• 한국운동역학회지
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• 제31권4호
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• pp.259-269
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• 2021

Objective: The purpose of this systematic review and meta-analysis was to investigate age-related bimanual coordination functions in older adults. Method: Thirteen studies that compared bimanual coordination functions in older adults with those in healthy young adults qualified for this meta-analysis. We additionally categorized 21 total comparisons from the 13 qualified studies into two types of task-related moderator variables: (1) kinematic versus kinetic movements and (2) symmetry versus asymmetry movements. Results: Random effects model meta-analysis found that older adults revealed significant bimanual coordination impairments as compared with young adults (Hedges's g = -0.771; p < .0001; I² = 74.437%). We additionally confirmed specific bimanual coordination deficits using two moderator variables: 1) kinematic (Hedges's g = -0.884; p < .0001; I² = 0.000%) and kinetic (Hedges's g = -0.666; p = .023; I² = 86.170%). 2) symmetry (Hedges's g = -0.712; p = .001; I² = 74.291%) and asymmetry (Hedges's g = -0.817; p < .0001; I² = 76.322%). The moderator variable analysis indicated older adults indicated bimanual coordination deficits in the upper extremities than healthy young adults while performing kinematic bimanual coordination tasks and asymmetry coordination tasks. Conclusion: These findings suggest that developing motor rehabilitation programs based on asymmetric bimanual movement task for enhancing interlimb coordination functions of older adults may be crucial for increasing their independence in everyday activities. Given that elderly revealed the deficits in lower extremities coordination when older adults perform gait, posture, and balance, future studies should estimate lower limb coordination functions in elderly people.

• 수산해양교육연구
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• 제6권2호
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• pp.161-182
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• 1994

The steady rise in life expectancy resulting from progress in medical science and economic growth and improved living conditions is responsible for large and increasing-number of older peoples in our country. The older peoples who are increasing make up a large percentage of our total population. Now a day the percentage of older people 60 and 65 years old over compose around 8.7% and 5% of the total population in each. In spite of such a rapidly increasing trend of older population, there has had no provisions for elderly welfare in our country. The reason why some children do not want to take care of their older parents, and the other is the lack of elderly welfare, are responsible for large and increasing anxiety of livelihood and alienation to the number of older peoples. As mentioned above, especially studying Swedish elderly welfare model of many developed countries, it intend to provide many of the useful materials to make the elderly welfare systems in our country. The main research for Swedish elderly welfare are as follows : (1) Old age pension systems (2) Social service systems (3) Health care service systems (4) Housing care service systems.

• 농촌지도와개발
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• 제10권2호
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• pp.153-166
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• 2003

The objective of this study is to explore the situations and extension roles for rural elderly welfare program in North Dakota, USA. With a growing older population, aging has become an important issue for extension. Services for rural elderly available in North Dakota were adult day care, home health care, senior insurance counseling, nutrition and medication assistance programs, support groups, legal assistance, meals on wheels, nursing homes and more. With a growing older population, aging has become an important issue for extension. Extension provides programs and services for rural elderly. This study was conducted by literature review. First, many rural elderly Americans are actively engaged in volunteer work and have made substantial contributions to their communities. Second, extension educators from interdisciplinary areas should work together to develop programs. Extension programs can include intergenerational programs to help younger generations learn about the issue. Third, extension can collaborate with other agencies and groups to offer support groups. Offering educational programs is a key to empowering older people. Fourth, elderly residents may be the only increasing natural resource for volunteering in general, and for participation in community improvement in particular. Fifth, extension educators should be proactive in working with agencies to provide social access and in helping older people be actively engaged in their lives, especially in rural areas.

• 동서간호학연구지
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• 제25권1호
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• pp.26-32
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• 2019

Purpose: The purpose of this methodological study was to examine the validity and reliability of a translated Korean version of Templer's death anxiety scale among older adults. Methods: The translated Korean scale was administered to 203 older people who aged over 65 years. Exploratory factor analysis was utilized to assess the factor structure of the scale. Internal consistency of the scale was determined using Cronbach's ${\alpha}$ and Guttman's split-half coefficient. Results: Factor loadings of the scale ranged from .43 to .86. The scale showed good internal consistencies of both total scale (13 items, ${\alpha}=.83$) and three sub-scales: meaning of death (6 items, ${\alpha}=.77$), death-related event (5 items, ${\alpha}=.72$), and time of death (2 items, ${\alpha}=.80$). The concurrent validity compare with Fear of Death Scale was significant. The Cronbach's alpha and Guttman's split-half coefficient were .83 and .80, respectively. Conclusion: The findings of this study demonstrate that the Korean version of Templer's death anxiety scale had satisfactory validity and reliability to measure death anxiety among Korean older people.

• 보건의료산업학회지
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• 제13권1호
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• pp.67-78
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• 2019

Objectives: To identify the factors affecting the cognitive function according to the education level of people aged 65 or older. Methods: This study used the data from the 2014 survey of living conditions and welfare needs of Korean older adults. A total of 10,248 people were analyzed in the final analysis, not including those who responded by proxy and those who did not participate in cognitive function tests. Cognitive function was measured by Mini Mental State Examination -Dementia Screening(MMSE-DS), and logistic regression was performed using the SPSS/WIN 24.0 program. Results: There were differences in factors affecting cognitive function depending on the education level. Overall, regular exercise had a positive effect on maintaining cognitive function, and the higher the education level, the more important it was to maintain the Instrumental Activities of Daily Living(IADL). In addition, for lower education levels, improving the life satisfaction was important to prevent the decline of cognitive function. Conclusions: Based on the results of this research, it is suggested that customized approaches shoud be taken according to education level when developing and implementing programs to prevent the decline of cognitive function.

• 한국농촌간호학회지
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• 제18권2호
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• pp.125-133
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• 2023

Purpose: This study aimed to understand and explore the experiences and meanings of life changes and loneliness caused by the coronavirus disease (COVID-19) among older people living in rural areas. Methods: This study adopted an individual interview approach. A total of 33 older adults were interviewed using semi-structured questions between October and December; 2020. The collected data were analyzed using thematic analysis. Results: Four main themes and ten sub-themes emerged. One main theme was "the never-ending anxiety of a changed world", the second theme was "disconnecting from the world through social distancing", the third theme was "working to overcome COVID-19", and forth "health is the most important thing in life." Conclusion: Based on the results of this study, we confirmed the urgent need for psycho-social support to relieve loneliness and social isolation of older people in rural areas during the spread of infectious diseases.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제26권2호
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• pp.71-79
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• 2020

Purpose: The purpose of this study is to derive basic data for desirable location and functions of the integrated care center. Methods: Survey, Questionaire and statistical analysis are the main research method of this study. In order to collect data related to utilization pattern and favorite functions of the senior people, researchers have visited 4 social welfare facilities located in Southern Gyeonggi Province. 403 questionaires have been gathered from 4 facilities and they have been analyzed by using Excel Program of MS. Results: First, compared to other services, healthcare services have been preferred by many older people in Social welfare Facilities. This means that integrated care centers providing healthcare services for older people rather than services for children or disabilities is desirable. Second, Integrated Care Centers had better be established within the walk distance of elderly people. If it is not easy, the introduction of shuttle bus for older people is desirable. Especially, in case of large Care Center. Implications: This study shows that small facility with community care rather than big facility is desirable for small community in the point of friendliness, convenience, economy, etc.. However it is necessary to combine welfare service and healthcare service even in small centers.

• 대한통합의학회지
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• 제11권2호
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• pp.87-99
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• 2023

Purpose : This study intended to provide essential data for developing measures for the stable settlement and expansion of the life-sustaining treatment decision system by identifying the effects on preparing advanced directives. Methods : The effects on preparing advance directives of older people were identified based on Andersen's behavioral model, using the 2020 Korean national survey on elderly. Data were statistically analyzed with SPSS Statistics ver 25.0 and the significance level (α) was set to .05. Results : For factors that influence the preparation of advance directives, the predisposing factor was .769 times less for women than men (p=.026). By age, it was 1.410 times higher (p=.006) for people in their 70s compared to people in their 60s and 1.675 times higher (p=.003) for those in their 80s. By the level of education, it was 1.617 times higher (p=.026) for those who have elementary school education compared to those who have no education, 1.596 times higher (p=.048) for those who have a middle school education, 2.313 times higher (p<.001) for those who have a high school education, and 3.827 times higher (p<.001) for those who have a college education. By religion, it was 1.328 times higher (p=.008) for those who have faith compared to those who do not. For possible factors, it was 2.325 times higher (p=.003) for those who spend 100,000 won or more on healthcare (monthly average) compared to those who do not spend. For necessary factors, it was 1.439 times higher (p=.041) for those with the chronic disease compared to those without. Conclusion : It is deemed a measure that can increase the preparation of advance directives, considering the characteristics of each cause, for the stable settlement of the life-sustaining treatment decision system.

• Journal of Preventive Medicine and Public Health
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• 제55권4호
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• pp.398-406
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• 2022

Objectives: While the risk of depression is expected to substantially increase among older adults receiving community care, leisure life satisfaction can be regarded as a key component in enhancing the mental health of those receiving community care. However, it is not yet known whether community care utilization increases the risk of depression, or what role is played by leisure life satisfaction in these settings. This study investigated the relationship between community care utilization and depression, as well as the main effect and the moderating role of leisure life satisfaction on the link between community care utilization and depression among older adults. Methods: This study, using the 2019 Korean Welfare Panel Survey, conducted multiple regression analysis on data from 4494 elderly people aged 65 years or older. Results: After controlling for potential covariates, older community care recipients were more likely to report symptoms of depression than those who did not receive community care. Meanwhile, leisure life satisfaction was negatively associated with depression in older adults. The test for interaction between community care utilization and leisure life satisfaction revealed that leisure life satisfaction significantly attenuated the link between depression and community care utilization. Conclusions: The findings of this study imply that leisure life satisfaction could play a meaningful role in improving the mental health of older adults receiving community care. Welfare policies affecting older adults should consider leisure life satisfaction as an important resource for reducing depression in community care settings.

• 한국콘텐츠학회논문지
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• 제18권11호
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• pp.493-507
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• 2018

본 연구는 목조주택시공 및 조경시공분야의 직업훈련과정에 참여한 194명을 대상으로 연령구간에 따른 직업 훈련 특성 및 훈련 활용도를 살펴보았다. 고용가능성, 경력단계등에서의 차이에 따라 이들을 제1직업기(30~45세), 경력전환준비기(46~52세), 경력전환기(53~60세), 퇴직후가교일자리기(61세~68세)로 나누어 살펴본 결과 나이가 많은 그룹일수록 컴퓨터활용수업에서 어려움을 느꼈으며 취업결과가 낮은 것으로 나타났다. 하지만 훈련활용도를 취업에서 뿐 아니라 진로탐색, 노후생활준비 및 취미활동 등의 측면에서 살펴보았을 때, 경력전환기의 경우 진로탐색 활용이 높았으며 퇴직후가교일자리기의 훈련생들은 노후준비 및 취미활동으로 활용하는 것으로 나타났다. 한편 훈련활용도에 영향을 미치는 요인을 살펴보기 위해 회귀분석을 실시한 결과, 훈련난이도 인식, 진로적응성이 진로탐색 및 노후준비에 영향을 미쳤고 취업에는 이전 경력연관성, 진로장벽인식, 훈련난이도 인식, 관계능력이 영향을 미치는 것으로 나타났다. 본 연구결과에 따르면 중 고령자의 무경계경력 관점에서의 직업훈련 활용은 취업보다 진로탐색이나 노후생활 준비 쪽에 초점이 맞추어져야 할 필요가 있다. 또한 본 연구에 근거, 직업훈련에 진로장벽에 대한 긍정적인 태도형성 및 관계역량을 기를 수 있는 내용을 포함하는 등 중 고령자의 특성 및 수요에 맞는 교육 훈련과정의 개발을 제언하는 바이다.