• Title/Summary/Keyword: elderly's needs

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Associations between Chronic Diseases and Depression in the Korean Elderly: A Gender-Specific Analysis (우리나라 노인의 만성질환과 우울과의 관련성: 성별 분석)

  • Jin, Young;Lee, Yongjae;Kim, Tae Hyun;Lim, Seungji;Chung, Woojin
    • Health Policy and Management
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    • v.30 no.2
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    • pp.231-244
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    • 2020
  • Background: As the population is aging, chronic diseases and depression are becoming the main problems in a country's healthcare system. In this study, we aimed to explore the associations between chronic diseases and depression among the elderly in South Korea. Methods: We analyzed 9,975 (men, 4,147; women, 5,828) respondents obtained from the 2014 National Survey of Living Conditions and Welfare Needs of Korean Older Persons. Our dependent variable was either 1 or 0 according to whether a respondent had depression or not, where depression was defined when the Short Form of Geriatric Depression Scale score was 8 or more points. Variables of interest were 24 types of chronic diseases and covariates included various socio-demographic and health behavior characteristics. We performed Rao-Scott chi-square tests and hierarchal logistic regression analyses by gender, reflecting the characteristics of the survey. Results: A significant difference was found in the proportion of having depression between genders (men 18.9% vs. women 23.4%). According to fully adjusted, multivariable analyses, for elderly men, relative to those without any chronic disease, the odds ratio of depression was 1.56 (95% confidence interval [CI], 1.10-2.22) in the stroke patients group and 1.82 (95% CI, 1.01-3.25) in the osteoporosis patients group. For elderly women, the odds ratio was 1.96 (95% CI, 1.28-3.00) in the fracture/dislocation and aftereffects patients group and 1.30 (95% CI, 1.03-1.64) in the group of patients with other diseases. Conclusion: Even after being adjusted for diverse characteristics, some chronic diseases were significantly associated with depression in the elderly and the association differed between genders. Therefore, public health and medical interventions are needed to manage such chronic diseases together with curing depression symptoms.

Health Promotion Lifestyle Profiles of the Korean Elderly in Japan (일본에 거주하는 한국 노인의 건강증진 생활양식)

  • Jaung, Ae-Hwa;Park, Kyung-Min;Ryu, Mi-Kyung
    • Research in Community and Public Health Nursing
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    • v.11 no.2
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    • pp.470-485
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    • 2000
  • The purpose of this study was to investigate health promotion lifestyle profiles of the Korean elderly in Japan. The subjects of this study were 202 elders in Aichi prefecture. The method of this study questionnaires interviews, and a self-administered questionnaire from the 1st to the 20th of April in 2000. This study tool was based on Walker et al. (1987)'s Health Promotion lifestyle Profiles (HPLP). Analysis of the data used an SPSS/pc+ WIN 9.0 program. Data analyses were conducted by using frequency, percentage, t-test, ANOVA. Pearson correlation, Kendal tau and Stepwise Multiple Regression. The results were as follows: 1. The average score of Health Promotion Lifestyle Profiles of Korean elderly in Japan was 2.72(SD=0.40). On the sub-scale of Health Promotion Lifestyle Profiles: nutrition(M = 3. 06), self-actualization(M =2.99), interpersonal support (M=2.81), stress management (M=2.68) revealed higher scores, whereas the scores of health responsibility(M=2.52), and exercise(M=1.92) were lower. 2. Health Promotion Lifestyle Profiles were significantly different by age (F = 11. 02, p = .000), religion(F=2.96, p=.033), occupation(F=6.91, p=.000), living family status(F=13.07, p=.000), living family number(F=11.74, p=.000), monthly pocket money(F=18.79, p=.000), the source of pocket money (F=7.18, p=.000), and the length of residence(F=9.79, p=.000). 3. Health Promotion Lifestyle Profiles was significantly predicted by monthly pocket money($r^2$ change =0. 188, p=.000), sex($r^2$ change= 0.066, p= .000), the length of residence($r^2$ change = 0.059, p = .000), the source of pocket money($r^2$ change=0.036, p= .000), age ($r^2$ change=0.018, p=.000). These variables showed a positive correlation with health promotion lifestyle profiles of the Korean elderly in Japan. These variables explained 36.7% of the variance of Health Promotion Lifestyle Profiles. On the basis of the above findings, Health Promotion Lifestyle Profiles programs for Korean elderly in Japan needs be to developed with Japanese social-culture perspectives and needs to develop an intervention method to improve Health Promotion Lifestyle Profiles. It is also suggested that further research is required.

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Nurses' Perceptions of Person-Centered Care in Long-term Care Hospitals: Focus Group Study (인간중심돌봄에 대한 요양병원 간호사의 인식: 포커스 그룹 연구)

  • Chang, Hee-kyung;Gil, Cho-rong;Kim, Hye-jin;Bea, Han-ju;Yang, Eun-ok;Yoon, Mi-lim;Ha, Ja-hyeon
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.19 no.11
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    • pp.441-453
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    • 2018
  • This study was conducted to understand and describe Korean nurses' perception of person-centered care for elderly patients in long-term care hospitals. Qualitative data were collected through four focus group interviews consisting of 21 nurses working in four long-term care hospitals in Jeolla and Gyeongsang provinces. Participants completed interviews from July 19 to 30, 2018. All interviews were recorded, transcribed, and analyzed by employing the thematic analysis method. Six main themes for the attributes of person-centered care for elderly patients in the long-term care hospitals were conceptualized: respecting individual needs, walking to the end, supporting hidden dreams, becoming a family partner, helping patients live like they are at home, and changing culture. Person-centered care perceived by nurses was conducted to provide individualized nursing according to elderly's preferences and help them discover the value and meaning of life through various activity programs. Nurses also recognized person-centered care to maintain cooperative relationships with their family members and share their decision-making process, as well as to form a physical environment and organizational culture that respects the rights and autonomy of the elderly. Based on the results of this study, it is necessary to identify the diverse needs of the elderly and develop nursing intervention programs based on person-centered care.

Management and Knowledge for the Prevention of Infectious Diseases in the elderly (노인의 감염병 예방을 위한 관리 및 지식도)

  • Kang, Kyung-hee;Kim, Kwang Hwan;Kim, Young-Ha
    • Journal of Digital Convergence
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    • v.20 no.5
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    • pp.713-720
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    • 2022
  • The objective of this study is to provide the basic data for the development of educational programs for the prevention of infectious diseases targeting the elderly by researching the degree of personal hygiene practice, perceived risk of infection, and knowledge and importance of infectious diseases for the prevention of infectious diseases of the elderly. Using the structured questionnaire for a month of October in 2021, this study surveyed total 110 elderly people in their 65 or up by using the one-to-one individual interview method through the Gallup Korea. The collected data was analyzed by using the IBM SPSS Statistics 25.0 Program. In the results of analyzing the ranking by converting it into Borich's needs formula and then totaling up the degree of importance and knowledge, it was researched as the 1st place for the transmission path of infectious diseases, the 2nd place for the preventive method of infectious diseases, the 3rd place for the treatment method of infectious diseases, the 4th place for the handling procedure in case an infectious disease was doubted and confirmed, and the 5th place for the major symptoms of infectious diseases. The results of this study could contribute to the improvement of infection preventive practice through the provision of proper information to subjects, by providing the basic data for the development of educational programs for the elderly reflecting the needs of prevention and management of infectious diseases.

A Theoretical Analysis on Somatotyping of Elderly Women (노년기 여성의 체형 연구에 대한 이론적 분석)

  • Lee, Eun-Jung
    • Journal of the Korean Society of Fashion and Beauty
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    • v.4 no.1 s.7
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    • pp.35-41
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    • 2006
  • From 1995 to 2005 the information related to clothing and textiles publicized by 6 journals regarding Elder Women's body type was collected and analyzed. The results are as follows. 1. It has been investigated into the elder woman's body type since 1995, and this subject needs a detailed study. in audition, investigation into woman's body type has been studied parts of the body for clothing construction. 2. Analysis result for measure area preponderance(Seoul area and local metropolitan city) of area, measure subject number mainly to large scale group more than 300 people that measure is consisting most know can. 3. Where the way of measurement is concerned, there are direct measurements more than indirect measurements. In case of using just direct measurement, the study often mentions necessity of indirect measurements. Therefore it is thought simultaneous measurement is the most desirable. 4. A Body type characteristic of elder woman shows a size of every part diminishes as growing older. Owing mainly to obesity of waist and abdomen, they have a changed body a measure of around the abdomen is bigger than around the hips. hips drop and the upper half of the body down, and besides, feet are changed into the flat.

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Demonstration Project on Utilization of Telephone Consulting and Telemedicine System for Home Health Care of the Elderly (노인건강상담전화 운용과 가정간호사업 활성화를 위한 원격의료 시범사업)

  • 김정은;박현애
    • Journal of Korean Academy of Nursing
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    • v.26 no.3
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    • pp.576-590
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    • 1996
  • Advanced countries such as the USA and Japan are eagerly seeking ways to improve health and welfare of the elderly. One of the services is home health care service using the telephone. Various types of services using the telephone have been developed, improved and are being utilized ranging from the basic consulting to emergency response systems in the area of health care for the elderly. A demonstration project was launched to study the feasibility of a consulting system and telemedicine for the elderly using the public phone system in Korea. For this project, a gathering site for the elderly was selected and those who visited this place were interviewed to find out what kinds of services they wanted and what kind of system they needed to provide the required services. Based on the users' requests and the surrounding environment, a telephone consulting facility was established at the Research Institute of Nursing Science at Seoul National University and consulting personnel was recruited, trained and posted at the center. An Application program for home health care nurses to use when they visited the patients at their homes was developed. This system operates on a notebook Computer and allows nurses to communicate with a doctor at a local hospital through a modem and telecommunication line. These systems were implemented for three months and problems which developed during operation of the systems were identified and progressively modified. Through system evaluation, it was found that a consulting system using phone service will be an invaluable system for the welfare of the elderly in the future. But in order to meet the elderly's need, more services than mere consultation are needed. That is, communication with physicians and hospitals are needed. Thus, when there is any need for physicians' attention, physicians or hospitals should be contacted directly. Similarly for telemedicine, when the home health care nurse visits elderly patients she can assess the patient's problem and provide nursing care, access a physician or hospital to refer her patient to or consult directly using the telecommunication the system. The above mentioned system is a basic form of futuristic telemedicine for the elderly and those who have chronic disease problems. This kind of system will be of great value when it is used on the national information super-highways in the future. In order to get to that stage, of course, this project needs great improvement in the technical, academic, and legal aspects.

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Educational Needs of Elderly Hypertensive or Diabetes Patients and Educators for Education Program Development of Cardiocerebrovascular High-risk Group (심뇌혈관질환 고위험군 교육프로그램개발을 위한 노인 고혈압·당뇨병환자와 교육자의 교육요구도 및 지식수준에 대한 비교분석)

  • Lee, Hye-Jin;Kam, Sin
    • Journal of agricultural medicine and community health
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    • v.35 no.2
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    • pp.177-192
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    • 2010
  • Objectives: This study was conducted to examine the educational needs of elderly hypertensive or diabetes patients and educators for the education program development of cardiocerebrovascular high-risk group in community. Methods: This study was conducted with 60 hypertensive or diabetes patients aged 65 years or above (cardiocerebrovascular high-risk group) who had registered KHyDDI(Korea Hypertension Diabetes Daegu Initiative) Project and attended Hypertension Diabetes Intervention Center Program, and with 44 educators in the center between June and August, 2009. Data were collected using questionnaires including general characteristics, educational objectives, curriculum, contents, and methods. Results: The major findings of this study were as follows: In education methods, cardiocerebrovascular high-risk group and educators both preferred small-grouped(5-9 persons) or individual education, 30min-1 hour, 50%-50% of theory-practice ratio, 3 months of education. In education contents, both groups needed all the suggested contents. Five categories would be suggested for the development of education program. The first category was that there was no significant difference between cardiocerebrovascular high-risk group's needs and knowledge. The second was category of low knowledge level in cardiocerebrovascular high-risk group's knowledge. The repeated education would be necessary for this category. The third was category with large standard deviation in cardiocerebrovascular high-risk group's knowledge. Individual education would be necessary for this category. The fourth category was that there was significant difference between cardiocerebrovascular high-risk group's knowledge and knowledge assessed by educators. The improvement of educator's education skill would be necessary for this category. The fifth category was that there was significant difference between cardiocerebrovascular high-risk group and educator's needs. Conclusions: Small group or individualized and staged education reflecting above cardiocerebrovascular high risk group and educators' needs should be developed for more effective education to prevent and manage the cardiocerebrovascular disease.

The Changing Shape of Care-time Diamond: Social Care Expansions in the 21st Century in Korea (변화하는 케어-타임 다이아몬드: 한국의 21세기 사회적 돌봄의 확대)

  • An, Mi-Young
    • 한국사회정책
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    • v.19 no.2
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    • pp.137-161
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    • 2012
  • Traditionally, caring for young children and the elderly has been largely assumed and practiced intensively within the family in Korea. The Korean government established residual protection systems for the elderly as well as children whose needs could not be met by their family members alone. However, in the 21st century, a number of social forces have made it necessary to expand the state's intervention in the care provisions. The primary forces include the ageing process, low fertility, change in the women's labour market participation, changes in the family formation and dissolution, and changes in the people's perceptions of familial responsibilities regarding caring for other family members. This paper employs and further develops the idea of the care diamond conceived by the United Nations Research Institute for Social Development Project in relation to the political and social economy of care and applies it to Korea's social care expansions. The analysis demonstrates that the roles of the public and the market sector, in case of child care, increased while those of the third sector decreased. Apropos of the elderly care, the role of the market expanded dramatically, followed by that of and the state and the third sector. Nonetheless, it is important to note that the fundamental characteristics of Korea's care provision for children and the elderly have remained unchanged and even strengthened where the elderly care is concerned. The bulk of personal care demand is still met within the family, particularly by female members of the household.

Research on the Current Situation of ICT Using and Learning among the Elderly in Urban China (중국 도시 노인의 ICT 이용 및 학습실태에 관한 연구)

  • Li, Yue-Yi;Pan, Young-Hwan
    • Journal of the Korea Convergence Society
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    • v.12 no.6
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    • pp.17-25
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    • 2021
  • Population aging is an inevitable problem in our society nowadays, and the current aging trend in Asia is prominent and the number of elderly people is huge, among which the World Health Organization predicts that by 2050, 35% of China's population will be over 60 years old, making it the most serious aging country in the world. According to actual reports and surveys, there is a clear digital divide between a large proportion of the elderly and ICT technology, which has had a negative impact on the quality of life and mentality of the elderly living in cities due to the rapid development of technology and the dramatic changes that have occurred in urban life in recent years. The author chose Chinese urban elderly as the main research topic, the research method through the collation of existing literature and information combined with the actual data research, narrative collation of the current situation of ICT use among the Chinese urban elderly and the causes of the difficulties, summarize the ability of the Chinese urban elderly as the representative of the elderly users to master and learn ICT. The study concluded that the needs of the elderly for ICT are multi-layered and there is a gradation in the ability of the elderly users to master various ICT services, so that the elderly can better use and enjoy ICT services and provide teaching and services in a hierarchical and targeted manner can be the next research direction.

A Comparative Study on the Sport-for-all Participation and Life Satisfaction Between Rural and Urban Elderly (농촌 노인과 도시 노인의 생활체육참가와 생활만족도 비교)

  • Nam, Ji Ho
    • 한국노년학
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    • v.29 no.3
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    • pp.867-881
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    • 2009
  • This study's goal is to compare influencing factors to life satisfaction and sport participation of the elderly in the rural and urban area. And it is to provide basic information that is appropriate to the local peculiarity. In the research, we used the 2006 KLoSA, got the following result through the more than 60 years old 502 peoples in the rural area and 1129 in the urban area. There were significant differences of factors related to the life satisfaction between rural and urban elderly, and the most sport participants have higher life satisfaction than non-participants. Through the probit analysis, the result shows that significant factors affecting sport participation for the rural elderly are gender, age, working/retired, and for urban elderly, the education level and income are added. About the participation, there were also significant differences on the participation frequency for the rural elderly and on the participation hours for urban elderly. The significant factors of life satisfaction for rural elderly are the education level, subjective health, and sport participation, and for urban elderly were the education level, income, subjective health, and sport participation. Overall, it shows the urban elderly have higher life satisfaction than the rural elderly. The welfare system to improve the sports participation and life satisfaction needs the differentiated support reflecting the social demographic characteristics.