• The Journal of Korean Society for School & Community Health Education
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• v.22 no.1
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• pp.1-9
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• 2021

Objective: This study examines the prevalence of osteoporosis, and compares with activity of daily living(ADL), instrumental activity of daily living(IADL) and health-related quality of life(QoL) among the elderly people with disabilities. Methods: This study analyzed the data of 3,113 persons with disabilities over 65 years of age who responded to the questionnaire using data from the National Survey of People with Disabilities in 2017 on the people with disabilities (PWD). Descriptive statistics, X2-test, and independent sample t-test were conducted using the SPSS win 21.0 program. Results: The prevalence of osteoporosis in the elderly PWD was 18.7%. There were significant differences in sex, age, type of disability, and disability severity according to the presence or absence of osteoporosis (p<0.05). Walking and Transfer of ADL were related to osteoporosis in elderly PWD. Financial management and Transportation use of IADL were related to osteoporosis (p<0.05). The PWD with osteoporosis were analyzed to have lower health-related quality of life compared to the disabled elderly without osteoporosis (p<0.05). Conclusion: Based on the results of this study, a strategy for developing a program for managing osteoporosis. Strengthening health management in the elderly PWD is required.

• Korean Journal of Health Education and Promotion
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• v.33 no.1
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• pp.13-22
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• 2016

Objectives: By using six years of KNHANES dataset (2008~2013) about 60 ages older people, we analyzed how the depression prevalence rate in the elderly is influenced by disease and activity limit. Especially, to add a sense of more reality, we adopted stress experience as a control variable to see how the depression prevalence rate in the elderly is influenced by disease and activity limit depending on the stress experience. Methods : We adopted six years of KNHANES dataset, indicating that our results were based on long period of time capable of considering temporal patterns in the depression prevalence rate in the elderly. Total 1,160 elderly people in KNHANES were selected for our empirical analyses. Dependent variable is either 0 or 1 depending on whether the elderly people feel depression. Main explanatory variables for our study include disease and activity limit. Logistic regression analysis was applied for two group such as stress experience and non-experience. Results : According to the empirical results, stress factor is found to be significant in explaining the depression in the elderly. Depression prevalence rate increased when the elderly has stress experience: chronical disease(OR=1.650), chronical disease with activity limit(OR=3.388), non-chronical disease with stress(OR=11.841) chronical disease with stress (OR=13.561) and chronical disease with activity limit and stress(OR=28.691). Conclusions: The finding suggest that the Countermeasures of elderly's depression alleviation should include stress management.

• The Journal of the Korea Contents Association
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• v.20 no.2
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• pp.667-677
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• 2020

This study aims to investigate the effects of social connectedness on depressive symptom focusing on the comparison between the rural and urban elderly. Data from 'Korean Social Life, Health and Aging Project: KSHAP' was used for analyzing. The analysis included 948 rural elderly and 982 urban elderly. The results showed that urban elderly's depressive symptom level was higher than rural elderly's. Depending on the subcomponent of social connectedness, there were differences in the influence on the urban and rural elderly's depressive symptom. It has been confirmed that only loneliness has affected urban elderly people, and that appraisal social support and loneliness have affected rural elderly people, and that belongingness social support has not been significant in both groups. Findings from this research have some implications for intervention endeavors in reducing depressive symptom of older people.

• Journal of Korean Academy of Nursing
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• v.29 no.6
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• pp.1294-1303
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• 1999

The purpose of this study was to develop a tool to assess the powerlessness and to measure the powerlessness of elderly. From the result of pre-test, twenty seven items were finally selected to survey the elderly's powerlessness. The questionnaires on the elderly's powerlessness were drafted so that such tool may be evaluated in accordance with the four point Likert Scale. The number of subjects is 1,150 with ages of 60 years or more and who live in a large city, a small and middle-sized city and a rural area. The subjects of the test and retest were 85 elderlies. Collected data were analyzed by utilizing SAS program with Cronbach's $\alpha$ and Pearson's correlation, factor analysis method and known group techniques, descriptive statics, t-test and ANOVA. The results from this study were summarized below:1. When the factor analysis method was applied for validity, the tool for powerlessness of elderly was separated into 5 factors: loss of self-confidence to deal with physical, emotional, social aspects of life; expulsion by others from meaningful human relate; perception that life is meaningless and time passes quickly; falling behind young people; being rejected by other people, having no influence on others. An application of the known group technique showed a significant difference with the result of the degree of elderly's powerlessness tools developed by the two groups, with illness and without. 2. In testing reliability, it was found that coefficient of test-retest was .9435(P<.0001) when the test-retest method was used as a test of stability, and that the alpha coefficient of internal consistency was .9141 over all items within the tool of elderly's powerlessness 3. In powerlessness of elderly, total mean is 2.8493. And in factor of powerlessness, the highest factor is falling behind young people (M=3.1713), the lowest factor is loss of self- confidence to deal with physical, emotional, social aspects of life(M=2.6080). 4. The results from the test for the degree of powerlessness, according to the subject's demographic variables, showed that there were significant differences between age, sex, marital status, educational level, religion, possession of house, job, monthly pocket money, health status, illness and a place of residence.

• Healthcare Informatics Research
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• v.24 no.4
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• pp.276-282
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• 2018

Objectives: Due to the uncontrolled increase of the mobile health applications and their scarce use by elderly for reason of absence credibility of measurements by lack scientific support, the aim of this study was to evaluate the differences between the biophysical measurements based on standard instrument against a mobile application using controlled experiments with elderly to propose an effective validation model of the developed apps. Methods: The subjects of the study (50 people) were elderly people who wanted to check their weight and cardiac status. For this purpose, two mobile applications were used to measure energy expenditure based on physical activity (Activ) and heart rate (SMCa) during controlled walking at specific speeds. Minute-by-minute measurements were recorded to evaluate the average error and the accuracy of the data acquired through confidence intervals by means of statistical analysis of the data. Results: The experimental results obtained by the Activ/SMCa apps showed a consistent statistical similarity with those obtained by specialized equipment with confidence intervals of 95%. All the subjects were advised and trained on the use of the applications, and the initial registration of data to characterize them served to significantly affect the perceived ease of use. Conclusions: This is the first model to validate a health-app with elderly people allowed to demonstrate the anthropometric and body movement differences of subjects with equal body mass index (BMI) but younger. Future studies should consider not only BMI data but also other variables, such as age and usability perception factors.

• Proceeding of Spring/Autumn Annual Conference of KHA
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• 2005.11a
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• pp.367-370
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• 2005

Offer of medical treatment service for recovery or preservation of physical spiritual function of elderly people by sudden population graying developing is essential. Therefore, according to increase of elderly's medical treatment demand, medical treatment service request is augmented. Number of medical treatment service utilization wishes to grope medical treatment service support way for elderly residing cloth elevation laying stress on elderly's Aging in Place in increase trend in this research. If decide, is as following : First, national hospital and public health center were concentrated most on Seoul and kyonggi, and there were many hospitals to south of a river nine, Songpagu, Seochogu, and public health center was expose that is one by one to each nine. Second, in the case of Seoul, elderly population ratio was expose that comparatively high Yeongdeungpo, Chongno, Yongsan, west passage nine is few hospital number relatively in elderly's residential area. Third, need that establish elderly full text clinic on part of general hospital or university hospital equipment. Fourth, must do so that can use access as is easy little more in local community to all elderly who need medical treatment service of visit nursing, visit medical examination and treatment etc.. that consist in present public health center.

• Journal of The Korea Institute of Healthcare Architecture
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• v.20 no.3
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• pp.49-55
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• 2014

Purpose: AIn recent years, the rapid progress of aging and the increase in the elderly people with dementia is becoming a big social issue. Therefore, this paper studies the development of therapeutic environmental rating scales for the elderly people with dementia in korean nursing homes. Methods: We identify the development process and structure of TESS-NH and understand the details of its nature and features. Then, based on the detailed items, we provide major scale factors which do influence on therapeutic environmental rating scales using PCA. Results: In the results, TESS, in the case of the initial stage of TESS-NH, has an advantage to evaluate on physical environments for a short period of time. TESS-2 + sets a large rage of activities of the elderly people with dementia, and tries to evaluate ongoing cares. TESS-NH has a complete set of well-thought-out assessment features for improving quality of care (Quality of Care) On the other hand, the main factors affecting the therapeutic environmental rating scales in nursing homes are "a consideration for facility management (Care for facilities' maintenance)", "a consideration for spatial cognition (Care for spatial cognition) ", and "a consideration for the safety (Care for safety)". Implications: In the future, to develop the therapeutic environmental rating scales on Korea's dementia nursing home, we should actively consider cares of spaces and facility utilization which the residents (the elderly people with dementia) are more secure and comfortable.

• The Korean Journal of Health Service Management
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• v.8 no.1
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• pp.65-73
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• 2014

The purpose of this study is to analyze the correlation between cognition, depression and leisure activity in elderly people above 65 years of age, and to improve their health and quality of life by providing baseline data for occupational therapy intervention. This investigation was performed on 118 elderly people above 65 years of age who lived in local community and two senior welfare centers. In order to collect the data, we used MMSE-K, KDS, Questionnaire for leisure activity. The depression of elderly people was negatively correlated with their cognition(p<.01) and leisure activity(p<.001), whereas cognition was positively correlated with their leisure activity(p<.01). In conclusion, the correlation between cognition, depression and leisure activity of elderly people appeared statistically significant. Therefore, leisure activity program should be designed through additional research and effectively provided in nursing home and community senior welfare center to prevent depression increase and cognitive decline.

• The Korean Journal of Community Living Science
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• v.21 no.2
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• pp.201-210
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• 2010

Over the past few decades, the proportion of elderly people in Korea has been rapidly increasing. In particular, rural areas are experiencing aging of communities more rapidly compared to urban areas. However, public policy for the elderly does not respond to the needs of rural elderly. To distribute health care resources equitably, it is necessary to gather reliable information on the health status of the elderly. The purpose of this study is to explore factors affecting Korean elderly people's ADL functional status. The data sources are from 2004 Elderly Living Condition Survey. The Analysis sample consists of 3,278 cases. Analysis results show that there is a significant residential variability in education, monthly stipend, living arrangement, subjective health status, regular food in-take, and regular exercise. Logistic regression analysis results also show that 'cognitive ability'(exp(B)=6.603), 'subjective health status'(exp(B)=4.576), 'age'(exp(B)=2.610), and 'living arrangement'(exp(B)=.589) are factors affecting ADLs. Namely, when a respondent's cognitive ability is limited, subjective health status is poor, or if their age is over 75, the probability of having a limited ADL has been 6.6 times, 4.6 times, and 2.6 times higher than otherwise. Among these variables, cognitive ability was the best explanation. In contrast, respondents who live with a spouse or adult children have a lower probability of having limited ADL compared with those who live alone. Considering that the most critical criteria in determining eligibility for social welfare services is ADLs, the development of appropriate ADL assessment tools is in an urgent need. Without the accurate assessment on ADLs, particularly on rural as well as the urban elderly, it seems to be hard to achieve effectiveness in the health care policy for the elderly.

• Phonetics and Speech Sciences
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• v.4 no.2
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• pp.135-143
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• 2012

Discourse is regarded as an important component of communication assessment, but studies about the discourse characteristics of the elderly are scant. The purpose of this study was to confirm the effects of aging, gender, and educational level on discourse in elderly people with normal cognitive function. Forty normal elderly and forty young people participated in this study. A picture description task (Boston Cookie-Theft picture) was used to examine discourse function. The description task was analyzed for both productivity (total number of sentences, total number of syllables, and syllables per sentence) and semantics (CIU ratio). The results were as follows: 1) Only CIU ratio differed significantly according to age. 2) In the total number of syllables and syllables per sentence, females demonstrate a higher number than males. 3) The CIU ratio differed significantly according to educational level. These results suggest that impairment of communicative function is an aspect of cognitive impairment that can be related to aging. Also, discourse performance in the elderly is associated with their gender and educational level.