• Title/Summary/Keyword: 장애 노인

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Cognitive Function Affecting Self-reported Driving Test of Mild Cognitive Impaired Elderly Driver in The Community (지역사회 거주 경도인지장애 노인 운전자의 자가-보고식 평가 수행에 영향을 미치는 인지기능)

  • Choi, Seong-Youl
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.19 no.12
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    • pp.178-185
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    • 2018
  • A self-report evaluation is used to prevent driving accidents by elderly drivers. The majority of normal older adults may have mild cognitive impairment with reduced cognitive function. These depressed cognitive functions may be variables that affect the performance of elderly drivers. This study confirmed the cognitive functions that affect the self-reported evaluation for elderly drivers with mild cognitive impairment. Based on the results of the Korean Version of the Montreal Cognitive Assessment, 103 elderly drivers were classified into mild cognitive impairment and normal groups of elderly drivers. The Korean-Drivers 65 plus scores used in the self-reported evaluation of the two groups were compared, and the cognitive functions affecting the evaluation were analyzed. Results found the mild cognitive impairment group showed a significantly lower evaluation performance compared to the normal group, and the self-reported evaluation results of the elderly driver with mild cognitive impairment showed a significant correlation between visuoconstructional skills and delayed recall. As a result of regression analysis, the visuoconstructional skill was identified as the cognitive function with the strongest influence on the self-reported evaluation performance. Delayed recall was also found to have a partial effect but not at the level of altering the self-reported evaluation results of the elderly driver with mild cognitive impairment.

Factors Associated with Cognitive Impairment of the Elderly in Nursing Homes (노인요양시설 입소노인의 인지장애 관련요인)

  • Lee, Young-Mi
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.13 no.9
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    • pp.3973-3982
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    • 2012
  • The purpose of this study was to identify cognitive impairment and it's related factors of the elderly in long term care facilities. The participants of this study were 229 residents of five nursing homes. Data were analyzed using two sample t-test, ${\chi}^2$-test, and logistic regression. The results revealed eight factors related to cognitive impairment: gender(OR=2.41, p=.035), age(75-84: OR=3.26, p=.002, Over 85: OR=4.46, p<.001), living with family before admission(OR=2.17, p=.015), hearing(OR=8.88, p=.004), family history of dementia(OR=4.39, p=.009), ADL(OR=0.82, p<.001), hypertension(OR=4.07, p<.001), and diabetes(OR=3.42, p=.001). Based on the findings of this study, continuous nursing intervention focused on adjustable factors would be helpful in order to improve nursing home elderly people's quality of life.

Study on Factors Affecting Life Satisfaction of the Disabled Seniors (장애노인의 삶의 만족도 영향요인 연구)

  • Kim, Seong Hee
    • 재활복지
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    • v.20 no.3
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    • pp.17-43
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    • 2016
  • This study is on understanding the reality of disabled seniors and investigation of factors that affect overall life satisfaction, making a proposal to improve their life quality. Situation data for the disabled, gathered by Korea Institute for Health and Social Affairs (KIHASA) in 2014, was used to perform the study, and the target group is 3,181 people with disability, above the age of 65. Descriptive statistics was presented for data analysis and logistic regression analysis was performed to investigate factors that affect life satisfaction. It was concluded from the analysis that gender, age, presence of spouse (demographic factors), house income, possession of house, presence of pensioner, registration to public pension plan, social discrimination (social-economical factors), level of disability, subjective health status, level of help needed for daily living, presence of care-giver, sufficiency of help, ability to go out by oneself, difficulty of using public transportations, and presence of medical checkups (disability and health factors.) make meaningful effects to life satisfaction of disabled seniors. Based on the derived results, this study suggests intensive interests and care-giving service for disabled seniors that live alone, institutional complementations to guarantee income security, including public or private pensions, improvements to social recognition and environments for discrimination of the disabled, organization of health and medical treatment service and health care system, comprehensive service provision to social welfare for both the disabled and seniors, and comprehensive service provision to both health care and social welfare.

A Study on the Influence of Disability of Elderly on Successful Aging - A Moderating Effect of Social Support Network - (노인의 장애유무가 성공적 노화에 미치는 영향 연구 -사회적 관계망의 조절효과-)

  • Song, Keeyoung
    • 재활복지
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    • v.21 no.1
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    • pp.71-95
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    • 2017
  • The purpose of this research is to suggest implications for the elderly with disability by taking a look at the influence of disability of elderly on successful aging and a moderating effect of social support network. This study analyzed the $4^{th}$ panel data from KReIS and the subjects for this research are 3,906 of elderly aged over 65 years. For the statistical analysis, the IBM SPSS Statistics v23.0 program was utilized. Technical statistics was verified, multiple regression analysis was used in order to take a look at the effects of moderating variable. The results of this research are as the following: Firstly, the disability of elderly had an negative effect on successful age. Secondly, as a social support network, friend & neighborhood network and family network had an positive effect on successful age. Thirdly, friend & neighborhood network among social support network had a moderating effect on successful aging. In other words, the more disabled the elderly are, the lower the level of successive aging became, it turned out that the bigger the social support of friend & neighborhood network, the less the negative effect of disability on successive aging. On the basis of the result, it was proposed a case management for the elderly with disability, assurance of mobility right, and self-help meeting program for social support network.

Changes in the Level of Performance of Activities of Daily Living and Depression of the Elderly with Mild Cognitive Impairment through the Participation in the Cognitive Program (인지프로그램 참여에 따른 경도인지장애 노인들의 일상생활활동 수행과 우울 수준의 변화)

  • Son, Sung-Min;Bak, Ah-Ream
    • Journal of the Korean Applied Science and Technology
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    • v.38 no.2
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    • pp.511-520
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    • 2021
  • This study was a pre and post quasi-experimental design study using a single group about the analysis of the changes in the performance level of activities of daily living and depression of the elderly with mild cognitive impairment through the participation in the cognitive program. Study subjects were the 16 elderly with mild cognitive impairment using a W welfare center in J city and they participated in cognitive program for a total of 8 weeks, twice a week. The assessment about the performance level of activities of daily living and depression were performed through the program. As the results, after participating in the program, study subjects' performance level of activities of daily living were significantly significant improved, and depression levels were statistically significantly reduced. Thus, to improve the performance level of activities of daily living and reduce the depression levels of the elderly with mild cognitive impairment, the cognitive program should be used as a intervention program and then in the process, it is necessary to actively induce the participation of the elderly with mild cognitive impairment.

The Relationship between Depression and Dysphagia among Community-Dwelling Older Adults (지역사회 거주 노인의 우울과 연하장애의 관계)

  • Young-Mi Lee
    • Journal of Industrial Convergence
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    • v.20 no.12
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    • pp.39-47
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    • 2022
  • The purpose of this study was to investigate the level of depression and dysphagia among the community-dwelling older adults and to find the relationships between depression and dysphagia. The study was cross-sectional survey and participants were 159 older adults above 65 years of age recruited by convenience sampling in two cities. The data were analyzed using descriptive statistics, t-test, ANOVA, Pearson's correlation coefficient, and Stepwise multiple regression. According to results, the average score of participant's depression were 4.56. There was a significant correlation between depression and dysphagia. Multiple regression analysis showed that self-rated health status(𝛽=-.210, p=.019), dysphagia(𝛽=.202, p=.006), number of chronic diseases(𝛽=.188, p=.015), and oral condition(𝛽=-.174, p=.041) were significant factors of depression. These variables explained 23.9% of depression. Therefore, effective health management strategies considering self-rated health status, dysphagia, chronic diseases, and oral condition should be established to reduce depression in the elderly.

A Study of EEG and Melatonin in Plasma According to Exercise Type in Elderly with Sleep Disorder (수면장애 노인의 운동유형별 뇌파와 혈 중 멜라토닌 농도 비교)

  • Kim, Dong-Hyun;Kim, Souk-Boum
    • The Journal of Korean society of community based occupational therapy
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    • v.8 no.2
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    • pp.29-37
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    • 2018
  • Objective : Sleep disorder caused by stress or disease to elderly currently. We tried to make clear constant exercise according to exercise intensity would have effect on sleep disorder in elderly using EEG and melatonin. Methods : Thirty subjects were over 65 years old who lived a senior facility in some parts. They were able to communicate and understand the purpose of the study. They also expressed their intension to participate actively in experiment. They should have alert consciousness and orientation about time, place, and people. Sleep disorder was assessed via below 6 hr total sleep time and Pittsburge Sleep Quality Index, which was satisfied with both of criterion at the same time. Exercises composed of low intensity walking, moderate aerobic exercise, and high intensity resistance strength. We used QEEG 8-System (LAXTHA Inc. KOREA) to check wave type and Polysomnograpy (Compumedics, Australia) to test quality of sleep. and Histologic features were observed by TTC (triphenyltetrazolium chloride) staining and H & E (Hematoxylin & Eosin) staining. Results : There was a significant sleep index and change of melatonin after aerobic exercise. There was a significant SOL, S1, S2, and SWS in aerobic exercise, but there was a significant SWS in walking and resistance strength. There was a significant change of delta wave especially in frontal and temporal region between exercises. Conclusion : They had different effects according to type of exercise, when elderly who have chemical, behavioral change of circadian rhythms did exercise consistently. Aerobic exercise had more effect on sleep disorder than other exercise. Therefore, we may supply proper exercise to elderly and high quality of life.

Research trends in Journal of The Korean Society for School & Community Health Education on Vulnerable Populations from 2000 to 2023: Based on the elderly and people with disabilities (한국학교·지역보건교육학회지 2000년~2023년 취약 계층 연구 동향: 노인과 장애인을 중심으로)

  • Ye-Soon Kim;Young-Hee Nam
    • The Journal of Korean Society for School & Community Health Education
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    • v.25 no.2
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    • pp.71-81
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    • 2024
  • Purpose: This study aims to identify research trends in papers related to the elderly and the disabled published in the journal of Korean society for school & community health education from 2000 to 2023 and seek the direction of the academic development of this journal in the future. Method: A total of 26 articles related to the elderly and the disabled, who are vulnerable groups, were analyzed by year by analyzing the specific subjects, research themes, research design, data collection methods, and keywords of papers published from 2000 to 2023. Results: Looking at the research subjects, studies on the elderly (18 studies) accounted for a larger proportion than studies on the disabled (8 studies). Research themes in the field of healthy living practices for the elderly (44.4%) and research in the field of mental health management (37.5%) for the disabled accounted for a high proportion. The design of research were mostly quantitative and cross-sectional studies. Data collection is mostly based on secondary data. In studies targeting the elderly, keywords appeared in the following order: 'Health' and 'Elderly'. And research targeting the disabled appeared in the following order: 'Disabilities', 'Health', and 'COVID-19'. Additionally, research on the elderly and the disabled has recently shown an increasing trend. Conclusion: Research on the elderly and the disabled has been conducted in line with the purpose of the Korean society for school & community health education, However, In terms of quantitative expansion and qualitative research, research themes, research designs, and data collection methods must be diversified. Methods, public perception. Additionally, research on vulnerable groups that fit the public health promotion and health education paradigm is needed.

Effect of Health Promotion and Characteristics of Elderly used Day Care Service in Community Health Practitioner's Post (보건진료소의 주간보호실 이용노인의 특성과 건강증진 정도)

  • Jeong, In-Suk;Cho, Yoo-Hyang;Park, Yoon-Chang
    • Journal of agricultural medicine and community health
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    • v.27 no.2
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    • pp.127-136
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    • 2002
  • This study was taken to provide data for the approaches of day care service for the elderly in community health practitioner's post through the study on the utilization rate, characteristics and health promotion that the elderly used the day care services. Data collection used three records that case management in take sheet, dementia check list and ADL record during the one year, from June 21, 2001 to June 30, 2002. During the one year, the elderly used day care services were 119 persons that 26.9% of the total elderly population, 1.5 time per used the elderly, and female elderly(88.9%) more used than male elderly. 39.5%of the elderly user have chronic diseases that was arthritis and hypertension and etc. 41.2% of the elderly users have dementia state that score was $17.39{\pm}7.17$(handicapped elderly), $18.43{\pm}7.36$(healthy elderly), but statistically not significant PADL score was $2.18{\pm}0.55$(handicapped elderly), $2.78{\pm}0.30$(healthy elderly), IADL score was $1.78{\pm}0.51$(handicapped elderly), $2.47{\pm}0.60$(healthy elderly) that were statistically significant. One year later, PADL and IADL of the elderly users were improved that statistically significant(p=0.01). The elderly users were wanted rehabilitation service(22.2%), talking service(20.6%), bath service(12.7%), food service(9.5%) of day care services in CHP's post. We are recommended that day care service for the elderly in CHP's post was very useful and contributed to promote ADL functions.

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The Characteristics of semantic association task performance in elderly with subjective memory impairment and mild cognitive impairment (주관적 기억장애 및 경도인지장애 노인의 의미연상과제 수행 특성)

  • Kang, Seo-Jeong;Park, Seong-Hyeon;Kim, Jung-Wan
    • Journal of Digital Convergence
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    • v.17 no.2
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    • pp.283-292
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    • 2019
  • The loss of semantic knowledge and impairments in semantic associations by semantic category is gaining increasing attention, as indicators of early-stage cognitive decline. As such, we assigned semantic association task (SAT) to normal elderly (NE) and those with subjective memory impairment (SMI) or mild cognitive impairment (MCI) to examine their performance by semantic subcategories and the differences in error patterns. We found a significant difference in the number of correct response and reaction time under the SAT categories among the three groups, with the highest performance observed in 'function' and the lowest performance in 'superordinate' and 'part/whole'. Moreover, the error frequency was the lowest in NE, followed by those with SMI and MCI, with the latter two groups showing a significant increase in no-response. Our findings demonstrate the varying extent and process of impairments in the semantic network by category over different stages of cognitive decline. Thus, we proposed SAT performance as an indicator to detect and follow-up on cognitive decline in elderly with cognitive disorder.