• 지능정보연구
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• 제29권3호
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• pp.211-227
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• 2023

인구의 고령화와 기술의 성장으로 등장한 소셜 로봇의 한 유형인 개인형 서비스 로봇은 최근 가정에서 노년층의 독립 생활 연장에 도움이 될 수 있는 기술을 중심으로 변화하고 있다. 노년층이 일상 생활에서 소셜 로봇 신기술을 수용하고, 장기적으로 사용하기 위해서는 사용자 관점의 맥락과 감정을 보다 심층적으로 이해하는 능력이 필요하다. 본 연구에서는 정량 데이터와 정성 데이터를 통합한 혼합 방법(mixed-method)을 활용하여 노년층 사용자를 깊이 있게 이해하는 것을 목적으로 한다. 구체적으로 노년층 사용자와 소셜 로봇 간 음성 대화 기록을 감정과 대화 주체를 주요 변수로 하여 현상학적 방법론 중 하나인 Van Kaam 방법론을 활용하여 그룹핑함으로써 9개 유형으로 대화를 구분하고, 이를 개인화한 대화의 빈도와 비중을 기반으로 사용자를 세분화하였다. 그리고 인구 통계적 데이터와 건강지표에 관한 사전 설문조사 결과를 사용하여 프로파일링 분석을 진행하였다. 이어서 대화 분석을 토대로 K-means 군집분석을 실시하여 노년층 사용자를 3개의 집단으로 분류하고, 각 집단별 특성을 확인하였다. 본 연구에서 제시한 모형은 향후 일상 생활에서 돌봄 기능이 있는 소셜 로봇 제공을 위해 노년층 사용자의 이해를 필요로 하는 기업에게 노년층 사용자 세분화에 관한 방법론을 제공함으로써 사용자 이해를 위한 인사이트 도출과 관련 사업을 성장시키는데 기여할 것으로 기대된다.

• 지식경영연구
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• 제23권4호
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• pp.113-132
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• 2022

정보통신기술의 발전과 일상 중심으로의 의료서비스 변화는 스마트폰 건강관리 앱(mHealth) 활용을 통한 자가관리 시대를 열었다. mHealth는 이용자의 건강 자가관리에 도움을 주며 서비스 제공자의 주요 수익원이므로 mHealth 이용 요인을 이해하는 것은 중요하다. 그러나 mHealth의 주요 이용자가 될 수 있는 당뇨병 노인을 대상으로 이용 요인을 규명한 연구는 제한적으로 이루어졌다. 따라서 본 연구는 당뇨병 노인의 mHealth 이용에 영향을 미치는 요인을 파악하는 것을 목표로 하였다. 구체적으로 당뇨병 노인의 주관적 건강상태와 e헬스리터러시가 mHealth 이용에 미치는 영향이 사회적 지지 수준에 따라 어떻게 달라지는지 살펴보는 것에 초점을 두었다. 65세 이상 당뇨병 노인 252명을 대상으로 한 온/오프라인 설문조사를 통해 자료를 수집했으며, 주관적 건강상태 및 e헬스리터러시와 사회적 지지의 상호작용항을 투입하는 위계적 다중회귀분석을 실시하여 조절효과를 검증하였다. 본 연구의 주요 결과는 다음과 같다. 첫째, 당뇨병 노인이 남성, 저연령일수록 mHealth 이용이 높았다. 둘째, 당뇨병 노인의 e헬스리터러시가 높을수록 mHealth 이용이 높았다. 셋째, 주관적 건강상태와 mHealth의 관계에서 사회적 지지의 완충효과가 나타났다. 이는 사회적 지지가 높을수록 주관적 건강상태가 mHealth에 미치는 긍정적 영향이 완화되는 것을 의미한다. 본 연구는 mHealth 이용에 관한 정보시스템 및 의료 분야의 지식에 기여하는 한편, mHealth 서비스 제공자의 고객 확보 전략 수립, 정부와 의료진의 당뇨병 노인의 mHealth이용을 통한 자가관리 증진 방안 마련에 유용한 실무적 시사점을 제공할 것으로 기대된다. 나아가 mHealth 이용 활성화를 통한 당뇨병 노인이 삶의 질 개선 및 디지털 포용 사회 구축에 기여할 수 있을 것이다.

• 한국노년학
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• 제39권3호
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• pp.415-427
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• 2019

본 연구는 노인의 가구 유형을 독거와 동거로 구분하여 동반식사 시 우울에 미치는 영향을 확인하였다. 분석을 위해 국민건강영양조사의 제 7기 1차(2016)년도의 자료를 이용하였다. 65세 이상 노인 총 1,233명을 최종 분석 대상자로 선정하였고, 동거인이 없을 경우를 독거, 그 외를 동거가구로 구분하고 세끼 중 한 끼 이상 동반식사를 하면 동반식사군, 전부 혼자 식사할 경우 혼자식사군으로 분류하였다. 수집된 자료는 통계프로그램 SPSS/WIN 21.0을 이용하여 국민건강영양조사에서 부여한 가중치를 반영한 복합 표본 자료분석방법으로 분석하였다. 연구 결과 동거가구에서 동반식사를 하는 노인은 855명(89.5%), 혼자 식사하는 노인은 100명(10.5%)이었고, 독거가구에서 동반식사를 하는 노인은 86명(30.9%), 혼자 식사하는 노인은 192명(69.1%)이었다. 본 연구에서 우울에 영향을 미치는 요인을 회귀분석을 통해 분석한 결과, 가족동거 노인군에서는 동반식사를 할수록 낮은 우울수준을 경험하는 것으로 나타났으나(β=-1.663, p<.001), 독거노인군의 경우 동반식사와 우울간의 유의미한 상관관계를 보이지 않았다(β=-0.856, p=.148). 이러한 연구결과를 바탕으로 동거가족이 있는 노인의 경우 동반식사를 늘려줄 수 있는 인식개선사업이나 가족을 포함한 타인과 함께 식사할 수 있는 다양한 지역사회 프로그램의 개발 및 적용이 필요할 것이다. 또한, 독거노인의 경우 그들이 처한 특수 상황으로 인해 신체적, 심리적인 건강이 전반적으로 취약해져있으므로, 이 집단에 대해서 지역사회의 지속적인 관심과 집중이 필요할 것으로 사료된다.

• 기본간호학회지
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• 제18권4호
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• pp.488-496
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• 2011

Purpose: To determine the type and degree of effect that a hot footbath has on sleep quality and fatigue level in older Korean adults. Methods: A non-equivalent control group quasi-experimental design was used. Fifty participants from a long-term care facility in Kwangju, South Korea, were randomly selected and assigned to two groups: experimental group (27 participants) and control group (23 participants). The participants in the experimental group received hot footbaths in a temperature-controlled water tub of $42^{\circ}C$. They soaked their feet up to 20cm above the ankles for 30 minutes before going to bed for 3 nights. Actigraphy was used to measure their sleep patterns. The data were analyzed using the SAS program. Results: After the intervention, the total sleep satisfaction rate of the participants increased, while sleep latency and fatigue decreased significantly in the experimental group compared to the control group. Conclusion: The study results suggest that hot footbaths are beneficial for older Korean adults in enhancing sleep quality as well as reducing fatigue. Therefore, hot footbaths are recommended as a nursing intervention to improve sleep quality and to reduce fatigue in older Korean adults.

• 대한간호학회지
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• 제33권6호
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• pp.713-721
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• 2003

Purpose: This study was to determine the mediator or moderator role of social support in the relationship between stress and depression among family caregivers of older adults with dementia. Method: Sixty nine family caregivers were randomly selected from health care centers in P city and a face-to-face interview was conducted using questionnaires from January to May of 2002. Data were analyzed with descriptive statistics, Pearson correlation, and hierarchical multiple regression using SPSS program. Result: Family caregivers of older adults with higher dependency in ADLs and higher problematic behaviors, provided care to the older adults for a longer period of time, and perceived less social support reported higher depression. Social support showed mediating effects between stress and depression, while did not show moderating effects. Elderly dependency on ADLs and caregiving duration decreased perceived social support and decreased social support increased depression. Conclusion: To increase family and social support to the caregivers of more functionally impaired elderly, family education to increase emotional support and physical assistance to the caregivers and broader and flexible application of social support such as increasing accessibility to the elderly daycare service with lower price may prove beneficial.

• 지역사회간호학회지
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• 제28권4호
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• pp.494-503
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• 2017

Purpose: This study is to grasp factors influencing the quality of life in older adults after total knee replacement. Methods: This study was conducted with 165 older adults who had TKR at four orthopedic hospitals in D city. Data were analyzed using one-way ANOVA, independent t-test, Pearson's correlation, and stepwise multiple linear regression with SPSS 19.0 software. Results: Pain and depression were negatively correlated with range of motion, social support, while sense of coherence was positively correlated with quality of life. Sense of coherence (43%, ${\beta}=.40$), pain (8%, ${\beta}=-.30$), and depression (3%, ${\beta}=-.20$) on the Physical Component Summary in the quality of life have significant explanatory power of 54%. Sense of coherence (49%, ${\beta}=.44$), social support (6%, ${\beta}=.25$), and depression (3%, ${\beta}=-.22$) on the Mental Component Summary in the quality of life have significant explanatory power of 58%. Conclusion: This study suggests developing a program to improve the quality of life in older adults who had TKR, considering factors such as sense of coherence.

• 근관절건강학회지
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• 제19권2호
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• pp.223-232
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• 2012

Purpose: The purpose of this study was to examine the relationships among perceived health status, exercise self-efficacy, social support, and exercise compliance and factors influencing exercise compliance in older adults in an area. Methods: The sample consisted of 154 older adults who attended a senior welfare center in D metropolitan city. Data were collected from the 25th to the 31th of January in 2012. Results: The mean score for perceived health status was 2.94, 911.69 for exercise self-efficacy, 46.99 for social support, and 6.83 for exercise compliance. The highest score on social support domains was emotional support, followed by self-esteem, material, and informational support. There were significant correlations between perceived health status and exercise self-efficacy, between perceived health status and exercise compliance, between exercise self-efficacy and social support, between exercise self-efficacy and exercise compliance, between emotional support and exercise compliance. Findings of multiple regression indicated that only exercise self-efficacy significantly explained exercise compliance. Conclusion: Health care providers may need to develop various intervention program to promote exercise self-efficacy in order to influence on exercise compliance and adherence among older adults.

• 대한물리의학회지
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• 제2권1호
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• pp.73-84
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• 2007

Purpose : The purpose of this study was to determine risk factors and methods in balance assessment associated with fall in older adults. Methods : This article describes many of the tools that can be used to evaluate the physical parameters associated with fall risk in older adults. Results : Composite ratings of performance(Tinetti balance assessment, Guralnik test battery, Berg balance scale, modified-physical performance test) measures the score compounding the balance measure to determine fall risk. Static balance instruments are composed of FICSIT-4 that measures the ability of maintaining foot positions and CTSIB that measures postural stability. Dynamic balance instrument is composed of functional reach test. To measure walking velocity and mobility, 8-foot up-and-go test and walking around two cones are used. We can use 1-RM and to measure muscular strength, isokinetic dynamometery, and 30-second chair stand to measure lower extremity muscle strength. Conclusion : The described instruments are easy to use and widespread. To select and use these tool kits carefully is considered to be helpful in identifying those who are most likely to fall. The final part of the article includes a brief discussion of the potential role of exercise training interventions to improve these physical parameters and prevent falls.

• 성인간호학회지
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• 제23권4호
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• pp.374-385
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• 2011

Purpose: The purpose of this study was to identify the factors that influence medication adherence and self-care among low-income older adults with hypertension. Methods: A sample of 297 low-income older adults with hypertension was recruited from June 30 to July 30, 2010. Data collection was done using a face-to-face interview with structured questions. The data were analyzed using descriptive statistics, Pearson's correlation coefficient, and path analysis. Results: Subjective health status, duration of hypertension, number of drugs excluding antihypertensives, body mass index, knowledge about hypertension, sense of coherence, benefit, barrier, and self-efficacy were identified as significant predictors. Subjective health status and duration of hypertension, knowledge, depression, and self-care showed direct effects on medication adherence. Depression had the strongest direct influence on medication adherence. Body mass index, benefit, self-efficacy, and depression showed a direct effect on self-care. Sense of coherence was a strong predictor of depression which significantly influenced on medication adherence and self-care. Conclusion: For enhancing medication adherence and self-care, it is suggested that a psycho-education program reducing depression and increasing knowledge about hypertension should be provided into low-income older adults with hypertension.

• 지역사회간호학회지
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• 제27권1호
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• pp.1-8
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• 2016

Purpose: The purpose of this study was to examine the depression and cognitive function of community-dwelling older adults. Methods: 243 aged over 65 in Won-Ju in South Korea participated in this study. Data were collected from April to June 2013 through interviews. This study utilized the Geriatric Depression Scale Short Form, the Korean version of MMSE-DS (MMSE for Dementia Screening), and infirmity testing for basic health status. Descriptive statistics, ${\chi}^2$, t-test, ANOVA, $Scheff{\acute{e}}^{\prime}s$ test, and Pearson's correlation coefficient were used. Results: 75.3% of the participants belonged to the depression group, and the prevalence of cognitive impairment was 17.3%. There were significant differences in depression and cognitive function according to gender, educational level, type of insurance, subjective health, frailty, and whether to be a client of home care service. The level of depression was significantly higher and the level of cognitive functions was significantly lower in older adults in home care services than in community-dwelling older adults. Conclusion: This study is meaningful in that it included older adults in home care services to provide information to develop effective prevention programs for improving cognitive functions. The results of this study can be used to develop future community prevention and intervention.