• 제목/요약/키워드: Old-old elderly of 70-year-old

검색결과 37건 처리시간 0.025초

70세 이상 후기노인의 사회적자본이 건강관련 삶의 질에 미치는 영향 (The effects of Social Capital of old-old elderly of more than 70-year-old on their health-related quality of life)

  • 김경희;이성국;윤희정;권기홍
    • 한국산학기술학회논문지
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    • 제16권6호
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    • pp.3889-3901
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    • 2015
  • 70세 이상 후기노인의 사회적자본이 건강관련 삶의 질에 미치는 영향을 알아보고자 M시의 70세 이상 후기노인 258명에 대해 1차는 2013년 10월 15일부터 11월 15일까지, 2차는 2014년 12월 1일부터 12월 30일까지 설문조사를 실시하였다. 수집된 자료는 SPSS 18.0과 AMOS 21.0 프로그램의 구조방정식 모형을 활용하여 분석하였으며, 매개효과의 통계적 유의성을 분석하기 위해 소벨검증(sobel-test)을 실시하였다. 사회적자본이 건강관련 삶의 질에 미치는 요인은 성별, 교육수준, 동거여부, 운동 여부, 수면시간, 도움요청가족수, 도움요청친척수, 일반신뢰가 영향을 미치는 것으로 나타났다(p<0.05). 연구 모형을 검증한 결과 사회적자본은 건강관련특성에 직접적 영향을 미치고, 건강관련특성은 삶의 질에 직접적 영향을 미치는 것으로 나타났다. 사회적자본은 건강관련 삶의 질에 간접접인 영향을 미치는 것으로 나타났다. 연구 결과를 통해 후기 노인들의 사회적자본이 건강관련 삶의 질에 영향을 미치는 요인들 중의 하나로 인식될 수 있으며 건강관련 삶의 질을 향상시키고, 사회적자본 수준을 증대시키기 위한 정책마련을 제안한다.

60세 이상 노년 한국 남성들의 골밀도 수준 및 관련요인 (The Bone Density Level of Korean Men Aged 60 Years and Over, and Its Relevant Factors)

  • 김영란;남해성;이태용
    • 한국산학기술학회논문지
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    • 제14권3호
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    • pp.1180-1190
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    • 2013
  • 본 연구는 국민건강영양조사 제 4기 2차년도(2008), 3차년도(2009), 제 5기 1차 년도(2010)에 참여한 60세 이상 남성노인 2,763명을 대상으로 대퇴경부 골밀도와 요추골밀도의 골밀도 수준을 파악하고, 신체계측, 생활습관, 식이섭취, 골절 과거력, 골다공증 가족력, 병력 등의 제 요인들과 골밀도의 관련성을 알아보고자 시도하였다. 각 변수의 단위별 BMD의 변화를 표현하기 위해 비율차이 계산식 ${\beta}{\times}$(단위/BMD의평균)를 이용한 다중선형회귀분석을 실시하였다. 모든 연속변수의 단위는 1SD를 사용하였다. 연구결과, 남성노인에서 골다공증 유병률은 60대는 6.7%, 70대는 15.8%, 80대이상은 31.4%이었고, 부위별 골다공증 유병률을 보면, 대퇴 경부부위 유병률은 60대는 2.6%, 70대는 8.2%, 80대이상은 24.8%, 요추부위 유병률은 60대는 5.5%, 70대는 11.3%, 80대이상은 15.4%이었다. 또한 대퇴경부 및 요추 골밀도에 조사된 각 독립변수 중 남성노인의 골밀도에 가장 큰 영향을 미치는 것은 제지방량으로 확인되었다. 따라서 남성노인에서는 제지방량을 늘리는 것이 골다공증을 예방하는 효과적인 방안이 될 것이다.

노인의 동통에 관한 조사연구 (A Descriptive Study on Pain of Elderly)

  • 김주희;양경희;이현주
    • 대한간호학회지
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    • 제26권4호
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    • pp.878-888
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    • 1996
  • The main purpose of this study was getting related to the pain charactristic data of elderly. It contains past and present health status, daily living activity level, pain frequency, causes, pain area, pain intensity, pain worse causes, and pain releave causes, pain management methods. The subject were 79 elderly whose age were over 65 years old. They were lived in their home environment. Half of them were resident of middle range city at province and the others were Seoul city. The data was collected from Dec. 1st. 1995 to Jan. 30th. 1996. Interviews were held with semi-structured questionaire after pilot study by researchers. Pain measurement tool were used graphic rating scale and Abstract of Korean Pain Language Scale. To analize the subject's general characteristics, past and present health status, daily living activity level, characteristics about pain, pain management methods statistical SPSS for win frequency were employed. The findings were as follows ; 1. There were 33(41.8%) male and 46(58.2%) female Below 69 year old were 20(25.3%), 70-79 year old were 42(53.2%), over 80 year old were 17(21.5%), mean age was 74(from 65 to 89). 2. Buddhist were 24(30.4%), Christian were 29(36. 7%), the other religious status or non religians were 26 (32.9%). 3. Past good health status were 63(79.7%), not so good status were 6(7.6%). Present good health status were 19(24.1%), moderated health status were 6(7.6%), not so good status were 14(17.7%). 4. Daily living activity limitation were 39(49.4%), nonlimitation of activity were 5(6.3%). 5. Walking limitation were 3(3.8%), nonlimitation walking were 52(65,8%). 6. Insomnia was 23(29.1%), no difficult were 38(48.1%). 7. Chronic pain complaints were 64(81%), diseases causes of pain were 25(31.6%), bad health behavior causes of pain were 27(34.2%). 8. Most pain area were back 30(29.4%), leg 17(16.7%), knee 16(15.7%), arm 13(12.7%), teeth, chest and head were each 5(4.9%), loin, trunk were each 4(3.9%), the other areas were 3(3%). 9. Pain intensity was 3.49(mean) by Korean Language Scale, 6.59(mean) by graphic rating scale. Sensitive pain was 3.5(47.9%), affective pain was 3(20.8%) It was high pain level and sensitive pain. 10. Most pain worse causes moving was 35(44.3%), pain relieving causes rest was 29(36.7%), 11. Pain management method were medication 40(42.1%), physiotherapy 23(24.2%), hospital 12(12.6%), the others 7(7.4%), none 13(13.7%). The conclusion ; Present health status of eldery was not so good. Almost half of them have some diseases. Most common diseases of eldery were arthristis, respitatory and heart problems. Foully nine percent of elderly had limitation of daily living activities. Eighty one percent of eldely had chronic pain. Most of them was back pain (30%). Pain intensity was high(score over 3.5). The worsening pain causes was moving and releiving causes was rest. Pain management method were pain medication, physiotherapy. Therefore, Nursing care plan for the elderly have to focus on pain because majority of elderly have chronic high level of pain related to the arthritis.

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고령의 식도암 환자에서 다빈치 S 로봇을 이용한 식도 절제술 ($DaVinci^{TM}$ S robot-assisted esophagectomy in a 83-year-old patient with esophageal cancer)

  • 함석진;박성용;백효채
    • 대한기관식도과학회지
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    • 제14권2호
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    • pp.53-56
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    • 2008
  • The postoperative respiratory complications such as pneumonia and ARDS, are poor prognostic factors after esophagectomy in patients with esophageal cancer. To avoid these complications, there have been attempts to use minimally invasive approach. Recently introduced daVinciTM S surgical system is used in esophagectomy because of its advantages of minimal invasiveness, clear 3-dimensional imaging and precise handling of robotic arms. We report a 83-year-old esophageal cancer patient who underwent daVinciTMS robot-assisted esophagectomy, laparoscopic stomach mobilization followed by cervical esophagogastrostomy.

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70세 이상 지역사회 거주노인의 허약 영향 요인 (Factors that affect the frailty of the elderly people Over 70-Year-old in a Local Community)

  • 김경희;윤희정
    • 한국산학기술학회논문지
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    • 제18권2호
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    • pp.313-323
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    • 2017
  • 본 연구는 후기 노인의 허약정도에 영향을 미치는 요인을 알아보기 위하여 시행된 서술적 조사연구이다. 연구는 구조화된 설문지를 이용하여 2013년 12월 1일부터 31일까지 경상북도 M시에 거주하는 70세 이상 후기 노인 301명으로부터 자료를 수집하였으며, $x^2$ test, t-test, ANOVA를 이용하여 자료를 분석하였고, 노인의 허약에 영향을 미치는 요인을 살펴보기 위하여 위계적 회귀분석을 실시하였다. 70세 이상 지역사회 거주 노인들 중 허약노인으로 분류된 노인은 15.3%이었다. 노인의 허약정도에 영향을 미치는 요인은 성별(p<.01), 영양상태(p<.01), 인지기능(p<.01), ADL(p<.01), IADL(p<.05), 청력(p<.05), 저작불편감(p<.05)이었으며, 남자보다 여자일 경우, 영양상태가 불량할수록, 일상생활수행능력에 장애가 있을수록, 수단적 일상생활수행능력에 장애가 있을수록, 청력이 나쁠수록, 저작불편감을 느낄수록 허약점수가 높았다. 본 연구를 통하여 70세 이상 지역사회 거주노인의 허약수준을 파악하고, 이에 영향을 미치는 건강차원의 변수를 파악할 수 있었다. 이를 근거로 향후 허약으로의 진행을 예방하기 위한 포괄적인 건강증진 방법이 모색되어야 할 것이다.

한국 노인의 연령 세분화에 따른 식사의 질과 주관적 건강 관련 인식 및 만성질환의 연관성 (Association of Dietary Quality with Subjective Health-Related Perception and Chronic Diseases According to Age Segmentation of Korean Elderly)

  • 이소정;이승민
    • 대한지역사회영양학회지
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    • 제26권5호
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    • pp.363-381
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    • 2021
  • Objectives: This study examined the Korean elderly's dietary intake status, subjective health-related perception and chronic disease prevalence among age groups. Associations of dietary quality with subjective health-related perception and chronic diseases were also examined. Methods: Based on data from the 7th National Health and Nutrition Examination Survey, a total of 3,231 elderly were selected and categorized into 4 age groups of '65 ~ 69', '70 ~ 74', '75 ~ 79' and 'over 80'. Nutrient intakes, proportions of those with insufficient nutrient intakes, Korean Healthy Eating Index (KHEI), some subjective health-related perceptions and prevalence of major chronic diseases were compared according to the age groups. Differences in the subjective health-related perceptions and odds ratios of the chronic diseases according to the quartile levels of KHEI within the same age group were analyzed. Results: With the increase of age, several nutrient intakes (P < 0.001) and KHEI scores significantly decreased (P < 0.01). In women, activity restriction increased (P < 0.05), and EQ-5D score decreased with age (P < 0.001). Prevalence of hypertension (P < 0.0001), hypercholesterolemia (P < 0.05) and anemia (P < 0.01) significantly increased, while hypertriglyceridemia (P < 0.01) significantly decreased only in men. Obesity prevalence decreased, while underweight prevalence increased (P < 0.05). Subjective health status, EQ-5D score and PHQ-9 score significantly improved as KHEI score increased in certain age groups of women (P < 0.05). Odds ratio of hypercholesterolemia significantly increased with the increase of KHEI score in 65 ~ 69-year-old women. However, hypertension and anemia significantly decreased with the increase of KHEI score in 75 ~ 79-year-old women (P < 0.05). Conclusions: The study findings suggest that nutrition management and policy for the Korean elderly need to apply a segmented age standard that can better reflect their dynamic characteristics.

노인의 색지각적 특성을 고려한 유료 노인주거 실내공간의 설계지침에 관한 연구 (A Study on the Design Guide of Fee Charging Residential Facility for the Elderly reflected in Color Perception Characteristic)

  • 송춘의;김문덕
    • 디자인학연구
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    • 제20권3호
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    • pp.247-256
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    • 2007
  • 본 연구는 인간이 일상생활을 영위하는데 중요한 역할을 하는 눈이 노화되어 감으로서 노인의 시각 노화과정에서 보이는 시지각과 관련된 정보습득 및 해석상의 색지각을 통한 특징을 반영하여 노인의 주 생활환경인 유료 노인주거 시설의 실내 공용공간의 설계지침을 제시하는 것을 목적으로 한다. 일반시각과 70세와 80세 후반까지를 모의 수정체를 이용하여 각 세대별 시지각을 통한 색채의 오류판단을 파악하였다. 노화에 따른 노인의 황변화 및 색지각 특성을 바탕으로 실내 공용공간의 색채 설계 계획을 위한 기초자료로 사용하고자 한다. 본 연구의 결과로 인지 배색으로 유사조화 보다 대비조화를, 한색보다 난색계열을 사용함를 파악하였으며, 노인의 황변화에 따른 색지각 특성의 기초자료로서 활용될 수 있다.

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도시의 노인보건방문서비스를 위한 자원 및 모델 개발에 관한 연구 (Research and Development of Urban Health Infrastructure for Home Health Care for the Elderly)

  • 강복수;황인수;김창윤;김석범;이경수
    • 농촌의학ㆍ지역보건
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    • 제21권1호
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    • pp.47-60
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    • 1996
  • Home health care is one of the important components of health care services. Today, the need and demand for the home health care is increasing. To assess the effects of home visit health services by public health nurses in health center on the stat of health, use of medical services and quality of life by elderly people living at home, a randomized controlled trial was implemented for 65 years or more old people randomly allocated to intervention(93) and control(118) group. Intervention group received 2 visits a month over 6 months. Control group received no home visits. The data was collected in a one-year follow-up survey conducted at Kyongju before and after the intervention which composed of health risk assessment, risk factor education and health related behavior counseling. The prevalence rate of chronic illness was more decreased in intervention group than control group after intervention. The intervention group visited medical facilities less frequently than control group. And the home visit health services encouraged the elderly to practice regular exercise. After the intervention, the score of ADL(activities of daily living), LSI(life satisfaction index) and SSI(social support index) in intervention group were more increased than control group. And the increase of scores was more prominent in 70 years or more old people, female, non-smoker and non-chronic illed elderly rather than others. In conclusion, the regular home visit health services provided by public health nurses were beneficial for the elderly in terms of health promotion and quality of life.

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건강증진프로그램을 이용하는 도시지역 여자노인의 식행동 및 영양상태 (Dietary Behavior and Nutritional Status of the Elderly Women Attending at the Health Promotion Program in an Urban Community)

  • 권진희;윤희정;이재무;이성국
    • 대한지역사회영양학회지
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    • 제7권6호
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    • pp.814-823
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    • 2002
  • This study was conducted to evaluate the nutritional status of the elderly women, who attended the Health Promotion Program of the Seogu Health Center in Daegu. The study subjects were 158 elderly women in an urban community. The general characteristics, dietary behavior (nutritional knowledge, nutritional attitudes and dietary habits), food and nutrient intake were surveyed by an individual interview. The average age of the study subjects was 70.9 $\pm$ 2.3 years of the subject group 79.1% ranged in age from 65 to 74 years and 20.9% were over 75 years. Their average score for nutritional knowledge, nutritional attitudes and dietary habits was 7.3 (total mark of 10), 7.2 (total mark of 10) and 9.1 (total mark of 22) respectively. Specifically, the level of the dietary habits of the study subjects was very low. In relation to food group intake of the study subjects according to age, their food intake was low. The total, plant. and animal food intake were 1078.9 g, 954.4 g (88.5%), and 244.4 g (11.5%), respectively. The mean daily energy intake and nutrient intake according to percentage of the Korean RDA were higher in the from 65 to 74 year group than in those people over 75 years. The average calories and the mean percentage of nutrient intake, except for vitamin C and phosphorus. were below 75% of the Korean RDA. It seems that the nutrient intake was very low. The mean nutrient adequacy ratio (MAR) was 0.59. Nutritional status of age over 75 years old was significantly lower than that of 6574 years old group (Mar = 0.60 VS 0.54, p < 0.05) The correlation coefficients between their dietary behavior (nutritional knowledge, nutritional attitudes, dietary habit) and their mean nutrient adequacy ratio (MAR) showed significant linear relations. In conclusion, if nutritional education is to affect the dietary behavior of elderly women, it should be included in a Program to Promote their nutrition and health status.

70세 이상 고령 환자에서의 관상동맥우회술 (Coronary Artery Bypass Graft Surgery in Patients 70 Years of Age and Older)

  • 박종운;이원용;김건일;홍기우;지현근;신윤철;이재웅;김응중
    • Journal of Chest Surgery
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    • 제39권1호
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    • pp.28-34
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    • 2006
  • 배경: 관상동맥우회술의 대상이 되는 고령 환자가 점차 증가하고 있다 고령 환자에서의 관상동맥우회술은 수술 수기 및 수술 후 관리의 발전으로 최근 만족할 만한 수술 결과들이 보고되고 있다. 본 연구에서는 70세 이상 고령 환자에서 관상동맥우회술의 결과와 추적조사를 분석하여 60대 환자와 비교해 보고자 하였다. 대상 및 방법: 2000년 1월부터 2003년 12월까지 관상동맥우회술을 시행 받은 70세 이상 환자 74명(A군)을 대상으로 하여 후향적 분석을 시행하였으며 같은 기간의 60대 환자 136명(B군)의 결과와 비교 분석하였다. 수술 결과에 영향을 미칠 수 있는 수술 전 요소 및 수술 내용, 그리고 수술 결과를 비교하였으며, 추적 기간 중 만기 사망 및 심질환 발생에 대하여 조사하였다. 결과: 술 전 임상 양상에서 술 전 신기능 저하(혈중크레아티닌 $\geq$ 1.4 mg/dl)환자가 A군(17예, 23$\%$)에서 B군(14예, 10.3$\%$)보다 많은(p=0.024) 이외 다른 차이는 없었다. 환자당 원위부 문합수는 차이가 없었고 좌심실 구출률은 A군이 수술 전 53.7$\pm$13$\%$에서 수술후 49.9$\pm$ 12$\%$로 감소하였으나(p=0.02), B군에서는 수술 전 후 차이가 없었다. 수술사망률과 주요 수술 합병증 발생률에서는 두 군간의 유의한 차이가 없었으나 정맥 절편 획득 부위의 합병증은 A군(6.8$\%$)이 B군 (0.7$\%$)보다 많았다(p=0.02). 평균 추적 기간은 24.3$\pm$13개월이었으며, 2년과 4년 누적 생존율은 A군이 95.4$\%$, 79.9$\%$, B군이 95.4$\%$, 90.1$\%$였다(p=ns). 결론: 70세 이상 고령 환자에서의 관상동맥우회술은 낮은 사망률과 만족할 만한 합병증 발생률로 시행될 수 있어 환자 나이만으로 수술 여부를 결정해서는 안 될 것으로 생각한다.