Journal of agricultural medicine and community health
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v.15
no.1
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pp.41-48
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1990
In order to find out the status of health care of the old aged people (age of 65 and over) in a rural area, a study was carried out, through analyzing the data of health care clinic for 207 old aged people with geriatric diseases, and of questionnired survey for 84 old aged people with geriatric diseases in a rural community. Su Dong-Myun. Nam Yang Zu-Gun, Kyung Gi-Do, Korea, during the year of 1989. The following results were obtained. 1) The composition rate of population of age of 65 and over was 9.8% in total, and sex-specific composition rate was 9.3% in male and 10.4% in female. 2) Utilization rate of health care clinic for old aged people with geriatric diseases was the highest rate with 37.9%, through individual letters at the first time, and showed gradually decreasing tendency afterward. 3) In the means of utilization advices to health care clinic for the old aged people. the individual letters(37.9%) at the first time were more effective than public information of the old aged hall or/and Myun office(18.4%). 4) In opinion on utilization of health subcenter-health care clinic for the old aged people "will utilize"(59.5%) was the highest and "do not know"(26.2%) "be difficult to utilize" (9.5%) and "will not utilize"(4.8%) were in the next order. 5) Out of 84 respondents, the old aged people With geriatric diseases, 73.8%(about three-fourths) of them answered "their diseases to the aggravated" (29.8%) "not to be changed"(25.0%) and "to be unknown"(19.0%), and the others(26.2% of them) "to be changed for the better". 6) Out of 62 respondents(the old aged people), answered their geriatric diseases not to be changed for the better, "no curative effect" was the highest with 43.5% of them. "could not know" (33.9%), "would not treat"(19.4%) and "could not be treated"(4.8%) were in decreasing order. 7) The old aged people, responded their diseases to be changed for the better, answered that they(patients) should make themselves(68.2%) responsible for basic effort of health care. However the old aged people responded their diseases not to be changed for the better answered that they should impute the responsibility of basic effort for health care to medical facilities or other conditions(63.0%). 8) In the reason of failure that the old aged people responded their geriatric diseases not to have curative effect, mis-control of regular habits of daily life was the highest(57.1%), and failure of taking selected medicine steadily(28.6%), and abuse of medicines(14.3%) were in decreasing order. 9) The reason order of being changed for the better that the old aged people responded their diseases to have curative effect, was keeping and control of regular habits of daily life (46.7%), taking selected medicines steadily(33.3%) and others (20.2%) respectively. 10) The courses of geriatric diseases itself are so chronic, duplicate and uncertain, and the old aged people activities for disease control are so slow, various and uncertain that continuous health education in home or/and community unit must be essential factors for effective geriatric health care.
Purpose: It can be said that the aged belong to the group vulnerable to safety accidents. The purpose of this study was to investigate safety accidents to old people and provide basic data to prevent them from being in a safety accident. Result : 1. The number of the aged of traffic accident fatalities per 100,000 persons was 57.8, which was significantly higher than other OECD countries. 2. trauma for the aged, falling accounted for 60.6%, which was relatively higher than other wounds, probably because of decreased capacity of movement and reduced faculty of sensation. 3. accidents to the aged at home, 43.9% occurred in a room, which shows great risk of safety accidents to the aged in a room. 4. the aged generally showed negative awareness of social safety. Suggestion : 1. it is necessary to provide regular education about accidents through the mass media and at social welfare facilities in order for aged people to consolidate safety consciousness repeatedly. 2. it is necessary to make a brief and clear guide to prevention of accidents. 3. the Ministry of Construction and Transportation and the Ministry of Health and Welfare should give priority to designing a building for aged people and authorize construction according to the standards for establishing safety facilities for the aged. 4. it is necessary to change social consciousness. since transportation accidents can be caused not by aged people's insufficient safety consciousness but by that of all the people, it is necessary to provide society-wide education programs against dangerous driving in order to guarantee aged people's safety. 5. legal procedure to secure aged people's safety should be strengthened to reinforce legal protection for them.
It has been suggested by Krag and Kountz (1950), Horvath et al. (1955) and Spurr et al. (1955) that the mechanism for prevention of heat loss is less efficient in the aged than in the young. In addition, they observed that peripheral vasoconstriction occurred more rapidly and more intensively in the aged people in response to the cold stimulus. Although it is not clear on the basis of these reports whether the Physical insulation of the aged people in cold would be different from the younger, it is evident that the vascular reactivity in response to cold seems to be altered in the aged people. Hence this investigation was undertaken to investigate the physical insulation of the aged people in a systemic manner by water immersion method which has been successfully applied to the Eskimos and Korean diving women by Rennie et al.
Medical technology being developed, the increase of the aged population brings about many changes in financial standard, consciousness and lifestyle. And the increase of a nuclear family and a professional woman makes their family not to be able to support them anymore. Because aged people also don't want to rely on their family, aged people households are growing gradually. These causes make a house and a living environment of aged people to new social problems and these became elements to determine the living quality. In case of advanced nations a house considered of the physical character of aged people has been planned and they can live with various services in their houses and community that they are living without moving: But a hou! se for aged people is initial stage in Korea. And most facilities are poor and just for protection and accommodation. Although concerning a house for the aged according to revised the aged welfare law, companies are waiting to build because of problems of cognition and regulation. Therefore the plan considered of the character of the aged is being needed for the independent and comfortable living of the aged.
This study aimed at comprehending the meaning of sexual life for aged people, their strength of sexual desire and causes of change in their sexual life. It was another purpose to understand the extent of aged people's acknowledging the necessity of sexual consultation. This study adopted descriptive method using open-ended questionaires. The data for study was collected from 26 people over 65 years who reside in communities. It was gathered from April to June of 1998 through interview. The interviewee includes 16 males, 9 females and their average age was 73.3. 19 people among them have spouses. The conclusion of this study can be summarized as follows. 1) Attitude to sexual life: The meaning of sexual life for aged people is categorized as 'sense of duty', 'feeling of intimacy', 'basic desire', 'decrease of meaning' and 'meaningless'. 2) Sexual desire: Sexual desire of aged people is categorized as 'extinction', 'decrease', 'continuation' and 'restraint'. Restraint of sexual desire is due to social convention or the difficulty in fulfilling desire. 3) Causes of troubles in sexual life Causes which lead to troubles in sexual life of aged people can be categorized as 'physical', 'psychological' and 'social'. 'Physical' elements include 'incompetence of erection', 'decrease in duration of erection', 'increase in time needed to re-erection', 'declining of physical strength', 'decrease in vagina secretion' and 'worsening of health'. Among 'psychological' elements 'decrease of self-confidence', 'diminished concern of female aged people' are. 'Social elements' are 'absence of sexual parter', 'circumstances of living' and 'recognition of neighbor'. 4) Response to change of sexual life The reaction of aged people to change of sexual activities is classified as 'positive' and 'negative'. 5) Attitude to the consultation of sexual life of aged people The attitude to the consultation of sexual life in old age is classified as 'negative', 'doubtful' and 'positive'. This study explored the meaning which aged people in community attach to sexual life, the extent of their sexual desire, the causes of troubles in their sexual life, their emotional response to changes in sexual life, their recognition of necessity in sexual consultation. Considering the frequency of the statement, most of aged people who were interviewed thought much of sexual life and put emphasis on it. Those who said that sexual life has decreased meaning or is not important to them are few, Though aged people still maintain sexual desire, most of them have some trouble in sexual life. These trouble changes the sexual life, and results in negative feeling such as depression, renunciation and difficulty in relations. So they acknowledged that sexual consultation is necessary to them.
The proportion of the aged people in Korea has increased rapidly by more than 7% in 2000. A survey says that the changing rate from the aging society to the aged is the highest among the OECD countries. The prevalence rate of the aged population is on the increase. Chronic diseases such as arthritis and strokes limits their body's functions and activities of daily living. It is necessary that functional training. ADL training and continuous treatment be provided by Physical or Occupational Therapists. Discontinuance of treatment can cause the aged people to be in a bed state. The aged people need a variety of home care services at their convenience. Occupational and Physical therapist should play a major role in providing the rehabilitation-base home care services. Further they are expected to contribute to the extension of health care services such as home care and nursing home programs.
Journal of the Korean Institute of Rural Architecture
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v.1
no.3
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pp.87-96
/
1999
The first objective is find out some life styles on the aged by the actual condition of the daily living activities in old people's home and recuperation facilities. The second objective of this study is to clarify the living behavior patterns of the aged who are under recuperation and living by behavioral places. The thorough investigation and observation works were made to them from the view points of daily living behaviors and activities of the recuperating aged. This article discusses about the basic characteristics of the aged and the actual condition of the daily living activities of the aged in old people's home and recuperation facilities.
A steady increase in the aged population poses a great challenge to nurses with their diversities of health care needs, especially of psychological nature, such as an alienation problems among the aged. The purpose of this study is to examine the nature of alienation problems among the aged in urban areas to provide basic informations for a better understanding of aged people. In this study, the investigator has tried to identify causes of alienation in the aged, and to determine the extent of alienation in relation to sex, family structure, religion, economic status and participation in social activities. The survey was done during the period from the last part of August to the end of September 1973. After a day's training, 10 interviewers have interviewed 210 stratified random samples of people over the age of 65 residing in Seoul with the free-ended questionnaire prepared by the investigator. The result of the study was tested by Critical Ratio. Following Hypothesis have guides formulation of the study: I. The extent of alienation in old man would be higher than in old woman, II. The extent of alienation in the aged who live alone would be higher than those living with their family. III. The extent of alienation in the aged who have no spouse would be higher than who live with their spouse. IV. The extent of alienation in the people without religious beliefs would be higher than the people with religious biles. V. The extent of alienation in the aged would be higher in proportion to decreased level of their economic productivity. Ⅵ. The extent of alienation in the aged who do not participate in social activities would be higher than that of the aged who actively participate. The analytic results of the study are as fellows: 1. The extent of alienation in woman was revealed higher than that of man by showing significant difference at P〈0.01 level. (CR=3.66) Accordingly hypothesis I was denied. 2. The extent of alienation in the aged wile live alone was revealed higher than that of the aged who live with their family by showing a significant difference at P<0.01 level. (CR=7.31) So hypothesis II was supported. 3. The extent of alienation of the aged who have no spouse was revealed higher than that of the aged who live with their spouse at the significant level of P <0.01. CR=4.65) Accordingly hypothesis III was supported, 4. There was no significant difference in the extent of alienation between the people with and-without religion. Thus hypothesis IV was rejected. 5. The extent of alienation in the aged was found to be higher in proportion to decreased level of their economic ability. a. The aged with greatest income showed least alienation b. The aged with no income had a greater extent of alienation than the aged with minimal income by showing significant difference at P <0.01 level . (CR=4.82) c. The difference between the greatest income group and the minimal income group was. found to be less significant than the difference between minimal income group and the-people without income. Thus hypothesis V was positively supported. 6. The extent of alienation in the aged who do not participate in social activities was higher than that of the aged who actively participate. (P <0.01, CR=6.24) According1y hypothesis Ⅵ was supported.
We are confronted by increase in old people due to the improvement in medical science, public hygiene and socioeconimic status in 20th century. But our medical security system for old people dees not meet the need for medical service of old people. Current medical insurance system restricts term and extent in allowance although the characteristics of the disease of the aged people need medical care of Bong duration and high cost. And in the medicaid system the speciality of the aged people is not recognized and the budget of the government is scanty. In addition many old people to our country are in economic distress due to low income. But the government authority does not give sufficient consideration for eld people in law, policy and budget. To improve social security system for old people it is necessary to increase the budget for the security of old people, to enhance the traditional respect for the aged, to improve medical security system by improving the accessibility to medical service and by expanding the allowance of medical insurance, and to expand the public welfare institutions. And these are roles for all the family. the society and the nation as well as the aged people themselves.
Journal of The Korean Digital Architecture Interior Association
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v.9
no.3
/
pp.25-35
/
2009
This study is planning improvement of welfare facilities about the hall for the aged in apartment housing. An apartment house, famous residential type in Korea, put an important value on its convenience and economical efficiency of furniture arrangement by maximizing floor space index. In this regard, leisure usage of house was not carefully considered for the aged people. To redefine the efficiency of welfare facilities, research mainly deals with analysis of realistic needs for the aged through the spot survey and interview. The main purpose of this study is to enhance the quality of welfare facilities and propose the improved welfare facilities for the aged people. Through the research, conclusions are as followed First, Facility standard and provisions of the law should be revised for considering population growth of the aged people. Second, there are 4 plan types in the hall for the aged. Contrary to our expectation, diversity of program was not found however various program planning is needed for considering its different types of plan. Third, according to regulation, space restriction is based on the number of households. Therefore, room and space standard does not depend on the number of people. From now on, in order to improve quality of welfare facilities of the aged, revision of laws and overall facility standard should be implemented in advance.
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