• Title/Summary/Keyword: Elderly mental health

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Evaluation of the qualite of life related to oral health among elderly people in some elderly care facilities by OHIP-14 (OHIP-14를 이용한 일부 요양기관 노인들의 구강건강관련 삶의 질)

  • Jang, Sun-Hee;Choi, Mi-Hye
    • Journal of Korean society of Dental Hygiene
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    • v.11 no.4
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    • pp.475-487
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    • 2011
  • Objectives : The growing elderly population and social changes have fueled a rapid increase in demand for elderly care facilities, but health care services for the elderly, especially oral health services, have long been overlooked. The purpose of this study was to examine the oral health care of elderly residents in elderly care facilities in an effort to provide some information on the elderly's oral health care and the development of dental care programs geared toward institutionalized elderly people. Methods : The subjects in this study were 230 elderly people who were in elderly care facilities in Jeolla Province. An individual interview was held, and they got a dental checkup. As for data analysis, t-test and ANOVA were utilized, and Scheffe post-hoc test was employed. Results : 1. In relation to the subfactors of the quality of life related to oral health, the elderly people investigated got a mean of 4.58, 4.47, 4.38, 4.09, 3.94, 3.91 and 3.76 respectively in activity disorder, mental disorder, social disorder, mental inconvenience, functional disorder, physical pain and physical disorder. 2. Concerning the overall quality of life related to oral health, there were statistically significant gaps in this aspect according to gender, age, presence or absence of systemic disorder, presence or absence of eating difficulties, subjective health status, subjective oral health state and oral health concern. 3. The presence or absence of root caries had a significant relationship to physical pain and social disorder among the subfactors of the OHIP-14, but that had nothing to do with functional disorder, mental inconvenience, physical disorder, mental disorder and activity disorder. Conclusions : The oral health indexes of the institutionalized elderly people in Jeolla Province were measured, and what factors affected the subfactors of oral health was checked. As a result, there appeared a close relation ship between oral health and the quality of life. Therefore effective oral health plans that cater to the elderly should be carried out to improve elderly people's quality of life related to oral health who stay in long-term elderly care facilities. In the future, prolonged research should be implemented from diverse angles for the sake of institutionalized elderly people.

A Study of Factors Affecting on the Preference of the elderly's Mental Health Services Utilization in Rural Areas - Application of Andersen and Newman's Model - (Andersen과 Newman 모델에 근거한 농어촌 지역 노인의 정신건강서비스 이용의향에 관한 연구)

  • Lee, Ki-Young;Choi, Song-Sik;Park, Hyun-Suk;Lim, Hyun-Jung
    • Korean Journal of Social Welfare
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    • v.62 no.2
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    • pp.257-278
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    • 2010
  • This study examined the factors affecting the preference for the elderly's mental health services utilization in rural areas. A behavior model developed by Andersen and Newman provided an analytical framework to determine the factors affecting service utilization preferences among 335 elderly people as research subjects. The authors found that the preferences for mental health service utilization were significantly related to the level of education, living alone, presence of grandchildren, participation in social activities, and recognition about the services. Based on the findings, this study suggests that more mental health services for the elderly in rural areas be further developed and strengthened. Also, the elderly who lives alone and lives with grandchildren should have a priority in policy consideration. Multiple approaches are suggested to increase the awareness of mental health services and participation social activities for those older people.

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Effects of Oral Health Behavior and Status of Elderly People in Korea on Mental Health and Quality of Life (한국노인의 구강건강행위 및 상태가 정신건강과 삶의 질에 미치는 영향)

  • Park, Hyun-Min
    • The Korean Journal of Health Service Management
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    • v.8 no.4
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    • pp.175-185
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    • 2014
  • This study conducted a secondary analysis using original data of performed by Korea Institute for Health and Social Affairs to determine factors affecting oral health-related quality of life and mental health in the elderly. The research subjects were 1,217 people who were over 65 years old and completed an oral examination and oral questionnaire survey. The results were as follows. First, mental health problems arise in people with an oral health status designated as 'bad' or when they feel 'very uncomfortable' chewing or speaking. Second, the quality of life decreases as problems with chewing and speaking increase. The results reveal that to reduce problems of mental health(stress, depression, suicide) and to enhance the quality of life, there is a need to develope diverse programs for preventive treatment and oral health education. What is the most important is consistent policy support.

A Study on the Hierarchical Space Organization of Elderly Care Facilities (노인 요양시설의 위계적 공간구성에 관한 연구)

  • Kwon, Soon-Jung
    • Korean Institute of Interior Design Journal
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    • no.34
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    • pp.96-105
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    • 2002
  • Elderly care services are health, mental health, social health, and residential services provided to temporarily or chronically disabled older persons over an extended period of time with a goal of enabling them to function as independently as possible. And elderly care facilities such as nursing homes are places in which elderly care services have to be delivered effectively. It is, therefore, desirable to compose the space of elderly care facilities to meet the mental and physical abilities of frail elder people. This study has proposed the hierarchical space organization of elderly care facilities with an aim to fulfill the goals of them. Frail older people in hierarchically designed homes are anticipated to use the inner and outer spaces of care facilities as independently as possible in accordance with their physical and mental abilities.

Effects of Working Environment and Socioeconomic Status on Health Status in Elderly Workers: A Comparison with Non-Elderly Workers (고령근로자의 작업환경, 사회경제적 상태가 건강수준에 미치는 영향: 비고령 근로자와의 비교를 중심으로)

  • Lee, Bokim
    • Research in Community and Public Health Nursing
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    • v.28 no.4
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    • pp.472-481
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    • 2017
  • Purpose: The purpose of this study were to compare working condition, socioeconomic status, and health status between elderly and non-elderly workers and to examine the influencing factors of health status according to age groups. Methods: This study is a secondary analysis of data extracted from the 2014 Korean Working Conditions Survey. For the present analysis, 15,980 elderly workers over the age of 55 and 32,037 non-elderly workers under the age of 55 were selected. Results: The prevalence of subjective unhealthy status and poor mental health were significantly higher among the elderly workers than the non-elderly workers. The elderly workers were more likely to have lower level of education and income than the non-elderly workers. They also reported less support from colleagues and managers, however, have more decision authority. Among the elderly workers, long working hours, awkward posture, physical environmental risks, quantitative demand, decision authority, social support, age discrimination, education level, and income level were significant predictors of subjective health status or mental health. Conclusion: For keeping elderly workers healthy and productive, work environment needs to become more age-friendly. An age-friendly workplace may include: accommodative support, workers' participation, minimization of environment risk, etc.

The effects of mental health status and subjective oral health status on periodontal disease for the elderly (노인의 정신건강과 주관적 구강건강상태가 치주질환에 미치는 영향)

  • Kim, Ye-Hwang;Lee, Jung-Hwa
    • Journal of Korean society of Dental Hygiene
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    • v.19 no.4
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    • pp.555-564
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    • 2019
  • Objectives: The purpose of this study was to investigate how mental health status affects oral health in the elderly. Methods: The subjects of the study provided the data for the sixth Korea National Health and Nutrition Examination Survey from 2013 to 2015. Four-hundred and twenty-one subjects were selected for the study. All data were analyzed by complex sampling frequency, chi-square test, and composite multiple regression analysis using SPSS 21.0 version. In addition, a significance level of 0.05 was considered. Results: The general factors affecting cases of periodontal disease were general characteristics, mental health status, oral health status, elderly males, household income, education level, daily brushing frequency, speaking, and stress. The effect of periodontal disease was 1.64 times higher in the male group than in the female group (p<0.001). In the household income level, the 'low' group had 1.91 times more periodontal disease, while the 'mid low' group had 1.64 times more periodontal disease than the 'high' group (p<0.05). Periodontal disease was found to be lower in the group that recognized subjective oral health status as 'good' (p<0.05). The study subjects had low levels of periodontal disease when there was no speaking difficulty (p<0.05). Conclusions: Therefore, in order to improve oral health of the elderly, it is necessary to understand the mental health condition of the elderly and prepare proper oral health education programs accordingly. Institutional devices for various oral health projects should be prepared, as well.

Factors Effected on Program Needs of the Elderly People with Mental Illness -Focused on the Nursing Home in Busan- (노인정신장애인의 프로그램 욕구에 미치는 영향 요인 -부산지역 정신요양원을 중심으로-)

  • Kim, Sun-Joo
    • The Journal of the Korea Contents Association
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    • v.8 no.10
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    • pp.198-207
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    • 2008
  • The purpose of this study supplies the basic data to plan the optimum mental health service that is reflected needs of the elderly people with mental illness by checking how their demographic-sociological distinctive feature and function level have an effect on their needs of mental health service by being absent situation of a study of the elderly people with mental illness. As results of analysis, the residental type, the disease period, and the decision person of admission-discharge control of demographic-sociological distinctive feature is much effect on needs of programs and also effect commonly on the needs of the health promotion program and the discharge support program. Generally, the function level of the elderly people with mental illness is favorable and the order of function level is the group activity program, the counseling program, and the resource network program.

Association of Psychological Health and Perceived Oral Health in Elderly Individuals: Focusing on Depression, Stress, and Suicidal Ideation

  • Lee, Hyun-Ok;Kim, Sun-Mi;Park, Ji-Young
    • Journal of dental hygiene science
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    • v.17 no.5
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    • pp.398-404
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    • 2017
  • The present study aimed to examine the influence of mental health factors on oral health factors using data from the Korean National Health and Nutrition Examination Survey (KNHANES). A total of 1,548 elderly individuals aged over 65 years who completed the screening and health questionnaire were selected as the final study participants. The psychological health factors related to perceived oral health status were depression and stress when the gender was controlled, and in terms of gender, both elderly male and female individuals were stressed and depressed. These results suggested that the psychological health of elderly individuals negatively affects not only perceived oral health but also the quality of life. In addition, the psychological health of the elderly individuals should be systematically managed along with oral health care and overall health care and lifestyle. If a comprehensive health management system is available for low-income groups or an elderly person living alone, it should positively affect and improve the quality of life of elderly individuals.

Study on the Early Detection of Mental Health Problems in the Elderly and the Utilization of Related Services (노인의 정신건강 문제의 발견과 관련서비스 이용에 관한 연구)

  • Park, Kyungsoon;Park, Yeong-Ran;Son, Duksoon;Yum, Yoosik
    • The Journal of the Korea Contents Association
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    • v.19 no.9
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    • pp.308-320
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    • 2019
  • This study aims at investigating the major symptoms that help family carers detect mental illness in elderly patients. Another purpose of this study is to empirically verify the major factors determining the utilization of mental health services with a focus on family carers. The results of this study are as follows. First, the most commonly detected symptoms that caused the family carers to suspect mental illness in the elderly patients were memory decline and other forms of cognitive function decline. Second, the determinants of the elderly's utilization of mental health services included the patient's long-term care insurance level, the age of the family carer, the period of care, the level stress associated with the provision of care felt by the carer, his understanding of geriatric mental illness, and the level of perception about community mental health services. Based on these findings, this study suggests policies and practical implications for the early detection of and response to elderly mental health problems and the utilization of related services from the viewpoint of the family carers of the elderly.

Effects of an Integrated Activity Program on the Self-Efficacy and Depression of Underprivileged Elderly Women Living Alone (통합활동프로그램이 취약계층 여성독거노인의 자기효능감과 우울에 미치는 효과)

  • Oh, Myoung Soo;Kim, Hee Sook
    • Journal of Korean Public Health Nursing
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    • v.33 no.2
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    • pp.258-269
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    • 2019
  • Purpose: This study examined the effects of an integrated activity program on the self-efficacy and depression of underprivileged elderly women living alone. Methods: The participants recruited were fifty underprivileged elderly women living alone in D city. Data were collected from September 1 to October 1, 2015. To test the effects of the integrated activity program, the participants were divided into two matched groups, an experimental group (N=25) and control group (N=25). The data were analyzed with a ${\chi}^2-test$, Fisher's exact probability test, and t-test using the SPSS/WIN 12.0 program. Results: After attending the integrated activity program, significant differences between the experimental group and control group were found for self-efficacy (t=9.19, p<.001) and depression (t=-18.31, p<.001). Conclusion: The results indicate that the integrated activity program enhances self-efficacy and reduces depression in underprivileged elderly women living alone. Therefore, this program is a good strategy that community mental health nurses can use to improve the mental health of underprivileged elderly women living alone.