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Factors Influencing the Health-Related Quality of Life (HINT-8) of the Elderly with Arthritis: Comparison of Single-Person Household and Multi-Person Household (관절염 유병 노인의 건강관련 삶의 질(HINT-8)에 미치는 영향요인: 1인가구와 다인가구의 비교)

  • Ji-Kyeong Park
    • Journal of The Korean Society of Integrative Medicine
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    • v.11 no.3
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    • pp.35-47
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    • 2023
  • Purpose : As the population aging deepens, the number of elderly people with arthritis is also continuously increasing. Accordingly, this study intended to identify the factors influencing the health-related quality of life (HINT-8) of the elderly with arthritis according to household type and provide baseline data for developing a measure to enhance the life quality of the elderly with arthritis. Methods : The factors influencing the health-related quality of life (HINT-8) of the elderly with arthritis were identified based on the raw data from the Korea national health and nutrition examination survey conducted in 2021. Data were analyzed with SPSS Statistics ver 25.0 for windows (IBM Corp), and the significance level (α) was set to .05. Statistical analysis was performed with t-test, ANOVA, multiple regression analysis, and post-hoc analysis with Duncan test. Results : The factors that influenced the health-related quality of life (HINT-8) of single-households were medical aid (β=-.17, p=.045), restriction of activity (β=-.17, p=.023), self-rated health status (β=.29, p<.001), and anxiety scale (β=-.36, p<.001). The factors that influenced the health-related quality of life (HINT-8) of multi-households were an age of 75 or over (β=-.14, p=.011), living in rural (β=-.14, p=.003), the outpatient department treatment experience (β=-.09, p=.047), self-rated health status (β=.26, p<.001), anxiety scale (β=-.29, p<.001), and stress (β=-.22, p<.001). Conclusion : Factors affecting the health-related quality of life (HINT-8) of the elderly with arthritis were found to be different between single-person households and multi-person household. Therefore, it is necessary to prepare measures to improve the quality of life of the elderly with arthritis by considering the factors influencing the health-related quality of life (HINT-8) of the elderly with arthritis according to the household type identified in this study.

A Comparison Study of Educational Needs Following Open-Heart Surgery Assessed by Nurses and Patients Themselves (개심수술후(Open-Heart Surgery) 환자의 교육 요구에 관한 간호원과 환자와의 비교연구)

  • 김금순;조경숙
    • Journal of Korean Academy of Nursing
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    • v.14 no.2
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    • pp.12-18
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    • 1984
  • The purpose of this study was to compare educational needs following open heart surgery assessed by nurses & patients themselves, Data were collected from Nov. 1983 to Jan. 1984 through administration of Questionnaire developed for this study by the researcher. The subjects were 45 patients who experienced open heart surgery and 29 nurses who taking care of these patients in chest surgery ward at Seoul National University Hospital. The Data were analyzed by T-test and One Way ANOVA according to dependent variables. The result were as follows 1. There are significant difference between educational needs, assessed by nurses and patients themselves. (p<0.05) The nurses reported higher score of educational needs than patients. 2. In comparison of content area of educational needs, there was significant difference according to respiratory care, fain, chest tube care and operation including heart function between two groups. But, there was no significant difference in diet, activity, complication, emotional care and medication between two groups. 3. The priorities in content area of educational needs rated by nurses and patients were similar.

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Health-Related Quality of Life by Socioeconomic Factors and Health-related Behaviors of the Elderly in Rural Area (농촌지역 노인들의 사회경제적인 요인 및 건강습관에 따른 건강관련 삶의 질)

  • Choe, Jeong-Sook;Kwon, Sung-Ok;Paik, Hee-Young
    • Journal of agricultural medicine and community health
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    • v.29 no.1
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    • pp.29-41
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    • 2004
  • Objectives: This study was to identify socioeconomic factors and health-related behaviors influencing on HRQOL(health-related quality of life) for the older adults in rural area. Methods: 483 subjects aged over 65 years responded a direct interview, which covered HRQOL, BMI, socioeconomic characteristics, and health-related behaviors including smoking, drinking, and exercise. Results: Overall, the mean number of healthy days were 15.1 days and not significantly different by sex. Men didn't show a significant difference in HRQOL by age group. But women reported lower levels of healthy days and higher levels of activity limitation and physical unhealthy days with increasing age. Results from ANCOVA showed HRQOL to be significantly associated with education, job, and family type. Men presented no significant difference in HRQOL by health-related behaviors, but women who have been drinking, or have less number of chronic diseases reported higher mean healthy days and lower activity limitation days, physical unhealthy days, and mental unhealthy days. Older adults who reported good to excellent self-rated health were higher healthy days and lower activity limitation, physical unhealthy days, and mental unhealthy days than those who reported fair to poor health status. Conclusions: The HRQOL for the older adults in rural area was related to socioeconomic characteristics, health-related behaviors and self-rated health status. A better understanding of factors related to HRQOL would help to improve the older adults' quality of life.

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Relationship between Actual Health and Yangseng of the Elderly in Urbanites - Focused on certain parts of urban areas in Jeonbuk province - (도시지역(都市地域) 노인(老人)들의 건강실태(健康實態)와 양생(養生) 수준(水準)과의 관련성(關聯性) - 전라북도(全羅北道) 일부(一部) 도시지역(都市地域)을 중심(中心)으로)

  • Choi, Een Kyoung;Gwon, So-Hui;Kim, Ae-Jeong;Park, Jun-Sang;Park, Jae-Su;Lee, Ki Nam
    • Journal of Korean Medical Ki-Gong Academy
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    • v.8 no.1
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    • pp.96-114
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    • 2005
  • This study was carried out to provide essential data for the future health promotion projects to be aimed at improving quality of life for the elderly people in the increasingly aging society of Korea by investigating factors related to the yangseng of old people in urban areas. The results of this study are to be used as basis for efficient approach toward health promotion projects for the elderly in urban communities. For the purpose, a survey by questionnaires was conducted to urbanites from May th June 2004. The collected replies were analyzed from the viewpoints of Oriental Medicine for yangseng. 1. The average points of health care were 3.24. In details by sub-areas, 3.78 was rated for morality yangseng, 3.29 for mind, 3.30 for diet, 3.79 for activity and rest, 2.32 for exercise, 3.72 for sleeping, 2.95 for season and 1.81 for sexual life, which showed that the area of activity and rest yangseng was scored highest while the area of sexual life yangseng was rated lowest. 2. As for the extent of health care depending on the characters of subjects, higher scores were rated by men than women, younger ones than aged and spoused ones than singles. Married couples living without other family members were found to yangseng most, while more yangseng was taken by the educated, job holders and those who utilize leisure and have religion in order. 3. Men exercised more yangseng than women in the diet, exercise and sleeping. By age, the group aged 65 to 69, the more yangseng in the exercise and sexual life. The group with spouse featured higher concern for yangseng in all categories except for season. Married couples who are living with no other family members recorded the highest point in all areas except for exercise. 4. The more one is educated, the more he/she is tended to take yangseng in the sub-areas of exercise and sexual life. The group with occupation is also inclined to take more yangseng in the same sub-areas as those of the highly educated. When they pay living cost together with offspring, they appeared to be the most yangseng in season and sexual life. People who enjoy leisure showed higher yangseng in all areas except for season. Religion had a significant influence in all areas except for activity and rest yangseng. 5. Those who reply that they are confident with health and have no disease proved to have higher yangseng. Depending on whether one has disease or not, higher yangseng was confirmed in such sub-categories as mind and sleeping. Those who replied they are confident with health had higher yangseng in all areas except for season. As seen above, yangseng of the old people in the urban area is found to have different extent depending on the individual and socioeconomic characters, factors which should be seriously considered in the local health promotion projects and projects for the health of the elderly. It seems therefore necessary to launch health promotion programs and to analyze their effects to promote health care particularly in the areas of sexual life, exercise and season yangseng that featured lowest grade of yangseng in each sub-area.

The Disparities in Subjective Health by Employment Form and Gender: Focusing on the Interaction Effects with Health Resources (고용형태와 성별에 따른 주관적 건강에서의 격차: 건강자원과의 상호작용 효과를 중심으로)

  • Kim, Jin-Young;Lim, In-Sook;Song, Yea-Li-A;Han, Sinn-Won
    • Korea journal of population studies
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    • v.35 no.1
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    • pp.181-209
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    • 2012
  • Employment form and gender as stratification factors may generate health disparities in Korea. Previous studies have examined the existence of health disparities by employment form and gender. However, few studies examined how the health disparities can be reduced effectively. This study intends to confirm the existence of health disparities between employment-gender groups and explore the effective health resources which can reduce the possible disparities. Using a national probability sample of Korean adults collected in 2011, we attempts to test the interaction effects between employment-gender groups and health resources on self-rated health. For health resources, 24 variables of five dimensions(social relationship, psychological resource, activity factor, health behavior, and usage of medical service) are taken into account. In results, first, the health levels of the other three employment-gender groups are worse than that of male-regular workers. Second, the effective health resources which can reduce the health disparities are different across the employment-gender groups. An effective health resource for female-nonregular workers is a peaceful relationship with her children. Effective health resources for male-nonregular workers are peaceful relationships with his parents and siblings, low stress, religious activity, and exercise. An effective health resource for female-regular workers is interpersonal trust. These results imply that personal or social interventions for health of specific disadvantaged groups need to focus on specific resources which are more effective for the groups.

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Degree of Daily Living Activity and Depression in the Rural Elderly (일부(一部) 농촌지역(農村地域) 재택노인(在宅老人)들의 일상생활(日常生活) 활동(活動) 및 우울정도(憂鬱程度))

  • Lee, Yeung-Seuk;Chun, Byung-Yeol;Kim, Sang-Soon;Lee, Sam-Soon
    • Journal of agricultural medicine and community health
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    • v.21 no.2
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    • pp.195-207
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    • 1996
  • In other to study functional capacity of the daily living activity and depression in the rural 394 people(154 men and 250 women), over 65 year old, who are living in Koryung County of Kyungpook Province were interviewed using questionnaire during the period February 14 to March 30 1996. The percentage of ADL dependent patient who cannot perform one item or more was 20.1% in men and 22.5% in women. The percentage of IADL dependent people who cannot perform one item or more was 72.1% in men and 56.2% in women. The prevalence of depression in female(68.8%) was higher than that in male(59.1%). There was statistically significant association between ADL score and other variables(sex, age religion, living with spouse, family resident, living expenses, self-rated health status, leisure, satisfactory of pocket money, drinking)(p<0.05). There was statistically significant association between IADL and other variables(age, education, living with spouse, family resident, living expenses, satisfactory of pocket money, smoking, self-rated health status)(p<0.05). The prevalence of depression in dependent elderly was significantly related with ADL in both genders(p<0.05), however, not related with IADL. In conclusion, the functional capacity dependency and the prevalence of depression in the rural elderly was high and depression was significantly related with ADL score.

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The Effect and Cognition of Open-Inquiry Lesson using Lubric on the Elementary Student's Open-Inquiry (루브릭을 활용한 자유탐구 지도가 초등학생의 자유탐구에 미치는 영향 및 인식 조사)

  • Jung, HyunJu;Lim, Sungman;Chun, Jaesun
    • Journal of Korean Elementary Science Education
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    • v.32 no.3
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    • pp.285-297
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    • 2013
  • The purpose of this research is to find the effect of the lesson using open-inquiry report Lubric on open-inquiry standard and science process skill; to find the change of cognition on open-inquiry for elementary school 5th grade students. Two classes (elementary school 5th grade) were selected which located in a small and medium-sized city for this research and they were separated as an experimental group and a comparative group. Open-inquiry lesson was done by referring teaching method which introduced through the curriculum. The procedure was understanding about open-inquiry, making open-inquiry subject, planning, and performing inquiry, mid-term, performing inquiry, making a report, presentation, and evaluation. Open-inquiry report Lubric which developed by Sook-Kyung Kim et al. (2010) was provided to the experimental group. Comparative group was instructed by using open-inquiry report which introduced to the elementary school 5th grade science text book. Interview paper was developed in order to check out the effect of the research by using a test paper of science process skill. The following could be found out through the research. After open-inquiry lesson, 10 open-inquiry reports(5 reports from experimental group, 5 reports from comparative group) have been drawn at random as samples from the total 62 sets (30 reports from experimental group, 32 reports from comparative group) and evaluated by a researcher and two elementary school teachers who have master degree. The reliability of the 3 scorers was 0.923 of mean correlation coefficient. And then the researcher evaluated all open-inquiry reports. The average score of open-inquiry report was 66.78 for experimental group, 54.27 for comparative group, respectively. And there was a significant difference at p<0.05 level as a result of the t-test. The experimental group rated high at p<0.05 level according to the analysis of post-science process skill test. According to the result of survey, both experimental group and comparative group had understood open-inquiry activity. It was especially rated high for experimental group on understanding scientific inquiry process, interest and satisfaction in open-inquiry and re-participation rate. By interviewing experimental group, it is recognized that the students utilized Lubric very well through the overall process. Finally, self-evaluation was done during open-inquiry activity and it was reported that the students gained more knowledge about science and changed to positive about science. As a result, the lesson using open-inquiry report Lubric was effective for students to improve writing skill of an open-inquiry report and science process skill and finally changed the cognition to positive about open-inquiry lesson.

The Factors Influencing Health-Related Quality of Life in the Elderly - Focused on the General Characteristics, Health Habits, Mental Health, Chronic Diseases, and Nutrient Intake Status: Data from the Fifth Korea National Health and Nutrition Examination Survey (KNHANES V), 2010~2012 (우리나라 노인의 건강관련 삶의 질에 영향을 주는 요인 - 일반 특성, 생활습관, 정신건강, 만성질환, 영양섭취상태를 중심으로: 제5기 국민건강영양조사자료, 2010~2012)

  • Lee, Hye-Sang
    • Korean Journal of Community Nutrition
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    • v.19 no.5
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    • pp.479-489
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    • 2014
  • Objectives: This study intended to determine significant factors that influence the health-related quality of life ("HRQoL"; EuroQol 5 Dimension health-related quality of life (EQ_5D) & EuroQol visual analogue scale (EQ_VAS)) of the elderly in Korea. Methods: This study was based on 3,903 subjects aged 65 years or more who participated in the Fifth Korea National Health and Nutrition Examination Survey (KNHANES V), 2010~2012. The HRQoL was analyzed by various factors (general characteristics, health habits, mental health, chronic diseases, nutrient intakes). SPSS statistics for complex samples (Windows ver. 21.0) was used. Results: The HRQoL was higher in the males, those with higher educational level or higher income level while it was lower in those belong to single households. In particular, the EQ_5D was significantly higher in the group who reported walking practice, moderate physical activity (male), and the group who reported no vigorous physical activity (female). The EQ_VAS was significantly higher in the group who reported walking practice. Both EQ_5D and EQ_VAS were significantly lower in the group with stress, melancholy, suicidal thinking, and osteoarthritis. EQ_5D was significantly lower in the group with < 75% Estimated Energy Requirements (EER) in energy intake, and with < Estimated Average Requirements (EAR) in iron or niacin intake. A stepwise regression analysis revealed that i) higher educational level (male), and good self-rated health status significantly increased the EQ_5D, ii) age, alcohol intake (male), melancholy (female), suicidal thinking, osteoarthritis, and niacin intake deficiency (male) significantly decreased the EQ_5D, iii) higher income level (male) and good self-rated health status significantly increased the EQ_VAS, and iv) age (male), stress, suicidal thinking (female) and osteoarthritis significantly decreased the EQ_VAS. Conclusions: This study suggested that general characteristics, mental health, osteoarthritis, and niacin intake were associated with the HRQoL. Prospective research of long-term control is needed to establish the causal relationship between factors and the HRQoL.

Prevalence of Depression and Its' Correlates among Young-old and Old-old Elderly People with Poverty in Korean Urban Community (일 도시지역 국민기초생활보장 수급 대상 전기노인과 후기노인의 우울 유병률과 관련요인)

  • Kim, Hye-Ryoung
    • 한국노년학
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    • v.32 no.3
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    • pp.941-954
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    • 2012
  • Purpose: The purpose of this study was to investigate the prevalence of depression and its' correlates among elderly people(young-old vs old-old) with poverty. Methods: The sample was 434 of young-old elderly and 209 of old-old elderly people who were 60 and over and basic livelihood recipient in Korean urban community. Depression was measured by Geriatric Depression Scale by Yesavage et al.(1983) in Korean Version. Results: The prevalence of depression was greater for old-old people(63.2%) compared to young-old people(53.9%). Multivariate logistic regression analysis shows the difference of correlates of depression between young-old and old-old elderly people. Prevalence of depression in young-old people was associated with renting in housing type; bad self-rated health status; lack of regular leisure activity; lack of regular eating habit, whereas old-old people was affected by lower social support; moderate or bad self-rated health status; lack of regular leisure activity Conclusion: The finding of differences in prevalence of depression and its' correlates between young-old and old-old people is expected to promote the screening strategy for elderly at risk of depression in Korean community elderly with poverty.

An Analysis on the Level of Elementary Gifted Students' Argumentation in Scientific Inquiry (초등학교 영재 학생들의 탐구 활동에서 나타나는 논증 과정 평가 및 분석)

  • Lim, Jae-Keun;Song, Yun-Mi;Song, Mi-Sun;Yang, Il-Ho
    • Journal of Korean Elementary Science Education
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    • v.29 no.4
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    • pp.441-450
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    • 2010
  • The purpose of this study was to evaluate the level of elementary gifted students' argumentation and examine the special features of argumentation founded in scientific inquiry. 28 students were selected in the special education center for the gifted in K National University. They were organized 8 groups of 3~4 students and engaged in scientific inquiry activity. The researcher wasn't involved in students' inquiry activity and argumentation except for the guiding and introducing their activity. In the first session, each group carried out the experiment 'Putting a heated can in the water' and then, the students discussed to probe their experimental results and build their explanation. In the second session, each group presented their experiment results and evidence from their experiment justifying their claims, and had questions from other groups. The protocol data during 8 groups' argumentations were analyzed using 'Rubric for Scientific Argumentation Assessment' (Yang et al., 2009) in three domains- the form, content and attitude. As a result, in form domain, almost groups were rated 2 points due to their argument without rebuttal on the subcategory of 'composition', but they got a good grade above 3 points in subcategory such as 'claim', 'ground', and 'conclusion'. In content domain, almost groups got points above 3 points. In attitude domain, there were some striking contrast between each groups. Six groups got good score more than 4 points on the subcategory of openness, but two groups, they alleged and got score below 3 point. While the 6 groups of all got 4 points in the aspect of participation, 3 groups got 3 points lower than because they only just asserted and not interact with other groups. Throughout the argumentation, two features were found that; as time goes by, arguments were refined; Students tended to use their prior to knowledge rather than evidence such as experimental data in making claims and conclusions.

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