• 제목/요약/키워드: Aged, 65 and over

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노인의 청력장애지수와 한국판 버그균형검사의 상관관계 (The Correlation of the Hearing Handicap Inventory for the Elderly and Berg Balance Test-Korean Version)

  • 조규행;황수진
    • PNF and Movement
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    • 제8권1호
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    • pp.51-58
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    • 2010
  • Presbycusis or related-age hearing loss is approximately 30 percent for people aged over 65 years. The purpose of this study was to compare the relationship between the Hearing Handicap Inventory for the Elderly and the Berg Balance Scale for predicting and screening risk of falls in people over 65 years with diagnosed presbycusis. Thirty-five subjects all lived at the nursing home in Wonju. Disability caused presbycusis was measured using the Hearing Handicap Inventory for the Elderly, and static and dynamic balance was measured using Berg Balance Scale. Data were analyzed using Spearman correlation. Statistically significant differences were noted between two clinical meausres (r=.862, p<0.001). In conclusion, the results suggest that presbycusis may be able to predict dangerous falls in older persons.

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노인 고혈압의 치료 (Treatment of hypertension in elderly)

  • 주승재;김동수
    • Journal of Medicine and Life Science
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    • 제19권3호
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    • pp.79-89
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    • 2022
  • Whereas systolic blood pressure (SBP) continuously rises with age, diastolic blood pressure (DBP) gradually decreases after the age of 55 years. Therefore, hypertension in the elderly shows the pattern of isolated systolic hypertension. There is evidence on the benefits of controlling blood pressure (BP) in elderly patients with hypertension. The BP lowering effect has also been demonstrated in patients over 80 years of age with hypertension. The BP threshold for the initiation of antihypertensive drug treatment for older adults with hypertension is gradually decreasing. The antihypertensive treatment is recommended if, despite therapeutic lifestyle modifications, SBP ≥140 mmHg or DBP ≥90 mmHg in those aged 65-79 years old, and SBP ≥140-160 mmHg or DBP ≥90 mmHg in those aged ≥80 years old. Although there is no consensus on the target BP for older adults with hypertension, a target SBP of <130-140 mmHg and DBP of <80-90 mmHg are recommended. In older adults over 80 years of age with hypertension, the target SBP is <140-150 mmHg. When the dose of antihypertensive drugs is increased to reach the target SBP, DBP may decrease to less than 70 mmHg, but it should not be <60 mmHg. Thiazide diuretics, calcium channel blockers, angiotensin-converting enzyme inhibitors, or angiotensin receptor blockers can be selected as the first-line drug for older adults with hypertension. Beta-blockers may be selected in case of compelling indications.

최근 독일 노인 의료시설의 공급체계와 시설유형에 관한 조사 연구 (A Study on the Recent Trend of German Healthcare Delivery System and Types of Medical Facilities for the Aged)

  • 양내원;유영민
    • 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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    • 제4권7호
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    • pp.47-55
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    • 1998
  • The average life span of Koreans has been increased recently. The percentage of the old(over 65), which was 5% in 1990, is expected to be increased to 15% in 2020. Therefore, the social problems of old people occur in various aspects nowadays, and will become more serious in the near future. In Germany, the have developed a comprehensive welfare system which enables the aged to be more independent, such as various welfare facilities for the aged that are built in consideration of the physical conditions.

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지역사회 노인의 낙상경험에 따른 일상생활수행능력과 건강관련 삶의 질 (Activities of Daily Living, Health Related Quality of Life According to the Experience of Falls among the Aged in Community)

  • 김선경;김종임
    • 근관절건강학회지
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    • 제18권2호
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    • pp.227-237
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    • 2011
  • Purpose: This study was to identify the experience of falls and activities of daily living, health-related quality of life among the aged in community. Method: Subjects of this study were used by the raw data is based on the Community Health Survey in 2008. The subjects consisted of 73 persons who have experienced falls and of randomized 73 persons who inexperienced falls among 3755 the aged over the age of 65, living in Chungnam Province. The data were collected by using a structured questionnaire. Data were analyzed using SPSS 14.0 for windows. Result: Most of accidents and poisonings were caused by slide/falls, and took place at home. Especially women experienced falls at home. Lower extremities were the most injured area. There was a statistical difference in activities of daily living, health-related quality of life in two groups: inexperienced group and experienced group. Conclusion: The results of this study indicate that the falls were related to activities of daily living and health-related quality of life. So it is necessary to give information about falls in the aged and further study.

성적활동성을 보이는 노인에 대한 간호학생들의 태도 (Nursing Students' Attitudes towards Sexually Active Elderly)

  • 오진주
    • 지역사회간호학회지
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    • 제13권2호
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    • pp.343-353
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    • 2002
  • Objectives: The aim of this study was to explore nursing students' attitudes towards sexually active elderly, and to compare their attitudes with those of non-nursing students. Methods: Study subjects consisted of 118 nursing students, and 134 non-nursing students, recruited from two universities. The data were collected from September to November 2001. Vignettes, which presented hypothetical situations of sexual activities of the elderly (65 years of age, 80 years of age/sexual activity mentioned. non-mentioned), were provided as a research method, as well as the use of a structured questionnaire. Vignettes showed the hypothetical situations by male elder's sexual activity and their age. Respondents were asked to address their thoughts in the questionnaire. Results: 1. Nursing students showed more favorable attitudes toward the elderly than non-nursing students, regardless of the presence of sexual activity of the elderly. 2. No significant difference was found in nursing students' attitudes toward the elderly aged 65 and 80 years, between those who were sexually active and those who were not. These results were the same in non-nursing students. 3. Nursing students showed more favorable attitudes toward the sexually active elders aged 65 years (5.6 1.43), than toward sexually active elders aged 80 years (4.89 1.55). This result was also the same in non-nursing students. 4. The variables significantly affecting attitudes toward the sexually active elderly in nursing students were familiarity with old persons (p=. 02), presence of living grandparents (p=. 05), and the experience of caring for old people (p=. 01). However, in non-nursing students, familiarity with old people was the only significant variable that affected their attitudes toward the sexually active elderly. 5. In nursing students, one variable to predict attitudes toward the sexually active elderly was the experience of caring for old people (p=. 03), accounting for 10% of the total variance. In non-nursing students, familiarity with old people was the only variable to attitudes toward the sexually active elderly (p=. 03), accounting for 3% of the variance for attitude. In both student groups, the variables that predicted attitudes toward the sexually active elderly included college major (p=. 03), school year (p=. 01), familiarity with old people (p=. 02), accounting for 12% of the variance for attitude by these variables. conclusion: Nursing students showed more favorable attitudes toward the sexual activity of elders 65 years of age or over, than non-nursing students. However, both the nursing and non-nursing students showed negative attitudes toward the elderly who were 80 years of age when compared with those 65 years of age. There should be a consideration in nursing education curriculums that university students may have negative attitudes towards sexual activity of the elderly over 80 years of age.

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65세 이상 노인에서 식습관, 영양소 섭취 및 질병 양상에 관한 연구(I) (A Study on the Food Habits, Nutrient Intake and the Disease Distribution in the Elderly (Aged over 65 Years)(I))

  • 김연경;이혜옥;장린;조여원
    • 대한지역사회영양학회지
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    • 제7권4호
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    • pp.516-526
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    • 2002
  • The purpose of this study was to investigate the food habits, nutrient intake, and disease distribution in the elderly (aged over 65 years). The correlation of diseases with anthropometric measurements and nutrients was investigated. The correlation of blood parameters with anthropometric measurements and nutrient intake was also studied. The results are as follow: 1) Most elderly men (68.6%) and women (81.6%) had more than three diseases. The food habits of the elderly women were worse than those of the men. Their intake of protein, calcium, iron, vitamin A, and vitamin $B_2$ were lower than the RDA for those particular nutrients.2) The incidence of gastritis (51.2%) , fatty liver (46.4%) , and hypertension (45.2%) were the highest among elderly men and women. 3) Anemia was negatively correlated with body weight. Hypercholesterolemia was positively correlated with body fat and negatively correlated with intake of calcium, vitamin A, and vitamin $B_2$ . Hypertension was negatively correlated with alcohol consumption. 4) Blood total cholesterol concentration was positively correlated with percent ideal body weight (% IBW) . Blood hemoglobin level was positively correlated with Body Mass Index (BMI) . Systolic and diastolic blood pressure were positively correlated with % IBW and BMI. Blood cholesterol concentration was negatively correlated with the intake of iron, vitamin A, vitamin $B_2$, and cholesterol, and positively correlated with the consumption of alcohol. Blood hemoglobin level was positively correlated with the intake of total calories, carbohydrates, fat, protein, iron, vitamin $B_2$, phosphorus, cholesterol, salt, and alcohol.

시설노인의 성태도, 성욕구가 성 대처행동에 미치는 영향 (Effect of Sexual Attitude and Sexual Desire of Aged People in the Institution on Coping Behavior Toward Sex)

  • 최유호;김윤정;김용미
    • 한국콘텐츠학회논문지
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    • 제10권10호
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    • pp.226-236
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    • 2010
  • 본 연구에서는 시설에 거주하는 노인 352명을 대상으로 노년기 성태도와 성욕구가 성대처행동에 미치는 영향을 파악하고자 하였다. 본 연구의 주요결과를 요약하면 다음과 같다. 첫째, 본 연구의 대상인 시설노인들의 성태도는 부정적인 성태도가 긍정적인 성태도 보다 높고, 성욕구나 성대처 행동은 중앙값에 못 미치는 낮은 수준을 보였다. 둘째, 시설노인들의 긍정적 성태도는 남자 65세 이하, 시설 종사자들이 남녀 노인간 이성교제를 좋게 본다고 인식하는 경우, 시설노인들이 동료 노인들의 이성교제를 좋게 본다고 인식하는 경우에 긍정적인 성태도의 점수가 높았다. 부정적인 성태도는 86세 이상이 높았고, 학력은 초 중졸집단이 높고, 고졸이상, 무학 순으로 역U자형 곡선을 보였다. 넷째, 성충동은 남자인 경우, 65세 이하인 경우에 성충동 점수가 높았다. 성관계 욕구는 남자인 경우, 65세 이하인 경우, 학력은 무학인 경우에 제일 높고 그 다음이 고졸이상, 초 중졸순으로 나타나 U자형 곡선을 보였다. 다섯째, 남자인 경우, 연령이 낮을수록 문제중심적 대처행동의 점수가 높았다. 또한, 남자인 경우, 66~75세인 경우 문제회피적 대처행동의 점수가 높았다. 다섯째, 시설노인들의 긍정적인 성태도가 높을수록 부정적인 성태도는 낮았으며 성충동, 성관계욕구가 높고, 문제중심적 대처행동과 문제회피적 대처행동을 잘하는 것으로 나타났다. 여섯째, 연령이 낮을수록, 긍정적인 성태도일수록, 성충동과 성관계 욕구가 높을수록 문제중심적 대처행동을 잘하는 것으로 나타났다.

대도시 일부지역 노인의 주관적 구강건강 인식에 영향을 미치는 요인 (Factors of influencing subject oral health perception for the elderly in an urban area)

  • 임현주
    • 한국치위생학회지
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    • 제12권1호
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    • pp.47-55
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    • 2012
  • Objectives : The purpose of this study is to examine relations among the subjective oral symptoms, general characteristics and subject oral health perception of aged people residing in some regions of a large city, ultimately providing basic information needed to develop and implement programs oral health project and oral health education programs for the oral health promotion of those people. Methods : For the above purpose, this researcher conducted a questionnaire survey of people aged 65 or over from July 10th to 28th, 2011. Among the copies of the questionnaire distributed to the subjects, 318 were recollected. Out the recollected forms, 18 which were deemed as inappropriately filled in were excluded, and the remaining 300 were finally analyzed. Results : The results are as follows. Subjective oral symptoms have correlation(p<0.001) with aged people's subject oral health perception. Factors of influencing subject oral health perception were indicated to be age(p=0.021) and trouble chewing(p<0.001). Conclusions : A sustainable oral health management system that aims to improve the oral health of aged people should be developed and implemented. This study may have some limitations to be generalized because it was conducted by focusing on aged people of some regions only.

도심 지역에 위치한 일개병원의 고 연령 교통사고 환자에 대한 임상적 연구 (Clinical Study of Old-aged Patients in Traffic Accidents and Admitted For Emergency Treatment)

  • 이영환;송형곤
    • Journal of Trauma and Injury
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    • 제19권1호
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    • pp.74-80
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    • 2006
  • Purpose: For prevention and suitable administration, the effect of age on the severity of injuries in traffic accidents should be considered when evaluating a patient, but there have not been enough epidemiological studies that evaluate the age factor in traffic accidents. For that reason, we investigated old-aged patients who were involved in traffic accidents (65 years old or more) and who were admitted to the emergency department of a college hospital in an urban city of Korea. Methods: We collected data from traffic-accident patients who came to the emergency room of a university hospital in Seoul from Jan.1, 2004 to Dec.31, 2005. We compared their abilities to ambulate and the RTSs (Revised trauma scores) by using a LSD (least significant difference), linear regression. Results: A total of 1460 patients were included. The mean RTS of all traffic-accident patients was $7.77{\pm}0.280$. The scores for drivers and passengers, motor-cycle drivers and passengers, bicycle drivers and passengers, and pedestrians were $7.79{\pm}0.21$, $7.78{\pm}0.22$, $7.54{\pm}0.25$, $7.77{\pm}0.20$, and $7.80{\pm}0.21$ respectively (p=0.000). There was no statistically significant difference between the RTS of patients over 65 years and that of other patients. In a regression analysis, the number of patients over 45 ages who were able to ambulate was lower than that of younger people, independently of other influencing factors (B=-0.330, R-square = 0.243, p=0.000). Conclusion: We expected that RTS of old age group more than 65 years old will significantly lower than that of others, but there was no statistically significant difference.

50세 이상 성인 및 노인의 인구사회학적 특성에 의한 외식 소비 행태 변화: 2001, 2011 국민건강영양조사 자료 분석 (Changes in Dining out Consumption Behaviors by Sociodemographic Characteristics of People over 50 Years and Elderly in Korea : Analysis of Data from the Korea National Health and Nutrition Examination Surveys of 2001 and 2011)

  • 이창현;오석태
    • 동아시아식생활학회지
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    • 제24권3호
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    • pp.301-314
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    • 2014
  • This study was conducted in order to measure changes in the dining out consumption behaviors of the elderly living in Korea. Data on 2,316 and 3,170 elderly aged over 50 years were extracted from the 2001 and 2011 KNHANES(Korea National Health and Nutrition Examination Surveys), respectively. The data were analyzed by gender, age, region area, marital status, educational level, household income, economic activity and subjective health status. Frequency of dining out was higher in males between 50~64 years of age, living in metropolitan area, well-educated, high-income, engaged in economic activity and healthy. As a result, these basic data can be used for analyzing the changes in dining out consumption behaviors by sociodemographic characteristics of people aged over 50 years and the elderly in Korea. In the results on the consumption rate of food service in the two groups, 'female' and '65~74 years old' showed the largest increases from 10 years, and thus should be the group that the food service industry focuses on to develop new marketing strategies suitable for the environment.