• 동의신경정신과학회지
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• 제22권4호
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• pp.101-109
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• 2011

Objectives : The aim of this study was to evaluate the effects of EFT-I(EFT program for insomnia) for insomnia in the elderly as a preliminary study. Methods : This study was a single group pre-post comparative study that involved 10 elderly women(mean age=$76.3{\pm}4.29$), who visited a senior welfare center, complained of insomnia symptoms. Subjects received 8 sessions(twice a week for 4 weeks and 1 hour for each session) of EFT-I group training. Insomnia severity, depression, state-anxiety, and life satisfaction of each subject were evaluated twice at pre and post of EFT-I. Korean Sleep Scale, Short form of Geriatric Depression Scale(SGDS), State-Trait Anxiety Inventory(STAI), and life satisfaction scale were used as evaluation tools. The data were analyzed using paired-samples T-test. Results : Insomnia severity, life satisfaction, depression, and state-anxiety were significantly improved by EFT-I. Conclusions : Result of this study showed that EFT-I can be a useful treatment program for elderly insomnia. Larger clinical trials are needed to verify effect of EFT-I as a community based insomnia management program for the elderly.

• 근관절건강학회지
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• 제20권3호
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• pp.180-188
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• 2013

Purpose: This study aims to explore the effect of physical, emotional and environmental status on safety consciousness of the elderly who live alone. Methods: A total of 228 participants were the elderly living alone aged 65 years and older. Three questionnaires were developed to measure safety consciousness, physical status, and environmental status by researchers. Geriatric Depression Scale (GDS) was used to evaluate emotional status of the elderly. Data were analyzed by t-test, ANOVA, Pearson's correlation coefficients, and stepwise multiple regression. Results: Average scores of participants were $3.71{\pm}1.49$ (range 0~6) for physical status, $8.28{\pm}3.38$ (range 0~15) for environmental status, $7.21{\pm}3.40$ (range 0~15) for GDS and $17.00{\pm}6.54$ (range 0~37) for safety consciousness. Safety consciousness was significantly associated with education, marital status, drinking, and depression as emotional status. These variables explained 13.6% of the variance in safety consciousness. Conclusion: The levels of safety consciousness among the elderly living alone were low. Education, marital status, drinking, and depression were the factors affecting safety consciousness. Risk assessment and management of these factors are needed to increase safety consciousness of the elderly.

• 재활간호학회지
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• 제19권2호
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• pp.71-81
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• 2016

Purpose: The purpose of this study was to explore the influence of cognitive function and depressive symptoms on instrumental activities of daily living (IADL) in addition to identify the factors associated with IADL in community-dwelling older adults. Methods: This was a descriptive study with cross-sectional design. Data were collected from July 2013 to June 2014. A total of 143 participants without dementia, depression and disability were enrolled in this study. Cognitive function was measured using Seoul verbal learning test (SVLT), digital span (forward/backward) and fist-edge-palm test. The Korean-IADL and Short Geriatric Depression Scale (S-GDS) were used. Data analysis was performed using descriptive statistics, t-test, ANOVA, Pearson's correlation coefficient, and hierarchical regression. Results: Overall, a multiple regression model revealed that approximately 27.4% of total variability in IADL in the sample of community-dwelling older adults could be explained by the significant 12 variables in this model ($R^2=0.274$, F=5.467, p<.001). Age, having religion and cognitive function were the predictors of IADL in community-dwelling older adults. Conclusion: This study suggest that we need to monitor cognitive function in older to maintain the ability for IADL in older adults. Also, individualized program for improving older adults' IADL should be included in nursing intervention.

• 동서간호학연구지
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• 제16권2호
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• pp.122-130
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• 2010

Purpose: This study was aimed at finding factors influencing cognitive impairment which is one of the typical symptoms among the demented elderly. Methods: The number of subjects was 417 elderly residents aged over 65 yr in a community. A cognitive function and a depression level were measured using the Korean Version of Mini-Mental State Examination (MMSE-K) and the Korean Form of Geriatric Depression Scale (KGDS). Alcohol abuse was measured using the CAGE instrument. Chi-square test and Logistic regression analysis were conducted to identify factors affecting cognitive impairment. Results: The prevalence rates of cognitive impairment of the sample was 43.5%. Sex, age, educational level, perceived health and alcohol abuse were strong factors influencing cognitive impairment. However, the effects of smoking, living alone, depression, family history in dementia and stroke were not strong. Conclusion: Risk for cognitive impairment were increased by being female and older than 70 yr, having low education, perceiving health as poor, and drinking alcohol abusively. Therefore, a reinforcement system, continuous research and the development of proper programs should be preformed in order to prevent cognitive impairment.

• 대한불안의학회지
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• 제3권2호
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• pp.128-133
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• 2007

Objective : Obesity has been considered to be associated with numerous physical, mental and psychological diseases. Depression, which is a major psychological factor affecting occurrence and treatment of obesity, can be a cause of obesity as well as can be triggered by obesity. This study aimed to find out the need of positive consideration to the existence of depressive mood in the management of obesity. Methods : A total of 101 subjects were enrolled among those who were 60 years old and over at one local clinic. Obese group (n=49) was defined as BMI${\geqq}$25 and normal weight group (n=52) as 20$5.2{\pm}2.5$) was significantly higher than that of the normal weight group ($3.8{\pm}1.7$)(p<0.05). In male subjects, there was no significant difference in the mean GDSSF-K score between both groups, but in female subjects, the mean GDSSF-K score of the obese group, $6.4{\pm}2.6$ was significantly higher than that of the normal weight group ($4.0{\pm}1.8$)(p<0.05). Conclusion : The elderly obese group showed higher depressive scale score than elderly normal weight group, especially in female elderly. Since the elderly obese female group had a depressive predisposition, comprehensive management including mental and psychological approach is required in obesity control programs.

• 한국융합학회논문지
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• 제10권1호
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• pp.353-360
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• 2019

목적: 최근 노인의 우울은 두드러진 정신기능의 변화로 매년 증가하여 삶에 큰 영향을 미치고 있다. 우울은 다양한 심리적, 사회적 문제를 경험하게 하고 노인 자살의 강력한 예측 요인으로 작용하고 있다. 본 연구에서는 자살 생각을 가진 우울증 노인의 삶에 대한 적응 경험을 융합적으로 이해하고자 한다. 절차 및 방법: 자조집단 내에서 GDS 척도가 17점 이상이고, SSI 척도가 9점 이상인 7명의 노인을 대상으로 이론적 포화가 될 때까지 면담을 실시하였고, 근거이론 분석 방법에 따라 자료를 분석하였다. 결과 및 기여도: 동료 집단과의 교류를 통해 우울증 노인이 스스로 삶의 중심이 되는 것이 중요하다는 것을 인지하게 되어 자신의 삶을 포용하게 되었다. 향후 연구 방향: 자살 생각을 가진 우울증 노인의 적응 경험에 영향을 미치는 동료집단과의 긍정적인 교류에 대한 경험적 연구가 확대되고 지속되어야 할 것이다.

• 동의신경정신과학회지
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• 제30권2호
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• pp.47-58
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• 2019

Objectives: To conduct and report the results of a public health promotion program in Korean medicine (KM), namely the KM Visiting Care Service for Solitary Elderly, from November 2018 to April 2019. Methods: Six elderly people living in a rural area received the KM visiting care service, twice a week, for four months. This service consisted of acupuncture, auriculotherapy, and supportive counseling to manage their musculoskeletal pain, cognitive impairment, and/or depression. The changes of symptoms were assessed using Numeric Rating Scale (NRS), Korean version of Mini-Mental State Examination for Dementia Screening (MMSE-DS), Korean version of Montreal Cognitive Assessment (MoCA-K), and Geriatric Depression Scale-Short form Korean (GDS-SF-K). Results: Through the 4-months KM visiting care service, the overall subjects' NRS-rated pain decreased slightly. Most showed improvement in MMSE-DS and/or MoCA-K, except one subject who was diagnosed with Alzheimer's disease. Depression assessed by GDS-SF-K showed improvement in a few subjects who were unable to walk independently. Satisfaction assessed through survey was generally high in all subjects. Conclusions: This KM Visiting Care Service for Solitary Elderly may help improve the pain and cognitive function of frail solitary elderly in rural areas. However, the protocol need to be improved to optimize the effect.

• 한국콘텐츠학회논문지
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• 제9권10호
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• pp.227-237
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• 2009

본 연구는 지역사회 노인의 신체활동 참여에 따른 우울과 신체 기능을 알아봄으로서, 신체 활동을 노인의 지속적인 우울 경감 및 신체기능 증진을 위한 중재 방안으로 고려하기 위해 기초 자료를 제공하고자 하였다. 65세 이상 노인 79명이 참여 하였으며, 한국형 노인 우울 척도(KGDS), 한국형 간이 정신 상태 검사(MMSE-K), 젭슨 손 기능 검사(Jebsen hand function test), 악력계(Dynamometer), 5회 일어서기 검사(Five time sit-up test)를 이용하여 노인의 우울과 인지 및 신체 기능(손 기능, 장악력, 하지 근력)을 측정하였다. 연구 결과 노인의 우울감이 높을수록 장악력은 낮았고, 신체 활동에 참여한 노인은 참여하지 않은 노인에 비해 더 높은 신체 기능과 더 낮은 우울감을 보였다. 이는 신체 활동이 노인의 우울 경감 및 신체기능 증진과 관련을 나타내므로 신체 활동을 노인의 우울 상태 및 신체 기능의 예측과 관리의 전략으로 고려할 것을 제안하는 바이다.

• 한국임상약학회지
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• 제23권1호
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• pp.33-41
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• 2013

Background: Prevalence of depression comorbid with neurologic disorders such as Alzheimer' disease (AD), Parkinson's disease (PD) and vascular dementia (VD) is higher than that of primary depression. Antidepressant medications, suggested by many researches for depression comorbid with neurologic disorders such as AD, PD and VD, are mainly selective serotonin reuptake inhibitors (SSRI). Objective: The primary objective of this study is the evaluation of antidepressant drug therapy for AD, PD and VD. Method: This study was a retrospective study based on medical records, carried out for 3 years and 6 months (Jan. 2007~Jul. 2010). Patients, diagnosed as comorbid depression through Beck Depression Inventory (BDI), Cornell Depression Scale (CDS), Geriatric Depression Scale (GDS) among neurologic out-patients of Chungnam National University Hospital because of AD, PD and VD, were selected. The results were evaluated by efficacy and safety of antidepressant drug therapy. Results: In result, the prescribing rates of antidepressants were 30%, 55% and 40% for each AD, PD and VD. Depression cure rates of patients receiving antidepressants vs patients not receiving antidepressants were 40% vs 39%, 33% vs 23% and 38% vs 30% for AD, PD and VD. The frequencies of prescriptoin of SSRI were 21%, 11% and 27% for each AD, PD and VD. The frequencies of prescriptoin of benzodiazepine (BZD) was 61%, 82% and 61% for each AD, PD and VD. The ratio of single BZD prescription was more than that of combination prescription of antidepressants. Tricyclic antidepressants (TCA) were rarely prescribed. The rate of patients with BZD-related side effects was 54%. The most frequent side effects of BZD were dizziness (30%), drowsiness (21%) and headache (16%). Side effects of SSRI were rare. Conclusion: In conclusion, the frequencies of prescription of antidepressants were not common for AD, PD and VD. There was little difference in depression cure rate between patient receiving antidepressants and not receiving. Even though SSRI has to be the highest priority of usage, the frequencies of prescription of SSRI were lower than those of BZD. Additional researches and efforts are required to improve antidepressant drug therapy for neurologic disorders such as AD, PD and VD.

• Asian Pacific Journal of Cancer Prevention
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• 제16권2호
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• pp.783-786
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• 2015

Background: Utilizing geriatric screening tools for the identification of vulnerable older patients with cancer is important. The aim of this study is to evaluate the hospitalization risk of elderly hematologic cancer patients based on geriatric assessment and laboratory parameters. Materials and Methods: In this cross sectional study 61 patients with hematologic malignancies, age 65 years and older, were assessed at a hematology outpatient clinic. Standard geriatric screening tests; activities of daily living (ADL), instrumental activities of daily living (IADL), Mini Nutritional Assessment (MNA), Mini Mental State Examination (MMSE), timed up and go test (TUG), geriatrics depression scale (GDS) were administered. Demographic and medical data were obtained from patient medical records. The number of hospitalizations in the following six months was then recorded to allow analysis of associations with geriatric assessment tools and laboratory parameters. Results: The median age of the patients, 37 being males, was 66 years. Positive TUG test and declined ADL was found as significant risk factors for hospitalization (p=0.028 and p=0.015 respectively). Correlations of hospitalization with thrombocytopenia, vitamin B12 and folic acid deficiency were statistically significant (p=0.004, p=0.011 and p=0.05 respectively). Conclusions: In this study, geriatric conditions which are usually unrecognized in a regular oncology office visit were identified. Our study indicates TUG and ADL might be use as predictive tests for hospitalization in elderly oncology populations. Also thrombocytopenia, and vitamin B12 and folic acid deficiencies are among the risk factors for hospitalization. The importance of vitamin B12 and folic acid vitamin replacement should not be underestimated in this population.