• 사물인터넷융복합논문지
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• 제7권3호
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• pp.31-37
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• 2021

본 연구는 코로나19 팬데믹 불안과 디지털 소외를 경험하는 노인들의 불안감 완화를 위한 대면 비대면 융합차문화치료 프로그램을 개발하고, 프로그램의 효과성을 검증하기 위하여 P시 소재 K노인주간보호센터를 이용하는 70세 이상의 노인들 8명을 연구대상으로 하여 개발된 프로그램을 적용하고 그 효과를 살펴보고자 한다. 코로나19 팬데믹 불안을 겪는 노인들의 불안감은 프로그램 참여 전 참가자들의 심리불안 점수 평균은 3.02(SD 0.25)였고, 참여 후 평균은 2.79(SD 0.15)로 나타나 프로그램 참여 전과 후의 유의한 차이로 심리불안 점수가 완화되는 것으로 나타났다(Z=4.245, P=.004). 이러한 분석결과를 바탕으로 코로나19 팬데믹 불안을 겪는 노인들의 불안감 완화를 위한 대면 비대면 융합 차문화치료 프로그램의 확대를 위한 실천적 제언을 제시하였다.

• 보건교육건강증진학회지
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• 제22권4호
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• pp.203-213
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• 2005

Purpose: To assess the environmental hazards of falling accident in the homes of the elderly. Method: 222 homes of the elderly were assessed by the home environmental Checklist from May to July in 2003. Results: The mean score of home environmental hazards for fall were 13.19 with the highest score being 49, ranging from 4 to 24. The bathroom was the most hazardous place in the home, porch came next bedroom, kitchen, living room and stair followed them. The floor surface such as finishes and non-skid mats was the most hazardous interior factor in the home, using bathroom came next furniture and illumination followed them. The floor surface such as finishes and non-skid mats in the bathroom, kitchen, living room and porch, illumination of bedroom and stair were the most prevalent hazards in the home of interior. Of the 49 potential hazards, bathroom grab bar was the most prevalent one with 89.9%, and non-skid rugs in the porch, bathroom and kitchen, safety of dinner table, the threshold and furniture of porch, and illumination of bedroom were prevalent more than half of the home under assessing. Men, living in the separate house or villa with stairs were in more hazardous environments. Conclusion: To reduce the potential hazards of fall accident in the home, improving hazards relating to floor surface such as slip resistance surface and mats is important specially those of the separate house or villa with stairs.

• 한국주거학회논문집
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• 제27권5호
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• pp.11-23
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• 2016

The purpose of this study is to establish the determinants of satisfaction with the results of housing regeneration projects among their elderly residents, and to suggest the political implications. The survey included questionnaires about satisfaction levels with the projects' physical and non-physical maintenance factors. The results were statistically analyzed by correlation analysis and PLS regression analysis. As a result of the study, firstly, the physical factors rather than non-physical factors (such as home improvement and management support, community support, the economic foundations and professional support) were found to have a large effect on elderly residents' satisfaction. Secondly, the non-physical factors, such as economic factors were analyzed among senior job offers that are both highly influential in the two regions Yonnam-dong and Bukgajwa-dong. Finally, electrical maintenance work, tree planting, a "Green" parking plan, or refuse the effect of visually larger landscape improvement, such as bins installed, maintenance of local factors that contribute to the greenery of the area were judged to be important.

• 대한지역사회영양학회지
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• 제7권4호
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• pp.527-538
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• 2002

Body antioxidant status is an important factor in the prevention of many chronic diseases caused by oxidative stress, especially in the elderly and is affected by health-related habits, such as smoking, drinking and regular physical activity. The aim of this study was to investigate the relationship between these health-related habits and plasma antioxidant status in the elderly. Plasma antioxidant status was examined by determining plasma levels of antioxidant vitamins (vitamin C, A, E, $\beta$ -carotene), total antioxidant status (TAS) and thiobarbituric acid-reactive substance (TBARS) . The subjects included 225 elderly persons aged over 60 yews (63 males, 162 females) living in the Ulsan area. They were interviewed to collect data on their general characteristics and health behaviors such as smoking, exercise and alcohol consumption by means of questionnaires. Their dietary intakes were obtained by means of semi-quantitative food frequency questionnaires (FFQ) The study population was divided into two or three groups according to their smoking, drinking, and exercise status. The ratio of smoker, drinker and exerciser was 16.7%, 31.0% and 44.2% respectively. The dietary antioxidant vitamin intakes were not significantly different among groups of smoking and drinking status, but tended to be higher in non-smokers and non-drinkers than in smokers and drinkers. Plasma vitamin C and $\beta$ -carotene levels were significantly higher in non-smokers, but Plasma vitamin A and TBARS levels were significantly lower in non-smokers than in smokers. Plasma TAS was not significantly different among the smoking groups, but showed a tendency to decrease with an increase in the number of packyear. Plasma vitamin C and $\beta$ -carotene levels of the non-drinkers were higher than those of drinkers and past-drinkers, but plasma vitamin A, C, E, TAS and TBARS showed no difference among the groups of drinker. All vitamin intakes of the exercisers were slightly higher than those of the non-exercisers, but vitamin C intake was significantly higher in female exercisers than in non-exercisers. Plasma $\beta$ -carotene levels were significantly higher in male exercisers and plasma vitamin A, C, E, TAS and TBARS levels tended to be higher in exercisers than in non-exercisers. These results suggested that change to non-smoker, modulation of alcohol consumption and regular exercise could enhance antioxidant defences against reactive oxygen species and might increase the likelihood of a healthier life span.

• 대한가정학회지
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• 제40권5호
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• pp.195-210
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• 2002

The purpose of this study were to find out the difference of needs of caring between care-givers and non care-givers, and to suggest the way of lessening vigorous task of care-givers for the elderly with dementia. Data were collected from 130 nationwide respondents intentionally divided into two groups; care-givers and non care-givers in the middle aged with middle and upper income. Collected data were analyzed by frequency, percentage, t-test using SPSS package. Since the result of survey, unexpectedly, showed no difference between two groups, it could be explained as that these two groups commonly had same needs of caring for the elderly with dementia. Major findings were as follow; 1) Most Koreans stiff thought family should be the main care-giver for the elderly with dementia prior to nation or society. 2) Responsibility of caring for the elderly with dementia would be better to be shared with children instead of focusing to a child. 3) They thought ideal residential facilities for the elderly with dementia were small-scale professional dementia facility(group home) rather than home or general elderly housing. 4) Professional dementia care hospital was one of the most needed facilities for the elderly with dementia, followed by short-stay and dar-care center. 5) It was revealed care-giving task was vigorous showing that most care-givers spent 1-5 hours a day for caring, while 13% of respondents spent 11-24 hours a duty. 6) 90% of care-givers took the responsibility of main care-giver because of duty of offsprings or spouses, and wanted to be free from their current circumstances. From the result of this survey researchers would like to suggest the establishment of diverse facilities for professional dementia care to lessen the caring burden for the elderly with dementia: group home, chronic hospital, short-stay, day-care center. Financial support from the government for the housing renovation of the caring families should be considered seriously afterward. It is needed to give the opportunity to select proper paid dementia care facilities according to their income and situation of household.

• 한국주거학회:학술대회논문집
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• 한국주거학회 2009년 춘계학술발표대회 논문집
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• pp.278-283
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• 2009

This study aims to figure out the old people's needs for modification of their housing to maintain an independent lifestyle despite their health status and living arrangements. The total of 438 residents take part in the questionnaire survey research through the quota sampling method grouped by age (60-64 group, 65-69 group, 70-74 group, and over 75 group), sex (male and female), and house type (apartment houses and others). The results are as follows. (1) The old people's most inspired modification needs in interior spaces are remodeling the heating controls in the living room and the bedroom, ventilation facilities and storage spaces in the kitchen, non-slip tile flooring and ventilation facilities in bathroom, an easy door-lock, non-slip tile flooring, a draft cut-off, and storage spaces in the entrance. Besides they require emergency alarm, easy door and window locks, fire and gas alarm, and furniture with easy handling. It is necessary to supply the aged with the appropriate heating controls for their sensitivity to heat, with enough storage spaces for the increased possessions, and with diverse safety systems reflected blunting of mobility and sensibility. (2) As they grow older, the aged require more remote controls and safety facilities such as emergency alarm, easy locks and furniture with distinguishable colors. Male elderly is more concerned with safety, while female elderly do with convenience due to their different time spending in the house. The elderly residents in the apartment houses require the heating controls, a draft cut-off, and storage space less than other types of houses. Thus modification of the heating controls, a draft cut-off, and storage space are regards as basic needs for the elderly residents in non-apartment houses.

• Journal of Preventive Medicine and Public Health
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• 제38권4호
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• pp.408-414
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• 2005

Objectives : The purpose of this study was to determine the impact of the sociodemographic and health characteristics on the out-of-pocket health spending of the individuals aged 20 and older in Korea. Methods : We used the data from the 2001 National Public Health and Nutrition Survey. The final sample size was 26,154 persons. Multiple linear regression models were used according to the age groups, that is, one model was used for those people under the age of sixty-five and the other was used for those people aged sixty-five and older. In these analyses, the expenditures were transformed to a logarithmic scale to reduce the skewness of the results. Results : Out-of-pocket health expenditures for those people under the age of 65 averaged 14,800 won per month, whereas expenditures for those people aged 65 and older averaged 27,200 won per month. In the regression analysis, the insurance type, resident area, self-reported health status, acute or chronic condition and bed-disability days were the statistically significant determinants for both age groups. Gender and age were statistically significant determinants only for the non-elderly. Conclusions : The findings from this study show that the mean out-of-pocket health expenditures varied according to the age groups and also several diverse characteristics. Thus, policymakers should consider the out-of-pocket health expenditure differential between the elderly and non-elderly persons. Improvement of the insurance coverage for the economically vulnerable subgroups that were identified in this study should be carefully considered. In addition, it is necessary to assess the impact of out-of-pocket spending on the peoples' health care utilization.

• 한국임상약학회지
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• 제33권1호
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• pp.62-69
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• 2023

Objective: Adherence is an important component in the treatment of various diseases, and poor adherence to antidepressants in patients with major depressive disorder is common. Non-adherence can be more prevalent in elderly patients with multiple morbidity and polypharmacy, resulting in negative treatment outcomes. The purpose of this study was to analyze adherence to antidepressants in Korean elderly patients with major depressive disorder. Method: A retrospective study was conducted using the Korean National Health Insurance claims database, and the subjects of this study were patients aged 65 or older who received at least one prescription of antidepressant monotherapy for the treatment of major depressive disorder between January 1, 2020 and June 30, 2020. Adherence was measured using the proportion of days covered at 6 months after the initial antidepressant prescription date. Logistic regression analysis was used to identify factors associated with adherence. Results: A total of 416,766 patients were finally included in the study. Over half of patients were non-adherent (52.67%) to antidepressants. According to the multivariate logistic regression analysis, national health insurance or medical aid, taking selective serotonin reuptake inhibitors or selective norepinephrine reuptake inhibitors, and having comorbidities were significantly associated with greater rates of adherence in the study subjects. The highest adherence rate was observed in patients taking vortioxetine. Conclusion: There was a considerable rate of non-adherence in Korean elderly patients with major depressive disorder. Health care professionals should try to improve adherence in elderly patients with major depressive disorder.

• 벤처창업연구
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• 제9권4호
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• pp.119-133
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• 2014

본 연구에서는 노인의 사회적관계망의 구성원 관계형성 시기가 과거에 기반을 두면서 모임에의 참석이 반 의무적인 사회적 관계망의 대표적인 모임인 동창회와, 이와는 반대로 주로 현재의 관계에 기반을 두고 모임에의 참석이 자발적인 사회적 관계망의 대표적인 모임인 동호회/취미클럽 활동이 각각 노인들의 주관적인 삶의 만족도에 어떠한 영향을 미치는지를 알아보았다. 지금까지 대다수 선행연구에서는 일반적으로 대부분의 사회적관계망이 노인들의 주관적인 삶의 만족도에 긍정적인 영향을 미치는 것으로 알려져 왔으나 본 연구에서는 관계망을 성격과 참여 형태에 따라 보다 깊이 있게 세분하여 살펴본 결과 주로 과거의 관계에 기반을 두고 조직원들의 반의무적인 참여를 특성으로 하는 동창회 모임의 경우 노인들의 주관적인 삶의 만족도와는 유의적인 관계가 없음을 알 수 있었다. 반면에, 현재의 관계에 기반을 두고 있으며 모임 참석자들이 대부분 자발적으로 참석하는 모임을 대표하는 동호회/취미클럽의 경우에는 노인들의 주관적인 삶의 만족도에 유의적인 정(+)의 큰 영향을 미치고 있음을 발견할 수 있었다. 따라서 본 연구의 결론이 우리에게 주는 정책적 함의는 노인들의 주관적인 삶의 만족도를 효율적으로 제고하기 위하여 노인복지정책 입안자들과 실천자들은 예산과 노력을 과거의 관계에 기반을 둔 비자발적과거기반형 사회적관계망 보다는 현재의 관계에 기반을 둔 자발적현재기반형 사회적관계망의 활성화에 집중하여야 한다는 점이다.

• 한국사회정책
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• 제23권1호
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• pp.95-123
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• 2016

고령화가 급속도로 진행됨에 따라 고령자의 취업 행동에 대한 객관적 분석은 효과적인 고령자 고용정책의 설계와 안정적인 노후소득보장 체제 개편을 위해 반드시 필요한 선결과제가 되었다. 고령자의 취업 결정요인을 분석하고자 한 선행연구들은 교육수준이나 비근로소득이 취업확률에 미치는 영향을 추정함에 있어 고령자 개인의 비관측 이질성과 독립변수 내생성 문제를 고려하지 못했으며, 따라서 그렇게 추정된 이들 두 변수의 회귀계수는 일치추정량으로 간주될 수 없다. 이 연구는 한국고용정보원의 고령화연구패널조사 1~4차웨이브 자료를 이용하여 패널로짓 모형을 추정함으로써 교육수준과 비근로소득의 효과에 대한 일치 추정량을 구하고자 했다. 그 결과, 비관측 이질성이나 내생성 문제를 고려한 후에도 교육수준과 비근로소득은 고령자 취업에 유의미한 음의 영향을 미친다는 것이 재확인되었다. 이러한 연구 결과는 향후 과거 어느 세대보다 학력이 높고 연금 등 비근로 소득이 높은 세대집단인 베이비부머들이 노동시장을 떠날 시점이 되면, 다른 조건이 동일할 경우 이들의 취업 유인은 그 이전세대의 그것보다 훨씬 더 약할 것이며 따라서 전례 없는 노동시장 인력부족과 연금재정 고갈이 초래될 수 있음을 시사한다. 마지막으로 이에 대비하기 위한 정책 방향으로 저학력 저소득 고령자와 고학력 고소득 고령자 각각을 대상으로 하는 취업지원 정책의 개편 방안을 제안한다.