• 대한간호학회지
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• 제46권6호
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• pp.836-847
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• 2016

Purpose: The purpose of this study was to examine the association between utilization of home care services under the national long-term care insurance system and family caregiver distress. Methods: A secondary data analysis was conducted in this study using data collected in 2011 and 2012 from the Korean version of International Resident Assessment Instrument (interRAI) Home Care assessment system. The study sample included 228 clients receiving community based home care and their family caregivers in Korea. Descriptive statistics, $x^2$ test, t-test, and Heckman selection model analysis were conducted using SAS 9.3. Results: Presence of family caregiver distress was significantly associated with days of nurse visits (${\beta}$=-.89, p=<.001) and home helper visits (${\beta}$=-.53, p=.014). Level of caregiver distress was also significantly associated with days of nurse visits (${\beta}$=-.66, p=.028). Other factors which were significantly associated with caregiver distress were depression, cognitive function, inadequate pain control, social support for older adult, and caregiver relationship to the older adult. Conclusion: The results of this study show that visiting nurse service and appropriate support programs for Older Adults and family caregivers experiencing caregiver distress should be developed and provided to families based on the health care needs of older adults and their family caregivers for effective and sustainable home care.

• 정보관리학회지
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• 제38권3호
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• pp.199-214
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• 2021

본 연구는 고령화 사회에서 국내 공공도서관 노인서비스 현황을 파악하여 개선점을 도출하기 위한 목적으로 수행되었다. 전국의 도시지역 공공도서관을 대상으로 온라인 설문조사를 수행한 결과 총 172개 도서관이 응답하였다. 연구 결과, 국내 공공도서관은 대체로 노인이용자의 중요성에 대해서 인식하고 있으나, 적극적인 대응에는 한계가 있는 것으로 나타났다. 도서관 장서 및 공간/시설에 대해 우선적으로 강화해야 할 영역은 큰활자·음성도서/정기간행물 장서 확충과 높은 서가의 책을 찾기 위해 직원에게 도움 요청이 가능하도록 해야 한다는 점으로 조사되었다. 도서관 서비스/프로그램의 경우 우선적으로 강화해야 할 영역은 사회참여 프로그램과 인문학 프로그램으로 분석되었다. 정보서비스 담당 사서들은 다른 노인서비스 기관과 차별화된 도서관만의 노인서비스를 제공하기 위해서 노인세대의 계층을 세분화하고 보다 전문화된 서비스 및 프로그램을 기획하여야 한다는 의견을 개진하였다.

• 한국노년학
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• 제32권4호
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• pp.993-1011
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• 2012

본 연구의 목적은 각 집단별 노년기 장애발생과 변화에 관련이 있는 영향요인들을 분석하는 것으로 노동연구원의 "한국고령화연구패널(Korea Longitudinal Study of Aging: KLOSA)" 1차(2006년)와 2차(2008년) 기본조사자료를 사용하였다. 연구대상은 65세 이상 남성노인 1,454명(41.7%), 여성노인 2,032명(58.3%)으로 총 3,486명이다. 노년기 장애는 ADL장애와 IADL장애를 측정하였으며 전체노인을 정상노인, 만성질환노인, 치매의심노인, IADL장애노인, ADL장애노인으로 나누어 장애발생과 변화를 분석하였다. 연구결과를 살펴보면 2006년에 장애가 없는 노인들이 2008년에 장애가 발생하는데 영향을 미치는 요인들로는 부상, 시력제한, 인지능력저하, 우울, 건강행태, 사회경제적 특성, 연령 등을 들 수 있다. 부상과 시력으로 인한 일상생활제한 등의 경험은 2006년에 정상노인들이 2년 후 치매의심증상 발생이나 장애발생에 유의미한 영향을 미치고 있으며, 2006년에 인지능력저하를 경험한 노인들은 2년 후 치매의심증상이 나타날 확률이 정상노인의 2배 이상으로 나타났다. 2006년의 만성질환자가 우울증을 갖고 있는 경우는 그렇지 않은 경우에 비해 2년 이후 장애가 발생할 확률이 1.8배 높게 나타났다. 그 외에 흡연과 규칙적 운동의 경험뿐만 아니라 사회경제적 특징들도 비장애노인의 장애발생에 유의미한 영향을 미치고 있음을 알 수 있다. 2006년에 장애를 이미 갖고 있는 장애노인들의 2년 후 장애수준변화에서는 ADL장애노인의 경우는 유의미한 변수가 나타나지 않았으나 IADL장애노인의 경우는 도구적 지지를 적게 받을수록, 연령이 증가할수록 장애수준이 악화되는 가능성이 높게 나타났다. 본 연구결과를 바탕으로 노년기장애발생을 예방하고, 장애악화를 지연시키기 위해서 다양한 수준의 개입이 필요함을 제시하고 있다.

• 한국생활과학회지
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• 제24권5호
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• pp.645-661
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• 2015

The purpose of this study was to investigate the effects of socio-demographic variables, adult attachment and emotion regulation style on psychological well-being of university students. We conducted a survey on 318 university students in Cheongju-si and Hongseong gun. T-test, Pearson' productive correlation, hierarchical regression analysis were used. The results were as follows: First, there was a significant difference in emotion regulation style according to university student's sex. In other words, females used more support-seeking style than males did. Second, male university students' psychological well-being was high at more active style, less anxiety attachment and avoidant/distractive style, older students, less avoidance attachment, and higher economic status. Third, female university students' psychological well-being was high at less avoidant/distractive style and more active style, older students, less anxiety attachment, and more support-seeking style. In conclusion, emotion regulation style was the strongest factor to increase university student's psychological well-being among other variables. The implications and limitations of this study were discussed.

• 대한물리의학회지
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• 제12권1호
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• pp.51-59
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• 2017

PURPOSE: This study compared cognitive task-directed functional motor control ability for reaching and kicking movements in younger and older adults. METHODS: Subjects were divided into two groups of younger and older adults, with 13 subjects in each group. Subjects were required to perform a dual task combining a functional movement and cognitive component. The task consisted of reaching and kicking movements. Participants performed indicated movements when a target appeared on a monitor. The target randomly appeared on the monitor every 10 seconds. The total performance time (TPT), joint angular velocity (JAV), and muscle activation time were used to evaluate motor control ability. RESULTS: There were significant differences in all evaluation factors in a comparison of younger and older adults (p<.05). TPT was significantly shorter in older adults, and JAV and muscle activation time were significantly slower than that in the younger adult group. Although the results for older adults were within the normal range for functional assessment, their motor control abilities were significantly worse for cognitive tasks compared with those of younger adults. CONCLUSION: The results of this study indicated that a motor control assessment tool using a cognitive task would be helpful in assessment of motor control ability in healthy older adults.

• 대한간호학회지
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• 제36권5호
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• pp.813-820
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• 2006

Purpose: This study examined the effects of individual reminiscence therapy on older adults' depression, morale, and the quality of life. Methods: The design was a single-group pre-test and post-test study. Subjects consisted of 31 older adults from two senior centers and a welfare center in Seoul. Individual reminiscence therapy was applied to study subjects four times, once a week for an hour at each time. Measurement tools were the Geriatric Depression Scale Short Form Korea (GDSSF-K) for depression, Mun Ae-ri's (1996) scale for morale, and Medical Outcomes Study Short Form 36 (SF-36) for the quality of life. Data was analyzed using descriptive statistics, paired t-test, and pearson correlation. Results: The application of individual reminiscence therapy reduced older adults' depression (t=-5.65, p=.000), and enhanced older adults' morale (t=4.65, p=.000). The application of individual reminiscence therapy improved older adults' quality of life (t=5.00, p=.000). Conclusion: Findings of the study suggest that individual reminiscence therapy may be applied as a nursing intervention that contributesto the improvement of older adults' quality of life, reduces their depression, and enhances their morale.

• 재활간호학회지
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• 제13권1호
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• pp.32-43
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• 2010

Purpose: The purpose of this study was to determine factors that affect poor quality of life (QOL) of older adults who received home health service. Method: The sample 492 older adults participated in the study. The QOL was measured using the scale of QOL of Ware and other data were collected through face-to-face interviews from September to August, 2009. Results: The level of QOL was moderate (Mean 24.4, SD 7.4). The QOL was poorer in older adults (p<.05) and in those living alone (p<.01) compared to older adults and those living with couple or family respectively. The QOL was positively correlated with a sense of mastery (r=.213, p<.05), connection of health (r=.160, p<.05) and a cognitive function (r=.119, p<.01), and negatively correlated with Activities of Daily Living (r=-.266, p<.01) and Instrumental Activities of Daily Living (r=-.339, p<.01). Sense of mastery, connection of health & welfare, and IADL were significant predictors of QOL. Conclusion: Finding suggest that home health service program should incorporate strategies for increasing sense of mastery and capability of performing IADL, and strengthening connection of health service that may improve QOL of older home health service recipients.

• Journal of Community Nutrition
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• 제4권1호
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• pp.51-58
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• 2002

Eating behavior change as a result of nutrition education interventions as secondary prevention strategies can contribute to an increase in life expectancy and better health for older adults in the United States (U.S.). Many of the chronic conditions prevalent in older adults are modifiable by dietary changes, including heart disease, diabetes mellitus, hypertension, obesity and osteoporosis. Important demographic observations in the U.S. including the projected large increase in number of older adults by 2030 have implications for nutrition education focus and services. A comprehensive review of nutrition education interventions for older adults in the U.S. published in 1995 identified elements from adult education theories that contribute to the effectiveness of nutrition education. These elements have been the focus of more recent studies with older adults providing additional evidence for relationships between concepts from commonly used behavior change theories and dietary patterns or change. In the U.S, an important program contributing to nutritional adequacy of the diet for older adults is the Elderly Nutrition Program which provides resources for congregate dining and includes a mandatory nutrition education component. Nutrition education is also provided through clinic based programs, and print and broadcast media. Application of the Transtheoretical Model has shown that the level of interest or motivation to comply with dietary guidance may be greater for some older adults due to an increasing burden of chronic disease and poorer quality of life, while others may not feel a need to change lifestyle habits.

• 가정과삶의질연구
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• 제11권1호
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• pp.46-55
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• 1993

This study investigated the relationships among factors in the caregiving process for caregivers with older parents. A model was presented to help identify some of the dynamics in he family caregiving process Fifty-nine caregivers participated in the study. They were adult chldren who were currently providing care to at least one older parent. Using LVPLS program support for the proposed structural equation model was found through the identification of paths among the variables, The findings indicated that the experience of life events was negatively associated with perceptions and positively with active coping A positive relationship was found between perceptions and active coping. Past relationships had positive effects on perceptions and relationships with parents. Active coping was negatively associated with the relationship with parents. whereas perceptions were not a good predictor for the relationship with parents. The results of the family caregiving process model demonstrated that past relationships and perceptions of caregiving were related to current caregiving experiences with older parents.

• 한국노년학
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• 제29권4호
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• pp.1205-1232
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• 2009

이 연구가 밝히고자 하는 바는 노인과의 인터뷰를 통해 노인차별에 대한 노인들의 의미화 방식을 밝히는 것이다. 연구참여자는 총 14명이다. 이들을 통해 밝혀낸 노인차별에 대한 의미화 방식은 크게 '거부', '외면·회피', '수용', '문제제기', '고립·단절'로 구분된다. 이들 각 유형은 노인차별에 대해 현재 자신의 현실적 상황에 기반하여 노인차별을 다양하게 재해석하고 있었다. 이 연구 결과는 노인차별의 문제를 노인의 관점에서 입체적으로 보여줌으로써, 노인차별을 둘러싼 행위자들의 의미세계와 사회적 관계에 내재한 긴장과 억압의 체제를 발견하고, 그러한 역동성의 인식에 기초하여 명시적인 언어로 포착되지 않는 잠재적 차원을 드러낼 수 있는 계기가 된 것으로 보인다.