• Korean Journal of Adult Nursing
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• v.17 no.3
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• pp.379-388
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• 2005

Purpose: This study was conducted to explore the degree of depression, perceived health status, chronic disease and quality of life(QOL) among rural elderly and to determine the factors related to their QOL. Method: The design of this study was a correlational study. The subjects were 423 elderly consisted of 157(37.1%) men and 266(62.9%) women dwelling in a rural area of N City. Data were collected from May to December, 2003 using a structured questionnaire. A stepwise multiple regression analysis was performed to identify the factors related to the QOL. Result: It was found that the mean score of QOL was in total with 2.15 out of 5.00 and women elderly's score was significantly lower than men(t=2.20, p=.028). Perceived health status showed statistically significant positive relationship with QOL(r=.608, p<.05), while depression(r=-.751, p<.01) and chronic illness(r=-.336, p<.01) showed statistically significant negative relationship. Depression was found to have the highest correlation with QOL among the subjects. Depression score explained QOL at the most, accounting for 36.8% of the variability, followed by perceived health(8.2%) and the number of chronic illness(.7%). Other factors related to the QOL were economic status and absence of spouse. Conclusion: In order to increase the QOL of rural elderly, it is necessary to decrease the depression, to increase their perceived health status and to decrease the number of chronic illness. We suggest the implementation of a program not only to promote physical health status and self-care ability but to take care of mental health for the rural elderly.

• 한국노년학
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• v.31 no.1
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• pp.1-14
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• 2011

The purpose of this study is to develop a research model and to verify the effects death anxiety has on subjective health status, economic status, depression and social support for the elders and their quality of life. The survey targeting 330 elders from the 17 senior citizen centers in Dong-do-chun and Nam-yang-ju city was carried out from 2008.8.1 to 2008.9.31. To summarise the research result, 6 hypotheses among 9 hypotheses concerning the direct effects were supported. In another words, health status, depression and social support are valid and the direct effect of depression, social support and death anxiety are valid as subjective quality of life as an endogenous variable. In the case of indirect effects, 2 indirect effects among all 4 indirect effect hypotheses are valid. In another words, the effect the subjective health status has on the subjective quality of life is valid as the mediating effects of death anxiety and the effect depression has on the subjective quality of life is also valid as the mediating effects of death anxiety. Based on the results of this study, a proposal to reduce death anxiety among the elderly is suggested.

• Journal of Family Resource Management and Policy Review
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• v.5 no.1
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• pp.49-60
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• 2001

This research examined elderly’s quality of life(q/l). In order to explore the elderly’s q/l, it was conceptualized into 8 dimensions tapping macro and micro aspects of elderly’s life: physical & mental health, self-esteem, anxiety, social support, family solidarity, economic state, and physical environment. The primary purposes were to describe dimensions of q/l by the elderly’s sociodemographic variables. And the intercorrelations among q/l dimensions were examined and then the effects of q/l sub-dimensions on psychological well-being were analyzed by using multiple regression. Based on the data collected for 677 subjects residing in rural and urban areas, the basic issues hypothesized were explored. The findings appeared that the psychological well-being was a positive function of physical and mental health, self-esteem, social support, and economic state and a negative one of social anxiety, controlling for subjects’s sociodemographic variables.

• Journal of the Korean Home Economics Association
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• v.44 no.11
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• pp.117-131
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• 2006

The purpose of this study was to verify a Structural Equation Model that constructed the causations among the structural leisure constraints, interpersonal leisure constraints, intrapersonal leisure constraints, leisure motivation, leisure activity participation, leisure satisfaction and the quality of life from the ecological perspective. The respondents were 301 elderly people residing in 4 free institutionalized elderly homes in Seoul. The data were analyzed by confirmatory factor analysis and covariance structure analysis using USREL 8.0 ver. The major results are summarized as follows: 1) Statistically, a goodness of fit is good of structural equation model presented in the study. 2) The structural leisure constraints and the interpersonal leisure constraints are some types of leisure environment of the aged in public homes from the ecological perspective. Such constraints would inevitably lead to a direct effect on individual leisure life and leisure motivation. 3) The important valuable factor which affected the leisure satisfaction and the quality of life in the elderly was the leisure motivation.

• Journal of Korean Academy of Fundamentals of Nursing
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• v.15 no.3
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• pp.332-341
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• 2008

Purpose: The purpose of this study was to identify factors associated with oral health-related quality of life among elderly women living in the community. Method: The participants were 162 elderly women aged 65 and older who lived in D city. Descriptive statistics, ANOVA, Pearson correlation coefficients and stepwise multiple regression were used with SPSS/PC windows program to analyze the data. Results: The major findings of this study are as follows: 1) there were statistical differences in OHQoL for spouse presence, educational level, monthly income, self-rated health, number of teeth and chronic disease, and types of denture. 2) OHQoL was positively related to age, number of chronic disease and nutrition. Also, OHQoL was negatively related to educational level, monthly income, number of teeth, and diet habit. 3) Significant factors influencing OHQoL were self-rated health and nutritional status. Conclusion: Based on these results, it is necessary to do further study on oral health of those who have 20 or more teeth. Oral health promotion programs focusing on prevention are necessary for elderly women in the high risk group.

• Korean Journal of Community Nutrition
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• v.20 no.6
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• pp.423-432
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• 2015

Objectives: In Korea, the percentage of elderly is increasing at an unprecedented rate, and is expected to account for 40% of the population by 2060. This massive demographic change stresses the importance of research on aging as it is necessary to improve the quality of life (QoL) of this population. This study aimed to examine the health-related quality of life (HRQoL) of the rural elderly and to clarify its association with the nutrient adequacy ratio (NAR). Methods: A cross-sectional study was performed in S-gun, Chonbuk, a critical agricultural area. The elderly people without abnormal physical functioning composed our study population and the data were collected by personal visits to 336 elderly people aged over 65 years (110 males and 226 females). Subjects were interviewed with questionnaires pertaining to general characteristics and EuroQol (EQ-5D). Nutrient intakes were assessed two days by 24-hours recall method. Subjects were defined as high QOL group if EQ-5D index with Nam's model was above the median. Results: Generally, EQ-5D index was lower in women than in man, and lower in older subjects than in younger subjects. The percentages of people below the median were 42% (low QoL group) and 58% (high QoL group) were found to be the above the median. The high QoL group had higher NAR, especially for vitamin C, vitamin B1, vitamin B2 and folate. All dimensions in the EQ-5D were affected by NAR of some nutrients and especially anxiety/depression dimension was significantly correlated with NAR of 5 nutrients (protein, calcium, iron, vitamin C and vitamin B1) and EQ-5D scores. Conclusions: HRQol was significantly reduced in elderly with increasing age and this was more pronounced in women than in man. The NAR of some nutrients were associated with the EQ-5D index, especially anxiety/depression dimension, among rural elderly.

• Journal of Korean society of Dental Hygiene
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• v.20 no.3
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• pp.347-357
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• 2020

Objectives: The purpose of the study was to investigate the relationship between frailty and oral health among some elderly community residents. Methods: A self-reported questionnaire was completed by 240 elderly in the Gwangju-Jeonnam area from October 1, 2019, to November 30, 2019, based on convenience sampling. The questionnaire consisted of general characteristics of the subjects, frailty level (Kihon checklist), and Geriatric Oral Health Assessment Index. Results: There were 66 (27.5%) frail elderly, and the GOHAI group with a score less than 45 constituted 187 (77.9%), which was higher than the group with a score of 45 or higher. The distribution of the frail elderly was indicated to be higher in the people with older age (p<0.05), lower educational level (p<0.01), current economic inactivity (p<0.05), living alone (p<0.01), more chronic diseases (p<0.01), and GOHAI score below 45 (p<0.01). Compared to those with a good oral health-related quality of life, those with a poor quality of life showed a 3.03 times higher risk of frailty (95% CI=1.291-7.107)(p<0.05). Conclusions: By recognizing the need for oral health care of the elderly through these results and by identifying the relationship between frailty and oral health, it is possible to consider oral health as a predictor of frailty.

• Journal of Families and Better Life
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• v.26 no.5
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• pp.129-142
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• 2008

This study examines how economic and psychological characteristics affect the quality of life (QoL) of elderly individuals age 60 and older, who live in the Seoul-metropolitan area. Relationships among socio-demographic status, economic conditions, psychological characteristics, family life, health status, and QoL are examined by t-test and ANOVA(Duncan's test as post hoc multiple comparisons), and the multiple regression analysis is used to estimate QoL determinants in the elderly. The major findings of the study are as follows. First, younger age, higher education levels, better health status, harmonious family relations, higher levels of household income, lower levels of loneliness, and higher self-esteems are related to higher QoL levels. Second, the impacts of factors on QoL are differentiated according to tercile groups that divide monthly allowance of respondents into three categories: below normal (threshold amount below 21MW), near normal (threshold amount between 21MW and 35MW), and above normal (threshold amount above 35MW). For each tercile group, poor health status or higher loneliness have negative effects on QoL, while harmonious family relationship has a positive effect. For the below-normal group, years of education or self-esteem have positive effects, while age or retirement status have negative effects when controlling for other factors. For the near-normal group, being married, or perceived financial insecurity create lower QoL levels, while higher self-esteem increases QoL levels. For the above-normal group, being widowed, employed, or retired have positive effects on QoL, when controlling for other variables. Third, even among elderly with high allowances, the effects of health status and family relationship are significant determinants that explain QoL levels. This result suggests that, for te elderly, poor health status and poor family relationships severely decrease QoL in later life, regardless of economic condition.

• Journal of Korean society of Dental Hygiene
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• v.9 no.4
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• pp.620-632
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• 2009

Objectives : The present study purposed to survey the oral health-related quality of life among elderly in metropolis Methods : We had individual interviews and oral survey using a questionnaire with 336 elderly who were using seniors' centers in Metropolitan City during the period from the $9^{th}$ to $31^{st}$ of July, 2007. Results : Factors of GOHAI showed the significant relation with types of health insurance, a large number of medication, perceived oral health status, perception of dental care needs those with pains in the temporomandibular joint, the number of natural teeth and the explanatory power or the final model was 25.5%. Factors of OHIP-14 showed the significant relation with types of health insurance, a large number of medication, perception of dental care needs those with pains in the temporomandibular joint, gingival bleeding, the number of natural teeth and the explanatory power or the final model was 26.6%. Conclusions : Oral health-related quality of life among elderly as factors by general characteristics of study subjects, by perceived heath status and oral health status, perceived oral symptoms and oral health status that were relevant. Accordingly, for the healthy maintenance of elders' natural teeth, it is considered necessary to develop and execute continuous oral health management systems and oral health education programs that promote preventive activities and enhance the perception of oral health.

• Journal of Korean Academy of Fundamentals of Nursing
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• v.7 no.2
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• pp.332-344
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• 2000

The subjects of this study were 100 elderly people who were over 60 years of age and had chronic pain. The study examined the matter of quality of life and self-efficacy of elderly patients with chronic pain including the influence of related factors on these variables. Also, by examining their relation, it provides basic data for the development of efficient nursing interventions for the elderly patients with chronic pain. The tools were the general self-efficacy scale by Sherer & Maddux(1982) and a specific self-efficacy Scale(Lorig et al, 1989) modified to better suit the subjects of this study. The quality of life scale by You-Ja Ro(1988) modified to better suit the subjects of this study was used. The data were collected from August to October 1999. Four researchers and two research assistants developed a data collection protocol subjected to a pilot study for confirmation of validity. In this study, the research assistants read the questionaire to the subjects and recorded the responses themselves. The interviews lasted 40-50 minutes on an average. The data thus collected were analyzed in terms of t-test, ANOVA, Pearson's correlation coefficient, using the SAS PC program. The major findings are as follows: 1) For self-efficacy it was found that males had higher self-efficacy than females for specific self-efficacy. But for general efficacy, males and females showed similar results. The the quality of life was found to be higher for males than females. 2) A positive correlation was identified between the specific self-efficacy, general self-efficacy and quality of life. 3) The general characteristics affecting the self-efficacy of elderly patients with chronic pain were employment, age, level of education, spouse, economic status and income. Self-efficacy was higher among those who were employed, aged between 66-70, well-educated, married and rich or having their own income. 4) The general characteristics affecting the quality of life of elderly patients with chronic pain were lodging with children, religion, level of education and economic status. The quality of life was higher among those who lived with their children and were Buddhists, were well-educated and rich.