• 대한지역사회작업치료학회지
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• 제1권2호
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• pp.1-9
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• 2011

목적 : 광주 지역의 독거노인의 지역사회에 기반한 프로그램 안에서 사회적 상호작용 평가(Evaluation of Social Interaction; ESI)의 유용성 뿐 아니라 작업치료 중재 측정의 효율성을 검증하고자 한다. 연구방법 : 독거여성으로 치매예방 지역사회기반 프로그램에 참석한 대상자 중 본인이 사회적 상호작용이 부족하다고 인식한 대상자 6명을 모집하여 연구하였다. 작업치료중재과정모델은 이론적인 체계를 제공하였다. ESI로 사전 검사를 하였고, 5주간의 수공예와 원예 작업 중심의 프로그램을 제공했고 사후검사로 프로그램의 효율성을 측정하였다. 결과 : 지역사회를 기반으로 한 프로그램에 참여하는 동안 참여자의 사회기술 수행에 관련하여 치료사의 작업적 중재의 효과성을 ESI로 평가하였다. 그 결과 집단의 사전, 사후의 ESI 로짓(logit)점수는 의미 있는 차이를 보였다(t=-7.362, p=0.001). 결론 : 본 연구는 국내에서 일상의 작업을 하는 동안 사회기술 수행과 관련하여 중재의 효과를 검증한 ESI의 유용성을 제시한 첫 번째 연구이다. 앞으로 OTIPM을 기반으로 하여 치매예방 프로그램의 배경 안에서 작업치료를 계획하고 효율성에서 ESI를 적용할 수 있을 것이다.

• 성인간호학회지
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• 제20권2호
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• pp.187-199
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• 2008

Purpose: This study is to develop a hypothetical structural model of the quality of life of single aged women and to explain the compatibilities between the models and actual data. Methods: Ten theoretical variables were used to evaluate of the quality of life of single aged women. 300 of single aged women were selected as the subjects. A hypothetical prediction model of quality of life was tested by the covariance structure analysis with PC-LISREL 8.12. Results: Economy, religion activity, leisure activity, social support, self-esteem, depression and health prompting behavior were the significant variables which affected to the quality of life directly in the single aged women. But social support, self-esteem affected to them indirectly. Knowing perceived health status directly but it affected indirectly to the quality of life in single aged women. Conclusion: In this study, it was discovered that self-esteem was the most important factor to affect to the quality of life in single aged women and the next was the depression and health promoting behavior. As a result, it was discovered that age, economic status, self-esteem and depression were the significant factors to affect to the quality of life in single aged women.

• 노인간호학회지
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• 제20권3호
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• pp.177-184
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• 2018

Purpose: Self-efficacy encompass one's belief in one's ability to organize and achieve goals. Previous studies have not adequately examined the mediating role of self-efficacy between social support and health promotion behavior. Therefore, this study explored the mediating role of self-efficacy in the relationship between social support and health promotion behavior among older women living alone. Methods: Participants were 145 older women living alone attending a local welfare center for seniors. They completed the Self-efficacy Scale, Medical Outcome Study Social Support Survey Scale, and Health Promoting Lifestyle Profile II. Data were analyzed using Descriptive statistics, Pearson correlation coefficients, Baron and Kenny's regression analysis and the Sobel test with the SPSS program. Results: The average social support, health promotion behavior, and self-efficacy were not high. Self-efficacy was a partial mediating role in the relationship between social support and health promotion behavior. Social support was positively correlated with self-efficacy (r=.31, p<.001) and with health promotion behavior (r=.43, p<.001), and self-efficacy was positively related with health promotion behavior (r=.39, p<.001). Conclusion: To enhance health promotion behavior in older women who live alone, intervention strategies to increase social support and self-efficacy for these women should be developed.

• 근관절건강학회지
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• 제30권3호
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• pp.189-196
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• 2023

Purpose: This study sought to identify factors affecting the health-related quality of life (HINT-8) of female seniors aged 65 years or older living alone after the COVID-19 pandemic. Methods: Raw data from the eighth third year (2021) National Health and Nutrition Examination Survey was used, and the total number of subjects was 379. Data analysis was performed using SPSS 22.0 program, employing complex sample frequency and percentages, t-tests, analyses of variance, and regression analyses, while a post-hoc test (Bonferroni correction) was performed to determine differences in health-related quality of life. Results: The results of the study showed that the study subjects' health-related quality of life differed significantly depending on activity restrictions, number of walking days, age at menopause, perceived stress, depression, generalized anxiety disorder, and subjective health. Most of the influencing factors were emotional factors such as perceived stress level, generalized anxiety disorder, and subjective health status carrying an explanatory power of 46%. Conclusion: The results of this study can be used as basic data to establish intervention strategies based on factors that affect the health-related quality of life for female seniors living alone.

• 대한간호학회지
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• 제38권5호
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• pp.739-747
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• 2008

Purpose: This study aimed to uncover the fundamental nature of living alone in female elderly. Methods: The phenomenological research approach developed by van Manen was adopted. Results: The theme was 'taking a firm stand alone on the edges of life'. The composition elements of living alone experienced by elderly women were as follows: 1) Corporeality: participants perceived their bodies by their health status. Unhealthy participants were suffering with diseases and dependant on other persons, while healthy participants were free from family responsibility and kept on moving. 2) Spatiality: participants felt both freedom and loneliness while they stayed home. 3) Relationality: participants felt pity and yearning for their bereaved husband and sometimes talked to his picture. According to their children's filial piety, participants were pleased or displeased. However, they incessantly devoted themselves to their children. 4) Temporality: participants considered the rest of their life as extra-time which was proceeding to death, and tried to keep themselves busy before they died. Conclusion: A nurse should understand the multifarious aspects of elderly women's life, and then intervene to consolidate their strengths for self-supporting the final years of life.

• 한국농촌간호학회지
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• 제16권1호
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• pp.1-10
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• 2021

Purpose: This study was aimed to compare health promotion behaviors and safety consciousness for elderly women living alone in rural areas and elderly women in group homes, and then provide information for the development of safety awareness programs for elderly. Methods: The participants were 120 elderly women living alone in rural areas aged 65 or older and 120 elderly women living in group homes. The data collection was conducted during November 2020, and the collected data used the SPSS/WIN 25.0 program to verify frequency, percentage, average, standard deviation, and independent t test. Results: There were significant differences of health promotion behaviors between elderly women living alone and elderly women in group homes (t=15.77, p<.001). In addition, there were significant differences of safety consciousness between elderly women living alone and elderly women in group homes (t=21.42, p<.001). Conclusion: Since the safety consciousness and health promotion behaviors of the elderly in group homes are significantly higher than that of the elderly living alone, various programs should be developed to improve the safety consciousness and health promotion behaviors in the elderly living alone. Based on local government' acts, continuous support and attention is needed that elderly women in group homes can maintain a healthy life.

• 한국보건간호학회지
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• 제25권1호
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• pp.95-106
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• 2011

Purpose: The purpose of this study was to investigate the relationship between social support and loneliness in elderly women living alone. Method: Between 1 October 2008 and 30 April 2009, a random sampling method was conducted to recruit 112 elderly women who were living alone. The subjects were at least 65 years of age. Data was collected using the social support questionnaire, and the translated Korean Version of the Revised University of California at Los Angeles Loneliness Scale (R-UCLA Loneliness Scale). Results: In our study, the sources of social support were the children, neighbours, brothers and sisters, in this order. We found that the loneliness of the subjects was related to age, the number of children, and financial difficulty. The level of loneliness negatively correlated with the social support provided by children, brothers and sisters, other relatives, and neighbours. Also, there was a negative correlation with the social support satisfaction. The social support satisfaction and the social support offered by neighbours and relatives were the significant predictors of loneliness. Conclusion: The sources of social support, such as neighbours and relatives, and the social support satisfaction should be considered when planning intervention by nurses or social workers to decrease the level of loneliness in elderly women living alone.

• 근관절건강학회지
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• 제31권1호
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• pp.1-11
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• 2024

Purpose: This study aimed to evaluate the effects of an arthritis self-management program on elderly women living alone in the community. Methods: This study recruited 36 individuals, who participated in the program once a week for six weeks at two community centers. The program consisted of muscle strengthening and flexibility exercises, health education on muscles and joints, and joint dance for aerobic exercise. The data collected were analyzed using the paired t-test and Wilcoxon rank test. Results: After six weeks, participants showed significant improvements in pain (t=3.03, p=.005), difficulties in activities of daily living (t=2.77, p=.010), health-related quality of life (t=-2.63, p=.014), flexibility of right shoulder (z=-2.42, p=.015), and balance (right leg, t=-2.63, p=.036; left leg, z=-2.36, p=.018). Conclusion: The results showed that the arthritis self-management program effectively improved outcomes for elderly women living alone. Thus, this program could be incorporated into various programs for elderly people living alone.

• 대한지역사회영양학회지
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• 제13권5호
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• pp.620-629
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• 2008

The purpose of this study was to assess dietary habits and seasonal variation and diversity of food intakes of elderly women living alone as compared to those of elderly women living with family in a rural area. Forty nine elderly women living alone and forty one elderly women living with family who reside in Goryeong-gun, Gyeongbuk, were interviewed using questionnaires in summer 2005, and their food intakes were assessed secondly in winter and thirdly in spring 2006. The average ages were 74.7 years for elderly living alone and 72.8 years for elderly living with family. Tooth status and bone fracture experience were similar between the groups. The prevalence of musculoskeletal disease was 61.2% and that of circulatory disease was 32.7% of the subjects. Average of total score of mental depression of the subjects was 5.94 out of 12 points, and it was not significantly different between the two groups. Skipping meals was more frequent and mealtime was more irregular in the elderly women living alone as compared with the elderly women living with family. Consumption of dietary supplements was also less in the elderly women living alone. Food intakes by the elderly women living alone tended to be lower than those by the elderly women living with family. Dietary diversity score was significantly lower with the elderly women living alone as compared with the elderly women living with family only in summer (p < 0.01). Percentages of the subjects who have taken meat group and vegetable group were significantly lower in the elderly living alone compared with the elderly living with family during summer. Therefore, it is necessary to develop food assistance or supporting program suited for the season within a community for elderly women living alone.

• 한국콘텐츠학회논문지
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• 제20권7호
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• pp.149-160
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• 2020

본 연구는 노인장기요양보험 등급외자의 특성을 파악하고 등급유지 영향요인을 분석하여, 그들의 지속적 재가생활을 위한 정책제언을 제시하는 것에 목적이 있다. 이를 위해 국민건강보험공단의 장기요양 인정조사 및 급여자료를 활용하여 등급외자의 등급외 유지여부에 영향을 미치는 관련요인을 분석하였다. 분석결과는 다음과 같다. 등급외자의 등급외 유지와 관련하여 소인성 요인에서 연령이 낮을수록, 남성이 여성보다 등급외 상태를 유지할 확률이 높게 나타났다. 촉진요인에서는 독거노인이 가족과 동거하는 노인에 비해, 국민기초생활수급권자가 일반대상자보다 등급외 상태를 유지할 확률이 높게 나타났다. 욕구요인에서 치매가 없는 자가 치매가 있는 자에 비해, 최초 판정받은 등급이 낮을수록, 등급판정 재신청 횟수가 낮을수록 등급외 상태를 유지할 확률이 높게 나타났다. 이상의 연구결과에 기초하여 등급외자의 장기요양서비스 제도개선에 대한 정책적 시사점을 제시하였다.