• Title/Summary/Keyword: 노인 정신건강

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Analysis of the Influence of Physical and Mental Function, and Oral Health Impact Profiles on Quality of Life in the Elderly People in Long-term Care Centers using the Structural Equation Model (구조방정식모형을 이용한 장기요양시설 노인의 신체적·정신적 기능 및 구강건강영향지수가 삶의 질에 미치는 영향 분석)

  • Shin, Min-Woo;Lee, Young-Ok;Cho, Young-Chae
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.4
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    • pp.500-511
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    • 2016
  • This study examined the effects of the physical functions (ADL, IADL), mental functions (CES-D, MMSE-K) and oral health impact profile (OHIP-14) on the quality of life (WHOQOL-BREF) of the elderly in long-term care facilities. The study subjects were 602 elderly people, who were surveyed at the entrance to the long-term care facilities. The interviews were conducted using a questionnaire during the period from May 1, to June 30, 2014. As a result, the quality of life was affected more by the CES-D and MMSE-K than by the ADL and IADL or by OHIP-14; the quality of life improved with a higher ADL, IADL, and OHIP-14 and a higher CES-D and MMSE-K. A higher OHIP-14, ADL and IADL resulted in a higher CES-D and MMSE-K. These results suggested that the quality of life is correlated significantly with the physical functions (ADL, IADL), mental functions (CES-D, MMSE-K), and the oral health impact profile (OHIP-14).

Development of therapeutic recreation programs for the elderly (노인을 위한 치료레크리에이션 프로그램 개발)

  • Son, Myeong-Dong;Park, Cheon-Gyu
    • Proceedings of the Korea Contents Association Conference
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    • 2012.05a
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    • pp.373-374
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    • 2012
  • 치료레크리에이션은 사회에 있는 많은 사람들이 그 대상이 될 수 있다. 이러한 치료레크리에이션 서비스대상은 특수대상과 일반대상으로 구분된다. 한국치료레크리에이션협회에서 실시하고 있는 대상에서 특수대상으로는 발달장애아동, 물질중독청소년, 가출청소년, 정신장애인, 뇌졸중노인, 치매노인, 장애노인 등이고 일반대상으로는 인터넷 중독성향 청소년, 직장인, 일반인가족, 갱년기 주부, 건강노인, 건강노인부부 등이다. 한편, 우리나라에서는 급속한 고령화로 인하여 가족과 사회의 보호를 필요로 하는 의존적 노인들이 점차 증가하고 있다. 특히 보호의 필요성이 가장 높다고 할 수 있는 치매노인의 절대수가 증가할 것으로 예상된다. 그러나 현대화, 산업화에 의해서 발생하는 핵가족화, 여성의 사회참여 증가 등으로 가족의 노부모 부양기능은 급격히 약화되고 있다. 이에 따라 이들의 의료 및 사회적 보호문제는 노인복지제도의 주요한 과제로 등장하게 되었다. 따라서 본(本) 고(稿)에서는 노인복지제도의 향상의 일환으로 노인을 위한 치료레크리에이션의 실제 활동 프로그램을 제안해보도록 하고자 한다.

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The Mediating Effects of Emotional Dysregulation on the Relationship between Care Worker's Job Stress and Mental Health (요양보호사의 직무스트레스와 정신건강의 관계에서 정서조절곤란의 매개효과)

  • Goh, Jinkyung
    • Journal of Digital Convergence
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    • v.17 no.6
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    • pp.307-314
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    • 2019
  • The study examined the mediating effect of emotional dysregulation on the relationship between care worker's job stress and mental health. The Geriatric Caregiver's Job Stress Questionnaire, Difficulties in Emotion Regulation Scale, and The Symptom Check-List-90-R were administered to 154 care workers. Through the hierarchical regression analysis, direct interrelationship among job stress, emotional dysregulation, and mental health was examined. Furthermore, the statistical significance of mediating effect of emotional dysregulation on the relationship between job stress and mental health was tested through the bootstrapping. The result showed that the lack of emotional clarity and the limited access to emotion regulation strategies appeared to have a complete mediation effect on the relationship between job stress and mental health. That meant the necessity of adaptive emotional regulation in dealing with mental health problem elicited by job stress.

A Study of the relationship between Chronic Pain and Quality of Life for Elderly in Long-term Care Service -Focused on the Mediating Effect of Depression- (장기요양 재가서비스이용 노인의 만성통증과 삶의 질 관계연구 -우울의 매개효과를 중심으로-)

  • No, Yu-me;Yang, Jeoung-nam
    • Journal of the Korea Convergence Society
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    • v.9 no.4
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    • pp.341-349
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    • 2018
  • In this study, the effect of chronic pain on the lives of elderly people in long-term care service was analyzed based on the mediated effect of depression. The research data was sampled from elderly people in long-term care services, 204 people participated. From mediated regression analysis, depression was the most relevant factor on the quality of life, followed by chronic pain. With chronic pain and depression as independent variables and quality of life as a dependent variable, depression was proved to have had a fully mediated effect on quality of life. The result of this study suggested that convergence of various support systems should be implemented for the elderly in long-term care services.

Effect of parenting stress on mental health of parents raising children with disabilities through parenting efficacy: Moderated mediating effect of parenting time (장애아동 부모의 양육 스트레스가 양육 효능감을 경유하여 정신건강에 미치는 영향: 양육시간의 조절된 매개효과)

  • Ha Young Jang;Chang Seek Lee
    • Industry Promotion Research
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    • v.9 no.2
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    • pp.175-183
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    • 2024
  • This study aims to provide basic data that can reduce the parenting stress of parents raising disabled children by verifying whether parenting time mediates the effect of parenting stress on mental health through parenting efficacy. The subjects of the survey were parents of disabled children, a total of 315 people. Data were analyzed using SPSS and SPSS PROCESS macro 4.2. Descriptive statistical analysis, reliability analysis, correlation analysis, and moderated mediation effect analysis were applied. The research results are as follows. First, the parenting stress of parents raising disabled children showed a positive correlation with parenting efficacy, a negative correlation between parenting stress and mental health, and a negative correlation between parenting efficacy and mental health. Second, parenting time moderated and mediated the effect of parenting stress on mental health through parenting efficacy. In conclusion, it was confirmed that the parenting time of parents raising disabled children plays a role in increasing the negative impact of parenting stress on mental health through parenting efficacy.

Prevalence and Risk Factors of Suicidality among Community-Dwelling Elderly (지역사회 거주 노인의 자살경향성 유병률과 위험요인)

  • Kim, Moon Beom;Lee, Kwang-Hun;Lee, Kwan;Kwak, Kyung-Phil
    • Journal of the Korean society of biological therapies in psychiatry
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    • v.24 no.3
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    • pp.209-217
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    • 2018
  • Objectives : The purpose of this study was to investigate the prevalence and risk factors of suicidality among community-dwelling elderly. Methods : The participants were 2,201 elderly people whose ages were over 65. The participants were asked to complete questionnaires, including Mini International Neuropsychiatric Interview(MINI), module C, Short Geriatric Depression Scale of Korean version(SGDS-K), Korean Geriatric Anxiety Inventory(K-GAI), The Korean Health Status Measure for Elderly V 1.0, Korean version of Mini-Mental Status Examination for Dementia Screening(MMSE-DS). Their sociodemographic factors were investigated. The data were analyzed using the chi-square test and the logistic regression test to examine the relationship between suicidality and participants' risk factors. Results : The prevalence rate of suicidality was 23.3%. In multiple logistic regression, depressive symptoms (OR=3.301, 95% CI : 2.453-4.440), anxiety symptoms(OR=3.289, 95% CI : 2.515-4.303), low physical function (OR=1.606, 95% CI : 1.229-2.098), no spouse(OR=1.571, 95% CI : 1.037-1.690), elderly aged 80 years or older (OR=1.506, 95% CI : 1.094-1.740) were independently associated with suicidality. Conclusion : Suicidality in community-dwelling elderly was quite high, particularly related to depressive symptoms. The results of this study can be useful for development of community-based prevention and management programs for suicidality.

A Study on the Relationship between Providing Care for Grandchildren and the Health of Middle and Old-aged Women (손자녀돌봄 유형과 조모의 건강에 관한 연구)

  • Kim, Hye Jin
    • Korean Journal of Social Welfare
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    • v.69 no.1
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    • pp.59-77
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    • 2017
  • The purpose of this study is to understand Korean women in later life by identifying the relationships between providing care for grandchildren and the health of women who aged above 50 years old. Focusing on the longitudinal patterns of providing care of grandchildren and physical and psychological health, this study used data from the second, third, fourth, and fifth waves of Korean Retirement and Income Study(KReIS) and regression to analyze the data. The following results were found. First, women who stopped providing care for grandchildren were more likely to have higher physical health status in later life than those who providing no care between the second wave to the fourth wave of the KReIS(p < .05). In addition, women who have continuously provided care for grandchildren were more likely to have lower physical health status at marginally significant level. However, there is no significant relationship between providing care for grandchildren and women's psychological health status. The findings of this study suggest that there are the different findings for the relationships between providing care for grandchildren and physical health status and psychological health status based on the longitudinal patterns of providing care of grandchildren. Lastly this paper discusses implications for future researcher and social welfare practitioners.

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Prediction of Quality of Life among the Elderly at Care Facilities for the Elderly according to Health States, Physical and Cognitive Functions, and Social Supports-Focused on D Metropolitan City (노인요양시설 노인의 건강상태, 신체적, 정신적 기능, 사회적 지지에 따른 삶의 질 예측요인-D 광역시를 중심으로-)

  • Kim, Jong-Im
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.16 no.7
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    • pp.4656-4667
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    • 2015
  • The purpose of this study was to investigate relations among the quality of life, health states, physical functions, cognitive functions, and social supports of the elderly at care facilities. The subjects include the elderly that were living in care facilities in some urban areas and aged 65 or older. The data of total 260 old people were used in analysis. Collected data were analyzed with descriptive statistics, t-test, ANOVA, Pearson correlation, and stepwise multiple regression. The elderly at care facilities, who were considered as physically and cognitive vulnerable, scored higher means on quality of life when they were satisfied with the length of stay and sleeping state, had higher subjective health states, had no tooth inconvenience and forgetfulness, suffered from a lower level of depression, had better cognitive functions, and received higher social supports. Quality of life had correlations with the sleeping state(r=-.20, p<.001), subjective health state(r=-.24, p<.001)s, depression(r=-.30, p<.001), and social supports(r=.30, p<.001). Social supports(${\beta}=.30$, p<.001), depression(${\beta}=-.25$, p<.001), subjective health states(${\beta}=-.22$, p<.001), length of stay(${\beta}=-.22$, p<.001), and sleeping state(${\beta}=-.12$, p=.025) turned out to predict the quality of life of the elderly at care facilities and have close relations with it. In short, the quality of life of the elderly is related to many different factors at care facilities. The findings indicate that nursing interventions and managements for quality of life require a mental and social approach or a whole person approach with a focus on the understanding of individual senior citizens rather than on physical activities and diseases.

Cognitive Impairment, Behavioral Problems, and Mental Health in Institutionalized Korean Elders -An Eligibility Issue for Care Settings- (기관별 입원/입소 노인의 인지.행동장애 및 정신건강 문제에 관한 조사연구 -노인 장기 요양 대상자의 입소기관별 적격성(eligibility) 여부를 중심으로-)

  • Kim, Hyun-Sil;Jung, Young-Mi;Lee, Hung-Sa
    • Journal of Korean Academy of Nursing
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    • v.39 no.5
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    • pp.741-750
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    • 2009
  • Purpose: The purpose of this study was to identify the prevalence of cognitive impairment, behavioral problems, and the state of mental health for elderly Korean people who have been institutionalized. Methods: A cross-sectional, nationwide survey was performed using an anonymous questionnaire. The participants in this study were 2,521 institutionalized elderly Korean people. A proportional stratified random sampling method was employed. Results: 1) Elders admitted to subacute hospitals and long term care (LTC) facilities showed a higher level of cognitive impairment compared to elders admitted to acute care hospitals. 2) Elders confined in LTC facilities showed a higher level of behavioral problems compared to elders in acute or subacute hospitals. 3) Elders admitted to subacute hospitals and LTC facilities showed more serious mental health problems, such as depression or suicidal ideation, compared to elders in acute care hospitals. Conclusion: The results of this study indicate that the severity of cognitive-behavioral or mental health problems do not match well with type of care setting. Therefore, health personnel working with elderly people should be provided guidance on detection and management of cognitive-behavioral and mental health problems. The necessity of a decision support system for eligibility and placement in long-term care is also discussed.

Developing a Comprehensive Geriatric Assessment Package for Successful Aging (성공노화를 위한 포괄적 노인평가 패키지 개발)

  • Kim, Seon-Ho;Oh, Doo-Nam
    • The Journal of the Korea Contents Association
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    • v.12 no.9
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    • pp.257-269
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    • 2012
  • This is a methodological study designed to develop a comprehensive geriatric assessment package for successful aging of the elderly in various health condition. Assessment items and tools were primarily selected and categorized into 9 domains through the review of existing geriatric assessment tools, which have been used in the clinic and community settings, and the investigation of related articles. We have obtained professional advice from three experts and conducted a preliminary survey (n=15). Based on findings, the final version of comprehensive geriatric assessment package were devised. It was constructed of 29 assessment items in 6 domains of basic, psychologic function, physical function, life style, subjective health state, and environment. It also contained concrete implementation guide of each tool.