• 대한간호학회지
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• 제46권6호
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• pp.848-857
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• 2016

Purpose: This study aimed to investigate factors affecting frailty by age groups among vulnerable elders in Korea. Methods: In this secondary analysis, data were collected from records for 22,868 elders registered in the Visiting Health Management program of Public Health Centers in 2012. Health behaviors, clinically diagnosed disease, frailty, depression and cognitive condition were assessed. Data were analyzed using stepwise regression to determine the associated factors of frailty by age group. Results: Alcohol consumption, physical activity, number of diseases, DM, CVA, arthritis, urinary incontinence, depression and cognitive condition were found to be factors significantly associated with frailty among the elders aged 65~74 (F=135.66, p <.001). Alcohol consumption, physical activity, CVA, arthritis, urinary incontinence, depression and cognitive condition were found to be factors associated with frailty in the elders aged 75~84 (F=245.40, p <.001). Physical activity, CVA, arthritis, depression and cognitive condition were factors associated with frailty in the elders over 85 years of age (F=96.48, p <.001). Conclusion: The findings show that frailty of elders and associated factors were different by age group, and common factors affecting frailty were physical activity, CVA, arthritis, depression and cognitive condition. Thus, these factors should be considered in the development of intervention program for care and prevention of frailty and program should be modified according to age group.

• 치위생과학회지
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• 제23권4호
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• pp.378-388
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• 2023

Background: With increasing interest in health in old age, aspects of oral aging are being considered. The Korean Academy of Geriatric Dentistry recently proposed the diagnostic criteria for oral frailty in older adults in Korea. This study aimed to conduct a cross-sectional survey of factors related to oral frailty among community-dwelling older adults and identify differences in oral frailty status according to age and sex. Methods: Among 217 older adults aged ≥60 years who visited a senior center in Wonju, 206 completed all tests for oral frailty. Among them, data from those with a Korean Version of the Modified Barthel Index score ≥90 were used in the final analysis. After evaluating oral frailty diagnostic factors such as chewing ability, occlusal force, tongue pressure, oral dryness, oral cleanliness, and swallowing function, oral hypofunction was determined according to the oral frailty diagnostic criteria. Subsequently, the evaluation results were compared based on sex and age. Results: Significant differences in chewing ability, maximum occlusal pressure, and maximum tongue pressure were observed between sexes. However, these differences did not affect oral frailty diagnosis. All diagnostic factors of oral frailty, except for the risk of oral dryness and swallowing dysfunction, showed significant differences with age. However, no significant difference was observed in the prevalence of oral frailty. Additionally, this study found no relationship between sex and oral frailty factors using the oral frailty diagnostic criteria. However, it also found that age plays a significant role as an oral frailty diagnostic indicator, in addition to oral dryness and swallowing function. Conclusion: Sex and age did not affect oral frailty diagnosis. However, patients' chewing ability, occlusal force, and tongue pressure were affected by sex and age. Therefore, sex and age should be considered when diagnosing and intervening in oral frailty in the future.

• 한국노년학
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• 제41권3호
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• pp.295-308
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• 2021

본 연구는 일 지역 농촌 노인의 허약수준에 따른 관련요인을 알아보기 위하여 시행된 서술적 조사연구이다. 2019년 10월부터 2020년 3월까지 경상남도 H군에 거주하는 65세 이상 노인 400명으로부터 자료를 수집했다. 노인의 허약수준과 그에 따른 예측요인을 살펴보기 위해 이분형 로지스틱 회귀분석을 이용하여 자료를 분석한 결과, 건강노인은 27.8%, 전허약 노인은 30.9%, 허약노인은 41.3%로 나타났다. 허약 수준에 따른 예측요인을 분석한 결과, 건강 단계에서 전허약 단계로 진입하는 예측요인은 악력, 영양상태, 우울이었고 전허약 단계에서 허약 단계로 진입하는 예측요인은 성별, 영양상태, 신체기능, 우울이었으며 건강 단계에서 허약 단계로 진입하는 예측요인은 성별, 직업, 영양상태, 신체기능, 우울로 밝혀졌다. 본 연구를 통하여 농촌지역 거주노인의 허약수준과, 이에 따른 다차원적 변수들의 영향을 파악할 수 있었다. 이러한 결과는 농촌지역 노인들의 허약진행을 예방하고 관리하기 위한 방안을 모색하는데 필요한 기초자료로 활용될 수 있을 것이다.

• International Journal of Heart Failure
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• 제6권3호
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• pp.93-106
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• 2024

Being commonly diagnosed in elderly women and associated with comorbidities as well as ageing-related cardio-vascular changes, heart failure with preserved ejection fraction (HFpEF) has been recently considered as a distinct cardiogeriatric syndrome. Frailty is another frequent geriatric syndrome. HFpEF and frailty share common underlying mechanisms, often co-exist, and represent each other's risk factors. A threshold of 65 years old is usually used to screen patients for both frailty and HFpEF in research and clinical settings. However, both HFpEF and frailty are very heterogenous conditions that may develop at younger ages. In this review we aim to provide a broader overview on the coexistence of HFpEF and frailty throughout the lifetime. We hypothesize that HFpEF and frailty patients' profiles (young, elderly, superaged) represent a continuum of the common ageing process modified by cumulative exposure to risk factors resulting to a presentation of HFpEF and frailty at different ages. We believe, that suggested approach might stimulate assessment of frailty in HFpEF assessment and vice versa regardless of age and early implementation of targeted interventions. Future studies of pathophysiology, clinical features, and outcomes of frailty in HFpEF by age are needed.

• 대한통합의학회지
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• 제11권2호
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• pp.129-140
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• 2023

Purpose : This study was conducted to investigate and analyze the physical health of older Koreans with sarcopenia and locomotive syndrome and identify the related factors. Methods : In this study, the sarcopenia and locomotive syndrome evaluations were applied to 210 elderly people, and the sarcopenia group was 36, the locomotive syndrome group was 164, and the normal group was 10. After group selection, a physical health status survey was conducted. The physical health status was assessed via body composition analysis, physical characteristics survey including measurement of waist and calf circumference, investigation of diseases currently being diagnosed by a doctor, and frailty measurements. The collected data were statistically analyzed using one-way ANOVA, the Kruskal-Wallis test, and the Chi-square test. Results : There were significant differences between groups in all elements of physical characteristics including body mass index, waist circumference, and calf circumference. Among them, a consistent result was found that the normal group had the largest amount of muscle mass and the sarcopenia group had the least amount of muscle mass in the factors related to muscle mass. However, the factors relating to fat mass and obesity also showed significant differences between the groups, but the results were not consistent. Considering the group differences in current diseases, a significant difference was only detected for osteoporosis among 12 diseases. Moreover, those in the sarcopenia group had the highest rate of osteoporosis. And there was no significant difference between the groups in the total score of the frailty measurement, but there was a significant difference between the groups in the frailty measurement levels. Conclusion : This study on physical health status confirmed that muscle mass-related factors, osteoporosis, and frailty levels were significantly related to sarcopenia and locomotive syndrome.

• 성인간호학회지
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• 제27권4호
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• pp.428-437
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• 2015

Purpose: The aim of this study was to describe health status and to identify the factors related to health behavior in older adults in South Korea. Methods: A cross-sectional survey was conducted with a convenience sample of 186 older people (mean age =68.2yrs, 65.1% Female) registered at one senior center. Data were collected by self-report questionnaires or through face to face interview. The instruments were the Modified Health Behavior Assessment Scale, Stanford Research Instruments for Chronic Disease, Self-Efficacy, SOF Frailty Index and Quality of life questionnaire. The data were analyzed using t-test, ANOVA, Pearson's correlation, and stepwise multiple regression. Results: 58.6% older adults perceived their health status positively. Education level and economic status were significantly related to health behaviors of older adults. Self-rated health, sleep, stress, quality of life, health distress, depression, and frailty were significantly correlated with the health behaviors of older adults. Frailty, education level, and sleep disturbance were the significant factors predicting the health behaviors. Conclusion: The findings from this study suggest that nurses should take into consideration education level of older adults to promote their health behaviors and health promotion program which focuses on maintaining the quality of sleep and preventing frailty.

• 한국노년학
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• 제37권4호
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• pp.893-907
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• 2017

본 연구는 지역사회에 거주하는 여성 노인의 요실금 유무에 따른 허약정도와 허약에 영향을 미치는 요인을 파악하기 위하여, 2012년 S시 8개구의 보건소 방문건강관리사업 대상자 중 65세 이상 여성노인 3,251명의 자료를 이차 분석하였다. 요실금 유무별 여성노인의 체질량 지수, 허리둘레, 복합적 이동능력, 우울, 주관적 건강과 걷기운동, 유연성 운동 및 근력운동에 따른 허약의 차이를 파악하기 위하여 $x^2$-test, t-test, ANOVA를 실시하였으며, 사후검증은 Scheffe test를 실시하였다. 또한, 요실금 유무에 따른 제 변수별 상관관계는 Pearson's correlation을 실시하였고, 요실금 유무에 따른 허약에 가장 영향을 미치는 요인을 파악하고자 위계적 회귀분석을 수행하여 비교하였다. 연구결과, 요실금이 있는 여성노인의 허약에 가장 영향을 미치는 요인은 우울, 걷기 운동, 복합적 이동능력, 연령순으로 높게 나타났으며(F=38.321, p<.001), 이들 변수에 의해 허약이 36.6% 설명되었다. 요실금이 없는 집단에서 유의한 변인은 연령, 우울, 걷기 운동, 주관적 건강, 복합적 이동능력 순으로 높게 나타났으며(F=265.666, p<.001), 이들 변수에 의해 허약 정도가 설명되는 변량은 30.7%였다. 향후 지역사회에 거주하는 여성 노인, 특히 요실금을 갖고 있는 여성노인의 허약을 예방하기 위하여, 하루 10분 이상, 주 5일 이상의 규칙적인 걷기 운동 프로그램과 우울을 예방하고 관리하는 프로그램을 제언한다.

• 농촌의학ㆍ지역보건
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• 제41권3호
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• pp.129-139
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• 2016

본 연구는 재가 허약노인의 허약정도에 영향을 미치는 예측요인을 파악하기 위해 대상자의 허약정도를 확인하고 일반적인 특성, 건강증진행위, 역량강화, 사회참여, 주관적 건강상태 간의 관계를 분석한 후 다중회귀분석을 실시하였다. 연구결과로는 재가노인의 허약정도 점수는 31점 만점에 10.05점으로 고위험 허약노인군에 포함되었고, 건강증진행위는 4점 만점에 2.56점, 역량강화는 5점 만점에 2.74점, 사회참여는 5점 만점에 2.58점, 주관적 건강상태는 14점 만점에 7.17점으로 중간 정도였다. 재가노인의 허약정도는 연령이 높을수록, 생활만족도가 불만족일수록 심했으며, 허약정도와 건강증진행위, 역량강화, 사회참여, 주관적 건강 상태와는 부적인 상관관계를 나타내었다. 대상자의 허약정도를 설명하는 예측요인으로는 주관적 건강상태, 건강증진행위, 연령으로 나타났고, 이 세 변수가 허약정도의 37.4%를 설명하였으며, 이중 주관적 건강상태가 가장 주요한 예측인자로 나타났다. 따라서 재가노인의 허약을 예방하고 관리하기 위해서는 허약에 영향을 미치는 주요 예측 요인들을 반영한 중재전략을 개발, 적용해야 할 것으로 사료된다. 본 연구의 결과를 토대로 다음과 같은 제언을 하고자 한다. 첫째, 재가노인의 허약정도를 사정할 수 있는 표준화된 도구의 마련이 필요하다. 둘째, 재가노인의 허약정도를 가장 잘 예측할 수 있는 변수로는 주관적 건강상태로 나타났으므로 재가노인의 허약을 예방, 관리하는 프로그램에는 주관적 건강상태를 강화하는 내용을 포함할 것을 제언한다.

• 대한예방의학회:학술대회논문집
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• 대한예방의학회 2005년도 제57차 추계 학술대회 연제집
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• pp.326-326
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• 2005

• Journal of Korean Biological Nursing Science
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• 제20권3호
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• pp.177-186
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• 2018

Purpose: Increasing number of older adults are receiving cancer surgeries especially for gastrointestinal cancers, which brings forth attention to age-related postoperative complication prevention. Postoperative delirium (POD) is a common complication that rises after surgical procedures involving general anesthesia, largely in the elderly population. Due to its sudden onset and fluctuating symptoms, POD often goes underdiagnosed and undertreated even though it may lead to various adverse outcomes. POD in GI cancer surgical elderly patients is poorly understood in terms of prevalence, pathophysiology, assessment, treatment and nursing management. We aimed to identify available literature and investigate study results to broaden our understanding of geriatric GI cancer POD. Methods: The search process involved six databases to identify relevant studies abided by inclusion criteria. Results: Eleven studies were selected for this review. Geriatric POD is closely related to frailty and surgical complications. Frailty increases vulnerability to surgical stress and causes cerebral changes that affect stress-regulating neurotransmitter proportions, brain blood flow, vascular density, neuron cell life and intracellular signal transductions. These conditions of frailty result in increased risks of surgical complications such as blood loss, cardiovascular events and inflammation, which all may lead to the POD. Mini Metal State Examination (MMSE), Confusion Assessment Method (CAM) and Delirium Rating Scale-revised-98 (DRS-R-98) are recommended for POD assessment to identify high-risk patients. Conclusion: The POD prevalence ranged from 8.2% to 51.0%. The multifactorial causative mechanism suggests nurses to identify highrisk elderly GI-cancer surgical patients by reviewing patient-specific factors and surgery-specific factors.