• 기본간호학회지
• /
• 제5권1호
• /
• pp.47-64
• /
• 1998

This study was conducted to collect the baseline data of physical health status and nursing needs of the elderly for developing an educational program for nursing professionals. The data was collected from 287 people who were 65 years old or older belonging to a selected 8 out of the 39 welfare centers in Pusan during the period from February 25 to November 30, 1996. Socio-demographic characteristics, frequency of hospitalization, and the prevalence of chronic illnesses were measured to assess the physical health status of the center's elderly admitted to the hospital during the period of data collection. The 5-point Likert-type scale composed of 20 items was used. The data was analyzed with the Statistical Package for the Social Sciences Program (SPSS PC+). The results were summarized as follows : 1. The proportion of elderly subjects with chronic illnesses was 73.6%. Among 6 types of chronic illnesses, hypertension was the most prevalent(23.7%), cardiovascular disease was the second(18.1%), gastrointestinal disease the third(17.1%), musculosskeletal disease the fourth(12.9%), liver and biliary disease the fifth(12.5%), and diabetes the sixth. 2. The average score of the subjects' health status was 3.649 on the 5-point Likert scale. Among the 6 factors related to physical health, personal hygiene was the strongest factor(4.612) ; elimination was the second(4.491) ; sensation the third(4.369), outside activity the fourth(3.675), digestion the fifth(3.331), and sexual life the sixth. 3. Gender, marital status, religion, educational level, family structure, living arrangements, and perceived health status were significantly related to the elderly's physical health status. 4. Among the nursing needs of the elderly, emotional support and care was the strongest need(74.2%) ; physical therapy was the second(73.2%) ; education about diease control the third(64.8%) ; medication the fourth(63.8%) ; and the range of motion exercise the fourth(61.0%).

• 대한물리의학회지
• /
• 제14권4호
• /
• pp.9-17
• /
• 2019

PURPOSE: This research was designed to study the correlations between physical activities such as foot sensory impairment, balance and ambulatory abilities, as well as fall risk factors and mental activities such as cognitive performance and depression in order to provide fundamental data for the prevention of falling in the elderly. METHODS: A total of 36 elderly people over the age of 65 years who voluntarily joined the research were selected as subjects. Sensory perception in both feet was measured by using a monofilament in 10 parts with each part given one point. The points for each foot were integrated to analyze the correlations between physical and mental activities indices, and the results were analyzed by using Pearson's correlation coefficient. RESULTS: The results of this research show that the extent to which senses in feet were impaired was correlated to TUG, a functional activity index involved in tranfers, gait, and turning movements, which was correlated to BBS (balance index) as well as MMSE-K and K-GDS (mental activities index). BBS was interrelated to FES-K (physical activities index) and MMSE-K. The muscular strength of the right ankle dorsiflexor had mutual relations with FES-K. CONCLUSION: The results of this research indicate that TUG is widely correlated to foot sensory impairment as well as general physical and mental activities in elderly people. BBS was also shown to be correlated with TUG, FES-K, and MMSE-K. Thus, it might be necessary that TUG and BBS be included as two items in physical and mental check-ups for the elderly, and further studies on correlations using evaluation items for physical and mental activities should lead to the simplification of the evaluation criteria.

• 농촌의학ㆍ지역보건
• /
• 제22권2호
• /
• pp.277-293
• /
• 1997

This study was conducted to provide basic materials required to enforce and develop welfare policies, as well as the health system, for the aged, by surveying the status of health care utilized by the daily increasing old population and the importance of receiving physical therapy. Data that need in this research was gathered from over ages of 65, during the period from Jan 4, 1996 to Jan 31, using the inquiries previously made by geriatric researchers and through literatures investigator by this writer. The data were analyzed by $X^2$, Z-test, Likert scale. The findings were as follows : 1) General characteristics of subjects. People in the age group between 65 and 69 were 55.6% and the highest number, while male were 37% and female 63%. Analysis of income group disclosed 60.6% whose monthly income, including the pocket money given by children, was less than 200,000 won. 91.1% of the elderly people surveyed owned houses; only 36.4% live with spouses; while 15.6% live alone. 2) Characteristics with respect to utilization of health care institution. 56% of the total medical institutions used by the elderly people were clinics and the rates of chronic disease and musculoskeletal disease were 73.2%. 3) Characteristics with respect to approach of health care institution. 45.1% of the respondent stated it took 20 minutes to arrive at hospital, and bus accounted for 48.6% of all transportation means used to go to hospital. 4) Degree of cognition with respect to the rights of geriatric patients. (1) There is no financial support from the government for geriatric patients(71.4%). (2) Government financial support is needed for geriatric patients(95.3%). (3) Have never been regionally surveyed or called upon for interviews with respect to treatment desire and problems relating to geriatric patients(87.2%). (4) Health and medical policies for geriatric patients must be established rapidly(98.4). (5) Expansion and construction of specialized medical facilities for geriatric patients such as elderly hospital and medical center are needed(90.2%). (6) Government's welfare policies for the elderly people is insufficient(82.0%) 5) Degree of cognition on importance of physical therapy with respect to geriatric patient. (1) Physical therapy is considered most effective in treating geriatric patients(82.9%). (2) Physical therapists specializing in only elderly people must be need of separately(76.2%). (3) It is desirable for medical specialists to visit geriatric patients at home to provide physical therapy(82.9%). (4) Hospitals specializing in physical therapy for geriatric patient are required(85.6%). Based on the result for this research, the following suggestions are presented to facilitate the utilization of health care institution for the welfare of geriatric patients. Medical facilities such as elderly hospital and geriatric patient's medical center specializing in elderly people must be constructed as early as possible; and home-visiting physical therapist system must be important to treat chronic geriatric patients; our government must establish policies to provide the old ages with means for the health care and curing chronic diseases, and carry out the plans of reasonable distribution and effective untilization of medical resources.

• The Journal of Korean Physical Therapy
• /
• 제28권5호
• /
• pp.274-278
• /
• 2016

Purpose: This study investigated changes in static balance during eye movement while in an upright standing position and compared static balance in elderly individuals according to age. Methods: A total of 154 elderly persons (male 23, female 136) were enrolled in the study. Participants followed an eye movement program that consisted of randomly occurring pursuit eye movement and saccadic eye movement. Participants were asked to remain in the double-leg standing position for 2 minutes 30 second while fixating their eyes on a specific target, after which they were instructed to perform eye movements for 2 minutes and 30 seconds. Static balance was measured in terms of the area, length, and average speed (cm/s) of the center of pressure (COP) displacement before and after eye movement intervention with the eyes open. Results: The area, length, and velocity of COP displacement improved significantly (p< 0.01) after intervention. No significant differences among age groups were observed. Conclusion: The results indicated that eye movement was an effective intervention for improving static balance in elderly persons.

• 한국보건간호학회지
• /
• 제31권2호
• /
• pp.220-233
• /
• 2017

Purpose: This study compared the body composition and health conservation of low and high physical activity groups in professional retired elderly. Methods: The participants were 132 professional retired elders using a university of education for the elderly and senior welfare centers in D and K city. Data were collected through interviews from November to December in 2015. The body composition was measured using an Inbody 230 and the health conservation was measured using Sung's (2005) Health Conservation Scale. The low and high physical activity groups were divided by CHAMPS (The Community Healthy Activities Model Program for Seniors Questionnaire). The collected data were analyzed using a $x^2$ test, independentt-test, andbinary logistic regression using the SPSS/WIN 20.0 program. Results: The body composition (body mass index, body fat percentage, and fitness score) and health conservation score were higher in the high physical activity group than in the low physical activity group. The result shows that the body weight (OR=10.62) is the highest risk factor influencing the physical activity in professional career-retired elders. Conclusion: These results suggest that to induce physical activity level among professional retired elders, nursing interventions are needed to increase the health conservation and body composition, particularly in controlling the body weight.

• 지역사회간호학회지
• /
• 제10권1호
• /
• pp.5-18
• /
• 1999

The aim of this study is the development of a fee - based model day care center for the elderly by inquiring into the current condition of facilities in America and in Korea, and in surveying the opinion of domestic elderly about day care facilities. A field trip to U.S. day care services was held between July 5 and July 15 in 1997, and an on-the-spot study for domestic facilities took place during March in 1998. Our research reveals that the overall supply of day care facilities can not meet future demand in terms of quality and quantity. Therefore a model must be created for day care centers of a that consists of a director from a professional group. an adequate environment, and a standardized in order to offer a qualified public health service linked to the home and community in Korea. The director of a day care center is a critical variable in determining the quality of service. Professional skills related to the needs of the elderly and the person's quality of service should be considered in appointing director for the center. This study belleves that a professional nurse should be the director of a day care center. The operating environment of a day care facility should be made up of considerable space comparable to the number of residents, should be in a comfortable and safe location, and should have equipment that provides a qualified, safe service to the elderly. Our model is designed for 20 persons and allocates 4 Peng per person. This model is comprised of a reading room. a craft room, a health room, a room for physical therapy, a dining room, a staff office, and a multi -purpose room connected to other rooms. Day care service should be a comprehensive service program meeting the multidimensional needs of the elderly. A comprehensive service program needs a team of various professionals made up of the elderly family, participants, nurses, social workers, physical therapists, nutritionists, and medical doctors. The program will also include health care service, physical therapy, speech therapy. diet, occupational therapy, transportation service, health and an education program, etc. In conclusion, a model of a day care center is developed with the following components: a professional director and an environment and program, that considers the physical, mental, and social characteristics of the elderly. A model should also motivate self-reliance self-fulfillment in the elderly in order to fulfill their health needs and to prevent isolation from society and mental depression. Furthermore, This facility will be a beneficial factor in reducing a family's burden on caring for the elderly that includes unnecessary hospital expenses. The following is a suggestion based on results this study: A service program should be developed to fit the conditions of the elderly in Korea by specifically analyzing the needs of the elderly.

• 한국전문물리치료학회지
• /
• 제5권2호
• /
• pp.47-64
• /
• 1998

The purposes of this research were to understand the realities of health management and to analyze the subjective, functional, psychological, and social health effects of the application of an exercise and education program to manage health on an elderly population residing in an agricultural community. The specific purposes of this research were: 1. to determine the subjective, functional, psychological health conditions, and performance level of instrumental activities of daily living of both the experimental and control groups before introducing a health management program, and then 2. to compare these with both the experimental and control groups' subjective, functional, psychological health condition and performance level of instrumental activities of daily living after applying the health management program. The health management program was introduced to the experimental group (50 people) but not to the control group (50 people). The health management program was composed of a health exercise program and a health education program. A comparative study of subjective health conditions was done to examine the effect of the health management program and the characteristics of health related variables before and after the program application. The results were as follows: 1. When the experimental group, which had received the 8-week health management exercise and education program, was compared with the control group, which had not, the experimental group's subjective health condition scored higher than that of the control group (p

• 동의신경정신과학회지
• /
• 제27권4호
• /
• pp.207-214
• /
• 2016

Objectives: This study was conducted to identify the effects of the Qi-gong Exercise program on the physical health status, the fear of falling, balance efficacy, and Hwa-Byung in the elderly. Methods: A non-equivalent control group pretest-posttest design was used in 52 elderly subjects who were assigned to the experimental group and the control group (26 subjects in each group). Study out-comes were measured by structured questionnaires from July 2015 to October 2015. For data analysis, the Chi-square test, the Fisher's exact probability test, the Mann-Whitney U test, the paired t-test, and the Wilcoxon signed rank test were performed using SPSS version 20.0. Results: There were significant differences in the physical health status (Z=12.000, p<.001), balance efficacy (Z=60.500, p=<.001), and Hwa-Byung (Z=20.500, p=<.001) between the two groups in pretest and posttest. Conclusions: The findings confirmed that the Qi-gong Exercise program is effective in improving the physical health status, balance efficacy, and Hwa-Byung in the elderly subjects in the community. It can be recommended as a public health program for the elderly population in the community.

• 한국콘텐츠학회논문지
• /
• 제10권10호
• /
• pp.255-266
• /
• 2010

이 연구는 우리나라 노인의 신체활동 정도와 건강관련 삶의 질과의 관계를 알아보고자 하였다. 국민건강영양조사 제4기 1차년도 자료 중 65세 이상의 노인 778명에 대해 응답이 불충실한 58명을 제외한 720명을 최종 분석 대상자로 선정하였다. 연구결과 노인의 건강관련 삶의 질은 연령, 교육상태, 수면시간, 스트레스, 만성질환 수, 주관적 건강인식에 따라 유의한 차이가 있었다. 특히, 고신체 활동군이 저신체 활동군에 비해 건강관련 삶의 질이 유의한 차이가 있었다. 본 연구 결과로부터 고강도 신체활동 수행능력을 가진 사람이 활동력의 증대와 함께 삶의 질적 가치도 높일 수 있었을 거라고 판단되며, 추후 좀 더 다양한 요인과의 분석과 다양한 기간을 두고 분석하는 다면적 연구 및 운동기간과의 연구 등이 필요하다고 사료된다.

• 한국융합학회논문지
• /
• 제9권12호
• /
• pp.313-319
• /
• 2018

본 연구의 목적은 우리나라 만 65세 이상 노인의 연령별 신체활동 및 식생활과 정신건강의 관련정도와 영향요인을 파악하여 노인의 정신건강에 긍정적으로 대처할 수 있는 요인을 확인하고, 노인건강프로그램 개발의 기초자료로 활용하기 위함이다. 본 연구는 2015년도 국민건강영양조사결과를 기초자료로 한 이차자료 분석연구이며, 우리나라 만 65세 이상의 노인 1,484명을 대상으로 하였다. 자료분석은 IBM 23 ver. SPSS를 이용하였다. 본 연구 결과 전기노인은 정신건강변수의 세부항목 중에서 우울감과 스트레스 인지가 높았으며. 후기노인은 자살생각이 높았다. 식생활형편은 전기노인보다 후기노인에서 '음식섭취 부족' 이 높았다. 회귀분석 결과 노인의 식생활 형편, 중강도 신체활동이 노인의 정신건강과 관련성이 있는 것으로 보고되었다. 연구결과를 토대로 세분화된 연령대에 적합한 차별화된 간호중재 프로그램개발이 필요하다.