• Korean Journal of Health Education and Promotion
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• v.7 no.2
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• pp.78-88
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• 1990

The subject of this study is to review the practical approaches of Home Care Services. Included is a brief overview of its nature, providers of Home Care Services, recent history of Home Care Services, and the impact of the national movement toward cost containment in health care. The data used in this study are obtained from the Elderly Program of the Medical Services and other data on the Home Care Services in Japan. With the growing elderly population in Japan, it is to be expected that the medical care expenditure for this sector will continue to increase. With the aim of keeping expenditure for medical care within reasonable bounds, it is essential that this increasing expenditure on the elderly be used effectively. With the Health and Medical Services Law for the Aged was enforced, therefore, remuneration for medical treatment of the elderly and what is known as the staff placement standard at hospital for the elderly were rationalized. In addition to rationalization from the point of view of medical care supply, it is necessary to guarantee the appropriate treatment within the community and at home for those elderly who are bedridden but not in need of hospital care. For this it is required that Home Care Services, such as health services like visiting guidance by public health nurse in hospital of Health Center. So that the elderly can feel secure in receiving treatment within the community and at home, allowances for guidance on leaving hospital and for intermittent nursing and guidance thereafter are to be newly introduced. Home care Services in one aspect of comprehensive health care, it is comprised of health services provided to individuals and families in their homes. Its purposes include promoting, maintaining and restoring health, specifically maximazing independent functioning and minimizing the disabling effects of illness, including terminal illness. Services appropriate to the needs of clients and their families are planned, coordinated, and delivered by providers organized for the delivery of home health care through the use of contractual arrangement, employed staff, or a combination of the two.

• Research in Community and Public Health Nursing
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• v.12 no.1
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• pp.214-225
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• 2001

The purpose of this study is to compare the characteristics of the demented elderly and normal elderly over 65 staying at home in Seoul. Here, the demented elderly are defined as the aged who score under 20 on the MMSE-K testing. The subjects were 15.104 elders in home. The method is a cross-sectional study home visiting survey with questionnaires. Data analyses were conducted by using frequency, percentage, t-test and ANOVA procedures. Results are as follows: First, general characteristics such as sex, age, marriage, education, physical health, and family characteristics such as economic level and single living showed a significant variance between demented elderly and normal elderly. Second, the demented elderly showed a significantly high point of AD and IADL. Third, in contrast with normal agents, the dementia showed a high need for assistance from the care giver but followed the same pattern. In conclusion, the above findings suggested that a social support system should be developed for the demented elderly and care givers in the home.

• Journal of The Korea Institute of Healthcare Architecture
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• v.16 no.3
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• pp.49-56
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• 2010

In Japan, a lot of elderly housing types have been developed in order to meet various needs of the older person and the change of social situations. Elderly housings can be divided into three categories elderly housings for healthy older persons, elderly care homes for the healthy and elderly care facilities for the unhealthy. Elderly housings include public and private rental housings. Sometimes they can be designated only for the elderly. Elderly care homes for the healthy elderly include full fee charging elderly housing, elderly homes, low fee charging elderly homes and care houses. Elderly care facilities for the unhealthy elderly consist of full fee charging elderly care homes, group homes for the dementia, elderly health facilities, nursing homes, elderly hospitals, and so on. However "elderly care facilities" have been proved not to be efficient for the delivery of elderly welfare services nor satisfactory to the frail older person. Therefore, based on the concept of the "Normalization", daily services have been provided for the elderly in order that they can live at their own home in the community for themselves. As a result, Japan aims not only to reduce elderly welfare expenses but also to increase elderly users' satisfaction. Emphasis on non-institutionalization and in-home services, regional characterization, harmony between Hard and Soft, user oriented services, substantiality, universal design and so on are sought for the sake of those goals.

• Journal of the Korean housing association
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• v.28 no.3
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• pp.65-74
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• 2017

An analysis of elderly behavior at home needs to be meticulously understood in order to build a spatial environment where the elderly can live safe and independent lives. To this end, the following study analyzed elderly behavior that occurs in the home, constructed personas, and developed persona-based scenarios of elderly behavior at home. Persona was composed of behavioral characteristics, spatial characteristics, and personal characteristics (gender, age, disease etc) that have a direct effect on living activities in the home, so it was intended to express a more real persona. The study developed six personas based on the behavioral and mobility characteristics of the elderly, and scenarios for each persona developed bsed on the following eight behaviors: toilet use, bating/Shower, washing and grooming, having meal, sleeping, dressing/undressing, laundering clothes, and getting out of home). Through this, the study determined the characteristics and difficulty level of various sub-behaviors and actions that occur in elderly behaviors at home. It also determined characteristics related to the use of physical elements such as equipment and furniture that are a part of those sub-behaviors. The behavior scenarios developed in this study can be utilized to understand the difficulties involved in elderly behavior, and to present a spatial plan and remodeling direction that alleviates such difficulties. This study is also significant that it investigates the applicability of persona-based scenario method on residential architecture.

• Journal of Korean Academic Society of Home Health Care Nursing
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• v.18 no.1
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• pp.20-31
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• 2011

Purpose: The purpose of this study is to document the experiences of elderly persons with chronic diseases who are under hospital-based home care services and to find out how they describe the experiences using a narrative inquiry method. Methods: The participants are 7 elderly patients over the age of 70. Data collection and analysis were conducted through Jeong Gwang Soon's six-stages: observing phenomena, selecting participants, talking, talking again, writing, and confirming. Results: The results of data analysis were classified into 4 themes of overall experience related to chronic diseases: response to home health care, overcoming chronic disease, life reconstruction, and 22 categories as common denominators extracted from the elderly persons' lives. Conclusion: This research makes the experiences of the elderly living with chronic diseases more understandable, and it can be utilized as a effective nursing praxis to improve the quality of elderly persons with chronic diseases in hospital-based home care services.

• Korean Journal of Community Nutrition
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• v.7 no.5
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• pp.603-614
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• 2002

In this study, the nutrient intakes, dietary quality, and muscle strength of elderly women in a social-welfare center of a large city were compared with those of elderly women at home in a large city. Also, the relationships between muscle strength and nutrient intake status were investigated in both elderly group. The results of this study were as follows: The ages of elderly in the social welfare center and of elderly in general home residing elderly were 68.2 and 70.3 years, respectively. The average energy and nutrient intakes of both groups were lower than the Korean RDA. There were no differences between the groups in terms of macro-nutrient composition and quantity. The elderly in center showed significantly lower intakes of vitamin $B_2$, niacin and calcium than the home-residing elderly. The hand grip strength and back muscle strength were lower in the elderly of social welfare center, but a significant difference was found only in the left hand grip strength. The muscle strength, especially the left hand grip strength of those in social welfare center, showed significant correlations with various nutrient intakes. In contrast, generally no relationship between muscle strength and nutrients intakes status could be found in the home residing elderly. The variances in the mean hand grip strength and the left hand grip strength 19.0% and 18.6% respectively, were explained by their ages. This is in contrast to 22.3% and 32.4% of calorie intake and vegetable protein intake in the elderly of the social welfare center. In conclusion, the status of nutrient intake in those in the social welfare center seems to be low, and it is assumed that the low calorie and vegetable protein intake may contribute to the muscle strength decline in the socioeconomically high risk elderly.

• Journal of Families and Better Life
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• v.17 no.4
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• pp.73-86
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• 1999

Using the 1996 National Survey of Family Income and Expenditure Survey this study investigated the effect of employment status on food expenditure patterns of elderly households. The effect of employment status of elderly households was not significant in food-at-home expenditures while it was significant in food-away-from-home expenditures. As the results of this study income age family size education number of earners home ownership and region were found to influence the food-at-home expenditures of elderly households whereas income family size number of earners and education were significantly associated with the food-away-from-home expenditures of elderly households.

• Human Ecology Research
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• v.51 no.6
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• pp.591-602
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• 2013

This paper aims to explore the role of the home economics subject in helping high school students preparing for an independent aged life and to develop problem based teaching plans toward this goal. Contents related to the elderly in the high school home economics and technology 2007 and 2009 revised curricula were analyzed, and elderly-related contents in other subject areas (the 2009 revised curricula of ethics, public health, and social studies) were also comparatively analyzed to determine the identity of the home economics subject in relation to preparation for independent aging. Based on these analysis, five subjects and teaching plans were presented: the aging society and population changes, the characteristics of the elderly, individual preparation for aging, care of the elderly, and welfare services for the elderly. The ultimate objectives of the lessons were, through critical reasoning, to inquire into the causes of current problems the elderly face so that teenagers can understand aging societies and the elderly and to seek reasonable alternatives for teenagers as they prepare for successful and independent aging, increasing their problem-solving abilities in choosing the best course of action by considering the ripple effect of consequences of each of those alternatives. Suggestions on what direction elderly-related education should take in the future, and what roles teachers should take are also provided.

• Journal of Korean Academy of Nursing
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• v.22 no.4
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• pp.552-568
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• 1992

Recent improvements in the standard of living, national income and medical care, and a decline in the infant death rate which have occurred related to economic growth and modernization, have led to a longer average life-span and a higher ratio of elderly people in the total population, Therefore, not only in the field of nursing science, but also in the field of many other discipline, issues concerning the elderly have been given increasing interest. A great deal of effort has been spent on increasing the quality of life for elderly people. This study was conducted to analyze the correlation between social support and quality of life. The sample consisted of III subjects residing at home and 107 subjects residing in institutions all of whom were over 65 years of age. The data collection period was from October 23, 1990 to January 26, 1991. Social support was measured using the Norbeck social Support Questionnaire developed by Norbeck, translated by Oh, Ka Sil and quality of life was measured using the QOL scale developed by No, You Ja. Data were analyzed using pereentages, t-test, Pearson Correlation Coefficient and ANOVA. The results of this study are as follows : 1. There was a statistically signifivant difference in the level of social support between the two groups (t＝-8.83, p＜.001), The elderly at home reported a much higher level of social support. 2. There was a statistically significant difference in the level of QOL between the two groups (t＝-5.77, p＜.001) . The elderly at home reported a much more positive quality of life. 3. There was a positive correlation between social support and QOL for the elderly at home ard it was statistically significant (r＝.32, p＜.001). 4. There was a postitive collealtion between social support and QOL for the elderly in institutions and it was also statistically significant (r＝.19, p＜.05). 5. The relationship between the general characteristics of the elderly at home and the variables of social support and of QOL were as follows ; 1) according to sex(t＝10.57, p＜.01) and the number of offspring(F＝6.19, p＜.01), there was a statistically significant difference in social support. 2) according to amount of Pocket money, there was a statistically significant difference in QOL(F＝2.98, p＜.05). 6. The relationship between the general characteristics of the elderly in institutions and the two variables were as follows ; 1) according to sex(t＝6.24, p＜.05), the number of offspring(F＝6.16, p＜.001) and religion (F＝2.58, p＜.05), there was a statistically significant difference in social support. 2) according to religion, there was a statistically significant difference in QOL(F＝2.90, p＜.05). In conclusion, it can be said that social support is an important variable related to QOL in the elderly and that social support levels are higher for the elderly residing at home. Therefore, more specific and objective approaches and efforts are needed to effectively use resources to maintain the elderly at home and to enhance social support available to the elderly in institutions and thereby increase QOL regardless of residence.

• The Journal of the Institute of Internet, Broadcasting and Communication
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• v.15 no.3
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• pp.85-90
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• 2015

As the population in Korea is feastly aging, various issues for living environment for elderly people are reported. Context-aware-based smart home system is also considered as one of the issues and the needs of it increases. Even though many researches are recently reported about context-aware-based smart home system, it is hardly found for elderly-people-optimized system. Therefore, in this paper, we surveys in three categories: general context-aware system, system for smart home, and context-aware home system for elderly people. After analyzing the surveys, we address issues to be solved for elderly-people-optimized context-aware-based smart home system and proposed appropriate research directions for the system.