• Title/Summary/Keyword: elderly couples

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Family Type and Health Behaviors in Elderly : Korean National Health and Nutrition Examination Survey (KNHANES), 2010-2012 (노인에서 가구유형과 건강행태: 제 5기 국민건강영양조사(2010-2012))

  • Yi, Yu-Hyeon;Kim, Yun-Jin;Cho, Duk-Young
    • The Korean Journal of Health Service Management
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    • v.8 no.4
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    • pp.199-207
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    • 2014
  • Family type is not only an important sociodemographic variable for health studies but also influences the health behavior and health condition of individuals. This study assessed a representative sample to see whether family type is associated with health behavior in Korean adults age 65 and older. This is a cross-sectional study of 9,535 Korean elderly who participated in the 2010-2012 Korean National Health and Nutrition Examination Survey. The subjects were classified as couple cohabitation, couple-offspring cohabitation, alone, or alone-offspring cohabitation. We assessed the relationship between family type and six health behaviors (smoking, high risk drinking, walking, oral examinations, health screenings, and influenza vaccinations) after controlling covariates. The "alone" classification had a significantly higher risk of no health screening, but was more likely to have an influenza vaccination than couples. Significant interactions between family type and healthy behavior were observed with oral health screening, influenza vaccination, and smoking {Odds ratio (95% confidence interval), 1.452 (1.066-1.980), 1.375 (1.083-1.747), 2.246 (1.604-3.146)}. There is a significant association between family type and healthy behaviors.

Performance and Requirements of Visiting Nursing Care in Long-Term Care Insurance Using the OMAHA System (노인장기요양보험 방문간호서비스 수행도와 필요도 : 오마하시스템 문제분류체계를 이용하여)

  • Park, Sun A;Lim, Ji Young
    • Journal of Korean Academic Society of Home Health Care Nursing
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    • v.24 no.2
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    • pp.181-188
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    • 2017
  • Purpose: The aim of this study was to compare between performance and requirements of visiting nursing care in long-term care insurance using the OMAHA system. Methods: The subjects were 72 nurses who had worked in a visiting nursing care center in long-term care insurance. Data were collected from December 5, 2016 to January 31, 2017 using self-recorded questionnaires. The collected data were analyzed using descriptive statistics and paired t-tests. Results: Four dimensions of the OMAHA system showed statistically significant differences between performance and requirements of visiting nursing care in long-term care insurance. The requirements of visiting nursing care were higher than was performance on all 40 items of the OMAHA system. The greatest difference was in environmental domain and then the psychosocial domain. Conclusion: Based on the results, we found that the environmental and psychosocial domains were the largest gap areas. Therefore, with the reality of elderly people living alone and the increase in elderly couples, active intervention connected with the community is needed in residential areas. Further, we suggest that the OMAHA system can be utilized as an integrated conceptual framework for developing and enhancing visiting nursing care in long-term care insurance.

A Proposal on Evacuation Safety in Medical Welfare Facilities for the Elderly: Targeting the Goyang City (노인의료복지시설의 피난안전에 대한 제언: 고양시를 대상으로)

  • Jeong, Keesin
    • Fire Science and Engineering
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    • v.34 no.4
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    • pp.52-58
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    • 2020
  • The number of medical welfare facilities caring for the elderly with paralysis and dementia has been increasing rapidly because of the change in the way of supporting the elderly, stemming from an increase in the number of the elderly and working couples. These medical welfare facilities are usually installed all over the city and are gradually becoming high-rise. Few inmates are capable of making their own decisions in case of fire at night and when there are no escape routes such as ramps for evacuation, leading to massive casualties. This study aimed to identify problems in evacuation in the medical welfare facilities for the elderly in Goyang city. This city has the largest number of medical welfare facilities for the elderly per unit area. The following strategies could aid in better evacuation: secure ramps or bed escape elevators; the bedrooms of the inmates should have one-hour fire resistance; the stairs should have the structure of an enclosed stairway; the necessary apparatus for evacuation, such as an escape chute, should be installed; and, to conclude, a business agreement with neighboring agencies to help inmates escape during the fire. The state should implement necessary measures to protect the lives and property of the people. Rapid implementation of this proposal is necessary for the evacuation safety of an increasing number of medical welfare facilities for the elderly.

A Comparative Study on Mental Health between Elderly Living Alone and Elderly Couples - Focus on Gender and Demographic Characteristics - (부부가구와 1인가구 노인의 정신건강 비교 - 성별 및 인구사회학적 특성을 중심으로 -)

  • Park, Bo-Young;Kwon, Ho-Jang;Ha, Mi-Na;Burm, Eun-Ae
    • Journal of Korean Public Health Nursing
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    • v.30 no.2
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    • pp.195-205
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    • 2016
  • Purpose: This study is to compare the difference in status between elderly individuals with and without a spouse. Methods: The study is based on the Fifth Korean National Health and Nutrition Examination Survey(KNHAENS), between 2010 and 2012. Subjects were over the age of 65 years who participated in the survey. Chi-square test and logistic regression of complex sampling design of the KNHAENS and used the survey analysis method by SPSS (version 18). Results: Sleep time of female elders living alone was the shortest which was 2.59 times that of male elders living with a spouse. Stress awareness of female elders living with a spouse was the highest, which was 3.21 times that of male elders living with a spouse. Depression was the highest in female elders living alone, which was 2.26 times that of male elders living with a spouse. Suicidal idea was the strongest in female elders living alone, which was 2.87 times that of male elders living alone. Conclusion: Female elders living alone were weakest in regards to socio-economical aspect with the highest rate of poverty, low educational status, and unemployment. The mental health status of females was worse than that of males. In particular, the mental health status of females living alone was the worst.

Time Resource Transfers of Married Couples to Their Parents on Decision-Making Power (배우자간 의사결정력에 따른 노부모로의 시간자원 이전)

  • Yoon, Won-Ah
    • Journal of the Korean Home Economics Association
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    • v.48 no.4
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    • pp.83-102
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    • 2010
  • This paper investigates whether intra-household bargaining power affects couples' caregiving decisions during instances of competing parental demands for assistance. The primary focus is on examining how partners' bargaining power influences the relative allocation of time resources between parents and parents-in-law, assuming that children prefer to transfer caregiving resources toward their own parents over their parents-in-law. The findings in this study reject the bargaining theory that couple's parental care behavior results from a bargaining process between the husband and the wife. More specifically, the results did not clearly show that children prefer to transfer caregiving resources toward their own parents over their parents-in-law. Decision-making power, measured by final decision-making authority, also failed to affect the relative care transfers.

The Influence of Middle-aged and Elderly Adult Learning on the Happiness of Adaptation to College Life (중고령 성인학습자의 대학생활적응이 행복감에 미치는 영향)

  • An, Geun-Pil;Kim, Moon-seup;Kim, Jin-Sook
    • The Journal of the Convergence on Culture Technology
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    • v.7 no.3
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    • pp.255-260
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    • 2021
  • This study tried to investigate the effects of the adaptation of middle-aged and elderly adult learners to college life on happiness. For this purpose, a questionnaire survey and analysis were conducted on 321 middle-aged and older adults studying at two-year and four-year colleges in Daegu and Gyeongbuk Province, and the results are as follows. First, college life adaptation according to the general characteristics of middle-aged and elderly learners are higher for those in their 50s and 2nd grade in good health condition. Happiness was the highest women, 60s and those in the form of households where only couples live. Second, there is a static correlation between the adaptation of middle-aged and elderly adult learners to college life and happiness, and the correlation between satisfaction with internal growth and satisfaction with meaning was the highest. Third, it was found that middle-aged and elderly adults' adaptation to college life influenced happiness, and the adaptation to adult student relationships, which is the lower part of the adaptation to college life, had the greatest impact on happiness. The above research results suggest that the various positive experiences experienced in university life can affect happiness by easing student relationships, psychological stability, and physical tension, and improving one's own satisfaction with internal growth.

Elderly Women's Adaptation Process on Separation by Death in Rural Areas (농촌여성노인의 배우자 사별 적응과정)

  • Jang, hee Sun;Kim, Yun Jeong
    • 한국노년학
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    • v.31 no.4
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    • pp.939-967
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    • 2011
  • This study observed elderly women's adaptation process on separation by death in rural areas through grounded theory approach and developed its entity theory. Participants for this study were 14 elderly women who have lost their husbands in the last 12 months. The study was conducted for 8 months starting January 2010. Each interview per session took 40 to 90 minutes, study notes were taken on site, and recorded contents were transcribed by the researcher which was myself. The research data were collected by in-depth interview and with help of local community's nurses who were in charge of taking care of the participants. The collected data were analyzed by applying Strauss & Corbin's grounded theory (1998). As a result of study, 80 concepts, 28 subcategories, and 12 categories were deducted during open coding process. Adaptation process on separation by death was process of 'finding a way to live alone' which used strategy of 'attempting a make changes in life', and 'embracing the situation' which were influenced by conciliatory conditions of 'degree on economic condition', 'change in health', and 'supporting system' which focuses on phenomenon of 'bearing life alone' which is influenced by context condition of 'marital chemistry of couples during lifetime', and 'the couple's leadership during lifetime' together with casual conditions of 'the fall of wall'. The adaptation process accordance to time flow were divided into 4 steps which were step of 'shock and release of emotions', step of 'longing and resentment', step of 'resignation and acceptance', and step of 'life's restructure'. Above results suggest right directions for welfare for the aged and process of 'finding a way to live alone' for participants by controlling several factors and using intervention strategy, and provided basic data required for developing and applying practical welfare mediation.

Relationship between Actual Health and Yangseng of the Elderly in Rural Areas - Focused on certain parts of rural areas in Jeonbuk province - (농촌지역(農村地域) 노인(老人)들의 건강실태(健康實態)와 양생(養生) 수준(水準)과의 관련성(關聯性) -전라북도(全羅北道) 일부(一部) 농촌지역(農村地域)을 중심(中心)으로-)

  • Moon, Su-Young;Chong, Myong-Soo;Seo, Myoung-Hyo;Kim, Young-Hun;Yang, Sun-Ho;Lee, Ki-Nam
    • Journal of Society of Preventive Korean Medicine
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    • v.9 no.2
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    • pp.1-16
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    • 2005
  • The present study is designed to provide basic data for the future health promotion projects to be aimed at improving quality of life for the elderly people in the increasingly aging society of Korea by investigating factors related to the yangseng of old people in rural areas. The results of this study are intended to serve as fundamental for efficient approach toward health promotion projects for the elderly in rural communities. For this purpose, a survey by questionnaires was conducted to rural inhabitants from May to June 2004. The replies were analyzed from the perspective of Oriental medicine for yangseng. 1. The average points of health care appeared to be 3.24. In details by sub-areas, morality was 3.79, followed by 3.74 for activities and rest, 3.73 for sleeping, 3.29 for diet, 3.25 for mind, 2.88 for season, 2.12 for exercise and 1.95 for sexual life in sequence, showing that the yangseng of morality was scored highest while the area of sexual life were rated lowest. 2. As for the extent of health care depending on the characters of the subjects, spoused ones, married couples living alone, while the higher educated and the more leisure is utilized, the more the care is paid for yangseng. 3. Concerning the extent of yangseng depending on the general characters of the subjects, men showed more yangseng in activities and rest. The group aged 70 to 74 acquired the highest points in mind yangseng. The group with spouse featured higher concern for yangseng in the categories of morality, diet, activities and rest, sleeping and sexual life. Married couples who are living with no other family members recorded the highest points in the areas of morality, diet, sleeping and sexual life(P<0.05). 4. In terms of socioeconomic characters, the more one is educated, the more he/she is tended to take yangseng in the exercise, sleeping and sexual life. The group with occupation is inclined to take more yangseng in the activities and rest and sleeping. When people have to work for their keep, they usually showed to have highest yangseng for sleeping. People who enjoy leisure showed higher yangseng in all areas except for morality. In case man has religion, he showed more yangseng in the activities and rest, exercise and sleeping(P<0.05). 5. Those who reply they are confident with health showed higher yangseng. No significant difference was found in all areas except for sexual life in which high care is taken for yangseng, as far as one has no disease. Those who are confident with health had highest yangseng in all areas except for season yangseng(P<0.05). As seen above, extents of yangseng by the old people in the rural area are found to have difference depending on the individual and socioeconomic characters, factors which should be seriously considered in the local health promotion projects and projects for the health of the elderly. Particularly important is to launch health promotion programs and to analyze their effects to promote health care particularly in the areas of sexual life, exercise and season yangseng that turned out to be lowest by taking into account of yangseng in each sub-area.

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The Effect of Basic Pension on Depression in the Elderly: Comparison of Male and Female Living Alone and Couple Households (기초연금 시행이 노인의 우울에 미친 영향: 남녀 독거 가구 및 부부가구 비교)

  • Kim, Jung-Hyun;Chun, Miae
    • 한국노년학
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    • v.41 no.1
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    • pp.169-185
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    • 2021
  • This study investigated whether the increased Basic Pension amount in 2014 affect the level of depression of recipients and whether the effect differs according to three groups by household type(living-alone male, living-alone female, and couple households). Data from two waves of the Korean Longitudinal Study of Ageing(KLoSA) in 2012 (before the introduction of the Basic Pension) and 2016 (after the introduction of the Basic Pension), the elderly aged 65 years or older as of 2012 and the recipients of the basic pension in 2016 (N=2,277) were analyzed. Using the statistical package SPSS 25, mean comparison and multiple regression analyses were implemented. The results confirmed that the level of depression in female elderly living alone and married couples significantly decreased after the introduction of the Basic Pension, while there was no significant change in the level of depression in male elderly living alone. As results of regression analysis in the whole sample, the increased Basic Pension amount had an effect on the depression level of recipients in 2016, the higher the Basic Pension increase, the lower the depression level. Also, the regression analyses among the three groups by household type found that the significant effect of raising the basic pension on depression was reported only in elderly women living alone. Based on the main results of this study, implications were presented.

A Study on the Conflict of Family Support in the Novels of Park, Wan - Se (박완서 소설에 나타난 노인에 대한 가족부양 갈등 연구)

  • Oh, Joon Shim;Kim, Seong Yong
    • 한국노년학
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    • v.29 no.4
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    • pp.1341-1359
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    • 2009
  • In the wake of the radical structural change of the society, problems in family support for the old aged have arisen. Against this backdrop, the aim of this study was to examine aspects of the conflicts in family support focusing on novels by Park Wan-seo, and to analyze the expression of the family support awareness within the social consciousness. It selected the works that contain the contents of the elderly's support among 92 short stories, which were published from 1970s and 2006. The short novels that are contained the elderly's support are 9; , , , , ,