• 대한간호학회지
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• 제38권4호
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• pp.573-581
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• 2008

Purpose: The purpose of this study was to investigate the relationships among quality of sleep, depression, late-life function and disability in community-dwelling older women with urinary incontinence. Methods: A stratified random sampling method was conducted to recruit participants from May 10 to August 17, 2007. Data were collected by questionnaires, which were constructed to include lower urinary tract symptoms, quality of sleep, depression, and late-life function and disability in 128 community-dwelling older women. Results: The major findings of this study were as follow: 1) 56.3% of participants belonged to urinary incontinence group. 2) There were significant relationships between depression and sleep latency, sleep duration, daytime dysfunction, quality of sleep, function component, frequency dimension, and limitation dimension. 3) Depression was significantly associated with frequency dimension, limitation dimension in capability which explained 44% of variance in depression. Conclusion: These results may contribute to a better understanding of sleep quality, depression, late-life function and disability in the community-dwelling older women with urinary incontinence. Therefore, health programs for prompting older women's health should be planned based on results of the study.

• 대한간호학회지
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• 제38권6호
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• pp.902-913
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• 2008

Purpose: The purpose of this study was to identify effects of a strengthening program for the lower back in older women with chronic low back pain. Methods: The research design was a nonequivalent control group pretest-posttest experiment. The experimental group consisted of 16 older women and the control group, 14, all of whom had experienced low back pain for at least 3 months. The strengthening program for the lower back included lumbar stabilization exercises and education on pain management in daily living. For an 8 week period, exercises were done 3 days a week and on one day education was also given. Results: Pain and disability scores decreased significantly in the experimental group compared to the control group. Flexibility, life satisfaction and lumbar muscle strength scores increased significantly in the experimental group compared to the control group. Conclusion: Low back pain and disability can be relieved, and flexibility, muscle strength, and life satisfaction increased through a program to strengthen the lower back. It is suggested that a program to strengthen the lower back would be an effective nursing intervention for older women with low back pain.

• 한국전문물리치료학회지
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• 제29권3호
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• pp.194-199
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• 2022

Background: Older adults use different ankle muscle activation patterns during difficult static balance conditions. It has been suggested that this is related to a decline in proprioception with age, resulting in reduced postural balance. However, the association between proprioception and ankle muscle activity during quiet standing has not been directly assessed. Objects: This study aimed to investigate the effects of age and sensory condition on ankle muscle activity and the association between ankle proprioception and ankle muscle activity. Methods: We recruited 10 young women and 9 older women. Ankle proprioception was evaluated using joint position sense (JPS) and force sense (FS) divided by dorsiflexion and plantarflexion. The electromyographic activity of the tibialis anterior (TA) and gastrocnemius (GCM) muscles was collected during quiet standing. Results: Older women activated GCM muscle more than young during quiet standing and when performing difficult tasks. Older women had more errors in JPS dorsiflexion and FS plantarflexion than did young. The GCM muscle activity is related to JPS dorsiflexion and FS plantarflexion. Conclusion: Lower proprioception of the GCM with age leads to increased muscle activity, resulting in reduced postural balance. There was no difference in TA proprioception or muscle activity among older women with frequent physical activity.

• 지역사회간호학회지
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• 제31권1호
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• pp.13-23
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• 2020

Purpose: This study explored the contribution of social support resources to the explanation of socioeconomic inequalities in depressive symptoms of older Korean men and women. Methods: Data were derived from Living Profiles of Older People Survey (LPOPS), which comprises a nationally representative sample of non-institutionalized Korean older adults living in the community. The data were analyzed by using multiple logistic regression. The sample consisted of 4,046 men and 6,036 women aged ≥65 years. The Korean version of the Geriatric Depression Scale-Short form (SGDS-K) was employed as an outcome variable. Results: Compared to the older men and women who were in higher socioeconomic status, those in lower socioeconomic status had significantly higher risk of depressive symptoms after adjusting for other covariates. When social support resources were individually included in the base model, each factor contributed to inequalities in depressive symptoms. Social networks explained about 20% of the differential impact of education and 10% to 15% of the differential impact of household income for depressive symptoms in men. Among women, it mitigated 23.6% to 39.0% of education and household income inequalities for depressive symptoms. Social participation contributed to buffer depressive symptom inequalities of 24.0% to 46.3% among men and those of 11.7% to 45.3% among women. Conclusion: Our findings suggest community care nurses acknowledge the value of social support resources to alleviate socioeconomic inequality in depressive symptoms among older men and women.

• 한국전문물리치료학회지
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• 제29권2호
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• pp.124-130
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• 2022

Background: During postural control, older adults are more dependent on proprioception than are young adults. Ankle proprioception, which plays an important role in maintaining postural balance, decreases with age. Published studies are insufficient to establish a significant age difference in postural sway resulting from the known age-related decrease in ankle proprioception and do not examine various detailed test conditions. Objects: The present study aimed to compare ankle proprioception between older and younger groups along dimensions of position vs. force proprioception and dorsiflexion vs. plantarflexion. The present study also aimed to compare postural sway between young and older women during quiet standing under two sensory conditions. Methods: We recruited seven young women aged 21-24 and seven older women aged 60-63. Ankle proprioception was assessed as the accuracy of the joint position sense (JPS) and the force sense (FS). Postural sway was assessed using center-of-pressure measurements recorded during quiet standing under two sensory positions: eyes open and eyes closed with head tilted back. Results: Older women had lower JPS in dorsiflexion and lower FS in plantarflexion than did younger women. We found no significant age differences in JPS in plantarflexion or in FS in dorsiflexion. We observed a main effect of group on postural sway in two sway parameters out of three. We observed significant differences in JPS with dorsiflexion, and in FS with plantarflexion. Conclusion: Proprioception for ankle plantar flexor decreased more significantly with aging than did that for ankle dorsiflexor, accounting for the impaired postural balance observed in older women.

• 여성건강간호학회지
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• 제17권4호
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• pp.378-387
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• 2011

Purpose: The purpose of this study was to explore predictors of successful aging in older Korean women based on a recent mid-range nursing theory, the Successful Aging Theory (SAT). Methods: This study utilized a descriptive correlational design. The convenience sample was composed of 174 older women living in the community. Successful aging was measured using the Successful Aging Inventory (SAI). Transcendence was measured using the Self-transcendence Scale (STS). Adaptation was measured using the Coping behavior scale. Stepwise multiple regression was used to identify significant predictors of successful aging. Results: Transcendence, adaptation, and religion were shown to be predictive of successful aging. This regression model explained 56% of the variance in successful aging. The factor with the highest influence was transcendence which explained 52% of the variance. Conclusion: Gerotranscendence-promoting interventions can be an important consideration in caring for older Korean women. Adaptation and spirituality should be included in a holistic aging care.

• 한국의류학회지
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• 제27권1호
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• pp.88-99
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• 2003

The body changes of the elderly women are the forward tilt of the neck and shoulder point shrinkage of the spinal column, and protrusive abdomen. Unfortunately, few data based on body measurements for elderly women existed and a few studies are limited to the body figure of the elderly women. If these changes are not applied to the manufacturing of the clothing, almost of the elderly women will be unfitted with their clothing. So to improve the fitting of the elderly women, it is necessary to use the standard size systems for elderly women. This report is the first study to develop the standard tables of body measurements to be used for improving the fit of garments and patterns for women aged 60 and older. This study drew from anthropometric measurements of 337 and photographic measurements of 276 women aged 60 and older. It described the protocol of anthropometric measurement, the comparison between the measured data and the data on which National anthropometric survey of Korea 1997 is based, and the development of body measurement standard tables for elderly women. And we also considered the regional difference of body dimensions in order to develop the national size standards for elderly women. Further study would include the classification of body dimensions and description of each figure type for sizing apparel of women aged 60 and older.

• Journal of Preventive Medicine and Public Health
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• 제48권1호
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• pp.38-47
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• 2015

Objectives: Controlling blood pressure is a key step in reducing cardiovascular mortality in older adults. Gender differences in patients' attitudes after disease diagnosis and their management of the disease have been identified. However, it is unclear whether gender differences exist in hypertension management among older adults. We hypothesized that gender differences would exist among factors associated with hypertension diagnosis and control among community-dwelling, older adults. Methods: This cross-sectional study analyzed data from 653 Koreans aged ${\geq}60years$ who participated in the Korean Social Life, Health, and Aging Project. Multiple logistic regression was used to compare several variables between undiagnosed and diagnosed hypertension, and between uncontrolled and controlled hypertension. Results: Diabetes was more prevalent in men and women who had uncontrolled hypertension than those with controlled hypertension or undiagnosed hypertension. High body mass index was significantly associated with uncontrolled hypertension only in men. Multiple logistic regression analysis indicated that in women, awareness of one's blood pressure level (odds ratio [OR], 2.86; p=0.003) and the number of blood pressure checkups over the previous year (OR, 1.06; p=0.011) might influence the likelihood of being diagnosed with hypertension. More highly educated women were more likely to have controlled hypertension than non-educated women (OR, 5.23; p=0.013). Conclusions: This study suggests that gender differences exist among factors associated with hypertension diagnosis and control in the study population of community-dwelling, older adults. Education-based health promotion strategies for hypertension control might be more effective in elderly women than in elderly men. Gender-specific approaches may be required to effectively control hypertension among older adults.

• 대한간호학회지
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• 제52권4호
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• pp.451-463
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• 2022

Purpose: This study examined the reciprocal relationships between depression and income, and gender differences in these relationships among older adults in South Korea. Methods: Using 2015 to 2019 of the Korea Welfare Panel Study (KoWePS), we studied 6,070 older adults (2,394 men and 3,676 women) aged 60 years over in 2015. The generalized estimating equation was employed to explore the effect of an individual income on depression and the reverse causal link-that of depression on income. Results: The study found the reciprocal relationships between income and depression. Income has a significant impact on depression. Higher-income was linked to decreased risks of the Center for Epidemiologic Studies Depression (CES-D) scores among older adults (B = - 0.121, p < 0.001). Estimates of the reverse causal link show that higher CES-D scores were also linked to income reduction among Korean older adults (B = - 0.007, p < 0.001). In addition, we also observed gender differences in the impact of income on depression but not in the reverse causal link. Income has more detrimental to psychological consequence for older men (B = - 0.108, p < 0.001) than older women (B = - 0.057, p < 0.001). Conclusion: The finding implies that both psychological and social protection policies for the elderly are needed in view of gender perspective.

• 한국융합학회논문지
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• 제12권1호
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• pp.317-326
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• 2021

본 연구는 근력저하 여성노인의 건강 관련 삶의 질의 영향 요인을 파악하기 위해 시도된 융복합 연구이다. 제7기 국민건강영양조사 원시자료를 활용하여 65세 이상 근력저하 여성노인 453명을 대상으로 하였고, 자료는 가중치를 적용한 복합표본분석방법으로 SPSS 26.0 프로그램을 이용하여 분석하였다. 연구 결과, 근력저하 여성노인의 건강 관련 삶의 질은 0.84점이었고, 건강 관련 삶의 질은 연령, 교육수준, 주관적 건강상태, 유산소 신체활동, 스트레스 인지정도, 관절염, 골다공증, 우울증에 따라 유의한 차이가 있었다. 근력저하 여성노인의 건강 관련 삶의 질에 대한 영향 요인은 연령(t=-2.68, p=.008), 교육수준(t=2.85, p=.005), 주관적 건강상태(t=7.24, p<.001), 스트레스 인지정도(t=-2.73, p=.007), 유산소 신체활동(t=2.62, p=.009), 관절염(t=-3.33, p<.001)이었고, 설명력은 33.5%이었다. 연구결과를 바탕으로 근력저하 여성노인의 건강 관련 삶의 질을 향상시키기 위하여 근력을 증진하고 관절염을 관리할 수 있는 신체활동을 포함한 중재 전략의 개발이 필요하다.