• 한국임상약학회지
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• 제21권2호
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• pp.81-89
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• 2011

Medication adherence is an important public health issue. This study is conducted to explore non-adherence of elderly with hypertension and/or diabetes mellitus and to better understand its' influencing factors. To explore non-adherence, 605 elderly patients in community were surveyed with Modified Morisky Scale (MMS), from Aug 18 to Sept 19, 2008. MMS is designed to predict medication-taking behavior and outcomes, and also to explain persistence of the patient's long-term continuation of therapy, which is a significant factor in the long-term management of chronic diseases. Also, MMS is designed to classify patients into a high/low continuum for knowledge and motivation. Patients self reported medication adherence were average 4.66 with MMS (range 0-6), only 78% of patients hold high motivation of medication adherence although 95.5% of patients hold high knowledge of medication adherence. This study explores which factors influence to high motivation of medication adherence and it proved that patients' participation in work, education level, participation in private health insurance, number of medication and medication frequency per day, pharmacists' explanation, experience of non adherence due to cost are important factors to explain high motivation of medication adherence of elderly with hypertension and/or diabetes mellitus.

• 성인간호학회지
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• 제21권3호
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• pp.355-366
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• 2009

Purpose: The purpose of this study was to compare the antioxidant level, serum cholesterol and skin ${\beta}$-carotene, of female elderly who had been living more then 10 months in institutions which offered either vegetarian or non vegetarian diet. Methods: Total of 110 female elderly, 56 from institution serving vegetarian diet and 54 from nonvegetarian diet, were recruited from institutions located in S and N city in Korea. ${\beta}$-carotene level was measured on their palm using Pharmanex Biophotonic Scanner and annual health evaluation data was utilized for the analysis of serum cholesterol. Results: The subjects on a vegetarian diet had a significantly higher level of phosphorus, carotene, and folic acid. The elderly who were living in an institution offering a vegetarian diet had a lower level of serum cholesterol and higher level of skin ${\beta}$-carotene, compared to those living in an institution offering a non-vegetarian diet. Conclusion: This study reveals that a vegetarian diet is beneficial in increasing skin ${\beta}$-carotene level, decreasing serum total cholesterol level. The skin ${\beta}$-carotene measurement appear valuable as a bio-marker of antioxidant intake. Further study on antioxidant food and effective serving strategy for elderly are recommended.

• International Journal of Contents
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• 제16권1호
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• pp.57-64
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• 2020

We sought to compare upper extremity muscle activity between handwriting on paper and touchscreen with dominant and non-dominant hands in younger adults (age 23.90±1.12) and the elderly (age 75.55±5.76). Muscle activity (percent of maximum voluntary contraction) in the biceps brachii muscle, triceps brachii muscle, flexor carpi ulnaris muscle, and extensor carpi ulnaris muscle was measured using an electromyography device. As a result, our data indicate that muscle activity is lower in younger adults than the elderly. Besides, muscle activity is lower in the dominant versus non-dominant hand, and lower when writing using a touchscreen than on paper. These results can be used to support recommending touchscreens in the elderly. Also, they can be used as baseline data for comparing the performance of non-paretic side and paretic side in patients relative to the central nervous system.

• 국제물리치료학회지
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• 제9권4호
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• pp.1576-1585
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• 2018

Regularly participating in physical activity is known to improve quality of life and body composition in elderly with stroke. However, comparatively less physical activity is performed by the stroke survivors. The factors related to inactivity in elderly female stroke survivors have not been elucidated. Therefore, this study aims to compare the quality of life factors and limb compositions between the active and inactive elderly female stroke survivors. Forty nine subjects between the ages of 65 to 75 years were selected from the KNHANES data between the years 2009 to 2011. In addition, 186 agematched healthy peers were also selected for limb composition comparisons. The subjects were groups based on walking days per week: walkers; 3 days or more, non-walkers; less than 3 days per week. BMI and waist circumference were within the obesity ranges for both the non-walkers and walkers. As results, the trend for greater fat (${\pm}10%$) and lean mass (${\pm}30%$) differences were observed for non-walker and walkers, respectively. Significantly greater reasons for function limitation by stroke and hypertension were reported with significantly greater self-care difficulty was shown by the walkers. In conclusion, elderly female stroke survivals may require customized motivation and continuous support to participate in physical activity regularly.

• 한국생활과학회지
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• 제18권5호
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• pp.1155-1168
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• 2009

The purpose of this research is to investigate the realities and problem cases that occurred in the establishment and management of elderly housing facility in order to suggest the recommendations that help to improve the problem cases. For this purpose, 21 elderly housing facilities, which were established between 1996 and 2008 in Korea, were investigated with a documentary research method in terms of founders, managers, locations, the number of housing units, how to move-in. Also the problem cases that occurred in the establishment and management of 21 elderly housing facilities were investigated. The results were as followings. 1. Main founders and managers of 21 elderly housing facilities were the special companies for elderly housing, building companies, and social welfare corporation. Changes in the founders and managers were caused by financial problems; More than half of 21 elderly housing facilities were located in Seoul and near area; About a half of 21 elderly housing facilities had 100~200 housing units; An individual unit of elderly housing facilities can be rented or purchased, rented only, and purchased only. 2. The problems in the establishment and management of elderly housing facilities were non-return of deposit money, illegal sale of housing units, non-public registration of elderly housing facility, false advertisement, and unfair contract. 3. The problems in the establishment and management were mainly caused by the weakness in the regal and administration system for elderly housing and the illegal acts of founders and managers.

• 한국산학기술학회논문지
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• 제13권9호
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• pp.3962-3972
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• 2012

고령기의 생활을 위협하는 obesity 여성고령자를 대상으로 sarcopenia 동반에 따른 CVD 위험의 가중성과 16주간의 운동중재가 CVD 위험인자에 미치는 변화를 알아보고자 한다. 또한, 이러한 운동효과를 검증하여 obesity 여성고령자에게 obesity와 sarcopenia에 대한 운동의 중요성을 부각시켜 삶의 질 향상에 도움을 주기 위한 연구이다. 비만 여성고령자를 sarcopenia 동반유무에 따라 sarcopenic obesity group(SOG)과 non-sarcopenic obesity group(NOG)으로 나누어 16주간, 주 3회, 50-60분간 복합운동 실시 후 심혈관질환 위험인자에 미치는 영향을 분석하여 다음과 같은 결론을 얻었다. 운동 전 두 그룹간 CVD 위험인자 비교에서는 비만 여성고령자에게 sarcopenia가 동반될 경우 CVD 위험이 가중되지 않았으며, sarcopenic obesity 여성고령자가 non-sarcopenic obesity 여성고령자보다 HDL-C는 높게, TG는 더 낮게 나타났다. 운동중재 후에는 혈청지질에서 sarcopenic obesity 여성고령자의 경우 TC, TG는 감소하였고, HDL-C, LDL-C은 차이가 없었다. non-sarcopenic obesity 여성고령자의 경우 TC, TG, LDL-C는 감소하였으며, HDL-C 증가하였다. 따라서, sarcopenia와 CVD 위험인자와의 낮은 관련성을 확인할 수 있었으며, sarcopenic obesity 여성고령자가 non-sarcopenic obesity 여성고령자에 비해 HDL-C, LDL-C, BP, right baPWV에서 운동효과가 더디다는 것을 발견할 수 있었다.

• 보건교육건강증진학회지
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• 제27권2호
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• pp.109-119
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• 2010

Objectives: The aim of this paper is to analyze the heath factors for longevity index of survival rate in Korean centenarians, which contribute to longevity. Methods: The subjects of this paper included 996 centenarians in 276 regions of Korea that the data in this study was collected from the National Statistical Office, Republic of Korea in 2005. This paper that proposes indicators as follow: The ratio between the longevity index above 100 years old (100LI) and the survival rate above 65 years old (65SR): 100LISR. The study that examined the longevity factors that between 100LISR and health factors. Results: The results of this study showed that Gyeryong City (23 per 10,000 above 65 years old) included the most of 100LISR in Korea, followed by Cheju Island. The regression showed that significant predictors for longevity (100LISR) were non-drinking, non-smoking, garlic and root vegetable and elderly people are suffering serious health problems, they need caregivers for elderly care (R-Sq(%)=83.9, P=0.001). The correlation showed that significant factors as longevity were Sulfur dioxide (r=-0.677, p=0.004). Conclusion: The implications of this study are that longevity is to be fostered by promoting healthy behaviors of elderly and by inventing various policies to mitigate the environmental pollution.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제16권3호
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• pp.49-56
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• 2010

In Japan, a lot of elderly housing types have been developed in order to meet various needs of the older person and the change of social situations. Elderly housings can be divided into three categories elderly housings for healthy older persons, elderly care homes for the healthy and elderly care facilities for the unhealthy. Elderly housings include public and private rental housings. Sometimes they can be designated only for the elderly. Elderly care homes for the healthy elderly include full fee charging elderly housing, elderly homes, low fee charging elderly homes and care houses. Elderly care facilities for the unhealthy elderly consist of full fee charging elderly care homes, group homes for the dementia, elderly health facilities, nursing homes, elderly hospitals, and so on. However "elderly care facilities" have been proved not to be efficient for the delivery of elderly welfare services nor satisfactory to the frail older person. Therefore, based on the concept of the "Normalization", daily services have been provided for the elderly in order that they can live at their own home in the community for themselves. As a result, Japan aims not only to reduce elderly welfare expenses but also to increase elderly users' satisfaction. Emphasis on non-institutionalization and in-home services, regional characterization, harmony between Hard and Soft, user oriented services, substantiality, universal design and so on are sought for the sake of those goals.

• Journal of Korean Biological Nursing Science
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• 제19권1호
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• pp.18-29
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• 2017

Purpose: This study investigates the status of medication use of the elderly with chronic disease taking non-opioid analgesics and attempts to identify factors influencing medication adherence. Methods: Data were collected from September 1 to October 19, 2016. A structured questionnaire was used for face-to-face interview with a convenience sample of 161, elderly people with chronic disease taking non-opioid analgesics. The survey included questions about status of medication use, medication adherence, symptom experience, depression and family function. Data were analyzed using descriptive statistics, t-tests, ANOVA, Pearson's correlation coefficients, and stepwise multiple regression with IBM SPSS 23.0 program. Results: The mean score of medication adherence of the elderly with chronic disease was $4.48{\pm}2.35$. Experiences of side effects (${\beta}=.31$, p< .001), use of over-the-counter pain medication (${\beta}=.19$, p= .009), and family function (${\beta}=.16$, p= .031) were identified as significant predictors. The final model explained 18.0% of the variation of medication adherence of the elderly with chronic disease taking non-opioid analgesics (F= 12.30, p< .001). Conclusion: Therefore, as a strategy to improve medication adherence of the elderly with chronic disease, therapeutic intervention should be developed to improve family function and to manage with personalized plans considering experiences of side effects and use of over-the-counter pain medication.

• 가정과삶의질연구
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• 제32권5호
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• pp.207-219
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• 2014

The purpose of this study was to examine the characteristics of suicide attempts and non-attempts of the elderly living alone and the subjects in this study were 690 elderly persons living alone in Seoul and Gyeonggi Province. For data analysis, this study used descriptive analysis, mean comparison correlation analysis, and binominal logistic regression analysis using PASW 20.0. To explain the suicide attempts of elderly persons who live alone, variables such as sex, age education level, monthly household income, religion, subjective economic status, subjective health status, ADL/IADL, depression, hopelessness, social support, and stress were used. The findings of the study were as follows: First, 9.2 percent(64) of the elderly living alone had attempted suicide and 90.8 percent(626) had never attempted suicide. Second, monthly household income, hopelessness, and social support were identified as the factors that affected their suicide attempts. In other words, the elderly living alone who had lower monthly household income, less social support, and greater feelings of hoprlessness had made more suicide attempts. As it is a cross-sectional research using data from non-probability sampling, this has a limitation in generality sampling, this has a limitation in generalizing the study results. To overcome this limitation, longitudinal research using data from probability sampling is necessary.