• Title/Summary/Keyword: Older people

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Current Status and Factors Related to Physical Activity of Older Nursing Home Residents with and without Dementia: Effects of Individual and Institutional Characteristics (장기요양시설 거주노인의 치매 여부에 따른 신체활동수준과 관련 요인: 개인 및 기관 특성의 영향)

  • Chun, Seungyeon;Kim, Hongsoo
    • Health Policy and Management
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    • v.28 no.4
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    • pp.392-401
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    • 2018
  • Background: Physical activity (PA) is critical for maintaining the health and well-being of older people in community and also institutional settings. The purpose of this study was to examine the current status of PA and related individual and organizational factors among older nursing home residents with and without dementia. Methods: This is a secondary data analysis study of a nationwide survey of 92 long-term care facilities in Korea, and the study sample includes older residents with dementia (n= 753) and without dementia (n= 480). The level of PA was measured by PA time and whether or not residents had an outdoor activity over the past 3 days. Multi-variate, multi-level analyses were conducted. Results: More than half of the sample in both groups had no or less than 1 hour of PA. About one out of four older people in our sample had no outdoor activity over the past 3 days regardless of whether or not they had dementia. Among the people without dementia, several individual-level factors were associated with PA, including dependency for activities of daily living, social activity participation, and caregivers' belief in the functional improvement of residents. Unlike the non-dementia group, individual- and organizationallevel factors including staffing level and having the relevant equipment for PA were associated with PA among those with dementia. Conclusion: Study findings provide evidence on the lack of PA among older nursing home residents, and the importance of institutional capacity with regard to human resources and physical equipment for promoting PA among people with dementia, in particular. Policies and supports are needed to promote the implementation of healthy aging programs including PA for older nursing home residents. Such programs should be person-centered with consideration to the physical and cognitive status of individual residents.

The Differences of Explicit and Implicit Attitudes toward Older People in College Students and Older People (노인에 대한 명시적 및 암묵적 태도: 대학생 및 노인을 중심으로)

  • Hyun-Ji Lee;Hee-Jeong Bang
    • Korean Journal of Culture and Social Issue
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    • v.18 no.2
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    • pp.191-213
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    • 2012
  • The purpose of this study was to examine the differences of the explicit and implicit attitudes towards the elderly according to age and gender. For this research, 64 college students and 64 older people completed Explicit Attitudes Rating Scales (likability/ trustfulness/ companionship/ group membership), Explicit Preference Test, and Young-Old Implicit Association Test. The college students presented in-group preference and out-group bias on both explicit and implicit level whereas our-group favoritism was presented in the older participants on both explicit and implicit level, which meant the older participants preferred the young to the old. In both the groups, however, there were no significant correlations between explicit and implicit age attitude. In addition, college students showed an explicit preference for the old over the older participants whereas only interaction effect(age and gender) was appeared on implicit preference toward older people. The theoretical and practical implications and limitations of this study were discussed.

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A Study on the Dietary Habit in Residents of Rural District Muan of Chonnam (전남 무안 농촌지역 주민의 식습관 실태조사 연구)

  • Jung, Bok-Mi;Cho, Yoo-Hyang;Jung, Hae-Ok
    • Korean Journal of Community Nutrition
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    • v.11 no.1
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    • pp.83-97
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    • 2006
  • This study was to investigate dietary habit for residents in the rural area of Chonnam, Muan. The subjects were composed of $61.2\%$ male and $38.3\%$ female (510 adults). In regularity of meal time, $56.3\%$ of the subjects had meals regularly. The older people were significantly higher than the younger people at regular intervals of meal times (p < 0.0001) . The majority of the subjects had appropriate meal amounts. $73.5\%$ of the subjects had balanced diets. Unbalanced diet was higher in younger people than in older people. The highest frequency to dining out was once a month and the lower age was significantly higher than older age (p < 0.001) When dining-out, the most important criteria for selecting a meal was the taste of food. $62.4\%$ of the subjects ate meat and greasy animal food more than once a week. The younger in age and higher in educational levels have increased meat intake frequency. In the eating methods of animal fat, $37.5\%$ of the subjects were high by eating generally untouched. The older in age, lower in education level have more increased animal fat intake frequency. $60.7\%$ of the subjects took snacks. The kinds of snacks were fruits, coffee, alcoholic drinks, candies and confectioneries, drinkables and tea, milk and dairy products, in order. Consequently, nutrition education is for them with special emphasis on regularity of meal times, unbalanced diets, dining-out and snacks to the younger people, whereas it is the necessary eating methods of animal fat and snacks to the older people.

Impact of Community Health Care Resources on the Place of Death of Older Persons with Dementia in South Korea Using Public Administrative Big Data (공공 빅데이터를 이용한 치매 노인 사망장소의 결정요인: 지역보건의료자원의 영향)

  • Lim, Eunok;Kim, Hongsoo
    • Health Policy and Management
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    • v.27 no.2
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    • pp.167-176
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    • 2017
  • Background: This study aimed to analyze the impact of community health care resources on the place of death of older adults with dementia compared to those with cancer in South Korea, using public administrative big data. Methods: Based on a literature review, we selected person- and community-level variables that can affect older people's decisions about where to die. Data on place-of-death and person-level attributes were obtained from the 2013 death certification micro data from Statistics Korea. Data on the population and economic and health care resources in the community where the older deceased resided were obtained from various open public administrative big data including databases on the local tax and resident population statistics, health care resources and infrastructure statistics, and long-term care (LTC) insurance statistics. Community-level data were linked to the death certificate micro data through the town (si-gun-gu) code of the residence of the deceased. Multi-level logistic regression models were used to simultaneously estimate the impacts of community as well as individual-level factors on the place of death. Results: In both the dementia (76.1%) and cancer (87.1%) decedent groups, most older people died in the hospital. Among the older deceased with dementia, hospital death was less likely to occur when the older person resided in a community with a higher supply of LTC facility beds, but hospital death was more likely to occur in communities with a higher supply of LTC hospital beds. Similarly, among the cancer group, the likelihood of a hospital death was significantly lower in communities with a higher supply of LTC facility beds, but was higher in communities with a higher supply of acute care hospital beds. As for individual-level factors, being female and having no spouse were associated with the likelihood of hospital death among older people with dementia. Conclusion: More than three in four older people with dementia die in the hospital, while home is reported to be the place of death preferred by Koreans. To decrease this gap, an increase in the supply of end-of-life (EOL) care at home and in community-based service settings is necessary. EOL care should also be incorporated as an essential part of LTC. Changes in the perception of EOL care by older people and their families are also critical in their decisions about the place of death, and should be supported by public education and other related non-medical, social approaches.

New Directions in Communicating Better Nutrition to Older Adults

  • Guldan, Georgia-Sue;Wendy Wai-Hing Hui
    • Journal of Community Nutrition
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    • v.2 no.1
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    • pp.62-70
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    • 2000
  • Nutrition education should be an important component of ongoing health promotion for older adults and their caregivers. This is because prevention through sound nutrition and food hygiene practices and regular excercise is the most cost-effective way to reduce risks for and deal with their major health problems. nutritions education services should effectively promote optimum intake and successful self-care. Unfortunately, however relative to other vulnerable groups, nutrition education for older adults has not been systematically developed or evaluated. Usually oder adults care a lot about their health, so this should be a relatively easy group to teach - but their increasing numbers, longevity and great diversity with respect to health, physical, and economic status and educational level present challenges. Some older adults may not perceive they would benefit from nutrition education, so interesting and motivating them is a challenge. The food and nutrition knowledge of older people has been acquired through a lifetime of experience. For most older adults in the Asian region, their sources are restricted by their restricted education, so that their major sources of information have been informal sources, such as television, radio, friends, family, and perhaps newspapers and magazines if they are literature. Nonetheless, dietary advice for older people should build on their existing knowledge and ingrained values. It should provide information useful in daily food selection, and focus on food, not nutrients - the same foods and groups considered appropriate for younger people, with consistent messages as given throughout the population. Attention must also be paid to discovering learning styles in older people. When we teach in schools, the young students are a captive audience resigned to their learning role. Learning by an older adult, however, reflects an effort to meet his or her perceived needs. Therefore, nutrition education should be a positive experience in a non-threatening environment, relaxed and non-competitive, and perhaps even social environment. The messages also need to be practical and achievable. A needs assessment is essential, because our ability to provide the most effective nutrition education will depend on our success in matching the needs, both perceived and unperceived. of this vulnerable group. Therefore, go to the potential older learners to assess their interest and preferences. Nutrition education activities for older adults are widespread, but few have been evaluated. Evaluation is therefore also recommended, particularly when new methods are used. Tips from other countries for giving successful nutrition education will be given, including some examples of applications as attempted in Hong Kong. Research needs will also be described. In conclusion, successful nutrition education for older adults depends on positive needs-based messages. This is may be hard to do, as few good examples are available to illustrate these principles.

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The Impact of Chewing Ability on Cognitive Function of Older People in Korea: Mediation Effect of Physical Function and Depression (한국 노인의 저작능력이 인지기능에 미치는 영향: 신체기능과 우울의 매개효과)

  • Seo, Han Na;Kim, Jeong Sun
    • 한국노년학
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    • v.37 no.4
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    • pp.909-924
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    • 2017
  • The purpose of this study was to identify the impact of chewing ability on cognitive function of older people in Korea and the mediation effect of physical function and depression using the nationwide data from "Survey of the Living Conditions and Welfare Needs of Korean Older Persons in 2014", in Korea. This study was conducted on a total of 10,451 respondents in the "Survey of the Living Conditions and Welfare Needs of Korean Older Persons in 2014" and the data collection period was from June 11, to September 4, 2014. Chewing ability was used in the scale on level of daily life inconvenience in chewing ability (meat or hardness). Cognitive function was measured using MMSE-DS, physical function using K-IADL, and depression using SGDS-K. The data were analyzed using the SPSS 24.0 program and Process Macro. Total effects of chewing ability on cognitive function were not significant(p>.05). Direct effects of chewing ability on cognitive function were not significant(p>.05). There were the dual mediation effect(p<.05) of physical function and depression, a complete mediating effect by physical function(p<.05) or depression(p<.05) in the impact of chewing ability on cognitive function of older people in Korea. These results indicate that physical function and depression effect directly and indirectly in the impact of chewing ability on cognitive function of older people. In conclusion, it is suggested that to prevent the decline of cognitive function in older people, it is necessary to consider not only nursing strategies for strengthening chewing ability and physical function, but also nursing interventions for relieving or preventing depression in older people.

A Study on the Development of Interior Design Guidelines for Safety Plans of Elderly Housing (노인주거의 안전설계를 위한 실내디자인 설계지침 개발)

  • 한영호;김태환;이진영
    • Korean Institute of Interior Design Journal
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    • no.25
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    • pp.49-60
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    • 2000
  • This study mainly aims to address the housing requirements of senior citizens through meeting their basic needs for physical housing while valuing the particular human needs and demands of older people. As the number and frequency of their social ties decrease, senior citizens spend most of their time at home. As a result, they suffer a larger number of accidents in the home. Although carelessness is a cause, the main reason for seniors household accidents is that the general structure, fixtures and appliances of housing do not take into account the particular needs of older people. This study investigates the accident patterns of older people, addresses structural obstructions, and proposes guidelines for ergonomic interior design and household management which take into account universal design and the special needs of senior citizens. This study explores the following: 1) Accident causes and patterns in senior households, as the specific characteristics, requirements of older people. 2) An analysis of safety improvement plans and application. 3) Determining each rooms layout by functional requirement. 4) A final set of proposed interior design guidelines for senior housing.

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Subjective Satisfaction with Medical Care among Older People: Comprehensiveness, General Satisfaction and Accessibility (노인 의료이용의 주관적 만족도: 포괄성, 전반적인 만족도, 접근성을 중심으로)

  • Kim, Hwa-Joon;Koh, Young;Chun, Eun-Jeong;Jang, Soong-Nang;Kim, Chang-Yup
    • Journal of Preventive Medicine and Public Health
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    • v.42 no.1
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    • pp.35-41
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    • 2009
  • Objectives : The changing population age structure and rapidly increasing medical costs make providing high-quality, effective medical care for the elderly a challenge. This study assessed the satisfaction with medical care in terms of comprehensiveness, general satisfaction, and accessibility among community-dwelling Korean elders. Methods : Data were obtained from a nationwide representative sample of the older adults(aged 65 years old or older) living in the community, who participated in a 2006 telephone survey conducted using random digit dialing(n=881). General satisfaction, comprehensiveness and accessibility were measured using a 10-item satisfaction survey questionnaire. Descriptive analysis was used to assess the distribution of each of three components of subjective satisfaction. Analysis of covariance(ANCOVA) was used to examine the association of each of the three components with socioeconomic variables. Results : Comprehensiveness and general satisfaction were low among older people with a high socioeconomic status. Accessibility was evaluated as low among older people of low socioeconomic status, those living in rural areas and those who were medical aid beneficiaries. Conclusions : Urgent interventions should be considered in order to improve accessibility to medical care for elders of low socioeconomic status and those living in rural communities. Given the rapid aging of the population, we need to develop a monitoring system to improve the quality of geriatric care.

Analysis of the Types and Affecting Factors of Older People's Health-related Quality of Life, Using Latent Class Analysis (잠재계층분석을 활용한 노인의 건강 관련 삶의 질에 대한 유형화와 영향요인 분석)

  • Jang, Sun-Hee;Yeum, Dong-Moon
    • Research in Community and Public Health Nursing
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    • v.31 no.2
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    • pp.212-221
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    • 2020
  • Purpose: This study aims to identify the types of health-related quality of life (QoL) based on the EuroQoL 5 Dimensions among community older people and predict the factors affecting these types. Methods: This study used data from the 2016 Korea Health Panel Survey, whose participants included 3,848 older people. The data were analyzed using the software jamovi 1.2.17 and Mplus 8.2 for latent class analysis. Results: The subgroups of the older people's health-related QoL were identified as three latent classes: General stable type (43.9%), pain-related low type (35.0%), and general low type (21.1%). The types and characteristics of health-related QoL among the latent classes differed. Comparing the difference between the general low type and general stable type, the subjects showed higher probability of belonging to the general stable type when they were men, younger, higher education level, employment, better subjective health, lower BMI and stress level, and no suicidal ideation. A comparison between the general low type and the pain-related low type showed that the subjects were more likely to be classified as the pain-related low type when they were younger, higher education, employment, and better subjective health. Conclusion: The results showed a significant heterogeneity in the types of health-related QoL among community older people, and the predictors for each type were not the same. These findings present basic data for cultivating nursing interventions that enhance health-related QoL.

Effects of Visual Cue Deprivation Balance Training with Head Control on Balance Function and Fall Index in Older People

  • Kim, Seung-Kyu;Lee, Do-Youn;Nam, Seung-Min
    • The Journal of Korean Physical Therapy
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    • v.34 no.5
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    • pp.212-217
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    • 2022
  • Purpose: This study sought to investigate the effects of visual cue deprivation balance training by applying head control feedback to the balance function and the fall index in older people. Methods: The study was conducted on 26 older people at the S Hospital in Gyeongsansi. The patients were randomly divided into the experimental groupI (EGI, n=9), the experimental groupII (EGII, n=9), and the control group (CG, n=8). The three groups were trained for 30 minutes three times a week for four weeks. To assess the patients' static balance function, their limits of stability (LOS) was measured using the BioRescue system, (RM Ingenierie, France), composed of a pressure platform that can measure force in diverse ways, a computer, and a monitor. The dynamic balance function was measured using the Berg Balance Scale (BBS). Also, the fall index was measured to evaluate the risk of falling. A paired t-test was performed to compare pre- and post-training performance within the groups. One-way ANOVA was performed for comparing the three groups. A post hoc least significant difference (LSD) test was also performed. Results: The results of the LOS showed a significant difference after training in the EGI and EGII groups (p<0.05). As a result of the difference between the three groups, there was a significant difference after training (p<0.05). The results of the BBS showed a significant difference after training in the EGI group (p<0.05). As a result of the difference between the three groups, there was a significant difference after training (p<0.05). Conclusion: Visual cue deprivation balance training applying head control feedback is effective in improving the dynamic balance function in older people. It is also necessary to constantly maintain the head orientation by feedback and to properly control the head movement.