• Title/Summary/Keyword: elderly with disability

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Acceptance of Disability and Related Factors of Hemiplegic Elderly and Non-Elderly (편마비 노인과 편마비 청장년의 장애수용과 관련요인)

  • Kim, Mi-Hee
    • Korean Journal of Adult Nursing
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    • v.21 no.5
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    • pp.547-558
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    • 2009
  • Purpose: This study was conducted to study the acceptance of disability and influential factors between hemiplegic elderly and non-elderly after stroke. Methods: Data were collected with questionnaires from 104 elderly and 134 non-elderly with hemiplegia. Data were analyzed by $x^2$-test, t-test, ANOVA, ANCOVA, Pearson correlation coefficient, and multiple regression. Results: Significant predictors of acceptance of disability were family support, activities of daily living, and age, and these factors accounted for 24.2% of variance in acceptance of disability in the hemiplegic elderly. On the other hand, the significant predictors were family support and employment, and these factors accounted for 32.3% of variance in acceptance of disability in the non-elderly. Family support was the most influential variable in both the elderly and the non-elderly. Conclusion: An acceptance of disability program for the hemiplegic elderly should be designed differently from that for the non-elderly.

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Age and Gender Differences in the Relation of Chronic Diseases to Activity of Daily Living (ADL) Disability for Elderly South Koreans: Based on Representative Data

  • Kim, Il-Ho
    • Journal of Preventive Medicine and Public Health
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    • v.44 no.1
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    • pp.32-40
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    • 2011
  • Objectives: This study investigated the gender and age differential effect of major chronic diseases on activity of daily living (ADL) disability. Methods: Surveyfreq and Surveylogistic regression analyses were employed on the 2005 Korean National Health and Nutrition Examination Survey (KNHANES) with a sample of 3,609 persons aged 65 - 89. Results: After adjusting for potential covariates, stroke, among elderly men more so than women, had a 2-3 times greater odds of engendering ADL disability in the 65-69 (p < 0.05) and 70-79 age groups (p < 0.01). In comparison to elderly women, cancer, diabetes, and incontinence in elderly men was associated with a higher risk of ADL disability in the 70 - 79 age group (p < 0.05), and this association was also observed for pulmonary disease in the 80-89 age group. Among elderly women, however, a significant association between incontinence and ADL disability was identified in all three age groups. In addition, this association was found in pulmonary disease and diabetes in elderly women aged 70 - 79 years. Significant gender differences were observed in the association between stroke in the 60 - 79 age group and cancer in the 70 - 79 age group. Conclusions: Age and gender differences were observed in the effect of chronic diseases on ADL disability.

A Study of Functional Disability in a Rural, Community-Dwelling Elderly Population (농촌 지역사회 거주 노인의 기능장애에 관한 연구)

  • Park, Sol-Bi;Park, Kyoung-Young;Kim, Hyeon-June
    • Journal of The Korean Society of Integrative Medicine
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    • v.9 no.4
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    • pp.1-9
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    • 2021
  • Purpose : The purpose of this study was to investigate functional disability for the elderly in rural Korea and to identify influencing factors of functional disability. Methods : The data were collected for 76 community-dwelling elderly in rural area and above 65 years. We assessed cognitive function, functional disability, depression using LACLS, WHODAS 2.0, SGDS-K. Data were analyzed using descriptive statistics for general characteristics of subjects, Spearman's correlation among LACLS, SGDS-K, WHODAS 2.0, age, educational levels. And multiple regression was used to find influencing factors of functional disability. Results : As a result of this study, we identified that WHODAS 2.0 total score was 50.59, summary score was 9.94 and functional disability of the elderly in rural area is in the 70th percentile. The highest level of disability occurred in areas related to 'life activities (household)', 'participation in society' and the lowest level of disability occured in areas of 'self-care', 'getting along with people'. Functional disability was significantly correlated with age (r=.398), cognitive function (r=-.547), depression (r=-.563) but not educational levels (r=-.215). Finally, we confirmed that depression (𝛽=.371), cognitive function (𝛽=-.263), widowed status (𝛽=.303), age (𝛽=.272), non-participation of community program (𝛽=.165) was significantly influencing factors of functional disability and the explanatory power of these factors was 52.80 %. Conclusion : This study revealed important factors of functional disability. Therefore, we need to consider these factors when we developed program related to health for the elderly (aged > 65 years) in rural Korea. Further, we need to standardize WHODAS 2.0 in order to enhance its applicability in clinical practices.

A Study of the Relations between Characteristics of the Elderly with Disabilities and Extra Health Care Costs Caused by Disability (장애노인의 특성과 장애로 인한 추가소요 의료비 지출간의 관련성 연구)

  • Lee, Jong-Hwa;Jung, Hyun-Sik;Hwang, Hong-Gu;Kim, Sung-Woo
    • The Korean Journal of Health Service Management
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    • v.8 no.4
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    • pp.209-220
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    • 2014
  • This study found a relationship between the characteristics of the elderly with disabilities and extra health care monthly costs caused by disability and suggests methods for effectively managing health care spending of the elderly with disabilities. This study used data from the 2011 Survey on the Disabled conducted by the Ministry of Health and Welfare and the Korea Institute for Health and Social Affairs. The results of the analysis indicate that the relations between the socio-demographic characteristics of the elderly with disabilities and extra health care monthly costs caused by disability of the elderly are influenced by factors such as gender, age, members of the household, average monthly income and type of health insurance. Elderly people with disabilities spend too much for their medical care. To solve this problem, the government needs to find a variety of policy approaches to improve administrative procedure, establish a medical delivery system and enhance health care services.

Physical and social Disability among the Aging (노인의 신체적ㆍ사회적 능력장애에 관한 조사연구 -서울시내 거주노인을 대상으로-)

  • 조유향
    • Journal of Korean Academy of Nursing
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    • v.18 no.1
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    • pp.70-79
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    • 1988
  • This study was designed to investigate the nature and magnitude of disability among non-institutionalized elderly in urban area(Seoul city). From November 1987, through December 1987, 1,054 individuals aged over 65 years from the sampled of clustered random sampling method were interviewed in person. The physical disability findings support the well known relationship between physical disability and age. The magnitude of disability, however, is not as great as conventional wisdom might suggest. And this paper reports results on the prevalence of social disability : housekeeping transportation, food prepatation, grocery shopping, social interaction, intellectual activity, and social role. The magnitude of social disability increase with advancing age. Women, in general, report a higher degree of social disability than man. These findings are compared with other investigations of physical and social disability among the elderly.

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A Comparison of the Effects of Barefoot Walking and Sneakers Walking on a Sandy Beach on Pain, Disability, Motor Function, Sleep Satisfaction, and Quality of Life in the Elderly with Low Back Pain (모래사장 위 맨발걷기와 운동화걷기가 허리통증이 있는 노인의 통증, 장애, 운동기능, 수면만족도, 삶의 질에 미치는 효과 비교)

  • Lee, Gain;Jeon, Jaejung;Hahm, Sukchan
    • Journal of The Korean Society of Integrative Medicine
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    • v.8 no.4
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    • pp.29-38
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    • 2020
  • Purpose : The purpose of this research was to investigate the effects of barefoot walking on the sandy beach on pain intensity, disability, motor function, sleep satisfaction, and quality of life in the elderly with low back pain (LBP). Methods : A single-blinded randomized controlled trial was conducted involving 32 elderly with LBP who underwent sand walking barefoot (intervention, n=16) or with sneakers (control, n = 16). Both walking methods were carried out for 30 minutes per day, three times a week for four weeks. Pain intensity and disability were assessed using the visual analog scale and Oswestry disability index, respectively. Balance and gait were evaluated using the Berg balance scale and timed up and go test, respectively. Sleep satisfaction was quantified with the Verran and Snyder-Halpern sleep scale. Finally, quality of life was assessed through the WHO quality of life scale's abbreviated Korean version. Results : Compared with the control group, the intervention group showed significant differences in pain intensity (p=.005), disability due to LBP (p=.002), static balance ability (p=.003), dynamic balance ability (p=.002), and sleep satisfaction (p=.017). There was no significant difference in the quality of life between the two groups. Conclusion : Barefoot walking on a sandy beach is significantly effective in improving pain, disability due to LBP, balance ability, and sleep satisfaction in the elderly with LBP. Further studies with larger sample sizes and longer intervention periods must to be conducted to generalize using barefoot walking in LBP management.

Function Evaulation and Related factors in The Elderly (노인의 기능 평가 및 관련요인)

  • Kang, Jeom-Deok;Kim, Jong-Bong
    • Journal of Korean Physical Therapy Science
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    • v.8 no.1
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    • pp.813-820
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    • 2001
  • Objectives: The objective of this study was to investigate function evaulation and related factors in the elderly. Methods: Korean version of ADL and IADL were measured for 40 normal in the Elderly in July 15-20. 2000. Their ages were 65 or more in years. 14 items from Modified Barthel Index and 14 items from Modified Lambeth Disability Screening Questionnaire were used. Results: The frequency of disability was the highest in Heavy homework(85.0%) folliwed by Walking on level 50 yards or moer(5.0%), Up&down stairs for 1 flight(5.0%) in 28 items from Modified Barthel Index and Modified Lambeth Disability Screening Questionnaire. Conclusions: Results indicated that no smoking and drinking at onset had high Modified Barthel Index. Modified Lambeth Disability Screening Questionnaire was associated with age.

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Examining the Relationship between Depression, Daily Hassles, and Family Support among Elderly Cerebral Vascular Accident Outpatients (통원치료 중인 뇌병변 장애노인의 생활스트레스, 가족지원, 우울간의 관계성 검증)

  • Moon, Soo-Kyung
    • Journal of the Korean Home Economics Association
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    • v.47 no.7
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    • pp.33-43
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    • 2009
  • Depression has a direct relationship with lower quality of life for elderly with cerebral vascular accidents(CVA). Daily hassles worsen depression for elderly with CVA disability and thus an effective intervention is necessary. This research examined the direct influence of daily hassles on depression and the mediation effect of family support among 161 elderly with CVA disability living in Seoul using Structural Equation Modeling. The direct effect of daily hassles on depression was statistically significant (p < .001) while family support was shown to be a mediator between daily hassles and depression. The mediation model of family support was examined using $x^2$ difference and Soble test. As a result, family support was proven to be a partial mediator. Implications are discussed.

THE DEFINITION OF THE ELDERLY WITH DISABILITIES AND GENERAL AND DENTAL CHARACTERISTICS (고령장애인의 정의와 일반적, 치과적 특징)

  • Lee, Hyo-Seol
    • The Journal of Korea Assosiation for Disability and Oral Health
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    • v.7 no.2
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    • pp.127-132
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    • 2011
  • In Korea, the elderly is defined as the person aged over 65 and the disabled is defined as the person who is registered with Ministry of Health and Welfare. In 2008, the elderly with disabilities was about 770,000. Korea was already poised for an aging society in 2000 and is ahead of and aged society in 2018 and a super aged society in 2026. So, the number of the elderly with disabilities will continue to grow. Various oral diseases can be seen in the elderly with disabilities due to the systemic disease and impaired self oral care, in addition to the physiological aging. Particularly, we should be care for the aspiration pneumonia, which is the major cause of the death of the elderly. As a professional for the special care dentistry, we should understand the general and dental, individual characteristics of the elderly with disabilities and do proper oral care and treatment. Thereby, the quality of life of the patients might be improved.

The Effects of Emotional & Social Preparation for Aging on Successful Aging of the Elderly with Disability & Mediating Effects of Social Support (정서사회적 노후준비가 장애노인의 성공적 노화에 미치는 영향과 사회적 지지의 매개효과)

  • Song, Kee-Young
    • The Journal of the Korea Contents Association
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    • v.18 no.7
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    • pp.194-206
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    • 2018
  • The purpose of this research is to take a look at the factors that influence the successful aging of the elderly with disability as the aging population grows. For this purpose, psychological and social concepts were defined for successful aging of the elderly with disability. It was also verified that the effects of emotional & social preparation for aging on successful aging of the elderly with disability and mediating effects of social support. The subjects of this study are 506 elderly people with disability who are over the age of 50. They were originally extracted from the 4th main survey and 3rd, 4th additional survey of Korean Retirement and Income Study. For data analysis purposes, SPSS 23.0 and SPSS PROCESS macro v2.16 were used. The results of this study are as followed. Firstly, emotional & social preparation for aging turned out to have a significant direct influence on successful aging the elderly with disability. Secondly, emotional & social preparation for aging has a indirect effect on successful aging through social support. On the basis of the results, this study provided the social welfare policy and practical suggestions to enhance the preparation for aging and social support.