• 한국응급구조학회지
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• 제8권1호
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• pp.105-115
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• 2004

The nation is turning into aging society, and safety accidents among elderly people are on the rise. When death roll caused by safety accidents was investigated, senior citizens who died from safety accidents outnumbered the other age groups who died for the same reason. The most common cause of death was traffic accidents, followed by suicide and a hurt from a fall, and Korea rated first among OECD member nations in death roll by traffic accidents. Aging brings a lot of physical changes to elderly people, and they are often likely to be involved in accidents such as a hurt from a fall due to degenerated sensory organs like hearing and eyesight and deteriorated motor skills. Unsafe social facilities also have them face a lot of accidents, including fracture and death, and such accidents take place even at home that is usually considered safe, or are triggered by things of daily use. As a result of comparing every age group's death roll by safety accidents, the number of senior citizens who died from safety accidents was far higher than that of the other age groups who died for the same reason in every accident field. In aging society, a sharp increase in the elderly population and ensuing safety accidents are expected to pose a serious threat to national economy, and diverse efforts should be put into tacking this problem. For instance, safety education should be provided to people in general including senior citizens on a regular basis, and more safety facilities should be prepared. Besides, safety equipment should be developed.

• Journal of Life Science
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• 제11권2호
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• pp.87-91
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• 2001

We conducted this study to analyze the effectiveness of a treatment called 12-week therapeutic recreation dance movement (TRDM) to elderly people in terms of health care and recovery. Forty two elderly people were participated in this study and divided into two groups with healthy (twelve) and unhealthy (thirty). After TRDM treatment, the muscular power was increased in both groups without statistical significance within and between groups. The flexibility, agility and balance were slightly increased in both groups. Although the elevation of muscular endurance was not significant between groups, it was statistically meaningful within groups. The results of body composition comparison did not reveal meaningful difference within and between groups. However, the amount of fat in serum and fat distribution percentages ware decreased in both groups. Both group appeared to be increased muscle mass. The level of body water was decreased in healthy group and increased in unhealthy group. Unhealthy group appeared to be decreased level of T-C, TG and LDL-C. In contrast, the unhealthy group revealed the increased level of HDL-C. These results demonstrate the effect of TRDM to elderly people. This effectiveness can be adapted for the protection and treatment of geriatics-related adult diseases such as diabetes, hypertension and hyperlipidemia.

• 통합자연과학논문집
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• 제13권2호
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• pp.47-57
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• 2020

The purpose of this study was to understand experiences of successful aging of community-dwelling elderly living in the Korean community using mixed methods. This study is a mixed methods research using convergent parallel design. 483 elderly people living in the 2 cities were selected as subjects to collect quantitative data. For qualitative data collection, 6 elderly people participated. The level of successful aging for elderly people living at home scored an average of 4.30 ± .59 out of 5 points (4.46 ± .64 for self-efficacy, 4.31 ± .65 for good self-control, 4.29 ± .70 for satisfaction with children's success, and 4.26 ± .61 for partnership with spouses). The main themes of successful aging derived by interview were as follows: 1) fulfill responsibilities of raising children as parents, 2) establish a stable life to overcome difficulties, 3) accept the body being different from the past, and 4) live in harmony with people around them. Based on these results, it is necessary to provide useful health care services that can be used in the local community and to provide service utilization information through various routes in order to achieve a successful aging.

• 한국실내디자인학회논문집
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• 제19권2호
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• pp.225-233
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• 2010

At this point in time South Korea is rapidly metastasizing to a aging society. A major cause of aging can be summarized as increased life expectancy, decrease of nuclear family and birthrate, and South Korea's progress is faster than any other country. From the 1970s, western society has changed social welfare to deinstitutionalization and community care because of problems about economic reason and facilities protection, so the type of elderly social service has also changed from the facility welfare service which is accommodated old people in certain facility to community welfare service which provides various welfare services with living together. Public facilities for low income group which are supported by government are lower, 6.6%, than the United States or Japan, 50%. They are divided into private manage facilities and subscription elderly facilities. These subscription elderly residential facilities show poor administration because of focusing on development and market analysis for investment returns. Therefore, in order to vitalize the elderly welfare residential facilities in Korea, we need plans about systematic services facilities for welfare and phased medical treatments. Therefore, the purpose of this study is that (1) the types and functions of residents for community elderly residential facilities in elderly welfare policies of U.S., and supported policies are researched as a transcendental model, (2) data about operating system with the principles of the market is analyzed, and (3) basic data about welfare facility plan for community residential elderly people is provided.

• 성인간호학회지
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• 제19권1호
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• pp.78-88
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• 2007

Purpose: The purpose of this study was to find out the degree of cognitive function among the elderly and to confirm its correlated factors. Methods: The subjects consisted of 392 elderly people over the age 65 who were living in Busan. Data were collected by the interview method, using a structured questionnaire and the K-MMSE scale. Results: The average points of the elderly's cognitive functions measured by K-MMSE were 23.76(${\pm}4.02$). With the cut-off point for cognitive impairment set as 24 points below using K-MMSE scale, 38.8% of the subjects have cognitive impairments. Among the variables related to cognitive functions, literacy showed the highest correlation with cognitive function(${\beta}=.330$, t=7.249, p<.001), followed in order by educational level, age, depression level, attendance of elderly's college, and religious activity. The total explanatory power of these variables is 36%. Conclusion: In order to prevent cognitive impairment among the elderly, elderly people have to maintain social relationships continuously, and expand the social network by participating in the related programs. Some efforts to prevent the occurrence of depression and to stimulate patients' brain activity need to be recommended.

• 한국임상보건과학회지
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• 제5권1호
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• pp.816-824
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• 2017

Purpose. This study was classified into normal and demented elderly through K-MMSE. The purpose of this study was to analyze gait characteristics of normal elderly and demented peoples using GAITRite walking system. Methods. The subjects of this study were selected as elderly people receiving home visit physical therapy. An independent t-test was conducted to verify the statistical significance of the time-space variables of the elderly with dementia. Results. Step time(p=0.041), cycle time(p=0.037), distance(p=0.024), and cadence(p=0.048) were significantly shorter in the normal elderly than in the demented elderly on flat place. The mean age was significantly longer in normal elderly than in elderly persons with dementia. Step time(p=0.022), cycle time(p=0.023), distance(p=0.019), and cadence(p=0.015) were significantly shorter in the mat walking. The mean age was significantly longer in normal elderly than in elderly patients with dementia. Stretch time, cycle time, distance, and hair support time were significantly shorter in the mat walking. The mean age of the elderly was significantly longer than that of the elderly with dementia. The spinal support time, which is a spatial variable, was significantly shorter in the normal elderly than in the demented elderly. Conclusions. It compares the various gait characteristics of the normal and demented elderly people, thereby increasing the walking ability of the elderly person more effectively. This study should be utilized as basic data for preventing fall-down.

• 대한물리의학회지
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• 제14권4호
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• pp.9-17
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• 2019

PURPOSE: This research was designed to study the correlations between physical activities such as foot sensory impairment, balance and ambulatory abilities, as well as fall risk factors and mental activities such as cognitive performance and depression in order to provide fundamental data for the prevention of falling in the elderly. METHODS: A total of 36 elderly people over the age of 65 years who voluntarily joined the research were selected as subjects. Sensory perception in both feet was measured by using a monofilament in 10 parts with each part given one point. The points for each foot were integrated to analyze the correlations between physical and mental activities indices, and the results were analyzed by using Pearson's correlation coefficient. RESULTS: The results of this research show that the extent to which senses in feet were impaired was correlated to TUG, a functional activity index involved in tranfers, gait, and turning movements, which was correlated to BBS (balance index) as well as MMSE-K and K-GDS (mental activities index). BBS was interrelated to FES-K (physical activities index) and MMSE-K. The muscular strength of the right ankle dorsiflexor had mutual relations with FES-K. CONCLUSION: The results of this research indicate that TUG is widely correlated to foot sensory impairment as well as general physical and mental activities in elderly people. BBS was also shown to be correlated with TUG, FES-K, and MMSE-K. Thus, it might be necessary that TUG and BBS be included as two items in physical and mental check-ups for the elderly, and further studies on correlations using evaluation items for physical and mental activities should lead to the simplification of the evaluation criteria.

• 한국정밀공학회지
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• 제24권7호
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• pp.126-132
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• 2007

Pressure-induced decubitus is a serious disease among the elderly people. Interface pressure occluding vascular perfusion is known to be a cause of decubitus. Therefore, it is essential to quantify the relationship between vascular perfusion and interface pressure among the elderly people to understand more about decubitus. Nine healthy elderly people (57.8$\pm$ 5.6 years, 63.3$\pm$ 7.0kg, 1.68$\pm$ 0.05m) were participated. Three healthy young people (31.7$\pm$ 3.2 years, 74.7$\pm$ 8.4kg, 1.75$\pm$ 0.04m) were also examined to be compared with the elderly group. Capillary vascular perfusion on the ischial tuberosity was recorded in the sitting posture as pressures were applied from 15mmHg to 135mmHg. The average interface pressure to occlude vascular perfusion (the average occlusion pressure) under the ischial tuberosity was 115.7mmHg in the elderly group. This value was not significantly different from the average occlusion pressure of the young group. Obesity effect on the occlusion pressure was investigated among the elderly group. The result was not significantly different between the obesity and the normal group in this study. This is a preliminary study to unveil the complicated cause of pressure-induced decubitus associated with occlusion of vascular perfusion. More subjects are required for the future study.

• Journal of Korean Academy of Oral Health
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• 제42권4호
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• pp.204-209
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• 2018

Objectives: This study was conducted to identify the demand and willingness to pay for oral hygiene services among elderly people with long-term care insurance. Methods: Our study was a cross-sectional analysis. Subjects comprised 126 elderly individuals from long-term home-care centers. A total of 28 centers were selected through convenience sampling from among 78 centers in ${\bigcirc}{\bigcirc}$. For analysis, semi-structured questionnaires that required about 20-30 minutes to complete were used. Analysis was performed using SPSS 23.0 software. Results: The overall demand for oral hygiene services was 44.4%, and willingness to pay was 31.0%. Thirty-three people (58.9%) of elderly those who have demand for an oral hygiene service were willing to pay for the service, and 64 people (91.4%) who did not have a demand were not willing to pay for it. Among those with partial dependence on brushing, 65.6% had demand for oral hygiene services and 50.0% were willing to pay costs. Among basic livelihood beneficiaries, 69.6% were willing to pay for oral hygiene services; general subjects and relievers were less willing to pay. Conclusions: The overall demand for oral hygiene services among elderly people was 44.4%, and the willingness to pay was as low as 31.0%.

• 가정과삶의질연구
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• 제19권4호
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• pp.49-68
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• 2001

The purpose of this study was 1) to review communal housing in the UK, 2) to consider the policy implications for elderly communal housing in Korea. The research methods used were 1) literature review about communal housing and related policy in the UK 2) field survey in the UK 3) interpretative suggestion for the proper policy implication to develope communal housing for the elderly in Korea. Sheltered housing in the UK had been developed as communal housing for the elderly with special needs since the 1970s. The type of sheltered housing were category 1 and category 2. Very sheltered housing with more facilities and meal services was added in 1980s. Sheltered housing was evaluated as the most humanistic solution for older people in the UK in 1980s. Because of the policy of moving institutional care to community care, sheltered housing became less in demand because of more options for older people including being able to stay in their own home. So new completion of sheltered housing by registered social landlords reduced saliently. Sheltered housing already totalled over half million units in which 5% of all elderly over 65 still lived and a small quantity of private sector for sale schemes emerged in the 1990s. The reason why the residents moved to sheltered housing was for sociable, secure, and manageable living arrangements. In general the residents were satisfied with these characteristics but dissatisfied with the service charge and quality of meals, especially in category 2.5 schemes. The degree of utilisation of communal spaces and facilities depended on the wardens ability and enthusiasm. Evaluation of sheltered housing indicated several problems such as wardens duty as a \"good neighbour\" ; difficult-to-let problems with poor location or individual units of bedsittiing type with shared bathroom ; and the under use of communal spaces and facilities. Some ideas to solve these problems were suggested by researchers through expanding wardens duty as a professional, opening the scheme to the public, improving interior standards, and accepting non-elderly applicants who need support. Some researchers insisted continuing development of sheltered housing, but higher standards must be considered for the minority who want to live in communal living arrangement. Recently, enhanced sheltered housing with greater involvement of relatives and with tied up policy in registration and funding suggested as an alternative for residential care. In conclusion, the rights of choice for older people should be policy support for special needs housing. Elderly communal housing, especially a model similar to sheltered housing category 2 with at least 1 meal a day might be recommended for a Korean Model. For special needs housing development either for rent or for sale, participation of the public sector and long term and low interest financial support for the private sector must be developed in Korea. Providing a system for scheme managers to train and retrain must be encouraged. The professional ability of the scheme manager to plan and to deliver services might be the most important factor for the success of elderly communal housing projects in Korea. In addition the expansion of a public health care service, the development of leisure programs in Senior Citizens Centre, home helper both for the elderly in communal housing and the elderly in mainstream housing of the community as well. Providing of elderly communal housing through the modified general Construction Act rather than the present Elderly Welfare Act might be more helpful to encourage the access of general people in Korea. in Korea.