• 동의신경정신과학회지
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• 제30권3호
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• pp.185-198
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• 2019

Objectives: The purpose of this study was to identify the effectiveness of Korean medicine treatment in mild cognitive impairment (MCI) among a group of community dwelling elderly. Methods: Two-hundred and twenty-nine elderly living in a community and diagnosed with MCI were recruited. Participants were evaluated with various instruments such as the Korean version of Mini-Mental State Examination for Dementia Screening (MMSE-DS) and the Korean version of Montreal Cognitive Assessment (MoCA-K). Korean medicine treatment consisted of herbal medicine, acupuncture, and pharmacoacupuncture. The change in cognitive ability was assessed by using the MMSE-DS and the MoCA-K. Data were analyzed by SPSS/WIN 22.0 using the paired t-test, and the ANOVA. Results: The MMSE-DS and the MoCA-K score generally increased after six months of Korean medicine treatment and the differences in both instruments were statistically significant. Additionally, some consecutive participants maintained long-term cognitive improvement. When analyzed specifically by herbal medicine group based on syndrome differentiation and pharmacoacupuncture group, most showed improvement in the MMSE-DS and the MoCA-K but not all data were statistically significant. The satisfaction score was mostly high and most participants were willing to re-participate in the program. Conclusions: Korean medicine treatment may contribute to the improvement and prevention of cognitive decline in the elderly. However, further systematic research based on large scale sample data and standardized protocols is needed to uplift the welfare and mental health of the elderly.

• Journal of Preventive Medicine and Public Health
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• 제39권3호
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• pp.243-248
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• 2006

Objectives: The Quality of Life-Alzheimer's Disease (QOL-AD) scale is a reliable and valid tool for assessing the quality of life (QOL) in the elderly with dementia. This study aimed to develop the Korean version of Quality of Life-Alzheimer's Disease (KQOL-AD) scale for the demented elderly living in the community. Methods: KQOL-AD was administered to two groups: 24 demented elderly and 72 cognitively impaired elderly with no dementia (CIND) who were living in the community Each elderly person and their caregiver rated the elderly QOL. The Korean version of mini-mental state examination (MMSE-K), the clinical dementia rating (CDR), the activities of daily living (ADL), and the neuropsychiatric inventory (NPI) were also assessed. The reliability and validity of the KQOL-AD were examined. Results: In the dementia group, the internal consistency (Cronbach's $\alpha$), the split half and the test-retest reliabilities of the KQOL-AD were excellent. Scores on the KQOL-AD were significantly correlated with the scores of the NPI, but they were not significantly correlated with scores of the MMSE-K, CDR and ADL. In addition, the CIND group showed similar results to the dementia group. Conclusions: KQOL-AD might be a reliable and valid instrument for assessing QOL in the elderly with dementia It could be used as an important outcome measure for research on the demented elderly.

• 한국보건간호학회지
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• 제23권1호
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• pp.78-90
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• 2009

Purpose: This study investigated depression, ADL, ADL, QOL, and their relationships to examine the physical and, emotional health status of low income elderly in the local community. Methods: The subjects included 507 elderly 65 years of age in Jeonju, Korea. Data were collected through personal interviews with questionnaires. Results: The average depression score of the subjects was 8.7. There was significant difference in the level of depression as a function of the level of education and perceived health status. The items showing the highest level of functioning in ADL were consciousness and recognition, and the item combining the highest leveling of functioning in IADL was using phones. Regarding ADL and IADL, there were statistically significant differences in age. living condition and perceived health status. The levels of quality of life of the subjects were significantly different with respect to gender and, perceived health status. There were statistically significant correlations between the subjects' depression, ADL, IADL, and QOL. Conclusions: The findings indicate that the low income elderly in the local community were in poor physical and, psychological health. Based upon the outcome, health promotion programs to improve depression, ADL, and IADL of low income elderly in the community are needed.

• 지역사회간호학회지
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• 제13권2호
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• pp.332-342
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• 2002

Purpose: The purpose of this study was to assess the level of activities of daily living (ADL) in a group of community dwelling elderly. Methods: The subjects were 100 low-income elderly registered in a public health center. The data were analyzed using the SPSS/PC program. Results: The results were as follows: 1. The basic ADLs of the subjects were scored at 7 levels, and the mean score was 6.24 out of 7 points. The subjects did not necessarily require help from others, but might have needed more times or instrumental assists to perform ADLs. The lowest ADL score was reported on walking up to the stairs (5.05), for which the subjects did not need physical assistance, but needed a certain degree of supervision. The highest score was reported on self eating (6.74), followed by bowel management (6.60). 2. The mean IADL score of the subjects was 1.77 out of 4 points. indicating that the subjects were very independent in performing IADLs, without help from others. 3. In relation to general characteristics, the level of ADLs of the subjects was significantly different by age (F=6.65, P=.000), main activities (F=6.36, P=.001), perceived health status (P=4.66, P=.012), educational background (F=4.64, P=.03), marital status(F=4.62, P=.005), and major household income (F=4.15, P=.002). 4. The subjects' level of IADLs in relation to their general characteristics was significantly different by perceived health status (F=8.08, P=.001), major activities (F=7.33, P=.000), age (F=6.18, P=.000), family context (F=3.53, P=.018), religion (F=3.10, P=.019), marital status(F=2.62, P=.055), and major household income (F=2.31, P=.049).

• 재활치료과학
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• 제9권4호
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• pp.45-54
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• 2020

목적 : 본 연구는 지역사회 거주 노인의 인지기능, 일상생활활동, 참여 및 삶의 질의 관계를 확인하고자 하였다. 연구방법 : 지역사회 거주 노인 144명을 대상으로 인지기능, 일상생활활동, 참여 및 삶의 질을 측정하였다. 인지기능은 한국어판 간이정신상태검사, 일상생활활동은 한국형 일상생활활동 측정도구, 참여는 한국형 활동분류카드, 삶의 질은 노인 삶의 질 척도를 사용하였다. 결과 : 인지기능은 참여의 사회활동과 삶의 질 3개 영역(신체적 건강, 심리적 건강, 사회관계 및 경제수준)과 유의한 상관이 있었다. 일상생활활동은 참여(수단적 일상생활활동, 여가활동)와 삶의 질의 모든 하위영역에서 유의한 상관이 있었다. 참여의 하위영역들 중 수단적 일상생활활동과 여가활동은 삶의 질의 모든 하위영역과 상관이 있었고, 참여의 사회활동은 신체적 건강을 제외한 삶의 질의 모든 영역과 유의한 상관이 있었다. 여러 변인들 중 삶의 질과 가장 상관이 큰 변인은 참여의 여가활동인 것으로 나타났다. 결론 : 참여, 일상생활활동, 인지기능의 순서로 삶의 질과 상관이 있었고, 참여의 하위영역 중 여가활동이 삶의 질과 상관관계가 가장 큰 것으로 나타났다. 본 연구는 지역사회 거주 노인의 인지기능, 일상생활활동, 참여와 삶의 질의 상관관계를 확인하여 성공적인 노년기 삶을 위한 기초자료를 제공하였다는데 의의가 있다.

• 한국노년학
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• 제29권4호
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• pp.1313-1325
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• 2009

본 연구는 지역사회 거주 저소득계층 노인의 우울 수준을 파악하고 우울의 영향요인을 규명하기 위한 서술적 조사연구이다. 본 연구는 수도권 A 지역 65세 이상의 남녀 재가 저소득계층 노인 306명을 대상으로 2007년 1월부터 9월까지 시행되었다. 측정변수는 생활만족도, 일상생활수행능력, 인지기능, 지각된 건강상태, 건강행위, 건강문제와 우울이었다. 자료분석은 기술통계, t-test, ANOVA, Pearson's correlation coefficient와 다중회귀 분석을 이용하여 분석하였다. 연구결과는 다음과 같다. 첫째, 본 연구대상자의 우울점수는 6.37점으로 8점을 기준으로 우울군은 43.8%이었다. 둘째, 대상자의 학력수준, 건강보험 유형 및 경제수준에 따른 우울 점수 차이는 통계적으로 유의하였다. 셋째, 대상자의 건강행위 및 건강상태에 따른 우울 점수를 비교한 결과에서는 흡연 유무, 고혈압, 관절염 및 요실금 유무가 유의한 변수로 나타났다. 넷째, 생활만족도, 지각된 건강상태, 및 인지기능은 우울과 유의한 음의 상관관계를 보였다. 다섯째, 선형회귀분석을 실시한 결과, 생활만족도, 인지기능, 건강보험유형이 유의한 설명변수로 나타났으며, 모형의 설명력은 67.6%이었다. 이러한 영향요인에 대한 연구결과를 기반으로 노인 우울이 발생할 수 있는 고위험군을 파악하며, 체계적이고 효과적인 중재방안이 모색되어야 할 것이다.

• 한국콘텐츠학회논문지
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• 제16권4호
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• pp.582-593
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• 2016

본 연구의 목적은 지역사회 노인의 성공적 노화에 미치는 영향 요인을 파악하고 초월감의 매개효과를 확인하여 고령화 사회에서의 성공적 노화를 위한 간호중재의 기초자료를 마련하고자 함이다. 연구대상은 65세 이상 지역사회에 거주하는 노인 162명이었으며, 자료분석은 PASW Statistics 18.0 프로그램을 이용하였고 다중회귀분석을 실시하였다. 분석결과, 초월감, 자녀관계, 우울, 영성, 주관적 경제수준은 성공적 노화의 유의한 영향요인으로 설명력은 77%로 나타났다. 또한 자녀관계, 우울, 영성, 주관적 경제수준과 성공적 노화의 관계에서 초월감이 매개역할을 하는 것을 확인할 수 있었다. 본 연구 결과는 지역사회 노인의 성공적 노화 수준 향상을 위한 간호중재 전략 개발에 활용할 수 있을 것이며, 특히 노년기의 초월감에 대해 재조명할 수 있었다는 데에 의의가 있다.

• 한국임상약학회지
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• 제31권1호
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• pp.61-78
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• 2021

Background and Objective: The use of potentially inappropriate medications (PIMs) increases the risk of negative health outcomes, including drug-related admissions. Tools for structured medication review have been developed to ensure optimal medication use and safety. Here, we aimed to evaluate medication use review (MUR) tools for community-dwelling older patients. Methods: We performed a systematic review of the literature according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Statement (PRISMA). We searched PubMed, Embase, and the Cochrane Library from 1991 to 2020, excluding tools that are specifically applied to hospitalized patients or nursing home residents. We identified the most common inappropriate medications, drug-disease interactions, drug-drug interactions and prescribing omissions presented among tools. Results: From among 9,788 identified reports screened, 60 met our inclusion criteria; finally, 27 were eligible for data analysis considering originality and up-to-dateness. Most tools presented explicit criteria (93%), and only one was specific to community-dwelling elderly. The most common PIM was tricyclic antidepressants. Use of diltiazem and verapamil in patients with heart failure and the combination of nonsteroidal anti-inflammatory analgesics and warfarin were the most frequent disease-specific PIM and drug-interaction, respectively. Conclusions: Although several medication review tools have been developed for older adults, specific guidelines for community-dwelling populations remain limited. Furthermore, the list of PIMs differed among available tools. In future, specific but integrating MUR tools need to be developed for clinical practice considering this population.

• 한국융합학회논문지
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• 제9권6호
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• pp.271-277
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• 2018

이 연구의 목적은 우리나라 지역거주 노인의 낙상 리스크를 평가하는 문항을 선정하고 유효성을 검토하는데 있다. 낙상위험 평가는 선행연구를 참고로 '낙상잠재성', '신체기능', '질병과 신체증상', '환경', '행동과 성격'의 5가지 요인으로 구분하였으며 내용타당성 검증, 교차분석 및 요인분석 결과에 따라 총 44개 문항으로 구성하였다. 한국형 낙상위험 평가척도는 심각한 사회문제로 인식되고 있는 노인의 낙상문제를 개선하고 개인의 낙상예방에 중요한 정보를 제공하는데 유용한 도구로 사용될 수 있을 것이다.

• Journal of Korean Biological Nursing Science
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• 제14권4호
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• pp.282-290
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• 2012

Purpose: The purpose of this study was to identify the prevalence of hypertension and its risk factors among community dwelling aged 65 and over in South Korea. Methods: A total of 1,367 subjects from the 2010 Korean National Health and Nutrition Examination Survey (KNHANES) were selected. The data analysis was conducted by SPSS WIN 19.0 using descriptive statistics, ${\chi}^2$-test, and logistic regression analysis. Results: The prevalence of hypertension was found to be 47.70%. Logistic regression analysis shows that hypertension was more prevalent as people became older; in females; in elderly who were not employed as compared to those employed; elderly with diabetes, and obesity as compared to those without these health conditions; as elderly who performed more moderate intensity exercise. While, education, household income, high risk alcoholic drinking, smoking, stress perception, usual activity, and eating out behavior were not associated with prevalence of hypertension in this study. Conclusion: The finding of prevalence of hypertension and its risk factors is expected to promote the screening or prevention strategy for community dwelling aged 65 and over at risk of hypertension in Korea.