• Journal of the Korean Institute of Rural Architecture
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• v.13 no.4
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• pp.1-8
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• 2011

Korea is moving toward an aging society faster than the other advance countries such as the U.S. and France. Such aging phenomena are posing greater problems in rural areas than in urban areas, and particularly, decrease in productivity caused by aging population leads to economic difficulties and hinders the improvement of housing life. The purpose of this research is to examine and identify the housing conditions of the vulnerable in rural areas and to present ways to improve the elderly housing and the housing environment in rural areas and to provide basic data for materializing the policies to enhance the quality of life. The results of this research are as follows. First, the elderly in rural areas were found to receive relatively smooth supports for services related to clothing and food through the government and social organizations. But for the housing problems, it was found that there were not any supports. Second, the poor housing environment may cause diseases to the elderly with weak immunity, so ways to remedy these problems are urgently needed. Third, the vulnerable in rural areas can hardly bear the burden of improving the housing environment, so supports from the government and social organizations are needed. Fourth, ways to support the vulnerable such as households receiving basic living subsidies and to support the poor who are not receiving such subsidies should be explored.

• Journal of the Korean housing association
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• v.28 no.3
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• pp.55-64
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• 2017

Elderly population has increased rapidly and adjusting the environment is in demand to support their health. To improve the living environment of elderly, an appropriate plan for customized home modification is needed upon the personal contexts. The purpose of this study is to explain the sequence and to build an insight on customized home modification for vulnerable single elderly. It is a case study based on single target that includes 6 months of execution period deeply seeking the appropriate plan for implementation. The target is a male elderly aged 74 living in a single story detached house. The various research methods are applied in this study including exploratory, participatory, action and trade-off preference researches. The result shows that plan for home modification is complex outcome of interlocking uniqueness between residence environment and resident situation. If customized modification is targeted for residentially vulnerable social group, more sensitive approach aiming for the highest result is required due to financial constraint. To conclude, comprehensive understanding of overall circumstances of a dwelling, a resident and various stakeholder is essential throughout the process. Since the aging-in-place of elderly cannot be achieved without self-sustaining living environment, customized home modification should be a tool to meet housing suitability. It is important to strengthen the experts and future workforce with networks of local residents to share opinions and appropriate plans.

• Research in Community and Public Health Nursing
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• v.20 no.3
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• pp.335-342
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• 2009

Purpose: This study was to identify the degree of the sense of mastery and health-promoting behaviors in the vulnerable female elderly of urban areas, and to determine factors influencing their health-promoting behaviors. Methods: The subjects were 253 vulnerable female elders aged over 60 in D City. Data were collected by a questionnaire survey. Analysis of data was done with the SPSS/WIN program. Results: The mean score of the sense of control was 15.8. It was significantly different according to living arrangement, and subjective health status. The mean score of health-promoting behavior was 3.8. It was significantly different according to living arrangement and subjective health status. Health-promoting behavior was affected more highly in subjects with a low degree of sense of mastery than in those with a medium degree of sense of mastery. Conclusion: These results suggest that the sense of mastery is an important variable for health-promoting behavior. These findings may give useful information for developing health-promoting programs focused on the sense of mastery in vulnerable female elderly adults.

• Journal of Korean Living Environment System
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• v.24 no.3
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• pp.360-367
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• 2017

Although the elderly collecting and selling wastepaper is one of the most vulnerable groups in society, this group has not been studied specifically. Subjective health status is an important aspect of quality of life in old age. The purpose of this study is to examine factors affecting subjective health status among the elderly collecting and selling wastepaper. Analyses are based on data from 2014 Korean Elderly Survey. Multiple regression analysis showed that gender, depression, and fear of falling were associated with subjective health status. The results of this study suggest that gender and mental health aspects should be considered in making intervention plan for assessments and providing services for health among the elderly collecting and selling wastepaper. The study findings also indicate that efforts to improve safety in worksite of elderly persons collecting and selling wastepaper are needed.

• 한국노년학
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• v.30 no.3
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• pp.695-708
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• 2010

Purpose: This study was to explore the factors affecting on Dietary Behavior Change of the vulnerable elderly based on the Stage of Change. Methods: This study was a secondary analysis of the data collected from 1,262 elderly who were participated in the case management program. Total 984 participants who responded all questionnaire were included in the analysis. The variables included general characteristics, health behavior, health status, and dietary behavior stage. The data collected were analyzed by descriptive statistics, trend test and multi-variate logistic regressions. Results: about twenty four percent of the vulnerable elderly subject was pre-contemplation stage and 46.1% of them was contemplation stage of dietary behavior. Having a depressive mood, dependance of Instrumental Activity of Daily living, and being medicaid affected on starting or on maintaining healthy dietary behavior in vulnerable elderly negatively. Conclusion: The tailored nutritional intervention depending on dietary behavior stage are needed for the vulnerable elderly to improve the health. The program which can maintain the function remained of elderly and give psychological support together will be more effective.

• Journal of Korean Public Health Nursing
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• v.28 no.3
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• pp.419-431
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• 2014

Purpose: The aim of this study was to understand the determinants of health-related quality of life (HRQOL) according to age groups in vulnerable elderly women. Methods: We conducted a cross-sectional study with 1,533 elderly women beneficiaries of the visiting health care program in Seoul. The participants were divided into three age groups: the young-old (n=753, 65-74 years), old-old (n=602, 75-84 years), and oldest-old (n=178, 85 years or older) groups. HRQOL was measured using the SF-8 questionnaire. Results: HRQOL was found to be worse in the oldest-old group (p=.007). Factors associated with HRQOL differ by age groups. In the young-old and old-old groups, higher HRQOL showed significant correlation with a higher level of self-rated health (SRH) and a lower level of depression, instrumental activities of daily living (IADL) dependence, and the number of chronic diseases. In addition, higher HRQOL was observed for elderly living alone than for those living with family. In the oldest group, higher HRQOL showed significant correlation with a lower level of depression, activities of daily living (ADL) dependence, and a higher level of SRH. Conclusions: In age specific groups, lower levels of HRQOL were observed for the oldest-old group than for the other age groups. Age group-specific nursing strategies may be required for improving HRQOL levels of vulnerable elderly women.

• Korean Journal of Adult Nursing
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• v.22 no.3
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• pp.239-249
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• 2010

Purpose: The objective of this study was to identify the relationships between family function and successful aging of vulnerable elderly using the circumplex model. Methods: The participants were the elderly (N=401) who were over 65 years old living in H city under the National Livelihood Security Act. Family Adaptability and Cohesion Evaluation Scale III and Successful Aging Instrument were used. Results: The family function perceived by the study subjects was average $43.20{\pm}16.62$ out of maximum 100 points. According to the analysis on family types suggested by circumplex model, there were 183 people for balance family (45.6%) and 218 people (54.4%) for extreme family. The total points on successful aging were $1.67{\pm}0.37$ out of 3 points. When the difference in points on the Successful Aging instrument were analyzed according to the scores on the Family Adaptability and Cohesion Scale those points of the balanced family were statistically significant (t=2.087, p=.038). Conclusion: In case of the balanced family type, the level of perceiving successful aging was relatively higher. For the improvement of family function, it is advised that the successful aging perception among vulnerable elderly can be uplifted through a program that enables effective communication with other family members.

• Journal of the Society of Disaster Information
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• v.19 no.2
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• pp.383-394
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• 2023

Purpose : This study focuses on improvements in cell broadcast service(CBS) with consideration of socially vulnerable groups, and identifies service factors necessary for elderly people in particular. Method : Multiple regression analysis was applied to test overall satisfaction with cell broadcast service as the dependent variable and each of the service factors as the independent variable. Result : The results showed that fast delivery had the greatest effect on overall satisfaction with cell broadcast service in both groups, followed by the delivery of sufficient content for the elderly group and system quality for the non-elderly group. The results demonstrated that the elderly group cared more about information content, while the non-elderly group considered functions such as system quality and text message transmission criteria more important. Conclusion : Elderly people consider the delivery of sufficient information important as well as fast delivery, which suggests that it is necessary when sending cell broadcast service to give consideration to the characteristics of elderly people, as they tend to have weaker understanding and thinking abilities than the non-elderly.

• Journal of Korean Academy of Nursing
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• v.48 no.2
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• pp.182-194
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• 2018

Purpose: This study aimed to estimate the effects of a health mentoring program on fasting blood sugar, total cholesterol, triglyceride, physical activity, self care behavior and social support changes among community-dwelling vulnerable elderly individuals with diabetes. Methods: A non-equivalent control group pre-post-test design was used. Participants were 70 community-dwelling vulnerable elderly individuals with diabetes. They were assigned to the experimental (n=30) or comparative (n=30) or control group (n=28). The experimental group participated in the health mentoring program, while the comparative group participated in health education program, the control group did not participate in any program. Data analyses involved a chi-square test, Fisher's exact test, a generalized linear model, and the Bonferroni correction, using SPSS 23.0. Results: Compared to the control group, the experimental and comparative groups showed a significant decrease in fasting blood sugar, total cholesterol, and triglyceride. Compared to the comparative and control groups, the experimental group showed significant improvement in self care behavior. However, there were no statistical differences in physical activity or social support among the three groups. Conclusion: These findings indicate that the health mentoring program is an effective intervention for community-dwelling vulnerable elderly individuals with diabetes. This program can be used as an efficient strategy for diabetes self-management within this population.

• Research in Community and Public Health Nursing
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• v.24 no.2
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• pp.205-213
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• 2013

Purpose: The purpose of this study is to investigate the effects of visiting laughter therapy on depression and insomnia in the vulnerable elderly. Methods: A quasi-experimental nonequivalent control group pretest-posttest design was used for this study. The participants were 87 elderly who were registered in the Tailored Visiting Health Program of public health centers. Data were collected from September to November 2010. The experimental group received visiting laughter therapy froma visiting nurse who had taken laughter training provided by laughter therapy experts. The experimental group received 10~15 min of laughter therapy once a week for 8 weeks. The instruments included Geriatric Depression Scale and Insomnia Severity Index to measure depression and sleep problems before and after the laughter therapy. Results: The results showed that visiting laughter therapy was effective in decreasing depression and insomnia among the vulnerable elderly. Conclusion: These findings indicate that laughter therapy may be an effective nursing intervention to improve depression and insomnia Further studies would be needed to identify the difference of effects according to time, interval, or period of visiting laughter therapy and to evaluate the lasting effect of visiting laughter therapy.