• Title/Summary/Keyword: The Elderly with Chronic Illness

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Comparison of the Demographic Characteristics in Private Health Insurance (민간의료보험가입자의 사회 인구학적 특성 비교)

  • Kim, Yun-Jin;Cho, Duk-Young;Yi, Yu-Hyeon
    • The Korean Journal of Health Service Management
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    • v.7 no.4
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    • pp.143-151
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    • 2013
  • The purpose of this study was to analyze the socio-economic factors, the factors affecting the private insurance, utilizing Korea National Health & Nutrition Examination Survey 2011. Findings of the study can be summarized as follows. First, participants with private insurance are young, high monthly income, low prevalence of chronic illness. Second, participants with private insurance and chronic illness were young and high monthly income. Third, Average monthly household income, the higher the age is younger. Private insurance and national health insurance was higher subscription rate. Consequently, participants with private insurance and uninsured of the major differences is the age and the average monthly income. Elderly, low income are needed health promotion and disease prevention for expanded medicare, welfare policies.

The effects of Ki on the Elderly with Chronic Illness (노인 만성질환에 대한 기(氣) 시술의 효과)

  • Yang, Kyung-Hee;Jang, Hey-Sook;Lee, Myeong-Soo;Heh, Hwa-Jeong
    • Research in Community and Public Health Nursing
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    • v.10 no.2
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    • pp.412-421
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    • 1999
  • The purpose of current study was to investigate the effects of Ki-therapy which improves mood state and relieves pain on the elderly with chronic illness. The subjects were 42 elderly and convenience sampling(incidental sampling) was used to prevent contamination to the control group. Frequency, %, $X^2$, t-test, and repeated measure ANOVA by SPSS PC + program were used to analyze the data. The mean age of subjects was 72.95(Control group), 73.10(experimental group). Number of complains was 2.45(control group), 2.65 (experimental group). All of demographic characteristics of subjects. that is, age, weight. number of complains. educational background. family type. economic state, perceived health state were homogeneous. There are many difficulties in ADL & IADL. 14.2% in shopping, mode of transportation, ability to handle finances. 11.9% in ability to use telephone. continence, 7.1% in bathing, food preparation, transfer, and housekeeping. As the result of this study. slight improvement of mood state and pain relief were found. Although 3 improved items of 'clear-headed', 'lively', and 'nervous' were statistically significant. the pain relief was not statistically significant. It requires repeated treatment and measurement. And suggested case study or qualitative study in further studies because manufacturing of environment(i. e. rain) is very difficult in community people.

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Factors Affecting Suicidal Ideation by Medical Institutions Users - Focusing on elderly people with chronic diseases (일 의료기관 이용자의 자살생각 영향요인 - 만성질환 노인을 중심으로)

  • Lim, Gyeong-Tae
    • The Journal of the Korea Contents Association
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    • v.19 no.6
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    • pp.644-654
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    • 2019
  • The purpose of this study was to investigate the effects of depression, self-esteem and daily life ability on suicidal ideation in elderly people with chronic illness. The subjects were 170 outpatients and inpatients in a general hospital in D city. After conducting questionnaires for data collection, t-test, ANOVA and multiple regression analysis were performed and analyzed using SPSS 12.0 / win program. The results showed that suicidal ideation was influenced by gender, health status, chronic disease diagnosis, and experience of suicide attempt, with a positive correlation with depression and a negative correlation with daily life ability. The suicide attempt experience, depression, self-esteem and daily living ability showed 50.8% explanatory power against suicidal ideation. In order to reduce suicidal ideation, it is necessary to reduce suicidal ideation of elderly people with chronic diseases by managing an intervention program that reduces depression and improves daily life ability.

Determinants of the Economic Activity of the Poor Elderly (빈곤노인의 경제활동 결정요인 연구)

  • Lee, Sungeun
    • Journal of Family Resource Management and Policy Review
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    • v.17 no.3
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    • pp.39-58
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    • 2013
  • The purpose of this study was to identify the factors determining the participation of the poor elderly in economic activity. This study analyzed secondary data of the second wave of Korean Longitudinal Study of Ageing. Binary logistic regression was used to identify the factors that are associated with the economic activity of the poor elderly. The results of the analyses showed that age, gender, region, public assistance, education, health status, chronic illness, contacts with acquaintances, and support from children were associated with participation in economic activity. The study's findings have several implications for policies and services. The study identified the need for an age- and gender-specific approach to promoting participation in economic activity among the poor elderly. Regional differences should also be considered in the creation of work opportunities for older adults. In terms of human capital, the positive effect of good health indicates that strategies are needed to address the needs of older adults with health issues. In addition, there is a need for more jobs for elderly job seekers with high levels of education. Finally, policy makers and practitioners should explore interventions for enhancing the social network involvement and community support for the elderly living in poverty.

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A Study on the Major Factors Affecting Health-Related Quality of Life of Elderly Stroke Survivors (뇌졸중 생존 노인들의 건강관련 삶의 질 영향 요인)

  • Yang, Jung-Bin
    • 한국노년학
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    • v.30 no.4
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    • pp.1239-1261
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    • 2010
  • The main purposes of the study were to identify factors affecting health-related quality of life of elderly stroke survivors, and to suggest social work interventions for improving their quality of life. The participants were 328 elderly stroke survivors over 55 years old recruited from 18 long-term care hospitals and 13 nursing care facilities in Chung-Nam Province, Korea. The data was collected through a direct survey method from Dec. 16, 2008 to Jan. 17, 2009. Statistical analysis revealed that the overall health-related quality of life among participants was relatively low, especially in the social relationships domain. As a result of hierarchical multiple regression analysis, depression emerged as the most significant predictor of elderly stroke survivors' health-related quality of life, followed by financial burden in future, activities of daily living, acceptance of disability, comorbidity, and major financial supporter(spouse). Health-related quality of life of elderly stroke survivors in long-term care facilities was affected by a variety of variables from disease-related factors to environmental ones. Particularly psychosocial variables were the most powerful factors to predict HRQOL of elderly stroke survivors. Based on the results, social work implications were discussed in the context of developing clinical strategies to alleviate elderly stroke survivors' health-related quality of life in long-term care facilities. Living with chronic illness and disability is a great challenge to the elderly. Most of all long-term residence in care facilities can cause deterioration of quality of life in old age. From now on, studies on health-related quality of life of elderly with chronic illness and disability should be activated in social work field.

Study on Health Predictors of Early Retirement of Middle-aged and Elderly Workers in Korea: Proportional Hazard Model Analysis by Employment Type (중·고령자의 건강 악화가 조기은퇴에 미치는 영향 연구-근로형태 별 비례위험모형 분석)

  • Chung, Jongwoo
    • 한국노년학
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    • v.37 no.4
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    • pp.871-891
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    • 2017
  • The purpose of this paper is to reduce the reverse-causality and overestimate bias of analysis on how health affected middle-aged and elderly worker's early retirement. From the Korean Longitudinal Study of Ageing(KLoSA) panel data, I researched 1,049 people who were 45-52 years old in 2006. To eliminate the reverse-causality problem, I used the health data which is surveyed before retirement. To reduce bias, I controlled the health status when retirees worked. The main results are as follows. First, the worsened health still affects the hazard of early retirement, with reducing the endogeneity problem. Second, chronic illness is one of the strong predictors of early retirement to self-employed, and self-reported bad health is the main health predictor of wage workers. These results give two implications; first, the impact magnitude of the health indicator depends on employment type. Each employment type has different flexibility of working hours. It seems that the flexibility can reduce early retirement hazard with health problems. Self-employed, who has more flexibility of working hours can work until they have to stop working due to the serious health problem or doctor's advice. Second, to promote middle-aged and elderly workers to keep working, the long-term health policy which decreases chronic illness is needed.

A Study of Labor Force Participation and Living Arrangement on Health Status and Subjective Life Satisfaction in Later Life (노인들의 노동시장 참여형태와 동거유형이 건강수준 및 주관적 삶의 만족도에 미치는 영향 연구)

  • Kang, Lee-Ju;Lee, Young-Ae
    • Korean Journal of Human Ecology
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    • v.19 no.6
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    • pp.1031-1044
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    • 2010
  • Corresponding to the rapid growth of the aging population without an adequate social safety net for the elderly, older people face great disadvantages due to sudden illness or poor health and a lack of support from the younger generation. Furthermore, older women are suffering from a drastic deterioration of their economic status because of insufficient retirement savings. Examining the impact of labor force participation and living arrangement on health status and life satisfaction in later life, it is important to consider gender differences in context of social policies for the elderly. Using data based on a stratified national sample of the elderly by the Korean Longitudinal Study of Aging (KLoSA), multiple regression model were used to estimate the relationships between labor force participation and health status and subjective life satisfaction concerning the quality of their later life. The result indicates that good health status and high level of life satisfaction are associated with the type of paid work status for the elderly men, but those are associated with the type of non paid work, such as family businesses employees for the elderly women. Significant differences in chronic health condition and subjective life satisfaction by employment characteristics are found among the elderly. In addition, older women's high level of life satisfaction was associated with the participation of the social activity. The major conclusion from these results should help us understand gender differences in the elderly and acknowledge further exploration of gender variations in these people's later life.

The Association between Personal Health Behaviors and Emergency Room Visit among Elderly Patients with Diabetes (당뇨병 노인의 건강행위 실천과 응급실 내원 간의 관련성)

  • Kim, Su Hyun;Im, Ye-Ji
    • Journal of Digital Convergence
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    • v.19 no.11
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    • pp.595-606
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    • 2021
  • This study was to understand the relationship between emergency room visit due to illness and personal health behaviors as well as population and illness characteristics of elderly patients with diabetes. This study was a descriptive correlation study that analyzed 956 respondents aged 65 or older and diagnosed with diabetes in the Korean Health Panel's data from 2014 to 2017. Data were analyzed using the SPSS 26.0 program with Mann-Whitney U test, chi-square test, and logistic regression analysis. The respondents who visited emergency room had fewer days of moderate-intensity physical activity and walking activity, were older, had activity restrictions due to disability, had depression, and had a large number of comorbid chronic diseases. In order to prevent elderly people with diabetes from visiting emergency room, it is important to encourage moderate-intensity activity and walking.

Population Aging and Health Promotion Activities in Korea (한국에서의 인구 고령화 추이와 건강증진사업의 중요성)

  • Maeng, Gwang-Ho
    • Journal of Korea Association of Health Promotion
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    • v.2 no.3
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    • pp.31-46
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    • 2004
  • Owing to continuous economic growth, an increased standard of living, and improvements to health care in Korea, the life expectancy of Koreans rose from 69.0years in 1985 to 71.3 years in 1990 It continued to rise throughout the 1990s, and, by2002, had reached 76.5 years for the general population and 80.0 years for Korean females. Similarly, the percentage of the Korean population that is 65 years of age or older Increased from 3.1 In 1970 to 7.1 In 2000, and is expected to reach approximately14.0 in 2019. Thus, according to this estimate, Korea will have evolved from an 'aging society 'to an "aged society" in only 19 years. In the case of other countries, this same transformation has generally taken 2 to 5 times longer. One of the major issues related to Korea's rapid1y aging population relates to the health problems of the elderly According to the 2002 National Health Survey Report,87.6 percent of the elderly were reported to have at least one chronic disease. In other words, almost 9 out of evert 10 elderly persons in Korea were suffering from a chronic illness. This, clearly, places a significant economic burden on Korean society in the form of increased health care costs. This paper examines the increasing prevalence of chronic diseases within Korea's rapidly aging population and offers some possible short- and long-term solutions to cope with the increased burden being placed on Korea's health care system. These Include the basic services at local health centers for the elderly and the national life-long health promotion programs that aim to correct unhealthy behavior, such as smoking, the excessive use of alcohol, and poor eating and exercise habits.

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Population Aging and Health Promotion Activities in korea (한국에서의 인구 고령화 추이와 건강증진사업의 중요성)

  • Maeng, Gwang-Ho
    • Journal of Korea Association of Health Promotion
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    • v.2 no.2
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    • pp.187-197
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    • 2004
  • Owing to continuous economic growth, an increased standard of living, and improvements to health care in Korea, the life expectancy of Koreans rose from 69.0 years in 1985 to 71.3years in 1990. It continued to rise throughout the 1990s, and, by 2002, had reached 76.5years for the general population and 80.0 years for Korean females. Similarly, the percentage of the Korean population that is 65 years of age or older increased from 3.1 in 1970 to 7.1in 2000, and is expected to reach approximately 14,0 in 2019. Thus, according to this estimate, Korea will have evolved from an "aging society" to an "aged society" in only 19years. In the case of other countries, this same transformation has generally taken 2 to 5times longer. One of the major issues related to Korea's rapidly aging population relates to the health problems of the elderly. According to the 2002 National Health Survey Report, 87,6 percent of the elderly were reported to Have at least one chronic disease. In other words, almost 9out of every 10 elderly persons in Korea were suffering from a chronic illness, This, clearly, places a significant economic burden on Korean society in the form of increased health care Costs. This paper examines the increasing prevalence of chronic diseases within Korea's rapidlv aging population and offers some possible short- and long-term solutions to cope with the increased burden being placed on Korea's health care system. These include the basic services at local health centers for the elderly and the national life-long health promotion programs that aim to correct unhealthy behavior, such as smoking, the excessive use of alcohol, and poor eating and exercise habits.

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