• 근관절건강학회지
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• 제21권1호
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• pp.36-45
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• 2014

Purpose: The purpose of this study was to investigate the factors increasing fall risk in the residential environment risk and the perceived fall risk among the older adults who received home care services to provide information for developing a comprehensive falls intervention program. Methods: The subjects were 227 community-dwelling elderly aged 65 years and over who were taken care of by home-visiting nurses of the national health centers. The data were collected from July to August in 2012 using the Choi's residential environmental risk scale (2010) and the Hong's fall risk scale (2011). Results: Requires an assistive devices to walk, modified residential environment, health security, approval certificate of LTC, residential safety perception, residential environment risk, and perception of fall risk were statistically significant risk factors. A multiple logistic regression analysis showed that room & kitchen, physical perception, medication & ADL perception, floor-related environmental perception, and daily living tool-related perception were statistically significant predictors of fall. Conclusion: The results showed that the residential environment and the perceived fall risk were associated with fall experiences among the elderly. It is necessary to develope multifactorial intervention programs considering both environmental and perceived risk factors as well as physical risk factors to reduce and prevent falls among the elderly.

• 지역사회간호학회지
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• 제28권3호
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• pp.227-239
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• 2017

Purpose: The purpose of this study was to investigate the effects of peer mentoring program on physical activity, knee joint function, self-care agency and social support, which are health conservation elements in elderly women with osteoarthritis. Methods: This study used a quasi-experimental research design. It is a pretest-and-post 1, post 2 test design of a non-equivalent control group. The subjects were elderly women aged over 65 who were diagnosed with osteoarthritis. A total of 60 patients (experimental group 30, control group 30) who registered with the Senior Welfare Center in City G and in Region D participated in this study. The data were collected from June 29th to September 4th, 2015. The collected data were analyzed with $x^2$ test, Fisher's exact test, independent t-test and repeated measurement ANOVA. Results: The experimental group showed a greater increase in physical activity, knee joint function, self-care agency and social support than the control group. Conclusion: The results indicated that the peer mentoring program is effective in increasing physical activity, knee joint function, self-care agency and social support of elderly women with osteoarthritis.

• 한국보건간호학회지
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• 제6권2호
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• pp.21-49
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• 1992

This study was carried out to assess the degree of cognitive impairment and health status for the aged people in seoul area. The subjects were selected 117 aged at the nursing home and 101 residents from the community. To assess the cognitive function, Mini-Mental Status Examination(MMSE-K) and the assessement tool of health status for the elderly which was developed by Lee(1989) used to check the health status. The followings are the results of the Survey Study; 1. The elderly who were assessed as a cognitive impairment status was $47.9\%$ of the nursing home people and $42.6\%$ of the ordinary community residency elderly. 2. Health status of the community residency elderly was much better condition than the status of the nursing home residency elderly. 3. There was a significant relationship between the degree of cognitive impairment and the physical health status.

• 한국산학기술학회논문지
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• 제18권5호
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• pp.47-58
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• 2017

본 연구는 J시 보건소의 노인 허약 예방프로그램이 지역사회 경로당 이용 노인의 주관적 건강상태, 우울, 체력 및 삶의 질 에 미치는 효과를 검증하기 위한 비동등성 대조군 전 후 시차 설계를 이용한 유사실험연구이다. 프로그램에 참여한 대상자는 경로당을 이용하는 노인으로 총 43명으로 이 중 실험군 22명, 대조군 21명 이었으며, 연구기간은 2015년 9월 1일부터 10월 16일까지 8주간, 주 2회 허약노인 예방프로그램을 운영하였다. 자료 분석은 SPSS/WIN 21.0 프로그램을 이용하여 $x^2-test$와 t-test 등으로 분석하였다. 허약노인 예방프로그램 적용 후 주관적 건강상태(t=-0.35, p=.024), 우울(t=2.76, p=.035), 체력 중 오른손의 압력(t=-3.10, p=.004)과 허리 유연성(t=-2.13, p=.039) 그리고 삶의 질(t=4.36, p<.001)이 차이가 있는 것으로 나타났으며, 두 군 간에 통계적으로 유의한 차이가 있는 것으로 나타났다. 따라서 지역사회 경로당을 이용하는 노인들을 위한 허약 예방프로그램이 노인들의 주관적 건강상태, 우울, 체력 및 삶의 질을 향상시킬 수 있는 유용한 간호중재 프로그램임을 확인 할 수 있었다.

• 간호행정학회지
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• 제6권2호
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• pp.195-209
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• 2000

The purpose of this study is to estimate the population requiring nursing home services among elderly people in Korea. This study identifies the need of nursing home services determined by health care professionals and estimates the proportion of elderly people requiring nursing home service according to the admission criteria. Surveys were conducted on health care professionals including medical doctors, home care nurses, and nurse practitioners. They were asked to assess nursing home need based on four content areas: Physical function (Activities of Daily Living), chronic disease, Physical symptoms (incontinence), mobility, eating, and sensory function. Based on the professionally determined need criteria the proportion of elderly people requiring nursing home services was estimated using secondary data from the 1994 Survey on the Living Status of the Korean Elderly. The number of study subjects to estimate nursing home need who were 60 and older totaled 2,058. The most important factor contributing to the admission eligibility criteria was the elderly living alone. Other factors related were the elderly being unable or having difficulty carrying out activities, and having insufficient help from other our activities, and having insufficient help from other members of the household. Using only physical function, the proportion of elderly people requiring nursing home was $8{\sim}9%$. When only chronic disease was used, proportions varied widely; for the doctor's group, the proportion was over 30%. Using all areas, the proportions of elderly people requiring nursing home were between 13% and 38%. The estimate using chronic disease and physical function was similar to the on using all areas.

• 한국보건간호학회지
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• 제11권1호
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• pp.93-102
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• 1997

The study aimed at investigating the living time as well as disability degree of the elderly based on daily living acting capability and living activity degree. The survey was conducted through the home-visit interview during half month at july, 1996 by the students of nursing department who were previously trained. The survey targeted the elderly aged 65 years or more living at home in rural area. The study tried to utilize Activity Inventory(AI) made for examing health and disease, disability degree, and living acting degree of the elderly. Among the AI's, there are Physical Activity of Daily Living(PADL), Instrumental Activity of Daily Living(IADL), maximum daily activity scope, and physical and mental activity level of the elderly. The daily living time is surveyed physiologic time(sleeping, eating and grooming), labor time(occupation, housekeeping and farming) and leisure time(reading, sport hobby-life). Results of the study show that social activity degree of the elderly is found to be lower than that PADL, LADL, and daily living scope. It seems that the elderly suffer from inability in daily life with lower social activity degree. But the labour time of the daily living time is the most amount time in the targeted 361 elderlys through random sampling. Therefore postponement of the disability of aging should be devised to encourage the labour activity of the elderly.

• 대한물리치료과학회지
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• 제26권2호
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• pp.32-37
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• 2019

Background: The purpose of this study is to investigate the change of blood pressure and autonomic neural system through one-time bamboo stepping in hypertensive elderly people. Design: Randomized Controlled Trial. Methods: We recruited 26 elderly people aged 65 or older for study. They sat for 10 minutes in a chair, rested, and measured pre-exercise blood pressure and autonomic neural system. The blood pressure was measured three times and the mean value was used and the autonomic neural system was measured once. Bamboo stepping exercise was performed for 20 minutes. Blood pressure and autonomic neural system were measured 5 times immediately after exercise, and every 15 minutes at 60 minutes after bamboo stepping exercise. Results: There was a significant difference in the decrease of systolic blood pressure after one-time bamboo stepping exercise, the change of parasympathetic activity (HF), heart rate variability (HRV) and BPM measured immediately after exercise at 15 minutes after exercise, There was no significant difference in autonomic neural system change. Conclusion: One-time Bamboo stepping exercise is effective in decreasing systolic blood pressure of the hypertensive elderly.

• 근관절건강학회지
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• 제20권3호
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• pp.180-188
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• 2013

Purpose: This study aims to explore the effect of physical, emotional and environmental status on safety consciousness of the elderly who live alone. Methods: A total of 228 participants were the elderly living alone aged 65 years and older. Three questionnaires were developed to measure safety consciousness, physical status, and environmental status by researchers. Geriatric Depression Scale (GDS) was used to evaluate emotional status of the elderly. Data were analyzed by t-test, ANOVA, Pearson's correlation coefficients, and stepwise multiple regression. Results: Average scores of participants were $3.71{\pm}1.49$ (range 0~6) for physical status, $8.28{\pm}3.38$ (range 0~15) for environmental status, $7.21{\pm}3.40$ (range 0~15) for GDS and $17.00{\pm}6.54$ (range 0~37) for safety consciousness. Safety consciousness was significantly associated with education, marital status, drinking, and depression as emotional status. These variables explained 13.6% of the variance in safety consciousness. Conclusion: The levels of safety consciousness among the elderly living alone were low. Education, marital status, drinking, and depression were the factors affecting safety consciousness. Risk assessment and management of these factors are needed to increase safety consciousness of the elderly.

• 한국노년학
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• 제28권4호
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• pp.865-885
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• 2008

본 연구는 한국 노인들의 자살사고와 관련된 문제들에 대해서 알아보고자 했다. 이를 위해 노인의 주관적 건강과 삶에 대한 전반적인 만족도에 의한 주관적인 삶의 질과 자아존중감이 우울을 매개변인으로 하여 자살사고에 미치는 영향에 대해서 검증하고자 한다. 본 연구를 위해 경기지역에 거주하는 만 65세 이상 노인 8,315명에 대한 자료를 수집하였다. 연구결과, 참가자 전체 노인들의 주관적인 삶의 질, 자아존중감 및 우울은 모두 자살사고에 유의한 영향을 미쳤다. 그리고 신체적 병력 유 무에 따라 두 집단으로 나누고 우울을 매개변인으로 하여 노인의 삶의 질, 자아존중감이 직접 또는 간접적으로 자살사고에 유의한 영향을 미치는지 알아보았다. 그 결과 신체적 병력을 가진 노인의 우울이 신체적 병력이 없는 노인에 비해서 가장 강력하게 자살사고에 더 유의미한 영향을 미치는 것으로 확인되었다. 따라서 우울은 자살과 관련하여 가장 중요한 정신건강의 문제라고 할 수 있다. 본 연구를 통해 노인의 주관적인 삶의 질을 향상 시키고 노인의 자살사고를 감소시키는데 도움을 줄 수 있을 것이다.

• 성인간호학회지
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• 제22권2호
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• pp.211-220
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• 2010

Purpose: This study was done to identify the relationship of trait anger, health state, physical symptoms. and general characteristics to physical symptoms and to identify factors affecting physical symptoms of elderly in urban areas. Methods: The research design for this study was a descriptive survey design using a convenience sampling. Elders (n=276), who agreed to participate in this study completed a self-reporting questionnaire. The collected data were analyzed by descriptive statistics, t-test, ANOVA, Pearson's correlation coefficients, and multiple regression. Results: Study participants reported low trait anger (M=18.61), physical symptoms (M=7.15), and moderate health state (M=3.30). The 45.4%of variance in physical symptoms was significantly explained by emotional function health state (${\beta}$=-.284, p=.013), which is one of the sub-domain of the elderly health state, and trait anger (${\beta}$=3.841, p<.001). Conclusion: Findings of this study provide that the most important factors in explaining physical symptoms for the elders in Korea were emotional function health state and trait anger. Based on the findings of this study, further nursing practice and nursing research for the elders with physical symptoms should be focused on emotional support.