• 농촌지도와개발
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• 제14권2호
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• pp.257-278
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• 2007

The purpose of this study is to explore factors influencing them and properties of exercise behaviors among rural elderly in Korea. To implementing it, data were gathered from a total of 356 elderly aged 65 and over living at the Seniors Well-being Villages being developed by the Rural Development Administration in Korea, using the structured questionnaires. also, data were analyzed by the SPSS / windows program. Results show that the exercise behavior of rural elderly was medium level as the average of 3.06 score($1{\sim}5$ score) and 44.2 percent among them didn't exercise regularly and 66.8% didn't participate in sports groups. Second, there were the difference in exercise behavior according to sex and age. Specifically, elderly men exercised more regularly and were aware of proper exercise methods than elderly women. However, there were no difference in exercise behavior according to age. Third, when we analyzed the difference in exercise behavior with the regularity of execution, the elderly who exercise regularly showed higher preference, awareness of necessity, regularity of execution, execution of stretching, participation in sports gatherings and awareness of proper methods than the counterparts. Fourth, we found that unhealthy elderly were more aware of necessity of exercise, exercised regularly, and participated in sports groups frequently than healthy elderly. Also, there was a positive influence of regularity of execution on exercise behavior. These results suggested that regular exercising is very important in health of rural elderly. Therefore, to improve their health, above all, exercise program must be developed

• 농촌의학ㆍ지역보건
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• 제32권1호
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• pp.27-39
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• 2007

Objectives: The challenge of an increasing elderly population has coupled with everpresent social concerns in Korea. A major problem in health center for the frail older people is that medical, healthcare, and welfare services are often fragmented in terms of providers and settings without appropriate coordination. The purpose of this study was to investigate the need of health center-based integrated healthcare services and its related factors for the elderly. Methods: A total of 110 elderly people who had visited at a county Health Center were interviewed using a self-administered questionnaire from November to December, 2005. The questionnaire consists of five domains according to the Program of All-inclusive Care for the Elderly. Results: Respondents had high need (total mean score with the 5-point Likert-type sacle: 3.67) of health center-based integrated healthcare services including home visiting service (mean: 4.08), chronic disease care service (mean: 4.06), and transportation service (mean 4.05). According to the results of hierarchical multiple regression analysis, among three regression models the magnititude of the variance of full model that is explained by the need of welfare-domain service was significantly larger than two reduced model. Income was a significant variable in increasing the need of health care and welfare services. Conclusions: This study suggests that the health center-based integrated healthcare services for the elderly must be continuously developed and provided for the health promotion and improved the quality of life of the elderly who live in rural area in Korea.

• 가족자원경영과 정책
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• 제20권1호
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• pp.43-60
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• 2016

The purpose of this study was to investigate what life safety services the elderly living alone in rural areas need and to propose the life safety services that they actually need. The research subjects were 1,000 people aged 65 years and over living in the rural areas of Korea. Among the total 1,000 respondents, 283 elderly people who did not live together with their married children were included in this study. Data were analyzed through frequency analysis, descriptive statistics, and multiple regression analysis. The results of this study were as follows. First, the needs of health care services and vehicle support services (when the elderly went to the hospital or walked out) were high. These were services related to health, which means that the health of the elderly is not good and that they are interested in health. Of course, it is important to treat the disease. However, it is more important to prevent disease and maintain health. An expansion of these services is urgently needed. Second, the need for life safety services was affected by the frequency of contact with neighbors, uncomfortable housing, exercise, the frequency of contact with children, gas accidents, and nutrition variables. Through this analysis, we propose to include the housing improvement service, nutrition improvement services, and expanding social relations services in the life safety services.

• 지역사회간호학회지
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• 제17권2호
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• pp.176-185
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• 2006

Purpose: This study was to identify the relations of rural elderly people' self-esteem and social support to their qualify of life. Methods: Data were collected from 228 rural elderly. The instruments used in this study were the self-esteem scale developed by Rogenberg(1965), the MOS-SSS(1991) and the qualify of life scale by Choi(1986). Data were analyzed by SPSS 12.0 using t-test. ANOVA, Pearson correlation coefficient and stepwise multiple regression. Results: Self-esteem and social support were in a positive correlation with each other(r=.467, p=.000). Social support and quality of life were in a positive correlation with each other(r=.512, p=.000). Self-esteem and quality of life were in a positive correlation with each other(r=.555, p=.000). The significant predictors of quality of life were self esteem, social support, and economic status, and the three factors accounted for 42.5% of variances in rural elderly people's quality of life. Conclusion: These results suggest that self-esteem, social support, economic status can be important factors for the qualify of life in the rural elderly. It proposes the basis for program development to improve rural elderly people's qualify of life.

• 농촌의학ㆍ지역보건
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• 제27권1호
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• pp.65-78
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• 2002

This study was conducted to identify the social support to living alone elderly in some rural communities and the level of life satisfaction. For the purpose of this study, face-to-face interviews and questionnaire were performed with 315 old people(male 43 and female 272) aged over 65 living alone in rural communities covered by 14 community health posts within Gyeongsangbuk-do Province randomly selected. The followings are summaries of findings; The average score of support from their children was $4.29{\pm}2.73$ out of 8. Variables that showed a significant difference were religion, level of living, type of medical insurance, frequency of meeting with children, time taken from houses of children by usual means of transportation, and subjective health status. It was found that the score of support from children was high for the elderly who had a religion, a good level of living, benefit from medical insurance, a high frequency of meeting with children, or a good subjective health status, or who resided close to their children's houses. The level of the support from friends and relatives showed a significant difference depending on the subjective health status, of which the average score was $4.13{\pm}2.61$ out of 8. The average score of the level of life satisfaction was $6.83{\pm}4.24$(male $7.60{\pm}4.09$ and female $6.71{\pm}4.26$) out of 17. Male elderly showed the higher level of life satisfaction than female elderly. Variables that showed a statistically significant difference in the level of life satisfaction were religion, level of living, medical insurance, hobby, children, disease, subjective health status, and ADL. That is, the level of satisfaction with life was found to be higher for the elderly who had a religion, a good level of living, benefit from medical insurance, a hobby, children, no diseases, or a good ADL, or who thought that they are healthy. The regression analysis with support from children as a dependent variable showed that the level of support from children was higher for the elderly who had a good level of living, frequency of meeting with children, or a good subjective health status. The regression analysis with the level of support from friends or relatives was higher for old people who had a good level of living. The regression analysis with the level of life satisfaction as a dependent variable showed that the factors which related to the level of satisfaction were sex, religion, level of living, hobby, ADL, and subjective health status. That is, it was found that for male elderly who had a religion, a good level of living or a hobby, or who thought that they were healthy, the level of life satisfaction was higher.

• 대한의생명과학회지
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• 제12권3호
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• pp.197-200
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• 2006

We analyzed total protein (TP), albumin (AL), aspartic aminotransferase (AST), alanine aminotransferase (ALT), urea nitrogen (UN), creatinine (CRE) and serum protein electrophoretic fractions in sera of rural elderly patients to evaluate the health status in rural elderly patients. We observed that the frequencies of patients showed lower level of total protein, albumin, and both total protein and albumin than them of reference range were 20.3%, 22.8% and 19.0%, respectively. The rates of patients showed higher level of AST, ALT, both of AST and ALT, UN, creatinine and both of UN and creatinine than them of reference range were 33.8%, 40.0%, 30.0%, 17.7%, 15.2% and 7.9%, respectively. Comparison of protein fractions of each patient to reference range showed that 77.2% of patients showed normal in all of patterns. Few of patients showed abnormal pattern in albumin (13.6%), ${\alpha}1-globulin (0.0%),\;{\alpha}_2-g10bulin(1.1%),\;{\beta}-globulin(1.9%)\;and\;{\gamma}-globulin(6.2%)$. These data suggest that many of rural elderly patients may suffer from heart, liver and kidney diseases. The serum protein fractions are not typical criterion to evaluate the disease, but production of proteins in rural elderly patients may be affected by liver disease and kidney disease.

• 대한지역사회영양학회지
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• 제29권1호
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• pp.51-64
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• 2024

Objectives: This study examined the association between ultra-processed food (UPF) consumption and chronic diseases in elderly Koreans. Methods: Data from the 2019-2021 Korea National Health and Nutrition Examination Survey were analyzed. Dietary intake and UPF consumption were assessed using the NOVA food classification based on 24-hour recall data from 3,790 participants (aged 65+ years). Participants were divided into 4 groups based on the quartile of energy intake from UPFs. Regions were classified as urban or rural. Multivariable logistic regression was employed to estimate the adjusted odds ratios (AORs) with 95% confidence intervals (CIs) after controlling for potential confounders. Results: Among the participants, 71.3% resided in urban and 28.7% in rural areas. Compared to the urban elderly, rural participants tended to be older, have lower education and income levels, be more likely to live in single-person households, and have a higher smoking rate (P < 0.05). Urban elderly consumed more UPFs daily (146.1 g) compared to rural residents (126.6 g; P < 0.05). "Sugar-sweetened beverages" were the most consumed category in both regions. "Sweetened milk and its products" and "traditional sauces" were prominent in urban areas, while rural elderly consumed more "traditional sauces" and "distilled alcoholic beverages." Rural areas also had a higher carbohydrate-to-calorie ratio than urban areas. Compared to the lowest quartile of UPF intake, the highest quartile was significantly associated with impaired fasting glucose only in rural areas (AOR, 1.48; 95% CI, 1.00-2.19; P for trend = 0.0014). No significant associations were observed for diabetes in either urban or rural areas. Conclusions: This study suggests that high intake of UPFs is associated with increased odds of impaired fasting glucose in rural elderly. Further research is needed to elucidate the specific negative health effects of UPFs in different populations, and targeted efforts should promote healthy diets in both urban and rural areas.

• 한국농촌간호학회지
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• 제19권1호
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• pp.66-74
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• 2024

Purpose: This study evaluates the effectiveness of providing frailty prevention services by living support workers through a case of community resource connection centered on living support workers to revitalize frailty prevention programs for vulnerable elderly people. Methods: This is a research study using secondary data from a neighborhood health-sharing project among the integrated health promotion projects of one public health center in Daegu Metropolitan City. To assess frailty effects pre-assessments were conducted in August, and post-assessments were conducted in November. Frailty was measured using a 20-item frailty instrument used in home healthcare projects. Data were analyzed using the chi-square, independent t-test, and paired t-test. Results: Preliminary measurements showed that older elderly had higher frailty scores than younger elderly. However, among the elderly aged 75 or older the total frailty score decreased statistically significantly from 5.97 points to 5.30 points (t=3.03, p=.003). Conclusion: The older elderly showed greater effect of frailty prevention than the younger elderly.

• 한국지역사회생활과학회지
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• 제28권4호
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• pp.561-579
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• 2017

The rural elderly population has social capital based on regionalism and kinship, which acts as a positive function in terms of their self-efficacy. Self-efficacy refers to the belief in one's own abilities. In general, elderly people with high self-efficacy maintain a healthy life and age successfully. This study examines how the rural elderly population perceive their self-efficacy and social capital and analyzes the role of social capital as a mediating variable. Social capital consists of 4 aspects; trust, norms, network and participation. For this study, data were gathered from 344 rural elderly people aged 60 years and over. The results of this study were as follows. According to the analysis of the structure equation modeling effect, the direct effect of subjective health status on self-efficacy, the indirect effect of the parameters of norms and the total effect were all statistically significant. Second, the direct effect of adult children's support on self-efficacy was significant, and the indirect effects of the parameters of trust, norms and total effect were all statistically significant. This study confirmed that social capital has a mediating effect on the relationship among the subjective health status of the rural elderly, adult children's support and self-efficacy. Furthermore, social capital had a positive impact on the self-efficacy of the rural elderly. Based on these results, a policy for making use of the social capital of the rural elderly should be developed.

• 한국농촌건축학회논문집
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• 제14권4호
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• pp.27-35
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• 2012

The purpose of this study was to establish planning criteria and development of type for the senior citizen who lives alone in home for the elderly at rural and fishing villages. In order to take most suitable co-housing, this analysis is progressed various building types based on aging in place and aging in health; self care, nono care, service care and community care. This paper is to suggest collective housing with 10 types in large scale and extracted 19 types in detail scale. The basis of classification are location condition; aging in place, building condition, health care condition; aging in health and possession & operation condition. In viewpoint of dwelling welfare 'Home for the Elderly' is to concerned with systematic methodology and architectural typology for senior citizen who lives alone in the rural and fishing village.