• Journal of Korean Biological Nursing Science
• /
• v.7 no.2
• /
• pp.17-30
• /
• 2005

The purpose of this study was to investigate the effects of aroma therapy and foot reflex massage on stress, depression, and sleep pattern of institutionalized elderly. The design of this study was non-equivalent control group pre-posttest design. The data were collected from February 24 to April 9 of 2005. Fifty-one elderly were divided into two groups, 26 institutionalized elderly for the experimental group and 25 institutionalized elderly for the control group. The experimental group underwent aromatherapy and foot reflex massage two days per week(40 minutes per session} over five weeks period. Stress(subjective stress and serum cortisol level), depression, and sleep pattern were assessed in both groups before and after intervention. Five weeks after intervention were spended, the experimental group was again assessed. Five weeks without intervention were spended, the control group was again assessed. The data were analyzed by the statistical program SPSS WIN 12. The results of this study were as follows; $\cdot$ Stress of the experimental group with the intervention was significantly lower than that of the control group. $\cdot$ Depression of the experimental group was significantly lower than that of the control group. $\cdot$ Sleep pattern of the experimental group was significantly higher than that of the control group. In conclusion, the aroma therapy and foot reflex massage program had positive effect on Institutionalized elderly's on stress(subjective stress and serum cortisol level), depression, and sleep pattern.

• Nutrition Research and Practice
• /
• v.1 no.4
• /
• pp.328-334
• /
• 2007

The purpose of this study was to examine the relationship between nutrient intake and bone mineral density (BMD) of elderly women in Daegu, Korea. In this study, the bone mineral densities of 101 elderly women in Daegu were measured, and their nutrient intake, dietary habits, and maternal factors were determined through a survey. The subjects were divided into the normal group, the osteopenia group, and osteoporosis group to find out if there is a correlation between bone mineral density and maternal factors, dietary habits, and nutrient intake through their T-scores, analyzed according to the standards of WHO. Classification by T-scores of the participants were the normal group 25.7%, the osteopenia group 39.6%, the osteoporosis group 34.7%. Menopause age of the osteoporosis group was lower, postmenopausal period was longer, and last delivery age was significantly higher than the normal group (p<0.05). Osteoporosis group had a lower percentage of 'everyday' fruit and vegetable intakes and higher percentage of 'never' dairy intake than of the normal group. Vitamin A, vitamin $B_1$, and vitamin $B_2$ intakes of participants in the osteoporosis group were lower than those in the normal group (p<0.05). In conclusion, nutritional education is necessary to encourage high intake of milk and vegetables and fruits along with calcium, vitamin A, $B_1$, and $B_1$ intakes and low intake of sodium for the prevention of elderly women's osteoporosis.

• Journal of Family Relations
• /
• v.21 no.3
• /
• pp.49-72
• /
• 2016

Objectives: The purpose of this study is to develop a cognitive behavioral therapy program for ego-integrity of depressed elderly women living alone, and to verify its effectiveness. Method: The subjects of this study were composed of elderly women(age 65 and older) living alone who had basic literacy skills, 24 or higher in mental state examination(MMSE-K), and 6 or higher in elderly depression(GDS). 29 women were randomly assigned into an experimental group(cognitive behavioral therapy), a comparison group(reminiscence therapy) and a control group. The experimental group and the comparison group retrospectively participated in a 90-minute therapy session twice a week for a total of 12 weeks. The effectiveness of the program was assessed through a pretest, posttest, and 2-month follow-up test. The data collected were analyzed with SPSS 22.0 statistical program. Results: The main findings of this study are as follows. First, at posttest ego-integrity and self-esteem marked higher scores in both of the experimental group and the comparison group than in the control group, but the experimental group marked comparatively higher scores than the comparison group. For dysfunctional attitude, only the experimental group showed lower scores compared to the comparison group and the control group. Second, at posttest depression marked lower scores in the experimental group compared to the comparison group and the control group. Third, at posttest problem-solving and support-seeking coping strategies marked higher scores in the experimental group compared to the comparison group and the control group. Fourth, the significant improvements remained at 2-month follow-up test. Conclusions: Cognitive behavioral therapy resulted in improvements of the ego-integrity and related symptoms of depressed elderly women living alone at posttest and 2-month follow-up test respectively.

• Journal of Gastric Cancer
• /
• v.14 no.3
• /
• pp.173-179
• /
• 2014

Purpose: The prevalence of gastric cancer in the elderly is increasing. The purpose of this study was to clarify factors related to morbidity following gastric cancer surgery in elderly patients. Materials and Methods: For this study, data from 411 patients who underwent curative gastrectomies with lymph node dissections between March 2010 and January 2013 were retrospectively studied using a prospectively designed database. Patients were divided into 2 groups (<70 years vs. ${\geq}70$ years). For each group, perioperative factors were analyzed to determine if they were associated with postoperative morbidity and mortality. Results: Comorbidities were more prevalent in the elderly group (${\geq}70$ years). Intraoperative and postoperative transfusions were also more frequently required in the elderly group. There was no significant difference in the number of retrieved lymph nodes between the 2 groups (44.3 vs. 46.6 nodes). In a comparison of the elderly versus non-elderly groups, the postoperative morbidity rates were 22.7% versus 8.9% (P<0.001) and the postoperative mortality rates were 4.2% versus 0% (P=0.002), respectively. Of the possible non-surgical complications, pulmonary problems were predominately found in the elderly group (P<0.001). Surgical complications were evenly distributed between the 2 groups (P=0.463). Postoperative morbidity was significantly associated with older age and postoperative transfusion. Multivariate analysis showed that higher body mass index (BMI) and postoperative transfusion were important factors associated with postoperative complications in the elderly group. Conclusions: Pulmonary complications were frequently problematic in elderly patients. Higher BMI and postoperative transfusion were significant risk factors for postoperative complications in elderly patients with gastric cancer.

• Korean Journal of Clinical Pharmacy
• /
• v.22 no.1
• /
• pp.30-40
• /
• 2012

In Korea, elderly population aged 65 and older are about 5.0% and 10.7% in 1990 and 2009, respectively. Since elderly people may experience physiologic changes with aging and their pharmacodynamic and pharmcokinetic parameters also have been undergone changes, several adverse drug reactions can occur more frequently than young people. Especially, neuropsychiatric adverse drug reactions such as delirium and drowsiness endanger elderly patients more. The purpose of this study is to evaluate the outpatient prescriptions using drug causing delirium and drowsiness in elderly patients aged 65 and older. We retrospectively reviewed prescriptions for elderly patients collected from four community pharmacies from January 2nd to February 1st, 2010. One pharmacy was located closed to a general hospital, and others were located closed to a internal medicine or an ENT clinic. The each number of the collected prescriptions was followings; Group A (n=496) from internal medicine department of a general hospital; Group B (n=44) from ENT department of general hospital; Group C (n=144) from internal medicine clinic; Group D (n=110) from ENT clinic. In result, in Group A, the average number of prescribed drugs causing delirium or drowsiness per Rx was 2.38 In Group B, the average number of prescribed drugs causing delirium or drowsiness per Rx was 2.09 In Group C, the average number of prescribed drugs causing delirium or drowsiness per Rx was 2.51. In Group D, the average number of prescribed drugs causing delirium or drowsiness per Rx was 2.72. Especially, in Group D, the percentage of prescription that drugs causing delirium or drowsiness per Rx prescribed more than 3 is 52.73% In all the 4 groups, over the 60% of drugs causing delirium and/or drowsiness per prescription of elderly patients were prescribed. It means elderly patients take 2 drugs causing delirium and/or drowsiness among 3 drugs, which is very serious. Frequently prescribed drugs causing delirium and/or drowsiness were followings; GI agents, antitussives & expectorants, histamine H1 antagonist, analgesics, antibiotics. Among these drugs, GI agents was high raking in all the 4 groups, and pharmacists should caution elderly patients when counseling. In the internal medicine groups (Group A,C), drugs concerning chronic diseases were prescribed frequently. In conclusion, pharmacist's role is important. Pharmacists are well informed of the drugs causing delirium or drowsiness and it is important to explain about ADRs slowly and easily to the elderly patients that receive drugs causing delirium or drowsiness. And institutional device is needed. For example, when doctors prescribe drugs for the elderly patients, message is needed that supply some informations about drugs causing delirium or drowsiness.

• Journal of the Korean Society of Costume
• /
• v.26
• /
• pp.49-67
• /
• 1995

The purpose of this study was to investigate the relationships between demographic and psychological variables and clothing behavior with reference to sex difference in adult and elderly groups. The clothing behavior was measured by Clothing importance, Interest, Conformity, Modesty, Psychological dependence, Aesthetics, Management, Fashion, and Clothing satis-faction. Psychological variables in this study were self-esteem and life-satisfaction, and demographic variables were sex, education, family type, health, and clothing expenditure. The hypotheses set up in this study were as follows : First, a causal relationship will exist between demographic and psychological variables and clothing behavior in both adult and elderly groups. Second, in clothing behavior a main effect will exist between male and female groups and between adult and elderly groups. Third, in clothing behavior and interaction effect will exist between sex and age. The subjects of this study were 496 adult males, 459 elderly males, and 446 elderly females residing in Pusan area. The material used in this study to measure the clothing behavior was a 5-point rating scale with 31 items in 9 sub-areas developed by the author. The data were collected by five investigatiors well trained in interview before-hand. The following conclusions were obtained from the relults and discussions of this study : First, sex, education, and clothing expendi-ture has a causal relationship with clothing behavior in adult group. Females, higher-educated group, and the group with more clothing expenditure reveal higher concern for clothing. In adult group life-satisfaction does not have any causal relationship with clothing behavior in general execpt for clothing satis-to Psychological dependence, Aesthetics, Management, and Clothing satisfaction in the group. Second, in elderly group sex, education, and health significantly contribute to clothing behavior. A cencern for clothing is higher in female, higher-educated group, and the group with higher perception in health. Self-esteem has a causal relationship with Clothing importance, Conformity, Management, and Clothing satisfaction, whereas life-satisfaction has a strong causal relationship with clothing behavior in general. Third, in both adult and elderly groups a sig-nificant sex diference exists in clothing behavior. Females show higher concern for Clothing importance, Interest, Psychological dependence, Aesthetics, Management, and Fashion than males. On the other hand, males reveal higher concern for Conformity and Clothing satisfaction than females. Fourth, a significant interaction effect exists between age and sex, while elderly females show lower concern for Clothing importance, Interest, and Psychological dependence than adult females, elderly males show higher concern for the same sub-areas of clothing behavior than adult males. This signifies the increase of the concern for clothing in elderly males with the decrease of social activities. Fifth, adult female group reveals lower Con-formity in clothing compared with the other groups, which signifies the higher individuality in clothing behavior. On the other hand, the elderly groups show significantly higher Conformity than the adult groups. this signifies the importance of the consideration for the variables other than individuality in clothing behavior for the group.

• Journal of Korean Academy of Nursing
• /
• v.31 no.5
• /
• pp.818-834
• /
• 2001

This study aims at confirming exercise effects on obesity, mobility, self-efficacy, process of change, and decisional component by stage based exercise motivational intervention program for the elderly. The stage based exercise intervention program was constructed based on Transtheoretical Model. Methods: The design of this study is nonequivalent control group with repeated measuring by quasi-experimental study. The subjects of this study, composing of experimental group of 32 and control group of 28 were selected at one institution for the aged in Seoul. Results: 1) The body fat (weight, BMI and circumference of waist), of the intervention group was significantly decreased than the control group. 2) The mobility of the intervention group was not significantly increased than control group. 3) The self-efficacy, Pros, Process of Change for exercise of the intervention group was not significantly increased than the control group. 4) The Cons for exercise of intervention group was not significantly decreased than the control group. Conclusion: The above result have informed us that a stage-based exercise motivational intervention program for the elderly has the effect of decreasing old persons' body fat and has value as an effective means of nursing for the elderly.

• Korean Journal of Applied Biomechanics
• /
• v.21 no.3
• /
• pp.281-288
• /
• 2011

The purpose of this study was to analyze the difference in reaction patterns during the support phase after perturbation in gait according to different age. A total of 12 subjects participated; 5 elderly and 7 adults(control), to investigate the differences between normal and perturbed gait. The step length didn't change during normal and perturbed gait but was longer in the control group. There was no difference in the step width. When the right foot was perturbed, the control group's left foot speed was faster than the elderly group's which was to maintain stability. The elderly flexed both right and left knees more than the control group. After the perturbation, the elderly group had a larger trunk anterior flexion. With the larger flexion of both legs of the elderly group it shows that the lack of knee flexion strength is a factor, that could cause falling and so a prevention program should focus on strengthening the quadriceps. With the excessive trunk flexion after the perturbation by the elderly group observed, it is suggested that while walking everyday a good routine of walking with an upright posture should be developed.

• The Journal of Korean Physical Therapy
• /
• v.21 no.3
• /
• pp.81-86
• /
• 2009

Purpose: This study compared the characteristics of the brake response time during the driving task between elderly and younger drivers. Methods: The participants consisted of an elderly group (n=12) and a younger group (n=12). The brake response time (BRT), which consisted of the reaction time (RT) and movement time (MT), was assessed in an actual driving car. The BRT was measured at the initiation and termination of the brake response for the driving task Results: The elderly group showed a significantly longer delay in the initiation and termination of the brake response than the younger group. The BRT correlated significantly with both the RT and MT. However, the RT showed a more significant correlation. Conclusion: A delay in the initiation and termination of the brake response may have clinical implications. A further study will be needed to determine the different factors contributing to the driving performance of elderly drivers.

• Transactions of the Korean Society of Automotive Engineers
• /
• v.18 no.2
• /
• pp.104-113
• /
• 2010

Domestic insurance claims were statistically investigated to analyze the elderly driver's accident patterns and injury types in side impact crashes. Medical treatment records and accident vehicle damage photos have been surveyed for 5,419 cases. The results of our statistical analysis showed that the thorax injury risk of the elderly drive group is 8.8 and 4.0 times higher than that of the young and middle age group respectively. Diagnosis showed that most thorax injuries were caused by rib fracture. The head injury risk of the elderly female driver group seemed to be higher than that of the younger female driver group, however, statistical test has not been conducted because of the lack of number of samples for elderly female accident.