인과 가족동거 노인을 MMSE-K로 선별한 후 각 40명씩 총 80명을 선정하였다. 시간관리능력은 설문지를 사용하였고, 일상생활활동은 FIM을 사용해 평가하였다. 연구기간은 2013년 5월부터 6월까지 진행되었다. 본 연구의 자료분석은 SPSS 20.0 프로그램을 사용하였다. 결과 : 독거노인과 가족동거 노인의 시간관리능력 및 FIM에 대한 총점의 점수비교는 두 집단 간에 통계적으로 유의한 차이를 보이지 않았다. 집단 간 세부항목 점수의 비교에서는 FIM의 세부항목 중 사회적 인지항목에서 사회적 상호작용, 문제해결능력, 기억력 모두 두 집단 간에 통계학적으로 유의한 차이를 나타냈다. 결론 : 본 연구를 통해 가족동거 노인에 비해 상호작용의 기회가 부족한 독거노인이 사회적 인지기능에 저하가 있음을 알 수 있었다. 이를 바탕으로 향후 지역사회 작업치료 안에서 노인의 인구 사회학적인 특성을 고려한 다양한 프로그램 개발과 연구가 이루어져야 할 것이다.

• 정신신체의학
• /
• 제27권2호
• /
• pp.173-180
• /
• 2019

연구목적 외로움은 정신 및 신체 건강과 관련이 있다고 알려져 있다. 하지만 우리나라에서 독거노인의 외로움에 영향을 주는 위험 요인에 대해서는 연구된 바가 거의 없다. 본 연구는 독거노인에서 외로움의 위험 요인을 확인하고자 하였다. 방 법 본 연구는 천안시에 거주하는 독거노인 1,091명을 대상자로 시행되었다. 훈련된 간호사외 면담과 외로움 척도, 인구사회학적 정보, 신체 건강상태(Cumulative illness rating scale, CIRS), 인지기능, 단축형 노인우울척도(SGDS-K) 등의 자가설문지를 통해 조사하였다. 통계분석은 인구학적 변인과 외로움 척도 간의 관계를 탐색하기 위해 기술적 통계분석을 시행하였으며 외로움과 관련된 위험 인자를 확인하기 위해 단변량 및 다중회귀분석을 사용하였다. 결 과 전체 대상자의 평균 외로움 척도 점수는 3.8 (SD=1.7)이었다. 가족과의 만남(standardized β=0.115, p<0.001), 종교(standardized β=0.057, p=0.028), 친교 활동(standardized β=0.088, p=0.001), SGDS-K 점수(standardized β=0.502, p<0.001)가 독거노인의 외로움에 유의한 영향을 주었다. 결 론 독거노인에게 가족관계, 종교 및 친교 활동, 우울증은 외로움의 위험요인이 될 수 있다. 독거노인의 외로움을 줄이기 위한 개입은 가족관계와 사회활동을 개선, 유지하고 우울증을 조기발견 및 치료하는데 초점을 맞추어야 할 것이다.

• 한국치위생학회지
• /
• 제20권6호
• /
• pp.889-897
• /
• 2020

Objectives: This study aimed to investigate whether there was a connection between oral health and memory loss in elderly individuals with no abnormalities in their daily lives and to identify factors affecting memory loss. Methods: This study aimed to identify an association between the Geriatric Oral Health Assessment Index and Subjective Memory Complaints for the elderly individuals living in the community. Results: The results of analyzing the oral health assessment according to the general characteristics of the study participants revealed that with increase in age, income (p=0.05) and oral health of the elderly living alone decreased compared to those living together in the family (p=0.05). Moreover, the lower the income (p=0.05), the higher was the memory loss for the elderly living alone than for the elderly living together with their family (p=0.05). Conclusions: The study identified a link between oral health of the elderly and subjective memory loss and observed that oral health, cohabitation, and income level were related to subjective memory loss. Therefore, oral health should be considered as a predictor of memory loss for the elderly.

• 대한불안의학회지
• /
• 제11권1호
• /
• pp.69-74
• /
• 2015

Objective : Positive psychotherapy is based on the premise that positive thoughts and satisfaction with life are determinants for improving the symptoms of depressive disorder. This article highlights the effectiveness of group positive psychotherapy on the elderly living alone with depressive disorder in Korea. Methods : A total of 25 Korean elderly living alone with depressive disorder participated in group positive psychotherapy. The participants completed the Hamilton rating scale for depression (HAMD) and the Positive Thinking Questionnaire (PTQ) before and after the group positive psychotherapy. Results : The HAMD and PTQ scores of the participants after the group positive psychotherapy were higher than before the psychotherapy. A correlation between the age of patients and improvement of symptoms after group positive psychotherapy was found : the older the patients were, the better the improvements were. Conclusion : The study shows that group positive psychotherapy in the elderly living alone is effective in improving the symptoms of depressive disorder. The participant's age was found to be a factor that affects the improvement of depressive disorder symptoms.