• 한국치위생학회지
• /
• 제19권3호
• /
• pp.351-362
• /
• 2019

Objectives: The study aimed to analyze the factors affecting the maturity of dental biofilm, which was assessed with quantitative light-induced fluorescence-digital(QLF-D), in a sample of Korean older adults. Methods: This cross-sectional study included 67 participants, aged 65 years and older. All participants completed a questionnaire and tests to measure their manual dexterity and handgrip strength, which are parameters that indicate hand function abilities. To evaluate dental biofilm maturity, 804 surfaces of six index teeth were imaged using QLF-D and then quantified as ${\Delta}R$ values. All data were collected from May 25, 2017 to April 30, 2018. The independent t-test, one-way analysis of variance, and step-wise multiple linear regression were performed to analyze the factors associated with the maturity of dental biofilm (${\Delta}R$). Results: The multivariate linear regression analysis revealed that the factor most strongly related to dental biofilm maturity(${\Delta}R$) was manual dexterity (${\beta}=-0.326$), followed by handgrip strength (${\beta}=-0.303$) and use of interdental cleaning devices (${\beta}=-0.283$) (p<0.05). Conclusions: Manual dexterity, handgrip strength, and use of interdental cleaning devices are factors that can predict dental biofilm maturity in adults aged 65 years or older. Therefore, the hand function of a patient should be evaluated first, before assessing the oral hygiene status of the patient or providing him/her with oral health education, and the dental hygienist should provide differentiated oral hygiene care depending on the patient's hand function ability. Finally, dental hygienists should help older adults to recognize the importance of auxiliary oral hygiene devices such as interdental brushes and keep motivating them to use the devices more frequently.

• 한국노년학
• /
• 제32권3호
• /
• pp.835-850
• /
• 2012

최근 노년층의 인터넷 이용률 및 활용 능력이 증가하고 있다. 본 연구는 질적기술연구 방법을 통하여 노인정보화 현상을 심층적으로 이해하고자 하였다. 본 연구의 목적은 노인이 어떠한 맥락에서 인터넷을 이용하며, 그 경험의 모습과 의미는 무엇인가를 살펴보는 것이다. 16명 노인 참여자와의 심층 면담을 분석한 결과, 노년층의 인터넷 활용의 경험과 그 의미는 다음과 같이 네 개의 주제로 도출되었다. (1) 현대사회 "애매한" 연령대 노인의 고민, (2) 아날로그 세대의 디지털 시대 변화 동참, (3) 인터넷 활용이 가져온 삶의 변화, (4) 노년층의 정보화 활용, 그 동전의 양면에 있는 생각. 연구 결과를 바탕으로 노인 정보화 정책을 위한 구체적인 함의를 세 가지 차원에서 살펴보았다. 첫째, 노년층의 정보화 활용이 생산적 활용으로 이어지는 방안에 관하여 논의하였다. 두 번째 및 세 번째 논의는 노인 정보화의 발전방향에 관한 것으로 정보화를 통한 고령자의 건강 증진 및 정보화와 인문학과의 만남을 제안하였다.

• 농촌의학ㆍ지역보건
• /
• 제47권1호
• /
• pp.27-39
• /
• 2022

Objectives: The purpose of this research was to explore Fall Risk Home Environment(FRHE) and to investigate the association between FRHE and fall experience among community-dwelling older adults. Methods: The data were collected from 299 older adults using FRHE through observation and interview at home of the participants and were analyzed with SPSS 22.0 applying descriptive statistics, χ²-test, t-test, and logistic regression analysis. Results: The prevalence of fall experience during the past year was 51.5%. 'No handles beside the toilet or bathtub'(73.2%) was most common FRHE factor, 'thresholds in your room or kitchen'(68.9%), 'wearing socks, outer socks, or slipper when you move in the house'(59.5%), and threshold on the gate (apartment entrance)(55.5%) were followed. The findings of logistic regression of FRHE on fall experiences showed darkness of house had the highest Odds Ratio (OR 9.83 95% CI 3.75-25.71), followed by furniture obstructs your walking in the house(OR 7.07, CI 2.88-17.36), dark kitchen (OR 5.13, CI 2.38-11.03). The group having fall experiences presented significantly higher score of FRHE than the group of non experiences of fall. Conclusion: The community dwelling older adults exposures to various FRHE factors and FRHE might increase the risk of falls. Assessing and modifying the home environment could be a good strategy to prevent fall among older adults.

• 한국노년학
• /
• 제40권3호
• /
• pp.443-458
• /
• 2020

본 연구는 한국 남녀 노인의 여가활동과 인지기능 간 관계를 탐구하는데 그 목적이 있다. 연구의 목적을 위해 국내 지역사회에 거주하고 있는 65세 이상 노인에 대한 대표성 있는 자료인 노인실태조사 자료를 활용하여 주요변수에 대한 결측값이 없는 10,055명에 대해 로지스틱 회귀분석을 실시하였다. 여가활동은 생산적 및 소비적 여가활동, 미분류 활동의 세 가지 유형으로 구분하였으며 치매선별용 한국어판 간이정신상태검사(Mini Mental Status Examination for Dementia Screening)의 연령, 성별, 교육수준별 기준 점수에 미달하는 경우 인지기능 장애가 있는 것으로 보았다. 연구결과 여가활동 유형 중에서 생산적 여가활동이 유일하게 남녀 한국 노인의 인지기능 장애 관련 요인으로 나타났으며 소비적 여가활동과 미분류 활동은 유의한 관계를 확인할 수 없었다. 생산적 여가활동 외에 연령, 교육수준, 경제활동 참여, 주관적인 청각 장애 및 우울감이 유의한 관련변수로 나타났다. 본 연구결과를 통해 향후 노인 여가정책에 대한 방향을 제시하였다.

• 한국임상약학회지
• /
• 제32권2호
• /
• pp.67-73
• /
• 2022

Objectives: Hyponatremia is prevalent electrolyte disorder and can be fatal in older adults. Evaluative studies on hyponatremia among older adults are scarce, especially targeting for those who visited emergency department (ED). We aimed to estimate the prevalence and to identify risk factors of hyponatremia among elderly patients visiting the ED. Methods: A retrospective chart review was completed including 65 or older patients who visited ED at Seoul National University Bundang Hospital from September to December 2019. Patients with the serum sodium concentration of less than 130mEq/L was defined as a hyponatremia group. Logistic regression analysis was conducted to assess predictive factors for hyponatremia. Results: Of the total 2,445 patients, 155 (6.3%) were confirmed to have hyponatremia at the time of ED visits. Risk factors for hyponatremia identified in logistic regression analysis were thiazides (aOR=2.64, 95% CI 1.66-4.21), opioids (exclude tramadol) (aOR=3.45, 95% CI 1.72-6.94), and desmopressin (aOR=6.98, 95% CI 2.45-19.84). Compared to the use of thiazides alone, it was confirmed that the possibility of hyponatremia was more than quadrupled when proton pump inhibitor (PPI) was used together (aOR=4.08, 95% CI 1.74-9.55). Conclusions: About 6.3% of older adults visiting the ED had hyponatremia. Age, number of medications taken, previous history of hyponatremia, heart failure, cirrhosis, pneumonia, sepsis, prescribed drugs including thiazides, opioids (exclude tramadol), or desmopressin or taking PPI together with thiazides was confirmed to correlate with the risk of hyponatremia.

• 한국치위생학회지
• /
• 제23권1호
• /
• pp.13-23
• /
• 2023

Objectives: This case study was conducted to assess the changes in the oral health status of older individuals with hearing and visual impairments through home oral health care based on community care. Methods: The participants were two older adults with hearing and visual impairments. Through home visits, an oral health intervention program, including oral hygiene care and training on strengthening of oral function, was conducted once a week for 5 months. Dental hygienists performed special oral health interventions such as dental plaque control through individual tooth brushing and interdental care, training on strengthening of intraoral and extraoral muscle function, and denture care for the individuals with visual-hearing impairments. Results: The overall periodontal health status and oral muscle function improved in older adults with hearing and visual impairments. In the case of the visually impaired individuals, changes in the oral health status were oral mucosal moisture (30.1 and 37.2 points before and after intervention, respectively), salivary secretion (3.5 and 4.0 cm before and after intervention, respectively), and maximum tongue pressure (20.5 and 26.2 kPa before and after intervention, respectively). Changes in the oral health status of the hearing impaired individuals increased from 28.3 points before the intervention to 38.4 points after the intervention, and the maximum tongue pressure increased from 1.85 kPa to 23.5 kPa after the intervention. Conclusions: Oral health intervention activities contributed to improving the periodontal health and oral function of older adults with hearing and visual impairments. To improve their overall and oral health, it is necessary to prepare measures to activate customized oral health intervention programs.

• 보건행정학회지
• /
• 제26권4호
• /
• pp.305-314
• /
• 2016

Background: The purpose of this study is to examine the characteristics of and factors associated with long-term care (LTC) utilization under public long-term care insurance (LTCI) among end-of-life older adults in Korea. Methods: Using a 5% sample of older people aged 65 or older and their health and LTC insurance data, two-part model analyses were conducted. We compared LTC uses and their determinants during the last year of life among decedents in the year 2010 with those of survivors. We also compared the medical uses of the same sample with their LTC uses. Results: The end-of-life elderly were more likely to use LTC, and their expenditure on LTC was higher than their counterparts. Whether or not older people used LTC during their last year of life was significantly affected by age, sex, health insurance, household income, and living alone; however, LTC costs of the decedents were only affected by functional status, which may have been due to the reimbursement scheme of the current LTCI, which is mainly based on functional dependency level. For the survivors, having chronic diseases significantly increased the likelihood of LTC use, which was not the case for the decedents. End-of-life elderly with relatively low social economic status were more likely to use the LTC other than medical services, while the health conditions affected their medical uses most significantly. Conclusion: The study findings provide key information for predicting demand related to the increasing LTC needs of Korean older people at the end of life.

• 한국식생활문화학회지
• /
• 제35권3호
• /
• pp.294-301
• /
• 2020

The purpose of this study was to investigate the association between dietary macronutrient intakes and prevalence of metabolic syndrome (MetS) in Korean adults. Data were obtained from the Korean National Health and Nutrition Examination Survey (2013-2017), and a total of 11,600 Korean adults (4,918 men, 6,682 women) aged 50 years and older were analyzed. The daily intakes and percentages of energy from carbohydrates or fat in men or women with MetS were significantly lower than in normal subjects, respectively. High carbohydrate or fat percentages were negatively associated with MetS based on adjusted odds ratios (OR) of 0.804 in men (p=0.034) and 0.820 in women (p=0.045), respectively. A high percentage of energy from carbohydrates was positively associated with reduced waist circumference, diastolic blood pressure, triglyceride and high-density lipoprotein (HDL) cholesterol in men. On the other hand, a high percentage of energy from fat was positively related with elevated HDL cholesterol and reduced triglycerides in women. In conclusion, our study indicates that high carbohydrate or fat intake is associated with risk of MetS in Korean men or women aged 50 years and older, respectively. Further prospective studies are necessary to elucidate the association between macronutrient intakes and MetS among Korean adults according to age.

• 성인간호학회지
• /
• 제27권6호
• /
• pp.665-672
• /
• 2015

Purpose: The aims of current study were to assess the inhaler competency and medication adherence, and to identify association of inhaler competency with medication adherence in patients with obstructive lung disease. Methods: We did a secondary analysis of the Hanyang Obstructive Pulmonary Evaluation data in a single institution from June 2014 to April 2015 after an approval of Institutional Review Board. A total of 150 patients with asthma or chronic obstructive lung disease participated in the study. Inhaler competency was evaluated accuracy in each step for using metered dose inhaler. Medication adherence was calculated using actually dispensed doses based on the prescribed inhaler doses. Results: Older adults (${\geq}65$) had lower competency in using inhaler (66.7 vs 83.3, z=-4.52, p<.001) and poorer medication adherence (67.7 vs 91.8, $x^2=14.06$, p<.001) than adults (<65). Inhaler competency was associated with medication adherence (p=.26, p=.001). Surprisingly, more than 50% of patients were current smokers. Conclusion: Inhaler competency and medication adherence were lower in older adults with obstructive lung disease than those in adult-age patients. Therefore, an individual education program for older patients should be developed to improve the rates of proper use of inhalers. Nursing management for obstructive lung disease should focus on developing behavioral intervention strategies for smoking cessation.

• 한국사회정책
• /
• 제19권2호
• /
• pp.69-97
• /
• 2012

이 연구는 중고령자의 근로여부와 근로시간 선호에 영향을 미치는 요인을 국가비교적 관점에서 경험적으로 분석하였으며, 특히 계층효과, 일에 대한 관점, 노동시장 구조의 배출효과와 사회보장제도 등의 유인요인 효과 등의 가설을 검증하기 위해 국제인식조사자료를 이용하여 18개국에 대한 다층분석을 수행하였다. 주요결과는 다음과 같다. 첫째, 계층과 관계없이 대다수의 고령자들이 일하기를 원하며, 따라서 대다수 중고령자의 비근로는 일을 하지 않으려는 자발적인 선택이 아닐 수 있는 가능성을 보여준다. 둘째, 55-64세 집단에 있어서는 계층이 높을수록 일을 계속할 가능성이 높은 계층간 불평등이 발견되었다. 셋째, 근로여부와 근로시간 선호는 사회보장제도의 관대성보다는 시간제 근로비중 등 고령자에게 적합한 유연한 일자리가 제공되느냐에 더 영향을 받음을 확인하였다. 결론적으로, 적어도 국가 비교적 관점에서 볼 때 고령자 근로의 핵심적인 문제는 노동공급측의 문제(즉 고령자의 근로의욕)라기보다는 노동수요측의 문제, 퇴직 유인의 문제보다는 일자리 상황과 구조의 문제라고 보여진다.