• 보건행정학회지
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• 제29권4호
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• pp.412-421
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• 2019

Background: The purpose of this study was to identify the status of Successful Aging among the elderly aged 65 and over in rural areas and to compare factors related with Successful Aging between "kyung-ro-dang" users and non-users. Methods: A total of 181 elderly aged 65 or older were selected from four districts (Heung-upri, Mejiri, Sajerri, and Daeanri) of Wonju city. A survey method using face to face interviews was applied to collect information. Successful aging was measured on a 5-point Likert-type scale using the successful aging scale developed for the Korean elderly, which indicates the higher the score, the higher the level of successful aging. Descriptive statistics, bivariate, and multivariate analyses were computed; the level of significance was set at 5%. Hierarchical polynomial regression was applied to find out the factors associated with successful aging. Results: Of the total, 112 elders used kyung-ro-dang and 69 elders who did not use kyung-ro-dang. The level of successful aging of the elderly was higher among kyung-ro-dang users than non-users. The factors related to successful aging among kyung-ro-dang users were walking and social participation. Users who walk more than 4 times per week and social participation activities have a higher level of satisfaction. In the case of non-users, a higher level of monthly income, having a spouse, social support, and social participation associated with a higher level of successful aging. Conclusion: Monthly income, social participation, and social factors were found to be related to successful aging along with physical and mental health conditions among the elderly in rural areas. Therefore, it can be concluded that income, social as well as mental and physical factors, are more critical for successful aging in the rural community care in Korea.

• 대한물리의학회지
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• 제16권2호
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• pp.71-79
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• 2021

PURPOSE: Chronic low back pain is one of the main factors that affect the quality of life and cause problems of gait and balance in elderly people. This study investigated the correlation between the Oswestry disability index (ODI), Berg balance scale (BBS), and kinematic data measured while analyzing the gait of elderly people with chronic back pain. METHODS: A total of 29 subjects participated in this study. The ODI, BBS, and kinematic data of lower extremities were measured while walking. All data were analyzed using Pearson's correlation coefficients and the significance was measured at .05. RESULTS: ODI had a significant correlation with 1, 13, and 14 items of BBS (p < .05), and left hip external rotation and right ankle abduction respectively in the stance and swing phase of gait (p < .01). 13 items of BBS had a significant correlation with the right ankle abduction in the stance phase of gait (p < .01). In addition, 14 items of BBS had a significant correlation with right and left ankle abduction in the stance and swing phase of gait (p < .01). CONCLUSION: While attempting to predict chronic low back pain and balance issues, it may be useful to check the right ankle abduction in the stance and swing phase of gait. In the future, it would be helpful if some simple tests could be designed to assess balance in elderly people with chronic low back pain.

• 영미문화
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• 제18권2호
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• pp.27-50
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• 2018

Old age is often compared as climbing mountains which requires walking out of breath, yet with wider vision. And it is also likened to the estuary where the river flows slowly and broadly into the open sea. Socially, old age has been regarded as a symbol of wisdom and reflection, and elderly people often take the role of sage who leads the community. On the other hand, the dementia, gray hair and wrinkles of old age were sometimes perceived as the decline of intellect and vitality. Especially, in the digital age in which technology makes people more sensitive to physical artificiality, the evaluation of the old age becomes more complex and obscure. In other words, some elderly people can not escape from Confucious convention of the elders first, which causes the denouncement by younger generations. On the other hand, some elderly people are becoming more adaptable to the trend of young people, emerging as the new elderly people. The anti-aging movement, early adaptation of IT, bioengineering regimen also strong for the advanced age. However, as the new elderly people are active in many fields of society, they also face intergenerational conflicts in some areas where remains the overlap between young people and them due to the limited openings in economy and culture. This study is a transdisciplinary research which can be called old age humanities. First of all, this paper looks at the aspects of lifestyles and intergeneration conflicts in old age in four Korean and Western literary works about the old people, and also searches how to improve the quality of the later life of old people, Overall, this paper aims to explore the way the old people can achieve the full life with the help of intergenerational dependency through building aging humanities and new communities for old people.

• 대한물리치료과학회지
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• 제31권2호
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• pp.41-51
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• 2024

Background: The purpose of this study was to identify the effect of home-based exercise program in elderly with chronic diseases on balance, activities of daily living, depression and quality of life. Design: One group pretest-posttest design Methods: The subjects consisted of 21 elderly people over the age of 65 years with chronic diseases lived in seo-gu, Gwangju. Home-based exercise program was performed twice a week, for an hour, during 6 weeks under supervision of an experienced instructor. The home-based exercise program was structured to last a total of 1 hour, consisting of 10 minutes of warm-up, 30 minutes of main exercises, and 20 minutes of concluding exercises. For the warm-up, we performed range of motion, stretching, and flexibility exercises. The main exercises comprised of strength, weight-bearing and balance exercises, and endurance exercises. The concluding exercises were tailored to the individual's home environment and needs, including task-oriented daily living training such as getting up from bed, moving to the restroom, and walking indoors. The subjects were assessed before and after the exercise program with berg balance scale(BBS), Korean-version modified barthel index(K-MBI), euro quality of life questionnaire 5-dimensional classification(EQ-5D), and geriatric depression scale short form-Korea(GDSSF-K). The collected data was analyzed using SPSS Win 18.0 program. Results: The results showed statistically significant difference in all domains of the BBS, K-MBI, EQ-5D, GDSSF-K after the exercise program. Conclusion: These results suggest that Home-based exercise program has resulted in a significant improvement on ADL, depression and quality of life in elderly with chronic diseases.

• 디지털융복합연구
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• 제15권6호
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• pp.259-271
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• 2017

본 연구의 목적은 우리나라 노인의 사회경제적 상태, 건강상태, 그리고 건강행태와 건강관련 삶의 질의 연관성을 성별로 분석하는 것이다. 이를 위해 2014년도 국민건강영양조사에서 남성노인 688명, 여성노인 898명의 자료를 2차분석 하였다. 건강관련 삶의 질은 European Quality of Life 5 Dimensions (EQ-5D) Index를 이용하였다. 일반선형모형을 이용하여 추정평균과 표준오차, 계수추정치, 그리고 신뢰구간을 산출하였다. 노인의 건강관련 삶의 질과 가장 연관성이 큰 변수는 우울이었고, 주관적 건강인식과 걷기활동 또한 유의한 연관을 보이는 것으로 나타났다. 수면시간이 적정하지 않을 경우 건강관련 삶의 질이 유의하게 낮았다. 한편, 주거형태와 교육수준은 여성 노인의 건강관련 삶의 질과 유의한 관계가 있었고 체질량지수는 남성 노인의 건강관련 삶의 질과 유의한 관계를 보였다. 본 연구결과는 우울의 관리 및 예방이 노인의 건강관련 삶의 질을 유지 증진시키는데 핵심적임을 보여주고 있고 신체활동의 경우 걷기활동과 같은 저강도 신체활동에 초점을 두는 것이 적절함을 시사하고 있다. 그리고 독거 여성노인과 초등학교 졸업 이하의 저학력 여성 노인에 대한 특별한 관심이 요구된다.

• 한국산학기술학회논문지
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• 제22권5호
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• pp.371-378
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• 2021

본 연구는 여성노인을 대상으로 낙상예방을 위한 12주간 복합운동프로그램이 여성노인의 낙상관련 건강체력, 낙상위험도, 자세균형에 미치는 영향을 알아보기 위해 실시하였다. 본 연구의 목적을 달성하기 위해 연구대상자는 운동그룹 16명 통제그룹 16명으로 총 32명이 참여하였다. 운동그룹은 복합운동프로그램을 주 3회 60분씩 12주 동안 실시하였고 통제그룹은 같은 기간 동안 일상적인 생활을 하였다. 여성노인들의 낙상관련 건강체력은 노인체력검사(SFT: senior fitness test)중 동적평형성, 2분 동안 제자리걷기, 30초 동안 일어섰다 앉기 검사를 측정하였다. 여성노인들의 낙상위험도는 Tetrax장비로 측정하고 자세균형능력은 Spine Balance 3D를 이용하여 측정하였다. 본 연구의 자료처리는 SPSS/ver. 21을 이용하여 이원반복측정 변량분석(two-way ANOVA with repeated measures)을 실시하였고, 유의수준은 α=.05로 하였다. 본 연구결과 복합운동을 적용한 운동그룹은 동적평형성(p=.001), 2분 제자리걷기(p=.001), 30초 동안 일어섰다 앉기(p=.001), 낙상위험도(p=.002), 자세균형(p=.034)에서 통계적으로 유의한 차이가 보였지만 통제그룹은 통계적으로 유의한 차이를 보이지 않았다. 이상의 결과를 살펴보면 여성노인들의 12주간 복합운동프로그램 참여가 그들의 건강체력과 자세안정성을 향상시키고 낙상의 위험을 감소시킬 수 있을 것이다.

• 한국게임학회 논문지
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• 제16권5호
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• pp.149-158
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• 2016

본 연구는 노인의 신체적 정신적 건강 향상을 위한 기능성 게임인 '팔도강산4'의 개발과 사용성 검사에 대한 것이다. 2013년 개발한 '팔도강산3'에 이은 다음 버전으로서 '키넥트'가 단종되면서 '키넥트2'를 사용해야 했으며, 개인 아이디를 도입하여 개인별 운동 데이터를 축적함으로써 매 플레이마다 자기의 이전 평균과 비교하여 바로 성과를 알 수 있도록 하였다. 또한 과거의 장터 배경에 실제 마트 배경을 추가하였고, 개인이 숙지할 수 있도록 튜토리얼도 추가하였다. 2016 PlayX4에서 전시하였으며, 40명의 사용성에 대한 설문조사 결과를 분석한 바, 전작에 이어 노인들에게 유익함의 가능성을 볼 수 있었다.

• 대한정형도수물리치료학회지
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• 제4권1호
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• pp.45-58
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• 1998

This study was carried out to find out general characteristics and health-related behaviors of elders aged 65 or over and factors related to their activities of daily living. and thus to contribute to their health maintenance and promotion. The subjects were 200 elders who had resided at Tae Jean city, with males and females was scaled 1 : 3. To collect data for study, the field survey was conducted from March 20 to October 31, 1997 with questionaire. 1. 65.0% of the subjects were 65-75 years old, while 35.0% were 75 years old or over, 20.5% of them were illterate, 46.5% could read and write Korean. graduated from elementary school, and 11.5% middle school or higher level. 2. 28.5% of subjects perceived their current health status, 46.0% of men and 38.0% of women as fair, In genal elderly men perceived their health status better than elderly women. Among the subjects, 62.0% of men and 57.0% of women reported that they experienced one or more illnesses during the last year. 3. 76.0% of men and 33.0% of women were current smokers. 55.0% of current smokers. 55.0% of current make smokers smoked 11-12 cigarettes per day and 53.2% of current female smokers smoked less than 10 cigarettes per day. 4. 76.0% of men and 37.3% of women drank alchol currently. 5. 56.0% of men and 34.7% of women practiced regular exercise for their health maintenance and promotion. 6. In general, 38.5% of subjects needed other's assistance for doing one or more Activites such as doing heavy home work, Walking up and down stairs or walking half a mile. 7. Common disease of the subjects were hypertention, depenerative arthritis and diabetes mellitus in order.

• 한국산학기술학회논문지
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• 제11권10호
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• pp.3658-3665
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• 2010

최근 고령화 사회로의 진입 및 장애 인구의 증가로 인해, 인간의 복지를 위한 자동화 시스템에 대한 수요가 늘고 있다. 특히 재활 자동화와 관련한 로봇 시스템은 환자 본인 및 치료 보조자에 대한 수고를 덜어주면서도 기존의 전통적인 재활효과에 상응하는 성과를 얻을 수 있을 것으로 기대되고 있다. 본 연구는 하지 근력이 약화된 사용자들의 신체 자중을 보상해줌과 동시에 정상인과 같은 패턴의 보행 훈련을 수행할 수 있는 모바일형 보행 재활 시스템을 제안하고자 한다. 특히, 자중보상 시스템은 신체의 자세 변화 특징을 반영하여, 기구학적인 분석을 통해 구현하였으며 보행 가이드를 위한 제어 알고리즘과 더불어 메인 컨트롤 시스템이 내장된 모바일 플랫폼에 통합 적용되었다. 이러한 모바일 플랫폼은 사용자의 보행 속도의지를 반영하는 UCS(User Command System)와 플랫폼 자체에 내장된 자율주행 알고리즘의 병합되어 운용되도록 고안되었으며, 본 논문에서는 보행 훈련시의 BWS(Body Weight Support)의 효과에 대한 검증에 집중하고자 한다. 이를 위해 인체의 근전도 신호를 측정할 수 있는 EMG(Electromyography) 센서를 활용하여, BWS 및 모바일로봇을 활용한 자중 보상 시의 피험자의 하지 근력 패턴을 측정 및 분석하여, 정상 보행자와의 차이점을 비교함으로서 본 연구의 타당성을 검증하였다.

• 보건행정학회지
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• 제28권2호
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• pp.107-118
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• 2018

Background: The purpose of this study was to investigate the estimated proportion for influenza vaccination and to identify factors associated with influenza vaccination in Korean diabetic patients. Methods: Data from the fourth, fifth, and sixth (except for 2013) Korea National Health and Nutrition Examination Survey (n=3,726) was used. A chi-square test was performed to investigate the estimated proportion for influenza vaccination, and a multiple logistic regression analysis was used to identify the factors associated with self-reported influenza vaccination. Results: In men, 28.8% of diabetes patients 30-64 years of age, and 76.1% of elderly (over 65 years of age) diabetes patients received influenza vaccination. In women, 37.7% of diabetes patients 30-64 years of age, and 78.4% of elderly diabetes patients received influenza vaccination (p<0.0001). The determinants of influenza vaccination were marriage, hypertension (odds ratio [OR], 1.55; 95% confidence interval [CI], 1.07-2.24), residence within a mega city, unemployment (OR, 3.94; 95% CI, 1.24-12.54), and exercise via (weekly) walking for diabetic men; and hypertension (OR, 1.71; 95% CI, 1.16-2.52), chronic disease (OR, 1.81; 95% CI, 1.08-3.02), and exercise via walking (OR, 2.65; 95% CI, 1.49-4.73) for diabetic women. Conclusion: Influenza vaccination remains relatively low in young diabetic patients. It is necessary to recommend vaccination to young diabetic patients, and to devise other strategies to improve vaccination.