• Title/Summary/Keyword: Rural elders

Search Result 109, Processing Time 0.019 seconds

Prevalence of the Metabolic Syndrome and Its associated Factors among Elders in a Rural Community (일 농촌 지역 노인의 대사증후군 유병률과 관련요인)

  • Kim, Bongjeong
    • Research in Community and Public Health Nursing
    • /
    • v.24 no.2
    • /
    • pp.225-235
    • /
    • 2013
  • Purpose: The purpose of this study is to identify the prevalence of the metabolic syndrome (MS) and factors associated with it among elders in a rural community. Methods: Data were collected from 683 subjects with a questionnaire, physical measurement, and blood test. The prevalence of the MS was determined by AHA/NHLBI and waist circumference cutoff points for Koreans. Results: The prevalence of the MS was 50.5% in total (41.6% in men, 56.3% in women) while the prevalence of 5 metabolic risk factors was 67.7% for elevated blood pressure, 51.0% for low HDL-cholesterol, and 50.2% for abdominal obesity. Risk factors associated with the prevalence of the MS included family history, BMI, and physical activity; significant factors associated with that of metabolic components included family history, BMI, smoking, drinking, and physical activity. Especially, a higher BMI was a strong risk factor of the prevalence of abdominal obesity as well as the MS and its components. Conclusion: The findings indicate that nurses should care for elders based on each metabolic component regarding its prevalence level and concentrate primarily on reducing elevated blood pressure, low HDL-cholesterol by controlling the main risk factor, abdominal obesity through lifestyle modification.

Quality of Life, Frailty and Depression in Elderly in Rural Area (일부 농촌 지역 노인의 허약수준, 우울, 건강 관련 삶의 질)

  • Kang, Hee Gyoung
    • Journal of Korean Academy of Rural Health Nursing
    • /
    • v.12 no.1
    • /
    • pp.13-27
    • /
    • 2017
  • Purpose: The purpose of this study is to identify health-related factors, especially for the elderly who are subject to visiting health care at vulnerable populations. Methods: Tools were Guide to Community Integrated Health Promotion Project 2016, Visit Health Care Health Interview Survey, measures of physical function, motor skills, composite mobility, BMI, and subjective fitness levels. Depression was measured with the Short Results: Older elders living alone were more vulnerable than those with living others. Elders with less education showed greater weakness but the difference was not significant. Average scores for frailty were 2.21 (healthy group), 7.66 (high-risk group) and 15.69 (frail group). Scores based on weakness level differed significantly with the exception of nutrition. Nine out of 10 elders in disadvantaged areas were in the frail group or at high risk. Conclusion: Results support the goal to maintain/improve physical/mental functions through individual management of high-risk/frail older adults at risk of becoming infirm. It is imperative to implement a public health care delivery system to ensure programs are operated effectively and personalized.

Development of Disaster and Safety Practice Measurement Tool for Elderly People in Rural Area (농촌 지역사회 노인의 재난·안전 실천행위 측정도구 개발)

  • Seo, Ji-Hye;Hong, Ju-Young;Kim, Sang Sook;Kang, In-Won;Jung, Eun-Young
    • Journal of Korean Academy of Rural Health Nursing
    • /
    • v.15 no.1
    • /
    • pp.1-8
    • /
    • 2020
  • Purpose: This purpose of this study was to develop a disaster and safety practice measurement tool for elderly people in rural areas. Methods: The tool for this study was developed and validated according to DeVellis' scale development process. The construct validity of the instrument was analyzed by major analysis of Varimax rotation, and the internal inertia was verified by Cronbach's ⍺. Results: The final scale was a 4-point scale, consisting of 23 items in 7 domains. The total explanation was 54.1% and the Cronbach's ⍺ was .80. Conclusion: The results of this study should be useful to assess elders' perception of the importance of safety management for elders.

The Effects of a Health Promotion Program in Rural Elderly on Health Promotion Lifestyle and Health Status (농촌형 노인 건강증진프로그램이 건강증진행위와 건강상태에 미치는 효과)

  • Park, Jeong-Sook;Oh, Yun-Jung
    • Journal of Korean Academy of Nursing
    • /
    • v.35 no.5
    • /
    • pp.943-954
    • /
    • 2005
  • Purpose: The purpose of this study was to identity the effects of a health promotion program for rural elderly on health promotion lifestyle and health status. Method: The study was a nonequivalent control group pre-post experimental design. Data collection was performed from April 12th, 2003 to August 2nd, 2003. The subjects were selected at Mari Myun Geochang Gun in Korea. 44 elders were in the experimental group and 45 elders were in the control group. The 16-week health promotion program was given to the experimental group. Data was analyzed by descriptive statistics, $x^2$-test, t-test, and ANCOV A test with SPSS/Win 10.0 program. Result: The experimental group showed higher scores of a health promotion lifestyle and perceived health status than the control group. In addition, systolic BP, heart rate, body fat and glucose of the experimental group were lower than the control group. Waist flexibility, left hand grip power, back strength and leg strength of the experimental group were higher than the control group. However, there were no significant differences in diastolic BP, total cholesterol and right hand grip power between the two groups. Conclusion: This health promotion program for rural elderly can be recommended as an effective nursing intervention in rural communities.

Effects of a Fall Prevention Program on Falls in Frail Elders Living at Home in Rural Communities (농촌 지역의 재가 취약계층 허약노인을 위한 낙상예방 프로그램의 효과)

  • Yoo, Jae-Soon;Jeon, Mi Yang;Kim, Chul-Gyu
    • Journal of Korean Academy of Nursing
    • /
    • v.43 no.5
    • /
    • pp.613-625
    • /
    • 2013
  • Purpose: This study was conducted to determine the effects of a fall prevention program on falls, physical function, psychological function, and home environmental safety in frail elders living at home in rural communities. Methods: The design of this study was a nonequivalent control group pre posttest design. The study was conducted from July to November, 2012 with 30 participants in the experimental group and 30 in the control group. Participants were registered at the public health center of E County. The prevention program on falls consisted of laughter therapy, exercise, foot care and education. The program was provided once a week for 8 weeks and each session lasted 80 minutes. Results: The risk score for falls and depression in the experimental group decreased significantly compared with scores for the control group. Compliance with prevention behavior related to falls, knowledge score on falls, safety scores of home environment, physical balance, muscle strength of lower extremities, and self-efficacy for fall prevention significantly increased in the experimental group compared with the control group. Conclusion: These results suggest that the prevention program on falls is effective for the prevention of falls in frail elders living at home.

Demographic Characteristics and Welfare Service Needs of Elders Utilizing a Welfare Center (일 복지관 이용 노인들의 인구학적 특성과 노인복지서비스 요구 조사)

  • Park, Hae-Ja
    • Journal of Korean Academy of Rural Health Nursing
    • /
    • v.2 no.1
    • /
    • pp.24-32
    • /
    • 2007
  • Purpose: This study was done to provide statistical data for developing client-needs based welfare services in community welfare facilities. Method: The participants were 270 senior citizens, who visited a community welfare center in Gyunggi province, during the month of October 2005. They were asked to answer a structured questionnaire. Descriptive statistics, $X^2$ test and Fisher's exact test were used to analyze the data from 221 of the elders. Results: 1. More than 50% of the respondents were women aged between 60 and 75, who had education levels above high school and who lived in apartments. Among the respondents, 54.3% lived separately from their children. 2. 70.0% of the respondents considered their health status as "good", even though they had more than one disease. Also 41% of the respondents were supported by their children, and 76.8% wanted jobs. 3. The respondents pointed out several programs such as languages, computer, singing class, physical activities (dances, billiards, Tai-chi and table tennis), needed to be included in the welfare center programs. Conclusions: Elders aged 60-75, educated above high school, living in an apartments, live alone or with spouse, and having frequent contact with children, were the most frequent utilizers of the welfare center. They want the welfare center programs in variety, including languages, computer, singing class, and physical activities.

Effects of a Web-based Education Program on Cognitive Function, Depression, and dementia Preventive Behavior among Elders in Communities (웹 기반의 치매 예방 융합교육 프로그램이 지역사회 노인의 인지기능, 우울, 치매예방 행위에 미치는 효과)

  • Park, Kyung Soon;Ban, Keum Ok
    • Journal of Korean Academy of Rural Health Nursing
    • /
    • v.11 no.2
    • /
    • pp.3-15
    • /
    • 2016
  • Purpose: This study was conducted to identify the effects of a convergent web-based educational program on cognitive function, depression, and dementia prevention behavior among elders living in the community. Method: Participants were 16 elders over 65 years of age (8 in the experimental group and 8 in the control group). The educational program was given twice a week for 9 weeks. Results: Cognitive function and dementia prevention behavior improved in the experimental group. Cognitive function and dementia prevention behavior were reduced in the control group compared to the results of the pre-inspection; however, no statistically significant difference was found. As homogeneity test was not conducted previously for the assessment of depression, the assessment was conducted based on covariates, Although no significant difference found between the two groups, depression level did increase in the control group. Conclusion: Findings from this study indicate that the educational program prevented worsening of depression and was effective in reducing depression. For further assessment, it is necessary to conduct long-term research including a revision and supplementation of the contents and length of the program.

Evaluation of a Community Health Practitioner Self-care Program for Rural Korean Patients with Osteoarthritis

  • Lee, Chung Yul;Cho, Yoon Hee
    • Journal of Korean Academy of Nursing
    • /
    • v.42 no.7
    • /
    • pp.965-973
    • /
    • 2012
  • Purpose: The purpose of this study was to evaluate a self-care program for elders with osteoarthritis managed by primary health care workers, Community Health Practitioners (CHPs), in rural Korea. Methods: The self-care program, consisting of 7 areas, was evaluated with a randomized experimental study for patients over age 60 with osteoarthritis in which 150 participants in the experimental group and 140 in the control group were compared. The self-care program was implemented for six weeks, 2 hours per week, at community health posts by CHPs. Data were collected using an interview questionnaire given by the CHPs and laboratory tests before and after the intervention for both groups. Propensity score matching analysis was done to test effectiveness after controlling for confounding variables. Results: The intervention group showed a significant decrease in the number of painful joints (p<.001) and a significant increase in self-care ability (p<.05) compared to the control group. Conclusion: Study results indicate that training and utilizing primary health care workers in rural areas is valuable in increasing the generalization and continuity of intervention programs. As arthritis should be managed life-long, CHP directed self-care programs are useful interventions for rural elders with arthritis to learn self-care management.

A Field Survey on the Operational Realities of Community Living Home for the Elders Living Alone in the Rural Village (농촌지역 독거노인 공동생활홈의 운영실태에 관한 조사연구)

  • Park, Chung-Shin;Park, Heon-Choon;Kim, Seung-Keun
    • Journal of the Korean Institute of Rural Architecture
    • /
    • v.16 no.4
    • /
    • pp.1-8
    • /
    • 2014
  • The purpose of this study is to analyzes the administration actual situation of community living home in Korea. The results are as follows. First, community living home in Korea is distributed over the Jeonranam-do areas by approximately 67.7%, and distributed over 18 cities in the Jeonrabuk-do areas. Second, In a type of community living home, "Sharing residence type" accounts for approximately 97%. The reason of this is because it can save a budget by utilizing existing public accommodation. Third, the administration main constituent of community living home running in each city is a neighborhood association, but bears the administration expense in the local government. Fourth, as a result of having analyzed the representative example of the community living home, "Sharing residence type" knew that a per person necessary area was the insufficient. Finally, it is desirable for oneself of the neighborhood association to be in charge of the administration main constituent of the community living home basically.

Suicidal Ideation and Associated Factors of the Elderly According to Residence Area - Focusing on the Comparisons between Urban and Rural Areas - (거주지역별 노인의 자살생각과 관련요인 - 도시와 농촌의 비교 -)

  • Mun, Young-Hee;Im, Mee Young
    • Journal of Korean Public Health Nursing
    • /
    • v.27 no.3
    • /
    • pp.551-563
    • /
    • 2013
  • Purpose: This study was conducted in order to investigate the incidence and associated factors of suicidal ideation among the elderly according to residence area. Methods: This cross-sectional study used secondary data from the 2011 Korean National Health and Nutrition Examination Survey (KNHANES V-2). A representative sample of 1,464 men and women aged 65 and over was selected. Rao-scott $X^2$-test, multiple logistic regression models based on sampling scheme of the data were used. Results: Of the 1,464 respondents, 22.4% had experienced suicidal ideation during the past year. Higher incidence of suicidal ideation was observed in rural seniors (23.7%) than in urban seniors (21.1%). The incidence of suicidal ideation showed correlation with age, education level, depression, stress, lying in a sick bed, and current smoking status among elderly living in urban areas. However, among elderly living in rural areas, the incidence of suicidal ideation showed correlation with household income, depression, stress, and daily activity. Conclusion: Based on the results, nurses should manage effective and individualized nursing interventions for elders in planning suicide prevention programs with consideration for residence areas, because there were differences in the factors affecting suicidal ideation among elders according to residence area.