• 임상간호연구
• /
• 제27권1호
• /
• pp.77-84
• /
• 2021

Purpose: Malnutrition affects all age groups, but older adults are particularly more vulnerable to nutritional deficiencies. This study evaluated the age-specific factors affecting malnutrition in hospitalized older adults. Methods: A retrospective study was conducted on inpatient elderly people who received artificial nutrition from 2010 to 2017. Data of demographics, diagnosis, type of nutrition therapy, number of comorbidity, fall risk assessment, Acute Physiologic Assessment and Chronic Health Evaluation (APACHE) score, and intensive care unit admission were collected. Malnutrition was defined as a body mass index (BMI) of less than 18.5 kg/m². Patients were classified as the young-old (65~74 years old), the old-old (75~84 years old), or the oldest-old (85 years old or older). Results: A total of 7,130 older adults were included, and 4,028 patients were classified as the young-old, 2,506 into the old-old, and 596 into the oldest-old. Proportion of malnutrition was higher in the oldest-old compared to the other groups. In multivariate analysis, parenteral nutrition, alcohol, and high risk of falls were factors affecting malnutrition in all groups. Parenteral nutrition and alcohol in the young-old, high risk of falls in the old-old, and male sex in the oldest-old were the factors affecting malnutrition by the age group. Conclusion: Older age was the most significant factor affecting malnutrition. Specific strategies by age are needed to improve nutritional status in hospitalized older adults as influencing factors for malnutrition vary among different age groups.

• 한국보건간호학회지
• /
• 제28권3호
• /
• pp.419-431
• /
• 2014

Purpose: The aim of this study was to understand the determinants of health-related quality of life (HRQOL) according to age groups in vulnerable elderly women. Methods: We conducted a cross-sectional study with 1,533 elderly women beneficiaries of the visiting health care program in Seoul. The participants were divided into three age groups: the young-old (n=753, 65-74 years), old-old (n=602, 75-84 years), and oldest-old (n=178, 85 years or older) groups. HRQOL was measured using the SF-8 questionnaire. Results: HRQOL was found to be worse in the oldest-old group (p=.007). Factors associated with HRQOL differ by age groups. In the young-old and old-old groups, higher HRQOL showed significant correlation with a higher level of self-rated health (SRH) and a lower level of depression, instrumental activities of daily living (IADL) dependence, and the number of chronic diseases. In addition, higher HRQOL was observed for elderly living alone than for those living with family. In the oldest group, higher HRQOL showed significant correlation with a lower level of depression, activities of daily living (ADL) dependence, and a higher level of SRH. Conclusions: In age specific groups, lower levels of HRQOL were observed for the oldest-old group than for the other age groups. Age group-specific nursing strategies may be required for improving HRQOL levels of vulnerable elderly women.

• 한국조사연구학회지:조사연구
• /
• 제12권2호
• /
• pp.1-26
• /
• 2011

초고령(80세 이상) 사망률에 대한 양적, 질적 자료의 결여는 한국의 초고령 사망률에 대한 체계적인 연구의 최대 걸림돌이 되어 왔다. 그러나 세계가 경험해 보지 못한 한국의 급속한 고령화는 미래의 인구구조의 근본적인 변화를 초래하게 되어 초고령 사망률의 수준, 패턴, 그리고 추이분석은 더 이상 미룰 수 없는 과제가 되었다. 사망률 추이는 80세 이상(80+) 또는 85세 이상(85+)로 절단된 형태의 과거 사망률 자료를 115세까지의 각 세별 사망률로 확장하여 분석될 수 있다. 이러한 확장은 한국형 표준사망률의 작성이 우선되어야 가능하며 이 표준사망률을 통해 한국의 초고령 사망률의 수준과 패턴의 파악이 가능해진다. 한국형 표준 사망률의 작성은 하나의 관계모형과 11개의 함수로부터 도출되며, 성별로 최적의 모형은 적합도를 측정하는 세 가지의 통계량과 사망률의 세 가지 일치성을 기준으로 선택되었다. 본 논문에서는 작성된 표준사망률을 이용하여 과거의 절단된 사망률을 확장하였고 이 확장 과정에서 필연적으로 발생하는 종단면적인 사망률의 일치성을 해결하는 방안을 제시하였다.

• 대한간호학회지
• /
• 제39권1호
• /
• pp.21-32
• /
• 2009

Purpose: The purpose of this study was to investigate the level of life satisfaction and the significant factors which impact on life satisfaction of young-old (60-69 yr), old (70-79 yr), and oldest-old (80 yr or above) women. Methods: The participants for this study were 289 elderly Korean women living in the city of Daegu and Kyongpook province. The data were collected using structured questionnaires. ANOVA, Chi-square, and multiple regression with the SPSS program were used to analyze the data. Results: There were statistically significant differences among young-old, old, and oldest-old women regarding the existence of spouse, income, educational status, and religions. The model including variables related to physical, psychological, financial, and social aspects of life, explained variance of life satisfaction of elderly women differently, such as 55% of young-old, 37% of old, and 66% of oldest-old. Finally, self-esteem was the only predictor in explaining the level of life satisfaction among old women regardless age. Conclusion: Based on the findings of the study, implications for practical services for elderly women and recommendations of further study are provided. Nursing interventions should be developed to improve life satisfaction of elderly women according to age differences.

• 대한간호학회지
• /
• 제39권1호
• /
• pp.72-83
• /
• 2009

Purpose: This study was to investigate the prevalence of depressive symptoms and risk factors in elderly people (old vs oldest-old) with arthritis. Methods: The Korean Longitudinal Study of Aging (KLoSA) was used with a sample of 1,084 elderly people with arthritis aged 65 or above. Results: We found that the prevalence of depressive symptom was greater for oldest-old people (66.7%) compared to old people (56%). Significant differences between old people and oldest-old people were found for education, living with spouse, number of generation, regular exercise, body mass index (BMI), ADL limitation, self-rated health, and depression. Significant differences existed between depression and non-depression in terms of all variables except region and BMI among old people. But, among the oldest people, ADL limitation and self-rated health showed differences. The Logistic regression analysis revealed that religion, medical comorbidity, ADL limitation, self-rated health were significantly associated with depressive symptoms in old people. But, in oldest-old people, none of the variables were associated with depressive symptoms. Conclusion: The findings show that there are age differences in depression and related factors in elderly people with arthritis. Longitudinal studies, which covered depressive symptom severity and which are controlled for a large number of potential confounders, will need to complement the results of this study in the future.

• 디지털융복합연구
• /
• 제10권9호
• /
• pp.391-396
• /
• 2012

본 연구에서는 자기공명영상(magnetic resonance imaging, MRI)을 이용하여 중년 및 초고령의 허혈성 뇌혈관 호발 부위를 분석하여 임상에 기초자료로 제시하고자 하였다. 2006년 5월부터 2008년 1월까지 허혈성 뇌혈관 질환으로 자기공명영상검사를 받은 69 명(평균나이: 44.2세, 남: 43명, 여: 26명)의 중년 환자군과 129 명(평균나이: 84.7세, 남: 58명, 여: 71명)의 초고령 환자군에 대해 후향적으로 분석하였다. 뇌혈관 부위는 앞교통 동맥(anterior communication artery, ACoA), 뒤교통 동맥(posterior communication artery, PCoA), 앞대뇌 동맥(anterior cerebral artery, ACA), 중간대뇌 동맥(middle cerebral artery, MCA), 뒤대뇌 동맥(posterior cerebral artery, PCA), 속목 동맥(internal carotid artery, ICA), 온목 동맥(common carotid artery, CCA), 그리고 뇌바닥 동맥(basilar artery, BA)으로 나누었으며, BA를 제외한 모든 혈관들의 허혈성 뇌혈관 위치는 좌, 우, 양쪽으로 분류하였다. 그 결과 허혈성 뇌혈관은 중년 환자군에서 남성이 여성보다 많았고 남성, 여성 모두 MCA에서 가장 많이 발생하였으며 초고령 환자군에서는 좌, 우, 양측의 혈관에서 고른 발생빈도와 여성이 남성보다 많았으며 남성은 ICA, 여성은 MCA에서 많이 호발하고 있었다. 특히, MCA에서 초고령의 남자환자군보다 중년의 남자 환자군에서 많이 발생하고 있었다. 이러한 허혈성 뇌혈관 호발 부위의 분석은 임상적 진단과 치료에 도움을 줄 수 있으리라 사료된다.

• 지역사회간호학회지
• /
• 제33권2호
• /
• pp.207-216
• /
• 2022

Purpose: The aim of this study was to identify differences and influencing factors in the level of life satisfaction among the urban community-dwelling elderly by age group. Methods: The study was conducted utilizing the secondary data of 2017 Seoul Survey in a cross-sectional design. Of 42,688 participants in total, the data of 7,927 adults aged 65 or older were analyzed. The data were analyzed using descriptive statistics, independent t-test, chi-square test, Pearson's correlation coefficients, and multiple linear regression. Results: There were significant differences between age groups, and it was found that the old elderly groups had significantly higher life satisfaction than the oldest elderly group (t=8.37, p<.011). In common, family and community factors influencing life satisfaction in the two age groups were companion animals (old elderly: β=.03, p=.002; oldest elderly: β=.06, p=.021), social network (old elderly: β=.10, p<.001; oldest elderly: β=.08, p=.008), and social support (old elderly: β=.05, p<.001; oldest elderly: β=.08, p=.005). Conclusion: Based on these results, social welfare and nursing care services focusing on social capital and age group-specific interventions are needed to improve life satisfaction of the elderly. This study might provide the possibility and evidence for a program to improve life satisfaction for the urban community-dwelling elderly, including social capital elements.

• 대한간호학회지
• /
• 제40권3호
• /
• pp.400-410
• /
• 2010

Purpose: The purpose of this study was to investigate the factors that influenced the health-related quality of life of young-old (65-74 yr) men, old-old (75-84 yr) men, and oldest-old (85 yr or above) men in vulnerable aged received home care from public health center. Methods: The participants for this study were 318 aged Korean men living in D city. The data was collected from August to October, 2009 using structured questionnaires. Chi-square, One way ANOVA, Duncan test, Pearson's Correlation Coefficient and multiple regression with the SPSS WIN 14.0 program were used to analyze the data. Results: There were statistically significant differences among young-old, old-old, and oldest-old men regarding the health-related quality of life, health promoting behavior, IADL (Instrumental Activities of Daily Living), rehabilitation, depression, and social support. The model including variables related to physical, psychological, and social aspects of life, explained variance of the health-related quality of life of aged men differently, such as 39.6% of young-old, 35.4% of old-old, and 47.0% of oldest-old. Finally, IADL and social support were predictors in explaining the level of health-related quality of life among vulnerable old men regardless of age. Conclusion: Based on the findings of the study, nursing interventions should be developed to improve health-related quality of life of vulnerable aged men according to age differences.

• 기본간호학회지
• /
• 제18권2호
• /
• pp.186-194
• /
• 2011

Purpose: The purpose of this study was to investigate factors of sleep disturbance and sleep patterns of elderly hospitalized women patients between young-old (65-74 years), old (76-84 years) and old-old (85 years and above). Methods: The questionnaire included the environmental disturbance factors (Paik, 2000), degree of pain (Wang & Kim,1995), disease symptoms (Paik, 2000), depression (Kee, 1996) and sleep patterns (Oh, Song, & Kim, 1998). Data were analyzed using frequencies, means, ${\chi}^2$-test, t-test, ANOVA, Scheffe, Pearson correlation coefficients and multiple regression (SPSS 14.0). Results: The middle, and oldest group's environmental disturbance factors of degree of pain, disease symptoms, depression and sleep patterns were higher than those of the younger group. The younger, middle, and oldest group's sleep pattern had a significant negative correlation with environmental disturbance factors, degree of pain, disease symptoms and depression. The model including variables related to environmental, physical and psychological disturbance factors, explained the following variances in sleep pattern: 26.8% for the youngest group, 27.6% for the middle group and 40.7% for the oldest group. Conclusion: The result of this study offer basic data for the development of nursing intervention programs to improve sleep patterns for hospitalized women patients according to age differences.

• 가정과삶의질연구
• /
• 제18권2호
• /
• pp.125-139
• /
• 2000

The main purpose of this study is to examine the relation between different patterns of commitment to work role and fathering and the level of life satisfaction. 272 fathers, whose oldest child is under 12 years old with professional, managerial and clerical jobs, were selected. The major findings of this study were as follow: 1) Married men with the oldest child under 12 years old were more likely to be committed to fathering than to work role. 2) The significant variables that affected the level of commitment to fathering were the age of the oldest child, the frequency of participation in the meeting after work, parental satisfaction, and how they perceive the spousal support. And the significant variables that affected the level of commitment to work role were type of job, parental distress, work satisfaction, work distress. 3) Patterns of commitment to fathering and work role were categorized into four groups. The names were given as positively balanced commitment pattern, positive fathering commitment pattern, negative fathering commitment pattern, and totally negative commitment pattern. 4) The significant variables important in classifying the patterns of commitment to work role and fathering appeared to be the age of the oldest child, work distress, the frequency of participation in the meeting after work, parental satisfaction, how they perceive the spousal support, work satisfaction and weekend total working hour. 5) The balanced positive commitment to work and fathering was associated with the highest level of life satisfaction.