• 대한가정학회지
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• 제33권6호
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• pp.213-224
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• 1995

This study was designed to observe the nutritional knowledge, food behavior, nutritional attitudes and food preference of elderly living in home. Two hundred and thirty elderly were examined on questionnaire. The results of this study are summarized as follows. 1. The average score of their nutritional knowledge was 6.08 (the highest mark was 10.00). The nutrition knowledge score of the elderly live with spouse was higher than those live alone and goes up according to the education degree of elderly and pocket money. The correct answer ratio about a question of geriatric diseases was somewhat higher than another question. 2. The average score of their food behavior was 21.90(the highest mark was 33.00) and the score of the female was higher than that of the male and the college-educated elderly have the highest score. Generally their food behavior was improved by the increasing intake of animal protein and milk. 3. The average score of their nutritional attitude was 11.25 (the highest mark was 15.00) and those of 70~74 age old have the lowest score. And they answered that they are willing to change their food behavior for their health. In this study we expect that the authorities would operate the nutritional education for the prevention of degenerative diseases and the development of the food behavior at a public health center or another groups(no-in-jung) as a part of service for the welfare of elderly. 4. They prefered vegetable foods to animal foods and baking, broiling, and raw foods to the fried foods, and they liked the sweet foods, the fruits, milk and lactic acid beverage as snack or dessert.

• 한국산학기술학회논문지
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• 제20권8호
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• pp.83-92
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• 2019

본 연구는 주관적 기억장애를 호소하는 65세 이상 노인을 대상으로 스스로 경험하는 깜빡 잊어버리는 건망증에 대한 경험을 분석하기 위한 포커스그룹 면담을 적용한 질적연구이다. 본 연구 대상자는 D시의 일개 노인복지관에서 인지기능향상 프로그램에 참여하는 65세 이상 노인 남녀 10명을 대상으로 수행하였다. 연구대상자는 주관적 기억장애를 호소하며, 건망증을 경험한 노인으로 자신의 의사표현을 자유롭게 잘 할 수 있는 노인으로 하였으며, 총 3-4명 씩 3그룹으로 나누어 진행하였고 각 그룹 당 40~60분의 면담을 진행하였다. 본 연구 결과 '인간관계에서의 곤란함', '일상생활에서의 불편감/안전위험성 노출', '표현할 수 없는 양가감정', '건망증을 이겨내기 위한 가족의 노력', '자신만의 건망증 예방 노하우' 5개의 주제어가 도출되었다. 본 연구에 참여한 주관적 기억장애를 호소하는 노인들은 치매가 아닌 것에 대한 안도감과 치매로의 이환에 대한 불안감을 동시에 가지고 있었고, 건망증을 스스로 이겨내기 위한 각자의 방법을 수행하고 있었다. 본 연구를 바탕으로 추후, 주관적 기억장애를 호소하는 노인들의 각자의 방법과 요구도를 반영한 기억력 향상 중재개발이 이루어져야 할 것으로 사료된다.

• 한국산학기술학회논문지
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• 제17권3호
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• pp.352-363
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• 2016

본 연구는 정보취약계층인 노인 중 대도시 여성노인의 정보화에 대한 일반적 인식, 인터넷 이용 이유와 태도 및 인터넷 비이용 이유와 태도 등 정보기술 이용 행태와 태도에 대한 탐색적 연구이다. 서울시 소재 노인복지관에 다니는 60세 이상 노인을 대상으로 설문조사를 실시하여, 여성노인 343명의 자료를 SPSS 21.0을 사용하여 분석하였다. 그 결과 첫째, 여성노인의 인터넷 이용률은 높은 편이었으며, 연령 등 인구사회학적 특성에 따라 차이가 있었다. 둘째, 전체적으로 여성노인의 정보화 인지도와 기대 등 정보기술에 대한 태도는 긍정적이었다. 셋째, 정보기술 이용자의 이용 동기는 실용적 측면 외에 심리적, 정서적 이유도 컸으며, 정보기술이용 만족도는 비교적 높았다. 마지막으로, 정보기술 비이용자의 경우, 정보화나 정보기술에 대해 무관심층이 많았고, 정보기술 이용에 대해 소극적이었다. 정보기술 비이용 불만족도는 보통 수준이었으나, 정보기술 이용에 대한 기대는 비교적 긍정적이었다. 이 연구결과는 여성노인과 노년기 정보격차와 정보기술의 이용에 관한 이해의 폭을 넓히고, 나아가 노인 정보화 및 노인복지 현장에서 노인, 특히 여성노인을 대상으로 한 프로그램과 정책개발에 기초자료로 활용되길 기대한다.

• 한국사회복지학
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• 제35권
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• pp.399-426
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• 1998

본 연구는 과제중심 모델을 재가노인을 위한 사례관리의 방법으로서 적용해보고 그 결과와 적용과정을 분석하며 효과성과 한계점을 조사한 것이다. 과제중심 모델은 3군데의 지역사회복지관에서 12명의 재가노인을 대상으로 실시하였으며 면접회수는 6회에서 10회까지였다. 12 사례에서 제시된 표적문제는 57개이며 표적문제를 해결하기 위하여 제시된 과제는 83개였다. 표적문제의 82.5%를 클라이언트들이 제시하였으며 과제제시는 약80%를 사회복지사들이 제시하였다. 그러나 과제수행에서는 37%를 클라이언트가 수행하도록 하였다. 문제의 변화는 평균 8.1로서 대부분의 문제들이 많이 좋아졌다고 평가되었다. 표적문제의 인식 자에 따른 문제 해결 정도는 내담자가 표적문제라고 인식하였을 때 가 사회복지사가 문제라고 인식한 경우보다 문제 해결이 더 많이 되었다. 이와 같은 결과를 보아 클라이언트가 인식한 문제를 표적문제로 하였을 때 문제해결이 훨씬 더 가능함을 알 수 있다. 과제 중심모델을 적용 과정을 분석한 결과에 의하면 모델의 적용을 통하며 재가 노인들의 요구를 파악하고 문제 해결에 대한 노인들의 적극적인 참여를 유도 할 수 있었으며 잠재된 능력을 발견하는 기회가 되기도 하였다. 재가노인을 위한 사례관리의 방법으로서 과제 중심 모델을 적용할 때 다음과 같은 것을 제안 할 수 있다. 첫째 처음 접수를 받는 클라이언트를 대상으로 적용하는 것이 효과적이며 둘째는 정기적인 슈퍼비젼을 통하며 진행을 점검하는 것이 중요하고 문제 해결을 위한 다양한 과제나 가능한 사회 자원에 대한 목록을 만드는 것이 필요하다.

• Nutrition Research and Practice
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• 제4권5호
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• pp.375-382
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• 2010

The precise effects of protein intake on fractional synthesis rate (FSR) of muscle protein are still under debate. The sample size of these studies was small and the conclusions in young and elderly subjects were inconsistent. To assess the effect of dietary protein intake on the FSR level, we conducted a meta-analysis of controlled protein intake trials. Random-effects models were used to calculate the weighted mean differences (WMDs). Ten studies were included and effects of short-term protein intake were evaluated. In an overall pooled estimate, protein intake significantly increased the FSR (20 trials, 368 participants; WMD: 0.025%/h; 95%CI: 0.019-0.031; P < 0.0001). Meta-regression analysis suggested that the protein dose was positively related to the effect size (regression coefficient = 0.108%/h; 95%CI: 0.035, 0.182; P = 0.009). A subgroup analysis indicated that protein intake significantly increased FSR when the protein dose was ${\leq}$ 0.80 g/kg BW (16 trials, 308 participants; WMD: 0.027%/h; 95%CI: 0.019-0.031; P < 0.0001), but did not affect FSR when the protein dose was > 0.80 g/kg BW (4 trials, 60 participants; WMD: 0.016%/h; 95%CI: 0.004-0.029; P = 0.98). In conclusion, this study is the first integrated results showing that a short-term protein intake is effective at improving the FSR of muscle protein in the healthy elderly as well as young subjects. This beneficial effect seems to be dose-dependent when the dose levels of protein range from 0.08 to 0.80 g/kg BW.

• 대한치료과학회지
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• 제10권2호
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• pp.47-57
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• 2018

Objective: The purpose of this study was to compare the effects of exercise program combined with spaced retrieval and exercise program to show the effects on elderly people with dementia by presenting them to clinics and welfare facilities such as long-term care facilities. Method: This study was conducted in 20 elderly patients with dementia and randomly assigned to exercise program combined with spaced retrieval and exercise program. After screening the subjects for compliance with the criteria, Before starting the experiment, activites of daily living, depression, and nitive evaluation were performed. After 8 weeks, 3 times per week, 40 minutes per intervention, and 4 and 8 weeks, respectively K-MBI, GDSSF-K and MMSE-K were used to evaluate the differences between the experimental and control groups. Results: There was no statistically significant difference in the daily activities, depression, and cognitive scores between the groups of exercise program combined with spaced retrieval and exercise program group. However, there was a significant difference between the two groups after training (p<.05). Particularly, there was statistically significant difference in post-training cognitive evaluation (MMSE-K) only in the exercise program combined with spaced retrieval group (p<.05) Conclusion: This study suggests that exercise program combined with spaced retrieval is more effective in improving cognitive ability. This suggests that the exercise program combined with spaced retrieval is more effective.

• 한국융합학회논문지
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• 제13권5호
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• pp.173-179
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• 2022

본 연구는 전국의 노인장기요양시설 종사자의 인권의식과 인력형태가 복지서비스질에 영향을 파악하고, 종사자의 자기효능감의 매개효과를 분석하고자 하였다. 연구결과로는 첫째, 인권의식은 서비스 질에 유미한 영향을 미치는 것으로 나타났으나, 인력형태는 유의미한 영향력이 나타나지 않았다. 둘째, 자기효능감의 매개 효과는 부분적으로 지지가 되었는데, 자기효능감의 하위요인인 자신감과 과제선호도의 경우 인권의식과 서비스 직 간에 매개 효과가 유의하게 나타났다. 이러한 결과를 기반으로 노인장기요양시설 종사자의 인권의식을 향상시키기 위해 인권 감수성을 높이는 교육 체계를 정비할 것과 인권에 대한 보수교육으로 전문성을 확보할 것을 제언하였다.

• The Journal of Korean Physical Therapy
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• 제35권4호
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• pp.111-116
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• 2023

Purpose: Pneumoconiosis is a chronic lung disease in which the lungs become hardened due to the accumulation of fine mineral dust that has been breathed in at industrial sites. The lungs are unable to function properly, resulting in complications of several respiratory diseases. Methods: The subjects were 36 elderly adults (pneumoconiosis patients 18, healthy elderly 18) over the age of 65 years. The respiratory function was assessed using a spirometer to measure forced vital capacity (FVC), first second of forced expiration (FEV1), FEV1/FVC, and peak expiratory flow n(PEF). The static balance function test was determined by the center of mass (COM), ankle angle range, hip angle range, sway parameters, and reciprocal compensatory index (RCI). Cognitive function was measured by applying MoCA-k. Results: Comparison of respiration functions between the two groups showed statistically significant differences in FVC, FEV1, FEV1/FVC, and PEFs (p<0.05). Cognitive abilities showed statistically significant differences due to higher cognitive skills in the control group as compared to the patient group (p<0.05). Most results of the static balance capability measurements showed statistically significant differences between the groups (p<0.05). However, no statistically significant differences were obtained for COM AP Range, Angle AP Range, RCI ML Range, and AP Range (p>0.05). Conclusion: The results of the current study indicate that patients suffering from pneumoconiosis have less cognitive ability and balance function as compared to healthy elderly people. Therefore, we expect an improvement in the balance ability and cognitive function through systematic management and strengthening lung function training to improve the quality of life of pneumoconiosis patients.

• 지역사회간호학회지
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• 제33권4호
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• pp.357-371
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• 2022

Purpose: This study aims to investigate factors related to long-term length of stay (LOS) of patients with chronic diseases in Korean veterans hospitals. Methods: The subjects were 196 elderly patients with chronic disease staying in the hospital for more than 10 days, Data were collected by the survey of patients with structured questionnaires and medical records review by nurses from July 15 to August 10, 2019. Collected data were analyzed using t-test, ANOVA, Pearson's correlation coefficient and stepwise multiple regression. Results: The present and desired LOS were 37.78±32.66 days and 60.87±45.95 days, respectively. Factors affecting hospital LOS were found to be main disease (genitourinary) (p<.001), assistance in activities of daily living (p<.001), area of hospital (p<.001), payment of medical fees (p=.026), hospital satisfaction (p=.036) and the explanatory power of these variables was 26.4%. The most common health problems that need to be solved after discharge were symptom alleviation and health promotion. These problems can be solved using community-based facility services or visiting medical-welfare services (especially home care nursing). Conclusion: In order to reduce hospital LOS, the following measures are required: personalized self-management education, provision of transportation services for dialysis therapy of inactive patients, linking patients with visiting medical-welfare services including home care nursing and mobile healthcare services, operation of the case management system including the notice of the discharge date at admission, interim check of patient status, and connecting the patient with community resources or transferring the patient to long-term care facilities at discharge.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제11권3호
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• pp.19-30
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• 2005

As the population of the elderly increases drastically year by year in Korea, the more welfare centers for them are greatly needed. There are, however, a small number of public geriatric hospitals currently available. And a limited number of private-founded geriatric centers are under construction throughout the country. And the systematic standards for the spacial composition and departmental area distribution for them are not satisfactorily set up yet. The analytical study of the space composition and area distribution of the hospitals in question shows that publicly-shared spaces, such as day-room and lobby, are much more useful for their communications than private spaces, such as shut-in living rooms. It also shows that in-yards or in-gardens which are located in the center of the wards are very helpful for their comfortable long-term hospitalization. The shared spaces are recommended to be in sight of and within earshot of their caretakers. In relation with out-patient departments, the programs for the local elderly residents, such as the day-care center and recreation facilities are recommended to be prepared for their physical care and emotional treatment at a time by municipal welfare centers rather than by private institutions. The analytic study carried out in terms of departmental area distributions reveals that the areas for the wards are generally wider and areas for out-patient/or diagnosis departments are relatively narrower than those in the general hospitals. These area distributions seem to have come from the considerations of their relatively long-term staying in the centers than general hospitals and their mental stability as well.