• Title/Summary/Keyword: 노후건강

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A Study on the Ego-Integrity Phenomenon of the Elderly (노인의 자아통합현상에 관한 연구)

  • Lee, Hyun-Ju
    • Journal of the Korean Applied Science and Technology
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    • v.37 no.4
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    • pp.794-806
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    • 2020
  • This study was conducted in order to attain an in-depth understanding of and describe the Ego-Integrity Phenomenon of the elderly of age 65 and older. The data was collected from June 2020 to July 2020 as an in-depth interview consisting of semi-structured questions. The data was analyzed using the Colaizzi's method, one of the phenomenology methods. All interviews were recorded and transcribed for analysis. Through analysis, 309 significant statements were extracted, and 88 formulations of meaning, 53 themes, 16 theme clusters, and 5 categories were derived. The categories and the theme clusters are as such : 'reflecting on the past life with delight' ('fruitfulness over the lifetime', 'achieving through fulfilling responsibilities', 'achieved specially and gratefully'), 'Currently lonely and distressed due to the bitter old days' ('Physical health needs and psychosocial needs are not met', 'Wasn't able to make good choices for parents and children', 'Elderly life is not easy'), 'Satisfaction from enduring tough and difficult journeys in life' ('Compensated for hard work at workplace and home', 'Problem solved through endurance and overcoming', 'Living a healthy elderly life by escaping from the habits of the past'), 'Realizing the way of life as an elderly' ('Now is the best and most satisfying moment', 'Managing self in old age', 'Living passionately, though it may be late', 'Retiring from the forefront of life with an abundant heart'), 'Passing on beautifully' ('Desires toward the later years', 'Hope during the last moments', 'Appearance and emotions when death approaches'). It was observed that during the Ego-Integrity Phenomenon of the elderly, they have come to discern the meaning of life by reminiscing the regrets and difficulties of the past, and through this reminiscence, they have come to attain a positive and transcendental hope for the rest of their lives. The Ego-Integrity of the elderly appeared to be subjective, dynamic, and occurring simultaneously rather than continuously. It is recommended to develop a variety of nursing interventions while taking into consideration the age and the type of experience of the elderly.

A Study on the Problems and Improvement of Long-Term Care Insurance for the Elderly (노인장기요양보험제도의 문제점 및 개선방안에 관한 고찰)

  • Ahn, Myung-Sun;Park, Joo-Hyun
    • The Journal of the Korea Contents Association
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    • v.19 no.8
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    • pp.525-534
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    • 2019
  • Korea is facing one of the fastest aging population problems in the world due to the extension of life expectancy and low birth rates due to economic development and the development of health care. It has become difficult to take care of elderly people in need of long-term care at home, and social problems such as dementia and the increase in stroke cases are serious problems. The government is enacting and implementing the Long-Term Care Insurance Act for the purpose of improving the quality of life for senior citizens subject to long-term care and alleviating the burden of family support in order to solve such social structure and problems for senior citizens. However, as a result of the implementation of the long-term care insurance system for the elderly, the privatization of the facilities and the disorder are causing widespread requests for public accountability of the services and the enhancement of the quality of the facilities. In addition, various arrangements are needed for the production of low-wage medical care workers, tasks for quality improvement, problems regarding financing methods, and so on. In order to maintain and develop the long-term care insurance system for the elderly, the government will consider seeking ways to improve the legal and institutional aspects according to changes in the social environment of the age, as well as seeking mental and psychological measures for the stabilization of old life as well as physical health.

A Study about the Effects of Education for the Elderly on their Psychological Well-Being (노인교육 참여가 노인의 심리적 안녕감에 미치는 영향)

  • Lee, Jin Hee;Kim, Wook
    • 한국노년학
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    • v.28 no.4
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    • pp.887-905
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    • 2008
  • This study investigated the effects of education for the elderly on their psychological well-being. Loneliness(negative state of emotion) and life satisfaction(positive state of emotion) were compared between participants and non-participants of educational programs for the elderly in order to learn whether participating educational programs influences their psychological well-being. The subjects of this research were 288(146 participants and 142 non participants) elderly who are 60 years and older, living in Seoul City and Gyeong Gi Do. They were selected by the judgmental sampling method and surveyed using structured questionnaire. Research instruments were consisted of the UCLA Loneliness Scale, Life Satisfaction Index-Z Scale(LSIZ) and several background questions. The result showed that the participants of the educational programs had a lower level of loneliness and a higher level of life satisfaction. The educational program for the elderly was effective for the psychological well-being of the aged. Multiple regression results showed that subjective health played the most important role in explaining the loneliness, followed by education level, elderly education participation, financial states. The results also showed that subjective health played the most important role in explaining the life satisfaction, followed by elderly education participation, religious activity participation, financial status. Implications for policy, practice, and further research were discussed.

An Analysis of the Relationship between Self-Esteem and Leisure Satisfaction and Quality of Life in the Elderly Women's Participation of a Ballet Program (고령여성의 발레운동 참여에 따른 자아존중감과 여가만족 및 삶의 질의 관계 분석)

  • Park, Seon-Hee
    • Journal of Korea Entertainment Industry Association
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    • v.14 no.6
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    • pp.161-170
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    • 2020
  • The purpose of this study is to examine satisfaction at using leisure time and quality of life in the elderly women's participation of a ballet program. A questionnaire survey was conducted with 148 elderly women registering for 10 dance academies in G Metropolitan City in relation to self-esteem, leisure satisfaction, and quality of life. After data processing, the following conclusions were drawn. The results of correlation and regression analysis between self-esteem and leisure satisfaction and quality of life were as follows. Positive self-esteem had positive effects on all sub-factors of leisure satisfaction and quality of life. Negative self-esteem had negative effects on social satisfaction of leisure satisfaction and health and psychological factors of quality of life. The results of research model fit and hypothesis testing between self-esteem and leisure satisfaction and quality of life were as follows. Self-esteem had positive effects on leisure satisfaction and quality of life and high leisure satisfaction had significant effects on quality of life factors. In conclusion, the elderly women's participation in the ballet program improved their self-esteem and significantly positive effects on their leisure satisfaction and quality of life. It is, therefore, suggested that the elderly's ballet exercise through constant physical activity will prevent diseases and promote health in their old age.

Factors Associated with Body Mass Index(BMI) Among Older Adults: A Comparison Study of the U.S., Japan, and Korea (노인의 체질량지수에 관련된 요인 연구: 미국, 일본, 한국 비교를 중심으로)

  • Yeom, Jihye;Kim, Jung Ki;Crimmins, Eileen M.
    • 한국노년학
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    • v.29 no.4
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    • pp.1479-1500
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    • 2009
  • This study examined BMI distributions among older adults in three different countries: the U.S., Japan, and Korea. The paper also explored differences in the factors predicting BMI in the three countries using three data sets: the U.S. Longitudinal Study of Aging (LSOA II, 8,589 persons), the Nihon University Japanese Longitudinal Study of Aging (NUJLSOA, 2,888 persons), and the Korean Longitudinal Study of Ageing (KLoSA, 2,397 persons). Descriptive analysis and multiple regression were performed. Japanese older adults were somewhat lighter than Koreans with fewer people at the upper end of the BMI distribution. Distributions of BMI among both Koreans and Japanese are shifted leftward relative to Americans. There is less dispersion in the distribution of BMI for Koreans and Japanese than among Americans. The association between socioeconomic variables and BMI is stronger in the U.S. and Japan than in Korea. Demographic variables are strong predictors of BMI in Korea. In Japan, all health behaviors have significant effects on BMI. It is concluded that the relationships between behavioral, demographical, and socioeconomic factors and BMI are not the same across countries. Results have policy implications for the involvement of health practitioners in helping older adults to control weight.

A Study on Factor Influencing the Nutrition Quotient for Elderly(NQ-E) of Elderly Living Alone (노인 1인 가구의 노인영양지수(NQ-E)에 영향을 미치는 요인에 관한 연구)

  • Kim, Kawon;Hur, Junsoo
    • 한국노년학
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    • v.39 no.4
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    • pp.741-762
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    • 2019
  • The purpose of this study is to identify the Nutrition Quotient for Elderly(NQ-E) of the elderly living in the community and to investigate the characteristics of living conditions affecting the nutritional status of the elderly. The subjects of the survey were 1,970 elderly single elderly households aged 65 and over in the nationwide through convenience sampling method. A survey cooperative system was established with Comprehensive Support Center for Elderly Living Alone, and the 25 social welfare institutions. 385 Life Managers for Elderly Living Alone participated as a survey agent. As a result, NQ-E was 51.14 points, which is the lowest level in the NQ-E, and the explanatory power was 20.1% in multiple regression analysis. Significant variables were age, sex, subjective health status, low number of medication, non-smoker, non-alcoholic, satisfactory economic status, academic status, and the interaction with family and neighbors. Based on this result, this study explains that comprehensive measures of nutritional management for the elderly living alone needs to be sought.

Trajectories of the elderly's life satisfaction after their retirement: A longitudinal Growth Curve Model (은퇴 후 생활만족도의 종단적 변화와 예측요인 : 잠재성장모형을 이용하여)

  • Kim, Dong bae;Yoo, Byung sun;Jeong, Yo han;Oh, Young kwang
    • Korean Journal of Social Welfare Studies
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    • v.44 no.2
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    • pp.169-199
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    • 2013
  • This study has a purpose to analyze trajectories of life satisfaction of the elderly after their retirement and how the characteristics of individual, retirement and family relationship have an effect on the life satisfaction. This study has investigated the Korean elderly, who had been retired, using the data from three waves(1st wave(2005)~3rd wave(2009) of the Korean Retirement and Income Panel(KReIS). Data analysis has been used to identify the predictors of the intercept and slope related to the life satisfaction after retirement, focusing the trajectories of the life satisfaction after retirement and individual characteristics, retirement characteristics and family relationship with application of the growth curve model by Amos 20.0. First, the intercept of the life satisfaction after retirement was somewhat below average. Life satisfaction averagely increased little by little from 1st wave to 3rd wave. Second, by conducting the conditional growth curve model, the study revealed that the intercept of the life satisfaction after retirement is high on individual characteristics(sex, educational level, income, health status) and in retirement characteristics(voluntary retirement) and satisfaction with family relationship and married life). Furthermore, health status, voluntary retirement, and satisfaction with family relationship asserted the meaningful variables in the slope of life satisfaction after retirement.

Internal Changes and Countermeasure for Performance Improvement by Separation of Prescribing and Dispensing Practice in Health Center (의약분업(醫藥分業) 실시(實施)에 따른 보건소(保健所)의 내부변화(內部變化)와 업무개선방안(業務改善方案))

  • Jeong, Myeong-Sun;Kam, Sin;Kim, Tae-Woong
    • Journal of agricultural medicine and community health
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    • v.26 no.1
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    • pp.19-35
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    • 2001
  • This study was conducted to investigate the internal changes and the countermeasure for performance improvement by Separation of Prescribing and Dispensing Practice (SPDP) in Health Center. Data were collected from two sources: Performance report before and after SPDP of 25 Health Centers in Kyongsangbuk-do and 6 Health Centers in Daegu-City and self-administerd questionnaire survey of 221 officials at health center. The results of this study were summarized as follows: Twenty-four health centers(77.4%) of 31 health centers took convenience measures for medical treatment of citizens and convenience measures were getting map of pharmacy, improvement of health center interior, introduction of order communication system in order. After the SPDP in health centers, 19.4% of health centers increased doctors and 25.8% decreased pharmacists. 58.1% of health centers showed that number of medical treatments were decreased. 96.4%, 80.6% 80.6% 96.7% of health centers showed that number of prescriptions, total medical treatment expenses, amounts paid by the insureds and the expenses to purchase drugs, respectively, were decreased. More than fifty percent(54.2%) of health centers responded that the relative importance of health works increased compared to medical treatments after the SPDP, and number of patients decreased compared to those in before the SPDP. And there was a drastic reduction in number of prescriptions, total medical treatment expenses, amounts paid by insureds, the expenses to purchase drugs after the SPDP. Above fifty percent(57.6%) of officers at health center responded that the function of medical treatment should be reduced after the SPDP. Fields requested improvement in health centers were 'development of heath works contents'(62.4%), 'rearrangement of health center personnel'(51.6%), 'priority setting for health works'(48.4%), 'restructuring the organization'(36.2%), 'quality impro­vement for medical services'(32.1%), 'replaning the budgets'(23.1%) in order. And to better the image of health centers, health center officers replied that 'health information management'(60.7%), 'public relations for health center'(15.8%), 'kindness of health center officers'(15.3%) were necessary in order. Health center officers suggested that 'vaccination program', 'health promotion', 'maternal and children health', 'communicable disease management', 'community health planning' were relatively important works, in order, performed by health center after SPDP. In the future, medical services in health centers should be cut down with a momentum of the SPDP so that health centers might reestablish their functions and roles as public health organizations, but quality of medical services must be improved. Also health centers should pay attention to residents for improving health through 'vaccination program', 'health promotion', 'mother-children health', 'acute and chronic communicable disease management', 'community health planning', 'oral health', 'chronic degenerative disease management', etc. And there should be a differentiation of relative importance between health promotion services and medical treatment services by character of areas(metropolitan, city, county).

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The Leisure Activity and the Degree of Satisfaction for the Life by Aged persons in a Rural Area (일부(一部) 농촌노인(農村老人)의 여가활동(餘暇活動)과 생활만족도(生活滿足度)와 관련성(關聯性))

  • Kim, Jae-Soog;Park, Jong;Ryu, So-Yeon;Lee, Chul-Gab;Kim, Hak-Ryul;Kim, Yang-Ok
    • Journal of agricultural medicine and community health
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    • v.24 no.1
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    • pp.131-143
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    • 1999
  • This study was attempted to find the mutual relationship between leisure activities and life satisfaction by the aged persons in a rural area. The data was obtained by interview with questionnaire and the data from 209 persons aged over 65, residing in Dohwa-myeon and Podu-myeon, Koheung-kun, Chollanam-do were analysed. The survey was carried out from Feb. 16th to May 3rd in 1998 and the results are as follows: 1. The survey showed that the major leisure activities were TV watching followed by talking with friends, club activities, taking a walk, visiting friends' or relatives' home and breeding domestic animals. 2. The types of leisure activities were classified into 8 patterns as active self-enlightenment, passive self-enlightenment, temporal amusements, passive self-activities, cozy introspective activities, friend oriented activities, family oriented activities and religious activities. Among the above 8 patterns active self-enlightenment type contributed most to the life satisfaction. 3. The major factors affecting leisure activities were sex, age, average income, religion and educational status. And the major factors affecting life satisfaction were sex, age average income, educational status and a state of health. In conclusion the more the aged persons participated in leisure activities, the better they felt life satisfaction.

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Leisure Performance and Leisure Satisfaction by Preference Leisure Performance in the Elderly: Comparison between Young-old and Old-old (노년기 선호여가 수행여부에 따른 여가수행도 및 여가만족도의 차이분석: 전기노인과 후기노인의 비교)

  • Woo, Ye-Shin;Park, Da-Sol;Shin, Ga-In;Park, Hae-Yeon
    • 한국노년학
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    • v.39 no.2
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    • pp.199-211
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    • 2019
  • The purpose of this study is to analyze leisure satisfaction and leisure performance according to whether elderly people are performing their preferred leisure activities. For the analysis, we used sample from the 6th (2015) panal data as Korean Retirement and Income Study(KReIS). The results of this study were as follows. First, the total data of 4,197 elderly (2,212 young-old and 1,985 old-old) were analyzed. As a result, weekday and weekend leisure time of the old-old (7.64 hours / 7.81 hours) than the young-old (6.83 hour / 7.39 hour) was increased and resting activites (over 70% of watching TV and listening to the radio) accounted for more than 80% of the both elderly leisure activities. Leisure performance were higher in old-old who did not perform preferred leisure activities during weekdays. Leisure performance on weekends was higher in old-old regardless of whether they had preferred leisure time. Average of leisure performance was high in both groups and they responded leisure satisfaction was moderate. In the case of need for leisure change, young-old was higher than oid-old regardless of preference leisure performance and day of the week. However, the responses of the both groups are closed to those that do not want to change. Based on the results of this study, it should be practiced such as develomenting program and introduction of health management system considering leisure constraints to improve leisure satisfaction and continuance of leisure activities for young-old and old-old. We also emphasize the need for a systematic survey scale that takes into account the qualitative aspects of leisure activities as well as the subjective factors influencing leisure participation.