• 한국학교ㆍ지역보건교육학회지
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• 제24권3호
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• pp.37-50
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• 2023

Objectives: The aim of this study was to identify factors influencing communication satisfaction between geriatric caregivers and older adults in urban-rural complex communities. The ultimate goal was to design local community educational programs and policies to enhance communication satisfaction among geriatric caregivers and improve the quality of care services for older adults. Methods: To identify factors influencing communication satisfaction between elderly caregivers and older adults, a survey titled "CCEP: Assessment of Communication Status between Elderly Care Service Providers and Recipients" was conducted from February to July 2020, focusing on rural-urban complex areas. The survey was administered based on providers of elderly healthcare services. The survey targeted 131 respondents involved in providing care services for older adults. The dependent variable of this study was the communication satisfaction reported by elderly caregivers in their interactions with the elderly. The independent variables included perceptions of older adults, factors associated with communication difficulties, and communication efforts. Additionally, gender, working environment, working experience, and the proportion of face-to-face interactions with older adults during caregiving were controlled for the hierarchical multiple regression analysis. Results: The analysis revealed that communication efforts with older adults significantly influenced communication satisfaction (β=.09, p<0.01). However, perceptions of the elderly and communication hindrance factors did not have a significant impact on communication satisfaction among geriatric caregivers. Conclusion: Effective communication between geriatric caregivers and older adults is crucial for identifying and meeting the needs and demands of caregiving services, and it plays a vital role in overall caregiving service satisfaction. To enhance communication skills and satisfaction among geriatric caregivers and ensure the appropriate fulfillment of elderly care needs in the local community, the development of community-centered, specialized health communication programs and other initiatives will be necessary in the future.

• 성인간호학회지
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• 제27권4호
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• pp.428-437
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• 2015

Purpose: The aim of this study was to describe health status and to identify the factors related to health behavior in older adults in South Korea. Methods: A cross-sectional survey was conducted with a convenience sample of 186 older people (mean age =68.2yrs, 65.1% Female) registered at one senior center. Data were collected by self-report questionnaires or through face to face interview. The instruments were the Modified Health Behavior Assessment Scale, Stanford Research Instruments for Chronic Disease, Self-Efficacy, SOF Frailty Index and Quality of life questionnaire. The data were analyzed using t-test, ANOVA, Pearson's correlation, and stepwise multiple regression. Results: 58.6% older adults perceived their health status positively. Education level and economic status were significantly related to health behaviors of older adults. Self-rated health, sleep, stress, quality of life, health distress, depression, and frailty were significantly correlated with the health behaviors of older adults. Frailty, education level, and sleep disturbance were the significant factors predicting the health behaviors. Conclusion: The findings from this study suggest that nurses should take into consideration education level of older adults to promote their health behaviors and health promotion program which focuses on maintaining the quality of sleep and preventing frailty.

• 한국치위생학회지
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• 제23권5호
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• pp.351-360
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• 2023

Objectives: This study is based on a visiting oral health care intervention program in the community care. This qualitative study was conducted through in-depth interviews to identify awareness and attitudes regarding intervention program among older adults. Methods: The research team visited the homes of the target older adults and conducted in-depth interviews for approximately an hour using a semi-structured questionnaire. The collected voice recordings were transcribed using Clova Note, and AI program by Naver. Using the 'Word Cloud Generator 3.7' program, words of high importance and interest from interview answers were extracted, visualized, and analyzed. Results: Participating older adults acknowledged that their quality of life related to oral health could be improved by increasing the level of oral health awareness and oral health knowledge through the intervention program. In addition, the older adults indicated that their oral hygiene management ability improved compared to before the intervention through expert oral hygiene management and oral health education. Further, as the level of oral health knowledge increased, so too did satisfaction with the intervention program increase. Conclusions: The intervention program for visiting oral health care showed a positive effect on the awareness and attitude of older adults. Thus, it is suggested that education for continuous competency enhancement of dental hygienists and multidisciplinary education for the improvement of general health and quality of life of older adults should be promoted.

• Journal of Community Nutrition
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• 제3권2호
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• pp.110-119
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• 2001

This study was designed to assess the needs for nutrition education and educational materials for older adults. Two cross-sectional surreys were conducted. The first survey, conducted by personal interviews, was part of the large-scale elderly nutrition study. Subjects were adults aged 50 and over, recruited from 6 large cities and 8 middle-sized cities(n = 1,850). The second survey, done by mail survey using open-ended questions, was conducted with dietitians working at public health centers or hospitals(n = 53). Adults aged 50 and over were interested in topics such as healthly eating(32.1%), hypertension/stroke and diet(22.1%), osteoporosis and diet(11.4%), and diabetes and diet(9.2%). Television and radio(58.2%), health professionals(12.2%) and friends(7.9%) were common sources of nutrition information. Preferred topics of nutrition education and sources of nutrition information were different by general characteristics of subjects, suggesting that nutrition education or educational materials be planned considering the characteristics of subjects. About 70% of subjects indicated that they sometimes use or do not use nutrition information in daily lives, suggesting the need to provide more practical information. Among 53 facilities responding to the second survey, 73.6% provided nutrition education for older adults. Common topics for nutrition education included diabetes(39.3%), hypertension and stroke(19.1%) and general nutritional management(11.2％). These were consistent to the topics preferred by older adults. As materials In elderly education, dietitians wanted primarily to use leaflets and slides. Boards, booklets and posters were other commonly cited materials. For contents of elderly educational materials, dietitians mentioned the nutritional management for age-related diseases(33.8%), general nutritional management for older adults(25.4%) and practically applicable information(19.7%). They also suggested that nutrition education materials for the elderly should use larger print and attractive pictures, and be easily understood, as well as presenting simple, specific and practical information. These results provide baseline information for developing nutrition education and educational materials for older adults.

• 대한통합의학회지
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• 제12권2호
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• pp.167-176
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• 2024

Purpose: This study aimed to verify the effectiveness of suicide prevention education using the "Life Charger" program for older adults. Methods: This study conducted the "Life Charger"suicide prevention education with 95 older adults in the experimental group. Participants were recruited from a senior welfare center and a senior citizen center in D metropolitan city, and their attitudes toward suicide and sense of competence in providing help before and after the education were investigated. While no measures were taken for the control group, their attitudes toward suicide and help-giving competence were surveyed during the same period. Statistics were analyzed using SPSS 23.0, demographic variables of the experimental and control groups were calculated as percentiles, and Chi-square analysis and paired-sample t-test were performed to verify the homogeneity of the experimental and control groups. Results: To verify the effectiveness of the "Life Charger"suicide prevention education, the effectiveness of attitude toward suicide before and after the education was verified. The experimental group showed a significantly higher level (t=-6.34, p<.000). Their competence in providing help was also at a significantly higher level (t=-10.20, p<.000). Upon verifying the effectiveness of the program, the experimental group's attitude toward suicide was found to be significantly higher; however, the control group showed no change in attitude toward suicide and competence in providing help. Conclusion: This study verified that the "Life Charger"suicide prevention education for older adults was effective in increasing attitudes toward suicide and sense of competence in providing help. To increase the effectiveness of suicide prevention education for older adults, follow-up research should determine whether there are any actual changes after the training, and attitudes toward suicide and help-providing competence should be increase d through universal and repetitive education to prevent suicide among older adults.

• 가정간호학회지
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• 제24권3호
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• pp.264-274
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• 2017

Purpose: This study examined the current state of death preparedness and factors related to the death preparedness among community-dwelling older adults in Korea. Methods: A total of 6,879 older adults' data, selected from the Korean National Survey on the Elderly 2014 data, were analyzed. The criteria for selection were responding to the questionnaires directly and normal cognitive function. Stratified sampling logistic regression analysis was conducted on the compiled data. Results: It was seen that 37.3% of older adults were prepared for death; specifically, 28.6% had arranged for resting places, 10.7% had purchased burial clothes, 6.8% had subscribed to mutual aid societies, 0.7% participated in death education, and 0.6% had signed a will. The results of logistic regression indicated that the older adults who were females, older age, religious, highly educated, more satisfied with their economic status, living in rural areas, and participating in more social activities were more likely to prepare for their deaths compared to their counterparts. Conclusion: Education programs that prepare for death need to target marginalized groups in the community, such as male older adults and whose participation in social activities or satisfaction with their economic status are relatively low.

• 대한지역사회영양학회지
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• 제14권6호
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• pp.734-745
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• 2009

Diabetes mellitus is the prevalent disease among older adults. The purpose of this study was to implement and evaluate the nutrition education program for diabetes mellitus patients aged 60 and over. The one group pretest and posttest design was employed to evaluate the program effectiveness. Nutrition education program for diabetes mellitus patients was carried out at the public healthy center in Guri city. The 38 out of 63 patients completed education program. They received four sessions of group education during four weeks. Nutrition education materials (booklet, leaflet) for older adults were provided to participants. Data about blood glucose, blood pressure, nutrition and diabetes mellitus knowledge, dietary behavior, dietary intake by 24-hour recalls were collected before and after nutrition education to evaluate the program effectiveness. All data were statistically analyzed using SAS package (ver.8.2) and significant difference was evaluated by $X^2$-test, paired t-test and Wilcoxon signed rank test. Study results showed that blood pressure and blood glucose were slightly decreased after nutrition education but they did not reach statistical significance. There were positive changes in nutrition knowledge and dietary behavior. The total score of nutrition and diabetes knowledge increased significantly (p < 0.001), and the total score of dietary behavior was improved (p < 0.05) after nutrition education. Dietary intakes of most of nutrients examined were not significantly different between pre- and post-test. Based on study results, it appears that nutrition education program for the aged diabetes mellitus patients might effectively increase nutrition knowledge, dietary behavior and diet quality. This nutrition education program can be used at the public health centers or senior centers for the management of diabetes mellitus for older adults.

• 한국노년학
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• 제30권4호
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• pp.1045-1058
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• 2010

이 연구의 목적은 롤즈의 정의론을 중심으로 노년교육의 정당성을 탐색하고, 교육자원 혹은 교육기회의 정의로운 배분을 위한 당위성을 이끌어 내는데 있다. 또 이를 바탕으로 노년교육의 활성화를 위한 함의를 얻고자 한다. 연구자는 롤즈의 정의론을 토대로 사회정의를 실천하기 위한 원칙으로 '원초적 입장'을 지적하였다. 이 입장은 '무지의 베일'과 '합리적 무관심'으로 구성되어 있다. 또 사회정의의 실천방법으로 '우연성의 배제', '차등원칙 실현', '민주주의적 평등', '공동자산' 등이 제시되었다. 이를 근거로 향후 보다 정의로운 노년교육을 위한 함의를 다음과 같이 살펴볼 수 있었다. 첫째, 최소수혜계층인 노인, 여성, 장애인 등이 교육 가치의 배분에 있어 차별을 받아서는 안 된다. 둘째, 우수한 능력을 갖춘 사람들 혹은 세대는 자신들이 사회의 공동자산이라는 인식하에 그렇지 못한 사람들을 위해 봉사하여야 한다. 셋째, 노인들 스스로 분산된 힘을 응집시키고 잠재력을 발전시키려 노력하여야 한다. 결론적으로, 롤즈의 정의론은 노년교육을 위한 정당성 도출 및 노년교육의 활성화를 위한 이념적 틀로서 매우 유용하다.

• 한국노년학
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• 제39권4호
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• pp.959-976
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• 2019

본 연구는 노인의 인구사회학적 특성에 따라 노인의 평생교육 참여양상에 차이가 있는지를 밝히는 것이 목적이다. 이를 위해 한국보건사회연구원이 실시한 「2017년 노인실태조사」의 원자료를 바탕으로 65세 이상 노인 10,073명의 성별, 연령, 학력, 연가구소득, 최장기 일자리 지위, 건강상태에 따라 평생교육 참여여부, 참여영역, 참여기관, 참여빈도에 차이가 있는지를 분석하였다. 연구결과 여성(성별), 70-74세, 75-79세(연령), 중학교 재학/졸업, 고등학교 재학/졸업, 전문대학 휴학 이상(학력), 상용근로자, 무급가족종사자(최장기 일자리 지위), 그리고 건강상태의 노인집단이 평생교육에 보다 많이 참여하였다. 중학교 졸업 이하의 학력집단과 고등학교 졸업이상 집단, 그리고 제1, 2분위 소득집단과 제3, 4, 5분위 소득집단 간에 유의미한 평생교육 참여영역에 차이가 발견되었다. 평생교육 참여기관과 관련해서는 노인복지관, 경로당, 노인교실은 70세 이상, 중학교 학력 이하, 3분위 소득 이하, 건강이 나쁜 집단이 참여하는 경향이 나타났다. 그리고 평생교육 참여빈도와 관련해서는 무학에 비해 고등학교 재학/졸업 및 전문대학 휴학 이상 집단이, 무급가족종사자에 비해 상용근로자 집단이 자주 평생교육에 참여하는 것으로 나타났다. 본 연구를 통해 우려되고 있는 인구사회학적 특성에 따른 평생교육 참여 불평등 현상이 노인 집단 안에서도 있다는 것을 밝힐 수 있다.

• 성인간호학회지
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• 제21권3호
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• pp.314-323
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• 2009

Purpose: This descriptive study was conducted to identify the level of knowledge of stroke symptoms and risk factors among older adults. Methods: A total of 200 older adults over 65 years of age were conveniently recruited from out patient departments of two hospitals and a health care center from October to November 2008. The level of knowledge was assessed using both open-ended questions and a structured questionnaire based on semi-structured interviews. Data were analyzed by t-tests and ANOVA using the SPSS program. Results: 52.5% of the sample had hypertension and 30% had diabetes. The mean knowledge scores for symptoms and risk factors were $8.4{\pm}3.1$ (out of 15) and $9.5{\pm}3.9$ (out of 16), respectively. The older adults who had lower education, lower family income, and who lived in rural areas were more likely to have less knowledge of stroke symptom and risk factors (p < .05). There was no significant knowledge difference between the older adults who had at least one risk factor and those who had no risk factor for stroke. Conclusions: Educational intervention should be focused on informing older adults who are at risk for stroke about the early symptoms and management of risk factors, especially those who have low education and low social status.