• The Journal of Korean society of community based occupational therapy
• /
• v.2 no.1
• /
• pp.25-35
• /
• 2012

Objective : This study conducted in rural areas, elderly services voucher business and leisure satisfaction survey based on data from the use of community-dwelling older people considering service needs was to find ways to take advantage of leisure time. Methods : Buyeo county residents in this study 71 patients were elderly, the characteristics of elderly gender, the presence of spouse, health status, education level, monthly living expenses, number of children, occupation, and the variables were included. Subjects' self-esteem, life satisfaction, quality of life, program satisfaction questionnaire for the survey were used, t-test and correlation analysis using the correlation between each factor were analyzed. Results : In a survey of participants in leisure activities, TV watching, meeting friends, such as phone calls to static and time-consuming activities were surveyed about satisfaction of the voucher business, the elderly oral health care services, health screening services, sports massage such as health-related services is relatively high degree of satisfaction. Conclusion : The results of this study of elderly people in rural communities through meaningful leisure time were utilized to determine what is lacking, a strong desire for health-related services that could be confirmed. Therefore, further experience and knowledge about activities by providing opportunities for meaningful leisure time needs to improve, and it based on a variety of programs to meet the needs of the elderly should be provided.

• Journal of Korean Academy of Nursing
• /
• v.20 no.3
• /
• pp.307-323
• /
• 1990

This Study was done to design and test an instrument to measure the health status of the elderly including physical, psychologyical and social dimensions. Data collection was done from July 18 to August 17, 1990. Subjects were 412 older persons in Korea. A convenience sample was used but the place of residence was stratified into large, medium and small city and rural areas. Participants located in Sudaemun-Gu, Mapo-Gu, and Kangnam-Gu, Seoul were interviewed by brained nursing students, and those in Chungju, Jonju, Chuncheon, and Jinju by professors of nursing colleges. Rural residents were interviewed by community health practioners working in Kungsang-Buk-Do, Kyngsang- Nam - Bo, Jonla Buk -Do, and Kyung Ki- Do. The tool developed for this study was a structured questionnaire based on previous literature and then tested for reliability and validity. This tool contained 20 physical health status items, 17 mental-emotional health status items and 38 social health status items. Physical health status items clustered in to six factors such as personal hygiene, activity, home management, digestive, sexual, sensory, and climination functions. Mental-emotional health status items clustered into two factors, mental health and emotional health. Social health status items clustered into seven factors, grandparent, parent, spouse, friend, kinships, group member and religious role functions. Data analysis included percentage, average, S.D., t-test and ANOVA. The results of the analysis were as follows : 1. The tool measuring the health status of the elderly and developed for this research had a relatively high reliavility indicated by a cronbach＝0.97793. 2. Average score of the subjects physical health status was 4, 054 in a 5 point likert scale, mentalemotional health status was 3.803, social health status was 2.939 and the total average was 3.521. The social status of the subjects was the lowest and the next was mental-emotional health status ; physical health status was the highest. 3. Educational background, perceived health status, the amount of pocket money were related to physical and mental-emotional health status and family structure was related mental-emotional physical and social health status. Occupation was related to physical and mental-emotional status. Area of residence was related to metal-emotional and social status. Source of living in the expeneses was related to physical and mental-emotional health status marital status to mental-emotional and social health status, and the number living in the home physical health status and religion to social health status. The following conciusions were derived from the above results ; 1. The health status of Korean elderly was relatively sound but social health status was the most vulnerable. The Social activity for Korean elderly is needed to improve social health. 2. Educational background, perceived health status and the amount of pocket money must be considered in the health assessment criteria of the elderly, Family structure, marial status, occupation, residence variables and sources of living expense must also be considered as significant. 3. A health education program based on the educational background of the elderly, and provision of an occupational socioeconomic welfare policy will be useful in order to increase social health status of Korean elderly.

• Research in Community and Public Health Nursing
• /
• v.10 no.2
• /
• pp.422-434
• /
• 1999

The purpose of this study was to describe the degree of satisfaction at day care center's services and the degree of relationship between each service and overall satisfaction. The data collection was performed from July 1, 1999 to July 15, 1999. And total 199 elderly clients were interviewed in Koksung-kun. The results of the study is as follows: 1. The percentage of satisfactory response at transport service was 95.2%, food supply 94.3%, bath 93.2%, hair cutting 90.8%, physical therapy 90.2%, medical treatment 89.3%. And oriental medical treatment 82.0%. 2. For question of the degree of satifaction at day care service, the distribution of answer was 75.1% in exellent. 15.5% in good, 3.6% in moderate, 3.6% in poor, 2.1% in most poor. 3. The subjective satisfaction was not significantly different by sex, age, the presence or absence of religious, educational level, the presence or absence of family and economic level. 4. A significant association between the program satisfaction and the subjective satisfaction was observed: odds ratios were 26.9 in food supply, 26.4 in luncheon supply, 17.4 in bath, and 14.5 in hair cutting. The following is suggestion based on results of this study: A service program should be developed to fit conditions of rural elderies by specifically analyzing needs of the elderly.

• Journal of muscle and joint health
• /
• v.6 no.2
• /
• pp.197-210
• /
• 1999

Muscle stiffness, pain and discomfort in dally activities are cardinal symtoms on arthritis. To reduce these symtoms, a nonequivalent one-group pre & posttest experiment was carried out at a rural community health post area in Chonbuk province during eight weeks (from 25th of January to 20th of March, 1999). The subjects were sixteen rural old women(65-89yrs) with osteoarthritis. And to reduce the level of pain, discomfort in daily living and to increase that of life satisfaction, 30 minutes of flexibility exercise followed by $15{\sim}20\;minutes$ of local heat therapy were done three times a week. Pain scale from Arthritis Impact Measurement Scales developed by Meenan(1980) for pain, Jette's Daily Activity Discomfort Scales revised by Lee(1988) for discomfort and Life Satisfaction Scales developed by Youn(1982) for life satisfaction were used as research instruments. The data were collected by face-to-face interviews with Investigator and the experiments were done under demonstration and supervision of investigator in community health post. The data were analyzed in percentage and Wilcoxon sign rank sum test by SPSS/PC+ program. The result could be summarized as follows ; 1. The scores of experiment group who were applied hot bag followed by flexibility exercise were tended to be significant lower in the level of pain statistically(Z=4.949, P=0.0001). 2. The scores of experiment group who was applied hot bag followed by flexibility exercise were tended to be significant lower in the level of discomfort in daily living statistically(Z=2.7226, P=0.0279). 3. The scores of experiment group who was applied hot bag followed by flexibility exercise were tended to be higher in the level of life satisfaction, but there was no significant statistical difference(Z=-1.2087, P=0.2171). In conclusion, flexibility exercise with local heat therapy could be identified as an effective therapy to reduce pain and discomfort in daily living of the rural elderly with osteoarthritis. And as a community health practitioner, the investigator concluded that this exercise with local heat therapy could be developed as a health promotion program for the rural aged people.

• Physical Therapy Korea
• /
• v.4 no.3
• /
• pp.1-16
• /
• 1997

This study was carried out to find out general characteristics and health-related be haviors of elders aged 60 or over and factors related to their activities of daily living, and thus to contribute to their health maintenance and promotion. The subjects were 200 elders who had resided at An-Dong city and participated in this study. To collect data, the field survey was conducted from December 13 to 23, 1996 with structured questionnaires by 6 trained student interviewers. Chi-square test, t-test and Pearson's correlation were used for data analysis by use of SPSS/$PC^+$ program. The major findings were as follows; 1) In the individual characteristics of the respondents, the average age were 73.6 years old. 21.5% of the subjects were 60-69 years old, while 27.5% were 70-74 years old, 25.0% were 75-79 years old, 26.0% were 80 years old or over. 2) For the degree of the subject's perceptive health condition, the aver age 3.39 point and standard deviation 1.09. The perceptive health condition of the subjects was in the mid point range of health condition. 3) 46.6% of men and 25.8% of women practiced exercise regularly for their health maintenance and promotion. 4) For the degree of the subject's perceptive health condition, the difference by sex was not statistically significant. 5) 51.8% of men and 60.2% of women has idea for interventions to health promotion program by rehabilitation services.

• Research in Community and Public Health Nursing
• /
• v.26 no.4
• /
• pp.405-414
• /
• 2015

Purpose: The purposes of this study were to examine the effects of home visit healthcare using a complex program on community-dwelling frail elders' physical strength, frailty, and depression and to compare the effects among three regions. Methods: This study was conducted as a quasi-experimental study using one-group pretest-posttest design. A total of 86 subjects were sampled from three regions (metropolis, small city, and rural area). The program was applied for 14 weeks. This program consisted of disease management by a visiting nurse, exercise with a visiting nurse, self exercise, telephone monitoring, health education, counseling, providing handbook, and incentive. Physical strength was measured by balance, upper-limb, and lower-limb muscle strength. Frailty was measured by the Korean Frail Scale and depression was measured by the Geriatric Depression Scale. Paired t-test and ANCOVA were used to analyze the effects. Results: Physical strength, frailty, and depression were significantly improved after applying the complex program. There were not differences among the regions. Conclusion: Home visit healthcare using a complex program was effective in improving frail elders' physical strength, frailty, and depression. There were not differences among the regions. Therefore, home visit healthcare using a complex program needs to be expanded to other regions.

• Journal of the Korean Institute of Rural Architecture
• /
• v.18 no.3
• /
• pp.9-16
• /
• 2016

This study aimed to clarify the multifunctional services and space composition in the process of developing a multifunctional long-term care program in small elderly care facilities in Japan. We collected data about multifunctional long-term care at small facilities from the Community Life Support Center (CLC), a Japanese non-profit corporation, and conducted an interview survey of the members of the CLC's secretariat in 2014. Furthermore, we selected 3 Japanese pioneering care facilities (known as takurosho), and conducted interview surveys and data collection to clarify in detail the space composition and process of development of multifunctional long-term care at small facilities. Four distinct results were found. First, the facilities had gradually increased non-institutional services, including visitation, overnight stays, and long-term stays, to fit the needs of users and their families. Secondly, in the 1990s, they could offer both non-institutional and institutional services at the same facility, but after the long-term care insurance system began in 2000, non-institutional long-term stay services were not allowed. Third, the facilities had built extensions or extra rooms in response to increases in multifunctional services and users. These rooms had common characteristics, with sitting rooms at the center of the facility. Lastly, the maximum number of service users at each of the 3 facilities was limited to 15, to maintain a small scale. However, as the size of facilities was increased through building extensions or remodeling, the overall amount of area available to users increased.

• Korean Journal of Community Nutrition
• /
• v.13 no.6
• /
• pp.855-866
• /
• 2008

The dietary patterns and characteristics of oldest-old subjects over 85 of Sunchang County (total of 171, 61 males and 110 females) were studied. The average age was $90.6{\pm}3.7$ years old (male; $89.1{\pm}2.8$, female; $91.5{\pm}3.8$), and 90.9% of them were reported to have had no schooling experience. Family types having a spouse were much greater in men (50%) than women (1.8%). The percentages of living alone showed the gender differences, which were comprised of 33% of females and 18.3% of males. In this study, 73.7% of subjects answered "very good" or "good" for their health status. These elderly subjects might maintain their health through a relatively lower rate of smoking (22.2%) and drinking (27.5%), having non-sedentary activities (84.2% of the subjects are physically active) and enough sleep. Their characteristic dietary patterns include high preference of rice (96.5%) and blanch & Seasoned vegetable dishes (Namal, 90.6%) frequent consumption of plant-based food groups containing plenty of anti-oxidants such as vegetables and legumes, and they showed high rates of meal regularity (77.2%) and no skipping of meals (94.2%). It seems to be developed and disseminated in the congregate meal program for improving nutritional status of the elderly, since the coming increment of single-elderly family and single dwellers of rural areas.

• Journal of the Korea Academia-Industrial cooperation Society
• /
• v.15 no.8
• /
• pp.5186-5194
• /
• 2014

Falls are one of the most serious problem that threatens the health of the elderly. This study was conducted twice a week for six weeks from May to June 2014 to evaluate the effectiveness of fall prevention exercises for rural seniors. This study analyzed the effects by comparing before and after exercise on the TUG, FRT, BBS, ADL, fear of falls, fall efficacy, and depression. The results of this study was as follows: Hypothesis1, "a TUG of post-test will improve more than the pre-test", was supported. Hypothesis3, "BBS of the post-test would improve more than the pre-test" was supported. In addition, the FRT, ADL, fear of fall, fall efficacy, and depression of post-test would improve more than the pre-test. Accordingly this study showed that fall prevention exercises are effective in improving the physical function (TUG, FRT, BBS, and ADL) and emotional function (fear of fall, fall efficacy, and depression) in rural seniors.

• Journal of agricultural medicine and community health
• /
• v.16 no.2
• /
• pp.179-194
• /
• 1991

Despite its universal coverage of health insurance, the rural health insurance program(RHIP) stands at the crossroads in Korea. The RHIP has weaknesses in stability of financing, problems of inequities in the provision of health services and has suffered from high cost of running the program. The author has analyzed these problems from the perspective of health insurance policy and presented several options for improvement. First of all, this study urged the importance of a firm Governmental commitment of RHIP with the 50% subsidization of contributions as the Government had promised, instead of the current 40%. This can be justified from the 20% subsidization by the Government for the contributions of private school teachers and their dependents, who belong to richer segments of the population. Second, various cost containment measures ought to be sought curbing the rising demand for medical through strengthening health education and increasing individual responsibility, and tightening the claim review process. Third, this study requires the Government to run a demonstration project on the introduction of case payment system for primary health care. Fourth introducing an income-related cost sharing scheme is another possibility. Reforming the cost sharing formula for large medical expenditures is recommendable for a beginning. This measure can take the form of tax credit for medical expenditures of the poor. Fifth, the degree of financial adjustment among health insurance plans should be levelled up for enhancing stability of RHIP and social solidarity. Sixth, health policy should be redirected toward development of rural health resources and higher priority should be put on relieving difficulties in access to care. Seventh. the insurance plan owned-hospital needs to be developed or provision of health services in the medically underserved areas, and the need of such facilities is particularly acute for geriatric care, rehabilitation and renal dialysis, etc. Eighth, more generous insurance benefits are required of the elderly who are suffering the most : elimination of the maximum 180 days of benefit period and provision of glasses and artificial dentures, etc. Ninth. the economies of scale principle is working for the operating expenses of regional self-employed insurance plan. Thus, measures should be instituted to pursue an optimum size of health insurance plans. Lastly, excessive dependence on exclusion items is an evil so that some radical remedies are urgently required to cut them.