• Title/Summary/Keyword: Experience in living with the elderly

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A Narrative Inquiry of Experience of the Elderly's Living with Chronic Disease in Hospital-based Home Care Services (병원중심가정간호를 받는 만성질환 노인의 삶의 경험에 관한 내러티브 탐구)

  • Shin, In-Ju;Lee, Chung-Sook
    • Journal of Home Health Care Nursing
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    • v.18 no.1
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    • pp.20-31
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    • 2011
  • Purpose: The purpose of this study is to document the experiences of elderly persons with chronic diseases who are under hospital-based home care services and to find out how they describe the experiences using a narrative inquiry method. Methods: The participants are 7 elderly patients over the age of 70. Data collection and analysis were conducted through Jeong Gwang Soon's six-stages: observing phenomena, selecting participants, talking, talking again, writing, and confirming. Results: The results of data analysis were classified into 4 themes of overall experience related to chronic diseases: response to home health care, overcoming chronic disease, life reconstruction, and 22 categories as common denominators extracted from the elderly persons' lives. Conclusion: This research makes the experiences of the elderly living with chronic diseases more understandable, and it can be utilized as a effective nursing praxis to improve the quality of elderly persons with chronic diseases in hospital-based home care services.

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An Analysis of Convergence Factors on the Unmet Health Needs of the Indigent Elderly (빈곤노인의 미충족 의료와 관련된 융합적 요인 분석)

  • Park, Sun Joo;Lee, Won Jae
    • Journal of the Korea Convergence Society
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    • v.8 no.1
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    • pp.221-229
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    • 2017
  • The purpose of this study is to identify the convergence factors affecting the unmet health needs of the indigent elderly. The data the study is the Korean medical panel of 2011 and the parameters belonging to each factors were selected based on the Anderson model. We analyzed the general characteristics using frequency analysis and the correlations between variables using cross analysis. Finally, logistic regression analysis was conducted to examine the factors affecting unmet health needs. The indigent elderly with no education and elementary school graduates were 1.5 times more likely to experience unmet health needs than the poverty elderly with high school graduates. The indigent elderly who does not work for income, who were employers and self-employeds were 1.5 times more likely to experience unmet health care need than unpaid family workers. The indigent elderly with disabilities in activites of daily living were 2.9 time more likely to experience unmet health care needs than the indigent elderly with no disability in activites of daily living. The results of this study confirm that the increase in the economic burden of medical care for the indigent elderly can lead to the unmet health needs.

The Development of a Retirement Home Model with Emphasis on Clothing, Nutrition, Housing, and Psychological Dimension (노인의 의.식.주생활 및 심리적 적응을 위한 이상적 모델개발 연구 -양로원을 중심으로-)

  • 윤복자
    • Journal of the Korean Home Economics Association
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    • v.27 no.4
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    • pp.167-191
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    • 1989
  • The present study was conducted to devlop and appropriate retirement home model for the elderly in terms of clothing and textiles; nutrition, health, and foodservice; housing and environment; and psychological adaptation. Specifically, the purposes of the study were: 1) to provide basic guidelines for clothing by comparing the clothing behavior of the elderly living in the retirement home and those living in their own homes with family, 2) to provide basic guidelines for balanced diet and effective foodservice, 3) to develop an ideal life space and facilities, and 4) to assess the psychological characteristics of the elderly. Questionnaires, observation, experimental method, and survey of literature were used for the study. Clothing behavior showed that the elderly were much concerned about clothing, and they preferred comfortable as well as fashionable designs. The elderly in the retirement homes complained of a lack of quantity and variety in clothing. They preferred natural fiber rather than blended fabrics. Flame resistance, thermal insulation, and flexibility of textile fabrics were found to be prime considerations in manufacturing and selecting clothing materials for the elderly. The health status of the surveyed elderly was generally good, but some poor eating habits were observed. Dietary nutrients intakes were generally sufficient, but several nutrients intakes were insufficient. The level of equipment in the kitchens of the institutions was low. Furthermore, the employment rate of dietitians in institutional settings was extremely low. This resulted in a lack of systematic foodservice management. Residents in the institution were generally satisfied with present life space and facilities but this was mainly because of abandonment, adaptation, and past experience. Optimal allocation of residents per bedroom and an adequate design for storage, bathroom, utility room, and dining room were recommended. The comparison of psychological status of the elderly living at home was more stable than those living in an institution. The emotional state of the elderly living in the institution was characterized by loneliness; they did not have close interpersonal relationships or future plans. An appropriate model for the elderly was developed on the basis of these findings.

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Attitude on the Elderly and Elderly Patients among Nursing Students and Nurses (간호대학생과 간호사의 노인과 노인환자에 대한 태도)

  • Jeong, Hye-Sun
    • The Korean Journal of Health Service Management
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    • v.7 no.3
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    • pp.15-28
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    • 2013
  • The purpose of this study is to identify if there is difference in the attitude toward the elderly and the elderly patients among nursing students and nurses. Data were collected between August 1 and November 30, 2012 by using a structured questionnaire and the participants of this study were 423 nursing students in 6 universities and 244 nurses in 5 hospitals. The nursing students and nurses had more negative attitudes toward elderly patients than the elderly. There was difference in attitudes toward elderly patients according to grade, whether to take gerontological nursing course, the level of interest in the Aged, and whether to have experience in living with the old in the past among nursing students. There was difference in attitudes toward elderly patients according to the quality of volunteer service experience among nurses. In order to identify the attitudes accurately in nursing studies or education related to the elderly, the process to classify and define the objects of attitudes in details should be administered first.

Effects of Oral Health Education Experience on Subjective Oral Health Level of Elderly in Some Area (일부지역의 노인에서 구강보건교육 경험이 주관적 구강건강수준에 미치는 영향)

  • Sung, Mi-Ae;Choi, Sung-Suk;Lee, Yun-Hui
    • Journal of Korean Clinical Health Science
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    • v.7 no.2
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    • pp.1298-1307
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    • 2019
  • Purpose. This study was to correlations between oral health education experience and subjective oral health level of elderly in Yeongnam region. Methods. The data were collected from 254 elderly in Yeongnam region. Data analysis was performed using cross Analysis, t-test(One-way ANOVA), logistic regression by SPSS WIN 17.0 program. Results. According to the general characteristics of the study subjects, 42.8% of those under 75 years and 57.2% of those over 75 years of age had never been educated, 50.7% of living expenses less than 1 million won and 37.3% of those below 2 million won had never received oral health education (p<.05). The differences in subjective oral health levels with or without oral health education experience showed higher limitations of function and impairment of social psychic function in the elderly with no experience than those with oral health education experience(p<.05). Correlation between oral health education experience and subjective health level of the elderly showed a positive relationship with each factor, meaning that the subjective oral health level was higher with oral health education(p<.05). Subjective oral health levels for functional limitations or social and psychological disorders were high in the elderly without oral health education(p<.05). Conclusion. Considering the impact of oral health education experience on the subjective oral health level of the elderly as above, we should develop various continuous and systematic programs that can increase prevention and post-education practices for the increase of education beneficiaries through diverse approaches to enhance their usability.

EMT students' Knowledge and Behavior related to the Elderly (응급구조과 학생들의 노인관련 지식과 태도 및 행동 - 광주·전남지역을 중심으로 -)

  • Yun, Jong-Geun;Kim, Mi-Sook
    • The Korean Journal of Emergency Medical Services
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    • v.10 no.3
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    • pp.49-59
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    • 2006
  • Purpose: This research is intended to investigate the EMT students' Knowledge, attitude and behavior and then identify the predictors of the EMT students' attitude. Method: The purpose of study was to examine EMT students' knowledge and attitude toward the elderly using a survey of 286. the instruments in this study were palmore's FAQI(1998) and the 20 item semantic differential scale developed by sanders et al. (1984). Results: The results of this study were as follows : 1. The measuring of respondents' knowledge of the elderly revealed they scored an average of 10.17(${\pm}3.30$) of the full score 25. It also said their success rate to choose the answer on the elderly was 39.59%. 2. Attitudes toward the elderly weren't significantly different EMT students. 3. EMT students educational level and religion were found to impact their attitudes toward the elderly. 4. The feelings from their previous co-living experience with the elderly were significant factors. EMT students attitudes toward the elderly had an significant effect on co-living experience and the feelings in education programs toward the elderly. Conclusion : A well-designed program is essential to change the attitudes toward elderly because The feelings in education programs for the elderly are very important. with more knowledge of the elderly, the attitudes toward the elderly is expected to be more positive. Therefore, it is necessary to improve the enough knowledge of the elderly.

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Policy Suggestions for Senior Employment Promotion Programs for Improving Life Quality for the Elderly (노인의 삶의 질 향상을 위한 노인일자리사업 참여의사에 영향을 미치는 요인에 관한 연구)

  • Park, Kyung-Soon
    • Journal of Family Resource Management and Policy Review
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    • v.19 no.4
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    • pp.1-17
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    • 2015
  • This study is aimed to discover the deciding factors in senior employment programs for improving the quality of life for the elderly. The dependent variable used in this study was the quality of elderly persons. Personal and familial characteristics, and the community involvement of the elderly were used as independent variables in a Multiple Regression analysis. First, the most influential factor encouraging the elderly to participate in a senior employment promotion program was previous experience of senior employment programs. Second, health condition, residence in city areas, experience of volunteer work, and knowledge of senior employment programs had positive effects on the continuous participation of the elderly men and women. However, living arrangements had an effect solely on elderly men, and home ownership and participation in economic activities had effects solely on elderly women. Third, the life quality of the elderly was affected differently by sex. Health condition had the greatest effect on male elderly persons, whereas, the effective variable, the composition of the family had the most effect on female elderly persons. Thus, active campaigns through various mass media and information sessions are needed to promote participation in senior employment programs, according to the above mentioned deciding factors. In particular infrastructure providing the elderly with more volunteer work opportunity needs to be built for baby boomers to improve their quality of life. In addition, diversified senior employment programs are needed. Because the elderly living in city areas are more willing to participate in senior employment programs, specialized programs suitable for the elderly in city areas are needed. The government should also prepare programs that help the elderly stay healthy while they are working.

Study on the Lived Experience of Elderly Men Living Alone in a Single Room Occupancy(Chokbang) (쪽방지역에 홀로 사는 남성 노인의 삶의 경험)

  • Heo, so young
    • 한국노년학
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    • v.30 no.1
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    • pp.241-260
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    • 2010
  • This study aims to fully understand the experience of elderly men living alone in a single room occupancy(Chokbang) by identifying the meaning and essence of their experiences. This research used purposive sampling. The data were collected for 7 months from september 2008 to march 2009. Eight elderly men participated in the interview. Mainly the semi-structured in-depth interview and focus group interview were used. The data analysis was based on Giorgi's 4 types of specific steps. As a result, 4 components and 16 subordinate components were drawn from the analysis. The components resulted from the analysis are: , , , . Based on these results, I discussed the attitudes of the elderly men living alone in Chokbang in meaningful and gender-sensitive ways. Moreover, I provided social welfare connotation and future research suggestions.

A Phenomenological Study on the Lived Experience of Aging of the Poor Elderly (빈곤노인의 노화경험에 대한 현상학적 연구)

  • Chang, Kyung-Eun
    • Korean Journal of Social Welfare
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    • v.61 no.4
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    • pp.355-380
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    • 2009
  • The purpose of this study is to explore the lived experience of aging of the poor elderly and to identify suitable welfare policies on their behalf. For this purpose, I selected 16 participants from the criterion sampling of the impoverished elderly and conducted in-depth interviews, after which the collected data was analyzed using the phenomenological approach of Cloaizzi(1978). As a result, 27 themes, 10 clusters of themes, and 4 categories were pinpointed. The 4 categories are 'Facing death,' 'Becoming despondent in heart and mind,' 'Living a hard life,' and 'Going with the flow of life.' By integrating the meanings of these findings, the essence of the lived experience of aging of the poor elderly was to be, 'Self-sufficiency despite receiving welfare benefits from the government.' The lived experience of aging of the poor elderly was revealed as not being entirely based around dependency but rather around strongly independent and positive life attitudes. But also found were difficulties due to lack of living expenses required for survival, deep death anxieties, and life attitudes in the context of Confucian culture. Based on the study results above, I presented welfare policies for the poor elderly as outlined: implementation of social activities in order to encourage independence and positivity among the poor elderly, actualization of payment that meets at least the minimum costs of living, consolidation of psychological-emotional assistance, implementation of death-related education programs, and the compilation of a welfare policy manual for the impoverished elderly.

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A Study on the Status of Health and Medication in the Elderly (노인의 건강상태와 복약실태)

  • Cho Won Sun
    • Journal of Korean Public Health Nursing
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    • v.14 no.2
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    • pp.431-445
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    • 2000
  • In general the prevalence of old people is high and frequently have multiple diseases and symtoms requiring treatment. The nature of illness in the elderly has to be faced, and drugs do have an important part in the treatment of that illness. The purpose of this study were to describe health status and medication, and to provide some basic data for elderly's health education, especially for the right medication. Body mass index, self perceived health status, activities of daily living, disease and experience of past operation were surveyed to recognize the 249 elderly's actual health status. The degree of the elderly's understanding the way of medication, experience of side effects, experience of drug combination and incidence of drug adverse reaction along with drug combination were examined for medication. The aged $women(BMI; 10.7\pm13.3\%)$ overweighed the aged $men(BMI; 4.0\pm10.4\%)$. $69.0\%$ of them recognized their health good. Their activities of daily living were diminished following by the age group(p=0.0068) and relationship with self perceived health status were very significant(p=0.0005). They(192 elderly) suffered from multiple disease such as $osteoarthritis(49.5\%)$, $hypertension(32.0\%)$, gastric $disorder(16.1%)$, $diabetes(14.6\%)$, $osteomalacia(10.9\%)$, cardiovascular $disease(9.9\%)$, senile $cataract(5.7\%)$, skin $rash(5.2\%)$, liver $disease(4.2\%)$, kidney $disease(3.6\%)$, spinal cord $problem(3.6\%)$, respiratory $disease(2.1\%)$ $tuberculosis(1.0\%)\;etc(1.0\%).$ $28.3\%$ of them replied that they had an operation for appendictis senile cataract, peptic ulcer, spinal cord problem, pleurisy, hemorrhoid and the rest. Most of $them(87.4\%)$ knew the way very well how to use drugs, and $21.6\%$ of the replied 171 elderly experienced adverse drug reaction. Drug compliance rate were $high(83.6\%)$. In our study 56.9% of the 167 elderly took several medicine together. And $18.9\%$ of the 95 elderly who did drug combination had an experience of drug interaction. One person kept average 5.5 kinds of drugs at home among 243 elderly. They kept $digestives(79.4\%)$, $ointments(68.7\%)$, $vitamins(59.7\%)$, $analgesics(59.7\%)$, cold $medicines(45.3\%)$ antiarthritic $drugs(33.3\%)$, health $foods(27.7\%)$, antihypertensive $drugs(25.1\%)$, anti peptic ulcer $drugs(24.7\%)$, $laxatives(19.8\%)$, $antacids(16.5\%),\;antibiotics(l6.5\%)$, hypoglycemic $agents(10.3\%)$, cardiac $stimulants(7.0\%)$, $diuretics(4.5\%)$, antiarrhythmic $drugs(4.9\%)$, anti anginal $drugs(4.1\%)$, $hypnotics(3.3\%)$, $etc(38.3\%)$. With this result, we ascertain that polypharmacy in the elderly caused by multiple disease is common, which lead to drug interaction. So our task is to educate elderly how to use drugs in order to maximize their efficiency and to minimize their adverse effects.

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