• Title/Summary/Keyword: older adults

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Critical Review on Research on Educational Gerontology in the Journal of the Korean Gerontological Society (『한국노년학』의 교육 분야 연구동향)

  • Han, Jungran;Kim, Young Sek
    • 한국노년학
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    • v.38 no.3
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    • pp.685-703
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    • 2018
  • The purpose of this study was to critically review articles published in the Journal of the Korean Gerontological Society(2008-2017). The 70 articles on the field of educational gerontology were collected from the journal. Research subjects, types of research, data collection methods, data analysis methods, and topics of research were analyzed. For recent ten years, the proportion of articles about educational gerontology took only 10.7%. Normal older adults(52.9%) for research subjects, experimental research(41.4%) for types of research, using questionnaires(42.9%) for data collection methods, analyzing differences between experimental and control group(22.9%) for data analysis methods, and education for older adults(72.9%) for topics of research were showed the highest proportion. Future research on educational gerontology needs to investigate informal educational experiences, consider diversity of older adults, and have more critical opinions on educational gerontology.

Understanding and Prevention of Fall-related Injuries in Older Adults in South Korea: A Systematic Review (한국 노인의 넘어짐과 연계된 인체손상에 대한 이해와 예방: 체계적 문헌 고찰)

  • Lim, Ki-taek;Lee, Ji-eun;Park, Ha-eun;Park, Su-young;Choi, Woochol Joseph
    • Physical Therapy Korea
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    • v.26 no.2
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    • pp.34-48
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    • 2019
  • Background: Fall-related injuries in older adults are a major health problem, and the risks and mechanisms of these injuries should be affected by race, culture, living environment, and/or economic status. Objects: Research articles have been systematically reviewed to understand fall-related injuries in older adults in South Korea. Methods: 128 published research papers have been found through the Korea Citation Index and the Korean Studies Information Service System, and reviewed in various perspectives, including incidents, fall death rates, medical costs, causes, injury sites and types, locations where falls occurred, prevention strategies, scholarly fields interested in fall injuries, and the role of physical therapy. Results: Fall-related injuries were found to be more common in women than in men, and the number of incidents increased with age, with the highest rate found in individuals over 85 years old. Risk of fall injury was associated with education level, comorbidities, and fear of falling. Common places where falls occurred included the bathroom, living room, stairs, and hallway. Common types of injury included bruises, fractures, and sprains in the lower extremities. Intervention strategies included exercise programs, education, and protective clothing. Scholarly fields interested in fall-related injuries in older adults included medicine, nursing, physical therapy, occupational therapy, physical education, pharmacology, oriental medicine, biomedical engineering, design, clothing, and textiles. Physical therapy intervention using proprioceptive neuromuscular facilitation has been used to improve one's balance. Conclusion: Any movement during the activities of daily living can lead to a fall. Physical therapists are highly educated to analyze human movements and should be involved in more research and practices to solve fall-related injuries in older adults.

Relations of Stroke Literacy, Health Literacy, Stroke Knowledge, and Self-Management among Middle-Aged and Older Adults (중노년기 성인의 뇌졸중 문해력, 건강정보 문해력, 뇌졸중 지식과 자기관리간의 관계)

  • Lee, Ji-Yeon;Chang, Hee-Kyung
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.12
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    • pp.719-730
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    • 2020
  • This study examined the degree and relations of stroke literacy, health literacy, stroke knowledge, and self-management to identify the significant determining factors affecting stroke prevention among middle-aged and older adults with a high incidence of stroke. Data on the sociodemographic characteristics, stroke literacy, health literacy, stroke knowledge, and self-management of 198 participants were collected from December 5, 2019, to March 31, 2020, using a structured questionnaire. The data were analyzed using the SPSS/WIN 23.0 program. The determining factors affecting self-management in middle-aged and older adults were age (β=.190. p=.015), followed in order by smoking (β=-.226, p=.001), self-rated health status (β=.297, p<.001), and stroke knowledge (β=-.168, p=.014); the explanation power was approximately 20.3%. The results suggest that the self-rated health status and stroke knowledge should be considered when developing nursing interventions to improve self-management among middle-aged and older adults. Furthermore, it will be necessary to find the intervening variable between stroke knowledge and self-management for community-dwelling middle-aged and older adults in the community. Overall, these findings underscore the importance of systematic and ongoing education on stroke prevention.

Usage intention and recognition of necessary functions for ICT-based care devices in older adults living alone (독거노인의 ICT 기반 돌봄 보조 기기 사용의향 및 필요 기능 인식에 대한 기술적 연구)

  • Paek, Min-So;Shin, Junseob;Shin, Yu-Seon
    • 한국노년학
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    • v.41 no.1
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    • pp.25-48
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    • 2021
  • This study intended to examine the willingness to use as well as necessary functions for ICT-based care assistance devices in older adults living alone. A total of 241 older adults living alone from a city participated in the study. Study results show that many older adults living alone are willing to use ICT-based care assistance devices at their home and the functions of care assistance devices that they perceived as necessary were diverse. In addition, there were differences in perception of functional necessity by socio-demographics and medical and functional characteristics of older adults living alone. In particular, there were significant differences in the functions perceived as necessary according to the presence of osteoporosis, depression, insomnia, and limitations in daily activities. Our study findings suggest that the functions of ICT-based care devices should be developed in various ways in order to help healthy aging in place. Findings also imply that it is necessary to provide individualized services and customized care assistance devices according to individual's medical and functional characteristics and needs.

The meaning and challenges of the introduction of the Customized Care Services for Older Adults (노인맞춤돌봄서비스의 도입 의미와 과제)

  • Chon, Yongho
    • 한국노년학
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    • v.40 no.4
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    • pp.599-616
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    • 2020
  • The South Korean government has introduced a new Customized Care Service for Older Adults by eliminating the six existing care services for them since 2020. It is a significant change of care service system for older adults and the service would play a key role in providing preventive services for them. The aim of the study is to examine the meaning and tasks of the introduction of the Customized Care Services for Older Adults in South Korea by using the framework of Gilbert and Terrell. The study found that the new service was designed under the government's policy contexts of the establishments of public-based social service providers and the emphasis of community care, and it has brought about a number of significant institutional changes of care system in terms of allocation, benefits, delivery, and finance. The institutional coverage of the service was increased to lower 70% of older adults and a large number of kinds of health and social care services would be provided for them. The sphere of living was set in each local area and the new service providers are entirely in charge of providing the services in each sphere. The financing system was changed to support service providers by providing government subsidies. Although a number of positive results would be expected to occur for the elderly, it is likely that some challenging tasks would happen in the fields as follows: the inadequate coverage, the vagueness of the application of self-care principle and the decrease in the amounts of direct care services, the inappropriate area of service provision, and the supplier-oriented provision of services rather than user-oriented.

Factors Influencing Daily Time Use Types of Older Adults and Their Effect on Life Satisfaction: A Study using Latent Profile Analysis (LPA) (잠재프로파일(LPA) 분석을 활용한 노인의 생활시간 유형의 영향요인과 유형에 따른 생활만족도)

  • Nam, Seok In;Chae, Joosuk;Won, Hae Sol;Lee, Ju Young
    • 한국노년학
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    • v.40 no.4
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    • pp.781-800
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    • 2020
  • This study aims to categorize the daily time use of older adults into different types, examine the factors influencing them and the differences between them by type, and verify the effect of each type on life satisfaction. From the 6th wave of the Korea Retirement and Income Study (KeRIS), analysis was conducted on 3,963 older adults aged 65 (n=3,963). Using Latent Profile Analysis (LPA), three types of daily time use for older adults were identified: basic life maintenance type (16%), free-leisure oriented type (26%), and social activity type (58%). From the results of multinomial logistic regression analysis to identify the factors influencing each type of daily time use, it was found that the main factors influencing free-leisure oriented type, when compared with basic life maintenance type, were the presence of spouse (p<.01) and psychological health status (p<.001). The main factors influencing social activity type, when compared with basic life maintenance type, were age (p<.05), economic activity (p<.001), and chronic disease (p<.001). The life satisfaction seen during free-leisure oriented time and social activity time was higher than that during basic life maintenance time. From these findings, practical and policy proposals were suggested to improve life satisfaction of older adults during basic life maintenance time by pursuing changes in the use of that time.

The Mediating Effect of Depression in the Relationship between Knee Pain and Cognitive Functions in Older Adults: Focusing on Group differences by Gender, Age, and Educational Attainment (노인의 무릎통증과 인지기능 간 영향관계에서 우울의 매개효과 -성별, 연령, 학력에 따른 집단별 차이를 중심으로-)

  • Ju, Mee-Ra;Kang, Chang-Hyun;Youk, Kyoung-Soo
    • The Journal of the Convergence on Culture Technology
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    • v.8 no.5
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    • pp.207-218
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    • 2022
  • This study, to confirm the mediating effect of knee pain on cognitive functions and depression in older adults, and as an interdisciplinary research between the physical and psychological mechanisms, confirmed the identifying group differences by gender, age, and educational attainment of older adults, and aimed to research the improvement of cognitive functions, which is a main factor of dementia's risk prediction. The analysis data was from the 8th Korean Longitudinal Study of Ageing (KLoSA) in 2020, and the research model was verified using Process macro and model #4. The main analysis results are as follows. First, depression partially mediation effect of knee pain on cognitive functions. Second, the mediation effect of depression by gender was significant, but the direct effect in the male older adults group was twice that in the female older adults; the indirect effect did not vary significantly based on gender. Third, the mediating effect of depression by age was relatively greater in the old-old aged group than in the young-old aged one. Fourth, as for the mediating effect of depression according to the classification of educational attainment, the mediating effect was not significant in the group with a college degree or higher education but was significant in the remaining three sub-groups. Based on the results, this study makes implications for the need for active intervention strategies to improve cognitive functions, focusing on group differences by gender, age, and educational attainment in the management of knee pain and depression.

The Development of Web-based Nutrition Information Contents for Older Adults : Content Analysis and Card-sorting process (노인대상 영양정보 웹사이트 컨텐츠 개발 : 내용분석과 카드소팅과정(Card-sorting process))

  • Chae, In-Sook;Yang, Il-Sun;Lee, Pil-Soon;Chung, Yoo-Sun;Kim, Young-Shin;Jang, Yoon-Jung
    • Journal of the Korean Society of Food Culture
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    • v.22 no.2
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    • pp.235-245
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    • 2007
  • This study was undertaken to develop web-based nutrition information contents for the older adults. Twenty six domestic web-sites were analyzed and then 12 foreign web-sites and 4 education materials for the elderly of foreign university were benchmarked. Also a lot of literatures on elderly education program were reviewed. A card-sorting task was performed with 8 older adults to ascertain how the target audience organized information about nutrition. The results were as fellows. Among 26 domestic web-sites, 2 sites(7.7%) were only for the elderly. Main topics of information contents for the elderly included 'Importance of Healthy Eating', 'DRI', 'Dietary Guidelines'. Four of twelve foreign web-sites were for the elderly nutrition education. Topics of 'Dietary Guideline', 'Meal Program' were found in 4 sites and 'Importance of Healthy Eating', 'Diet & Disease', 'DRI, 'Food Guide Pyramid', 'Nutrition Fact Labels' were found in 3 sites. Education materials of foreign university dealt with basic information on 'nutrient needs changes related with aging', 'Heart & Bone Healthy Eating Plan', 'Food Guide Pyramid'. Also topics on 'Eating on a budget', 'Eating Out Guideline' were included for practical use for the elderly. Based on card-sorting process, contents framework for web-site was developed and 4 main menus for framework were respectively named as 'Nutrition', 'Meals', 'Foods'. 'Check up Nutritional Health' by panel discussion. Finally we developed nutrition information contents for 4 main menus. We focused on helping older adults recognize the importance of healthy eating and apply the nutrition information to practical use. We expect that the developed framework of contents can be a guideline for indentifying the information needs of older adults in developing effective nutrition intervention program. And we suggest that the survey for target people should be peformed for the web-site to be user-friendly designed and the developed contents be evaluated and revised in the near future.

Older Adults' Self-reported Difficulty in Understanding and Utilizing Health Information (노인의 자가 보고에 따른 의료정보 이해 및 활용수준)

  • Kim, Su Hyun
    • 한국노년학
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    • v.30 no.4
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    • pp.1281-1292
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    • 2010
  • This study was performed to identify older adults' self-reported difficulties in understanding and utilizing health information and their relationships with health status and to investigate the differences between age groups and among education levels. Data were collected from July 1 to August 31 in 2007 from older adults in senior centers located in Daegu, Kyungpook, and Busan area. A total of 103 subjects participated in the study. The level of understanding health information in older adults was 50 on average (possible score 15-75). The most difficult items to understand were patient educational materials, written information provided by health care providers, and medical forms. The lower level of difficulty in utilizing health information was associated with better physical and mental health status. There were differences in their self-reported difficulties between the young-old and the old-old as well as among different education levels. Health care providers may need to tailor educational materials and medical forms to the cognitive ability of older adults under the consideration of their age and education levels.

Diabetes Self-management According to the DISC Personality Type and Diabetes-related Distress in Older Adults with Type 2 Diabetes (제2형 당뇨병 노인의 성격유형과 당뇨병 관련 스트레스에 따른 당뇨병 자기관리 행위)

  • Lee, Soo Jin;Song, Misoon
    • 한국노년학
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    • v.34 no.2
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    • pp.229-246
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    • 2014
  • The purpose of this study was to identify differences in the personality type, diabetes-related distress, and diabetes self-management among older adults with type 2 diabetes. The data of 180 older adults was collected at S Senior Center from between August 14 and October 14, 2012. There were significant differences in self-management between individual personality types(p<.001). The self-management level was lower in the dominance personality type than in the steadiness and conscientiousness types. In particular, foot care subunit self-management was significantly lower in the dominance personality than in the other personality types(p<.001). Moreover, dominance personality was the most important factors influencing diabetes self-management negatively. Using hypoglycemic agent and drinking also influence on diabetes self-management negatively(modified R2=16%). Therefore, when we provide intervention to the older adults with type 2 diabetes, we should consider their personality type and check whether using hypoglycemic agent and drinking alcohol or not. Furthermore, we need to develop intervention program focus on the older adults with dominance personality type, using hypoglycemic agent and having drinking behavior.