• 융합정보논문지
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• 제9권8호
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• pp.268-273
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• 2019

본 연구는 서울 경기지역 만 65세 이상의 건강한 재택 노인을 대상으로 항목별 일상생활수행능력에 따른 주관적 건강상태, 즉 건강불안감의 정도를 알아보는 서술적 조사연구이다. 대상자에게 일상생활수행능력(ADLs)에 따른 1-5점까지 주관적 건강상태(건강불안감)를 설문하고, 항목별 일상생활수행능력의 정도에 따라 4개의 집단(매우 어려움, 어려움, 쉬움, 매우 쉬움)으로 나누어 Jonckheere-Terpstra검정과 선형회귀선을 활용하여 순위추세를 비교하였다. Jonckheere-Terpstra검정에서 "화장실 이용하기", "목욕하기", "물건 사러가기" 항목에 어려움을 호소할수록 주관적 건강상태의 불안감이 상응하는 순위차이를 보였고, 선형회귀선 상에서 "화장실 이용하기"의 기울기가 가장 큰 것으로 나타났다. 건강한 재택 거주 노인의 경우 "화장실 이용하기", "목욕하기", "물건 사러가기"가 어려울수록 건강불안의 증가 즉, 주관적 건강상태가 나빠지므로 이에 적절한 다각적인 사회복서비스를 개발할 필요가 있다.

• 한국엔터테인먼트산업학회논문지
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• 제14권6호
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• pp.201-208
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• 2020

본 연구는 건강보험심사평가원의 청구 자료를 바탕으로 만65세 이상의 주진단이 무릎 관절증으로 슬관절 전치환술을 시행한 환자를 대상으로 의료기관 종별에 따라 재원일수에 영향을 주는 요인을 분석하였다. 연구결과 의료기관 종별에 따라 성별, 연령, 의료보장형태, 중증도, 거주지역 및 병상규모가 재원일수에 영향을 미치는 요인으로 분석되었다. 인구의 고령화로 인한 노인 인구의 증가와 이로 인한 노인 진료비 증가는 가계 및 국가 경제의 많은 부담으로 작용하는 시점에서 본 연구결과를 토대로 재원일수 단축효과와 함께 효율적인 병상운영을 도모해야 할 것이다. 뿐만 아니라 환자의 진료비 부담을 경감시키는 위한 체계적인 관리시스템을 도입하여 노인환자의 양질의 라이프케어를 위한 기초자료로 활용하는 데 본 연구의 의의가 있다.

• 재활치료과학
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• 제13권1호
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• pp.35-47
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• 2024

목적 : 본 연구는 국내 노인 인구를 대상으로 라이프스타일의 요소가 허약 및 우울 위험도에 미치는 영향을 파악하고자 한다. 연구방법 : 본 연구는 2017년에 수집된 노인실태조사 자료를 활용하여 지역사회에 거주하는 65세 이상 노인 10,072명을 대상으로 수행하였다. 라이프스타일의 요소는 신체활동, 영양 관리, 여가 및 사회 활동 참여 변수를 활용하여 분석하였다. 허약은 허약 척도를 사용하여 측정되었고, 우울 증상은 노인 우울 선별 척도를 사용하여 측정되었다. 로지스틱 회귀분석을 수행하여 노인의 허약 및 우울 위험도에 대한 라이프스타일의 오즈비(odds ratio, OR)를 분석하였다. 결과 : 분석 결과 모든 라이프스타일의 요인은 허약 및 우울 위험도와 유의미한 연관이 있음을 확인하였다. 허약 및 우울의 OR은 주 3회 이상의 정기적인 운동(OR = 0.59, 95% confidence interval [95% CI] = 0.52~0.91; OR = 0.66, 95% CI = 0.59~0.75), 적극적인 영양 관리(OR = 0.86, 95% CI = 0.80~0.91; OR = 0.81, 95% CI = 0.76~0.86), 여가 참여(OR = 0.79, 95% CI = 0.74~0.84; OR = 0.71, 95% CI = 0.66~0.77), 사회 활동의 참여(OR = 0.92, 95% CI = 0.88~0.96; OR = 0.82, 95% CI = 0.78~0.87)를 통해 낮춰지는 것으로 확인되었다. 결론 : 본 연구 결과는 정기적인 운동, 균형 잡힌 영양 관리 및 다양한 활동에 대한 적극적인 참여를 특징으로 하는 건강한 라이프스타일이 노인의 허약 및 우울 위험도를 효과적으로 줄일 수 있음을 시사한다. 궁극적으로 본 연구는 노인의 신체 건강 및 정신 건강에 긍정적으로 작용하는 라이프스타일의 중요성을 강조한다.

• 대한간호학회지
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• 제45권3호
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• pp.329-336
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• 2015

Purpose: The purpose of the study was to identify factors influencing physical activity among community-dwelling older adults with type 2 diabetes. The study design was based on the Theory of Triadic Influence. Methods: A total of 242 older adults with type 2 diabetes participated in this study. Six variables related to physical activity in older adults, including self-efficacy, social normative belief, attitudes, intention, experience, and level of physical activity, were measured using reliable instruments. Data were analyzed using descriptive statistics, Pearson's correlation analyses, and a path analysis. Results: The mean physical activity score was 104.2, range from zero to 381.21. The path analysis showed that self-efficacy had the greatest total effect on physical activity. Also, experience had direct and total effects on physical activity as well as mediated the paths of social normative beliefs to attitudes and intention to physical activity. These factors accounted for 10% of the total variance, and the fit indices of the model satisfied the criteria of fitness. Conclusion: The findings of the study reveal the important role of self-efficacy and past experience in physical activity in older adults with type 2 diabetes.

• Journal of Korean Biological Nursing Science
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• 제19권3호
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• pp.191-197
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• 2017

Purpose: The aim of this study was to determine the effectiveness of a community-based muscle and joint self-management program with muscle stretching and muscle strengthening exercises for community-dwelling older adults. Methods: The study was a pre-and-post design in a single group, which examined the effects after the intervention of muscle and joint self-management program for 6 weeks, on the 42 subjects of the elderly who registered in a Community Senior Center in J city. Data analyses were conducted with paired t-test by using a SAS (version 9.2 for Windows) program. Results: The effectiveness of muscle and joint self-management program on shoulder flexibility and right knee extension (flexibility) were significantly improved (t= 2.72, p= .010; t= -2.26, p= .029). Joint symptoms (pain, stiffness), physical functioning, depression, fatigue, and left knee extension were not significantly improved after the muscle and joint self-management program. Conclusion: The results showed the possibility of this 6-week exercise program in improving shoulder and knee flexibility for community-dwelling older adults.

• 대한간호학회지
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• 제42권6호
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• pp.819-832
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• 2012

Purpose: This study was conducted to identify risk factors that influence the probability and severity of elder abuse in community-dwelling older adults. Methods: This study was a cross-sectional descriptive study. Self-report questionnaires were used to collect data from community-dwelling Koreans, 65 and older (N=416). Logistic regression, negative binomial regression and zero-inflated negative binomial regression model for abuse count data were utilized to determine risk factors for elder abuse. Results: The rate of older adults who experienced any one category of abuse was 32.5%. By zero-inflated negative binomial regression analysis, the experience of verbal-psychological abuse was associated with marital status and family support, while the experience of physical abuse was associated with self-esteem, perceived economic stress and family support. Family support was found to be a salient risk factor of probability of abuse in both verbal-psychological and physical abuse. Self-esteem was found to be a salient risk factor of probability and severity of abuse in physical abuse alone. Conclusion: The findings suggest that tailored prevention and intervention considering both types of elder abuse and target populations might be beneficial for preventative efficiency of elder abuse.

• 한국보건간호학회지
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• 제30권2호
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• pp.337-348
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• 2016

Purpose: This study was to examine the factors (depression, level of health status, physical function, depression) influence health related quality of life (EQ5D) in community dwelling elderly according to sex. Methods: A total of 226 elderly subjects over the age of 65 years in community were included. Data were collected by measuring the physical function (muscle endurance, flexibility, balance, and cardiovascular endurance) and by using a questionnaire about EQ5D, depression, health status. Data were analyzed by SPSS 18.0 and AMOS 18.0. Results: The major findings of this study are as follows. Explained variance of EQ5D by regular exercise, physical function, and level of health status was 19% for male elderly subjects and 26.0% for female elderly subjects. The effect was different according to sex. Depression has the effect on EQ5D (${\beta}=-.356$, p<.001) in females, while the level of health status has the effect (${\beta}=.314$, p=.027) in males. Conclusion: The results of this study indicate that the effect of regular exercise, physical function, and level of health status were different on EQ5D according to sex. Thus, different health programs according to sex are necessary to increase the quality of life in elderly individuals.

• 한국농촌간호학회지
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• 제17권2호
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• pp.50-58
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• 2022

Purpose: The purpose of this study was to identify the effects of storytelling-based disaster and safety education programs for the elderly living in rural communities. Methods: The participants were a total of 58 elderly people, 29 in the control group and 29 in the experimental group living in the rural areas. Disaster response knowledge, attitude toward disaster, and disaster and safety practice were measured in both groups after the intervention. The program consisted of 4 weeks. The data were analyzed by x² test and independent t-test with SPSS/WIN 21.0. Results: The experimental group who participated in the storytelling-based disaster and safety education program showed a significant increase in disaster response knowledge, and disaster and safety practice scores compared to the control group. Conclusion: It was found that the storytelling-based disaster and safety education programs were effective in increasing disaster response knowledge, and disaster and safety practice. We hope that the storytelling-based disaster and safety education programs can be used in the elderly nursing curriculum in the future, and we suggest it should be applied as a nursing intervention.

• 근관절건강학회지
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• 제29권3호
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• pp.205-217
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• 2022

Purpose: This study aimed to investigate the factors affecting the subjective health status (SHS) of low-income older adults living alone. Methods: This is a cross-sectional correlational study using secondary data analysis. Sociodemographic and health-related characteristics were included in this analysis. The health-related characteristics were categorized into three domains: physical, characterized by the number of chronic diseases and fall-related factors, timed up and go, and grip strength; psychological, in terms of depression and loneliness; and social, in terms of social support. Data were analyzed using descriptive analysis, t-test, ANOVA, Pearson's correlation coefficient, and multiple linear regression analysis. Results: The mean SHS score was 2.46 out of five. Several factors influenced the SHS of low-income older adults living alone, including sex, age, level of education, monthly income, and the three domains. Four significant predictive factors of SHS in low-income older adults living alone were identified (42.5%): the number of chronic diseases, fear of falling, depression, and social support. Conclusion: SHS is a critical factor for older adults living alone on a low-income. Hence, evaluating SHS and developing interventions to improve it periodically is necessay. Such interventions should consider chronic disease management, screening and mediation for depression and fear of falling, and strengthening their social support systems.

• 대한간호학회지
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• 제53권4호
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• pp.453-467
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• 2023

Purpose: This study investigated the cumulative effects of depressive symptoms on cognitive function over time in community-dwelling older adults. Methods: Data were investigated from 2,533 community-dwelling older adults who participated in the Korean Longitudinal Study of Aging (KLoSA) from the 5th (2014) to the 8th wave (2020). The association between cumulative depressive symptoms and cognitive function was identified through multiple regression analysis. Results: When the multiple regression analysis was conducted from each wave, the current depressive symptoms scores and cognitive function scores were negatively associated, regardless of the waves (B5th = - 0.26, B6th = - 0.26, B7th = - 0.26, and B8th = - 0.27; all p < .001). Further, when all the previous depressive symptoms scores were added as explanatory variables in the 8th wave, the current one (B8th = - 0.09, p < .001) and the previous ones (B5th = - 0.11, B6th = - 0.09, and B7th = - 0.13; all p < .001) were also negatively associated with the cognitive function score. The delta R², which indicates the difference between the model's R² with and without the depressive symptoms scores, was greater in the model with all the previous and current depressive symptoms scores (6.4%) than in the model with only the current depressive symptoms score (3.6%). Conclusion: Depressive symptoms in older adults have a long-term impact. This results in an accumulated adverse effect on the cognitive function. Therefore, to prevent cognitive decline in older adults, we suggest detecting their depressive symptoms early and providing continuous intervention to reduce exposure to long-term depressive symptoms.