• Title/Summary/Keyword: spouse effect

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Assessment of Oral Health Impact Profile 14 for the ADL Inpatients in Geriatrics Hospital (노인요양병원 입원 ADL환자의 OHIP(Oral Health Impact Profile)14평가)

  • Kim, Jung-Sool;Lee, Byung-Ho
    • Journal of dental hygiene science
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    • v.9 no.3
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    • pp.303-310
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    • 2009
  • The purpose of this study was to evaluated for its validity and assessment of oral health impact profile 14 as a tool for evaluating of life related with oral health status for the ADL inpatients in geriatrics hospital and as a basic data for establishing geriatric oral health policies. The sample of this study consisted of 120 in ADL inpatients in geriatrics hospital in Pusan and Ulsan city, through face-to-face interviews of sample extraction method. In conclusion, the analysis results of the short OHIP14 forms have an effect on necessity of cure, filled teeth and current oral stale, spouse, intension. Through this results, OHIP14 could be used as an indicator to measure the quality of life related with oral health status for the ADL inpatients in geriatrics hospital as well as elderly general people.

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A Comparative Study in the Cognitive Functions of Peritoneal Dialysis, Hemodialysis and Normal Kidney Function Groups (복막투석, 혈액투석 및 정상 신 기능 집단간의 인지기능 비교 연구)

  • Lee, Gi-Sook;Choi, Song-Hee
    • Korean Journal of Adult Nursing
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    • v.13 no.3
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    • pp.451-462
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    • 2001
  • This study was conducted to examine and compare the characteristics in the cognitive functions of peritoneal dialysis, hemodialysis and normal kidney function groups as basic data for effectively educating dialysis patients. The data were collected from May 10 to October 30. 2000, collected from each of 20 patients with peritoneal dialysis, hemodialysis and normal Kidney function and who registered for the dialysis room at a general hospital affiliated to a university in Seoul and sampled by age and educational level through personal interviews with the researchers of this study. As a measuring tool, MMSE developed by Folstein et al.(1975) to measure cognitive function disorder was used, slightly revised for hemodialysis patients. Collected data were processed into frequency, percentage, mean, and standard deviation by the use of SAS. The results of this study are as follows : 1. With a maximum of 30 points for cognitive function, the mean of the peritoneal dialysis patients was $27.06{\pm}2.06$, while that of the hemodialysis patients was $27.25{\pm}2.76$; that of the normal Kidney function patients was $27.85{\pm}2.00$, indicating no significant difference among those three groups. 2. As for the subjects who scored 23 points, the turning point of confirming the cognitive disorder, the percentage was 5% in the case of the peritoneal dialysis, 10% in the case of the hemodialysis and 5% in the case of the normal Kidney function group. 3. Differences between the peritoneal dialysis and hemodialysis patients by gender, occupation, spouse, diabetes, hypertension, the period of dialysis, number of hospitalizations, and the use of erythropoietin were not significant in the scoring of cognitive function. 4. There was no significant correlation between the level of Hb, Hct, albumin, aluminium, PTH, BUN, Cr, dialysis adequacy and the cognitive function. Considering such results, it is clear that there is no significant difference in the cognitive functions of the sampled subjects. Therefore, the nurse in the dialysis room should continually carry out assessment and intervention against elements degrading the effect of patients' education to improve self- care.

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Factors Affecting Dementia Prevalence in People Aged 60 or Over: A Community based Cross-sectional Study (60세 이상 성인의 치매 관련 영향요인: 지역사회 기반 단면연구)

  • Kim, Seong Min;Seo, Hyun-Ju;Sung, Mi Ra
    • Journal of Korean Academy of Nursing
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    • v.44 no.4
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    • pp.391-397
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    • 2014
  • Purpose: This study was done to examine the association between body mass index (BMI) and any type of clinical dementia. Methods: Participants were 60,321 people over 60 years of age enrolled in the Seoul Dementia Management Project in 2011. K-MMSE was used to classify participants as having a cognitive impairment and the Clinical Dementia Rating or DSM-IV by psychiatrists or neurologists to determine whether participants were in the dementia group or the non-dementia group. Descriptive statistics, chi-square test, and binary logistic regression analysis were performed. Results: In the univariate analysis, age, education level, living with spouse, BMI, alcohol consumption, and exercise were significantly associated with dementia. In multivariable analysis, increasing age was positively associated with dementia, and educational level was negatively associated with dementia. The exercise group had a lower prevalence of dementia than the non-exercise group. The odds ratio of dementia in the over-weight and obese groups compared to the normal group was 0.85 (95% CI 0.60, 0.98) and 0.64 (95%CI 0.46, 0.75), respectively. Conclusion: Results indicate that dementia is negatively associated with increasing BMI in people aged 60 years or older, but a prospective cohort study is needed to elucidate the causal effect relationship between BMI and dementia.

The Relationship between the Characteristics of Social Support and Post-Stroke Depression (사회적 지지의 특성에 따른 뇌졸중 환자의 우울)

  • Kim, In-Ja;Suh, Moon-Ja;Kim, Keum-Soon;Cho, Nam-Ok
    • The Korean Journal of Rehabilitation Nursing
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    • v.2 no.2
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    • pp.206-214
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    • 1999
  • The effect s of social support on post-stroke depression were investigated. Social support was classified into three categories : primary caregiver's, significant other's, and professional support. And primary caregiver's and significant other's support were divided into their relation, living state (which means they living together or not), frequency which they met at, and perceived satisfaction about the support, respectively. Professional support was divided into number of professionals who take care of, frequency they met at, and perceived satisfaction. The subjects were 254 stroke patients who had been discharged and were taken follow-up care at the out patient department. The depression was measured using CES-D. Out of the primary caregiver's support, only relation and perceived satisfaction were identified to affect the post-stroke depression. The patients who primarily their spouse takes care of were less depressed than those who their adult children take care of. None of the significant other's support affects the post-stroke depression. Only perceived satisfaction of the professional support was found to affect the post-stroke depression. So it was found that the quality, not the amount, of care was important to post-stroke depression. These results also support the claim that the facilities and teaching programs for primary caregivers are necessary.

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Characteristics of the One-Person Households of the Elderly during Widowhood -Regional Distribution, Socio-Economic Characteristics, and Determinants of Living Arrangement- (사별 후 혼자 사는 노인1인가구의 특성 -지역별 분포와 사회경제적 특성, 결정요인을 중심으로-)

  • Song, Yoo-Jean
    • The Korean Journal of Community Living Science
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    • v.18 no.1
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    • pp.147-160
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    • 2007
  • This research challenges the general notion of one-person households of the elderly during widowhood as impoverished, isolated, and vulnerable. Recognizing a high potential vulnerability, however, this research attempts to describe the diverse composition of one-person households of the elderly. For this purpose, relying on 2% sample data from the 2000 census, it examines regional distribution, socio-economic characteristics, and determinants of one-person households of the elderly during widowhood. Socio-economic characteristics of one-person households of the elderly differ by region. Jeju island is distinct in terms of sex and age distribution, and residence area of children. In general, rates of economic activity and self-subsistence are higher in provinces than in cities. Compared to the elderly living with family, the elderly living alone show high rates of economic activity, self-subsistence, and capability of physical activity. Results of logistic regression analysis of determinants of living arrangement are consistent with those of descriptive statistics. Those who are economically active and able to move around without assistance tend to live alone after the death of a spouse. Number of sons and living in an urban area are negatively associated with living alone, whereas females are more likely than males to live alone. According to the separate analysis by age, the positive effect of economic activity is greater in the oldest of the old than in other age groups. Those who possess high educational attainment tend to live alone when they are 80 and older, unlike other age groups. Based on these findings, this paper finds that one-person households of the elderly nay not always be the most vulnerable group, and are diverse in terms of socioeconomic characteristics.

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Analysis of the Effect of Improving Posture Balance and Muscular Strength after Applying the Health Gymnastics Program for the Elderly (노인의 건강 체조 프로그램 적용 후 자세 균형과 근력 개선 효과분석)

  • Son, Byung-kook;Nam, Young-hee
    • The Journal of Korean Society for School & Community Health Education
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    • v.21 no.2
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    • pp.59-71
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    • 2020
  • Objectives : The purpose of this study was to investigate the change of posture balance and muscular strength before and after exercise by conducting a health gymnastics program for the elderly with chronic diseases of musculoskeletal system. Methods : The subjects of this study were 32 elderly people who had no experience participating in the musculoskeletal system linkage gymnastics program over 65 years old in a rural area in H city, Gyeonggi-do. The data were analyzed by computerized processing with SPSS 23.0. Results : The results of the study were as follows: First, the average of muscular strength before and after gymnastics according to general characteristics was significant in average according to age, presence of spouse, education level, and cohabitation type. Second, the subjects exercised for 2 days a week, and 25.59(±0.51) minutes on average. Third, the change of balance of the face (t=2.993, p=.011), shoulder (t=3.811, p=.002) and pelvic left and right (t=3.584, p=.004) was statistically significant in the posture balance. Fourth, muscular strength was statistically significant in motor function of AMS, SMS, and FMS (p<0.001). Conclusion : Therefore, after applying the health gymnastics program, the improvement of posture balance and muscular strength of the elderly became apparent, so it is necessary to disseminate this gymnastics program. The health gymnastics program is expected to positively improve the quality of life for the elderly.

The Mediating Effect of the Satisfaction with Life in the Influence of the Perception of Physical Environment Characteristics on the Settlement Consciousness of the Elderly (거주지역의 물리적 환경특성에 대한 인식이 고령자의 정주의식에 미치는 영향에서의 삶의 만족도의 매개효과)

  • Kim, Soo-Young;Oh, Chan-Ohk;Moon, Kyung-Joo
    • Journal of the Korean housing association
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    • v.28 no.3
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    • pp.35-43
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    • 2017
  • This study purposes to examine direct effects of the physical environments and indirect effects of the satisfaction with life on the settlement consciousness of the aged, using the raw data of 2015 Busan Social Survey. The 5,324 cases were selected from the raw data of those more than 65 years old. The results were as following: (1) When age, spouse with/without, diseases with/without, length of residence, and number of communicating persons were controlled, the satisfaction with housing, the number of cultural facilities, and public transportation availability affected directly on the settlement consciousness of the aged, but the levels of the satisfaction with the number of parks were not directly correlated with it. (2) The satisfaction with housing and public transportation affected indirectly on the settlement consciousness through the satisfaction with life. That is, the satisfaction with life had mediating effects on the two variables. (3) The satisfaction with parks did not affect directly on the settlement consciousness, but it affected on the settlement consciousness through the satisfaction with life. That is, the satisfaction with life shows the complete mediating effects on the settlement consciousness. These results imply that the physical environments such as housing, cultural facilities, public transportation affect on the aged's settlement consciousness so that they should be age-friendly.

Dual Earner Couple's Interdependent Retirement Decision - Focusing on Spouses'Involuntary Retirement - (부부은퇴의 상호의존성 연구 - 배우자의 은퇴여부 및 은퇴자발성을 중심으로 -)

  • Ham, Sunyu;Hong, Baegeui
    • Korean Journal of Social Welfare
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    • v.67 no.3
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    • pp.281-303
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    • 2015
  • This study examined the interdependent retirement decision between husbands and wives. Since most of retirees in Korea retired by involuntary reasons such as health problems, it purposes to test whether the involuntary retirement of husbands(wives) influences the retirement decision of wives(husbands). Using data from 4th Korean Longitudinal Study of Ageing Panel, it conducted probit and multivariate probit analysis on 1,038 dual-earner couples aged 51~76 to test interdependence of couples' retirement. The results showed that husbands who have retired wife were more likely to retire. It also proved that involuntary retirement of spouse is a significant predictor of early retirement decision, though the direction of the effect is reversed by gender. Wives were more likely to retire when husband were retired involuntarily, while husbands were more likely to stay in labor market. These findings helped to understand the retirement decision of aged couples in Korea and brought suggestion on labor market and care policies for aged couples.

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Gender Differentials of Economic Resources in Old Age (노후생활에서의 성별 차이 - 경제적 차원을 중심으로)

  • 김정석
    • Korea journal of population studies
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    • v.26 no.1
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    • pp.59-77
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    • 2003
  • This study conducts empirical research on gender differentials of economic resources in old age. The economic resources are assessed by the presence of independent income source and the amount of total income. The study, based on nation-wide survey of the elderly, examines the effects of individual level variables and household level ones. Also, it compares such effects between male and female elderly. The analysis shows that several variables have gender specific effects. Among them, particularly interesting and important are marital status and coresidence with children. The positive effect of having spouse is greater among female elderly than among male elderly. Also, while coresidence with children among male elderly has insignificant or slightly positive relation to their own economic resources, it has a negative relation among female elderly. These results indicate that female elderly are dependent on their husbands and children. The study suggests that future research on the elderly incorporate gender differentials into models attempting to capture diversity within the elderly population.

Caregiver's Burden and Quality of Life of Male Spouses with Stroke Wives (뇌졸중 환자인 부인을 돌보는 남성노인 배우자의 부담감과 건강 관련 삶의 질)

  • Han, Jung-Hee;Park, Yeon-Hwan
    • Korean Journal of Adult Nursing
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    • v.24 no.6
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    • pp.615-626
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    • 2012
  • Purpose: The purpose of this study was to investigate caregiver burden and health related quality of life (HRQoL) among male spouses who cared for partners with a stroke. Methods: The subjects were spouses of 121 female patients who visited the neurology outpatients department in one tertiary hospital located in Seoul between February and April in 2011. Results: The mean age of the male caregivers was $71.25{\pm}5.51$ years. The mean score of caregiver's burden was moderate ($63.28{\pm}9.85$). The average reported caregiving time was $58.48{\pm}5.51$ min/day with the male spouses spending more time in house-working than with caregiving activities. The reported depression and care giving time, plus the cognitive status and functional dependencies of the spouse were significantly related to male caregiver's burden. The mean scores of 'physical health' and 'mental health' for quality of life for the male caregivers was moderate (47.49 and 47.33 respectively). Overall, caregiver's burden has a negative effect on the HRQoL of male spouses. Conclusion: Caregiver's burden and HRQoL are important problems which are in need of nurses' attention. It is suggested that intervention programs for male spouses be developed with a focus on emotional and social support as well as education about the caregiving role.