• The Journal of the Korean Institute of Forest Recreation
• /
• v.22 no.4
• /
• pp.59-69
• /
• 2018

This is a cross-sectional study that suggests ways to activate forest welfare services (FWS) by investigating the infrastructure, service status, and perception on FWS in Korea. In August 2016, a structured email survey was conducted in nation widely. The respondents were mostly directors and general secretary (75.0%). The considerable number (16.3%) of nursing homes (NH) use some floors of the complex buildings that would be difficult to have FWS infrastructure and about 30% of those without forests near the facilities. The directors of NH recognize that FWS has positive effects on the elderly. However, FWS is not an requisite of the longterm care insurance benefit, and so costly and effort-intensive that FWS has not been activated so far. In order to activate FWS in NHs, it is necessary to develop and disseminate the guidelines on FWS that anyone can easily followed. In addition, when the National Health Insurance Corporation evaluates NHs, they should evaluate not only whether there is a wandering or walking space, but also whether it has forest healing factors such as forests. It is also necessary to create a barrier-free environment both inside and outside of NHs, increasing accessibility to the toilet in gardens, paving a passage for wheelchairs and lifts in forests near NHs. Through these efforts, it is expected that FWS will be activated to provide physical, mental rest and comfort, appropriate cognitive stimulation to the NH residents at the end of life.

• Journal of Korean Academy of Rural Health Nursing
• /
• v.18 no.2
• /
• pp.125-133
• /
• 2023

Purpose: This study aimed to understand and explore the experiences and meanings of life changes and loneliness caused by the coronavirus disease (COVID-19) among older people living in rural areas. Methods: This study adopted an individual interview approach. A total of 33 older adults were interviewed using semi-structured questions between October and December; 2020. The collected data were analyzed using thematic analysis. Results: Four main themes and ten sub-themes emerged. One main theme was "the never-ending anxiety of a changed world", the second theme was "disconnecting from the world through social distancing", the third theme was "working to overcome COVID-19", and forth "health is the most important thing in life." Conclusion: Based on the results of this study, we confirmed the urgent need for psycho-social support to relieve loneliness and social isolation of older people in rural areas during the spread of infectious diseases.

• Journal of Korean Academy of Nursing
• /
• v.27 no.4
• /
• pp.871-879
• /
• 1997

인간은 사회적 접촉을 필요로 하고 타인과의 상호작용을 원하는 사회적 동물이다. 외로움은 한 개인의 사회적 관계의 망이 양적이나 질적으로 부족할 때 발생하는 불유쾌한 감정이다. 외로움은 매우 보편적인 감정이나 고통스러울 수 있으며 이러한 경험이 지속되면 정신적, 신체적 건강을 해칠 수 있을 뿐 아니라 자살을 초래하기도 한다. 특히 노인은 여러 가지 종류의 변화와 상실을 경험하기 때문에 외로움을 더 느낄 수 있다. 본 연구의 목적은 번역과 역번역 과정을 통해 Revised UCLA Loneliness Scale에 대한 한국어 UCLA 외로움 사정도구를 만들고 이 도구를 한국노인에게 적용하여 신뢰도와 타당도를 조사하는 것이다. 개정판UCLA외로움 사정 도구는 각각 3번씩의 번역과 역번역 과정을 통해 원본 영문도구와 역번역된 영문도구 사이에 의미의 차이가 없다고 판단될 때까지 만들어졌다. 번역과 역번역 과정은 미국에서 석사나 박사학위를 취득한 6명의 한국유학생들에 의해 이루어 졌으며 원본 영문도구와 역번역된 도구사이의 의미의 차이는 본 저자와 미국인 간호학 교수에 의해 사정되었다. 번역된 한국어 외로움 사정도구는 미국의 3개 주에 거주하는 203명의 한국노인들을 대상으로 신뢰도와 타당도 조사가 이루어졌다. 한국어 UCLA외로움 사정도구의 신뢰계수는 .93으로 한국어 도구의 내용이 전반적으로 동질성을 띈다는 것을 알 수 있었다. 이는 Barren등(1992)이 미국인 노인여성을 대상으로 한 연구에서 얻은 신뢰계수 .87보다 높은 것이었다. 한국어 도구의 구성타당도를 조사하기 위해 요인 분석을 실시한 결과 본 도구는 친밀한 주변인, 사회적 주변인, 및 소속감 등의 3개 요인을 가지는 것으로 분석되었다. 구성타당도에 대한 이러한 결과는 미국의 대학생들을 대상으로 한 Austin(1983)의 연구결과와 일치하는 것이었다. 각 요인에 대한 신뢰계수는 .88(제 1요인), .90(제 2요인), .84(제 3요인)로 나타났다. 전반적으로 대상자들은 한국어 도구에 대해 이해를 잘 하는 편이었으나 부정문인 4번 항목, '나는 혼자라고 느끼지 않는다'에 대해서는 응답을 할 때는 다른 항목에 비해 시간이 더 소요되거나 연구보조자에 의한 반복 설명이 필요하기도 하였다.

• Journal of Industrial Convergence
• /
• v.20 no.8
• /
• pp.119-126
• /
• 2022

The purpose of this study was to examine the effects of a morale promotion program on morale, depression and suicidal thoughts of women elderly in rural area. A non-equivalent control group pre-post test study design was used. The participants were 62 women from O province (experimental group = 28, control group = 34). The experimental group were participated in a total of eight-session, twice a week for four weeks. The collected data were analyzed with descriptive statistics, χ2-test, independent t-test using SPSS 26.0 program. After a eight-week of intervention, there was a significant difference in morale (t=2.09, p=.040) and depression(t=-2.98, p=.004) between two groups except for suicidal thoughts (t=-0.47, p=.638). Therefore, the study morale promotion program has proven to be effective in improving morale, and reducing depression of participants.

• The Journal of the Convergence on Culture Technology
• /
• v.10 no.3
• /
• pp.783-790
• /
• 2024

This study aimed to investigate the impact of arthritis self-management education on changes in arthritis-related knowledge levels and arthritis-specific self-efficacy among elderly individuals at a senior center. This study was conducted with one group pre-test and post-test design. The participants included 48 elderly individuals who utilized four senior centers, and they received arthritis self-management education for three weeks. Data analysis used a paired t-test to compare the effects before and after education. The results of the study showed that arthritis self-management education significantly increased arthritis-related knowledge (t=9.17, p<0.001) and arthritis-specific self-efficacy (t=3.96, p<0.001). There were significant differences in knowledge and self-efficacy levels by age group, with the results varying among participants aged 85 and above. These findings suggest that a three-week education program is appropriate for improving arthritis-related knowledge and self-efficacy among the elderly, and that education should be tailored to different age groups.

• 한국노년학
• /
• v.41 no.4
• /
• pp.455-468
• /
• 2021

This study was performed to utilize for foundation data of research related nursing communication and developing nursing intervention by examining the relationship between nurses' perception of the elderly and communication. This study is a descriptive research using a set of questionnaires that examines the relationship between nurses who provide care to the elderly by confirming their perception of the elderly, communication difficulties with the elderly, communication behavior, and satisfaction with communication. After IRB approval, data were collected either face-to-face survey or by online survey. A total of 292 nurses participated in this study. The collected data were analyzed as descriptive statistics, t-test and ANOVA, Duncan test and Pearson's Correlation Coefficients, Multiple Regression Analysis by using SPSS/WIN 26 program. As a result, a significant correlation was identified between perception of the elderly and communication disorders, communication behavior, and communication satisfaction. We found that nurses who had more positive perceptions about the elderly had less communication disorders, better communication behaviors, and higher communication satisfaction with the elderly. From this result, we suggest that nurses caring for the elderly should receive education on communication methods with elderly to improve their perception. Furthermore, we suggest future studies to improve nurse's perception of the elderly and communication.

• 한국노년학
• /
• v.37 no.1
• /
• pp.103-123
• /
• 2017

The purpose of this study is to explore the phenomenon in-depth with its context that what are changes of life in the older patients with social admission by applying the phenomenological research method, and to understand the essential meanings and structure of change experiences of life in elderly patients with social admission. The participants were 15 patients with chronic disease over 65 ages who were selected by convenience sampling. Data were collected through individual in-depth interviews from April to July 2016, and were analyzed using Colaizzi (1978)'s phenomenological analysis method. The essential meanings and structure of change experiences of life in the older patients with social admission were derived into six clusters of themes as follows: 'A lot of concerns are solved', 'New relationship', 'Life as a ordinary person that it looks nothing like a patient', 'The body and mind are comfortable', 'Fear of discharge','Social isolation'. The results of this study contributed to promoting a deeper understanding of change of life in older patients with social admission, and provided for the basic data of strategic approach in solving the social admission problem in long-term hospital.

• Journal of the Korea Academia-Industrial cooperation Society
• /
• v.17 no.5
• /
• pp.441-451
• /
• 2016

This study was conducted to determine the influence of satisfaction, self-esteem, and depression on adjustment of elderly patients in long-term care hospitals. The subjects were 116 elderly patients in 15 long-term care hospitals in B and K city. Data were collected from February 14 to March 30, 2015, and analyzed by t-rest, ANOVA, Scheff's test, Pearson correlation coefficients, and stepwise multiple regression. According to the results, there were significant differences in adjustment by religion, marital status, economic status, and perceived level of difficult problems. Adjustment was positively related to satisfaction and self-esteem. In addition, a negative correlation was observed between adjustment and depression. Meaningful variables that influenced the adjustment of elderly patients were depression, satisfaction, self-esteem, and religion. These factors accounted for 53.5% of the total variance in adjustment of the elderly patients in long-term care hospitals, and depression was the most influential factor. In conclusion, development and implementation of effective programs and strategies to reduce depression and to increase satisfaction with care and self-esteem is needed in order to enhance the adjustment of elderly patients in long-term care hospitals.

• Research in Community and Public Health Nursing
• /
• v.8 no.2
• /
• pp.395-402
• /
• 1997

인지능력 손상으로 인해 치매환자의 정상 언어 사용은 점차 감소되고 좌절감과 스트레스는 상승된다. 신체접촉은 비언어적 의사소통의 한 형태로서 치매환자를 지지하고 스트레스 상황에서 겪는 불안을 완화한다. Hollinger와 Buschmann은 1993년 신체 접촉 모형을 개발하였으며, 그 모형을 적용하여 신체접촉 인지도와 우울과의 관계와 신체 접촉의 우울증감소 효과를 정상 노인과 우울증 노인을 대상으로 연구했다. 그러나, 모형을 치매환자 연구에 적용시켜 검토한 연구는 언다. 본 연구의 목적은 신체 접촉 모형을 비평 분석하는 것이다. 또한, 분석을 기초로 하여 모형을 치매 환자 연구에 적용하도록 변형시켰다. 치매 환자의 인지, 언어 능력은 손상되었지만, 환경에 반응하는 감정과 접촉 감각은 유지되고 있다는 것은 신체 접촉 모형을 치매환자에게 적용할 때 반드시 고려해야 할 점이다. 개인의 문화 차이는 신체 접촉에 대한 인지와 반응에 영향을 준다. 따라서, 연구대상자 선택시 대상자가 신체 접촉을 긍정적으로 받아들이고 있는지를 확인해야 할 것이다. 대상자는 인지 능력 손상으로 면담이나 질문지에 적당히 반응할 수 없으므로 연구시 관찰 방법의 이용을 제언한다.

• The Journal of the Convergence on Culture Technology
• /
• v.9 no.1
• /
• pp.551-556
• /
• 2023

This study was attempted to confirm whether the color therapy intervention study on the elderly with mild cognitive impairment was effective in cognitive function and depression as a method of meta-analysis. In this study, the size of the effect of cognitive function and depression on the final eight studies of the experimental study was calculated through a domestic database from 2000 to October 2022. As a result, the statistically significant average effect size of the entire study was confirmed. In the test of the difference in effect size between groups, both cognitive function and depression were found to have significant effect sizes. Through this study, it was confirmed that calerotherapy is an effective intervention that can improve cognitive function and alleviate depression in the elderly with mild cognitive impairment. Based on the results of this study, it is necessary to develop an intervention program for the elderly with mild cognitive impairment using calerotherapy.