• Perspectives in Nursing Science
• /
• 제3권1호
• /
• pp.73-89
• /
• 2006

Complementary and alternative medicine has gained popularity and respectability in recent years in the United States. Since aging is often associated with chronic health conditions that commonly lead to physical and psychosocial disabilities (e.g., depression, functional and/or cognitive disabilities, and decreased quality of life), older adults often seek options to maintain health and treat chronic conditions as an adjunct to conventional medical care. Herbal products, the most commonly used among various complementary and alternative medicines (CAM), should be used with caution due to potential herbal-drug interactions (related to polypharmacy) and herbal-disease interactions (related to comorbidities). Five of the most common chronic conditions in older adults are chronic pain, cardiovascular problems, hypertension, diabetes, and chronic lung problems. A high rate of falls or risk of falling is also a problem unique to this older population. For these conditions, only a few types of CAM (e.g., acupuncture, qi gong, tai chi) were tested, with promising results. However, in spite of evidence supporting the use of certain types of CAM to alleviate some common chronic conditions, findings are limited in terms of other types of CAM tested and both short and long-term effects. More rigorous clinical trials of various CAM types are thus warranted to advance scientific knowledge and establish evidence-based practices to care for the growing number of older adults who deserve to have a better quality of life.

• 노인정신의학
• /
• 제21권1호
• /
• pp.35-40
• /
• 2017

Objective : This study aimed to investigate the effect of community-based Goal-Achieving program in geriatric depressive symptoms preliminarily. Methods : We obtained data from elderly Korean subjects with major depressive disorder (n=51) aged 60 years or older at baseline, taking case management from community mental health center. Subjects were randomly assigned to intervention group (n=24) and control group (n=27). We investigated depressive symptoms through Short Form Geriatric Depression Scale-Korean version (SGDS-K) at baseline and every month for 3 months to all subjects. We tested interaction between group and time in SGDS-K score to evaluate the effect of program. And post hoc test examined between group differences of SGDS-K at each time points. Results : In quadratic linear mixed effects model analysis, interaction between group and time was statistically significant (Total SGDS-K score : coefficient=0.29, p<0.001 ; SGDS-K dysphoria subscale : 0.18, p<0.001 ; SGDS-K hopelessness subscale : 0.05, p=0.089 ; SGDS-K cognitive impairment subscale : 0.06, p=0.003). And significant between group difference was shown in post hoc test at time points of third month (SGDS-K score of control group : SGDS-K score of intervention group=$10.74{\pm}3.482$ : $7.25{\pm}4.475$, p=0.0184). Conclusion : These results may suggest that 'Community-based the Goal-Achieving program' has efficacy in reducing geriatric depressive symptoms.

• 재활치료과학
• /
• 제11권2호
• /
• pp.77-91
• /
• 2022

목적 : 본 연구는 작업기반 라이프스타일 중재 프로그램이 지역사회 노인에게 미치는 효과를 알아보고 적용가능성을 알아보기 위해 진행되었다. 연구방법 : 지역사회에 거주하고 있는 노인 9명을 대상으로 진행되었으며 단일집단 사전-사후 검사 설계를 사용하여 연구를 진행하였다. 참가자들은 해외 연구를 통해 효과가 확인된 라이프스타일 리디자인 프로그램(Lifestyle redesign program)을 기반으로 한 작업기반 라이프스타일 중재 프로그램을 그룹회기 12회, 개인회기 1회로 총 7주에 걸쳐 제공받았다. 효과를 알아보기 위해 작업균형, 시간사용, 활동참여 수준, 활동 수행도 및 만족도, 우울, 건강관련 삶의 질에 대한 평가를 프로그램 전, 후로 진행하고 평가 결과를 분석하였다. 또한 후기평가 시 프로그램에 대한 설문을 진행하여 참가자들이 생각하는 주관적인 프로그램의 타당성, 필요성, 효과성에 대해 알아보았다. 결과 : 초기평가와 후기평가를 통해 얻은 자료를 분석한 결과 전반적인 작업균형(p=.012)과 하위영역인 건강(p=.017), 관계(p=.012), 도전 및 흥미(p=.012), 자아정체성(p=.012)에 대한 작업균형 그리고 활동참여수준(p=.008), 활동 수행도(p=.012) 및 만족도(p=.008), 전반적인 건강관련 삶의 질(p=.034) 및 하위영역 중 신체적 건강(p=.041)이 향상되었으며, 여가(p=.008)와 휴식(p=.008)에 대한 시간사용에 변화가 있었고, 마지막으로 우울(p=.012)이 감소한 것을 확인할 수 있었다. 또한 프로그램에 대한 설문 결과 참가자들이 생각하는 프로그램에 대한 주관적 타당성, 필요성, 효과성 모두 적절한 수준을 나타내는 것을 확인하였다. 결론 : 작업기반 라이프스타일 중재프로그램은 지역사회 노인에게 충분히 받아들여질 수 있으며 건강에 긍정적인 영향을 미칠 수 있는 중재법으로 사료된다.

• Journal of Korean Biological Nursing Science
• /
• 제15권4호
• /
• pp.219-229
• /
• 2013

Purpose: The purpose of this study was to identify the prevalence of osteoarthritis and its risk factors among a community dwelling population age 60-74 and 75 and over (young-old vs. old-old) in Korea. Methods: A total of 1,389 of age 60-74 and 397 of age 75 and over from the 2010 Korean National Health and Nutrition Examination Survey (KNHANES) were selected. The data analysis was performed using the complex sampling function of SPSS version 19.0. Results: The prevalence of osteoarthritis was greater for old-old people (35.50%) compared to young-old people (18.20%). Univariate logistic regression analysis shows that the difference of risk factors for osteoarthritis between young-old and old-old elderly people. The prevalence of osteoarthritis in young-old people was associated with lower education levels; performance of moderate intensity physical activity; higher waist circumference, whereas old-old people was most affected in females; depression and experience. Conclusion: The finding of differences in the prevalence of osteoarthritis and its' risk factors between young-old and old-old people is expected to promote the screening strategy for the aged at risk of osteoarthritis in the Korean community.

• Journal of Korean Biological Nursing Science
• /
• 제20권2호
• /
• pp.122-131
• /
• 2018

Purpose: This study was conducted to ascertain the effectiveness of forest healing therapy by analyzing researches on forest healing therapy applied to Korean adults and to confirm that forest healing therapy can be used as a therapeutic intervention program for elderly nursing or rehabilitation nursing. Methods: We searched 972 research papers on forest therapy applied to Korean adults. We reviewed appropriate 25 research papers with experimental design among them in the final analysis. Results: Forest healing therapy had physiological and psychosocial effects. First of all, it showed physiological effects to reduce stress index such as heart rate variation. Forest therapy also improved melatonin level in blood of middle-aged women with menopause and increased alpha wave in electroencephalogram and decreased lipid level and superoxide dismutase in blood. Second, forest healing therapy showed psychosocial effects to reduce depression and to improve mental health. But the effects appeared differently depending on the implementing type, period of forest healing therapy, and the professionalism of therapists. Therefore, if forest healing therapy would be applied to nursing, it should be based on its key principle, in other words, its principle of action-interaction-response of forest healing therapy. Conclusion: The results of this study could be used to develop a forest healing program as an intervention of nursing.

• 대한지역사회작업치료학회지
• /
• 제7권1호
• /
• pp.37-47
• /
• 2017

목적 : 본 연구는 치료를 받고 있는 뇌졸중 환자 중 후유증의 유무에 따라 건강관련 삶의질(HRQOL)에 영향을 주는 건강상태의 중요도가 어떻게 달라지는지를 조사하여, 건강 관련 삶의 질 향상 방안을 위한 기초자료로 활용하는데 있다. 연구방법 : 뇌졸중 환자의 후유증 유무에 따라 HRQOL에 영향을 미치는 요인들의 중요도를 분석하기 위하여 국민건강영양조사 제5기의 자료를 활용하여 65세 이상 치료를 받고 있는 뇌졸중 환자 91명을 대상으로 2차 분석을 실시하였다. 결과 : 첫째, 후유증이 있는 뇌졸중 환자의 경우 없는 그룹보다 HRQOL과 주관적 건강상태가 유의하게 낮았으며(p<0.05), 자살 생각이 있을 위험도는 3.64였다. 둘째, 전체 그룹의 경우 주관적(${\beta}=0.39$), 정신적(${\beta}=0.29$), 의학적(${\beta}=0.23$) 건강상태가, 후유증이 있는 그룹의 경우 정신적(${\beta}=0.45$), 주관적(${\beta}=0.36$) 건강상태가, 후유증이 없는 경우 의학적(${\beta}=0.45$), 기능적(${\beta}=0.32$), 정신적(${\beta}=0.25$) 건강상태 순으로 HRQOL에 크게 영향을 주는 요인으로 추출되었다(p<0.05). 결론 : 종합하면 재활치료에 있어 뇌졸중 환자의 HRQOL 향상을 위해서는 후유증이 중증일 경우는 정신적 건강상태에 영향을 미치는 우울과 자살에 대한 조기 발견 및 조기 중재가 중요하며, 후유증이 경증이거나 없는 경우에는 기능적 회복에 초점을 맞추어 진행해야 하고, 후유증 유무와 상관없이 자신의 현 상태를 긍정적으로 받아들일 수 있도록 지속적인 지지를 해준다면 뇌졸중 환자의 기능적 회복과 더불어 HRQOL을 더욱 향상시켜 최종적으로 뇌졸중 환자의 독립적 자립에 긍정적인 영향을 줄 수 있을 것으로 사료된다.

• 보건행정학회지
• /
• 제28권2호
• /
• pp.162-167
• /
• 2018

Background: In this research, we conducted an analysis to grasp the relationship between hearing and quality of life and to prepare effective troubleshooting. Methods: In this study, we analyzed using the data of the 6th term of the National Health and Nutrition Survey of the Disease Management Headquarters. And, out of 7,380 people, 3,598 adults over the age of 40 years who participated in the hearing test were selected as final research subjects and analyzed. Results: It was confirmed that the result of the analysis affects the quality of life based on hearing. The quality of life associated with hearing loss was unpleasant, motor ability, anxiety/depression, and everyday life affected in order of self management. And factors having an effect on the quality of life of the study subjects were found to be gender, elderly, unmarried, low hearing, low household income, absence of economic activity, and low teaching standards. Conclusion: The conclusion is that strengthening education for realistic management and prevention rather than treatment for unconditional hearing impairment will overcome low self esteem and loneliness and alleviate any uncomfortable life that people with hearing loss give. It is expected to be possible.

• 보건의료산업학회지
• /
• 제9권3호
• /
• pp.187-199
• /
• 2015

Objectives : This study was conducted to examine social factors associated with problematic drinking among middle- and older-aged men in South Korea. Methods : The data were collected from the baseline survey of the Korean Longitudinal Study of Aging, and the sample consisted of 3,631 men between 45 and 64 years of age and 1,173 men aged 65 or older. This study employed variables identifying various socioeconomic features, social ties, and health-related factors. Logistic regressions were used for the data analysis. Results : Middle-aged men having frequent social relationship with close persons were significantly more likely to be problematic drinkers than those having less frequent social relationships with close persons. Lower education, unemployment, smoking, and depression were associated with problematic drinking only among middle-aged men. Conclusions : We suggest that health professionals develop specific intervention strategies that could lead to more moderate alcohol habits and better health in middle aged Korean men who are actively engaged in social networks. In addition, health professionals need to focus more on the unemployed, lower educated, depressed, and smoking groups for early detection of problematic drinking among middle-aged Korean men.

• 사회복지연구
• /
• 제45권3호
• /
• pp.71-95
• /
• 2014

본 연구는 노인가구의 가구소득 유형 및 가구 소득원들이 노인의 우울 및 자아존중감에 미치는 영향을 분석함에 주목한 연구로, 이를 통해 노인 정신건강 및 삶의 질 향상에는 가구소득 수준의 제고 뿐 아니라 가구소득 유형 및 소득원 구성에 대해서도 정책적 주목이 요청됨을 제기하고자 하였다. 본 연구의 연구문제 분석에는 소득원별 가구소득 및 개별 가구원의 정신건강에 대한 정보가 체계적으로 수집되어 있는 한국복지패널조사 8차년도 자료를 활용하였으며, 주요 분석결과들은 다음과 같았다. 첫째, 노인가구의 가구소득 유형에 대한 군집분석결과에서는 근로/사업/재산소득 의존형 35.7%, 사적이전소득 의존형 41.9%, 사회보험/수당소득 의존형 13.5%, 공공부조소득 의존형 8.8%로 나타나, 노인가구의 소득구성은 동질적이지 않고 내적 편차가 두드러짐을 확인할 수 있었으며, 이와 같은 가구소득 유형의 차이에는 노인들의 개인 및 가구 특성이 주요하게 관련되어 있는 것으로 나타났다. 둘째, 차이 검증 및 상관관계 분석 등의 이원변량 분석결과에서는 노인 우울 및 자아존중감이 가구소득 유형 및 소득원들과 유의미한 관련성을 지닌 것으로 분석되었고, 회귀분석모델을 적용하여 가구소득 유형 및 주요 소득원들의 실제적 영향을 분석한 결과에서는 특정 가구소득 유형(공공부조소득 의존형, 사적이전소득 의존형) 및 특정 소득원들(공공부조소득, 사적이전소득)이 노인의 정신건강에 유의미한 영향을 미치고 있음을 확인할 수 있었다. 본 연구결과는 가구소득 유형 및 소득원들이 노인들에게서 중요한 심리사회적 의미를 지님을 보여주는 것으로, 이는 노후 삶의 질 제고 측면에서 노후소득보장체계 개선 시 적극 고려되어야 할 바임을 시사한다.

• 대한간호학회지
• /
• 제35권7호
• /
• pp.1420-1425
• /
• 2005

Purpose: We try to disclose how much the keywords of the papers from the Journal of the Korean Academy of Nursing coincide with MeSH terminologies and to understand the major subjects of the recent nursing research in Korea from keywords. Methods: Keywords of journals were extracted and compared with MeSH terms. The frequency of the appearance of each keyword was sorted by a descending order. Results: Coincidence rate of 1,235 keywords with MeSH terms was $51.6\%$. Out of them, depression, elderly, stress, self efficacy, quality of life, exercise, middle-aged women, and women appeared most frequently in descending order. Conclusion: Coincidence rate of the keywords with MeSH terms was at an acceptable level, however to improve it, the education of submitters and editorial board members are required, as well as the copy editor, to take a role in checking keywords. To infer the subjects of the research from keywords might well represent the recent topics of research work.