• Journal of Korean Academy of Nursing
• /
• v.30 no.3
• /
• pp.776-790
• /
• 2000

Every year the number of the elderly increases in Korea thanks to the improvemen of social and economical levels and the development of medicine. However, many problems such as insufficent care and the isolation of the elderly have been commonplace. This trend exists not only because of increased lifespan but also the changing social structure of the nuclear family. Accordingly, inspite of the development of medicine, geriatric diseases including circulatory diseases are increasing in proportion of elderly population, as well as the severity. Therefore, it is important to emphasize that health care programs provide the best possible health care and functional capacities in terms of healthy elderly lifestyles. Especially, the phenomena of aging and geriatric diseases taking place with the elderly naturally are affected by lifestyle and the drastic changes in exercise patterns. This study aims to improve geriatric health by introducing a rhythmic movement program for the elderly to estabilish a health-promoting self-care system and by developing quality of life, perceived health status, their physical and physiological functions and emotional state. The theoretical framework used in this dissertation is derived from the Health-Promoting Self-Care System Model (Simmons, 1990), which integrates the Self-Care Deficit Nursing Theory (Orem, 1985), the interaction model of Client Health Behavior (Cox, 1982) and the Health Promotion Model (Pender, 1987). As a quasi-experimental design, the nonequivalent control group pretest-posttest design is utilized for this study. The subjects of this study consist of 64 people, over 65 years old who live in 2 nursing homes for the aged located in S city , Kyong-gi province and volunteered for this study from July, 12, 1999 to September, 17, 1999. They are divided into two groups：33 in the experimental group and 31 in the control group. The experimental group particpated in the Rhythmic Movement Program at the nursing home, which was comprised of 45 minutes a session, 5 sessions a week during 9 weeks. In order to measure the results of the Rhythmic Movement Program, aspects of perceived health status, balance, flexibility, grip strength, leg strength, heart rate, blood pressure, depression, anxiety and the quality of life were measured before and after participating in the Rhythimic Movement Program for the experimental group after 9 weeks, as well as the control group. The collected data were processed by SPSS PC+ and analyzed by the X2 test, t-test, ANCOVA and the Pearson Correlation Coefficient. The results of this study are as follows: 1. The perceived health status conditions in the experimental group show statistically significant improvement when compared to the control group (F=17.51, p=.000). 2. The physical and physiological functions, that is, balance (F=17.51, p=.000), flexibility (F=8.01, p=.006), grip strength (F=3.21, p=.018) and leg strength (F=25.78, p=.000) in the experimental group are higher than the control group. The vital signs, that is, the number of heart rate (F=.022, p=.884), systolic pressure (F=1.73 p=.193), and diastolic pressure (F=2.74, p=.103) in the experimental group compared to the control group decreased, but doesn't show statistically significant differences. Immune responses (F=5.13, p=.003) showed statistically significant increases in the experimental group when compared to the control group. 3. The emotional state are improved, that is, degree of depression (F=11.56, p=.001) and degree of anxiety (F=9.14, p=.004) in the experimental group showed statistically significant decreases. 4. The quality of life in the experimental group (F=3.03, p=.037) showed statistically significant differences compared to the control group. 5. The observations of the relationships among the perceived health status, emotional state , the quality of life, the relationships between the perceived health status, the degree of depression (r=-.653, p=.000) and the degree of anxiety (r=-.786, p=.000) were in contrary propotions, while the relationships between the perceived health status and the quality of life (r=.234, p=.008) were in direct propotion. In conclusion, the Rhythmic Movement Program used in this study for geriatric nursing care is simple and safe for application to the elderly and shows significant effects by implementing 5 sessions a week for 9 weeks. The Rhythmic Movement Program improves the quality of life, maintains as well as improves the physical and physiological fuctions and emotional state, therefore this program is strongly recommended for positive applications for independant geriatric nursing health care.

• Journal of Korean Physical Therapy Science
• /
• v.15 no.2
• /
• pp.41-51
• /
• 2008

Background: The purpose of this study is to determine how the cognitive state of the elderly influences the activities of daily living(ADL) in order to increase their achievement capacity and their ability to exercise this capacity in daily life. The MMSE-K(Mini-Mental State Examination-Korean) was used to evaluate the daily activities and cognitive state of a group of subjects more than 65 years of age. The goal was to understand (1) How their achievement level in their daily activities changes according to the increase and decrease of their cognition points by analyzing and comparing their achievement points in the mental state examination, and (2) What variables influence that daily achievement level. Methods: The survey was conducted by a group of students from AnSan College who were trained for this method of data collection. The group surveyed 224 senior citizens older than 65 to determine their ADL performance. The subjects were selected from Silver Care Centers in the Gyounggi Province area including centers in Suwon, Anyang, Kwachun, and Sanbon City. The subjects were given enough information to fully understand the purpose of the study and the method by which it would be conducted. The survey method was a direct interview: which involved an interviewer reading the questionnaire to the subject and recording the answer. Result: The following results were calculated using SPSS WIN ver. 13.0: In the lower score of the MMSE-K regarding ADL performance (K-MBI) for activities such as individual hygiene, bathing activity, food activity, toilet management, going up stairs, getting dressed ad undressed, controlling stools and urination, walking, and chair/bed movement, most of the subjects responded that they could not perform these activities by themselves (p<.01). In the higher scores for the same activities, most response that they could perform the tasks by themselves (p<.01). In the results of the multiple regression analysis, there influence of the variables for ADL performance (K-MBI) and MMSE-K score was higher for females than males. Conclusion: This study evaluated the cognitive state of the elderly using the MMSE-K, which is the most convenient method, and examined how the cognitive state influences the achievement capacity of the daily lives with other variables. In conclusion, the higher the score on the MMSE-K, the more independent the elders are in the activities of daily living, especially among women more than men.

• Journal of the Korea Academia-Industrial cooperation Society
• /
• v.14 no.5
• /
• pp.2338-2348
• /
• 2013

This study was performed to determine the levels of physical functioning and to reveal its association with socio-demographic characteristics, health status and health related behaviors in the elderly people admitted long-term home care insurance. The interviews were performed, during the period from December 1, 2011 to March 31, 2012, to 618 home care elderlies admitted long-term care insurance dwelling in Daejeon city. As a results, the distribution of impaired ADL and IADL group of all subjects were 45.6% in ADL, and 48.4% in IADL. in consequently, the rate of impaired IADL group was higher than that of impaired ADL group. In logistic regression analysis, the adjusted odds ratio of the impaired ADL and IADL group were significantly increased in the group of male, living with spouse or family, bear for living expenses with son and daughter, health insurance, irregular exercise, seldom with frequency of going out, seldom with activity of hobbies, Subjective health status is good, and disability of body, visual acuity, hearing ability and mastication ability is good, and without urinary incontinence and amnesia. In conclusion, the level of physical functioning in the elderly people admitted long-term home care insurance was decreased in IADL than ADL. And the level of ADL and IADL were related with the various variables of socio-demographic characteristics, health status and health related behaviors.

• Journal of The Korean Society of Integrative Medicine
• /
• v.10 no.2
• /
• pp.37-47
• /
• 2022

Purpose : We aimed to investigate the effects of nutritional foods on sarcopenia prevention and physical function among the elderly living in rural communities during the COVID-19 pandemic by providing customized nutrition. Methods : This study was conducted in the rural community of SCC. Participants (n=24, over age 65) were randomly assigned into a Protein group (n=12) and a Vitamin group (n=12). The protein group was given 23 g/d of protein (whey, soybean, BCAA) for 8 weeks and the Vitamin group 23 g/d of vitamin (B, C, D, E and mixed minerals such as calcium, magnesium, zinc) for 8 weeks. All participants had their body composition such as height, weight, skeletal muscle mass, body mass index, and body fat percentage, measured using bioelectrical impedance analysis (BIA) and physical function assessed using grip strength and the short physical performance battery (SPPB). Results : At the end of the intervention, there was a significant increase in skeletal muscle mass (p<.01) in the Protein group (p=.002, 4.92 %) compared to the baseline: it increased by 2.33 %. The Vitamin group had a significant increase in body fat percentage after the intervention (p=.001, 15.35 %) compared to the baseline: body fat percentage decreased by 4.49 %. There were no significant differences in left and right Grip strength/Weight, SPPB, 4-m gait speed, chair stand test, and sense of balance in both groups. Conclusion : The findings from this study suggest that 8 weeks of protein intake have a significant effect on skeletal muscle mass and body fat percentage. Protein intake helped promoting the health of the elderly in rural community during the COVID-19 pandemic. It will assist creating a foundation for providing customized nutrition for the elderly in rural community in the future.

• 한국노년학
• /
• v.29 no.1
• /
• pp.243-258
• /
• 2009

Background: Falls are among the most common and serious health problems of older people. The psychological symptoms of falling have received relatively little attention compared to physical problems. Objective: The purpose of this study is to test a model to explain the factors that influence fear of falling among older adults living in a continuing care retirement community (CCRC) in Baltimore city, United States. Methods: A secondary analysis was conducted using data obtained from a Health Promotion Survey done on 149 older adults living in a CCRC. Data was originally obtained during face to face interviews with each participant. Descriptive statistics and bivariate correlations were used to describe the sample and evaluate simple correlations. A path analysis was done using the AMOS 4.0 statistical program. Results: Of the 49 hypothesized paths, 13 were statistically significant, and the model accounted for 22% of the variance in fear of falling among the elderly. There was support for the fit of the model to the data with a nonsignificant chi square at 0.478 (df=2, p=0.79), and the ratio of chi-square to degrees of freedom was 0.24, a CFI of 0.99 and RMSEA of 0.00. In particular, gender, a history of falling, and exercise were significant predictors of fear of falling. Conclusions/Implications: As anticipated, exercise is an important factor to prevent fear of falling. As a modifiable variable, self-efficacy and outcome expectation indirectly influence fear of falling through exercise.

• Journal of the Korea Academia-Industrial cooperation Society
• /
• v.16 no.3
• /
• pp.1904-1919
• /
• 2015

This study was conducted to verify the effect of the fall prevention exercise program (FPEP). From 1st June to 14th July in 2014, 52 subjects above the age of 65 in 2 health clinics of A town, J city were randomly assigned to two groups(exercise 31, control 21). While exercise group performed FPEP twice a week for 6 weeks, control group received education only. The results showed significant difference between the two groups in the TUG of physical function(P=.032). There were no statistically significant difference between the two groups in the fear of falls, falls efficacy of mental functions. The result of ultrasound measurement of lower extremity muscles showed statistically significant differences between groups in the 7 items(RF CSA Contraction RF DIS Resting, TA Thickness Contraction, TA P-angle Contraction, GCM Thickness Resting, GCM Thickness Contraction, GCM P-angle Contraction)(p<.05). In conclusion, the FPEP is very effective in the prevention of falls.

• Journal of Digital Convergence
• /
• v.15 no.8
• /
• pp.511-516
• /
• 2017

The study conducted a systematic analysis through systematic literature to explore trends in physical activities and trends in the elderly and smart health care sector. Based on the research data collected from 2006 to 2017, the research paper was selected as an analysis data base and collected data from the patented patent data registered to the Patent Office. Based on the combination of the aged, physical activities, IT, IoT, and healthcare, the research identified the research trends and subjects through the analysis and analysis of subjects based on a total of 102 academic journals and 79 patents. First of all, the academic research published a surge in 2010 research in 2006, and it has emerged as an area of continuous interest in academia until 2017. Meanwhile, patents for patents soared in 2012, according to the company's patent. Second, research shows that studies are being conducted in five areas of research. Service design, monitoring systems, systems, policies, and other studies. In the case of patents, three types of patents were classified as patents, devices and information related to information. Subsequent studies will be deemed necessary to verify the effectiveness of the smart health care technology to enhance the health of the elderly.

• Proceedings of the KAIS Fall Conference
• /
• 2010.11b
• /
• pp.1021-1024
• /
• 2010

고령 남성들의 건강관리 및 처치를 위한 복합 운동 프로그램 참여에 따른 혈관 염증 반응에 미치는 효과를 규명하고자 하였다. 따라서 WBC에 있어서, 운동집단은 프로그램 참여 전에 비해 참여 후에 유의하게 감소된 반면, 통제 집단은 각 변인들에서 증가되거나 악화되는 결과를 보였다. CRP에 있어서, 운동집단은 프로그램 참여 전에 비해 참여 후에 유의하게 감소된 반면, 통제 집단은 각 변인들에서 증가되거나 악화되는 결과를 보였고, RF는 두 집단 모두 차이가 없었다. 따라서 심혈관계 질환을 보유한 고령자들이라도 건강관리 측면에서 체계적인 신체활동에 적극적으로 참여 한다면, 염증 질환의 유지보다는 향상의 결과를 가져올 수 있으며, 차후 세부적인 연구가 필요하지만, 고령자들의 신체활동은 혈관의 탄력을 향상시키고, 급성 염증 반응에 의한 심혈관계 질환 합병증을 예방하고 보다 긍정적인 향상의 효과를 가져 올 수 있다.

• Journal of Korea Game Society
• /
• v.10 no.6
• /
• pp.47-55
• /
• 2010

In this research, a chair type game controller has been developed. We implement pressure sensors on a chair so that user's whole body movements can be signalized. The signals linked to a game system. This process occurs a meaningful exercise effect. Because users can play exergame setting on the chair type game controller, it is reduces risk of physical injury such as falling down and the Joint pressure compared existing exergame controllers. Based on the advantages of seating, elderly and obese can be provided appropriate exergame.

• Journal of the Korean Society of Physical Medicine
• /
• v.4 no.1
• /
• pp.57-62
• /
• 2009

목적 : 이 연구의 목적은 스트레칭이 노인의 경부 통증과 관절가동범위에 미치는 영향을 알아보는데 있다. 방법 : 치료에 따른 전, 후 경추 굴곡 신전 패턴을 이용한 스트레칭이 목의 관절가동범위 변화와 통증변화에 미치는 영향을 알아보기 위해 20명(남자 10명, 여자 10명)을 대상으로 치료 전, 치료 4주 후에 얻은 측정치를 대응 t-검정을 사용하여 분석하였다. 결과 : 치료 4주후 통증수치, 경추 관절 굴곡, 신전, 좌회전, 우회전 변화는 유의한 감소를 보였다. 결론 : 스트레칭이 노인 경부근막동통증후군 환자의 관절가동범위 증가와 통증 감소에 효과적이라는 것을 확인하였다.