• Journal of Preventive Medicine and Public Health
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• 제56권6호
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• pp.495-503
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• 2023

Objectives: While older adults using community care services are known to be vulnerable for depression, community care utilization (CCU) may help to improve the mental health of these elderly. To date, however, it is much less clear how CCU affects depressive symptoms in the elderly population. This study focuses on the trajectory of depressive symptoms across years of CCU among older adults in Korea. Methods: Using the 2006-2019 Korean Welfare Panel Survey, this study is focused on elderly born in 1940 or earlier and selected 3281 persons for baseline interviews in 2006. This consisted of 35 800 person-year observations during a period of 14 years. Panel data analysis were employed to construct years of CCU. Results: After controlling for covariates, linear term of years using community care was negatively associated with depressive symptoms, but a quadratic term was positively significant. The trajectory of depressive symptoms across the years of CCU follows a U-shaped curve. Older adults in the first year of using community care reported the highest level of depressive symptoms. However, a significant and steady decrease in depressive symptoms was observed during the following 9 years of CCU, which then gradually increased. The level of depressive symptoms at the 14th year of using community care remains significantly lower than the level at the outset of its utilization. Conclusions: This finding implies that CCU could be beneficial for improving mental health among older adults.

• Physical Therapy Rehabilitation Science
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• 제7권4호
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• pp.179-185
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• 2018

Objective: The purpose of this study was to analyze and compare vertical ground reaction forces during sit to stand (STS) and gait between female elderly and young individuals using the Wii Balance Board (WBB). Design: Cross-sectional study. Methods: Fifty-one female elderly people (age: $75.18{\pm}4.60years$), and 13 young people (age: $29.85{\pm}3.69years$) performed the five times STS test and gait respectively on the WBB. We analyzed time (s), vertical peak (%), integral summation (Int_SUM, %), and counter variables (%) in STS and 1st peak (body weight, BW%), 2nd peak (BW%), peak minimum (BW%), time (second), center of pressure (COP) path length (mm), and Int_SUM (BW%) in gait. The independent t-test was used to assess for differences in STS, gait ability, and general characteristics between the female elderly group and young adults group. With the first and last trials excluded, the mean value was obtained from the middle three of the five trials. Results: During STS, Int_SUM and time of young adults were significantly less than of the female elderly subjects. There were no significant differences in peak and counter variables. In gait, all variables (1st peak, 2nd peak, min, time, COP_path, and Int_SUM) showed significant differences between groups (p<0.05). This study demonstrated that the validity of vertical ground reaction forces occurring during STS and gait was significant in female elderly and young adults. Conclusions: Based on the measurement of vertical ground reaction forces in STS and gait using the WBB, it is possible to clinically improve the quality of geriatric physical therapy. Further studies are necessary to examine concurrent validity of elderly patients who have undergone total hip or knee replacement.

• Physical Therapy Rehabilitation Science
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• 제10권2호
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• pp.185-196
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• 2021

Objective: Falling is one of main accident to facilitate the physical injuries in order adults. The purpose of the systematic review was to determine the effects of postural balance training whether the recovery of falls in elderly with normal physical function or not throughout summing the selected studies quantitatively. Design: A systematic review Methods: MEDLINE and other four databases were searched up to April 20, 2021 and randomized controlled trials (RCTs) evaluating postural balance approaches on fall risks in elderly. The researched studies excluded the double studies, titles and abstract, and finally full-reported study. The selected RCTs studies were extracted characteristics of the studies and summary of results based on PICOS-SD (population, intervention, comparison, outcomes, and setting- study design) model to synthesize the papers qualitatively. Results: The review involved 22 RCT reports with 4,847 community older adults aged 65 years or over. Nineteen of the selected RCT studies reported dual or multimodal exercises show the beneficial effect for older adults compared to one-type treatment or no intervention. All of selected showed low risk in the selection, attrition, and reporting bias. However, detection bias showed low risk at 75% records of the involved RCTs and performance bias was low risk at only three records. Conclusions: The results of the systematic review propose that a standardized therapeutic approach and the intensity are needed for improving risk of falls in older adults.

• 지역사회간호학회지
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• 제26권2호
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• pp.79-88
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• 2015

Purpose: The purposes of this study were to examine the relationship between health belief and exercise compliance among elderly adults at senior centers and to identify factors influencing their exercise compliance. Methods: The subjects of this study were 100 elderly adults who were using senior centers in J City. Data were collected from the 5th of August to the 14th of September in 2014 using a questionnaire about general characteristics, health belief, and exercise compliance. Data analysis included one-way ANOVA, independent t-test, Pearson's correlation, and stepwise multiple regression using the SPSS/WIN 18.0 program. Results: The mean score for exercise compliance was 3.85 (range 1~5), and for perceived health state 3.17 (range 1~5). The mean score for each of the sub-factors of health belief was 3.89 for benefit, 1.94 for barrier, 3.34 for severity, 2.43 for sensitivity, and 3.65 for exercise self-efficacy (range 1~5). There was a significant correlation between exercise compliance and exercise benefit, and 28% of variance in exercise compliance was explained by exercise benefit in health belief, family history of illnesses, and perceived sensitivity in health belief. Conclusion: To promote exercise compliance among elderly adults at senior centers, exercise programs emphasizing exercise benefit should be developed.

• 대한물리의학회지
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• 제10권3호
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• pp.73-79
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• 2015

PURPOSE: This study aims to examine the impact of the location of a walker-aid pocket that is attached to the walker while walking. METHODS: The research subjects included 10 male adults and 10 elderly people. The subjects used a two-wheeled walker for the walking analysis, and a firm velcro-type pocket that can be attached to the walker aid was used for weight loading. The size of the external loads was set at 2kg, which corresponds to approximately 2.5% of the mean body weight of the subjects. The pocket was attached to the left, center, and right sides of the walker aid. Stride length, stride, step width, and time were investigated according to the location change. RESULTS: No statistical differences were observed in all the walking factors among the adults and elderly people regardless of the changes in the location of the walker pocket. In cases of no weight and the 2kg walker pocket, stride length and strides were longer for the adults, while the step width was greater and walking time was longer for the elderly people. CONCLUSION: The weight of the walker pocket turn out to retard walking speed, although the location of the walker pocket is not affect walking with the walker-aid.

• International Journal of Advanced Culture Technology
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• 제8권4호
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• pp.306-317
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• 2020

This study aimed to identify the factors affecting elderly care willingness (ECW) of nursing students. A total of 313 nursing students participated in the study. Data were collected from May to June 2019 using Interpersonal Reactivity Index-Korean version, Semantic Differential Scaling for evaluating attitudes toward elders, Scale of Ageism, and Questionnaire for care willingness toward older adults. Data were analyzed by t-test, ANOVA, Pearson's correlation coefficient, and multiple regression using SPSS 21.0 Program. The factors with the most significant influence on the elderly care willingness was prejudice toward the elderly (β=-.30, p=.001), followed by attitude toward the elderly (β=-.25, p=.004), third year (β=-.23, p=.016), satisfaction with volunteer experience with the elderly (β=-.21, p=.008), satisfaction with nursing major (β=-.17, p=.032), and empathy (β=.16, p=.046). These factors explained 46% of the elderly care willingness. In conclusion, it is necessary to reduce prejudice against the elderly and develop positive attitudes toward the elderly to increase the willingness of nursing students to care for older adults. In particular, further study is required to increase the willingness of nursing students to care for the elderly through developing programs such as curriculums for positive contact experiences with the elderly and volunteer activities for the elderly.

• 한국콘텐츠학회논문지
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• 제13권10호
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• pp.444-451
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• 2013

본 연구의 목적은 노인과 정상 성인의 보행경로 너비에 따른 보행 시, 시 공간적 보행 변수의 변화를 알아보기 위함이다. 연구의 대상자는 낙상의 경험이 없는 건강한 노인 20명과 20대 성인 18명으로 하였으며, 3가지 다른 너비의 보행경로(평상시 보행(usual walking), 좁은 너비 보행(narrow base walking), 한줄 보행(centerline-guided walking)에서 보행을 실시하였다. 평상시 보행은 보행경로에 제한을 두지 않았고, 좁은 너비 보행은 각 대상자의 양측 ASIS 사이의 거리를 1/2로 나눈 너비를 보행경로로 설정하였으며, 한줄 보행은 보행경로 중앙에 한 줄을 표시하여 보행을 실시하였다. 보행을 실시하는 동안, GAITRite system을 이용하여 시 공간적 보행 변수의 변화를 비교 분석하였다. 보행경로 너비에 따른 시 공간적 보행 변수 비교에서 20대 성인은 모든 변수에서 유의한 차이를 나타내지 않았으나, 노인의 경우 보행속도, 분속수, 양 뒤꿈치 사이 기저면, 기능적 보행지수가 통계적으로 유의하게 감소하였다(p<.05). 본 연구의 결과를 통해 노인은 20대 성인에 비해 보행경로의 너비가 좁아질수록 낙상에 대한 두려움으로 인해 보행변수에 영향을 미친다는 것을 확인할 수 있었으며, 이를 통해 노인의 낙상 예방 훈련을 위한 적절한 보행너비에 대한 이론적 근거를 제시할 수 있을 것으로 생각된다.

• 한국운동역학회지
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• 제31권4호
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• pp.259-269
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• 2021

Objective: The purpose of this systematic review and meta-analysis was to investigate age-related bimanual coordination functions in older adults. Method: Thirteen studies that compared bimanual coordination functions in older adults with those in healthy young adults qualified for this meta-analysis. We additionally categorized 21 total comparisons from the 13 qualified studies into two types of task-related moderator variables: (1) kinematic versus kinetic movements and (2) symmetry versus asymmetry movements. Results: Random effects model meta-analysis found that older adults revealed significant bimanual coordination impairments as compared with young adults (Hedges's g = -0.771; p < .0001; I² = 74.437%). We additionally confirmed specific bimanual coordination deficits using two moderator variables: 1) kinematic (Hedges's g = -0.884; p < .0001; I² = 0.000%) and kinetic (Hedges's g = -0.666; p = .023; I² = 86.170%). 2) symmetry (Hedges's g = -0.712; p = .001; I² = 74.291%) and asymmetry (Hedges's g = -0.817; p < .0001; I² = 76.322%). The moderator variable analysis indicated older adults indicated bimanual coordination deficits in the upper extremities than healthy young adults while performing kinematic bimanual coordination tasks and asymmetry coordination tasks. Conclusion: These findings suggest that developing motor rehabilitation programs based on asymmetric bimanual movement task for enhancing interlimb coordination functions of older adults may be crucial for increasing their independence in everyday activities. Given that elderly revealed the deficits in lower extremities coordination when older adults perform gait, posture, and balance, future studies should estimate lower limb coordination functions in elderly people.

• 한국콘텐츠학회논문지
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• 제14권3호
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• pp.241-249
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• 2014

본 논문은 청소년, 성인, 노인의 우울과 자살위험간의 관계에서 가족결속도의 완충효과를 파악하는데 연구 목적이 있다. 이를 위해 2010년 5월부터 8월 사이에 청소년 399명, 성인 473명, 노인 370명을 대상으로 전국 10개 도시에서 설문조사를 하였다. 주요 연구결과를 살펴보면, 첫째, 자살위험과 우울감 수준은 노인이 가장 높고, 청소년, 성인 순이었으나, 가족결속력은 성인이 가장 높고, 노인, 청소년 순이었다. 둘째, 우울과 자살위험간의 관계에서 가족결속도의 완충효과를 분석한 결과 청소년과 성인의 경우에만 유의미한 결과가 나타났다, 즉, 청소년과 성인의 가족결속도는 우울감이 자살위험에 미치는 영향을 완화시키는 것으로 나타났다. 이는 청소년과 성인의 자살감소를 위해서 가족결속력을 향상시켜야 함을 제시하는 결과이다. 그러나 가족관계가 어느 시기보다 중요한 노인의 경우 우울과 자살생각간의 관계에서 가족결속도의 완충효과가 검증되지 않았다. 이에 대한 해석을 노년기 자살의 특성에서 논의하였다.

• 한국사회복지학
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• 제64권1호
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• pp.101-124
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• 2012

본 연구에서는 중노년층의 본인의 노화에 대한 태도에 관한 종단적 변화와 이에 영향을 미치는 요인을 알아보기 위해 "고령화와 한국노인의 삶의 질에 관한 연구"의 3개년도 자료를 잠재성장모델로 분석하였다. 분석결과, 중노년층의 본인의 노화에 대한 태도는 시간이 지남에 따라 부정적으로 변화하는 것으로 나타났다. 또한 고연령집단일수록, 무배우일수록, 농촌지역 거주자일수록, 교육수준이 낮을수록, 사회활동의 수가 적을수록, 주관적 경제상태에 여유가 없을수록, 주관적 건강상태가 나쁠수록 중노년층의 본인의 노화에 대한 초기 태도는 부정적인 것으로 나타났다. 중노년층의 본인의 노화에 대한 태도의 종단적 변화는 거주지역, 교육수학기간, 주관적 경제상태, 주관적 건강상태에 따라 다른 것으로 나타났다. 연구결과를 토대로 중노년층이 본인의 노화에 대한 부정적인 태도를 줄이기 위해 필요한 정책적, 실천적 시사점에 대해 논의하였다.