• 한국보건간호학회지
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• 제24권2호
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• pp.302-310
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• 2010

Purpose: A comprehensive analysis of demographical, disease, functional status and fall risk related factors identified factors associated with falls in elderly hypertensive. Method: A descriptive research design was used. The participants were 124 persons aged 65 years or older registered at the community center in Daegu city. The data were collected from October, 2008 to February, 2009. Frequency, Fisher's exact test, $X^2$-test, t-test, and logistic regression were done using the SPSS V17.0. Results: Ninety (72.6%) subjects had experienced falls. The occurrence differed according to number of medications, activities of daily living and competence of vision. Logistic analysis revealed number of medication and impaired vision as independent risk factors for subsequent falls. Conclusion: Supportive nursing for the elderly needs to focus on dizziness and impaired vision to prevent falls in community-dwelling elderly with hypertension.

• International journal of advanced smart convergence
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• 제8권4호
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• pp.214-220
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• 2019

Hearing impaired people are apt to be in danger because they can't detect danger with sound. Hearing impaired people have less risk-detection ability than non-disabled people because of lack of hearing. There are many devices to help the hearing impaired, such as hearing aids. A hearing aids can be helpful, but it may not be available depending on the degree or type of hearing loss for example, to the hearing-impaired people with little remaining hearing of high frequencies, ordinary hearing aids are not very useful for understanding the high frequency consonants and it requires a high cost, from thousands to tens of thousands of dollars. Also, it is difficult for the underprivileged, such as the low-income bracket and the elderly, to use them because they are difficult to manage. Therefore, this paper describes the development of low-cost wearable device to assistant a hearing-impaired people using Arduino. Also, it accepts values from switches or sensors and can control external electronic devices such as LEDs and motors to create objects that can interact with the environment. In this is paper, through sound sensors, the ambient sound was taken as an analogue value and transmitted to the aduino board, and the vibration motor was operated when the noise was generated, so that the user could be aware of the occurrence of danger.

• 운동영양학회지
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• 제24권4호
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• pp.34-43
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• 2020

[Purpose] The purpose of this study was to assess changes in blood glucose level, blood pressure, and arterial stiffness after a 75 g oral glucose tolerance test (OGTT) in elderly women aged over 65 years with hypertension and either normal glycemic control, impaired fasting glucose tolerance, or diabetes mellitus. We also wished to investigate the relationship between stages of diabetes and physical fitness. [Methods] A total of 24 elderly women with hypertension were assigned to a control group (CON; n=7), impaired fasting glucose group (IFG; n=9), and diabetes mellitus group (DM; n=8). In each group, blood glucose level, brachial ankle pulse wave velocity (PWV), and blood pressure were measured at baseline as well as 60 and 120 minutes after a 75 g OGTT. Physical fitness factors such as hand grip strength, balance test, 4 m gait speed test, chair stand test, short physical performance battery, and 6-minute walking test were subsequently assessed. [Results] In all three groups, blood glucose levels were significantly increased at 60 and 120 minutes after a 75 g OGTT. In the DM group, blood glucose levels were significantly higher before and after a 75 g OGTT than in the CON group. In the CON group, PWV was significantly increased at 60 minutes after a 75 g OGTT; however, there were no changes in other groups after glucose ingestion. In the CON group, systolic and diastolic blood pressures were significantly decreased at 60 and 120 minutes after a 75 g OGTT compared to baseline. However, there was no change in blood pressure after ingestion in the DM group. The IFG group had greater grip strength than the CON group; however, there were no differences in other variables between the groups. [Conclusion] After a 75 g OGTT, elderly women with hypertension and diabetes maintain higher blood glucose levels compared to those with hypertension alone. Unlike elderly women with hypertension alone, those with hypertension and diabetes did not show changes in arterial stiffness and blood pressure after a 75 g OGTT. Therefore, elderly women with hypertension and diabetes may not be able to control their blood vessels following a 75 g OGTT due to impaired vascular endothelial function. Moreover, there was no association between diabetes stage and physical fitness in elderly women with hypertension.

• 운동영양학회지
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• 제23권1호
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• pp.21-27
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• 2019

[Purpose] In the present pilot study, we aimed to investigate the effects of the Silverrobics exercise program, which is similar to aerobic dance, on the factors related to glucose metabolism and liver enzymes. [Methods] Eight elderly women with obesity and impaired fasting glucose participated in the Silverrobics exercise program (60 minutes per session for five times a week for 8 weeks). The program was conducted at 50-60% of the heart rate reserve at 1 to 2 weeks and at 60-80% of the heart rate reserve at 3 to 8 weeks. To verify the effect of this 8-week exercise program on glucose metabolism and liver enzymes, blood analysis at pre- and post-training was performed. [Results] After the Silverrobics exercise program, there were significant decreases in the glucose (p<0.05), glycated hemoglobin A1c (p<0.05), 1,5-anhydroglucitol (p<0.05), and insulin levels (p<0.01) and homeostatic model assessment of insulin resistance score (p<0.05). However, there were no significant effects on the liver enzymes, except for alkaline phosphatase. The alkaline phosphatase level increased after the Silverrobics exercise program (p<0.05). [Conclusion] Although the Silverrobics exercise program had no beneficial effects on the liver enzymes, it may play an important role in preventing liver diseases considering the effects on glucose metabolism.

• 대한장애인치과학회지
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• 제7권2호
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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.

• 한국지역사회생활과학회지
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• 제21권4호
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• pp.469-479
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• 2010

Using data from the 2001 National Long-Term Care Survey database, this study analyzed gender differences in factors affecting caregiver burdens of spouse caregivers in Korea. Multiple regression was used to estimate factors influencing caregiver burdens of caregiving wives and caregiving husbands respectively. The results showed that there was a significant variability in predictors of caregiver burdens of spouses who take care of the impaired elderly. ADL functional status of care recipients and social support were significant for both the caregiving wives model and caregiving husbands model in influencing caregiving burdens. It was noticeable to report that a caregiver's self-rated health status, monthly caregiving expenses, a care recipient's self-rated health status were unique predictors for the caregiving wives model. These findings suggest that it is vital for planners and providers to take gender differences in spousal caregiving into account when designing and formulating community-based long-term care service programs.

• 가정과삶의질연구
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• 제21권3호
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• pp.1-13
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• 2003

The purpose of this study is to understand the importance of exterior environments and to identify the design guidelines for the therapeutic garden for cognitively impaired seniors with Alzheimer's disease and related dementias. The data was collected from 4 Adult Day Care Centers, 2 Nursing Homes, & 1 Assisted living in the U.S.A. from 2001 to 2002 by interview and the floor plan about the outdoor space. Although some may believe that patients with Alzheimer's disease and related disorders are unresponsive to environment, evidence shows that environments especially designed for cognitively impaired seniors can maintain or increase their level of functioning. The use of specially designed exterior environments nay have in reducing incidents of aggressive behavior, and contributing significantly to a wanderer management program. The checklist includes 6 dimensions： safety environment, various sensual stimulations, social interactions, wandering, privacy, and support orientation and reality. The results indicated that the exterior environment have to support wandering behavior, orientation and reality.

• 재활복지공학회논문지
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• 제11권2호
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• pp.173-177
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• 2017

비데는 최근 상당수가 의료기능을 포함하여 다목적용으로 개발되어지고 있다. 그러나 이러한 비데를 사용함에 있어서도 장애인과 고령자가 일반인에 비해 추구하는 니즈들이 더 다양하고 심지어 장애유형별로도 제각각 요구사항들이 다르다. 따라서 본 연구는 고령자 및 장애인이 배변활동에서 요구하는 실질적인 니즈에 대해 조사하였으며 장애유형별로 니즈를 비교하여 분석하였다. 설문 조사는 고령자 39명, 장애인 120명을 대상으로 진행 되었다. 설문문항은 각 비데업체별 UI 인지능력 비교, 자동 물 내림 기능 선호도, 비데 컨트롤러 위치, 양각화 필요성에 대한 문항들로 이루어져 있다. 결과는 비데 UI인식에서 고령자와 장애인이 비슷한 비율로 제일 직관력이 뛰어난 아이콘을 선정하였다. 자동 물 내림 기능 선호도에 있어서는 고령자와 신체적기능장애인이 약 1:9의 비율로 자동 물 내림을 선호하였지만 감각적 기능장애인의 경우 5.1:4.9로 오히려 수동 물 내림을 더 선호하였다. 컨트롤박스 위치 또한 고령자와 신체적 기능장애인은 약 5:5의 비율로 차이가 미비했지만 감각적 기능장애인의 경우 2:8의 비율로 벽면 부착 보다는 비데 우측부착을 선호하는 것으로 나타났다. 시각 장애인에게만 해당되는 양각화 기능 선호에서는 점자지원보다 양각화 또는 점자와 양각화 모두 지원을 선호하는 응답자가 약 1:9의 비율로 높게 나타났다.

• 성인간호학회지
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• 제19권3호
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• pp.401-412
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• 2007

Purpose: The purpose of this study was to determine the relationship between assessed pain, functional status, and emotional status in elderly women with dementia. Methods: The method was a descriptive correlational design. Subjects were sampled from 75 elderly women with dementia who were resident in nursing home. and their pain, functional status(physical function, cognitive function), emotional status(depression, agitation) were measured. The collected data were analyzed for correlations between pain and functional status and for emotional status using the SPSS 11.0 statistical program. Results: The pain degree of the aged women in dementia were as follows; between 0 and 27 points, average 4.04 points, which was a possible point extent. Looking at the grades in detail items, the wry face expression was shown highest, an average of 0.84 points. The relation with cognitive function was(r=-.259, p<.025) a minus relation. And the relation with physical function was (r=.406, p<.001) a plus one. The relation with depression was (r=.462, p<.001), plus one. And (r=.592, p<.001) a plus relation was found with agitation. Conclusion: Pain is associated with impaired functional and emotional status. Major efforts are needed to improve nursing assessment and management of pain in this cognitive impaired population.

• 한국가족복지학
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• 제55호
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• pp.157-188
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• 2017

이 연구의 목적은 기능손상 노인을 가정에서 돌보고 있는 주보호자의 자기 돌봄 활동이 주보호자 자신의 신체 정신건강에 미치는 영향을 탐색하고 사회복지 차원의 개입 방안을 모색하는데 있다. 조사대상자는 치매, 뇌졸중, 파킨스병 등의 진단을 받은 60세 이상의 부모 또는 배우자를 6개월 이상 가정에서 돌보고 있는 주보호자이며, 일대일 대인면접의 서베이 방식으로총 185명의 자료가 수집되었다. SPSS 21.0을 이용하여 빈도분석, 기술통계, 상관관계 분석, 위계적 다중회귀분석을 실시하였다. 분석 결과 첫째, 주보호자의 주관적인 신체건강은 5점 만점에 평균 2.81점(SD=.93)의 부정적 수준으로 나타났으며, 자기 돌봄 활동 요인 중 건강 책임(${\beta}=-.244$, p<.01), 신체적 활동(${\beta}=-.198$, p<.05)이 유의미한 영향 요인으로 나타났다. 둘째, CES-D로 측정된 주보호자의 정신건강은 평균 26.38점(SD=10.53)으로서 임상적으로 매우 심한우울 수준으로 확인되었으며, 자기 돌봄 활동의 영적 성장(${\beta}=-.409$, p<.001)이 유의미한 영향요인으로 나타났다. 마지막으로 주보호자의 신체 정신건강 증진을 위한 자기 돌봄에 대한 인식 개선, 적극적인 자기 돌봄 여건 마련 등을 강조하는 실천적, 정책적인 제언을 제시하였다.