• Journal of dental hygiene science
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• v.23 no.2
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• pp.69-87
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• 2023

Background: Swallowing function deterioration is a common problem experienced by older adults worldwide. Many studies have been conducted to improve swallowing function in older adults; however, due to differences in intervention methods and study designs, it is difficult to draw a common conclusion. This study aimed to analyze trends and intervention methods in studies of swallowing function intervention for older adults conducted from 2010 to 2022, to establish a systematic approach for developing interventions to improve swallowing function in older adults and to provide evidence for this approach. Methods: Literature research was conducted for studies published between 2010 and 2022 that applied to swallow function interventions to adults aged 60 years or older. Databases including PubMed, Medline, RISS, Science On, KISS, and KCI were used. From a total of 1,164 articles searched using keywords, 20 articles were selected for final analysis. Results: The number of published articles steadily increased over time, and the intervention period was most commonly 6 or 8 weeks. The types of interventions included focused exercises to improve oral muscle strength in 12 articles and programs incorporating education, practice, and expert management in 8 articles. Among the focused exercises, tongue-strengthening exercises were most common in 4 articles. The evaluation variables for intervention effects were muscle strength evaluation, oral function evaluation, quality of life, and oral health and hygiene status. Muscle strength and oral function evaluations were statistically significant in focused exercise interventions, while the quality of life and oral health and hygiene status was significant in program interventions. Conclusion: This literature review is meaningful as a study that can be used to select the intervention period and program contents when planning an elderly swallowing intervention program.

• Research in Community and Public Health Nursing
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• v.29 no.3
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• pp.322-334
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• 2018

Purpose: The purpose of this study is to identify factors related to compliance with respiratory infection preventive behaviors including hand washing, cough etiquette, and oral hygiene of older adults. Methods: A cross-sectional study was conducted with a convenience sample of 100 older adults (mean age: $76.11{\pm}6.35$ years, female: 86.0%). Data were collected from a community senior center through face to face interviews by using instruments including measuring knowledge, perceived threat, self-efficacy, compliance with respiratory infection preventive behaviors. Results: The mean score of knowledge was 7.52 out of 13 in total. The compliance with hand washing with soap was 6.0% for 8 or more times per day. Among the participants, 12.0% adhered to the cough etiquette. Sixty-two older adults (62.0%) didn't use interdental brushes or floss at all. The stepwise linear regression indicated that age and self-efficacy for respiratory infection preventive behaviors were significant factors and explained 24.0% of the compliance with hand washing and the cough etiquette. Education level, cancer diagnosis, and self-efficacy for respiratory infection preventive behaviors were significant predictors of oral hygiene. The factor with the greatest effect was self-efficacy in the two models. Conclusion: The findings suggest that it is necessary to improve compliance with respiratory infection preventive behaviors among older adults using senior centers. In order to enhance the compliance, it is necessary to develop nursing programs based on the self-efficacy for respiratory infection preventive behaviors in the senior centers.

• Journal of the Korean Society for information Management
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• v.33 no.1
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• pp.197-223
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• 2016

The purpose of this study is to understand information behavior of older adults with diabetes. After reviewing previous research, related factors are identified and a questionnaire was devised. The structured interview was administered to the aged 60 and over in the B hospital (N=543). Data about awareness of the disease, health literacy, information environment, information need, information seeking, information use, information service, and personal background are collected and analyzed descriptively. Relationship between variables are examined and hypotheses are tested to find factors affecting information behavior. The level of the awareness of the disease and health literacy appeared to be low. It is proved that awareness of the disease is a factor affecting information need and information use. Health literacy affects information use. There is a statistical significant difference between information need and information use by disease education and duration. There is also a statistical significant difference between information use among groups divided by information environment, sex, age, and education. Based on the results, campaign to raise disease awareness, marketing promotion about information support facilities, customized information service for older adults are suggested.

• Journal of Korean Home Economics Education Association
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• v.33 no.4
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• pp.31-48
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• 2021

The purpose of this study was to provide an understanding of the trajectories of multidimensional health among older adults, including depression, chronic diseases, and cognitive function. Data were drawn from the 1-6 waves of the Korean Longitudinal Study of Ageing(KLoSA), and a sample of 2,059 respondents aged 65 and older at baseline was used for the analyses. Latent growth curve models and growth mixture models were used to explore the changes in depression, chronic diseases, cognitive function, and heterogeneous trajectories among them. One-way ANOVAs with Scheffé post-hoc analysis and chi-square tests were used to find differences in sociodemographic characteristics, health behaviors, and life satisfaction across the latent trajectory classes. Latent growth curve models revealed that depressive symptoms and the number of chronic diseases increased over time, while cognitive function showed gradual decreases. Three heterogeneous patterns of multidimensional health trajectories were identified: normal aging, increase in chronic diseases, and chronic deterioration. Significant differences were observed in sociodemographic characteristics, health behaviors, and life satisfaction across the three latent classes. In particular, low educational attainment, household income, and life satisfaction were associated with the chronic deterioration class. Based on the findings, we discussed suggestions for health promotion education targeting older adults. This study also emphasizes the importance of home economics education in promoting health literacy across the life course.

• Korean Journal of Applied Biomechanics
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• v.27 no.3
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• pp.205-210
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• 2017

Objective: The aim of the study was to investigate the age-related ability of dynamic balance recovery through perturbation response during standing. Method: Six older and 6 younger adults participated in this study. External perturbation during standing as pulling force applied at the pelvic level in the anterior direction was provided to the subject. The margin of stability was quantified as a measure of postural stability or dynamic balance recovery, and using principal component analysis (PCA), the regularity of the margin of stability (MoS) was calculated. Results: Our results showed that in the older adult group, 60.99% and 28.63% of the total variance were captured using the first and second principal components (PCs), respectively, and in the younger adult group, 81.95% and 10.71% of the total variance were captured using the first and second PCs, respectively. Conclusion: Ninety percent of the total variance captured using the first two PCs indicates that the older adults had decreased regularity of the MoS than the younger adults. Thus, the results of the present study suggest that aging is associated with non-regularity of dynamic postural stability.

• Korean Journal of Health Education and Promotion
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• v.4 no.2
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• pp.95-135
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• 1987

According to U.S. Bureau of Census (1984), the number of older adults (over the age of sixty) has grown twice as fast as the rest of the population over the past twenty-five years. It is predicted that between 1980 and 2020, their number will double again, In 1985, National Bureau of Statistics, Economic Planning Board, Republic of Korea reported that the number of older adults over 60 years of age was 2.7 million (6.7% of the total population). It is projected that their number will become 3.9 million (8% of the total population) by the year 2000.

• Journal of Korean Gerontological Nursing
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• v.20 no.sup1
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• pp.119-126
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• 2018

Purpose: The aim of this study was to describe problems and solutions for older adults living alone and using wearable devices to report depressive moods in daily life. In addition, gerontology nurses' competencies and strategies were discussed based on lessons learned from the observational study. Methods: A hybrid method was used, combining literature review and content analyses based on interviews with 53 participants and observations done by the research team. Results: Main issues and relevant strategies were identified in terms of (1) applicability of information and communications technology (ICT) devices for older adults, (2) feasibility of older adults' use of ICT devices, (3) integration of ICT devices into daily life, and (4) relevant issues when older adults use ICT. Important roles and competencies were discussed regarding general and gerontology aspects of ICT. Conclusion: Findings indicate that a wearable device is feasible to measure daily depressive moods in older adults living alone in community settings. To extend our research protocol to practice, gerontology nurses must adequately prepare to meet emerging health care trends and end users' needs for ICT-based nursing. It is necessary to develop diverse educational programs and active involvement in research and design of relevant devices and programs.

• The Journal of the Convergence on Culture Technology
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• v.6 no.2
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• pp.257-262
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• 2020

This study recruited adults aged 35 to 64 living in Daegu and Gyeongsang buk-do to analyze the images of the elderly perceived by the mid and older- aged adults and their preparation for later life. The results of this study are as follows: First, as for the images of elderly people recognized by the research subjects, psychological images were the most positive, followed by physical and social images. Those with a higher education level, full-time job, and parents alive had more positive images of the elderly. The psychological images were better in those married compared to singles or divorcees, and the higher the age considered as elderly, the better the psychological and social images of the elderly. Second, preparation for later life in the mid and older-aged adults was better in order of emotional and physical preparation, whereas economic and leisure and social preparation were not enough. Those who are female, those with a higher education level, higher average monthly household income, professional job, and full-time job, and those who have an older age in mind as a definition of elderly have been better prepared for later life. Third, it was found that the sub-factors of their images of elderly people and preparation for later life affected each other, and the more positive their images of elderly people, the better they had been prepared for later in life. The results of this research suggests a desirable direction for improving the images of the elderly, implicating the necessity of exploring measures to provide individual and social support and developing educational programs for successful life after retirement.

• The Korean Journal of Community Living Science
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• v.19 no.2
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• pp.235-244
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• 2008

The purpose of this study was to examine the elderly generation's understanding of game information and for recognition of computer based games as a recreation activity for the mid-to late adults. This study investigated game use and personal thoughts about the influences of computer games on each generation. The study was conducted by survey with the subjects being 242 adults aged 40 to 72 living in Busan and Kyung-nam area. Findings indicated that 43.5% of adults used computers to access games. The purposes for computer use were: business, searching portal sites, and games. 44.8% of adults knew about game information education. 67.4% of adults who had someone as a game information resource reported that their children provided the game information. Most adults used arcade games and recognized the influences of game information as positive to adults and the elderly but negative to children and adolescents. Finally, the adults aged "after mid-life" who knew about game information education showed higher ego-integrity and psychological well-being. These findings have implications for the development of elderly education programs aimed at promoting quality of life for older adults.

• Research in Community and Public Health Nursing
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• v.30 no.4
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• pp.539-549
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• 2019

Purpose: The aim of this study was to identify the factors related to the social distance toward older adults in nursing college students. Methods: The participants comprised 137 students in a nursing college. Data were collected using self-report questionnaires in March 2019. The measurement instruments included social distance scales, the Fact on Aging Quiz (FAQ I), a 20-item semantic differential scale (to assess attitudes), and the perceived elderly stigma scale. The data were analyzed using descriptive statistics, independent t-tests, one-way analysis of variance (ANOVA), Pearson's correlation coefficient, and a multiple regression analysis. Results: The total score for social distance toward older adults was 3.98±0.54 out of a maximum of 5. Social distance had a statistically significant relationship with knowledge (r=.20, p=.022), attitudes toward older adults (r=-.31, p<.001), and elderly stigma (r=-.27 p=.008). The factors affecting social distance were education in geriatrics (β=.33, p=.004), grade (β=-.29, p=.014), attitudes (β=-.21, p=.018), academic major satisfaction (β=.19, p=.028), and knowledge (β=.15, p=.048); the explanatory power of the model was 34%. Conclusion: There is a need for departmental efforts that nursing students acquire correct knowledge about the life and health of the elderly with the aging process and develop positive attitudes toward older adults through various experiences in gerontological nursing practicum and community senior-college student link programs.