• Title/Summary/Keyword: community-dwelling

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Health-Promoting Behavior and Quality of Life among Community-Dwelling, Middle-Aged Women: A Comparative Study between Overweight and Normal-Weight Groups (지역사회 거주 중년 여성 집단에서 건강증진 행위와 삶의 질: 과체중 집단과 정상체중 집단 간 비교)

  • Yang, Hwa-Mi;Choo, Jina;Kim, Hye-Jin
    • Korean journal of health promotion
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    • v.18 no.4
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    • pp.159-168
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    • 2018
  • Background: Strategically improving health-related quality of life (HRQOL) should be discussed among overweight middle-aged women who are vulnerable to low HRQOL. We examined firstly if overweight middle-aged women would have significantly lower levels of HRQOL and health-promoting behaviors than normal-weight middle-aged women, and to examine secondly if health-promoting behaviors would be significantly associated with generic and obesity-specific HRQOLs within the overweight middle-aged women. Methods: We conducted a cross-sectional, comparative study. Participants were 119 women aged 30-49 years who were recruited from a community in Seoul, South Korea; 63 women for the overweight group who were recruited from a baseline sample of the Community-Based Heart and Weight Management Trial, while 56 for the normal-weight group who were recruited separetely. Health Promoting Lifestyle Profile II (HPLP II), World Health Organization Quality of Life-brief version (WHOQOL-BREF) of a generic HRQOL measure, and Impact of Weight on Quality of Life-Lite (IWQOL-Lite) of an obesity-specific HRQOL measure were used. Results: Compared to the normal-weight group, the overweight group showed significantly lower scores of total WHOQOL-BREF as well as some HPLP II subscales including stress management (P=0.029). Among the HPLP II subscales, stress management was significantly and positively associated with total WHOQOL-BREF (${\beta}=1.58$, P=0.003) and self-esteem IWQOL-Lite (${\beta}=11.58$, P=0.034) among the overweight group. Conclusions: Among middle-aged overweight women, low levels of health-promoting behavior for stress management were shown, which should be strategically increased for improving their generic and obesity-specific HRQOLs.

Survey on the Care Burden and Quality of Life in Family Caregivers of Patients Using Home Mechanical Ventilator in Yeongnam Region, Korea (영남권역에서 가정용 인공호흡기를 사용하는 환자 가족간병인의 간병 부담과 삶의 질)

  • Son, Ju-Hyun;Moon, Myung-Hoon;Cho, Mi-Kyung;Yun, Ra-Yu;Huh, Sung-Chul;Min, Ji-Hong;Moon, Jung-In;Kim, Soo-Yeon
    • The Journal of Korean society of community based occupational therapy
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    • v.10 no.1
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    • pp.39-49
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    • 2020
  • Objective : The aim of this study was to investigate the care burden and life quality in family caregivers of community-dwelling patients using home mechanical ventilator(HMV) in Yeognam region. Methods : Survey performed to family caregivers of the patients using HMV in Yeognam region, Korea. The questionnaire is composed with patient care and the burden on caring. Korean version of Short Form Zarit Burden Interview(K-ZBI-12) and 3-Level version of EuroQol-5 Dimension applying Korean weight(KEQ-5D-3L) were also investigated. Statistical significance was accepted for p<.05. Results : A total 98 out of 150 questionnaires were analyzed. The K-ZBI-12(33.08±10.34) had a correlation with KEQ-5D-3L(0.71±0.25) negatively(p=.038). Patients' age, duration of HMV, financial burden and professional caregivers' care time had correlations with K-ZBI-12 positively(p<.05). KEQ-5D-3L correlated duration of HMV negatively(p=.017). Invasive ventilator group had lower KEQ-5D-3L than the non-invasive ventilator group(p=.008). K-ZBI-12 was lower in more than one caregiver care of patients than in one(p=.001). Conclusion : This study revealed high care burden and low quality of life in family caregivers of the patients with HMV in Yeongnam region, Korea. Efforts are needed to continually identify the needs of patients and their families, and the socioeconomic support and medical services associated with HMV.

A Systematic Review of Community Elder Abuse Studies in South Korea (한국 지역사회 거주 노인학대 연구의 체계적 고찰)

  • Kim, Dong Ha;Kang, Serin;Lee, Yoon Kyoung;Cha, Ye Won;Yoo, Seunghyun;Kim, Hongsoo
    • 한국노년학
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    • v.36 no.4
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    • pp.1003-1024
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    • 2016
  • The human rights of older people have gotten more attention recently in South Korea, a country that is in transition to a super-aged society. This study aimed to systematically review studies on elder abuse and related factors among community-dwelling older adults in South Korea over twenty years (1994-2016). We searched major databases (Riss, DBpia, KISS, KMbase, and PubMed) and identified published studies relevant to the topic. Based on inclusion and exclusion criteria related to study quality, a total of 31 studies were selected for this review. We examined types, measurements, and risk factors of elder abuse as well as study designs in the selected studies, guided by Johannesen's theoretical framework on elder abuse. All of the reviewed studies on elder abuse in Korea were cross-sectional studies, most of which focused on older people living in urban areas, using a non-random sampling method. All of the studies focused on certain types of elder abuse only. Some adopted elder-abuse instruments that were not validated, and others used self-developed instruments without psychometric tests. As for the risk factors of elder abuse in South Korea, the physical and mental health of the victims and aggressors impacted the risk of elder abuse, but general sociodemographic factors such as age, sex, and education were less likely to be related to the risk. In addition, decreasing caregiver burden and building elder-friendly communities are important for the prevention of elder abuse. Needed are further empirical studies on elder abuse with a theoretical framework that gives consideration to the unique sociocultural contexts of Korea. It is also recommended to develop instruments to measure elder abuse reflecting the sociocultural contexts of Korea, and to examine the multi-dimensional risk factors of elder abuse.

The Thermal Preference and the Selection of Hibernacula in Seven Cave-dwelling Bats (동굴성 박쥐 7종의 온도선호도와 동면처 선택)

  • Kim, Sun-Sook;Choi, Yu-Seong;Yoo, Jeong-Chil
    • Korean Journal of Ecology and Environment
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    • v.47 no.4
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    • pp.258-272
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    • 2014
  • Bats hibernating in caves and unused mines were surveyed during six hibernation periods (from December to February, 2005 and 2011) in Korea. We recorded 13,288 individuals of 11 species at 140 hibernacula (60 caves and 80 abandoned mines): Rhinolophus ferrumequinum (n=3,509), Eptesicus serotinus (n=6), Hypsugo alaschanicus (n=349), Miniopterus fuliginosus (n=5,919), Murina hilgendorfi (n=417), Myotis aurascens (n=294), Myotis bombinus (n=2), Myotis formosus (n=401), Myotis macrodactylus (M.mac, n=151), Myotis petax (n=2,131) and Plecotus ognevi (n=109). We studied the thermal preference and selection of hibernacula of seven dominant bat species. Four species (Myotis petax, Hypsugo alaschanicus, Plecotus ognevi and Murina hilgendorfi) hibernated mainly at the cold site below than $7^{\circ}C$, while three species (Myotis formosus, Rhinolophus ferrumequinum and Miniopterus fuliginosus) hibernated at warm site above than $7^{\circ}C$. Rhinolophus ferrumequinum had broad-ranged temperature zone for their hibernating site. The mean body temperature of each species was $2.64{\pm}0.98^{\circ}C$ for Murina hilgendorfi, $2.76{\pm}1.68^{\circ}C$ for Hypsugo alaschanicus, $2.78{\pm}0.98^{\circ}C$ for Plecotus ognevi, $4.52{\pm}1.02^{\circ}C$ for Myotis petax, $7.83{\pm}1.94^{\circ}C$ for Miniopterus fuliginosus, $9.19{\pm}2.35^{\circ}C$ for Rhinolophus ferrumequinum and $13.64{\pm}0.76^{\circ}C$ for Myotis formosus, respectively. The body temperatures of hibernating bats were closely related to the rock surface temperatures rather than the ambient temperatures. In conclusion, the diversity of bats community in hibernacula were closely related to the range of inner ambient temperature of hibernacula, and more species of bats were occupied at sites presenting a broad range of ambient temperatures.

The Effects of Functional Task Training on Activities of Daily Living in the Fall Experienced Elderly (기능적 과제훈련이 낙상경험노인의 일상생활수행능력에 미치는 영향: 단일대상연구)

  • Woo, Ji Hee;Park, Hae Yean;Kim, Jong Bae
    • Therapeutic Science for Rehabilitation
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    • v.5 no.1
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    • pp.43-54
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    • 2016
  • Objective : The purpose of this study was to investigate the effects of occupational therapeutic intervention including functional task training on activities daily living of falls experienced elderly. Methods : This study used a single subject experimental design with alternating treatment and reversal design. One participant who have had falls experience among the community-dwelling elderly completed. This study a total of 18 sessions were conducted. Fall Efficiency Scale(FES), Berg Balance Scale(BBS) and task modification scale were used to assess the activities of daily living during each session, and Canadian Occupational Performance Measure(COPM) and Assessment of Home-based Activities(AHA) were used to evaluate the activities of daily living at pre-and post-test. Results : The participant showed significant improvements in the FES, BBS scores. However, the improvement was greater when progressive resistance exercise was practised along with functional task training. COPM and AHA scores improved at post-test. Conclusions : These findings provide evidence for occupational therapeutic intervention for falls-experienced elderly.

Predictive Factors on Level of Physical Activity in the Community Dwelling Elderly (노인의 신체활동 수준별 신체활동 예측요인)

  • Seo, Yeong-Mi;Kang, Mal-Soon;Jeon, Mi-Yang
    • Journal of the Korea Convergence Society
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    • v.7 no.6
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    • pp.151-160
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    • 2016
  • The purpose of this study was to identify the factors that affect the level of physical activity targeted elderly and thereby propose a basis for physical activity promotion strategies. Methods : The study subjects were 164 older who agreed to participate and understand the purpose of the study. The collected data were analyzed using SPSS WIN 18.0 program multiple logistic regression. Results : Factors showing significant associations with physical activity are gender, spouse, education, job, chronic disease, BMI, subjective health status, perceived barriers, and social supports. In the logistic regression analysis, BMI and perceived barriers were significant factors related to minimal physical activity while chronic disease, BMI, subjective health status, and perceived barriers appeared to be significantly associated with health enhancing physical activity. The result suggest that policy should be established to increasing the level of physical activity.

A Design Methodology of the Welfare Building for Providing u-Healthcare Services: Focused on the Gayang 7th Apartment Complex (유헬스케어 서비스 제공을 위한 주거복지동 계획방법에 관한 연구: 가양 7단지 영구임대주택을 중심으로)

  • Lee, Ji-Eun;Yoon, Young-Ho;Yang, Dong-Suk
    • Land and Housing Review
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    • v.5 no.1
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    • pp.1-10
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    • 2014
  • Health care services in a residential area would accelerate the aging in place. In addition, these changes would play a key role in terms of reducing healthcare costs and leading a healthy lifestyle. The purpose of this study draws the design methodology of community facilities and each dwelling with healthcare services in apartment complex, which the elderly people will enjoy a better health status. This paper presents the result focused on the welfare building in Gayang 7th apartment complex. The intention to receive healthcare services was investigated by occupants. Moreover, design requirements were drawn through in-depth interviews and the state observation to use the service. In the complex, stronger intention to serve the u-Healthcare services was shown to the pre elderly group than the elderly. Both of them had a problem to use and keep the health equipment due to the fact there is not enough space in the unit. Reporting the observation results, the upright-posture furniture attaching the healthcare equipment and the equipment storage should be prepared in the unit. In the public space, the program for these healthcare services can be divided into three parts, i.e. the health status measurement, the healthcare, and the service connected to the surrounding facilities. The health status measurement can be the basic to the health services and its function should be gradually extended. In the complex, the hybrid type with various functions could be applied owing to a new building for welfare; moreover, semi-independent user should be able to receive the home healthcare service.

Effects of Computer/Internet Game Play on Depression and Life Satisfaction among the Elderly: Mediating Effects of Perceived Self-Control (컴퓨터/인터넷 게임 활동이 노인의 우울과 생활만족도에 미치는 영향: 자아통제감의 매개효과를 중심으로)

  • Ahn, Joon-Hee;Lim, Kyung-Choon;Lee, Yoon-Jung;Kim, Kyung-Sik
    • The Journal of the Korea Contents Association
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    • v.11 no.7
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    • pp.406-417
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    • 2011
  • The purpose of this paper is to examine the effects of computer/internet game play on depression and life satisfaction via perceived self-control among older adults in Korea. Data were collected from a survey of 237 community-dwelling older adults (age${\geq}$65) who reported internet users. A path analysis was used to examine the causal relationship among the main constructs. Results showed that the computer/internet game play had positive effects on perceived self-control. Perceived self-control was found to decrease depression and improve life satisfaction among older adults. Additional analysis indicated that the computer/internet game play in older adults did not directly affect mental health (depression and life satisfaction) but indirectly affected it via perceived self-control. Furthermore, perceived self-control had greater effects on depression than on life satisfaction. These findings have crucial implications in that perceived sense of self-control needs to be seriously considered when we develop mental health games for older adults.

The Moderating Effect of Health Literacy on The Association between Dementia Experience, Social Support and Dementia Attitude (치매 경험, 사회적 지지가 치매 태도에 미치는 영향: 건강정보 이해능력 조절 효과를 중심으로)

  • Shin, Hye Ri;Kim, Su Kyoung;Lee, Hyun Joo;Cho, Si Wool;Maeng, Sung-ho;Kim, Young Sun
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.11
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    • pp.701-714
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    • 2020
  • The current study examines whether the dementia experience and social support is associated with dementia attitude and whether health literacy moderates the relationship between these variables. We used data from the 2016 Dementia Literacy Survey collected by K University. We conducted our analysis with 522 community-dwelling older Koreans aged 60 to 79. Findings of the multivariate regression analyses showed belows. First, dementia experience and dementia attitude were related in cognitive and behavioral aspects. Second, social support was also related negatively with dementia attitude in cognitive part. However, social support was also related positively with dementia attitude in behavior part. Third, health literacy was positively related with dementia attitude in cognitive part. However, health literacy was negatively related with dementia attitude in behavior part. Lastly, health literacy had significant moderating effects with social support and dementia attitude in cognitive part. Our findings suggest that health literacy plays an important role in fostering a positive dementia attitude.

Qualitative Equity of Neighborhood Parks in Daegu According to Socioeconomic Status (사회경제적 지위에 따른 대구시 근린공원 질적 가치 형평성)

  • Jung, Mijeong;Jung, Taeyeol
    • Journal of the Korean Institute of Landscape Architecture
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    • v.48 no.2
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    • pp.45-55
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    • 2020
  • In terms of environmental justice, urban parks play a pivotal role in imperative amenities allowing for physical activity. The reasonable distribution of urban park services must be considered in terms of community demand and the context of the park. The purpose of this study is to analyze the inequity of qualitative park service according to the socioeconomic status(SES) in Daegu. The qualitative service was assessed for 82 neighborhood and walking-distance parks by utilizing the NGST(Neighborhood Green Space Tool). The inequity was analyzed by SES variables(ratio of basic living recipients, ratio of single-parent families, average housing sales, dilapidated dwelling ratio, and park area per capita). The features of the qualitative equity in Daegu is as follows. First, urban park planning in Daegu is in parallel with the development of residential areas rather than the local policy. The development pattern of parks stretching from center of the city to outskirts clearly dissociates the city based on socioeconomic status. The parks in the center are relatively old and poorly managed. Second, overall neighborhood parks lacked recreational facilities. The facilities are significantly influenced by the housing values around them. The lower the recreation facility score, the higher the floor gradient of the urban parks constraining physical activities. Third, the quantitative supply of parks has nothing to do with the quality of the urban parks. Green space distribution is highly dependent on natural park areas, so the park area per capita cannot be a standard for assessing qualitative equity.