• Title/Summary/Keyword: elderly in home

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The Comparison of Health Status, Functional Status, and Home Environment Hazards in Terms of the Fear of Falling in Community-dwelling Older Adult (재가 노인의 낙상공포 여부에 따른 건강상태, 신체기능상태 및 가정환경 위험 비교)

  • Lim, Kyung-Choon;June, Kyung Ja;Yoon, Jong-Lull
    • 한국노년학
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    • v.29 no.4
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    • pp.1577-1589
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    • 2009
  • The purpose of this study was to compare the health status, functional status, and home environment hazards by the fear of falling and explore the factors that contribute to the fear of falling. This was a descriptive study. Data were collected for two years with 973 older adults who enrolled in a health center at A city. Trained nurses visited subjects' home and collected data using Resident Assessment Instrument MDS-HC. The average age of the subjects was 76.8 (±7.6) and female was 74.8%. 20.7% of subjects reported fear of falling. In terms of the fear of falling, two groups were compared. There were significant differences in vision, urinary incontinence, pain that interrupts daily activity, unstable gait, comorbidities, frequency of depressive or anxious sign. The greater the age, IADL and ADL dependency, comorbidities, unstabled gait, the more fear of falling. In conclusion, this study reassured the importance of assessing the major factors related to fear of falling such as age, IADL and ADL, comorbities, gait among older adults. This study will contribute to establish strategies for preventing fall. Reducing the fear of falling through the comprehensive nursing intervention will ultimately improve the quality of life in the elderly.

Sleep Habits and Sleep Disorders among the Elderly Between 65-84 years Who are Living in a Part of Pusan (부산광역시 일지역 65-84세 노인 인구에서의 수면습관 및 수면장애에 대한 조사)

  • Yang, Chang-Kook;Yoo, Seung-Yoon;Joo, Young-Hee;Hahn, Hong-Moo
    • Sleep Medicine and Psychophysiology
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    • v.4 no.1
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    • pp.66-76
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    • 1997
  • Objectives : The purpose of this study is to analyse sleep habits and sleep disorders in the elderly population ased 65-84 years. Methods : Epidemiological survey was performed at home by means of semi structured interviews in the city of Pusan, Korea. Subjects were randomly selected. The questionnaire consisted of 128 items including demographic findings, sleep habits, sleep disorders, somatic illnesses, and psychological distresses. Results : (1) The mean retiring time was 10.28 h (SD 1.30 h) and the mean wake-up time was 5.24 h (SD 1.33 h). The mean duration of sleep was 5.63 h (SD 1.80 h). The mean sleep onset time was 44.51 min. The mean frequency of daytime napping was 2.49 (SD 3.23). The subjects reported they woke up an average of 2.05 (SD 1.59) times per night. All of the above results were not related to age or gender. However, the mean frequency of difficulty in initiating/maintaining sleep was 2.2 times for men and 3.2 times for women (p<0.05). (2) The prevalence of insomnia was 57.7% and was not related to age or gender. Difficulty in initiating sleep was the most commonly reported insomnia complaint(52.4%). Early morning awakening was reported by 50.0% of patients and difficulty in maintaining sleep was reported by 45.1% of them. Worrying in bed and physical pain were strong contributing factor to insomnia. Conclusions : The results of our study showed several characteristics of sleep habits in the elderly. Sleep disorder in old age is not inevitable or trivial. Since sleep disturbance in older adults is common and distressing, it has implications for general health and well-being. Active concern and therapeutic intervention for the sleep habits and sleep disorders in the elderly are needed.

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Causal Effects on Attitude toward Retirement and the Level of Retirement Planning (은퇴태도와 은퇴계획수준의 인과관계에 관한 연구)

  • Hong, Sung-Hee;Kwak, In-Sook
    • Journal of Families and Better Life
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    • v.25 no.2 s.86
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    • pp.89-104
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    • 2007
  • The purpose of this study was to analyze the affecting factors on male salary workers' level of retirement planning. The focus was on the causal effects on salary workers' attitude toward retirement and their level of retirement planning. The major findings were as follows.: First, the salary worker's attitude toward retirement was neutral, neither positive nor negative, and they estimated their level of retirement planning relatively high. Second, the major factors affecting on attitude toward retirement were salary workers' age, their current economic status, and future perspectives for the post-retirement life. Third, the major affecting factors on level of retirement planning were salary workers' age, health status, and level of self-esteem, household net asset, savings and investment for elderly life, and attitude toward retirement. forth, the causal effects on the level of retirement planning was verified, and attitude toward retirement had direct effect as well as indirect effect on the level of retirement planning. From the findings, it can be concluded that the salary workers' attitude toward retirement played a important role in the process of retirement planning.

Evaluation of Visiting Nursing Care Using Geographical Information System(GIS) Technology (Geographical Information System 기법을 이용한 방문간호 중재 평가)

  • Lee, Suk-Jeong;Park, Jeong-Mo
    • Journal of Korean Academy of Nursing
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    • v.36 no.6
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    • pp.1042-1054
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    • 2006
  • Purpose: Previous evaluation studies of the visiting nursing program explained an average change of the participants' health status, without considering socio-ecological characteristics and their impacts. However, these factors must affect individual health problems and lifestyles. For effective and appropriate community based programs, the Geographical Information System(GIS) can be utilized. GIS is a computer-based tool for mapping and analyzing things that happen on earth, and integrates statistical analysis with unique visualization. The purpose of this study was to evaluate visiting nursing care and to advocate the usefulness of planning and evaluating visiting nursing programs using Exploratory Spatial Data Analysis(ESDA) with GIS technology. Methods: One hundred eighty-four elderly participants with cerebrovascular risk factors who lived in 13 areas of one community received visiting nursing care. The data analyzed characteristics of pre-post change and autocorrelation by ESDA using GIS technology. Results: Visiting nursing care showed an improvement in the participants' lifestyle habits, and family management ability and stress level, while the improvements were different depending on the regions. The change of family management ability and stress level correlated with neighborhoods (Morgan's I=0.1841, 0.1675). Conclusions: Community health providers need to consider the individual participant's health status as well as socio-ecological factors. Analysis using GIS technology will contribute to the effective monitoring, evaluation and design of a visiting nursing program.

A Qualitative Study on the Experiences of Losing a Hometown among Korea's Divided Families (남북이산가족의 실향 경험에 관한 질적연구)

  • Yang, Sung-Eun
    • Journal of Families and Better Life
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    • v.29 no.2
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    • pp.143-152
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    • 2011
  • The aim of this study was to achieve an understanding of the experiences of divided families in South Korea. The study adopted a qualitative method based on the interpretive science paradigm The participants were 14 elderly people who came from North Korea around 1950 and identified as belonging to the first generation of divided families. In-depth individual interviews were carried out, focusing on what divided families experienced after leaving their hometown, how these experiences affected their meaning-making about their homecoming, and how the divided community has changed. The result of theme analysis indicated that the first generation of divided families identified themselves as "people who lost their hometown." their hometown implied multiple losses, including their family members, socioeconomic status, and psychological support systems. The participants explained the process of their settlement and adaptation to South Korea based on the cohesion of the divided family community. However, they anticipated that the divided family community would fade away because of the aging of the first generation, the indifference of the second generation, and the frustration that existed about the reunion of the divided family members. The participants showed a realistic view on returning to their hometown after the reunification of North Korea and South Korea.

The Want, its Determinants and the Willingness to Pay of the Long Term Care Service (장기요양 서비스를 누가, 얼마나, 얼마에 원하고 있는가? - 장기요양 서비스의 욕구와 결정요인 및 지불의사금액 -)

  • Kim Hyun Cheol;Hong Narei;Yeon Byeong Kil;Park Tae-Kyu;Chung Woo Jin;Jeong Jin Ook
    • Health Policy and Management
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    • v.15 no.4
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    • pp.136-160
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    • 2005
  • Before introducing the national long-term care insurance in 2008, the want for long term care service has to be estimated and analysed. This study estimates the demand and analyses what determines the want of long term care service. This study investigated data of 3f6 elderlies, that was collected by age stratified random sampling. The elderies resided in Onyang 4 - dong (urban area) and Dogo-myun (rural area) In the city of Asan. The researchers visited the elderlies and their care giver, and assessed their demand for the long term care service and examined physical, mental, socio-economic status by the assessment tools for Korean Long-Term Care System. $64\%$ of the those who are entitled to be served refuse the long term care service. $26.7\%$ of them wants for home care service and $7.9\%$ want facility care service. It is estimated that the want of home care service are three or four times as much as that of facility care service. The demand for long term care service is 5.155 times higher for those who live in rural area (p=0.000), 3.040 times higher for those who do not have spouse(p=0.057), and 3.356 times higher for the people who is in medicaid than medical insurance(p=0.029). However, income(p=0.782), means(p=0.614), living alone(p=0.223), number of family to live with (p=0.341) and age of the elderly(p=0.420) are not related with the demand of long term care service. The assessment tools for Korean Long-Term Care System for need evaluation of the long term care service can reflect the demand well.(p=0.024) If medical care will cover $80\%$ of total cost, the willingness to pay of the out of pocket money of the people with medical insurance is 67,400 Korean Won(66.77 US$) for the home care service and 182,500 Korean Won(180.78 US$) for the facility care service. There is possibility that long term care demand is still small after Introducing the long term care Insurance due to the care given by family members. When developing service delivery system of long term care insurance, rural area has to be given more consideration than urban area because of the higher demand. The people who do not have spouse or are in medicaid have to be given special consideration as well.

Related Legal System for the Introduction of Healthcare Improvement Focus on the Aged (고령자 중심의 헬스케어 도입을 위한 관련 법제도 개선방안)

  • Choi, Bong-Moon;Cho, Byung-Ho;Park, Hwan-Yong
    • The Journal of the Korea Contents Association
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    • v.13 no.7
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    • pp.203-213
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    • 2013
  • In the current legal system, establishing aging friendly smart home based on healthcare for the senior people over 65 seems hard to be achieved. For these reasons, this study is intended to explore the improvements in the legal system using the comparative analysis in the domestic and foreign legal systems. The related legal system is divided into three sections - 'healthcare,' 'aging friendly,' and 'smart home' - providing that telemedicine would be implemented. According to the analysis of the legal system for healthcare, telemedicine is executed by the medical law. Thus, we need to investigate the concept and all the matters of telemedicine on the basis of foreign cases. As the result of the analysis of the legal system for 'Aging Friendly,' the definition of the elderly is ambiguous and we find the improvement of health and medical system. In addition to these, the definite bounds of the healthcare equipment have to be set. From these results, we are aware of the necessity of the improvements of the legal system, and suggest plans for these problems. That is to organize the legal system and make a new law through revising the current specific identification. This study focuses on suggesting the improvements of the legal system with the comparative analysis of the domestic and foreign legal systems.

A Study on Fire Safety Management of Social Welfare Facilities (사회복지시설의 화재안전관리에 관한 연구)

  • Choi, Kyu-Chool
    • Fire Science and Engineering
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    • v.27 no.1
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    • pp.1-7
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    • 2013
  • The fire safety of social welfare facilities increasing at high speed with coming-up of an aging society have been on the rise as a very important social problems. This research paper has analyzed the fire safety laws and standards about the social welfare facilities as a lesson elderly nursing home's fire that occurred in recent years. This research worker have conducted the questionnaire survey including research of the true actual through the fire protection engineers, the professors, the fire facilities managers and the users. This study has proposed the installing of suitable fire protection systems through the law revision, normal maintenance of the facilities, the safety management plan through evaluation about fire protective management and related facilities by the methods of the fire safety management.

Time Use Analysis of Married Paid Workers by Employment Types

  • Lee, Hyun-Ah;Cho, Hee-Keum;Lee, Seung-Mie;Han, Young-Sun
    • Asian Journal of Business Environment
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    • v.6 no.2
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    • pp.5-13
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    • 2016
  • Purpose - This study aims to analyze time use of employees to see how they make a balance between work and family. We tried to analyze time use and time pressure of married paid workers in order to understand their work and family balance. Methodology - Time use was compared by employment types and time pressure groups. We analyzed the factors influencing time pressure, dividing two employment types. The data were selected from the 2009 Korean Time Use Survey. Results - Those who feel time pressure among full-timers spent more time on work and housework and less time on personal care and leisure than those who do not feel time pressure. Logit analysis on time pressure showed that full-timers feel more time pressure than part-timers do. Gender, age, education, income, day-off type, and the presence of preschool children were significant variables on time pressure. Conclusion - These results imply that time use and time pressure for married paid workers are affected by employment types. Flexibility of labor needs to enhance work and family balance for females who have preschool children.

Mobile Platform to Prevent Depression in the Elderly Using Smart Home Garden (스마트 홈가든을 이용한 노인 우울증 예방 모바일 플랫폼 제안)

  • Lee, Ga Eun;Lee, Ha Gyeong;Cho, Nam hyun;Lee, Jae-Hun
    • Proceedings of the Korea Information Processing Society Conference
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    • 2022.11a
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    • pp.983-985
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    • 2022
  • 2022년 기준, 독거노인 가구 수 176만 가구 시대에 노인을 위한 케어 서비스가 필요하다. 고령화 사회에 맞춰, 노인 케어 서비스가 많이 출시되었으나 비대면 케어 서비스는 부족한 면이 있다. 비대면 케어 서비스의 경우, 특히 비싼 값에 판매된다는 단점과 로봇과 소통해야 한다는 단점이 있다. 이를 보완하여 저렴한 가격에 생명력을 지닌 식물을 이용해 소통을 증진시켜 우울감 해소를 돕는다면, 노인 비대면 케어 체계에 큰 도움을 줄 것이라고 확신한다. 이에 따라, 본 연구에서는 식물와 어플리케이션을 이용하여 저가격 보급화가 가능한 비대면 복지 시스템을 개발하고자 한다. 구체적으로, 화분이라는 대화 매개체를 통해 어르신들의 대화 증진을 유도하여 우울증 완화에 도움을 주고자 한다. 또한, 시스템을 통해 수집되는 일상 데이터를 활용해 이상징후를 파악하여 고독사 예방을 위한 후속 조치를 취할 수 있다. 본 논문에서는 위의 시스템을 통해 복지 사각지대를 해소하며, 어르신들의 정신 건강 증진에 기여할 수 있을거라 기대한다.