• Research in Community and Public Health Nursing
• /
• v.27 no.4
• /
• pp.380-387
• /
• 2016

Purpose: The purpose of this study was to examine the mediating and moderating effects of fall-related efficacy and social support on the relationship between frailty and health-related quality of life among rural community-dwelling elderly. Methods: A cross-sectional survey was conducted with a convenient sampling method, and data of 438 elderly residents living in a rural community was used. The structured questionnaire included items from the Euro Quality of life-5 Dimensions (mobility, self-care, usual activities, pain/discomfort, anxiety/ depression), fall-related efficacy and social support. Results: Analysis of the mediating effect of fall-related efficacy and social support showed that there was significant mediating influence of fall-related efficacy on the relationship between frailty and health-related quality of life. There were no moderating effects of fall-related efficacy and social support. Conclusion: The findings suggest that fall-related efficacy may play a role in reducing the effect of frailty on health-related quality of life and underscore the need to consider ways of enhancing fall-related efficacy in interventions for rural community-dwelling frail elderly.

• Journal of Korean Academy of Rural Health Nursing
• /
• v.12 no.1
• /
• pp.13-27
• /
• 2017

Purpose: The purpose of this study is to identify health-related factors, especially for the elderly who are subject to visiting health care at vulnerable populations. Methods: Tools were Guide to Community Integrated Health Promotion Project 2016, Visit Health Care Health Interview Survey, measures of physical function, motor skills, composite mobility, BMI, and subjective fitness levels. Depression was measured with the Short Results: Older elders living alone were more vulnerable than those with living others. Elders with less education showed greater weakness but the difference was not significant. Average scores for frailty were 2.21 (healthy group), 7.66 (high-risk group) and 15.69 (frail group). Scores based on weakness level differed significantly with the exception of nutrition. Nine out of 10 elders in disadvantaged areas were in the frail group or at high risk. Conclusion: Results support the goal to maintain/improve physical/mental functions through individual management of high-risk/frail older adults at risk of becoming infirm. It is imperative to implement a public health care delivery system to ensure programs are operated effectively and personalized.

• 건강소식
• /
• v.25 no.11 s.276
• /
• pp.6-12
• /
• 2001

인플루엔자는 흔히 말하는 ‘독감’과 같은 병으로, 사람들은 단순히 ‘독한 감기’ 쯤으로 생각하여 무시하는 것이 보통이다. 증상만으로는 감기가 심하게 온 것과 다음이 없으나, 원인, 증상의 양상, 치료 방법 및 후유증을 남기는 정도에서 많은 차이가 감기와 독감 모두 건강한 사람에서는 1주일 정도면 저절로 낫게 되지만, 노인, 어린이 및 만성병 환자 등 허약한 사람에서 인플루엔자는 폐렴 등 합병증을 초래하고 심지어 사망을 일으킬 수 있는 무서운 병이다. 인플루엔자는 조금만 신경 쓰면 충분히 예방이 가능하며, 인플루엔자를 예방하는 것은 겨울철을 건강하게 나는 첫걸음이라 할 수 있다.

• Korean Journal of Adult Nursing
• /
• v.28 no.5
• /
• pp.607-607
• /
• 2016

• 대한예방의학회:학술대회논문집
• /
• 2005.10a
• /
• pp.326-326
• /
• 2005

• Journal of the Korea Academia-Industrial cooperation Society
• /
• v.14 no.7
• /
• pp.3383-3389
• /
• 2013

The purpose of this study is to identify the relationship between falls efficacy, perception of fall risk and fall prevention behavior in frail elderly. The data was collected from 300 elderly through the questionnaire. 1)the mean score of fall efficacy was $34.3{\pm}11.5$, perception of fall risk was $34.3{\pm}11.5$, and fall prevention behavior was $17.7{\pm}2.75$. 2)Fall efficacy was significantly different according to falls experience(t=2.905, p<.05). Perception of fall risk was significantly different according to falls experience (t=2.704, p<.05) and Fall prevention behavior was significantly different according to falls experience (t=2.706, p<.05). 3) It showed the negative relation between fall efficacy and perception of fall risk. It showed the positive relation between falls efficacy and falls prevention behaviors, and falls prevention behaviors and perception of fall risk. According to this study, it showed relation between fall efficacy, perception of fall risk and falls prevention behaviors. Thus it is highly recommended to include reinforce of efficacy and perception of fall risk in an effective fall-prevention program.

• Journal of the Korea Academia-Industrial cooperation Society
• /
• v.17 no.8
• /
• pp.485-491
• /
• 2016

The purpose of this study was to identify the effects of a visiting exercise program for physical activity promotion on physical (grip strength, static balance) and psychological (depression, perceived health status) function of frail elderly patients receiving home visiting service care. Subjects included a total of 49 patients; 24 in the control group and 25 in the experimental group. The visiting exercise program was carried out 16 times for 8 weeks. The collected data were analyzed by ${\chi}^2-test$ and t-test using SPSS/WIN 21.0 program. There was a significant improvement in the left grip strength (t=2.19, p<.000), right grip strength (t=5.07, p=.032), static balance (t=3.98, p=.050), and depression (t=-8.83, p=.009) in the experimental group compared with the control group. The visiting exercise program for physical activity promotion was effective on physical and psychological functions for frail elderly patients receiving home visiting service care. Further research is needed in a longitudinal study incorporating various centers to examine the maintenance of such effects.

• Journal of Korean Academy of Nursing
• /
• v.43 no.5
• /
• pp.613-625
• /
• 2013

Purpose: This study was conducted to determine the effects of a fall prevention program on falls, physical function, psychological function, and home environmental safety in frail elders living at home in rural communities. Methods: The design of this study was a nonequivalent control group pre posttest design. The study was conducted from July to November, 2012 with 30 participants in the experimental group and 30 in the control group. Participants were registered at the public health center of E County. The prevention program on falls consisted of laughter therapy, exercise, foot care and education. The program was provided once a week for 8 weeks and each session lasted 80 minutes. Results: The risk score for falls and depression in the experimental group decreased significantly compared with scores for the control group. Compliance with prevention behavior related to falls, knowledge score on falls, safety scores of home environment, physical balance, muscle strength of lower extremities, and self-efficacy for fall prevention significantly increased in the experimental group compared with the control group. Conclusion: These results suggest that the prevention program on falls is effective for the prevention of falls in frail elders living at home.

• Research in Community and Public Health Nursing
• /
• v.20 no.4
• /
• pp.391-402
• /
• 2009

Purpose: This study was to show the effects of a Physical activity promotion program with tele-coaching on physical fitness (grip strength, static and dynamic equilibrium) and quality of life in the frail elderly. Methods: Data were collected from May 30 to October 19, 2008. The subjects were divided into 2 groups, an experimental group (n=27) and a control group (n=26). The experimental group participated in the Physical activity promotion program, and the control group did not participate in any Physical activity promotion program. Results: The results of this study supported the hypothesis that "the experimental group will have higher physical fitness (right grip strength, left grip strength and static equilibrium except dynamic equilibrium) and quality of life than the control group." Conclusion: Physical activity promotion programs with tele-coaching are strongly recommended as health promotion for the frail elderly.

• Research in Community and Public Health Nursing
• /
• v.23 no.1
• /
• pp.91-101
• /
• 2012

Purpose: This study was conducted to examine the effects of exercise on physiological, physical and psychological functions of the frail elderly. Methods: The research design was a nonequivalent control group pretest-posttest design. Data were collected from September 9 to October 10, 2009. The subjects were 56 frail elders who agreed to participate in this study and each subject was randomly assigned to either the experimental group (n=28) or the control group (n=28). The exercise program was provided to each subject in the experimental group twice in a week for 6 weeks. Data were analyzed with frequency, ${\chi}^2$-test, Kolmogorov-Smirnor test and independent t-test using SPSS/WIN 12.0. Results: There was a significant improvement in psychological functions in the experimental group compared to the control group (t=1.726, p=.045). Conclusion: The exercise program showed the effects to improve the psychological functions of the frail elderly with chronic disease. In recommendation, this exercise program could be utilized as a health promoting program for the frail elderly.