• Asian Pacific Journal of Cancer Prevention
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• 제16권2호
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• pp.837-840
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• 2015

Background: The disclosure of a diagnosis of cancer is complex, particularly in older patients. The aim of this study was to investigate the association between age and not knowing the diagnosis, and its impact on mood. Materials and Methods: The study included 70 patients with various types of solid and hematologic cancer in early stages, which were followed up in an outpatient oncology/hematology clinic in Turkey between January, 2014 and June, 2014. Initially the caregivers of patients were asked whether the patients knew their diagnosis or not. A questionnaire for the Geriatric Depression Scale was then administered to the patients. Patient age, gender, marital status and education level were noted and analyzed with respect to knowing the diagnosis and depression. Results: Of the 70 patients, 40% of them were female. The mean age was $68.2{\pm}8.9$. The rate of the patients who does not know their diagnosis was 37.1% (n=26). The overall depression rate with GDS was found 37.1% (n=26) among the participants. There was no association with knowing the diagnosis (p=0.208) although the association between not knowing the diagnosis and age was significant (p=0.01). Conclusions: In this study we revealed no association between not knowing the diagnosis and depression in elderly patients. Contrary to what some has thought, the patient is not protected from psychological distress by not being informed about the diagnosis. We believe this study and similar ones will help to discuss and further explore patient autonomy, the principle of respect to self-determination and end of life issues in different cultures.

• 대한간호학회지
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• 제45권1호
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• pp.84-96
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• 2015

Purpose: This study was done to investigate the motivational, physical and affective benefits of exergaming in community dwelling older adult women. Methods: The research design was a nonequivalent control group pre-test and post-test design. Sixty-one older adult women over the age of 65 were recruited from 6 community senior centers to participate in the 8 week exercise intervention or control group. Six centers were divided into one of three groups: exergame, qigong exercise, or control. The exergame and the qigong exercise group received 16 sessions, scheduled twice a week, with each session lasting 50 minutes. Test measures were completed before and after the 8 week intervention period for all participants. Measures included: Grip strength, chair stand, 6 m walking, balance, geriatric depression scale, vitality and intrinsic motivation. Results: There were significant improvements in the exergame and qigong exercise group for grip strength, chair stand, 6m walking, balance, vitality and intrinsic motivation at the end the 8-week program compared with the control group. Conclusion: The exergame could be an effective alternative for older adult women to group exercise classes.

• 보건교육건강증진학회지
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• 제32권2호
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• pp.53-63
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• 2015

Objectives: The purpose of this study was to investigate association of depressive symptom, fatalism with selected health behaviors among people aged 50-69 with no physical limitation in Seoul. Methods: In 2012, data were collected using a household based interview survey in Seoul. One person in each selected household aged between 50 and 69 was selected and responded. Data analysis was based on 1,190 subjects who answered they do not have any physical activity limitation. Results: Multiple logistic regression analysis showed significant association among variables including perceived health, depressive symptom and fatalism scores on some health behaviors. Multiple regression analysis showed that selected health risk behaviors(current smoking, monthly alcohol consumption, no regular health exam in two years) were significantly associated with depressive symptom and fatality scores in addition to demographic variables. The final regression model's adjusted R square was about 0.235. Conclusion: Demographic variables such as gender, age and socioeconomic status were significant variables in health behaviors and these behavioral factors were associated with perceived health, depressive symptom and fatalistic views. As a conclusion, depressive symptom and fatalism should be monitored and intervened in health education practice.

• Journal of Preventive Medicine and Public Health
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• 제35권4호
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• pp.313-321
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• 2002

Objectives : To identify the risk factors of dementia among the elderly in a large city. Methods : A cross-sectional study was conducted in July 2001, with potential participants selected by stratified two stage cluster sampling of the elderly population of Keumgog dong, Busan. A total of 452 elderly people aged 65 years and over, underwent a two phase diagnostic procedure. Mini-mental State Examination-Korean (MMSE-K) and Samsung Dementia Questionnaire were used for the 1st stage, and the Clinical Dementia Rating Scale (CDR), the Bartel ADL, and IADL Index, the Korean Geriatric Depression Scale (KGDS), the Modified Hatchinski Ischemic Scale (MHIS), and other laboratory tests were used for the 2nd stage. Results : Of the 446 participants finally chosen, 45 were confirmed with dementia, and 363 as normal, with the rests not confirmed with dementia or as normal, were excluded from the analysis. According to the logistic regression analysis, the risk of dementia was significantly higher In: people aged 80 and above (OR=4.36, 95% CI=1.97-9.62), illiterate (OR=3.58, 95% CI=1.71-7.46), who had a history of strokes (OR=6.35, 95% CI=2.71-14.87), or who had 3 history of hyperlipidemia (OR=4.74, 95% CI=1.65-13.61), compared to their counterparts. Conclusions : These results suggest that efforts to prevent strokes and hyperlipidemia can significantly decrease the risk of dementia.

• 한국전문물리치료학회지
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• 제18권2호
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• pp.9-17
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• 2011

The objective of this research was to examine the effects of lumber stabilization exercise and a general physiotherapy program for caregivers with chronic low back pain. Sixteen people participated in this study and were randomly assigned to two groups for either lumbar stabilization exercise or for general physiotherapy, respectively. The experiment was performed for eight weeks. To examine the general as well as the medical characteristics of the participants, the following measurements were used: Visual Analogue Scale (VAS); Oswestry Disability Index (ODI); Back Performance Scale (BPS); Roland - Morris Disability Questionnaire (RMDQ); and Beck Depression Index (BDI). To compare the general and medical characteristics of the participants in the two groups, an independent t test were used. During the experiment, a paired t test was conducted to determine whether there was a significant difference in the values of VAS, ODI, BPS, RMDQ, and BDI before and after the experiment. To examine the difference in the VAS, ODI, BPS, RMDQ, and BDI values in the two groups, ANCOVA was used with pre test values as a covariate. According to the test results, in the lumbar stabilization exercise group, the VAS, ODI, BPS, RMDQ, and BDI values showed a statistically significant difference before and after the test (p<.05). In comparison, in the general physiotherapy program group, only the ODI and BPS values showed a statistically significant level of improvement. Regarding the degree of improvement, participants in the lumbar stabilization exercise group showed statistically significant progress compared to those in the general physiotherapy group. In summary, lumbar stabilization exercise is regarded as more effective than general physiotherapy for treating caregivers with chronic low back pain. In future studies, it will be useful to expand the research and to examine the long term effects of lumbar stabilization exercise on workers.

• 지역사회간호학회지
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• 제31권1호
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• pp.13-23
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• 2020

Purpose: This study explored the contribution of social support resources to the explanation of socioeconomic inequalities in depressive symptoms of older Korean men and women. Methods: Data were derived from Living Profiles of Older People Survey (LPOPS), which comprises a nationally representative sample of non-institutionalized Korean older adults living in the community. The data were analyzed by using multiple logistic regression. The sample consisted of 4,046 men and 6,036 women aged ≥65 years. The Korean version of the Geriatric Depression Scale-Short form (SGDS-K) was employed as an outcome variable. Results: Compared to the older men and women who were in higher socioeconomic status, those in lower socioeconomic status had significantly higher risk of depressive symptoms after adjusting for other covariates. When social support resources were individually included in the base model, each factor contributed to inequalities in depressive symptoms. Social networks explained about 20% of the differential impact of education and 10% to 15% of the differential impact of household income for depressive symptoms in men. Among women, it mitigated 23.6% to 39.0% of education and household income inequalities for depressive symptoms. Social participation contributed to buffer depressive symptom inequalities of 24.0% to 46.3% among men and those of 11.7% to 45.3% among women. Conclusion: Our findings suggest community care nurses acknowledge the value of social support resources to alleviate socioeconomic inequality in depressive symptoms among older men and women.

• 말소리와 음성과학
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• 제2권4호
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• pp.75-82
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• 2010

Many previous studies based on respiratory characteristics of Idiopathic Parkinson's Diseases (IPD) patients have not controlled related factors appropriately. Accordingly, these studies produced discordant results. Furthermore, there is currently a lack of studies that can provide precise explanations on the characteristics of respiration and phonation. This study included a total of 40 subjects: 20 mixed gender de novo IPD patients ranging in age from 50 to 80 (Hoehn & Yahr stage 1~3), and 20 normal subjects with similar matches for age and gender. All participants were controlled based on their gender, age, height, weight, vocal fold function, cognitive abilities, and depression factors. K-MMSE (Korean-Mini Mental State Examination), nVHI-10 (new Voice Handicap Index), and KGDS (Korean Form of Geriatric Depression Scale) were evaluated to select this study subjects. In order to compare respiratory functions between the two groups, FVC, FEV1, and FEV1/FVC were measured using microQuark, a PC-based spirometer. CSL was used by measure MPT and PAS was used to measure MFR. To investigate the characteristics of phonation ability, CSL was used to measure jitter and shimmer, while PAS was used to measure Psub. In order to compare the respiratory function averages and phonation ability between the two groups, statistical analysis was conducted using SPSS (version 12.0). The results of this study showed that most de novo IPD patients were included in the normal average range of respiratory and phonatory ability. But the respiratory and phonatory ability of de novo IPD patients showed lower tendency as compared with the normal group. When the average of respiratory and phonatory ability among the gender was compared, the difference of males was greater than the difference of females.

• 한국노년학
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• 제37권1호
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• pp.173-200
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• 2017

본 연구의 목적은 노인자살예방을 위해 개발된 통합적 위기개입모델을 경기도를 중심으로 적용한 후 위기개입서비스의 실제 개입효과를 검증하는 것이다. 통합적 위기개입모델은 지역사회 통합시스템 접근과 스트레스 취약성 이론을 포함하는 위기개입 이론에 기초하여 개발되었다. 효과성 검증을 위해 노인우울(GDS-K) 및 자살생각(SSI)척도를 활용하였고, 1차 사전검사 258명, 통합적 위기개입 서비스 6개월 제공 후 2차 사후검사 184명, 2-3년 후 역추적을 통해 3차 추수검사 124명의 자료를 수집하여 분석하였다. 분석은 R Statistics computing을 이용하였고, 서로 다른 시점의 다른 검사를 비교하기 위해 검사 동등화 및 측정 시점 간 수직 척도화를 수행한 후 기술통계와 일변량 분산분석을 실시하였고, 마지막으로 베이지언 추정을 이용해 다층모형 분석을 실시하였다. 연구결과 노인자살예방을 위해 개발된 통합적 위기개입모델 적용 후 사전점수에 비해 사후측정에서 통계적으로 유의하게 노인우울과 자살생각을 감소시키는 것으로 나타났는데, 노인우울 감소에 .56의 효과크기를, 자살생각의 감소에 .39의 효과크기를 나타내 모델의 전체적인 효과성이 입증되었다. 그러나 위기개입 후 2-3년 후 추수검사에서 노인우울 및 자살생각이 다시 높아져 원래 상태를 회복하는 것으로 나타나 개입의 장기적인 유지효과는 확인되지 않았다. 노인우울 및 자살생각 변화량에 영향을 주는 요인을 찾기 위해 다층분석을 통해 위기개입 서비스의 각 유형(위기개입 전문상담, 약물치료, 동료상담)과 내담자특성(성별, 연령), 상담자 특성(전문가 연령, 경력, 전공)들 및 위기개입 서비스 유형(위기개입 전문상담)과 상담자 특성(전문가 연령, 경력, 전공)의 상호작용 효과를 살펴본 결과, 유일하게 약물치료가 단독으로 자살생각을 의미있게 낮추는 것으로 나타났으며, 전문가의 전공이 상담전공일 때 전문상담과 상호작용하여 자살생각을 의미있게 감소시키는 것으로 나타났다. 본 연구는 노인자살예방을 위해 개발된 통합적 위기개입모델의 전체효과와 각 개입서비스 유형의 효과를 검증하여 현장 적용의 근거를 확보했다는 데에 의의가 있다.

• 생물정신의학
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• 제23권2호
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• pp.63-68
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• 2016

Objectives Haenyeo are Korean professional women breath-hold divers in Jeju island. The aim of this study was to investigate the clinical characteristics of depressed Haenyeo group, compared to non-Haenyeo depressed group. Methods This study included 75 Haenyeo and 340 non-Haenyeo with depressive disorders recruited from the Dementia Early Detection Program in Jeju island. Structural diagnostic interviews were performed using the Korean version of Mini International Neuropsychiatric Interview. All patients completed the questionnaires, including the Subjective Memory Complaints Questionnaire (SMCQ), the Patient Health Questionnaire-15 (PHQ-15), and the Blessed dementia scale. Depression was evaluated by the Korean version of short form the Geriatric Depression Scale (K-SGDS) and cognition was assessed by the Korean version of the Consortium to Establish a Registry for Alzheimer's Disease (CERAD) assessment packet. Results Although the mean scores of the K-SGDS were similar between Haenyeo and non-Haenyeo depressed groups, the Haenyeo group showed a higher mean score on the PSQ-15 (p < 0.001, ANCOVA adjusting for age, the K-SGDS and education). The Haenyeo group showed poorer performance on the Korean Version of Frontal Assessment Batter (p < 0.001), the Mini-Mental State Examination in the Korean version of the CERAD Assessment Packet (p < 0.018), the word fluency test (p < 0.001), and the word list memory test (p = 0.012) in ANCOVA adjusting for age and education. The mean SMCQ score was higher in the Haenyeo depressed group than in the non-Haenyeo depressed group. Conclusions The Haenyeo depressed group shows cognitive dysfunction, especially frontal lobe dysfunction, compared to the non-Haenyeo depressed group, indicating the Haenyeo depressed group may have more severe frontolimbic dysfunction due to chronic exposure to hypoxia. The Haenyeo depressed group suffers more somatic symptoms than the non-Haenyeo depressed group.

• 정신신체의학
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• 제27권2호
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• pp.173-180
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• 2019

연구목적 외로움은 정신 및 신체 건강과 관련이 있다고 알려져 있다. 하지만 우리나라에서 독거노인의 외로움에 영향을 주는 위험 요인에 대해서는 연구된 바가 거의 없다. 본 연구는 독거노인에서 외로움의 위험 요인을 확인하고자 하였다. 방 법 본 연구는 천안시에 거주하는 독거노인 1,091명을 대상자로 시행되었다. 훈련된 간호사외 면담과 외로움 척도, 인구사회학적 정보, 신체 건강상태(Cumulative illness rating scale, CIRS), 인지기능, 단축형 노인우울척도(SGDS-K) 등의 자가설문지를 통해 조사하였다. 통계분석은 인구학적 변인과 외로움 척도 간의 관계를 탐색하기 위해 기술적 통계분석을 시행하였으며 외로움과 관련된 위험 인자를 확인하기 위해 단변량 및 다중회귀분석을 사용하였다. 결 과 전체 대상자의 평균 외로움 척도 점수는 3.8 (SD=1.7)이었다. 가족과의 만남(standardized β=0.115, p<0.001), 종교(standardized β=0.057, p=0.028), 친교 활동(standardized β=0.088, p=0.001), SGDS-K 점수(standardized β=0.502, p<0.001)가 독거노인의 외로움에 유의한 영향을 주었다. 결 론 독거노인에게 가족관계, 종교 및 친교 활동, 우울증은 외로움의 위험요인이 될 수 있다. 독거노인의 외로움을 줄이기 위한 개입은 가족관계와 사회활동을 개선, 유지하고 우울증을 조기발견 및 치료하는데 초점을 맞추어야 할 것이다.