• Clinical and Experimental Emergency Medicine
• /
• 제5권4호
• /
• pp.249-255
• /
• 2018

Objective As aging progresses, clinical characteristics of elderly patients in the emergency department (ED) vary by age. We aimed to study differences among elderly patients in the ED by age group. Methods For 2 years, patients aged 65 and older were enrolled in the study and classified into three groups: youngest-old, ages 65 to 74 years; middle-old, 75 to 84 years; and oldest-old, ${\geq}85years$. Participants' sex, reason for ED visit, transfer from another hospital, results of treatment, type of admission, admission department and length of stay were recorded. Results During the study period, a total 64,287 patients visited the ED; 11,236 (17.5%) were aged 65 and older, of whom 14.4% were 85 and older. With increased age, the female ratio (51.5% vs. 54.9% vs. 69.1%, P<0.001), medical causes (79.5% vs. 81.3% vs. 81.7%, P=0.045), and admission rate (35.3% vs. 42.8% vs. 48.5%, P<0.001) increased. Admissions to internal medicine (57.5% vs. 59.3% vs. 64.7%, P<0.001) and orthopedic surgery (8.5% vs. 11.6% vs. 13.8%, P<0.001) also increased. The ratio of admission to intensive care unit showed no statistical significance (P=0.545). Patients over age 85 years had longer stays in the ED (330.9 vs. 378.9 vs. 407.2 minutes, P<0.001), were discharged home less (84.4% vs. 78.9% vs. 71.5%, P<0.001), and died more frequently (6.3% vs. 10.4% vs. 13.0%, P<0.001). Conclusion With increased age, the proportion of female patients and medical causes increased. Rates of admission and death increased with age and older patients had longer ED and hospital stays.

• 한국주거학회논문집
• /
• 제19권3호
• /
• pp.59-70
• /
• 2008

The purpose of the study was to suggest the housing alternatives for the elderly from the viewpoint of aging in place. The study was intended to present the alternatives on the basis of the concept of group home and shared housing. In order to achieve it, first, the concept and characteristics of group home and shared housing were examined. Then, the living conditions of the elderly and the home sharing related needs of them were examined. The subjects were 201 older persons whose age was more than 65 years and lived in detached houses. Results were as follows; 1) It was identified that group home and shared housing were acceptable to the subject aged. 2) The modified group home which consisted of less than 10 individual detached houses and common area was presented as an alternative for the elderly. The individual ones were existing ones which the elderly lived in. The common area included of common kitchen, dining room, bathroom, and living room for about 10 old persons. The common area can be provided by building a new one and remodeling the existing building for other purpose or community center for the elderly. The detached houses which had spare bedrooms can be shared by another old persons. This alternative would be economic and useful to the elderly.

• 한국의류학회지
• /
• 제20권6호
• /
• pp.962-974
• /
• 1996

This study aimed to provide basic data in designing clothes for the elderly women. The subjects in this study were 230 elderly women over sixty years old. The major objectives of this study were as follow; 1 Categorization of the subjects based on their age and Rohrer index. 2. Relationship between age and body cathexis. 3. Relationship between age and clothing size satisfaction. 4. Relationship between age and clothing attitudes. The results were as follows; 1. Height decreased while bust, waist and hip circumstances increased with ageing. 2. All subjects were dissatisfied with their body changes associated with ageing. 3. The women over seventy years old were more dissatisfied with apparel size than those in the sixties. Especially the women aged over 75 complained the back length and the crotch length. 4. The elderly wowed were insterested in sewing condition, size and comfort with ageing even though they considered color and design as the most important attribute in selections clothes.

• 한국주거학회논문집
• /
• 제16권6호
• /
• pp.47-54
• /
• 2005

By 2019, Korea is expected to be an aged society, age group of 65 and older being over $14\%$ of the total population, considering their rapid increase today. Also the phenomenon of population structure are accelerated by a low birth rate and long life span. This study was intended to find out the inconvenient details in houses pointed out by the elderly. This survey was taken by trained interviewers from the people of ages 65 and older living in Daejeon city. Statistical analysis was implemented from 583 appropriate data out of 624 questionnaires using (SPSS PC+ 10.0). The results were as follows. The elderly were put to inconvenience noises in room, old facility in living room and outmoded facility in kitchen and bathroom in detached house. And they were put to inconvenience the size of room, living room and bathroom and old-fashioned facility in kitchen in apartment. The stairway and bathroom in detached house and balcony, elevator and bathroom in apartment were pointed out dangerous spaces in house.

• 대한가정학회지
• /
• 제23권1호
• /
• pp.71-85
• /
• 1985

The study attempts to explore factors which affect life satisfaction of the elderly, and thereby to identify the most efficient strategy to enhance their happiness and satisfaction with life by means of a family support system. Previous research suggests that the family is the main origin from which emotional and ecionomic satisfacton of the aged evolves, and satisfaction is facilitated by societal assistance for the family to financially support old persons. These theoretical antecedents are incorporated into a causal model for empirical verificatio. To this end, interviews were conducted in Seoul with 300 individuals who are 60 years old or over. The major findings of this study support the theoretical assertions of previous studies. They are summarized as follows : 1. Family solidarity is highly correlated with life satisfaction of the elderly. 2. Family solidarity is raised by the intensity of their social association, satisfaction with housing, and financial resources. 3. Eduation, income and marital status as exogenous variables do not directly affect life satisfaction and family solidarity, despite their strong overall correlation. Casual effects of each variable are linked to family solidarity and then to life satisfaction through a family support system for the elderly.

• Journal of Gastric Cancer
• /
• 제16권4호
• /
• pp.254-259
• /
• 2016

Purpose: Owing to increased life expectancy, the number of elderly patients with gastric cancer has increased. This study aimed to identify the outcomes of gastric cancer patients aged 80 years or older through comparison of their clinicopathological characteristics, surgical outcomes, and oncologic outcomes. Materials and Methods: Between January 2006 and December 2013, the records of 478 patients who underwent surgery for gastric cancer were retrospectively evaluated. Patients were divided into two groups: patients <80 years old (n=446) and patients ${\geq}80$ years old (n=32). Results: There were no significant differences in sex, body mass index, length of hospital stay, duration of surgery, depth of invasion, nodal metastasis, histologic type, or tumor size between the two groups. However, significant differences were found for the American Society of Anesthesiologist score and the serum albumin level between the two groups. Postoperative morbidity, mortality, disease-free survival, and recurrence rate did not differ between curatively resected patients in the two groups. Conclusions: In elderly patients with gastric cancer, active treatment including radical gastrectomy is necessary.

• 대한한방내과학회지
• /
• 제26권1호
• /
• pp.229-235
• /
• 2005

Pneumonia is an inflammation that forms at the mesopulmonum and alveolus that is also an acute infection with fever and cough. It is difficult for doctors to diagnose pneumonia in elderly patients, due to the variety of symptoms. For this reason, it, with its complications, is a major cause of death for the elderly. In this case, improvement was seen in an elderly patient diagnosed with pneumonia by X-ray, and by using Si-Kyung-Ban-Ha-Tang-Ka-Mi-Bang as a way of Kong-Bo-Kyum-Si, because in this case pneumonia was presumed Dam-Yel-Ong-Pye and Ki-Eum-Yang-Huh due to the weakness associated with old age. This thesis proposes that the elderly are better treated differently from other pneumonia patients due to the weakness that comes with old age.

• 대한한의학회지
• /
• 제35권4호
• /
• pp.98-103
• /
• 2014

Objectives: Advanced malignant melanoma (MM) has a poor prognosis, with an expected 2-year survival rate of 10 to 20%. It has long been recognized as an immunogenic tumor, and is worse for elderly patients. Many studies have suggested that herbal treatments improve immune functions, but few clinical studies have reported on this topic. Patients and History: We present two cases of female patients (72 and 77 years old, respectively) with advanced MM. The 72-year-old female patient was, at first, diagnosed with MM with multiple bone metastases. She received resection of the primary lesion, but refused further chemotherapy. The 77-year-old female patient was diagnosed with cutaneous MM of the left heel, with suspicion of sentinel node lymphadenopathy; however, she also refused any conventional treatment due to old age. Course of Therapy and Results: Both patients were exclusively treated with standardized allergen-removed Rhus verniciflua stokes (aRVS) extract combined with Bojungikki-tang (BT, Bu-Zhong-Yi-Qi-Tang in Chinese or Hochu-ekki-to in Japanese). Both patients are still alive and doing well (Feb. 2014), demonstrating that the 72-year-old patient has lived for 27 months and the 77-year-old patient has lived for 31 months without disease progression since the aRVS and BT administration. Conclusion: We suggest that the combination of aRVS extract and BT could be a candidate for overcoming the cancer's immunoediting process especially for elderly MM patients intolerant of conventional treatment.

• 가족자원경영과 정책
• /
• 제24권2호
• /
• pp.89-108
• /
• 2020

The purpose of this study was to analyze the factors influencing life satisfaction in widowhood among older females. Using the sixth Korean Retirement and Income Study (KReIS) supplementary survey data, a total sample of 1,471 women aged 65 or older whose spouse had died were selected, divided into 508 young-old (65-74), 745 middle-old (75-84), and 218 oldest-old (85+). Then, factors influencing the life satisfaction of these three groups were analyzed, based on a combination of perceived health and interpersonal satisfaction levels. It was found that among the young-old group, a higher level of subjective health perception indicated by monthly income and material support and interpersonal satisfaction linked to more frequent participation in community gathering combined for an overall higher level of life satisfaction. For the middle-old group, higher life satisfaction was provided by monthly income, informational support, and material support for subjective health perception and no diseases for interpersonal satisfaction. The oldest-old group with higher life satisfaction referred to monthly income for subjective health perception and no experience in donation activities for interpersonal satisfaction. Based on these findings, this study provides implications for policy and practice to improve the life satisfaction of elderly women who have experienced their spouse's death.

• 산업진흥연구
• /
• 제6권1호
• /
• pp.55-62
• /
• 2021

본 연구는 고령사회에서 노인빈곤 극복을 위한 일자리가 필요하다고 보며, 이에 못지않게 노년기 적극적인 경제활동에 대한 참여 방안을 연구하였다. 연구 결과는 다음과 같다. 첫째, 법제도의 개선이 필요하다. 노인일자리사업의 확대를 제도적 지원과 더불어 노인에 대한 인식 개선, 전달체계 등의 인프라 강화가 요구되며, 이와 관련된 법적 근거가 필요하다. 이를 위해 노인을 대상으로 하는 직종을 우선적으로 선정하여야 하고, 정부에서는 법적인 절차가 마련되어야 한다. 둘째, 노인에 대한 사회적 배려와 지원이 있어야 한다. 정년연장은 노인취업을 높이는데 중요한 역할을 한다. 법제도의 정비와 아울러 사회적인 배려가 필요하다. 따라서, 사회적 합의가 없는 노인정책은 실패할 수밖에 없으므로 사회적인 지원을 이끌어 낼 수 있는 다양한 지원방법을 강구해야 한다. 셋째, 노인들은 빈곤의식과 자력갱생 의지가 있어야 한다. 노인은 노인 자신이 자녀를 비롯하여 주위와 사회적 지원만을 요구해서는 안 된다. 노인 스스로 경제주체가 될 수 있는 길을 모색할 수 있어야 한다. 그러기 위해서는 노인빈곤의식에 대한 기본적 인식이 필요하고 노인빈곤을 탈출하고자 하는 인식전환이 필요하다. 따라서, 노인 스스로 자력갱생하는 자세가 필요하며, 노인 스스로의 능력에 따른 일자리 선택에 나서야 한다. 결론적으로 노인일자리사업은 고령사회에서 노인빈곤을 해결하는 소득증대의 일환이며, 노인들의 적극적인 경제활동 참여가 요구된다.