• 가정과삶의질연구
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• 제26권1호
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• pp.31-49
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• 2008

This study has been performed to explore verbal and behavioral expression of sexual desires among male elderly residents who have been living in long tenn care facilities. There are three topics covered in this study; first, in what situations and how seriously do care workers encounter expression of sexual desires of the elderly residents? Second, what kind of negative consequences do they believe those sexual behaviors will lead to? Third, how can we implement defensive measures against the sexual behaviors? In this study, twenty three care workers working full time in five retirement and care facilities were asked about their experience and perception of the above study agendas, and answers of the qualitative interview were drawn as follow; first, the elderly residents apparently show a variety of sexual harassment and provoking behaviors such as sticking to specific women, physically touching and attacking, and induce obscenely activities against female residents, care workers, and volunteer visitors. Second, their sexual behaviors are often influenced by their isolated and abandoned emotionality as well as living situation in rural areas. Third, their sexual behaviors often critically affect care work plan and facility managements by severely discouraging female care givers and community supporters. Therefore in this study, suggestions and defensive measures were made as follows: first, education and counselling programs toward female workers and volunteers need to be developed, and the programs should cover psychological and behavioral mechanism of sexuality in later life. Second, self control plans need to be empowered toward the elderly residents; in the plans, the elderly residents shall be encouraged to evaluate primary cause and proper solutions of sexual behaviors of their peering residents. Third, combination of healthy housing and care facilities for frail elderly need to be integrated in a neighboring location, so that when residents and workers encounter extreme episodes of sexuality of healthy residents in a housing facility, the problematic sexual residents are partially transferred into a neighboring care facility and thereafter other residents and cafe givers are relieved from stressful contacts with the extremely sexual residents.

• Nutritional Sciences
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• 제5권1호
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• pp.26-33
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• 2002

This study was conducted to provide insight into the management and care of the elderly in nursing homes. Eighty-six elderly subjects over 65 years old (38 male, 48 female) in 3 non-fee-paying nursing homes, located in Daejeon and Chungchong areas, were studied. Subjects'dietary intakes by estimated food intake records, and self-perceived health conditions, were studied using questionnaires from July 21 to August 1, 1997. Twenty-one % of the male subjects and 42% of the female subjects were over 80 years. Their predominant past occupation was farming. While 8.3% of the female and no male residents showed a BMI (Body Mass Index) of 27 and above, about 30% of the subjects were underweight and in poor health status in seeing, joint pains, lumbago and shoulder pains. Regarding overall health status, 72.1% of the subjects considered them to be in poor health, and female and male subjects suffered more difficulties from cloudy eyes, joint pains and lumbago and shoulder pains than any other. Neuralgia was the predominant chronic complaint and followed by hypertension in both sexes. Overall, female subjects felt worse off than the male subjects in terms of their health status, that can be attributed to higher average age of the female subjects compared to the male subjects. The elderly were eating a very low fat (about 15 g : 6% of total calorie) diet with low vitamin A and E. Intakes of calories, protein and iron slightly exceeded RDA. The phosphorus intake was more than double the RDA although calcium intake was close to the RDA. From these results, it seems important to doubling the fat intake of the elderly residents in the form of vegetable fat with the object of raising of vitamin E, antioxidant vitamin, and essential fatty acids for the elderly. It is also recommended that the elderly residents should be given adequate calcium and exercise for bone health.

• 가정과삶의질연구
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• 제25권1호
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• pp.127-144
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• 2007

This study was conducted for the purpose of analyzing volunteer workers' perceptions of and attitudes toward the behavior problems of the elderly residents after caring for the residents voluntarily at low-income nursing homes. Eleven male and female volunteers ranging from age 19 to 52 were asked how they felt about the elderly residents' behavior problems and what kind of behavioral problems they had experienced after doing volunteer works in the three chosen facilities. In particular, they were expected to explain what emotional changes they experienced during their volunteer service. In this study, it was observed that most of the elderly subjects experienced three categories of behavior problems: habitual, repetitious and unreasonable activities caused by the elderly residents' life span backgrounds, unexpected and/or abrupt behaviors resulting from gradual cognitive impairments, and physiological, awkward activities caused from gradual senility. The volunteers tend to believe that the elderly residents are naturally expected to act positively, since they have been provided with well- planned, regular care services such as bathing, counseling, activity programs, and religious guidances. On the other hand, some respondents stated that their experiences at the nursing homes caused them to form negative images of the elderly; they feel that the elderly are not helpful for giving advices on critical decisions, guiding and encouraging their daily lives, and offering any positive influences toward their own lives. Rather, they find themselves getting too much stressed as a result of their intimate contacts with demented or senile residents. Overall, in this study, it is proposed that education for confronting sudden abrupt behavior problems should be intensified more for female volunteers, since they tend to be more susceptible to emotional harassment resulting from the problem behaviors. It is also proposed that young volunteers who have not been systematically trained for confronting aggressive behaviors need to be separately assigned their roles in order to minimize the potential of confronting unseemly situations resulting from male residents whose mental health has deteriorated. Furthermore, it is also suggested that the combination of leisure-related activities for healthy residents and stressful intimate services for the frail residents be systematically planned and implanted for the volunteer program so that the volunteers can lessen the chances of suddenly finding themselves confronted with extremely abrupt agitations.

• 한국주거학회논문집
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• 제20권5호
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• pp.123-132
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• 2009

As society increasingly ages, maintaining an independent lifestyle at home becomes an important issue for older people. This study aims to determine old people's housing needs for maintaining an independent lifestyle despite their health status and living arrangements. A total of 438 residents voluntarily took part in a research questionnaire survey through the quota sampling method. The participants were grouped according to age (60-64, 65-69, 70-74, and over 75), gender (male and female), and house type (apartment houses and others). The results are as follows. (1) The senior residents are mostly within a non occupational, low income, and low subjective living status. (2) They are satisfied with their current residence and hope to manage the rest of their life in the same place. (3) Three out of five residents prefer the apartment housing type to other types of housing. The preferred dwelling size, number of rooms, and preference for use of an extra room all varied depending on gender and housing type as well as whether they were a couple or living alone. (4) The older residents have a higher need for a safety system than do the younger residents. Female residents pay more attention to convenience while male residents pay more attention to safety. The non-apartment residents require more modification to fundamental facilities such as a heating and ventilation system, wind protection, and additional storage than do the apartment residents. This study has thoroughly analyzed request characteristics according to basic qualities of the elderly households.

• Journal of Nutrition and Health
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• 제11권3호
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• pp.1-7
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• 1978

At present, interest in the welfare of the elderly (persons over sixty-five years of age), including their dietary status, is high. Nutrition and dietary status have been investigated for both the institutionalized and non-institutionalized (independent-living) elderly in foreign country. But the dietary status of institutionalized elderly has not been investigated. Therefore, the dietary status of institutionalized elderly has been studied and compared with that of non-institutionalized elderly in the same geographic area. Three-day dietary records were obtained from fourty-five institutionalized elderly residents (twenty-five men and twenty women) and thirty two elderly living at home (sixteen men and sixteen women) in Taegu area. All nutrient intakes of the elderly women living at home and all nutrient intakes except energy intakes of the elderly men living at home were significantly higher than those of the residents of the institutionalized facilities. (p<0.005) The values of height, weight, chest circumference, and sitting height except head circumference of female elderly living in institutionalized facilities is significantly lower than those of elderly living at home. (p<0.005) In the case of men, the values of height and chest circumference of elderly living in institutionalized facilities is significantly lower than those of elderly living at home. (p<0.05)

• 한국주거학회:학술대회논문집
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• 한국주거학회 2009년 춘계학술발표대회 논문집
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• pp.278-283
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• 2009

This study aims to figure out the old people's needs for modification of their housing to maintain an independent lifestyle despite their health status and living arrangements. The total of 438 residents take part in the questionnaire survey research through the quota sampling method grouped by age (60-64 group, 65-69 group, 70-74 group, and over 75 group), sex (male and female), and house type (apartment houses and others). The results are as follows. (1) The old people's most inspired modification needs in interior spaces are remodeling the heating controls in the living room and the bedroom, ventilation facilities and storage spaces in the kitchen, non-slip tile flooring and ventilation facilities in bathroom, an easy door-lock, non-slip tile flooring, a draft cut-off, and storage spaces in the entrance. Besides they require emergency alarm, easy door and window locks, fire and gas alarm, and furniture with easy handling. It is necessary to supply the aged with the appropriate heating controls for their sensitivity to heat, with enough storage spaces for the increased possessions, and with diverse safety systems reflected blunting of mobility and sensibility. (2) As they grow older, the aged require more remote controls and safety facilities such as emergency alarm, easy locks and furniture with distinguishable colors. Male elderly is more concerned with safety, while female elderly do with convenience due to their different time spending in the house. The elderly residents in the apartment houses require the heating controls, a draft cut-off, and storage space less than other types of houses. Thus modification of the heating controls, a draft cut-off, and storage space are regards as basic needs for the elderly residents in non-apartment houses.

• Journal of Nutrition and Health
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• 제31권9호
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• pp.1468-1480
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• 1998

This study was conducted to investigate the nutritional intake of people in rural areas using 24-hour recall method. Kyungki Yeoju, Kangwon Whengsung, Chungbuk Chungju, Kyungnam Ulju, and Junbuk Jungup were selected for this study. The results were as follows 1) The mean daily energy intake was 2055.7kcal for male, 1703.2kcal for female. Fat intake were 43.0g for male, 32.7g for (female and protein intake was 74.5g for male 61.5g for female. Nutrient intake of Ulju residents were the highest and that of Whengsung and Yeoju residents were the lowest. Nutrient intake decreased significantly in elderly over 70 years. 2) Nutrients consumed below 80% of Korean RDA were Ca, Vit A, riboflavin and Vit E. Ulju residents consumed significantly higher protein, Ca, P compared to other area residents. P, Fe, Vit C intake of adults male were significantly higher than those of elderly over 80 years. Vit A, thiamin and riboflavin consumption of adults female were also significantly higher than those of elderly over 80 years. Ca, Vit A, riboflavin and Vit I were consumed below the Korean RDA in both male and female. 3) Average CPF ratio of energy intake was 69.2 : 14 : 16.8. Energy intake ratio from carbohydrate was significantly lower in Ulju residents compared to Yeoju and Jungup residents. Energy intake ratio from protein was significantly higher in Ulju area than the other areas. Carbohydrate dependency was increased with age, meanwhile fat dependency was decreased with age. 4) The mean adequacy ratio(MAR), an index of overall dietary quality, were significantly different among areas : the highest was 0.81 in Ulju, the lowest was 0.65 in Whengsung. Adults of 20-49 years showed the highest MAR of 0.76 and the lowest MAR was 0.52 in over 80 years group. The indexes of nutritional quality(INQ) was higher in 01;u area than the other areas, and INQ showed the tendency to decrease with increasing age. Especially, there were significant decrease in INQ of all nutrients except Vit A with age. Based on these results, it is evident that people in rural area did not consume enough nutrients. Specially, dietary intake of Vit A, Vit B$_2$, Vit E and Ca were not adequate. (Korean J Nutrition 31(9) : 1468-1480, 1998)

• 한국주거학회:학술대회논문집
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• 한국주거학회 2002년도 추계학술발표대회
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• pp.89-95
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• 2002

The purpose of this study is to assess the residential satisfaction of no-charge welfare facility for the elderly, and to examine the effect of the integration with pay-training institute on residential satisfaction. The data were collected from staffs and fifty one residents of welfare facility by interview and questionnaire. The statistical analysis was conducted to identify the residential satisfaction. A half of the elderly were aged over seventy five years old, eighty four percents of them were female, and seventy seven percents of them were non-educated. Forty two percents of the elderly considered themselves to be unhealthy, but the ADL data reveals that they are relatively healthy. The most of residents are highly satisfied with whole welfare facility. But, the level of satisfaction on the bathroom, the storing space, the cooking table and the benches were relatively low. These dissatisfactions can be solved by the expanding of the storing space, setting up of a common washing room and electric cooking stove, and the increasing of the number of benches. Also, it was recommended for the elderly to set up the Ondol-style rest room with the western style rest room. The level of satisfaction on the attached training institute with no-charge welfare facility for the elderly were high. This has positive effect on residential satisfaction of the elderly. Therefore, the community integrated welfare facility can be the alternative plan for the enhancement of residential satisfaction and quality of elderly life.

• 한국노년학
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• 제31권2호
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• pp.243-258
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• 2011

본 연구의 목적은 요양원 거주 노인들의 심리사회적 욕구를 탐색하고 이들을 돌보는 일에 효과적으로 개입하기 위한 것이다. 본 연구의 참여자는 지방 소도시의 한 요양원에 거주하는 노인들 중, 인지적으로 건강하고, 의사소통이 가능하며, 거주한지 1년이 넘는 65세 이상의 여성노인 8명으로 의도적 표집방법을 통해서 선정되었다. 본 연구는 구성주의 접근(constructivist inquiry)을 바탕으로 한 사례연구로서 자료 수집은 심층면접을 통하여 이루어졌으며, 자료 분석은 지속적인 비교방법(constant comparison method)이 이용되었다. 참여자들의 심리사회적 욕구는 충족된 욕구와 충족되지 못한 욕구, 숨겨진 욕구로 분류되었으며, 욕구 표현의 소극성이 또 다른 범주로 드러나, 연구결과는 총 4개 영역으로 범주화되어졌다. 먼저, 충족된 욕구는 편안함과 종교생활과 관계된 욕구였으며, 충족되지 못한 욕구는 음식 문제와 의미 있는 활동에 대한 결핍으로 나타났다. 참여자들이 구체적으로 인식하지 못하지만, 충족될 수 없는 숨겨진 욕구로는 정서적인 관계 욕구였다. 마지막으로, 욕구 표현의 소극성은 참여자들 대부분이 요양원내에서 그들의 욕구를 표현하는데 소극적이어서 분류된 것인데, 이는 스스로를 불쌍하게 여기는 부정적인 자기인식과 적극적인 욕구표현은 비난을 받을 수 있다는 암묵적 동의, 참여자의 독립과 의존사이의 갈등이 그 원인으로 분석되었다. 본 연구의 결과는, 요양원내 노인거주자들의 심리사회적 복지를 향상시키기 위한 사회 복지적 개입을 실천하는데 중요한 토대가 된다. 또한, 시설 생활에 대한 부정적인 인식이 현존하는 가운데, 자칫 감춰질 수 있는 시설노인들의 목소리에 귀 기울이고 이들의 경험을 드러냄으로써, 요양원이 노인들의 대안적인 삶의 공간으로서 사회 속에 자리매김하는 것을 돕는다.

• 가정과삶의질연구
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• 제21권2호
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• pp.117-130
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• 2003

This study was conducted to examine elderly users' satisfaction with welfare services and the environments of the senior citizen centers in mid-sized and small cities in Korea. Three hundred and two elderly users were surveyed for this study. Age and gender differences in the level of satisfaction were found. The male elderly users and older users were more satisfied with the education programs than the female and younger users. The elderly people who reside in single-family residences were more satisfied with the educational programs and part-time job opportunities offered at the center than the elderly users who were living in apartment buildings. This could be explained by the fact that dwellers of single housing had more freedom and more room for self-regulation in scheduling their program participation, whereas the apartment building residents had rarely experienced social exchanges with their neighbors. There were significant differences in satisfaction with the environments of the centers by gender, marital status, age, level of education, religion, and housing type. The group differences were explained by the abundance of community activities that are centered around younger and female participants. Based on these findings, it is suggested that more specialized educational and social programs should be developed for the younger users in their early 60s, that co-ed religious activities and hobby programs should be expanded, and that the home-visiting welfare staff should regularly provide the elderly users the information on programs and activities.