• Title/Summary/Keyword: older adults

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The Influences of Perceived Stresses on Suicidal Ideation in Older Adults (노인의 자살사고에 대한 스트레스의 영향정도)

  • Kim, Su-Hyun;Choi, Yeon-Hee
    • Korean Journal of Adult Nursing
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    • v.20 no.2
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    • pp.200-208
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    • 2008
  • Purpose: The purposes of the study were to understand the levels of older adults' perceived stresses in terms of family relationship, physical health, financial difficulty, death of family members, and household environment, and to identify the influences of the stresses on their suicidal ideation. Methods: The subjects were 302 older adults residing in Daegu, Korea. The data were collected by questionnaires between March and April 2007. Results: Older adults perceived the highest level of stress from the death of family members and had high levels of stresses from physical health, family relationships, financial difficulty, and household environment in order. The variables influencing suicidal ideation were stresses from family relationships, physical health, and financial difficulty. Conclusion: Based on the findings, it is recommended that nurses provide in-depth screening of suicide risk for older adults who visit general health care settings through the identification of the levels of stresses in terms of family relationships, physical health, and financial difficulty. It is further suggested to provide collaborative interventions between primary health care providers and psychiatric professionals for suicide prevention and treatment in older adults.

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The Validity and Reliability of a Korean Version of the Diabetes Self-Care Barriers Assessment Scale for Older Adults with Type 2 Diabetes (제2형 당뇨노인을 대상으로 한 당뇨 자가관리 방해요인 사정도구(DSCB-OA) 한국어 버전의 타당도와 신뢰도 검증)

  • Chang, Sun-Ju;Kang, Kyung-Ja
    • Journal of muscle and joint health
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    • v.17 no.2
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    • pp.183-191
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    • 2010
  • Purpose: The purpose of this study was to test the validity and reliability of the Diabetes Self-Care Barriers Assessment Scaler for Older Adults (DSCB-OA) in Korean older adults with type 2 diabetes. Method: To develop Korean version DSCB-OA used translation and back-translation method. Then, Korean version DSCB-OA was analyzed using data of 278 older adults with type 2 diabetes. Cronbach's alpha coefficient, item to total correlation and test-retest reliability was used for the reliability test, and factor analysis was used for the construct validity. Results: Cronabach's alpha of the DSCB-OA was.77, and item to total correlation coefficient ranged from -.13 to.56. The results of factor analysis showed DSCB-OA consisted of four factors(diet, exercise, blood sugar test, treatment) which explained 62.8% of total variance. Conclusion: The Diabetes Self-Care Barriers Assessment Scaler for Older Adults (DSCB-OA) was confirmed helpful tool for Korean older adults with type 2 diabetes.

Correlation Between Physical Activity Measured by a Wearable Device and Quality of Life in Older Adults

  • Kim, Si-hyun
    • Physical Therapy Korea
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    • v.28 no.4
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    • pp.251-255
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    • 2021
  • Background: Physical activity and quality of life (QOL) influence the health status of older adults. Recently, the use of wearable devices to monitor physical activity has increased. Objects: This study examined the relationship between the amount of physical activity, measured using a wearable device, and QOL among older adults. Methods: In total, 71 older adults (aged ≥ 65 years) were enrolled. The amount of physical activity was measured using a wearable device with a wrist strap, and daily physical activity was classified according to intensity (sedentary, light, moderate, or very active). Self-reported QOL was evaluated using the Short Form 36 (SF-36) questionnaire. Pearson and Spearman correlation analyses were conducted to analyze parametric and non-parametric variables, respectively. The relationship between amount of daily physical activity and SF-36 scores was assessed. Results: The correlation analyses revealed positive correlations between the amount of moderate-intensity and very active physical activity (minutes/day) and SF-36 scores (p < 0.05). Conclusion: Physical activity of at least moderate intensity is associated with better QOL in older adults. Further studies are required to verify the effects of increased physical activity on QOL in older adults.

Living-Alone Older Adults' Depressive Symptoms According to Social Participation and Gender (사회참여영역과 성별에 따른 독거노인의 우울감)

  • Lee, Seung-Hyun;Lee, Kyu-Ho
    • The Journal of the Korea Contents Association
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    • v.21 no.12
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    • pp.607-620
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    • 2021
  • In the current study, the effects of living-alone older adults' social participation on their depressive symptoms were assessed. Data of 924 older adults from the Aging Research Panel Survey were analyzed. The results show that the effects of older adults' social participation on depressive symptoms vary depending on the types of social participation and gender. Men attending school or hometown alumni meetings and clan gatherings showed fewer depressive symptoms; women participating in informal social gatherings or organizations for leisure, culture, and sports had fewer depressive symptoms. The results suggest that living-alone older adults' gender and dimensions of social participation should be considered when designing programs and services to reduce their depressive symptoms.

Predictors of Post Stroke Depression in Community-indwelling Older Adults (재가노인의 뇌졸중 후 우울 예측요인)

  • Oh, Eunmi
    • Journal of Korean Gerontological Nursing
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    • v.20 no.3
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    • pp.167-176
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    • 2018
  • Purpose: Post Stroke Depression (PSD) is one of the most common complications for stroke survivors and is associated with negative health outcomes such as disability, death. The purpose of this study was to investigate the prevalence and predictors of PSD among older Korean adults living in the community. Methods: Data collection was done using the 2014 Survey of Living Conditions and Welfare Needs of Korean Older Adults. Participants were 706 older adults who had a stroke. Logistic regression analysis was used to determine the predictors of PSD. Results: The prevalence of PSD which was assessed by the short form of the geriatric depression scale was 49.4%. In a logistic regression model, the predictors of PSD were self-rated health (OR=5.90, CI=3.70~9.40), economic state (OR=2.97, CI=2.07~4.24), independent activities of daily living (IADL) (OR=2.17, CI=1.30~3.63), Activities of Daily Living (ADL) (OR=2.02, CI=1.07~3.80), and education (OR=1.53, CI=1.05~2.24). Conclusion: PSD was common among older Korean adults living in the community. Poor self-rated health status, lower economic state, lower levels of Instrumental Activities of Daily Living (IADL) and ADL, lower levels of education should be considered when conducting activities related to prevention and management of PSD in older adults.

The Effect of the Intergenerational Exchange Program for Older Adults and Young Children in the Community Using the Traditional Play (전래놀이를 활용한 지역사회 노인과 아동을 위한 세대교류 프로그램의 효과)

  • Choi, Min-Jung;Sohng, Kyeong-Yae
    • Journal of Korean Academy of Nursing
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    • v.48 no.6
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    • pp.743-753
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    • 2018
  • Purpose: This study aimed to explore the effects of a community-based first and third Intergenerational Exchange Program (IGEP) on older adults' health-related quality of life (HRQoL), loneliness, depression, and walking speed, and on 4~5-year-old preschool children's learning-related social skills. Methods: This study employed a non-equivalent control group pre-post-test design. The experimental group included 42 older adults and 42 children who participated in the IGEP for 8 weeks, and the control group included 39 older adults. The experimental group participated in the IGEP once a week for 8 weeks. It comprised a traditional play program based on the intergroup contact theory. Results: Compared to the control group, there was a significant increase in scores on the HRQoL-Visual analogue scale (VAS) and a decrease in loneliness and depression in older adults in the experimental group (p<.05). Children who participated in the IGEP showed an improvement in their learning-related social skills (p<.001). Conclusion: These results confirm that the IGEP is an effective intervention to improve HRQoL-VAS, loneliness, and depression among older adults and learning-related social skills among preschool children in the community.

Association Between Health Status and Physical Activity among Korean Older Adults (노인의 건강상태와 신체활동에 관한 연구)

  • Park, Yoon-Soo;Yoo, Wang-Keun;Han, Sam-Sung;Kong, Mi-Jin
    • The Korean Journal of Health Service Management
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    • v.13 no.3
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    • pp.93-103
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    • 2019
  • Objectives: The purpose of this study was to analyze the association between health status and physical activity levels in older adults (over 65 years) in Korea. Methods: The participants were selected from the database of the Seventh Korea National Health and Nutrition Examination Survey (KNHANES VII), conducted by the Korea Centers for Disease Control and Prevention in 2017. A chi-square test and logistic regression analysis were used to analyze data. Results: The findings showed that health conditions such as hypertension and diabetes were related to physical activity levels of the older adults. In addition to health status, social and economic factors such as gender, age, and geographic region should be considered in order to initiate the practice of aerobic and strength exercise in the older adults. Conclusions: To initiate physical activity levels in the older adults, it is necessary to consider support for costs involved, policies required for the development of integrated exercise programs, expansion of public exercise facilities, and improved facilities.

Factors associated with dental service utilization among older adults (한국 노인의 치과의료이용 영향 요인)

  • Choi, Hye-Sook
    • Journal of Korean society of Dental Hygiene
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    • v.22 no.2
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    • pp.117-124
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    • 2022
  • Objectives: It is crucial to detect and prevent oral problems early. Older adults, in particular, should go for regular dental checkups to maintain a healthy oral environment. This study identified the factors affecting regular dental examinations and unmet dental needs in older adults. Methods: This study analyzed 3,362 older adults aged 65 or over using the data from the 7th Korean National Health and Nutrition Examination Survey (KNHANES). Frequency analysis was performed on general characteristics. In addition, chi-square tests were done to determine differences in regular dental checkups and unmet dental needs according to general characteristics. Logistic regression analysis was performed on factors influencing regular dental checkups and unmet dental needs. Results: Factors influencing regular dental checkups were statistically significant according to residential areas, level of education, household income, and levels of physical activity (p<0.05). Factors influencing unmet dental needs were statistically significant according to residential areas, level of education, private medical insurance, and levels of dental pain (p<0.05). Conclusions: National level policy strategies should be implemented to improve the oral health of older adults. These strategies should encourage regular dental checkups to effectively lower the rate of unmet dental needs.

The Mediating Effect of Positive Body Image in the Association between Attitudes toward Aging and Life Satisfaction among Older Adults (노인의 노화에 대한 태도와 삶의 만족도 사이의 관계에 미치는 긍정적 신체 이미지의 매개효과)

  • Minsun Lee;Ki Hyang Han
    • Journal of the Korean Society of Clothing and Textiles
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    • v.46 no.6
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    • pp.1023-1038
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    • 2022
  • In societies emphasizing the importance of youthful appearance, attitudes toward aging are closely related to how individuals perceive their own bodies, which can be a major determinant of psychological well-being among older adults. The purpose of this study was to examine the associations between attitudes toward aging, positive body image, and life satisfaction among older Korean adults, based on relative deprivation theory and social identity theory. Employing an online survey questionnaire, data was collected from 408 Korean aged 65 and over. The proposed research model was examined via partial least square structural equation modeling (PLS-SEM). Results revealed that higher levels of psychosocial loss were associated with lower positive body image, while higher levels of physical change and psychological growth - a good example were associated with higher positive body image. Higher levels of positive body image were associated with higher life satisfaction. Overall, positive attitudes toward aging may increase positive body image and life satisfaction among older adults, controlling for subjective financial and health status. The results of this study emphasize that we should not overlook the importance of positive body image in psychological well-being among older adults.

Psychosocial Features Affecting Suicidal Ideation Among Human Immunodeficiency Virus-infected Older Adults

  • Kang, Cho Ryok;Yang, Sook Ja
    • Journal of Korean Public Health Nursing
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    • v.37 no.1
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    • pp.136-146
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    • 2023
  • This cross-sectional design study was undertaken to determine the factors associated with suicidal ideation in human immunodeficiency virus (HIV)-infected older adults. Data from a city-wide representative sample collected by the Seoul Metropolitan Government were used. The cross-sectional survey was conducted between February and March 2013. Participants selected and included in the analysis were HIV-infected adults living in Seoul, and aged 50 years and older. The overall adjusted model showed that being unemployed (adjusted odds ratio [aOR], 3.34; 95% confidence interval [CI], 1.16-9.57), a history of depression treatment (aOR, 4.61; 95% CI, 1.02-20.66), perceived belongingness (aOR, 0.63; 95% CI, 0.41-0.99), and psychological functioning (aOR, 0.85; 95% CI, 0.73-0.99) were significantly related to suicidal ideation. Psychosocial features were found to be strongly associated with suicidal ideation among HIV-infected older adults. The findings could be useful for HIV nursing consultants to identify HIV-infected older adults who are vulnerable to suicidal ideation. Comprehensive mental health services should be provided as coping resources for HIV-infected older adults who have suicidal ideation.