• Title/Summary/Keyword: Frail elder

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Review of the approach in the PNF and Tai Chi on frail elders (허약한 노인을 위한 고유수용성 신경근 촉진법과 타이치의 적용에 관한 고찰)

  • Cho, Jeong-Sun;Bae, Sung-Soo;Park, Rae-Joon
    • PNF and Movement
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    • v.5 no.1
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    • pp.29-35
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    • 2007
  • Purpose : The purpose of this study was investigated to find the approach in the PNF and TC for frail elder Method : This is a literature study with books, articles, seminal note and books for PNF and TC international course. Result : Neural mechanisms contribute significantly to the gains that occur in the range of motion about a joint with stretching exercises. The participation in a stretch-training program decreases tonic reflex activity and increases flexibility and decreases in force production and muscle activation. Also the stretching-induced decreases may be due to a central nervous system inhibitory mechanism. PNF stretch techniques can increase ROM in older adults. These results may differ from those of studies performed with younger populations because of age-related physiologic changes. TC exercise improves balance control and muscle strength and were associated with reorganized lower extremity neuromuscular patterns. Conclusions : The stretch training program of the PNF and TC contribute to increase the balance and coordination for frail elder. Therefore, The frail elder prevent falling. Further study, The PNF and TC be introduced as the new therapeutic intervention for frail elder.

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The Type of Elder Care Arrangements and its Consequences for Mental Health Among Physically Frail Elderly (부양형태에 따른 신체취약 노인들의 정신건강)

  • 최혜경
    • Journal of the Korean Home Economics Association
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    • v.39 no.1
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    • pp.81-90
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    • 2001
  • This study focuses on the type of elder care arrangements and its consequences for mental health among physically frail elderly. Based on data from 410 frail older people, this study reveals the following results: (1) Frail elderly in family caregiving situation shows better mental health in terms of depression and psychological well-being than those in self-care or public institutional situation, (2) but this positive effect of family caregiving on mental health, especially depression, among older people is partly explained by the differences in income and marital status among older people in different caregiving situations, (3) the factors which are significantly related to mental health of older people are income in family caregiving situation, and education in both self-care situation and institutional situation. The results of the study emphasize the importance of family resources in family caregiving situation and of personal resources in self7are or institutional situation.

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The Effect of Subjective Xerostomia and Salivary pH in Salivary Glands Stimulated by Laughter Therapy in Frail Elderly Women (웃음치료를 통한 침샘자극이 허약노인의 구강건조와 타액 pH에 미치는 효과)

  • Lim, Sun Young;Lee, Kyem Ju;Kim, Su Jin
    • Research in Community and Public Health Nursing
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    • v.27 no.1
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    • pp.72-80
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    • 2016
  • Purpose: The purpose of this study was to identify the effect of subjective xerostomia and salivary pH in salivary glands stimulated by laughter therapy in frail elderly women. Methods: The research used a one-group pretest-posttest design. Data were collected from July 2, 2015 to September 30, 2015. A sample of 41 frail female elderly patients was recruited at A Nursing Home in K City, Korea. We measured xerostomia and salivary pH using a questionnaire and BCP test paper (pH 5.6~7.2). Laughter therapy was given once a week for four weeks (3 items). Data were analyzed through descriptive statistics, independent t-test, ANOVA, paired t-test and Cronbach's using the SPSS 18.0 program. Results: There were significant differences in salivary pH according to oral health (t=-2.06, p<.05). There were significant differences in xerostomia (t=4.41, p<.001) and salivary pH (t=-7.94, p<.001) after salivary glands stimulated by laughter therapy. Conclusion: Salivary glands stimulated by laughter therapy improved xerostomia and salivary pH of the frail elderly. Therefore, salivary glands stimulated by laughter therapy may be useful in promoting and maintaining oral health among the frail elderly in the rapidly increasing population of old people.

Elder Image, Self-Efficacy and Burden among Family Caregivers Caring for Elders with Chronic Disease (만성질환 노인 가족수발자의 노인이미지, 자아효능감 및 부담감과의 관계)

  • Lim, Young-Mi;Ko, Kwang-Jae;Kim, Bo-Ra;Park, Son-Young
    • Journal of Korean Public Health Nursing
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    • v.22 no.2
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    • pp.153-164
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    • 2008
  • Purpose: The principal objective of this study was to identify correlations among elder image, self-efficacy and burden among family caregivers caring for elders with chronic disease. Methods: A total of 187 primary family caregivers caring for frail elders over 65 years of age participated in this study. The data were collected using the Elder Image Scale (EIS), the Self-Efficacy Scale (SES), and the Burden Scale (BS). Correlational analysis was utilized to determine the relationship between EIS, SES, and BS. Results: EIS scores and SES scores were correlated at r=-.188(p=.010), indicating a significant negative relationship between elder image and self-efficacy. SES scores were negatively correlated with the BS scores (r=-.328, p=.000). EIS scores were correlated significantly with BS scores (r=.298, p=.000). Conclusion: These findings support the assertion that perceptions of elders and belief about caregivers themselves are associated with burden.

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A Study on the Hierarchical Space Organization of Elderly Care Facilities (노인 요양시설의 위계적 공간구성에 관한 연구)

  • Kwon, Soon-Jung
    • Korean Institute of Interior Design Journal
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    • no.34
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    • pp.96-105
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    • 2002
  • Elderly care services are health, mental health, social health, and residential services provided to temporarily or chronically disabled older persons over an extended period of time with a goal of enabling them to function as independently as possible. And elderly care facilities such as nursing homes are places in which elderly care services have to be delivered effectively. It is, therefore, desirable to compose the space of elderly care facilities to meet the mental and physical abilities of frail elder people. This study has proposed the hierarchical space organization of elderly care facilities with an aim to fulfill the goals of them. Frail older people in hierarchically designed homes are anticipated to use the inner and outer spaces of care facilities as independently as possible in accordance with their physical and mental abilities.

Study on the characteristic and caregiving behavior of families who awarded on filial piety (효행자가족의 특성 및 부양행동 분석)

  • 김수연
    • Journal of Families and Better Life
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    • v.17 no.1
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    • pp.103-120
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    • 1999
  • The purpose of this study was to investigate the characteristics and caregiving behavior in families who awarded on filial piety. Using the qualitative method 137 families and social supports to them were analyzed,. The major findings can be summarized as follows (1) Most of caregivers were daughter-in -law over 40 years in 3-generation or 2-generation family. Elderly can be characterized as oldest-old dependent long-term care for more than 10 years. (2) These families showed very high family solidarity with strong collectivity. (3) Their economic emotional and service cares were family-centered with helps from their extended family. These families were supported emotional helps rather than instrumental helps from social network. It was concluded that to help family elder care social support program for the frail elder caregiving families should be complemented in their children support program family life enrichment program for the inter-generational relationship medical care program other social network program and religion program etc. And more concrete and qualified study for the adaptation of filial piety families should be followed.

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The Relationship Between the Perception of Stress for care and the Elderly Abuse

  • Kim, Kyung-Woo
    • Journal of the Korea Society of Computer and Information
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    • v.20 no.11
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    • pp.169-174
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    • 2015
  • The study is to clarify the relationship among the positive and negative recognition of stress and physical and psychological abuse and neglect aiming at getting the material. They are to prevent elder abuse at the main care worker for frail and dementia elderly. The degree of fitness to the data where positive and negative recognition of main care worker was located as dependent variable. The casual model in which main care worker was located as independent variable. The degree of fitness of casual model was GFI=0.772, CFI=0.795, RESEA=0.067. Among path coefficient included in the previous model, three of figures going toward three of abuse to the elder were statistically significant.

Characteristics of Space Usage Patterns by Types of Single or Couple Elderly Households - Focused on an Analysis of Time Use Survey - (노인단독가구 유형별 주거 공간 사용 특성 - 생활시간조사 분석을 중심으로 -)

  • Kwon, Oh-Jung;Lee, Yong-Min;Ha, Hae-Hwa;Shin, Hye-In;Kim, Hyoung-Woo
    • Journal of the Korean housing association
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    • v.22 no.4
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    • pp.33-41
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    • 2011
  • The purpose of this study was to identify characteristics of space usage patterns by types of elderly households(single or couple). For the study, 74 elders who were older than 65 were selected and their living behaviors at their home during a day (24 hours) were analyzed. Respondents were classified into 6 types based on a combination of their household type, income level and health status. The results showed that the elderly residents tended to live a well-regulated life, however, each type had unique time and space use pattern. For example, the more the elder residents were healthy, the more they used many rooms. Frail elderly residents spent most of the day in their bedroom. Also, if they had a spouse, each one tended to use a separate private room for his or her daily life whether they shared a bedroom or not.

The Effect of Primary Caregivers' Guilt Feelings on their Request Behaviors for Help with Caring (부양자의 죄책감이 수발도움 요청행위에 미치는 영향)

  • Yun, EunGyeong;Jo, YeunDuk
    • 한국노년학
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    • v.28 no.4
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    • pp.1249-1264
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    • 2008
  • Guilt feelings are dysfunctional feelings that the primary caregiver of the frail elder are apt to have and those feelings increase a burden of caring, while there is lack of empirical study on the effect of guilt feelings on caring behaviors. In light of this, this study lays its purpose on examining the effect of the primary caregivers' guilt feelings on their burden of caring and request behaviors for help with caring, paying attention to their guilt feelings in our society where Confucian values toward supporting the elderly have remained. The questionnaire survey was conducted for 220 primary caregivers caring frail elders over 60 years of age by visiting. As a tool for measuring guilt feelings, a self-designed measure for caregivers was used (${\alpha}=.949$), and factors of guilt feelings were classified into four namely, the factors of lack of self-control, lack of resources, burnout, and the normative factor As a result, the following findings were derived. First, it was revealed that the guilt feelings of caregivers as family members have a positive correlation with a feeling of burden of caring and the feeling of burden have even effects on the four factors of guilt feelings. Second, when primary caregivers request help with caring, they feel guilty toward cohabiting family members and neighbors, and also they show no guilt feelings when using day-care services for the elderly. Especially, guilt feeling factors affecting primary caregivers were found to be the normative factor to cohabiting family members, the factor of lack of resources to neighbors, and the factor of burnout to using day-care services for the elderly. This result tells that the dysfunctional feelings of primary caregivers namely guilt feelings arising when asking help with caring not only increase their burden of caring but also can cause difficulties in sharing the role of the caregiver. Accordingly for the mental health of caregivers, we should develop programs with which we could understand and cope with their guilt feelings.

Association between nutritional status, sarcopenia, and frailty in rural elders (농촌 지역 노인의 영양 상태, 근감소증과, 노쇠의 연관성)

  • Lee, Su-Hyeon;Park, Ki-soo
    • Journal of agricultural medicine and community health
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    • v.46 no.1
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    • pp.23-31
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    • 2021
  • Objectives: Frailty and sarcopenia are recent important concepts in elder health care. Sarcopenia is the most important factor influencing frailty, and exercise and nutritional status are known to affect sarcopenia. The purpose of this study was to identify the relationship between nutritional status, sarcopenia, and frailty. Methods: This study was a cross-sectional design. The subjects of this study were 411 elderly people aged 65 or older from 10 villages in Gyeongnam. The survey tools were the K-FRAIL for frailty, the GDS-SF for depression, the SARC-F questionnaire for sarcopenia, and the DETERMINE for nutritional status. Frequency analysis, the chi-square test, and multiple logistic regression analysis were performed using the SPSS 25.0 program. Results: As a result of the chi-square test, there was a significant difference in the nutritional status and the frailty proportion (p<0.001), and there was a significant difference between frailty and suspected sarcopenia (p<0.001). After adjustment, nutritional status was significantly associated with sarcopenia (OR=2.946, p<0.001). In addition, nutritional status was significantly associated with frailty (OR=2.958, p<0.001), and sarcopenia also had a significant effect on frailty (OR=5.898, p<0.001). Finally, even after including sarcopenia, nutritional status had a significant effect on frailty (OR=2.246, p=0.002). Conclusions: Nutritional status can have both a direct effect on frailty and an indirect effect through sarcopenia, and it was found that sarcopenia also affects frailty. Therefore, it is necessary to evaluate sarcopenia and nutritional status and to evaluate their levels in the elderly and to take appropriate interventions.