• Title/Summary/Keyword: community-dwelling

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A Study on the Dwelling Principle of Indian Community and Space of Housing in North America - Focused on Powhatan Indian Community in U. S. A. - (북미 인디안 커뮤니티의 구성원리와 주거공간에 관한 연구 - 미국동부 포우하탄 인디언 커뮤니티를 중심으로 -)

  • Chong, Geon Chai
    • Journal of the Korean Institute of Rural Architecture
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    • v.14 no.4
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    • pp.11-18
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    • 2012
  • This study is to establish the dwelling principle and architectural characteristics of Powhatan Indian Community in Eastern part of North America. To find a pattern and dwelling principle of town building and housing, I have researched both site survey of Powhatan at Jamestown Settlement in Virginia and a related references of North America Indian. In addition of study, I have tried to understand their life style in 17C, a spatial characteristics of space composition, and a using materials of Yehakin which means Powhatan's house in the exhibition hall of Jamestown Settlement. The results of this paper are as follows: First, the form of Powhatan house is like a longhouse which has two types that are oblong and rectangular house. Usually they had lived in the style of oblong house. Second, there are three patterns to set up the semi-permanent settlement of Powhatan, which are circle-type, street-type, and free-type of village. Third, the fire place of interior space that is most importance element to heat and cook is put it into the center of room, and the other beds and shelves are arranged by the side of wall which is covered of rush matt.

The Relationship of Quality of Sleep, Depression, Late-life Function and Disability (LLFDI) in Community-Dwelling Older Women with Urinary Incontinence (노년기 요실금 여성의 수면의 질, 일상생활 수행능력과 우울)

  • Shin, Kyung-Rim;Kang, Youn-Hee;Oak, Ji-Won
    • Journal of Korean Academy of Nursing
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    • v.38 no.4
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    • pp.573-581
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    • 2008
  • Purpose: The purpose of this study was to investigate the relationships among quality of sleep, depression, late-life function and disability in community-dwelling older women with urinary incontinence. Methods: A stratified random sampling method was conducted to recruit participants from May 10 to August 17, 2007. Data were collected by questionnaires, which were constructed to include lower urinary tract symptoms, quality of sleep, depression, and late-life function and disability in 128 community-dwelling older women. Results: The major findings of this study were as follow: 1) 56.3% of participants belonged to urinary incontinence group. 2) There were significant relationships between depression and sleep latency, sleep duration, daytime dysfunction, quality of sleep, function component, frequency dimension, and limitation dimension. 3) Depression was significantly associated with frequency dimension, limitation dimension in capability which explained 44% of variance in depression. Conclusion: These results may contribute to a better understanding of sleep quality, depression, late-life function and disability in the community-dwelling older women with urinary incontinence. Therefore, health programs for prompting older women's health should be planned based on results of the study.

Influence of Cognitive Function and Depressive Symptoms on Instrumental Activities of Daily Living in Community-dwelling Older Adults (지역사회 노인의 인지기능과 우울감이 도구적 일상생활동작에 미치는 영향)

  • Seo, Kawoun;Song, Youngshin
    • The Korean Journal of Rehabilitation Nursing
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    • v.19 no.2
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    • pp.71-81
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    • 2016
  • Purpose: The purpose of this study was to explore the influence of cognitive function and depressive symptoms on instrumental activities of daily living (IADL) in addition to identify the factors associated with IADL in community-dwelling older adults. Methods: This was a descriptive study with cross-sectional design. Data were collected from July 2013 to June 2014. A total of 143 participants without dementia, depression and disability were enrolled in this study. Cognitive function was measured using Seoul verbal learning test (SVLT), digital span (forward/backward) and fist-edge-palm test. The Korean-IADL and Short Geriatric Depression Scale (S-GDS) were used. Data analysis was performed using descriptive statistics, t-test, ANOVA, Pearson's correlation coefficient, and hierarchical regression. Results: Overall, a multiple regression model revealed that approximately 27.4% of total variability in IADL in the sample of community-dwelling older adults could be explained by the significant 12 variables in this model ($R^2=0.274$, F=5.467, p<.001). Age, having religion and cognitive function were the predictors of IADL in community-dwelling older adults. Conclusion: This study suggest that we need to monitor cognitive function in older to maintain the ability for IADL in older adults. Also, individualized program for improving older adults' IADL should be included in nursing intervention.

The Comparison of Risk Factors for Falls in the Community-Dwelling Elderly (지역사회 고령자의 낙상경험에 따른 위험요인 비교)

  • Kim, Soo-Min
    • PNF and Movement
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    • v.14 no.2
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    • pp.93-103
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    • 2016
  • Purpose: This study aimed to investigate the factors that increase fall risk in the residential environment and the perceived fall risk among community-dwelling elderly through comparisons between fallers and non-fallers. Methods: The subjects were 95 community-dwelling elderly aged 65 years and over residing in the metropolitan city of Ulsan. A structured questionnaire consisting of items on sociodemographics and health- and fall-related characteristics was used and data were collected from July to August 2015. The data were analyzed with the SPSS/WIN program. Results: Among recent fallers, 38.9% had diagnosed diseases when the fall occurred, 56.87% were fearful of a recurrent fall, and 86.5% stated that they were increasing their carefulness but that had led to a decrease in activity. There were significant differences between elders who had fallen at least once and elders who had no falls in age, health status, depression, the experience of falling, fear of falling, diseases, and medications. Conclusion: The results indicate a need to assess risk factors to identify older adults with a high risk for falling and the need to develop multifactorial intervention programs that consider both environmental and perceived risk factors as well as physical risk factors to reduce and prevent falls among the elderly.

An Evaluation of the Validity and Reliability of the Face Mask Use Scale's Korean Version among Community-Dwelling Adults (한국어판 마스크 착용 이행 측정 도구의 신뢰도와 타당도 평가: 지역사회 거주 일반 성인을 대상으로)

  • Lee, Kyungmi;Shin, Nayeon;Kang, Younhee
    • Journal of Korean Academy of Nursing
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    • v.51 no.5
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    • pp.549-560
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    • 2021
  • Purpose: This study evaluated the validity and reliability of the Korean version of the Face Mask Use Scale (K-FMUS) among community-dwelling adults. Methods: The participants of the study were community-dwelling adults in Korea using face masks during the COVID-19 pandemic. The English FMUS was translated into Korean using forward and backward translation procedures. The construct validity and reliability of the K-FMUS were evaluated using the exploratory and confirmatory factor analyses and the internal consistency reliability test. Results: The K-FMUS comprised 6 items divided into 2 factors. The variance of the factors was approximately 79.1%, which suggested that the scale indicated the effectiveness of face mask usage. The two factors were labeled as face mask use in society (4 items) and face mask use at home (2 items). Cronbach's α value for the overall scale was .88. Conclusion: The K-FMUS is a valid and reliable scale that can be used to measure face mask usage among community-dwelling adults in Korea during the COVID-19 pandemic.

Introducing an Online Measurement System Using Item Response Theory and Computer Adaptive Testing Methods for Measuring the Physical Activity of Community-Dwelling Frail Older Adults

  • Choi, Bong-sam
    • Physical Therapy Korea
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    • v.26 no.3
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    • pp.106-114
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    • 2019
  • Background: It is difficult to assess whether community-dwelling frail older adults may remain pre-frail status or improve into a robust state without being directly checked by health care professionals. The health information perceived by older adults is considered to be one of best sources of potential concerns in older adult population. An online measurement system combined with item response theory (IRT) and computer adaptive testing (CAT) methods is likely to become a realistic approach to remotely monitor physical activity status of frail older adults. Objects: This article suggests an approach to provide a precise and efficient means of measuring physical activity levels of community-dwelling frail older adults. Methods: Article reviews were reviewed and summarized. Results: In comparison to the classical test theory (CTT), the IRT method is empirically aimed to focus on the psychometric properties of individual test items in lieu of the test as a whole. These properties allow creating a large item pool that can capture the broad range of physical activity levels. The CAT method administers test items by an algorithm that select items matched to the physical activity levels of the older adults. Conclusion: An online measurement system combined with these two methods would allow adequate physical activity measurement that may be useful to remotely monitor the activity level of community-dwelling frail older adults.

Recognition of Well-dying, Health-related Quality of Life and Repulsion-related Nursing Home of Community-dwelling Older Adults (지역사회 거주 노인의 웰다잉 인식, 건강 관련 삶의 질 및 노인시설 관련 거부감)

  • Kim, So-Young;Lee, Hyun-Ju;Kim, Sook-Nam
    • Journal of muscle and joint health
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    • v.31 no.1
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    • pp.31-41
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    • 2024
  • Purpose: This study aimed to measure the relationship between the recognition of well-dying, health-related quality of life (HRQoL), and repulsion-related nursing homes and community-dwelling older adults. Method: A descriptive survey was conducted among 505 community-dwelling older adults aged over 65 years. Data were collected from October 25 to November 30, 2023, and analyzed using a t-test, one-way ANOVA, and Pearson's correlation coefficients with SPSS/WIN 26.0. Results: The results reveal that the subjects' recognition of well-dying was 2.30, HRQoL was 0.84, and repulsion-related nursing home was 3.31 points. Recognition of well-dying was significantly correlated with HRQoL (r=.10, p=.024). Conclusion: The results indicate that consumer-centered, well-dying education programs for community-dwelling older adults should be developed and applied continuously through effectiveness verification.

Lower Urinary Tract Symptoms among Community-Dwelling Older Adults (지역사회 거주 노인의 하부요로증상 실태)

  • Song, Hyo Jeong;Park, Min Jeong;Kim, Sung Joon;Huh, Jung Sik
    • Journal of Home Health Care Nursing
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    • v.22 no.2
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    • pp.256-264
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    • 2015
  • Purpose: This study aimed to identify the prevalence of lower urinary tract symptoms (LUTS), evaluate factors affecting LUTS among community-dwelling older adults, and provide basic data for a community-based LUTS management program. Methods: A community-based cross-sectional study was conducted from April to November 2010 by using a structured questionnaire. Participants were 157 individuals recruited from 5 community senior centers. Results: The mean LUTS score of the older adults was 9.4 (International Prostate Symptom Score range 0-35). For each LUTS (range 0-5), nocturia was the highest (2.3). Of all older adults, 24.8% had experienced urinary incontinence more than once a month during the past 6 months. Urinary incontinence was found to be an important factor associated with LUTS. Conclusion: A community-based management program for both LUTS and urinary incontinence in community-dwelling older adults should be implemented.

Predictors of Successful Aging in Community-dwelling Elders and Mediation Effect of Transcendence (지역사회 노인의 성공적 노화 예측요인과 초월감의 매개효과)

  • An, Ji Won
    • The Journal of the Korea Contents Association
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    • v.16 no.4
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    • pp.582-593
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    • 2016
  • The purpose of this study was to identify predictive factors of successful aging and to determine mediating effect of transcendence between successful aging and influencing factors of community-dwelling elders in Korea. 162 elders were participated in this study who visited seniors welfare center and senior citizen center. Data were analyzed by PASW 18.0 for t-test, Pearson's correlation coefficients and hierarchical regression analysis. Transcendence, parent-child relationship, depression, spirituality and perceived economic status were statistically significant influencing factors, explained 77% of successful aging in community-dwelling elderly. The mediating role of transcendence was identified about parent-child relationship, depression, spirituality and perceived economic condition. The study findings demonstrated that transcendence was significant variable affecting successful aging. The variables affecting successful aging such as transcendence, parent-child relationship, depression, spirituality, perceived economic status can be utilized for nursing strategies to successful aging in community-dwelling elders.

Effects of Family Cohesion and Self-Care Agency on the Quality of Life in Community-Dwelling Elderly (노인의 가족결속력, 자가간호역량이 삶의 질에 미치는 영향)

  • Seo, Kum-Sook;Yeom, Eun-Yi
    • The Journal of the Korea Contents Association
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    • v.18 no.12
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    • pp.516-525
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    • 2018
  • The purpose of this study was to investigate the effects of family cohesion and self-care agency on the quality of life in community-dwelling elderly. Using a descriptive survey design, data were collected during September 2-20, 2016 by distributing questionnaires to and retrieving them from 197 elderly participants aged 65 years or older in two senior welfare centers located in "B" metropolitan city. Results showed that family cohesion of community-dwelling elderly was significantly positively correlated with their self-care agency (r=.434, p<.001) and quality of life (r=.544, p<.001), while self-care agency was significantly positively correlated with quality of life (r=.571, p<.001). The factors that had the biggest effect on the quality of life in community-dwelling elderly were identified in the order of self-care agency (${\beta}=0.413$, p<.001) and family cohesiveness (${\beta}=0.365$, p<.001). These variables were found to have an explanatory power of 42.8% for quality of life (F=74.31, p<.001). Therefore, a strategy to improve self-care agency and family cohesion may be helpful in improving the quality of life in community-dwelling elderly.