• Title/Summary/Keyword: 주관적 건강평가

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A qualitative research on the needs for oral care according to the subjective oral health status of the elderly (노인의 주관적인 구강건강상태에 따른 구강관리 요구도에 관한 질적연구)

  • Sang-Eun Moon;Sun-Hwa Hong;Bo-Ram Lee
    • Journal of Korean society of Dental Hygiene
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    • v.23 no.4
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    • pp.311-321
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    • 2023
  • Objectives: The purpose of this study was conducted an in-depth analysis of the subjective oral status and oral care needs according and problems of the elderly. Methods: A phenomenological research method was from April 13 to 30, 2023, 15 elderly people aged 65 or older in Gwangju and Jeolla regions were surveyed. Results: He was experiencing oral changes such as difficulty chewing, dry mouth and indigestion, sensitive teeth, smell of fear and feeling sensitive when eating sweet or cold food. They were burdened by the financial difficulties of dental treatment costs, the inconvenience caused by frequent visits, and the pain experienced during treatment. Realized the need for necessity of oral care education, and their confidence was restored through dental treatment. It was necessary the image recovery of dentistry, and they wanted to maintain oral health through the expansion of treatment health insurance. Conclusions: Consequently, it is necessary to develop a practical oral health management program for the elderly based on social communication regarding of the elderly and to expand health insurance coverage.

Autonomic Responses caused by Dynamic Visual Stimulation and rough Roads (동적 시각자극과 도로 굴곡 변화에 따른 자율신경계 반응)

  • 정순철;민병찬;김상균;민병운;오지영;김유나;김철중
    • Science of Emotion and Sensibility
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    • v.2 no.2
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    • pp.75-82
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    • 1999
  • 지금까지 인간 감성의 측정은 대부분 제한된 실험실에서 실시되었다. 보다 자연스러운 동적인 환경에서 인간의 감성을 자율신경계의 반응을 통해 추출하고자 본 연구를 수행하였다. 쾌 또는 불쾌한 도로의 시각 환경이 긍정 및 부정 시각으로 제시되었고, 아스팔트, 시멘트, 비포장 도로 등의 도로 굴곡 변화가 또 다른 쾌/불쾌 관련 감성 자극으로 제시되었다. 건강한 5명의 피험자는 실험을 위해 차량 내부에서 도로의 시각 환경을 관찰하게 하였고, 세 가지 굴곡이 다른 도로를 주행하면서 굴곡 변화에 따른 감성을 느끼게 하였다. 심박 변화율, 피부 저항, 피부온도 등의 생리 신호를 측정하였고 주관적 평가와 비교 분석하였다. 피험자가 긍정 시각 장면에 비해 부정 시각 장면을 보았을 때 또한 도로 굴곡의 변화가 클수록 평균 R-R 간격과 피부온도의 감소율은 컸고 피부 전도도는 증가하였다. 본 연구로부터 동적 환경에서 긍정 감성 자극에 비해 부정 감성 자극이 주어 졌을 때 교감 신경계의 활성화가 보다 증가함을 관찰할 수 있었다.

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Validation of ICT·Living Lab-based Program Effectiveness for Improving Health and Quality of Life Among the Elderly in Small and Medium-Sized Cities (중소도시 지역 거주 고령자의 건강 증진을 위한 ICT-리빙랩(Living lab) 기반 프로그램 효과성 검증)

  • Park, Da Sol;Lee, Hey Sig;Park, Hae Yean
    • Therapeutic Science for Rehabilitation
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    • v.10 no.3
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    • pp.137-149
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    • 2021
  • Objective : This study aimed to verify the effectiveness of ICT-Living Lab-based programs to promote the health of elderly residents in small and medium-sized cities, thus, providing basic data for solving the health and quality of life problems faced by modern society. Methods : The tow-month program included 14 elderly individuals visiting senior center located in W City, from October to November 2019. The program was organized by consulting four senior experts and one ICT expert. The program consisted of 10 min for advance assessment, 10 min for preparation activities, 30 min for main activities, and 10 min for finishing, and 60 min for eight sessions over two months, once a week. Results : EQ-5D increased from 0.76 to 0.84, compared to pre-assessment(p=.009*). EQ-VAS scores increased from 36.43 to 65.71 (p=.001*). MMSE-DS increased from 21.21 to 24.14 (p=.000*). SGDS-K decreased from 3.36 to 3.21, but this was not statistically significant (p=.854). Conclusion : The ICT·Living Lab-based program could be used as a basic material for future research as one of the ways to improve health and quality of life by preventing and addressing the problems faced by the elderly in modern society.

The Effect of Health Promotion Program on the Frailty of Rural Elderly Women Implemented at Primary Health Care Posts (일부 보건진료소에서 실시한 건강증진프로그램이 농촌여성노인의 노쇠에 미치는 효과)

  • Kim, Min-Kyung;Park, Ki-Soo
    • Journal of agricultural medicine and community health
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    • v.44 no.3
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    • pp.115-123
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    • 2019
  • Objective: This study was conducted to examine the effects of a health promotion program on the health condition of rural elderly women implemented at primary health care posts using Korean Frailty Index. Methods: The research was designed a nonequivalent control group pretest-posttest setting. The participants in this study were 50 residents (intervention group: 25, control group: 25) selected from 4 villages 2 primary health care posts in J city Gyeongsangnam-do. The health promotion program was conducted at the primary health care posts twice a week for 12 weeks. This program consisted of basic exercises(Gukseondo + Theraband muscle strength training) and additional activities(including modified Theraband activity, rubber ball exercise, ball massage, nutrition class, singing class). Collected data were analyzed by descriptive statistics, paired t-test, and repeated measures ANOVA with SPSS 21.0. Results: Results of the health promotion program showed that the health conditions(measured by perceived health status, frailty score, upper/lower flexibility, maximum grip strength, dynamic balance test Timed Up and Go) of the experimental group(25) all statistical significantly improved. Conclusion: Study findings indicate that the health promotion program implemented at primary health care posts on rural elderly women is effective and can contribute to a developed health promotion program for local residents in the future.

The effects of dental prostheses to the quality of life among the elderly (일부 노인의 치과보철물 상태가 구강건강관련 삶의 질에 미치는 영향)

  • Hur, Ik-Gang;Lee, Tae-Yong;Dong, Jin-Keun;Hong, Song-Hee
    • The Journal of Korean Academy of Prosthodontics
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    • v.48 no.2
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    • pp.101-110
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    • 2010
  • Purpose: This study has been conducted in order to examine the oral health status and dental prostheses status, and the effects of dental prostheses to the oral health related quality of life among the elderly using social welfare centers. Material and methods: For this purpose, the researcher conducted a questionnaire survey and oral examination of 275 samples of old persons using 7 social welfare centers located in Daejeon metropolitan city. The oral health related quality of life was measured by GOHAI (Geriatric Oral Health Assessment Index). Results: 1. The less age and the more education and the more subjective economic status and living with spouse of family status, the higher GOHAI showed. 2. Mean age of first using of removable denture is 62.11 years old and average life cycle of removable denture is 10.76years. 57.5% of study subjects use removable denture and complete denture user of study subjects are 13.8%. 3. In the case that they use fixed prostheses rather than removable ones and in the complete denture they use both sides (upper and lower) rather than single side, showed higher GOHAI. 4. In the case that they showed higher degrees of satisfaction with dental prostheses and can use them always and showed no necessity for new dental prostheses and denture adaptation is good, GOHAI showed higher. Conclusion: In order to improve oral health related quality of life among the elderly who have many missing teeth, it is required to restore their masticatory ability to the normal level by restoring the missing teeth which has lost its function through providing proper dental prostheses.

The Related Factors to Perceived gastritis or Perceived enteritis in High school seniors -the 2009 Korea Youth Risk Behavior Web-based Survey- (고등학교 3학년 학생들이 인지한 위염 및 장염 관련요인 -2009년 청소년 건강행태 온라인 조사 자료를 중심으로-)

  • Bea, Sang-Sook
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.13 no.2
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    • pp.668-677
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    • 2012
  • This study analyzed the related factors affecting to perceived gastritis or perceived enteritis for 11,753 Korean high school seniors who participated in the 2009 Korea Youth Risk Behavior Web-based Survey (KYHRBWS). Of the subjects, 5,685 (47.6%)were male and 6,068(52.4%) were female and 8.7% of the students responded that they had suffered from gastritis or enteritis for a long time and the females had a slightly higher attack rate of gastritis or enteritis. Survey logistic regression models and decision tree analysis were used to calculate odd ratios and 95% confidence intervals. As a result, there was affecting to their stress and health behaviors in the risk of gastritis and enteritis, and that their lower level perceived health, smoking, heavy drinking or starting drinking before they were 13 years old and a higher level of perceived stress significantly affected the risk of gastritis or enteritis in the subjects(p<.001).

Nutritional Status and Related Factors of the Elderly in Longevity Areas - III. Relation among Self-rated Health, Health-related Behaviors, and Nutrient Intake in Rural Elderly - (고령인구 비율이 높은 지역 장년, 노년층의 건강.영양상태 및 이에 영향을 미치는 인자에 관한 연구 - III. 농촌노인의 주관적 건강평가와 건강관련행동 및 식이섭취와의 관련성 -)

  • Choe Jeong-Sook;Kwon Sung-Ok;Paik Hee-Young
    • Journal of Nutrition and Health
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    • v.39 no.3
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    • pp.286-298
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    • 2006
  • The study aimed to identify major factors related to global self-rated health of the community-dwelling elderly people in rural areas. Interviews were conducted with 433 persons over 65 years of age. The socio-economic characteristics, chronic disease status, measures of functional and mental health, life satisfaction, health-related behaviors including smoking, drinking, exercise, social activity, dietary habit, and food intakes were analyzed to determine their influence on self-rated health index. Data on food intake were obtained through the 24-hour recall method. The self-rated health of rural elderly was poor or very poor as reported by 42.6% and 52.4% of the men and women, respectively. Poor self-rated health was found to be related to elderly aged $65{\sim}74$, female, absence of work, more chronic diseases, dependence on Instrumental Activity Daily Living (IADL), higher mental unhealthy days, lower current life satisfaction, less social activity, lower dietary habit scores, lower intake of total food, fruit, eggs, fishes & shell fishes, vitamin C (%RDA), and Nutrient Adequacy Ratio (NAR). The results of the multiple regression analysis showed that poor self-rated health index is significantly associated with more chronic diseases, mental unhealthy days, gastrointestinal disease, musculoskeletal disease, less social activity, and lower intake of fruits. The results also suggested that improving the nutritional status and functional ability, and reducing the burden of chronic diseases are beneficial to the self-rated health index of the elderly.

Environmental Exposure and Health Inequality by Socio-economic Position among Older People (지역사회 노인의 사회경제적 위치에 따른 환경유해인자 노출과 건강 불평등)

  • Lee, Seyune;Kim, Hongsoo;Jung, Young-Il;Choi, Yoon-Hyeong;Lee, Kiyoung;Yu, Seung-do;Hong, Yun-Chul
    • 한국노년학
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    • v.34 no.2
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    • pp.349-367
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    • 2014
  • The purpose of this study is to investigate the relationships between socio-economic position(SEP), environmental exposures, and health of older people in Korea. This study used the data from 'Environmental Exposures and Their Health Effect in Korean Elderly Population'. The sample includes a total of 563 elderly people who were 60 years of age or older. Data on SEP, environmental exposure, and health impact were collected and analyzed using descriptive statistics and multivariate regressions. As a result, study participants' SEP including age, family type, monthly expenditure, type of house, and region was significantly associated with environmental exposure. Also, while adjusting for SEP, environmental exposure such as allowing indoor smoking was associated with self-rated health and depression of study participants. The study findings showed inequality in environmental exposure and health outcomes by SEP in Korean elderly. Environmental exposure was associated with health outcome even after adjusting SEP, and this implied that environmental exposure could be a critical factor in explaining heath inequality by SEP. Further studies are necessary to better understand the causal relationships among SEP, environmental exposure, and health outcomes.

Customer perception and expert assessment in restaurant food environment by region - Focused on restaurants in Suwon, Hwaseong city - (도시와 농촌의 한식 음식점 식생활 환경에 대한 고객 인식 및 전문가 평가 비교 - 수원, 화성지역 음식점을 중심으로 -)

  • Oh, Mi Hyun;Choe, Jeong-Sook;Kim, Young;Lee, Sang Eun;Paik, Hee Young;Jang, Mi Jin
    • Journal of Nutrition and Health
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    • v.47 no.6
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    • pp.463-474
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    • 2014
  • Purpose: The aim of this study was to assess the food environment, particularly focusing on restaurants in three areas (Suwon city, Hwaseong Byeongieom-dong, and Bibong-myun). Methods: A total of 662 persons were surveyed on customers' perceptions of the food environment in restaurants. A structured questionnaire composed of 30 questions on 7 factors, sanitation (4 items), displaying information (5), food quality (12), information on nutritional and healthy food choice (6), restaurant's accessibility (1), availability (1), and affordability (1) was used. In addition, an expert assessment of restaurant sanitation, and information on nutritional healthy food choice was conducted through visiting 126 restaurants. Results: Scores (range of score : 1~7) for each factors assessing the restaurant food environment were 5.06 for sanitation factors, 5.05 for displaying information factors, 5.13 for taste appearance factors, and 4.35 for healthy menu factors. Informations on nutritional healthy food choice showed a low rate: only 16.24% of the subjects answered that there is a message encouraging choice of healthy foods and 27.4% answered that menus contain nutritional information. Significant differences in food environment were observed by region (city, town, rural). The restaurants food environment in the rural area turned out to be poorer than that of the other two areas. In comparison of customer perception and expert assessment, significant differences were observed for 'Employee appearances and uniforms are clean and tidy' (p < .05), and 'There is a message encouraging the choice of healthy foods' (p < .05). Conclusion: This study provided evidence for differences of restaurant food environment by regions. In the rural area, there is a problem in restaurant's accessibility, availability, and affordability because of a lack of variety in menu items and restaurants. This results suggest that there is a need for more healthy food restaurants in the rural area.

The Process of Change, Decision Making, Self-efficacy and Perception of Subjective Health by the Stage of Exercise Behavior among Older Adults (노인의 운동행위변화단계에 따른 변화과정, 의사결정평가, 자아효능감 및 주관적 건강지각)

  • Cho, Young-Suk;Lee, Hae-Jung
    • Korean Journal of Adult Nursing
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    • v.15 no.2
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    • pp.236-246
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    • 2003
  • Purpose: The purpose of this study was to examine the differences of the process of change, decision making, self-efficacy and perception of subjective health according to the stages of exercise behaviors suggested by transtheoretical models among older adults. Method: The subjects consisted of 291 older adults. Trained research assistants interviewed the older adults using structured questionnaires. ANOVA analyses with post hoc test were used to examine the mean differences for each stage of exercise behavior using SPSS for windows. Result: The subjects were divided into five stages of exercise behavior: 24.4% precontemplation, 12.4% contemplation, 17.9% preparation, 12.4% action, 33.0% maintenance stage. There were significant differences in process of change, decision making, self-efficacy and subjective health perception according to the exercise stage of change. 'Self-liberation' and 'stimulus control' were important strategies for intention of exercise, while 'reinforcing management' for the actual practice of exercise. 'Self-efficacy' was an effective strategy to change older adults from pre-contemplation to preparation stage. Conclusion: For exercise intervention, older adults should be classified into groups according to their stages of exercise behaviors and provided effective individualized intervention depending on their stage.

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