• 재활치료과학
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• 제13권2호
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• pp.69-84
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• 2024

목적 : 노인의 건강한 삶의 방식으로서 라이프스타일에 대한 연구가 증가하고 있다. 라이프스타일이 개개인의 가치와 삶의 태도를 반영하는 개념임에도 불구하고, 아직까지 개인의 어떠한 가치가 라이프스타일을 건강하게 유도하는지 파악한 연구는 부족한 실정이다. 이에 본 연구는 노인의 라이프스타일 유형을 두 가지로 분류하고, 머신러닝을 활용하여 어떠한 개인적 가치가 건강한 라이프스타일에 우선적으로 작용하는지 파악하고자 한다. 연구방법 : 본 연구는 지역사회에 거주하는 55세 이상 중고령 노인 300명을 대상으로 횡단 연구를 수행하였다. 라이프스타일은 Yonsei Lifestyle Profile-Active, Balanced, Connected, Diverse (YLP-ABCD) 응답을 사용하여 잠재프로파일 분석을 통해 유형화하였다. 라이프스타일 유형을 예측하는 개인적 가치는 YLP-V (Values) 응답을 수집하여, 예측성능이 가장 높은 머신러닝 알고리즘을 선정한 후 상대적 중요도를 파악하였다. 결과 : 잠재프로파일 분석 결과, 라이프스타일은 건강한 라이프스타일 실천형(48.87%), 비실천형(51.13%)으로 분류되었다. 실천형에 속한 중고령 노인은 비실천형에 비해 사회관계가 활발한 특성을 나타내었다. 본 연구에 포함된 머신러닝 알고리즘 중 가장 우수한 성능을 보인 모델은 서포트 벡터 머신으로, 정확도 96%, Receiver Operating Characteristic (ROC) 영역 95%로 나타났다. 본 알고리즘을 바탕으로 개인적 가치의 상대적 중요도를 분석한 결과, 건강한 식단, 건강 매체, 여가활동, 건강 제품 및 머신러닝에 주의를 기울일수록, 해당 가치에 따라 중고령 노인은 건강한 라이프스타일을 실천하는 그룹에 속할 가능성이 큰 것으로 나타났다. 결론 : 본 연구는 중고령 노인의 사회적 관계망을 포함한 건강한 라이프스타일을 유도하기 위해, 건강 식단, 매체, 여가, 제품 및 습관에 대한 가치 향상을 중점적으로 다루는 종합적인 프로그램 및 서비스의 필요성을 시사한다.

• 대한간호학회지
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• 제46권5호
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• pp.630-641
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• 2016

Purpose: This study was designed to construct a model which explains drug misuse behaviors in community-dwelling older adults. Methods: The design of this research is a cross-sectional study using structure equation modeling. The hypothetical model consisted of two types of variables: the exogenous variables of health status, cognitive ability, and negative emotion, and the endogenous variables of number of drugs, and drug misuse behaviors. The data collection was conducted from September 2 to September 21, 2013 through self-report questionnaires. Participants were 320 community-dwelling adults over the age of 65 living in J city. Data were analyzed with SPSS 21.0 program and Amos 18.0 program. Results: The results of the model fitness analysis were satisfied. The predictor variables for the hypothetical model explained 62.3% of variance regarding drug misuse behaviors. Drug misuse behaviors were directly affected by health status, cognitive ability, negative emotion and number of drugs and indirectly affected by health status, and negative emotion through number of drugs. Conclusion: These findings indicate factors that should be used in developing effective nursing interventions for safe and proper drug use and the prevention of drug misuse behaviors in community-dwelling older adults.

• Perspectives in Nursing Science
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• 제13권2호
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• pp.96-109
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• 2016

Purpose: The purposes of this study were to develop a nursing assessment tool for senior center nurses, and to test its feasibility and content validity. Methods: The study utilized a psychometric test design. Preliminary items were developed based on geriatric health needs and Gordon's 11 domains of functioning health. Initially, the tool was evaluated for content validity and feasibility. Then, it was administered among 195 older adults in a senior center by a gerontological nurse practitioner. Data were analyzed to describe the nursing problems of the senior center older adults. Results: The final version of the nursing assessment tool consisted of 27 items. The internal consistency, measured with the Cronbach's ${\alpha}$, was .74. The result of the assessment showed that senior center older adults had high nursing needs in the area of management of chronic diseases (hypertension, diabetes, and lipids), dental care, community relations, safety, elder abuse, health behaviors (such as drinking), mental health (depression, suicide, and cognitive function), and health consultations. Conclusion: The new tool was feasible for use with senior center participants, and it was evaluated as having high content validity by senior center nurses.

• 대한통합의학회지
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• 제8권4호
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• pp.59-66
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• 2020

Purpose : This study aimed to present normative data for older Korean adults completing the Yonsei dual task cognitive screening test (Y-DuCog) and identify changes in cognitive function on the Montreal Cognitive Assessment - Korean (MoCA-K) with age. Methods : From May 2019 to August 2019, 195 healthy adults aged ≥60 years participated in this study. All participants completed the Y-DuCog to assess their dual-task performance and the MoCA-K to assess their cognitive function. Participants were divided into three groups based on their age: 60~69 years, 70~79 years, and ≥80 years. Results : The results of the Y-DuCog showed that dual-task performance time, effect, and correct response rate decreased significantly with age (p<.001). Scores from the three groups showed differences on all items (p<.001). Cognitive function on the MoCA-K also decreased significantly with age (mean score ± standard deviation [SD]; 27.33 ± 2.61 in subjects aged 60~69 years; 24.82 ± 3.20 in subjects aged 70~79 years; and 22.10 ± 4.91 in subjects aged ≥80 years; p<.001). Conclusions : Occupational therapists should be aware of the decline in cognitive function and dual-task performance time, effect, and correct response rate in older adults and consider interventions to treat this decline. Further studies are needed with larger groups of participants to examine factors, such as sex and education, that may impact dual-task performance and cognitive function.

• Physical Therapy Rehabilitation Science
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• 제10권2호
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• pp.185-196
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• 2021

Objective: Falling is one of main accident to facilitate the physical injuries in order adults. The purpose of the systematic review was to determine the effects of postural balance training whether the recovery of falls in elderly with normal physical function or not throughout summing the selected studies quantitatively. Design: A systematic review Methods: MEDLINE and other four databases were searched up to April 20, 2021 and randomized controlled trials (RCTs) evaluating postural balance approaches on fall risks in elderly. The researched studies excluded the double studies, titles and abstract, and finally full-reported study. The selected RCTs studies were extracted characteristics of the studies and summary of results based on PICOS-SD (population, intervention, comparison, outcomes, and setting- study design) model to synthesize the papers qualitatively. Results: The review involved 22 RCT reports with 4,847 community older adults aged 65 years or over. Nineteen of the selected RCT studies reported dual or multimodal exercises show the beneficial effect for older adults compared to one-type treatment or no intervention. All of selected showed low risk in the selection, attrition, and reporting bias. However, detection bias showed low risk at 75% records of the involved RCTs and performance bias was low risk at only three records. Conclusions: The results of the systematic review propose that a standardized therapeutic approach and the intensity are needed for improving risk of falls in older adults.

• 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.

• 보건교육건강증진학회지
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• 제7권2호
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• pp.89-102
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• 1990

The research is a comparative study of death attitudes between male and female elderly people. There is no doubt as to the inevitability of death. And yet, there is a vast conspiracy involved in the word of dead or death. The aged are considered to be nearer death than are people in other age groups. Kalish(1976) emphasized that for the aged two meanings of death have significance for evaluating their life ; first, that older people are known to have a limited life time and face death ; second that older people are known to have suffered many death-imposed losses that are often associated with the dying process. In considering these implications, the level of anxiety regarding death and dying is a crucial factor in determining mental health. In the study, 152 male elderly and 145 female elderly residing in Seoul, Korea was compared on the four dimensions of death anxiety and assigned personal variables. Therefore, the purpose the research was (1) to examine the characteristics of subjects on the independent variables(age, marital status, family relationship, social activities, religiousity etc.) ; (2) to examine the relationship between the independent variables and each dimension of death axniety ; (3) to determine the proportion of variance in the respective of death anxiety which is accounted for by the respective independent variables ; (4) to examine whether a significant difference between the respective independent variables and each dimension of death anxiety has ; (5) to determine the combination of variables which is the most successful in explaining the variance in death anxiety. Finding from this study support the following conclusions; 1. There was a significant differences between the male and female subjects in the level of death anxiety. In turn, the male older adults had lower death anxiety than did the female elderly. This implies that male tend to look forward to death rather than deny it. 2. As there was evidences from several studies, this research found that fear of death decreases as age increases. 3. The following two variables that correlate best with dying anxiety of others in both male and female older adults : 'marriage life', 'social interaction'. 4. The variables 'age' and 'children' for both female and male elderly accounted for the most variance in death anxiety of self. The findings of the study lend this investigator several suggestions, implications and recommendations for future research. There can be no death without life, and conversely, no life without death. Psychologists and health-related professionals may be learn as much about death as they can in order to develop more healthy attitudes and in order to be able to better aid and comfort dying people and their familities. Perhaps most importantly, professionals may be help those who are not faced with death at present to develop an understanding of it and healthy attitudes toward it. The programs of death education are needed for dedication to the evitability of death and the preparation of life for the older adults. More seminars, symposiums and research on death attitudes are needed. Finally, study for female older adults has been negelected topic in the areas of women's study and health education. Future study, for female elderly, have to deeply investigate where those problems come from and how to cope with in order to the female elderly segment can live the rest of their lives in satisfaction with well-being.

• 디지털융복합연구
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• 제19권3호
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• pp.401-414
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• 2021

본 연구는 노인의 문자메시지와 SNS 활용역량이 비동거 자녀, 형제·자매 및 친인척, 친구, 이웃, 지인과의 접촉과 어떠한 관련성이 있는지 살펴보았다. 연구대상은 2017년 노인실태조사에 참여한 65세 이상 노인 8,392명으로, 노인의 문자메시지 받기와 보내기, SNS 활용역량을 기준으로 4집단으로 구분하였다. 회귀분석 결과, 노인이 문자메시지와 SNS를 모두 사용하는 능력을 보유하였을 때, 비공식적 사회관계망을 구성하는 모든 성원과 비대면 접촉(연락)이 가장 빈번하였다. 그러나 문자메시지와 SNS 활용역량은 친구, 이웃, 지인과의 대면접촉 빈도와 주로 유의한 관련성이 나타났다. 본 연구 결과는 문자메시지와 SNS 활용역량이 가족 및 친구와의 정서적, 도구적 지원 교환에 핵심적인 역할을 하여 지역사회에서 거주하는 노인의 삶의 질에 기여할 가능성을 제시한다. 또한 비공식적 사회관계망 성원들과 관계를 지속하는데 정보화 교육이 중요한 역할을 할 수 있음을 시사한다.

• 한국노년학
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• 제40권1호
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• pp.51-72
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• 2020

본 연구의 목적은 최근 에이징 인 플레이스(aging in place) 가치 반영 및 노인 주거의 공공성 강화 차원에서 등장한 어느한 공공 노인복지주택에 살고 있는 노인들의 경험에 대한 이해와 함께 주거 대안으로서 공공 노인복지주택이 어떤 곳인지 살펴보는 것이다. Robert Stake 식의 본질적 사례연구 방법을 통하여 노인 거주자들이 이곳을 어떻게 경험하고 있는지, 그리고 그 과정에서 거주자들간의 관계, 서비스 제공자들과의 관계, 지역사회와의 관계는 어떠한 역동을 보이며, 어떠한 이슈들이 있는지 살펴보고자 하였다. 거주자 설문, 참여관찰, 76명 노인 및 사무실 직원들과의 면담, 그리고 관련 신문 기사 등의 자료를 중심주제분석 방법과 Stake가 제안한 분석 방법을 활용하여 분석하였다. 연구 질문에 맞추어 분석의 내용을 다음과 같이 정리하였다. 첫째, 누가 이곳에서 살고 있는지 살펴보며, 다양한 배경의 노인들이 모여있는 이곳에 어떤 일상이 펼쳐지고 있는지 탐색하였다. 둘째, 노인들의 사회적 관계와 일상을 중심으로 발견된 네 가지 유형의 삶의 모습을 살펴보았다. 셋째, 이처럼 다양한 삶의 방식이 이곳에 입주한 주된 이유와 어느 정도 연관이 있음을 살펴보고, 노인들이 이곳을 어떻게 인식하고 있는지에 대해 정리하였다. 네 번째와 다섯 번째는 노인들이 제일 많이 공통으로 언급한 두 가지 이슈를 중심으로 거주 노인들 간의 관계, 사무실 관계자와의 관계, 그리고 지역사회와의 관계와 역동을 살펴보았다. 본 연구의 결과는 이곳이 하나의 살아있는 유기체이며, 각 체계 간의 상호작용이 공공 노인복지주택 내부의 문화뿐 아니라 개별 노인의 삶에 민감하게 영향을 미치고 있음을 보여준다. 특히 주택 운영과 관리 측의 인식이 노인들의 삶에 얼마나 큰 영향을 미치고 있는지를 볼 수 있다. 연구 결과를 바탕으로 논의 사항을 정리하고 후속 연구를 제안하였다.

• 가정과삶의질연구
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• 제22권6호
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• pp.191-199
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• 2004

The main purpose of this study was to examine the impact of religious participation on the depression of elder adults in USA. Specifically, this study examined how the influence of religious participation varied according to continuity or discontinuity of participation. Data from N=1,658 adults aged 65-90 who were respondents to two waves of the U.S. National survey of Families and Households 1987-1993 were used for these analyses. Depression was measured with a 12-item (of the original 20) modified version of the CES-D (Center for Epidemiological Studies-Depression). Multivariate regression models controlling for several demographic variables were estimated. Some clear evidence was found supporting activity theory and continuity theory That is, participating in a religious organization role at Time 2 but not Time 1 (T1 No - T2 Yes) and being continuously involved in religious organizations both at Time 1 and Time 2 (T1 Yes -T2 Yes) were associated with reduced depression, compared to continuous nonparticipation in religious organizations (71 No -72 No).