• Title/Summary/Keyword: Quality of living

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The Effects of Death Anxiety on Quality of Life in Rural Elderly -Focusing on the Mediating Effects of Self-Integration- (농촌거주 노인의 죽음불안이 삶의 질에 미치는 영향 -자아통합감의 매개효과를 중심으로-)

  • Nam, Hee-Soo;Jin, Bong-Hee;Lee, Eong-Im
    • Journal of Agricultural Extension & Community Development
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    • v.29 no.2
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    • pp.81-98
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    • 2022
  • The purpose of this study is to examine the mediating effect of a sense of self-integration in the relationship between death anxiety and death anxiety on the quality of life for the elderly living in rural areas. First, death anxiety among the elderly living in rural areas was found to have a negative effect on the quality of life, and among the sub-elements of death anxiety, the anxiety of loss of existence and the anxiety of the death process were negative on the quality of life. Second, it was found that there is a positive effect on the sense of self-integration, which is a parameter such as anxiety about loss of existence, anxiety about the death process, and anxiety about post-mortem outcomes. Third, it was confirmed that the sense of self-integration mediates between death anxiety and quality of life. Based on the results of this study, several discussions and suggestions were made to improve the quality of life of the elderly living in rural areas by improving the sense of self-integration and reducing death anxiety.

Relationships among Activity of Daily Living, Depression, and Quality of Life(QOL) in Patients with Stroke (뇌졸중 환자의 일상생활동작, 우울과 삶의 질의 관계)

  • Kim, Won-Ock;Kang, Hyun-Sook;Wang, Myoung-Ja;Kim, Jeong-Hwa;Choi, Jin-Yi
    • Journal of East-West Nursing Research
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    • v.13 no.2
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    • pp.138-146
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    • 2007
  • Introduction: The purpose of this study was to examine relationships among stroke patients' activities of daily living(ADL), depression, and quality of life(QOL). Methods: Data were collected by questionnaires from 251 stroke patients at 5 hospitals and 2 public health centers in Seoul and Kyonggi-Do. The following Questionnaires were utilized for this study: Functional independence measure(FIM) from Grange, Hamilton, and Sherwin(1986), the Korean CES-D scale from Randloff(1977), and quality of life scale from Bang, Hwal-Lan(1991). Results: Data were analyzed using the pearson correlation, t-test, and ANOVA with SPSS/WIN 12.0. The results of this study were as follow; The subjects consisted of 110 fern ales and 141 m ales. The mean score of activity of daily living was 87.2(range 18-126). Age, family history, comorbidity, paralysis site, and duration after diagnosis were significantly associated with activity of daily living. The mean score of depression was 23.8(range 11-44). Age, gender, education, and job were significantly associated with depression. The mean score of quality of life scale was 3.0(range 1-5). Gender, religion, education, job, economic status, and duration after diagnosis were significantly associated with quality of life. Relationships among activity daily living, depression, and quality of life scale: The activity of daily living had a negative relationship with depression score. The activity of daily living had a positive relationship with QOL score. The depression had a negative relationship with QOL score. Conclusion: Based on these results, it is necessary to run rehabilitation programs to improve stroke patients' ADL, depression. Also, it research for of identifying stroke patients' quality of life according to rehabilitation program.

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The Effects of Depression, Cognitive Function, and Activities of Daily Living on Quality of Life for Patients with Stroke (뇌졸중 환자의 우울, 인지, 일상생활활동이 삶의 질에 미치는 영향)

  • Lee, Jong-Min;Kim, Hyeong-Min;Kim, Ji-Hoon
    • The Journal of Korean society of community based occupational therapy
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    • v.5 no.1
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    • pp.1-9
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    • 2015
  • Objective : To purpose of the this study was to investigate the effect of depression, cognitive function, and activities of daily living on quality of life for patients with stroke. Methods : This study was conducted at K hospital located in Daegu, inpatients or outpatients in 50 stroke patients. Appropriate selection criteria for the study subjects who study subjects to evaluate the cognitive function, activities of daily living. General characteristic, depression and quality of life were examined through a questionnaire, which was in the final analysis. Results : Factors that affect the quality of life of the correlation as a result of negatively correlated with their depression(r=-.460, p<.01), age(r=-.481, p<.001), cognitive function(r=.458, p<.01), activities of daily living(r=.560, p<.001), education standard(r=.338, p<.05) was found in the positively correlated. Finally, the effect on quality of life for patients with stroke in variables affecting depression(${\beta}=-.253$, p<.05), age(${\beta}=-.272$, p<.05), and activities of daily living (${\beta}=.279$, p<.05) were the order of analysis. Conclusion : Through this study result, depression and activities of daily living that affect their quality of life has been identified as the main variable.

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Factors Influencing Quality of Life of Elderly People with Dementia (치매노인의 삶의 질에 영향을 미치는 요인)

  • Kim, Hwasoon;Lee, Young Whee;Choi, Sung Hee;Ham, Youn Suk
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.25 no.2
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    • pp.79-88
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    • 2018
  • Purpose: The purpose of this study was to identify the factors that affect quality of life in elderly people with dementia. Methods: The participants for this descriptive correlational study were 97 elderly patients with dementia who were attending a daycare center or were being cared for at home. Data were collected from the participants using the Mini-Mental Status Examination-Dementia Scale, the Geriatric Depression Scale (Short Form), Activity of Daily Living (ADL) and Instrumental Activities of Daily Living (IADL) Scale. Results: There were statistically significant differences in quality of life of elders with dementia according to mobility, using dementia day-care center, and cohabitation. In multiple regression analysis, depression, activity of daily of living, using dementia day-care centers and cohabitation were significant predictors of quality of life and the four variables explained 60% of the variance in quality of life. Conclusion: Findings indicate that to enhance the quality of life for elders with dementia, depression needs to be decreased and regular use of daycare service recommended. Further, various programs enhancing physical ability need to be developed and used with these elders.

The Relationship Between the Quality of Sleep and the Cognitive Function, Depression, and Activities of Daily Living in the Institutionalized Elderly (요양시설 노인의 수면의 질이 인지기능 및 우울감, 일상생활활동과의 관련성 연구)

  • Kang, Eun-Yeong;Chong, Sang-Mee;Chong, Bok-Hee
    • The Journal of Korean Society for Neurotherapy
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    • v.22 no.3
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    • pp.37-42
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    • 2018
  • Purpose. The purpose of this study was to determine the relationship between sleep quality and cognitive function, depression, and institutionalized elderly activity. The goal is to improve the quality of life through early intervention in the sleeping problems of the elderly hospitalized in the nursing home. Method Twentythree patients who were diagnosed with CDR (clinical dementia grade) 0.5 ~ 2 stages by a psychiatrist from September 3 to 30, 2017 were measured for sleep status, depression, cognitive function and activities of daily living at the same time once a day. The collected data were analyzed using SPSS (v.21, IBM, USA) program. Results The correlation between sleep status and cognitive function, depression, and activities of daily living was not statistically significant, and there was a moderate correlation between cognitive function and depression. Conclusion The results of this study suggest that the development and application of a program that activates the cognitive function that is institutionalized with a positive correlation between cognitive function and depression will be effective in decreasing depression in the elderly patients hospitalized in the nursing home.

Effects of Physical Environment on Quality of Life among Residents with Dementia in Long-Term Care Facilities in Canada and Sweden: A longitudinal study in a large-scale institutional setting versus a small-scale homelike setting

  • Lee, Sook Young;Hung, Lillian;Chaudhury, Habib;Morelli, Agneta
    • Architectural research
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    • v.23 no.2
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    • pp.19-28
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    • 2021
  • Reduction in competence makes older adults with dementia more sensitive to the influence of the physical environment. The aim of the longitudinal study was to examine whether residents with dementia in long-term facilities with variability in physical environmental characteristics in Vancouver (N= 11), Canada and Stockholm (N=13), Sweden had a difference in their quality of life (QoL). QoL was assessed using Dementia Care Mapping tool three times over one year for the reliability of data. The results of the study demonstrated that the residents with dementia living in a homelike and positive stimulating setting showed less withdrawn behaviors and a higher level of well-being compared to those in a large-scale institutional setting. This study also found that the residents living in a large-scale institutional environment spent more monotonous times than the other groups, which may be to provision of fewer structured activity programs or less social interaction with neighbors or staff members. Residents living in a large-scale institutional setting in Canada showed so far as five times more agitated/ distressed behaviors and twice more withdrawal compared to the ones living in a small-scale homelike setting in Sweden. The study supports that the large-scale institutional environment was considerably associated with levels of lower quality of life among the residents with dementia.

Seasonal Nutrient Intakes of Elderly Women Living Alone as Compared to Those Living with Family in the Gyeongpuk Rural Area (경북 농촌지역 여성 독거노인과 가족동거노인의 계절별 영양소섭취 비교)

  • Lim, Young-Jee;Choi, Young-Sun
    • Korean Journal of Community Nutrition
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    • v.12 no.1
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    • pp.58-67
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    • 2007
  • For the rapidly growing elderly population, the achievement and maintenance of good nutritional status is critical to health, functioning and quality of life. Elderly women living alone have been identified as a group associated with poor nutrition. The purpose of this study was to assess dietary intakes of elderly women living alone as compared to those of elderly women living with family in a rural area and to examine seasonal variation. The subjects are 49 elderly women living alone and 41 elderly women living with family who reside in Goryeong-gun, Gyeongbuk, and their food intakes were assessed once each time in summer 2005, winter 2005-2006, and spring 2006. The average ages were 74.7 years for living alone and 72.8 years for living with family. Education level was not different between the two groups. Height, weight, body mass index, systolic and diastolic blood pressures, and fasting blood glucose were not significantly different between the two groups. Average intakes of major nutrients, nutrient adequacy ratio, mean adequacy ratio and index of nutritional quality were lower in the elderly women living alone compared with the elderly women living with family in summer, but the differences in intakes of most nutrients became insignificant both in winter and in spring. High carbohydrate and low fat diet was prevalent and intakes of carbohydrate and fat in summer deviated from macronutrient acceptable distribution ranges. Percentages of the subjects who consumed energy less than 75% of the estimated energy requirement and nutrients less than the estimated average requirement were higher than those reported by the Third National Health and Nutrition Examination Survey. In summer, the percentage of the subjects who consumed energy less than both 75% of the estimated energy requirement and 4 nutrients less than estimated average requirements was 58.5% of the elderly women living alone, which was higher than 26.5% of the elderly women living with family and that of National Nutrition Survey. Therefore, nutrition policies including nutrition education and support are necessary to improve nutritional status of elderly, especially elderly women living alone and should reflect regional and seasonal characteristics.

Policy Proposals for the Safe Living of the Rural Elderly (농촌 노인의 생활안전을 위한 정책적 제언)

  • Cho, Hee Keum;Lee, Mi Young
    • Journal of Family Resource Management and Policy Review
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    • v.21 no.2
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    • pp.1-24
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    • 2017
  • The purpose of this study, which focuses on safe living as an important determinant of the quality of life for the elderly, is to provide policy proposals for their safe living in rural areas by examining their current living conditions and related policies. To examine the related policies, we analyzed government plans including: the first, second and third Basic Plan on Low Fertility and Aging Society, first implemented in 2006, the first, second and third Basic Plan for Healthy Families, also first implemented in 2006, and the first, second and third Five-year Plan for Improvement of the Quality of Life of Rural People and Regional Development of Rural Areas, first implemented in 2005. In addition to these plans, government projects concerning safe living environments were assessed. we present the following policy proposals for the safe living of the elderly in rural areas. First, integrated, customized policies are required for the rural elderly's everyday life. That is, elderly-friendly residential improvement policies are needed since accidents involving the rural elderly usually occur in their own houses. Policies should also be introduced to monitor and improve the elderly's nutritional and health status. Also considering the high proportion of elderly people in rural areas, policies must be aimed at creating elderly-friendly and family-friendly villages. Second, educational sessions for the elderly are necessary to raise their awareness of safety in everyday lives, which they often overlook.

Actual State and Characteristics of Indoor Noise Including Residents' Living in Apartment Units (아파트 단위주거 내부생활소음의 특성과 실태)

  • Choi, Yoon-Jung
    • Journal of the Korean housing association
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    • v.20 no.1
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    • pp.83-90
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    • 2009
  • The present study is a preliminary research improving the dwelling quality of apartment house as a kind of multi-family housing. The purpose of the study is to find out the actual state on characteristics of indoor noise including residents' living in apartment units. The method was field survey consisted of field measurements on equivalent noise level, observation on noise type, and interview on residents' responses. Field survey were carried out in 20 occupied apartment units from January to March 2007. The results are as follows. 1) Averages of indoor noise levels including residents' living noise were measured as $43.9{\sim}62.2\;dB(A)_{Leq5min}$, the average of each house except one was higher than the permissible level, 45 dB(A). 2) The noise types observed were mostly residents' living noise and classified into 'water hammer', 'living equipment noise', 'noise by family', 'hood noise', 'kitchen noise' in own unit, 'walking and talking noise in stairs and corridors', 'noise by neighborhood house', 'noise by the upper story' in building, and outdoor noise. 3) The residents showed slightly non-positive responses at 'noise by the upper story', 'noise by neighborhood house', 'water hammer', and 'noise by family'. Therefore, it is required to plan for preventing deterioration of the dwelling quality by residents' living noise in own unit as well as by neighborhood houses.

Living Environment, Musculoskeletal Disorder and the Decrease of Work Efficiency & Quality of Life (생활 환경요인에 의한 근골격계 질환이 업무능률 및 삶의 질 저하에 미치는 영향)

  • Park, Jong-Ho;Kim, Eun-Jeong
    • The Journal of Industrial Distribution & Business
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    • v.8 no.7
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    • pp.63-70
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    • 2017
  • Purpose - Due to the lack of physical activities and the increase of sedentary behaviors such as screen time, the health condition for contemporaries has been deteriorating. This study is designed to investigate how the use of worktable or tools unfit for body and sedentary behaviors can exercise influence on muscular skeletal disease and how it has an impact on lowering work efficiency and the quality of life with the medium of the muscular skeletal disease. Research design, data, and methodology - The research has developed a questionnaire with 5 hypothesis. The questionnaires were also made by interview and E-mail. 350 copies of questionnaires were distributed and 315 questionnaire were used for the analysis as valid data responses. SPSS ver.22.0 were used and made Cronbach's and reliability test, correlation, Baron & α Kenny 3 step mediated regression analysis. Results - The research has found that living environment factors have positive effect on the occurrence of musculosketal disease. Particularly, repeated use of unfit worktable or tools has a positive effect on the muscular skeletal disorder. And sedentary lifestyle also has a positive effect on the disease. The musculoskeletal disease caused by living environment has a positive impact on lowering the work efficiency. This study has also showed that the muscular skeletal disease has mediated the relationship between the living environment factors and the decrease of work efficiency due to musculoskeletal disease. The musculoskeletal disorders can effect the decrease of the quality of life as well, for the decrease of work efficiency has a positive effect on lowering the quality of life. Conclusions - Sedentary lifestyles, the use of worktable unfit for body, and the repeated use of a tool have caused the increase of muscular-skeletal diseases, and reduction of productivity as well as the hight cost of medical treatment for our contemporaries. Understanding the cause of disease morbidity, finding ways to prevent the disease, and educating people about them would contribute not only to improvement of individual health but also to the advancement of welfare for all.