• Title/Summary/Keyword: Depression in the elderly

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The Effects of Reminiscence Therapy Using Mind Map to Improve Cognitive Function, Depression Index, Quality of Life for Elderly Women Suspected Of Dementia. (마인드맵을 활용한 회상치료가 여성 치매 의심 노인의 인지기능, 우울 지수 및 삶의 질에 미치는 영향)

  • Jang, Woo-hyuk;Son, Hyo-seong;Seo, Ye-ji;Youn, Su-jeong;Kim, Hyun-ji
    • Journal of Society of Occupational Therapy for the Aged and Dementia
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    • v.12 no.2
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    • pp.97-106
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    • 2018
  • Objective : The purpose of this study was to investigate the effects of reminiscence therapy using mind map to improve cognitive function, depression index, quality of life for old woman with dementia. Method : The study were 14 patients who were diagnosed with a woman suspected of dementia. They were randomly assigned to Study group(N=7) and control group(N=7). All patients received only to Study groups. reminiscence therapy using mind map was composed to 10 sessions, 40 minutes per sessions, 2 times a week, for 5 weeks. For result analysis, descriptive statistic, Wilcoxon signed rank test, and Mann-Whitney U test were used. The evaluation tools were Mini-Mental State Examination Korean Version (MMSE-K), Korean Version of Beck Depression Inventory (K-BDI), Korean Version of the World Health Organization Quality of Life Scale Abbreviated Version (WHOQOL-BREF). Result : There was a significant difference in cognitive function, depression index, and quality of life in the within group after intervention, and there was a significant difference in cognitive function in the between group comparison. Conclusion : According to the results of study, an easing effect was confirmed regarding reminiscence therapy using mind map for an old woman with dementia. using reminiscence therapy using mind map when applied to the improvement of cognitive function, depression index, quality of life.

Developing, and Testing the Effects of a Group Program for the Low Income Depressed Elderly Women Living Alone, Which Integrated Positive Psychology and Solution-Focused Therapy (저소득 우울 여성 독거노인 대상 긍정심리.해결중심 통합 집단 프로그램 개발 및 효과)

  • Lee, Hyunju;Um, Myungyong
    • Korean Journal of Social Welfare
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    • v.66 no.3
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    • pp.101-131
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    • 2014
  • The purpose of this study was to develop, and test the effects of a group program on the subjective well-being and depression of the low-income depressed elderly women living alone. Conceptual framework was based on the positive psychotherapy and a broad range of intervention techniques of the solution focused therapy was integrated into the program by using assimilative integration methods. A quasi-experimental nonequivalent comparison group design was used to test the effects of the program. The newly developed group program was implemented to the intervention group and a reminiscence group program was implemented to the comparison group for 10-session. And no intervention group received only home-based routine care services as usual. Results suggested that the newly developed program was effective in increasing the level of subjective well-being, and decreasing the depressive symptoms of the low-income depressed elderly women living alone. It was also proved that the newly developed program maintained its gains up through 11-week follow-up.

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Study on Case-Mix in Long-Term Care Facilities for Elderly (장기요양시설 노인의 환자구성에 관한 연구)

  • Jeon, Yi-Jee;Kim, Suck-Il;Hum, Yu-Seung;Yi, Sang-Wook
    • Korea Journal of Hospital Management
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    • v.6 no.3
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    • pp.130-147
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    • 2001
  • This study is about major symptoms of elderly and medical services for elderly in long-tenn care facilities. The subject of this study was 298 patients over 00 years old staying in two geriatric hospitals and two nursing homes. The symptoms and medical services were level of patient classification from RUG(Resource Utilization Group)-III which is applied for both Medicare and Medicaid for skilled nursing facilities reimbursement system in US and designed for measuring patient characteristics and medical staff time. This classification is explained by each patient resource(staff time) utilization level which is called CMI(Case-Mix Index). In this study, the symptoms and services were compared by facility type and they were categorized by level and compared by CMI. Major findings are as follows; 1. There were more elderly who have cognitive function problems in nursing homes than patients in geriatric hospitals. There were more patients with behavioral problems in geriatric hospitals than residents in nursing homes. These results were both statistically significant. 2. The patients in geriatric hospitals received significantly more nursing rehabilitation services, rehabilitation services and extensive services than residents in nursing homes. Other hands, special care services were provided significantly more to residents in nursing homes than elderly in geriatric hospitals. 3. ADL and depression variables had higher CMI when the symptoms were heavier condition. The CMI were not matched with levels of cognitive function problems and behavioral problems. 4. The CMI matched well significantly with levels of nursing rehabilitation services, special care services, and clinically complex services provided for the patient in geriatric hospitals and only nursing rehabilitation services in nursing homes. The CMI for rehabilitation services level and extensive services had regular trends. From the result of this study, the resource utilization level and services provided for elderly in each long-term care facilities were figured out. For the further study, it needs to have more concern about RUG-ill which classification variables were just analyzed.

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The Injury and its Related Factors in the Elderly Using the Data of 2008 Community Health Survey (2008 지역사회 건강조사 자료를 이용한 노인의 손상 관련요인)

  • Kwon, Yu-Jin;Ryu, So-Yeon;Shin, Seung-Ok;Chun, In-Ae;Park, Moon-Sook;Shim, Jae-Soon
    • Journal of agricultural medicine and community health
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    • v.39 no.1
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    • pp.1-13
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    • 2014
  • Objective: The objectives were to estimate the rate of the injury in the elderly over the past year and to identify factors related to injury in the elderly in South Korea. Method: Using data from the 2008 Community Health Survey, 43,049 elderly persons, aged 65 years and older, were selected as study subjects. Their experience of injury during the past year and other variables, including socio-demographic factors, health-related factors, and diagnosed chronic diseases, were used. The chi-squared test and multiple logistic regression analysis with weighted analysis were conducted and statistical significance was set at p<0.05. Result: The rate of injury in the elderly during the past year was 5.1%. The most common types of the injury were falling/slipping down and traffic accidents. Factors related to injury in the elderly were living alone, current drinking, depression, poor self-rated health, stroke, and osteoporosis. Living alone (odds ratio 1.23, 95% CI: 1.05-1.45), current drinkers (OR 1.19, 95% CI: 1.05-1.35), poor self-rated health (OR 1.72, 95% CI: 1.43-2.08), depression (OR 1.23, 95% CI: 1.17-1.68), and history of stroke (OR 1.40, 95% CI: 1.17-1.68), and history of osteoporosis (OR 1.45, 95% CI: 1.26-1.66) were related to an increased risk of injury. Conclusions: Intervention programs that consider the risk factors related to injury should be developed and implemented to decrease and prevent injuries in the elderly.

Factors Affecting Successful Aging in Rural Elderly People (농촌 노인의 성공적 노화 영향요인 분석)

  • Ahn, Okhee;Cha, Hye Gyeong;Chang, Soo Jung;Kim, Hee Sun;Jang, Eun Hee
    • Journal of Digital Convergence
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    • v.11 no.11
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    • pp.499-508
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    • 2013
  • This study was done to examine the affecting factors of successful aging to provide basic information for developing intervention program for the rural elderly. Methods: A cross-sectional descriptive design was used. Data was collected through questionnaire from 208 people with age over 65 residing in an rural community. They were recruited by convenience sampling. Collected data were analyzed by independent t-test, one-way ANOVA, Pearson's correlation coefficients, and multiple regression through SPSS/WIN 21.0 program. Results: Explanatory factors affecting the rural elderly's successful aging were social support, depression, cognitive function, productive activity and Activities of daily living, respectively, and these five factors accounted for 42.1% of the variance in successful aging. Conclusion: The rural elderly's successful aging requires establishment of social support system such as health medical service supply and social activities by being connected with social communities, and for this, this study suggests that there be a necessity of developing customized nursing intervention program.

Socio-economic status is associated with the risk of inadequate energy intake among Korean elderly (노인의 에너지 섭취 부족과 관련된 사회환경요인 분석)

  • So, Eun Jin;Joung, Hyojee
    • Journal of Nutrition and Health
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    • v.48 no.4
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    • pp.371-379
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    • 2015
  • Purpose: This study was conducted to evaluate the factors influencing inadequate energy intake among Korean elderly. Methods: Our study included 1,869 elderly people (over 60 years old) who completed a dietary survey from the fifth Korean NHANES (2010). Factors that could affect the nutritional status of the elderly included age, family status, socio-economic factors (education, family income, livelihood security, employment), and health related factors (having chronic disease, functional status, diet therapy, depression, and suicidal thoughts). Energy and protein intake were assessed using the dietary intake data from 24hr recall method. Results: The percentage of people who consumed energy less than 75% of EEA for Koreans was 23.7% in men, 31.1% in women. The carbohydrate contribution to the total energy intake in the inadequate energy intake group was significantly higher than that in the adequate intake group (p < 0.05). Factors significantly related to inadequate energy intake after adjusting for age, family status, education, family income, employment, functional status, and suicidal thoughts were education (OR: 1.480 in men, 1.614 in women) and employment (OR: 1.751 in men, 1.464 in women), age 70 years or older in men (OR: 1.475), and living with family but without spouse in women (OR: 1.496). Conclusion: In summary, the results imply that energy intake of elderly would be affected by the status of social environment with aging and nutrition-related policy for Korean elderly should be based on the social status as well as health related conditions.

The Influence of Health Outcomes on Work Compensations for Elderly Workers (장년근로자의 건강수준이 근로보상에 미치는 효과분석)

  • Lee, Sunkuk;Jeo, Yongil
    • Journal of Labour Economics
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    • v.40 no.3
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    • pp.29-55
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    • 2017
  • We examine the effects of the self-reported subjective and the objective health indexes on work compensations. The compensations consist of monetary factors, such as wages, and non-monetary factors reflecting job risks such as the workplace accidence. The wages and workplace injuries are clearly affected by gender and age differences as the subjective and objective health factors of elderly workers are combined with physical and systematic work environments. Mental health problems such as work depression are more serious especially for high income elderly groups. The elderly workers experienced with physical problems and chronic illnesses are led to the decrease in wages and the increase in safety accident risks at work sharply. Therefore, we need to provide supporting services, retirement planning designed by companies, supported by the government enhanced risk working conditions and the weakness on protecting jobs.

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A Study on Hazard Assessment of Employees in New Buildings

  • Choi, Dal-Woong
    • Toxicological Research
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    • v.28 no.3
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    • pp.187-193
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    • 2012
  • In order to evaluate the physical and psychological health effects of air pollutants from new building materials, 100 employees who worked in new buildings were given a general health questionnaire, and the prevalence of their subjective complaints was measured. The collected data were classified according to age, gender, smoking status, profession, working time, sleep time, life style, and length of employment. The results obtained were summarized as follows: The THI lie scale scores were significantly higher among the older respondents. Compared to males, females showed a significantly higher level in the depression itemas well asa tendency toward high ratios of physical and psychological complaints. The smoking group showed higher scores regarding health complaints related to most physical and psychological items. Smokers showed significantly increased respiratory organ complaints compared to nonsmokers. Those with a profession showed significantly higher level of nervousness. The group of those working 7 to 10 hours group showed higher rates of complaints in the multiple subjective symptoms and mouth/anus items than the group working less than 2 hours. Those living an irregular life showed a tendency toward higher rates of complaints for most physical and psychological subjective factors. Those who were satisfied with their environments showed significantly lower scores in the mouth/anus, impulsiveness, mental irritability, depression, and nervousness items. In summary, this study shows that the health complaint scores regarding physical and psychological symptoms tended to be higher among the unsatisfied group, the irregular life group, the group who worked long hours, the elderly, smokers, and females. These results can be used to improve the psychosomatic health status and working environments of employees working in new buildings.

Exploration on Participation Status and Revitalization Plan of Elderly Leisure Activities (노인여가활동 참여현황 및 활성화 방안 탐색)

  • Lee, Sek-Hoon;Song, Kang-Young;Kim, Chae-Woon
    • The Journal of the Korea Contents Association
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    • v.8 no.3
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    • pp.234-243
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    • 2008
  • The aim of this study was to provide the way of activation plans of leisure activities for older people through the current status and problems in welfare center for the elderly in Korea. Various social phenomena and issues have been found to occur in rapidly social-structure changes and urban civilization. Especially, processing an aging society for no preparation is one of the broader question of our country. Developing the scientific and civilization lengthening our span of life is given more leisure time than past. Unfortunately, older people could not independently stand for in their leisure, if society does not support for them. It means that they might feel the enough time to monotone life, depression and a sense of alienation. The following ideas would be expressed to the way of activation plans of elderly leisure. First, the elderly leisure facilities for leisure and publicity activities should be supplemented or strengthened. Second simple entertainment-oriented programs in the physical and psychology learning to adapt for them should be obtained through leisure activities for older people. Third, more senior recreation specialists or therapists should be educated for leisure activities. Fourth, the concept of leisure in older people's idea should be changed through the education. Fifth, people who work in the welfare center for the elderly should develop the leisure programs or activities for older people. Last the new culture of leisure concept should be constructed in our society between the two and three generation for sharing and participating the leisure.

Comparative, Integrated Study on emotional support, physical support, Socio-economic Factors related with Suicidal Ideation of 75 or older Seniors: Using the 2017 National Survey of Elderly (후기노인의 정서적, 신체적, 사회경제적 요인과 자살생각과의 비교융합연구: 2017년도 노인실태조사 자료를 활용하여)

  • Kim, Young-Ran;Park, Chang-Soo;Nam, Ho-Jin
    • Journal of the Korea Convergence Society
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    • v.10 no.7
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    • pp.63-70
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    • 2019
  • This study examined the effect of emotional factors, physical factors and socioeconomic factors on suicidal ideation of 75 or older seniors and sought to identify what kinds of factors should be satisfied to prevent their suicide. Using "2017 National Survey of the Elderly", the study conducted survey among 75 or older 3,023 males and 1,295 females. It used multivariate logistic regression analysis to identify the factors affecting suicidal ideation. As a result, the study found that ties with their offspring, the number of chronic diseases, being abused or not, depression and living with or without espouse had significant effects on their suicidal ideation and abuse was the largest factor. Therefore, in order to reduce suicide rate of 75 or older seniors, more active attention should be rendered to their physical, socioeconomic and emotional health problems, and measures to reduce elderly abuse should be sought. In particular, institutional improvement and revitalization of elderly counseling institutions are needed to reduce elder abuse