• Title/Summary/Keyword: Non-Elderly

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The Factors Influencing the Utilization of Charged Retirement Home Services by Stage of Decision-Making (유료양로시설 이용의 의사결정 단계별 결정요인)

  • 이성학
    • Health Policy and Management
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    • v.9 no.1
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    • pp.110-138
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    • 1999
  • This study intended to understand the factors influencing the utilization of charged retirement home services for the elderly by stage of discision making. At the same time the purpose of the study is also to present the results of this study as data for the expectation of the demand. The subject of this study was non-utilizer (635 persons) and utilizer (62 persons) of charged retirement home services over the age of sixty. Non-utilizer was selected by random sampling in urban and rural area, and utilizer was investigated by census survey in the three charged retirement home. The research method was interview survey by questionaire. The questionaire was composed of 59 items, 25 variables, 5 components. The research model was to add Andersen's Prediction Model. The components were predisposing component, enabling component, need component, actualizing component, psychologic component. The results of this study were as follows. 1)In the stage of recognizing the residence problem, the recognizer were 76.7% (487 persons) of all the non-utilizer. The factors of influencing were property (B=-4.1E-05), solidarity with children (B=-.1070), house satisfaction (B=-.2517), need of charged retirement home (B=.2614). 2)In the stage of selecting an altenative as utilizing of charged retirement home services, the selecter were 41.1% (261 persons) of all the non-utilizer. The factors of influencing were perception of charged retirement home (B=.2790), need of charged retirement home (B=.2971). 3)In the stage of decion-making, the decider were 29.6% (188 persons) of all the non-utilizer. The factor of influencing was need of charged retirement home (B=.3570). 4)In the stage of the actualization, the factors of influencing were charge ability of utilization (B=.1025), significant others (B=.1868). The upper results were implemented by using the statistical methods of frequency, t-test, $$\chi$^{2}$-test, multiple logistic regression ( and P 〈 .05 ).

A Study on Urinary Incontinence of Elderly Communities (지역사회 거주 노인의 요실금에 관한 연구)

  • Ju, Young-Hee;Kim, Jung-Soon
    • Research in Community and Public Health Nursing
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    • v.11 no.2
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    • pp.441-452
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    • 2000
  • The purpose of this study was to identify the prevalence of urinary incontinence and its relating factors elderly communities. Subjects of this survey consisted of 877 elderly women and men in one Kun. Korea, who were over 60 years old. The design for this study was descriptive: the subjects were interviewed by well trained investigators from July 9. 1999 to July 20. 1999. During that survey period, the subjects were interviewed with a structured questionnaire. The data were analyzed by frequency, percentage, $X^2-test$. T-test using an SAS program. The results of the study were the following: 1. The prevalence rate of urinary incontinence was 20.1 %. of the total. The types of urinary incontinence were mixed incontinence 44.3%. stress incontinence 38.1%. and urge type incontinence 17.6%. 2. The relating factors of urinary incontinence were as follows: 1) 33.5% of UI(urinary incontinence) subjects reported urine loss once a month. twice or three times a week 23.3%. one or two times a day 17.0% 2) 38.1% of elderly reported only 1 to 2 drops. 1 t-spoon 36.9%. 1 T-spoon 15.9% 3) The volume of urine loss registered by changing underwear was 63.1 %. no necessity of changing underwear was 22.1 %. or using some type of pads was 13.1%. 4) 62.5% of UI subjects never discussed their UI problem with other people. 73.9% of the total had never experienced any treatment for their UI problem. The reasons for not receiving medical cure were their typical conception about urinary incontinence taking UI as a normal part of aging 76.2% and due to their bad financial situation 9.2%. 3. Women had more prevalence of UI than men (p=0.01), and it was found that the worse the subjective health state. the higher the prevalence of UI (p=0.001). However. there was no statistical difference in daily frequency of UI (p>0.05). The more nocturnal incontinence (p=0.001), the more intermittent stream experience (p = 0.01), the more retention experience (p = 0.01), and the more incomplete the emptying experience (p=0.001), the higher the prevalence of UI. 4. UI groups had lower ADL scores than non UI groups(p=0.01). The level of depression in the group of urinary incontinence was significantly higher than that of non incontinence group (p=0.0001). As shown above, the elderly people suffering from UI haven't been treated properly: their subjective health state and their ADL competence was lower, and their depression level was higher than non UI groups. Therefore, the development of a proper urinary incontinence management program are required so that they can lead more healthy lives. Also continual case studies for the elderly people with UI are necessary.

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Risk Factors for Vancomycin-Associated Nephrotoxicity in Elderly Patients (노인 환자에서 Vancomycin 사용과 관련한 신독성의 위험인자 연구)

  • Kim, Ha Nui;Kim, Hae Sook;Lee, Yang Hyun;Lee, Kyeong Ju;Shin, Seung Woo;Park, Seon Cheol;Lee, Yu Jeung
    • Korean Journal of Clinical Pharmacy
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    • v.27 no.1
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    • pp.22-29
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    • 2017
  • Objective: Infection is very common in the elderly, so there is a high prevalence of antibiotics use among this population. Especially, due to the emergence of resistant bacteria, the use of vancomycin is growing. The purpose of this study was to evaluate risk factors associated with vancomycin-induced nephrotoxicity in elderly patients. Methods: The subjects of this study were patients over 18 years old who received intravenous vancomycin in a general hospital located in Gangneung-si, Korea between August 1, 2013 and July 31, 2015. Data collection regarding vancomycin use and baseline characteristics was conducted using computerized hospital database. Logistic regression analysis was used to identify risk factors associated with vancomycin-induced nephrotoxicity. Results: A total of 290 patients were finally included, and 191(66%) out of these patients were age 65 or older. The incidence of vancomycin-induced nephrotoxicity was 11.0%, 12.6%, and 7.0% in the all adult patients, the elderly patients, and the non-elderly patients, respectively. There were significant differences in comorbidities between patients with nephrotoxicity and patients without nephrotoxicity in the all adult patients, and there were significant differences in vancomycin duration, comorbidities, and number of nephrotoxic agents between patients with nephrotoxicity and patients without nephrotoxicity in the elderly patients. However, according to the logistic regression analysis, there was no significant risk factor that increases the incidence of vancomycin-induced nephrotoxicity in all three age groups. Conclusion: There were no differences in risk factors that increase the incidence of vancomycin-induced nephrotoxicity between all adult patients, elderly patients, and non-elderly patients. Further studies with larger sample sizes to identify risk factors associated with vancomycin-induced nephrotoxicity in the elderly to improve the outcome of pharmacotherapy are required.

The Use and Degree of Discomfort of Informatization Device Among the Elderly According to the Disabilities (장애여부에 따른 노인의 정보화기기 사용 및 불편함)

  • Kim, Hee-Young
    • Journal of Korea Entertainment Industry Association
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    • v.15 no.8
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    • pp.327-335
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    • 2021
  • The purpose of this study is to find out the use and inconvenience of informatization devices according to the disability of the elderly. A total 10,097 data from the elderly survey were used to analyze the differences in the possession and use of information devices, usage capabilities, and injustice according to disability. Descriptive analysis was conducted to find out general characteristics and disability-related characteristics. chi-square tests were conducted to find out the difference in informatization and communication device usage ability and information device usage inconvenience according to disability. The p-value was set at 0.001. As a result of the study, the elderly with disabilities in Korea had lower smartphones and tablet PCs than the non-disabled elderly. In terms of daily inconvenience, the elderly with disabilities often responded that they had no experience or did not know about the inconvenience of online reservations for trains/high-speed buses/intercity buses, ordering kiosks at restaurants, using ATMs, or reducing bank stores. Taken together, the ability of the elderly with disabilities in Korea to possess and use informatization devices is very low and they feel more inconvenience than the non-disabled elderly. It is necessary to improve the ability to possess and use informatization devices for the elderly with disabilities in the rapidly progressing aging of the disabled and the informatization of our society.

A case of the elderly advanced Non-small Cell Lung Cancer Patient Treated with Allergen Removed Rhus Verniciflua Stokes extract (알러젠 제거 옻나무 추출물을 투여한 고령의 진행성 비소세포폐암 환자 1례)

  • Park, Hyeong-Jun;An, Ji-Hye;Lee, Jin-Soo;Jung, Yee-Hong;Lee, Sang-Hun;Cheon, Seong-Ha;Jung, Hyun-Sik;Kim, Kyung-Suk;Choi, Won-Cheol
    • Journal of Korean Traditional Oncology
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    • v.15 no.1
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    • pp.71-77
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    • 2010
  • This case report documents a case in which the administration of an herbal product, an extract of the lacquer tree, Rhus verniciflua Stokes was related with a prolonged survival in a elderly advanced non-small cell lung cancer(NSCLC) patient. A 79-year-old man who had been diagnosed with advanced NSCLC refused conventional therapy and treatment with the allergen-removed Rhus verniciflua Stokes(aRVS) had continued from September 2007 to July 2010. He had survived for 35 months after the administration of aRVS and maintained good performance status with European Cooperative Oncology Group performance status(ECOG PS) of 1. This case suggests that aRVS be alternative treatment for the elderly advanced NSCLC patients.

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Nutritional and Health status of Korean Elderly form Low-Income, Urban Area and Improving Effect of meal Service on Nutritional and Health Status -IV. The Effect of Meal Serivice on Mineral Status and Clinical symptoms- (도시 저소득층 노인들의 영양 및 건강상태 조사와 급식이 노인들의 영양 및 건강 상태의 개선에 미치는 영향 -IV. 급식이 도시 저소득층 노인들의 무기질 영양 상태 및 임상 증상에 미치는 영향-)

  • 손숙미;박양자;구재옥;김숙배;이경신;윤혜영
    • Korean Journal of Community Nutrition
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    • v.1 no.3
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    • pp.395-404
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    • 1996
  • The effect of meal service for home-staying, urban elderly with low income on their mineral status and prevalence of clinical symptoms was evaluated. One hundred. One hundred and eighty three subjects were assigned to meal-served(served) and non-served(non-served)groups. A meal containing approximately one half of the RDA for energy, protein, calcium and iron was served as lunch every day to served group at a welfare center. Dietary, biochemical and clinical data were collected before and after 6 months of meal service and the changes of parameters were analyzed with paired t-test. served female showed significantly increased intake of calcium. The mean hemoglobin, serum iron, TIBC and serum copper of female were significantly increase with meal service. The proportion of anemic female compared to reference data on hemoglobin, hematocrit and serum iron were 45.5$\%$, 29.1$\%$ and 16.4$\%$ respectively, but were lowered to 18.2$\%$, 7.3$\%$, and 5.5$\%$ after 6 months of meal service. served male showed significant increase in MCHC, serum copper, and urinary Na. The urinary Ca/Creatinine, which is often used as an index of bone resorption, was decreased significantly in served group. The decrease in the proportion of served women suffering from edema of ankle and diarrhea was most apparent and less women reported feeling clinical symptoms of dizziness, constipation, difficulty in hearing, and coughing after meal service. The symptoms of benumbness of hands and feet and coughing was lowered most among men after meal service. Clinical symptoms of non-served elderly did not show improvement in feeling clinical symptoms except slightly decreased frequency in coughing of female and buzzing sound in the ears and diarrhea of male.

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Analysis on the Importance Degree of Design Checklist for the Elderly Housing Unit (노인공동주거시설 단위주호의 설계지침 중요도 분석)

  • Ju Seo Ryeung;Cho You Jin
    • Journal of Families and Better Life
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    • v.22 no.6 s.72
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    • pp.111-119
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    • 2004
  • A rapid increase of the elderly population and changes in the social structure, family type and lifestyle bring us to the moment for considering the various aspects of supporting the elderly including the elderly housing facilities. Traditionally it is considered as a merit for a son to support parents in his own house. Hut recently the elderly increasingly want to live independently without support from their children. To satisfy these needs, new housing facilities for the elderly were developed by private non-profit foundations. A number of outstanding housing facilities for the elderly have been built in the last five years. These facilities show significant progress in housing for the elderly. Unfortunately, there u e no standard design checklists or guidelines for housing for the elderly available in Korea. The housing facilities were built based on foreign design guidelines or architect's experience. This research aims to develop an affordable design checklist that can meet the needs of the Korean elderly lifestyle. This study evaluated the senior residential facilities using Woo's checklist which consolidated the guidelines available here and abroad. As the result of this study, we presented the checklist subject in upper group $25\%, middle group, lower group $25\% distribution and 6, 5, 4, categories in order to importance. When designing the future senior residential facilities, a constraint can be made based on the scope and financial factors of the facility first and the determine how extensive the application of the checklist should be.

A Study for Food Service Utilization and Service Satisfaction of the Elderly Participants (사회복지관 무료급식서비스 이용 노인의 특성 및 만족도에 관한 연구 : 충청북도를 중심으로)

  • Chung, Soon-Dool;Han, Kyung-Hee;Park, Jung-Sook
    • Korean Journal of Social Welfare
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    • v.47
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    • pp.310-333
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    • 2001
  • The purposes of this research were 1) to investigate the characteristics of the meal service participants; 2) to evaluate the food service utilization of the elderly; 3) to identify major factors that affect food service satisfaction of the participants in Chungchongbuk-Do. For doing this, 309 subjects were selected and the survey research method was adopted. The characteristics of the meal service participants were similar to the characteristics of general elderly population in Korea. The public assistant recipients were under representative in this sample, that is, most of elderly people who participated in meal service consisted of non public assistant recipients. It meant that meal service was not provided to low-income elderly people. The health status of the elderly people was stable to be able to attend to the meal service organizations. The most important reason to use a meal service was to see their friends. It showed that meal services played an important role to provide support systems to the elderly people in community. Thus, meal services should be provided to the elderly people with social services. In order to analyze the factors influencing food service satisfaction, multiple regression analysis was employed. The results showed that physical activity, contact with friends who met in meal service program, and the number of social services were the important variables to predict meal service satisfaction in this study. These findings contributed to a better understanding of developing a meal service planning. Several improvement strategies were recommended to provide effective meal services. First, socio-economical characteristics of the elderly should be considered to provide appropriate services. Second, meal services should be provided to the elderly people with social services. Third, home delivery meal services should be available to the home-bound elderly.

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Comparison of Psychological factors affecting Happiness of the Korean elderly residing in USA and Korea (미국거주 한인노인과 국내노인 간 행복감의 차이 및 행복감에 영향을 주는 요인의 비교)

  • Juil Rie;Jeewon Cheong;Jungmee Lee
    • Korean Journal of Culture and Social Issue
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    • v.12 no.5_spc
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    • pp.169-203
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    • 2006
  • The purpose of this study is to compare happiness between Korean elderly residing in South Korea and those residing in New York City area in United States (Korean American elderly), and to investigate important factors determining their happiness. We collected data from 1,988 elderly residing in Chuncheon and Seoul in South Korea and 173 elderly residing in New York City area. All samples were over 65 years old in 2005. In general, Korean American elderly seemed happier than Korean elderly. Our specific data analysis showed that Korean American elderly had higher scores in non-agitation, satisfaction for aging, and satisfaction for life than Korean elderly. And they showed secure attachment more and insecure attachment less than Korean elderly. Social support network, satisfaction in psychological need, health, daily routines, and social background predicted happiness significantly for both Korean American elderly and Korean elderly. For American Korean elderly, satisfaction in psychological need predicted satisfaction for aging, satisfaction for life, and secure attachment significantly when social background, health, and daily routine were controlled. For Korean elderly, satisfaction in psychological need predicted all sub-factors of happiness significantly, and social support network also predicted happiness significantly when social background, health, and daily routine were controlled. Additional data analysis compared social support network, satisfaction in psychological need, health, daily routine, and social background between Korean American elderly and Korean elderly. Korean American elderly seemed to have more solid social support network and to have higher satisfaction in psychological needs than Korean elderly. Korean American elderly perceived themselves as healthier, and their life style related health was much healthier than Korean elderly. In social background, Korean American elderly had higher education and economic level than Korean elderly. Roles of social support network and satisfaction in psychological need for happy aging were discussed in terms of previous theoretical explanation of successful aging.