• Journal of Preventive Medicine and Public Health
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• 제45권4호
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• pp.244-250
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• 2012

Objectives: The purpose of the study was to examine the relationships among the psychological, social, and environmental factors influencing the utilization of senior centers among older adults in Korea. Methods: A questionnaire survey was administered to two types of older adults who lived in Seoul, Korea: 262 older adults who used senior centers (3 places) and 156 older adults who did not use senior centers. Results: Our results showed clearly that the utilization of the senior centers in Korea is affected by higher self-efficacy (odds ratio [OR], 6.08; 95% confidence interval [CI], 3.31 to 12.32), higher perceived benefits (OR, 1.71; 95% CI, 1.16 to 4.36), lower perceived barriers (OR, 6.43; 95% CI, 3.07 to 11.45), higher family support (OR, 4.21; 95% CI, 2.02 to 8.77), and higher support from friends (OR, 4.08; 95% CI, 2.38 to 7.81). The results also showed that participants whose total travel time was 15 to 29 minutes (OR, 2.84; 95% CI, 1.21 to 3.64) or less than 14 minutes (OR, 4.68; 95% CI, 3.41 to 8.41) were more likely to use a senior center than those who had to travel more than 30 minutes. Conclusions: This study showed that the utilization of senior centers in Korea is affected by psychological, social, and environmental factors, specifically by self-efficacy, perceived benefits, perceived barriers, social support, convenience of transportation, and total travel time to the senior centers. The effects of longer-term utilization of the senior centers by non-users on health-related outcomes in a large population warrant attention.

• 근관절건강학회지
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• 제29권3호
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• pp.205-217
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• 2022

Purpose: This study aimed to investigate the factors affecting the subjective health status (SHS) of low-income older adults living alone. Methods: This is a cross-sectional correlational study using secondary data analysis. Sociodemographic and health-related characteristics were included in this analysis. The health-related characteristics were categorized into three domains: physical, characterized by the number of chronic diseases and fall-related factors, timed up and go, and grip strength; psychological, in terms of depression and loneliness; and social, in terms of social support. Data were analyzed using descriptive analysis, t-test, ANOVA, Pearson's correlation coefficient, and multiple linear regression analysis. Results: The mean SHS score was 2.46 out of five. Several factors influenced the SHS of low-income older adults living alone, including sex, age, level of education, monthly income, and the three domains. Four significant predictive factors of SHS in low-income older adults living alone were identified (42.5%): the number of chronic diseases, fear of falling, depression, and social support. Conclusion: SHS is a critical factor for older adults living alone on a low-income. Hence, evaluating SHS and developing interventions to improve it periodically is necessay. Such interventions should consider chronic disease management, screening and mediation for depression and fear of falling, and strengthening their social support systems.

• 한국산학기술학회논문지
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• 제19권11호
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• pp.264-277
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• 2018

이 연구는 정보화 및 고령화 사회에서 노인의 스마트폰 이용이 생활만족도 및 우울과 같은 심리적 정신적 측면과 사회활동 및 사회적 지지와 같은 사회적 측면에서 노인의 삶의 질에 미치는 영향에 대하여 경험적으로 고찰하였다. 노년기 스마트폰 이용의 효과를 검증하기 위해 서울시 지역의 노인을 대상으로 설문조사를 실시하여 수집된 65세 이상 노인 630명의 자료를 분석하였다. 노인의 스마트폰 이용이 생활만족도, 우울, 사회활동 및 사회적 지지에 미치는 영향력은 성별, 연령, 배우자 유무, 학력수준, 소득수준 등 주요 인구사회학적 요인들을 통제한 상태에서 위계적 다중회귀분석을 실시하여 검증하였다. 분석결과 첫째, 노인의 스마트폰 이용은 생활만족도에 긍정적인 영향을 미치는 것으로 나타났다. 둘째, 노인의 우울에 대한 스마트폰 이용의 영향은 부적(-)으로 유의한 것으로 나타났다. 셋째, 스마트폰 이용은 노인의 사회활동에 미치는 영향은 긍정적인 것으로 나타났다. 넷째, 노인의 스마트폰 이용이 사회적 지지의 수혜에 미치는 영향은 유의하지 않으며, 사회적 지지의 제공에의 영향은 제한적인 것으로 나타났다. 이 연구는 노인의 스마트폰 이용은 사회적 지지를 제외하고 생활만족도의 향상, 우울의 감소 및 사회활동의 증진 등과 같은 노년기 삶의 질에 긍정적인 효과가 있음을 확인하였다. 이는 정보화 사회에서 노인들의 심리적 안녕, 정신건강, 사회활동 참여 등 노년기 삶의 질 향상을 위하여 스마트폰과 같은 정보통신기술의 이용은 권장되어야 하며 이를 위한 실천적, 정책적 노력이 필요함을 시사한다.

• 근관절건강학회지
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• 제22권2호
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• pp.138-147
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• 2015

Purpose: The study was conducted to identify factors influence suicidal ideation among older adults with osteoarthritis. Methods: This study used a cross-sectional design with secondary analysis of the Korean National Health and Nutrition Examination Survey. Data for 174 men and 939 women who aged${\geq}65$, and were diagnosed osteoarthritis from the Korea National Health and Nutrition Examination Survey 2010~2012 were included. Suicidal idea, age, sex, education, marital status, living alone, income, body mass index, smoking and alcohol use, exercise, perceived health status, activity limitation, joint pain and stiffness, depressive mood, and perceived stress were measured. Influencing factors and odds ratios were analyzed using complex sample multivariate logistic regression. Results: In the results, 29.9% of the elderly with osteoporosis had suicidal idea. The adjusted odds ratios (ORs) of suicidal ideation were significantly higher among those over 80 years older (OR=2.88, 95% CI=1.49~5.58), those with depression (OR=4.01, 95% CI=2.66~6.04), and those with high levels of stress (OR=2.76, 95% CI=1.79~4.24). Conclusion: Therefore, older adults with osteoarthritis should be screened for depression and stress to decrease suicidal ideation and prevent suicide attempt.

• 대한통합의학회지
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• 제8권4호
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• pp.59-66
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• 2020

Purpose : This study aimed to present normative data for older Korean adults completing the Yonsei dual task cognitive screening test (Y-DuCog) and identify changes in cognitive function on the Montreal Cognitive Assessment - Korean (MoCA-K) with age. Methods : From May 2019 to August 2019, 195 healthy adults aged ≥60 years participated in this study. All participants completed the Y-DuCog to assess their dual-task performance and the MoCA-K to assess their cognitive function. Participants were divided into three groups based on their age: 60~69 years, 70~79 years, and ≥80 years. Results : The results of the Y-DuCog showed that dual-task performance time, effect, and correct response rate decreased significantly with age (p<.001). Scores from the three groups showed differences on all items (p<.001). Cognitive function on the MoCA-K also decreased significantly with age (mean score ± standard deviation [SD]; 27.33 ± 2.61 in subjects aged 60~69 years; 24.82 ± 3.20 in subjects aged 70~79 years; and 22.10 ± 4.91 in subjects aged ≥80 years; p<.001). Conclusions : Occupational therapists should be aware of the decline in cognitive function and dual-task performance time, effect, and correct response rate in older adults and consider interventions to treat this decline. Further studies are needed with larger groups of participants to examine factors, such as sex and education, that may impact dual-task performance and cognitive function.

• Journal of Nutrition and Health
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• 제51권5호
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• pp.445-454
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• 2018

Purpose: Changes in eating habits and malnutrition due to dysphagia are important health problems for older adults. This study investigated the effects of an educational program aimed at improving diet quality in community-dwelling older adults at risk for dysphagia in South Korea. Methods: We assessed 27 individuals in the experimental group and 26 individuals in the control group between September and October 2015. All participants were aged 65 years or older and were at risk for dysphagia. A combined diet and exercise program was applied to the experimental group (n = 27) for six weeks. We examined changes in participants' eating habits and their knowledge and attitudes concerning dysphagia risk. The nutrition intake of all participants was measured before and after the intervention using 24-hr dietary recall. Results: There was a significant increase in knowledge of dysphagia risk in the experimental group, with scores increasing from 3.7 to 7.1, out of 10 points (p < 0.001). There were also significant improvements in eating habits after the intervention in the experimental group, with scores increasing from 21.9 to 28.3, out of 36 points (p < 0.001). The attitude score of participants in the experimental group increased significantly, from 15.2 to 16.7, out of 20 points (p = 0.016). Conclusion: Developing educational programs can help older adults living in the community lead a healthier lifestyle and improve their ability to manage their diet.

• 한국산학기술학회논문지
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• 제17권6호
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• pp.482-494
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• 2016

이 연구는 노인들의 정보기술에 대한 태도, 정보기술 이용 실태 및 정보기술 비이용 실태 등 정보기술 이용 실태와 태도의 종단적 추이에 대한 실증적, 기술적 연구이다. 서울시 소재 노인종합복지관을 이용하는 60세 이상 노인을 대상으로 2004년, 2014년 설문조사를 2회 실시하였고, 각각 785명, 653명의 자료를 SPSS 21.0을 사용하여 분석하였다. 그 결과 첫째, 연구대상의 인구사회학적 특성을 보면 2004년 대비 2014년의 경우 고령자, 혼자 사는 노인, 중고등 학력자, 저소득자, 미취업 노인의 비율이 높아졌으며, 서울 노인의 인터넷 이용률도 다소 증가하였다. 둘째, 노인들의 정보기술에 대한 태도는 비교적 긍정적이었고, 이용자가 비이용자 보다 더 긍정적이었으며, 이러한 경향이 강화되었다. 셋째, 정보기술 이용자의 정보기술 이용은 미흡한 수준이고, 이용 및 학습 동기는 실용적 측면 외에 심리적, 정서적 이유도 컸다. 넷째, 정보기술 비이용자의 경우 정보화나 정보기술 이용에 대해 소극적인 경향이 강화되었다. 결국, 대도시 노인의 정보기술 이용 실태와 태도는 종단적으로 차이가 있으며, 이용자와 비이용자 간의 정보화 인식과 역량의 차이가 더 커지는 추세를 보였다.

• 성인간호학회지
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• 제27권6호
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• pp.665-672
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• 2015

Purpose: The aims of current study were to assess the inhaler competency and medication adherence, and to identify association of inhaler competency with medication adherence in patients with obstructive lung disease. Methods: We did a secondary analysis of the Hanyang Obstructive Pulmonary Evaluation data in a single institution from June 2014 to April 2015 after an approval of Institutional Review Board. A total of 150 patients with asthma or chronic obstructive lung disease participated in the study. Inhaler competency was evaluated accuracy in each step for using metered dose inhaler. Medication adherence was calculated using actually dispensed doses based on the prescribed inhaler doses. Results: Older adults (${\geq}65$) had lower competency in using inhaler (66.7 vs 83.3, z=-4.52, p<.001) and poorer medication adherence (67.7 vs 91.8, $x^2=14.06$, p<.001) than adults (<65). Inhaler competency was associated with medication adherence (p=.26, p=.001). Surprisingly, more than 50% of patients were current smokers. Conclusion: Inhaler competency and medication adherence were lower in older adults with obstructive lung disease than those in adult-age patients. Therefore, an individual education program for older patients should be developed to improve the rates of proper use of inhalers. Nursing management for obstructive lung disease should focus on developing behavioral intervention strategies for smoking cessation.

• 보건교육건강증진학회지
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• 제19권2호
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• pp.127-138
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• 2002

Objective: This prospective survey assessed factors associated with influenza vaccination behaviors among high-risk adults. Methods: 106 patients aged 65 or high risk for complications of influenza were interviewed to identify influencing factors to vaccination. Six potential consequences of Influenza infection and nine factors of vaccination were analysed between compliance and non-compliance groups. Results: Among the 106 patients, the vaccination rate was 62.3%. The rate of the group under the sixties was 37.0010, but the rate over the sixties was 88.5%. Factors in dependently associated with both influenza vaccination behaviors included older age, chronic disease, and especially, related to factors in older age were having positive attitudes toward immunization, perceived severity of infection and willingness to comply with the provider's recommendation. Conclusions: Emphasis on provider recommendations and the knowledge and attitudes of influenza infection and vaccination may enhance influenza vaccination rates in the organized vaccination programs.

• 대한치위생과학회지
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• 제6권2호
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• pp.141-150
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• 2023

연구의 배경 및 목적: 본 연구에서는 노인구강관리에 대한 산업체 수요기반의 교육과정을 개발하여 운영함으로써 노인치위생학 교육의 효과를 확인해 보고자 진행하였다. 연구방법: 산업체 수요기반 현장중심 실무교육에 따른 전공역량달성도, 노인치위생과정 인식, 수업만족도의 전후차이를 검증하기 위하여 비모수 분석으로 윌콕슨 부호순위 검정(Wilcoxon signed rank test)을 수행하였으며, 각 요인간의 연관성을 확인하기 위해 스피어만 상관분석(Spearman's correlation analysis)을 수행하였다(p<0.05). 결과: 전공역량달성도의 경우 산업체 수요기반 현장중심 실무교육을 수행 후 '노인과의 의사소통 역량'이 유의미하게 향상되었다(p=0.031). 고찰: 노인치위생학 교육과정은 산업체 현장에서 활용가능한 실무중심의 교육과정이 학습자에게 제공되었을 때 노인에 대한 실제적인 이해와 노인구강관리에 대한 현장실무전공역량이 더욱 개발될 수 있을 것으로 판단된다.