• 융합신호처리학회논문지
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• 제21권2호
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• pp.86-91
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• 2020

독거노인이 증가하면서 낙상 사고 빈도도 높아지고 있다. 낙상은 노인들의 건강을 위협할 뿐만 아니라, 독립적인 생활을 위협할 수 있다. 이 문제를 해결하기 위해서는 독거노인의 위급한 상태를 인식하고 대응할 수 있는 실시간 기술이 필요하다. 따라서 본 논문은 독거노인을 위해 긴급 상황 중 하나인 낙상을 실시간으로 확인할 수 있는 YOLO-KCF를 기반 개선된 낙상 감지 알고리즘을 제안한다. YOLO는 물체의 검출뿐 아니라 서 있는 행동과 쓰러지는 행동 유행을 감지할 수 있다. 따라서 본 논문은 서 있는 행동 유형과 쓰러지는 행동 유형간의 경계 박스의 형태 변화를 이용하여 낙하를 검출할 수 있으며, KCF의 단점을 개선할 수 있다.

• 문화기술의 융합
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• 제8권3호
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• pp.175-182
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• 2022

본 연구는 코로나19 팬데믹 시기에 독거노인을 대상으로 한 전화중재가 우울 감소에 미치는 영향을 알아보기 위해 시도되었다. 전화중재는 10주간 주 1회 실시하였으며, 전화중재 후 우울 수준의 변화를 조사하기 위해 단일 집단 사전-사후 설계를 사용하였다. 연구대상은 원주시 소재 3개 사회복지기관에 등록된 65세 이상 노인 총 114명이며, 전화중재 전후 설문지를 작성하였다. 전화 중재는 간호대학생 자원봉사자 56명에 의해 이루어졌으며, 학생 1인당 2~3명의 노인을 담당하였다. 연구결과 우울 점수는 중재 전 6.59±3.74에서 중재 후 5.01±3.34로 감소하였다(t=4.959, p<.001). 본 연구 결과, 전화중재는 코로나19 대유행 기간 동안 독거노인을 위한 정서적 지원으로 효과적인 것으로 나타났으며, 비독거노인을 포함한 다양한 대상자와 지역으로 확대하기 위해 추후 연구가 필요하다.

• 한국지역사회생활과학회지
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• 제17권1호
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• pp.87-99
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• 2006

The purpose of this study was to explore the relationship between self-rated health and Activity of Daily Living (ADL) and self-care behavior of rural elderly in Korea, focused on the difference among three distinctive living arrangements; living alone, living only with his/her spouse, and living with their married children. For this purpose, data were gathered from a nationwide survey, a total of 586 elderly aged 65 or older and living in rural area, using the structured questionnaire. Also, self-care behavior were categorized into 4 groups; life-style practice, medical self-care, adaption to functional limitation, and emotional management. The major findings are as follows; 1) Rural elderly perceived their health little and more 'bad' but their ADL capacity were 'not difficult', especially among elderly living with spouse. 2) The level of 20 items in self-care behavior ($1{\sim}5$score) was ranged from 2.51 to 3.81 score. The behavior level of regular exercise, setting up additional phone, taking a nutrient, and testing BP or pulse regularly were low but that of taking a medicine according to prescription, close contact with other people, and regular eating were proportionally high. 3) The majority of self-care behavior were correlated with subjective health positively but medical self-care behavior were correlated with subjective health or ADL negatively. Based on these results, policy implications are discussed.

• 한국융합학회논문지
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• 제9권6호
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• pp.329-337
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• 2018

본 연구는 대사증후군의 진단에 포함된 고혈압, 당뇨병을 가진 65세 이상 독거노인을 대상으로 의료인이 행한 질병관리교육이 대사증후군 발생을 예방할 수 있는 건강행태에 미치는 영향을 밝히기 위한 조사연구이다. 2014년 지역사회건강 조사 자료로부터 10분이상의 질병관리 교육 경험에 대한 문항이 있는 고혈압과 당뇨병을 가진 독거노인 9,042명을 자료로 이용하였다. 자료의 분석은 ${\chi}^2-test$, 다중 로지스틱 회귀분석을 실시하였다. 연구의 결과는 질병관리교육 경험이 있는 독거노인의 경우, 심혈관 건강관련 인자의 수치에 대한 인지율이 높았으며(p<.001), 주당 3일 이상 걷기를 시행할 확률은 1.145배(p=.002), 현재 음주를 하지 않을 확률은 1.212배(p<.001), 싱겁게 먹을 확률은 1.184배(p=.002)로 나타났다. 본 연구결과로부터 독거노인에게 건강정보 제공시 의료인에 의한 교육의 중요성과 이를 반영한 건강증진정책의 개발이 요구된다.

• 간호행정학회지
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• 제6권2호
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• pp.195-209
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• 2000

The purpose of this study is to estimate the population requiring nursing home services among elderly people in Korea. This study identifies the need of nursing home services determined by health care professionals and estimates the proportion of elderly people requiring nursing home service according to the admission criteria. Surveys were conducted on health care professionals including medical doctors, home care nurses, and nurse practitioners. They were asked to assess nursing home need based on four content areas: Physical function (Activities of Daily Living), chronic disease, Physical symptoms (incontinence), mobility, eating, and sensory function. Based on the professionally determined need criteria the proportion of elderly people requiring nursing home services was estimated using secondary data from the 1994 Survey on the Living Status of the Korean Elderly. The number of study subjects to estimate nursing home need who were 60 and older totaled 2,058. The most important factor contributing to the admission eligibility criteria was the elderly living alone. Other factors related were the elderly being unable or having difficulty carrying out activities, and having insufficient help from other our activities, and having insufficient help from other members of the household. Using only physical function, the proportion of elderly people requiring nursing home was $8{\sim}9%$. When only chronic disease was used, proportions varied widely; for the doctor's group, the proportion was over 30%. Using all areas, the proportions of elderly people requiring nursing home were between 13% and 38%. The estimate using chronic disease and physical function was similar to the on using all areas.

• 한국주거학회논문집
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• 제20권5호
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• pp.123-132
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• 2009

As society increasingly ages, maintaining an independent lifestyle at home becomes an important issue for older people. This study aims to determine old people's housing needs for maintaining an independent lifestyle despite their health status and living arrangements. A total of 438 residents voluntarily took part in a research questionnaire survey through the quota sampling method. The participants were grouped according to age (60-64, 65-69, 70-74, and over 75), gender (male and female), and house type (apartment houses and others). The results are as follows. (1) The senior residents are mostly within a non occupational, low income, and low subjective living status. (2) They are satisfied with their current residence and hope to manage the rest of their life in the same place. (3) Three out of five residents prefer the apartment housing type to other types of housing. The preferred dwelling size, number of rooms, and preference for use of an extra room all varied depending on gender and housing type as well as whether they were a couple or living alone. (4) The older residents have a higher need for a safety system than do the younger residents. Female residents pay more attention to convenience while male residents pay more attention to safety. The non-apartment residents require more modification to fundamental facilities such as a heating and ventilation system, wind protection, and additional storage than do the apartment residents. This study has thoroughly analyzed request characteristics according to basic qualities of the elderly households.

• 디지털융복합연구
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• 제19권5호
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• pp.69-79
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• 2021

정부의 공공서비스가 디지털화되면서 디지털 취약계층인 중고령자의 전자정부 서비스 이용에 대한 연구의 필요성이 제기되었다. 이에 본 연구는 중고령자의 가구유형과 전자정부 서비스 이용의 관계에서 디지털 역량의 매개효과 검증을 목적으로 한다. 이를 위해 한국정보화진흥원의 2018년 디지털 정보격차 실태조사 자료를 사용하여 55세 이상 중고령자 1,660명을 대상으로 Baron과 Kenny(1986)의 매개모형 검증절차에 따라 검증하였다. 연구결과 첫째, 중고령자의 가구유형은 전자정부 서비스 이용에 유의한 영향을 미치는 것으로 나타났다. 둘째, 중고령자의 가구유형이 전자정부 서비스 이용에 미치는 영향은 중고령자의 디지털 역량에 의해 부분적으로 매개되는 것으로 나타났다. 즉 2·3세대 가구 중고령자가 1세대 가구 중고령자에 비해 전자정부 서비스 이용 정도가 높았으며, 2·3세대 가구 중고령자일수록 디지털 역량이 높아져 전자정부 서비스 이용 정도도 높아졌다. 본 연구 결과를 토대로 중고령자의 전자정부 서비스 이용 증진을 위한 가구유형별 지원 방안과 중고령자의 디지털 역량을 향상하기 위한 방안을 제시하였다.

• 보건의료산업학회지
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• 제13권4호
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• pp.191-200
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• 2019

Objectives: The purpose of this study is to investigate the effect of participation in leisure activities on the quality of life by comparing gender and household type. Methods: Data were drawn from the 2017 Korean Elderly Survey and the participants were 7,406 people who are 65 years and above. Data analysis was conducted using SPSS (version 18.0) statistical package. Results: The result of this study revealed that participation in leisure activities has a significant effect on the quality of life of In the case of older adults who are men and live with couple, voluntary activities have a significant effect on their quality of life, while for elderly women living alone, arts & cultural activities have a significant effect on their quality of life. Conclusions: Based on these results, we suggested some implications for supporting healthy leisure activities and improving the level of quality of life among aged people.

• 보건행정학회지
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• 제26권1호
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• pp.39-50
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• 2016

Background: This study examined patient and hospital factors related to long-stay admissions in long-term care hospitals (LTCHs) among older people in Korea. Methods: We analyzed health insurance claims data, entitlement data, and institutional administrative data from the National Health Insurance Service databases between 2010 and 2012. At the patient level, we compared characteristics of patients staying in LTCHs for over 180 days (the long-stay group) with those staying in LTCHs for less than 90 days during a calendar year. At the hospital level, we examined the general characteristics and staffing levels of the top 10% of hospitals with the highest proportion of patients whose length of stay (LOS) was 180+ days (the hospitals with long-stay patients) and compared them with the top 10% of hospitals with the highest proportions of patients whose LOS was less than 90 days (hospitals with shorter-stay patients). Results: The long-stay group accounted for about 40% of all LTCH patients. People in the group were more likely to be women, aged 80+, living alone, and experiencing more than two health conditions. Compared to the hospitals with shorter-stay patients, those with long-stay patients were more likely to be occupied by patients with behavior problems and/or impaired cognition, owned by corporate or local governments, have more beds and a longer period of operation, and deliver services with lower staffing levels. Conclusion: This study found long-stay older people in LTCHs and those in LTCHs with high proportions of long-stay older patients had several distinct characteristics compared to their counterparts designated in this study. Patient and hospital characteristics need to be considered in policies aiming to resolve long-stay admissions problems in LTCHs.

• Journal of Preventive Medicine and Public Health
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• 제52권5호
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• pp.333-343
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• 2019

Objectives: This study aimed to evaluate the association between dental implants and cognitive function in community-dwelling older adults. Methods: Data were collected from the baseline survey (2016-2017) of the Korean Frailty and Aging Cohort Study. The study sample comprised 1115 community-dwelling people aged 70 years to 84 years who had 0-19 natural teeth. Dental implants and natural teeth were identified by panoramic radiography, while the cognitive function was assessed by the Korean version of the Mini-Mental State Examination (MMSE-KC). The association between dental implants and cognitive function was analyzed by multiple linear regression. Sensitivity analysis was performed to test for potential bias. Results: The mean number of natural teeth in the study population was 9.50 (standard deviation [SD], 6.42), and the mean MMSE-KC score was 24.93 (SD, 3.55). In the simple univariate analysis, tooth replacement, age, sex, smoking status, alcohol consumption, body mass index, osteoporosis, number of natural teeth, periodontitis, chewing discomfort, tooth-brushing frequency, education level, monthly household income, participation in economic activity, living alone, and marital status had a significant impact on the association. After adjusting for confounders, the association between dental implants and cognitive function remained significant (B, 0.85; standard error, 0.40; p<0.05). Age, body mass index, periodontitis, tooth-brushing frequency, and education level were also significantly associated with cognitive function. The results of the sensitivity analyses were consistent with those of the primary analysis. Conclusions: Dental implants were associated with cognitive function in older adults living in the community. Dental implants as tooth replacements may play a role in preserving cognitive function.