This research is designed to study the residence environment of the elderly residing in three different types of residence - the local community, silver towns and nursing homes and compare their level of social support and life satisfaction of the residents. The subjects of the study was those aged 65 and older who live single and couple 68 residing in the local community, 32 in silver town and 32 in nursing homes. The result of analysis is as follows; 1) the residence environment is different in the three types of residence in terms of number of children, living with a spouse, subjective economic status, and participation in group activities; 2) as for social support, emotional support is the highest among the elderly residing in the local community and declines among those in silver town and the lowest in nursing homes, which suggests that the local community still maintain the support system for the elderly, however it declines in silver town and drop further in nursing homes. But in terms of instrumental support, there is no meaningful difference in the three types of residence. The result shows that the elderly residing in nursing homes are supported by systematic medical and residence service which make up for instrumental support Similar to those in the local community and silver town; 3) life satisfaction is the highest among those residing in nursing homes, however there was little meaningful difference. The result means quality of living is similar among three different types of residence. What is interesting is those living in nursing homes has similar level of life satisfaction despite their lowest emotional support.
The purpose of this study was to investigate gender difference of community-residing elderly's life satisfaction and influential factors. Data were collected from 461 elders aged 60+ with the cooperation of several social service center for the aged, senior centers, and senior citizen associations in Daejeon Metropolitan City and Chungcheongnam-do(Cheonan-si and Okcheon-gun). SPSS 22.0 software was used for t-test and cross tabulation analysis, correlation analysis, and hierarchical regression analysis. The results showed there was statistically significant difference of elderly's life satisfaction by gender in multivariate analysis including sociodemographic factors, social network and relationship with children variables, but no difference in bivariate analysis. There was also significant difference in the factors affecting community-residing elderly's life satisfaction by gender. A few factors like friend support, number of regular social gatherings, and subjective health status were statistically significant in predicting male elderly's life satisfaction. Predictors of female elderly's life satisfaction which were perceived elderly parent-children conflict, friend support, monthly income, subjective health status, support to children, support from children were more diverse, compared to the predictors for male elderly's life satisfaction. Based on the findings, suggestions for social welfare policy and practice to improve community-residing elderly's life satisfaction considering the gender difference were discussed.
In this study, the nutrient intakes, dietary quality, and muscle strength of elderly women in a social-welfare center of a large city were compared with those of elderly women at home in a large city. Also, the relationships between muscle strength and nutrient intake status were investigated in both elderly group. The results of this study were as follows: The ages of elderly in the social welfare center and of elderly in general home residing elderly were 68.2 and 70.3 years, respectively. The average energy and nutrient intakes of both groups were lower than the Korean RDA. There were no differences between the groups in terms of macro-nutrient composition and quantity. The elderly in center showed significantly lower intakes of vitamin $B_2$, niacin and calcium than the home-residing elderly. The hand grip strength and back muscle strength were lower in the elderly of social welfare center, but a significant difference was found only in the left hand grip strength. The muscle strength, especially the left hand grip strength of those in social welfare center, showed significant correlations with various nutrient intakes. In contrast, generally no relationship between muscle strength and nutrients intakes status could be found in the home residing elderly. The variances in the mean hand grip strength and the left hand grip strength 19.0% and 18.6% respectively, were explained by their ages. This is in contrast to 22.3% and 32.4% of calorie intake and vegetable protein intake in the elderly of the social welfare center. In conclusion, the status of nutrient intake in those in the social welfare center seems to be low, and it is assumed that the low calorie and vegetable protein intake may contribute to the muscle strength decline in the socioeconomically high risk elderly.
Background: Given the potential benefits of wellness programs promoting physical activity of the community-dwelling frail elderly, it is recommended that comprehensive wellness programs combined with the component of physical activity. This may improve overall health and potentially lower the health care cost of the frail elderly. In general, the frail elderly residing in community or those after being discharged from hospitals are often committed to enhancing the status of participation in physical activity. Objects: The purposes of this study were to identify specific shortcomings of current wellness programs as part of continuum of community rehabilitation services and to propose alternatives for the care of the community-dwelling frail elderly. Through this study, geriatric health care professionals may be able to implement assessments and programs to successfully promote an effective continuum of care for the frail elderly. Methods: Article reviews were summarized and evaluated. Results: A model elaborating the relationship between components of successful wellness program and participation in physical activities for the community-dwelling frail elderly are recommended. First, periodic monitoring the levels of physical activity by the use of online measurement system should be considered. Second, individualized adaptive technologies for selecting optimal physical activities for the elderly may be better fit to individuals' current status of physical activity. Conclusion: The current status of physical activity in community-dwelling frail elderly can be monitored by online assessment systems. Through the innovative measurement system, elderly may assess his/her physical activity status overtime, select optimal physical activities matching the status, and create the elderly's own adaptive wellness programs that match to the status while residing in his/her community.
Objectives: This study aimed to evaluate the diet and health status of elderly women according to the family type. Methods: A total of 307 elderly women participated in this study were divided into one of three groups according to their family type: residing with spouse (RSP; n=88), residing with son or daughter (RSD; n=119), and residing alone (RAL; n=100). Chisquare test was used to assess dietary habits and health status of the subjects by the family types. Results: Results demonstrated significant associations between eating regular meals, person preparing meals, coffee intake, and bone fracture experience and family type. Among the three groups, the RSP and RAL groups had a higher percentage for preparing meals by themselves (p<0.001) than the RSD group. The RAL group had a lower percentage for eating regular meals (p<0.01) but a higher percentage for bone fracture experience (p<0.05) than the other groups. There were no significant differences in monthly allowance, self-estimated health status, physical activity, exercise, drinking, and dietary habits such as frequency of consumption of dairy, beans, eggs, fish, meat, fruits, and vegetables among the three groups. Conclusions: The results showed that elderly women residing alone without a son, daughter, or spouse had more diet-related and health problems such as irregular meals and high bone fracture experience. These findings suggested that elderly women residing alone need more attention and support.
Living conditions of the rural elderly were assessed in terms of clothing behavior, health and nutritional status, housing and envioronmental condition, and psychological adjustment. The subjects were eighty individuals over sixty residing in the rural community of Iksan-kun, Chollabukdo. The interview method using questionnaires, direct measurement, and observation was used for this study. Data were compared with those obtained from a previous study of the elderly residing in an urban area. Clothing behavior showed that the elderly residing in the rural community were more concerned about plain and conservative design of clothes than their urban counterparts. Special protective clothes for cropdusting with agricultural chemicals had not been prepared. The following urgent needs were pointed out: development and supply of agricultural chemical protective clothing and development and education of appropriate washing and clothing care methods. The health status of the elderly was generally good, but poor eating habits were found more frequently in the rural elderly than among the urban dwellers. Several dietary nutrient intakes were insufficient. Contrasting the urban elderly with the rural group, it was found that the urban group lacked sufficient vitamin A and vitamin C and the urban women had insufficient calorie whereas the rural group was deficient in protein, vitamin A, calorie, and fat. A significant relationship was found between dietary nutrient intake and health index, food habit points, self recognized health status, meal satisfaction, and economic status. Urgent needs of the development of a nutrition education program for the elderly were pointed out. Most of elderly residing in the surveyed rural communities were living alone or with their spouse only, therefore only one room was used among the three or four available rooms. Most of the rural elderly were living either in a traditional Korean house built with differing floor levels or in a modified Korean style house. Minimal modernization had been made for kitchen facilities such as sink and gas range or for heating facilities with the briquette boiler. However, sanitary space such as lavatory and bathroom had not been remodeled. A housing welfare program for rural communities should be implemented at the national level. The comparison of psychological characteristics of the rural elderly with their city counterparts revealed that the rural elderly have a more stable psychological status and optimistic attitude than those living in a city. However, it was found that most of the elderly did not have any future plan. Community programs for the elderly including hobbies or leisure activities or education programs to generate close interpersonal relationships with their children should be developed and provided.
Kim, Junghee;Lee, Hyeonkyeong;Lee, Chung Yul;Cho, Eunhee
Journal of Korean Academy of Community Health Nursing
Purpose: The purpose of this study was to examine the social determinants of health (SDH) associated with health-related quality of life (HQOL) among the community-dwelling elderly, based on the conceptual framework of the Commission on Social Determinants of Health (CSDH). Methods: A survey was conducted with 199 elders aged 65 years or older sampled through convenient sampling. Data were collected through face to face interviews by trained interviewers using a structured questionnaire, which included scales of the residential area, social support, sense of community, social network, health behaviors, and HQOL. Data were analyzed by ANOVA and stepwise multivariate regression. Results: Major SDH affecting HQOL included the participants' residential area, sense of community, and health behavior. The HQOL of the elderly residing in the B area with a low rate of basic livelihood security recipients was higher than that of those residing in other areas. Conclusion: CSDH framework was useful to determine the factors associated with HQOL among the community-dwelling elderly. In addition to their health behavior, their sense of community was found to be a SDH of HQOL, indicating the need of health promotion programs tailored to the characteristics of residential areas and strategies to enhance involvement in community activities.
Journal of Korean Academy of Community Health Nursing
Purpose: This study was to identify the factors influencing the practice of respiratory infection prevention (RIP) for the elderly residing in rural areas. Methods: The data were collected from 188 residents aged 65 years or older residing in the jurisdictions of four public health clinics in rural areas of C city, using a structured questionnaire for the period from December 1, 2018 to February 28, 2019. The collected data were analyzed with independent t-test, one-way ANOVA, Pearson's correlation coefficients, and hierarchical multiple regression analysis using SPSS/WIN 25.0 program. Results: The score on knowledge of RIP was 8.82±1.36, while it was 4.53±0.47 for attitude, 3.78±0.66 for practice, and 3.78±0.69 for social capital. It was observed that the factors influencing the practice of RIP were attitude of RIP (β=.38, p<.001), social capital (β=.29, p<.001), family type (β=-.19, p=.002), and subjective health status (β=.15, p=.035), while the explanatory power of the model was 47%. Conclusion: Consequently, to enhance the practice of RIP for the elderly residing in rural areas, it is necessary to develop programs considering social and environmental characteristics of rural areas based on their attitude of RIP, social capital, family type and subjective health status.
The purpose of this study was to identify the intention to use of virtual reality-based cognitive training system for the elderly residing in community based on extended technology acceptance model. The data were collected 100 elderly residing in community from January 2 to January 31, 2020. As a result, the influence the intent to use a virtual reality-based cognitive training system for the elderly is social influence, perceived usefulness, perceived enjoyment, age. The explaining 54.4% of the variance, it is considered that technology development these factors will be necessary for elderly in the community to promote the intent to use of virtual reality-based cognitive training systems. This study is meaningful in that it has identified the degree of intent to use and influencing factors of virtual reality devices for the elderly in the community. This study could be used as basic data for the development of technologies for virtual reality-based cognitive training systems in the future.
Proceeding of Spring/Autumn Annual Conference of KHA
Offer of medical treatment service for recovery or preservation of physical spiritual function of elderly people by sudden population graying developing is essential. Therefore, according to increase of elderly's medical treatment demand, medical treatment service request is augmented. Number of medical treatment service utilization wishes to grope medical treatment service support way for elderly residing cloth elevation laying stress on elderly's Aging in Place in increase trend in this research. If decide, is as following : First, national hospital and public health center were concentrated most on Seoul and kyonggi, and there were many hospitals to south of a river nine, Songpagu, Seochogu, and public health center was expose that is one by one to each nine. Second, in the case of Seoul, elderly population ratio was expose that comparatively high Yeongdeungpo, Chongno, Yongsan, west passage nine is few hospital number relatively in elderly's residential area. Third, need that establish elderly full text clinic on part of general hospital or university hospital equipment. Fourth, must do so that can use access as is easy little more in local community to all elderly who need medical treatment service of visit nursing, visit medical examination and treatment etc.. that consist in present public health center.
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