• Journal of Digital Convergence
• /
• v.17 no.2
• /
• pp.293-301
• /
• 2019

The purpose of this study is to redefine 7 social exclusion factors and to derive association between social exclusion factors and depression of middle and older elderly, focused on gender differences. The elderly aged over 50 years old were extracted from the data of the Korean Longitudinal Study of Ageing (KLoSA) in 2016. The data was analyzed by descriptive analysis, chi-squared test, and binary logistic regression analysis, using SAS 9.4. As a result, the elderly who were excluded from labor, residence, health, and relationship were found to be associated to depression. In addition, male with resident exclusion were associated with depression compared to non-excluded. Therefore, it is necessary to improve the local community programs in which elderly people can participate in labor and cultural activity. It is necessary to improve labor and culture exclusion by increasing the participation opportunities of various cultural programs. In addition, it is needed to establish specific guidelines for eliminating the social exclusion of overall elderly.

• 한국노년학
• /
• v.37 no.3
• /
• pp.669-686
• /
• 2017

The purpose of this study is to investigate types of neighborhood environments and to verify whether the types of neighborhood environments are directly related to life satisfaction of older adults. To achieve this goal, I used'2014 National Survey on Older Koreans' data which surveyed the older adults aged 65 and over living in the community and a total of 10,281 respondents were analyzed. To determine the types of neighborhood environment, the time taken by walking from community organizations or places such as grocery stores, medical centers, administrative agencies, welfare centers, public transportation was used as an neighborhood environment indicators. As a results, there were six types of neighborhood environment: a leisure-welfare walk-limited type(20.3%), a leisure-welfare long-distance type(15.5%), a balanced proximity type(7.8%), a store-traffic type(35.8%), a traffic proximity type(10.1%), and a marginalized area type(11.3%). Compared to the balanced proximity type, older adults living in a store-traffic type and a marginalized area type were more likely to have negative life satisfaction. older adults who have higher life satisfaction were more likely to be female, more educated, get higher household income, and have a spouses or partner. Moreover, the better the health conditions, the higher the frequency of contact with children, siblings, friends and neighbors, the higher the satisfaction of life. Finding from the study highlight the importance of neighborhood environment in late life and provide implications for building age-friendly community.

• Korean Journal of Clinical Laboratory Science
• /
• v.51 no.1
• /
• pp.105-113
• /
• 2019

This study examined the effects of geriatric depression and geriatric stress on cognitive impairment. In particular, the dementia groups were divided into Alzheimer's disease and vascular dementia. A normal group was used as the control group. For each group, the geriatric depression using the geriatric depression scale (GDS) and geriatric stress using the geriatric stress scale (GSS) was compared with the regression and correlation results of cognitive impairment. Statistical tests, such as descriptive statistics, Kruskall-Wallis, correlation analysis, and multiple regression analysis, were performed. For the Alzheimer's group, the GDS and GSS correlated with the cognitive impairment, but only the GDS showed a cause-and-effect relationship with cognitive impairment. In particular, the male group with Alzheimer's disease showed clear confirmation. In addition, geriatric stress was found to be associated with geriatric depression. In conclusion, geriatric depression affects the cognitive impairment directly and geriatric stress affects the cognitive ability indirectly through geriatric depression. In this study, the Alzheimer's disease, vascular dementia, and control groups had a small sample size. Therefore, the external validity in future studies can be increased using a larger sample size for each group.

• Therapeutic Science for Rehabilitation
• /
• v.8 no.2
• /
• pp.43-53
• /
• 2019

Objective : This study aimed to identify the characteristics of hand function according to age and sex in older adults. Methods : This study included 103 healthy adults aged ${\geq}60$ years. The Korean version of TEMPA was used to assess hand function and a Jamar dynamometer and pinch gauge were used to assess hand and pinch strength in all participants. Results : The results of hand function assessment showed that speed of task execution (mean = 121.32 s, SD = 18.07 s in subjects aged 60-69; mean = 144.97 s, SD = 28.43 s in subjects aged 70-79; and mean = 160.93 s, SD = 38.33 s in subjects aged ${\geq}80$, p < .001) and fine movement (mean score = -.14, SD = .40 in subjects aged 60-69; mean score = -.63, SD = 1.07 in subjects aged 70-79; and mean score = -.57, SD = .65 in subjects aged ${\geq}80$, p = .01) decreased significantly with age. The male group showed better speed of task execution (mean = 133.54, SD = 22.83 in males vs. mean = 150.55, SD = 39.89 in females, p < .01) and fine movement (mean score = -.16, SD = .37 in males vs. mean score = -.46, SD = .58 in females, p < .01) than the female group. Hand strength also decreased significantly with age (p < .05, to p < .001). Conclusion : Occupational therapists should be aware of the decline in hand function (especially speed of task execution and fine movement) and strength in older adults, as well as the need to provide interventions to treat this decline.

• Journal of Industrial Convergence
• /
• v.20 no.9
• /
• pp.99-107
• /
• 2022

This study was conducted to empirically analyze the effect of life behavior and socio-environmental satisfaction on life satisfaction of the elderly with or without hearing loss. To this end, 3,071 elderly people of 「the Survey on the Actual Condition of the Elderly」 in 2020 were set as the subjects. After controlling for their demographic variables, the multiple regression model showed that the elderly with hearing loss had different factors of life behavior and socio-environment satisfaction that affected their life satisfaction compared to those without. As a result, the sub-factors of life behavior in the elderly with hearing loss, such as economic activities, social group activities, the use of the center, and the sub-factors of social environment satisfaction, such as family satisfaction and environmental satisfaction, had a positive (+) effect on life satisfaction. Especially, the elderly with hearing loss had more limitations in both the area of living behavior and the area of social environment satisfaction than the elderly without hearing loss. Therefore, in order to improve the life satisfaction of the elderly with hearing loss, it is suggested that the government and local governments should simultaneously supplement welfare policies and facilities for the elderly with hearing loss.

• Knowledge Management Research
• /
• v.23 no.4
• /
• pp.113-132
• /
• 2022

The development of information and communication technologies (ICT) and changes in medical services centering on daily life have ushered in an era of self-management through the smartphone health management app (mHealth). This study identified the factors affecting mHealth use among older adults with diabetes. A structured survey was conducted using online and offline channels for 252 older adults who were over 65 and had diabetes. The collected data were subjected to hierarchical multiple regression analyses, and subjective health status, e-health literacy, and interaction terms of social support were inputted to verify moderating effect. The main results of this study are as follows. First, mHealth use among older adults with diabetes was higher in the male, type 2 diabetes, and younger age groups. Second, the higher was the e-health literacy, the higher was the mHealth use. Third, a negative moderating effect of social support was found in the relationship between subjective health status and mHealth use. We expect this study to provide researchers and managers interested in mHealth and older adults with diabetes, with valuable theoretical and practical implications. Furthermore, this study contributes to improving mHealth use among older adults with diabetes and building a digitally inclusive society.

• The Journal of the Korea Contents Association
• /
• v.19 no.7
• /
• pp.598-608
• /
• 2019

This study aimed to investigate the role of social support to enhance posttraumatic growth in the Family Caregivers focusing on their trauma by development of the elderly with dementia. The study subjects were 204 family Caregivers for the elderly with dementia and the data were analyzed by the gender. This study utilized IBM SPSS Statistics ver. 20.0 for analysis, and the main results of this study were as follows. First, female group of the family Caregivers showed significantly higher in the level of trauma while male group showed significantly higher in the informal areas of social support and posttraumatic growth. Second, female group showed the protective effect in the formal area of social support and male group did the effect in the formal and informal area of social support. As such, this study investigated the level of trauma by gender of family Caregivers for the elderly with dementia and suggested the implementation strategies to enhance posttraumatic growth. Moreover, this study has the meaning to provide the required fundamental data to establish proper community care upon demonstrating the practical analysis results considering the characteristics of social support.

• Journal of East-West Nursing Research
• /
• v.26 no.1
• /
• pp.39-51
• /
• 2020

Purpose: The purpose of this study was to develop family support oriented physical activity program for the male elderly with sarcopenia based on social cognitive theory. Methods: This program was developed through an analysis of 18 related intervention literatures, results of a focus group interview with 5 elderly men with sarcopenia and the content validity index of the program content adequacy and applicability by 6 experts. The combined exercise with resistance exercise and aerobic exercise was constructed in accordance with the recommendations of the American College of Sports Medicine (ACSM) and experts' opinions. Results: The program consists group education sessions (5 times, 60 minutes for each) for 12 weeks and family support oriented physical activity program composed of individual intervention (sending alarm for physical activity for 10 times and telephone monitoring for 2 times). The program also reflects the concept of self-efficacy and self-regulation, which are important factors for continuing physical activity through family support. The progressive resistance exercise was developed by composing 5-6 systemic movement forms that repeat 2-3 days a week and 2-5 sets at least. Conclusion: It is proposed to standardize the family support oriented physical activity program through the further studies so that the program can be utilized for the various groups of people who need increased level of physical activities.

• Ecology and Resilient Infrastructure
• /
• v.5 no.4
• /
• pp.210-218
• /
• 2018

In this study, a real-scale stairway model was constructed to analyze the evacuation safety of human life due to the change of flooded stair flow. In the experiment, the water depth and flow velocity at each stage of the stairs were measured and the specific force per unit width was calculated. Using the calculated the specific force per unit width, the evacuation safety of each steps of stairs according to the change of the flooded stair flow was presented. Finally, the depth of water measured by the experiment and the evacuation safety graph of "Ishigaki" by the specific force per unit width were combined to analyze the evacuation safety by depth. As a result, it has been found that evacuation of adult man is difficult without help at the flow depth of 0.20 m or more. And it has been found that evacuation of adult women and elderly men are difficult without help at the flow depth of 0.15 m or more. Finally, it has been found that evacuation of elderly women is difficult without help at depth of 0.13 m or more.

• Journal of Korean Academy of Nursing
• /
• v.50 no.6
• /
• pp.799-812
• /
• 2020

Purpose: This study aimed to construct and test a predictive model that explains and predicts the quality of life in older men living alone. Methods: A self-report questionnaire was used to collect data from 334 older adult men living along aged 65 years or over living in Jeollanam-do provinces. The endogenous variables were depression, self-rated health, instrumental activity of daily life, health promotion behaviors, the number of social participation activities and quality of life. Data were analyzed using the SPSS 21.0 and AMOS 21.0 programs. Results: The final model with 14 of the 8 analysed paths showed a good fit to the empirical data: χ2 = 173.26(p < .001, df = 53), normed χ2 = 3.27, GFI = .92, NFI = .90, CFI = .93, TLI = .89, RMSEA = .08 and SRMR = .06. Activities had direct effect on quality of life of older men living alone and social support had both direct and indirect effects. Meanwhile, function and socioeconomic status showed only indirect effects. The variables included in the eight significant paths explained 83.7% of variance in the prediction model. Conclusion: Instrumental activities of daily living and social support effect directly on quality of life in the older men living alone. Findings suggest that health care providers including community nurses need to provide social support as well as empowerment programs of instrumental activities of daily living and health promotion for improving quality of life of the older men living alone.