• Title/Summary/Keyword: Depression in the elderly

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Nursing Research Trends Analysis Using 2011 East Asian Forum of Nursing Scholars (EAFONS) Abstract (2011 동아시아 간호포럼(EAFONS) 초록분석을 통한 아시아 간호연구의 동향 분석)

  • Choe, Myoung-Ae;Bang, Kyung-Sook;Kim, Nam-Cho;Kim, Shin-Jeong;Kim, Yong-Soon;Kim, Hwa-Soon;Ryu, Eun-Jung;Park, Young-Im;So, Hyang-Sook;Shin, Sung-Rae;Oh, Kyong-Ok;Lee, Kyung-Sook;Lee, Sun-Ock;Lee, Eun-Ja;Jeong, Jae-Sim;Cho, Mi-Kyoung
    • The Journal of Korean Academic Society of Nursing Education
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    • v.18 no.2
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    • pp.332-344
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    • 2012
  • Purpose: The purpose of this study was to identify the current status of Asian research and suggest a direction for the future development of nursing research in Asian countries Methods: To examine the current status of Asian nursing research, 539 abstracts presented at the 2011 East Asian Forum of Nursing Scholars in Seoul were analyzed according to the structured analysis format. Results: The results showed that most of the studies (77.6%) were quantitative design, but qualitative design was also conducted. Most of quantitative studies were quasi experimental designs and questionnaires are most frequently used for data collection. Only 8.5% of the studies used physiological measures. Key words were categorized into four nursing metaparadigms: clients, environment, health and nursing. The most frequently mentioned domain was health. Main themes of research were elderly, chronic disease, health promotion, and nurse/nursing management. Most frequently used key words were elderly, social support, depression, and stress. Conclusion: Major trends were similar in Asian countries, and mostly conducted with quantitative designs. Research topics were varied and major interests in nursing research topics were elderly, health promotion, and mental health in all countries. We need to develop nursing science based on closer communication and cooperation among Asian countries.

Factors Contributing to Marital Stability of Disabled Women (여성장애인의 결혼안정성 영향 요인 연구)

  • Yang, Jung-Bin
    • Journal of Convergence for Information Technology
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    • v.10 no.3
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    • pp.208-216
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    • 2020
  • This study investigates major contributing factors that determine the marital stability among the disabled women in South Korea. Data collected from 124 women with disabilities were analyzed for this purpose. Multiple regression analysis was used to explore the determinants of the marital instability among the participants. The multiple regression analysis revealed that age, welfare receipt, health condition, depression, marital intimacy, marital satisfaction, marital conflicts and drinking problems were statistically significant predictors to the extent of marital stability among the disabled women in the total model. Based on the study results, several implications such as development of programs to improve marital stability of women with disabilities were discussed.

Nutritional and health consequences are associated with food insecurity among Korean elderly: Based on the fifth (2010) Korea National Health and Nutrition Examination Survey (KNHANES V-1) (한국 노인에서 식품불안정 (food insecurity)이 건강상태 및 식이섭취상태에 미치는 영향 연구: 국민건강영양조사 제 5기 1차년도 (2010) 자료를 이용하여)

  • Lee, Seungjae;Lee, Kyung Won;Oh, Ji Eun;Cho, Mi Sook
    • Journal of Nutrition and Health
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    • v.48 no.6
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    • pp.519-529
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    • 2015
  • Purpose: The purpose of this study was to examine the prevalence of food insecurity in Korean elderly and to analyze the health status as well as food and nutrient intakes according to food insecurity status. Methods: A total of 939 elderly subjects (over 65 years old) were used in our analysis from the fifth 2010 Korean National Health and Nutrition Examination Survey (KNHANES V-1). The variables consisted of general characteristics, physical and mental health, nutrient intake, rate of deficient intake of energy and nutrients compared with Dietary Reference Intakes for Koreans (KDRIs) and food quality and diversity according to the status of food insecurity. Food insecurity status was measured using a self-reported food security questionnaire on the dietary situation in the previous year, and participants were classified according to three groups: food secure group, mildly food insecure group, and moderately/severely food insecure group. Results: The proportion of the food insecure group was approximately 67% and the food insecure group had lower income and educational status than the food secure group. Food insecurity was associated with worse physical and mental health status after adjusting potentially confounding variables. The results showed that food insecurity in Korean elderly significantly affected mental health (including stress cognition, depression experience, and suicide thoughts) which exceeded stages of physical health. In addition, food insecurity showed significant association with low nutrient intake and high rate of deficient intakes of energy and nutrients compared with KDRIs, and a reduction of dietary quality and diversity was indicated in the food insecure group. Conclusion: This study concludes that the prevalence of food insecurity may affect the physical and mental health as well as dietary intake of the elderly Korean population. Therefore, food insecurity should be considered as an important public health issue in Korea.

A Systematic Study of Computer-Based Driving Intervention Program for Elderly Drivers (노인 운전자에게 적용한 컴퓨터 기반 운전중재 프로그램에 관한 체계적 고찰)

  • Kim, Deok Ju
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.4
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    • pp.293-302
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    • 2019
  • This study systematically analyzed computer-based driving intervention programs for seniors, to provide the academic background for driving intervention for seniors. Articles published from January 2009 till December 2018 were researched and analyzed. 'PubMed, Google Scholar, and Science Direct' were used to search articles published overseas, and 'RISS, KERIS, and KISS' searched for articles published in Korea. Based on the inclusion and exclusion criteria, totally 359 papers were retrieved, and 10 articles were finally analyzed; 8 articles (80%) were evidence level I, and 2 articles (20%) were evidence level III. Amongst the computer-based interventions, driving simulators (70%) were the most common, followed by two video image training (20%) and one Nintendo Wii program (10%). In most studies, driving simulators trained the cognitive and visual abilities of seniors and enhanced their abilities to cope with risk situations under various simulated circumstances. Other interventions were also reported to have a positive effect. For evaluating elderly drivers, the driving performance evaluation using a driving simulator was the most common; in addition, evaluations of attention, space-time ability, cognitive function, risk perception, depression and anxiety were also commonly used. We believe that it is appropriate to employ computer-based driving intervention programs for seniors to train and evaluate various domains. We expect that these interventions can be used as an effective tool for safe driving.

Comparative Study on the Actual Conditions about Hypertension and Diabetes Case Management of the Elderly at the Hall for the Aged and the D Senior's College (D 노인대학과 경로당 노인들의 건강행태 및 고혈압당뇨병 관리실태 비교조사)

  • Yoon, Young-Suk;Kwon, Yang-Ok;Jung, Young-Hee
    • Journal of dental hygiene science
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    • v.10 no.1
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    • pp.17-24
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    • 2010
  • The purpose of this study was to provide the basic data for effective intervention of oral health behaviors strategy and to compare the actual conditions about hypertension and diabetes case management of the elderly at the hall for the aged and the D senior's college. The research method was a questionnaire including hypertension and diabetes case management of the elderly and the subjects were 174 of the elderly(65 age over) at the hall for the aged(100) and the senior's college(74). The results of this study were as follows; 1. Hypertension 1)The incidence of hypertension of elderly at the hall for the aged and the senior's college were 32.2%. 2)83.9% of the hypertension cases were initially diagnosed during hospital examination(p < 0.05). 3)Regular blood pressure checks were performed more than one time monthly on 76.8% of the cases(p < 0.05). 4)Blood pressure control was well controlled on 75%(p < 0.05). 5)85.7% of the elderly at the hall for the aged took hypertension drugs daily and 42.9% of the elderly at the senior's college took no drug alternatively(p < 0.05). 2. Diabetes 1)The incidence of the diabetes of elderly at the hall for the aged and the senior's college were 14.4%. 2)80.0% of the diabetes cases were initially diagnosed during hospital examination(p < 0.05). 3)64.0% of the cases did not have blood sugar measuring instrument(p < 0.05). 4. In the quality of life, the thinking of no difficulty in walking and no anxiety/depression was more presented on the elderly at the senior's college than those at the hall for the aged(p < 0.05). 5. The subjective health condition scores were higher on the elderly at the senior's college than those at the hall for the aged(p < 0.05).

Prediction of Sleep Disturbances in Korean Rural Elderly through Longitudinal Follow Up (추적 관찰을 통한 한국 농촌 노인의 수면 장애 예측)

  • Park, Kyung Mee;Kim, Woo Jung;Choi, Eun Chae;An, Suk Kyoon;Namkoong, Kee;Youm, Yoosik;Kim, Hyeon Chang;Lee, Eun
    • Sleep Medicine and Psychophysiology
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    • v.24 no.1
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    • pp.38-45
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    • 2017
  • Objectives: Sleep disturbance is a very rapidly growing disease with aging. The purpose of this study was to investigate the prevalence of sleep disturbances and its predictive factors in a three-year cohort study of people aged 60 years and over in Korea. Methods: In 2012 and 2014, we obtained data from a survey of the Korean Social Life, Health, and Aging Project. We asked participants if they had been diagnosed with stroke, myocardial infarction, angina pectoris, arthritis, pulmonary tuberculosis, asthma, cataract, glaucoma, hepatitis B, urinary incontinence, prostate hypertrophy, cancer, osteoporosis, hypertension, diabetes, hyperlipidemia, or metabolic syndrome. Cognitive function was assessed using the Mini-Mental State Examination for dementia screening in 2012, and depression was assessed using the Center for Epidemiologic Studies Depression Scale in 2012 and 2014. In 2015, a structured clinical interview for Axis I psychiatric disorders was administered to 235 people, and sleep disturbance was assessed using the Pittsburgh Sleep Quality Index. The perceived stress scale and the State-trait Anger Expression Inventory were also administered. Logistic regression analysis was used to predict sleep disturbance by gender, age, education, depression score, number of coexisting diseases in 2012 and 2014, current anger score, and perceived stress score. Results: Twenty-seven percent of the participants had sleep disturbances. Logistic regression analysis showed that the number of medical diseases three years ago, the depression score one year ago, and the current perceived stress significantly predicted sleep disturbances. Conclusion: Comorbid medical disease three years previous and depressive symptoms evaluated one year previous were predictive of current sleep disturbances. Further studies are needed to determine whether treatment of medical disease and depressive symptoms can improve sleep disturbances.

Mobile Platform to Prevent Depression in the Elderly Using Smart Home Garden (스마트 홈가든을 이용한 노인 우울증 예방 모바일 플랫폼 제안)

  • Lee, Ga Eun;Lee, Ha Gyeong;Cho, Nam hyun;Lee, Jae-Hun
    • Proceedings of the Korea Information Processing Society Conference
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    • 2022.11a
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    • pp.983-985
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    • 2022
  • 2022년 기준, 독거노인 가구 수 176만 가구 시대에 노인을 위한 케어 서비스가 필요하다. 고령화 사회에 맞춰, 노인 케어 서비스가 많이 출시되었으나 비대면 케어 서비스는 부족한 면이 있다. 비대면 케어 서비스의 경우, 특히 비싼 값에 판매된다는 단점과 로봇과 소통해야 한다는 단점이 있다. 이를 보완하여 저렴한 가격에 생명력을 지닌 식물을 이용해 소통을 증진시켜 우울감 해소를 돕는다면, 노인 비대면 케어 체계에 큰 도움을 줄 것이라고 확신한다. 이에 따라, 본 연구에서는 식물와 어플리케이션을 이용하여 저가격 보급화가 가능한 비대면 복지 시스템을 개발하고자 한다. 구체적으로, 화분이라는 대화 매개체를 통해 어르신들의 대화 증진을 유도하여 우울증 완화에 도움을 주고자 한다. 또한, 시스템을 통해 수집되는 일상 데이터를 활용해 이상징후를 파악하여 고독사 예방을 위한 후속 조치를 취할 수 있다. 본 논문에서는 위의 시스템을 통해 복지 사각지대를 해소하며, 어르신들의 정신 건강 증진에 기여할 수 있을거라 기대한다.

A Study on the Determinants among Types of the Korean Seniors' Physical Activity and Related Health (국내 노인들의 신체적 활동 유형별 참여와 건강 관련 요인 연구)

  • Chang, Ki-Yeon;Lee, Eun-Jin;Gang, Mi-Yeong
    • The Journal of Korean society of community based occupational therapy
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    • v.10 no.2
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    • pp.47-61
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    • 2020
  • Objective : This study aim to identify the relationships among the types of physical activities included related included related work, sports, leisure, transport and sedentary behaviors and mental health in elderly person. Methods : We analyzed using the data of the 7th Korea National Health and Nutrition Examination Survey(KNHANES VII-1) of 978 subjects who underwent the types of physical activities, quality of life, depression, level of stress, and sleeping hours survey. For statistical analysis, the Complex samples linear regression was used for relationships among the variables. Results : High level of physical activity and house-keeping activity associated negatively on health related quality of life. Mid-High level of leisure activities associated positively on health related quality of life. Contrasting from other studies, which show sedentary activities associated negatively on the health related quality of life, and sedentary activities associated positively on the health related quality of life and mental health. Conclusion : This study shows that physical and leisure activity of an elderly person whilst sedentary activities related positively on health related quality of life, and physical activities related to labor associated negatively on health related quality of life. Future studies should be referred when planning an occupation-focused and meaningful activity program for the elderly people.

The Association of Social Support with Health Status and Health Behavior among Rural Aged Population (일부 농촌 지역 노인의 사회적 지지와 건강수준 및 건강행태와의 관련성)

  • Jeon, Bo-Young;Lee, Hye-Jae;Shon, Chang-U;Kim, Nam-Kwon;Kim, Ae-Ryun;Park, Ji-Eun;Lee, Eun-Sang;Lee, Jeong-Wha;Choi, Ju-Hyun
    • Journal of agricultural medicine and community health
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    • v.34 no.1
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    • pp.13-23
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    • 2009
  • Objective: The objective of this study was to evaluate the association of social support with health status and health behavior. Methods: This study was conducted with 79 elderly people in Gunja-ri, Dongsan-myun, Chuncheon. We performed face to face interview which was composed of socio-demographic characteristics, social support, health status and health behavior. The association between social support and result variables was analysed by Chi-square test and logistic regression. We used SAS ver9.1 for statistic analysis. Results: Mean age of the study population was 72.0$\pm$7.0, social support score was 14.3$\pm$4.7 with full marks of 20 and 36.25% of the total population were shown to have depression. When the social support score was changed, depression (p=0.0007) and physical exercise (p=0.0312) showed significant difference. The self-rated health status was significantly related to the relationship with family members (OR=0.25, 95% CI=0.07-0.95) and the quality of sleep was also significantly associated to the relationship with family members (OR=0.21, 95% CI=0.06-0.73). The physical exercise was done significantly less in the group without close friends than in the group with many close friends (OR=0.21, 95% CI=0.05-0.94) and the depression was significantly more in the group without community participation than in the group with community participation (OR=4.79, 95% CI=1.62-14.15). Conclusions: Through this study, we could conclude that the social support factors are associated with health status and health behavior. Therefore, to improve the health status of rural elderly, we need to approach to develop social support.

Quantitative Electroencephalogram Markers for Predicting Cerebral Amyloid Pathology in Non-Demented Older Individuals With Depression: A Preliminary Study (비치매 노인 우울증 환자에서 대뇌 아밀로이드 병리 예측을 위한 정량화 뇌파 지표: 예비연구)

  • Park, Seon Young;Chae, Soohyun;Park, Jinsick;Lee, Dong Young;Park, Jee Eun
    • Sleep Medicine and Psychophysiology
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    • v.28 no.2
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    • pp.78-85
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    • 2021
  • Objectives: When elderly patients show depressive symptoms, discrimination between depressive disorder and prodromal phase of Alzheimer's disease is important. We tested whether a quantitative electroencephalogram (qEEG) marker was associated with cerebral amyloid-β (Aβ) deposition in older adults with depression. Methods: Non-demented older individuals (≥ 55years) diagnosed with depression were included in the analyses (n = 63; 76.2% female; mean age ± standard deviation 73.7 ± 6.87 years). The participants were divided into Aβ+ (n = 32) and Aβ- (n = 31) groups based on amyloid PET assessment. EEG was recorded during the 7min eye-closed (EC) phase and 3min eye-open (EO) phase, and all EEG data were analyzed using Fourier transform spectral analysis. We tested interaction effects among Aβ positivity, condition (EC vs. EO), laterality (left, midline, or right), and polarity (frontal, central, or posterior) for EEG alpha band power. Then, the EC-to-EO alpha reactivity index (ARI) was examined as a neurophysiological marker for predicting Aβ+ in depressed older adults. Results: The mean power spectral density of the alpha band in EO phase showed a significant difference between the Aβ+ and Aβ- groups (F = 6.258, p = 0.015). A significant 3-way interaction was observed among Aβ positivity, condition, and laterality on alpha-band power after adjusting for age, sex, educational years, global cognitive function, medication use, and white matter hyperintensities on MRI (F = 3.720, p = 0.030). However, post-hoc analyses showed no significant difference in ARI according to Aβ status in any regions of interest. Conclusion: Among older adults with depression, increased power in EO phase alpha band was associated with Aβ positivity. However, EC-to-EO ARI was not confirmed as a predictor for Aβ+ in depressed older individuals. Future studies with larger samples are needed to confirm our results.