• Title/Summary/Keyword: older adult

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Injury Study of Older Children Anthropomorphic Test Device with CRS Harness Belt and Vehicle Level Crash Test (CRS 하네스 벨트 사용에 따른 어린이 인체 모형 상해 연구 및 실차 레벨 충돌 평가)

  • Kang, Seungkyu;Yang, Minho;Kim, Jeonghan;Jin, Jeongmoon;Lee, Sooyul
    • Journal of Auto-vehicle Safety Association
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    • v.9 no.3
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    • pp.31-38
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    • 2017
  • For years, Q1.5 (anthropomorphic test device for 1.5 years old infant) and Q3 (anthropomorphic test device for 3 years old infant) dummy protection has been improved considerably by the effort of EuroNCAP. ISOFIX strength of vehicle structure has increased and many child occupant protection tests have made child restraint system (hereafter CRS) optimized for child safety. However, from 2016, EuroNCAP changed the dummy which is used for the child occupant protection from Q1.5/Q3 to Q6/Q10 and these were also adopted in KNCAP from 2017. Therefore, a new method is required to secure the safety for older children In this research, child dummies were tested by using adult safety systems, and the different results from each adult restraint system were compared. Finally, dummies were tested with the CRS harness belt commonly used for infants, which has yielded significant result. In this research, mid-sized sedan and small SUV were used for the test. The researchers of this paper performed sled tests to correlate between the different adult safety belt system and child injury. Following the sled test, an actual vehicle test was conducted to gather the injury data of Q-dummy with the CRS harness belts. This paper will show the advantages of applying a pre-tensioner in the second row for child protection and the necessity of CRS which has its own harness belts to improve safety for older children.

Relationships among Knowledge, Attitude, and Use of Negative Control Maintenance Techniques Toward Older Adults among Nurses Working in Geriatric Hospitals (노인병원 간호사의 노인에 대한 지식과 태도 및 부정적 행동통제기술의 사용정도 간의 관계)

  • Park, Hyang Sook;Suh, Soon Rim;Kim, Su Hyun
    • Korean Journal of Adult Nursing
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    • v.19 no.4
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    • pp.614-623
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    • 2007
  • Purpose: The purpose of this study was to examine the relationships among knowledge, attitudes, and the use of negative control maintenance techniques toward older adults among nurses working in geriatric hospitals (n=86). Methods: Data were collected from April 4th to May 30th in 2006 by using questionnaires of Fact on Aging Quiz Part I, Aging Semantic Differential Scaling, and Control Maintenance Techniques. Results: The findings showed that the nurses displayed lack of knowledge concerning older adults and their average rate of correct answer was 45.6%. They also hold some negative bias and attitudes, especially in psychological and social aspects. The level of using negative control maintenance techniques in managing older patients' problematic behaviors was reported as the mean of 5.65 with a possible range of 0-40. Nurse's knowledge of older adults was positively associated with their attitudes toward older adults, but their knowledge and attitudes were not associated with the use of negative control maintenance techniques. Conclusion: It is necessary to provide educational programs for nurses that focus on a comprehensive understanding of aging with lifetime developmental perspectives. Further studies are needed to understand the factors associated with using negative control maintenance techniques and to evaluate the intervention programs in reducing the use of negative control maintenance techniques.

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The Relationship Between Hand Grip Strength and Cognitive Function in Older Adults: The Moderating Effect of Regular Exercise (노인의 악력과 인지기능의 관계 - 규칙적 운동의 조절효과를 중심으로 -)

  • Lee, Sungeun
    • The Korean Journal of Community Living Science
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    • v.25 no.1
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    • pp.29-37
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    • 2014
  • This study examines whether regular exercise moderates the relationship between hand grip strength and cognitive function in older adults. Older adults 65 and over from the third wave of the Korean Longitudinal Study of Ageing Data were analyzed. A moderated multiple regression analysis was conducted to assess the moderating effects of regular exercise on the relationship between hand grip strength and cognitive function. According to the results, regular exercise moderated the effects of hand grip strength on cognitive function, suggesting that regular exercise should be promoted for older adults to reduce unfavorable effects of a decrease in hand grip strength on cognitive function.

The Relationship between Family-related Factors, Age-friendly Environment and Intergenerational Interaction within the Family - A Comparison of Two Different Age Groups - (가족 및 고령친화환경 요인과 가족 내 세대교류의 관계: 연령별 집단비교)

  • Chung, Soondool;Park, Chaeri
    • Korean Journal of Family Social Work
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    • no.59
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    • pp.27-53
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    • 2018
  • The objective of this study was to investigate the influence of family-related factors and age-friendly environment on intergenerational interaction in middle-aged group and the older adult group. Based on the results, this study is to suggest countermeasures for decreasing intergenerational interaction with the population aging. This study analyzed 260 sample participants aged from 45 to 64 and 399 sample participants aged 64 and more, categorizing them into middle-aged group and the older adult group respectively. The sample participants were taken from '2014 Survey on the Aged Society' and had at least one adult child aged over 18 at the time of participation. In order to identify the relationship between five sub-dimensions related to family, age-friendly environment and intergenerational interaction within the family in two age groups, t-test and multiple regression analysis were used. As a result, both two family-related factors had positive correlation with intergenerational interaction within the family. However, affective solidarity showed a higher significance in the middle-aged group and familism showed a higher significance in the older adult group. Among the sub-dimensions related to age-friendly environment, only personal opinion on age integration showed significance in the older adult group. This study provides several implications from the results.

A Comparative Analysis of Body Types between Chinese and Korean Men

  • Sohn, Hee-Soon;Soon Lim;Kim, Jee-Yeon
    • The International Journal of Costume Culture
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    • v.5 no.3
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    • pp.164-172
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    • 2002
  • The purpose of this study is to provide for some basic data useful to production of the apparels fit and measured well for the Chinese men. For this Purpose, Chinese adult men's body types and their changes over time which had been surveyed by preceding studies were compared by age group with those of Korean adult men which had been published in a report on National Anthropometric Survey of Korea in 1997 The results of this study can be summarized as follows; 1. As a result of comparatively analyzing the differences of body types between Chinese and Korean adult men, Chinese men have higher stature and arms, while weighing more. 2. As a result of comparatively analyzing the differences of body types between Chinese and Korean adult men by age group, it was found that the changes of body types due to aging are similar between two groups. Namely, as they become older, their vertical sizes become smaller, while their horizontal sizes become larger gradually.

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Risk Factors of Malnutrition by Age in Hospitalized Older Adults (입원 노인의 연령별 영양불량 위험요인)

  • Kim, Eun Jung
    • Journal of Korean Clinical Nursing Research
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    • v.27 no.1
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    • pp.77-84
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    • 2021
  • Purpose: Malnutrition affects all age groups, but older adults are particularly more vulnerable to nutritional deficiencies. This study evaluated the age-specific factors affecting malnutrition in hospitalized older adults. Methods: A retrospective study was conducted on inpatient elderly people who received artificial nutrition from 2010 to 2017. Data of demographics, diagnosis, type of nutrition therapy, number of comorbidity, fall risk assessment, Acute Physiologic Assessment and Chronic Health Evaluation (APACHE) score, and intensive care unit admission were collected. Malnutrition was defined as a body mass index (BMI) of less than 18.5 kg/m2. Patients were classified as the young-old (65~74 years old), the old-old (75~84 years old), or the oldest-old (85 years old or older). Results: A total of 7,130 older adults were included, and 4,028 patients were classified as the young-old, 2,506 into the old-old, and 596 into the oldest-old. Proportion of malnutrition was higher in the oldest-old compared to the other groups. In multivariate analysis, parenteral nutrition, alcohol, and high risk of falls were factors affecting malnutrition in all groups. Parenteral nutrition and alcohol in the young-old, high risk of falls in the old-old, and male sex in the oldest-old were the factors affecting malnutrition by the age group. Conclusion: Older age was the most significant factor affecting malnutrition. Specific strategies by age are needed to improve nutritional status in hospitalized older adults as influencing factors for malnutrition vary among different age groups.

The Effects of the Older Adults' Depression on Metamemory and Memory Performance (노인의 우울이 메타기억과 기억수행에 미치는 영향)

  • Min, Hye Sook;Suh, Moon Ja
    • Korean Journal of Adult Nursing
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    • v.12 no.1
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    • pp.17-29
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    • 2000
  • The purpose of this study is to find out the effects of depression on older adults' metamemory and memory performances. The subjects of the study consisted of 103 older adults over the age of 60 who are living in Kangwon Province. Some data were collected by means of the interview method, using questionnaires for metamemory (MIA questionnaire by Hultsch, et al., 1988), and depression(GDS by Yesavage and Sheikl, 1986). Other data were collected by a testing method on the memory performance, such as the immediate word recall task, the delayed word recall task, the word recognition task(Elderly Verbal Learning Test by Kyung Mi Choi, 1998), and the face recognition task(Face Recognition Task tool developed by this study). The results of this study were as follows: 1) The average point of depressed older persons' metamemory is 3.2 on a 5 point scale and was significantly lower than nondepressed older persons' point of 3.6. Looking into each sub-concept of metamemory, depressed persons' points are higher in terms of task(4.1), but are lower in terms of change(2.3), locus(2.6), and strategy(2.9) in comparison with nondepressed persons' points. 2) Depressed older persons' memory performances are all significantly lower than nondepressed person's, especially in terms of face recognition task(t=7.26, p<.0082) and word recognition task(t=6.58, p<.01). 3) In both depressed and nondepressed persons, metamemory has a close correlation with all memory tasks. In particular, depressed older persons' correlation is higher across the board, especially in memory self-efficacy of metamemory(r=.36 - .49) in comparison with nondepressed persons. 4) According to the results of analysis on the relations between metamemory and memory performances of each memory task using canonical analysis, in the case of depressed older persons, strategy, locus, capability and task have high correlation with word recognition task and delayed word recall task. Also in the case of nondepressed persons, achievement, strategy, change and locus variable have high correlation with face recognition task and immediate word recall task. As mentioned above, depression variables have a negative effect on older persons' metamemory and memory performance. In conclusion, when we care for depressed older persons with less memory ability, we have to consider the outcomes of this study are relevant. In addition, it is necessary to develop nursing intervention in order to prevent memory loss and improve memory performance in depressed older persons.

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Factors Influencing Attitude toward Advance Directives of Older Cancer Patients (노인 암 환자의 사전의사결정에 대한 태도와 관련요인)

  • Lee, Min Hye;Park, Yeon-Hwan
    • Korean Journal of Adult Nursing
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    • v.27 no.4
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    • pp.449-458
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    • 2015
  • Purpose: The aims of this study were to identify the reported attitudes of older patients with cancer toward advance directives (ADs) and the factors associated with their attitudes toward ADs. Methods: The design was a cross-sectional survey. The age mean of the 130 participants were 70.8, and 66.2% of the participants were male. The data were collected at one university hospital in Seoul, South Korea during the period from October $1^{st}$ to December $5^{th}$ in 2013. The data collecting instruments were the Advance Directives Attitude Survey (ADAS) and questionnaires including socio-demographic and disease-related characteristics, family function. Results: 30.0% of the participants were aware of ADs, only 9% of them had been informed by healthcare providers. Most participants (93.1%) intended to complete ADs. The mean score of ADAS was 48.29. The stepwise linear regression analysis indicated that family function, perceived health status, period of education, and age accounted for a significant percentage (52.0%, p<.001) of the variance in participants' ADAS. The variable with the greatest effect was family function. Conclusion: The findings suggest that family function and attitude of older cancer patients need to be considered for adapting ADs to Korean health care systems. Healthcare providers should include family members in advanced care planning discussions.

Analysis of the Dynamic Balance Recovery Ability by External Perturbation in the Elderly

  • Park, Da Won;Koh, Kyung;Park, Yang Sun;Shim, Jae Kun
    • Korean Journal of Applied Biomechanics
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    • v.27 no.3
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    • pp.205-210
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    • 2017
  • Objective: The aim of the study was to investigate the age-related ability of dynamic balance recovery through perturbation response during standing. Method: Six older and 6 younger adults participated in this study. External perturbation during standing as pulling force applied at the pelvic level in the anterior direction was provided to the subject. The margin of stability was quantified as a measure of postural stability or dynamic balance recovery, and using principal component analysis (PCA), the regularity of the margin of stability (MoS) was calculated. Results: Our results showed that in the older adult group, 60.99% and 28.63% of the total variance were captured using the first and second principal components (PCs), respectively, and in the younger adult group, 81.95% and 10.71% of the total variance were captured using the first and second PCs, respectively. Conclusion: Ninety percent of the total variance captured using the first two PCs indicates that the older adults had decreased regularity of the MoS than the younger adults. Thus, the results of the present study suggest that aging is associated with non-regularity of dynamic postural stability.

Nurses' Awareness and Performance about Evidence-based Pain Management in Older Adults (병원 간호사의 근거중심 노인통증관리 지침에 대한 인지도와 수행도)

  • Kim, Eun-Kyoung;Park, Myong-Hwa
    • Korean Journal of Adult Nursing
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    • v.24 no.1
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    • pp.20-30
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    • 2012
  • Purpose: This study was to explore the gap between awareness and performance toward evidence-based pain management in older adults for the purpose of establishing baseline data for evidence-based pain management protocol development and dissemination. Methods: The subjects were 290 staff nurses from three general hospitals. Self administered questionnaires were used to collect the data and the results of the study were analyzed with descriptive statistics, t-test, ANOVA and Pearson's correlation. Results: There were statistically significant differences between awareness and performance in pain assessment (t=17.31, $p$ <.001), patient and family education (t=17.33, $p$ <.001), pharmacologic management (t=12.99, $p$ <.001), non pharmacological management (t=16.28, p<.001), and evaluation of effectiveness (t=11.70, $p$ <.001). There were also statistically significant differences in awareness and performance according to the workplace, knowledge, and usual performance. Conclusion: The study showed that the hospital nurses' performance about evidence-based pain management in older adults was lower than their awareness level thus indicating significant gaps between evidence and actual practice. To ensure effective pain care, the factors contributing to these gaps need to be analyzed to identify the barriers. In addition, the evidence-based pain management guideline suitable for various clinical settings needs to be developed and disseminated.